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Medical Forum / Diseases and Disorders / Breast Cancer / June 2005

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Hair Loss issues

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Stephi - 30 May 2005 16:05 GMT
I haven't posted for a while: I've been clear now for 3 years after the last
bout.

I'm working on a piece about hair loss, and wondered if anyone here has
anything they'd share, especially thoughts on:

** Why it is that hair loss is so traumatic, when compared to actually
having cancer, losing one's hair is fairly trivial,

** What advice would you give to a woman who might lose her hair during
chemo,

** What was the most useful advice anyone gave you?

** Any great hair-covering hints!

Thanks in advance,

Signature

Steph Davies
*********************
2X BC:
1988- lumpectomy, radiotherapy, iridium implant;
2001 - wide excision & axilliary clearance, chemotherapy FEC, radiotherapy.
*********************************

Pamela Cook - 30 May 2005 21:35 GMT
> I haven't posted for a while: I've been clear now for 3 years after the last
> bout.
[quoted text clipped - 13 lines]
>
> Thanks in advance,

  Hi,
   I was told I would lose my hair, and said I didn't care. The oncologist
and the nurse said it was most unusual,, most pepes care alot about losing
it.....like you say, compared to the cancer it matters not...at least it
will grow back... must look on it as a sign of getting better, not the sign
of an illness... I don't wear a wig, they mostly look false, at least to
me.. I wear a bandana...loads about now-a days,  cotton is cool and don't
slip...my sister wanted to get me one with a skull &crossbones on it, but
her daughter wouldn't let her, she said I'd look like a pirate !!!!
bless...i said I would have liked it... A friend has a daughter who has had
alopesha (sp ???)  since she was 11yrs old and is completely bald,  she
wears a baseball cap in summer and a bandana in winter...Far worse for her,
sensitive age and good chance it's permanent.....just got to count your
blessings and suffer the joshing  ...being called Balders or
Baldrick.....better to laugh than cry....it's a shock when you take off the
cover for the first time in front of friends... they say I look 'normal'
with a scarf on....no-one cares now-a-days...anything goes....some women do
it from choice..
    It's all about attitude and confidence.(or bloody-mindedness!!!)
whatever, it don't matter....
                          There's always pepes worse off
                               Be thankful
                                 Just my humble opinion
                                    Pam xx
Mary Fisher - 31 May 2005 13:10 GMT
>   Hi,
>    I was told I would lose my hair, and said I didn't care.

Good for you!

> The oncologist
> and the nurse said it was most unusual,, most pepes care alot about losing
> it.....like you say, compared to the cancer it matters not...at least it
> will grow back... must look on it as a sign of getting better, not the
> sign
> of an illness...

Absolutely.

> I don't wear a wig, they mostly look false, at least to
> me..

They not only look awful they can be uncomfortable (I've had to wear them
for events), they can be unreliable and they don't fool anyone.

> I wear a bandana...loads about now-a days ...my sister wanted to get me
> one with a skull &crossbones on it, but
> her daughter wouldn't let her, she said I'd look like a pirate !!!!

So what? You should go with your own desires, not others'.

> .....just got to count your
> blessings and suffer the joshing  ...

Or rather deflect the joshing on the joshers. They should learn that not
everyone has your fortitude and that they shouldn't do it. after all, who's
perfect?

> ....no-one cares now-a-days...anything goes...

I don't think that's true but we'll only get to that happy state by being
blatantly bald.

> .some women do
> it from choice..
>     It's all about attitude and confidence.(or bloody-mindedness!!!)
> whatever, it don't matter....

Yes. YES YES YES YES YES!

>                           There's always pepes worse off

Far, far worse off.

>                                Be thankful

Well said.

Smashing post.

Mary
Pamela Cook - 31 May 2005 23:18 GMT
> >   Hi,
> >    I was told I would lose my hair, and said I didn't care.
[quoted text clipped - 28 lines]
> everyone has your fortitude and that they shouldn't do it. after all, who's
> perfect?
    HI...   They wouldn't do it to any-one else-  they know that it's our
weird sense of humour... I'm worse than them...it really is funny
some-times...May-be I gave the wrong impression...they never laugh AT me
they laugh WITH me....>

> > ....no-one cares now-a-days...anything goes...
>
[quoted text clipped - 19 lines]
>
> Mary
Mary Fisher - 01 Jun 2005 09:30 GMT
>> > .....just got to count your
>> > blessings and suffer the joshing  ...
[quoted text clipped - 7 lines]
> some-times...May-be I gave the wrong impression...they never laugh AT me
> they laugh WITH me....>

er - at what?

