Monday, February 27, 2012

Chemo week

Hi Everyone,
I am supposed to start Chemotherapy on Tuesday at 1:30pm at Dr. Fischer’s office in Santa Monica but, for some reason, I am having some complications with my egg extraction surgery with flu like symptoms and a fever of 101 so it might be postponed.  I went to Urgent Care in Malibu on Friday where they gave me a shot in my butt for the pain and took blood to test for an abdominal infection. My tests came back today saying there is some sort of infection and I would need to see someone soon.  My doctor who did my egg extraction surgery has been out of town for the whole week and is coming back tomorrow so I’m excited to see what he thinks is going on. It was very hard for me to even move my head let alone get out of bed Friday and Saturday. I have been feeling pretty sick but got to go out and see a couple of friends Saturday night which kept my mind off of things and I was on a ton of meds to make me feel just normal.  It hurts my stomach to get out of bed in the morning but thankfully I have some of my chemo meds early that help for nausea, pain, anxiety and constipation. I picked up 10 prescriptions on Friday with my dad after going to urgent care for the chemo. 

1.)Zofran 8mg
2.)Compazine 5mg
3.)Dexamethason 4mg
4.)Zovirax
5.)Compro 25mg
6.)Emla for when they access my Port
7.)Prevacid
8.)Ativan 0.5mg to be able to handle all of this shit :-)
9.)Colace - non prescription
10.)diflucan
11.)Percocet
12.)and Fergon non prescription

If they find that I feel better by Tuesday then we start chemo that day. 
They give me the Lupron, and the A/C part of the chemo first.  The Lupron is a very expensive shot I will have to give myself in the butt that my insurance doesn’t cover. It will throw me into early menopause by making my eggs dormant just so the chemo will have less likely change of killing my eggs.  I’m going to be a 65 year old woman in a 32 year old’s half normal half cut up and deformed boy looking body. Just kidding not really ;-)
The fertility surgery last week went well and I posted the photos and the video of my coming out of the surgery.  Ill post more photos I found.
Thanks everyone and I hope you are all doing well. 
There is a quote I say all the time that helps me get through this every day and that’s
You gain strength, courage and confidence by every experience in which you really stop to look fear in the face. ~Eleanor Roosevelt
 Oh yeah and we chopped my hair off last week and donated it to charity.  I really didn’t want to do it but that’s what they told me I had to do so losing my hair wont be so dramatic.
Okay I’m Signing off for tonight.  Love you all
Carina



Thursday, February 23, 2012

Fertility Surgery Before and After


This was my Cancer Dance.  I was happy to get that tumor removed! The day of the lumpectomy.
Im getting prepped for Surgery



This other video is hilarious.  I was coming from surgery and was still messed up from the anesthesia.  Everyone has to have a video like this one :-) and if you dont you can borrow mine.  The flat line makes it even funnier.  haha enjoy

Fertility Treatment Surgery and Extraction was Successful!


Hi Everyone.  I went through 12 days of fertility injections in my stomach from once a day to 3 times a day at the end.  Yesterday Dr. Jain at Santa Monica Fertility successfully extracted 11 follicles and froze 10 of my eggs. Chemo has a high risk of causing infertility because the treatments are so toxic it sometimes kills the eggs and makes women infertile. I was an emotional wreck through this with hot flashes and crying and all that fun stuff but it seemed like when I was questioning why I was doing this I would see a cute little baby somewhere while i was out and they would smile at me and it let me know it was all worth it.  That's all i needed.  Now my stomach is bloated and I'm in pain but that will subside soon enough.  Chemo in a week.  I'm cutting my hair over the weekend.  I don't want to cut it off. 

Sunday, February 12, 2012

Another Day, another post

Today I took my drafting table down and put it in storage because I won’t use it for a year.  Today it finally all hit me and maybe it’s the fertility treatments that are affecting my emotions (probably).  Today after taking down my table I sat on my bedroom floor and felt my chemo port and looked at my incisions and cried.  Today was the first day I let myself be weak and I know that it will only make me stronger.  Today is another day of the process.

