Because I am TNBC, I did not have TCHP, I had a different regimen. I know the side effects I had with chemo, and those of my patients. I am an oncology nurse in a breast cancer clinic. The “good thing” about chemo is it is predictable. Your team should have a done a teaching to go through how to manage side effects.

My patients on TCHP complain most about diarrhea from the Pertuzumab. Have Imodium on hand, and take as directed (2 tablets with the first loose stool, 1 with each subsequent), if it is not improving, you have more than 4 episodes in a day, call your team. Be sure to replace lost fluids and electrolytes. Staying hydrated is key. Going in for IV fluids can be life changing.
If you take your home meds as directed, the nausea shouldn’t be too bad. I wouldn’t be surprised if you never vomited, but if you do and the medication is not helping, call your doc, they can help.
Sucking on ice or popsicles during infusion can help prevent mouth sores. If get a mouth sore, swish and spit with 8 ounces of water 1/4 teaspoon of salt and/or baking soda. If that doesn’t help, call your doc, they can prescribe magic mouthwash.
The Taxotere can cause neuropathy in your hands and feet. Amazon sells mittens and socks so you can ice during infusion.
Fatigue is accumulative, so each one gets a little harder. My patients say days 4-7 can be hard, but by the next week, they feel better. Staying hydrated and being active can help. No matter how wiped out I was, I walked daily.

The nurses are there to help you. Take advantage of that.
I truly believe attitude is everything. You have to believe you will get through this. This is temporary. After tomorrow, you will be 1/6 done.
Please reach out if I can help.

My chemo was TCH (no Perjeta). It was a long day- and then I would leave the infusion center and go to Golden Corral! The steroids made me hungry, and our center has no food services on site (just some snack stuff- and mostly unhealthy- lol)
So, breakfast at 6:30 at home, at the Infusion Center by 8- no lunch, finish at 3- head to GC! I never used either of the two anti-nausea meds, as I found I could handle the tummy flutters by eating small snack size meals, or a healthy snack, on a hobbit schedule! No heavy meals, nothing greasy or fried. I tend to be more nauseous with an empty tummy, so little meals or snacks every few hours worked best for me. I was super tired the second and third day- but side effects were all manageable, and usually less challenging if I was mindful of hydration! I will be watching for your post that everything went well and you are back home resting comfortably! Hugs!

@ AMcN
I’m a little bit different regarding the side effects from chemotherapy. I can eat on the day of chemotherapy then I get nausea 10 days after but on the 11th day I will wake up very hungry and can eat anything I want.
I developed a regimen for myself which is as follows:
1. The day before and the morning of my chemotherapy I eat a full meal and most IMPORTANTLY I drink at least 1-2 liters of fluids (water, coconut water and Gatorade) before I go to have my chemotherapy. I did not have a port so I made sure I am well hydrated so the Chemotherapy nurse can find my vein;
2. During chemotherapy I would have crackers and ginger ale or tea then I eat good supper (because I get nauseous for 10 days after chemotherapy);
3. During the 10 days that I am nauseous I drink coconut water, ensure (sometimes frozen ensure) and soup.
4. Zofran did not work well with me but compazine did I take it 3x a day for 3 days after chemotherapy;
5. I ate peanut butter on the days I can not really eat (2 tablespoons of peanut butter is good source of protein);
6. I only vomited once during my chemotherapy.
7. I make sure I put ice bags on my hands and feet during chemotherapy (I still get neuropathy on my hands and feet but tolerable and my oncologist reduced the chemotherapy meds);
8. I make sure I exercise (walking and biking with my stationary bike) few minutes at a time depending on how I feel;
9. I GO TO MASS and get blessings from the priest before my chemotherapy.

Hope that helps you.
You develop regimen that will soothe you but you need to keep moving even few minutes at a time.
You can do this.
Good luck and I will be praying for you.

Everyone is different. I never got sick but I was very tired. One of the folks in my group had no systoms at all. She wasn't even tired. Take one step at a time, easier said than done but you can do it. Your questions are valid and we appreciate you asking. It's so important to ask questions because it's normal to be concerned. This is new to you and you are trying to understand. I commend you for asking. Keep it up!! It helps. Wishing you well. Love and hugs!

Thank you so very much!