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Old 07-26-2007, 01:14 PM   #1
Hazel Joyce
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Question Question for those with brain mets

I have had a headache on the top left side of my head for 3 days. I very rarely get headaches. I have an appointment with the onc NP tomorrow. My question is: Did you have symptoms of brain mets before the tests, or did they find the mets on a test before you became symptomatic?

Thanks!
Jean C.
__________________
IDC Stage IIIA
Diagnosed Nov 2006 (routine mammogram), age 51
Lumpectomy, lymph node dissection Dec 2006
3 cm tumor, 8 cancerous lymph nodes
Grade 3, ER/PR -, HER-2/neu +++ (by FISH, average 20 copies per cell)
A/C x 4, Taxol x 12, Herceptin x 47 weeks
35 radiation treatments
Completed treatment on April 3, 2008
Chest port removed October 2009
11 years since diagnosis NED
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Old 07-26-2007, 02:03 PM   #2
Believe51
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Wink Hey joyce

Hubby never gets headaches, I get the migraines, but he was getting a few that he thought were from pain meds (he never took medications, sugar, etc). We demanded a scan and thankfully so, we found he had 5 mets ranging from 4-9mm and the rest were what they said looked like a 'salting'.

If we waited without the scans, 3 months and he would have had very bad symptoms. I truely suggest that if your headache lasts for another day or two.....MAKE AN APPOINTMENT!!! DEMAND A SCAN IF NEED BE!!! (This is ALL about you)

I will include you in our prayers and hold you close to heart. Please remember, until you find out what is happening==do not panic. Try to stay focused and troubleshoot if anything is different, so when the doctor asks that question, you have a comeback. Ex: Are you a coffee drinker that maybe is not drinking the usual amount?? Have you been taking pain meds at a lesser amount than normal or more than normal?? Allergies?? Stresses?? (I know, of course there is stress!!) etc, etc....

Best of luck Sweetiie, you will remain in my positive thoughts!!!

Waiting For A Miracle...and commanding one soon..>>Believe51
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9/7/06Husband 50yrs=StageIV IBC/HER2+,BoneMets10/06TaxotereX10,'H'1X wk,Zometa,Tamoxifen4/12/07Last Tax5/18/07Pet=Rapid Cell Activity,No Organ Mets,Lytic Lesions,Degeneration,Some Bone Repair5/07ChemoFail6/01/07Pleural Thoracentisis=Effusions,NoMalignantCells6/19/07+7/2/07DFCI
6/25/07BrainMRI=BrainMets,Many<9mm7/10/07WBR/PelvisRad37.5Gx15&Nutritionist8/19/07T/X9/20/07BrainMRI=2<2mm10/6/07Pet=BoneProgression
10/24/07ChemoFail11/9/07A/Cx10,EndTam12/7/07Faslodex12/10/07Muga7512/13/07BlasticLesions1/7/08BrainMRI=Clear4/1/08Pet=BoneImprovement,
NoProgression,Stable4/7/08BrainPerfect5/16/08Last A/C8/26/08BrainMets=10(<9mm)9/10/08Gamma10/30/08Met=5mm12/19/08Gamma5mets5
12/22/08SpinalMets1/14/09SpinalRads2/17/09BrainMRI=NoNewMets4/20/09BoneScan5/14/09Ixempra6/1/09BrainMRI=NumerousMets6/24/09DFCIw/DrBurstein6/26/09Continue
Ixempra/Faslodex/Zometa~TM now lower7/17/09Stop Ixempra By Choice9/21/09HOSPICE10/16/09Earned His Deserved Wings And Halo=37 Month Fight w/Stage 4 IBC, Her2+++,My Hero!!
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Old 07-26-2007, 03:31 PM   #3
Emmay
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Some people on this board had no symptoms when brain mets were detected by MRI. Others had headaches, scheduled an MRI, then were diagnosed...and others still, had headaches, worried, got an MRI, and nothing was found. Be proactive and schedule an MRI -- if mets are found, they are far easier to treat when they are small.
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Old 07-26-2007, 04:37 PM   #4
hutchibk
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I had no symptoms at all. My brain mets were discovered incidentally. We had scheduled an MRI to measure the bone met on my neck and I asked if we could look at the brain while I was on the table, as it had been about 18 months since we had done a brain MRI. My Onc agreed so we did it. We had seen a small incremental increase in my tumor markers in the month leading up to the MRI, so that also contributed to the decision to look at the brain. But, no symptoms at all before or since we learned about them.
__________________
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 07-26-2007, 05:27 PM   #5
Beckie
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My oncologist was reluctant to order a brain MRI without symptoms, but after consulting those on this site who had no symptoms, I got my MRI and found the mets. Your headache may not mean anything but knowing, getting the MRI makes sense for Her2's. Getting the MRI and finding out you're clean would be great, or getting it and finding mets while they are still small and starting treatment also makes sense. Knowledge is power. God bless.

