Newly diagnosed
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Category: TNBC Forums
Forum Name: Welcome New Members
Forum Description: A place to introduce yourself to our community
URL: http://forum.tnbcfoundation.org/forum_posts.asp?TID=9235
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Topic: Newly diagnosed
Posted By: SandraB
Subject: Newly diagnosed
Date Posted: Oct 29 2011 at 6:38pm
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Hi everyone *waving*
I was diagnosed a month or so ago, at 39yo, with TNBC. I've had a lumpectomy and axillary dissection - tumor was 2.5cm and 3/29 nodes. I will start chemotherapy in the next 2-3 weeks. I have been looking at various support groups but seem to be finding it hard to find a place to call 'home'. I hope this will be that place? I was so happy to find a site where other women have a very similar diagnosis to me. I will keep reading all the great advice I'm finding here. Being a mum to 3 littlies (2yo, 5yo and 7yo) I have to do whatever I can to keep this beast at bay and go on to live a long life.
Sandra xo
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Replies:
Posted By: rpotts
Date Posted: Oct 29 2011 at 8:53pm
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I was diagnosed earlier this year with TNBC stage 3 and have went through chemo and a mastectomy. I too have been looking for a sight to call home. Best wishes with your upcoming treatments. The adriamycin chemo was harder than the taxol , I got through it with a lot of support and help. You will too. Pay attention to what your body tells you. Rest and eating right helps. Hang in there! Renee Xoxo
------------- Stage 3 breast cancer survivor
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Posted By: Barbi
Date Posted: Oct 29 2011 at 9:18pm
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Sandra and Renee, Welcome to a club no one wished you to join. However, there are many resources and loving hands here to listen to you vent, answer your questions and just know how you feel! Hope it is helpful. Best of luck in your treatments!
------------- 10/10,age49,St3,gr3,5+cm,1 node,BRCA-,T+Cisplatin+Rad0001(or placebo),Lump 1+cm,AND 0/15,AC,rads finished 7/6/11.Mets bone, liver,mamm node 8/11,abrax/tigatuzamab failed.Started bicalutamide 11/16/11.
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Posted By: 123Donna
Date Posted: Oct 29 2011 at 9:44pm
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Hello Sandra and Renee,
Welcome and I hope you find this community full of support. We understand what you are going through and will help you on your journey. Please feel free to ask questions or just vent, because we get it.
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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Posted By: SandraB
Date Posted: Oct 29 2011 at 10:04pm
Thanks for your replies 
I am really tired of reading all the *horror* stories associated with TNBC. But that's the internet for you. There will always be doom and gloom. My doctors aren't at all worried about the TN diagnosis - just me! Think that's my own fault though, for getting too worked up about what "Dr Google" says. I am interested in finding out what other women did re exercise and diet. I am pretty healthy, exercise every day, don't drink or smoke, eat a balanced diet... so not sure what else I can do in that respect... but I'm happy to take on board any tips, advice etc.
Guess just have to hang in there, like you all say. Thanks again, Sandra xxoo
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Posted By: Wade
Date Posted: Oct 29 2011 at 11:07pm
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Hi Sandra and Renee,
My wife was diagnosed earlier this year, and have found much helpful information and acceptance here. I wish you both all the best.
I believe you will find the people here helpful.
------------- Wife DX 5/2011@52 2.5x3.1cm;6/2011 DD A/C 4x,Abraxane 4x; Lumpectomy, SN biopsy 10/2011; 10/27/2011 NED; Rads start 11-22-2011, Rads fin 1-11-2012; 10-2013 NED; 07-18-2014 NED; November 2018 NED
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Posted By: janet c.
Date Posted: Oct 30 2011 at 10:27am
Welcome Sandra and Renee,
Sorry you have a reason to be here but glad to welcome you here.
My oncologist told me not to have more than 20 grams of fat per day as far as diet goes. Also cancer likes acid and sugar is acid so if you can limit that and if you have to use a sugar substitute use Stevia. Make sure you exercise about 30 mins. per day.
Good luck to both of you.
Janet
------------- dx 12/08 @47yrs.old TNBC stage 2a grade 3, 2.1cm. partial mastectomy sentinal node negative BRACA negative Cytocan/Taxatere x4 radiation 36 or 38rounds
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Posted By: ann u
Date Posted: Oct 30 2011 at 12:36pm
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Sandra-
Welcome and so sorry you have to join us.
Have you been tested for the BRCA 1 or 2 mutations? I think this is standard protocol based on your age and being TNBC. If you haven't been tested, please try to use a certified genetics counselor - most larger hospitals/medical centers have them on staff - they are the experts and can answer a lot of questions for you now and in the future.
Just take one day at a time - it's overwhelming when you first get started. We're all here to answer questions that you may have.
Ann
------------- 8/06: IDC 1cm, 0/9 lymph nodes, lumpectomy, Mammosite radiation, 4 x A/C
5/07: BRCA1+ (5382insC)
11/09: IDC 3mm, double mastectomy w/reconstruction
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Posted By: SandraB
Date Posted: Oct 30 2011 at 2:38pm
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Hi Ann, and thanks. No I haven't been tested yet. I'm not sure if it is a standard procedure to test here in Australia? I'll ask my doctor at my next appointment. I need to know - for the sake of my sister and daughter. There is no history of cancer in the family. Both my paternal and maternal grandparents lived into their 90s and my parents are in great health. This has come out of nowhere. Sandra xo
------------- Dx 09/2011 TNBC BRCA 1 & 2 -
T2 2.5cm N1 3/29 nodes.
Lumpectomy & ALND 10/2011
FEC-D 11/11 - 03/12
Radiation finished 05/2012
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Posted By: SandraB
Date Posted: Oct 30 2011 at 2:44pm
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Thanks Wade and Janet for your support. Good advice Janet, will definitely cut back on the sugar. Does that include natural sugars too? I am a bit of a fruit addict.
I was reading about women who had neoadjuvant chemotherapy and seemed to do very well. This was suggested to me by the BS but the team of oncologists looking after me really wanted me to do surgery first. And the BS admitted she was happy to go either way. Now I am feeling nervous about the choice I made to do surgery first... I hope it was the right one :-/
Sandra xo
------------- Dx 09/2011 TNBC BRCA 1 & 2 -
T2 2.5cm N1 3/29 nodes.
Lumpectomy & ALND 10/2011
FEC-D 11/11 - 03/12
Radiation finished 05/2012
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Posted By: 123Donna
Date Posted: Oct 30 2011 at 2:53pm
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Sandra,
What type of chemo will you be getting? I attended a Cancer Transitions program recently and they recommended an anti-inflammatory diet (think Mediterranean diet).
http://www.drweil.com/drw/u/ART02995/Dr-Weil-Anti-Inflammatory-Food-Pyramid.html - http://www.drweil.com/drw/u/ART02995/Dr-Weil-Anti-Inflammatory-Food-Pyramid.html
http://www.anticancerbook.com/steps.html - http://www.anticancerbook.com/steps.html
http://www.anticancerbook.com/ - http://www.anticancerbook.com/
------------- 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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Posted By: SandraB
Date Posted: Oct 30 2011 at 3:02pm
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Hi Donna, not sure yet. At the hospital I am attending they have a team meeting every Tuesday to discuss each patient and work out the next step, so when I go in for my next appointment (Tues week) I'll find out then. My breast care nurse did say she thinks there will be a taxane. And now I admit I feel a bit silly for not really knowing what drugs are out there and what I will be given.
Thanks for the links. Never heard of an anti-inflammatory diet. Will definitely look into it.
Sandra xo
------------- Dx 09/2011 TNBC BRCA 1 & 2 -
T2 2.5cm N1 3/29 nodes.
Lumpectomy & ALND 10/2011
FEC-D 11/11 - 03/12
Radiation finished 05/2012
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Posted By: mags20487
Date Posted: Oct 30 2011 at 7:34pm
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Hi Sandra and Renee...I am relatively new to this site but I have found the senior members to be so insiteful and knowledgeabe about our type of cancer. I have been able to find support and some great advice here. I am moving onto my fourth of 8 chemo treatements this week. Can't wait to be halfway!! My Onc started my on Taxol four treatements first then I will move on to four treatments of A/C. Studies show this order of meds works best for survival rates for TNBC.. I would post the link I read but do not know how...sure another will do that if you are interested in it. Again welcome to the club none of us wanted to be in.
Maggie
------------- Diag 8/17/2011 2cm metaplastic grade 3 bmx 8/23/2011 3/18 lymphs-Taxol x4 9/22/11 a/c x4 1/16/11.rads and recon 2012 diep 11/1/12 failed left side redone gap flap 3/5/13. lymph node transfer 5/22/13
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Posted By: Barbi
Date Posted: Oct 30 2011 at 7:42pm
Sandra, You shouldn't feel bad to not be familiar with drugs, etc for something you would never expect to have to think about. A taxane is pretty standard in conjunction with other drugs usually. Look around this site and others for "standard of care" drugs and protocols, maybe ask if there is a oncologist who specializes in TNBC as it does have it's own unique characteristics. Never be afraid to ask for a 2nd opinion.
------------- 10/10,age49,St3,gr3,5+cm,1 node,BRCA-,T+Cisplatin+Rad0001(or placebo),Lump 1+cm,AND 0/15,AC,rads finished 7/6/11.Mets bone, liver,mamm node 8/11,abrax/tigatuzamab failed.Started bicalutamide 11/16/11.
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Posted By: 123Donna
Date Posted: Oct 30 2011 at 8:49pm
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Sandra,
Denise posted this study on another thread. You might want to print it out and talk to your doctor's about the study. Don't feel bad about not knowing the chemo drugs. I never heard of most of them when I was diagnosed. I never realized there were so many different types.
http://forum.tnbcfoundation.org/attention-newbies-important-new-chemo-study_topic7771_page1.html - http://forum.tnbcfoundation.org/attention-newbies-important-new-chemo-study_topic7771_page1.html
------------- 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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Posted By: SandraB
Date Posted: Oct 30 2011 at 9:47pm
Thanks ladies. I have printed the study and will definitely take it with me to the medical oncology appointment. I know I shouldn't feel bad about knowing so little about the drugs... it just seems there are so many out there, so many ways to treat this disease and so many different opinions. It is hard to sift through all the information and try to make sense of it all. I really appreciate you all taking time to reply to me and give me some good advice.
------------- Dx 09/2011 TNBC BRCA 1 & 2 -
T2 2.5cm N1 3/29 nodes.
Lumpectomy & ALND 10/2011
FEC-D 11/11 - 03/12
Radiation finished 05/2012
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Posted By: Grateful for today
Date Posted: Oct 30 2011 at 10:44pm
Hi Sandra,
Sending you tons of positive and caring thoughts as you continue your TNBC treatment plan
so you have only healthy cells in your body.
Previously, I had posted some thoughts on chemo on another forum.
Posting for you in case any of this info may be helpful.
Remember: all side effects are possibilities and not probabilities.
As above posts re: nutrition and exercise and BCRA testing.
Have you seen the post "Chemo Tips"?
Click on forums>>click on "TNBC News, Resources & Tips.>> find topic "Chemo Tips"
Many good ideas here. As usual, check with you MD re: any supplements suggested.
