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Old 11-19-2008, 12:23 PM   #21
BonnieR
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Rina, I will add my name to the list of those who have had vertigo intermittently over the years. So let's hope that is all it turns out to be. Of course, once we have had cancer, everything seems more ominous .
Let me tell you about a recent incident I had. Was feeling some pressure in my skull and had an episode of double vision. My onc ordered a brain MRI. (Meanwhile I was seeing a doc for TMJ. He thought the "pressure" was muscular in nature and not a brain tumor.) The MRI was negative for tumor BUT the radiologist said I have "multiple small areas of infarction." So now I have been sent to a neurologist. HE said the radiologist mis-described the findings and things are normal for my age. No "little strokes" after all. I guess I am telling you this to point out that sometimes things are not at all what they seem. Even if someone is suggesting some reason for concern. Upon investigation it turns out okay. The anxiety, however, is excruciating.
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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 11-19-2008, 01:18 PM   #22
rinaina
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Bonnie, your point is well taken. I am trying very hard to not worry and jump to any conclusions. I am keeping very busy so it is making this easier. Thanks for sharing your experience and I am glad you are okay.
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~Rina~
Dx:3/06 had a lumpectomy April 19, 2006
Her2+ er/pr- Stage I Grade 3 tumor size 1.4 cm, node negative
AC 4 dense doses
34 radiation treatments including booster doses
receiving herceptin every 3 weeks since late August 2006 for 12 months
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Old 11-19-2008, 02:19 PM   #23
Jackie07
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Rina,

Your breast cancer was in similar size and same stage as mine when it was first diagnosed in 2003. I don't feel it's likely for you to have brain mets to cause the symptoms you are experiencing.

Let's wait for the follow-up of ENT and hope it will help the doctor figure out how to give you relief.
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Old 11-19-2008, 08:39 PM   #24
caya
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Rina,

Thanks for posting the update. I hope that further testing will give you definitive answers. Still could be a virus. A neighbour of mine had a vertigo virus for a few weeks before it finally faded and disappeared.

Please keep well, and let us know your test results.

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
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Old 11-22-2008, 09:19 PM   #25
swimangel72
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Hi Rina - before my dx of BC, I suffered a couple of bouts of vertigo. My ENT did a brain MRI and audiology tests - and called it Benign Paroxysmal Positional Vertigo. He was able to diagnose this by tilting the chair I was sitting in backwards and watching my eyes. Then he performed an Epley Maneuver - which made me so dizzy I became nauseous - but the next day, my vertigo was over! I was so happy because it was getting so bad that I couldn't drive! He told me many women get this problem after menopause - that there are crystals in the inner ear and they can get dislodged often through very slight whiplash. Here's an article in the New York Times Science Times describing the ear's vestibular system:

http://www.nytimes.com/2008/10/28/science/28angi.html

My first bout of vertigo had occured 2 years after I went through menopause. I was 51 but still enjoyed riding the big old wooden roller-coasters. It was hard to give that up - but at my age I finally recognized that "somethings gotta give". My doctor taught me how to do the Epley maneuver myself - I'm not as good as he is - but if I feel dizziness coming on, I try it before I even get out of bed in the morning. Here's a link showing pictures of the Epley manuever:

http://www.merck.com/pubs/mmanual_ha...es/fg20_1.html

and here's a video on YouTube showing the manuever:
http://www.youtube.com/watch?v=pa6t-Bpg494

I hope this information is helpful to you - and that your symptoms have nothing to do with BC.
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Kathy
2/5/08 - dx age 53, post-menopausal;
IDC Stage 1, Grade 1
ER+ 90% /PR+ 90% /Her2++++, BRAC1 & 2 neg
3/5/08 - mast with muscle-sparing free tram;
0/7 nodes clear; Stage 1 lymphedema in right arm
3/11/08 - MRSA infection in abdomen causes large hernia
4/11/08 - Oncotype DX score 22 (intermediate)
4/12/08 - Muga score 67%
4/23/08 - Chemo, Navelbine and Herceptin every 2 weeks
8/20/08 - Last Navelbine infusion! Yay!
1/22/09 - First mammo since dx - unaffected breast CLEAR!
1/30/09 - Second Muga score 63%
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Old 11-22-2008, 09:48 PM   #26
BonnieR
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Swimangel, thanks. We surely learn all manner of interesting things here!
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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 11-22-2008, 09:57 PM   #27
rinaina
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Swimangel, thank you for your excellent information. I am willing to bet that I have Benign Paroxysmal Positional Vertigo because it usually happens when I lay down or bend down. Occasionally at other times. Doesn't happen all the time and sometimes so infrequent that I even second guess if it is real or my imagination. I am having an ENG test on Tuesday so I should know for sure soon. Thanks for your input and knowledge.
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~Rina~
Dx:3/06 had a lumpectomy April 19, 2006
Her2+ er/pr- Stage I Grade 3 tumor size 1.4 cm, node negative
AC 4 dense doses
34 radiation treatments including booster doses
receiving herceptin every 3 weeks since late August 2006 for 12 months
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Old 11-23-2008, 12:33 AM   #28
Chelee
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Kathy, Thanks for sharing the diagram and video of how to do that "Epley maneuver". I've been living with BPPV for a good 5 years now. I'm going to pick on my primary doctor for not bringing this to my attention. I've told him how much this really bothers me and affects my life. I even asked him if there was a way to get rid of it?