Beckie
__________________
Diagnosed 4/06, age 55
1.1 cm tumor
Pre-op x-ray caught lung nodules
6/06 - Stage 4, Her2+++, er/pr-
Mets to lungs(largest 3 cm), liver (largest 5.5 cm), and bones
Began taxotere, herceptin, & aredia
7/06 - radiation to lower spine & left shoulder for pain
8/06 - everything smaller
12/06 - stopped taxotere (toe infections)
5/07 - bone mets advancing
6/07 - add navelbine to herceptin & aredia
6/07 - discovered brain mets (3 in cerebellum, largest 2 cm.)
7/07 - WBR, change to Tykerb/Xeloda
9/07 - targeted radiation
10/08 - started navelbine/herceptin
2/09 - brain mets - targeted radiation
5/09 - mets in liver progressing, changed to Ixempra
7/09 - mets in liver still going, to the brain again, on gemzar now
9/09 - gemzar failed, started Doxil today


I know Who holds the future, and I know He holds my hand.
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Old 07-26-2007, 05:49 PM   #6
LindaC
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I suffered with a headache for three weeks I to thought it was from meds,went to the hospital and had mri and was told brain mets.and I caught it early.
__________________
DX October 18,2006
Changed doctor for second opion
Dx November 2,2006
three tumors left breast,lymph nodes involed don't
know how many.Kidney failure postponed my surgery
which gave the doctors the opportunity to run test.
FishTest showed that I have her2 positive, mets to liver and bones.
Dx December 14,2006
one dose carboplatin
now once a week herceptin,taxol
once a month zometa
February 5,2007 pet scan showed everything good except bones
5-16-07 muga scan
5-17-07 pet scan
Everythig was clear taken off of zometa,chemo
herceptin every three weeks
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Old 07-26-2007, 08:22 PM   #7
lexigirl
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Jean,

I had a headache that only seemed to bother me when I first got up in the am and before bedtime. I was afraid I may have had brain mets. I went and had an mri and everything was okay. The funny thisg was after I had the mri, I quit having the headaches. Probably best to have one done if you haven't ever had one.

Thinking of you and saying prayers,
Lexi
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Old 07-26-2007, 09:02 PM   #8
lu ann
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While looking for the cause of the numbness and tinging in my left hand I was ordered an MRI of my media plexis and my cervical spine. A small tumor showed up in my cerebelum. A whole brain MRI was ordered in June and found the previously dx skull met from last Fall surrounding my optic nerve. I was in the Emergency Room June 24th with double vision. I started WBR the next day.

It's wild how things that have no real connection can lead us to a diagnosis of another problem. If I hadn't of told my husband about the numbness and he hadn't of told my doctor, she wouldn't have known to look furthur. I have the tendency of sucking up symtoms and my husband tells on me everytime. My mastectomy scarline turned pink a couple years before I was dx. with mets. I had my suspisions but blew things off. I had been in and out of the Hospital with biopsies, kidney stones, surgeries etc. etc. and I didn't want to do it any more. Sticking my head in the sand did not make it go away. I don't know if an earlier diagnosis would have made any difference, but we all need to read our bodies and be pro-active in our care.

God is taking good care of me, though I wish He would give me His Devine healing, but for His reason, He is going to let me keep walking around that mountain in the desert until I get what He is trying to tell me..

They say if you have a symtom for 2 weeks you should let the doc. know. Otherwise you will drive yourself crazy with every ache and pain.

Brain mets was my worst nightmare but I got through it. It was rough, but doable.

