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Old 12-31-2008, 08:56 AM   #1
SoCalGal
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Opened my mail...

Blue cross just turned down my herceptin. My onc already told me that she would call and straighten things out - "not to worry". I hate that my insurance company has the right to issue a cold and insensitive letter that deems my treatment "experimental" not to mention that they are wrong on their interpretation of the latest PET/ct. It's a waste of my docs time and a waste of paper work and an obvious strategy on the part of the insurance companies. BUT - It makes me furious. And so depressed that I have to again fill out a zillion forms to fight them. My doc must feel confident that she's right since she already gave me the treatment they turned down.

UNRELATED to that is the worst for me (and anyone) PAIN - my neck/arm/shoulder pain returned. It's been almost one year since my neck epidural pain block and my neck has been fine. It's my right side - and I'm right handed - need I say more? I swear I never feel it's unfair with having cancer - to me it is what it is and I deal with it. But ANYTHING else on top of that tips the cart and it is UNFAIR and I cannot handle it! No CAN DO.

Ironic that the cancer is stable but I am feeling shakier than ever. I'm clouded by the fear that this nerve pain will never end. And exhaustion from my triple drip and 3 nights of bad sleep. There are no real meds for this - but I'm watching the clock and will call the pain mgmt. guy again and beg for an early appointment. I feel like I've been sick more than well this vacation when my kids are here and I'd like to be able to be cooking for them and filling our house with the comfort foods they would probably like. Instead I am resting - waiting - always trying to feel better or figure out what to do next to feel better so tomorrow is a better day but so far it's not. If I spend all my time resting and waiting then what good is my time?

I am so sick and tired of this fight. Down to my bones tired. I'm not going to quit but I would not be unhappy to leave in my sleep - it sounds like a luxury vacation of peace.

thanks for listening. I just can't keep it inside another moment.
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1996 cancer WTF?! 1.3 cm lumpectomy Er/Pr neg. Her2+ (20nodes NEGATIVE) did CMF + rads. NED.
2002 recurrence. Bilateral mastectomy w/TFL autologous recon. Then ACx2. Skin lymphatic rash. Taxotere w/Herceptin x4. Herceptin/Xeloda. Finally stops spreading.
2003 - Back to surgery, remove skin mets, and will have surgery one week later when pathology can confirm margins.
‘03 latisimus dorsi flap to remove skin mets. CLEAN MARGINS. Continue single agent Herceptin thru 4/04. NED.
‘04 '05 & 06 tiny recurrences - scar line. surgery to cut out. NED each time.
1/2006 Rads again, to scar line. NED.

