Chemotherapy

Chemotherapy effects everyone differently. Some patients have very little side effects, some have all the side effects possible and some fall in between. I personally had a terrible experience with chemo. It made me extremely nauseous, weak, tired and just sick to my stomach. I had 6 cycles of chemo which for me consisted of the following:

WEEK ONE :

Day 1 - Taxotere and Carboplatin

Day 2 - Herceptin and Perjeta and hydration

Day 3 – IV Hydration

Day 4 – IV Hydration and Neupogen shots at home

Day 5 - IV Hydration and Neupogen

Day 6 – Neupogen

Day 7 – Neupogen

WEEK TWO:

Day 8 - Neupogen

Day 9 – Herceptin and appointment with oncologist and blood test.

Days 10 – 14 No treatment

WEEK THREE:

Day 15 – No treatment

Day 16 – Herceptin

Days 17- 21 No treatment

Then the cycle would start over again.

On the first day of the cycle I would receive iv meds at the treatment center from 9am until about 5pm. Yes all day, crazy right? My husband or mom would spend the entire day with me. They made sure I was never alone and if they couldn't make it because of work I would have one of my amazing friends with me. We would order breakfast…lunch…and talk. My mom would always talk to me about work and future plans. She always kept me distracted. It was nice to have all those hours of one on one time with her. My husband would talk to me about our son, work, and the places we would visit when this was all done. He kept my spirits up and went out of his way to make me laugh. These talks with them were the best part of chemo. By the end of the day the medications would have me a bit tired so they would take me home and I would sleep.

Day 2 I would go back to the treatment center for a half day of meds. I would still pretty much feel okay, just a little tired. It would be another day of wonderful chats with my loved ones. I was usually done around 2pm and I would go home and sleep some more.

Day 3 I would begin to feel the side effects of the chemo. The nausea!! OMG I can’t even explain how horrible it was. It was 50 times worse then any nausea I’ve ever felt while sick. I couldn't eat or drink, all I wanted to do was sleep and cry. I will never forget that feeling. I would tell myself , ‘if you just sleep, when you wake up you will feel better.’ I would take naps, wake up, feel worse and end up in tears again. Phil would bring me different concoctions he made to help the nausea. I took several medications meant to help but it didn't do much. The doctor did tell me the medications were actually working because if they weren't I would be vomiting instead. So I guess it did prevent that.  The fatigue was also terrible. I was so exhausted and it didn't matter how much I slept or rested. I always felt like I just finished running a marathon. The nausea and severe fatigue would last about a week but it was the longest week ever. I remember thinking, why did I have to go through this? What did I do to deserve this torture?

There was one day I really wanted to take a shower. I felt like a shower would make me feel better. About a minute after I entered the shower, I began to feel dizzy and couldn't breath, I slouched over in the tub and felt like I was about to pass out. I screamed for my husband who ran to the bathroom and rescued me from falling over. He carried me to the bed and laid me down. I remember my finger tips starting to become numb, then my hands, then my arms, I couldn't breath and my heart was beating what felt like a hundred times too fast. My husband called my mom who lives around the corner and said he was taking me to the hospital. My brother showed up instantly to take care of our son. I was so scared for him. I tried to act as though I was ok as we walked to the car because I didn't want Bam to be scared. I kept reassuring him that I would be fine and it was just the medicine making me feel sick. I can’t imagine what was going through his mind watching his mom being rushed to the hospital.

After meeting with several doctors examining my lungs, heart, blood…turns out I was extremely dehydrated. From that day on my doctor scheduled me to receive iv hydration treatments daily for 4 days after each chemo. So at the beginning of every cycle I was at the treatment center everyday for a week.

I wouldn't begin to start feeling a little better until about 7-8 days later. That's when I would go back to work and try to keep busy. By the third week of the cycle I would feel like myself again but would become anxious because I knew the following week I would have chemo again and the cycle would start all over. I had to go through this for 6 cycles which was about 5 months.

Looking back I still can’t believe I went through that experience. I cried so much during those 5 months. Every cycle I would say I can’t take it anymore I just want this to be over. My husband would always tell me “you are almost done, only 4 more to go… 3 more to go…. 2 more to go…”  I would look at my son and I knew I had to get through this for him. He needs his mom. And I did. I completed all 6 cycles and had an amazing outcome. There were bad days and there were not so bad days but it worked! The chemo shrunk my tumor so much that it couldn't even be felt anymore.