I wish you God's Blessings and NED when you have your tests.
Lu Ann
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Old 07-27-2007, 10:59 AM   #9
hutchibk
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About a month ago I had a week of freaky lightheadedness and dizziness, mostly when sitting but not at all when walking. I was worried that it was a symptom of my brain mets. (especially since I have chosen to sit still on rads and see what the Tykerb/Xeloda does to them). I saw my onc during that week and described it to him. He asked all the appropriate questions and did the appropriate exams, but wanted me mostly to keep an eye on my walking... if I started stumbling or walking like I was drunk, then we would have cause for concern. We also speculated about the fact that the mold counts in Texas are off the chart this summer because of our non-stop rain, and perhaps it was an allergy symptom. That was what he felt was more likely. I went home and the next day I started a regimine of Allegra, Nasalcrom and 3 Motrin every morning. By day two, my left ear started popping like when you are driving down a mountain or it is drying out from having water in the ear. It popped sporatically for the next day and a half. And, by day two, my dizziness went away. I told the onc what I had been doing and he said that the dizziness had apparently been from fluid collecting due to allergies/mold, and then the popping was because of intermittent opening of the Eustachian tube that was swollen and causing the fluid to collect in the middle ear.

What a relief that was! So I just keep taking my Allegra every day and haven't had any dizziness since. We have my next brain MRI scheduled for Aug 13.
__________________
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 07-27-2007, 11:47 AM   #10
Adriana Mangus
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Location: California
Posts: 668
Question MRI Brain

Dear Brenda:

My MRI brain is on August 13 as well. I was scheduled to get one done on Thursday July 26 and I panicked! I felt so stupid afterwards that I called the scheduling department right away to get another appointment. How do you get to relax before the MRI? Any ideas. I appreciate a response.

I had a Brain Ct scan a year ago, but I heard that it's not as accurate as the MRI. The Ct scan was clear.

Thank you Brenda
__________________
1994 - rt brst, .lump, underarm node dissection,chemo+rad 1.2 cms, Grade 3.
28 nodes neg
Er,Pr, Positive HER2 status unknown
2003- Recur to rt lung.July 16 ( B-Day!)
Her2+++ Er,Pr, Negative
2003 - Aug04--Navelbine + Herceptin
2004- 2007--
NED - Herceptin, only
2007 Feb-April Xeloda added to hereceptin
2007-May Back on Navelbine+Herceptin
2008-Feb-Mar 15 Ses Rad to Rt. Lung
2008- Oc 17 Add Tykerb to Herceptin
2009- June-- Discont Tykerb
2009 July 7--Current Taxol + Herceptin
2009 Dec--Discontinued treatment due to progression. Looking into cyberknife.
2010-Aug Accepted to TDM1, no SE, except liver count went up.
2010-2011 September got kicked out of the trial, due to a small spot found on lung.
2011- 2012 September thru early 2013 on Herceptin
2013- March Bone density shows small spot on 5th rib.
2013 - April 4th appt with onc. will post after discussing course of treatment.
2013-March-April Cyber knife to brain and radiation to rib. Chest --base line before chemo-CT-Scan stable for lung issue. CA2729 Normal.
2013 April Herceptin- TDMI
2013 Sept Herceptin + Perjeta . CA2729 within normal range. Brain and Pet scans October 31st. will post results.
2013 October Brain MRI- mixed response. Will see Onc/rad on Halloween.
2013 October/November Brain-MRI nothing new. Repeat MRI next year in May.

2013 December Continue Herceptin and Perjeta. Stable at the moment.
2014 February Brain MRI -clear!
2014 January Added Taxotere to Perjeta+Herceptin.
2014 March Stopped chemo-chest ct-scan next.

