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Grace Pitzer's Breast Cancer Journey

9/14/2022

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Celebrating Five Years

            It has been five years since my breast cancer diagnosis, surgery, chemo, radiation and starting anti-estrogen drugs, in 2017. I continue to see my oncologist (a new one) and my endocrinologist regularly. They are happy with my bone density scans and are keeping me on Tamoxifen along with some supplemental calcium. Since I am not having any adverse side effects, I plan to stay on the Tamoxifen for the recommended ten years. Research shows that it is very beneficial against reoccurrence.
            Our move to Mary’s Woods in January 2021, has proven to have been a great decision. It is a CCRC – Continuing Care Residence Community with about 650 people living independently and over 100 in the care facilities. We moved in just in time to celebrate our 50th wedding anniversary.
            The Covie-19 pandemic is still with us, but now we are freer to be with people. Paul and I have been fully vaccinated and have remained healthy.
           Looking back, it appears that 2021, and so far in 2022, have been quite busy. Here at Mary’s Woods, I have remained active on the Community Life Committee and planning social events for my building. In the spring, summer and fall of 2021 I took many pictures around campus and published a book titled “My Mary’s Woods,” and sold many copies. I also created two videos, one about Mary’s Woods and the other about the “Olympic Games” we had in the summer. In the fall of 2021, I taught a 10-week class on the iPad where 40 people registered. Then in the spring of 2022, I taught a 5-week class on iPhone Photography. This time I limited registration to 20. I will be repeating this class this fall. Paul is managing his Parkinson’s Disease quite well with exercises every day, including lots of water volleyball.
            In the summer of 2021, I attended an in-person conference with DKG and stayed five nights at the Marriott downtown. It was fun working the conference as a photographer and seeing people from around Oregon and the nation. We had two sets of friends come through Portland as part of their cruises on the Columbia River. Bruce and Wanda stayed overnight with us. We took Tom and Lydia down to the coast on a beautiful day.
            One sad note, at least for me, was that when we went to Green Valley, Arizona as usual for the winter, we sold our place that we have had for 20 years. We have enjoyed going there every year and made many friends. The good thing is that my connections with the camera club continue.
            So, I am happy to report that I remain healthy, happy, and busy, with no evidence of disease.
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Went to UofO Game with Melanie
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Wanda and Bruce
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Tom and Lydia at Canon Beach
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House we sold in Green Valley, AZ
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Grace's Breast Cancer Journey

5/26/2021

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Celebrating Four Years

This has been the weirdest year in many ways, especially with everything shut down due to the Covid-19 pandemic. It has been four years since my breast cancer diagnosis, surgery, chemo, radiation, and the subsequent anti-estrogen drugs in the summer of 2017.
            At the end of my post a year ago, I mentioned that I had been accepted as a patient by an endocrinologist who specializes in bone density loss. My last scan had shown a significant loss in the density of my wrist, so my medications were changed. I discontinued the Aromatase Inhibitor Letrozole and switched to Tamoxifen and Alendronate to build back bone density. The results of my August meetings with her, and another bone density scan, determined that I had had a faulty test earlier, which led to my unneeded medication changes. I have been left on the Tamoxifen, but dropped the Alendronate, and my bone density is normal for my age. I have tolerated the meds with no side effects.
            We spent the summer and fall of 2020 secluded to protect ourselves from the virus. We watched many wildfires close to Portland causing many bad air days. In the fall, our neighbors decided to move to Mary’s Woods at Marylhurst, which is a lovely Continuing Care Residents Community just south of Lake Oswego. In October Paul got a dual diagnosis of prostate cancer and Parkinson’s Disease. Since we had planned to make the same kind of move as our friends, we decided this was the time, and followed them to Mary’s Woods. When we first saw the apartment we liked, I told Paul that I would like to be moved in and settled by our 50th Anniversary on January 30th. We succeeded.
            So, in January we downsized, sold our condo, and moved. Paul completed his radiation treatments for the prostate successfully. Both of us are attending support groups, on campus, for the Parkinson’s patients and caregivers.
            In May, as the pandemic is getting under control, and as we have been vaccinated, we are increasingly sure that this is the right place for us. We are enjoying meeting other residents without masks. I’m finding that there are other Beaverton teachers who live here. I also met for coffee with a resident who was a volunteer in my Breast Cancer Support Group from St. Vincent. The saying “It’s a Small World” seems to apply here at Mary’s Woods.
            I am starting to teach some iPhone Photography here at Mary’s Woods, and have joined the Community Life Committee as my building representative. This committee plans the “fun stuff” on campus. The campus is beautifully landscaped, with many lovely gardens and paths leading all the way to the Willamette River. The residents and staff are all very friendly.
            And, through all of this, I have been a Zoom Master for several groups and all my state DKG events and the rehearsals leading up to them.
            I continue to be examined every six months and am deemed cancer free at this point. At least I am “Dancing with NED;” No Evidence of Disease.

