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Old 12-31-2009, 12:17 AM   #1
SoCalGal
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one flu over flori's cuckoo nest...a little set-back

It's been an interesting couple of weeks. First my daughter had the stomach flu. OK - it happens. Then it was my turn. Had to put my chemo off. Then, instead of getting well, I was feeling worse and worse each day. My daughter was hiking after 3 days. But she's 19 so I figured it would take me a few more days. Then had to put my chemo off another week. Then yesterday I felt really weird - exhausted and very unable to think. So I called the onc's office to tell them that something was really wrong with me. It was creepy. Of course, anyone who is ANYONE is out of town this week, so that includes all my doctors. Long story longer, I went in to the chemo lounge and they checked my blood. I was almost out of sodium & potassium! Ooops. My bad. I guess that stuff is pretty important.

All kidding aside, it made me realize how much I suck it up every day. So much so, I could no longer tell the difference between normal Tykerb-Herceptin-Avastin-Zometa fatigue & depletion & the complete lack of energy and worse - BRAIN power that finally had me call the doc. I think many of us here start each day by pushing forward, sucking it up, gaining enough momentum to be propelled thru the day. Isn't that called Survival? It really is a difficult lifestyle, yet I continue to do it, happily, every day.

Tomorrow will be my last of 3 days of a 4 hour long hydration infusion. Trying to replace what flu out of me. Not quite the vacation I hoped for these two weeks. And then hopefully next week I'll resume my drippity-drips.

My advice: don't run out of potassium & sodium. It'll mess you up!

Happy New Year, with wishes for blessings to all,
Flori
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1996 cancer WTF?! 1.3 cm lumpectomy Er/Pr neg. Her2+ (20nodes NEGATIVE) did CMF + rads. NED.
2002 recurrence. Bilateral mastectomy w/TFL autologous recon. Then ACx2. Skin lymphatic rash. Taxotere w/Herceptin x4. Herceptin/Xeloda. Finally stops spreading.
2003 - Back to surgery, remove skin mets, and will have surgery one week later when pathology can confirm margins.
‘03 latisimus dorsi flap to remove skin mets. CLEAN MARGINS. Continue single agent Herceptin thru 4/04. NED.
‘04 '05 & 06 tiny recurrences - scar line. surgery to cut out. NED each time.
1/2006 Rads again, to scar line. NED.