2014- March Scans shows tumor's larger, CA2729 higher. Discontinue Herceptin.
2014 April Perjeta+ Halaven
2014 April CA2729 went down 60 points after one cycle. Cough does not want to go away.
2014 June Continue on Perjeta + Halaven-- no more cough. Stable
2014 June Back on Herceptin + abraxane
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Old 07-27-2007, 12:37 PM   #11
hutchibk
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Posts: 3,519
Hi Adriana- The MRI is nothing to worry about, really. It is just a series of fairly loud magnetic clunks and vibrations. (I find it much easier to tolerate than Bone Scans, because when that machine sloooowwwwly makes its way over my head at 1 mph, 1 inch from my face, it FREAKS me right out. LOL.) My first couple of MRIs I chose to do the open-sided machine as I was worried about feeling claustrophobic. But I am not typically a claustrophobic person, so I switched to the new regular machine at my rads office and it was no problem. They have a multi-mirrored contraption that they put above my head that allows me to see the room and not the machine. It is pretty awesome. The hardest part is staying really still for 30 minutes, especially when something starts to itch. Which never fails. I usually close my eyes and start doing math in my head (like adding up all of my medical bills) and before too long, the vibrations kind of lull me into a good little doze. They do give you earplugs to help muffle the sound, and to protect your ears from the higher frequencies. They talk to you pretty regularly over the microphone to check on you and ask how you are doing. I know some folks who take a xanax before an MRI. I find that I don't need one, but I know it really helps for some...
__________________
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 07-27-2007, 12:43 PM   #12
Believe51
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Location: RHODE ISLAND (Ed getting me a latte on 2nd Cancerversary Cruise 2008) 'BELIEVE': To accept as true or real, To have faith in, To presume ALWAYS BELIEVE
Posts: 2,999
Hello Adriana

Hope you know that I sometimes feel funny writing here not being the one sick with BC, but I do have other health conditions; in the past I needed a hysterectomy at 30 years old (refused hormone replacement therapy...thank God for that today).

I just want to say that the unknowing was the worst for us, the stress it created was hard to push away at times, and still is (scanity). Not knowing, taking the test, waiting for the results..nightmare...nightmare...nightmare!!

Try to look at it like this, (and please do not get offended):

The worst day of our lives for my wonderful husband and I was not the day we first heard the word CANCER!!! Our worst day was the day before.....the day before we did not know what we were up against, we had no way to fight back not knowing. The day of diagnosis was the first day we were empowered...the first day of our battle.

Now I do not have the advice about what to do before the scans to avoid this stress, but we tend to have those same feelings too. Radiation to my husband's BRAIN & PELVIS was rather scary to us and still is, but we are almost through it. That test said he had many 'salted' areas of the brain and 5 mets that were 4-9mm each. We must have a night to ourselves to ponder (we do not ponder about the test, the waiting, the results..). Rather we talk about our 3 1/2 year old granddaughter and wanting to watch her grow. Do not get me wrong, we are all fighting for the same thing whether we are effected by BC or the caregiver. The reason for this fight is for the same reason as anyone else has (we all want to watch our children/grandchilren grow, stay near our spouses, to even go to work like he once did).

Pushing away those feelings that come with the whole 'scanity' thing has to be the hardest thing we have ever done. Try to tell yourself that once you find out, good or bad, then you have the ammo to fight whatever comes your way. Scary as it is you will have been empowered!! If the test comes out clear, then you have spent the last how many days worrying. If the test comes back not so good, then you have the power to plan your next course of attack.

You have always remained in our prayers and are there even more so today. I shall light a candle tonight as I do every night. One candle is always just for my husband, the other is just for my friends. Tonight I will be lighting two large Yankee Candles that are 'Wild Cherry'....hope you like fruit Sweetie!!

Sending out humungous hugs and prayers that you can find the peace to follow through with this all. And again, you are always close to heart and mind. Count me as a distant supportive friend. If we all pray from different parts of the world, we gotcha covered!!

Waiting For A Miracle....and commanding one soon>>Believe51
__________________
9/7/06Husband 50yrs=StageIV IBC/HER2+,BoneMets10/06TaxotereX10,'H'1X wk,Zometa,Tamoxifen4/12/07Last Tax5/18/07Pet=Rapid Cell Activity,No Organ Mets,Lytic Lesions,Degeneration,Some Bone Repair5/07ChemoFail6/01/07Pleural Thoracentisis=Effusions,NoMalignantCells6/19/07+7/2/07DFCI
6/25/07BrainMRI=BrainMets,Many<9mm7/10/07WBR/PelvisRad37.5Gx15&Nutritionist8/19/07T/X9/20/07BrainMRI=2<2mm10/6/07Pet=BoneProgression
10/24/07ChemoFail11/9/07A/Cx10,EndTam12/7/07Faslodex12/10/07Muga7512/13/07BlasticLesions1/7/08BrainMRI=Clear4/1/08Pet=BoneImprovement,
NoProgression,Stable4/7/08BrainPerfect5/16/08Last A/C8/26/08BrainMets=10(<9mm)9/10/08Gamma10/30/08Met=5mm12/19/08Gamma5mets5
12/22/08SpinalMets1/14/09SpinalRads2/17/09BrainMRI=NoNewMets4/20/09BoneScan5/14/09Ixempra6/1/09BrainMRI=NumerousMets6/24/09DFCIw/DrBurstein6/26/09Continue
Ixempra/Faslodex/Zometa~TM now lower7/17/09Stop Ixempra By Choice9/21/09HOSPICE10/16/09Earned His Deserved Wings And Halo=37 Month Fight w/Stage 4 IBC, Her2+++,My Hero!!
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Old 07-27-2007, 01:09 PM   #13
hutchibk
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So true, so true! The apprehension associated with waiting for what might be "less than happy" results from a scan is at least 50% of the battle. I love the term "scanity" - I like to think of it as the sanity that we need to tap into every few months in order to approach the process of scans...