That is all for now. Check the main website for other activities.
Grace
Click on pictures to enlarge.
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Grace
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Grace and Paul in the Sunflower Field
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Condo Front Porch
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Mary's Woods, Our New Home
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We Eloped 50 Years Ago
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Scheduled Wedding
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Grace's Breast Cancer Journey

5/5/2020

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Celebrating Three Years

It has been three years since I was diagnosed with breast cancer and had a double mastectomy on May 10, 2017. That was followed by chemo and radiation. Details are available on previous post.

I’m happy to report that I’m doing quite well. The transitions off of Letrisole, which was causing bone density loss, and onto Tamoxifen, a different anti-estrogen drug, have gone smoothly. The only side effects from either of them have been a few hot flashes: none that last long or are frequent and mostly at night. I am now also taking Alendronate, which is a bone density builder.

We did take a three-week trip to Ireland in Sept./October, 2019 and really enjoyed it. The fact that it rained much of the time did not stop us as we are Oregonians. The third day after arriving, however, I tore a cartilage in my knee, so I spent the remainder of the trip on crutches. I didn’t let that slow me or the others down. It seems to have healed and is not giving me any trouble. I did have to quit my aerobics class that I had been taking and transition to working out on machines in the gym.

Since the middle of January we have been at our place in Green Valley, Arizona. I was able to teach all eleven of my classes at the camera club, all but one of them on iPhone Photography. They were very popular.

Then came the Covid-19 virus and everything changed. I have to say being here isn’t as much fun as it is when we don’t have to stay home and we can meet with friends or go to the pool. We plan to return to Portland mid May. By then we will be really tired of the 90 -100 degree weather.

In July I am scheduled to see my oncologist for my 6 month exam. I have also been accepted as a patient by an endocrinologist who specializes in bone density loss, and I will see her in July as well.

I will report back in a year unless there is something noteworthy to share.

That is all for now. Check the main website for pictures and other activities.
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Grace's Breast Cancer Journey

9/6/2019

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Celebrating Two Years

It has been two years since I was diagnosed with breast cancer, March 23, 2017. I had a double mastectomy on May 10 with no reconstruction. The pathology was estrogen responsive positive (ER+) and progesterone and HR2 negative (PR-. HR2-.) My Oncotype DX Genomic test showed I would benefit from chemotherapy, so I had 4 sessions, 3 weeks apart, in July and August, and 28 daily sessions of radiation in October through November.

On December 1, 2017, I started taking Letrozole, which is an Aromatase Inhibitor that does away with the rest of the estrogen in my body. This is a medication they want people with estrogen positive tumors to take for at least five years: ten is better.