This Hair!!!!!

I have a consultation tomorrow with a hair stylist to get hair extensions. I'm super excited. My hair is growing fast but not fast enough! She has a special line of extensions for women who have very short hair. Hopefully I will like them and start to feel a little more like myself. If I do like them I'll post her website on tomorrow's post.

UPDATE
I loved Jessica! The consult was awesome! Her extensions felt so comfortable and looked great. I'm definitely going to place an order. She gave me great ideas and listened to all my ideas. I showed her a pic of how I would like my hair to look and she assured me she could achieve that look. She matched my natural brown hair color perfectly and will be able to create a balayage style with a blonde color I picked out. She said it would take about a week to create. I'm excited to have hair again! I'll post before and after pics as soon as I get them. Check out her website by googling Hair Extensions NYC.

UPDATE!!
I LOVE my extensions. I have been wearing them for 3 weeks now and they have become a part of me! They are very comfortable, nothing like a wig. It basically feels like I just have some clips in my hair. I'm able to style it and curl it just like my own hair. The color Jessica dyed it is absolutely gorgeous and she cut them to a beautiful length! The best part is that my hair always looks fabulous!

Thank you Jessica!!

Radiation Oncology Follow-up

Today was my first followup appointment with my radiation oncologist. He says I'm doing great! I don't need to see him for another six months. Then once a year for 25 years he joked. Ha! He says my surgeon will be contacting me to schedule a mammogram within the next month or two. I then went upstairs for my weekly Herceptin and Perjeta treatments. My new schedule is every 3 weeks instead of weekly. I'm soooooo happy, what will I do with the extra time! Ha!

Today...

     Fast forward to today, it has been 10 months since I was diagnosed with breast cancer. How am I doing? I’m okay. I completed 6 cycles of chemotherapy, had a lumpectomy, finished 40 rounds of radiation and I’m still having my weekly iv treatments of Herceptin and Perjeta. My cancer responded well to the chemo and although I’m not officially cancer free I feel positive I will be.

     I’m still fatigued a lot of the time but I’m trying my best to get back to “normal” and enjoying life with my loved ones. I am blessed with a strong circle of family and friends. They all did a part to help me through these last 10 months and I love and appreciate every single one of them. I’m extremely independent and try to get through obstacles on my own but there is NO WAY I could have done this alone. It took me a while to realize this and except help. I know I can be very stubborn but I have grown so much from this experience.

     My husband has been AMAZING. He stepped up, took charge of me, the family, the household. He cooked, he cleaned, he never missed an appointment and alternated with my mom accompanying me to chemo. Sometimes they were both there. You never really know how strong your relationship is until you are tested with a real hardship. I love him soooo much. This man is my best friend and taught me what it truly means to be in a marriage, and I’m grateful everyday to have him as my partner in life.

     My son is doing great. All of this came during his first year of high school and although it was tough he made it through. We shared everything with him right before I started chemo and explained all the side effects and that I would be fine. Telling him was one of the hardest things we had to do. He was so strong and positive. He told me I would be fine and he would take care of me. With the love and support of our family and friends he’s himself again and I am so proud of him.

My Diagnosis & Plan

October 22, 2015

I have Stage 1

Invasive Ductal Carcinoma (IDC)

Triple Positive (ER+, PR+, HER2+)

Breast Cancer

What does that mean?

I have an aggressive but common form of breast cancer.  It started in the milk ducts and has spread out into the surrounding tissues.

ER+ and PR+ means my cancer cells contain estrogen and progesterone receptors which means these hormones can actually help the cancer grow.

HER2+ means my cancer cells contain a protein called HER2 which can cause the cancer to grow and spread aggressively.

Bad news? I have cancer, its aggressive but ….good news? It was caught early and I have a form that responds well to anti-estrogen therapy, biologic targeted therapy and chemotherapy.

So what’s the plan?

