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Old 03-24-2011, 09:10 PM   #61
ElaineM
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Wink Re: brain mets

I am so happy to hear from you Pam. I wish I were closer, so I could make you some homemade thin creamed vegetable and bean soup or fruit juice. I do that for myself and I did that for a friend who had to have her jaw wired shut last years as a result of an accident.
If you don't feel like cooking or don't have anyone to help you cook I have a suggestion or two. Instant white miso soup with instant rice plus a little canned salmon and a few frozen veggies thrown in the soup might help. Also if you have a blender you might want to pour in some milk, almond milk, soymilk, rice milk or yoghurt. Add protein powder from a health food store and a little frozen fruit in small pieces like blueberries. Add water if desired. You can add a little honey, cinnamon or brown sugar if you want, but I never add extra sweeteners when I make it for myself. Cold cereal with milk or yoghurt is pretty good with a cup of tea. You can also get instant oatmeal. Just add hot water and some dried fruit like raisins.
Whatever you decide to do I hope the WBR kills all the mets, so you can get back to chemo as soon as possible.
Take good care of yourself. I have my fingers crossed for you friend.
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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 03-25-2011, 09:28 AM   #62
MJo
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Re: brain mets

Sending up prayers for you. Looking forward to hearing that those nasty spots are gone, you're eating and sleeping again and doing something fun to reward yourself for this rough time. Keep up the courage.
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IDC, Stage I, Grade 2
Oncotype DX Score 32
Her2++ E+P+, Node Neg.
Lumpectomy 11/04/05 Clear Margins
3 Dose dense AC (Couldn't tolerate 4)
4 Dose dense Taxol & Herc. (Tolerated well)
36 weeks Herceptin (Could not complete one year due to decrease in MUGA score)
2 years of Arimidex, then three years of Femara
Finished Femara May 2011
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Old 03-25-2011, 10:47 AM   #63
StephN
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Re: brain mets

Dear, dear Pam.
So sorry to hear this state you are in. It goes with the territory though.

Besides the rads themselves, the Decadron is a killer. It is muscle wasting and everyone here who had to take it said their legs weakened while on it.

When It was my turn to take that drug, I tried to concentrate on proteins to keep up my strength. Scrambled eggs in chicken broth. Eggs were always an easy choice. Noodles in chicken broth. Egg salad sandwich. Apple sauce or grated apple when my mouth was bad was tolerable. Bananas.

Do you have a friend or church member who can help with some cooking/shopping? Hope by the end of next week this will become a memory and the weight loss will have halted. Cyberhug coming your way!
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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 03-25-2011, 12:19 PM   #64
ElaineM
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Wink Re: brain mets

Thanks Steph. I forgot the eggs. I boil 3-4 eggs and keep them in the refrigerator for a quick snack with a cup of tea or eat one with a bowl of cereal and almond milk.
I am vegetarian, so sometimes I get some of those packaged instant noodles. I throw away the soup base and add water and instant miso soup plus a few frozen veggies and some edamane or other beans. Great comfort food !!!!!! I use Bragg's amino sauce in water if I am cutting back on salt. Miso tends to be a little salty.
I hope you are feeling better today Pam.
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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 03-25-2011, 05:17 PM   #65
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Re: brain mets

Sorry it is such a tough go, Pam. Really glad to hear you are on the home stretch. Hang in there, Kiddo. What chemo will you go on post WBR?
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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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Old 03-26-2011, 04:01 PM   #66
mmoons
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Re: brain mets

Pam-

You never leave my thoughts and prayers. I, too, wish I was there because I would cook for you and read you mindless, trashy thriller novels to take your mind off this wretched disease, even for an hour.

Your strength is awe inspiring, Pam.

Love,
Maureen
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My loves

IDC & DCIS, HER2+++ Diagnosis: October 1, 2008
  • Tumor: 6.8 centimeters, never showed on mammograms
  • ER-/PR-
  • November 2008: Sentinal Lymph node surgery. 6 out of 9 lymph nodes with cancer
  • Stage IIIc
  • Lapatinib Clinical Trial start: November, 2008
  • Surgery: May 5, 2009
  • Started Herceptin: May 19, 2009
  • Started Radiation (33 rounds): June 10, 2009
  • September 2009: Moved to Michigan to be closer to family
  • 12/09 - still on Herceptin until May 2010
  • August 2010: Port out, port out, port out port out port port port out port ooooout...da da da dant! (to the music of the Pink Panther)
Blog: http://moonsfamily.blogspot.com
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Old 03-26-2011, 06:19 PM   #67
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Re: brain mets

I might be the only one here who asked my docs to let me try Tykerb/Xeloda PRIOR to brain rads... It knocked them back for 18 months and then we did targeted IMRT and switched me to Tykerb/Herceptin, both protocols with Tykerb seem to have worked nicely to protect me, hopefully for a very long time. I did have a yucky brain MRI in January that showed what was not definitively DXed as increase or progression of 4 previously treated spots, but we treated them with IMRT anyway. My Rads onc thinks at least 3 of the 4 we had to re-treat were necrotic spread, but could not determine w/out surgery, which we didn't want to do, so we re-radiated. My brain MRIs since my initial treatment of Tykerb/Xeloda have never shown any brand new spots, only waking up of spots from my initial brain mets MRI.

