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jmarie View Drop Down
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    Posted: Oct 08 2013 at 9:47am
Hi...this is my first post to the forum.  Thanks to all who contribute and educate all of us who are diagnosed with TNBC.
I was diagnosed on 8/29/13 after a routine mammogram, then an ultrasound and biopsy.  Grade 3 tumor 1.0cm and triple negative.  I had a double mastectomy on 9/12/13.   I will start my chemotherapy on 10/16/13.  Four rounds of taxotere and cytoxin, 21 day cycle.   I'm recovering pretty well from surgery, although the neuropathy is from armpit to armpit across my chest.   It helps to wear a very snug camisole....riding over speed bumps in parking lots, and rough uneven pavement is quite touchy!
I just have to say, although I'm not in denial, this seems like a total out of body experience.  I still, at times, can't believe this is really happening.   I guess because I never felt a lump, I wasn't sick, had no pain, etc. that it was just hard to believe.   Even tho I had the surgery, and have no breasts to speak of (my surgeon left flaps for later reconstruction) it still is hard to think of me....having cancer.... I still consider myself a healthy 56 year old woman.   I have so much support...a large family and lots of friends, even a few breast cancer survivors! (none with triple negative tho...they weren't even aware of what TNBC is).   Anyway.... the day I went to find a wig was my hardest day thru this entire journey.   I felt strong, had my mom and 2 sisters with me, and it was going to be a fun day of trying on wigs.    Soooo not true.  I got the first wig half way on and fell apart completely....ran out of the store sobbing, and felt so stupid.  The poor sales lady came out to the car and apologized if she had done or said anything wrong.  I had to tell her that she was fine...   Keep in mind, I have very short hair, and I never dreamed that I would have this reaction.   I guess this was my "You Have Cancer" moment!   I feel strong going into chemotherapy and have read so much that sometimes I have to pull back and allow myself some normal pre-cancer diagnosis moments!   The information is valuable, with tips to get thru just about everything, but on occasion it's too scary too.   This forum seems to be the one that calls to me the most.  Women with the same diagnosis of TNBC.   I want to thank you all again for all your wisdom and sharing.
56 yrs. old, 8/29/13 IDC Grade 3 TNBC 1.0CM 9/12/13 Dbl.Mastectomy
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Post Options Post Options   Thanks (0) Thanks(0)   Quote SagePatientAdvocates Quote  Post ReplyReply Direct Link To This Post Posted: Oct 08 2013 at 10:17am
Dear jmarie,

welcome to our TNBC Foundation family and sorry you have need to be here.

You have written beautifully about your experiences and everyone here 'gets it' and I believe you will hear from many and get good support.

I would like to suggest you ask your oncologist about 'dose dense' chemotherapy. I am a patient advocate working on a volunteer basis and I am not a medical professional/physician so please take my thoughts as suggestions not medical advice.

Some studies seem to suggest the dose dense approach be used and many major cancer centers have embraced it.


Regarding your hair loss, there is a book written by a friend of mine, Jackson Hunsicker, called Turning Heads that you might find helpful. It is available on Amazon or if you send me a PM with your address I am happy to mail you one as a gift and don't worry I won't use your address for any other purpose.

wishing you luck on your journey. and please try to find the beauty in each day.

warmly,

Steve

p.s. have you had genetic counseling and been tested for the BRCA mutation?




Edited by steve - Oct 08 2013 at 10:19am
I am a BRCA1+ grandson, son and father of women affected by breast/oc-my daughter inherited mutation from me, and at 36, was dx 2004 TNBC I am a volunteer patient advocate with SAGE Patient Advocates
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jmarie View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote jmarie Quote  Post ReplyReply Direct Link To This Post Posted: Oct 08 2013 at 10:42am
Hi Steve.  Thank you for the welcome.   I looked at the Dose Dense article....my cancer had not spread to the lymph nodes (Thank God!), but the article was informative.    I will go to a Genetic Counselor appointment next Tuesday to see about being tested for the BRCA mutation.   Two of my sisters (who live in the same city I do) will come along with me, as they are very interested in this also.  There is a lot of cancer on my mothers side of the family, many kinds, but only one sister with breast cancer.   My two sisters have major medical problems of their own...one has MS and the other Liver Disease (needs a transplant very soon), and this cancer scare is very real and concerning to them.  
I will PM you about that book your friend wrote.....thanks for the "heads up" on that. (trying to inject humor)
 
56 yrs. old, 8/29/13 IDC Grade 3 TNBC 1.0CM 9/12/13 Dbl.Mastectomy
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Post Options Post Options   Thanks (0) Thanks(0)   Quote SagePatientAdvocates Quote  Post ReplyReply Direct Link To This Post Posted: Oct 08 2013 at 11:00am
Dear jmaire,

glad you and your sisters are going for genetic counseling.