Now to the present. In July 2019 I had my biennial bone density scan. Two years ago my level had dropped to what they call osteopenia, which is below normal, but probably fairly normal for a person my age. This year, the scan of my femur and hip were about 1% lower, but my wrist and lower arm were down 10%. That was significant. Since the Letrozole I had been taking for a year and a half, causes bone loss, my oncologist  immediately stopped me from using it. There is another class of drugs they called Tamoxifen, which will actually build bone density while giving cancer protection. It is usually used for pre-menopausal women, but can be used by anyone. She ordered that one for me. I took two weeks off between the two drugs and then started the Tamoxifen on August 21, 2019. I had thought I was getting by well, with few side effects on the first drug - just a few hot flashes. Now, who knows how the new one will affect me. If there is one thing I have learned from going to the Breast Cancer Support Group at St. Vincent, is that no two people react the same to medications. All I can do is hope for the least and most tolerable side effects.

Then, there is the issue of the bone density loss. My primary care doctor wants me to go on Fosamax, which builds bones back. I didn’t want to start two meds at the same time as both have known side effects, so I asked if I could wait until we return from Ireland in the middle of October before starting the Fosamax. Not a problem, and probably a good idea. In the mean time, I will research another bone med that is done by infusion once every six months. That is the one my sister is on so looking into it could benefit both of us.

Other than all of the above, I am doing quite well. Nothing has changed my positive attitude on life, and I keep involved with my photography and maintaining five websites, including this one, and enjoying friends and family..

I’m working with my neurologist to figure out how I can get more sleep, and not get out of bed between 3-4:00 am. The good thing is, I usually go back to sleep in our recliner. I am still attending an aerobics class three times a week, and trying to walk the other three or four days. I’m not sure what is causing sporadic fatigue, but could be the meds, lack of sleep, or just age. I don’t want to admit that one.

My pacemaker keeps on doing its thing; actually working about 75% of the time to keep my pulse from going below 60 bpm.

Paul and I have managed to do some traveling this last year. We were in Green Valley, AZ for the fall of 2018 and then back for the winter of 2019. I again taught a number of classes at the Camera Club there.

This summer we took a tour that started in Yellowstone and then went through the Canadian Rockies. It was a good trip, but a bit rainy so we didn’t always see the mountains.

Right now, Paul and I are looking forward to a three week tour of Ireland. As a result of its timing, we will not be going down to Green Valley this fall, like usual, but plan to be there for the winter and spring of next year.

I look forward to another pretty smooth year. I am trying not to take time for granted, and to make the best of it. Time and life are precious, and that was brought home to me recently when I lost a good friend to cancer.

I’ll try to post an update in a year, or sooner if anything noteworthy happens. My motto is still "No Regrets."

That is all for now. Check the main website for other activities.
Grace
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Old Faithful in Yellowstone
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Falls in Yellwstone
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Lunch in revolving restaurant in tower, Calgary
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Bow Falls, Banff
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Ready for a mine tour
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On top of Sulphur Mountain after gondola ride; Banff
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Lake Louise
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Athabasca Glacier, Columbia Ice Field
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Spirit Island in Maligne Lake
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Grace’s Breast Cancer Journey

7/23/2018

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Celebrating One Year Mark

Looking back, it seems like it was a long time ago when I was diagnosed with breast cancer on March 23, 2017 followed by a double mastectomy on May 10, 2017. The following four sessions of chemo in July and August went about as well as they could. (Read previous posts for the specifics.) I managed twenty-eight daily sessions of radiation in October-November without getting burned or having excessive fatigue. However, I’m sure that many of these memories are fading, which is a good thing.

Since my cancer type was Estrogen Responsive Positive (ER+), and all the other types negative, I need to take an anti-estrogen medication for 5-10 years. The Aromatase Inhibitor I have started is Letrozole. It is one of three types in this class of drugs, and so far I have not experienced any adverse side effects other than HOT FLASHES. Wow, I thought I was done with them long ago. Fortunately, they don’t come too often or last too long.

I am also happy to report that in February-March I was back teaching classes at the Green Valley Camera Club. When we returned to Portland, I took advantage of some photo opportunities that included tulip fields and a walking iPhone class offered by Apple. We also attended a Timbers soccer game when the Providence Cancer Institute provided me and fellow survivors with four tickets. We enjoyed the company of our friends Alberto and Shannon.

