[Darlene Denise]

Anita: I am lucky to have an onc that feels it is imperitive to do MRIs on HER+++ based on the likelyhood that we may experience brain mets AT ANY TIME with our tumor type. Mine were revealed on a routine MRI just 8 months after dx with no symptoms and NED neck down. He had one done at staging, three months later and six months later, which was done a little early because of scheduling. Good for me, since we caught them all under 6mm. My onc is a scan-a-holic, he says you can't fight what you can see. Let your onc know that you do not want your insurance company dictating your care. Order the scan and see if there is an approval issue, don't assume there will be one. Some HMOs penalize physicians for certain tests. I hope this is not the case for you. Ask your onc what the issue really is and insist you will accept only the most progressive care, your life depends on it!

I received Cyberknife treatment at UNC Chappel Hill, NC with Dr David Morris. Dr Lisa Carey is a highly sought after breast oncologist at UNC. She treats Elizabeth Edwards. I will be going to UNC for a follow up brain MRI Monday. Hoping for only good news!! I live in Virginia Beach, Va and my community onc is superior but knows his resources may have limits and is very supportive about reaching out for additonal care and guidance. He has consulted with Memorial Sloan Kettering on my case twice and I have a breast onc at Dana Farber that follows my care as well. My Dr at Dana Farber knows Dr Lisa Carey at UNC and is very complmentary of her and her work.

I say cast a big net and let your onc know he is key to you receiving the best care with the support of others in an academic setting.

All of my best hopes and wishes to you.

Darlene