Thursday, February 9, 2012

Fertility

Hi everyone,
Tomorrow I start my fertility treatments to extract my eggs.  I start my ACT chemo treatment the first week of March.  The ACT treatment stands for A-Adriamycin, C-Cytoxan, T-Taxol.  I’ll be receiving treatment for 4 months (once every 2 weeks) and that will be followed by a mastectomy instead of the radiation treatment. We (me, my family and the doctors) have decided this is the best option for me because of the high grade of the cancer and how fast it spread in less than 4 months.  I start the Letrozol for fertility tomorrow then I follow 2 days later with my stomach injections which are supposed to stimulate my ovaries so they can get 12 eggs in one extraction.  I do the injections for 12 days then we extract the eggs for freezing.  This is just to ensure that I can have children after my chemo.  There is a 50% chance the chemo will attack and kill my eggs and force me into early menopause which will make me infertile.  It will be interesting to see how well I do with this whole needle thing by myself. 
Ill post photos soon.  Just kidding J
Oh another thing, I saw another fertility doctor just to get a second opinion because this process is very expensive and a little invasive.  She sat me down in her office and discussed the extraction process.  Then she told me that my priorities have to change and number one on my new list should be to find a mate because I’m 31 and it’s better to freeze an embryo instead of an egg. She told me to think of the best way and location to find a good man because at my age they are all usually married so it will be hard to find. I didn’t blink when she was telling me this. I should have jumped out the window and I bet I wouldn’t have been the first one to do that.  After she was done with her speech I asked her if her fertility package included a free eHarmony or a match.com membership then I told her that I will not be needing her services......Thank you and good day!!! :-D
-Carina

Sunday, February 5, 2012

Surgery Pictures

In the prep room before surgery.
My chemo pert implant
My mammogram

After the biopsy


Recovering

My surgery bra/bullet proof vest




The Break Down

Hi Everyone,
Okay here is the break down.  On January 18th 2012 I was diagnosed with stage 1, grade 9, triple-negative breast cancer.  The doctor tells me "a triple negative breast cancer diagnosis means that the offending tumor is estrogen receptor-negative, progesterone receptor-negative and HER2-negative, thus giving rise to the name triple negative breast cancer. On a positive note, this type of breast cancer is typically responsive to chemotherapy."  I start chemo at the beginning of March.

Here is how it all started.  One day I was adjusting myself in my bra, as women do all the time because bras get uncomfortable, and felt a lump about the size of a grape.  I thought to myself it was weird but not solid and hard like they teach you in grade school so I thought nothing of it.  Later that week it didn’t go down so I asked my mom to feel it and see what she thought.  She said sometimes when your hormones are not normal it can cause swelling and lumps but she asked me to get it checked out anyway.  I made an appointment to see my doctor in Malibu on a Friday but on that day 2 hrs before my appointment i called to confirm my time and they told me they no longer take my insurance anymore and I would have to pay $350 to get checked.  I cancelled my appointment and was going to wait for it to go down because I was sure it was nothing. Besides I had just been to the doctor 4 months before that where the doctor felt nothing.  Sunday rolled around and it had gone down a little so I wasn’t rushing anything but my mom begged me to go just for peace of mind so I went to Malibu urgent care January 15th.  Dr. Jill Ferguson seemed sure it was something that needed to be checked asap and sent me to LSG Imaging the next day for my first mammogram. 

I saw Dr. Ross Goldberg Monday January 16th.  The right breast didn’t hurt when clamped it but the left one was so painful.  The nurse said that was a good that usually tumors don’t hurt so pain meant just a lump from hormones.  She left me in the room while she showed Dr. Goldberg then came back and they rushed me into the operating room where they did the biopsy.  I laid back on the table while they stuck me 3 times with the numbing medicine and stuck a long thick biopsy needle in my breast to get three samples. To extract the tissue it sounded like a stable gun so I turned my head and tried not to watch. It was very painful and made me cry (not normal for me) but it was necessary. I wish I could forget that.  Dr. Marjorie Fine from Saint Johns hospital was notified about my tumor finding and waited at her office to talk to me asap about removal and what steps to take if it was malignant or benign. (I Love her) She was off when they called and she waited for me out of the goodness of her heart.  Amazingly she calmed my nerves and that is when I surrendered all worries and fears.  I can’t explain how important having a connection with your doctor makes all the difference.  2 days later I got the call that I have BC so I went home to be with my family and figure out what to do next.  I made an appointment the next day to see what’s next on the list of tests and how to fight this.  I was rushed from one appointment to the next surgeon to oncologist to MRI testing etc. that I couldn’t get any rest to digest what I was told a few days before.  My oncologist at Saint John’s Dr. Sean Fischer told me that I will need chemo for 4 months where I will lose my hair and become very weak and possibly very sick but it effects everyone differently so I’ll play it by ear once chemo starts. I have been prescribed the ACT chemotherapy to fight my cancer. He informed me that chemo attacks weak cells and fast growing or multiplying cells and that is why the hair follicle is attacked which causes the hair loss.  Also my eggs are attacked which has a 50% chance to cause early menopause which would cause me to become infertile.  I have the option to take a pill through chemo called Lupron that will cause my ovaries to become dormant and not produce eggs until the chemo stops and/or to get fertility shots then extract and harvest my eggs just in case the Lupron doesn’t work.  Lupron forces my body into early menopause until I stop taking the pill. I have chosen to do both because I know I want kids.  Insurance doesn’t cover this but the LiveStrong organization has created a resource for cancer patients called Fertile HOPE where they cover $5,000 for medicine and extraction. 

