Has anyone had rEPOCH cycles for DLBCL ?

jimwins said:

Welcome Slk444

Welcome to the site.  You'll find supportive and caring folks here and you are not alone  Relating to your joint pain, I had some issues myself mostly in my shoulders and saw an orhtopaedic specialist.  He suspected it was inflammation and we treated it with anti-inflammatory meds (Aleve type) and discussed physical therapy to improve range of motion.  The meds did the trick and I didn't have to do the therapy.  

It would help us here if you would fill out the "about me" info in your profile so we can reference that easily for details about the type of cancer, where it occurred, etc.  That way others with similar situations can relate and chime in.  I hope you find an answer and relief for your pain.

Hugs and positive thoughts,

Jim

Just did... Thanks Jim. 

Hi! I saw this post by chance and felt I had to comment (had to register for an account first). I had rEPOCH in Jan 2012 after being diagnoised for Stage 2 DLBCL in the mediastinal area. I was 24 at the time and I was absolutely shocked. My oncologies recommended a 6 round, 96 hour each, dose-adjust rEPOCH for me to eliminate the need for radiation. Given my age, gender the area of the mass, radiation could have very negative side effect down the line (i.e. breast cancer). I thnk the biggest drawback for me was having to put my life on hold for 6 months, not being able to work and live as normally - more from the psychological aspect. I was very fortunate to receive a lot of support from my doctor, friends and family, and I think my docter did everything she could to kept me feeling as normal as possible - closely monitoring my blood count, giving me naulasta shoots to keep my immune system normal, giving blood transfusion when my red blood count was too low. I also had a port in place because my veins did not always cooperate, and the port helped tremendously. One month after chemothearpy I took a trip to Alaska and Europe. I started working full-time again 2 months after finishing the chemothearpy. So far I've been cancer-free for 2 1/2 years, and truthfully I am not worried about it coming back. After my second chemothearpy the CAT scan indicated a close-to-100% remission, but afterwards I still finished another 4 even stronger dose chemothearpy, so I am confident that my doctor and I have done everything we needed to. 

Best of luck! 

melvaroo said:

Hi Laurie,
 
I know this is

Hi Laurie,

 

I know this is an old post but given the nature of Lymphoma and remission times im hoping this is ok to reply to. If nothing else i hope that some one like me see's it and finds it helpful in some way.

 

I am a male, 36 years old as of Sept 2014 and i am from the UK, in Cambridge and here is how my story goes.

I should probably point out that in the UK we have a national health service(NHS) and i received my treatment through that.

 

In Late November 2014 i went to the doctors(local GP) with a shoulder injury and a small lump on my neck, it was like a pea under the skin along what i describe as a tendon in your neck area.

Due to the lump, i had a blood test done which came back with raised ESR. I looked this up and from what i understood it meant there was imflamation "somewhere". Given that i had a virus the previous week the doctor said it may well of been that but to keep an eye on the lump and come back if it had not gone away.

Well the lump did reduce in size but was still there, i went back to the GP and this time saw a different DR as my DR was on leave. This DR gave advice to rest and not to worry about things.

After a week of not sleeping i went back to my main DR. When i say not sleep i mean literally i could not sleep as when i did it felt like my throat was closing when i fell asleep and i would wake choking. This went on and on. Eventually i noticed blue veins on my chest which looked more visable that normal so went to the DR.

As soon as she saw me she booked me into the hospital and i was on a ward within the hour.

I had a CT scan that showed a large mass in my chest area and was told that i would need a biopsy to tell what this was. But they were pretty sure it was a Lymphoma.

I had a biopsy in another hospital and then was taken to another where i would receive treatment. Thankfully this is addenbrookes hospital and known to be one the best places to be to get treatment.

Over the the period of about a week, during the biopsy time i developed some swelling on my right arm and hand. It was serious and felt so pressured i wouldnt have been surprised if my arm exlpoded it was that big! Well this led to a ultrasound and they found a clot in one of my veins near my neck, at least that where the scanner found it. I was put on a blood thinner for this straight away. It was called Dalteparin and was given via injection to my stomach twice a day. This was to be given to me for the foreseeable.

We are now half way through December 2014 and waiting for the biopsy results. I was told i could start treatment until they knew the specific type of Lymphoma as this would dictate the amount and type of treatment i would receive.

While i waiting i being a man was advised that due to the chemo, my sperm count may be affected and my chances of having children may become impared. My some miracle in October my partner and I found out we were expected our first baby so at least i had this news to keep me positive and a goal insight.