I'm going to try this maneuver myself and see if it works for me. If it works that would be great...I hate this vertigo.

And YES Rina...from what you just described...I will also bet this is exactly your problem. It makes the most sense to me. Seems to be more common then most people think too. Let us know how your ENG goes Tuesday. Maybe we can start are own "BPPV" group. lol

Chelee
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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
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10-24-09 Mass 6.4 x 4.7 cm on Rt. femur head.
11-19-09 RT. Femur surgery - Rod placed
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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.

Last edited by Chelee; 11-23-2008 at 02:29 PM..
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Old 11-23-2008, 10:40 AM   #29
karenann
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I had the same thing as Kathy, benign positional vertigo while on Herceptin. I had to go to the er and the doc there had me do all kinds of strange maneuvers with my head, but upon completion the vertigo seemed to go away. I also didn't have bouts of vertigo, mine was non stop. for 12 hrs until I went to the er.

Oh, and I was told the same thing regarding a hair, or crystal that broke loose in my ear and it was floating in the ear canal which was causing the vertigo.

Hope you feel better soon Rina.

Karen
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Old 11-23-2008, 12:34 PM   #30
AlaskaAngel
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Ent/pt

Rinaina, as I mentioned in another thread, it is a long shot but I did get complete relief from those symptoms after my ENT saw me and evaluated me and sent me to a physical therapist who does PT specifically for those symptoms. Mine was due to a past shoulder injury compounded by breast surgery on the same side, which was causing the neck muscle to tighten up in compensating for the weakened muscles, and was putting pressure on a neck nerve.

Best wishes,

A.A.
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Old 11-23-2008, 02:28 PM   #31
StephN
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Hi -
I have not experienced this vertigo type symptom, but my step daughter had it. She was in her late 20's when it happened and went on for a while before she was sent by her audiologist to a specialist for that maneuver to reposition the inner ear crystals.

All has been well since then for her. They think hers may have been related to her bad TMJ that she finally also got treated for.

Yes, our bodies do all sorts of things and we have to keep the faith that these other problems will be unrelated to our cancer, as hard as THAT is!

Hope you get relief soon, Rinaina!
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"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 11-23-2008, 03:30 PM   #32
rinaina
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Oh boy Chelee...just what we all need, another support group for another ailment, LOL!!! This better subside soon so I don't need that! Thanks everyone for your feedback. I am feeling so much more at ease about this vertigo being nothing more then that positional vertigo ailment. I am sure after the ENG that is what they will find. Then I can get treated with those exercises and be done with this hopefully. I just love this forum because you can always get great support and valuable info. Thank you all for everything and will report back as soon as I know anything.
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~Rina~
Dx:3/06 had a lumpectomy April 19, 2006
Her2+ er/pr- Stage I Grade 3 tumor size 1.4 cm, node negative
AC 4 dense doses
34 radiation treatments including booster doses
receiving herceptin every 3 weeks since late August 2006 for 12 months
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Old 11-25-2008, 04:54 PM   #33
rinaina
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I am feeling quite relieved after my ENG test today. The audiologist was so excited to report to me that she definitely got some positive readings that points to benign positional vertigo that would respond most likely to physical therapy. Kathy, you hit it right on the head so thank you very much to you and everyone else. Of course the doctor has to verify the findings and it may be an additonal five days before that happens. I am leaving town Friday but will be in contact with his office during my vacation. Hey, maybe the change in scenery and climate will cure me! Stranger things have happened, right? Will post again once I know anything definitive but for now I am worry free...Yeah!
Wishing all my her2 sisters a very Happy Thanksgiving filled with love, peace and good health.
xoxo,
Rina
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~Rina~
Dx:3/06 had a lumpectomy April 19, 2006
Her2+ er/pr- Stage I Grade 3 tumor size 1.4 cm, node negative
AC 4 dense doses
34 radiation treatments including booster doses
receiving herceptin every 3 weeks since late August 2006 for 12 months
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Old 11-25-2008, 05:19 PM   #34
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Sorry, Rina, for being late here, but at least I got here in time to hear the good news! I hope you have a wonderful warm Thanksgiving. Hey, hey, where ya goin'? Come on, tell us. We need to know. Where ya goin'?
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Old 11-25-2008, 05:21 PM   #35
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I have been lurking on this thread for the last couple of days... as I have basically been bedridden with a sinus headache, dizziness and accompanying nausea, no fever. Went to the ENT yesterday and he believes it is inflammation in my middle/inner ear, but didn't completely rule out a viral or bacterial sinus infection. He tested me for positional vertigo, but didn't see that as a possibility. So, I came home with prednisone and antibiotic. The nausea is gone today, but I am weak, prefer to be horlzontal, my ear canals are hypersensitive to most sounds, and I can "hear my eye movements" - which is really weird. I get whooshes through my ear canals when I move my eyes to try and focus. It's so freaky... I think I lean toward virus or infection. My onc leans toward fluid behind my ear drum, allergies and sinus infection.

