If given the choice... chemo or no??

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Stace_aka_Pollyanna
Stace_aka_Pollyanna Member Posts: 78
edited March 2014 in Breast Cancer #1
Ok friends, weeks ago, after reviewing my ONCO (22 to 14 to 9) with my nurse, she gave me the choice of whether or not to face chemo tx's. She also gave me two different regimens to choose from. I jumped in head first and said hell ya I'm going to do everything I can to fight what we can't see right? Well, now that I've received an "all clear or NED?" from my second re-excision lumpectomy I'm starting to wonder if I didn't jump the gun.

Do I put myself through all the dread that comes with chemo. I've chosen the "lesser" regimen of the two == taxotere/cytoxan x 4 but I find myself back peddling and experiencing alittle self doubt of my ability to handle what's ahead.

Would love your input... up til now I was gung ho and ready to conquer it all... maybe i've been reading way too much and ignorance really is bliss in this situation??

Blessings and hugs,
Stace
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Comments

  • missrenee
    missrenee Member Posts: 2,136 Member
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    Well, Stace, I didn't have the choice, but
    if it was an option for me, I'd still take the chemo, and here's why. According to the way it was explained to me, even with an "all clear or NED" there is no way to be absolutely certain that there are no rogue cancer cells circulating in your blood stream at any time. Even though we can treat this horrible beast, there is still no cure and being NED simply means we are currently in remission. Chemo is systemic--it goes after any cancer cells circulating in our bodies wherever and and whatever stage of growth they may be. For me, I choose to attack this beast with every single weapon in the arsenal.

    Don't think if you choose chemo, it's all going to be horrible. I know it's different for everyone, but for me it was very, very doable--and I'm not a real toughie by any means. There are so many meds they can give you for any side effects you develop. Having said that, I never had to take anything stronger than an Advil (for the aches and pains after the Neulasta shot). There were times I had queasiness, but never full-blown nausea or vomiting. I did have some very sporadic episodes of diarrhea/constipation, but again, took over the counter meds and in a few days, my body straightened itself out. By the way, I had 6 rounds of Taxotere/Cytoxan/Adriamycin--some pretty rough stuff.

    Good luck in your decision. I know it's hard--sometimes harder when we're given choices. Ask your onc. if you were his/her sister--what would they advise you to do.

    Hugs, Renee
  • MyTurnNow
    MyTurnNow Member Posts: 2,686 Member
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    Stace, what does your onc
    Stace, what does your onc recommend? Is the decision based strictly on the Oncotype test? When I was first diagnosed, 6/09, my onc showed me percentages of survival based on various treatments. It was based on my type and stage of bc. Chemo was recommended as was rads. The most important treatment for me was the hormone therapy for 5 years following treatments. If you have any questions or feel like you are second quessing yourself, get a second opinion. Good luck as you work your way through this maze.
  • mwallace1325
    mwallace1325 Member Posts: 806
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    I'm glad I wasn't
    given a choice cause I think I probably would have chickened out and not done chemo. My surgeon got clean margins and 2/14 lymph nodes were positive. I felt pretty good, but like Renee said, that one rogue cell wandering thru your body can pop up in the future. I did four rounds of A/C and 12 weeks of taxol. I had more problems with taxol than with the A/C (most experience the reverse) but it was all doable. There are so many meds available to counteract any side effects. I never needed the neulasta shots. None of us know if we'll ever have a recurrence, but doing everything we can to prevent it is all we can do. Talk with your onc and see what he/she would recommend if it were his wife/daughter etc.

    Good luck with your decision.

    marge
  • Boppy_of_6
    Boppy_of_6 Member Posts: 1,138
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    MyTurnNow said:

    Stace, what does your onc
    Stace, what does your onc recommend? Is the decision based strictly on the Oncotype test? When I was first diagnosed, 6/09, my onc showed me percentages of survival based on various treatments. It was based on my type and stage of bc. Chemo was recommended as was rads. The most important treatment for me was the hormone therapy for 5 years following treatments. If you have any questions or feel like you are second quessing yourself, get a second opinion. Good luck as you work your way through this maze.