Please make sure that you ask the Certified Genetic Counselor about the BART test in addition to the BRACA analysis test if you are recommended to have testing. In my opinion you should get tested. The NCCN guidelines state that every woman under the age of 60 with TNBC should get tested even despite profound history of breast/ovarian cancer. 

The BART test is for rare alleles but is suggested as it will then be the most comprehensive analysis. Insurance should pay for both. BART was not previously covered but I am told it is now.

warmly,

Steve


Edited by steve - Oct 08 2013 at 11:01am
I am a BRCA1+ grandson, son and father of women affected by breast/oc-my daughter inherited mutation from me, and at 36, was dx 2004 TNBC I am a volunteer patient advocate with SAGE Patient Advocates
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Post Options Post Options   Thanks (0) Thanks(0)   Quote 123Donna Quote  Post ReplyReply Direct Link To This Post Posted: Oct 08 2013 at 11:18am
Hi Jmarie,

Thanks for sharing your story.  You'll find this group of people warm and caring.  We get what you are going through.  I can totally relate to your out of body experience feeling.  I felt the same way.  Please feel free to ask questions as you go through this journey.  We can try and help you along the way.

Have you had your Vitamin D level checked?  Most of us diagnosed with breast cancer are deficient in Vitamin D.  

Donna
DX IDC TNBC 6/09 age 49, Stage 1,Grade 3, 1.5cm,0/5Nodes,KI-67 48%,BRCA-,6/09bi-mx, recon, T/C X4(9/09)
11/10 Recur IM node, Gem,Carb,Iniparib 12/10,MRI NED 2/11,IMRT Radsx40,CT NED11/13,MRI NED3/15

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Post Options Post Options   Thanks (0) Thanks(0)   Quote jmarie Quote  Post ReplyReply Direct Link To This Post Posted: Oct 08 2013 at 12:01pm
Hi Donna.   I don't know if they checked my Vit. D levels when I did the labs before surgery.  I will look into that.   My mom and sister both have low Vit D so it might serve me well finding that out.  
One of my husbands co-workers that recently retired just lost his wife to cancer.  She had breast cancer in 2011 and had a recurrance in May and passed away 3 weeks later!   She had the same chemo as I'm getting (taxotere and cytoxin) and not only lost her hair but all her fingernails and toenails.   Yikes....I'm just getting used to the idea of wearing a wig....but the fingernail thing is crazy at best!   Good thing we're coming up on winter so if it happens to me (I'm thinking I'll escape the worst of the SE's) at least I can wear gloves when going out! 
I have a positive attitude, and just know that this will never get the best of me.   I might be sick and in bed a few days here and there, but overall that's a small price to pay .... I've got alot of living yet to do.  With a grandson, 5 years old, and a grandaughter just under 2 yrs. old, I can't imagine not seeing them play soccer, baseball, dance, gymnastics, and whatever their little hearts desire.  This grandma will be there!!!
Thanks for your support and guidance.
56 yrs. old, 8/29/13 IDC Grade 3 TNBC 1.0CM 9/12/13 Dbl.Mastectomy
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Post Options Post Options   Thanks (0) Thanks(0)   Quote 123Donna Quote  Post ReplyReply Direct Link To This Post Posted: Oct 08 2013 at 12:08pm
jmarie,

I had cytoxan/taxotere and didn't loose my nails.  I ended up with getting this lines in my nails (sort of like a ring from a tree) for each treatment.  My toes were a different story.  I didn't lose them, but my big toes came up from the nail bed and are discolored.  They are still like this so I just keep nail polish on them.  I only wore my wig on a few occasions.  I found scarves and fleece caps (during the winter) very comfy.  Your positive attitude will help and get you through this!  Just remember that all side effects are a possibility.  Some people get some of them and others don't.  The chemo nurses are great and they are on call 24 hours a day.  If you have the slightest question or concern, just call and ask is this a normal side effect and is there anything you can do?

Take care,
Donna
DX IDC TNBC 6/09 age 49, Stage 1,Grade 3, 1.5cm,0/5Nodes,KI-67 48%,BRCA-,6/09bi-mx, recon, T/C X4(9/09)
11/10 Recur IM node, Gem,Carb,Iniparib 12/10,MRI NED 2/11,IMRT Radsx40,CT NED11/13,MRI NED3/15