Would also recommend checking with your MD on 2 of the things mentioned in chemo tips
(as believe there is a difference of MD opinions on some of the things mentioned)
Check with your MD especially on: Colonics. Use of ice on nails.
For dry mouth: artificial saliva. Biotene Oral Balance.
Really important to take anti-nausea meds as directed. Take PRN anti-nausea meds at first sign of
any queasy feeling (at least until you learn how you respond to chemo).
If you plan on getting a wig, get before you start to loose hair.
Prior to taxol: check with your MD about starting Vit B 6 100mg daily one week prior to taxol start.
Was told to continue for 6-12 months after last taxol dose. Some feel Vit B 6 decreases or prevents
possible taxol side effect of peripheral neuropathy.
Make plans to have help "available" for most of 1st week after chemo.......then you will start to know what
help you may need. You may not need any help. You may need help on chemo day and for 2 days
after. You may need help only on day 4 etc. As usual every, one is different. By having help
available to call if needed the 1st week, it may help make the week easier. With 3 young children,
it would be great if you could arrange help on a couple of days regardless of how you feel....
just to be sure you can get some extra rest during chemo.
Hopefully, a caring and calming person can accompany and stay with you while you get chemo.
Might consider some "Good Luck" object to bring with you to chemo. Or some people have a chemo
hat/cap or T-shirt.
Think of some positive affirmations or sayings for actual chemo infusion.
Reportedly, it is better to say/think positive statement....no negatives or negative connotation words.
Ex: better: I am healthy. All my cells are healthy. I will have a long healthy life and see my children
grow up and see my grandchildren. My treatment plan is healing me.
not: I have "no cancer". etc.
Am sure many people have said: I have no cancer and have been healed. Again, reportedly,
it's better to say positive statements.
Some people are not into positive affirmations......and that's OK.
Disregard this info on positive affirmations if it does not seem right to you.
Give some thought of how you want to spend the chemo time:......as a busy mom: sleep!...... maybe
a magazine or book.....maybe some handiwork if you knit or sew.....or write letters........if you bring
music to listen to you may want to not bring your favorite songs (just in case chemo memories
attach to favorite songs)........or other. Can try different things during chemo time.
Take time to use the bathroom (have an empty bladder without chemo in it ) when you leave to go home
Hopefully, since your anti-nausea meds will be working, you will not need foods/drinks that you know
help when you have a queasy stomach. You might want to have such items in the house......and
then you can use when next family member has a queasy stomach (not you!).
Some of the things mentioned here are also on the chemo tips post.
It has been suggested that when good friends/relatives asks: What can I do to help?......Have some
specific things that would be helpful for you. Bring a meal over the night of chemo days. Help out with
rides for the children for their activities/school etc. Think one of the best ideas I have heard: delegate
one of your best friends/relatives to be "your volunteer coordinator". Then, every time some one says:
How can I help? You can say: I'll give your name and phone/e-mail to my volunteer coordinator. That
way you let that one person know what you need and that one person sets up the help ( or some system
like this that would work for you and your family).
Once you have your first chemo, you can figure out what works best for you for the most healing
experience.
These are just some thoughts. Pick and choose what feels right for you. You know your needs best.
With very caring and positive thoughts to you,
Grateful for today................Judy
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Posted By: Grateful for today
Date Posted: Oct 30 2011 at 10:49pm
Hi Sandra,
Addendum to above: forgot about Vitamin D.
If you already know your vitamin D level and it is good, great.
If you do not know your vitamin D level, check with you MD about having the blood test done.
If vitamin D level should be low, you can check with your MD about supplementing to get it in
the normal range. When diagnosed with TNBC, some have very low vitamin D levels.
For more info on Vitamin D and TNBC/breast cancer, go to top section of page. click on "search"
and type in vitamin D.
Judy
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Posted By: SandraB
Date Posted: Oct 30 2011 at 10:59pm
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Wow, thanks Judy! I am going to print those tips and keep them on the fridge to remind myself of the good advice. My Vit D is very low, so I am taking supplements for that now. I like the positive affirmations... when I was told cancer had spread to 3 of the 29 nodes they took... I said, no, that means 26 of 29 nodes were healthy :-)
First appointment with the medical oncologist next week. Is it weird to be looking forward to chemo?! 'Cause I am!
Sandra x
------------- Dx 09/2011 TNBC BRCA 1 & 2 -
T2 2.5cm N1 3/29 nodes.
Lumpectomy & ALND 10/2011
FEC-D 11/11 - 03/12
Radiation finished 05/2012
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Posted By: Grateful for today
Date Posted: Oct 30 2011 at 11:44pm
Hi Sandra,
Right you are......and that's the way to go.
You had 26 healthy nodes out of 29!
With many caring and positive thoughts,
Grateful for today..........Judy
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Posted By: Grateful for today
Date Posted: Nov 02 2011 at 11:17pm
Hi Sandra,
Realized that something very important was left out of what I previously posted......you are probably
very much aware of how important fluids are.
Fluids, fluids, fluids......especially day of chemo and few days afterwards....to get chemo out of the body.
Another thought re: nutrition. If you have access to an oncology nutritionist, a visit would most likely be
helpful. Protein is important when on chemo.....to help healthy cells repair.
Exercise: as some one else noted previously, 30 minutes of daily exercise would be great. As usual,
everyone is different. For some people, just to walk an extra 5 minutes is all they can do when on chemo.
Listen to your body while on chemo. In my experience, most people were not able to exercise 30 minutes
daily.......other's experience may have been different. When able, ANY exercise (walking is fine) is better
then none.
Hope your visit with the medical oncologist goes (or went) very well.
With caring and positive thoughts,
Grateful for today...........Judy
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Posted By: SandraB
Date Posted: Nov 03 2011 at 3:07am
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Hi Judy, thanks so much for that. I drink a lot of water anyway, at least 2 litres a day, so keeping up my fluids shouldn't be too hard. And I really hope I can keep up with the exercise - I have 2 Siberian Huskies that need their daily 5km walk! Maybe 5km a day during treatment might be pushing it... but maybe I can get out for short walks. It's coming into summer here in Melbourne, Australia :-)
My appointment is next Tuesday. And I have been feeling in limbo. I have finished with the surgical side and am now waiting for the chemo side of things, so at the moment I'm just 'waiting'. I am armed with info, thanks to this site, to take to the appointment with the MO next week. You guys are so insightful and helpful. I thank you.
Sandra x
------------- Dx 09/2011 TNBC BRCA 1 & 2 -
T2 2.5cm N1 3/29 nodes.
Lumpectomy & ALND 10/2011
FEC-D 11/11 - 03/12
Radiation finished 05/2012
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Posted By: Allmandy
Date Posted: Nov 06 2011 at 5:51pm
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Hi Sandra, I was diagnosed with triple neg after my mastectomy on 19th Sept. 2011. Upto that point I had been told it was not breast cancer but a neuro-endocrine tumour! So everything changed when they finally got the 'alien' under the microscope. As I tried to explain to my nine year old son - it was like they had a blue piece of jigsaw when they took the core biopsy and the surgeon said it was part of the sky but when they finished the jigsaw they realised it was a blue cat!!! 6.5 cm with 27 nodes rmoved - 2 enlarged but none malignant. Now they know what it is I am to have 6 cycles of FEC and then 3 weks of radiotherapy. I had my first one on the 25th just after a week's holiday in Spain topping up my vitamin D. The oncolgist is so much easier to understand than the surgeon (who was great with a scapel but not with the subtleties of the English language being Danish!) After being sick on the bus going home and two days with what felt like morning sickness I have felt fine and went back to school last week where it was great to get on with the day job. My Mum has bought me a new swimming costume and a swim boob as an early birthday present and I can't wait to use them but I've just been hit with a very heavy period and so am feeling very sorry for myself - not the cancer, not the chemo just the time of the month blues - typical!! My children (daughter 12 and son 9) have been great but my husband is finding it very hard. His parents both died of cancer when he was a teenager and he can't work out whether to overplay the attention or underplay the attention. He's very disturbed by it all and that makes it hard for all of us. I think its been like having a baby in reverse. First the operation and dealing with the scar is like having a newborn- you panic about everything whilst the breast nurse smiles and says its all fine. Then you have the morning sickness and you have to deal wih the food cravings that come with trying to deal with it! The way i see it is I taught through two pregnancies so I can do this too! I've started to wear silly hats to school before my hair falls out so the kids get used to it before I have to. I couldn't cope with a wig it would be to hot and I can imagine the uproar if I removed it to scratch my head! Its just so great to find a site for people like me. One's where we just get on with it rather than get bogged down with te enormity of the occurance.  Mandy
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Posted By: SandraB
Date Posted: Nov 06 2011 at 8:28pm
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Hi Mandy, thanks for sharing your story. I like the part about it being like a baby in reverse... because I loved being pregnant!! OK, so maybe this won't be as 'lovely', but I am hoping I will cope well with the side effects. I guess I just have to wait and see. Appointment with the oncologist tomorrow, so I am nervous but at the same time happy to be getting on with the next stage of my treatment.
How are your kids coping? My 7yo is worried about my hair falling out... even though we keep trying to make light of it and make up funny stories about my 2yo pulling my wig off while we're out shopping etc. I think the anticipation of it happening is going to be worse than the actual event. I loved the comment about taking your wig off to scratch your head, couldn't stop laughing!
My husband seems to have adopted the same attitude as yours... his dad died of bowel cancer 4 years ago. At the moment he is going through the 'it will be OK' stage. Men, well the men I know at least, seem to have trouble dealing with the emotional side of a cancer diagnosis.\
Sandra
------------- Dx 09/2011 TNBC BRCA 1 & 2 -
T2 2.5cm N1 3/29 nodes.
Lumpectomy & ALND 10/2011
FEC-D 11/11 - 03/12
Radiation finished 05/2012
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Posted By: teamconnor
Date Posted: Nov 06 2011 at 8:28pm
So sorry you now belong to this website, but you will be very happy to hear from all the loving people that belong. There are so many caring people who are going through the same thing and will give you so much support. If you don't mind me asking but what chemo will you be receiving? I agree 100% not to do any further research on this type of cancer. That was a huge mistake of mine. This website gives me hope seeing woman who are in remission from tnbc. We are strong women who all pull together through this; hang in there and don't be afraid to ask anything! Best of luck to all
------------- age 39, BRCA 1,dmast 6taxol/carbo, mest to lung, liver, FEC 8 rounds, xeloda 3000mg&ixempra 6 brain tumors within 2 mths radioactive surg complete,6 brain tum radation radioact surg on new
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Posted By: teamconnor
Date Posted: Nov 06 2011 at 8:33pm
Since my hair is gone, I've decided to buy all the fun holiday hats, santa, reindeer, snowman and the kids love it. It makes them happy and not so worried about me. Although my kids are alittle older, they still enjoy seeing there mommy happy, styling and profiling, lol.
