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Old 03-27-2007, 01:50 PM   #1
Carolyns
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Talk me down off of the ledge please.

Hi All,

I have been cruising along since diagnosed with stage 4 last March 06.

The stage 4 portion of the journey started with C-6 spinal replacement surgery and Femara for treatment (Lapatinib trial 50/50 chance still uncertain as to if I got Lapatinib with Femara). Had progression to liver and switched to Gemzar and Herceptin for 6 months with one month off for radiation to spinal area where I had surgery. I had good results with Gemzar and Herceptin and switched to Faslodex and Herceptin in late December.

Well it is scan time next week and last week I started with a slight headache. I saw my doctor today and asked to add a brain scan (last one was June06) to the MRIs, CT, and Bone scan and she said fine. She also said that my markers have begun to rise and she wants to get a look at those scans...all scheduled for next week. She said that it was the first time that the markers started climbing but not to worry too much.

Okay, since my appointment I have not been able to quit crying / screaming / praying / begging / repeat cycle. I don't know how I can do this. I am so scared. I am having a huge pitty party for myself. I was able to fake my little boy out. He is 8 and he came home and I held it together until he went out again. I work with a yoga / visualization person and she comes tonight for my session.

Sorry to dump here but I thought that if I started typing I could quit crying. Do tears ruin key boards?

Thanks for listening.

Carolyn
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Old 03-27-2007, 02:02 PM   #2
saleboat
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Carolyn--

I wish I could do something to make you feel better. I don't know what it is like to walk in your shoes and face the challenges that you do, but I wanted you to know that I read your post. I hope your yoga guide helps you find some peace tonight. Please don't focus on your headache-- there are many reasons for it, including the stress of scans and lack of sleep.

Good luck tonight.

Jen
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dx 4/05 @ 34 y.o.
Stage IIIC, ER+ (90%)/PR+ (95%)/HER2+ (IHC 3+)
lumpectomy-- 2.5 cm 15+/37 nodes
(IVF in between surgery and chemo)
tx dd A/C, followed by dd Taxol & Herceptin
30 rads (or was it 35?)
Finished Herceptin on 7/24/06
Tamox
livingcured.blogspot.com

"Keep your face to the sunshine and you cannot see the shadow." -- Helen Keller
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Old 03-27-2007, 02:05 PM   #3
Belinda
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Carolyn - deep breathing, remember that markers can go up and down for no reason, you'll have the results soon enough. Will be thinking of you in the meantime. Bx
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Belinda
  • Diagnosed 3 Jan 2007, Stage IIb, Mastectomy and axillary clearance 10 Jan 07, 6 of 19 nodes affected, multi-focal cancer, HER2 positive. Second mastectomy (prophylactic). Chemo - AC 3 months, Taxol 3 months - then radiation 5 weeks.
  • Aug 2011 - Diagnosed with Stage IV mets to lung, sternum and 12 or so thoracic nodes - Rads to Sternum, then weekly abraxane and herceptin for 12 weeks.
  • May 2012- good scans - all nodes still about normal size, hole in sternum repairing, lung tumour 'obliterated'.
    Ongoing herceptin every 3 weeks. Bloods still all good! Life good!
  • March 2013 - recurrence - tumours in lungs and mediastinum (coughing up blood) - immediate radiation treatment to right lung and mediastinum, still on Herceptin, and 3 months of Vinoralbine - stable for a little while!
  • Coughing and breathlessness started again September 2013, treated as radiation-induced fibrosis (which can be seen on scans - albeit stable). ie puffers, steroids
  • January 2014 - cough becomes bloody again, scans show big mediastinal tumour wrapped around and choking the life out of my right main bronchus, radiation deemed off limits as my lungs are hypersensitive to radiation (measured by existing damage from 2013) .....................- ie I am in the 5% of people likely to suffer severe radiation damage to the lungs that they warn you about before starting treatment! (so special! :) )
  • Started chemo Feb 2014 - continuing Herceptin (continuous since Aug 2011), with Carboplatin and Gemcitabine. Discontinued Gemcitabine because of se's. Starting cycle 5 Herc/Carbo 5 May 2014.
  • Meantime.....coughing and breathlessness increased to SCARY levels with racing heartbeat that won't slow down, breath that won't come back, even just walking to the bathroom or up 3 or 4 steps.
  • ICU from May 5 2014, collapsed right lung due to tumour, small pulmonary embolism (left), tumours growing in mediastinum left and right, dvt lower right leg
  • Plan seems to be bronchoscope next week to see if tumour can be lasered and stent inserted in right bronchus to reopen air access to lower parts of right lung. If that is successful might be able to have brachytherapy to worst tumour, otherwise no more options for external radiotherapy.
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Old 03-27-2007, 02:46 PM   #4
Mary Anne in TX
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Carolyn, I don't know if the markers are just jumping on their own or mean something. But I do know that your little boy has a very honest mom who just needs a massive dose of hugs right now. I'd be totally crazy also. And while my boys are grown (28 and 30), my little granddaughter that lives here is 8. When I have those unknown times, I just load up on tons of hugs and pop corn! Every time your mind tries to travel too far down the road into the future, draw it back to right now. Today is all you can deal with now. Get those hugs and believe that you can do this one day at a time! Lots of love,