I have now passed the one year mark, and have seen all my appropriate doctors. They have all given me a good report. I see my oncologist, Dr. Acheson, in six months and the others in a year.

To celebrate, I plan to do the Komen “Walk” for the Cure here in Portland on September 16, 2018, and am hoping some of my friends will join me.

We will also be back to doing some traveling this summer, so watch for posts about eastern Canada on my Travel Blog.

Thanks go to my many friends who have been so supportive through this whole experience.

That is all for now as I am back to a normal life and hoping that my motto of “No Regrets,” where I did everything recommended, will pay off.

Grace
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Grace's Breast Cancer Journey Continues

12/28/2017

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End of Radiation and On With Life!

Wow, what a year 2017 has been. It definitely had its high and low points, but the good thing is that it is ending on the up side.

To do a brief recap: the year started with our going to Green Valley, AZ in January followed by a two week trip to Cuba in February. That was when I discovered a lump in my armpit. The end of March I had it biopsied and it was diagnosed as a lobular carcinoma. Since we were scheduled to leave in two days for a two week photo expedition cruise around Baja, California, we were encouraged to go. It was a great distraction. (See photos under Photo Gallery menu above.)

We returned to Green Valley then home to Portland in mid April when the whirlwind started. An MRI showed that I had several tumors in the breast on the other side, which the 3-D Mammogram did not show. So, on May 10 I had a double mastectomy. My cancer type was Estrogen Responsive Positive (ER+) and the Oncotype DX test showed that I would benefit from Chemo. I started the four sessions of chemo on June 28 and the last session was on August 31. I managed the side effects, which you can read about in previous posts.

In October 13 I started radiation treatments. They were daily for 28 sessions, ending on November 20. (My November 4 Post tells the details of the sessions.) There were a couple of side effects. One was fatigue. Since I was already back to working out at Curves three days a week and walking three days, I found the fatigue minimal. The other effect was like a “sun burn.” I managed to keep that to a minimum by using two gels: Aloe Vera 99% and Calendula three times a day. After the last treatment I was given a prescription for 1% Silver Sulfadiazine Cream which is used on burns. I applied it thickly twice a day. Dr. Gannett, my radiation oncologist was always pleased with how well I was doing. I saw him on December 18, one month after my last treatment, and should not have to see him again.

Meanwhile, on November 29 I met again with Dr. Acheson, my medical oncologist. She was pleased with how well I am doing. We had a discussion about what comes next. My type of breast cancer is Estrogen Responsive Positive (ER+.) This means it feeds on estrogen. Believe it or not, our bodies continue to produce estrogen after menopause, so it is important to shut down all of it. Therefore, there are various medications that are recommended to reduce the risk of the cancer re-occurrence. Since I do not have a bone density problem, I qualify for the class of drugs called Aromatase Inhibitors (AI.) Dr Acheson is starting me with Letrozole. It is important to be able to take one of these for at least five years. If I tolerate this one, great, if not there are two other AI drugs to try. I started December 1, and so far so good.

Then there is my hair. It has now grown out to about an inch long. I can tell there will be some curl, at least for a while. It will be some weeks before I stop wearing something, hat, scarf or wig, because I’m cold otherwise.

Then there is my heart issue: totally unrelated to my cancer. I continued to have occasional AFib episodes. I had a 48 hour Holter Monitor test which showed no pauses over 2 seconds. I also had an echo stress test (with treadmill) which shows my heart muscle is healthy. All Good News!!! Since I’m on the blood thinner Eliquis I don’t have to worry about blood clots and strokes, so until my AFib episodes get to be too frequent or of concern, I don’t need to have anything done about them. It is good that I have two cardiologists looking after me.

About the time I started chemo I learned about the Breast Cancer Support Group sponsored by Providence St. Vincent, which meets twice a month. I have attended all but one session since then, and find them very helpful. I have been able to learn from others going through what I have, am or will go through. The women who run the sessions are also very helpful, and I plan to continue attending when I can.

