Is there anything more I should be doing?

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NZJay
Posts: 640
Joined: Mon Dec 16, 2013 3:00 pm
Location: NZ

Is there anything more I should be doing?

Postby NZJay » Sun Mar 29, 2015 6:26 pm

Hi Guys (and Gals!),

Just feeling a bit stressed out, maybe have been reading too many stories of recurrence. Also, at 16 months post-resection, I am nearing the most common period for this to occur. As a Stage 3c I know the odds are not particularly in my favour.

I had my surgery, chemo - which ended up being only low-dose Xeloda due to extreme toxicity... and I eat fish and exercise. But I feel lazy, like I'm not helping myself.

Not sure what I really am asking for, I guess just personal opinions on what further you'd do in my situation - if anything. I just don't want to end up in a recurrent situation and then hear about some widely accepted post-chemo supplementation etc which I didn't take part in.

I've asked my oncologist about prophylactic HIPEC but they didn't show any interest.

So please, hit me with any suggestions which have at least moderate grounding in reality :).

Cheers and best wishes to all who have been or are in the battle.
11-13 Dx CC
SPS T4b(touched stomach organ),N1(3/23),M0(Stage 3B)
11-13: resect + partial gastrect
2-14: 1 Tx Cape + Oxy; renal failure, colitis
4-14: 7 Tx Capecitabine
1-15: clear CT
7-15: clear scope
1-16: clear CT
3-17: clear CT
10-17: clear scope (5 year gap now!)
CEA@dx: 8.4 / 6-15: 4.0 / 10-15: 4.2 / 2-16: 4.9 / 7-16: 4.9 / 11-16: 5.0 / 6-17: 4.5
NED since resection

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elise
Posts: 1519
Joined: Fri Apr 27, 2012 5:09 pm
Location: Ontario (Canada)

Re: Is there anything more I should be doing?

Postby elise » Sun Mar 29, 2015 6:34 pm

I'm still on the high-dose Vit D and Celebrex train. Though it didn't make a difference for me in the end :/ But at least I tried!
2012
Feb - Stage 2 (T3 N0 M0) CC @ 30
Mar - R hemicolectomy, 18 LN
May-Nov 6 - Chemo (8 Xeloda)
2013
Feb - NED
2014
Feb - NED
May - Stage 4 - 1 liver met @ 32
Jun - Liver resection
Oct - CLEAN SCAN
Aug-Jan - FOLFOX 5 rounds, 5FU X 6
2015
Ap, Oct - NED
2016
Mar - NED

midlifemom
Posts: 1358
Joined: Wed Jan 15, 2014 10:58 am
Location: NJ

Re: Is there anything more I should be doing?

Postby midlifemom » Sun Mar 29, 2015 6:40 pm

The biggest factors I seem to hear are vitamin d and exercise.
Good luck!
Stage 3 cc - dx Jan '14 age 53, cea 2.9
t2n2m0, KRAS mutant, MSS
Folfox Feb - Aug '14
Nov '14 cea 27.7 -2 liver masses
Dec '14 left lobectomy and HAI
Jan '15 FUDR and FOLFIRI
Aug '15 fudr done, liver clear, add avastin for lungs. Cea 4.3
Feb '16 CEA rising
May '16 2 wk break then drop Iri for 6 weeks.
Jul '16 cancer grew, constricted main bile duct. Stent inserted. On break till jaundice clears. CEA climbing. Doing reduced Folfox. Allergic to Oxali.
Sep'16 chemo failed. Trial or hospice?

behconsult
Posts: 264
Joined: Fri Jul 04, 2014 4:53 pm

Re: Is there anything more I should be doing?

Postby behconsult » Sun Mar 29, 2015 6:47 pm

Good question. Sorry you are in the "waiting for the other shoe to drop" we travel through. Aside from supplements I have found comfort in the individualized breakdown of the stats. See figure 2. Hence recurrence might not be as high as you think. You might also check out

http://jco.ascopubs.org/content/26/3/380.full


viewtopic.php?f=1&t=10574&start=465
Stage 4 Age 56 BrafV660E 5/14
spot on perit/ Right side tumor
Resctn 6/9/2014
Folfox strt 7/2014. 6 of 12 tx
Chemo induced DM2
Pet 4 mets to lung (1 cm, 6 mm) Xeloda/Avastin 9/16 to present.
Cryo-ablation to four spots- Collapsed lung/chest tube 2x
Possible local recurrence in a spot or two on PET. Stable CT

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BrownBagger
Posts: 7954
Joined: Fri Jul 24, 2009 2:56 pm
Location: Central NYS

Re: Is there anything more I should be doing?

Postby BrownBagger » Sun Mar 29, 2015 6:52 pm

Try to find a way not to worry about it.

