had my first appt

Posted by MommaCandy @mommacandy, Jan 27 8:19pm

well i gotta say, i'm a little overwhelmed.. i finally got an appt with UVA, was supposed to have been Jan 31...they called last Mon asking if I wanted to take the cancellation on Wed...ABSOLUTELY!!! so i went in on Wed, had initial consult, exam etc and boy did they move from there...which i guess is a good thing....
yesterday i had lab work done, a chest xray, CT scan with contrast AND a biopsy all in one day...i'm TOLD one of the samples from the biopsy will be going to Mayo...idk why....but hey i'm ok with that...
they have me scheduled for a "total abdominal hysterectomy, bilateral salpingo oopharectomy, omentectomy, tumor debulking, possible bowel resection/possible colostomy and all other indicated procedures" ...Thats taken straight off the consent form i signed...basically from what i understand they are emptying my pelvic cradle of anything to do with reproduction, a fatty tissue layer, any lymph nodes in the area and all spots of any kind of tumors...
depending upon what the biopsy shows i guess as to the KIND of ovarian cancer it will determine whether they prefer surgery first or chemo first. the two chemo drugs being looked at carboplatin and Paclitaxel or something like that.. anyways, they ran a CA-19 which came back at 7 and a CA-125 which came back at 1536
so just waiting on CT and biopsy results...
so has anyone has this detailed of a surgery (Dr called it a radical hysterectomy) and can give any tips? as it is, it may still be postponed but trying to prepare mentally...

Interested in more discussions like this? Go to the Gynecologic Cancers Support Group.

@mommacandy

Soooo Dr called with reports etc...the cancer is too widespread to do surgery currently (stage 3) so chemo it is...not what i wanted to hear but so be it...i start that on the 14th...get port in on the 13th...i'll be doing Carboplatin and Paclitaxel..i've been told mouth sores are a common side effect...i'm HOPING i can avoid that...(i remember how badly they affected my mom) any suggestions on that? is there foods to avoid that might make that worse? (obviously i'm guessing citrus and tomato products but idk thats why i'm asking)
I'm planning on getting my hair cut short this weekend so hopefully it won't be quite so traumatic to wake up with gobs of short hair on the pillow as it would have been to wake up to gobs of waist length hair...they told me i will have lost all my hair likely within 2 weeks...how did yall deal with that???
Also i talked to a cousin of mine who's done a lot of genealogy and he told me that there actually 8 of them diagnosed within a 2 year span of each other running 87-89 and it was 4 in the office that morning the genetic connection was suspected and the 5th came in that afternoon.. which is why i couldn't remember specific numbers lol

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Regarding hair, my experience with carboplatin/paclitaxel was that it started falling out at the 2 week mark and was not presentable by about 4 weeks. I got it cut pretty short before starting chemo, but it still made a real mess (mostly while I was washing or combing it, but also hair all over the place.). I'd suggest leaving it until it starts falling out and then taking the clippers to it. As short as possible. That's what I did on second go round.

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@val64

Regarding hair, my experience with carboplatin/paclitaxel was that it started falling out at the 2 week mark and was not presentable by about 4 weeks. I got it cut pretty short before starting chemo, but it still made a real mess (mostly while I was washing or combing it, but also hair all over the place.). I'd suggest leaving it until it starts falling out and then taking the clippers to it. As short as possible. That's what I did on second go round.

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@val64 ,

How are you doing?

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@celia16

@mommacandy ,
I just saw your post. I realize you didn’t want to hear it, but you sound really good. How long will you have chemo? I do hope you can avoid the mouth sores.

Will you be taking time off work? Will someone be able to help care for you?

When they made the comment about losing hair in 2 weeks…were they saying that about starting chemo or that your illness would cause hair loss?

The genetic info is incredible. It had me wondering if I should get it, though I already know that my dad’s side has huge autoimmune issues. I don’t recall any cancers but one and that was my great grandfather who died in late 80s.

I hope you can be feeling better soon. Do you know what to expect with the chemo?

