22: Good bye 2015

 

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To say that Chemo number five was easy-breezy would be a complete lie……it has been rough. My husband said, he has never seen me so ill. I remember a patient told me that number five and six would be the worst and not to give up……well I am NOT giving up!!! Having all my family together here for Christmas was the best gift of all. I was too ill for us to venture out on Christmas day.  When we do venture out, I am very select as to where we go. I can not be far from a bathroom…….I know where all the public bathrooms are now….especially the clean ones!!!

The picture above was from our last  Maui sunset for 2015! Later this evening we will all be going on a boat with the Pacific Whale Foundation to watch the fireworks and bring in the New Year! Unfortunately I will not be indulging in adult beverages, but I will be with my family.

The year 2015 will forever be the year that rocked my world. Never did I ever imagine that I would be diagnosed and  battling Stage 3 Breast Cancer. As a Licensed Mammographer one would think that my cancer would have been caught at an earlier stage. That would have been the case if my breast were completely “fatty replaced”. However since my breast are extremely “dense”, my cancer went undetected. Because I am familiar with the normal lumps and bumps of my own breast, I felt it. I have already written about this in previous blogs, but as we leave 2015,  I would like to reiterate the importance of Breast Self Exams (BSE) …….ladies be familiar with the normal lumps and bumps of your own breast. Your doctor only exams you once a year. And, for those of us with dense breast, we should be inquiring about a routine ultrasound for dense breast.

It is only 8:15pm here on Maui. Families are celebrating early, those noise from the fireworks is so loud……they are legal here! I must get going to get ready for the evening. I want to wish everyone a Happy New Year! Thank you for all the love and support you have showed me. I appreciate all the good vibes, prayers and well wishes from everyone. I am  truly blessed to have all of you in my life. Tomorrow will be the start of a New Year, a year of recovery, healing and new beginnings…..be safe!

 

 

 

 

 

 

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21: Chemo #5!!!

 

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Tomorrow I fly to Oahu for Chemo #5!!!! It feels like just this Monday I was feeling much better from the effects of chemo #4! This last round was really rough. The nausea subsided, however the stomach bowel issues continued. My bones aches and I get really tired. I just ignore the ache and work through it, working through this has been really good in keeping me busy and just having something to do instead of being on medical leave. My Oncologist wanted to put me out on Medical leave, but I opted to work through the Chemotherapy  instead. Really thankful to MDI (My employer) that they have worked with me with my limited availability.

Patients have been so sweet, I get lots of hugs from them. Since I have been working here for over one year, I am doing mammograms on patients that I attended in 2014. They recognize me and ask what happened, I share my story with them. I get lots of hugs, some patients have asked me if they can say a prayer with me before the leave. I have had patients tell me that I have a positive aura and they feel that I will be just fine. I get lots of compliments on my complexion, and the way I use scarves to wrap my head. And then of coarse there is always some people that are not so nice. I have been asked if I am Muslim twice! One patient asked me if I was Middle Eastern? I have been asked if I was Jewish?  I am to the point where my response is “no, I have Cancer and I have no hair, that is why I have this on my head!” One on the patients that asked me if I was Muslim, asked that in a very harsh tone in here voice. I wonder if I would have said “yes”…..would she of let me do her mammogram? Those questions are just not appropriate! This past week and a half at work has been interesting. I don’ let those people get to me, they are a small percentage compared to all the well wishers! Several patients tell me that they will look forward to seeing me for next years mammogram! Yay, they are looking forward to next years mammogram!!!!!! Mission accomplished!

I am not looking forward to the next few days as the effects of Chemo #5 set in. However I am looking forward to having my whole family together here on Maui for Christmas!!! I know that the weather in southern California has been cold, today here in Kihei the temperature reached 91 degrees!!!! Warmest Aloha to all reading this, and please feel free to share my blog if you like.

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20: Chemo #4

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With Thanksgiving on Thursday my Chemo treatment was on Friday instead of Thursday. Which of coarse meant that I was able to enjoy dinner. My cousin was visiting me from San Diego, so she organized a Thanksgiving dinner on Sunday the 22nd. On Thanksgiving I prepared an Italian dinner, it was delisioso!!!(Spanish for delicious)