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Natalie Quote  Post ReplyReply Direct Link To This Post Posted: Oct 08 2013 at 5:55pm
J,
I never even got a wig, I felt it just wasn't me not that being bald is either LOL Good thing too, becasue at some point I lost my period (chemo induced) and was dealing with hotflashes that would have made a wig unbearable for me. I settled on bandanas throughout my teatments, but that was also in the Summer time also. Towards the end it was a bit chilly out so I just wore some of my hats I already had. It really wasn't long before I was walking out the door to spend time in my yard completely forgetting to put something on my head. I mean my family had already seen me, my neighbors knew very well what was going on in my house so what the hay as long as I was comfortable.
My nails all fell off hands & feet, if I remember correctly it didn't really kick in until I was on Taxol. Trust me when I say it didn't hurt at all in any way. By the time the nail comes off the bed is already healing and a new nail coming in.
I would strongly suggest you going to your dentist to get a good cleaning, as my said it was a good idea considering chemo can take a toll on our teeth and dentists really son't like to work on us while in treatment. He also suggested ACT Flouride rinse non- alcohol for sensitive teeth. Also drink tons of water before during and after to flush this stuff out. I also found Goya nectars great for me peach and mango were my favorites.
Please keep us posted, and don't be reluctant to ask the people around you for help. Sometimes a few of them are just waiting for us to ask.
Seize the Day,
Natalie
TNBC stage1 size 1.8, grade3 no nodes 4/11 Lumpectomy 5/11 4cycles DD A/C 4cycles DD Taxol. Double Mastectomy 12/11 BRCA all neg
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Post Options Post Options   Thanks (0) Thanks(0)   Quote jmarie Quote  Post ReplyReply Direct Link To This Post Posted: Oct 08 2013 at 7:48pm
Hi Natalie.   I know what you mean about hot flashes as I have been having them for a number of years already...they are not pleasant!  I know the wig won't be worn much but I wanted to have one just for the times I felt I "needed" hair.   I also purchased some bangs....what a great idea that was.  Velcro them into any head covering!   I took all of it to my hairdresser this morning to have her cut them to be as close to my style as possible.   I got a few hats and some caps to wear and they will be fine with the bangs.   Too funny!   The American Cancer Society was wonderful and provided the wig, wrap, and a hat...at no cost.   I was fully prepared to pay but they said it's free for all cancer patients.   A pleasant surprise to say the least.  
I had read about the dentist and went in last week for a cleaning.  She gave me some prescription toothpaste for use while I'm going thru chemo.  I also got a water bottle to take to chemo with me from a local support group.   I usually drink a good amount of water but will have to up it during this time.   Thanks for your tips on the Goya nectars.  Will have to give them a try. 
I go to a chemo class on Thursday.  I'm supposed to bring along my support team.   I imagine we will learn about all the prescriptions, and side effects, etc.   I had to laugh when we went to my oncologist...she told my husband that I wouldn't be able to cook or clean for at least two years!  Of course she also added that there were studies done showing that to be true.   The look on his face was hilarious.  Too funny.  She really made what was a serious appointment more relaxed than uptight and nervous....just the exact kind of oncologist I was hoping for. 
 
56 yrs. old, 8/29/13 IDC Grade 3 TNBC 1.0CM 9/12/13 Dbl.Mastectomy
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Post Options Post Options   Thanks (0) Thanks(0)   Quote TriplePositiveGirl Quote  Post ReplyReply Direct Link To This Post Posted: Oct 08 2013 at 7:59pm
Hi Jmarie -

Just wanted to wish you good luck during your chemo treatment. It sounds like you are prepared as best you can be. Chemo is not much fun, but before you know it, you will be through it and able to move on with life. Having a good support system is really helpful at this time too. You are fortunate to have that. 

Best,
Lisa
Diagnosed Jan 2010; Stage IIa, grade 2, 3.2cm in rt. breast, no nodes and BRCA-. 4 cycles Carbo/Gemzar 3/10; Lump 6/10; 2 cycles carbo/gem after surgery 8/10; 35 Rads finished 12/1/10. NED.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote jmarie Quote  Post ReplyReply Direct Link To This Post Posted: Oct 08 2013 at 8:51pm
Thanks Lisa.   You know, I feel you can only prepare so much for chemo.   I've never had a queasy stomach so I think that maybe my nausea won't be as bad as someone with a touchy one.   Mouth sores are something that I'm really kind of afraid of....I already have a propensity for canker sores....multiple ones at the same time, and I fear that my mouth will be a battlefield of sores.  Ugh.....  Here's to hoping that the Magic Mouthwash really does work!!!  Again, a small price to pay for living a longer life.    This too shall pass. 
You're right about my being fortunate for my support group.  My husband and son (32 years old - we only have one child) have really been by my side every step of the way.   My son drives 1-1/2 hours to all of my appointments and has called me daily since my diagnosis.  I also have 2 sisters here and my parents, not to mention my sisters-in-law - one of whom is a RN and has worked in Oncology for 18+ years.   My friends are all chomping at the bit to help me in any way too.   I'm overwhelmed by the love and support of all these people and also from complete strangers.   Cancer certainly gets peoples attention!
I count myself as a lucky lady in so many ways, and this cancer will not win! 
Thank you for your support.
 
JMarie
56 yrs. old, 8/29/13 IDC Grade 3 TNBC 1.0CM 9/12/13 Dbl.Mastectomy
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