Showing posts with label Chemotherapy. Show all posts
Showing posts with label Chemotherapy. Show all posts

Chemotherapy, Skydiving and Drooling

"Are you willing to be sponged out, erased, cancelled, made nothing? Are you willing to be made nothing? dipped into oblivion? If not, you will never really change." D.H. Lawrence

I have an unattractive motion in my chin when I have exceeded my terror level. It gets numb and quivers pathetically causing me to drool. This happened during my one and only sky dive and just prior to a scuba dive off of the Great Barrier Reef. It happened as I followed the nurse down the long foreboding hallway to the hospital bed. The chin thing started when the nurse approached me in the waiting room.

Clearly shielding me from the other two cancer patients sitting in the waiting room, Nurse asked in a curious whisper, "Which one of you is Dawn Novotny", raising my hand, she continued, "We only have one hospital bed left and when I looked at the medications they are giving you, you are defiantly going to need that bed."

Oh my God I thought, what exactly does that mean? Will this procedure hurt that much? Might I die on the table or something? What is she saying and why did she say that to me? Didn't she know that I was already scared s@*&%#@! Keeping all of these thoughts to myself as in, what would be the point in asking if electrocution would hurt after you had been sentenced to death? I followed her like a lamb to slaughter, inconspicuously (I hoped) wiping the drool away from my mouth. A girl's got to maintain some semblance of dignity.

I proceeded to the large double bed (wondering why a double bed would be on a Hematology, Oncology floor, I considered if this made it possible for family members to crawl into bed while lovingly holding their dying into the afterlife as I had my mother) getting myself as comfortable as possible while answering inane, chirpy little questions like, "Do you like apple or grape juice", and do you want two or three pillows, are you cold or too warm? I was not sure how to ask her for a drooling towel?

Allowed to wear my own clothes, I chose a long loose skirt for easy bathroom access because I was told that I must rapidly drink at least a gallon of water to flush out the poison being pumped into my body in order to protect my organs from damage. One of the dozens of details omitted from my instructions was, don't wear underwear. Who knew that I would be dragging the IV stand into the tiny bathroom awkwardly navigating my skirt up while pulling down my panties, not to mention the wiping part all with one arm strapped to the IV stand? That would be the last time I wore panties to the hospital unless during surgery (go figure). Come to think of it, that may have been the last time that I wore panties period. They really are inconvenient, uncomfortable stupid little things that insist on clinging to and in the tenderest of places!

My doctor decided that I would have four treatments of adriamyein and cytoxan. Six treatments have fewer side effects but for reasons that remain too complicated for me to understand, four treatments were decided upon. I did crash courses on breast cancer, chemo therapy, radiation and tamoxifen which I adamantly refused to take. Although overwhelmed with information, much of which required a doctor's knowledge to interpret, I was determined to be as informed as possible. My husband's background in dentistry, coupled with his generosity of time, love and research, greatly aided in my decision making process.

Speaking of my husband, he was the quintessential perfect partner to have during my cancer treatment and recovery. There every time I needed his help, support or advice never burdening me with his fears. Neither did he take it personally when I did not want him around. For example, during my months of chemo treatments I wanted a dear friend to accompany me and simply sit quietly and read a book. I did not want to worry about him worrying about me.

When warned of the "possible" short side effects of chemo therapy such as vomiting, diarrhea, hair loss, mouth sores, anemia, risk of infection and fatigue they did not tell me that fatigue often means being without enough available energy to walk to the mail box. Come on, until these treatments, I had been an avid racquetball player. They also failed to tell me that urinating during the chemo infusion would burn my skin until I cried. I learned to use something like diaper rash paste during the next rounds.

What were your two scariest moments in life?

Do you have any funny little tics or habits you do when you're afraid?

Dawn D. Novotny LCSW
104-C Hilltop Drive
Sequim, WA 98382
(360) 683-7624
http://beyondtheparts.com/
http://beyondtheparts.net/

Dawn Novotny LCSW, MTS, CDP, CP, is a clinician, teacher, author, and workshop leader. She is in private practice in Sequim, WA. since 1987. She specializes in systems theory focusing both on the "external" (family, cultural, roles) as well as the "internal" family system (internalized roles, parts, archetypes, ego states, conflicts, etc.). As a clinical practitioner of psychodrama, sociomety and group therapy, Dawn utilizes a variety of action methods. She conducts workshops in CA. and WA. She holds Masters Degrees in Clinical Social work, and theology. She was an adjunct professor at Seattle University. She is a nationally certified psychotherapist-dramatist.


Original article

Chemotherapy For Breast Cancer - What You Need To Know Before Undergoing The Treatment

Chemotherapy is generally prescribed as a treatment for patients with early stage breast cancer. It is also the treatment of choice for patients with high-risk metastatic breast cancer. The drugs used in the treatment kill rapidly dividing tumor cells that may be spreading through the body. This helps reduce the risk of the cancer coming back in another part of the body.

Chemotherapy can also be used as the main treatment for cancer that has spread outside the breast and underarm area. It can also be used to shrink a large tumor prior to surgery. The treatment can be administered in-patient, outpatient, at home or a combination of these. Chemotherapy for breast cancer and tamoxifen have been shown to independently reduce the risk of developing a second cancer in the other breast. The risk reduction may persist for at least five to ten years.