So, this ends the year 2017, and I’m so thankful that I have made it through all of these annoyances and blips to my health. I’m looking forward to the new year and getting back to “normal.” We look forward to returning to Green Valley, AZ for the winter where I have twelve classes already scheduled for me to teach at the Camera Club.

I will post again in the future every once in a while to chronicle any changes, or to just let you know I’m doing fine. You can also check back periodically to see photos of our travels. That was the original purpose of my website, since travel and photography are my special interests.

Until then, thanks for reading about my breast cancer journey. I hope it has been informative.
May we all have a Happy New Year!

Grace
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Melanie and I attended a University of Oregon Game in Eugene. Felt like going!!!
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We were trying out the "Portrait" mode with stage lighting on my new iPhone X.
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Paul and I enjoyed Christmas Day with Paul's cousins.
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Grace's Breast Cancer Journey Continues . . .

11/20/2017

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Thank You: From My Sister

Dear Special Friends of Grace,
    Grace is my older sister.  We've been together for many years ;0)
She means the world to me. I would prefer to be the one to do all the things for her that I will mentioned. Since it was impossible for me to do all that, along came you folks, "Grace's Special Friends".
    "Thank you!" to each one of you for coming along side her, cheering, comforting, and doing whatever you did, to make her year bearable, enjoyable at times, and doable because you were there for her. I deeply appreciate what you have done and wanted you to know my observations as time went by and Grace's sense of well-being because you were there for her.
    This is Grace's last week-end before her last Radiation treatment, and then there is "recovery time."
    Some of you were with her from the beginning, making trips to the doctors, and taking notes which relieved her mind so she could focus on what was being said.  
    Some of you took on the "Care-Giver" role.
    Some of you periodically provided transportation.
    Some of you cooked special meals, and brought them over for Paul and Grace.
    Some of you sent her flowers, cards, and your prayers and love.
    Some chose to wait in the waiting room during her surgeries. I know that Paul appreciated your support, as well.
    Some called to see how she was doing; and, my guess is, some of you checked on Paul to see how he was doing.
    I'm sure I left out some of your acts of kindness toward Grace.
   Grace is a wonderful sister to me and a great example for me to follow on this road of recovery.  
   May each of you stay in good health for many years to come; and if not, may you be surrounded by the same kind of friends that you have been to Grace to help see you through.
    May God bless you as you have blessed others.

Very Sincerely,
Gayle
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Grace's Breast Cancer Journey Continues . . .

11/4/2017

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Radiation: First Half of 28 Sessions

I see that my last update was dated September 20, which seems like a long time ago. It was three weeks after my last chemo infusion. Since then all of my side effects have disappeared with the exception of my fuzzy/numb feeling toes. My strength has slowly returned and a couple weeks ago I realized that I really was feeling very NORMAL. For three weeks now I have been back to doing full workouts at Curves, three days a week, and walking the other three days of the week. This is all very good since fatigue is a normal side effect of radiation and so far, I have not experienced any!

On October 3, I had the “mapping” for my radiation treatments. They made a mold of me in the right position so I can lay in it exactly the same each time. I started the 28 daily sessions on October 12. My regular appointment is 10:24 AM every day. I always go in early, just in case traffic is bad, and work on the group jigsaw puzzle they make available. The actual session only takes less than ten minutes, and the radiation from three angles is for 12, 10 and 19 seconds each. About day 12 my skin started to get a little pink. I have been faithfully using the recommended 99% Aloe Vera gel and Calendula gel three times a day. This is when it may be an advantage that much of the area is still numb from the surgery, so I’m not feeling many uncomfortable sensations.

Every week they take X-Rays of me in position to make sure everything is still being set up correctly. Once a week I also see Dr. Gannett. He answers any questions I have and looks at my skin to see how it is fairing. So far, he is very pleased with how everything is going and how good my skin is tolerating the treatment. He is also surprised that I am not yet experiencing any fatigue, but attributes that to my continued exercising. One thing I learned in our discussion is that the side effects (fatigue and skin irritation) should be gone within three weeks of ending the radiation treatments. November 20 is the last one, so that means I should be in good shape by the second week in December, if not before. Also, my hair is growing back, but can still be measured in 1-2 mm. I'm trying to be patient and know it will take a couple more months to be presentable. In the mean time, my warm fleece stocking caps will have to do.

