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Old 09-06-2011, 02:23 PM   #21
Carol.hope
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Re: What would you do?

Tricia,
Good for you for asking here - of many wise women who have been there - and for sticking with your intuition. We all deserve doctors who take us seriously. After all, it's OUR bodies, our lives. Medicine is a partnership, not a dictatorship. Keep looking til you find the professionals you feel comfortable working with. They are out there. You're right, it's their job - to support us, and certainly not to belittle us!

Best wishes.
Carol
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Carol
Lyons, CO

dx June '05 at age 55
Stage 1, 1.5cm
ER+++, PR--, HER2+++
Lumpectomy, A/C, T/H
Herceptin stopped due to low LVEF (35%)
2010: NED, but continuing major chemo brain injury
www.BeyondChemoBrain.com
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Old 09-06-2011, 02:33 PM   #22
Joan M
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Re: What would you do?

Tricia,

Perhaps you should have a CT scan of the chest, abdomen, and pelvis before having a PET/CT. If the lesion is smaller than 1 cm, it might not light up on the PET part of the scan. Even though a CT scan can show a lesion as small as 2 cm, it might not be noted in the report. That's what happened to me.

I was originally diagnosed with stage 2 bc, which then spread to my lung in 2007. In 2006, I was given a PET/CT which showed nothing. Six months later in early 2007 another one showed a spot in my left lung. That is, it lit up. The spot was 1 cm.

My oncologist called the radiologist to ask whether the spot had been there in the 2006 PET/CT, and he said, yes. It had shown up on the CT part of the scan. The spot was 5 mm. I asked my onc why it wasn't reported. She said that since it didn't light up, it wasn't reported. She explained that the emphasis was on the PET part of the scan, not the CT part.

Of course, in my opinion (and I think hers, too), that was not good, and I never had any kind of scan there again. I don't think that kind of reporting happens very often.

I guess the idea is that if the pain in the rib is bad enough and cancer, something should light up (even though other things can light up, too). Hopefully, the pain will turn out to be nothing to worry about.

Joan
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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 09-08-2011, 01:48 PM   #23
TriciaV
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Re: What would you do?

Going in for that PET scan this Tuesday 9/13/11 @2pm
__________________
10/06 -31 years old then had pain in RT breast/Discovered Lump
Dr.s Dx was "it's just an infection" "your too young" "breast cancer doesn't hurt" HUH???
Mammo and Ultrasound found 3 seperate masses largest being 7cm. Dr was sure they were an old breast infection, gave me antibiotics and sent me on my way. after three months of 4 rounds of antibiotics and fighting with the Dr. Finally had a 2nd Dr listen to me and had surgery
1/4/07 Surgical biopsy done :-(
DX stage 3c IDC er+ pr+ Her2+++ 31 years old
2 rounds ACH 6 rounds CTH ,a little healing time and then Mastectomy w/lymph node dissection, 9/27 positive nodes, a little more healing time
5/07 started another 6 rounds of cleanup chemo of CTH- Carboplatin, Taxotere and Herceptin
started Tomoxafin 9/07, Also declared NED 9/07
2009-Lymphedema- sleeve and glove
6-26-11 X-rays show suspicious spot on right 6th rib
8-25-11 another round of X-rays ordered, which also showed same spot on right 6th rib
9-1-11 Onc had bone scan done
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Old 09-08-2011, 03:08 PM   #24
tricia keegan
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Re: What would you do?

Good luck Tricia !!!
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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 09-08-2011, 06:25 PM   #25
DanaRT
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Re: What would you do?

TriciaV, I have not posted on this site for a long time however your post intrigued me. I will be hoping for good new and answers for you on the 13 or shortly after.
Good LUck!
Dana
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-Dana-

]
Diagnosed - Nov. 2, 2007 at 45
Lumpectomy - Nov. 13, 2007
Tumor 1.2 cm
Stage 1 Grade 3
ER/PR - Her2 +++ (3.8)
Taxotere/Carboplatin/Herceptin- 6 rounds
Neulasta
Radiation 33 treatments - will be done 6/6/08
Herceptin through 12/08
12/07 MUGA 61%, 4/08 MUGA 60%, 7/08 MUGA 64%
three wonderful daughters, a terrific husband,
Life is Good
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Old 09-09-2011, 05:22 AM   #26
Sheila
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Re: What would you do?