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well i don't work unless you count taking care of my friend who has pancreatic cancer that i've been running back and forth to UVA since Aug 😀 he's finished with chemo til he meets with surgeon on the 14th and we'll see what happens then....and running the clothing ministry we have...and being a wife...and well you get the idea lol...hopefully i can pull in enough help to be able to manage it all...its just going to be a wait and see kinda thing...
My husband is already trying to do what he can to make it easier on me...and my kids will do what they can (adult young'uns) so i think i'm ok there.. just not so sure about the mental support... but anyways...
they've kinda told me what to expect and the hair loss is from the chemo.. she told me it would be gone within the first two weeks max...so been trying to plan accordingly... apparently they're prob going to be going at this with as much dose as possible from what i understand as long as i can take that since its so widespread over my abdomen... which is why they were warning me about the possibility of the mouth sores etc. other than tiredness, that and of course the nausea etc not sure what to expect, they've ordered dexa something or nother to be taken for 4 days after the chemo treatments along with the compazine and zofran i'm currently taking...and the pain meds...its starting to feel like i'm going to be a walking pharmacy...

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@mommacandy

Soooo Dr called with reports etc...the cancer is too widespread to do surgery currently (stage 3) so chemo it is...not what i wanted to hear but so be it...i start that on the 14th...get port in on the 13th...i'll be doing Carboplatin and Paclitaxel..i've been told mouth sores are a common side effect...i'm HOPING i can avoid that...(i remember how badly they affected my mom) any suggestions on that? is there foods to avoid that might make that worse? (obviously i'm guessing citrus and tomato products but idk thats why i'm asking)
I'm planning on getting my hair cut short this weekend so hopefully it won't be quite so traumatic to wake up with gobs of short hair on the pillow as it would have been to wake up to gobs of waist length hair...they told me i will have lost all my hair likely within 2 weeks...how did yall deal with that???
Also i talked to a cousin of mine who's done a lot of genealogy and he told me that there actually 8 of them diagnosed within a 2 year span of each other running 87-89 and it was 4 in the office that morning the genetic connection was suspected and the 5th came in that afternoon.. which is why i couldn't remember specific numbers lol

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Hello @mommacandy !
I made sure I went to the dentist before my treatment began and he said he was so happy I did because most don't say anything and end up with mouth/teeth issues after treatment ends. He highly recommend biotene mouth rinse for dry mouth. I just used the generic brand. He also recommended xylimelts. You place them in your mouth and they stick to your gums or teeth. You can even sleep with them in. They dissolve over time and keep the moisture in your mouth. I was nervous the first time I used them at night but they worked. He also said what you already said which is to limit the acidic/citrus foods.

As far as your hair goes I think it's wise to get it cut short before you start losing it. The day before my appointment I lost a lot in the shower and I could just slightly pull and the hairs would come out. That made me ready to get it cut short. The lady who cut mine said never to shave it completely off because then you end up with ingrown hairs. I was fitted for a wig ahead of time so after she shaved me she put my wig on. I never had to announce to the world that I had cancer. The wig made me feel much more confident. I bought scarves and hats but only wore the hats when I worked on my yard so I wouldn't get my wig all sweaty. My eyebrows/eyelashes were the last to go. I bought a bunch of things for that time but they grew back so fast that I didn't have to draw eyebrows on but a few times! You've got this! Lots of people sending good vibes your way and praying for you!

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@tjperry

Hello @mommacandy !
I made sure I went to the dentist before my treatment began and he said he was so happy I did because most don't say anything and end up with mouth/teeth issues after treatment ends. He highly recommend biotene mouth rinse for dry mouth. I just used the generic brand. He also recommended xylimelts. You place them in your mouth and they stick to your gums or teeth. You can even sleep with them in. They dissolve over time and keep the moisture in your mouth. I was nervous the first time I used them at night but they worked. He also said what you already said which is to limit the acidic/citrus foods.

As far as your hair goes I think it's wise to get it cut short before you start losing it. The day before my appointment I lost a lot in the shower and I could just slightly pull and the hairs would come out. That made me ready to get it cut short. The lady who cut mine said never to shave it completely off because then you end up with ingrown hairs. I was fitted for a wig ahead of time so after she shaved me she put my wig on. I never had to announce to the world that I had cancer. The wig made me feel much more confident. I bought scarves and hats but only wore the hats when I worked on my yard so I wouldn't get my wig all sweaty. My eyebrows/eyelashes were the last to go. I bought a bunch of things for that time but they grew back so fast that I didn't have to draw eyebrows on but a few times! You've got this! Lots of people sending good vibes your way and praying for you!