    I agree
    I agree with Renee and My Turn. I had 4 rounds of TC and found it very doable. The worst for me was being tired and some constipation and diarrhea. My Onc. would have given me the chance to not do chemo I guess but I really did not even think about not doing it. My lumpectomy was clean, clear margins and no lymph nodes involved. The tumor was very small. I just wanted to do all I could to conquer the beast. I did chemo, 30 rads and am currently doing tamoxifen.If I happen to have a recurrence and had not done all I could do I would always wonder what if? Best of luck deciding. God Bless
    (((Hugs))) Janice
  • carkris
    carkris Member Posts: 4,553 Member
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    I'm glad I wasn't
    given a choice cause I think I probably would have chickened out and not done chemo. My surgeon got clean margins and 2/14 lymph nodes were positive. I felt pretty good, but like Renee said, that one rogue cell wandering thru your body can pop up in the future. I did four rounds of A/C and 12 weeks of taxol. I had more problems with taxol than with the A/C (most experience the reverse) but it was all doable. There are so many meds available to counteract any side effects. I never needed the neulasta shots. None of us know if we'll ever have a recurrence, but doing everything we can to prevent it is all we can do. Talk with your onc and see what he/she would recommend if it were his wife/daughter etc.

    Good luck with your decision.

    marge

    that is really tough
    that is really tough question to answer. I think if they had told me I didnt need it, I would not have. but when given the choice????? I would do it. because I am the kind of person who needs to feel I did everything I could. If anything came back and I didnt do everything I dont think I could deal wth it. I hate it when they give you a choice AGHHHH!
    anyway perhaps they can give you numbers and then you can see how you feel about it. glad your prognosis is so good you dont need it. Good luck
  • Gabe N Abby Mom
    Gabe N Abby Mom Member Posts: 2,413
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    I have to say I agree with
    I have to say I agree with MissRenee, getting rid of any little cells traveling in my body is worth it. I also agree that it is doable, and like Renee I have 6 rounds of TAC (2 more to go).

    I would suggest that you try and pinpoint or narrow down your worries about chemo. Is there a specific side effect (or two) you're worried about? If that's the case, talk to your onc about it, so you can review the plan to deal with it(or ask about options here). I also think you might benefit from a second opinion, or you might try 'treatment decision tools' in the blue box on the left.

    Decisions like this are never easy, I wish you the best with this one.

    Hugs,

    Linda
  • Hubby
    Hubby Member Posts: 325
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    Your Nurse?
    If I understand your post correctly, you are getting treatment advice from your nurse. That just doesn't sit well with me. You need the advice of your Oncologist, and possibly a second opinion from a different Oncologist. Your body, your decision, but really think this through.

    Bob
  • Heatherbelle
    Heatherbelle Member Posts: 1,226 Member
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    Stacy-
    this is just my

    Stacy-
    this is just my opinion, but if that were me in your situation i would still do the chemo. My reason, I have done EVERYTHING in my power to prevent my having to go through this cancer BS again, and to put my family and children through it again. I only had a small tumor in my right breast, and I chose to have both removed in a bilateral mastectomy. I had clean margins & no lymph involvement.
    Plain and simple - I don't want to have to go through this again, and I don't want to die from this. Chemo sucks. But fatigue, nausea, hair loss -they're all temporary. Death isn't. My treatment decisions might be looked at as dramatic by some - but I've never been one to do things quietly ;)
    But ultimately, you have to make the decision that's the best for you. Like it was said earlier - chemo is no fun, but it is very doable, and it's done before you know it. They have medicine for any crappy side effects you might get. That became my answer for everything when people would feel sorry for how I was feeling - "I have a pill for that".
    Best of luck to you Stacy in making your decision :)
    *hugs*
    Heather
  • Boppy_of_6
    Boppy_of_6 Member Posts: 1,138
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    Stacy-
    this is just my

    Stacy-
    this is just my opinion, but if that were me in your situation i would still do the chemo. My reason, I have done EVERYTHING in my power to prevent my having to go through this cancer BS again, and to put my family and children through it again. I only had a small tumor in my right breast, and I chose to have both removed in a bilateral mastectomy. I had clean margins & no lymph involvement.
    Plain and simple - I don't want to have to go through this again, and I don't want to die from this. Chemo sucks. But fatigue, nausea, hair loss -they're all temporary. Death isn't. My treatment decisions might be looked at as dramatic by some - but I've never been one to do things quietly ;)
    But ultimately, you have to make the decision that's the best for you. Like it was said earlier - chemo is no fun, but it is very doable, and it's done before you know it. They have medicine for any crappy side effects you might get. That became my answer for everything when people would feel sorry for how I was feeling - "I have a pill for that".
    Best of luck to you Stacy in making your decision :)
    *hugs*
    Heather

    WOW Heather!!
    Well said very well said!! God Bless
    (((Hugs))) Janice
  • cindycflynn
    cindycflynn Member Posts: 1,132 Member
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    I was given the choice
    And chose to do chemo - 4 rounds of C/T also. My Oncotype score was 20, and I could have gone into a clinical trial based on that score where the decision would have been made for me (I would have been in a group randomly selected with a 50/50 chance I'd get chemo), but I decided that I wanted to throw everything at the beast that I could now and give myself every chance that this will be the last time I have to deal with it.