Irresepctive of this i chose to freeze some sperm in case there was issues after the chemo and if we decided to have more children. Again this was on the NHS in a clinic nearby. 

When i got back from the clinic i was told i hade a Diffuse Large B Cell Lymphoma. I was given information in the treatment i was being offered which was DA-REPOCH. I would be given this every 3 weeks for 6 cycles. Each cycle would run over a 5 day period and the chemo would be given constant over a 24 hour period. The next cycle would be 3 weeks from the start of the previous treatment not the end!

The DA-R-EPOCH stands for:

DA = Dose Adjusted - meaning they will adjust the dose as you go through the treatment cycles. Started at x amount then increasing by 20% each time until you hit your threshold, which will be determined by blood results and monitoring along the way during your cycles.

R = Rituximab - I was given this on day 1 of the treatment and would take around 2-3 hours to give.

E = Etoposide - mixed with the other chemo drugs to make the chemo being given over the the next 4 lots of 24 hour infusion, so days 1-4

P = Prednisalone - This was given to me in tablet form and was given twice a day for days 1-5

O = Vincristine - mixed with the other chemo drugs to make the chemo being given over the the next 4 lots of 24 hour infusion, so days 1-4

C = Cyclophosphamide - I was given this on day 5 after the 4 lots of 24 hour infusion had finished. This only took 15 minutes or so to give over infusion.

H = Doxorubicin - mixed with the other chemo drugs to make the chemo being given over the the next 4 lots of 24 hour infusion, so days 1-4

See this wiki page for the detail on R-EPOCH http://en.wikipedia.org/wiki/EPOCH_(chemotherapy)

 

The treatment went really well, after 2 treatments i was booked for a PET SCAN to see how the mass was doing. I was told that the scan was agood and showing great signs, i was also told there was no cancer anywhere else! 

The treatment continued to go well. I felt fine through the treatment week but the following week 2 was a struggle. I felt fatigue like i had never felt it before. So tired but nothing would chnage it. No amount of sleep would take away the tiredness.

In week 2 i always had 3-4 blood tests to monitor my blood counts and from this the DR would decide how much to increase by next cycle. I really like my blood visits, the out-patient ward E10 at addenbrookes is an amasing place and full of what can only be described as Angels. These nurses are happy and make you feel good every minute you are in there, i cannot thank them enough for what they done for me and do for others, they deserver so much more in the way of thanks! I have been lucky enough to get have great family support and friends too, but without these nurses things wouldnt have been the same.

Week 3 of the cycle was what i called my good week. Other than a visit to my consultant to see how i was i had nothing booked, no drugs, no bloods and i felt great! I liked these weeks and soon learnt that this was the week i had to make the most of.

My treatment was frozen at level 3 out of 4 increases, this was down to my blood levels tracked below a certain point which is the trigger for the stop of increasing the chemo strength. I was also reduced on the vincristine as this was to blame for some numbness in my finger tips. It was causing me typing to me messy and the DR said they have to reduce this to prevent any risks of permanant damage to the nerves.

I did get an infection where my temp went to 41 C and i was admitted into hospital to disocver my Line had caused the infection. This led to my last cycle being done as an in patient. I should add that only my 1st and last treatment cycle was given as an in patient. The rest was done as an out patient using a portable pump. Yes i carried that chemo around for 4 days in a backpack and went in to hospital for the refill every 24 hours.

I finished my treatment on the 15th April 2015, this was the last day of chemo!!!! 

2 weeks later i had my PET scan to see what the results are and i am pleased to say that i am in remission!!!!!!!

Its now May 20th 2015 and i have an appointment to see if i wish to go ahead with radiotherapy aswell as the chemo. it is here where i simply dont know what to do! i am told that the americans do not give radiotherapy after successful chemo but the europeans do.....

Given the mass is in my chest i am told that radiotherpay risks later cancer to my lungs and heart disease! which needless to say i would like to avoid. That said do i take the risk and get the added benefit of radiotherapy potentially zapping any hope of this coming back??

I would love to hear from anyone who has or hasnt had radiotherpay following DA-REPOCH as it seems a hard decision to make.

 

Keys things to remember:

Stay happy

Surround yourself in good things and nice people.

Get rid of stresses and negative things that will get drawn to you.

STAY POSTIVE! You are in good hands and there are people that can help if you are struggling. I am one of those people! please please contact me if you feel i can help as i would love to help others in my situation. Afterall i understand it now. At least most of it :-)

 

Love to you all!