Sigh, I just want it to go away.
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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 11-25-2008, 05:34 PM   #36
rinaina
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Brenda, I hope whatever it is, it leaves quickly. Sorry you are dealing with this. Hopefully it will clear up soon.
Bill, we are leaving frigid Chicago and heading south to sunny and warm West Palm Beach Florida for a week. Shoot, just thought of something...sure hope the flight doesn't play havoc with the vertigo. My ears always hurt on decents.
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~Rina~
Dx:3/06 had a lumpectomy April 19, 2006
Her2+ er/pr- Stage I Grade 3 tumor size 1.4 cm, node negative
AC 4 dense doses
34 radiation treatments including booster doses
receiving herceptin every 3 weeks since late August 2006 for 12 months
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Old 11-25-2008, 08:09 PM   #37
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Rina
There is a woman that I met at chemo at Rush who is a Physical Therapist and treats BPV..seems she is in Bucktown or near the loop...i will try and get her name if you are interested. She has had alot of success, they did a special on her on Channel 7 news, and she is an Imerman Angel to boot and a breast cancer survivor.
Have fun on the trip...chew gum, it helps!
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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 11-25-2008, 09:18 PM   #38
rinaina
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Thanks Sheila and I will take that info if you don't mind..but I may end up some where closer here. Have a wonderful Thanksgiving.
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~Rina~
Dx:3/06 had a lumpectomy April 19, 2006
Her2+ er/pr- Stage I Grade 3 tumor size 1.4 cm, node negative
AC 4 dense doses
34 radiation treatments including booster doses
receiving herceptin every 3 weeks since late August 2006 for 12 months
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Old 11-26-2008, 08:55 PM   #39
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Rina I hope your vertigo ends soon - and you are smart to worry about the flight affecting your ears. To help with the air pressure (increases and decreases) you can buy ear plugs in CVS called "Ear Planes" - they are made specifically to reduce the stress to the ears while on a flight. I wear them for swimming - they are so comfortable and the only ear plugs that really fit and keep the water out. But truly they were invented for air travel.

No matter what the cause - vertigo is so extremely debiliating to our daily lives. I would hold on to the walls when walking - I felt like a drunken sailor - fortunately I only got nauseous that one time in the ENT's office. But while suffering from the vertigo (my bouts lasted for 3 months a piece, non stop) - I wasn't able to go to the dentist- tilting the seat back made the ceiling spin - nor could I go to the beauty parlor for the same reason. Driving became nearly impossible unless I held my head absolutely still and didn't make abrupt changes with my eyes. Laying down in bed and getting up again caused the world to spin. I learned to make accomodations, but was so happy when my ENT said he could "cure" me immediately with the Epley Maneuver - and I hope your vertigo will be cured soon too!
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Kathy
2/5/08 - dx age 53, post-menopausal;
IDC Stage 1, Grade 1
ER+ 90% /PR+ 90% /Her2++++, BRAC1 & 2 neg
3/5/08 - mast with muscle-sparing free tram;
0/7 nodes clear; Stage 1 lymphedema in right arm
3/11/08 - MRSA infection in abdomen causes large hernia
4/11/08 - Oncotype DX score 22 (intermediate)
4/12/08 - Muga score 67%
4/23/08 - Chemo, Navelbine and Herceptin every 2 weeks
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1/22/09 - First mammo since dx - unaffected breast CLEAR!
1/30/09 - Second Muga score 63%
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Old 11-27-2008, 07:51 AM   #40
rinaina
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Kathy, you really had a bad case of vertigo. Mine isn't as debilitating as yours. I can go hours without an episode and then sometimes it happens one after another but certainly not all day. I have been able to function fairly normally most of the time. I do look forward to that maneuver though because I would love to get rid of it all together. Thanks for all your great info.
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Dx:3/06 had a lumpectomy April 19, 2006
Her2+ er/pr- Stage I Grade 3 tumor size 1.4 cm, node negative
AC 4 dense doses
34 radiation treatments including booster doses
receiving herceptin every 3 weeks since late August 2006 for 12 months
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