Bald isn't funny, it's just - bald. Spouse is never laughed at or with
because he's bald. Our babies were never laughed at or with because they
were bald. It's like having hair, really, neither funny nor serious.

Mary
Pamela Cook - 01 Jun 2005 22:08 GMT
> >> > .....just got to count your
> >> > blessings and suffer the joshing  ...
[quoted text clipped - 17 lines]
>
> Hello mary
        Sorry this is getting deep.... No-one laughs at any-one because
they are bald....It's just our sense of humour,  like the fact that I have
hogged my horse's mane (Clipped it all off) cos I couldn't plait it (because
of the surgery) and it grew out of control, Bobby told folks it was because
I was jealous cos she'd got hair... Just little things to share and to put
things into perspective.... Like when we walk into the hospital  (Tomorrow
5th chemo, 1 to go)  he tells people that he's brought me out for the
day!!!!  Not every-one understands or appreciates our irreverent sense of
humour.....I give more than I get, believe me.......
                                                                    Pam xx
Anthony - 30 May 2005 22:02 GMT
>I haven't posted for a while: I've been clear now for 3 years after the
>last bout.
>
> I'm working on a piece about hair loss, and wondered if anyone here has
> anything they'd share, especially thoughts on:

My wife handled it well, didn't let it get her down at all as far as I could
tell.  The wigs were a mistake, though, really expensive and uncomfortable
at a time when being as comfortable as possible is paramount.  Go with lots
of cheerful bandannas.
alex - 31 May 2005 01:16 GMT
I worked as a visiting nurse and I wore a wig so I wouldn't deflect from the
patients issues. The cheaper wigs were just as comfortable as the expensive
ones. Hair loss was the pits for me.
Tim Jackson - 31 May 2005 08:13 GMT
> ** Why it is that hair loss is so traumatic, when compared to actually
> having cancer, losing one's hair is fairly trivial,

It changes your public image, so it raises the issue of cancer, which is
otherwise a private bodily function, with everyone you meet.

> ** What advice would you give to a woman who might lose her hair during
> chemo,

Get it cut short at least by the first week after the first chemo, so
that when it does fall out it isn't so messy or distressing.

> ** Any great hair-covering hints!

Someone here once suggested getting the headscarves that bikers wear, at
least they do in those places where bikers are permitted by law to go
unprotected.

Tim Jackson
Mary Fisher - 31 May 2005 12:28 GMT
>I haven't posted for a while: I've been clear now for 3 years after the
>last bout.
[quoted text clipped - 4 lines]
> ** Why it is that hair loss is so traumatic, when compared to actually
> having cancer, losing one's hair is fairly trivial,

I don't know. I didn't have chemo after bc so didn't lose my hair after
cancer but I did have half (!) my head shaved for brain surgery twelve years
ago. I insisted on having the other half shaved, what a mess I looked with
only half a head of hair! They were reluctant, said that they thought I'd be
upset if I were completely bald even though I said that I was expecting
that. They said they'd give me a wig. I refused. They said I could wear a
scarf. I didn't.

Half the world's population either has been or will be bald at some time in
their life.What's wrong with being bald? It's pure convention that women
should have hair.

What's more I didn't frighten the horses in the street or little children or
anyone. One friend thought I'd done it as a political statement - not my
style. Our (young) grandchildren loved it and followed the new hair growth
with interest. They were disappointed when the staples came out but liked
the big scar.

Incidentally I saw quite a few very beautiful young women who shaved their
heads as a fashion statement, that's not my style either but it was
interesting. And they looked really good. Sinead O'Connor was the one who
was bald when I was but I looked more like Alexis Sayle because my head
shape isn't pretty. and I'm fat.

> ** What advice would you give to a woman who might lose her hair during
> chemo,

Don't worry about it. Cut it very short before it drops out. If you're cold
wear a hat, if the sun's hard wear a hat. Otherwise enjoy the brief freedom
you'll experience - and the feeling as new hair grows. Show it off, talk
about it, you might make someone else feel more confident and help to get
rid of the silliness about baldness.

Temporary - or even permanent - baldness is better than the alternative
(possibly dying earlier from cancer).

> ** What was the most useful advice anyone gave you?

I didn't have any - only stupid suggestions from nursing staff about how I
could hide my scalp even though I stressed that I didn't want it. I felt
pressurised to have a wig. I didn't but resented their assumption that they
knew more about my feelings than I did.

> ** Any great hair-covering hints!

I think you mean skin covering hints.

Just protect your skin from harsh sun and from cold. Wet doesn't matter,
rain will dry more quickly from skin than from any head covering, a bandana
could stay soggy for hours. Ugh.

