The empty bag

the empty bag

Yesterday I had my 18th round of chemotherapy (since January 2013).  God willing, today was the last round of chemo I will ever receive.  I’m almost afraid to write this because I don’t want to jinx myself.  I thought I was done last August after 8 rounds of chemotherapy, when cancer reared it’s ugly head again.  I was planning my return to work & the craziness that would ensue once back.  Though last July, I felt two lumps in my breast, so even when I was saying chemo was almost done, in the back of my mind, I knew something was wrong.

I’m not sure how I feel.  I am happy.  But I am also apprehensive.  I will see Dr. G every month for the next year or so.  I will get blood tests done.  I will have yearly breast MRI‘s (once the expanders are removed), PET Scans, and chest X-Rays.  As time goes on the visits  to Dr. G will switch to every 3 months, then every 6 months, then every year.  I will be fearful every time I have a new ache or pain or bump or lump somewhere on/in my body.  I’ve been through this before, I know what to expect.  But regardless of the fear, I will live my life.  I will enjoy all the time I spend with friends and family.  I will enjoy going to work (for a while at least) because going back to work means that I am normal.  I am well.

My journey is far from complete.  I still have a couple of surgeries to go.  I will probably go with another tissue expander (with implants in the future).  I had a talk with Dr. W.  He removed about 60 cc’s of fluid last Friday from my right breast pocket.  Dr. W will remove the scar tissue that formed (most likely from the radiation).  He will place the expander and either Alloderm or some of my own fat cells in the pocket as well. He will also remove some of the radiated skin.   (I read that implanting fat cells in the area improves the success rate of implant after radiation therapy).  I was seriously considering one of the flap techniques for reconstruction but there appear to be a lot of side effects and the surgeries are long.  I don’t want to be under general anesthesia for hours.

It’s 0200 hours and I planned on trying to sleep but I’ve got too much going on in my head to sleep.  I will type instead.

I went on a bike ride with Gillian yesterday before chemo.  We rode about 10 miles on the Heritage trail.  After a few miles, I switched bikes with her.  She was falling behind & I knew one of the problems was her bicycle.  When you pedal, your leg should be almost straight on the down stroke.  Her legs weren’t.  I looked at the bicycle seat and saw that it couldn’t be raised any higher.   She is 5’10” and I am 5’6″, though her legs aren’t much longer than mine.  I found this out while I was riding her bike.  I couldn’t extend my legs either.  I kept up pretty well until the last two miles.  Then I fell behind by about 3 minutes.  As soon as we got home, I told Charles that Gillian needed a new bike. Charles took her to get a new bike (and while I was at chemo, he called me and told me to look out the window.  He drove by with her new bike, so that I could see it!  I got a better look when I got home).

chemo 18 before

Xavier brought me to chemo.  I stopped and picked up some goodies for the nurses and doctors at the chemo center.  Cupcakes, cake, cookies, and croissants.  I thanked everyone for all their help and I said goodbye to Dr. D.  Chemo went alright but my port was a bitch.  No blood return so Nurse T had to take blood from my arm! We were at the chemo center for over 5 1/2 hours.  When we got home (after stopping at Sam’s Club), Xavier made celebratory scones, using the Tea & Sympathy recipe.  They were good, but they didn’t taste as good as T& S Scones. Why????

On Monday, I went to acupuncture.  As I have been experiencing neuropathy in both feet and legs.  Dr. Shen, placed around 20 needles in my legs and feet (I now have little bruises all over my legs).  All told, I had over 40 needles on my legs, feet, abdomen, arms, face, and head.  A few more and I would have looked like “Pinhead”.  It seems to be helping.

bruised legs

I picked up an ice cream cake and extra “crunchies” for Christian’s 18th birthday.  We sang Happy Birthday, he blew out the candles, scarfed down his cake, and left to take his girlfriend to the Drive-In to see a double feature!  I had just gotten home from a “Look Good, Feel Better”  session at Orange Regional Medical Center that ran a little long.