Jack, Jacquelyn and myself flew from Maui to Oahu early Friday morning, it’s a mere 25 minute flight! We have a routine, once we get to the Hospital we go directly to the cafeteria for breakfast, which is pretty delish and inexpensive! Then we go to Dr. Chong’s office for my 10:15 check in time. With in minutes I am taken back. You get examined by the doctor before your treatment. My labs, vitals were good he told me that my heart beat, beats like one of an athlete! (thank you Pilates and walking) We talked about what happens after the Chemo treatments are finished and he gave me slip for an Echocardiogram. One of the side effects of the Perjeta affects your heart. I had an Echocardiogram prior to starting the Chemo, now that I am half way through my treatment, time to repeat that test. My Chemo lounge chair is waiting for me with my pole for all my bags that will be flowing through my body. The nurse, using a sterile technique cleans my medi-port area, flushes it first then starts the drips…..one by one. I am soon off to what I call my “chemo siesta” (nap). When I wake up I am almost done with my treatment, it is approaching 4 pm. Before leaving the nurse attaches that self injector to my tummy, that in 27 hrs will inject Neulasta medication into me.

Today is Saturday, right now I feel a little nauseous and stating to feel tired. Tomorrow the full side effects will kick in…..I am ready. I have two me treatments. My next treatment is on Friday the 18th, which means I will be good for when my two eldest kids come to visit for Christmas! Can’t wait to see them!

Thank you for all the well wishes via text, FB etc..Hope everyone had a wonderful Thanksgiving!

Thankful for

Family, friends, all my past co-workers and current ones. The company I work for MDI, for accomodating my availability through out my journey. The Doctors and staff of Dr. Chongs office. And all the staff at the Palm Springs Comprehensive Cancer Center! And for social media that allows us to stay connected!!!

 

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19: Chemo #3 half way point

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Chemo number three was on Thursday, November 5th. I was concerned about my portacath as earlier in the week it showed signs of infection. I immediately called my primary doctor here on Maui,  Tuesday morning, they worked me in that morning. It was cultured, and after contacting my Medical Oncologist an antibiotic was prescribed. They were able to use the port for the treatment as the infection was on scar that was healing…….minor set back. When I woke up from my Chemo siesta, my husband was there. He flew in from Oregon to be with me for this treatment because Jax was unable to accompany me for this treatment. We flew back to Maui that evening after the treatment was over.

I did work on Friday, I had a lite schedule. I got tired halfway through the day, but not so bad that I could not function at work. Not sure what is worse, the days leading up to your next treatment, or waiting for the side effects to kick in after your infusion. Yesterday (Saturday) morning I woke up nauseous and with a really, really bad stomach ache. The entire day was bad. I do have medication for the nausea and diarrhea, it does help however you do not want to stray to far away from a bathroom.

Everyone knows about the common side effects of Chemo, hair loss, fatigue, Neutropenia (low white blood count), however no one really mentions the diarrhea and how bad it is! Well here it goes………..you don’t have to read this. The main task of the colon is water resorption. Chemo drugs can inhibit this process causing extreme diarrhea. It is pretty bad when your bowel movements are exiting your body as fast as your urine! The tissue around the rectum gets irritated to the point where it is raw  (painful). That is when baby wipes and A&D ointment come in!!! The trick is to stay hydrated. You have to continue to eat and drink to avoid being dehydrated. Allowing yourself to get dehydrated will land you in the hospital! The nausea will last about four to five days post chemo. Unfortunately the loose bowels last longer, it does get better after three to four days, but not normal…………. Okay enough about poop!

Runny nose, spontaneous nose bleeds,  skin sensitivity and a heightened sensitivity to smells! It’s almost like what you experience in your first trimester of pregnancy where certain smells/scents just want to make you puke!!! I had a patient that I was doing a mammogram on, she was wearing a perfume that about made me puke! For the first week post chemo I can not walk into a grocery store because of the different scents.

With my chemo being every three weeks, the fourth chemo lands on Thanksgiving! I will have my chemo on the Friday after Thanksgiving…..chemo-friday for me not “black-friday”. I just need to stay positive and get through this journey (detour) in my life! Thank you for the cards, messages and text a truly appreciate them.

Aloha from Maui, Josefina (Pina)

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18: Chemo #2,

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The week after taking my hair, on my terms I was able to work. I got lots of hugs from patients that recognized me from last year, some would just ask. I am more than happy to share my story, especially is if patients will realize how important Breast Self Exam are. I can’t tell how many women will tell me that they don’t know how to do them…..kills me! I had one patient tell me that she wasn’t sure why I obviously did not have hair, but she said that the way I wore the scarf on my head looked really beautiful, she told me I was beautiful……….made me a little emotional.

You don’t realize how much your fur (hair) keeps you warm at night! I wear a beanie to bed. The rest of my hair is falling, I have lots of little hairs on the bar soap when I shower. Oh, it was really weird showering the first time after buzzing it. I also see that some of my eyelashes are coming off! They somehow always end up in my eye, so irritating. This  past weekend Jax and I went to the beach for some much needed beach chair therapy…..felt good to get in the ocean!