I think stress is a serious health threat.
Eric, 58
Dx: 3/09, Stage 4 RC
Recurrences: (ongoing, lung, bronchial cavity, ribs)
Major Ops: 6/ RFA: 3 /bronchoscopies: 8
Pelvic radiation: 5 wks. Bronchial radiation—brachytheray: 3 treatments
Chemo Rounds (career):136
Current Chemo Cocktail: Xeloda & Erbitux & Irinotecan biweekly
Current Cocktail; On the Wagon (mostly)
Bicycle miles post-dx 10,477
Motto: Live your life like it's going to be a long one, because it just might, and then you'll be glad you did.

WifeOfMike
Posts: 1495
Joined: Thu Dec 20, 2012 9:53 pm
Facebook Username: https://www.facebook.com/vbass123
Location: San Diego, California

Re: Is there anything more I should be doing?

Postby WifeOfMike » Sun Mar 29, 2015 7:42 pm

LIVE LIFE..... WITHOUT ANY REGRETS
Hugs,
Vicki
Bad Ass WIFE
Hubs: CRC IVA,T3, N0, M1A
Resect/LN Mets 10/12
Folfox4/Avastin 11/12-5/13
Folfiri/Erbitux 6/13-10/13
Stivarga 12/13-4/14
Trial 4/14-/14
Trial 8/14-11/14
HOME Hospice 11/17/14
Guardian Angel 1/1/15
Cost of HOPE? PRICELESS

Delinda2
Posts: 483
Joined: Fri Jan 16, 2015 6:28 pm
Location: Washington state

Re: Is there anything more I should be doing?

Postby Delinda2 » Sun Mar 29, 2015 9:11 pm

Boy, do I hear you. I'm IIIC too & had my surgery in April last year. I've finished chemo too & am due for blood tests & see onc in 3 weeks. I'm really concerned because I've developed a place on my stomach that's very sore & tender. Onc is gone, speaking at conventions & I'm leery of seeing someone else, so guess I'll wait. Anyway, I wonder if there is anything we can really do to turn the tide. I kind of feel that if it's going to return, it will. No one knows how or why one person wins and another loses. But waiting for that other shoe to drop sucks. When do you check in next with your onc?
Last edited by Delinda2 on Mon Mar 30, 2015 1:23 am, edited 1 time in total.
63 yrs,wife & mom
4/14 dx colon cancer,3C,9/22 nodes
Lymphatic,venous,&perineural invasion
<1cm margin,poorly differentiated
6/14 colostomy take down
7/14 FOLFOX w/9 Nulasta shots
2/16 dx new primary of sigmoid colon
6/16 surgery-rescection on sigmoid, total hysterectomy, temp ileo, stage 4
"I AM the storm."

testing765
Posts: 324
Joined: Tue Aug 19, 2014 9:41 am

Re: Is there anything more I should be doing?

Postby testing765 » Sun Mar 29, 2015 9:29 pm

Hi. I had resection surgery in 9/14 and finished folfox in 3/15. I can identify with the way you feel. I am already worried about recurrence. I think focusing on the present moment and taking it one day at a time can help. I take cimetidine and vitamin D currently as supplements. I may add low dose aspirin and curcumin at some point in time. Have you tried a support group, therapy or meditation. I know that you like to exercise, so keep up with that. I think a lot of our fear of recurrence is based on anxiety and feeling a lack of control over our own bodies. You will be ok.
male-age 44 at diagnosis
8/14-clnscopy
8/14-CT scan,no mets
9/14-left colectomy,CEA 2.2 before surgery
pT2pN2bpM0
3 cm tumor in dscnding colon
7/23 pos LNs
low grade MSI stable
10/14-start folfox
1/15-CT & PET scan and sigmdoscopy- no mets
3/15-finish folfox
9/15- clnscopy- 3 polyps removed
10/15- CT scan, NED
10/16- CT scan, NED, CEA 1.6
10/17- clnscopy- 4 polyps removed, CT scan NED, CEA 1.8
10/14 1.9; 4/15 2.8; 5/15 2.4; 9/15 2.8; 12/15 3.1; 1/16 3.0; 4/16 2.5; 7/16 2.5; 10/16 1.6; 1/17 1.9

Delinda2
Posts: 483
Joined: Fri Jan 16, 2015 6:28 pm
Location: Washington state

Re: Is there anything more I should be doing?

Postby Delinda2 » Sun Mar 29, 2015 9:40 pm

Oops, sorry NZ. I got so wrapped up in what we worry about that I didn't answer your question. I take vitamin D3 and one 81mg aspirin, on my onc's recommendation. Good luck.
63 yrs,wife & mom
4/14 dx colon cancer,3C,9/22 nodes
Lymphatic,venous,&perineural invasion
<1cm margin,poorly differentiated
6/14 colostomy take down
7/14 FOLFOX w/9 Nulasta shots
2/16 dx new primary of sigmoid colon
6/16 surgery-rescection on sigmoid, total hysterectomy, temp ileo, stage 4
"I AM the storm."

