October 2016 starters

Hi All

Picc line removed today and appointment with Oncologist went well, will be taking Letrozole for 10 years and Bisphosphonates for 3 years, and he said my next appointment will be  in early June to see how i am doing with the tablets, after the last 7 months revolving around hospital and clinic it felt like I was being cast adrift.

I spoke to the BCN and she reassured me that if I am concerned about anything to call them and they will check it for me, in particular with regards to RT and my implant.

 

Gracie, while you are waiting for counselling it might be worth seeing if BCC do a Moving Forward Course in your area, it may help in the meantime. I am booked on one in May as I need help to regain some control over my life again.

 

Hugs to all

Mary x

 

 

 

Thanks Swampy, yes I did enjoy my afternoon out on Tuesday. We have also managed to squeeze in a weeks holiday before the radiotherapy starts. As you can gather, I’ve been able to get out and about more lately, so I am now ready to return to work. I will be going back next Wednesday (1 March). It will be a staged return, 2 days a week (pro rata) at first, and I will be working throughout the radiotherapy (wish me luck!). I’ve agreed to go back to the doctor after the radiotherapy to review how well I have coped and whether I am still fit enough to carry on working. I had my radiotherapy planning session this morning. I was relieved that I could raise my arms on the CT scanner and keep still without any pain or discomfort. It really does pay to do the exercises. There’s still a bit of fluid but the radiographer said it wouldn’t be a problem. The tattoos didn’t hurt much either. They also confirmed it was OK to have Herceptin on the same day as radiography (my next injection is due on the day the radiography is due to start!). Auntiejulie - I can understand you are a bit nervous about having surgery after chemotherapy, but you should be able to cope, as long as they allow you enough time for recovery in between. My surgery was only just over a month after my last T infusion, and I have been OK. Apart from a bit of fluid (mostly gone now) it has been fine. I found the surgery was easy to cope with compared to the chemotherapy. Gracie - if you can’t get onto a BCC Moving Forward course in the near future, there may be a similar course run by your hospital or another cancer charity in your area, such as Penny Brohn (see: pennybrohn.org.uk). There may also be a local BC support group you could join - BCN should be able to advise. If not, as Aine has suggested, you could try Macmillan. There is information on emotional support on their website. Here is a link: macmillan.org.uk/information-and-support/coping/your-emotions Truey and Aine - I have had similar problems with my nails, which have got worse since chemotherapy finished, though they are not as bad. They are dry, ridged and discoloured but still there, and don’t yet show any signs of coming away. I think it is at least in part the luck of the draw what happens to them, as much as what you are putting on them. I have been using Onicolife drops twice a day throughout chemotherapy and have continued since, but so has Lisad and her nails have fared worse. I have started using Sally Hansen Vitamin E nail and cuticle oil more recently (you apply it last thing at night) and I think it has helped.

 

Hello all - I thought I’d posted on this thread but it has disappeared (often happens, ****** phone!).

 

Thanks Swampy, yes I did enjoy my afternoon out on Tuesday. I’m trying to make the most of my freedom, because I will be returning to work very soon. We have managed to squeeze in a week’s holiday before the radiotherapy starts, so I will be going on leave almost as soon as I am back at work, but we had to book that week because it’s the only one free of hospital appointments, and my employer is OK about it.

 

I had my radiotherapy planning appointment today, and it was fine, apart from Storm Doris which was in full swing this morning (had to hold onto the wig outside the hospital, lol). I was pleased that I was able to raise my arms without any pain or discomfort while on the CT scanner, and that the tattoos weren’t very painful. It really does pay to do the exercises. The CT scan was nowhere near as uncomfortable as the MRI scans were. The nurses also confirmed that the bit of fluid left under my arm is not a problem, and that it will be OK to have Herceptin injections on the same day as radiotherapy. I will be going back next Friday for a briefing about preparing for radiotherapy and managing risks of lymphodema.

 

Like many of you, I have slightly creaky joints and a bit of pain at times, but I am not in agony, and to be honest it’s no worse than it was before chemotherapy. I am not yet on hormone tablets, only Herceptin, so I think it is mostly age, excess weight and not getting enough exercise during chemotherapy, rather than the medication itself. Now I am getting out and about more, things may improve, and I hope I will be better able to cope with the effects of the Letrozole when I do start to take it. 

