Hi Jeana - I just had a second opinion appointment with Dr. Melisko at UCSF and she recommended the following clinical trial to me if my next brain MRI shows progression:
http://clinicaltrials.gov/ct2/show/N...o_unk=Y&rank=9
You might want to consider it as a back up plan if you have progression as well. This might bring you some relief from your anxiety - knowing that you have lots of options if the brain mets do come back. This is my next move unless they get a Neratinib trial first. There are options. You will find something should you need it!