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Old 07-21-2011, 05:09 AM   #1
krisvell
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Decatron & Hyperbaric Oxygen Therapy (HBOT)

Hi All,
I haven't posted for a while but thought it's time to share. Since the necrosis, I started taking Decatron and dealing with the side effects (tapering down from 16mg). My extent of exercise; which is my fun thing to do is walking a few laps around my house. My left side has nerve damage so I am taking pain meds to control that Hopefully. there's light at the end of the tunnel. I'm pretty down right now.

I've read a lot on this site on Decatron side effects but if anyone wants to share advice to me, please send it along. I want to feel better.

Had a full Spine MRI and nothing new; thank god for that. Going for Brain MRI and hopefully that will show no progresssion and hopefully some improvement. Pray, pray, pray for that.

There aren't many treatments for necrosis but there are a few; Avastin and HBOT. After several consults with Neuro Oncologists, I am going to start the HBOT. There isn't a lot of research on this, there are studies that have has shown improvements. Maybe I'll be the trailblazor to make pubmed. If all goes well, I'll start next week.

Love,

Kris...
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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 07-21-2011, 10:13 AM   #2
Barbara H.
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Re: Decatron & Hyperbaric Oxygen Therapy (HBOT)

HI Kris,
My heart goes out to you. If you go back and read my posts you will notice that I had to subsequent brain surgeries that turned out to be necroses. I hated the decadron. in addition to everything it did to my body I was manic. At one point HBOT was a possibility, but everyone was convinced I probably had progression with the exception of my surgeon. Nevertheless, he felt it was best to have surgery a third time. I feel your frustration and hope the HBOT works for you.
Kind regards,
Barbara
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Old 07-21-2011, 10:22 AM   #3
ElaineM
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Wink Re: Decatron & Hyperbaric Oxygen Therapy (HBOT)

Hi Kris,
I will cross my fingers in hopes that all goes well for you and that you will be feeling better soon. Let us know how the hyperbaric treatment goes !!
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Old 07-21-2011, 10:09 PM   #4
Trish
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Re: Decatron & Hyperbaric Oxygen Therapy (HBOT)

Sorry to hear that you have been feeling down. I am hoping very hard that the treatment and the brain MRI go well.
Trish
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Old 07-22-2011, 05:35 PM   #5
Jackie07
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Re: Decatron & Hyperbaric Oxygen Therapy (HBOT)

Kris,

This newer experiment showed positive effect of HBOT on reducing necrosis:

Anesth Analg. 2011 May 19. [Epub ahead of print]
Hyperbaric Oxygenation Therapy Alleviates Chronic Constrictive Injury-Induced Neuropathic Pain and Reduces Tumor Necrosis Factor-Alpha Production.

Li F, Fang L, Huang S, Yang Z, Nandi J, Thomas S, Chen C, Camporesi E.
Source

From the *Department of Anesthesiology, Upstate Medical University;

Abstract

Background: The development of hyperalgesia and allodynia after chronic constrictive injury (CCI) is associated with significantly increased tumor necrosis factor (TNF)-α and interleukin (IL)-1β. Theoretically, if the production of TNF-α and/or IL-1β could be reduced, neuropathic pain syndrome may be alleviated. Recently, a beneficial effect of hyperbaric oxygenation therapy (HBOT) in the treatment of pain disorders has been suggested. Our present study was designed to examine the hypotheses that (1) CCI-induced neuropathic pain may be associated with increased production of TNF-α and IL-1β, (2) HBOT may alleviate CCI-induced neuropathic pain, and (3) the alleviated neuropathic pain may be associated with reduced production of TNF-α and/or IL-1β.

Methods: Male rats (weighing 250-300 g) were anesthetized with ketamine and xylazine. The common sciatic nerve was exposed through the biceps femoris. Proximal to the sciatic's trifurcation, 4 ligatures were loosely tied around the nerve. In the sham group, an identical dissection was performed without ligation of the sciatic nerve. Mechanical allodynia and cold allodynia were tested by von Frey filament stimulation and the spread of acetone, respectively. HBO rats (n = 18) were exposed to pure oxygen for 1 hour at 2.4 atm once a day. Non-HBO (n = 18) and sham rats (n = 6) were placed in the HBOT chamber breathing air. TNF-α and IL-1β in the sciatic nerve were assayed with ELISA. The presence of TNF-α protein in homogenates was verified by Western blot analysis. Results: CCI induced significant cold and mechanical allodynia as measured after CCI on days 4 and 7. The cold allodynia response frequency was significantly lower in HBO rats than in non-HBO rats. The values were 20% ± 1.6% vs 50% ± 4.5% on day 4 and 40% ± 4.6% vs 70% ± 4.5% on day 7 (F = 87.42, confidence interval [for the difference between HBO and non-HBO] = 29.612 ± 8.781, P < 0.05 for day 4 and day 7). The threshold of mechanical allodynia significantly increased in HBO rats compared with non-HBO rats. The values were 6.20 ± 0.9 vs 4.1 ± 1.0 g on day 4 and 3.8.2 ± 0.5 vs 2.3 ± 0.4 g on day 7 (F = 18.8, confidence interval [for the difference between HBO and non-HBO] = 1.806 ± 1.171, P < 0.05 for day 4 and day 7). TNF-α content was significantly higher in non-HBO rats than in sham rats on day 4 (17.89 ± 0.83 vs 10.66 ± 1.1 pg/mg protein, P < 0.05) and day 7 (18.97 ± 1.57 vs 9.09 ± 1.5 pg/mg protein, P < 0.05).

