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Old 04-30-2008, 11:08 AM   #1
tricia keegan
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Unhappy How did this happen??

I have a friend who was dx with me in 2005, she was feeling unwell recently and said she looked about four months pregnant as her stomach was so distended. On Feb 12th they dx liver mets and on Feb 23rd she died..all within two weeks!! I can't make sense of the suddeness of all this especially as we have both been doing so well. She had all the same tx I did but was hormone negative. I know of a lot of people in tx for years with liver mets and doing okay so just can't understand how this could have happened so fast.
I know everyone's different and there's no true answer to this one but just needed to vent. I only found out two days ago and am still in shock.
Thanks for listening.
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Tricia
Dx July '05 IDC 1.9cm Triple positive 3/9 nodes positive
A/C X 4 ..Taxol/Herceptin x 12 wks then herceptin 1 yr
Rads x 36 ..oophorectomy August '06
Currently taking Arimidex..
June 2011 osteopenia/ zometa x1 yearly- stopped Zometa 2015 as Dexa show normal bone density.
Stopped Arimidex July 2014- Restarted Arimidex 2015 for a further two years on the advice of my Onc.
2014 Normal Dexa scan
2018 Mammo all clear, still NED!
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Old 04-30-2008, 11:24 AM   #2
Mary Jo
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Dear Tricia,

I am so sorry to hear this. How truly sad. I am sad for you all as well.

Asking God to hold you close today and give you special peace.

Hugs to you friend,

Mary Jo
__________________
"Be still and know that I am God." Psalm 46:10

Dx. 6/24/05 age 45 Right Breast IDC
ER/PR. Neg., - Her2+++
RB Mast. - 7/28/05 - 4 cm. tumor
Margins clear - 1 microscopic cell 1 sent. node
No Vasucular Invasion
4 DD A/C - 4 DD Taxol & Herceptin
1 full year of Herceptin received every 3 weeks
28 rads
prophylactic Mast. 3/2/06

17 Years NED

<>< Romans 8:28
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Old 04-30-2008, 12:02 PM   #3
hutchibk
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I am so sorry about the loss of your friend. I have started to learn that it's true that everyone's experience with cancer is individual to them and their body's biology based on their dx.

It makes me wonder if either she didn't complain about symptoms when they first started, or wasn't seeing the doctor regularly, or if they weren't following a regimen of prognostic indicators / doing regular scans. It sounds as though it was pretty far advanced when they found it.

Again, my heart and thoughts are with you at this heartbreaking time.
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Brenda

NOV 2012 - 9 yr anniversary
JULY 2012 - 7 yr anniversary stage IV (of 50...)

Nov'03~ dX stage 2B
Dec'03~
Rt side mastectomy, Her2+, ER/PR+, 10 nodes out, one node positive
Jan'04~
Taxotere/Adria/Cytoxan x 6, NED, no Rads, Tamox. 1 year, Arimadex 3 mo., NED 14 mo.
Sept'05~
micro mets lungs/chest nodes/underarm node, Switched to Aromasin, T/C/H x 7, NED 6 months - Herceptin only
Aug'06~
micro mets chest nodes, & bone spot @ C3 neck, Added Taxol to Herceptin
Feb'07~ Genetic testing, BRCA 1&2 neg