Melvaroo

Hi Melvaroo, 

I just signed up on this network and I'm surprised to see there aren't more recent posts on this topic.  Let's hope we get some more people responding with their current info.  We can all learn from each other!  I read your post with interest.  I am envious of your backpack situation allowing you to avoid some hospital time.  Congrats on being in remission and all the best with your radiation decision. 

I am an otherwise healthy and active 59 year old female.  I was diagnosed with Diffuse large B-cell lymphoma in March 2015 after finding a hard lump in my neck. I had multiple lymph nodes involved, an enlarged spleen, and bone marrow involvement.  I was put at Stage 4B (had night sweats which is the . All the tests happened quickly and right away I started with r-CHOP.  The plan was to have 6 rounds every 3 weeks.  However, after completing 2 rounds I was switched over to r-EPOCH, for the remaining 4 rounds.  The switch happened because after getting a 2nd opinion, that pathology showed I actually have a more aggressive sub-type of DLBCL, due to an over expression of double proteins, BCL2 and MYC (this is not the same as double-hit lymphoma which is a translocation of genes). My doctor said that patients with double expression do much better on r-EPOCH than r-CHOP.  I had a clean PET /CT scan after my 2 cycles of r-CHOP, and then after the first round of r-EPOCH (=3rd of 6 total chemo cycles), I had another bone marrow biopsy. It also came back clean.  Clean scans are of course wonderful news, but the big concern is will the cancer come back, as this is an extremely aggressive form. 

It's unfortunate with these rarer unusual subtypes that the science just isn't complete enough to know the best course of action.  My doctor is an expert in this area, and explains that the data aren't conclusive yet on recent studies. Some think it is best to wait for a relapse to go ahead with a stem cell transplant, other studies have suggested there is a better outcome with an autologous stem cell transplant done as soon as you have remission.  I am having my stem cells harvested next week, but the jury is still out on whether or not I'll be having a SCT anytime soon.  For now they will be frozen and should the decision be made to go ahead with a SCT, then I'll have healthy stem cells ready. I am having daily injections of Neupogen for 7 days to get ready for the harvest.  Just one more crazy part of this unwelcome road I have to go down.

I would like to think that once my chemo is over I could feel some sense of getting back to a normal life, but I'm sure it is hard not to worry about a relapse.  I have been fortunate that I am handling the chemo well. I have 5 day stays in the hospital, and then am home for 16 days. Although when I first come home I am very tired, it is so great to be free of the tube you are tethered to 24/7 in the hospital.  I feel so blessed that I have not had any nausea or mouth sores, and my appetite continues to be strong. I am on a leave from my teaching job, and am very cautious about exposure to germs.  My husband and I miss eating in restaurants, however we decided to not take a chance as you never know what's going on in the kitchen!  I truly am trying to take everything one day at a time, with a positive attitude.  My support circle of family and friends are wonderful, and I spend my days taking it easy, resting when my body tells me to, and being thankful for the little things that bring me pleasure.  

Wishing you and all our other lymphoma-warrior friends the best in their quest for good health.

1 Day At a Time

Tlj_1979 said:

Similar situation-one day at a time

one day at a time,

hi there I am caring for my mom who has a similar diagnosis.. She has expression of myc and bcl 2 and bcl6 but not the translocationNs. She has a mass near her heart and bone marrow involvement. she heads into cycle 3 of r-epoch this week.  we do not know how she is responding quite yet.. Scan is after the third cycle. But symptomaticly she is hugely improved so we are hoping for the best. I too was wondering about the effectiveness of stem cell transplant following first line of treatment. Has the doctor suggested any other optins to you? my moms doctor mentioned ibutrinub as well. 

She is 69 -otherwise very healthy and active and so far has handled r-epoch very well. 

i think I have read everything there is on this particular diagnosis and your right-there just doesn't seem to be too much information. Overall I wonder when can we ever really relax? It seems that a relapse is so likely. What cycle of chemo are you on? Thank goodness you got that second opinion and switched to the better treatment.

glad you have achieved remission! And good luck!