3/07 Heartbreaking news - mets! lungs.sternum. Try Tykerb/Xeloda. Tykerb/Carbo/Gemzar. Switch Oncs.
12/07 Herceptin.Tykerb. Markers go stable.
2/8/08 gamma knife 13mm stupid brain met.
3/08 Herceptin/tykerb/avastin/zometa.
3/09 brain NED. Lungs STABLE.
4/09 attack sternum (10 daysPHOTONS.5 days ELECTRONS)
9/09 MARKERS normal!
3/10 PET/CT=manubrium intensely metabolically active but stable. NEDhead.
Wash out 5/10 for tdm1 but 6/10 CT STABLE, PET improving. Markers normal. Brain NED. Resume just Herceptin plus ZOMETA
Dec 2010 Brain NED, lungs/sternum stable. markers normal.
MAR 2011 stop Herceptin/allergy! Go back on Tykerb and switch to Xgeva.
May-Aug 2011 Tykerb Herceptin Xgeva.
Sept 2011 Tykerb, Herceptin, Zometa, Avastin.
April 2012 sketchy drug trial in NYC. 6 weeks later I’m NED!
OCT 2012 PET/CT shows a bunch of freakin’ progression. Back to LA and Herceptin.avastin.zometa.
12/20/12 add in PERJETA!
March 2013 – 5 YEARS POST continue HAPZ
APRIL 2013 - 6 yrs stage 4. "FAILED" PETscan on 4/2/13
May 2013: rePetted - improvement in lungs, left adrenal stable, right 6th rib inactive, (must be PERJETA avastin) sternum and L1 fruckin'worsen. Drop zometa. ADD Xgeva. Doc says get rads consultant for L1 and possible biopsy of L1. I say, no thanks, doc. Lets see what xgeva brings to the table first. It's summer.
June-August 2013HAPX Herceptin Avastin Perjeta xgeva.
Sept - now - on chemo hold for calming tummy we hope. Markers stable for 2 months.
Nov 2013 - Herceptin-Perjeta-Avastin-Xgeva (collageneous colitis, which explains tummy probs, added Entocort)
December '13 BRAIN MRI ned in da head.
Jan 2014: CONTINUING on HAPX…
FEB 2014 PetCT clinical “impression”: 1. newbie nodule - SUV 1.5 right apical nodule, mildly hypermetabolic “suggestive” of worsening neoplastic lesion. 2. moderate worsening of the sternum – SUV 5.6 from 3.8
3. increasing sclerosis & decreasing activity of L1 met “suggests” mild healing. (SUV 9.4 v 12.1 in May ‘13)
4. scattered lung nodules, up to 5mm in size = stable, no increased activity
5. other small scattered sclerotic lesions, one in right iliac and one in thoracic vertebral body similar in appearance to L1 without PET activity and not clearly pathologic
APRIL 2014 - 6 YRS POST GAMMA ZAP, 7 YRS MBC & 18 YEARS FROM ORIGINAL DX!
October 2014: hold avastin, continue HPX
Feb 2015 Cancer you lost. NEDHEAD 7 years post gamma zap miracle, 8 years ST4, +19 yrs original diagnosis.
Continue HPX. Adding back Avastin
Nov 2015 pet/ct is mixed result. L1 SUV is worse. Continue Herceptin/avastin/xgeva. Might revisit Perjeta for L1. Meantime going for rads consult for L1
December 2015 - brain stable. Continue Herceptin, Perjeta, Avastin and xgeva.
Jan 2016: 5 days, 20 grays, Rads to L1 and continue on HAPX. I’m trying to "save" TDM1 for next line. Hope the rads work to quiet L1. Sciatic pain extraordinaire :((
Markers drop post rads.
2/24/16 HAP plus X - markers are down
SCIATIC PAIN DEAL BREAKER.
3/23/16 Laminectomy w/coflex implant L4/5. NO MORE SCIATIC PAIN!!! Healing.
APRIL 2016 - 9 YRS MBC
July 2016 - continue HAP plus Xgeva.
DEC 2016 - PETCT: mets to sternum, lungs, L1 still about the same in size and PET activity. Markers not bad. Not making changes if I don't need to. Herceptin/Perjeta/Avastin/Xgeva
APRIL 2017 10 YEARS MBC
December 2017 - Progression - gonna switch it up
FEB 2018 - Kadcyla 3 cycles ---->progression :(
MAY30th - bronchoscopy, w/foundation1 - her2 enriched
Aug 27, 2018 - start clinical trial ZW25
JAN 2019 - ZW25 seems to be keeping me stable
APRIL 2019 - ONE DOZEN YEARS LIVING METASTATIC
MAY 2019 - progression back on herceptin add xeloda
JUNE 2019 - "6 mos average survival" LMD & CNS new single brain met - one zap during 5 days true beam SBRT to cord met
10/30/19 - stable brain and cord. progression lungs and bones. washing out. applying for ds8201a w nivolumab. hope they take me.
12/27/19 - begin ds8401a w nivolumab. after 2nd cycle nodes melt away. after 3rd cycle chest scan shows Improvement, brain MRI shows improvement, resolved areas & nothing new. switch to plain ENHERTU. after 4th cycle, PETscan shows mostly resolved or improved results. Markers near normal. I'm stunned but grateful.
10/26/20 - June 2021 Tucatinib/xeloda/herceptin - stable ish.
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Old 12-31-2008, 09:41 AM   #2
Believe51
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Dearest Flori, your post is what I have been hearing from Ed for a long time. I am so sorry that you are feeling so terrible. I cannot grasp the words I need to say today since I have a 'corker' of a headache. Just wanted to reach out and send love and empathy to you. It pains me to hear you got kicked again.

"If I spend all my time resting and waiting then what good is my time?" Ed has asked me the same exact question and we all know the answer. This too shall pass, be patient with your body and get to the pain management clinic asap. The patch Ed is using in a Godsend and allows the pain to dull enough so he can rest. You will find your magic potion there and I pray that it will be soon. I have not spent much time with him since the pain he is in, I miss him so but I know we too are off to better days very soon. Believe it or not, 80% of our Christmas gifts still lay under the tree. Our gifts will be late but the big man will be delivering then, even if it is the end of January.

Hang tough My Sweetness, help for pain is on the way. Your family may be missing you but not for long. When you are past this, the comfort foods you make and share will be all the better. Take some time after you are up to par and bake away. Although missing you, your family knows you are right there.