Chemotherapy also works best in younger women. This treatment is usually administered between two to six weeks following surgery and continues for total of three to six months. The same treatment is usually given after surgery because it can reduce the chance of the cancer returning. This is known as adjuvant chemotherapy for breast cancer and may boost cure rates by as much as fifteen percent.

One may therefore conclude that chemotherapy is the initial choice for the treatment of breast cancer. However, there are several factors to be considered before deciding to undergo the treatment.

Before the doctor decides to recommend chemotherapy to his or her breast cancer patient, the doctor would generally take into consideration the age of the patient, as well as her life stage. While chemotherapy, radiotherapy, or surgery may slow the progression of recurrent breast cancer, chemotherapy and radiation can permanently damage ovaries.

Early menopause may set in when the ovaries stop producing estrogen. If a patient is relatively young and plans to start a family eventually, she could first have her eggs harvested for future use before undergoing chemotherapy.

Chemotherapy should not be given during the first three months of pregnancy as it may cause fetal malformations. The treatment has been more widely used in the second and third trimesters, as organogenesis is complete. However, it may still cause early labor and low birth weight.

Other research has shown that chemotherapy may affect a developing fetus in the second or third trimester. If the breast cancer must be treated with chemotherapy and radiation therapy and if your oncologist deems the treatment may harm the fetus, you may face the painful decision of having to end your pregnancy. This decision will likely depend on the stage of cancer, the age of the fetus and the mother's chance of survival. Be sure to discuss with your oncologist to make sure you fully understand the risks before commencing your treatment.

While the chemotherapy kills the cancer cells, it will leave the patient weak. Your medical oncologist and nurse will discuss possible side effects with you before treatment begins.

To cope with the side effects, be sure to get adequate rest between treatments. Eat non greasy, nutritious food and drink fresh fruit and vegetable juices to ensure that your body is well nourished. Take multivitamins if necessary. Vitamins and minerals to take with chemotherapy for breast cancer would include Vitamin C and D, as well as calcium, magnesium and zinc, among others.

Taking multivitamins with minerals after diagnosis was found to be associated with a 20% lower risk of recurrence and 29% lower risk of breast cancer-specific death compared to never using multivitamins.You may also eat organic yogurt as a way of helping your digestive tract to recover and repopulate your gut with friendly bacteria to boost your immune system.

Click on types of breast cancer treatments for the latest information on the types of breast cancer treatments available. Celine Yong has done extensive research on women's health and beauty. Visit her blog at http://healthtipsforwomen.net/ for more valuable tips on breast cancer treatment.


Original article

Oncotype DX: Do All Patients With Early Stage Breast Cancer Need Chemotherapy?

What is Oncotype Dx?

There are over 25000 genes in human beings. Several of these genes were analyzed in breast cancer patients undergoing clinical studies to identify a group of 21 genes that were most strongly correlated with cancer recurrence. Studies done on these genes in breast cancer tissue became the basis for developing the Oncotype Dx test to determine what is called a Recurrence Score.

How do you use the information from this test?

The Recurrence score determines the risk of patients developing a recurrence of their breast cancers over the following ten years.

This information also helps cancer physicians choose the most appropriate form of treatment including the ability to determine the likely benefit from chemotherapy.

Thus, this test not only allowed physicians to be able to predict the behavior of these cancers better but also allowed a more accurate estimation of the beneficial effects of adding chemotherapy.

Do we need to perform this test on ALL patients diagnosed with breast cancer?

Traditionally, physicians have used breast cancer characteristics such as size of the cancer, receptor status, and lymph node status to estimate how likely their cancer is to come back, and to help determine treatment decisions including the need for chemotherapy. These characteristics are still helpful in choosing a course of treatment, but the additional information provided by the Oncotype DX test has helped refine the treatment choices that can be offered to these patients.

We do not need to perform this test on ALL patients diagnosed with Breast cancer. Oncotype Dx for breast cancer was initially used to help patients with stage I and II cancers who do not have lymph node or distant spread of their tumors and who have tumors that were positive for estrogen receptors. Traditionally, these patients have been treated with such medications as Tamoxifen alone. It was felt that many of these patients failed this form of treatment and could have been served well with the addition of chemotherapy in addition to Tamoxifen. Oncotype Dx thus allows identification of this subset of patients who could benefit with the addition of chemotherapy while sparing others from it.

Newer studies are suggesting similar predictive and prognostic value in those patients who have early stage, estrogen receptor positive breast cancer who already show cancer spread to lymph nodes in the axilla.

There is no benefit of this test in patients with non-invasive breast cancers and those who have obvious evidence of breast cancer spread.

In summary: Oncotype Dx is a simple test that has had a profound impact on our ability to predict the prognosis as well as to tailor make more precise treatment decisions in patients with early stage breast cancers.

This test is but a harbinger of things to come in the world of cancer care where testing cancers at a molecular level for each individual patient will lead to further refinements in our ability to plan effective treatment strategies for them.

Dr. Kumar is a board certified Radiation Oncologist who is co-founder of a private practice group in Florida. He has over 17 years experience dealing with cancer patients including several members in his own family who have been afflicted by this disease.

His philosophy of managing patients is through a unique holistic approach that takes into account the wishes and needs of patients and their families. He believes that any battle is won at the level of the mind first before the body goes into action to win the war. His website http://curingcancerofthemind.com/ reflects this philosophy.

He is always available to help any patient with questions regarding cancer and radiation therapy and can be reached at 772 293 0377.


Original article