And now, on to T-DM1 which one of my oncs believes will also give me some brain protection. He abides by the theory that more treatments cross the BBB than the standard bearers believe.
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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."

Last edited by hutchibk; 03-26-2011 at 06:26 PM.. Reason: spelling
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Old 03-27-2011, 02:43 PM   #68
Mary L
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Re: brain mets

Brenda, I am praying for you that this is the one that will do it for you. Best Wishes, Mary L
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Mary L from PA Diag: Oct 2003 w/6mm mass, IDC grade III ductal carcinoma in-situ, IBC stage IIIB. tx A/C followed by Taxotere(only able to have 2 tx, allergic), mastectomy, 3 0ut of 7 positive nodes. 35 rads. Recurrence 9 months later, skin mets to mastectomy site. Tx Carboplatin/Herceptin. Stayed on Herceptin almost 5 years, had 3 more recurrences when I had to stop Herceptin due to my ejection fraction getting too low. Herceptin stopped and ned 3 years in Oct. 2010.
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Old 03-27-2011, 10:07 PM   #69
jml
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Re: brain mets

Pam~
Thinking of you, Inspired & Motivated by YOU...
You make me want to fight again, fight harder and harder,
as hard as I have to, for me, for you, for all of us.
Hope your resting easy, my friend.
Heal quickly!

Sending love and hugs~
Jessica
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Old 03-28-2011, 07:15 PM   #70
WolverineFan
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Re: brain mets

Dear Pam and Krisvell,

I just wanted to tell you how sorry I am to hear of the news for both of you. Sending lots of prayers to you and your family. May the women on this board who are walking in the same shoes be an inspiration to you both.

Hayley
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Oklahoma

3/35/2009 - Diagnosed, age 39
5/7/09 - Mastectomy and reconstruction started. Two tumors found. Tumors were side by side. DCIS tumor was 2.8 cm, ER-, PR-, grade 2. Invasive tumor was 1.1 cm, poorly differentiated, grade 3, ER+90%, PR+95%, HER2+3. Thankfully, no node involvement.
5/29/09 - Second surgery resulting from difficulty healing from mastectomy.
6/2/09 - Began Herceptin treatments
6/23/09 - Began Taxotere and Carboplatin treatments along with Herception every 3 weeks.
10/06/09 - Completed Taxotere and Carboplatin - Yeah!!!
10/27/2009 - Herceptin maintenance and began Femara
12/10/2009 - 2nd stage reconstruction surgery
2/2010 - Body rejected saline implant
3/18/2010 - Second stage reconstruction using silicone implant
5/4/10 - Completed Herceptin - YEE-HAA!
May '10 - Body rejects silicone implant...taking a break.
11/29/10 - Hysterectomy
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Old 04-01-2011, 08:08 PM   #71
LoisLane
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Re: brain mets

Pam and Kris Thinking of you both and wish you strength while you are undergoing these recent treatments. Take care Lois
__________________
August 2008
Lumpectomy left breast
1 tumour 0.9 cm
Her2 negative
lymph nodes negative
venous/lymphatic invasion absent
ER+PR-
Stage I Grade 2
Radiation and Femara

November 2008
Lumpectomy right breast
2 tumours .03 cm and .05 cm and extensive DCIS
.05 tumour Her2+
lymph node negative
venous/lymphatic invasion "indeterminate"
ER+PR low postive
Stage 1 Grade 2

January 2009
bilateral mastectomy
chemotherapy taxotere
Herceptin one year
Femara
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Old 04-02-2011, 09:18 AM   #72
Pam P
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Re: brain mets

Pam checking in: last of 20 tx was on Wed. Now have pneumonia - on antbiotics - also very dehdrated = gave me lots of fluild by infusion, too weak to get our of chair myself = so I need 'babysitter'. fatigue,& thrush too --- how long until some of this will improve>

Kris --- hope things are better for you!
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Pam
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 04-02-2011, 11:01 AM   #73
krisvell
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Re: brain mets

Pam,
I am sorry that you had to go thru this. Sounds similar to Karla. You both are home recovering. I'm so glad for that. I truly hope that your recovery is quick. I wish I lived in MN; I would keep you company and help out. I now have a lot of free time on my hands recovering.

