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Old 03-20-2008, 05:29 PM   #1
duga35
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Tomorrrow is day seven

Since my first tx, and I am still sicker than I ever have been in my life. I'm running a fever for 4 days now, sick to my stomach, extremely tired, etc etc.
I called the oncologist today and he gave me some vicodin for joint pain(that's the least of my problems) from the Neulasta shot. My question is, is it supposed to be this bad? I knew it was not going to be easy, but I never dreamed it would knock me down like this.

I hate to complain, but I really think something is wrong.
__________________
Diagnosis and Treatment: DX 12/07/07
Male Diagnosed with DCIS at age 39
Mastectomy on right breast
Tumor Stage pt1b NO MO
DCIS Tumor size 1.5 x 1.x .6cm
Infiltration tumor size .25X.17 cm
Bloom-Richardson Grade 3(score 8)
Nuclear Grade 3 with comedo necrosis
Estrogen+/Progestrone+/HER-2/Neu +++
FISH ratio 4.31
Lymph node removal scheduled 1/07/08
17 nodes tested and all negative 1/08/08
Started Tamoxifin 1/29/08
Oncotype DX score 52 (off the charts, according to my onc!!!)
Starting TCH 3/14/08
BRCA I Positive BRCA II Negative
Finished TC 6/27/08 continue Herceptin
8/1/08 Herceptin stopped due to low Muga score
Mastectomy on left breast 11/10/08
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Old 03-20-2008, 06:02 PM   #2
juanita
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Sounds like you picked up a bug while your counts were low. I'd call again because you're not supposed to run a fever at all. you could try your pcp if you can't get relief from your onc.
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st 1, gr 3, er,pr-, her2 +,
2 tac,33 rads,6 cmf
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Old 03-20-2008, 07:00 PM   #3
Joan M
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Ask your oncologist to give you Emend if you're not getting it already. It's anti-nausea medication. You take three pills before chemo. It worked very well for me. I hope you'll be feeling better.
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Diagnosed stage 2b in July 2003 (2.3 cm, HER2+, ER-/PR-, 7+ nodes). Treated with mastectomy (with immediate DIEP flap reconstruction), AC + T/Herceptin (off label). Cancer advanced to lung in Jan. 2007 (1 cm nodule). Started Herceptin every 3 weeks. Lung wedge resection April 2007. Cancer recurred in lung April 2008. RFA of lung in August 2008. 2nd annual brain MRI in Oct. 2008 discovered 2.6 cm cystic tumor in left frontal lobe. Craniotomy Oct. 2008 (ER-/PR-/HER2-) followed by targeted radiation (IMRT). Coughing up blood Feb. 2009. Thoractomy July 2009 to cut out fungal ball of common soil fungus (aspergillus) that grew in the RFA cavity (most likely inhaled while gardening). No cancer, only fungus. Removal of tiny melanoma from upper left arm, plus sentinel lymph node biopsy in Feb. 2016. Guardant Health liquid biopsy in Feb. 2016 showed mutations in 4 subtypes of TP53. Repeat of Guardant Health biopsy in Jana. 2021 showed 3 TP53 mutations, BRCA1 mutation and CHEK2 mutation. Invitae genetic testing showed negative for all of these. Living with MBC since 2007. Stopped Herceptin Hylecta (injection) treatment in March 2020. Recent 2021 annual CT of chest, abdomen and pelvis and annual brain MRI showed NED. Praying for NED forever!!
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Old 03-20-2008, 07:23 PM   #4
Bill
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Doug, I'm sorry you're feeling so bad. I'm sorry, but I forgot what chemo. and pre-meds you're receiving, and how often. It sounds like you picked up a bug, like Juanita said. Thoughts and prayers to you, Brother
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Old 03-20-2008, 08:20 PM   #5
sassy
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Emend or zofran should help with stomach. But it does sound like a bug.
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Rhonda (Sassy)
dx age 45
DX 2/15/05 Stage IIb (at surgery)restaged IIIa
Left mast .9cm tumor 5 of 14 nodes
Triple Positive
4 DD A/C
12 Taxol/Herceptin
33Rads
Strange infect mast site one year aft surg, hosp 1 wk
Herceptin for total of 18 months
Lupron Monthly 4 yrs
Neurontin for aches, pains and hot flashes(It works!)
Ovaries removed 11/09 stop Lupron and Neurontin
Arimidex 6 yrs (tried Femara, no SE improvement)
Tried Exemestane-hips got so bad could hardly walk
Back to Arimidex for year seven
Zometa 2X Annual for 7years, Lasix
Stop Arimidex 5/13
Stop Zometa 7/13-Bi-lateral Stress Fractures in Femurs from Zometa
5/14 Start Tamoxifen
3/15 Stem cell transplant to stimulate femur bone growth/healing
5/15 Complete fracture of right femur/Titanium rods both femurs
9/16 Start Evista stopTamoxifen
3/17 Stop Evista--unwelcome side effects!
NED and no meds.......
14YEARS NED!
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Old 03-20-2008, 08:24 PM   #6
Mary Anne in TX
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Take care of yourself and know we're praying for a quick recovery. ma
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MA in TX.
Grateful for each and every day....