Some women have tattoos and make the most of their temporary attraction. I
don't fancy needles but if I'd thought about it I'd have decorated my scalp
with permanent markers.

Mary
A. P. Thorsen - 31 May 2005 14:19 GMT
> I haven't posted for a while: I've been clear now for 3 years after the last
> bout.
[quoted text clipped - 4 lines]
> ** Why it is that hair loss is so traumatic, when compared to actually
> having cancer, losing one's hair is fairly trivial,

I didn't find it all that traumatic.  At worst, slightly unsettling
during the few days when it fell out, but generally it was a pretty
minor thing.  I looked better bald than I had expected.

I know many people take it hard.  I think at least some others are
talked into taking it hard by media pieces that make a great boo-hoo
about it, or friends/family who do likewise.  I think we ought not
assume that women will feel a particular way, but rather leave them
comfortable space to have their own reaction (trauma, amusement, ho-hum
. . .) and be supportive of that.

> ** What advice would you give to a woman who might lose her hair during
> chemo,

Find a qualified massage therapist & get a cranial massage while you're
bald.  It never feels quite so good when you have hair in the way.

Realize that you lose a lot of warmth through your head.  Unless it's
quite warm weather, be prepared with something you can wear on your head
when you sleep, that will stay in place.

During the hair loss, unless you're very quick to shave it, there will
be a day or two when it will stay in for normal handling (e.g., gentle
combing) but come out painlessly in great dramatic hanks if you yank on
it.  Make the most of this for dramatic or comic effect with friends or
co-workers ("You make me want to tear my hair out!" <yank> Friend:
"Aaaiiiiieee!")

Hair loss has pluses.  Showers are quick.  You don't have to shave your
legs (if you previously did).  In my case, I had had long hair &
wouldn't have had the guts to cut it as short as I now routinely wear
it, but for growing it out from bald & learning that short looked good.

> ** What was the most useful advice anyone gave you?

Cut your hair short before it falls out.  If you're going to buy a wig,
pick it out while you still have hair to match (if you want it to
match).  Once it starts to fall out spontaneously in quantity, shave it.

> ** Any great hair-covering hints!

Wrap it in tissue & put it in your dresser drawer. <g>

Ann T.
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Mary Fisher - 31 May 2005 15:41 GMT
>> ** Why it is that hair loss is so traumatic, when compared to actually
>> having cancer, losing one's hair is fairly trivial,
>
> I didn't find it all that traumatic.  At worst, slightly unsettling during
> the few days when it fell out, but generally it was a pretty minor thing.
> I looked better bald than I had expected.

I didn't but since I don't care it wasn't important. I don't have to look at
me!

> I know many people take it hard.  I think at least some others are talked
> into taking it hard by media pieces that make a great boo-hoo about it, or
> friends/family who do likewise.

But particularly the media.

>  I think we ought not assume that women will feel a particular way, but
> rather leave them comfortable space to have their own reaction (trauma,
> amusement, ho-hum . . .) and be supportive of that.

Yes, oh yes.

>> ** What advice would you give to a woman who might lose her hair during
>> chemo,
>
> Find a qualified massage therapist & get a cranial massage while you're
> bald.  It never feels quite so good when you have hair in the way.

Did you do that, Ann? I never thought about that, never think about massage
of any kind, come to that ... but I know that many of my friends enjoy it
and say they benefit, find it relaxing. Yes, have a cranial massage!

.

> During the hair loss, unless you're very quick to shave it, there will be
> a day or two when it will stay in for normal handling (e.g., gentle
> combing) but come out painlessly in great dramatic hanks if you yank on
> it.  Make the most of this for dramatic or comic effect with friends or
> co-workers ("You make me want to tear my hair out!" <yank> Friend:
> "Aaaiiiiieee!")

You're cruel!

> Hair loss has pluses.  Showers are quick.  You don't have to shave your
> legs (if you previously did).  In my case, I had had long hair & wouldn't
> have had the guts to cut it as short as I now routinely wear it, but for
> growing it out from bald & learning that short looked good.

That happened to me too.

>> ** Any great hair-covering hints!
>
> Wrap it in tissue & put it in your dresser drawer. <g>

LOL!

Nice one :-)

Mary

> Ann T.
> Remove 'dontsendspam' from address to reply by email
A. P. Thorsen - 31 May 2005 18:25 GMT
>>Find a qualified massage therapist & get a cranial massage while you're
>>bald.  It never feels quite so good when you have hair in the way.
>
> Did you do that, Ann? I never thought about that, never think about massage
> of any kind, come to that ... but I know that many of my friends enjoy it
> and say they benefit, find it relaxing. Yes, have a cranial massage!