------------- age 39, BRCA 1,dmast 6taxol/carbo, mest to lung, liver, FEC 8 rounds, xeloda 3000mg&ixempra 6 brain tumors within 2 mths radioactive surg complete,6 brain tum radation radioact surg on new
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Posted By: SandraB
Date Posted: Nov 06 2011 at 9:27pm
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One thing I have learnt from all the reading I have done, is that are no guarantees with any sub type of breast cancer. They're all bad, tri neg or not. No-one wants to be dealing with cancer! So all that info about how 'bad' tri neg is, is not helpful. I am not even going to think about it anymore. And honestly, of all the doctors I have seen, they have said the grade 3 aspect of my cancer is a concern, but the tri neg part isn't. None of us know what the future holds, so all we can do is enjoy each day.
I'm not sure what chemo I'll be getting, find out tomorrow. I am anxious about it. I just want to get started on it!
Love the funny hats ideas... I am so getting a Santa hat this year. I haven't bought a wig yet, not even sure I will. It is coming into summer here in Melbourne, Australia and our summers are roasting. I think I'll stick to caps and scarves for now. Maybe a wig later. I'm not particularly attached to my hair... I change it so often anyway. It's hair. It will grow back  But, having said that, the thought of losing eyelashes freaks me out a little... all the dust and junk will get into my eyes! Have any of you used false lashes?
------------- Dx 09/2011 TNBC BRCA 1 & 2 -
T2 2.5cm N1 3/29 nodes.
Lumpectomy & ALND 10/2011
FEC-D 11/11 - 03/12
Radiation finished 05/2012
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Posted By: teamconnor
Date Posted: Nov 07 2011 at 6:48am
a lot of woman like the wigs, I'm not one those women. I still feel pretty in my wraps and caps. Just remember to wear makeup it will make you feel so much better. except of course after your treatment days you may not feel like it. Did you get a port? You are not allowed to wear false eyelashes because of the adhesion, during chemo your skin is very sensitive to everything. You don't want to pull your eyelid off with the eyelash, lol. btw im 38, your questions and concerns are exactly the questions I had. sometimes I may not sound like I have any sense when I respond because I have so much to say and cant't type fast enough, lol. Also, I didn't lose my eyebrows or eyelashes until the very end of my 5th treatment. If you wear eyeliner on the top lid and bottom people won't be able to tell that you've lost them. At least that what friends have said to me. Strangers can't even believe that this is my 2nd round of chemo, that was my goal. Still being young I want to look healthy and like I still care about myself otherwise the cancer is winning! Don't ever back down even on your worse day. Usually after the 4th day after chemo I feel 80%. Just keep in touch with this website through your journey. Help and support will always be here! Best of luck!
------------- age 39, BRCA 1,dmast 6taxol/carbo, mest to lung, liver, FEC 8 rounds, xeloda 3000mg&ixempra 6 brain tumors within 2 mths radioactive surg complete,6 brain tum radation radioact surg on new
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Posted By: teamconnor
Date Posted: Nov 07 2011 at 2:36pm
Donna you are so full of great information!! Thank you so much, I read a lot of what you post to other people and learn by it....keep the knowledge coming!!
------------- age 39, BRCA 1,dmast 6taxol/carbo, mest to lung, liver, FEC 8 rounds, xeloda 3000mg&ixempra 6 brain tumors within 2 mths radioactive surg complete,6 brain tum radation radioact surg on new
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Posted By: Grateful for today
Date Posted: Nov 07 2011 at 9:46pm
Hi Sandra,
Sending lots of positive and caring thoughts to you for your Tuesday appointment.
Hope you get all the information and support you need from your physician.
Although it sounds counterintuitive, most feel better after chemo starts.
The waiting and unknowing is hard.
I like to remember a statement from Dr. Jerome Groopman, MD.
Found this statement by Jerome Groopman, MD in his book: "Anatomy of Hope" helpful.......usually
have to read it twice to understand it.
" Each disease is uncertain in its outcome and within that uncertainly we find real hope, because a
tumor has not always read the textbook, and a treatment can have an unexpectedly dramatic
impact. This is the great paradox of true hope. Because nothing is absolutely determined, there
is not only reason to fear but also reason to hope."
He also says: "Hope is a belief and expectation."
Here's to hope for you that all is and will be well for you.
With caring thoughts and lots of good hopes,
Grateful for today..................Judy
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Posted By: SandraB
Date Posted: Nov 08 2011 at 2:22am
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Thanks ladies. I just got back from the appointment and I think it went well. I was really happy to hear the lump was taken out with clear margins, there was no lymphovascular invasion and it the wounds have healed beautifully.
The MO recommended FEC x 3 followed by Taxol x 3. So I am off to do some reading about this combination and decide if I should go for a second opinion - but obviously I can't wait too long, it has been 4 weeks since surgery. MO said she likes to wait 6 weeks before starting chemotherapy.
Great quote Judy 
------------- Dx 09/2011 TNBC BRCA 1 & 2 -
T2 2.5cm N1 3/29 nodes.
Lumpectomy & ALND 10/2011
FEC-D 11/11 - 03/12
Radiation finished 05/2012
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Posted By: Grateful for today
Date Posted: Nov 12 2011 at 6:50pm
Hi Sandra,
What great good and positive news in your Nov 8 posting.
I happened to see your post on TNBC Talks Forum on: 5-fluorouracil (5-FU).
Wasn't sure if the members who have been posting on this forum topic would see your post on 5-FU.
Thought they would also like to share the additional good news of your CT and bone scan being all clear.
Copied from your post on 5 Fluorouracil (5-FU) today 4;42:
"Hi folks,
I start my chemotherapy on November 25th. My MO recommended 3 cycles of FEC100 followed by 3 cycles of Taxotere - at 3 week intervals. She also said I'll be given 4 different kinds of anti nausea meds?! I thought that sounded like a lot, but from what I'm hearing here, I may just need it.
Good news is that my CT scan and bone scan came back all clear. And my kidney and liver function tests were excellent, yay. That was such a relief. Vit D levels were very low, though, so am on supplements for that. I need to ask the MO, at my next appointment, what other supplements I can take.
Thanks for all your good advice to date. It has been very helpful. "
I know when I go to post I sometimes have to stop and think which of the various forums (that I had
previously posted on) do I now want to post on.
I appreciate that everyone on the forum is flexible where one posts.
Hope it is OK with you that I referred to your other posting on this forum........just wanted the members on this forum to know the good news about your CT and bone scan.
Have you seen the post by dmwolf of jan 12, 2011 5:40
It's about whether the taxane is given first or last.
You might want to read the entire post / all the replies (it's on the Welome New Members forum).
(There's 8 pages).
You might want to ask your MD's opinion of the retrospective study........
note: study looked at taxol ( paclitaxel) (a taxane) and you said you will be on
taxotere ( another taxane)
Post by dmwolf of jan 12, 2011 5:40
Newbies: you might want to discuss this study with your doctor as you work together to come up with a treatment plan.
Chemotherapy Sequence Affects Early Breast Cancer Outcomes
Elsevier Global Medical News. 2011 Jan 7, B Jancin
SAN ANTONIO (EGMN) — The sequence in which paclitaxel and anthracyclines are given for treatment of early breast cancer makes a big difference in long-term outcomes.
That's the conclusion reached in what is believed to be the largest-ever retrospective study of the clinical impact of the sequencing of taxanes and anthracyclines. The study involved 3,010 early breast cancer patients who were treated during 1994-2009 and entered into the prospective online database at the University of Texas M.D. Anderson Cancer Center, Houston.
The clear winner was paclitaxel, followed by anthracycline-based therapy with 5-fluorouracil, doxorubicin (Adriamycin), and cyclophosphamide or 5-fluorouracil, epirubicin, and cyclophosphamide, Dr. Ricardo H. Alvarez reported at the San Antonio Breast Cancer Symposium.
Starting with paclitaxel rather than an anthracycline-first regimen led to better long-term results in the settings of adjuvant chemotherapy and primary systemic (or neoadjuvant) therapy.
The adjuvant chemotherapy analysis included 1,596 women, three-quarters of whom received paclitaxel followed by anthracyclines. The 5-year relapse-free survival rate with this regimen was 88.8%, compared with 79.5% when anthracyclines were followed by paclitaxel. The 10-year relapse-free survival rates were 81.8% and 73.5%, respectively.
Five-year overall survival was 93.1% with paclitaxel followed by anthracyclines, compared with 83.2% for the reverse. The 10-year overall survival rates were 83.9% and 65.6%, respectively.
In a multivariate analysis that was stratified for potential confounders, including age, clinical stage, hormone receptor status, tumor grade, and era of diagnosis, the anthracyclines-first sequence was associated with a 67% increased risk of relapse (P less than .0001) and a 2.5-fold greater risk of mortality (P = .001), according to Dr. Alvarez, a medical oncologist at M.D. Anderson.
Among 1,414 patients who underwent neoadjuvant therapy, the 5-year relapse-free survival rate was 79.0% with the paclitaxel-first regimen vs. 61.2% with the anthracyclines-first regimen. Ten-year relapse-free survival occurred in 61.7% and 50.5%, respectively, of these patients.
Overall survival was 84.2% and 66.2% at 5 and 10 years, respectively, in patients who received paclitaxel followed by anthracyclines, compared with 71.3% and 53.4% in those who got anthracyclines first.
In a multivariate analysis, the anthracyclines-followed-by-paclitaxel sequence of neoadjuvant chemotherapy was associated with an adjusted 49% higher risk of relapse (P = .01) and a nonsignificant 28% increase in risk of all-cause mortality (P = .17), compared with the paclitaxel-first strategy.
The mechanism that accounts for the increased efficacy of taxane-first regimens for treatment of breast cancer is unclear, according to Dr. Alvarez.
With caring and positive thoughts,
Grateful for today........Judy
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Posted By: SandraB
Date Posted: Nov 12 2011 at 7:02pm
Thanks Judy - being new to the forums, I have to stop and think about what I write and where I write it! Of course I don't mind you sharing the post... if I minded anyone reading it, I wouldn't be posting in the first place 
I will email my MO and ask her to look at the study, it is interesting. It seems like quite a big difference in outcomes. If it is a matter of switching the order of drugs, I can't see why she would have a problem with it. I will definitely follow it up.
I was very happy with the clear scans. Such a scary time waiting for results. But it's done now and time to clean up any rogue cells.
I've been referred for genetic testing. There is no family history of cancer in any side - just my cousin who was diagnosed 3 years ago at 37, with BC. But the doctors seem to think it is important I see a genetic counsellor and go from there.
Thanks for all the info Judy, it has been really encouraging. Sandra
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Posted By: Grateful for today
Date Posted: Nov 13 2011 at 12:47am
Hi Sandra,
Glad to hear you were referred for see a genetic counselor (check counselor is certified).
This year (according to post previously by Steve) the NCCN ( National Comprehensive Cancer Network
advised BCRA testing for TNBC patients if under 60 years of age. Once you receive all the information
about BCRA testing, you can decide about being tested.
The responses to the article " Chemotherapy Sequence Affects Early Breast Cancer Outcomes " as you
will see from the posts on the other forum are varied. Some MDs are doing the taxol first. Some MDs are continuing the taxol as last. Would have really preferred not to have given you information that may not have a black and white answer........however, thought it better to know about this article before you start chemo......so you can discuss it with your MD. Some places do not changes protocols until there is a
prospective clinical study. The ACT vs T-AC was a retrospective study.
Believe some one posted about the following article but cannot find it right now.