On November 29 I meet again with my medical oncologist, Dr. Acheson, to discuss the anti-estrogen pills I will need to take for at least five years. I expect I’ll be starting them in early December. That can be the next blog post topic.

It has been fifteen years since we have remained in Portland for the fall season, to enjoy all of the gorgeous foliage colors. We have missed that, so we are really enjoying colorful trees and the nice weather we have also had, up until this week. The rain has now hit. That doesn’t stop me from my walks, however, as I have plenty of rain gear.

I finally did put a personal post on Facebook in honor of “Breast Cancer Awareness Month” to encourage everyone to get those annual mammograms. And, if the results come back with a “Too dense to be sure” comment, have a followup ultrasound, at least.

I’ll make another update when the radiation is finished (11 more to go) and the extra three weeks the side effects could last.

Happy Thanksgiving. Paul and I certainly have a lot to be thankful for; especially my getting back to good health!!
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Radiation machine with laser lines for correct positioning.
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After Treatment
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Out for my walk
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Colorful tree and the gazebo gathering place at our condo.
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Grace's Breast Cancer Journey Continues . . .

9/20/2017

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Chemo: Session Four - THE LAST, August 31, 2017

On August 31 I had my LAST of four chemo infusions. Besides Paul, I was joined by my friends Melanie and Sarah. Melanie even brought balloons and cupcakes to celebrate the occasion.

After my blood draw I met with Erin, the physician’s assistant, who reviewed my last three weeks, checked me over, and discussed any possible changes for the next three weeks. She did mention that the results of chemo is cumulative and the fourth could hit me a little harder.

My blood work was good, so we all moved to the infusion room. Since it was lunch time by then, I sent everyone off for lunch while I took the Zofran anti-nausea pills and ate my own peanut butter and jelly sandwich along with some things I scrounged from the refrigerators. After the half hour wait for the Zofran to take affect I was hooked up to the Taxotere bag which took an hour to empty.

Sometime during that hour everyone came back from lunch. Paul figured I was in good hands, as Melanie could take me home. Before he left, we got a group picture of my three supporters for the day. (see below)

When it was time to switch to the Cyclophosphamide bag, which only required a half hour to empty, Sarah took a picture of me with my nurses for the day. (see below) They were all excited for me that this was my last visit. I was pleased that my friends cared enough to spend the time with me.

However, I knew this wasn’t the end!!! I still had to endure the three plus weeks of side effects from the final chemo infusion. As I mentioned above, I was told the effects were cumulative, and she was right. They hit harder and faster.

1. Fatigue: Started Day 2 and I noted it was serious until Day 12 when it let up some and came back Day 18 and continues on to Day 21. Hopefully it will not last much longer.
2. Nausea: I took Compazine for nausea on Days 1, 2, 4, 5, and 9, mostly at night. I would take it if my stomach was even a little unsettled so I really never got sick.
3. Tender fingernails: Started Day 5 and lasted until Day 13. My thumbnails are growing out with ridges parallel to the cuticles and all my fingers have vertical ridges. They are very brittle so I keep them fairly short.
4. Feet: About Day 11 I realized my feet felt like I had on very fuzzy socks. When I looked, there were no socks. This has persisted until now, some days more so than others. Sometimes the soles of my feet have spasms, which don’t last long. This was a new side effect.
5. Mouth Sore: Starting Day 4 my tongue became sore, mostly the edges. By Day 6 the texture on the roof of my mouth became rough. This lasted at least a week or so. I rinsed with salt water to help.
6. Taste Changes: The sore mouth coincides with how things taste, including water. Food and water didn’t start tasting normal until after Day 13 and I noticed water tasting normal on Day 18. Finally I can enjoy eating and don’t mind drinking.
7. Atrial Fibrillation: I speculate that because of my extreme fatigue, staying on the sofa, and water not tasting good, I let myself get dehydrated. The night of Day 11 my heart went into AFib, which I noticed after I went to bed. I got up and took my blood pressure, which was low, and my heart rate was 101 bpm. I used my Kardia EKG device that connects to an App on my iPhone and took a 30 second reading, which confirmed my suspicion. I printed it for my records, drank some water and went back to bed. In the morning I started downing Gatorade for the electrolytes, and by noon my heart was back in normal rhythm. This left me even weaker, however. (See below titled “Living With AFib” to learn about this little EKG device and the App.)
8. Imodium: I only needed to use it once, on Day 11.
9. Prunes: I discovered they are my friend and almost daily consumption kept me from needing to use any Dulcolax.