chris birthday

The session was supposed to go from 5:30 pm-7:30 pm, but we started a little late (partly my fault, ORMC is a new hospital & I went to the wrong location twice before I was directed to the right room).  Also, once the session ended, I spoke with a couple of the women who are also undergoing chemo.  In addition to the facilitator, Angela Cooper, a former English teacher and licensed cosmetologist, and me, there were three other women at the session.  Two of the women, Shelly in treatment for uterine cancer) and Jeannette (in treatment for colon cancer),  had just lost their hair recently (Sorry if I spelled the names wrong.  Chemo brain).  Mine is growing back, though my eyebrows and eye lashes are noticeably thinner.  We received a lot of good pointers.  Regarding my thinning eyelashes, Angela advised me not to use too much mascara so I wouldn’t call attention to the bald spots or spaces.  As for the eyebrows, she advised that pencils aren’t the best for filling out your eyebrows.  They just make your brows look fake.  Of course if that is the look you are going for, knock yourself out.  She used a product called Eyebrow Express, which is like eye shadow for your eyebrows.  It worked really well on Shelly and me.  I’ve got to pick some up.  The other two women had make-up one when they arrived so they didn’t use the products at the session.  Angela applied a lot of my make-up.  I was the guinea pig.  I highly recommend this session to every woman undergoing chemotherapy.  I had tried to apply for an earlier session in May but I didn’t receive a response.  I should have done this 18 years ago!

The idea behind “Look Good, Feel Better” is simple.  If you look good, you Will feel better.  Various cosmetic companies (such as Estee Lauder, Mary Kay, Avon, L’oreal, Elizabeth Arden, Maybelline, Olay, Clinique, Revlon, and Biore) supply products and licensed cosmetologists, estheticians, etc facilitate the sessions.  They go over skin care, make-up application, nail care, and go into hair care and what you can expect when your hair grows back in.  Every participant leaves the session with a make up bag filled with items such as moisturizer, concealer, foundation, blush, face powder, mascara, eyeliner, eye shadow, and make-up remover.  The kits come in light, medium, dark, and extra dark.  I went with the light kit, though the only difference with the light and medium kit appeared to be the lipstick shade.  The medium kit shade was a bit dark for me.  You can find additional information about “Look Good, Feel Better” on the American Cancer Society website.

I still can’t sleep.  The typing continues…………………………………………………Last Thursday, I started taking tap dancing lessons again. I haven’t taken tap in over 21 years.  I am taking the class with teenagers.  (I remember when my mom took dance lessons with me and my sisters when we were teenagers).  I kept up.  I still remember my flaps, shuffles, flap ball changes, time steps (stamp hop step flap step), pull backs, soft shoe, wings, shuffle off to Buffalo, and flap shuffle hop toe ball change turns………………. and Dr. W, I barely moved my arms so my chest muscles are good.  I learned a few new steps.  My balance was a little off.  That could be chemo or one boob so I’m lopsided related or it could be that I haven’t tapped in heels in ages.  We will see.

My throat is still bothering me a bit and I’ve noticed that my voice is starting to crack while singing. Noooooooooooooooooooooooo!  I love to sing.  I must make an appointment with the ENT.  I read posts written by other women who have been on Taxotere and have had similar side effects.  I hope that that is all it is.  My body aches.  My face, legs, and feet are tingling.  Constipation is a pain.  Last week, after chemo, it lasted about 4 days & that is just too long, especially  with Metamucil, a stool softener, and Ex-Lax.  Thank God that is one side effect that should go away relatively quickly. Chemo Brain, finger nails that are pulling away from my fingers, hair loss, weight gain, and the all too present nausea.  Oh the joys of chemotherapy.  May I never experience you again.

xavier and funky feet chemo is done  I AM TIRED & I WANNA GO TO BED.  NIGHT ALL.  MUCH LOVE.

The saga continues

I had chemo today. I had my mom and Xavier with me.  (Mom brought up a homemade blueberry pie for Charles.  He and Chris ate half while I was at chemo).  Nurse G couldn’t get blood from my port.  We tried all the usual tricks and she couldn’t even get a tinge of blood so she had to draw from my arm.  God willing, next Tuesday will be my last chemo treatment.  I’m getting tired.  Over a year and a half of this shit is enough.