Also, I still have trouble using the hyperlink on the forum......sometimes I get it to work and
other times it fails (it's me and not the hyperlink).
So I need to print article and not use the hyperlink.
You may want to discuss this article with your MD.
REMEMBER: This is a RESEARCH article. Not proven by a clinical study.
After the article was in Oncogene, 3/15/2010, Taxanes (taxol and taxoterel protocols still being use.
Article:
Research May Provide Potential Target For New Therapies To Limit Metastasis Of Primary Breast Cancers
Main Category: Breast Cancer
Also Included In: Biology / Biochemistry
Article Date: 15 Mar 2010 - 2:00 PDT
Researchers at the University of Maryland Marlene and Stewart Greenebaum Cancer Center have discovered that "microtentacles," or extensions of the plasma membrane of breast cancer cells, appear to play a key role in how cancers spread to distant locations in the body. Targeting these microtentacles might prove to be a new way to prevent or slow the growth of these secondary cancers, the scientists say.
They report in an article to be published online March 15, 2010, in the journal Oncogene that a protein called "tau" promotes the formation of these microtentacles on breast tumor cells which break away from primary cancers and circulate in the bloodstream. While twisted remnants of tau protein have been seen in the brain tissue of patients with Alzheimer's disease, this is the first report that tau could play a role in tumor metastasis by changing the shape of cancer cells. These tau-induced microtentacles can help the cells reattach to the walls of small blood vessels to create new pockets of cancer.
"Our study demonstrates that tau promotes the creation of microtentacles in breast tumor cells. These microtentacles increase the ability of circulating breast tumor cells to reattach in the small capillaries of the lung, where they can survive until they can seed new cancers," says the senior author, Stuart S. Martin, Ph.D., a researcher at the University of Maryland Greenebaum Cancer Center and associate professor of physiology at the University of Maryland School of Medicine. Michael A. Matrone, Ph.D., is the study's lead author.
Healthy cells are programmed to die - a process called apoptosis - after they break off of epithelial layers that cover internal organs in the body. They also can be crushed if they are forced through small capillaries. However, cancer cells are able to survive for weeks, months and even years in the body. Once they are trapped in small blood vessels, the cells can squeeze through microscopic gaps in the vessels' lining and spread to organs such as the brain, lung and liver.
"We hope that through our research, we will be able to identify drugs that will target the growth of these microtentacles and help to stop the spread of the original cancer. Drugs that reduce tau expression may hold potential to inhibit tumor metastasis," Dr. Martin says.
He notes that metastatic cancers are the leading cause of death in people with cancer, but methods used to treat primary tumors have limited success in treating metastatic cancer. In breast cancer, metastases can develop years after primary tumors are first discovered.
Tau is present in a subset of chemotherapy-resistant breast cancers and is also associated with poor prognosis, but Dr. Martin adds, "While tau expression has been studied in breast cancers for contributing to chemotherapy resistance, the protein's role in tumor cells circulating in the bloodstream hasn't been investigated. And that's the focus of our research."
In this recent study, the University of Maryland researchers analyzed breast tumor cells from 102 patients and found that 52 percent had tau in their metastatic tumors and 26 percent (27 patients) showed a significant increase in tau as their cancer progressed. Twenty-two of these patients even had tau in metastatic tumors despite having none in their primary tumors.
Dr. Martin says more studies are needed to determine if tau is a clear predictor of metastasis. Given the complex nature of tumors, there most likely are other factors involved in causing cancers to spread, he says.
"Metastasis is a very major concern for people diagnosed with cancer, and the discovery of these microtentacles and the role that tau plays in their formation is a very exciting development that holds great promise for developing new drugs," says E. Albert Reece, M.D., Ph.D., M.B.A., acting president of the University of Maryland, Baltimore, and dean of the University of Maryland School of Medicine.
The University of Maryland, Baltimore, has filed patents on the microtentacle discoveries of Dr. Martin's lab group and is looking to partner with biopharmaceutical companies on new drug development. The researchers identified these cell extensions while they were studying the effects of two drugs that prevent cell division, or mitosis. Most chemotherapy drugs target cell division, aiming to slow or stop tumor growth.
Dr. Martin says his team found that a popular chemotherapy drug, taxol, actually causes cancer cell microtentacles to grow longer and allows tumor cells to reattach faster, which may have important treatment implications for breast cancer patients. Their studies are continuing.
"We think more research is needed into how chemotherapies that slow down cell division affect metastasis. The timing of giving these drugs can be particularly important. If you treat people with taxol before surgery to shrink the primary tumor, levels of circulating tumor cells go up 1,000 to 10,000 fold, potentially increasing metastasis," he adds.
The study being published in Oncogene was funded by grants from the National Cancer Institute, the USA Medical Research and Materiel Command, and the Flight Attendants Medical Research Institute.
Source:
Karen E. Warmkessel
University of Maryland Medical Center
One other thing you might discuss/clarify with your MD: dose dense chemotherapy.
Some chemotherapy is given every 2 weeks (dose dense) and some given every 3 weeks.
Sorry if I missed how frequently your chemo is being done.
Know you said FEC x3 and Taxotere x3.
Your oncologist can explain further about every 2 weeks versus every 3 weeks.
If I have given you to much information, apologies.
I found such an overload of information during treatment time. Yet I wanted to know as much
as possible.
Please know my intent is to help and not overwhelm.
I love the black and white situations/choices.
Life is not always black and white.
With your chemo planned for Nov 25, you have time to prepare your body and mind for that part
of your treatment plan which is your "insurance" for healthy cells in you. Again, waiting is challenging!
With caring and positive thoughts,
Grateful for today..............Judy
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Posted By: SandraB
Date Posted: Nov 13 2011 at 1:33am
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Hi Judy, thanks for the info and I think I am starting to get confused! I really appreciate and love all the information, but have to admit I do feel a little overwhelmed by it all. But please, by all means, keep it coming. I need to be informed about this disease. I've noticed that here in Australia there is a different approach re drugs and order of treatment. I asked the MO the other day what the advantages of neoadjuvant chemo was - because I had a lumpectomy and axillary clearance first. She said the consensus was to do surgery first because right now, my tumor was operable. She said if it is operable the consensus is to take it out. Why risk it growing? As she said, if we leave it there and find a particular chemo combination doesn't work, we potentially miss the opportunity to remove it. That did make sense to me. So I have to be confident and comfortable with the choices I have made thus far.
I did ask about dose dense, but she said it wasn't necessary. I might try and find some info about dose dense cycles on this particular combination and run it by her again. I am scheduled to do them every 3 weeks at this stage.
I am all ready to start. Walked 7km's with my dogs today, did some gardening, went to the park with the kids, soaked up some sun... was a good way to spend the day and I'm feeling really well.
Thanks again for all your info and help, Judy. Sandra xo
I asked about dose dense, but again she didn't seem to think it was necessary?
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Posted By: Grateful for today
Date Posted: Nov 13 2011 at 2:23am
Hi Sandra,
You are doing everything A++++++.
You are so right about how important it is to be confident and comfortable with the choices you have made thus far.
Hopefully I try to give information that seems important to know.
Then, with similar clinical status and with the same information, different people can come to different decisions with each decision being the best one for that person.........sorry I did not express this in my
prior posts.
I did not realize you had already discussed every 2 week vs q 3 wk chemo with your MD.
If I had realized that, I would not have brought it up again.
Just wanted to be sure you had discussed it.
Again, every one is different and the best decision is the one you make with your MD.
(That very long and wordy article that I had included was RESEARCH info if you wanted to
share with your MD if your MD was wondering what SOME thinking is about the ORDER of
chemo meds. Again, both order of meds (taxane first and taxane last) are being done at the
major cancer centers in the USA......so whatever you and your MD plan is best for you and backed
up by others.)
Please know that I did not intend to question any of your decisions.
So good to hear about all you do......such healthy activities.....walking your dogs, connecting with
nature in the garden, getting sunshine.....and most important having time with your kids in the park.
With continued positive thoughts,
Grateful for today.................Judy
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Posted By: SandraB
Date Posted: Nov 13 2011 at 2:49am
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Judy, I like the info you post. I think it is very important to stay educated about this disease. I am starting to get muddled, not by anything in particular, but just because there is so much information out there. I find it difficult to sift through it all and absorb it all.
It is definitely interesting to read about these studies and I will mention them to my MO, but at the same time, I also need to trust her judgement and believe she will give the best treatment for my situation. She is, after all, the one with all the clinical training! And I didn't perceive you to be questioning my decisions or treatment. I thought you were trying to be helpful and provide some guidance. You have been where I am set to go and I can only learn from yours and others experiences.
I try to be healthy. Shame BC is no respecter of healthy choices and lifestyle. But such is life and I am confident I can get through this. Sandra xo
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Posted By: Allmandy
Date Posted: Nov 13 2011 at 7:28am
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I'm ready to start my second round of FEC this week and am feeling thoroughly sory for myself. The last two weeks have been great. I was back at school and getting on with the job like I'd never left. After initially being intrigued by my headgear the kids have been great and I actualy feel normal (whatever that is). Unfortunately I have developed another seroma which is dragging me down and I've been told they won't drain it because of the risk of infection and I can't swim because of the risk of infection and although all the hair is still on my head (maybe that not so cold cold cap actually worked!) my eyes are very itchy and I'm wondering if I'm losing my eyelashes first? The other problem Ihave had the last two days is I just want to cry constantly and this comes on anytime anyone asks how I am but they keep doing it!!! I suppose its the underlying knowledge that despite the fact that I feel so well I will have to subject myself to that feeling rotten all over again on Wednesday afternoon but I providing that I pass the blood test - which seems harder than any mental examination I have ever put myself through as its completely unknown and no matter how much you take care of yourself you have no way of knowing if it is actually doing any good! I suppose its being robbed of all personal autonomy that I am finding so hard. You are completely dependant on the recommendations of others and you have no certainty that they are getting it right as its all down to statistics and guesswork. Meanwhile life goes on as normal with highland dancing exams and football injuries and two kids fightring over the wii remote
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Posted By: SandraB
Date Posted: Nov 13 2011 at 3:29pm
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Are you doing 3 rounds of FEC100 then Taxotere too? I've heard about the cold caps... but the hospitals here don't seem to encourage their use, for some reason. Not to worry, 'hair' today, gone tomorrow - it will grow back :-) You can't swim? I guess that makes sense, public pools are a breeding ground for infections. Have you been able to keep up other forms of exercise?
I completely agree with the feeling so well and subjecting ourselves to this treatment. It still boggles my mind that something so small, a 2cm lump, could be so deadly as to require such drastic and toxic action. But that's the nature of the disease, isn't it?
And I too am struggling with that loss of autonomy. Our lives, literally, depend on the decisions and judgments of others. How to manage that when we are so used to being the director of our lives? It is definitely frightening to be so reliant on a group of people we barely know, but I have to take comfort in the knowledge that this is bread and butter for them. Although we have a less common variant of the disease, we're not re-inventing breast cancer.
Ahhh, highland dancing. I remember watching my cousin practice when we were young. My dad was born in Glasgow, moved here to Australia with his family when he was 3yo. I've been there a few times, it's a beautiful place.