The day of the surgery my mom, dad and Lori (Dads girlfriend) all came to support me at the hospital which made me feel great :-).  Later my aunt Nancy came to support me and the family which was very loving and made me feel supported.  First we signed all the paper work which also included my power of attorney packet just in case I die or become a vegetable during surgery. That was weird.  My parents were very nervous but acted like they weren’t.  While the nurse prepped me my parents stood at the foot of my bed which made me nervous so i asked them to sit.  All I could think about was how I could ease this process for them because I knew this was the hardest thing to go through for them.  I could feel it.  After the IV they took me downstairs for the wire placements and mammogram to make sure the guide wires where in the right place.  THANK GOD my parents were not in the room because there was a hematoma or sack of blood in my breast from the biopsy so when they put the guide wires in my breast and started the mammogram the blood squirted out then drained all over my body and on the floor.  It even got on my back which I’m not sure how that happened.  My gown was all wet. My parents would have passed out if they saw me.  I looked like Carrie White from the movie "Carrie" minus the bloody hair and face :-) The nurse knew how worried my folks were so she cleaned me up so fast.  My mom came in the room 2 seconds after the nurse was done.  Perfect timing.  I was in surgery from 1 until dark but prepping started at 9am.  My mom felt better being next to me in the prep room but once I had to go into surgery she went into the waiting room and cried the whole time.  When I woke up it was dark outside and I felt fine.  They let me sleep for 2 1/2 hours before I left to make sure I was okay.   My dad slept over at my house on the couch just in case I needed anything. The pills were amazing but they only lasted for a few hours so after I fell asleep I woke up in a lot of pain and couldn’t move. I cried again until the meds kicked in but I had to take an Ambien to knock me out.  For the next few days I couldn’t move my arms or lift anything and I also got this groovy bullet proof looking bra stained with blood to wear for over a week until I saw the doctor again to go over my surgery results.  From the date of diagnoses to the surgery recovering days I have gotten so much love and support that it has lifted me and my families spirits through the whole process. I am blessed.

The next doctor visit was a week after surgery and both my parents were there.  After a diagnosis like this you are asked to bring someone with you because you are in shock and need another ear for the stuff you miss (which is a lot because your brain is mush).  Dr. Fine told me that they removed 6 lymph nodes which all came back negative for cancer which means the cancer didnt get a chance to spread since we caught it so fast.  She also told me that the cancer was 1.8cm and the surrounding area had a "high nuclear grade, (which we knew already) with a widespread extension into lobules, extending over 5.4cm (about 2.1 inches) and close to the posterior inked specimen edge."  This means the cancer was so fast growing that the area around it was irregular which needed to be removed as well.  Since the cancer grew so fast she recommended a full mastectomy (full breast removal and reconstruction) and a brca gene test to see my genetic cancer risk and if it’s possible for me to pass this gene to my children.  I have chosen to schedule my mastectomy for a month after my last chemo treatment in about 6 months.  Removing all the tissue will result in no radiation which I've been told burns and scars.  Before this all happened I was self-conscious about my breasts and always was wanted them to look better maybe get them surgically enhanced.  After all of the tests and needles/surgery I see them differently.  Ladies love your breasts no matter what they look like because they are a part of you.  Now that I will be losing mine it breaks my heart to say good bye to a part of ME.  Embrace your body and cherish it because it’s all you got.  Take care of yourself and always remember life is a gift. 
I am doing everything in my power to get better but I know it’s going to be tough.  I will come out of this a better person and will have grown a lot. It’s overwhelming though so sometimes I can’t respond to everyone or call all the time.  I love all of the support.  Thank you everyone for being there for me.  I’m writing this blog to keep my concerned friends and family updated.  Keep in mind I have never blogged a day in my life so forgive me.  Ill post photos of myself through this so you all can see what this does to my body.
Monday I start injections for harvesting.  It all started January 18th and from then on life will never be the same.  I WILL FIGHT THIS AND I WILL SURVIVE!
With love,
Carina

Saturday, February 4, 2012

Im so tired!! to be continued.............

My first Blog is going to be a short one.  I have been getting poked, tested and stuck so much with all of these doctors appointments, tests and surgery that I'm so exhausted.  My body is still healing from the surgery and there is still a lot of bruising.  Ill share pictures of my body post surgery tomorrow after I wake up.  Ill also catch you up with my diagnosis once I have gotten a good nights sleep. 
Ambien take me away.