FEC-T Chemotherapy: sore veins: advice please!!?? thank you

I've been reading threads old and new on this site for a few weeks now, some sad, some humourous, some heartwarming, ALL useful. I'm not usually one for talking to people I don't know, but I really see the benefit in sharing experiences and the support people give on here is inspiring and humbling.

I found a lump in my breast a week after a trip of a lifetime to India to celebrate my 50th later this year - SO strange because I had literally never felt as well as I felt then, for years! was whisked through the process at lightning speed, scan, biopsy, sentinel node followed by lymph node clearance. Now on my second cycle of six FEC-T (three FEC, three Taxotere) and although it has been mentally and physically challenging I have been able to console myself with the accounts of others and reassure myself that it is do-able - so THANK YOU all of you for talking about your side effects and how you are dealing with them, you are all incredibly strong people. I took extra anti sickness tablets the second time round as I ended up back in the unit on a drip on day 2 as I couldn't even keep the water down to take the tablets! :-( this time I felt rough but wasn't actually sick so they did the trick.

My question/current concern is this, my chemo arm is incredibly painful and i understand its damage caused by the drugs effectively scorching the veins? It's not until I try and straighten my arm that the pain is excruciating but I wondered if there was anything anyone could say to help me cope as I've got four sessions left and I'm worried I won't be able to straighten my arm when it comes to taking bloods. I think it's probably right to keep trying to stretch it out but it almost makes me cry so I avoid straightening it. Just another battle in this war against the side effects of the treatment - I am counting the days till it is over.

Thanks in advance for any comments :-)

Gina

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  • Hi Gina .... firstly well done for getting through the treatment thus far and good news that it will all soon be over for you. I had terrible problems with my veins and the doctors fitted me with a portacath in my chest for infusions and bloodtests - and its wonderful!  Saying that, my treatment is ongoing and it is a permanent fixture for me. However, I just wondered if you could ask your oncologist/chemo nurse if there is anything similar that is used as a temporary measure - could they put something like a hickman line in the chest. Obviously, I have no idea how these things work and if it requires surgery to be fitted or if there is a line that can just be put it and flushed regularly. May be worth the question though. Good luck with everything x

  • Max

    Thank you for your reply I've seen your name so often on this site - your story has had a huge impression on me I am so in awe of your supportive approach despite your own illness.

    I'm not sure if they will do anything at the hospital with regards to putting a line in - i think as you say that if i've 'only' got four sessions left I might just have to tough it out. But I will ask :-) I'm going to try sitting with a hot water bottle and see if that makes extending it any easier. It doesn't help that the other arm is still compromised because I've still got quite bad cording but the physio seems to be helping progress there although sideways movement is still very restricted and tight. It's all the 'extra' things that get to you, and there are more the further through the treatment we go.

    As has been said on here it's often difficult to get the right support from friends/family as they (quite understandably) don't know the right things to say. I feel as though i'm complaining if I talk to them about any problems because they know me as a strong person so they expect me to sail through it. And I don't like to worry people.

    I've got a daughter in her second year at Uni who has been lovely and texts/calls me all the time, and a son in his first year who has been... well as supportive as an 18 year old boy can be! it's actually quite amusing to watch him dealing with life after he's spent the last seven years in his bedroom. Bet he will be proud of me and my new cyber activity!

    Apart from that it's just me and my dog Toby who is loving the fact that I'm at home all day with him although he's a very active springer who pulls on the lead so I'm not able to walk him locally I have to drive him somewhere and let him out of the boot like a bullet!

    So it has been a great source of comfort to me since November to read through the moving conversations and friendships made on here.

    And this is my 'good' week so I need to get out there and make the most of today's sunshine and go for a walk - with, obviously, my best friend the beanie hat!

    I hope things are stable for you at the moment

    Gina xx

  • Hi Gina,

    You're not harping on at all! We all have big decisions to make regarding our treatments and if we can use our experiences to support each other, then so much the better!

