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Old 11-22-2010, 10:30 AM   #1
ElaineM
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Wink How is Sheila?

Has anyone heard from Sheila? I am wondering how she is doing on the T DM1. I don't think she has logged on since the beginning of November. Sheila if you see this please let us know how you are.
Thanks. Happy Thanksgiving !!
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12 years and counting
http://her2support.org/vbulletin/showthread.php?t=48247
Lucky 13 !! I hope so !!!!!!
http://her2support.org/vbulletin/showthread.php?t=52807
14 Year Survivor
http://her2support.org/vbulletin/showthread.php?t=57053
"You never know how strong you are until being strong is the only choice you have." author unknown
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Old 11-22-2010, 08:54 PM   #2
Sheila
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Re: How is Sheila?

Elaine, thanks for asking about me....I am struggling somewhat right now. Still spending much needed time with my dad....losing my mom has taken a toll on all of us...what an outpouring of love....she was so special.
as far as I go, I had round 3 of the tdm-1, and things are not going well. I have scans next week, but the skin ,mets have progressed quite a bit, and the oncologist said that she is sure I will no longer qualify after my scans. Don't know what treatment will be next, seems I am going through them at a fast pace lately. I have been lurking, just hadn't posted my tdm failure news, as I know so many are waiting for this to be their miracle drug, as I was. Guess it's good that I have been so preoccupied with other family matters...at least I am trying to remain positive
It seems thismhas not been my year....maybe 2011 will bring me some luck. You are always all in my thoughts and prayers, even when i lurk....
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is fighting some kind of battle."



Hugs & Blessings
Sheila
Diagnosed at age 49.99999 2/21/2002 via Mammography (Calcifications)
Core Biopsy 2/22/02
L. Mastectomy 2/25/2002
Stage 1, 0.7cm IDC, Node Neg from 19 nodes Her2+++ ER PR Neg
6/2003 Reconstruction W/ Tissue Expander, Silicone Implant
9/2003 Stage IV with Mets to Supraclavicular nodes
9/2003 Began Herceptin every 3 weeks
3/2006 Xeloda 2500mg/Herceptin for recurrence to neck nodes
3/2007 Added back the Xeloda with Herceptin for continued mets to nodes
5/2007 Taken Off Xeloda, no longer working
6/14/07 Taxol/Herceptin/Avastin
3/26 - 5/28/08 Taxol Holiday Whopeeeeeeeee
5/29 2008 Back on Taxol w Herceptin q 2 weeks
4/2009 Progression on Taxol & Paralyzed L Vocal Cord from Nodes Pressing on Nerve
5/2009 Begin Rx with Navelbine/Herceptin
11/09 Progression on Navelbine
Fought for and started Tykerb/Herceptin...nodes are melting!!!!!
2/2010 Back to Avastin/Herceptin
5/2010 Switched to Metronomic Chemo with Herceptin...Cytoxan and Methotrexate
Pericardial Window Surgery to Drain Pericardial Effusion
7/2010 Back to walking a mile a day...YEAH!!!!
9/2010 Nodes are back with a vengence in neck
Qualified for TDM-1 EAP
10/6/10 Begin my miracle drug, TDM-1
Mixed response, shrinking internal nodes, progression skin mets after 3 treatments
12/6/10 Started Halaven (Eribulen) /Herceptin excellent results in 2 treatments
2/2011 I CELEBRATE my 9 YEAR MARK!!!!!!!!!!!!!
7/5/11 begin Gemzar /Herceptin for node progression
2/8/2012 Gemzar stopped, Continue Herceptin
2/20/2012 Begin Tomo Radiation to Neck Nodes
2/21/2012 I CELEBRATE 10 YEARS
5/12/2012 BeganTaxotere/ Herceptin is my next miracle for new node progression
6/28/12 Stopped Taxotere due to pregression, Started Perjeta/Herceptin
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Old 11-22-2010, 10:38 PM   #3
Ceesun
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Re: How is Sheila?

Sheila, I am sorry for your loss and that you are struggling right now. I wish you the best...I am sure there are other treatments possible. I did not realize you had skin met involvement..guess I missed that somehow. Just keep onward, thats all we can do, right?! Ceesun
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Old 11-23-2010, 06:32 AM   #4
michka
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Re: How is Sheila?

