Timeframe for starting chemo?

TraciInLA
TraciInLA Member Posts: 1,994 Member
edited March 2014 in Breast Cancer #1
I had lumpectomies 6 weeks ago -- afterwards, my oncologist wanted me to get a second opinion on chemo. That appointment took two weeks to get -- now that we've decided to go ahead, we're having to wait some more for my insurance company to pre-authorize the chemo.

Is there an ideal timeframe for starting chemo after surgery, or a point at which it's "too late" to start?

I know I should have asked my doctor about this, and I will, but now it's the weekend, and I'm frustrated and my worries are running away with me....

Traci

Comments

  • jnl
    jnl Member Posts: 3,869 Member
    Traci, I don't think there
    Traci, I don't think there is a "real" time frame to start chemo. I just think that most oncologist's do it within 90 days after surgery. So, you have plenty of time. But, you should talk to your doctor if you are concerned. But, I think you will be fine. I want to wish you good luck with chemo!

    Leeza
  • faithandprayer
    faithandprayer Member Posts: 177
    At your speed
    Hi Traci,
    I have no idea what medical protocol is as it relates to time frame but I do believe you should have complete confidence and comfort with your treatment plan, and the pace it moves at. In other words, if you are someone who moves at the speed of light, a slower moving treatment plan may not be the best option for you. Be sure to talk with your medical team to express your concerns. If you are uneasy with their ability to accommodate your time perimeters, look around for a 2nd or 3rd opinion/option and the time frames they offer for comparison.

    Locally, the our hospital treatment plans moves more slowly than I and we opted for a hospital we have to drive 1 1/2 hours to but had me on chemo within 1 1/2 weeks. The trade off was worth it to keep my sanity, especially in those early days.

    Pull together a game plan to get questions answered & things moving. Then, try to let it go until Monday (easier said than done, I know). Look for a good diversion over the weekend!

    Wishing you peace & calm,
    KC
  • Aortus
    Aortus Member Posts: 967
    Still no real hurry IMHO, Traci
    The waiting is awful. Moopster waited 6 1/2 weeks after mastectomy to begin chemo, and even that was after her St. Louis oncologist called her hometown oncologist and basically told him to get rolling with the regimen she (that is, the St. Louis oncologist) prescribed.

    Hopefully the insurance company will approve you ASAP, and if the oncologist isn't ready to go immediately, light a fire under his/her gluteus maximus. It worked wonders for Moopy and me.
  • chenheart
    chenheart Member Posts: 5,159
    Chemo Schedule
    I had chemo about 7 weeks post surgery, so you are still on schedule! Waiting is so hard; all of us have learned that! And that part of the journey doesn't seem to get easier, either...it is simply nerve-wracking!

    By the way, does the LA in your name stand for Los Angeles, or Louisiana, or neither? Just wondering! If you are in California, so am I! I live in Santa Ynez, 30 miles north of Santa Barbara.

    Hugs,
    Claudia
  • Akiss4me
    Akiss4me Member Posts: 2,188
    Waiting is the worst
    Traci, I had a long wait due to Insurance delays. I didn't need chemo, but I did need to start my radiation. I had to wait for authorization at every turn. To see the Doctor's, for test, for biopsies, for surgery. From my diagnosis to the start of my radiation was 2 months!! Then My husband's employer switched insurances right in the middle of everything. For as much as I fretted about it, it was a blessing in disguise. No delays with the new Insurance. They have been a pleasure to work with since I did a transition of care with them.
    Believe me when I said I wanted things done yesterday and I was forced to wait that it really played on my nerves. Now I finally feel like we are moving forward. There is not much you can do but wait on the Insurance. In the meantime, use this opportunity to empower yourself with knowledge and then when you start your treatment you will be prepared for whatever comes your way. :) Pammy
  • Christmas Girl
    Christmas Girl Member Posts: 3,682 Member
    The waiting is very difficult, indeed...
    But, please don't add to your worries. Surgery, which removes the cancerous tumor/tissue - is a big step. Chemo is "systemic" - works via the bloodstream throughout the entire body to destroy any "stray" (or, "rogue" - as my med team describes) individual cancer cells. You've got time. The potential effectiveness of your upcoming chemo will most likely not diminish because of your current timeframe. Try not to worry over the weekend. Confirm with your med onc on Monday.
  • TraciInLA
    TraciInLA Member Posts: 1,994 Member

    The waiting is very difficult, indeed...
    But, please don't add to your worries. Surgery, which removes the cancerous tumor/tissue - is a big step. Chemo is "systemic" - works via the bloodstream throughout the entire body to destroy any "stray" (or, "rogue" - as my med team describes) individual cancer cells. You've got time. The potential effectiveness of your upcoming chemo will most likely not diminish because of your current timeframe. Try not to worry over the weekend. Confirm with your med onc on Monday.

    Thank you all
    THANK YOU all for the reassurances -- I knew that getting some input from your experiences would help me sleep a little better tonight.

    (And that would be sleep here in Los Angeles, to answer Claudia's question -- God help me, I'm a Valley Girl!)

    Traci
  • MAJW
    MAJW Member Posts: 2,510 Member
    CHEMO
    Hang in there! I have found, like everyone, that the waiting causes "insanity!" I had my lumpectomy on May 20 and started chemo on June 15...Having my 3rd of 4 this Monday...Then I start radiation sometime the end of September. I think it all depends on the oncologist and the cancer center where you receive your treatments. I was overwhelmed by the amount of people having chemo on "my day" every third Monday....I assume it is like that EVERY day...

    I wish you well
  • lolad
    lolad Member Posts: 670
    traci
    Im six weeks out of double mastectomy and still dont even know what treatments im going to have. I find out Tuesday, and i too feel like its rediculous that its been so long after my surgery. Maybe they are just giving us time to heal from surgery before they start on treatment. Anyways, good luck. I know yours feelings of frustrations.

    laura
  • jnl
    jnl Member Posts: 3,869 Member
    lolad said:

    traci
    Im six weeks out of double mastectomy and still dont even know what treatments im going to have. I find out Tuesday, and i too feel like its rediculous that its been so long after my surgery. Maybe they are just giving us time to heal from surgery before they start on treatment. Anyways, good luck. I know yours feelings of frustrations.

    laura

    Just wishing you good luck
    Just wishing you good luck on Tuesday Laura! Let us know!

    Hugs, Leeza
  • BunnyJane
    BunnyJane Member Posts: 213
    jnl said:

    Just wishing you good luck
    Just wishing you good luck on Tuesday Laura! Let us know!

    Hugs, Leeza

    I had lumpectomy on June 1st
    I had lumpectomy on June 1st and had my first chemo. on July 24th.