On Day 11, September 10, we had to miss a family wedding because of my extreme fatigue. It was later that night when the AFib started. The next evening I had to miss my Delta Kappa Gamma Chapter meeting because of the fatigue. By Day 15 I made it to my physical therapy session. On Day 16, I enjoyed a long breakfast out with a friend. On Saturday, Day 17 I was feeling strong enough to go to Monmouth for an all-day Delta Kappa Gamma State Leadership Conference. Fortunately, Melanie drove as I was tired by the end of the day. The fatigue came back.

There were two Breast Cancer Support Group sessions during this cycle, Sept. 5 (Day 6) and Sept. 19 (Day 20.) I was able to make it to both sessions, and have been paying particular attention to those who talked about radiation and those who have been taking the anti-estrogen medications, long term. I still have both of these ahead of me.

I meet with my oncologist, Dr. Acheson, on Sept. 28 to discuss the anti-estrogen meds I’ll start after radiation. On October 3 I go in to radiology for the “mapping” appointment where they set up everything so I am positioned exactly the same each time. I will start about a week later. I’m scheduled for twenty-five sessions; every weekday for five weeks. More on that after I get started.

Paul has been such a trooper, doing all the cooking, dishes, watering plants, grocery shopping, etc. and never complaining. What a love!!!

That sums up the last three weeks following my Fourth and Last chemo session. I made it through, like I knew I could. Yippee!!! No Regrets is still my motto.
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Paul, Melanie, Sarah with Grace
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Grace and Nurse Tony
Living with AFib:
As an aside, you probably noticed that I keep referring to my heart going into AFib. I was asked how I can tell? Usually, the first thing I notice is that my heart is pounding noticeably in my chest. When I sense this, I use test #2 and have my Apple Watch take my pulse, which is an app I have readily available on it. Since my normal resting rate is somewhere in the 60s or low 70s, if it is bouncing around between the 80s and 110 bpm (sometimes as high as 134), I have a pretty good idea I am in AFib. Then there is test #3. This is to use a little EKG recorder a friend told my about. It is made by Kardia and I got it on Amazon for $99. It pairs with an App by the same name that I have on my iPhone. It has two metal plates onto which I place fingers from each hand. They connect over bluetooth and it takes a 30 seconds reading. I then email the results to myself as a PDF and print it out. When I asked my cardiologist, he said that a lot of his patients have them, and he totally approved. I can show a doctor the rhythm printout taken while the event is happening. What I am realizing, however, is that my heart probably goes in and out of AFib more often than I realize, which makes my very happy that I am on Eliquis blood thinner to avoid the clots/stokes that can be generated when your heart functions irregularly. My cardiologists are just trying to get me through all this cancer stuff, then will deal with my other heart issues. I know I’m eventually looking at a pacemaker, but not now. I have two cardiologists watching over me. If you, or any of your friends or relatives have issues with AFib, check this out: ActiveCor and have them consult their cardiologist to see if it is right for them.  https://www.alivecor.com.
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Grace's Breast Cancer Journey Continues . . .