3/07 Heartbreaking news - mets! lungs.sternum. Try Tykerb/Xeloda. Tykerb/Carbo/Gemzar. Switch Oncs.
12/07 Herceptin.Tykerb. Markers go stable.
2/8/08 gamma knife 13mm stupid brain met.
3/08 Herceptin/tykerb/avastin/zometa.
3/09 brain NED. Lungs STABLE.
4/09 attack sternum (10 daysPHOTONS.5 days ELECTRONS)
9/09 MARKERS normal!
3/10 PET/CT=manubrium intensely metabolically active but stable. NEDhead.
Wash out 5/10 for tdm1 but 6/10 CT STABLE, PET improving. Markers normal. Brain NED. Resume just Herceptin plus ZOMETA
Dec 2010 Brain NED, lungs/sternum stable. markers normal.
MAR 2011 stop Herceptin/allergy! Go back on Tykerb and switch to Xgeva.
May-Aug 2011 Tykerb Herceptin Xgeva.
Sept 2011 Tykerb, Herceptin, Zometa, Avastin.
April 2012 sketchy drug trial in NYC. 6 weeks later I’m NED!
OCT 2012 PET/CT shows a bunch of freakin’ progression. Back to LA and Herceptin.avastin.zometa.
12/20/12 add in PERJETA!
March 2013 – 5 YEARS POST continue HAPZ
APRIL 2013 - 6 yrs stage 4. "FAILED" PETscan on 4/2/13
May 2013: rePetted - improvement in lungs, left adrenal stable, right 6th rib inactive, (must be PERJETA avastin) sternum and L1 fruckin'worsen. Drop zometa. ADD Xgeva. Doc says get rads consultant for L1 and possible biopsy of L1. I say, no thanks, doc. Lets see what xgeva brings to the table first. It's summer.
June-August 2013HAPX Herceptin Avastin Perjeta xgeva.
Sept - now - on chemo hold for calming tummy we hope. Markers stable for 2 months.
Nov 2013 - Herceptin-Perjeta-Avastin-Xgeva (collageneous colitis, which explains tummy probs, added Entocort)
December '13 BRAIN MRI ned in da head.
Jan 2014: CONTINUING on HAPX…
FEB 2014 PetCT clinical “impression”: 1. newbie nodule - SUV 1.5 right apical nodule, mildly hypermetabolic “suggestive” of worsening neoplastic lesion. 2. moderate worsening of the sternum – SUV 5.6 from 3.8
3. increasing sclerosis & decreasing activity of L1 met “suggests” mild healing. (SUV 9.4 v 12.1 in May ‘13)
4. scattered lung nodules, up to 5mm in size = stable, no increased activity
5. other small scattered sclerotic lesions, one in right iliac and one in thoracic vertebral body similar in appearance to L1 without PET activity and not clearly pathologic
APRIL 2014 - 6 YRS POST GAMMA ZAP, 7 YRS MBC & 18 YEARS FROM ORIGINAL DX!
October 2014: hold avastin, continue HPX
Feb 2015 Cancer you lost. NEDHEAD 7 years post gamma zap miracle, 8 years ST4, +19 yrs original diagnosis.
Continue HPX. Adding back Avastin
Nov 2015 pet/ct is mixed result. L1 SUV is worse. Continue Herceptin/avastin/xgeva. Might revisit Perjeta for L1. Meantime going for rads consult for L1
December 2015 - brain stable. Continue Herceptin, Perjeta, Avastin and xgeva.
Jan 2016: 5 days, 20 grays, Rads to L1 and continue on HAPX. I’m trying to "save" TDM1 for next line. Hope the rads work to quiet L1. Sciatic pain extraordinaire :((
Markers drop post rads.
2/24/16 HAP plus X - markers are down
SCIATIC PAIN DEAL BREAKER.
3/23/16 Laminectomy w/coflex implant L4/5. NO MORE SCIATIC PAIN!!! Healing.
APRIL 2016 - 9 YRS MBC
July 2016 - continue HAP plus Xgeva.
DEC 2016 - PETCT: mets to sternum, lungs, L1 still about the same in size and PET activity. Markers not bad. Not making changes if I don't need to. Herceptin/Perjeta/Avastin/Xgeva
APRIL 2017 10 YEARS MBC
December 2017 - Progression - gonna switch it up
FEB 2018 - Kadcyla 3 cycles ---->progression :(
MAY30th - bronchoscopy, w/foundation1 - her2 enriched
Aug 27, 2018 - start clinical trial ZW25
JAN 2019 - ZW25 seems to be keeping me stable
APRIL 2019 - ONE DOZEN YEARS LIVING METASTATIC
MAY 2019 - progression back on herceptin add xeloda
JUNE 2019 - "6 mos average survival" LMD & CNS new single brain met - one zap during 5 days true beam SBRT to cord met
10/30/19 - stable brain and cord. progression lungs and bones. washing out. applying for ds8201a w nivolumab. hope they take me.
12/27/19 - begin ds8401a w nivolumab. after 2nd cycle nodes melt away. after 3rd cycle chest scan shows Improvement, brain MRI shows improvement, resolved areas & nothing new. switch to plain ENHERTU. after 4th cycle, PETscan shows mostly resolved or improved results. Markers near normal. I'm stunned but grateful.
10/26/20 - June 2021 Tucatinib/xeloda/herceptin - stable ish.
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Old 12-31-2009, 12:44 AM   #2
Margerie
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Re: one flu over flori's cuckoo nest...a little set-back

Flori,

Glad to hear they are filling up your tank I don't think you need this kind of excitement on your vacation :O

A similar thing happened to my mom, she finished up chemo for ovarian cancer not too long ago, but it was a rough last two rounds. She had recently gotten a flu bug, recovered she thought, but she was still fatigued. She woke up in the middle of the night with a huge headache. She actually had gotten up to go to the bathroom and passed out/hit her head on her bathroom scale and her head was bleeding. Anyway, she is fine now. Her potassium, etc. was all fouled up. Scary!!

So I guess a good call is to make sure you have some powerade on hand in case of flu.