I have never been too afraid of my results. Don't know why. I guess because as Believe says - info is power. I just always assume that it is possibile that something new will show up, so I am usually fairly prepared and ready to dig in and solve whatever it might be. When it happens, of course I am disappointed, but it's not a huge surprise. Then, on the flip side, when nothing shows up or if something shrinks or disappears, I am thrilled!
__________________
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 07-27-2007, 01:15 PM   #14
Andrea Barnett Budin
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Wink One Little Pill

I was never a pill taker, but bc changed that. My oncs said -- You know you don't get a medal for suffering. There is no reason for you to be in pain. They do not give out awards for such things. Take the pain pill. BEFORE it gets bad, before it gets out of hand. Be good to yourself.

Before a brain MRI, I confess, I take an Ativan. In fact, my onc told me to take 1 the night before as well, to get a good night's sleep and not worry. He's the one, in '98, who pushed me to do Taxotere, the most highly aggressive weapon at the time, to fight my highly aggressive ca. Tailor-made. A mean nasty drug that did the job, so I love it.

In the MRI machine, I doze. I bring my Andreas Bocelli Romanza CD and they give me headphones and I drift into reverie. I have my husband drive! This last time, I woke and it wasn't quite done. I decided to be brave (super serene from my one little Ativan) and take a peak. It was WAY BIGGER in there than I imagined. I thought the machine would be inches from my nose. It was roomy. Or so it felt at the time. So, now, I don't think I'll need the Ativan next time. I am a bit claustrophobic, but this is not what I'd envisioned. THE REALITY IS RARELY AS BAD AS WE CONJURE UP FOR DAYS, EVEN WEEKS BEFORE. Have you noticed that?

As for INSCANITY -- I still get it. I request a same day report, scheduling myself for the first appointment of the day, to allow TIME, for the report to be emailed to my doc who calls me. I call the doc the moment I get home and remind his nurse that I will be sitting by the phone, with my husband, awaiting their call. After all these years, we sit on pins and needles waiting to hear -- STABLE. We bought some more time! Yeah! Celebration. In '98/'99 we'd get exact measurements of each and every multiple tumor in my liver and compare sizes from the last report. Paul would take the square root which clarified and seemed to magnify what didn't at first appear to be much progress. We (the Taxotere, Herceptin, me and Paul and my oncs) knocked every damn cell out. I DID get in the way some, but I am glad I took the most difficult path. It was just what I needed. Facing lousy odds, I just did what I had to and prayed and focused my ENERGY and thoughts, meditated, used guided imagery and took (and take) heaps of supplements to keep my immune system in fighting spirit and all systems cooperating in HEALING.

This is what I wish for all my Sisters. Don't just ask for a miracle -- insist on it -- call it to you, with the power of your consciously chosen mental dialogue that plays out in your head all day! Signal the Universe with the purest most passionate ENERGY you can muster, and it will sense your vibrations going out and match them IN KIND!

Sending you loving, healing energy and prayers all... ANDI
__________________
Andi BB
'95 post-meno dx Invasive LOBULAR w/9cm tumor! YIKES + 2/21 nodes. Clear mammo 10 mnths earlier. Mastec/tram flap reconst/PORT/8 mnths chemo (4Adria/8CMF). Borderline ER/PR. Tamoxifen 2 yrs. Felt BLESSED. I could walk and talk, feed and bathe myself! I KNEW I would survive...

