[Pam P]

Thank you to everyone for your kindness and support. It means so much.

Thanks Elaine & Steph for contact info on t-dm1 access. I will start calling this week to see if it's possible to arrange a screening. Then I can take any info I get to my onc. on 8-19.

It sounds like t-dm1 would be my most optimistice choice. But in case I can't do that now for whatever reason, what do you think would be my next best treatment options now?

Brenda you mentioned just switching aromosin to tamox. or something similar - a small shift in meds. My onc. might agree since my July scan was stable. I'll ask about that.

I have not had abraxane, doxil, ixempra. Are there other options I haven't had that I'm not aware of?

If I can find a treatment that can hold me at least until early 2011 ---- then hopefully as I read somewhere on this board - t-dm1 might be available to all.

Carolyn - please let me know how the ixempra goes for you today.

Chelee - that was Irene from Tampa who did so well on t-dm1 until she was eliminated from the trial for liver enzymes issues. Our hearts all broke for her when she was denied to continue that. I know with the liver issues she no longer fit the criteria of the trial so they eliminated her from the study. But I was never clear though - was the liver issue a sign that the t dm1 wasn't working for her at that point anyway or was that something that if it wasn't a clinical trial situation she would have just had to manage and continue.... and might be with us today?

Thank you all for your great wisdom and encouragemnt. Pam