Diag. 12/05 at age 60
Stage II, Grade 3, 4.5 cm primary tumor
ER/PR- Her2 +3 strongly positive
Her2 by FISH 7.7 amplified
vascular invasion
Ki67 20% borderline
Jan - March '06 Taxotere/Adriamycin X 3 to try to shrink tumor - it grew
April '06 Rt Modified Radical Mas, 7 of 9 nodes positive
April - Aug. '06 Herceptin/Taxol/Carboplatin X 8 (dose dense)
Sept - Dec. '06 Navelbine/Herceptin x 8 (dose dense)
Radiation & Herceptin Jan. 22 - March 1, 2007
Finished Herceptin Dec. 10 '08! One extra year.
Port removed August, 2012.
8 1/2 years since diagnosis! 5 1/2 Years NED!
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Old 03-20-2008, 10:11 PM   #7
Jean
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Doug,
Maybe you did catch a bug, or maybe you didn't...could be your nausea
meds may not be working for you. If I remember correctly you are not
taking Emend...and that is a great anti nausea medication. I had Emend,
and Kytil and even a third as I weaned off the Emend after treatmemt.

Call your onc. ASAP and tell him about the the fever. Keep sipping water
especially now that your running a fever, you need to flush your system.
Sometimes a nausea medication will work great for some and just do nothing for someone else. So do call your onc. and let him know about
your fever and that the meds are not controlling the nausea.

I am sorry that you are having a rough time, please let us know what your onc. said and what he does.

All Good Wishes,
jean
__________________
Stage 1, Grade 1, 3/30/05
Lumpectomy 4/15/05 - 6MM IDC
Node Neg. (Sentinel node)
ER+ 90% / PR-, Her2+++ by FISH
Ki-67 40%
Arimidex 5/05
Radiation 32 trt, 5/30/05
Oncotype DX test 4/17/06, 31% high risk
TOPO 11 neg. 4/06
Stopped Arimidex 5/06
TCH 5/06, 6 treatments
Herceptin 5/06 - for 1 yr.
9/06 Completed chemo
Started Femara Sept. 2006
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Old 03-20-2008, 11:00 PM   #8
hutchibk
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Hi Duga

I was on TCH (Taxol, Carboplatin, Herceptin... is that the TCH you are talking about?) a year and a half ago - I never had the side effects like you describe. It really sounds to me like when your counts hit your nadir, you picked up a bug/flu or maybe a food-borne infection... which is pretty easy to do when you on Carbo w/ Taxol. Please call your clinic/nurse/onc or doctor on call to assess. I don't think this sounds right.

Let us know what you find out.
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Brenda

NOV 2012 - 9 yr anniversary
JULY 2012 - 7 yr anniversary stage IV (of 50...)

Nov'03~ dX stage 2B
Dec'03~
Rt side mastectomy, Her2+, ER/PR+, 10 nodes out, one node positive
Jan'04~
Taxotere/Adria/Cytoxan x 6, NED, no Rads, Tamox. 1 year, Arimadex 3 mo., NED 14 mo.
Sept'05~
micro mets lungs/chest nodes/underarm node, Switched to Aromasin, T/C/H x 7, NED 6 months - Herceptin only
Aug'06~
micro mets chest nodes, & bone spot @ C3 neck, Added Taxol to Herceptin
Feb'07~ Genetic testing, BRCA 1&2 neg