Tricia
Some time ago I had a sore area on my rib, mastectomy side. I was sent for a chest xray which was negative. I was then sent for a bone scan, which lit up in the area I was complaining about. A followup RIB xray instead of chest xray showed a healing rib fracture, that must have occured with a sneeze of a cough. DonnaD on this board had a similar occurence. Did they do a chest xray or a rib xray as the difference can be substantial. Also, shoulder pain in the back can be a sign of gall bladder problems.....you are wise to get this checked....hoping everything is resolved soon for you and you get answers!
__________________
"Be kinder than necessary, for everyone you meet
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 09-09-2011, 12:03 PM   #27
TriciaV
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Wink Re: What would you do?

THanks,
Tricia, Dana and Sheila !!! @ Sheila the first X-rays were actually of my lower back and they just happened to "pick up" this spot that my Onc said looked like a fracture to him, so it was my Onc who ordered a set of Rib X-rays specifically to see this "spot" on the right 6th rib. I have a lot of lower back and pelvic area pain... and initially when I was in urgent care ( I live in Southern California so I have Kaiser Ins.) over my back hurting me so bad THE urgent care Dr. ordered the X-rays of the lower back. I always thought my back hurt so bad because I had the dbl Tram Flap Reconstruction procedure and lost my core muscle group and my back had to do all the work that my abs could no longer due because they were do. But when they did those X-rays they also found in my lower back Arthritis which I am sure its from the loss of hormones (??) I am just in a lot of back pain and I have never had any major injuries other than the 9 surgeries I had for cancer. But thats how this spot was first detected on an X-ray to begin with. I blew off all this pain as this or that... even thinking it might be my bed so I went out and bought one of those memory foam mattress toppers, thought it was a pinched nerve in my right shoulder causing this pain. But Yes girls I am soooo anxious to figure this puzzle out and I am really bothered with my Onc for telling me that he didn't want to go chasing cancer??? I wanted to ask him what kind of OLOGIST are YOU then... because thats your job!!! But I didn't :-( You know I am suppose to be NED right now and he said if he does a PET/Ct that it's gonna light up somewhere because I was stage 3c with 9/27 positive nodes......I thought NED meant that there was no evidence of disease and if I lit up somewhere then thats evidence to me and that means to me I should be in treatment for it because it would be large enough to detect therefor large enough to treat. I can understand that one can have microscopic disease that is too small for detection and until it gets picked up on a scan they can't say for sure that it is or isn't there right? but come on to tell me I am going to light up and still call me NED baffles me.....as soon as I get my PET/CT results no matter what they are I am switching to our local cancer center and their group of Doctors!!!!
__________________
10/06 -31 years old then had pain in RT breast/Discovered Lump
Dr.s Dx was "it's just an infection" "your too young" "breast cancer doesn't hurt" HUH???
Mammo and Ultrasound found 3 seperate masses largest being 7cm. Dr was sure they were an old breast infection, gave me antibiotics and sent me on my way. after three months of 4 rounds of antibiotics and fighting with the Dr. Finally had a 2nd Dr listen to me and had surgery
1/4/07 Surgical biopsy done :-(
DX stage 3c IDC er+ pr+ Her2+++ 31 years old
2 rounds ACH 6 rounds CTH ,a little healing time and then Mastectomy w/lymph node dissection, 9/27 positive nodes, a little more healing time
5/07 started another 6 rounds of cleanup chemo of CTH- Carboplatin, Taxotere and Herceptin
started Tomoxafin 9/07, Also declared NED 9/07
2009-Lymphedema- sleeve and glove
6-26-11 X-rays show suspicious spot on right 6th rib
8-25-11 another round of X-rays ordered, which also showed same spot on right 6th rib
9-1-11 Onc had bone scan done
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Old 09-09-2011, 01:01 PM   #28
NEDenise
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Re: What would you do?

Tricia,
I hope your PET/ct comes back completely clear! And I salute you for your decision to change doctors/treatment centers.

You seem to have the whole "being your own advocate" thing nailed! Good for you!!

