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sharond's avatar
sharond
Member
13 years ago

Keeping my hair thru Chemo

Hi all,

I've just started chemo again for Breast Cancer. This is the second time I've done it; I also had breast cancer back in 2002. 

Then, I lost all my long hair, which I actually found to be the most distressing part of the whole process. It took literally years to grow back to the length it had been, and I didn't feel truly like myself until it had. 

This time, 2 weeks in, I still have hair! I used Penguin Cold Caps, which cool your scalp enough for the hair follicles to be protected from the Chemo Drugs (I'm on TC.)

While I'm thrilled that it works, it's really disappointing that  no hospitals in Melbourne offer it as a service (as far as I can tell, the only hospital in Aust is the Mater in Syd).

I'm really lucky my oncologist said it was OK for me to do it, and the nursing staff are allowing it, but it means all the organisation of hiring, refrigerating and the fitting them (a new one goes on every 20-30mins) is up to me and my lovely husband. 

From what I can tell, the hurdles for hospitals would be something like this; they are too labour intensive for the nursing staff to change them on top of their other responsibilites. So the patient would need to arrange their own support person. If that person puts them on too cold and causes an injury, the Hospital wouldn't want to take responsibility. If they are fitted incorrectly (not cold enough, not consistently close to the head, not for the full length of time required etc) and the hair falls out, again the Hospital wouldn't want to take responsibility. Getting them cold enough (-35 degrees, which is colder tha a standard freezer) requires either an (expensive) medical grade freezer or some logistics involving dry ice and eskies.

So hospitals put it in the "too hard basket" and we are not even informed that in many cases it's actually OPTIONAL to lose your hair. 

I wonder if this will ever change? I know a set of caps were donated to a large hospital in Melbourne, but they aren't being used by anyone, because it's all too hard...

I also know someone who changed hospitals mid treatment because the hospital she was at was not allowing her to use the ones she'd hired. 

How can we change this? Maybe its just a matter of more of us arranging our own, and asking for hospital provided Cold Caps until there's a groundswell? 

Keeping my hair really is crucial to my sense of well being. While it's certinaly not life saving, it is actually vital to me feeling like myself. 

Has anyone else tried them? What were your experiences?

15 Replies

  • Hi there,

    I am about to start chemo with HTC combo. The cold caps blog gave me some hope but when I looked at the cost I dont know if I can justify it as I am also considering paying for reconstruction post surgery. Has anyone had any experience with sharing the cost with another person receiving chemo? seeing as you only need them once every three weeks??

    Love to know so I could consider this option. 

  • Thanks for the link Sharon. I have made a note of it. Hope I never need it though. Janet :)
  • Thanks Janet, Yes I feel for you, I lost my hair first time round... All the comments of "you have a great shaped head" from my friends were nice, but... I'm sorry you didn't have the info on the Cold Caps when you needed it. I hope you never will again, but in case you do, I got them from these people; http://penguincoldcaps.co.nz I'm not sure if there are other suppliers. Leonie - when the Cold Caps first go on they are COLD! But after 2-3 minutes it kind of settles down. I managed to stick it out for the hr prior, the chemo and the 4 hrs after, and I'm glad I did. But I can also understand it's not for everyone. Thanks to both of you for your support, may we all come through this with our equanimity intact!

  • Hi Sharon,  I used the frozen gloves during my chemo.  They worked a treat for my nails.  I get what you are saying re the time factor for oncology staff.  I found the gloves excruciating the first time but tolerable from them on.  One time I had to "share" with someone else as the unit only had two pairs!!!  "Somebody" is not very considerate of "us" are they?  Hair always does grow back but if it is important to the owner then it is important enough for something to be done (especially if there is an option).  I must say I thought wearing the  frozen cap would be horrendous after the first time with the frozen gloves.  I never want to have chemo again - I would research the frozen cap option though.  Well done to you for perservering and standing up for what you want.  Best wishes XLeonie

  • Wow that is so great that you get to keep your hair. I would love to have had that option. I remember reading a brief reference to cold caps in amongst all the literature I was given before chemo and it said they didn't really work. Maybe that's just what the authorities want us to think.It does sound like a bit of hassle for staff and patients but bloody hell it would be so worth it. I absolutely hated losing my hair. It's growing back now but I still really really hate it - still so short and curly - yuck! No offence to people with curly hair but it looks dreadful on me. It's been almost eight months since I finished chemo and I still wear hats at home and a bloody annoying wig when I go out. Frankly I don't go out as much as I used to because of my hair or lack of it. And it's really hard to exercise in a wig. I suppose I should get over myself and not be so self-conscious but that's just the way I am.I hope I never have to go through this BC nightmare again, but if by some chance I do, I will definitely try and arrange somehow to have the cold cap. Thanks for you post Sharon. I hope all goes as well as possible for you. I'm sure chemo is still pretty horrible even without the hair losss. Good luck. Janet.