    I can assure you that other than that initial little 'scratch' I felt absolutely nothing. I'm not particularly squeamish, but I chose not to watch the procedure, preferring to look the other way. I was surprised how quickly it was done too!

    As for the 'getting in the way' question, the business end of the line was covered with a gauze and then taped down onto my arm. Mine was positioned just above the actual crook of my arm so bending it wasn't an issue.

    In the first few days, I was a bit protective of my arm (like you are when you've had an injection) but as time went on I became less protective, but I still remembered it was there so that I didn't catch it. It was in my left (none dominant) arm.

    The hospital supplied me with long, waterproof gloves to wear whilst showering/bathing as you shouldn't get the line wet, and I used to wear the glove and secure it at the top of my arm with a hair bobble! I also invested in a plastic sleeve contraption from Boots (a tube with drawstrings at each end that you use to protect a plaster cast) it was £5. But that was just me being ultra cautious. (I'm thinking of using it now to store plastic bags from the supermarket in! It looks like that sort of thing!)

    With hoovering, the nurses advised not to do 'repetitious' sort of movements with the PICC line arm, but I just hoovered with the other arm.  Same with the shopping bag - I have a short strap handbag so I just put it on the other arm - I'm right handed anyway.

    I hope this is helpful, Gina. The nursing staff will go through it all with you and give you more detail than I have, but it enabled me to have treatment at home, plus no more canulas and the fortnightly 'hunt the vein' game!

    Please let me know how you get on.

    Take care, Jo xx

  • Hi Gina

    It looks like you have received some great advice on this thread. I just thought I would link you to our patient information on PICC lines in case it answers any questions you may have.

    Don't forget too that you can call our nurses for a chat about how it might affect you day to day.

    You can contact them on: 0808 800 4040 from Monday to Friday, 9am to 5pm.

    Calls are free from UK landlines and most mobile networks.

    Best wishes

    Jane

  • That's fantastic, thank you so much you've really helped me :-) advice from nurses is great but to hear it first hand is very reassuring. I'll let you know how it all goes but I have to say I'm not worried now, thanks to you :-)

    Gina xx

  • Hi Gina,

    You are very welcome. The nurses will also explain the possible 'down sides' to it (things to look out for like infection around the entry site etc) and at first I confess to being a bit paranoid about it, especially as my partner was doing the flushing and dressings!! I soon relaxed though and had no problems.

    Jo xx

  • Hi Jo

    Well that was an interesting day! The specialist nurses I spoke to about the PICC line asked me who my consultant was and told me that she is the only one of them all who is not keen on them. So that made me feel better - she didn't say no, at least. And the nurses were lovely. It was a bit of an experience, I got a heart palpitation while they were putting it in and that made me panic a bit.  I'm a worrier so it was probably just anxiety, although I'm still aware of an irregular heartbeat - but that could be the drugs. Which while I'm on the subject, went in like a dream :-) right decision!!

    I've got a big goodie bag of dressings etc and the district nurse is coming tomorrow. I'm still aware there's something there but it did bleed quite a bit so it will probably settle down in the next few days.

    My daughter Sophie is paying me a flying visit from Uni on Thursday so hopefully any side effects will have faded a little by then. Although I'm almost scared to say I'm not feeling too bad at the moment so here's hoping it will be an easier ride than previous sessions :-)

    The weather has been lovely today, I hope we get a bit more sunshine from now on, it makes us feel so much better. I'd like to get out for a decent walk as soon as I'm back up to speed this week.

    Half way through... whahey! Heard some not-so-nice things about Taxotere so I'll probably be asking questions as my FOURTH session approaches, but for now I'm as happy with the world as I can be.

    I hope all is well with you Jo, lots of love

    Gina xx

  • Hi Gina,

    So glad to read your latest post and that the picc procedure went ok - though I can imagine that the heart palpitation would have caused you a little panic.