Apr'07~
MRI - two 9mm brain mets & 5 punctates, new left chest met, & small increase of bone spot C3 neck, Stopped Aromasin
May'07~
Started Tykerb/Xeloda, no WBR for now
June'07~
MRI - stable brain mets, no new mets, 9mm spots less enhanced, CA15.3 down 45.5 to 9.3 in 10 wks, Ty/Xel working magic!
Aug'07~
MRI - brain mets shrunk half, NO NEW BRAIN METS!!, TMs stable @ 9.2
Oct'07~
PET/CT & MRI show NED
Apr'08~
scans still show NED in the head, small bone spot on right iliac crest (rear pelvic bone)
Sept'08~
MRI shows activity in brain mets, completed 5 fractions/5 consecutive days of IMRT to zap the pesky buggers
Oct'08~
dropped Xeloda, switched to tri-weekly Herceptin in combo with Tykerb, extend to tri-monthly Zometa infusion
Dec'08~
Brain MRI- 4 spots reduced to punctate size, large spot shrunk by 3mm, CT of torso clear/pelvis spot stable
June'09~
new 3-4mm left cerrebellar spot zapped with IMRT targeted rads
Sept'09~
new 6mm & 1 cm spots in pituitary/optic chiasm area. Rx= 25 days of 3D conformal fractionated targeted IMRT to the tumors.
Oct'09~
25 days of low dose 3D conformal fractionated targeted IMRT to the bone mets spot on rt. iliac crest that have been watching for 2 years. Added daily Aromasin back into treatment regimen.
Apr'10~ Brain MRI clear! But, see new small spot on adrenal gland. Change from Aromasin back to Tamoxifen.
June'10~ Tumor markers (CA15.3) dropped from 37 to 23 after one month on Tamoxifen. Continue to monitor adrenal gland spot. Remain on Tykerb/Herceptin/Tamoxifen.
Nov'10~ Radiate positive mediastinal node that was pressing on recurrent laryngeal nerve, causing paralyzed larynx and a funny voice.
Jan'11~ MRI shows possible activity or perhaps just scar tissue/necrotic increase on 3 previously treated brain spots and a pituitary spot. 5 days of IMRT on 4 spots.
Feb'11~ Enrolled in T-DM1 EAP in Denver, first treatment March 25, 2011.
Mar'11~ Finally started T-DM1 EAP in Denver at Rocky Mountain Cancer Center/Rose on Mar. 25... hallelujah.

"I would rather be anecdotally alive than statistically dead."
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Old 04-30-2008, 01:53 PM   #4
StephN
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Unhappy

So very sorry for you and your warrior friend. I sympathize with your shock.

Liver mets can develop fast and furiously, as in my case. I had an ache develop in my side just at the time when I was having my quarterly blood work. My med onc was still monitoring me closely after adjuvent therapy.
I had only begun to feel a little bloated and my liver was then 60% full of tumors.

Depending on the location of the liver tumors, the situation can be more or less serious and treatable. You don't say if she had cancer spread in other areas. She could have had brain involvement or other.

Anothre example of why it really IS OK to complain about anything unusual.
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"When I hear music, I fear no danger. I am invulnerable. I see no foe. I am related to the earliest times, and to the latest." H.D. Thoreau
Live in the moment.

MY STORY SO FAR ~~~~
Found suspicious lump 9/2000
Lumpectomy, then node dissection and port placement
Stage IIB, 8 pos nodes of 18, Grade 3, ER & PR -
Adriamycin 12 weekly, taxotere 4 rounds
36 rads - very little burning
3 mos after rads liver full of tumors, Stage IV Jan 2002, one spot on sternum
Weekly Taxol, Navelbine, Herceptin for 27 rounds to NED!
2003 & 2004 no active disease - 3 weekly Herceptin + Zometa
Jan 2005 two mets to brain - Gamma Knife on Jan 18
All clear until treated cerebellum spot showing activity on Jan 2006 brain MRI & brain PET
Brain surgery on Feb 9, 2006 - no cancer, 100% radiation necrosis - tumor was still dying
Continue as NED while on Herceptin & quarterly Zometa
Fall-2006 - off Zometa - watching one small brain spot (scar?)
2007 - spot/scar in brain stable - finished anticoagulation therapy for clot along my port-a-catheter - 3 angioplasties to unblock vena cava
2008 - Brain and body still NED! Port removed and scans in Dec.
Dec 2008 - stop Herceptin - Vaccine Trial at U of W begun in Oct. of 2011
STILL NED everywhere in Feb 2014 - on wing & prayer
7/14 - Started twice yearly Zometa for my bones
Jan. 2015 checkup still shows NED
2015 Neuropathy in feet - otherwise all OK - still NED.
Same news for 2016 and all of 2017.
Nov of 2017 - had small skin cancer removed from my face. Will have Zometa end of Jan. 2018.
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Old 04-30-2008, 02:22 PM   #5
AlaskaAngel
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Fast, sudden progression

Tricia, I'm sorry for the loss of your friend, and for the suddenness that is so shocking, particularly since you shared the timing of treatment.

If it helps any at all, the liver is harder to investigate without the more spendy types of imaging. So docs are more likely to watch regular periodic lab tests if a patient is doing fairly well in general and that is usually pretty reliable. Perhaps either she or her doc were not doing those often enough.

I ponder sometimes on a personal basis the advantages and disadvantages of fast progression vs slow progression. I'm sorry this is such a difficult and sad time for you.

