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Old 05-14-2007, 12:28 PM   #1
Joy
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when to start freaking out

Hi ladies, I still don't know the status of filling the tykerb and xeloda and co-pay assistance and all of that. It has been 2 1/2 weeks since I had any kind of treatment. Should I worry that the cancer is going to just take over and it will be too late to start the drugs? Since Friday night I've had a lot of abdominal pain and tenderness and it worries me. I'm to get a CT today to check this stuff out-just waiting on a call with the time. I tried following up with the second specialty pharmacy that called me Friday-not sure why or how that happened. But I got transferred around and was unable to follow up.

Well just curious about your thoughts.
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with love and gratitude,
joy

dx stage I 2/2000*er/pr+; her- per IHC*lumpectomy*4 rounds A/C*30 rads*tamoxifen*dx stage 4 5/2002*huge mets to liver*tiny mets to lungs*stopped tamoxifen*5/02 taxotere/xeloda*her 2 checked with FiSH-her2+++herceptin *2/03 stopped chemo femara w/herceptin*zolodex*04 switched to aromasin w/herceptin*05 high estrogen tx*11/05taxol/carbo*7/06 stopped chemo; megace/herceptin*9/06navelbine/herceptin*5/07tykerb/xeloda great response*4/08 progression in liver; ooph/ faslodex /herceptin
6/08 began Herceptin DM-1
9/08 progression
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Old 05-14-2007, 12:56 PM   #2
hutchibk
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Dang it Joy. Sorry you are stuck in the quagmire. Upon reading through the Tykerb info, it sounds like Tykerbcares is set up to help you receive it if your insurance does not cover all of it... hmmmmm.

I was off of any kind of treatment for about 7 weeks. I understand how you feel. I was so worried that there was the eqivalent of an antfarm living in my body, just crawling around at will and setting up camp wherever it pleased. However, I seriously don't think that too much harm can come from two weeks. I mean people take chemo breaks all of the time. I am confident that you are fine!

Keep us posted!
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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 05-14-2007, 12:59 PM   #3
tricia keegan
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Joy

I can't help with advice unfortunatly but just wanted you to know I'm wishing the best for you and hope they get this tx moving asap if only
to help your peace of mind.

Hugs
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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 05-14-2007, 01:16 PM   #4
rentrac
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Hi Joy,

Just found this site last night, but I have gone through several multiweek periods without treatment. Those "bad boy" cells can hang out quite a while without causing a lot more trouble that the chemo will deal with later. I found that when I have these breaks, I tend to feel better, so I use it as a time to load up on ammunition: increase my activity to build up muscles, stamina, etc and to eat as healthily as I can, and to get out and do very non-cancer stuff for a little mental vacation if at all possible. Bur from your note, it sounds you're feeling not so great for the moment. Try to relax if at all possible, such as deep breathing or meditation type techniques so the rest of your body doesn't get tense and make you feel worse. And don't forget, your brain is very in sync with your body's stress signals from all over, so destressing one part can help relax the rest and give you a chance to step back and re-evaluate your situation. MEanwhile, I started Tykerb 2 weeks ago. It's interesting. I'll keep my positive thoughts going your way that the insurance/paperwork/dollar stuff gets worked out quickly for you.
Rentrac
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Old 05-14-2007, 01:36 PM   #5
Andi
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Joy - I'm so sorry to hear you are still getting the run around. I can certainly understand your nervousness about not being on anything at the moment. What are your onc's feelings about this? Is your copay for the Xeloda high, too, or could you maybe do as some of the others on this site and start the Xeloda now and the Tykerb when you can get things straightened out? Also, do you think your stomach issues could be nerves from the stress of all of this? I wish there was something I could do to get the ball rolling on the Tykerb for you. You are in my thoughts and prayers that your CT will come back with good results and you will get your Tykerb thing straighted out soon.
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-- ------------------------
Stage IIIC, 17 of 20 Nodes +, E+, Her2+++
Diagnosed 6/30/05
Lumpectomy 7/13/05
Dose Dense A/C x 4
Weekly Taxol + Herceptin x 12
Remainder of year Herceptin Every 3 weeks (completes 9/13/06)
Radiation completed 2/28/06
Currently on Tamoxifen
Dec 06 - Pleural effusion treated with pleurodesis
Now er/pr-, her2++
1/07 started weekly Navelbine plus Herceptin
Discontinued Tamoxifen
4/27/07 CTshowed progression
5/01/07 Began Tykerb/Xeloda + Zometa
5/22/07 Stopped treatment due to great progression
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Old 05-14-2007, 04:28 PM   #6
Lolly
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Joy, I know your level of anxiety right now as I went through the same thing recently in my transition from Herceptin to Tykerb. Herceptin, even with a new chemo(Gemzar) added, wasn't keeping the nodes in check and I could feel them growing

My onc was also in transition to a new center so until he was established I was being seen by one of his former partners who was reluctant to "rock the boat" too much.

Long story short I was on an ineffectual combo for 8 weeks, then nothing for 2 weeks when my onc stopped my treatment and ordered scans. I was fairly unnerved when I finally started weekly Abraxane. I got 2 treatments under my belt and was feeling some improvement in symptoms when we added Tykerb. After just 12 days on the combo I can report that the enlarged nodes are definitely shrinking. Big sigh of relief.

You have my sympathy for sure, but I just want to assure you that it will probably be ok in the long run, because it’s clear to me from my experience and from what others have reported when a new treatment is working, the right combo at the right time can have a very dramatic effect on this disease.

Hang in there, keep fighting for Tykerb, and keep us posted…
<3 Lolly
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Sept.'99 - Dx.Stage IIIB, IDC ER/PR-, HER2+++ by IHC, confirmed '04 by FISH. Left MRM, AC x's 4, Taxol x's 4, 33 Rads, finishing Tx May 2000. Jan.'01 - local/regional recurrence, Stage IV. Herceptin/Navelbine weekly till NED August 2001, then maintenance Herceptin. Right Mast. April 2002. Local/Regional recurrence April '04, Herceptin plus/minus chemo until May '07. Gemzar added from Feb.'07-April '07; Tykerb/Abraxane until August '07, back on Herceptin plus Taxotere and Xeloda Sept. '07. Stopped T/X Nov. '07, stopped Herceptin Dec. '07, started Avastin/Taxol/Carboplatin Dec. '07. Progression in chest skin, stopped TAC March '03, started radiation.

Herceptin has served as the "Backbone" of my treatment strategy for over 6 years, giving me great quality of life. In 2005, I was privileged to participate in the University of Washington/Seattle HER2 Vaccine Trial.
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