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Old 07-17-2006, 01:52 PM   #1
StephN
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Wink Breaking up is hard to do

What I mean by the above is that I had my last appt with my very wonderful medical oncologist today. I posted a few weeks ago that he is leaving the area.

He gave me good news - that my CT of chest and Abdoman of last week were clear as a bell and tumor markers low. No Evidence of Disease. And he is still amazed that I have been off chemo now for FOUR years and my disease has not returned (he does not count my brain mets, as he feels the seeds for those got there during my raging liver mets).

I remembered the time six years ago that he looked at me with those soft, kind eyes and gave me his card saying he would take me as a patient even if I did not want the rest of the normal team he works with (I did not). He was the first person to let me know that my disease was aggressive and would need special treatment. I felt reassured somehow in those early days of my diagnosis and the reassurance carried me through my bout with mets (even though there was a lot of doubt until the first scan showed results).

He seemed to have confidence in my ability to handle the treatments and this was coming through in his attitude towards me.

So, a good news/bad news sort of day for me. Happy for good results, happy to be alive and not needing more treatment. Sad to see a wonderful doctor leave my life that I feel is largely responsible for giving back to me.

I know he prescribed the tough drugs and my body did the work, but they were the RIGHT drugs for me.

Guess I will go get a bar of nice dark chocolate - time for comfort food!
__________________
"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.

Last edited by StephN; 07-17-2006 at 02:19 PM..
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Old 07-17-2006, 02:15 PM   #2
Lisa
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Steph,

I can't imagine losing my onc, so I can understand your sadness. But at least he left you with a wonderful parting farewell!

Love and light,

Lisa
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Old 07-17-2006, 02:20 PM   #3
Lisa
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Money wired today for Lyn's family

Friends,

Today I wired $2,854.50 to Peter Pilgrim, Lyn's brother. He had no idea we would raise this much money, but I had faith. A hearty thanks to each of you who contributed. I'm sure Lyn would have something witty to say about this, so I feel sure she's smiling down.

As I've mentioned, I will be sending each of you a formal thank you on HER2 letterhead for income tax purposes.

Much love and light,

Lisa

P.S. If anyone would still like to contribute, send it to me and I'll send it on to Peter.
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Old 07-17-2006, 02:22 PM   #4
Barbara H.
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Your post said it all, Steph. I wish continued good health and NED for you. I'm sure you will develop an excellent rapport with your new oncologist, but it does take time.
Best wishes,
Barbara H.
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Old 07-17-2006, 04:59 PM   #5
sassy
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Steph,

So glad you got good news, tempered with sadness. Hopefully you will find a new onc that will deserve your confidence once again.

Sassy
________
Laguna Bay II Condominium Pattaya

Last edited by sassy; 08-22-2011 at 08:50 AM..
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Old 07-17-2006, 06:06 PM   #6
Sandy H
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Great news on NED! Good doctors like their patients to be their own advocates or so my oncologist keeps telling me. He says he doesn't worry about us because we will keep them straight!!! I am sure you will continue to do well with your new oncologist once you know each other and create that trust we all have. Best wishes, hugs, Sandy
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Old 07-17-2006, 07:23 PM   #7
Sheila
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Steph
Great news on the tests, and you are so deserving....so hard to lose your oncologist....I do not know what I would do....but I see that mine will retire soon....we build such a rapport and they gain our confidence...it is like losing a best friend....the new one better be good to you to fill the shoes he will walk in!!!
__________________
"Be kinder than necessary, for everyone you meet
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 07-17-2006, 07:30 PM   #8
judiek
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Steph,

I hope that you will find another onc that you can trust and love...your story is so incredible. Great news...here's to many many more good years Steph!

Warmly,

Judiek
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Old 07-17-2006, 08:59 PM   #9
mamacze
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Dear Steph,

Well to be honest with you, friend, I was a bit worried about you with your recent setback (brain necrosis, etc), and frankly I am mighty relieved to hear about your return to NED. It takes a special person to cross the distant survival goals, and clearly you are one of them. Thank you for your gift of encouraging the rest of us along this journey. (and enjoy your chocolate! God willing, your next onc will be even more supportive...I can bet that he will enjoy reading your medical record!)
Love Kim from CT
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Old 07-17-2006, 10:38 PM   #10
StephN
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Wink Thanks for comiserating ...

Well, my new med onc is a SHE, and a mightly fine doctor. Well known in the cutting edge circles and I feel confident in her ability to keep me NED and to treat me if the beast returns.

She co-wrote a book on exercise and breast cancer that is worthwhile reading.
Titled "Breast Fitness."

Yes, the chocolate helped. It was also a pleasant temperature here today.
__________________
"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 07-18-2006, 04:34 AM   #11
Maggie
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Steph,

I'm so glad you have found a new onc already! That's comforting news, I'm sure!
Congratulations on NED! More terrific news!

Maggie
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Old 07-18-2006, 04:45 AM   #12
IRENE FROM TAMPA
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I know the feeling

I lost my onc. a year ago to a transfer she took in San Antonia. Great opportunity for her, but sad for me.

I have to say that I still email her (can you believe she gave me her email as busy as she is. She is heading the San Antonio Cancer Research Center so I know her time is limited.

Whenever I have a moment when I am getting scared and worried (which seems to be a lot lately) I email her and she responds to me instantly. Example, on Saturday (Saturday mind you)
I emailed her to get her advice on future treatments, and within one hour she had emailed me back. This women also has a life at home, but somehow she manages to remember her "friends" -which we became.

