Learning to be cared for
Treatment quickly changed daily life. Gynna initially received AC chemotherapy, sometimes called “the red devil” (in the United States). After doctors confirmed that the cancer had spread to her bones, they changed her treatment to the THP regimen: docetaxel (Taxotere) with the HER2-targeted therapies trastuzumab (Herceptin) and pertuzumab (Perjeta). Her doctor later added tamoxifen, a hormonal therapy she takes as a daily pill. Gynna says that understanding her HER2-positive result helped her understand why these medicines were part of her treatment and gave her greater confidence in the plan. She completed six cycles of docetaxel and continued receiving pertuzumab and trastuzumab, along with medicine to protect her bones.
Her hair fell out. Her digestive system became extremely sensitive. Nausea became one of the hardest side effects to manage. During the months of chemotherapy, Gynna experienced pain and sensitivity so intense that even ordinary things, such as pajamas, blankets, bathing, and eating, felt unbearable.
By September 2021, with one cycle of the strongest chemotherapy still left, Gynna wanted to stop. She remembers crying in her room while her sister tried to help ease the pain. Her father came upstairs and saw her crying.
“No, Papi,” she told him. “I can’t do this anymore. I definitely can’t do this anymore.”
She saw his eyes fill with tears. He left the room, then came back and took her hands.
“He said, ‘Please, Gynna, no. You only have one [treatment] left. Don’t give up. Talk to God, because He is the only one who can give you the strength to keep going.’”
Gynna had been raised Catholic, but she says her faith deepened after her diagnosis. She began praying not only for strength, but for her medical team — that God would guide their hands, minds, and decisions.
Gynna also had to learn something that did not come naturally: how to receive care. “The first step was letting myself be helped,” she says. “Understanding that I couldn’t do it alone.”
During treatment days, her brother and sister waited for her outside the clinic. On one especially long day, when Gynna had been there since early morning and had not eaten, her sister sent in a simple Subway sandwich: bread, cheese, and chicken, because Gynna could not tolerate much else. “That Subway tasted like the best thing in the world to me,” she says.
At home, her brother brought food up to her room, watched movies with her, and let her rest in his room while he played video games. Her grandmother, who lived across the street, brought vegetable soup with fish.
“I started to let go of that guard I always kept up when I understood that my siblings could also help me and support me,” she says.