Wishing all the best to your mom, and you.  The way I see it, the caregiver is going through cancer too.  I go back for round 5 of 6 chemos next Tuesday.  I saw my Dr today for bloodwork, and she is very pleased with how I'm doing.  I am in the good phase of my cycle post chemo, so for almost a week I've been feeling really well, almost normal, and I go for walks daily.  I get 3 more days like this until it's back for a 96 hour infusion.  I'm not sure why they call it 96 hours, as I'm actually there 5 days, so it's really 120 hours hooked up to the IV bag. My r-EPOCH will be increasing another 20% next week, as my WBC never nadired. I told my doctor "bring it on", as I want to make sure they kill any bad actors still lurking in there.  I had a successful stem cell harvest Tuesday of this week.  They got all the cells they needed from me in one day, which was a huge relief to not have to do multiple visits.  It wasn't too bad, a little uncomfortable to sit 3 hours and not move with catheters in each arm, but the nurses treted me really well. My doctor told me that the harvest is as a contingency plan, in case of a relapse down the road.  I am not having a transplant otherwise.  I sure hope my stem cells stay in that freezer of theirs forever!

Keep me posted on how your mom does.  Glad she is tolerating the treatment well so far.

Hi Laurie,

I have completed 2 cycles of da-EPOCH-R. My oncologist is recommending 6 rounds. I can't wait until I can be done with this chemo. I am in a different boat than allot of other people. I was diagnosed with a medistinal mass that was supposed to be a thymoma. Only when the surgeon cracked my chest he found and removed a softball size mass. I was informed that they were able to get "clear margins" But no one utter the nasty c word. That came a week later over the phone when the nurse told me every cell they removed from my chest came back as lymphoma. I was being referred to an oncologist. 

I am sorry that I don't have much experience. I do wonder, how did you keep from going crazy in the hospital for the 6 days? I am thinking of asking for the outpatient chemo...the R-CHOP. 

I can tell you that so far the treatment in the hospital makes me incredibly fatigued and nauseated.  Then there is the nulasta shot that comes 24 hours after treatment.  I am taking the claritin, but jeez, I am down for another week with pain. I know that its building my white blood cell count, but ouch! Then I go back to being fatigued again for a few days. I have found only 2 or 3 days that I consider to be "good" days. Then its time to go back in the hospital.

I am seriously wondering, how did you get through those days in the hospital?

Any words of advice are greatly appreciated.

Jennifer

Jennifer_mommyto4 said:

epoch r

Hi Laurie,

I have completed 2 cycles of da-EPOCH-R. My oncologist is recommending 6 rounds. I can't wait until I can be done with this chemo. I am in a different boat than allot of other people. I was diagnosed with a medistinal mass that was supposed to be a thymoma. Only when the surgeon cracked my chest he found and removed a softball size mass. I was informed that they were able to get "clear margins" But no one utter the nasty c word. That came a week later over the phone when the nurse told me every cell they removed from my chest came back as lymphoma. I was being referred to an oncologist. 

I am sorry that I don't have much experience. I do wonder, how did you keep from going crazy in the hospital for the 6 days? I am thinking of asking for the outpatient chemo...the R-CHOP. 

I can tell you that so far the treatment in the hospital makes me incredibly fatigued and nauseated.  Then there is the nulasta shot that comes 24 hours after treatment.  I am taking the claritin, but jeez, I am down for another week with pain. I know that its building my white blood cell count, but ouch! Then I go back to being fatigued again for a few days. I have found only 2 or 3 days that I consider to be "good" days. Then its time to go back in the hospital.

I am seriously wondering, how did you get through those days in the hospital?

Any words of advice are greatly appreciated.

Jennifer

Hi Jennifer,

I am sorry to hear how hard the DA-r-EPOCH has been for you so far.  I started out with r-CHOP for 2 rounds, and was then switched to DA-r-EPOCH for the last 4 rounds. Looking back, a 4-5 hour infusion given on one day for r-CHOP was a walk-in-the-park compared to the 5 days in the hospital with continuous infusion for r-EPOCH. I finished my chemo July 11, and just started feeling a bit more like myself about 5 days ago. The hospital infusions were difficult, however I just kept telling myself that the stronger chemo was my best hope to kill the cancer.  My sub-type of DLBCL is particularly aggressive (double protein expression, Activated B-cell origin), so my doctors advised me that there are better outcomes with DA-r-EPOCH.  Sign me up I said!

To get through your hospital stays, all I can suggest is arm yourself with magazines, music, books if you have enough energy to read, hopefully decent TV is available in your hospital room, and get positive people who care about you to visit when possible.  No matter how fatigued I was once I was discharged, it was always a thrill to get home and have 16 days of freedom before I had to go back to the hospital for the next round.  I was very fortunate to not have any nausea, but I knew that the nurses were so on top of any new symptoms that they'd be ready with anti-nausea meds if I had needed them.  I learned how important it is to speak up at the first hint of not feeling good, and they'd do the best to dispense whatever was needed.  I trust that your medical team would do the same.  Having cancer has totally changed my attitude towards medication.  I use to pride myself on shunning it, now I say, give me the script! 