mary anne
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Grateful for each and every day....

Diag. 12/05 at age 60
Stage II, Grade 3, 4.5 cm primary tumor
ER/PR- Her2 +3 strongly positive
Her2 by FISH 7.7 amplified
vascular invasion
Ki67 20% borderline
Jan - March '06 Taxotere/Adriamycin X 3 to try to shrink tumor - it grew
April '06 Rt Modified Radical Mas, 7 of 9 nodes positive
April - Aug. '06 Herceptin/Taxol/Carboplatin X 8 (dose dense)
Sept - Dec. '06 Navelbine/Herceptin x 8 (dose dense)
Radiation & Herceptin Jan. 22 - March 1, 2007
Finished Herceptin Dec. 10 '08! One extra year.
Port removed August, 2012.
8 1/2 years since diagnosis! 5 1/2 Years NED!
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Old 03-27-2007, 02:47 PM   #5
JerseyGirl
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Carolyn
I was dx stage IV last March too; I know how hard it is too keep it from your son. There's times I just want to burst into tears in front of him and sob away, but I too, hold it together until he won't know.
I'll be praying for your scans. I had a 3 week headache in January and thankfully, an MRI came back clear. My markers are normal, so my onc wants to wait until May for more scans; the last set was Dec 26th. I'd like to have them weekly at this point!
I know you're petrified and you have a right to be. But don't forget, the scans may be clear. There's just as much a chance of them being clear as not. And if they're not, you caught it and can begin treating it. But you know as cancer patients we'll never stop imaging that it's coursing thru our bodies and we could even have things like ankle cancer; that's just the way we are! So, fists up and be sure and let us know how it goes next week. Have a good cry now and then; I think it helps to clear us out!
(((hugs)))
Julie
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Old 03-27-2007, 02:53 PM   #6
Mary Jo
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Hi Carolyn,


Not much I can offer that these others haven't said but I can offer a cyber hug and I will do just that. I'm sorry you have to go through this. I'm sorry anyone has too.

Hugs, love and heartfelt care I send,

Mary Jo
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"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 03-27-2007, 03:47 PM   #7
lexigirl
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Carolyns,

I don't know very much about the tumor markers as my onc doesn't do them. I am hopeful that you will receive good news on your scans. There are good txs out there to get you back to NED if something shows up.

I have kids also and the thought of not seeing them grow up makes me sick. Cry all you want. This is serious stuff. But, do not feel hopeless. There is always hope. Please know that you are in my prayers.

Hugs,
Lexi
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Old 03-27-2007, 03:49 PM   #8
skeetur
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A very, very heartfelt hug to you.