    I know what you mean about the goody bag! My partner was given extra pairs of sterile gloves as he has big hands, so we still have a few spares in the medicine cupboard!

    We had good weather here today too, but I couldnt really enjoy it and get out walking as it was my first day back at work after 6 months off!

    I'm having a phased return, so hopefully I'll manage to get to Thursday afternoon without falling asleep under the desk!

    Enjoy your daughter's visit on Thursday (I have a Sophie too!   ) and I'm sure you'll be feeling even better by then; it's great to read how 'up' you're feeling.

    Take care, Gina and please keep in touch with how things are going,

    Love and hugs, Jo xx

  • Hi Jo

    Wow back to work! what a step towards 'normality' for you! I hope it's not too exhausting a week. I am hoping to be in your situation by July all being well, thought I might be able to juggle radiotherapy with a phased return but on reflection and reading that it can be quite tiring I think I'll wait till it is done and dusted. It's only that my six months full pay is up in June but money isn't the only consideration here is it? And my biggest hope is that the treatment can be all wrapped up by mid July as that's my 50th birthday - what a celebration I will have if the timing works out!

    I've had an uppy-downy couple of days, was on a bit of a high after Monday and so pleased not to be feeling too many side effects. But the cold that started last week took hold over the weekend and I ended up with a really bad cough which I was concerned about and the chest pain wasn't going away so I called the unit this morning and went in to be checked over. They pulled the line out by 2cm as they said it may be in just that little bit too far, not uncommon apparently and can cause irritation. Got some antibiotics for the cough and came away happier. Three hours out of the house has wiped me out though so I've had an afternoon on the sofa!

    Go steady and pace yourself whilst you adjust to your new routine. It's so important not to do too much although the fact that you can ease yourself in says you have an understanding employer which is invaluable.

    Love Gina xx

  • Hi Gina,

    I think you're very sensible to wait until after your radiotherapy finishes before you head back to work. From a practical point of view, I would have had to go into work 'late' every day for the 5 weeks of my treatment. But it did make me tired and also my skin became very sore (pelvic radiotherapy) and I was literally unable to sit down for a fair few days! Seems funny looking back, but not so at the time!

    I really hope your treatments will all be done and dusted for your special birthday in July! What a fantastic month to have a birthday! My 50th is early next year! Not exactly BBQ party weather!

    Well, I've made it to Wednesday and actually taught all day today! I confess to feeling whacked though! Only a half day tomorrow, but it's World Book Day,  so the staff and children are dressing up! I'm going as Mummy Bear! Very easy with a bear onesie and a floral pinny haha!

    Probably not the best costume choice for a menopausal women though!

    So sorry that you're not feeling on top form. I hope the antibiotics soon kick in and your cough eases.

    How was your daughter's flying visit? Or did you have to cancel with your medical appointments?  (glad you got your line checked though)

    I'm not surprised you were wiped out this afternoon! The trip out, plus the cough and cold will be taking its toll, so give in to your body and if it says 'rest' don't fight it!

    I'm taking some of my own advice and settling on the sofa for a few TV programmes (if the eyelids hold up!)

    Take care, Gina, and hope to chat soon,

    Love Jo xx

  • Hi Jo

    Hope you are getting the chance to recharge those batteries over the wekend.  How did Mummy Bear go down at school? I think I would struggle with the toillet breaks, stuck in a onesie all day!

    So much for my positivity this week! I nose dived on Thursday unfortunately. I don't know whether it was side effects, flu symptoms or what it was but I started to feel really achey, which I have read about but had not until then had any experience of - luckily, it would seem! I managed to get through the day and spent some time with Sophie, which was lovely - she is putting all her efforts into trying to get a placement next year to complement her Uni course. She does think about me but I'm glad that she has so much going on as I don't want her to dwell on things too much - she told me that she doesn't worry too much as I have reassured her that it's all under control - how did I manage that, I wonder, and why can't I reassure myself!!

