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Old 02-19-2008, 09:12 PM   #21
Jeanette
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I agree with what every body is saying how beautiful your babies are. I also had twins, but they are 40 years old now. Hang in there my dear, there is a treatment out there for you. Have faith and know their are a lot of prayers coming your way., Blessings to you and your family, Jeanette
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Old 02-20-2008, 01:53 AM   #22
Joanne S
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Beautiful bubbas!


Hey #1,
Yes, you are #1 and you need to go to bat for #1. Please have a very honest, sincere and firm talk with your oncologist. Let him know exactly how you feel about your interpretation of his response or lack of response/enthusiasm about you, your treatment and prognosis. (I just feel its like he thinks 'oh well.. she's stage 4... not much we can do' I want to aim to get to NED if I can but I feel like the Onc has given up on me already...)

No matter how busy he is or his office is, you are not just the next #number in line at the deli. Even if your doctor is the only onc in town, you need him to be totally devoted in your health care. You need to tell him so. If you don't feel comfortable telling him in person, put it in a Word document, print it and hand it to him, and have him read it to himself in front of you at your next visit. I had to do this once, and believe me it helped. You could even print your post or my post and hand that to him.

I'm sorry to hear of your progression. Oh my, my heart goes out to you. My unprofessional opinion is that it is probably not a new progression, but a newly detected progression. Very disappointing, I know. I'm sure you know that there is no 100% accuracy guarantee with scans or any diagnostic tests we get. The areas you mention didn't grow overnight---most likely they were there before, either smaller or hidden and didn't get detected previously.

Here's my example, I had a CT scan that showed a spot, the next scan of the same area didn't show any spot, the third time the spot appeared again. When I questioned it, I was told that CT Scan picture slices are taken every so many increments and the spot may not have been where the scan slice was that second time.

A chemo buddy of mine---without going into much detail---is Stage 4 and has gone through Plan A, B, C, D, E, F, G, and ... and brain radiation, etc. Her doctor is working very closely to give her every possible chance in her battle. Yes, she has gone through tremendous physical and mental up and downs, chemo not working, or working but with very bad reactions to drug, or severe side effects and not working, but she gave every plan/option a good try, not just one or two treatments. Finally on Plan G, she is showing signs of improvement.

Again, my heart goes out to you.
Sending my wishes and prayers
for comfort and calmness in your fight,
for your doctor to find the right treatment for you, and
for pure joy and fun with your babies every day.
Remember ---you're #1. You deserve the best care.


We love you and your beautiful bubbas and we are here for you!
Hugs,
Jo

I apologize if I have offended you with my boldness. I just want to you have the best possible care, even if you have to demand it.

Oh my gosh---your miracles---those bubbas are so beautiful! What blessings!
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Aug06...Dx Age 50, IDC Left Breast, 6+/16 lymph nodes, Stg 3, ER+/PR+/HER2+
Sep06-Jan07...Mediport. Chemo: AC x 4, T x 4
Dec06-Nov07...Herceptin
Feb12,2007...Surg MRM Left & SM Right, reconstruct w/expanders
Mar07-Jun07...Saline Exp
Jun07...Start Tamoxifen
Jun07-Aug07...Rad x 25
Jun07-Oct07...Persistent fevers-unknown origin
Jun07-Nov07...PT for Severe PMPS & Capsular Contracture
Nov07...Surg Capsulectomy, Gel Implants, PMPS pain gone instantly.
Feb08...NED 1st CANCERVERSARY!!!!!
Feb08...2 months post surgery Caps Cont again :(
Mar08...Stop Tamoxifen. Start Arimidex.
Apr08...Sudden high fever, Hosp ICU 10 days, staph infect, emerg surg, implants removed. Outpt IVantibiotics Daily x 6 weeks
Feb11...NED 5th CANCERVERSARY!!!!!
Feb12...NED 6th CANCERVERSARY!!!!!
Aug12...Spotting. Surg=D&C
Sep12...STAGE IV = RARE BC METS TO UTERUS ILC ER+/PR+/HER2-Negative) (Different BC than originally diagnosed = IDC ER+/PR+/HER2+).
Sep12...Stop Arimidex. Start Afinitor & Aromasin.
Jan13...MRI = no progression no reduction
Apr13...Progression. Stop Afinitor & Aromasin.
Apr13...Start Chemo: Taxol & Carboplatin.
Nov13...Scans & Pelvic 95+% Reduction. Nueropathy>Stop chemo start Fareston.
Jan14...PET scan = no progression stable.
May14...Pelvic > Bleeding & cramps. TMs up.
May14...PET scan = uterine progression :(
May14...Stop Fareston. Start Chemo: Xeloda.