Apr'07~
MRI - two 9mm brain mets & 5 punctates, new left chest met, & small increase of bone spot C3 neck, Stopped Aromasin
May'07~
Started Tykerb/Xeloda, no WBR for now
June'07~
MRI - stable brain mets, no new mets, 9mm spots less enhanced, CA15.3 down 45.5 to 9.3 in 10 wks, Ty/Xel working magic!
Aug'07~
MRI - brain mets shrunk half, NO NEW BRAIN METS!!, TMs stable @ 9.2
Oct'07~
PET/CT & MRI show NED
Apr'08~
scans still show NED in the head, small bone spot on right iliac crest (rear pelvic bone)
Sept'08~
MRI shows activity in brain mets, completed 5 fractions/5 consecutive days of IMRT to zap the pesky buggers
Oct'08~
dropped Xeloda, switched to tri-weekly Herceptin in combo with Tykerb, extend to tri-monthly Zometa infusion
Dec'08~
Brain MRI- 4 spots reduced to punctate size, large spot shrunk by 3mm, CT of torso clear/pelvis spot stable
June'09~
new 3-4mm left cerrebellar spot zapped with IMRT targeted rads
Sept'09~
new 6mm & 1 cm spots in pituitary/optic chiasm area. Rx= 25 days of 3D conformal fractionated targeted IMRT to the tumors.
Oct'09~
25 days of low dose 3D conformal fractionated targeted IMRT to the bone mets spot on rt. iliac crest that have been watching for 2 years. Added daily Aromasin back into treatment regimen.
Apr'10~ Brain MRI clear! But, see new small spot on adrenal gland. Change from Aromasin back to Tamoxifen.
June'10~ Tumor markers (CA15.3) dropped from 37 to 23 after one month on Tamoxifen. Continue to monitor adrenal gland spot. Remain on Tykerb/Herceptin/Tamoxifen.
Nov'10~ Radiate positive mediastinal node that was pressing on recurrent laryngeal nerve, causing paralyzed larynx and a funny voice.
Jan'11~ MRI shows possible activity or perhaps just scar tissue/necrotic increase on 3 previously treated brain spots and a pituitary spot. 5 days of IMRT on 4 spots.
Feb'11~ Enrolled in T-DM1 EAP in Denver, first treatment March 25, 2011.
Mar'11~ Finally started T-DM1 EAP in Denver at Rocky Mountain Cancer Center/Rose on Mar. 25... hallelujah.

"I would rather be anecdotally alive than statistically dead."
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Old 03-21-2008, 05:13 AM   #9
BethC
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I felt awful with the TCH. My oncologist changed my meds after the first round and it helped. If you are running a fever you need to get your white count checked to make sure you aren't neutropenic. If you haven't called him, call him and I'm sure he'll want you to come in so they can check it. Otherwise go to the er. I started a fever on day 8 and was admitted to the hospital for a week. Good luck - you need to get that checked out right away.
__________________
DX 9-19-07 at age 40
DCIS, Inv. Duct. Car. 3 cm
Positive lymph node biopsy
Er+Pr+Her+++
Carboplatin/Taxotere/Herceptin
10-1-07 -- 1-16-08
Herceptin every 3 weeks until 9/24/08
Lump. and node dissection 2-12-08
BRCA1 and 2 negative
30 rads finished 4-23-08
oophorectomy 5-6-08
Femara started 5/25/08
Zometa for osteoporosis every 6 mo. started 9-24-08

Married 16 years!
3 kids - daughter (10), twin sons (7)
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Old 03-21-2008, 06:40 AM   #10
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
Cool Hey Doug...

I with everyone with saying that you may have a bug. And for chemotherapy: Remember to ask for those premeds and take all medicine for nausea BEFORE getting nauseated. Hang tough Doug and I hope you are feeling better 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 03-21-2008, 07:57 AM   #11
basset girl
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Hi Doug, sorry you are feeling so bad. When I was on AC I was very sick each time on the 5th through 10th day. Running a high fever, felt like I had the flu. They finally determined it was the Neulasta shot. For some reason I had this reaction to it. My last two AC treatments they gave me Neupogen daily instead and I was fine. They said they have occasionally had reports of this happening with Neulasta. Just a thought. It sure helped me to change though. Each time I went to emergency room and had blood work, chest X, etc. Never could find anything. But getting IV fluids did help.