AlaskaAngel
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Old 04-30-2008, 02:38 PM   #6
chrisy
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Oh Tricia, how shocking. It's tough to have an answer...when I was dx with mets it was so unexpected that looking for that wasn't even on the radar for my "follow up" exams. Somehow I developed minor gastro symptoms which led to the diagnosis and went away on their own. I think it was divine intervention because had this not been found for several more months I would have been "profoundly ill" in my doctors words.

It definitely agree with what others have noted - its so important to be diligent with follow up.

Sorry about your loss.

Chris
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June 2002 extensive hi grade DCIS (pre-cancer-stage 0, clean sentinal node) Mastectomy/implant - no chemo, rads. "cured?"
9/2004 Diag: Stage IV extensive liver mets (!) ER/PR- Her2+++
10/04-3/05 Weekly Taxol/Carboplatin/Herceptin , complete response!
04/05 - 4/07 Herception every 3 wks, Continue NED
04/07 - recurrence to liver - 2 spots, starting tykerb/avastin trial
06/07 8/07 10/07 Scans show stable, continue on Tykerb/Avastin
01/08 Progression in liver
02/08 Begin (TDM1) trial
08/08 NED! It's Working! Continue on TDM1
02/09 Continue NED
02/10 Continue NED. 5/10 9/10 Scans NED 10/10 Scans NED
12/10 Scans not clear....4/11 Scans suggest progression 6/11 progression confirmed in liver
07/11 - 11/11 Herceptin/Xeloda -not working:(
12/11 Begin MM302 Phase I trial - bust:(
03/12 3rd times the charm? AKT trial

5/12 Scan shows reduction! 7/12 More reduction!!!!
8/12 Whoops...progression...trying for Perjeta/Herceptin (plus some more nasty chemo!)
9/12 Start Perjeta/Herceptin, chemo on hold due to infection/wound in leg, added on cycle 2 &3
11/12 Poops! progression in liver, Stop Perjeta/Taxo/Herc
11/12 Navelbine/Herce[ptin - try for a 3 cycles, no go.
2/13 Gemzar/Carbo/Herceptin - no go.
3/13 TACE procedure
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Old 04-30-2008, 03:00 PM   #7
tricia keegan
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Thank you all

Thank you all so much for replying,I hope I did'nt offend or upset anyone too much with this but I just had'nt come across this happening at such speed before. I have quite a few friends who are stage iv and doing well but this has shocked me to the core. It makes me wonder again about the lack of scan's in follow up care for early stage bc. My onc does'nt do them without symptoms and neither did Darra's. Steph there was no spread anywhere else, just her liver. Brenda, it does sound like it was quite advanced, we were both on six monthly check ups now as almost three years out. Darra played and coached tennis and was so incredibly healthy it was text book..never smoked or drank and exercised and ate well.
Maybe I was just getting a little complacant with exactly how fearsome this disease can be, thinking about it I suppose it was a blessing for her that it did happen fast.
I really appreciate all your kind words and sympathy, and from here on I think I'll be turning into the patient from hell when I see my onc!
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Tricia
Dx July '05 IDC 1.9cm Triple positive 3/9 nodes positive
A/C X 4 ..Taxol/Herceptin x 12 wks then herceptin 1 yr
Rads x 36 ..oophorectomy August '06
Currently taking Arimidex..
June 2011 osteopenia/ zometa x1 yearly- stopped Zometa 2015 as Dexa show normal bone density.
Stopped Arimidex July 2014- Restarted Arimidex 2015 for a further two years on the advice of my Onc.
2014 Normal Dexa scan
2018 Mammo all clear, still NED!
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Old 04-30-2008, 08:10 PM   #8
Jean
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Tricia,
I am so sorry to hear the news of your friend. It is so shocking and from reading Chrisy and Steph posts the help us to understand the rapid liver mets. I hope the coming days are kinder to you.