Sheila, I am sorry to read you are still going through a difficult period after loosing your Mom and that the TDM is not working as well as we were all hoping it would for you. I don't know what to tell you to do now but I am sure when time comes, there will be a lot of opinions here to share with you. You are in my thoughts. Michka
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08.2006 3 cm IDC Stage 2-3, HER2 3+ ER+90% PR 20%
FEC, Taxol+ Herceptin, Mastectomy, Radiation, Herceptin 1 year followed by Tykerb 1 year,Aromasin /Faslodex

12.2010 Mets to liver,Herceptin+Tykerb
03.2011 Liver resection ER+70% PR-
04.2011 Herceptin+Navelbine+750mg Tykerb
06.2011 Liver ned, Met to sternum. Added Zometa 09.2011 Cyberknife for sternum
11.2011 Pet clear. Stop Navelbine, continuing on Hercpetin+Tykerb+Aromasin
02.2012 Mets to lungs, nodes, liver
04.2012 TDM1, Ned in 07.2012
04.2015 Stop TDM1/Kadcyla, still Ned, liver problems
04.2016 Liver mets. Back on Kadcyla
08.2016 Kadcyla stopped working. mets to liver lungs bones
09.2016 Biopsy to liver. no more HER2, still ER+
09.2016 CMF Afinitor/Aromasin/ Xgeva.Met to eye muscle Cyberknife
01.2017 Gemzar/Carboplatin/ Ibrance/Faslodex then Taxotere
02.2017 30 micro mets to brain breathing getting worse and worse
04.2017 Liquid biopsy/CTC indicates HER2 again. Start Herceptin with Halaven
06.2017 all tumors shrunk 60% . more micro mets to brain (1mm mets) no symptoms
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Old 11-23-2010, 07:32 AM   #5
PinkGirl
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Thumbs up Re: How is Sheila?

Geez SheilaGirl ... I'm sorry you are struggling. Please stay in touch so we can cheer you on ... I'm always thinking of you.
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Dx Aug/05 at age 51
2cm. Stage 2A, Grade 3
ER+/PR-
Her2 +++

Sept 7/05 Mastectomy
4 FAC, 4 Taxol, no radiation
1 year of Herceptin
Tamoxifen for approx. 4 months,
Arimidex for 5 years
Prophylactic mastectomy June 22/09



" I yam what I yam." - Popeye

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Old 11-23-2010, 10:24 AM   #6
ElaineM
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Wink Re: How is Sheila?

I am so sorry Sheila. I hope you get better news after your scans.
Just in case here is a clinical trial for skin mets using Abraxane and a cream called Immiquimod (Aldara)
http://depts.washington.edu/tumorvac...ntific_131.php
There are also other T DM1 trials. One that is interesting combines it with another targeted drug. It is called the Marrianne trial.
Another clinical trial with Tykerb and Pazopanib can be used for skin mets. I don't have the exact link,but the clinicaltrials.gov number is NCT00558103.
I know it is hard to loose a parent. Hugs to you and your father. Peace, good health, love an joy to you. Take good care of yourself. We think of you often and wish you all the best.
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Peace,
ElaineM
12 years and counting
http://her2support.org/vbulletin/showthread.php?t=48247
Lucky 13 !! I hope so !!!!!!
http://her2support.org/vbulletin/showthread.php?t=52807
14 Year Survivor
http://her2support.org/vbulletin/showthread.php?t=57053
"You never know how strong you are until being strong is the only choice you have." author unknown
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Old 11-23-2010, 11:36 AM   #7
StephN
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Re: How is Sheila?

Dear Sheila -
Naturally this setback is hard to take on top of all the rest.
I think these skin mets are a fairly new development, but seem to be on the march.
Were you able to get a punch biopsy to see if your hormone status has changed on these?

You will be in my thoughts for some better news next week.
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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 11-23-2010, 12:20 PM   #8
tricia keegan
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Re: How is Sheila?

I'm sorry to hear the treatment is not going well Sheila and just wanted to let you know Im thinking of you and sending good vibes!
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Tricia
Dx July '05 IDC 1.9cm Triple positive 3/9 nodes positive
A/C X 4 ..Taxol/Herceptin x 12 wks then herceptin 1 yr
Rads x 36 ..oophorectomy August '06
Currently taking Arimidex..
June 2011 osteopenia/ zometa x1 yearly- stopped Zometa 2015 as Dexa show normal bone density.
Stopped Arimidex July 2014- Restarted Arimidex 2015 for a further two years on the advice of my Onc.
2014 Normal Dexa scan
2018 Mammo all clear, still NED!
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Old 11-23-2010, 01:14 PM   #9
Pam P
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Re: How is Sheila?