'98 -- multiple mets to liver. HER2+ 80%. ER/PR- Raging, highly aggressive tumors spreading fast. New PORT. 9 mnths Taxotere Fought fire w/fire! Pronounced in cautious remission 5/99. Taxotere weekly for 6 wks, 2 wks off -- for 9 mnths. TALK ABOUT GRUELING! (I believe they've altered that protocol since those days -- sure hope so!!)
+ good old Vit H wkly for 1st 3 yrs, then triple dosage ev 3 wks for 7 yrs more... The "easy" chemo, right?! Not a walk in the park, but not a freight train coming at 'ya either...

Added Herceptin Nov '98 (6 wks after FDA fast-tracked it for met bc). Stayed w/Vit H till July '08! Now I AM FREE! Humbly and eternally grateful for this life-saving drug! NED since '99 and planning on keeping it that way. To hell w/poor prognosis and nasty stats! STOPPED VIT H JULY '08...! REMAIN STABLE... Eternally grateful...Yes is a world & in this world of yes live (skillfully curled) all worlds ... (e e cummings) EVERY DAY I BEAT MY PREVIOUS RECORD FOR # OF CONSECUTIVE DAYS I'VE STAYED ALIVE. Smile KNOWING you too can be a miracle. Up to me and God now...
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Old 07-27-2007, 01:55 PM   #15
Believe51
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Location: RHODE ISLAND (Ed getting me a latte on 2nd Cancerversary Cruise 2008) 'BELIEVE': To accept as true or real, To have faith in, To presume ALWAYS BELIEVE
Posts: 2,999
Thumbs up That is soooooooo right!!!

Amen Andrea, that is what I am doing right now.

Waiting For A Miracle.....'and commanding one soon'>>Believe51
__________________
9/7/06Husband 50yrs=StageIV IBC/HER2+,BoneMets10/06TaxotereX10,'H'1X wk,Zometa,Tamoxifen4/12/07Last Tax5/18/07Pet=Rapid Cell Activity,No Organ Mets,Lytic Lesions,Degeneration,Some Bone Repair5/07ChemoFail6/01/07Pleural Thoracentisis=Effusions,NoMalignantCells6/19/07+7/2/07DFCI
6/25/07BrainMRI=BrainMets,Many<9mm7/10/07WBR/PelvisRad37.5Gx15&Nutritionist8/19/07T/X9/20/07BrainMRI=2<2mm10/6/07Pet=BoneProgression
10/24/07ChemoFail11/9/07A/Cx10,EndTam12/7/07Faslodex12/10/07Muga7512/13/07BlasticLesions1/7/08BrainMRI=Clear4/1/08Pet=BoneImprovement,
NoProgression,Stable4/7/08BrainPerfect5/16/08Last A/C8/26/08BrainMets=10(<9mm)9/10/08Gamma10/30/08Met=5mm12/19/08Gamma5mets5
12/22/08SpinalMets1/14/09SpinalRads2/17/09BrainMRI=NoNewMets4/20/09BoneScan5/14/09Ixempra6/1/09BrainMRI=NumerousMets6/24/09DFCIw/DrBurstein6/26/09Continue
Ixempra/Faslodex/Zometa~TM now lower7/17/09Stop Ixempra By Choice9/21/09HOSPICE10/16/09Earned His Deserved Wings And Halo=37 Month Fight w/Stage 4 IBC, Her2+++,My Hero!!
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Old 07-27-2007, 02:00 PM   #16
Grace
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Jean--I had an MRI just a few weeks ago, worried about brain mets. I didn't have headache, however, but dizziness and nausea. The results were negative and I was so relieved. I put off telling my oncologist or anyone of my symptoms for a while, as I was afraid the test would come back positive, but finally told my oncologist and he ordered the MRI. The weeks of anxiety I went through thinking it was mets was far worse than the anxiety of waiting for test result.

I found the MRI very easy to do, except the contrast part. Because I was in the machine when they had to access vein, I couldn't direct them and at first they went for a vein that never works, with lots of pain and bruising. So if you decide to get one, make sure they understand before they start which veins are acceptable and which aren't. Other than that it was a very easy test compared to some others I've had.