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Old 02-20-2008, 11:12 AM   #23
MJo
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I wish you were closer too, so I could give you a big hug and cover those gorgeous babies with kisses. I agree with my sisters here that you need a doctor who will fight like H--- for you. I went to a lecture by a find oncologist about breast cancer mets and he described many drug combinations that oncologists try. I know that one will work for you. If your doc is the only game in town, I believe he should be willing to consult with the best cancer center in Australia on your behalf. Congrats also on your sobriety. I know it's the rock on which everything stands. May you live to be driven crazy by your grandchildren!!
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IDC, Stage I, Grade 2
Oncotype DX Score 32
Her2++ E+P+, Node Neg.
Lumpectomy 11/04/05 Clear Margins
3 Dose dense AC (Couldn't tolerate 4)
4 Dose dense Taxol & Herc. (Tolerated well)
36 weeks Herceptin (Could not complete one year due to decrease in MUGA score)
2 years of Arimidex, then three years of Femara
Finished Femara May 2011
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Old 02-21-2008, 06:00 AM   #24
hermiracles
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Met with oncologist today

in person! and the outcome was good!

And I have to thank each and everyone of you who have shared with me here - every response means so much to me - Im sure you understand.

Your encouragement helped me to take the step and request an earlier appt. with Onc. to try and clarify some of these issues. Today was much more encouraging than the phone conversation!

He talked about continuing the Taxotere - at least for another 2 doses that I was due to have anyway - he said 'its too early to say it hasn't worked' ( when I told him he did say that he said - 'did I?' .....???) Anyways i'm glad it will continue as will the Herceptin... I'll have a follow-up CT scan after my next treatment.. and only cease the Herceptin or Taxotere if there is a clear sign of progression (or my MUGA score is not good).

He did talk about other chemo options and also Tykerb if Herceptin proves unworkable.. AND he said of course there are other options "it's early days yet"! So that left me more hopeful (thank You God and all you wonderful folks)

He did say the 'new' spots may have been there before and not have been picked up (like Jo-anne said). Also the changes in my hip are just consistent with the expected post-operative changes and the 'diffuse degenerative changes' in my back are indicative of arthritis!

So it is amazing what a difference a face-to-face conversation can make and I came away feeling so much more positive!

I said I know it can't be cured but I'm the sort of person who likes to know everything - like what the pathology/test reports actually mean and reasons for treatment changes - for me it all comes down to time with my bubbas - so I need to feel at least I am doing everything I can to be around for them.

Anyways hope what Ive said makes sense - he just explained things a lot better - which is just what I needed.

Thanks for being here for me friends - your support makes so much difference.

Sissy and Junior send their love to all their Aunties & Uncles.

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 02-21-2008, 07:29 AM   #25
RobinP
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Yes, I Am So Glad Your Dr. Visit Went Well And Has Given You New Hope And Confidence. Enjoy The Ba Bas.
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2002- dx her2 positive DCIS/bc TX Mast, herceptin chemo
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Old 02-21-2008, 08:46 AM   #26
kareneg
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Smile

Keep fighting you have my prayers that you find the right treatment to bring you to NED. Never give up hope! And your babies are truly beautiful!!
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Love and Hope
Karen

