Herceptin...Radiation...fatigue, oh my!

Today, March 11th, was my first combo-day, with Herceptin in the morning and Radiation in the afternoon. Yeah...by the time I made it home and into my bed, I wasn't sure if I could do all of this anymore. I am amazed at how emotionally taxing it is to visit two different oncologists in one day...

I met with the Medical Oncologist (well, his assistant, Nellie, who is great!) this AM before the Herceptin treatment. I told her I have been feeling a bit down...and very tired. Still seem to have some minor edema on occasion (mostly in my ankles), but this has gotten much better since I have been getting regular massages. My red blood cell count is still very low; however, the other components seem to be okay...they don't seem to feel I need any Iron or blood transfusion at this point. I am going to watch this closely...okay, time to eat more meat!

I have developed a small "pouch" of fluid around the incision line on the right side of my chest (not the side that had cancer). It is fluid filled (you can tell by the way it acts--and Nellie checked it to be sure), and does not appear to be anything to be too concerned about at this point. She instructed me to use a warm compress to try to alleviate it. There is no pain from it...just strange having a little pouch of fluid there. She said it could have been caused by "trauma" or a mild injury to the muscle area. Well, I did install a patio last weekend (with concrete pavers), so this could be my own damn fault!!! Oh well, I will watch it and see if we need to do anything further--she said that the surgeon could drain it if absolutely necessary. Let's hope not...I am truly sick of needles...and surgeons.

I asked her about weight loss...I had actually gained around 14 pounds during treatment. She reminded me that this often occurs during Breast Cancer Treatment, and that my metabolism should be getting back to normal soon. I have lost a few pounds, but I am struggling to lose much more...and I have been exercising and reducing my caloric intake. The fluid retention seems to be playing a role, and still, my metabolism is a bit off. Hopefully soon, I will see some of this come off!!!

The Herceptin administration went fine...took just over 1.5 hours...I took no additional medications with it (again), and I had no apparent reactions. Well, I did feel nauseous during and for a while after the administration. Hmmm...very likely mental, but who knows. What is the difference anyway?!?!

After I was done at the Medical Oncology office, I went and pigged out for lunch. Hehehe...trying to lose weight are you??? Try the buffet at Golden Corral. Funny, my thinking was...MEAT. Yep, I had a whole plate of it. Goodness, that was yummy--yes, even the "mystery meat" tasted good. I hadn't been to a Golden Corral for many moons...it is still deliciously nasty--but I stuck with meats and veggies (um, except that last plate--let's just call that my "refined sugars" plate, shall we?)

Then...off to get "zapped!" Radiation went fine as it has been. The folks at Tampa Bay Radiation Oncology are great. I love the two folks I usually see there each day! After they were done, I ventured to ask about my final radiation appointment...the 31st of March, right? NO. The 31st is the last day of "regular radiation," but I get another 5 treatments after that--"boosts!" Oh? April 8th is now my last day...

When they told me this, I fought back tears...emotionally, I just crashed. I drove home...exhausted (mentally and physically), and crawled into my bed. I was a total zombie for most of the night...

Really...really...really ready to be done with all of this treatment...

Chemo: Part 4 of 6 Today! I am 2/3 done!!!

Well, I woke up feeling a bit better this morning. I have been taking DayQuil and NyQuil pills during the past couple of days to help some of these apparent cold symptoms. They have been helping--the NyQuil has especially helped with me getting some good sleep at night.

I made it over to Tampa for my appointment, and the doc pulled me back before my bloodwork had been started. Apparently, there was a huge backup with getting bloodwork done, and he was ready for me! We talked for a while. He informed me that I DO NOT have the BRCA genetic mutation to blame for my Breast Cancer...hmmm, very interesting stuff. This is good news for my sis though...and that makes me feel pretty darn good! We also discussed my current infection--he gave me a look over and prescribed me with Augmentin to start after I am done with the Z-Pack. I also will have refills on this script, since I seem to be susceptible right now to these types of infections. I told him that this seemed so strange, as it started in my nose and my chest...then moved into my sinuses. Weirdness. Oh well, I am sure it will be fine...I am just ready to not be sick on top of, well, being chemo-sick!!!