Kathy
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12/01/2006 Initial Dx via stereotactic biopsy - DCIS, grade 3
12/27/2006 Lumpectomy w/ SNB: 2 foci of IDC (largest .3 cm, Grade 2, Notthingham score 6) amid large area of DCIS: No clear margins on the DCIS; re-excision recommended
ER+(55%)/PR+(60+)/HER2+ (2.8+ via IHC?)
01/23/2007 Re-excision Lumpectomy: No clear margins on the DCIS; mastectomy recommended
03/02/2007 Bilateral mastectomy w/ expander implant insertion
03/19/2007 Emergency surgery to fix broken blood vessel in left breast
03/30/2007 Met w/ oncologist; oncologist checking on HER2 status with pathologist and doing some consulting on my case - no treatments for now!
05/02/2007 Next appointment w/ oncologist
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Old 03-27-2007, 04:04 PM   #9
Sherryg683
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Hi Carolyn, I am Stage IV also with lung mets..been NED for the last year. Believe me, I know how you feel. I have an 18 year old son and 8 year old daughter that I have to be here for. Even being in remission, I still have terrible crying spells. I usually try to go somewhere where I can't be seen or do it while I bathe. The fear of this is numbing and I dont know what to tell you to make you feel better, just take deep breaths and pray. I usually will cry so hard that I wear myself out and then I feel better. My brother is going through the last stages of melanoma that has returned to his liver so I am having to watch what this is doing to him, it's so hard. I don't know much about tumor markers, my Oncologist does scans on me every 3 months. As far as the headaches, I went through spells of terrible headaches that would last for a month and longer, they were awful. All my brain MRI's have been clean. I just figure they were from the Herceptin or stress. Please try to stay calm (easier said than done) until you finish your scans and get your results. It always helps me to remind myself that this is totally out of our hands, it's in Gods hands. All my worrying, crying and fear isn't going to make a bit of difference. Lay it at his feet and pray that he will take care of it. Other than that, you may want to get on some sort of anxiety pill such as Xanax, it works wonders for me when I have anxiety attacks. Well, I went from the Lord to nerve pills..lol. 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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Old 03-27-2007, 04:19 PM   #10
LAURIE
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WE ARE ALL HERE FOR YOU, we can all be scared together, share news together, laugh together and always be here together.
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Laurie
Diagonsed 8/10/06 (found own lump)at 35
Her 2 +++, er-/pr-
4 A/C 8-29-06 to 11-06
Lumpectomy, node dissection- 11/30/06
Pathology report stage IIIC
1 tumor 3 cm
10 of 15 nodes +
12 Taxol 12/18/06-03/06/07
Herceptin 12/18/06- 12/11/2007 done!!! yeah!!!
33 rads started 3/22/07, done!! yeah!! 5/07/07
Lymphedema diagonsed 2/1/07
BRCA1/BRCA2 negative
port out 1/10/08
pregnant after 6 yeas of trying- due mid feb.
Ryder David Kessel Hunter born feb.6th 2009

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Old 03-27-2007, 04:25 PM   #11
Mary Jo
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Oh Sherry............Hahahahahahaha! I just had to post back to you to tell you how your post brought a smile to my face. The part where you said "I went from the Lord to nerve pills" Hahahaha! I'm still smiling.

Hugs -

Mary Jo
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"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 03-27-2007, 05:11 PM   #12
DonnaD
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Carolyn,
I am so sorry you have to go through this waiting. It is so hard. Many will be praying for you. Enjoy your delightful 8 year old son. I wish I could give you a hug.
Donna
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Donna
Crystal Lake, IL
Diagnosed 8/4/06 at age 54
Lumpectomy 8/30/06
Stage llA, grade 3, ER/PR-, Her2++
1.7 cm tumor, 1+ lymph node out of 9
Completed 4 A/C, & 4 Taxol with Herceptin
36 rads completed 5/16/07
Mammograms, 7/07 clear
fractured ribs in radiated area 10/07
Finished Herceptin 12/27/07
Mammogram,CT,tumor markers 1/08 - small lung nodules in radiated area, repeated tests 3/08 stable
Mammogram,CT ,tumor markers 6/08 stable
NED 2 years!!
3 years !!!
4years!!!!
4 years, 10 months and 8 day NED, calling it 5 years!!!
Official 5 years 8/30/2011
8/31/ 2012 - 6 years!!!!!!
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Old 03-27-2007, 05:24 PM   #13
Joy
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just adding

to everyone's thoughts for you. I know this disease is hard on anyone who has it and their loved ones-it is. I kinda think, though, for those of us with these babes it is a little extra torturous. We have our children to raise them-period. And the thought of anything threatening that is sickening. You have my empathy.

You also have my thoughts and prayers that you will get all the tests necessary, that all will be good and there will be sighs of relief. Love to you.
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joy

dx stage I 2/2000*er/pr+; her- per IHC*lumpectomy*4 rounds A/C*30 rads*tamoxifen*dx stage 4 5/2002*huge mets to liver*tiny mets to lungs*stopped tamoxifen*5/02 taxotere/xeloda*her 2 checked with FiSH-her2+++herceptin *2/03 stopped chemo femara w/herceptin*zolodex*04 switched to aromasin w/herceptin*05 high estrogen tx*11/05taxol/carbo*7/06 stopped chemo; megace/herceptin*9/06navelbine/herceptin*5/07tykerb/xeloda great response*4/08 progression in liver; ooph/ faslodex /herceptin
6/08 began Herceptin DM-1
9/08 progression
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Old 03-27-2007, 05:59 PM   #14
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Carolyn, no need to apologize for venting, we all know this place is our safety valve. You are not alone, and I just want you to know that. Give your boy a big hug for me.