IDC
DX 1998 STAGE I ER+/ PR+
AC CHEMO TILL FEB 1999
Tamxofin till 2001
2001 exstensive liver mets and mets to lungs
Started weekly taxol
Jan 2002 found out I was strongly HER2POS+++ started herceptin continued with taxol and herceptin till June 2002 then from June 2002 till Jan 2005 just herceptin and Arimidex
2005 Navelbine herceptin had RFA Then back on taxol with herceptin
April 2006 progression again went on clinical trial with tykrerb/herceptin progressed on the started Xeloda/ herceptin
Feb 2007 started Doxil
August 2007 Taxotere,Carboplatin and Herceptin exstensive mets to liver and pancreas
October 2007 Had to stop Carboplatin due to sever allergic reaction
Jan 2008
Stopped Taxotere due to progression now on Gemzar and Herceptin
March 2008 Starting Carboplatin, Abraxane, and Herceptin.
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Old 02-21-2008, 04:07 PM   #27
Becca
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Glad the situation looks brighter for you dear Hermiracles. This is an up and down life, especially when dealing with BC. Right now your life should be all up with those sweet little ones. I have thought of you often, all the physical work the babies are, your surgery and radiation on your hip, the current chemo treatments with the side effects and fatigue, and the mental load about what lies in the future--whew! Hang in there brave sister and know we care for you and what is happening in your life.
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Old 02-23-2008, 08:17 PM   #28
harrie
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Wow Hermi...your babies are absolutely beautiful and adorable!!! I also pray that you are guided in the right direction and you will be confident in the care you are getting. We are all there for you!!! Hang in there, do what you gotta do./....
Harrie
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*** MARYANNE *** aka HARRIECANARIE

1993: right side DCIS, lumpectomy, rads
1999: left side DCIS, lumpectomy, rads, tamoxifen

2006:
BRCA 2 positive
Stage I, invasive DCIS (6mm x 5mm)
Grade: intermediate
sentinal node biopsy: neg
HER2/neu amplified 4.7
ER+/PR+
TOPO II neg
Oncotype dx 20
Bilat mastectomy with DIEP flap reconstruction
oophorectomy

2007:
6 cycles TCH (taxotere, carboplatin, herceptin)
finished 1 yr herceptin 05/07
Arimidex, stopped after almost 1 yr
Femara
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Old 02-23-2008, 09:42 PM   #29
Jackie07
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Glad to hear the good news. Seems all the oncologists are alike. My onco
has always talked slow, with calm voices, never gets too excited.
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http://www.kevinmd.com/blog/2011/06/doctors-letter-patient-newly-diagnosed-cancer.html
http://www.asco.org/ASCOv2/MultiMedi...=114&trackID=2

NICU 4.4 LB
Erythema Nodosum 85
Life-long Central Neurocytoma 4x5x6.5 cm 23 hrs 62090 semi-coma 10 d PT OT ST 30 d
3 Infertility tmts 99 > 3 u. fibroids > Pills
CN 3 GKRS 52301
IDC 1.2 cm Her2 +++ ER 5% R. Lmptmy SLNB+1 71703 6 FEC 33 R Tamoxifen
Recc IIB 2.5 cm Bi-L Mast 61407 2/9 nds PET
6 TCH Cellulitis - Lymphedema - compression sleeve & glove
H w x 4 MUGA 51 D, J 49 M
Diastasis recti
Tamoxifen B. scan
Irrtbl bowel 1'09
Colonoscopy 313
BRCA1 V1247I
hptc hemangioma
Vertigo
GI - > yogurt
hysterectomy/oophorectomy 011410
Exemestane 25 mg tab 102912 ~ 101016 stopped due to r. hip/l.thigh pain after long walk
DEXA 1/13
1-2016 lesions in liver largest 9mm & 1.3 cm onco. says not cancer.
3-11 Appendectomy - visually O.K., a lot of puss. Final path result - not cancer.
Start Vitamin D3 and Calcium supplement (600mg x2)
10-10 Stopped Exemestane due to r. hip/l.thigh pain OKed by Onco 11-08-2016
7-23-2018 9 mm groundglass nodule within the right lower lobe with indolent behavior. Due to possible adenocarcinoma, Recommend annual surveilence.
7-10-2019 CT to check lung nodule.
1-10-2020 8mm stable nodule on R Lung, two 6mm new ones on L Lung, a possible lymph node involvement in inter fissule.
"I WANT TO BE AN OUTRAGEOUS OLD WOMAN WHO NEVER GETS CALLED AN OLD LADY. I WANT TO GET SHARP EDGED & EARTH COLORED, TILL I FADE AWAY FROM PURE JOY." Irene from Tampa