I love you. Sending you a gentle hug and whispering in your ear that I am so glad if you had to vent that it was with us. After all, who can understand better?>>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 12-31-2008, 09:49 AM   #3
Debbie L.
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Flori, just wanted you to know that I hear you. Loud and clear, nodding head, sad for your hard times, and sending good thoughts.

Your kids don't care about goodies, they care about you and your presence. But you already know that, and I do understand, at least a little bit, what you're saying.

Insurance hassles - arrggg. It seems that more and more, knee-jerk denials are their first response to everything. Kudos to your onc for being ready to take over this worry for you.

Pain is so draining. Do you have meds that you can take to tide you over until you see the pain specialist? It sounds like you got amazing results from the epidural last time. May it be so, again.

"What good is time spent resting and waiting?"

Oh, great question. My kind of question. I don't know the answer, especially not for myself, but I do know that many people have found the answer, by learning to believe that what is important and essential about them is not what they do or what roles they fill in life. It's about who they are - their soul or spirit or essence - so many words to describe that deeper part of us that is not how many cookies we bake (or how clean we keep our house or how good we do our job), but how we connect with those that we bake the cookies for. It is that feeling (love, connection, trust?) that needs no words, and it is the important part of who we are.

The people that I know (and have known) who are able to pull this off do not have it perfect all the time. But when they do have it, it is beautiful. There is such peace and love - for them and for their loved ones.

I had to read Ram Dass's "Still Here" several times before I began to get even a glimpse of understanding about what he was saying about dependence. Being dependent is not exactly the same as not being able to do what we want - not exactly the same as "resting and waiting", but his discussion of dependence touches on the same issues. He wrote it after a debilitating stroke. I suggest it to everyone who rails against downtime, from any cause. Reading his words always helps me - I can feel my body relax, my breathing soften, and sometimes I find myself smiling for no reason.

Love,
Debbie Laxague
PS: I do not know how this is going to look. There were a bunch of color options when I explored my "new" (not exactly) username and I went wild with green, yellow and purple. But typing this now, I don't see that - so maybe nothing will happen.
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Old 12-31-2008, 10:18 AM   #4
Believe51
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Smile

Deb, your post and pm has brought me to tears, all good ones. Thank you so much for your reply to Flori's post. It hit home for me and has brought inspiration to me as I know it will for Sweet Flori. Today I am leaving early since we are having a large snowstorm. Upon my return home I always light my candles for family who needs prayers and then another one for someone special who touched my daily life. You are that lady today. Thanks for the inspiring post, I did not know how much I really needed that but I surely know how much Flori does! So glad you are part of the family.>>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 12-31-2008, 10:20 AM   #5
Lani
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there are lots of articles on continuing herceptin (but just adding to it) in StageIV

I am sure your oncologist will be able to challenge this successfully

The insurance company computer probably "spit" out your name as someone on herceptin for more than a year, not looking to see if you are Stage IV or not...or more sinisterly..they try periodically to scare oncologists to see which will respond and just stop the herceptin, saving them money.

Now that you have "erupted" I am sure you will gather your considerable forces and tell them"No way Jose'!"

It is funny that the most potent way to ruin a human being's mood is not by giving them bad news about their prognosis, but rather by nudging them into "victimhood".

Kidnappers know this--that is why they tell their victims "everybody has forgotten about you, no one is looking for you, noone cares"

If cancer can't get you down, don't let "victimhood" Don't even go there!

And forget about "fairness"--it is a wonderful concept, but in the real world
how often are things "fair"?

Insurance companies figure if they can scare your doctor and/or get you depressed they might push your doctor into changing your treatment or make you suicidal and they stand a chance to save some money. They are betting on a cruel scenario and you and your doctor won't fall for it!!!

Take a Jacuzzi or a swim, put on some inspiring music, take some deep breaths and reemerge out as the stubborn feisty woman that you have always appeared to be from your posts

A New Year's peptalk, from one who rarely gives them!
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Old 12-31-2008, 11:33 AM   #6
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Flori,

Contact these people. They are really great.

Disability Rights Legal Center

You may also wish to contact Genentech

Regards
Joe
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Old 12-31-2008, 11:50 AM   #7
Mary Jo
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Dear Flori,

I have nothing as eloquant as the rest to say....just wanted to say, I, too, hear you loud and clear and although I can't understand, I can imagine. I'm so sorry this "ordeal" is laying in your lap....in so many forms. Truly sorry I am. If I could take some of your "pain" know I would.