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Frenchie's Wife
Posts: 959
Joined: Sat May 04, 2013 1:01 pm
Location: Alberta, Canada

Re: Is there anything more I should be doing?

Postby Frenchie's Wife » Sun Mar 29, 2015 10:56 pm

Just a thought here.
Has all this worring and stressing helped your medical condition in any way ?
Are you cherishing the fact that at this very point in time you show absolutely no signs of having a recurrence ?
Your looking at this from the wrong end of the telescope !!
The other way, the other way !
Caregiver to DH 59 yr, male, Stage IV at Dx
Dx Sept 2009
Liver,bladder mets, 5 surgeries
Lots of chemo
Inoperable lung mets nov 2013
Stopped all treatments in February 2014 due to QOL issues
I am in God's hands now !!
Feb 2015 - too many new mets to count !
At peace July 9, 2017

lpas
Posts: 1010
Joined: Wed Nov 19, 2014 11:11 pm

Re: Is there anything more I should be doing?

Postby lpas » Sun Mar 29, 2015 11:06 pm

I so hear you on the stress about recurrence. I feel it and I'm not even done with chemo yet. Have you read the book "Anti-Cancer"? It has some really good (research-based) recommendations. An interesting read too.
11/14 Dx sigmoid CC @ 45yo
12/14 Colectomy + hysterectomy
Stage IIIB, T3N1bM0, 2/20 nodes, MSS, G2, KRAS(A146T), TP53, SMAD4, ERBB2, CEA 1.0
2/15-7/15 XELOX & celecoxib
2/19 clean scope
11/19 clean CT
Ongoing cimetidine & other targeted supplements
Mom to a 6 & 8yo

Delinda2
Posts: 483
Joined: Fri Jan 16, 2015 6:28 pm
Location: Washington state

Re: Is there anything more I should be doing?

Postby Delinda2 » Mon Mar 30, 2015 1:20 am

Frenchie, thank you for the reminder that there is another side to the coin. For me, it's as if I'm afraid to get my hopes up. I have a long history of getting whacked on the head when I least expect it. But don't get me wrong, it doesn't consume my every thought or anything like that. It's just an awareness that I'm in a very high risk group. (You would shudder if you saw my pathology report.) No, it doesn't help or change my condition. I just try to enjoy each day that I can. I think it's realistic to understand that for most people with my status, a recurrence would not be a surprise. If it doesn't happen I'll be happy to shout, "I was wrong!" If it does, I won't be shocked & shattered. I'm not giving up at all, just prepared to cope with whatever happens. And I do appreciate your reminder. Your spirit and attitude are amazing - I admire you so. XXOXO, Delinda
63 yrs,wife & mom
4/14 dx colon cancer,3C,9/22 nodes
Lymphatic,venous,&perineural invasion
<1cm margin,poorly differentiated
6/14 colostomy take down
7/14 FOLFOX w/9 Nulasta shots
2/16 dx new primary of sigmoid colon
6/16 surgery-rescection on sigmoid, total hysterectomy, temp ileo, stage 4
"I AM the storm."

KWT
Posts: 3214
Joined: Thu Jul 11, 2013 7:22 pm

Re: Is there anything more I should be doing?

Postby KWT » Mon Mar 30, 2015 9:44 am

Brownbagger and Frenchie make a couple good points.

iitg.ritesh
Posts: 174
Joined: Mon Aug 25, 2014 7:11 am
Location: WA

Re: Is there anything more I should be doing?

Postby iitg.ritesh » Mon Mar 30, 2015 10:11 am

I also feel same as Jay :(
32yo Dx@rectal cancer 05/10/13, CEA 3.4
chemoradiation, xeloda finished on 02/12/13
LAR surgery 22/01/14, pT3N0, 0/3 nodes, folfox 02/14--06/14 , 8 cycles folfox, 4 cycles of xeloda
Stricture due to radiation, diversion colitis
Reversal 14/10/14
NED

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purplekangaroo
Posts: 88
Joined: Tue Feb 24, 2015 6:08 am
Location: England

Re: Is there anything more I should be doing?

Postby purplekangaroo » Mon Mar 30, 2015 2:10 pm

I'm the same, its hard going really hard. I'm also 16 months out from a 3c diagnosis but have an enlarged thymus gland which they will be removing so I can't say I'm cancer free until I get the pathology. I'm also dreading what they may find when they open me up but knowing is better than not.

Frenchie has some good words of advice, we all should try and remind yourselves of them sometime :)
LAR 29/10/13
Leak, temp ileo 5/11/13
Stage 3cc aged 31 4\20 nodes
6 months xelox 24/12/13
1 clear CT 5/7/14
Genetic test negative for lynch
Ileo reversed 18/11/14
Colonoscopy 6/2/15 normal
Second CT 6/2/15 ??
Trying to resume some sort of normality??


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