Then we discussed my getting the massages (he gave me the note I needed)--I told him how helpful it was with my retaining water...worked better than limiting sodium AND exercise. Hell, the massages seemed to move out the excess fluids fairly quickly. I also told him that the school may be interested in working with their group somehow...and that they may be contacting him directly. He indicated that there were some folks that used to come to the office (before they had changed companies) and provide massages there to the patients. Hmmm...we'll see what they do with it, if anything!

We discussed travel again...and he said he was glad I was traveling...to call if I needed anything. And I (again) reminded him about the Claritin helping Neulasta bone pain. I told him that I started taking it BEFORE the shot last time, and I had very little pain this last time. He said he has recommended it to at least one other with some success...GOOD! I wish someone would figure out the connection there!!!

Anyway, I went back to get my bloodwork in the chemo administration area. They jacked in to my port (no, I did not look this time--that is just too gross!) and had the results within a few minutes. So, my bloodwork looked VERY GOOD...no issues at all...and I had no fever. Okay. Chemo #4 was about to get underway!!!

I didn't have any strange reactions this time...haven't really had any issues with it since the first one, so it went fairly smoothly. I didn't even get as loopy as I had last time from the Ativan shot...although I did get fairly nauseous during the last 45 minutes or so, during the Herceptin administration. Nothing major, just some mild nausea. Strange...I felt monsterously hungry along with the nausea.

Well, after about 4 hours of chemo, I was free to go...after they checked my blood pressure and weight. Blood pressure was a bit high (steroids, maybe?) and my weight is back down a bit (less fluid retention, maybe?) Next "appointment" is my shot of Neulasta tomorrow afternoon...then chemo on January 7th at 9:30 AM.

Becky came to get me tonight...although I felt like I could drive home this time, so I asked if she would follow me. I was a little tired...but I seemed fine--I was grateful she followed me home in case I had any problems! My sister rocks! Thanks Beck!

Well, after a nice helping of Becky's turkey meatloaf, some hummus and some Alaskan Truffles...I had to have some pizza. I ordered some and chowed down. Good lord! Haven't been that hungry in a while! Hmmm...don't even feel overstuffed. And I just noticed my cold symptoms are a bit better tonight...

Let's see what tomorrow holds!

With love,
Tory

Chemo 2 of 6 Today--1/3 DONE!!!

Well, Becky and I went to the Oncology office today for my bloodwork (still looking fine), meeting with my doc, and chemo part 2 of 6.

Finally I had the tech pull blood straight from my port instead of my arm/hand. Yay! No track marks this week!!! The results were fine per the doc, and I got the report for my records.

Meeting with the doc went great. He was very surprised to see that I had so much of my hair left. I have lost about half of my hair on top of my head. Oddly, I have most of my body hair too...hmmm. Well, my head hair is coming out very rapidly...so I don't know how much I will actually end up with, but we shall see.

I asked about the new study about cancer changing receptor status when it spreads to the lymph nodes. I asked specifically if the meds I was receiving would appropriately treat a cancer that had become ER or PR positive in nature. Based on what type of cancer I have, and the meds I am currently taking, we are treating it very aggressively and in a way that would attack any of the types it could morph into. Good news. I might watch this research though, as it intrigues me.

I also asked about exercise...what he would like me to do and if he feels I could go to the gym or not. He said he felt like I should do what feels right for me. He would suggest no heavy cardio work, but that exercise is definitely a good thing and to do it. Walks, light weights, and mild cardio is good.

We are continuing on the diflucan medication as it appeared to ward off the Systemic Yeast Infection that I developed last time. Essentially, I had the yeast infection in my mouth, throat, ears, nose and rectum. That was just so nice. Can we not do that again if possible? I have my script...with plenty of refills, so I can keep that side effect at bay. That side effect may be more related to the steroid decadron...