6 Cycles of Chemotherapy (1 cycle consists of 3 weeks)

52 Doses of Targeted Therapy (IV meds, weekly for 1 year)

Surgery - Lumpectomy

40 Radiation Treatments (daily for 40 days)
Maintenance Anti-Estrogen Medication for 5-7 years (daily pill)

My Oncology Team - The Oncologist

October 22, 2015

The following day we had an appointment with an oncologist. As we do, we googled and researched him all day and all night. We read nothing but positive reviews about this doctor and couldn't believe he was at the cancer center a few blocks away. He has been in his field for many years and very well respected.

I still say it was meant for us to live where we do, I passed this center everyday not knowing one day I would be a patient there.

We walk in and were greeted with smiles. The staff was very friendly and made us feel comfortable. After a short wait we are called in and we patiently wait for the doctor to enter the room. He walks in with a friendly smile introduces himself and shakes our hands. He examines me and then tells us to meet him in his office. He explains my diagnosis, his recommendations, and how good my prognosis was. He took his time and explained everything so we could fully understand. We felt comfortable asking him questions and he happily answered every question completely and honestly. I felt like we were there for hours. We said our goodbyes and when we get outside I ask the husband what he thinks of him. He felt he was knowledgeable, well respected, patient and compassionate. I agreed. We made our decision that this would be our Oncology team.

My Oncology Team - The Surgeon

October 21, 2015  

     My primary referred us to a breast surgeon and got us an appointment the following day. We googled and researched this doctor for hours hoping she would be the best doctor for us. She was in a tiny medical building 2 blocks from our house. We walked inside and I was transported into another place. It was colorful and bright. It was set up as a home, furniture was so cute with different types of chairs set up to be inviting and not like a waiting room. Along with all the artwork and pictures representing strength were all of her awards and accolades. There were tons. My husband and I were very impressed. The staff was warm and greeted us with smiles. After a short wait we finally met with Dr Shapiro and we instantly felt a connection. She explained how sorry she was about my diagnosis, examined me and began explaining her recommendations. She took her time answering all our questions and we walked out feeling like we got this!

I Have Breast Cancer - October 20, 2015

     They still haven’t called. Should I call? Should I wait? Its Monday, I’m at work, trying to keep busy. Later in the day we get a message from the doctor to call him back. I wanted my husband and I to be together when we receive the results---just in case. I had to work late this day so the plan was when we get home from work tomorrow we will call him back. Well now it's the morning and I tell him lets just have a conference call because there is no way I can wait until the end of the day. I’m sure it’s nothing anyway, there’s no way I have cancer. He’s hesitant but agrees. I don't have any patients to see for the next hour so I lock myself in my office with my co-worker. We call my husband and conference the doctor in…

     “Hello Mrs. Berrocales, I’m sorry to have to tell you this but the biopsy shows a malignancy. You do have breast cancer.” 

     I felt like I was in a movie, this wasn't real. He said so much more but Charlie Brown's teacher took over the phone call and all I heard was wah wah wah. I didn't cry, I was just numb. He kept talking and after all the wah wah wah’s I asked “What do I do now?” He tells me to contact my primary and that I need a breast surgeon and oncologist. We thank the doctor and he hangs up. My husband is still on the phone and he says “I’m leaving right now I’ll meet you at home.” I turn and look at my coworker, start to cry as she hugs and consoles me. I leave work and drive home. 

     Is this for real? Do I really have cancer? How the hell do I have cancer? I can’t believe this? How am I going to tell Bam? My poor baby has to see his mom with cancer. What if it has spread? I could die. I don't even remember driving, it’s like I left work and magically appeared home. My husband arrived a few minutes after me and all we could do was hold each other...

1st Biopsy - October 15, 2015

     One week later we're back at the diagnostic center for a biopsy. The tech explains to us that the head doctor will be performing the procedure. The area will be given a local anesthetic so I won’t feel anything but a pinch and hear a loud click from the tool that will remove the piece of tissue. She gives me a bunch of paperwork to read and sign. One paper states there will be a metallic clip placed inside of me to work as a marker so doctors will know where the tissue was taken from.. I was terrified! Are they sure I wont feel anything? Hmmm…

     She asks my husband if he will be okay watching the procedure and tells us a hilarious story about a recent patient who's spouse passed out and they had to take care of him while the doctor had to continue with the procedure. Phil assures her he won't pass out. The doctor walks in, looks at Phil and tells him to sit in a chair and also asks him if he will be ok watching…Now I’m wondering what the hell are they planning to do to me that they are so worried about him!