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Posted By: Allmandy
Date Posted: Nov 13 2011 at 4:24pm
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6 rounds of FEC then 3 weks of radiotherapy. I was originally going to have 4 rounds of something else with lots of steroids but pleaded insanity (I'm asthmatic and whenever they have put me on oral steriods I have felt like I was having a nervous breakdown!). The first chemo nurse I saw tried everything to put me off the cold cap even down to suggesting I might getMETs in my scalp but when I asked her the likelihood of that she said she didn't know. My sister works in a path lab in the sunny south of England and she said her consultants had never heard of that one so I think its more to do with the time and effort involved. I have to wear itfor 30 minutes before and then during and 70 mins after. I didn't find it too cold but so far so good, the hair is still here so I'll give it another go this week. My lump was 6.5 cm when they got it out but as I had such large boobs it remained safely hidden unless I lay down! I had been swimming every day since February when I was told my 4 months of constantly recurring chest infections were due to a depressed immune system and I set out to improve it. Ironic that I have never felt so fit. So as I am paying for the whole 5 star hotel gym experience I have forced myself to go to the land based option but I hate it and canonly keep myself on the trewadmill if the tv programme is worth watching! However the great outdoors is challenging in a Scottish winter so I better put my new swimming costume away and get thetrainers out again !!
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Posted By: SandraB
Date Posted: Nov 13 2011 at 9:28pm
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Ahh... the Scottish winters. I was there in Spring one year and thought THAT was cold! The gym idea sounds much more do-able. I'm looking forward to some beach days this summer.
Were you able to have the tumor removed without getting a mastectomy? I had a lumpectomy and had to go back for a re-excision because the margins weren't clear. The re-excision was very quick.. maybe 15 minutes, if that. The axillary clearance was more painful. But even then, it wasn't as tough as I'd been expecting. It is coming up to 5 weeks post surgery and I am completely recovered. No pain, no swelling, full movement of my arm. What a relief it is done.
Mets in your scalp? That's a new one! Can't say I've heard of scalp mets before.
How old are your kids? Mine are 2yo, 5yo and 7yo. Life is pretty hectic 
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Posted By: Rondee
Date Posted: Nov 14 2011 at 10:13pm
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Hi! I was diagnosed with TNBC , invasive ductal carcinoma, grade 3, stage 1, plus DCIS, grade 3. I was diagnosed in August, just had double mastectomies with reconstruction using alloderm and implants Oct 20th, 2011. Today I went and seen the Oncologist and will be starting Chemo, FEC withn the next week or so. Has anyone with TNBC ever refused CHEMO based on what percentage you are for risk of recurrence over 10 years. Mine is at 17%. With chemo the percentage of it coming back drops down to about 9. This is not my first cancer. I had a resection of my bowel 6 years ago October 25, 2005 for carcinoid tumour. I still see an Oncologist for that one even though I have not had a recurrence. I also have MS, but am very mobile. I wish all you ladies out there the best of luck in your journey. Hugs to you all! Rondee 
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Posted By: SandraB
Date Posted: Nov 14 2011 at 10:25pm
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Hi Rondee! I was given the statistics on recurrence/survival based on chemo vs. no chemo and I can't think of what they were off the top of my head, but let's just say I had a less that 50% chance of being here in 10 years without chemo. It was a no brainer for me. I'm getting FEC100 x 3 and Taxotere x 3. I worry if it is the 'right' combination of drugs, but I just have to trust my doctors.
We will probably be starting chemo at the same time.. assuming you're going ahead? Did you have chemo for the bowel cancer?
Sandra
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Posted By: 123Donna
Date Posted: Nov 14 2011 at 11:11pm
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Hi Rondee,
Unfortunately, chemo is our only adjuvant therapy for TNBC. What is unknown is if any cells escaped through the lymph or vascular system and chemo is used to treat systemically in hopes of preventing a recurrence. Percentages are just that, they can't tell us who will have a recurrence and who will not. I was given similar percentages when diagnosed in 2009. Without chemo, I was told there was a 25% chance of recurrence. With chemo, 13% chance. Even with chemo, I had a recurrence. I always say that TNBC is tricky and doesn't play by the rules. Wishing you the best whatever you decide.
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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Posted By: trip2
Date Posted: Nov 16 2011 at 3:35pm
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Hello Rondee and welcome~
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Posted By: Rondee
Date Posted: Nov 16 2011 at 4:06pm
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Hi Sandra! Sorry to hear that you have to have breast cancer and chemo. Are you triple Negative, what stage and grade? We will be going through with Chemo at the same time! I saw my surgeon yesterday and he encouraged me to go through with it. So I am? I think I just had a fleeting moment of insanity that maybe just maybe I didn't have to go through with it! Are you having the chemo every 3 weeks? I think I may have to have a port a cath put in as my veins are not happy right now from all the previous needle pokes. Are you having a MUGA scan done. I will doing that on Monday to determine if my left ventricle of heart is strong enough for the cocktail of chemo. I think I am only getting the FEC x 6. I did not have Chemo for the Neuro Endocrine (carcinoid tumour) of my bowel as Chemo is not effective with this rare form of Cancer. i do, however get an IM injection once a month of Octreotide. I just started that about 6 months ago because I started having flushing and wheezing which is associated with Carcinoid Syndrome even though I have no clinical proof that I have a recurrence of a carcinoid tumour. Keep in touch as I would like to know how you are doing with your chemo? Rondee 
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Posted By: Rondee
Date Posted: Nov 16 2011 at 4:15pm
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Hi Donna! I will be going through with the Chemo! Saw my surgeon yesterday and he encouraged me to go through with it as he said the exact same thing you did, that TNBC is tricky and if chemo is our only option, then we should go for it. I do have local lymph involvement in the breast. Regardless of having a double mastectomy, I realize that some of those cells have already escaped into other places. I am so sorry you have had a recurrence! Where is the recurrence and are you getting surgery or chemo for that? As with my bowel cancer, I had 2 lymphnodes involved, but so far nothing has shown up on scans even though I exhibit signs of carcinoid syndrome, flushing and wheezing. Being that Carcinoid is a rare and slow growing cancer, it can take a long time to show up on scans and then even then, sometimes the tumour is there but doesn't show up on a scan. Cancer is such a evil sneaky beast! Take care Donna and I wish you all the best! My thoughts and prayers are with you! Rondee 
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Posted By: Rondee
Date Posted: Nov 16 2011 at 4:16pm
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Thank you! I am happy to have found this site and be able to communicate with other TNBC ladies. Kindly Rondee 
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Posted By: 123Donna
Date Posted: Nov 16 2011 at 7:56pm
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Rondee,
I'm glad you've settled on a treatment plan. With having lymph node involvement, will you also have radiation?
I had my recurrence in an internal mammary lymph node (the nodes under the chest wall). http://www.breastcancer.org/pictures/breast_anatomy/axillary_lymph_nodes.jsp - http://www.breastcancer.org/pictures/breast_anatomy/axillary_lymph_nodes.jsp This was a year ago. Surgery wasn't recommended due to the location of the node. Since then, I've gone through chemo again and radiation. So far, I'm still NED and hoping it stays that way.
Wishing you the best and keep us posted on how you do with chemo. Remember we're all here for you and will help you on this journey. Ask questions, vent or just share your feelings. You're part of this family now.
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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Posted By: indy
Date Posted: Nov 16 2011 at 7:58pm
Welcome newcomers, I am one myself. Had my first ac chemo on Monday, neulasta on Tuesday and today am tired, did well other days , slept after chemo for 4 hours due to drugs added to chemo. I got a tip on taking claratin and aleve before neulasta and no bone pain. Of course I checked with oncologist first, who said to take for a few days. It is working! This is a good place to come because most support groups have limited information about TNBC. Take advantage of all programs your hospital and support groups provide, Laughter is the best medicine(we attended that last night). All the best to you
------------- Diagnosed 9/2011 at 58 TNBC node neg lumpectomy chemo X4 AC chemo X12 Tax, rad 30 treatment starting 11/14 all genetic tests negative
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Posted By: SandraB
Date Posted: Nov 16 2011 at 8:31pm
Hi girls.
Rondee I did have lymph node involvement. They took 29 nodes and we found 3 were cancerous. I already knew at least on was affected because I had a very big lump under my arm. It was sore too and that's what sent me to the doctor. I didn't find the lump in my breast - I was still nursing my 2yo. Anyway, the surgery is done and the cancer has been cut out. I'm getting a port too because my veins are small. Did you get your lymph nodes taken too?
Glad to hear there's no sign of the bowel cancer, but not good to hear about the symptoms. What does the Oncologist think it is?
We'll have to compare notes on side effects and tips.
(hugs)
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Posted By: SandraB
Date Posted: Nov 16 2011 at 8:37pm
Hi Indy. Thanks for the tips, will be taking all the advice I can get.
There are so many programs and resources for breast cancer. I'm going to a workshop in a couple of weeks to for tips on make up, wigs etc. Will be good because I'm not really a make up kind of person. Shame I had to get BC to learn this stuff! A bit of mascara and some lip gloss is about as far as my skills go.
Hope it goes well for your next treatment.
X
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Posted By: SandraB
Date Posted: Nov 16 2011 at 8:43pm
Rondee, I'm stage 2b, grade 3. My tumor was 2.5 cm.
I did have the heart scan and that was fine, I have a normal sized heart. My Oncologist didn't laugh when I said I thought I had a big heart! :-)
Yes, every 3 weeks.
Sorry I didn't answer your questions in the first post. I still have mum brain, lol. With chemo brain on top of that I might need someone to remind me what my name is.
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Posted By: Allmandy
Date Posted: Nov 21 2011 at 5:46pm
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Hi Sandra, It took a while to remember where this site was. My children are 12 and 9 which means my daughter started high school just as tis happened! We've just been to parents evening and she seems to be coping well with all the chaos in her life. Just had the second of 6 FEC 100 last Wednesday. Saw the other oncologist on the Tuesday and my blood results were all better than before the 1st treatment began so my diet of corned beef, haggis, spinach and baked beans obviously counteracted the period from hell I experienced the week before! Unfortunately she changed my anti sickness tablets which resulted in muchmore sickness so I had to have 2 days off work in order to recover. I'm now back to morning sickness and eat Ritz crackers in class if it gets too bad. My 6.5cm tumour was removed with a no holes barred complete mastectomy and axillary clearance with 27 nodes removed - all clear but two enlarged. Luckily I'm left handed because I've had seroma issues on my right chest wall and laterly under my arm pit. I had it drained again just before Chemo 2 so can move my arm freely again. The hair is thinning but I've still got loads to go and the kids at school are now used to me wearing hats so nobody knows what is or isn't under them. After the FEC I get a three week break then Radiotherapy every day for three weeks. Roll on Easter 
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Posted By: indy
Date Posted: Nov 21 2011 at 6:05pm
Hi I hope everyone has a Happy Thanksgiving! Today my husband I joined a warehouse club to get at least the otc drugs much cheaper than the grocery or drug store. Still feeling good, going to our regular support group tonight with my friend who is waiting to start chemo. Seeing the oncologist on Wed and will ask for drastic reduction of anti anxiety meds surrounding ac treatment. Also spent a whold day in bed when I did not understand I was supposed to take compazine as needed(did not recognize generic name), thought I was following directions(every 6 hrs) for some pill I had to take. Yikes, the newly treated are like babes in the woods with this stuff, Keep the faith! Learn from my errors, it will help....