Your avatar is priceless, what a personality on that dog, and he is pretty cute too!
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Dx 10/05 IDC, multi-focal, triple +, 5 nodes+
MRM, 4 DD A/C, 12 weekly taxol + herceptin
rads concurrent with taxol/herceptin
finished herceptin 01/08
ooph, Arimidex, bilateral DIEP reconstruction
NED
Univ. of WA, Seattle vaccine trial '07
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Old 12-31-2009, 01:25 AM   #3
Mary Anne in TX
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Re: one flu over flori's cuckoo nest...a little set-back

flori, you are totally priceless!
You are so right that this crew just sucks it up and presses on day by day! It truly is a balancing act of which direction to press into each day!
Goofy and stressed and out of gas is so normal so often, I think we get to thinking it's what is!
Glad you called the docs and you're on the mend. Please take care. I like you being our energizer bunny!
ma
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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 12-31-2009, 02:40 AM   #4
Rich66
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Re: one flu over flori's cuckoo nest...a little set-back

Yeah..potassium can be a biggie. Mom was on the road getting a second opinion/workup when they called her cell and demanded she come in for a potassium rider (IV infusion). She was on oral supplements but had been less than religious about them. Low potassium can lead to heart problems. Might be wise to ask for more frequent (weekly) labs to track it.
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Old 12-31-2009, 03:23 AM   #5
WomanofSteel
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Re: one flu over flori's cuckoo nest...a little set-back

Sorry things have been crazy for you. It is true though, it's hard to distinguish between chemo sick and just plain sick. Glad you are on the mend.
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invasive dcis 1 cm
er/pr/her2+
bcs 8/4/03
bcs 8/21/03 0/16 nodes
tx 4x ca 36 rad tam
postmenopausal 06 aromasin
sept 07 biopsy node in neck
muga/pet/cat/bone mets to lungs nodes and liver stage iv
tx hki-272
tx not working switched to taxol herceptin
Taxol not working switched to navelbine
navelbine is causing bad neuropathy
starting gemzar
gemzar quit on me now on Ixempra due to increasing number and size of liver mets
another progression starting tykerb/xeloda
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Old 12-31-2009, 03:27 AM   #6
tricia keegan
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Re: one flu over flori's cuckoo nest...a little set-back

Sorry to hear you've been so down Flori, when going through chemo I could'nt tell the difference either!
Take care and feel better soon. xx
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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 12-31-2009, 09:07 AM   #7
Mary Jo
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Re: one flu over flori's cuckoo nest...a little set-back

Happy to read you are on the mend Flori....geez....never a dull moment, huh? Is that what makes life so exciting? LOL! NOT!

Happy New Year to you too sweet sister,

Mary Jo
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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 12-31-2009, 11:15 AM   #8
jml
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Re: one flu over flori's cuckoo nest...a little set-back

Yowze, Flori!
Hope you're starting to feel better & sounds like you're on your way to getting back on your feet.

We endure SO MUCH with this disease!
It is hard to distinguish what "normal" is/was/can be.
I think we get so used to feeling puny & crummy and just soldier through all the crappy side effects.
Personally, I prefer not to call my docs for every complication, but this can be a blessing and a curse!
After finishing up 7 weeks of rads for a supraclav recurrences, I was feeling really crappy -
thought it was just "Radiation Syndrome" and bad, really bad Ragweed allergies!
Turns out, I was in ACUTE RENAL FAILURE -
the docs jokingly said, 'Wow, you look pretty darn good for being in Renal Failure'!
I ended up in the ER (while on a business trip), emergency surgery to stent my ureters/kidneys
to get them open & working again, then in ICU for 4 days b/c I diuresed 1500cc's of fluid in <1hr,
and b/c my electrolytes (including K+ & Na+)were so out of whack, I was having seizures.
Fortunately by the grace of God and the amazingly resilient human body, my kidneys bounced back,
almost like nothing happened. (I still have the stents which are an uncomfortable pain in the a**).

So I guess we all resolve to this new normal, but I still find myself a little surprised how good it feels to be off
treatment, and have a little laugh when I catch myself saying "Wow, is this what it feels like to be off chemo?"

Here's to a NEW normal in 2010 - still surviving & thriving~

Keep the Faith,

Jml
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Old 12-31-2009, 12:59 PM   #9
caya
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Re: one flu over flori's cuckoo nest...a little set-back

Sorry to hear you've had a bit of aggravation, Flori - it's true that it is hard to distinguish "regular" sick from "chemo" sick.
Glad you are on the mend, eat those bananas..