I mentioned about the lovely bone pain that results from Neulasta shots I get the day after chemo. I know I need them, but those f*#&ers are something else. "Mild" Bone Pain my ass. I did tell the doc that some folks on the internet were trying Claritin to help with the bone pain with some success. I told him I had researched the interactions and found no ill effects...so I had tried it. I told him it worked somewhat...not completely, but seemed to cut down the pain level a bit. He said he would look into it.

I did forget (again) to ask about the BRCA gene mutation test results...or if the test had even been ordered. Oh well, must remember this next time.

Next chemo is moved up to the day before Thanksgiving...and the shot will be on Friday. Works for me...just hoping I am up to do the St.Pete Times Turkey Trot (well, the little fun run version of it, the Gobbler 1 mile) the morning of Thanksgiving. My sis will compete in the 5k and will join me for the Gobbler once I sign up! Cool!

Anyway, back for chemo. They upped some of the pre-treatment medications this time to ensure I did not have a funky reaction like I did last time. Last time I got very hot and faint during the last chemo med administration. They had to give extra steroid via IV Push...that was no fun. But this time, they gave me a larger dose of Decadron (steroid) over a longer period, and they gave me Ativan via IV. Hmmm....that was trippy. Made me loopy and tired very quickly. Funny, my left eye was working okay, but my right eye seemed to be going all sideways to the world. Together, this made for some interesting stereoscopic views of the chemo administration room.

My friend Nancy showed up in the chemo room...I had no idea she was receiving treatment there...she is now doing her ongoing Herceptin treatment. She completed chemo then had a unilateral mastectomy. She will be doing reconstruction about 9 months after her last radiation. We talked for a while about what she had been through during the year...wow! There have certainly been some challenges for a handful of the people I know...for her, I wish continued learning and happier times ahead. I hope the same for myself, actually! It was nice to have her there during a large portion of my chemo today...she is such a good soul!

Anyway, I got my usual Aloxi (anti-nausea), Benadryl, Decadron, Tylenol (oral), Taxotere, Carboplatin and Herceptin. All told, I spent about 5 hours hooked up to meds today. No exciting events like last time...just got a bit nauseous and very slightly dizzy during the last med (Herceptin). Was glad Becky was there for support and to watch over me...I cannot stress the importance of having a good person with you during these treatments. My sister is good for my soul...and I need that during this. Thanks Bec!

Well, we finally got out of the office around 5:30 PM, after picking up my next scheduled appointment listing. Becky drove us home and was able to join her running group over in Tampa. I was able to drive up to the pharmacy and fill the new diflucan script (and grab some of that 75% off Halloween Candy that I really did NOT need). Hmmmm...read a small book on Mickey Mantle while waiting for the med to be filled.

Feeling okay tonight...just a little looped and tired. Took some Zofran to combat the minor nausea I was feeling...ate a decent meal (and too much clearance Halloween Candy to even admit to). Now, I think I will take the other meds as directed, drop some Diflucan and hit the bed a bit earlier than I normally do. This girl is a bit tired tonight.

Next Steps:
Get Neulasta shot tomorrow: ooooh...get ready for that "mild" (bullshit, that is not mild dammit) bone pain...
Have Thyroid Biopsy on November 10th
Next Chemo on November 25th

Need to research more on the reconstruction options...how long after radiation must I wait? Can I get implants after radiation? Some questions have come up during discussions with folks and some of my research.

Need to get script for fake boobies to wear in my bras until I get reconstruction...these cotton padded thingys are just driving me a bit crazy. I was supposed to get the script a couple of weeks ago, I just haven't done it yet.

Well, I am off for now.....
Here is to much health and happiness!
~Tory

This week so far...post chemo session 1 of 6, week 2

Ok, so last weekend was not too bad...I was just tired. I was looking forward to being back at work and getting my schedule back in order. I was also looking forward to having my sis, Becky back in town.

I worked all week, at the office, with the exception of Thursday. That was exactly 2 weeks after the 1st chemo, and I felt so freakin' tired I couldn't hardly see straight. I went in for the usual bloodwork Thursday AM, with the intention of going to the office after, but by the time I got out of there, I was pooped. So, I drove home to take a nap...I had intended on sleeping for an hour or so then doing some work remotely from home. I ended up sleeping a full 4 hours...then doing some work from home!!! I guess I really was tired!