------------- Diagnosed 9/2011 at 58 TNBC node neg lumpectomy chemo X4 AC chemo X12 Tax, rad 30 treatment starting 11/14 all genetic tests negative
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Posted By: SandraB
Date Posted: Nov 24 2011 at 2:47pm
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Hi girls, I am having my first dose of FEC today... wish me luck! Rondee, have you settled on a plan for your chemo yet? I had the port inserted yesterday and what an unpleasant experience that was. But it is done now and time to move on to the next step. Hope everyone is well, Sandra x
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Posted By: Allmandy
Date Posted: Nov 24 2011 at 4:47pm
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Hope the FEC went okay. Don't forget drink lots of water to flush it through. The more you drink the easier it seems. A week on and I'm feeling great again! If it all seems to hard to swallow try sucking on a ginger nut. The good thing is that unlike pregnancy morning sickness you know it won't last long, so you can get through this. Mandy
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Posted By: SandraB
Date Posted: Nov 25 2011 at 4:00pm
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Hi Mandy, treatment was fine. No problems at all. But I was given 4 different types of nausea meds. I always drink at least 2 litres of water a day, so getting through that was no problem and as soon as I got home I took my dogs on their daily 5km walk. So I guess the exercise and fluids made a big difference for me. I know I might not get off so easily next time, but I am certainly encouraged by the minimal side effects of this time. Sandra xo
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Posted By: Grateful for today
Date Posted: Nov 25 2011 at 5:04pm
Hi Sandra,
Great to hear your first FEC went so well.
Sounds like what is a marathon for many (not all) may be a walk in the park.....or a walk with your
dogs....for you.
I tend to be a cautious person.....so, hope you will be really good to your self in between doses.......
get some extra rest, do not push yourself, IF (and you probably won't) you get the least feeling of
nausea, take your PRN anti-nausea meds.......once you have walked thru your first post dose weeks
you will know what your body needs between doses. Since you always drink at least 2 liters of water
a day, no one needs to remind you of the importance of fluids for sure!
You are such a positive and knowledgeable person.
With caring and positive thoughts,
Grateful for today................Judy
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Posted By: AnnMF
Date Posted: Nov 25 2011 at 8:04pm
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Hi Sandra
Glad all went well for you yesterday. fingers crossed and best of luck with it all. one thing i found helpful if the tummy was feeling a little of was weak ginger cordial, and also hot lemon and honey drinks in place of my morning coffee's, and sometimes i'd put a little ginger in that as well.
Reading through your posts we have a lot in common with regards how this thing has presented.
Will keep in touch.
This is a wonderful site full of beatiful people i haven't been able to find anything with as much info or anything that even comes close.
cheers and best wishes
------------- DX 14/12/10 TNBC Invasive ductcarcinoma,Stg 2B,gr3, Tumour 22mm+8mm to 4x satellite nodes,lumpectomy 6/1/11-axilla 1.8cm, 3+/16 nodes, chemo FECx 3 and docetaxelx 3, rad x30 end 19/9/11.
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Posted By: Allmandy
Date Posted: Nov 26 2011 at 5:42pm
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Hi Sandra, Glad it went well and you weren't sick. I must admit that feeling faded over the weekend and this week has been great. I've been at school everyday and although once I've done the cubs, keyboarding, gymnastics etc. taxi service at night I've been fit for not much more than soaps and bed its been good to forget about the past and the future and concentrate on the present! I even managed my first bit of Christmas shopping and 30 minutes on the damned treadmill today - probably not as much fun as a dog walk but SCotland's weather is wet and windy just now. Enjoy the nect two weeks!! Mandy
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Posted By: SandraB
Date Posted: Nov 26 2011 at 5:51pm
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Thanks Mandy. Brrr... wild, windy Scottish weather! We had some wild and woolly weather ourselves last night. Tried to take the family to a Christmas festival to see the fireworks etc, but it got rained out and was cancelled. Master 7 was very disappointed. Great news you were able to get to work every day. Well done! When did your hair start to fall out?? I've got all my scarves and hats ready and waiting to go. I'm actually quite looking forward to wearing them, lol, is that weird? The thought of having no hair during a sweltering summer sounds quite... liberating  Sandra x
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Posted By: Allmandy
Date Posted: Dec 04 2011 at 4:41pm
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Hi Sandra, Week 3 is upon me! I'm in a permanent hot flush and teach under a fan- in December in Scotland! A friend of a friend crocheted a couple of cotton hats for me which I wear to school so nobody can see what hair is left but so far it falls ot in the comb but rarely elsewhere so I still look fine. I have to cover my head in wind however because my hair hurts when its blown about! My biggest issue however is yet another heavy period which has not abated so I'm worried my red blood count will be too low an all my Christmas plans will be out of the window. Its like sitting an exam withno preparation- not good for a teacher! Hope you and the family are well and gearing p for Christmas - is it a barbie on the beach or is that a Sydney stereotype? Take Care Mandy 
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Posted By: SandraB
Date Posted: Dec 04 2011 at 11:51pm
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Hi Mandy, a permanent hot flush? How uncomfortable. Is this a new side effect? I'm still sailing along. Chemo is so idiosyncratic - some people seem to be completely knocked around and others (like me) cruise through. Apart from a few early nights, it really hasn't altered my routine at all.
We'll be stoking up the barbie, but not at the beach  If the weather is good we'll hit the beach in the afternoon - the kids love their buckets and spades. It's one present that never goes out of fashion. Are you having lunch at home? We were going to, but my folks offered to have it at theirs, so it will be an easy day for me - yay.
When do you go for your next cycle? It's Dec 16 for me, but I have to see the oncologist on Friday to check my bloods and discuss how I'm going. And I have an appointment with the radiation oncologist on Thursday, so I'm keen to see what she recommends.
Be well. Sandra
------------- Dx 09/2011 TNBC BRCA 1 & 2 -
T2 2.5cm N1 3/29 nodes.
Lumpectomy & ALND 10/2011
FEC-D 11/11 - 03/12
Radiation finished 05/2012
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Posted By: SandraB
Date Posted: Dec 05 2011 at 1:37am
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Hi Ann and Judy, sorry I didn't reply to you both earlier.. computer was being difficult.
Don't know how positive or knowledgeable I am Judy, but thanks for the vote of confidence! I have been sailing through this, I really have. I don't think I missed a day of exercise yet. I've been adding fresh ginger to my daily apply and celery juice and I think that has settled the stomach. I've been having some early nights and making sure I meditate for 20 minutes or so in the evening. I think it is important to let go of the stress of the day. It is now 10 days post cycle 1 and I honestly don't feel any different. And that's great
Ann, we share a similar diagnosis. How did your cancer present itself? I took myself off to the doctor thinking I had an infection. Luckily my node reacted or I'd still be none the wiser and what a frightening thought that is.
Keep well ladies, Sandra xo
------------- Dx 09/2011 TNBC BRCA 1 & 2 -
T2 2.5cm N1 3/29 nodes.
Lumpectomy & ALND 10/2011
FEC-D 11/11 - 03/12
Radiation finished 05/2012
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Posted By: Allmandy
Date Posted: Dec 09 2011 at 6:16pm
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Hi Sandra, Had session 3 on Wenesday and because they changed my anti sickness meds I was sick a lot less and made it into school today! They coped with me munching ginger biscuits and I felt better for being there. I even managed to get to Liam's nativity play on Wednesday night - always a smile raiser. Yesterday the winds were so strong Central Scotland closed down so my day off didn't count - there was nobody at school. The family got the Christmas tree out of the loft this evening so that's the weekend's task. Its probably justas well I'm not Australian as I have a sand phobia so Christmas on the beach would be hell! Good luck with 16th Mandy
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Posted By: SandraB
Date Posted: Dec 16 2011 at 2:26am
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Hi folks, Session 2 down! Yay. It went well again. I'm loaded up on nausea meds, had my fill of fluids and feeling really good. When my better half gets home I'll walk the hounds. They are looking at me with sad eyes - can't say no to that, lol.
My hair started falling out about a week ago. I shaved it off this week - was getting sick of the mess. It feels good to be bald - but I guess I'm bald at the right time of the year. I think it would be tough going - and freezing - to lose the hair in winter.
Judy, your tips were great. I followed them for each session and am sure they've made a difference - many thanks to you 
------------- Dx 09/2011 TNBC BRCA 1 & 2 -
T2 2.5cm N1 3/29 nodes.
Lumpectomy & ALND 10/2011
FEC-D 11/11 - 03/12
Radiation finished 05/2012
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Posted By: indy
Date Posted: Dec 16 2011 at 5:26am
Hi SandraB,
Glad to hearing you are doing good, I have been wearing a wig full time for a couple of weeks now, not so bad. My third A/C treatment was Monday so just off the steroids today. The other night I baked cookies 3 hours straight. Crazy energy! Then of course the crash happens. Rest while you can, that has been the best advice I have received.All, Have a wonderful day!
------------- Diagnosed 9/2011 at 58 TNBC node neg lumpectomy chemo X4 AC chemo X12 Tax, rad 30 treatment starting 11/14 all genetic tests negative
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Posted By: SandraB
Date Posted: Dec 16 2011 at 5:40am
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Hi Indy, I laughed out loud at the baking cookies for 3 hours straight! My kids have end of year class parties next Tuesday and I have to prepare plates for them to take.... maybe those steroids will come in handy??!
I try to rest, but it's hard. I'm just not good at it. Apart from the crazy energy, how have you been feeling?
------------- Dx 09/2011 TNBC BRCA 1 & 2 -
T2 2.5cm N1 3/29 nodes.
Lumpectomy & ALND 10/2011
FEC-D 11/11 - 03/12
Radiation finished 05/2012
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Posted By: indy
Date Posted: Dec 16 2011 at 5:48am
Hi SandraB, I know this is not a flattering picture, but my husband says I am a horse, working, feeling good but believe me I do have my moments, especially when I hit the wall and get tired. My husband is in a cast and off his feet due to falling off a ladder he night before Thanksgiving. This week we got him a knee scooter so he can help more and is driving now. He took me to chemo on Monday! Thank God for meds, no real nausea problems, take care, Joan
------------- Diagnosed 9/2011 at 58 TNBC node neg lumpectomy chemo X4 AC chemo X12 Tax, rad 30 treatment starting 11/14 all genetic tests negative
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Posted By: SandraB
Date Posted: Dec 16 2011 at 6:02am
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Hi Joan,A horse, lol. Yep, I can relate to that. I feel like a bit of a work horse - but hey, with 3 kids aged 2yo, 5yo and 7yo who doesn't feel like a work horse!
Poor hubby, being off his feet. And poor you having to take care of him as well as yourself (and any younger family members too??). Still, it could be worse... he could have 'man flu'! Sorry that was cheeky 
Sandra
------------- Dx 09/2011 TNBC BRCA 1 & 2 -
T2 2.5cm N1 3/29 nodes.