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thank you so much...the support here has definitely helped give me confidence...don't have to worry bout a dentist since i wear dentures lol...but thats another reason i'm concerned about the mouth sores...i don't want to NOT be able to wear them ...good to know about not shaving the hair completely...my thoughts were if i go REALLY short for a week or so before the chemo treatment i can at least get used to short hair again...its not been short in prob 7 or 8 years at least...and never as sort as i'm getting it short as i am going to do prob Monday...

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@mommacandy

Soooo Dr called with reports etc...the cancer is too widespread to do surgery currently (stage 3) so chemo it is...not what i wanted to hear but so be it...i start that on the 14th...get port in on the 13th...i'll be doing Carboplatin and Paclitaxel..i've been told mouth sores are a common side effect...i'm HOPING i can avoid that...(i remember how badly they affected my mom) any suggestions on that? is there foods to avoid that might make that worse? (obviously i'm guessing citrus and tomato products but idk thats why i'm asking)
I'm planning on getting my hair cut short this weekend so hopefully it won't be quite so traumatic to wake up with gobs of short hair on the pillow as it would have been to wake up to gobs of waist length hair...they told me i will have lost all my hair likely within 2 weeks...how did yall deal with that???
Also i talked to a cousin of mine who's done a lot of genealogy and he told me that there actually 8 of them diagnosed within a 2 year span of each other running 87-89 and it was 4 in the office that morning the genetic connection was suspected and the 5th came in that afternoon.. which is why i couldn't remember specific numbers lol

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Hello MommaCandy,
Your experience sounds very much like mine. I was not a Mayo Clinic patient at first. I started with a local doc in my hometown. Pelvic ultrasound showed no masses. My main cancer burden was in the omentum. First look surgery showed widespread cancer, like sesame seeds throughout my abdomen, the caking of the omentum, but no big tumors anywhere else. So I had 3 cycles of chemo, then surgery, then 3 more cycles of chemo. I, too, cut my hair very short before it fell out, and I think it was easier to handle that way. My chemo was carboplatin, paclitaxel, and Avastin. (This was 2 years ago.) They premedicated me with powerful anti-nausea meds before each cycle of chemo. I feel very fortunate that I had no nausea at all. The only side effects I had were hair loss and mild pins and needles in my fingers and toes.
After the first 3 cycles of chemo, I went for the definitive surgery. He only removed my tubes and ovaries. He did not remove my omentum, uterus, or appendix, like I expected.
I decided to go to Mayo Clinic for a second opinion. I fully expected them to say, “Your treatment was appropriate. We would have done the same thing.” But they didn’t.
The Mayo surgeon said, “Your surgery is what I would have done for an 85-year-old.” (I was 61.) “The surgery you had was BELOW STANDARD OF CARE.” 😳 The Mayo surgeon offered aggressive surgery (removing omentum, uterus, and appendix) plus HIPEC (heated intraperitoneal chemotherapy). I said, “Yes, please.” Afterward, I saw the local guy, and he said, “You could be cured!”
I was so stunned by that, I couldn’t think straight. I wish I had said, “The why didn’t YOU do all this?” I never saw him again. I’ve been with Mayo ever since.
I just wanted to share my story since yours sounds so similar to mine. I hope chemo goes smoothly for you. Before you have your definitive debulking surgery, I recommend asking what they plan to remove. (But if you are seeing a Mayo doctor, they are probably going to be very thorough!)
Turns out, I’m not cured. I am going through chemo again now for recurrence. Same chemo drugs, but worse side effects. Apparently, side effects are cumulative. After the first cycle, I had to be hospitalized for neutropenic fever. Got a bad mouth sore. Everything tasted like wet cardboard. Neuropathy worse. But no nausea, for which I am eternally grateful!
I hope your treatment goes well and that you feel well-cared for.
Take care,
—Laurie