I think she is amazing and I truly miss her but feel so fortunate to have crossed paths with her.

So I know what you are feeling

I am so happy to hear that you are doing so well. Keep up the good work.
__________________
Irene from Tampa
1996 - INFILT DUCTAL CAR.W/ LYMPH NODE INVOLVEMENT. ADRIA/CYTOXIN/5FU
1999 - RECURR. TO AUXILA AND 2 TUMORS IN LIVER
TREAT: STEM CELL REPLACEMENT/HERCEPTIN.
2002 - RECUR TO LIVER
TREAT: NAVELBINE, THEN GEMZAR, THEN XELODA.
2004 - TUMORS STILL IN LIVER
TREAT: RFA TO LIVER
STABLE UNTIL
2004 - TUMOR PROGRESSION IN LIVER.
TREAT: RESECT HALF OF LIVER.
2005 - RECURR TO LYMPH NODE OUTSIDE OF LIVER.
TREAT: TAXOL/CARPO/HERCEPTIN. FAILED ON
THIS TRIO. STARTED ON ABRAXANE.
2006 - PROGRESS WITH 2ND TUMOR GROWTH.
TREAT: AUG. BEGAN ON TYKERB/XELODA
TRIAL. CONSIDERED STABLE TO DATE.
2007 - TAKEN OFF OF TYKERB/XELODA TRIAL DUE TO
PROGRESS STARTING TYKERB/AVASTIN.
NOV 2007 - SCANS SHOW PROGRESS TUMOR GROWTH
IN ABDOM. AND TWO NEW TUMORS IN NECK AREA.
BEGAN HERCEPTIN/AVASTIN/TAXOTERE
Feb 08 - Ixempra/Xeloda
June 08 - Her/DM1 trial

"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."
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Old 07-18-2006, 05:33 AM   #13
madubois63
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Steph - NED, NED, NED!!! How wonderful!!!! I hope the new doctor is as confident in you as your old onc (and us too)...Keep doing what you do best and proving all those stats wrong!!!!
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Old 07-18-2006, 06:05 AM   #14
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Great news Steph, and also good that you found a new onc that you feel comfortable with.

May NED be with you for a long time to come.
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Old 07-18-2006, 06:41 AM   #15
Kaye
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Breaking up is hard to do

Sorry to hear that you are losing you onc, Steph. Hopefully, you will develop just as good a relationship with your new one and feel just as comfortable, if not even more...
Do you know where your 'old' onc is relocating for the benefit of anyone else who might be near her?
Take care and wishing you all the best!
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Old 07-18-2006, 11:04 AM   #16
StephN
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Arizona bound

Hey Kaye -
Guess I might have mentioned that my onc is going to Tucson to the University of Arizona (medical center, I presume). He will be starting there Oct. 1. If anyone in Arizona or thereabouts wants his name, email me directly.
Looks like he will be a "big cheese" there.
__________________
"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 07-18-2006, 02:49 PM   #17
RobinP
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Wink

I know how it feels, a bit bewildering, to loose your oncologist. I have lost mine too lately as he moved. Now I need a replacement. Luckily, there is one in the area that I heard is very good, and I am hoping for the best with him. I wish you the best with your new onocologist too Steph.
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2002- dx her2 positive DCIS/bc TX Mast, herceptin chemo
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Old 07-18-2006, 09:18 PM   #18
michele u
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Steph, I'm so happy things are going well for you. I'm coming in August I hope i can see you!
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Old 07-19-2006, 12:02 AM   #19
Chelee
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Steph, It must be so hard to have him leave. Sounds like your oncologist really knew his stuff. That is awesome that you have been NED for the last four years. Your onc has the magic touch. I think if I was you...I would ask him where he is moving too and FOLLOW HIM. LOL

To find a oncologist that you can trust and you know is in your corner with you...is worth a million bucks. I see you already have a new onc doc. I hope she will be just as great as your last one. Sounds like your already happy with her...that is excellent.

Wishing you all the best! And continued years of NED forever!

Chelee
__________________
DX: 12-20-05 - Stage IIIA, Her2/Neu, 3+++,Er & Pr weakly positive, 5 of 16 pos nodes.
Rt. MRM on 1-3-06 -- No Rads due to compromised lungs.
Chemo started 2-7-06 -- TCH - - Finished 6-12-06
Finished yr of wkly herceptin 3-19-07
3-15-07 Lt side prophylactic simple mastectomy. -- Ooph 4-05-07
9-21-09 PET/CT "Recurrence" to Rt. axllia, Rt. femur, ilium. Possible Sacrum & liver? Now stage IV.
9-28-09 Loading dose of Herceptin & started Zometa
9-29-09 Power Port Placement
10-24-09 Mass 6.4 x 4.7 cm on Rt. femur head.
11-19-09 RT. Femur surgery - Rod placed
12-7-09 Navelbine added to Herceptin/Zometa.
3-23-10 Ten days of rads to RT femur. Completed.
4-05-10 Quit Navelbine--Herceptin/Zometa alone.
5-4-10 Appt. with Dr. Slamon to see what is next? Waiting on FISH results from femur biopsy.
Results to FISH was unsuccessful--this happens less then 2% of the time.
7-7-10 Recurrence to RT axilla again. Back to UCLA for options.
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