Lumpectomy & ALND 10/2011
FEC-D 11/11 - 03/12
Radiation finished 05/2012
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Posted By: indy
Date Posted: Dec 16 2011 at 6:15am
Hi Sandra,
My kids are grown 32 and 30 so no kids here just a 2 yr old love of our life Scruffie, our cairn terrier, who does not know what is going on. My youngest is coming from grad school on Monday for a month to help out. I already have plans for her and some fun too, she will be the the Godmother to our new Great nephew on 1/8, lots to look forward too this Christmas... Have a great day and rest, you have your hands full much more than I do. Regards, Joan
------------- Diagnosed 9/2011 at 58 TNBC node neg lumpectomy chemo X4 AC chemo X12 Tax, rad 30 treatment starting 11/14 all genetic tests negative
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Posted By: Grateful for today
Date Posted: Dec 18 2011 at 5:24pm
Hi Sandy,
Thanks for posting on Dec 16 that your chemo session #2 went well.
Imagine - 1/3 of the way thru.
Tons of positive thoughts for the last 2/3 of your chemo plan.
You are such a healthy and positive person to start with.............
you certainly have listened to your body, have a great treatment team, and doing
so well. Hope you have patted yourself on the back a few times!
With the busy holiday season, continue to listen to your body as to what it needs
.....as you have been doing........and not easy with children.
With continued caring and positive thoughts,
Grateful for today..............Judy
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Posted By: SandraB
Date Posted: Dec 18 2011 at 6:13pm
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Thanks Judy - I really appreciate your comments and support. It always makes me smile. x
I am pretty pleased that I have done 2 sessions, now only 4 to go. Yay. And I have come through fairly unscathed again. Maybe a little more tired this time, but hey, it is a pretty crazy time of the year too and I think we all feel run down. Hubby has 2 weeks off over Christmas and New Year, so I am going to rest up (at least try to).
I had a craving for orange juice over the weekend. Couldn't drink enough of it. Maybe my body asking for an immune system boost??
Joan - what's your youngest studying? Hope you're doing well. x
------------- Dx 09/2011 TNBC BRCA 1 & 2 -
T2 2.5cm N1 3/29 nodes.
Lumpectomy & ALND 10/2011
FEC-D 11/11 - 03/12
Radiation finished 05/2012
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Posted By: 123Donna
Date Posted: Dec 18 2011 at 6:18pm
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Sandra,
I hope you continue to do well with the remaining treatments. Trying to find time to rest is so important. Fatigue continues to be my biggest obstacle.
You mentioned orange juice craving. I always know when I'm coming down with a cold. I crave orange juice. I never drink it any other time, but when I'm getting sick I can't get enough of it. I think our immune system knows what it needs and sends these signals to our brain. At least I like to think so!
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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Posted By: SandraB
Date Posted: Dec 18 2011 at 7:22pm
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Hi Donna, I think fatigue will kick in soon - it has been a mad rush these past months since diagnosis, surgery, chemo etc. I will try and rest up over the Christmas break. Can be hard with 3 little people to look after though...
I agree with the body telling us what we need - it knows.
And actually, this is an interesting little story about my diagnosis - well interesting to me, at least. About a month before I found the lump I was, quite literally out of the blue, plagued by worry. I couldn't stop thinking about how my kids would manage if something happened to me. It was constantly in my thoughts - and I even started to think of ways to 'prevent' something happening ie: don't drive, stay close to home. I realised that was ridiculous and went to see a psychologist. He couldn't work out what was going on - no depression, no anxiety, no other worries - so we decided to keep an eye on my mood and play it by ear.
Then, wouldn't you know it? Breast cancer. I am sure my body was trying to tell me something - before I could see/feel physical evidence of it. It pays to listen to your body/mind.
------------- Dx 09/2011 TNBC BRCA 1 & 2 -
T2 2.5cm N1 3/29 nodes.
Lumpectomy & ALND 10/2011
FEC-D 11/11 - 03/12
Radiation finished 05/2012
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Posted By: indy
Date Posted: Dec 18 2011 at 9:26pm
Hi Sandra B,
My youngest is studying documentary film making. She worked in magazines then tv production 2 years each and will graduate in June and relocate to San Francisco from NY. I cannot wait to see her tomorrow. Our son was here for football games with his dad today and our extended family here tonight. Nice for the holidays, stay well! Regards, Joan
------------- Diagnosed 9/2011 at 58 TNBC node neg lumpectomy chemo X4 AC chemo X12 Tax, rad 30 treatment starting 11/14 all genetic tests negative
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Posted By: Allmandy
Date Posted: Dec 19 2011 at 3:07pm
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Hi Sandra (and everyone else!) Glad your session went well. My arm is feeling much better thanks to pain killers and cream. I am back for the last week of school and the kids are all hyper as anything. Snow on the ground and all the teachers are claiming they're exhausted! I actually feel ok - it must be the treadmill sessions. I actually braved the cross trainer on Sunday to see if my arms could take the stretch and the great news is I managed it but my legs were tired after 2 minutes so I gave up. I'll stick to the walking. My daughter is at her first High school Christmas dance - it makes me feel ancient to see her all dressed up in heels I couldn't balance in even today. I had to spend ages curling her hair and then ran a comb through my thinning locks - only a little came out so the cold cap is still working. Wishing you all a very merry Christmas - there was a great recipe for chemo mulled wine in the sunday supplements (where you cook all the alcohol away and are left with the thought!) I may give it a try before session 4 on 28th. Mandy  Stage 3 6.5cm MX + a/c FEC80
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Posted By: SandraB
Date Posted: Dec 19 2011 at 9:08pm
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Hi Mandy and folks, Good to hear your arm has healed up and you're feeling better. Yay for getting on the treadmill - exercise makes us feel good. So those cold caps work? That's great.
LOL at feeling ancient... I feel (and surely, look?) like the oldest 39yo on the planet, at the moment. And heels?? I haven't worn any since...umm.. early 30s. Designed for comfort, not style, these days...
Have a fantastic Christmas with the family and kids. Sandra xo
------------- Dx 09/2011 TNBC BRCA 1 & 2 -
T2 2.5cm N1 3/29 nodes.
Lumpectomy & ALND 10/2011
FEC-D 11/11 - 03/12
Radiation finished 05/2012
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Posted By: SandraB
Date Posted: Dec 21 2011 at 6:17pm
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Hi folks, sorry if this isn't an appropriate thing to post, but I thought some might enjoy this gorgeous song. It is by an Australia performer, Tim Minchin - who is very funny and talented.
http://www.youtube.com/watch?v=fCNvZqpa-7Q - http://www.youtube.com/watch?v=fCNvZqpa-7Q
Hope everyone has a restful and joyous Christmas, Sandra x
------------- Dx 09/2011 TNBC BRCA 1 & 2 -
T2 2.5cm N1 3/29 nodes.
Lumpectomy & ALND 10/2011
FEC-D 11/11 - 03/12
Radiation finished 05/2012
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Posted By: Lee21
Date Posted: Dec 22 2011 at 11:29am
I've been looking at this site for a few days since my new diagnosis 2 weeks ago to the day but I just registered so I can get connected.
I always thought I was low risk for BC and not as vigilant as I should have been with annual mammography (where have I heard that one before!). I had one 2 years ago and the report said I have very dense breasts making it difficult to be certain but otherwise normal. Given that dense breasts is a risk factor (which I didn't know then) I wished that there was a note in the radiology report to that effect which would have motivated me to get a mammogram last year instead of being forced to this month because of symptoms. Probably would have made significant changes to my diet as well. Hind sight is a wonderful thing.
In any event, I had a diagnostic mammogram with an ultrasound guided core biopsy which came back with a diagnosis of IDC, grade 3. As soon as I saw it was grade 3 I knew I would be in the poorer prognosis category. The receptor status confirmed low ER, PR expression (4%, 3% respectively) and HER2 1+. By ultrasound the mass is about 1.7 cm so I am hoping that it will stay < 2 cm with the actual sample.
I met with the breast care team at the comprehensive cancer care center close to where I live and was recommended to have a central lumpectomy with removal of the nipple-areola complex because I had discharge. I haven't had staging yet -- the sentinel node bx will be done at the time of surgery. I am probably going to get the chemo followed by RT, all very familiar sounding to all of you.
I am looking into getting a second opinion at another cancer center out of state but am concerned that any delay would affect my survival chances. Any thoughts on that anyone?
It is comforting to see the resources that are available on this website (chemo tips, radiation tips, etc.) and that there will be people to connect with in the days to come.
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Posted By: Grateful for today
Date Posted: Dec 22 2011 at 11:56am
A thought: Lee21 started a new forum "newly diagnosed" under the forum topics
in the Welcome New Members forum.
It might be helpful to post replies to Lee21 on her: "newly diagnosed" forum.
"Newly diagnosed" with a capital "N" was started by Sandra B.
Just a thought. Welcome, Lee.......will post on newly diagnosed.
Judy
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Posted By: SagePatientAdvocates
Date Posted: Dec 22 2011 at 2:42pm
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Dear Lee21,
The two places, out-of-state that come to mind are
MD Anderson Cancer Center(MDACC) in Houston (ranked #1 in the country) and Memorial Sloan-Kettering Cancer Center(MSKCC) in NYC (ranked number 2 in the country)
I would suggest you consider getting an appointment with
Dr. Ana Maria Gonzalez-Angulo at MDACC
http://%20faculty.mdanderson.org/Ana_Gonzalez-Angulo/Default.asp?SNID=1481996111 - http:// faculty.mdanderson.org/Ana_Gonzalez-Angulo/Default.asp?SNID=1481996111
or Dr. Tiffany Traina at MSKCC
http://www.mskcc.org/cancer-care/doctor/tiffany-traina - http://www.mskcc.org/cancer-care/doctor/tiffany-traina
I will send you a PM with my contact info. I am a patient advocate on a volunteer basis and would be happy to walk you through, if you wish, how to get an appointment at each breast clinic.
all the best,
Steve
------------- 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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Posted By: SandraB
Date Posted: Jan 06 2012 at 1:47am
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Hi folks, I hope you all enjoyed the holiday period. Just home from my third cycle of FEC and once again - a breeze. Went straight out for a walk with the dogs when I got home. I'm half way through chemotherapy - what a great feeling. My next 3 cycles will be Taxotere.
I'll be doing rads in April/May. Six weeks - irradiating the axilla, breast and neck.
How is everyone else going with treatments? Sandra
------------- Dx 09/2011 TNBC BRCA 1 & 2 -
T2 2.5cm N1 3/29 nodes.
Lumpectomy & ALND 10/2011
FEC-D 11/11 - 03/12
Radiation finished 05/2012
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Posted By: jeri49
Date Posted: Jan 06 2012 at 4:19am
Just completed first chemo treatment yesterday. Everything went really well. I am sitting here 12 hours later with insomnia but no other problems.
------------- jerimsnurse
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Posted By: SandraB
Date Posted: Jan 06 2012 at 5:29pm
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Hi Jeri, So pleased to hear you did well after your first treatment. You should continue to do well too. My oncologist told me how you react to the first cycle is a good indication of how you will cope with the rest. What cocktail are you on?
I just passed my half way mark - yeah!! What a relief.
Damn re the insomnia. Is that from the steroids they gave you?
Sandra
------------- Dx 09/2011 TNBC BRCA 1 & 2 -
T2 2.5cm N1 3/29 nodes.