That night, I felt a little nauseous. I had taken the last of the diflucan the day before, an I needed to pick up the refill...so I did not fill it until later in the evening. I did take the dog for a long walk in the heat...and we played at the park for a while (he had me fetching the ball, actually)...so I wasn't sure what exactly "caused" me to feel nauseous. I ended up taking some of the anti-nausea meds...and the diflucan...and I felt a little better by the time I fell asleep (around midnight, unfortunately).

Well, Friday started off okay--I did notice my hair was starting to come out (on day 15) a few strands at a time (I'd actually been kind of obsessively picking at my hair to see if it would come out....it surely did start then!) I went up to the office, felt okay, but after I ate (we had a potluck gathering)...the gas, bloating and nausea hit again. Bummer. I hung out in the bathroom for a while and missed the ladies at work giving me some very cool hats! They ended up putting them on my desk, they had assumed I did not feel well (oh, they were right). Funny, I didn't throw up...haven't but one time in the first week...I just farted and sweated a LOT. As my Nana would have said, "A lot of wind, but no storm." Hmmm. Glad I had some of the anti-nausea meds with me. Took one, felt better within an hour.

Friday night was okay, I just had one hell of a headache--mostly a scalpache to be honest. Felt more like a surface or tension headache than a deep headache. Maybe something to do with my hair coming out. Or maybe I need to poke a hole in my skull and let the demons out?

Saturday (this) morning, I got up early and felt a wee bit ambitious. Still fatigued...but got some chores done. Felt good to get more things off of the to-do list. Again, I felt a bit nauseous around mid-day (4 hours after I ate this time...), so I took some compazine. Felt fine within an hour or so. Strange. Hair is coming out more rapidly now...all over. My hair is so thick though, you cannot really tell yet. I was thinking I would have my sister use the clippers on my hair--go for the buzz cut, but earlier today, I felt like I might not do that.

Tonight, I am feeling like I could have her do it soon...I don't know why I am waivering on this so much. I got some more hats (on clearance) at Target...they are fun...I am leaning more toward doing the hat and scarf thing than the wig thing...I just don't like wigs. Hell, it may just not be for me. I am totally and completely confused by wool hats being sold in Florida...okay, one or two...but whole displays? Wool?

I have that damn headache again tonight...I took some advil last night and it did not help, so I think I will pass on it tonight...no sense taking more crap if it won't do anything anyway.

Anyway, it has been a decent week overall...nothing unmanageable. I am having to drink lots of Mylanta every night (and sometimes during the day)...because the reflux and heartburn is in high-gear...daily and nightly.

Strange to be losing my hair though...I am still obsessively pulling some out every little while or so--it is kind of...fun...in an oddly psychotic way. Let me be clear...it does not hurt. It just comes out very easily. Hmmmm, will someone please make me stop pulling out my hair now?

I have been thinking about going back to the gym...or at least exercising more. I miss the gym...I just wonder if I have the stamina. I think I am healed up enough from the mastectomy to get back into the gym routine, so we shall see. Maybe some more walks once it finally cools off? I've been reading some articles and other blogs about folks' experiences relating to exercise and chemo. I will just have to figure out a way to manage the stamina/fatigue issues somehow.

With love, from the boobless and soon-to-be-hairless one in West Central Florida,
Tory