     I laid on the table on my right side, left arm up, they used a sonogram to locate the area while I stared at a spot on the white ceiling. When they injected the anesthetic I just shut my eyes. We had to wait a few minutes for the anesthesia to do its job and then the procedure began. I shut my eyes and the doctor tells me I will hear a loud click, done, one piece cut, another click, second piece. He explains they will insert the metallic clip and it will be over. Didn't feel a thing… and the husband didn't pass out! Next I had to have another mammo done to make sure the metallic clip was in the correct position. It was in position and looked like a tiny silver dot in the pictures. How long before I get the results?? I asked. "We’ll call you by Monday." (It's Thursday)…Wine anyone?

Tests and More Tests - October 9, 2015

     A week later we’re at the diagnostic center. It’s time for my first mammogram. Between what I’ve heard from other women and my own research I pretty much knew what to expect. Hold on here, turn here, arm up, arm to the side...and of course the squeeeezzze! It really wasn't too bad though, I thought it would hurt more. It’s over so I put my gown back on and the tech picks up the phone to call someone,  I struggle to hear (blah blah blah CLUSTERS blah blah) WHAT?! What does that mean?? “Um excuse miss did you find something?” “I’m sorry the Doctor has to go over the results with you.” (sigh)

     I’m back in the waiting area with my husband waiting to for an ultrasound next. 

“Babe, I overheard her call someone and say there are clusters”, “ what does that mean?", “I don't know I read online that sometimes that could be cancer related.”  Right about now I’m freaking out and we start googling. (You know, doing exactly what I tell MY patients NOT to do! No Google!) 

     Now I get called in for an ultrasound. The tech was so sweet and kept talking to me trying to make me feel more comfortable. We are chatting and laughing and then there was an abrupt silence. Do you see something? “The doctor will go over everything with you in a few minutes….” Yeah, yeah (eyeroll). 

     Back to the husband, “Babe, she was talking then became silent, I know she saw something.” My positive husband tells me I don't know that, it's probably nothing.

     After sitting in the waiting room for a week, ok maybe it was 10 minutes, we finally get called in. “We did find a suspicious mass.” WHAT?! “What does that mean?”,  “It’s a suspicious mass” (really dude?) “We need to schedule you for a biopsy to determine if its malignant”… (sigh)…Went home and drank some wine.

    

Discovery - October 2, 2015

     Could this be something? In school they said a non-moveable lump, or did they say moveable? Shit I can’t remember. These were my first thoughts when I discovered a small lump on my left breast. I was performing a self breast exam as I did almost every single day (because of my self diagnosed hypochondria) and I felt a marble sized ball on the top left of my left breast. I mentioned it to my husband who just kind of dismissed it as nothing. See he’s use to me telling him I have some type of illness. Okay I CAN be a little extra sometimes.

   
     A couple of days go by and I check again and I still feel it. “Babe, I really feel a lump, feel this.” He reaches over and begins to examine it himself. “I do feel a little something here.” I knew it! It wasn't my imagination! I’m NOT crazy! So I tell him I’m going to schedule an appointment with my gyn so she can check it out. He agrees and says I’ll go with you.

   
     Next morning I call to schedule an appointment and the receptionist tells me she can get me in in about 3 weeks. Ummmm no. I have a lump in my breast. She apologizes and says it's the soonest she can get me in. In my head I think - we’ll see about that. I send an email to my doctor explaining to her the situation and that there is no way I can function each day for weeks knowing I have a lump in my breast and that my sister just finished fighting her own battle with breast cancer.

     
     The next day at my Gyn appointment ;-) my husband and I are in the waiting room and as he usually does he’s assuring me that it’s probably nothing. Of course I’m scared to death but I’m acting as if its no big deal and agreeing with him. We get into the examination room and the doctor asks me to show her exactly where we felt it. She begins to exam the left breast and there is complete silence in the room. She examines the right breast, still silence. She goes back to the left breast and examines the top left area for what felt like an hour but I’m guessing was less then 2 minutes. I start fighting back tears. She feels it, I know she does. “You feel it right?” “Yes its very small, could be nothing but I would like to schedule you for a mammogram and ultrasound.” She leaves. I lock eyes with my husband. He tells me don't worry, I’m sure its nothing and tries his best to comfort me. This can’t be happening…