These cancer diagnoses stink for all of us, but everyone here can relate and knows how hard it is. 

Hang in there, you will get through it. 

JW01 said:

outpatient vs inpatient
Hi all.

My husband is recently diagnosed with b-cell lymphoma, unclassifiable with Burkitt, stage 3. His oncologist at Sloan Kettering is telling us that outpatient is how they do EPOCH treatment there, starting from DAY 1!

Has anyone gone through EPOCH+R as 100% outpatient treatment? The daily trip to/from the infusion center sounds stressful already. Granted that the cancer center is probably #1 cancer center, and they supposedly have the best everything for cancer treatment, is outpatient really manageable for EPOCH+R? And What about CNS prophylaxis? Did anyone get it during EPOCH?

As we found out that two other hospitals in NYC (Columbia and Mount Sinai) do EPOCH as inpatient treatment. I am really concerned about unexpected problems that may happen at home (or at work since his doctor thinks he should continue working ...)

What is your opinion/experience on this? Thanks in advance!

Hi!

   I am just finishing up my EPOCH treatment through Mount Sinai (my last cycle starts tomorrow). They do indeed do the first round as inpatient but as I did fine with that, all of the remaining rounds have been done at home with a visiting nurse service. I was given the option to do all of my treatment as inpatient though if desired, it was left up to me.  My doctor at Mount Sinai (Dr. Joshua Brody...fantastic doctor!!) had the whole thing set  up so that all of my chemo supplies (including the drugs themselves as well as all of my supplies, my pump, etc, etc) were delivered straight to my home via courier from the infusion service (Coram Infusion Servies). His office also arranged everything with my insurance company; I didn't have to do anything. It was also nice that the in-home treatment was 100% covered by my insurance. Inpatient would not have been (well it is covered, there is just a pretty big co-pay with each hospitalization).

The way that each cycle would work was this. Day one (which for me has been a Friday) I would go to the treatment center at Mount Sinai (the Ruttenberg Treatment center on Madison Ave on the UES). I would be given my Rituxan infusion and then see Dr. Brody in the afternoon. I would then go home. The following Monday, I would be contacted by Coram, they would arrange for my supplies and drugs to be delivered to my house (with the dose that Dr. Brody wanted). Tuesday morning, my infusion nurse would show up at my house, access my port, give me IV Zofran and then start my first bag of my 96 hour chemo infusion. The pump and bag of chemo is in a little bag that I can carry around or hang off an IV pole (which Coram also supplies). Each bag lasts 24 hours. My nurse visits every morning for 4 days to give me more IV Zofran and to change my chemo bag to the next one. She does not visit on the last morning (which is Saturday), instead we go back to Mount Sinai to get the cytoxan (short hour long infusion) and to have my port heparinized and needle removed. I then go home with the only thing I need to do after that is give myself the Neulasta injection 24 hours later.

I was apprehensive about doing the treatment at home when I first started but it ended up being really easy (well, as easy as chemo can be!). I would not have been comfortable with doing the at home for the very fiirst cycle though; I'm glad that Dr. Brody wanted me inpatient for that. Once I saw that I was OK with getting the chemo...I was much more relaxed with getting it at home. My nurse has been fantastic (and she lives less than a mile away so if I every did have some sort of issue, she told me she would come by). Being at home allowed me to bring some sort of normality to all of this. I was able to sleep in my own bed, be with my husband and child, I could take short trips to the store if I wanted and I didn't have to eat nasty hospital food and be bored out of my mind! It's amazing how much better you feel when you can do a few normal things while having to go through the chemo. I also did continue to work (not the week I was hooked up to my bag though...I felt better just resting that week). Having the visiting nurse also eliminated the need for daily visits to the infusion center...the center basically came to me!

I also highly, highly recomment the Ruttenberg Treatment Center at Mount Sinai. We've had nothing but great care there (though sometimes the wait to see the doctor could get rather long :-) )

NHL_122 said:

I'm amazed to hear the number

I'm amazed to hear the number of people who were able to do R-EPOCH outpatient. Unfortunately, that was not even discussed as an option during my treatment. 

I finished treatment recently and trying to readjust back to everyday life. There are good days and bad days. What is interesting is that my physical and emotional states were at different places throughout the treatment and post-treatment phases. 

I'm only recently out of treatment and initialy experienced extreme fatigued, increased neuropathy and joint stiffness. Resting heart rate is high. Blood plessure occassionally elevated. 