    Anyway I woke up on Friday and literally couldn't move - I know you will have read all this before Jo! but it's a blow to cope with yet another unexpected side effect. The three sessions I have had so far have all been entirely different. Not easy to prepare for emotionally and I have to admit to being a bit of a zombie yesterday. In some ways being on your own is easier because you can shut yourself away and not have to pretend you're better than you are, but in other ways it's tough without a little bit of support. My friend brought me 'meals on wheels' at teatime which was a godsend - she was my guardian angel.

    But today is better :-) I am going to spend the weekend getting my strength back up and hopefully can try and pick up some normal activities next week, the weather seems to be getting better too.

    On the plus side, no problems with the PICC :-) and I'm going to start looking at flights this week as I'm hoping to be visiting my stepsister in Portugal in September - she retired out there a while ago and we skype a lot but \i've never been.

    Something to look forward to :-)

    Enjoy the rest of the weekend and hope to hear from you soon :-)

    Love, Gina xx

  • Hi Gina,

    I'm really sorry to read how you've been feeling. I wasn't aware of the side effects you are experiencing - presumably different types of chemo brings different side effects and the oncologists only alert you to the ones you are likely to encounter?

    Although as you say, it may be unrelated to the treatment and you have a virus of some sort. I hope you soon start to feel better - this weather should help raise all our spirits

    Your Sophie's approach to your illness sounds a lot like my Sophie's. We've obviously done a good job with our girls hehe!

    I've recently adopted my Sophie's philosophy of 'Not worrying about things outside of my control' and I am getting better at it. Wish I'd practised it sooner!

    I managed to get through work and Mummy bear was a great hit! Especially as there was a baby bear and Goldilocks in the class I was in!

    I was 'knowledgeably' informed by Goldilocks that "Daddy Bear must be out hunting!"

    Your friend does sound like a guardian angel! How thoughtful to bring you a meal. I hope you feel able to ask for support from friends. (asking for help is something I struggle with.)

    I hope you have a better week and manage to gain some strength, but take it steady; Something I'm trying to remember as I head back to work tomorrow!

    I always tend to try to run before walking!

    Happy flight hunting too! I've never been to Portugal either. It's always a bonus having family living in other countries as they can show you the sights!

    Well, I'm beginning to struggle putting sentences together and I don't want to subject you to indecipherable tripe so I'll sign out. (I can't blame my wooly head on the chemo anymore!   )

    Take care, Gina, and enjoy some sunshine, chat soon,

    Love Jo xx

Reply
  • Hi Gina,

    I'm really sorry to read how you've been feeling. I wasn't aware of the side effects you are experiencing - presumably different types of chemo brings different side effects and the oncologists only alert you to the ones you are likely to encounter?

    Although as you say, it may be unrelated to the treatment and you have a virus of some sort. I hope you soon start to feel better - this weather should help raise all our spirits

    Your Sophie's approach to your illness sounds a lot like my Sophie's. We've obviously done a good job with our girls hehe!

    I've recently adopted my Sophie's philosophy of 'Not worrying about things outside of my control' and I am getting better at it. Wish I'd practised it sooner!

    I managed to get through work and Mummy bear was a great hit! Especially as there was a baby bear and Goldilocks in the class I was in!

    I was 'knowledgeably' informed by Goldilocks that "Daddy Bear must be out hunting!"

    Your friend does sound like a guardian angel! How thoughtful to bring you a meal. I hope you feel able to ask for support from friends. (asking for help is something I struggle with.)

    I hope you have a better week and manage to gain some strength, but take it steady; Something I'm trying to remember as I head back to work tomorrow!

    I always tend to try to run before walking!

    Happy flight hunting too! I've never been to Portugal either. It's always a bonus having family living in other countries as they can show you the sights!

    Well, I'm beginning to struggle putting sentences together and I don't want to subject you to indecipherable tripe so I'll sign out. (I can't blame my wooly head on the chemo anymore!   )

    Take care, Gina, and enjoy some sunshine, chat soon,

    Love Jo xx

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