I don't want to highjack your thread but I am doing OK. Get tired in the afternoon but feel ok. Walking and doing Yoga to stay calm. Double vision and numb left leg are a little bit better. On Monday, I go to Memorial Sloan for a 2nd opinion. After, I think I will put up a post to see what all my wonderful HER2 friends think of the options.
Sending my love and healing prayers your way.

Kris...

Is the snow finally gone? There's still a few piles lurking in some parking lots in Ct.
__________________
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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Old 04-02-2011, 02:38 PM   #74
Mary L
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Red face Re: brain mets

Pam, Kris and Karla, I just want you all to know I am praying for all of you and hoping that you will be feeling better soon. Spring is here and my hopes and prayers are with you for a wonderful spring. Best Wishes, Mary L
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Mary L from PA Diag: Oct 2003 w/6mm mass, IDC grade III ductal carcinoma in-situ, IBC stage IIIB. tx A/C followed by Taxotere(only able to have 2 tx, allergic), mastectomy, 3 0ut of 7 positive nodes. 35 rads. Recurrence 9 months later, skin mets to mastectomy site. Tx Carboplatin/Herceptin. Stayed on Herceptin almost 5 years, had 3 more recurrences when I had to stop Herceptin due to my ejection fraction getting too low. Herceptin stopped and ned 3 years in Oct. 2010.
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Old 04-02-2011, 07:04 PM   #75
Elizabethtx
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Re: brain mets

PAM,
So glad you were up to posting an update. I know you are feeling awful, rundown and depressed wondering when this will end. You are already on the road to recovery by finishing the treatments! I am certain every day will bring you recovered strength and health. You are such a strong person and have been through so much. Take care and know we are still praying and waiting for you to feel better!
Elizabeth
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Diagnosed: Feb 2010 @ 46 yrs old
Invasive Ductual Carcinoma, left
2/28/10 Bilateral Mastectomy (tissue saving for future reconstruction)
3.2 cm 2/18 +lymph nodes
Stage 2b; E+/P+/Her2 +++
Nottingham score grade 2
Ki67 30%
3/2010 A/C 4 DD/2wks
5/2010 Herceptin/Taxotere 4D/3wks
8/2010 Herceptin until May 2011
Tamoxifin 20mg
9/2010 RAD 34 treatments
Pet scan Aug 2010 clear
Port removed July 2011
Bone scan, chest MRI 12/11 clear
Vaccine trial began Oct 2011








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Old 04-02-2011, 08:25 PM   #76
Chelee
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Re: brain mets

Hi Pam,
So nice to hear from you I have been wondering how your doing? I'm glad your finished with WBR...but sad to hear your now dealing with pneumonia. Your poor immune system has really taken a hit with all you've been through. At least they got you hydrated...that's very important! I did a little research for you Pam and it looks like it takes about 2 wks after wbr to start feeling better.

Now that your done with rads you can get some rest. The antibiotic's will clear up the pneumonia and thrush so hang in there. I sure wished you were closer because I would gladly babysit you any day. Focus on lots of rest and let that medication clear up your lungs and hopefully real soon you will start feeling better. Sending warm healing thoughts and prayers your way.

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 04-02-2011, 09:40 PM   #77
kiwigirl
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Re: brain mets

Hi Pam you will feel better soon. I'm finished my treatment 10 days ago and it has only been in the past few days where I have had more energy and feel alot better. You just need to give your body a bit of time. And take the help that you need. It's all about you. Take care.

Regards Jacqui xx
__________________
Oct 2009 Masectomy 6 cm Tumor . Sentinal node biopsy , Node Positive . Her2 + er/pr -.
Nov 2009 X3 Taxane and Herceptin, X3 FEC
March 2010 25 Rads
March 2010 continued on Herception untill 16 Dec 2010
May 2010 Ultra Sound .... ALL CLEAR... NED
August 2010 started vaccine trial University of Washington
7th Dec 2010 finished vaccine trial
20th Dec 2010 Port removed
3rd Feb no longer ned brain mets
23r Feb start VMAT radiation
August 2011 two new mets to brain and others starting to grow again !!!!
August start tykerb and xeloda
Dec 1 MRI all small brain mets gone. Largest shrunk by 50% only three small ones to go 17mm,8mm,6mm. Mets on there way out. Yeah
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Old 04-04-2011, 04:09 AM   #78
Trish
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Re: brain mets

Thanks for letting us know -I certainly hope things improve for you soon.
Trish
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