Regards,
Jean
__________________
Stage 1, Grade 1, 3/30/05
Lumpectomy 4/15/05 - 6MM IDC
Node Neg. (Sentinel node)
ER+ 90% / PR-, Her2+++ by FISH
Ki-67 40%
Arimidex 5/05
Radiation 32 trt, 5/30/05
Oncotype DX test 4/17/06, 31% high risk
TOPO 11 neg. 4/06
Stopped Arimidex 5/06
TCH 5/06, 6 treatments
Herceptin 5/06 - for 1 yr.
9/06 Completed chemo
Started Femara Sept. 2006
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Old 04-30-2008, 08:41 PM   #9
Bill
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Tricia, I am so sorry to hear of your friend's passing. I know how devastating that can be. I'm praying for comfort and Peace for you and her family. Please take care of yourself, Bill
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Old 05-01-2008, 06:55 AM   #10
hermiracles
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Tricia so very sorry to hear about the loss of your friend. Understandable you are in such shock - it could be heartbreaking.
I've been getting liver pains lately - think I'll be getting them checked out more thoroughly on my next visit with the Onc on the 14th May.
Thinking of you Tricia - look after yourself - this can be such a shocking disease we deal with - we all need to be kind to ourselves eh?
Blessings
Hermiracles
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2003 L/DCIS –> LWE: High G./Comedo - 6 nodes clear 6 wks Rx
04/07 2 miracles born ~ very grateful
06/07 Susp areas L/b
09/07 Stage 2 bilat. mastectomy R/ b. clear extens DCIS/IDC Paget’s 8 nodes clear ER(<5%) HER2+++ CT clear
11/07 Portacath - FEC
15/11/07 Stage 4 Emerg op - hip replacemt #NOF bone mets H/Taxotere
12/07 Rx to 'spots' on spine/R/hip/femur 3wkly H
2008 H+T mets to rib/sternum? Aredia CT clear! Cont. H + Aredia 07/08 1 wk Palliative Care - mets to lungs + ?1 to brain
09/08 Stop H complete Epirubicin 1wk PC new brain mets
10/08 2wks WBR 1wk PC 22/10/08 Tykerb/Xeloda 12/08 6 CEREBRAL METS COMPLETELY GONE! Rib mets down to <1cm.
01/09 Tumour markers normal! Rx to L/arm
03/09 LUNGS CLEAR (ALL NODULES GONE!), brain clear, liver clear. Bones stable! ~ THANK YOU GOD
07/09 Repeat CT Scan ~ ALL organs clear apart from bones which remain stable. I walk in gratitude.
***************
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Old 05-01-2008, 11:59 AM   #11
tricia keegan
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Thank you Jean and Bill for your kind words. Hermiracles, thank you too and I really hope you have clear scans and nothing to worry about in that dept! Yes, we all need to be aware always and take care of ourselves.
Thanks again, it's good to have people who understand how we feel when something like this happens.
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Tricia
Dx July '05 IDC 1.9cm Triple positive 3/9 nodes positive
A/C X 4 ..Taxol/Herceptin x 12 wks then herceptin 1 yr
Rads x 36 ..oophorectomy August '06
Currently taking Arimidex..
June 2011 osteopenia/ zometa x1 yearly- stopped Zometa 2015 as Dexa show normal bone density.
Stopped Arimidex July 2014- Restarted Arimidex 2015 for a further two years on the advice of my Onc.
2014 Normal Dexa scan
2018 Mammo all clear, still NED!
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Old 05-02-2008, 04:32 AM   #12
dhealey
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Tricia, I have a dear friend also who did not have breast cancer but had melanoma years ago. Last month he was not feeling quite well either and came to the doc's office I work at and had some test done. He was full of cancer everywhere. We sent him to an oncologist who told his wife they could bring him to remission. 3 wks later he was in a coma and died. It broke my heart how fast he went downhill. I pray for you as you grieve this loss. Peace be with you.
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Diag 10/2006-high grade invasive ductal carcinoma- mastectomy L breast
2.5 cm tumor ER/PR pos-Her2+++
4 rounds A/C, 4 rounds Taxol
Herceptin every 3 weeks until Jan. 2008
6/18/07 prophylatic mastectomy R breast
8/2007 started aromasin/stopped arimidex (side effects)
12/07 stopped aromasin due to side effects (now what?)
Finished herceptin 1/8/08
started tamoxifen for 2 years then will switch to femera
allergic to tamoxifen started femera 4/2008
June 20, 2008 portacath removed
Learnig to live life to the fullest!
Stopped Femera due to side effects
July 28, 2008 start trial for breast cancer vaccine
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Old 05-02-2008, 05:44 AM   #13
goops
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Tricia - I am sorry for your loss. A similar thing happened to my aunt, she was feeling well enough to be active and went on a casino bus trip the day before she went to the doctor. The doctor put her right in the hospital when he saw her CT, she had Pancreatic cancer and was dead in less than 1 week. The thing that I kept telling myself is that if it was my time to die, I would want to go fast like she did. She was active until the last few days of her life - few people can say that.