Hope to read good news here very soon!
God bless!
Denise
PS-your avatar picture is GREAT! You and your husband look so happy!!
__________________
1/11-needle biopsy
2/11-Lumpectomy/axillary node dissection - Stage 3c, ER/PR-14/17 nodes
3/11 - Post-op staph infection,cellulitis, lymphedema,seroma,ARRRGH!
4/12/11-A/C x 4, then T/H x 4, H only,Q3 weeks
8/26/11 finished Taxol!!!
10/7/11 mastectomy/DIEP recon
11/11 radiation x28
1/12/12 1st CANCER-VERSARY!
1/12 Low EF/Herceptin "Holiday" :(
2/12 EF up - Back on Herceptin, heart meds
4/2/1212 surgery to repair separated incision from DIEP recon
6/8/12 Return to work :)
6/17/12 Fall, shatter wrist,surgery to repair/insert plate :(
7/10/12 last Herceptin
7/23/12 Brain Mets %$&#! 3cm and 1cm
8/10/12 Gamma knife surgery, LOTS of steroids;start H/Tykerb
8/23/12 Back to work
12/20/12 Injure back-3 weeks in wheel chair
1/12/13 2nd CANCER-VERSARY!
1/14/13 herniate disk in back - surgery to repair
1/27/13 Radiation necrosis - edema in brain - back on steroids - but not back to work - off balance, poor cordination in right arm
5/3/13 Start Avastin to shrink necrosis
5/10/13 begin weaning steroids
6/18/13 Brain MRI - Avastin seems to be working!
6/20/13 quarterly CT - chest, abdomen, pelvis - All Clear!
7/5/13 finally off steroids!!
7/7/13 joined the ranks of the CHEMO NINJAS I am now Tekuto Ki Ariku cancer assassin!
7/13/13 Symptoms return - back on steroids
7/26/13 Back on Avastin - try again!
8/26/13 Not ready to return to classroom yet :( But I CAN walk without holding onto things! :)
9/9/13 Brain MRI - fingers crossed
“ Life is a grindstone, and whether it grinds you down or polishes you up is for you, and you alone, to decide. ” – Cavett Robert
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Old 09-14-2011, 10:32 PM   #29
TriciaV
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Re: What would you do?

It's 10:28 pm California time and I just wanted to give a real quick check in with you ladies, I had that PET/CT scan yesterday and I am just waiting on results. grrrr I dislike the waiting game as I am sure you ALL do too!!! Was hoping to hear something today, but it wasn't so. I am really hoping to be able to report good news tomorrow though!! :-)
__________________
10/06 -31 years old then had pain in RT breast/Discovered Lump
Dr.s Dx was "it's just an infection" "your too young" "breast cancer doesn't hurt" HUH???
Mammo and Ultrasound found 3 seperate masses largest being 7cm. Dr was sure they were an old breast infection, gave me antibiotics and sent me on my way. after three months of 4 rounds of antibiotics and fighting with the Dr. Finally had a 2nd Dr listen to me and had surgery
1/4/07 Surgical biopsy done :-(
DX stage 3c IDC er+ pr+ Her2+++ 31 years old
2 rounds ACH 6 rounds CTH ,a little healing time and then Mastectomy w/lymph node dissection, 9/27 positive nodes, a little more healing time
5/07 started another 6 rounds of cleanup chemo of CTH- Carboplatin, Taxotere and Herceptin
started Tomoxafin 9/07, Also declared NED 9/07
2009-Lymphedema- sleeve and glove
6-26-11 X-rays show suspicious spot on right 6th rib
8-25-11 another round of X-rays ordered, which also showed same spot on right 6th rib
9-1-11 Onc had bone scan done
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Old 09-15-2011, 06:22 AM   #30
Sheila
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Re: What would you do?

Tricia
Hoping today brings you good news....sending positive thoughts your way...please let us know!
__________________
"Be kinder than necessary, for everyone you meet
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 09-15-2011, 07:06 AM   #31
NEDenise
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Location: Philly Suburbs
Posts: 1,709
Re: What would you do?

Trish,
My fingers and toes are crossed!
Keep the faith!
You are strong enough to handle whatever comes...but I'm praying you "get a break" this time!!
Stay strong! I'll be praying
Denise
__________________
1/11-needle biopsy
2/11-Lumpectomy/axillary node dissection - Stage 3c, ER/PR-14/17 nodes
3/11 - Post-op staph infection,cellulitis, lymphedema,seroma,ARRRGH!
4/12/11-A/C x 4, then T/H x 4, H only,Q3 weeks
8/26/11 finished Taxol!!!
10/7/11 mastectomy/DIEP recon
11/11 radiation x28
1/12/12 1st CANCER-VERSARY!
1/12 Low EF/Herceptin "Holiday" :(
2/12 EF up - Back on Herceptin, heart meds
4/2/1212 surgery to repair separated incision from DIEP recon
6/8/12 Return to work :)
6/17/12 Fall, shatter wrist,surgery to repair/insert plate :(
7/10/12 last Herceptin
7/23/12 Brain Mets %$&#! 3cm and 1cm
8/10/12 Gamma knife surgery, LOTS of steroids;start H/Tykerb
8/23/12 Back to work
12/20/12 Injure back-3 weeks in wheel chair
1/12/13 2nd CANCER-VERSARY!
1/14/13 herniate disk in back - surgery to repair
1/27/13 Radiation necrosis - edema in brain - back on steroids - but not back to work - off balance, poor cordination in right arm
5/3/13 Start Avastin to shrink necrosis
5/10/13 begin weaning steroids
6/18/13 Brain MRI - Avastin seems to be working!
6/20/13 quarterly CT - chest, abdomen, pelvis - All Clear!
7/5/13 finally off steroids!!
7/7/13 joined the ranks of the CHEMO NINJAS I am now Tekuto Ki Ariku cancer assassin!
7/13/13 Symptoms return - back on steroids
7/26/13 Back on Avastin - try again!
8/26/13 Not ready to return to classroom yet :( But I CAN walk without holding onto things! :)
9/9/13 Brain MRI - fingers crossed
“ Life is a grindstone, and whether it grinds you down or polishes you up is for you, and you alone, to decide. ” – Cavett Robert
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Old 09-16-2011, 03:24 AM   #32
norkdo
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Re: What would you do?