I know my words probably sound trite...and I apologize for that. I guess the only true expression of my love I can give you is to say....I really am sorry.....but know in my heart of hearts you shall rise above this as well! Tomorrow is another day.

Love and Peace I pray for you,

Mary Jo
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"Be still and know that I am God." Psalm 46:10

Dx. 6/24/05 age 45 Right Breast IDC
ER/PR. Neg., - Her2+++
RB Mast. - 7/28/05 - 4 cm. tumor
Margins clear - 1 microscopic cell 1 sent. node
No Vasucular Invasion
4 DD A/C - 4 DD Taxol & Herceptin
1 full year of Herceptin received every 3 weeks
28 rads
prophylactic Mast. 3/2/06

17 Years NED

<>< Romans 8:28
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Old 12-31-2008, 01:13 PM   #8
freyja
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Love to you.

Flori,
I hear you, too. It sucks that our suffering from cancer has to be compounded by all the unfair weaknesses in our society and particularly health care system. I know you're strong. I can sense it from your posts, and your photos. The holidays have been hard for me, too because while trying to make cookies for Santa with my boy, I got really sick and had to lay down and get my husband to finish them.
I send healing thoughts to you, and everyone here, and will share any energy with you I can find. Keep faith and someday this will be a memory and you'll be even stronger than ever because you got through it. There's always a way, but the only way out is through.
You've heard this all before...but it's true, isn't it? Just want you to know I understand. I wish I didn't but I do.
Celeste
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"Dancers Against Cancer" in the Eugene, OR Komen Race for the Cure 2010
Diagnosed 8/7/08 with stage 3 invasive ductal carcinoma, micropapillary pattern, Her2 3+, ER+,PR-, grade II, positive lymph nodes.
Received 6doses of Taxotere, Carboplatin with Herceptin continuing for a year...DONE.
1/28/09 Left Modified Radical Mastectomy, Right Simple Mastectomy.
Surgery pathology: No invasive carcinoma present and 17 lymph nodes removed all negative! Only small amount of carcinoma in situ in left breast.
March/April '09, Radiation to left chest wall.
Currently involved in Neratinib clinical trial.

"Well being I won
and wisdom too,
I grew and joyed in my growth;
from a word to a word
I was led to a word
from a deed to another deed." (Odin)

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Old 12-31-2008, 01:24 PM   #9
hutchibk
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I can't add to the current AMAZING posts except to say - Lots of love to you, girl. It's a rocky boat we are in, and sometimes it sways more violently than other times.
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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 12-31-2008, 03:10 PM   #10
SoCalGal
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To all who replied...thank you so very much for your words and prayers. I have just printed out all replies to this thread and am going to paste them up to be reminded. I am actually feeling better - emotionally. Thank you so very very much.



PS:Aside to Debbie - thanks - you really gave me something to think about and to try to better incorporate into my life. I will find the book. And Lani - thanks because I know you don't usually "go there" but that really makes your words even stronger - You are right about both the insurance companies and me
Celeste thanks as well for the reminder - my daughter lives in Eugene - she's a "duck"
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1996 cancer WTF?! 1.3 cm lumpectomy Er/Pr neg. Her2+ (20nodes NEGATIVE) did CMF + rads. NED.
2002 recurrence. Bilateral mastectomy w/TFL autologous recon. Then ACx2. Skin lymphatic rash. Taxotere w/Herceptin x4. Herceptin/Xeloda. Finally stops spreading.
2003 - Back to surgery, remove skin mets, and will have surgery one week later when pathology can confirm margins.
‘03 latisimus dorsi flap to remove skin mets. CLEAN MARGINS. Continue single agent Herceptin thru 4/04. NED.
‘04 '05 & 06 tiny recurrences - scar line. surgery to cut out. NED each time.
1/2006 Rads again, to scar line. NED.