Nancy
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Nancy

Diagnosed 4/06, age 45
IDC, 3.5 cm, 4/7 positive nodes
Stage IIB
Her2++, ER & PR++
Mastectomy, 4 AC, 4 Taxol & Herception for one year
Radiation
Ovaries out 4/07
Currently taking Arimidex and Zometa every 6 months
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Old 03-21-2008, 08:46 AM   #12
hermiracles
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Hi Doug, hope you were able to catch up with your Onc and sort out what the problem was and you are starting to feel better. Most side-effects - if that what it is - can be sorted out by meds these days.
Anyways really hope you are feeling better bro.
Blessings
Hermiracles.
__________________
2003 L/DCIS –> LWE: High G./Comedo - 6 nodes clear 6 wks Rx
04/07 2 miracles born ~ very grateful
06/07 Susp areas L/b
09/07 Stage 2 bilat. mastectomy R/ b. clear extens DCIS/IDC Paget’s 8 nodes clear ER(<5%) HER2+++ CT clear
11/07 Portacath - FEC
15/11/07 Stage 4 Emerg op - hip replacemt #NOF bone mets H/Taxotere
12/07 Rx to 'spots' on spine/R/hip/femur 3wkly H
2008 H+T mets to rib/sternum? Aredia CT clear! Cont. H + Aredia 07/08 1 wk Palliative Care - mets to lungs + ?1 to brain
09/08 Stop H complete Epirubicin 1wk PC new brain mets
10/08 2wks WBR 1wk PC 22/10/08 Tykerb/Xeloda 12/08 6 CEREBRAL METS COMPLETELY GONE! Rib mets down to <1cm.
01/09 Tumour markers normal! Rx to L/arm
03/09 LUNGS CLEAR (ALL NODULES GONE!), brain clear, liver clear. Bones stable! ~ THANK YOU GOD
07/09 Repeat CT Scan ~ ALL organs clear apart from bones which remain stable. I walk in gratitude.
***************
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Old 03-21-2008, 11:40 AM   #13
Alice
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Hi Doug,
It is very important to determine if you are neutropenic. If you are, a simple infection can become septic and on top of it all can keep you from staying on your treatment protocal. I became neutropenic and feverish after my first A/C treatment and was admitted to the hospital with IV antibiotics for 4 days. After that I just neglected to tell my onc about my fevers. I know now how stupid this was and encourage you to have your white count checked. I know that Taxol, Carb, Herceptin was rough on me. The pre meds for nausia did help. Hope you feel better.
Alice
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Old 03-21-2008, 02:41 PM   #14
jones7676
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Hope you are feeling better soon - I also believe you have picked up a bug. However, when your white count is low you sure can feel achy all over. It is probably just adding to the problem. Good luck
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Barb

10/03 Radical Mastectomy 3 cm tumor - 1/17 Nodes Stage II B, Her 2 +++ ER-/PR- 11/03 4 AC 4 Taxol 12/05 Stage IV - Lung met , Bone mets - Carbo, Taxotere, Herceptin 9/06 - 2 cm brain tumor 10/06 - Tumor removal surgery - Herceptin Halted 12/06 gamma knife tumor base.1/07 Navelbine/Herceptin 4/07 Rads to R femur 5/07 Stereotactic - new 2 cm brain tumor 4/07 Start Xeloda 5/07 Tykerb added 7/07 Brain MRI clean 10/07 .055 cm brain met found. 12/07 Stereotactic -1 cm brain tumor Start Tykerb 11/07 Abraxane/Herceptin 5/08 Cisplatin, Gemcitabine/Herceptin 6/08 Stereotactic to 1cm 9/08 Stereotactic repeat (growth). 11/08 Pet Scan Good but new tiny met on L lung/dead Brain surgery (no cancer cells found/scar tissue) 1/09 Chemo restarted 2/09 Pet Scan Bad - R larger very active/active L active lymph nodes both sides of chest MRI- mets slight increase 2/09 Start Doxil/Tykerb Treatment
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Old 03-21-2008, 03:13 PM   #15
duga35
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Hi everyone, thanks for your support
I just got home a bit ago from seeing my oncologist and he couldn't believe how sick I was. My blood counts weren't really that far off, so he thinks that I did pick up a bug, or the anti-nausea meds havn't been working. I was dehydrated so they gave me a couple of IV infusions and a different kind of nausea meds, and right now I feel better than I have in several days.

My oncologist did say that he doesn't think that he has ever seen a person getting TCH end up with as many side effects as I did. I even got the spilt nails and acne problem and I haven't had a zit for 25 years!!!!!!
I have to laugh about it I guess because nothing with me has been normal thoughout all of this. This is one for the record books. LOL
__________________
Diagnosis and Treatment: DX 12/07/07
Male Diagnosed with DCIS at age 39
Mastectomy on right breast
Tumor Stage pt1b NO MO
DCIS Tumor size 1.5 x 1.x .6cm
Infiltration tumor size .25X.17 cm
Bloom-Richardson Grade 3(score 8)
Nuclear Grade 3 with comedo necrosis
Estrogen+/Progestrone+/HER-2/Neu +++
FISH ratio 4.31
Lymph node removal scheduled 1/07/08
17 nodes tested and all negative 1/08/08
Started Tamoxifin 1/29/08
Oncotype DX score 52 (off the charts, according to my onc!!!)
Starting TCH 3/14/08
BRCA I Positive BRCA II Negative
Finished TC 6/27/08 continue Herceptin
8/1/08 Herceptin stopped due to low Muga score
Mastectomy on left breast 11/10/08
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Old 03-21-2008, 04:03 PM   #16
BethC
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Doug,
I get the acne after every treatment - it is the Herceptin. But the good news is that the acne means the medicine is working!! See the article in CURE magazine. Glad you're feeling better!
__________________
DX 9-19-07 at age 40
DCIS, Inv. Duct. Car. 3 cm
Positive lymph node biopsy
Er+Pr+Her+++
Carboplatin/Taxotere/Herceptin
10-1-07 -- 1-16-08
Herceptin every 3 weeks until 9/24/08
Lump. and node dissection 2-12-08
BRCA1 and 2 negative
30 rads finished 4-23-08
oophorectomy 5-6-08
Femara started 5/25/08
Zometa for osteoporosis every 6 mo. started 9-24-08