Today, October 15th , Jax and I flew to Oahu. I had my appointment with the Genetic Counselor. Received the wonderful news that I am negative for the mutated gene! My girls will not need to be tested. However, with having a primary risk factor, meaning me (mother) they have a 20% increase risk factor for getting Breast Cancer.

My Chemo treatment today went well. The Oncology Nurse offered me an injection of lidocaine on the port site before placing the catheter. I declined, yea, not sure that was the right choice……it hurt! But it was fast, just felt like a shot, and so it started. One of the bags is a Benadryl, which helps with the side effects of the Taxotere drug. I am getting TCH + Pertuzumab. That is Taxotere, Carboplatin, Herceptin, plus Perjeta (Pertuzumab) I got sleepy due to the Benedryl, I took a book for continuing education, when I kept reading the same question over and over I new it was time for my “chemo-siesta”!

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The above picture is a device that was placed on my tummy. It’s a little machine that tomorrow will inject a medication called Neulasta. Neulasta helps reduce risk of infection by boosting my white blood cell count to strengthen my immune system. One thing for sure is I can not be around sick people!!!!

It is 10:46 pm here on Maui, but I just wanted to share today with you as I know a lot of you want to stay informed. I also want to say that I truly appreciate all the text, private messages, voice mails  etc. I do read/listen to each and every message. I had one friend send me a religious inspirational message that I saved and read it frequently. I am working tomorrow, I Have a light schedule done intentionally for me……MDI is really accommodating my work schedule needs, words can’t explain how much I appreciate them.

Warmest Aloha Pina (josefina)

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17: On My Terms

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With aggressive Chemo Therapy comes hair loss. There are a lot of things happening to my body due to the treatment that are out of my control. I have always loved my curly hair, especially with all the new products for people with naturally curly hair. Living here on Maui I have learned to “embrace the curl” , I would no longer straighten my bangs because in no time at all the moisture in the air would curl them! Well I wanted my hair to come off on my terms, and not the side effects from the Chemo! I was told that it would start coming off as soon as 10-14 after the first infusion………today marked day ten! I know this is temporary and that eventually it will grow back. Right now having hair is the least of my priorities, I need to get through the next five treatments, I need to stay healthy, I need to stay strong, I need to fight!!!!!

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My hair will be sent to Locks of Love. Much Mahalo, Amanda for doing the honors, look forward to my head massages!!

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16: Breast Cancer Awareness

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On Saturday September 26th, the effects of my first Chemo treatment hit me like a ton of bricks. Words can not describe on how sick I was feeling. The vomiting and diarrhea was like NOTHING  I have EVER experienced. Your body is so weak, your bones ache, you have no desire to eat, drink, or talk. You know you have to eat, but it takes energy to eat, and you just do not have an ounce of energy to spare. I have a new appreciation to all the patients that have passed my path in my Mammography career, they are true survivors, I too will soon be a survivor!

On Monday morning (Sept. 28), my primary doctor took the dressing off of my Portacath. She reached out to my Medical Oncologist to discuss medications to ease the effects. The medications made a huge difference, but I still felt awful. I don’t know what I was thinking when I thought I could go into work on Tuesday!…….I only lasted three hours!!! On Wednesday, my day was going to be split between our Triangle Square clinic (11 miles away) and our Kihei clinic  (.2 miles away) from my home. Was fortunate that MDI was okay with me only working the afternoon in Kihei. I worked on result letters, waited for the Hologic service engineer as our power supply on the unit was going to be replaced. The part was scheduled to arrive on Thursday, so he bypassed the issue so I can do the QC and patients till Thursday. Because of this issue patients were taken off the schedule, I only had two patients to do, even then, when I was done, I was so exhausted. Lee, the front desk receptionist was super helpful. She was going out of her way to help me in any way possible……………….truly blessed to have amazing staff at MDI!

With the new month being October, it brings us the annual “Breast Cancer Awareness” month. The picture above is made from only some of the t-shirts I have accumulated from doing Breast Cancer walks. If there is a walk near you, please consider participating.

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15: One down, five to go!

 The day started at Queens Medical Center at 5:30 am . Registration was super easy, as I had received a phone call earlier this week and they pre-registered me over the phone. The pre-op is done at the The Heart  Institute on the third floor, then a transporter took me and my family to the Interventional Radiology Suite, in Medical Imaging. My husband and daughter got to stay with me till they were ready to begin. The I.R suite was bigger then the one at my old stomping grounds ARMC, Arrowhead Reginal Medical a Center .  The staff which included the Nurse, Technologist and the Interventional Radiologist Dr. Yamada were all very attentive they made me feel comfortable, I especially liked that music was playing.