    I know that the decision is tough - it was for me too - but I don't regret it. The chemo itself was not nearly as bad as I had feared, and I was able to continue working through it, just taking a few days off for each treatment. And now my hair, nails, and eyelashes are growing back, and other than being a bit more tired than usual, I feel pretty "normal" My last chemo was on February 17th.

    Sending you best wishes and hugs, whatever you decide,

    Cindy
  • sea60
    sea60 Member Posts: 2,613
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    I was given the choice
    And chose to do chemo - 4 rounds of C/T also. My Oncotype score was 20, and I could have gone into a clinical trial based on that score where the decision would have been made for me (I would have been in a group randomly selected with a 50/50 chance I'd get chemo), but I decided that I wanted to throw everything at the beast that I could now and give myself every chance that this will be the last time I have to deal with it.

    I know that the decision is tough - it was for me too - but I don't regret it. The chemo itself was not nearly as bad as I had feared, and I was able to continue working through it, just taking a few days off for each treatment. And now my hair, nails, and eyelashes are growing back, and other than being a bit more tired than usual, I feel pretty "normal" My last chemo was on February 17th.

    Sending you best wishes and hugs, whatever you decide,

    Cindy

    I certainly agree with Heather!
    I too went above and beyond to do everything so as to not to have to do it all again!

    Blessings & Hugs,

    Sylvia
  • seof
    seof Member Posts: 819 Member
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    Ask the Dr.
    How I wish that cancer could be like math. If you have two apples and you get 2 more apples, you will have 4 apples, regardless of where you get the apples from or what color they are, or what you do with them after you get them. cancer treatments are much less predictable, even for the pros. That being said, here's what I think:

    I agree that you should ask the Oncologist. He/she is the expert with the training and the experience. The Nurse specializes in how to assist the Dr. and how to make patients comfortable, but the Oncologist is the specialist in this area. It's kind of like going to the Teacher's Assistant for a question regarding an exam instead of going to the Professor. Get the Oncologist to give you the stats on the different treatments such as rates of recurrence, speed of "cure", side affects, etc, and ask what he/she would advise their own mother/sister to do in your place. In the end, you will have to make the decision, but take time to be as informed as possible for your future peace of mind. I, too made many of my decisions based on what would leave me with the least regrets down the road.

    seof
  • RE
    RE Member Posts: 4,591 Member
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    chemo vs no chemo
    To date I have had 28 rounds of chemo to fight 3 different battles (all bc related) with cancer. I would do each and every one of them again if face with the choice as it is my belief that I would not be here had I not had them.

    I realize NED is great to hear, however cancer is elusive and hides within our bodies so tiny is can be difficult to find until it decides to do damage. We can be declared NED (no evidence of disease) and still it can be lurking within, the key word in NED is "evidence" it is not a declaration one is cancer free. To date chemo and rads are our only tools available that are proven to smite the beast with some promise. My first cancer battle I was borderline 1 or 2 so I choose the treatment for a 1 (kinder and gentler treatment) there was no evidence the cancer had gotten beyond the breast. After treatment it returned in my chest wall and sentinel node so I then choose to battle it full force and was given 10 additional weeks of rads as well as 18 more chemo's. Yes it was rough but that was in 1999 and I am still here and I enjoy my life.

    You have to do what you feel is best for you, for me I would always choose chemo. My best to you!!!

    *´¨)
    ¸.•´¸.•*´¨) ¸.•*¨)
    (¸.•´ (¸.•` ¤ RE
  • roseann4
    roseann4 Member Posts: 992 Member
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    RE said:

    chemo vs no chemo
    To date I have had 28 rounds of chemo to fight 3 different battles (all bc related) with cancer. I would do each and every one of them again if face with the choice as it is my belief that I would not be here had I not had them.

    I realize NED is great to hear, however cancer is elusive and hides within our bodies so tiny is can be difficult to find until it decides to do damage. We can be declared NED (no evidence of disease) and still it can be lurking within, the key word in NED is "evidence" it is not a declaration one is cancer free. To date chemo and rads are our only tools available that are proven to smite the beast with some promise. My first cancer battle I was borderline 1 or 2 so I choose the treatment for a 1 (kinder and gentler treatment) there was no evidence the cancer had gotten beyond the breast. After treatment it returned in my chest wall and sentinel node so I then choose to battle it full force and was given 10 additional weeks of rads as well as 18 more chemo's. Yes it was rough but that was in 1999 and I am still here and I enjoy my life.