Sheila -- I am really sorry to hear that the tdm1 might not be doing its job for you. After all the wait what a let down. I was glad to see Elaine had a couple of good trial/treatment resources - ones I hadn't heard of. There are a growing number of options for us. You sure didn't need to deal with this change in treatment now - and hopefully the scans may give a better picture. You continue to be in my thoughts as you and your family are finding your way in adjusting to the loss of your mom. Hugs to you. Will be watching for updates from you. Pam
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6/01 IBC er+ her2+stage IIIb; mastecomy
7/01 AC, taxol; radiation
2/02 tamoxifen
9/02 stage IV bone mets femara
1/03 taxotere/herceptin/aredia
6/03 herceptin, aredia & faslodex
1/04 navelbine, herceptin, aredia
2/05 herceptin/aredia
7/05 xeloda/herceptin/aredia
3/07 xeloda/tykerb/aredia
5/08 taxol/avastin/aredia
2/09 gemzar/herceptin/zometa
7/09 Taxol/Carbo/Herceptin, zometa
10/09 navelbine/herceptin & zometa
2/10 herceptin & tykerb & zometa
4/10 add xeloda &aromasin
10/10 dx with dermatomyiositis triggered by cancer
11/10 restart herceptin, tykerb, zometa
12/10 surgery-place rod in R femur to stabilize bone
1/11 radiation to R femur - 20 tx
2/11 2nd surgery - rod in Left femur
2/11 tx eribulen -- suspended dx brain mets
3/11 brain mets wbr 20 tx
4/11 halaven; discontine 8/11 not working
8/11 radiation to left femur 20 tx'
8-9/11 rad to lower spine
9/11 abraxane/herceptin/zometa
9/12 xeloda/herceptin/zometa
12/12 ablation of liver
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Old 11-24-2010, 02:02 AM   #10
Chelee
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Re: How is Sheila?

Hi Shelia,
I think about you all the time. You have had such a rough road this last yr...something GOOD has got to come your way. I am a bit disappointed to hear about the T-DM1...but for now I'm going to hold out hope that it's just going to take a little longer before it does it's magic on you. (Anything is possible.) I have to admit your onc doesn't sound very positive about it. Damn it! Elaine posted some encouraing links to look at. (Good Job Elaine!)

Like the others...I had no idea you had skin mets...when did those little devils pop up...or dare I ask? I hope your upcoming scans show that T-DM1 has had some effect at slowing things down until you can see what else is out there? I'm with Steph here...have you had a bx to see if things have changed so you will have a better idea what to throw at it? Hang in there Shelia...and know I'm keeping you in my thoughts and prayers always.

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
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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Old 11-24-2010, 07:37 AM   #11
Lori R
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Re: How is Sheila?

Dear Sheila,
I am so sorry to hear that you burden is so heavy. I am impressed that you are able to be there for your dad while attending to your own (short term) disappointment.

Please do not hesitate to come here to share your burden. While many of us are sitting on the sidelines cheering on our TDM-1 sisters and certainly hope for great success, smoothing out the bumps in the road is what this site is all about.

Thank you for stopping by. I am praying that TDM-1 is just a little slow in kicking in for you and your next post brings good news.

In the meantime....sending you lots of love and support.

XXOO....Lori
__________________
2007
Oct - Diagnosed - Stage IV
5 c.m. IDC - Left Side er/pr- Her2+++
Node + 2/14 - Single Liver Met
Double Mastectomy
Nov - Begin T+H
2008
Feb-Complete 6 cycles- T&H- NED
March - Continue - Herceptin Only
April - Rads for 6 weeks
2009
Continue Herceptin - Continue NED
April - Recurrance- 3 cm. Liver Met
May - Cryosurgery
June - November - Abraxane + Herceptin
Aug - PET/CT - CTC = 0 Back to NED
2010
January - Continue NED
July - Recurrance - 3 cm Liver Met CTC=1
August - Cryosurgery #2
August - November Navelbine
November - Back to NED - End Navelbine
2011
Feb - Recur - 4 cm Liver Met - Same Left Lobe
March Surgery it is -Couldn't get a clean margin
July - Confirmed continued liver involvement
August - Begin Herceptin + Tykerb
October - Mixed results from H+T
Add Abraxane + H + T - Nov - April
2012
January PET Scan - It's working!!
April - Back to NED
July - Recurrance
August - Begin TDM-1 Trial (Taxol + TDM-1)
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Old 11-24-2010, 09:30 AM   #12
caya
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Re: How is Sheila?