3/07 Heartbreaking news - mets! lungs.sternum. Try Tykerb/Xeloda. Tykerb/Carbo/Gemzar. Switch Oncs.
12/07 Herceptin.Tykerb. Markers go stable.
2/8/08 gamma knife 13mm stupid brain met.
3/08 Herceptin/tykerb/avastin/zometa.
3/09 brain NED. Lungs STABLE.
4/09 attack sternum (10 daysPHOTONS.5 days ELECTRONS)
9/09 MARKERS normal!
3/10 PET/CT=manubrium intensely metabolically active but stable. NEDhead.
Wash out 5/10 for tdm1 but 6/10 CT STABLE, PET improving. Markers normal. Brain NED. Resume just Herceptin plus ZOMETA
Dec 2010 Brain NED, lungs/sternum stable. markers normal.
MAR 2011 stop Herceptin/allergy! Go back on Tykerb and switch to Xgeva.
May-Aug 2011 Tykerb Herceptin Xgeva.
Sept 2011 Tykerb, Herceptin, Zometa, Avastin.
April 2012 sketchy drug trial in NYC. 6 weeks later I’m NED!
OCT 2012 PET/CT shows a bunch of freakin’ progression. Back to LA and Herceptin.avastin.zometa.
12/20/12 add in PERJETA!
March 2013 – 5 YEARS POST continue HAPZ
APRIL 2013 - 6 yrs stage 4. "FAILED" PETscan on 4/2/13
May 2013: rePetted - improvement in lungs, left adrenal stable, right 6th rib inactive, (must be PERJETA avastin) sternum and L1 fruckin'worsen. Drop zometa. ADD Xgeva. Doc says get rads consultant for L1 and possible biopsy of L1. I say, no thanks, doc. Lets see what xgeva brings to the table first. It's summer.
June-August 2013HAPX Herceptin Avastin Perjeta xgeva.
Sept - now - on chemo hold for calming tummy we hope. Markers stable for 2 months.
Nov 2013 - Herceptin-Perjeta-Avastin-Xgeva (collageneous colitis, which explains tummy probs, added Entocort)
December '13 BRAIN MRI ned in da head.
Jan 2014: CONTINUING on HAPX…
FEB 2014 PetCT clinical “impression”: 1. newbie nodule - SUV 1.5 right apical nodule, mildly hypermetabolic “suggestive” of worsening neoplastic lesion. 2. moderate worsening of the sternum – SUV 5.6 from 3.8
3. increasing sclerosis & decreasing activity of L1 met “suggests” mild healing. (SUV 9.4 v 12.1 in May ‘13)
4. scattered lung nodules, up to 5mm in size = stable, no increased activity
5. other small scattered sclerotic lesions, one in right iliac and one in thoracic vertebral body similar in appearance to L1 without PET activity and not clearly pathologic
APRIL 2014 - 6 YRS POST GAMMA ZAP, 7 YRS MBC & 18 YEARS FROM ORIGINAL DX!
October 2014: hold avastin, continue HPX
Feb 2015 Cancer you lost. NEDHEAD 7 years post gamma zap miracle, 8 years ST4, +19 yrs original diagnosis.
Continue HPX. Adding back Avastin
Nov 2015 pet/ct is mixed result. L1 SUV is worse. Continue Herceptin/avastin/xgeva. Might revisit Perjeta for L1. Meantime going for rads consult for L1
December 2015 - brain stable. Continue Herceptin, Perjeta, Avastin and xgeva.
Jan 2016: 5 days, 20 grays, Rads to L1 and continue on HAPX. I’m trying to "save" TDM1 for next line. Hope the rads work to quiet L1. Sciatic pain extraordinaire :((
Markers drop post rads.
2/24/16 HAP plus X - markers are down
SCIATIC PAIN DEAL BREAKER.
3/23/16 Laminectomy w/coflex implant L4/5. NO MORE SCIATIC PAIN!!! Healing.
APRIL 2016 - 9 YRS MBC
July 2016 - continue HAP plus Xgeva.
DEC 2016 - PETCT: mets to sternum, lungs, L1 still about the same in size and PET activity. Markers not bad. Not making changes if I don't need to. Herceptin/Perjeta/Avastin/Xgeva
APRIL 2017 10 YEARS MBC
December 2017 - Progression - gonna switch it up
FEB 2018 - Kadcyla 3 cycles ---->progression :(
MAY30th - bronchoscopy, w/foundation1 - her2 enriched
Aug 27, 2018 - start clinical trial ZW25
JAN 2019 - ZW25 seems to be keeping me stable
APRIL 2019 - ONE DOZEN YEARS LIVING METASTATIC
MAY 2019 - progression back on herceptin add xeloda
JUNE 2019 - "6 mos average survival" LMD & CNS new single brain met - one zap during 5 days true beam SBRT to cord met
10/30/19 - stable brain and cord. progression lungs and bones. washing out. applying for ds8201a w nivolumab. hope they take me.
12/27/19 - begin ds8401a w nivolumab. after 2nd cycle nodes melt away. after 3rd cycle chest scan shows Improvement, brain MRI shows improvement, resolved areas & nothing new. switch to plain ENHERTU. after 4th cycle, PETscan shows mostly resolved or improved results. Markers near normal. I'm stunned but grateful.
10/26/20 - June 2021 Tucatinib/xeloda/herceptin - stable ish.