Over the next two months, there were signs of hair growth. Fatigue is not as severe but I have great trouble sleeping throughout the night and subsequently waking up early. Neuropahty moderately improving but more troublesome on one side. Joint stiffness has not changed significantly. Constipation has been eliminately completely by diet. Noteiceable increase on the frequency of urination and slight decrease in ability to hold (no indication of kidney damage) but may be related to increase of water intake and dietary changes. Resting heart reate remains high but blood pressure stabilizes. Developed lymphedema, cause unknown. Blood counts are generally okay but WBC have not reached a normal level.

Mentally, there are good days and bad days. It's not that I'm sobbing as much as I'm overwhelmed and often sadden at how this situation impacted me at such a young age and also having to deal with this without much support. I'm still proud of myself as a whole. While I was not always consistent, I gave myself little goals to keep myself from being fully absorbed by illness / treatment. 

 

Hi,

I was intrigued regarding all of your epoch-r experiences so I just joined. I am 59 and was diagnosed with mediastinal large cell lymphoma on May 1, 2015. Have had 6 5 day infusions of epoch-r (6th day neulasta shot) over what has been a tough summer for me (more medical attention than my entire previous life). I am lucky though- have done rounds 2-6 as out-patient and have managed to telework  most of the time (erratic schedule but I get my 40 in). So this is day 6 of round 6! After PET-SCAN next week I hope to find I am done with chemo and can start getting healthy again.  I can read in your messages that you have the same prolonged experiences of exhaustion, peripheral neuropathy, sleeplessness, hairlessness, chemo fog brain and I know that you could mention a lot more (I sure can!).  Not complaining mind you. My simple-minded mission in life is to enjoy myself at all times, and somehow I generally do this. All this said, I still desperately want to play basketball again and backpack in Montana (sleeping at night regularly would be a real plus too)! I am not really sure if these desires at this stage of my life are realistic, but I will find out.

I wish you all the very best. It is such a beautiful world- I just hope that I can jump back into it like I could just last year!! I hope that you can all get to where you were before.

Bernie

Bernie said:

epoch-r for mediastinal large B cell lymphoma

Hi,

I was intrigued regarding all of your epoch-r experiences so I just joined. I am 59 and was diagnosed with mediastinal large cell lymphoma on May 1, 2015. Have had 6 5 day infusions of epoch-r (6th day neulasta shot) over what has been a tough summer for me (more medical attention than my entire previous life). I am lucky though- have done rounds 2-6 as out-patient and have managed to telework  most of the time (erratic schedule but I get my 40 in). So this is day 6 of round 6! After PET-SCAN next week I hope to find I am done with chemo and can start getting healthy again.  I can read in your messages that you have the same prolonged experiences of exhaustion, peripheral neuropathy, sleeplessness, hairlessness, chemo fog brain and I know that you could mention a lot more (I sure can!).  Not complaining mind you. My simple-minded mission in life is to enjoy myself at all times, and somehow I generally do this. All this said, I still desperately want to play basketball again and backpack in Montana (sleeping at night regularly would be a real plus too)! I am not really sure if these desires at this stage of my life are realistic, but I will find out.

I wish you all the very best. It is such a beautiful world- I just hope that I can jump back into it like I could just last year!! I hope that you can all get to where you were before.

Bernie

Hi Bernie,

Welcome!  Like you, I'm 59.  It wasn't what I was expecting in my last year of my 50's!   Unlike you, my chemo was as an in-patient, and I'm on a leave from my teaching job until Sept 25.  I have also had some sleep issues.  During chemo I was taking Ativan which seemed to work beautifully.  However, I went off of it recently as my doctor warned me that it can become habit-forming and can be difficult to go off of.  I had to wean myself off the pills by cutting them in half for a while.  Fortunately I didn't have any of the issues that many people online report, but the one problem is I'm not sleeping as well now.  However, I sure don't want to add chemical dependency to my list of recent health problems!  I'm amazed at how quickly after your chemo ended you're scheduled for the scans.  I finshed chemo July 11 and only had my CT/PET scans yesterday.  I am waiting for the news, which needless to say is stressful.

I wish you all the best and hope that you can soon plan on getting that backpack on and hitting the Montana trails!

Laurie,

I was in an NCI clinical trial of rEPOC for DLBCL about ten years ago. Of a test group of 74 people, 60 are still alive, that is 80% of us. The fourteen we lost died in the first year and a half after treatment. It took about a year to be back to myself, and not feeling weak.