Happy New Year, lets' hope 2010 brings the cure.

all the best
caya
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ER90%+/PR 50%+/HER 2+
1.7 cm and 1.0 cm.
Stage 1, grade 2, Node Negative (16 nodes tested)
MRM Dec.18/06
3 x FEC, 3 x Taxotere
Herceptin - every 3 weeks for a year, finished May 8/08

Tamoxifen - 2 1/2 years
Femara - Jan. 1, 2010 - July 18, 2012
BRCA1/BRCA2 Negative
Dignosed 10/16/06, age 48 , premenopausal
Mild lymphedema diagnosed June 2009 - breast surgeon and lymph. therapist think it's completely reversible - hope so.
Reclast infusion January 2012
Oopherectomy October 2013
15 Years NED!!
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Old 12-31-2009, 01:18 PM   #10
Sheila
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Re: one flu over flori's cuckoo nest...a little set-back

Flori
Glad to know the problem is behind you...amazing the things we plug along with thinking "this must be normal considering"....you are an important reminder to us to get things checked when we feel even more unusual than we usually do....glad you are OK.....keep on keepin on!!!!!
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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 12-31-2009, 03:52 PM   #11
hutchibk
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Re: one flu over flori's cuckoo nest...a little set-back

Twinkie! Eat your bananas... drink your gatorade...

Your post is a great description of the tightrope we walk physically while on weird and novel treatment combos. We get used to little quirks that are totally tolerable and we learn how to manage them. But oops, then suddenly something comes along that tips the boat just enough that it is hard to tell the diff between a little bit rougher week or something completely new and separate going on. I ended up in the ER on Christmas day with all H1N1 Flu like symptoms except for fever. I felt crummier than crummy. I also had a fantastic little prickly red rash across my cheeks and nose that I had never ever seen before... but, it was not H1N1, just a crappy cold virus that took my body hostage. All is much better now, but lots of sleep, water, Sudafed, Robitussin, Mucinex, Vitamin C, Saline spray, blah blah blah, and I am on the mend.

Take care Twinks. Hope you get your drips soon!
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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 01-01-2010, 06:28 PM   #12
Jackie07
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Re: one flu over flori's cuckoo nest...a little set-back

Eat 'banana sanwich' (with mayonase) every day for prevention.
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Old 01-01-2010, 07:19 PM   #13
Cal-Gal
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Re: one flu over flori's cuckoo nest...a little set-back

Hello Flori-

Thanks for sharing this great advice and reminding us how important our 'electrolytes' are--mine are tested once a week just prior to my Herceptin infusion--I always get a copy and make sure I am monitoring these numbers--I have also been low in Calcium-and a few other 'needed to stay alive' electrolytes--these have caused me side effects that were knocking my socks off, but when tested explained what I was going through and what I needed to do--

Thanks again---important stuff---
__________________
DX: 11/08 Age: 53
Surgery: 1/09
Bilat Mastectomy, no reconstruction
ILC-4 tumors-1.7 cm,1.5 cm (2).8 cm
DCIS-11 cm
All tumors Grade 3
All tumors ER-0%/PR-0%
All tumors HER2+
IHC-all tumors Overexpression/borderline
FISH 2 tumors Her2-Negative
FISH 2 tumors Her2+ Equivocal
Stage I, 0/1 nodes
LVI-Indeterminate(treated as positive)
SPR Score 8/9
Ki-67 20%
BRCA genetic test 1/2=negative
Chemo: 6 rounds TAC Feb-June 2009 w/Neulasta
Herceptin: 6/12/09-6/4/10 52weeks
HNPCC genetic test: negative
Port Placement-9/23/09 Port Removal 6/25/10
Echo's every 3 months-All normal
2/09 Staging PET/CT showed 0.2 micronodule upper R lobe-lung-Onc does not think this is mets--
6/5/09 AND 10/09 CT scan 0.2 micronodule unchanged
1/10-PET/CT-uptake in nasopharynx-
1/10-MRI All normal
6/10-Bone Scan-clear
12/10-PET/CT-All Clear-NED
12/11-PET-All Clear-NED

12/12-PET-All Clear-NED
12/13-CT w/contrast Head, Torso-All Clear
12/14-CT w/contrast Head-All Clear
2/15-Core needle biopsy-R scar line

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