HBOT significantly reduced TNF-α content to near the level in sham rats, which was 10.94 ± 2.78 and 11.32 ± 2.98 pg/mg protein on day 4 (P < 0.05 versus non-HBO) and 7 (P < 0.05 versus non-HBO), respectively. Western blot analysis confirmed the presence of proteins with molecular weights of 51 kDa in the rat sciatic nerve homogenates. IL-1β content was also significantly higher in non-HBO rats than in sham rats on day 4 (636 ± 74 vs 256 ± 31 pg/mg protein, P < 0.05) and on day 7 (687 ± 89 vs 288 ± 35 pg/mg protein, P < 0.05). HBOT had no effect on IL-1β content, which was 671 ± 85 pg/mg protein on day 4 and 672 ± 75 pg/mg protein on day 7 in HBO rats (P = not significant versus non-HBO rats).

Conclusion: These data show that HBOT alleviates CCI-induced neuropathic pain and inhibits endoneuronal TNF-α production, but not IL-1β in CCI-induced neuropathic pain. Reduced TNF-α production may, at least in part, contribute to the beneficial effect of HBOT.
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Old 07-22-2011, 05:42 PM   #6
Jackie07
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Re: Decatron & Hyperbaric Oxygen Therapy (HBOT)

By the way, Chemocare has a good link on Decadron:

http://www.chemocare.com/bio/decadron.asp

Take care and keep us updated.
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http://www.asco.org/ASCOv2/MultiMedi...=114&trackID=2

NICU 4.4 LB
Erythema Nodosum 85
Life-long Central Neurocytoma 4x5x6.5 cm 23 hrs 62090 semi-coma 10 d PT OT ST 30 d
3 Infertility tmts 99 > 3 u. fibroids > Pills
CN 3 GKRS 52301
IDC 1.2 cm Her2 +++ ER 5% R. Lmptmy SLNB+1 71703 6 FEC 33 R Tamoxifen
Recc IIB 2.5 cm Bi-L Mast 61407 2/9 nds PET
6 TCH Cellulitis - Lymphedema - compression sleeve & glove
H w x 4 MUGA 51 D, J 49 M
Diastasis recti
Tamoxifen B. scan
Irrtbl bowel 1'09
Colonoscopy 313
BRCA1 V1247I
hptc hemangioma
Vertigo
GI - > yogurt
hysterectomy/oophorectomy 011410
Exemestane 25 mg tab 102912 ~ 101016 stopped due to r. hip/l.thigh pain after long walk
DEXA 1/13
1-2016 lesions in liver largest 9mm & 1.3 cm onco. says not cancer.
3-11 Appendectomy - visually O.K., a lot of puss. Final path result - not cancer.
Start Vitamin D3 and Calcium supplement (600mg x2)
10-10 Stopped Exemestane due to r. hip/l.thigh pain OKed by Onco 11-08-2016
7-23-2018 9 mm groundglass nodule within the right lower lobe with indolent behavior. Due to possible adenocarcinoma, Recommend annual surveilence.
7-10-2019 CT to check lung nodule.
1-10-2020 8mm stable nodule on R Lung, two 6mm new ones on L Lung, a possible lymph node involvement in inter fissule.
"I WANT TO BE AN OUTRAGEOUS OLD WOMAN WHO NEVER GETS CALLED AN OLD LADY. I WANT TO GET SHARP EDGED & EARTH COLORED, TILL I FADE AWAY FROM PURE JOY." Irene from Tampa

Advocacy is a passion .. not a pastime - Joe
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Old 07-26-2011, 11:26 PM   #7
Kavy
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Re: Decatron & Hyperbaric Oxygen Therapy (HBOT)

Hi, Kris,
I'm praying that HBOT will go well, and that this treatment will take care of the necrosis for good.
Hang in there.
Love,
KarlaV.
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