Lumpectomy & ALND 10/2011
FEC-D 11/11 - 03/12
Radiation finished 05/2012
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Posted By: rigatonismom
Date Posted: Jan 06 2012 at 5:31pm
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The steroids always got me! Nita
------------- DX 09/10 TNBC Stage3c, grade3, Tumor 2.7cm, chemo started 9/29/10, AC x4, Taxol x12, lumpectomy 4/11/11-tumor .6cm, 3+/22 nodes, radiation x 30 finished 6/30/11.Clinical Trial Cisplatin,PARP 8/23/11
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Posted By: SandraB
Date Posted: Jan 06 2012 at 7:44pm
I am such an oddball, the steroids don't keep me awake! Am starting to think I have iron running through my veins because I am not knocked around by any of the treatments so far *knock on wood*
------------- Dx 09/2011 TNBC BRCA 1 & 2 -
T2 2.5cm N1 3/29 nodes.
Lumpectomy & ALND 10/2011
FEC-D 11/11 - 03/12
Radiation finished 05/2012
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Posted By: SandraB
Date Posted: Jan 17 2012 at 3:34pm
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Hi folks, I have an appointment with the genetic counsellor today to discuss genetic testing. I'm not sure if they will go ahead with the test because there is no family history of cancer whatsoever.
On another note, still sailing through chemo. Oddly, I find it is getting easier as I go, not harder. The first FEC treatment was the most uncomfortable. And my hair is even starting to grow back. It is straggly and grey, but growing nonetheless. I am now at the half way mark for chemo and move on to Taxotere next (3 cycles).
The radiation oncologist wants to do rads to the whole breast, axilla, the supraclavicular nodes and my neck. It seems they're not taking any chances and that gives me some peace of mind.
Hope everyone else is travelling well, Sandra
------------- Dx 09/2011 TNBC BRCA 1 & 2 -
T2 2.5cm N1 3/29 nodes.
Lumpectomy & ALND 10/2011
FEC-D 11/11 - 03/12
Radiation finished 05/2012
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Posted By: Natalie
Date Posted: Jan 17 2012 at 5:24pm
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I n the limited experience I have Sandra, they will still reccomend the Brca testing. You could just happen to be the first carrier. It is also good for family history.
Glad the chemo is pretty easy for ya, knock on wood.
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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Posted By: SandraB
Date Posted: Jan 18 2012 at 4:01am
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Thanks Natalie - physically this has been a breeze for me. I'm very lucky. Mentally it is a challenge. The meeting with the genetic counsellor was really interesting. I learnt a lot.
There is a bit of an echo in here, lol, so I'm going to stop talking to myself. I sincerely wish everyone the very best with their treatments and health,
Be well and goodbye! Sandra
------------- Dx 09/2011 TNBC BRCA 1 & 2 -
T2 2.5cm N1 3/29 nodes.
Lumpectomy & ALND 10/2011
FEC-D 11/11 - 03/12
Radiation finished 05/2012
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Posted By: Grateful for today
Date Posted: Jan 18 2012 at 11:08pm
Hi Sandra,
If there was a Wonder Woman of chemo, you would be in the running for 1st place.
If you can figure out what tips would help others "really sail thru chemo" like you, please post.
Know you do a lot of exercise....drink lots of fluids....have a great attitude.....and sounds like you
had a lot of healthy habits to begin with.
At the same time, realize with the same chemo treatment plan, there is a range of how one
responds.......no matter what one does or thinks. ( But thought it would be interesting to hear
from Sandra her thoughts on sailing thru chemo. )
Acknowledging the mental challenge you mentioned.
Sounds like you have a good radiation oncologist who is recommending to include radiation
therapy as part of your treatment plan.
You mentioned you had the genetics counselor visit but there is some question of the test being
done.
This is most likely a repeat.......but if want to show your providers/genetic counselor the info
from the USA............
If you need the reference for BRCA testing that was previously posted on the forum, here's the link:
http://forum.tnbcfoundation.org/very-important-news-re-tnbc-brca-testing_topic8458.html?KW=BRCA - http://forum.tnbcfoundation.org/very-important-news-re-tnbc-brca-testing_topic8458.html?KW=BRCA
(Disregard if already done or not helpful.)
Sandra, have seen many of your posts.....you are so generous in your sharing.......your posts are
helpful and uplifting.........thank you.
With caring and positive thoughts,
Grateful for today....................Judy
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Posted By: SandraB
Date Posted: Jan 19 2012 at 5:21am
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Hi Judy, thanks for taking the time to write. I really do appreciate it.
I was thinking about your post while I was walking the dogs tonight. I too have wondered why I am finding this so easy, physically. I am fit and healthy, that's true. And that goes a long way. But I think another reason I have done so well is that I tend to think everything would/will be okay. I remember being told about the side effects of the axillary clearance. I thought I wouldn't have any problems - and so I didn't. I remember being told about the side effects of chemo and again, I figured I wouldn't have any problems and I haven't *knock on wood*. Maybe it is denial, but hey, it works for me. I don't dwell on any of the physical symptoms and I just continue to live life the way I did before BC. So I would say exercise, water, a healthy diet and a buoyant and pragmatic approach to life is what is seeing me through....
I did get the test for the mutation. The genetic counsellor said given my age and the triple negative diagnosis, they were always going to do it. I don't think I have it though. There is no family history whatsoever. My grandparents and their siblings all lived into their 80s and 90s. I think my cancer is one of those sporadic cases... but I'll know more come Feb when I get the results.
The radiation oncologist isn't holding back on treatment, that's for sure! My neck, supraclavicular, axilla, breast... all getting irradiated. 6 weeks of therapy there. It is a long haul. I tip my hat to all the men and women who get through this and to the ones who are in some kind of treatment for the long term.
I really enjoy your posts Judy. You're always so quick to respond to posters and offer well considered information and support. You have no idea how often your posts have made me smile and for that, I thank you.
Be well, Sandra
------------- Dx 09/2011 TNBC BRCA 1 & 2 -
T2 2.5cm N1 3/29 nodes.
Lumpectomy & ALND 10/2011
FEC-D 11/11 - 03/12
Radiation finished 05/2012
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Posted By: Dolphinlove84
Date Posted: Jan 19 2012 at 1:44pm
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Hi everyone, my name is Miya. I was just diagnosed with stage III tnbc on friday. I met all my doctors yesterday and I am begining the first of many tests and scans today, (ekg, pet, mri ect). Its all kinda overwhelming. Oh yeah Im 27, so I am having genetics test done as well. Doctors cant seem to figure out why this happend to me so early and so advanced. Is anyone else on this blog in their late 20's? I am new to bloging. Never really had the time, but I am told I will have a lot of that for the next several months, lol. Miya
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Posted By: krisa
Date Posted: Jan 19 2012 at 4:00pm
Miya, there have been several young women on this site. One gal, Heather,is listed on the page that has stories from some of our members. She would be a good person to contact.
Take care...you can do this!
http://http://www.tnbcfoundation.org/spotlightstories_heather.htm - http://www.tnbcfoundation.org/spotlightstories_heather.htm
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Posted By: SandraB
Date Posted: Jan 19 2012 at 4:10pm
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Hi Miya, it's so overwhelming, I know. But Krisa is right, you can do this. Once you get started on treatment you will begin to feel better. Hopefully you can find some other girls in their late 20s or early 30s to talk to... How did you find your cancer, if you don't mind me asking? Cheers, Sandra
------------- Dx 09/2011 TNBC BRCA 1 & 2 -
T2 2.5cm N1 3/29 nodes.
Lumpectomy & ALND 10/2011
FEC-D 11/11 - 03/12
Radiation finished 05/2012
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Posted By: Lee21
Date Posted: Jan 19 2012 at 5:38pm
Miya, Everyone has their way of dealing with a new dx of BC, especially TNBC. I don't presume to know what works best for you. For me, I needed to find out as much as I can from respected sources about the disease, prognosis, treatment and lifestyle changes. To this end I have posted a number of links to various topics under NEW MEMBERS -> OPEN ACCESS. Unfortunately, not everything there is open access (i.e. requires purchasing for $$) but at least you have the abstract to articles in the medical literature. Also the TNBC site has several videos that I found to be very helpful for getting "acquainted" with TNBC. You should also think about second opinions and clinical trials. There are others on this site much better versed with clinical trials and how to access the information (the major one is http://clinicaltrials.gov/ - http://clinicaltrials.gov/ ). Second opinions generally are covered by your insurance but be sure to check. I recently had a second opinion at an out-of-state comprehensive cancer center that resulted in a change in treatment plan at the comprehensive cancer center where I am being treated. You will undoubtedly be hearing from Steve who is a wonderful patient advocate -- I will let him speak for himself.
------------- 12/9/11 @59,IDC,grade3, TNBC,3cm(MRI),SLNB0,stage IIA, BRCA1 variant 1/30/12 DD AC-T, 6/7/12 Lumpectomy, ypT1b(0.8 cm), 7/9/12 Rads x 30 11/9/12, clinical trial cisplatin/rucaparib, cisplatin-only arm
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Posted By: Grateful for today
Date Posted: Jan 19 2012 at 10:45pm
Hi Miya,
You will get thru this.
As you start reading about TNBC, know that most survive.
When you start reading the forum topics, realize that many post on the forum when newly
diagnosed and many post who have recurrences. Many of the long term survivors /thrivers are too
busy with their lives to post.
There are some forum topics/threads you might like to see:
http://forum.tnbcfoundation.org/survivor-stories_topic7405.html - http://forum.tnbcfoundation.org/survivor-stories_topic7405.html
http://forum.tnbcfoundation.org/survivors-needed_topic8221.html - http://forum.tnbcfoundation.org/survivors-needed_topic8221.html
The initial treatment plan is very important for TNBC.
If you are at NCCN (National Comprehensive Cancer Network) Cancer center, great.
If not, you may want to consider a consult at one.
The NCCN Cancer Centers: http://www.nccn.org/members/network.asp. - http://www.nccn.org/members/network.asp.
You asked if anyone else on this blog/forum is in their late 20's?
Thought in addition to responses you might get here on this forum topic, a new
forum topic might help to find other members with same stage and age.
See new forum topic/thread: http://forum.tnbcfoundation.org/stage-iii-age20s30s_topic9512.html - http://forum.tnbcfoundation.org/stage-iii-age20s30s_topic9512.html
With very caring and positive thoughts,
Grateful for today.......Judy
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Posted By: proudgrandma3
Date Posted: Jan 21 2012 at 9:41am
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I am a 64 year old diagnosed jan.14,2012 stage 2 with lymph node involvement. am scheduled for bilateral mastectomy on Monday.wondering about doing a lumpectomy for staging and get chemo and radiation prior to mastectomy. any thought will be helpful.
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Posted By: proudgrandma3
Date Posted: Jan 21 2012 at 9:45am
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I am a 64 year old with stage 2 triple neg scheduled for bilateral mastectomy for Monday. Should I be considering lumpectomy with chemo and radiation prior to mastectomy? I was thinking the recovery time would be shorter which would enable me to begin chemo sooner. As it stands, I am scheduled for double mastectomy with chemo to follow in 4-6 weeks depending on recovery time. Any input is appreciated. Thank you.
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