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Old 05-24-2010, 07:07 AM   #21
schoolteacher
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Re: Bad News/Good News/Keep the Faith

Bonnie,

I am glad it was not anything. I can not imagine how you must feel. You are in my prayers.

Amelia
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Old 05-27-2010, 07:20 AM   #22
Diane H
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Re: Bad News/Good News/Keep the Faith

WOW, what an experience. Just want to send a hug and hopes for smooth sailing now.
Wow. I'd be really p'od.
More hugs,
Dian e
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Old 05-27-2010, 12:27 PM   #23
whatz
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Re: Bad News/Good News/Keep the Faith

Wuff Bonnie, what a story and what a great attitude on your end. Don't know if I would/could be as gracious.
__________________
4/09 suspicious lump in left breast
5/09 biopsi lead to diagnosis ER/PR -
Her2+.Grade 3,full masectomy left breast,sentinel nodes clear,Stage 1
6/09 Adriamycin + Cytoxan 4 treatments (every 3 weeks) followed by Taxol + Herceptin, 1 treatment weekly for 12 weeks, followed by Herceptin for 40 weeks
MRI Brain 4/10 clear
CT Body 4/10 clear
PET Body 2/11 clear
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Old 06-12-2010, 12:20 AM   #24
Jackie07
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Re: Bad News/Good News/Keep the Faith

Bonnie,

I missed this thread because my niece was visiting in May - I let her use my computer most of the time after she found out that mine allows unlimited connection time.

When I was staying in the hospital overnight after my hysterectomy, the first girl who was checking on me after midnight also attempted to put the cuff on my bad arm. I yelled at her (which I'd hardly ever done in my life) and she stopped.
She's evidently not very experienced because none of the other staff made the same mistake. I asked one of the nurses about it, and she said that by the look of my chest which was covered with gause all across, she could tell that I'd had bilateral mastectomy. That's why she was extra careful.

I'm sorry that you have lost a lobe of your lung unnecessarily. But I'm happy that the test result was good. Seems we've been making the same statement several times - that we are the very few who would be happy to receive some pretty bad news as long as we are cancer free.

Really need to be careful when staying in the hospital. One young volunteer had taken me to the wrong station one time when I was receiving therapies (PT, OT, ST) after my brain surgery. The physical therapist was frantic when she finally located me.
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http://www.kevinmd.com/blog/2011/06/doctors-letter-patient-newly-diagnosed-cancer.html
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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
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10-10 Stopped Exemestane due to r. hip/l.thigh pain OKed by Onco 11-08-2016
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Old 06-12-2010, 08:28 AM   #25
hutchibk
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Re: Bad News/Good News/Keep the Faith

Cautionary tale for sure! In more ways than one... WOW. Yeah, if you don't retain a lawyer (which I don't know if I would either...), maybe at least consider reporting the experience (doctor and hospital) to the State Medical Board?

I learned from your story:

1. I have a cough currently and will be getting a chest x-ray on Monday. I WILL NOT "pass go" without a second and/or third opinion if we see anything... (PET/CT scans in the last 2 months were clear, so we really think this is simple allergy or respiratory virus).
2. Wear my right lymphedema arm in a plaster cast for the rest of my life so that incompetent boobs don't accidentally stick it with needles when I am under sedation during or post surgery.
3. There is nothing "perfect" about a storm.

I am glad you came out alive, but oy what a story. Thank you for shooting a warning shot! I am sorry that this happened to you.
__________________
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."