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@lathomasmd

Hello MommaCandy,
Your experience sounds very much like mine. I was not a Mayo Clinic patient at first. I started with a local doc in my hometown. Pelvic ultrasound showed no masses. My main cancer burden was in the omentum. First look surgery showed widespread cancer, like sesame seeds throughout my abdomen, the caking of the omentum, but no big tumors anywhere else. So I had 3 cycles of chemo, then surgery, then 3 more cycles of chemo. I, too, cut my hair very short before it fell out, and I think it was easier to handle that way. My chemo was carboplatin, paclitaxel, and Avastin. (This was 2 years ago.) They premedicated me with powerful anti-nausea meds before each cycle of chemo. I feel very fortunate that I had no nausea at all. The only side effects I had were hair loss and mild pins and needles in my fingers and toes.
After the first 3 cycles of chemo, I went for the definitive surgery. He only removed my tubes and ovaries. He did not remove my omentum, uterus, or appendix, like I expected.
I decided to go to Mayo Clinic for a second opinion. I fully expected them to say, “Your treatment was appropriate. We would have done the same thing.” But they didn’t.
The Mayo surgeon said, “Your surgery is what I would have done for an 85-year-old.” (I was 61.) “The surgery you had was BELOW STANDARD OF CARE.” 😳 The Mayo surgeon offered aggressive surgery (removing omentum, uterus, and appendix) plus HIPEC (heated intraperitoneal chemotherapy). I said, “Yes, please.” Afterward, I saw the local guy, and he said, “You could be cured!”
I was so stunned by that, I couldn’t think straight. I wish I had said, “The why didn’t YOU do all this?” I never saw him again. I’ve been with Mayo ever since.
I just wanted to share my story since yours sounds so similar to mine. I hope chemo goes smoothly for you. Before you have your definitive debulking surgery, I recommend asking what they plan to remove. (But if you are seeing a Mayo doctor, they are probably going to be very thorough!)
Turns out, I’m not cured. I am going through chemo again now for recurrence. Same chemo drugs, but worse side effects. Apparently, side effects are cumulative. After the first cycle, I had to be hospitalized for neutropenic fever. Got a bad mouth sore. Everything tasted like wet cardboard. Neuropathy worse. But no nausea, for which I am eternally grateful!
I hope your treatment goes well and that you feel well-cared for.
Take care,
—Laurie

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"Before you have your definitive debulking surgery, I recommend asking what they plan to remove."
@lathomasmd they have said that once they can get the tumors to shrink a bit they plan on removing basically everything related to the reproductive system, ovaries, fallopian tubes, uterus, cervix, omentum, etc as well as all lymph nodes that are affected in the abdomen/pelvic areas and the nodules they can remove from my liver without endangering my liver. They have said that if they did surgery right now (before chemo) they would not be able to remove all the ones on the liver without endangering it, i would end up with a colostomy and possibly not able to get all the tumors around the small intestines as well an it would endanger my bladder due to large size of one of them pushing on it. Thats why the chemo first. That was the consensus of the "tumor board" (basically all 9 of the gyn-oncology surgeons/doctors in the dept that meet to discuss all the patients biopsies, scans etc to get best care for each one) even though they knew i preferred surgery first... I trust them that they know what is best...they straight up said if the tumors weren't so numerous or large i would have definitely been recommended for surgery first as my overall health is great other than this.
thank you for sharing your insight...it helps a LOT

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i cried last night knowing that was my last night with long hair...i wanted to show you all cause i knew you'd understand..

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@mommacandy

"Before you have your definitive debulking surgery, I recommend asking what they plan to remove."
@lathomasmd they have said that once they can get the tumors to shrink a bit they plan on removing basically everything related to the reproductive system, ovaries, fallopian tubes, uterus, cervix, omentum, etc as well as all lymph nodes that are affected in the abdomen/pelvic areas and the nodules they can remove from my liver without endangering my liver. They have said that if they did surgery right now (before chemo) they would not be able to remove all the ones on the liver without endangering it, i would end up with a colostomy and possibly not able to get all the tumors around the small intestines as well an it would endanger my bladder due to large size of one of them pushing on it. Thats why the chemo first. That was the consensus of the "tumor board" (basically all 9 of the gyn-oncology surgeons/doctors in the dept that meet to discuss all the patients biopsies, scans etc to get best care for each one) even though they knew i preferred surgery first... I trust them that they know what is best...they straight up said if the tumors weren't so numerous or large i would have definitely been recommended for surgery first as my overall health is great other than this.
thank you for sharing your insight...it helps a LOT

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@mommacandy What you described at Tumor Board provides more confidence that all of the options for you were discussed with several physicians with different specialities weighing in. It looks like you have a good plan going forward and you have a good understanding of the recommendations for you.

I know how frightening all of this is as I am a cancer survivor (endometrial cancer). When you start chemotherapy you’ll be surrounded by a care team that will try to make you as comfortable as possible. From what you’ve written here it sounds like you are a good advocate for yourself.

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@mommacandy

i cried last night knowing that was my last night with long hair...i wanted to show you all cause i knew you'd understand..

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Wow! Gorgeous! It looks like you have enough to make a wig. Or two!

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