The usual side effects are kicking in.  My face is tingling, my feet are numb, my body aches, I’m queasy, and though I am tired, I can’t sleep.  And one of the worse side effects, I call CRS also known as Can’t Remember Shit! Even simple words.  I just have to point at things sometimes or I make up new words.  (I still think pauserizer aka the remote control, should be in the dictionary).  My hair doesn’t seem to be falling out anymore though.  It is still growing and getting thicker and possibly a little curly. Oh and I forgot to mention the breast discomfort and itching.  I can’t stand wearing a bra.  When I do it’s usually wear a sport bra, but they drive me nuts as well.  I try to wear the loosest ones that I own.  At night, I am usually sitting on the couch with an ice pack over my right breast area.  I hope at some point I won’t have to have a frosty boob (or lack thereof) in order to be comfortable.

Prior to chemo, Gillian and I did a ten mile bike ride on the Heritage Trail.  I’ve got to work out when I  can.  (The doctor at my WTC monitoring appointment told me that regular exercise can prevent recurrence.  I already knew that and prior to my recurrence, I practiced Tae Kwon Do, I walked regularly, danced, etc).  I’ve gotten Gillian out there on the trail twice with me.  Charles picked up a bike rack for my car.  It made everything much easier.  The last time Gillian and I road together I shoved both bikes in my trunk & screwed up the  gears on my bike, which I had recently gotten fixed.  I’ve got to go back to the bike shop & get them fixed again.

I saw Dr. W a week and a half ago.  I was off by 30 cc’s.  He took out about 70 cc’s of fluid from my right breast.  I see him again on Friday.  He’ll probably have to take out 70 more.  Dr. W doesn’t see a problem with the fluid as it is keeping the “pocket” intact and he’ll be able to place another tissue expander in.  My problem is that I don’t think I want another expander or an implant.  With nothing there, my breast is itchy and achy and I’ve got a decent amount of scar tissue, most likely from the radiation.  If any one out there has had the flap surgery, I’d definitely like to hear from them and get their opinion.  I know the recovery is worse but how were the results in the long term?  With an expander, it will take a while to fill up and then I need an additional surgery to replace the expander with an implant and if I have any problems with the implant……more surgery.  I’m just about surgeried out!

I had a crazy week with my weight.  Damn steroids and constipation!  I’ve been weighing myself a lot since I’ve started chemo.  I have about an extra 20 pounds on my 5’6″ frame (mostly my belly) thanks to my treatment.  Well, over less than a week, I put on 4 pounds.  I called Dr. D because I freaked out.  He wasn’t concerned.  It’s the steroids and the weight should come off when I am done with treatment.  I weighed myself yesterday, I lost 4 1/2 pounds in a couple days.  Very bizarre. Of course when I got weighed today at my doctor’s appointment, I was a pound heavier than the weight I was at home.   I’ve been comparing chemotherapy to pregnancy as the side effects are similar (nausea, weight gain, cravings, etc).  I was going to say that the outcomes weren’t similar but as I was typing I realized that to me, they are.  It’s LIFE.

My throat has been bothering me for about a week and a half.  It hurt if I leaned my head back or touched the front of my throat.  I was also having some trouble swallowing food.  It almost felt like my throat was closing, but it wasn’t.  I wasn’t having problems breathing.   It seems to have gotten a bit better.  I mentioned it to Dr. G and Dr. D and neither felt anything.  Dr. G said it could be  side effect of my asthma meds and if I still have a problem in a week, I should see an ENT doctor (ear, nose & throat), that way they can put a scope down my throat & see if it all looks good.  I may make an appointment soon.  Better to know and put my mind at ease.  I don’t need another reason to keep me awake at night.

I went to the city on Sunday with Xavier and Nessa.  Nessa was craving some Brit food.  We visited with my friend Sean at Tea & Sympathy.  I love their scones with clotted cream and jam and their iced tea!!!!  We also stopped by Casa la Femme but alas, my friends were not there.  Xavier and I wanted to say hi. We will have to stop by another time before Xavier goes back to school.

Acupuncture tomorrow.  I looked like a human pin cushion last Monday.  I had at least 30 needles on my legs, arms, abdomen, face and head.  I’m not sure what it’s doing for me but my sinuses seem a bit better.  My arm has gotten better as well but every now and then I get a twinge of pain in my elbow.

I hope everyone had a wonderful 4th of July.  I stopped at two different BBQ‘s and then spent the evening on my back deck watching the sky to see fireworks being set off in the neighborhood.  It wasn’t as good as the fireworks in NYC, but it was relaxing.

I am still looking forward to our trip to North Carolina.  It’ll be our last vacation with Chris before he leaves for school.