 

Rant away, fellow returners to work! I am going back next Wednesday (1 March). I am well enough to work now, so I can’t justify being off sick anymore. I am having a staged return, 2 days a week (pro rata) at first, and I will be working through radiotherapy. Yes I am apprehensive, and I also think my BC was partly work stress related, but I know the longer I leave it to return to work, the harder it will be. I am a town planner working on local plans (which judging from conversation with my manager the other day, don’t seem to have progressed significantly since I went on sick leave, lol. Probably not entirely my colleagues’ fault though, as planning has always been a political football, same as health and education). I specialise in waste and minerals, but probably will have to muck in (if you will pardon the pun) with other topic areas. There are two people less in our team now than there were: one retired just before I went on sick leave and another left a few weeks ago to take up another job elsewhere. So while I don’t know exactly what c**p is in store, I can guess. So I may be ranting about it next week…

 

Snail888 - as Fairycake says, your employer should allow a staged return to work if you feel you can only cope with going back part time at first, because they are legally obliged to make ‘reasonable adjustments.’ It is also better for you and your employer if you go back part time at first, rather than go back full time, only to find you can’t cope with it.

 

Suebond88 and Chloe - I can understand why you might be a bit apprehensive about having surgery after chemotherapy, but you will be fine as long as they allow enough time to recover. I had my surgery about 5 weeks after my last T infusion, which was just enough time to recover. The operation was also a lot easier to cope with than the chemotherapy. The wound healed within a fortnight, and the only problem I had was fluid, which has mostly gone down now. If you keep doing the exercises, you should get full movement back in the arm on the affected side within a few weeks. I only had WLE and SNB though (no axillary clearance), so it will probably take longer to recover if you are having a bigger operation than that or (heaven forbid) a further operation is needed because the surgeon doesn’t quite get it all first time.

 

Gracie - if there is a long wait for counselling and BCC Moving Forward courses near to you, see if Macmillan can help, as Aine has suggested (macmillan.org.uk/information-and-support/coping/your-emotions/dealing-with-your-emotions). Otherwise, you could ask your BCN if there are any other cancer charities running similar courses in your area such as Penny Brohn (pennybrohn.org.uk), or if there is a local cancer support group you could join.

 

Truey and Aine - I have also found my nails deteriorated after chemotherapy (how weird is that!) but although they are dry and discoloured, they are still hanging on. It may have been luck as much as anything I have been doing, but as I mentioned I have used Onicolife drops all through chemotherapy, which may have made a difference. As I am running out of them and reluctant to order any more, I have started using Sally Hansen Vitamin E nail and cuticle oil (available from Boots), which I think has helped. To be honest, any oil or cream that lubricates and conditions the nails will probably help at least to some extent.

 

Truey - don’t worry, the eyelashes will come back eventually - mine have only recently reappeared and are now growing quite strongly!

I’ve finally got my planning meeting through for the 2nd March for radiotherapy. I understand from other posts that that is when they do the measurements and tattoos but I’m anxious whether I’ll get a chance to discuss my concerns about heart issues and whether they do this breathing technique or not. It looks like I won’t get a chance to discuss with anyone what happens and for me to ask any questions :(. Wondering whether I should phone the radiotherapy dept and ask if I’ll have the chance to discuss anything with them…
What are other people’s experiences? Have you spoken to an oncologist or similar first or just gone straight into the measurements / tattoo one?
Sue F xx

Sus12 - I can understand why you are concerned about the lack of support before your radiotherapy. My experience has been totally different. I have already had an appointment with an oncologist at the hospital where I am having it. He explained how many rads I would be having, the potential risks, and that they will protect my heart and lung through careful positioning of the radiotherapy beams, so I will not have to do any breathing exercises. I was then asked to sign the consent form. Someone telephoned the next day to confirm the dates of the planning meeting and briefing session, and to give me a provisional start date for the radiotherapy. My planning meeting was last Thursday. Assuming yours is the same, they will first of all give you a gown to change into, and will ask you questions about allergies and any medication you are taking. They will then do a CT scan followed by the tattoos, so the radiographers can line you up on the machine and zap the same area each time. The CT scan is easy compared to MRI scans because you are lying on your back as you are passed through the machine (which looks like a giant doughnut), although you will need to keep your arms raised above your head and keep still for about 10-15 minutes. You can hardly feel the tattoos, because they only prick you just beneath the skin. I only had 3 tattoos, one at the side of each breast and one between the breasts. They will mark you with a pen before they do the tattoos, so it’s best to wear an old bra and top incase the ink comes off on your clothes once you change back into them afterwards. I will be having a further briefing session next Friday before the radiotherapy starts. It is possible they will cover everything in one go at your planning meeting instead of at separate meetings. You will have to sign a consent form for the radiotherapy at some point if you haven’t already, and you can’t be expected to do that unless you have been properly briefed. But it is not good to be left in the dark about what to expect, so if I were you I would phone them on Monday to check.