Sending lots of love and prayers to you Sheila.
Keep the faith, hopefully your onc. will figure out the next great thing real soon.

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

Tamoxifen - 2 1/2 years
Femara - Jan. 1, 2010 - July 18, 2012
BRCA1/BRCA2 Negative
Dignosed 10/16/06, age 48 , premenopausal
Mild lymphedema diagnosed June 2009 - breast surgeon and lymph. therapist think it's completely reversible - hope so.
Reclast infusion January 2012
Oopherectomy October 2013
15 Years NED!!
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Old 11-24-2010, 10:20 AM   #13
ElaineM
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Wink Re: How is Sheila?

I forgot to ask you if you had seen a good dermatologist about the skin mets? Sometimes a good dermatologist can remove a few of them in the office with local anethesia. The procedure is about the same as a punch biopsy. The only difference is that the dermatologist removes the whole met instead of just taking a sample of the tissue.
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Peace,
ElaineM
12 years and counting
http://her2support.org/vbulletin/showthread.php?t=48247
Lucky 13 !! I hope so !!!!!!
http://her2support.org/vbulletin/showthread.php?t=52807
14 Year Survivor
http://her2support.org/vbulletin/showthread.php?t=57053
"You never know how strong you are until being strong is the only choice you have." author unknown
Shared by a multiple myeloma survivor.
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Old 11-29-2010, 12:27 AM   #14
michka
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Re: How is Sheila?

Sheila, although I have been hit over the head I am thinking of you, hoping to read from you soon. Hugs. Michka
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08.2006 3 cm IDC Stage 2-3, HER2 3+ ER+90% PR 20%
FEC, Taxol+ Herceptin, Mastectomy, Radiation, Herceptin 1 year followed by Tykerb 1 year,Aromasin /Faslodex

12.2010 Mets to liver,Herceptin+Tykerb
03.2011 Liver resection ER+70% PR-
04.2011 Herceptin+Navelbine+750mg Tykerb
06.2011 Liver ned, Met to sternum. Added Zometa 09.2011 Cyberknife for sternum
11.2011 Pet clear. Stop Navelbine, continuing on Hercpetin+Tykerb+Aromasin
02.2012 Mets to lungs, nodes, liver
04.2012 TDM1, Ned in 07.2012
04.2015 Stop TDM1/Kadcyla, still Ned, liver problems
04.2016 Liver mets. Back on Kadcyla
08.2016 Kadcyla stopped working. mets to liver lungs bones
09.2016 Biopsy to liver. no more HER2, still ER+
09.2016 CMF Afinitor/Aromasin/ Xgeva.Met to eye muscle Cyberknife
01.2017 Gemzar/Carboplatin/ Ibrance/Faslodex then Taxotere
02.2017 30 micro mets to brain breathing getting worse and worse
04.2017 Liquid biopsy/CTC indicates HER2 again. Start Herceptin with Halaven
06.2017 all tumors shrunk 60% . more micro mets to brain (1mm mets) no symptoms
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Old 12-02-2010, 01:29 PM   #15
rinaina
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Re: How is Sheila?

Thinking of you and sending thoughts and prayers your way. Hope the drs figure something out that will work on those mets. I know how time consuming family matters can be, being the primary caretaker for my father too. Hope things take a positive turn in 2011 for you, you sure deserve a break.
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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 12-02-2010, 05:51 PM   #16
Laurel
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Re: How is Sheila?

Sheila,

You certainly have had more than your share of suffering this year. I do so hope and pray you turn a corner in 2011. I wish you peace and health this season. May your new treatment, whatever it is, be one that puts the genie back in the box again for a long time, if not forever.
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Smile On!
Laurel


Dx'd w/multifocal DCIS/IDS 3/08
7mm invasive component
Partial mast. 5/08
Stage 1b, ER 80%, PR 90%, HER-2 6.9 on FISH
0/5 nodes
4 AC, 4 TH finished 9/08
Herceptin every 3 weeks. Finished 7/09
Tamoxifen 10/08. Switched to Femara 8/09
Bilat SPM w/reconstruction 10/08
Clinical Trial w/Clondronate 12/08
Stopped Clondronate--too hard on my gizzard!
Switched back to Tamoxifen due to tendon pain from Femara

15 Years NED
I think I just might hang around awhile....

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