I am truly sorry for your loss - you will be in my prayers.
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July 2008 - Stage 4 - Liver Mets

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Old 05-02-2008, 09:05 AM   #14
Sheila
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Tricia
I am so sorry that you lost your dear friend...it has been almost a year since my best friend passed away....she also went very quickly...just a reminder to all of us to remain vigilent...this disease gives no guarantees....I live my life, but am always checking anything out of the norm....you are both in my prayers....it is so sad how this disease picks and chooses the outcomes....none of us know.
Sending you a big hug.
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is fighting some kind of battle."



Hugs & Blessings
Sheila
Diagnosed at age 49.99999 2/21/2002 via Mammography (Calcifications)
Core Biopsy 2/22/02
L. Mastectomy 2/25/2002
Stage 1, 0.7cm IDC, Node Neg from 19 nodes Her2+++ ER PR Neg
6/2003 Reconstruction W/ Tissue Expander, Silicone Implant
9/2003 Stage IV with Mets to Supraclavicular nodes
9/2003 Began Herceptin every 3 weeks
3/2006 Xeloda 2500mg/Herceptin for recurrence to neck nodes
3/2007 Added back the Xeloda with Herceptin for continued mets to nodes
5/2007 Taken Off Xeloda, no longer working
6/14/07 Taxol/Herceptin/Avastin
3/26 - 5/28/08 Taxol Holiday Whopeeeeeeeee
5/29 2008 Back on Taxol w Herceptin q 2 weeks
4/2009 Progression on Taxol & Paralyzed L Vocal Cord from Nodes Pressing on Nerve
5/2009 Begin Rx with Navelbine/Herceptin
11/09 Progression on Navelbine
Fought for and started Tykerb/Herceptin...nodes are melting!!!!!
2/2010 Back to Avastin/Herceptin
5/2010 Switched to Metronomic Chemo with Herceptin...Cytoxan and Methotrexate
Pericardial Window Surgery to Drain Pericardial Effusion
7/2010 Back to walking a mile a day...YEAH!!!!
9/2010 Nodes are back with a vengence in neck
Qualified for TDM-1 EAP
10/6/10 Begin my miracle drug, TDM-1
Mixed response, shrinking internal nodes, progression skin mets after 3 treatments
12/6/10 Started Halaven (Eribulen) /Herceptin excellent results in 2 treatments
2/2011 I CELEBRATE my 9 YEAR MARK!!!!!!!!!!!!!
7/5/11 begin Gemzar /Herceptin for node progression
2/8/2012 Gemzar stopped, Continue Herceptin
2/20/2012 Begin Tomo Radiation to Neck Nodes
2/21/2012 I CELEBRATE 10 YEARS
5/12/2012 BeganTaxotere/ Herceptin is my next miracle for new node progression
6/28/12 Stopped Taxotere due to pregression, Started Perjeta/Herceptin
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Old 05-02-2008, 10:36 AM   #15
lexigirl
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Tricia,

I am sorry that you lost your dear friend. This disease is just so sneaky. Absoultely evil.

Sheila, I am thinking of you, too. I remember your posts about your bf and what a great friend you are. She was blessed to have you and you her.

Big HUgs,
Lexi
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Old 05-03-2008, 08:54 PM   #16
Sherryg683
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I am so sorry to hear of your friends passing. I am such a big advocate of having some sort of follow up scans after cancer. Even if doctors don't advocate them in early stages. Dermatologists don't advocate checking the hair for skin cancer unless there is family history, this is where my brothers melanoma was found, on his scalp. A quick 20 second exam could have saved his life. Don't tell me that if you catch something earlier it doesn't make a difference. I don't know if this would have made a difference with your friend but it seems to me that if they would have known about her liver mets, they could have been treated before it was too late. ...sherryg683
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Diagnosed: December , 2005 at age 44
13+ positive lymph nodes
Stage IV , Her2+, 2 small mets to lungsChemo Started: Jan, 2006
4 months Taxotere, Xeloda, Hercepin
NED since April 2006!!
36 Rads to follow with weekly Herceptin indefinately
8 years NED now
Scans every year

Life is not about avoiding the thunderstorms, it's about learning to dance in the rain!
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