Married 16 years!
3 kids - daughter (10), twin sons (7)
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Old 03-22-2008, 11:06 AM   #17
tousled1
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Doug,

Glad you're feeling a little better - sounds like you really were put through the mill. The trick is in finding what anti-nauseau med will work for you. I found that EMEND and Zofran worked best for me. I'm sorry you had such a rough time of it but it usually isn't that bad. Hand in there it does get better.
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Stage IIIC Diagnosed Oct 25, 2005 (age 58)
ER/PR-, HER2+++, grade 3, Ploidy/DNA index: Aneuploid/1.61, S-phase: 24.2%
Neoadjunct chemo: 4 A/C; 4 Taxatore
Bilateral mastectomy June 8, 2006
14 of 26 nodes positive
Herceptin June 22, 2006 - April 20, 2007
Radiation (X35) July 24-September 11, 2006
BRCA1/BRCA2 negative
Stage IV lung mets July 13, 2007 - TCH
Single brain met - August 6, 2007 -CyberKnife
Oct 2007 - clear brain MRI and lung mets shrinking.
March 2008 lung met progression, brain still clear - begin Tykerb/Xeloda/Ixempra
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Old 03-22-2008, 05:45 PM   #18
Jean
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Hi Doug,
Glad your onc has you back on track. I am so sorry that the first treatment was so difficult. Hopefully, with the change in meds you
will not have the severe nausea.

All good wishes being sent your way,
Hugs,
Jean
__________________
Stage 1, Grade 1, 3/30/05
Lumpectomy 4/15/05 - 6MM IDC
Node Neg. (Sentinel node)
ER+ 90% / PR-, Her2+++ by FISH
Ki-67 40%
Arimidex 5/05
Radiation 32 trt, 5/30/05
Oncotype DX test 4/17/06, 31% high risk
TOPO 11 neg. 4/06
Stopped Arimidex 5/06
TCH 5/06, 6 treatments
Herceptin 5/06 - for 1 yr.
9/06 Completed chemo
Started Femara Sept. 2006
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Old 03-22-2008, 10:16 PM   #19
kcherub
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Hi, Doug! I am so glad you are feeling better...hopefully if you have a "bug" it will go away quickly, and if not that you get some better meds for the next round.

As for the acne--I was NEVER told that Herceptin could cause that! I was actually never told what was causing it. I have always had pretty good skin (as an adult, of course I went through the puberty awful acne), and was pretty down about it, especially not having any hair to cover it up! It was only on my forehead. Does anyone know if Taxotere can cause it, too? I am still on Herceptin, but only get acne when I used to usually get it (cyclic acne).

Maybe I will ask this question in a new thread, as it is really of interest to me!

Take care,
__________________
Krista
Diagnosed 3/29/2007 @ age 34
Stage 1, Node Neg. (SNB), Grade 2, 1.4 cm. IDC
ER/PR 90%+ HER2 +
6 TCH started 5/25/2007, ended after #5 due to steroid "reactions" and neuropathy in feet and hands
BUT--#6 CH w/o Taxotere
Begin Herceptin alone 9/28/2007
30 rads completed 12/19/2007
Finish Herceptin 5/9/2008
Stopped Tamoxifen early--HATED it.
Married 17 years
13-year old son
3 embies on ice (from 1999)
GA, USA

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Old 03-23-2008, 11:45 AM   #20
Colleens_Husband
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Doug:

I am sorry you have to go through this. I know that chemo can be a fresh slice of hell. With Colleen, days five through eight were the worst and it gets better from there. If you don't go through dose dense therapy you will even get a week of feeling close to normal before starting again. You have been through a lot but you can and will make it.

Please remember that we are with you. You will be in our thoughts and prayers.

Lee
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