The picture above is prior to the the procedure!

After the Portacath was placed, I was taken back to The Heart Institute for  a short stay in post-op. Then I was on my way to Dr. Chong’s office for my first of six treatments. We arrived at Dr. Chong’s office at 9:45 am, shortly thereafter we were taken back, got to speak privately with Doctor, then back the Infusion room. Lynne is the Nurse Oncologist, she was very thorough in explaining what each bag was, and what it’s purpose was. I was ready to get started!

About two hours into this all day procedure I was ready for a nap! I was out!!!!😴😴😴😴 I think it was after four when I awoken from my beauty sleep! I remember every now and then I would feel the I.V. Drugs going in, but I honestly did not feel uncomfortable. When I woke up Nurse Lynne helped me to the restroom (bladder was ready to explode). I was down to my last bag , we were done just before five.

We went back to the hotel, then walked to CPK, California Pizza Kitchen for dinner, I was famished! Right now I feel fine, however I might not be feeling great in three days. It is almost ten p.m. here in Hawaii, I am wide awake due to my long siesta (Spanish for Nap!)

I did ask Nurse Lynne about an estimated hair loss timeframe, her response was 10-14 days after infusion starts!!!!! “………………I have two weeks left with my curly hair that I inherited from my dad side of the family! Yes, the Familia Quezada curly hair WILL Fall Off! #nomorebadhairdays #savingonhairproducts #nomorefrizzyhair #somuchforembracingthecurl #igotthis #IMUA #breascancer

Tomorrow morning we head back to QMC, I have have an appointment with the Genetics counselor, then we need to return to the Oncology department. The Oncology Nurse is going to give me an injection to help with my blood count. We will then just hang out till our flight back to Maui.

WARMEST ALOHA🌺🌺🌺🌺🌺

Much aloha to all the well wishes on social media😘

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14: Tsunami Watch

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Great! My first overnight stay on Oahu, and there is a Tsunami watch! In spite of the Tsunami watch everything went well, however I did not start my chemo yet…..getting a little anxious. One of the four drugs that will be used still needs to get authorized! I have to patient. My husband got to meet the Medical Oncologist, Dr. Chong. Dr. Chong went over the treatment plan with my husband, and at one point looked at me and told me that this treatment was going to kick my ass! I believe that was his way of telling me to be prepared! I am fully aware of what is yet to come, #igotthis! Doctor looked at  my veins and said that these latina veins were not going to cut it, I will need a portacath. There is a certain “calmness” about Dr. Chong, I really like him.

I also got to meet the breast surgeon Dr. Nakashizuka. She comes highly recommended and I really liked our first visit, she was very thorough, I will discuss my surgery option in a future blog.

We went to Waikiki Beach, as our hotel was in Waikiki. We only did this because the Tsunami watch was lifted. We walked around The Royal Hawaiian Hotel, which is a PINK hotel! Loved it! The doctor’s office called me and asked if I had time for lab work? Well of course we had time, this was not a pleasure trip! Jacquelyn and I quickly got in the ocean and took some photos, then we went back to Queens Medical Center.

My portacath will be placed early on September 24th, with my first Chemo treatment on that same day……It is going to be a long day at Queens. I’m sure one of many.

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13: Calm Before the Storm

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This week is fast coming to an end, I am so grateful for my job at Maui Diagnostic Imaging (MDI). My MDI family has been nothing but supportive since the “Unsub” was discovered. Everyone is respecting my privacy, but I do not mind talking to my coworkers about it, the “C” word is not voodoo! I love my job here on Maui, and I am sharing my story with some patients. I have to be careful though as I only have 15 minute time slots with patients. I have been working for MDI for 13 months now, so I am now to the point where I am doing mammograms on patients that I imaged last year. The patients are excited to see that I am still at MDI, they ask me if I have enjoyed my first year on Maui? What am I supposed to say? I share my story, I had one patient get emotional, she asked me if she could give me a hug? I never had someone ask for permission to hug me! When we hugged, she told me that I had good energy and that I would be fine.

I am looking forward to this weekend, I will paddle out Saturday morning with the “Pink Paddlers”. Not sure what I will do the rest of the weekend. Perhaps I will just go play tourist, and walk around the resorts and enjoy the beauty of Maui!

Next week will be a short work week for me as I go to Oahu for two days to meet the whole team that will be involved in my care. Not sure if Chemo will start next week, however I know it will start real soon, this is the “Calm Before the Storm.”

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