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Old 02-23-2008, 09:52 PM   #30
madubois63
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The girls are beautiful!!! Like everyone else, I believe you and your girls deserve better than a doctor that makes you feel like he's given up on you. I truly am very lucky to have doctors that really care about me, and beleive that everyone deserves a doctor that feels that way about them too. They are out there. I am glad the nurse listened, but is there another town near by that has another onc that you may consult with?? There is never a wrong time for a second opinion. I started taking Fasalodex this past year. I can only get it once a year (insurance) because I don't have bone mets. I get it for osteoporosis. If you can't change docs, maybe it's time for YOU to TELL your doc what you want instead of waiting for him to decide whats right for you. Good luck sweeetie - keep taking pictures of those beauties!!!!
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Maryann
Stage IV Inflammatory BC 1/00
Mod Rad Mastectomy 24nod/5+
Adriomycin Cytoxin Taxol
Tamoxifen 4 1/2 yrs
Radiation - 32 x
Metastatic BC lung/liver 10/04
thorocentesis 2x - pleurodesis
Herceptin Taxatiere Carbo
Femera/Lupron
BC NED 4/05
chemo induced Acute Myeloid Leukemia 5/06
Induction/consolidation chemo
bone marrow transplant - 11/3/06
Severe Host vs Graft Disease of liver
BC mets to lung 11/07
Fasoladex Herceptin Zometa Xeloda
GVHD/Iron overload to liver
Avascular Necrosis/morphine pump 10/10
metastatic brain tumor
steriotactic radiosurgery
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Old 02-24-2008, 07:33 PM   #31
lilyecuadorian
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I went to church today and I ask for you good health ...My friend ...
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Lily
Diag April/06 5 months after give birth my son Max
stage IV mets on liver (5 tumors) 38 year old,
her2+++ and ER+PR+ from32 nodes 4 positives
mastectomy right breast chemo before surgery herceptin/carboplatin/taxotere ,clear and surgery have radiation 20, `& then herceptin and tamoxifen
NED until Aug/07 body only then 'n June 04-06-07 .1 lesion of 1.6 cm on cerebellum ...novalis ,open sugery
5m.m brain met again novalis, 4mm.In the liver. Waiting 2 months now 3 tumors enroll on T-MCC trial start first infusion Nov 5/07 at Dec 17 scan show one tumor despair the 2nd and 3th diminish Doc said great results until March/08 ct scan show progression
03-05-08 start tykerb & xeloda
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Old 02-25-2008, 07:02 PM   #32
Carol Carlson
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Hi,
I would humbly suggest that you do everything you can to get another opinion from another onc. however far away they may be. Hate to be presumptuous, but it sounds like your onc. isn't exactly responding as he/she should be. Keep on their backs-- sometimes that's the only way you get results.
Good luck.
Carol C.
p.s
Always a good question to ask...
if I were your wife , sister, mother etc. , what would YOU do????
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Old 02-26-2008, 05:31 PM   #33
Joan M
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Hermiracles, I'm sorry to hear about your bone tumors. Perhaps you should seek another opinion again and switch oncologists. If you visit a large oncological center for advice, a local oncologist can administer the chemo, so there's not need even to travel continuously sometimes. I get the feeling that you are in a small town that's not near a major center.

Your babies are adorable!!!

I'm praying for you. Joan
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Diagnosed stage 2b in July 2003 (2.3 cm, HER2+, ER-/PR-, 7+ nodes). Treated with mastectomy (with immediate DIEP flap reconstruction), AC + T/Herceptin (off label). Cancer advanced to lung in Jan. 2007 (1 cm nodule). Started Herceptin every 3 weeks. Lung wedge resection April 2007. Cancer recurred in lung April 2008. RFA of lung in August 2008. 2nd annual brain MRI in Oct. 2008 discovered 2.6 cm cystic tumor in left frontal lobe. Craniotomy Oct. 2008 (ER-/PR-/HER2-) followed by targeted radiation (IMRT). Coughing up blood Feb. 2009. Thoractomy July 2009 to cut out fungal ball of common soil fungus (aspergillus) that grew in the RFA cavity (most likely inhaled while gardening). No cancer, only fungus. Removal of tiny melanoma from upper left arm, plus sentinel lymph node biopsy in Feb. 2016. Guardant Health liquid biopsy in Feb. 2016 showed mutations in 4 subtypes of TP53. Repeat of Guardant Health biopsy in Jana. 2021 showed 3 TP53 mutations, BRCA1 mutation and CHEK2 mutation. Invitae genetic testing showed negative for all of these. Living with MBC since 2007. Stopped Herceptin Hylecta (injection) treatment in March 2020. Recent 2021 annual CT of chest, abdomen and pelvis and annual brain MRI showed NED. Praying for NED forever!!
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