    You have to do what you feel is best for you, for me I would always choose chemo. My best to you!!!

    *´¨)
    ¸.•´¸.•*´¨) ¸.•*¨)
    (¸.•´ (¸.•` ¤ RE

    Lots to consider.
    I would go with your first instincts. They are usually right. No one wants chemo and in my case I decided against it. My onco score was 18 which is low intermediate. They don't know for sure whether chemo is beneficial with that score. The best they could calculate that it would take my chances from 15% to 12%. I was 58 at the time and other than bc, I was in good health. I have made some big life style changes but opted out of chemo.

    Roseann
  • Stace_aka_Pollyanna
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    Who was that girl yesterday?
    Thank you dear friends for your frank opinions and encouragement... today is a new day and I'm back to my old self; on my happy train and ready to open a can of whup tush on this thing :) Hell, after re-reading my thread I'm ready to kick my own butt into gear ha!

    Roseann, I so wish we could fast foward to 10 years and see what these ONCO scores are doing for the BC population. I, too, put alot of faith in my numbers and I don't disagree with your choice of skipping chemo either :) It's a crap shoot either way I'm afraid and that in itself is the million dollar answer.

    We play the hand we've been dealt and hope it's a winner. I hope to find an ace up my sleeve at the end of this journey :)

    Blessings and hugs to each and every one of you,
    Stace
  • Stace_aka_Pollyanna
    Options

    Who was that girl yesterday?
    Thank you dear friends for your frank opinions and encouragement... today is a new day and I'm back to my old self; on my happy train and ready to open a can of whup tush on this thing :) Hell, after re-reading my thread I'm ready to kick my own butt into gear ha!

    Roseann, I so wish we could fast foward to 10 years and see what these ONCO scores are doing for the BC population. I, too, put alot of faith in my numbers and I don't disagree with your choice of skipping chemo either :) It's a crap shoot either way I'm afraid and that in itself is the million dollar answer.

    We play the hand we've been dealt and hope it's a winner. I hope to find an ace up my sleeve at the end of this journey :)

    Blessings and hugs to each and every one of you,
    Stace

    Bob, nurse after 2 oncos....
    I did meet with two different oncologists :) Joan, my onco nurse at UofM, sat with my husband and I for over an hour after we met with the doctor to "chat" about chemo and answer additional questions we had. In fact, she was more "opinionated" in my options than both docs -- they seemed to just lay the facts on the table and leave the choice up to me, which I know is their job but soooo annoying!

    If it weren't for CSN we'd be as confused as a chameleon in a bag of skittles!!

    Smiles across the miles to all :)
  • jendrey
    jendrey Member Posts: 377
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    No. I would not do chemo.
    But that's just me and in my particular case. Everybody is different and you need to base your descision on your very own particulars. =)
  • Angie2U
    Angie2U Member Posts: 2,991
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    I agree
    I agree with Renee and My Turn. I had 4 rounds of TC and found it very doable. The worst for me was being tired and some constipation and diarrhea. My Onc. would have given me the chance to not do chemo I guess but I really did not even think about not doing it. My lumpectomy was clean, clear margins and no lymph nodes involved. The tumor was very small. I just wanted to do all I could to conquer the beast. I did chemo, 30 rads and am currently doing tamoxifen.If I happen to have a recurrence and had not done all I could do I would always wonder what if? Best of luck deciding. God Bless
    (((Hugs))) Janice

    I was fortunate and never
    I was fortunate and never had to take chemo, but, so many on here have.

    I just want to wish you good luck with whatever you decide.

    Hugs, Angie
  • cathyp
    cathyp Member Posts: 376 Member
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    jendrey said:

    No. I would not do chemo.
    But that's just me and in my particular case. Everybody is different and you need to base your descision on your very own particulars. =)

    another no chemo
    Chemo would have reduced my chances of recurrence by 2%. I opted out. I do have to tell you, that I all ready had chemo for recurring Hodgkin's Lymphoma that has damaged my heart, among other things. Our decisions are not easy, long term effects( I had to have chemo w/Hodgkin's to live) need to be considered also, especially whem chemo offers very little benefit.
  • sbmly53
    sbmly53 Member Posts: 1,522
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    A good question, a difficult decision
    but I opted out of chemo. Onco score was 4 and with only a 2% difference for recurrance and being a really big chicken, it was the choice for me. Not that I haven't second guessed myself and wondered if I made the right choice, but I'm sticking with it and hoping for the best.

    For all the ladies who didn't have the choice, or who chose anyway, my heart and thoughts are with you and I know that you are all strong and brave.

    Sue