Last edited by hutchibk; 06-12-2010 at 09:35 AM..
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Old 06-12-2010, 09:04 AM   #26
BonnieR
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Re: Bad News/Good News/Keep the Faith

Brenda, this is why I posted. As a cautionary tale in the event another of us is in the same boat (in the perfect storm!).
I had a younger friend here who died of lung cancer. She always told me "don't settle for just a chest xray because it does not show enough". But the other side of that is, once we have had cancer, no stone goes unturned and maybe assumptions get made and there is overreaction. In my case, for instance, it would have been more prudent to wait and give me antibiotics to see if the nodules went away. But, no, the push was on. Compounded by the fact the area could only be biopsied surgically.
So I went against my instincts and did not get another opinion before agreeing to the biopsy. I know with cancer, time is of the essence, but still....not always.
I sincerely hope this helps you next week. Please let me know what happens. And please, too, always keep the faith!
__________________
Bonnie

Post menopause
May 2007 Core biopsy, Rt breast
ER+, Pr-, HER2 +++, Grade 3
Ki-67: 90%
"suspicious area" left breast
Bilateral mastectomy, (NED on left) May 2007
Sentinel Node Neg
Stage 1, DCIS with microinvasion, 3 mm, mostly removed during the biopsy....
Femara (discontinued 7/07) Resumed 10/07
OncoType score 36 (July 07)
Began THC 7/26/07 (d/c taxol and carboplatin 10/07)
Began Herceptin alone 10/07
Finished Herceptin July /08
D/C Femara 4/10 (joint pain/trigger thumb!)
5/10 mistakenly dx with lung cancer. Middle rt lobe removed!
Aromasin started 5/10
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Old 06-12-2010, 09:41 AM   #27
hutchibk
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Re: Bad News/Good News/Keep the Faith

Thanks again for all the info and buyer beware advice! ...But my docs and surgeons would never let me settle for only a chest x-ray, having been a mets patient for the last 6 years. We have become pretty adept at diagnosing every little thing that appears in my body. Not to say that we couldn't be tricked by something at some point, but we are pretty good at due diligence... in my experience. That said, I appreciate your experience and WILL NOT let myself or medical team become complacent or overly anxious.
__________________
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 06-12-2010, 10:12 AM   #28
BonnieR
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Re: Bad News/Good News/Keep the Faith

Brenda, wow, you switched your photo up on us!
Yes, it sounds as though you and your team are better coordinated. This was my first big foray into the land of "what if..." and I learned alot from the experiece!
__________________
Bonnie

Post menopause
May 2007 Core biopsy, Rt breast
ER+, Pr-, HER2 +++, Grade 3
Ki-67: 90%
"suspicious area" left breast
Bilateral mastectomy, (NED on left) May 2007
Sentinel Node Neg
Stage 1, DCIS with microinvasion, 3 mm, mostly removed during the biopsy....
Femara (discontinued 7/07) Resumed 10/07
OncoType score 36 (July 07)
Began THC 7/26/07 (d/c taxol and carboplatin 10/07)
Began Herceptin alone 10/07
Finished Herceptin July /08
D/C Femara 4/10 (joint pain/trigger thumb!)
5/10 mistakenly dx with lung cancer. Middle rt lobe removed!
Aromasin started 5/10
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Old 06-13-2010, 03:19 PM   #29
Joan M
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Re: Bad News/Good News/Keep the Faith

Bonnie,

Whew!

Joan
__________________
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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Old 06-17-2010, 12:59 AM   #30
harrie
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Re: Bad News/Good News/Keep the Faith

OMG Bonnie! What a story!!
Sounds like the tornado has passed and now you are back to blue skies!!
__________________
*** 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 06-18-2010, 08:50 AM   #31
Jean
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Re: Bad News/Good News/Keep the Faith

Bonnie,
I am so sorry to read your posts!
That are nightmarish to say the least.
I at first reading was shocked that you could or would be a stage IV....then as I read the full story I was just horrified.

I can only relate in a very small way...I had a ct scan which showed a nodule ...have been watching it for 5 yrs. now (also had pneumonia twice years ago). Also in a bad location to biopsey...so we watched it first by treating with a strong antibiotic (which did not change the size etc.) but it did in the year get smaller. Now have another one we are watching and it is not changing. At first I was very concerned waiting those months...but the dr. did slow down the process saying we are observing and in three months will go back and check again. With no change - we moved to 6months, while all the time I will admit I was a bit worried.

I have to say - what you have gone through sounds very much like you should at the very least consult with a professional attorney.