9/1/2017

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Chemo: Session Three (of 4): August 9 - 31, 2017

On August 9th I had my 3rd chemo infusion. By now I know the routine: show up, pick a chair, get the IV placed and have blood drawn. Melanie was back with us for this visit to act as my scribe. Next I saw Dr. Acheson, my medical oncologist, and we reviewed how everything went during the last session.

Basically, I had the same side effects as the previous sessions.
1. Fatigue: started on Day 4 again and lasted until Day 11.
2.Tender fingernails: started Day 5 and ended Day 8.
3.Mouth sore: started Day 4 and ended about Day 9. No sore tonsil this time.
4.Taste changes: Not significant enough to note, but probably lasted about a week.
5.Didn’t Have: a fever or any AFib episodes.
6.Need for Imodium: Days 7 and 8.
Discovered Prunes: I had forgotten about the prunes I bought before starting chemo. I started eating some daily with breakfast on Day 18 and that eliminated the need for Dulcolax.

On August 10, the day after my infusion, I attended a morning session called “Look Better, Feel Better” put on by the American Cancer Society. They provided a whole packet of beauty and make-up products and the representative went through them all, showing us how to apply each one. It was fun, and I went away all made-up to attend a play at our local Lakewood Theater that night.

The steroid, Dexamethasone, I have to take twice a day the day before, day of, and day after my infusion causes insomnia. By Friday and Saturday I was pretty exhausted. That just leads into my fatigue sequence of days.

I did attend the one Support Group during this time. It was a smaller group, but interesting, and I’ll return next month.

The big event here in our area was the solar eclipse on August 21. We were invited to spend the time at my cousin and husband’s (Linda and Richard) place in Lincoln City on the Oregon coast, and within the area of Totality. To avoid the predicted heavy traffic going to the totality areas we drove there on Friday. We think the weather and traffic predictors scared many people away, as neither dire predictions came about.

Monday morning, Aug. 21, dawned with some fog a short ways inland, but by eclipse time, about 9:00 am, it had pulled back to the beach, giving us a full view of the eclipse. I set up my tripod and camera in a driveway across the street. I used a “White light solar filter” attached to the lens. For those of you interested, I was using my Canon 70-200mm lens with a 1.4X extender attached to my Canon 7D DSLR that has a crop sensor (X 1.6) which gave me a total zoom of 448mm. I got fair shots but missed the diamond effect as I was busy putting the filter back on the lens. Ugh! The picture below is a composite of some of my shots as the eclipse progressed.

Fortunately, the eclipse was on my Day 13 when my energy level was beginning to return. We returned to Portland the next day, managing to avoid some of the heavy traffic.

On Days 15, 17 20 and 22 I felt like going to Curves to exercise. I am still just doing the circuit one, instead of the usual twice, and doing all the stretches. It feels good to be back.

My LAST, #4, infusion was yesterday, August 31. All went well and along with Paul and Melanie another friend, Sarah, joined us to help celebrate the event. I will write about it, and how everything went for the final three weeks sometime around September 20. (See pictures below.)

My Radiation is scheduled to start October 10: every day for five weeks. More on that later.

I am still staying positive and happy with all my decisions. We are both looking forward to celebrating the end to it all by Thanksgiving and Christmas, and looking forward to getting back to Green Valley, Arizona mid January. Remember that my motto is still “No Regrets.”
My favorite aria by Edith Piaf.
Click on each picture to enlarge.
Colander with crescent shapes of eclipse
Relatives and friends on deck
Composite of Eclipse phases
Paul, Melanie and Sarah
Tony, my nurse
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    Grace Pitzer
    This blog will be for occasional posts about my journey with breast cancer.
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Created: Oct. 24, 2015
Updated January 19, 2023
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Grace and Paul Pitzer
We hope you will keep checking back regularly  to see what is new. I'm always out and about with some camera and love to stretch my skills and add to my volume of work. 
Motto: "Pack light and take lots of pictures."

Paul: pcpitzer@comcast.net
Grace: gcpitzer@comcast.net
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