Thank you OldDawn. I’ll def phone the radiotherapy dept on Monday. Thanks very much for the info :slight_smile:
Sue F xx

Hi OldDawn. Thank you for all the info. I phoned the radiotherapy unit and was told that I will see someone first on the 2nd (oncologist or some other doctor not sure as wasn’t told that!) and then the CT scan etc. Bit useless if I’m not happy with what I’m told…what do they think would happen if I’m not happy with things!!! Anyway will see how the discussion goes and I have a pre written list of questions :D. Hoping things will be fine though and go smoothly. I’m not in the mood now after 6 months of chasing documents, no communication, no information, no support etc etc :(. Good job I’ve had the Breast Cancer Care helpline, my 'Someone Like Me ’ buddy and this forum!
If Breast Cancer Care had to stop tomorrow the NHS would be in even more trouble than it is! Don’t think they or the government appreciate that. Or don’t want to know :/.
Hugs to everyone having treatment this week or suffering se’s.
Sue F xx

I do wonder abiut suppoet. The bcn where i am dont seem interested once you pass to oncology and i know they have speciliast training etc at a cost. The chemo nurses seem the most supportive and well informed xx

My experience of my bcn’s was mine in particular/they weren’t at all interested full stop but especially once I moved onto chemo even though they were supposed to still be my contact and first line of ‘support’. I got a letter from them the other day (general letter but signed as well by 'my ’ ) saying hope you are getting on well with your treatment and if you need any support do contact us (!!!) First letter or communication in 5 months. I’m mentally thinking of my reply… My OH said well that’s a bit rich! Just so.
Sue F xx

The chemo nurses have been amazing and im going to find out how i can volunteer on the ward in the future. My surgeon was great to and really cant fault nhs so far. Just dissapointed that our bcns dont seem interested when they are supposed to be there to support everyone with bc. Thank goodness for forums and facebook groups x

Agree I can’t fault the NHS as the 2 locum oncologists I’ve seen, the breast surgeon and the chemo nurses have been great. Just had a bad experience with my bc nurse sadly. A shame but everyone else has been really good so I’ve been lucky overall I feel.
Sue F xx

Hi girls. Hope everyone is doing ok. I’m 3 weeks after my last T and have very little hair and still losing strands all the time if I touch it and still coming off when I take my hat off which I’m only wearing when I go outside - weirdly very slightly more coverage on the back of my head! Worried it’s still coming out and not starting to grow back :(.
Old Dawn hope your first days back at work went ok and you enjoy your holiday! I went for my planning meeting yesterday and saw the specialist rads doc first who was very good and answered all my many questions. The radiotherapy staff were lovely too. I wore my black post surgery bra after your advice as I was covered in black pen marks! They don’t do the breath hold technique but assured me that they would be very careful with the positioning etc. Still a bit concerned but less so now.
Aine my radiotherapy doc is arranging for me to have a bone density test in a month to check my bones as I’m starting Letrozole in a weeks time. I’ve always been pretty active doing a lot of fell walking etc so hoping my bones are good but they’re going to check. Will give me Biphosphonates if needed depending on results and then keep a check on me bone wise. I’m also going to take a low dose of aspirin as he says a low dose will protect my heart and risk of stroke as well ( my parents both had / have heart problems and my gran had strokes) and he had read about the trial re breast cancer etc. I’m going to check with my gp first. I haven’t asked to go on the trial though. I think if it’s OK for me to take it I’d rather have a low dose which could maybe protect my heart/stroke risk as well with my family history than possibly be given a placebo.
Gracie hope you can find some support that will be helpful for you. I think having spoken to a lot of people in our position the medical guys are often good on the physical side of bc but forget about the huge psychological and emotional effects bc can bring with it. Do you have a Haven anywhere near you? I’ve spoken to someone from one but I’m 3 + hours away from the nearest sadly. There’s absolutely nothing in my area at all. Hope you find something to help you and sending you lots of hugs.
Hope everyone has a good weekend and we get a bit of sunshine!
Sue F xx