I suspect most of us get headaches for a few days or so, for whatever reason, and in the past we would have ignored them. I did tell my oncologist that I was embarrassed he'd think I was a hypochrondriac. I liked his response: "Before cancer you would have been; after cancer it's not possible. Always be concerned about symptoms."
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Old 07-27-2007, 02:21 PM   #17
Hazel Joyce
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Posts: 82
Thanks!

Thanks to all of you for your wisdom and support! I went to the onc NP today. She ordered an MRI which I'll be having on Sunday morning. (I had my first brain MRI in January before starting chemo.) I'm going to take Ativan beforehand. The NP said that I'll get the results by Monday evening. I'm hoping for a sinus problem!

I really appreciate everyone's input!

Jean C.
__________________
IDC Stage IIIA
Diagnosed Nov 2006 (routine mammogram), age 51
Lumpectomy, lymph node dissection Dec 2006
3 cm tumor, 8 cancerous lymph nodes
Grade 3, ER/PR -, HER-2/neu +++ (by FISH, average 20 copies per cell)
A/C x 4, Taxol x 12, Herceptin x 47 weeks
35 radiation treatments
Completed treatment on April 3, 2008
Chest port removed October 2009
11 years since diagnosis NED
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Old 07-27-2007, 02:31 PM   #18
Andrea Barnett Budin
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Wink Don't Pop A Pill And Drive!

Jean,

Did I say that when I take an Ativan (other than before going to sleep) -- I make sure someone else drives! You can't predict how you will react, but I wouldn't take a Xanax or painkiller and DRIVE!

Lots of luck to you. Hoping for a bout w/the sinuses. Or stress. Or anything other than mets. Will say a prayer for you, and for Marie's husband, and for Adriana and for Brenda and all Sisters in need of one... LOVE, ANDI
__________________
Andi BB
'95 post-meno dx Invasive LOBULAR w/9cm tumor! YIKES + 2/21 nodes. Clear mammo 10 mnths earlier. Mastec/tram flap reconst/PORT/8 mnths chemo (4Adria/8CMF). Borderline ER/PR. Tamoxifen 2 yrs. Felt BLESSED. I could walk and talk, feed and bathe myself! I KNEW I would survive...

'98 -- multiple mets to liver. HER2+ 80%. ER/PR- Raging, highly aggressive tumors spreading fast. New PORT. 9 mnths Taxotere Fought fire w/fire! Pronounced in cautious remission 5/99. Taxotere weekly for 6 wks, 2 wks off -- for 9 mnths. TALK ABOUT GRUELING! (I believe they've altered that protocol since those days -- sure hope so!!)
+ good old Vit H wkly for 1st 3 yrs, then triple dosage ev 3 wks for 7 yrs more... The "easy" chemo, right?! Not a walk in the park, but not a freight train coming at 'ya either...

Added Herceptin Nov '98 (6 wks after FDA fast-tracked it for met bc). Stayed w/Vit H till July '08! Now I AM FREE! Humbly and eternally grateful for this life-saving drug! NED since '99 and planning on keeping it that way. To hell w/poor prognosis and nasty stats! STOPPED VIT H JULY '08...! REMAIN STABLE... Eternally grateful...Yes is a world & in this world of yes live (skillfully curled) all worlds ... (e e cummings) EVERY DAY I BEAT MY PREVIOUS RECORD FOR # OF CONSECUTIVE DAYS I'VE STAYED ALIVE. Smile KNOWING you too can be a miracle. Up to me and God now...
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Old 07-27-2007, 03:11 PM   #19
hutchibk
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My center always accesses me for the contrast before I go into the machine. I would think that that would be standard procedure... hmmm.
__________________
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 07-27-2007, 04:09 PM   #20
Hazel Joyce
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Posts: 82
At my place, they don't start the IV until they're ready to inject the contrast. I don't mind the noise or the proximity of the machine, but the IV start and the contrast injection drive me mad! I'm going to tell them that I would prefer that IV therapy start my IV before the test starts.
__________________
IDC Stage IIIA
Diagnosed Nov 2006 (routine mammogram), age 51
Lumpectomy, lymph node dissection Dec 2006
3 cm tumor, 8 cancerous lymph nodes
Grade 3, ER/PR -, HER-2/neu +++ (by FISH, average 20 copies per cell)
A/C x 4, Taxol x 12, Herceptin x 47 weeks
35 radiation treatments
Completed treatment on April 3, 2008
Chest port removed October 2009
11 years since diagnosis NED
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