I'm a massage junkie.  I had never had a massage, but started it about
the time I started chemo (with doctors' permission -- some won't allow).
 At first, I could only lay on my back (because of the mastectomies),
but the therapist said she could handle that.

Before the surgery, I'd been spending a lot of time sitting in hospitals
& nursing homes with my dad (i.e., stress & hours in bad chairs) and
following that time up with BC diagnosis & surgery just got my back all
in knots.  The first massage was *amazing*:  Things in my back snapped
and popped and relaxed.  So I started going regularly during
chemo/radiation and beyond.

The "cranial massage after hair loss" discovery was therefore
happenstance, but now I recommend cranial massage to anyone who loses
their hair.  Might as well make lemonade when you've got lemons!

In general, I'd recommend professional therapeutic massage to anyone
going through BC diagnosis/treatment, as long as the person's doctor(s)
will approve, and the person can afford it.  We need some
self-indulgences during treatment, and massage really is good
complementary therapy, IME.

(Hint to friends and family of those going through treatment:  Massage
therapists offer gift certificates!)

I think it's important to find a good therapist, with training in
therapeutic applications, not just relaxation, unless the latter is all
you need.  In the right hands (pun intended), it's more than just
relaxing -- it can help ease any chronic musculo-skeletal problems, and
at our age, most of us have -something- of that nature (bad back,
glitchy knee, tight shoulders, you name it).

In general, massage (plus stretches & such that the therapist taught me)
has dramatically decreased problems with my back, tendencies toward TMJ
& related headaches, etc.  It's darn near to magic.  It's also one of my
major -- maybe my most major -- self-indulgences.  Nowadays, I go every
week!

If you haven't tried it, I highly recommend it.

Ann T.
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Mary Fisher - 31 May 2005 20:59 GMT
> I'm a massage junkie.  I had never had a massage, but started it about the
> time I started chemo (with doctors' permission -- some won't allow). At
> first, I could only lay on my back (because of the mastectomies),

Oh I know about that! Well, I didn't have a mastectomy but the lumpectomy
left my breast swollen and painful for weeks. Or months, can't remember.
Between surgery and radiation I worked on an archaeological dig in Scotland
and had to lie on my belly to get to the job. It was agony :-(  I ended up
lying down with my poor dug hanging into the trench!

> Before the surgery, I'd been spending a lot of time sitting in hospitals &
> nursing homes with my dad (i.e., stress & hours in bad chairs) and
> following that time up with BC diagnosis & surgery just got my back all in
> knots.  The first massage was *amazing*:  Things in my back snapped and
> popped and relaxed.  So I started going regularly during chemo/radiation
> and beyond.

I had reflexology last week. The only difference afterwards - and it might
have been pure coincidence - was that I was incredibly irritable with Spouse
for the next few hours. I'm not normally like that. The therapist now wants
me to be a guinea pig for her hopo (that might not be the right word!) ear
candling. I'm not keen but she's so enthusiastic it seems churlish to
refuse.

> The "cranial massage after hair loss" discovery was therefore
> happenstance, but now I recommend cranial massage to anyone who loses
> their hair.  Might as well make lemonade when you've got lemons!

Indeed.

> In general, I'd recommend professional therapeutic massage to anyone going
> through BC diagnosis/treatment, as long as the person's doctor(s) will
> approve, and the person can afford it.  We need some self-indulgences
> during treatment, and massage really is good complementary therapy, IME.

My breast care nurse did suggest that my husband massaged me breast when it
was so painful. He was already doing that so it was comforting to know that
it was approved :-)

> I think it's important to find a good therapist, with training in
> therapeutic applications, not just relaxation, unless the latter is all
> you need.  In the right hands (pun intended), it's more than just
> relaxing -- it can help ease any chronic musculo-skeletal problems, and at
> our age, most of us have -something- of that nature (bad back, glitchy
> knee, tight shoulders, you name it).

Hey! I have the most untight shoulders you could imagine! Which reminds me
that I remember I exchanged an elk skin for cash and a massage a couple of
years ago. The chap said he'd never come across such a relaxed neck and
shoulders.

> In general, massage (plus stretches & such that the therapist taught me)
> has dramatically decreased problems with my back, tendencies toward TMJ

?

> & related headaches, etc.  It's darn near to magic.  It's also one of my
> major -- maybe my most major -- self-indulgences.  Nowadays, I go every
> week!

I have friends who do and they certainly seem to benefit - therefore I
recommend it too even though not from personal experience.

Mary
 
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