a week of mild side effects...thank you anti-fungals

Well, this week started off okay...just some interesting side effects. The "mild bone pain" from the Neulasta shot was delightful. I can't wait to experience that again...I wonder if they will be able to reduce it or something, as that pain was quite interesting. I don't really know how to describe the feeling from that stuff...your bones ache from the inside...I think my marrow was screaming out in some sort of unhappy key. My bloodwork Thursday showed a very high White Blood Cell count...so we'll see how it does over the next couple of weeks...and yes, I guess I have to have WBCs...hmmm.
I bleed very easily right now...scratches, picks, bumps. Lots of fun bruises too. I find that I have to be very careful not to cut myself. I still have a bruise on my inner elbow where Nurse Tech Evilness pulled blood a week and a half ago. I wonder if they can find a good vein in my ass, so I don't have to keep going around looking like a junkie. Hmm.
Starting on Monday, my face broke out...my mouth and nose went completely dry, and my eyes started to get these lovely crusties. Then I started in with some symphonic gas...very pleasant farts, I must say. I wish I could produce those on demand...could end some unfortunate situations more quickly. Must research this. Diarrhea started Monday night...glad it waited until I got home from work. Good stuff. Even better on Tuesday when (while working at home) my body decided that it was gonna let loose right then no matter what. I have to say, my pants did NOT deserve that. And Sarge, I love ya, you are a wonderful dog, but please, if that happens again, I will clean the floor myself. You need not "help."
Truly nothing more disgusting than crapping your own pants.
I called the Doc's office to discuss the gas/bloating before the diarrhea started...they switched me to a bland diet--yum, 36 hours of broth...then Immodium to stop the spraypainting.
So on Wednesday, I realized that I recognized a lot of the symptoms I was having. Lucky me, I had a "Systemic Yeast Infection." Funny, I had it everywhere except where you'd expect. Eyes, nose, mouth, butt? Oh, now that is fun. Apparently, the steroids may have set that off...or my knocked-down immune system.
I had nose bleeds from it on Monday, Tuesday, Wednesday...fun. Now I was really looking like a junkie, crusty face, crusty eyes, arm bruises and all. I remember having Systemic Yeast Infections like 16 years ago...from steroids then...hmmm. Gave me bad gas and diarrhea and all of the other symptoms except nose bleeds...
Saw one of the other Oncologists at the Dr.'s office Thursday...to be sure it was a Yeast Infection...and it was/is. She started me on fluconazole to kill off the infection...and it is working very nicely. Nose feels about 50% better today, mouth is much better (Thrush sucks), eyes are happier, face still has some issues (hey, that is what makeup is for), butt is happier. I like a happy butt. No more diarrhea, gas or bloating. Doc said that they may have to keep me on fluconazole (an anti-fungal) during chemo to ward off these issues. High dose too...200mg. Hell, if it works, I am not going to complain.
Also during the Dr. visit, she reviewed my bloodwork and the ultrasound results for my thyroid. I have a 3 cm node on my thyroid that needs to be biopsied soon. Doc didn't look worried, and just said that they needed to look into it further. I really hope it is nothing...I don't have a whole lot of body parts left for folks to just keep yanking out of me. If they have to take that...I "get" to have another surgery (on my NECK eek)...and then I would have to have synthroid the rest of my life. Sheesh. Let's just hope it is nothing...OK?
Bloodwork good.
More bloodwork on Thursday...then next chemo on Thursday after that (November 5th). No date/time yet for the thyroid biopsy, but will have that very soon.
Went up to the office 3 days this week...yesterday (Friday) was the longest day at the office...and I really felt pretty well. I do get very tired EARLY...like around 8 or 9 PM (especially if I have not had a nap during the day), and I am waking up fairly early too. Sleeping okay, better the past couple of nights...been taking Ativan to help me sleep more consistently...I had been waking up every 1.5 hours or so.
My sister left on Tuesday to go back to Texas, take care of a few things, get her truck and slowly head back this way to stay with me during this. I miss her already and am looking forward to having her back. Cheri went home very early Wednesday AM. I really enjoyed having her here...it is so nice to have a friend like her my life. I hope to be able to go see her and her hubby Kevin while they are still living in Alaska. And maybe they both can make their way out to FL next time!

My hair: my scalp has been feeling weird all week...like a dull aching feeling. So, I got a wild impulse to have my hair chopped short...heck, I figure I could try it for a week or so before it fell out. Not really my style, to be honest...it is "fun," but I really do like having long hair. We shall see. Other body hair is starting to thin out, so I am curious when I get to go "monk!" I will give my sis the honor of shaving my head when it starts to go...I think...;-) I am getting the hats ready!

Off to eat some "real food" and not broth. Thank goodness I can eat again!
~Tory