A patient may also experience pain in the back, ordinarily between the shoulder blades, or pain under the right shoulder. In some cases, the pain develops in the lower region of the abdomen, nearer to the pelvis, but this is less common. Nausea and vomiting may occur.
Patients characteristically exhibit a positive Murphy's sign: the patient is
http://www.news-medical.net/health/G...-Symptoms.aspx
__________________
fall 2008: mammo of rt breast worrisome so am asked to redo mammo and have ultrasound of rt breast.I delay it til january 2009 and the results are "no cancer in rt breast. phew."
found plum sized lump in right breast the day before my dad died: April 17th 2011. saw it in mirror, while i was wearing a top, examining my figure after losing 10 lbs on dr. bernstein diet.
diagnosed may 10 2011

mast/lymphectomy: june 7 2011, 5/20 cancerous nodes. stage 3a before radiation oncologist during our first mtg on july 15th says he found cancer on the lymph node of my breast bone. Now stage 3b.
her2+++, EN-, PN-. Rt brst tumors:3 at onset, 4.5 cm was the big one
chemos: 3fec's followed by 3 taxotere, total of 18 wks chemo. sept: halfway thru chemo the mastectomy scar decides to open and ooze pus. (not healed before chemo) eventually with canasten powder sent by friend in ny (illegal in canada) it heals.
radiations:although scheduled to begin 25 january 2012, I am so terrified by it (rads cause other cancers) I don't start til february, miss a bunch, reschedule them all and finally finish 35 rads mid april. reason for 7 extra atop the 28 scheduled is that when i first met my rads oncologist he said he saw a tumor on the lymph node of my breastbone. extra 7 are special kind of beam used for that lymphnode. rads onc tells me nobody ever took so long to do rads so he cannot speak for effectiveness. trials had been done only on consecutive days so......we'll see.....
10 mos of herceptin started 6 wks into chemo. canadian onc says 10 mos is just as effective as the full yr recommended by dr. slamon......so we'll see..completed july 2012.
Sept 18 2012: reconstruction and 3 drains. fails. i wear antibiotic pouch on my job for two months and have 60 consecutive days visiting a nursing centre where they apply burn victims' silver paper and clean the oozing infection daily. silicone leaks out daily. plastic surgeon in caribbean. emergency dept wont remove "his" work. He finally appears and orders me in into an emergency removal of implant. I make him promise no drains and I get my way. No infection as a result. Chest looks like a map of Brazil. Had a perfectly good left breast on Sept 17th but surgeon wanted to "save another woman an operation" ? so he had crashed two operations together on my left breast, foregoing the intermediary operation where you install an expander. the first surgeon a year earlier had flat out refused to waste five hours on his feet taking both boobs. flat out refusal. between the canadian health system saving money and both these asses, I got screwed. who knows when i can next get enough time off work (i work for myself and have no substitute when my husband is on contract) to get boobs again. arrrgh.


I have a blog where I document this trip and vent.
www.nora'scancerblog.blogspot.com . I stopped the blog before radiation. I think the steroids made me more angry and depressed and i just hated reading it anymore
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Old 09-17-2011, 10:20 AM   #33
Ruth
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Re: What would you do?

Trisha ~
Any news yet on the scan?
Hugs ~ Ruth
__________________
[/SIGPIC]~~~~~~~~~~~~~~~~~~~~~~~~~~~

Diagnosed 6/03 nursing daughter
Dose dense A/C 4x
Modified rad mast 8/03
IDC; 3 cm; 10+/16 nodes; ER/PR-; Her2+++
Weekly taxol w/Herceptin (off label) 12x's
40 weeks Herceptin
Radiation 33x
Reconstruction w/ implants 05 & 07
NED
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Old 09-17-2011, 08:14 PM   #34
Elizabethtx
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Posts: 229
Re: What would you do?

Hoping, praying and waiting with you!
__________________
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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