<3 Lolly
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Sept.'99 - Dx.Stage IIIB, IDC ER/PR-, HER2+++ by IHC, confirmed '04 by FISH. Left MRM, AC x's 4, Taxol x's 4, 33 Rads, finishing Tx May 2000. Jan.'01 - local/regional recurrence, Stage IV. Herceptin/Navelbine weekly till NED August 2001, then maintenance Herceptin. Right Mast. April 2002. Local/Regional recurrence April '04, Herceptin plus/minus chemo until May '07. Gemzar added from Feb.'07-April '07; Tykerb/Abraxane until August '07, back on Herceptin plus Taxotere and Xeloda Sept. '07. Stopped T/X Nov. '07, stopped Herceptin Dec. '07, started Avastin/Taxol/Carboplatin Dec. '07. Progression in chest skin, stopped TAC March '03, started radiation.

Herceptin has served as the "Backbone" of my treatment strategy for over 6 years, giving me great quality of life. In 2005, I was privileged to participate in the University of Washington/Seattle HER2 Vaccine Trial.
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Old 03-27-2007, 07:28 PM   #15
Jean
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Thumbs up

Dear Carolyn,

Please remember that many many onc. do not use the markers since
they often give false readings. I am praying for you that is what is
going on with your markers.

Sending you great wishes for a great scan results!

Hugs,
Jean
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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 03-27-2007, 07:32 PM   #16
hutchibk
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Carolyn - ditto to what everyone here has already said. I have been on the ledge a time or two lately and I understand where you are right now. I am getting my brain MRI tomorrow just to look and make sure all is clear and to measure the bone spot that is at the top of my cervical spine (C2) just to make sure it is still stable. Today I had to go to the Retina Specialist to have an Ultrasound on my eye (!!) to make sure that the small spot my optometrist saw 2 weeks ago wasn't mets... it would be rare, but better safe than sorry. Talk about weird. The last 2 weeks I have been a basket case leading up to today, convincing myself that I have a tumor in my eye and will be blind within the year. It's crazy how our brains can lead us to the ledge like that. It turned out to be a freckle (!!) they think (in the retina?) but will keep an eye on it due to my history...

Just let yourself cry a little (or a lot) every day to relieve the pressure until you get all the tests done, know the results and find out whether there is a new plan of action. Once you know what the plan is (if necessary) you will feel alot better. It's the not knowing that is so painful!
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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 03-27-2007, 07:55 PM   #17
Bev
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More hugs and prayers. Hoping that headache is just stress, vision problems, allergies etc. Keep us posted. Bev
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Old 03-28-2007, 09:21 AM   #18
Carolyns
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Thanks for all of your kind words and some funny ones (Sherry). I used all of them to get me through to today. Oh yeah, God and drugs too (Sherry). I called in sick today and am headed to my Son's Field day at school after I finish my 3rd round of crying jag. Showering and putting on my happy face.

Your postings help so much that I can't tell you. It is like I am sitting alone and no one else can understand how this feels except for you. I find myself reading the responses over and over to gain strength through my tears.

Thanks again and god bless us all.

Love, Peace and Hope,

Carolyn
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Old 03-28-2007, 09:38 AM   #19
Grace
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Carolyns,

I'm in marker hell myself today and can sympathize with your great anxiety. I asked to have my Bayer test run last week (six months since last) and called today to ask for result (I've been tossing and turning in my sleep since I decided to ask for the test). My oncologist's nurse said 'one minute' and left me sitting on the phone for quite a while. Then she told me the result was still "pending." I didn't believe her, was sure she was lying, that my marker had gone up. I then called my chemo nurse (we get along great) and she looked it up and sure enough it's says "pending." Of course, now I'm wondering why it could be pending after eight days and wonder if I hit some stratospheric number and the lab is rerunning the test.

Yet, I've been told by my oncologist many times that the marker numbers are highly unreliable--any type of infection can send them up or a benign condition that needs to be addressed but is not cancer, perhaps even stress. And the headache can be anything, including stress since you knew you were due for a scan. Or it might even be something so simple as the need for glasses or a stronger lens. I know it's hard to do, but try not to think about it! Better said than done, I know!
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Old 03-28-2007, 09:47 AM   #20
RobinP
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I feel for you, Carolyn, and I hope all turns out well with your tests. You're not alone with the worry syndrome; believe me, I worry over every ache and pain. I know I should be stronger in God, but it is all so scary at times. Yes, Sherry, I too have taken antianxiety meds-- not now, but in the past.
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