Once again I am deeply sorry that you and your husband had to endure such stress. But on the positive side, I am so thrilled you are NED. I wish you a speedy healing.

Best Wishes,
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 06-18-2010, 09:34 AM   #32
BonnieR
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Re: Bad News/Good News/Keep the Faith

Jean, you and I have always had a similar story! It certainly sounds as though your team is taking the more measured, conservative approach. And one which the pulmonolgist who I am NOW seeing (after the horse is out of the barn!) would have recommended. Additionally, the final pathology never did exactly pin point the organism that was present. It seemed to be an old pneumonia. I intend to send it to another lab for clarification. Just letting the dust settle before I start persuing other paths.
Thank you so much for the kind words. Please let me know what you learn as you go along. I will keep you posted as well if there are new developments.
And keep the faith!
__________________
Bonnie

Post menopause
May 2007 Core biopsy, Rt breast
ER+, Pr-, HER2 +++, Grade 3
Ki-67: 90%
"suspicious area" left breast
Bilateral mastectomy, (NED on left) May 2007
Sentinel Node Neg
Stage 1, DCIS with microinvasion, 3 mm, mostly removed during the biopsy....
Femara (discontinued 7/07) Resumed 10/07
OncoType score 36 (July 07)
Began THC 7/26/07 (d/c taxol and carboplatin 10/07)
Began Herceptin alone 10/07
Finished Herceptin July /08
D/C Femara 4/10 (joint pain/trigger thumb!)
5/10 mistakenly dx with lung cancer. Middle rt lobe removed!
Aromasin started 5/10
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Old 06-19-2010, 09:18 AM   #33
AlaskaAngel
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Re: Bad News/Good News/Keep the Faith

Bonnie, I too entirely missed this thread originally. Jeez....

You and I (and probably too many others as well) have learned in life, or have a tendency... not to listen as closely to our own intuitions when in doubt... It is so hard to keep everything in focus at such times.

It does shake up our ability to trust, and it doesn't help to have the surgeon who was erroneously confident in the first place come in and say something that self-centered to you.

Thanks for explaining it so clearly, so that we all can learn from your experience.

The legal path isn't easy, yet I too wonder who might be next with that surgeon... and think that some kind of slap might be important in that regard.

Best to you in your recovery,

AlaskaAngel
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Old 06-19-2010, 09:48 AM   #34
krisvell
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Re: Bad News/Good News/Keep the Faith

Bonnie,
As I was reading your story, I was so glad to see it was NOT Lung cancer..Man; I can't believe that you needless went thru the surgery and to top it off they put an IV in your "No" arm. Unbelievable.
Relish your good health.. I am soo very happy for you.

Kris...
__________________
06/08/09 - 55, IDC, IIIA, ER+/PR-/HER+++
Nottingham 6/9 - Grade 2 5.2cm, several nodes
06/23/09 - Neoadjuvant - TCH Herceptin til June
10/07/09 - Finished Chemo
10/27/09 - Mastectomy RB
Path Report: RB No residual tumor pCR,
2 of 15 pos - .5mm largest micromets
12/18/09 - Radiation started (28)
02/05/10 - Finished Radiation
01/11/10 - Started Femara
06/22/10 - Finished Herceptin.. My son's 22nd BD. Hope it's a sign! Hoping for the best.
11/15/10 - Started Walter Reed BC Vaccine trial at
1/04/11 - Sibley Mem. Had to withdraw due to met
01/23/11 - Stage IV - Brain Met 1.6cm 1.7cm
02/03/11 - Gamma Knife (2 fracts to minmize necrosis)
03/01/11 - Gamma Knife
6/11 - Necrosis
7/11 - Necrosis stopped & Tumor progression
8/11 = Now think it's really necrosis
9/11 - Avastin every two weeks -- It's working!! Necrosis is shrinking.
12/11 - Necrosis gone AVASTIN worked.
12/11 - Bone &CT found


Oct '10 - Ran Hartford 1/2 Marathon to Thank Dr. Slamon for Herceptin!
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