Hi Gracie.
I’m glad things are improving for you a bit and you’ve been able to get some support.
My eyelashes and eyebrows are still practically non existent apart from a very few eyebrow hairs holding on! My eyes get a bit watery and are easily irritated but I use Boots individual eye drops when they need a bit of soothing and are dry. I don’t have any underarm hair at all (or anywhere else!) but the radiotherapy guys said that I probably won’t get any back under my left arm ever due to the rads + I also had my lymph nodes removed from that arm so maybe with your radiotherapy you might at least have one armpit hair free :D. The neuropathy in my finger tips is still there making undoing and doing buttons up annoying but hoping it will ease off eventually.
Hopefully your se’s will start to ease off soon. The hair thing is a challenge and will be for some time but I’m trying to find ways round it both practically and emotionally. Bit fed up and depressed that I’ll have finished my treatment after the radiotherapy but my hair will take a long long time to look normal and me like me! Hey ho :slight_smile:
Sue F xx

Hi All

Now 4 weeks post last T and feeling more with it each day, taste buds are back to normal and to celebrate I am going out for a curry tonight with OH and son, eyes are still running and blurry which makes reading a bit  difficult and still very tired but I try to go walking most days, had an appointment with my dentist today for a check up after Chemo and he was very pleased with how they are but because of the Ibandronic acid tabs will need checking every 3 mths from now on as it can cause problems re extractions :smileytongue:

Hair is growing nicely and like yours Gracie is pure white as well, weird :smileylol:

 

I have been reading everyones comments re BCN’s and I seem to have been very lucky with mine since I was first diagnosed they have always been available and able to help, I rang them on Wednesday as I needed to get some things clear in my mind about my follow up appointment, she listened to my concerns and was extremley helpful in putting my worries into perspective and was able to answer all my questions, she also confirmed that although I will not see my surgeon now until my follow up in October I can always ring the BCN with any problems and if needed I will get an appointment asap, I was freaking out about the time scale but not now.

 

Radiotherapy next and then spend the summer building my strength up ready for reconstruction

 

Hugs to all

 

Mary xx

It’s lovely to hear that some bcn are good. Perhaps in not sure what to say to mine nut I am so worried about this latent lump in bad boob and not sure if they can offer reassurance and i still need to wait for sxan appointment x

Snail is your GP any good? I’m lucky I have a good one and she’s very good at getting through to get me to see people if I’ve been concerned about anything to do with my bc and can’t get easy access to see anyone else.
Sue F xx

Anyone who has had their radiotherapy how big were your tattoo marks at your planning meeting? I was told they would be pinpoint-ish marks and 2 of them are but then the one between my breasts is like a mole size and really noticeable. I know it sounds really silly and I know I guess I shouldn’t be bothered but after the scars I’ve ended up with under my arm and on my breast which I find hard as it is but have come to terms with I don’t want to have yet another flipping very black and very obvious mark!
You all have permission to tell me off and tell me not to be so stupid!
Sue F xx

Thank you Optimissy :). It’s bugging me as I can see it every time I get dressed / have a shower… I just think they could have taken a bit more care. I bet they wouldn’t like it! Like you I’ll see how mine goes and if it fades but might well get it lasered if it doesn’t. Or go for broke and get a little butterfly tattoo done over it :D.
Sue F xx

Well done swampy1901 so pleased for you, started mine today so on the way, good luck with the return to work

Hugs

Mary x

Hi swampy, you can get numbing cream to apply before a tattoo, that would help loads! I’ve just finished chemo, jus working through the SE! Radio after surgery so a little while to wait. And work a long way off. Will you get phased return? I’m going to reduce my hours for sure. I’m 52 next birthday and am thinking of reducing from 40 to 30 hours. Not sure what to expect with radio, anything I need to be careful of? So it’s real tattoos they put on you! Hugs to everyone x