Last edited by SoCalGal; 12-31-2008 at 04:01 PM.. Reason: just noticed some of my asides got put aside
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Old 01-01-2009, 07:52 AM   #11
caya
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Dearest Flori,

I hope today, the first day of 2009, finds you in feeling better on all levels - physically, emotionally, and spiritually. Please know that your voice on this board is very valued, and also know that we understand that there are moments when we all feel like this.
I cannot begin to tell you how in awe I am of the stage IVers on this site - you are the bravest, most gracious people I have ever "known". Please realize that I pray for you often, and hope that your struggles will vanish and that 2009 will be the year of the cure.
To you dear Flori, I say Baruch Hashem (BH) - Blessed is the Lord - keep the faith, you are allowed to feel down, kvetch here whenever you feel like it -
We will be here to give you strength to go onwards...

all the best
caya
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ER90%+/PR 50%+/HER 2+
1.7 cm and 1.0 cm.
Stage 1, grade 2, Node Negative (16 nodes tested)
MRM Dec.18/06
3 x FEC, 3 x Taxotere
Herceptin - every 3 weeks for a year, finished May 8/08

Tamoxifen - 2 1/2 years
Femara - Jan. 1, 2010 - July 18, 2012
BRCA1/BRCA2 Negative
Dignosed 10/16/06, age 48 , premenopausal
Mild lymphedema diagnosed June 2009 - breast surgeon and lymph. therapist think it's completely reversible - hope so.
Reclast infusion January 2012
Oopherectomy October 2013
15 Years NED!!

Last edited by caya; 01-01-2009 at 02:13 PM..
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Old 01-01-2009, 09:00 AM   #12
Gerri
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Dear Flori,

I will not presume to know what you are feeling since I have only had to go to battle once with this horrid disease. However, I could feel the pain, sadness and desperation emanate from your words. I think Debbie did a wonderful job of summing up exactly what I was thinking. Your essence, as she so profoundly put it, is what makes you such a great person. YOU are what your children come home for, not what you can do for them. The life lesson you are teaching them with your indomitable spirit will take them far and serve them well.

I just read a book, Deep Survival, Who Lives, Who Dies and Why, by Laurence Gonzales. This is probably more of a “guy” book because most of what he studied was survival dealing with Mother Nature – mountain climbing accidents, survival at sea, etc. However, there was a common thread that ran through the book – A survivor is someone who takes his/her present surroundings and makes a plan based on the current situation and options. While reading this book my thoughts were always turning to the members of this board who must deal with survival on a daily basis. You are one of those survivors. You take “what is”, look at your options, and then you move forward. Sometimes there are set-backs, and you lose a little ground, but when you are able, you pull yourself together and move forward with renewed strength and determination.

I hope you are able to get your pain under control and start to feel better. You are an amazing woman.

Love to you,
__________________
Gerri
Dx: 11/23/05, Lumpectomy 12/12/05
Tumor 2.2 cm, Stage II, Grade 3, Sentinel Node biopsy negative
ER+ (30%) /PR+ (50%), HER2+++
AC X 4 dose dense, Taxol X 4 dose dense
Herceptin started with 2nd Taxol, given weekly until chemo done
then given every 3 weeks for one year ending on March 16, 2007
Radiation 30 treatments
Tamoxifen - 2 yrs (pre-menopausal)
May 2008 - Feb 2012 Femara
Aug 2008 - Feb 2012 Zometa every 6 months
March 2012 - Stop Femara, now Evista for bone strengthening
**********
Enjoy the little things, for one day you may look
back and realize they were the big things.
- Robert Brault

Last edited by Gerri; 01-01-2009 at 05:41 PM..
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Old 01-01-2009, 11:42 AM   #13
Mary Anne in TX
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Hi Dear Sweet Flori! Sometimes pain steals our courage and resolve, but never our heart and soul! Yours are most certainly intact, mighty warrior! You've raised up so many of us off our knees so many times and I know that you will do so many more times! Much love to you mighty one! 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 01-02-2009, 09:07 AM   #14
Joan M
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Flori,

I'm praying that the new year brings you better health and peace of mind.

Our main battle is tough both physically and emotionally without the various bumps from the likes of oour insurance companies or perhaps our jobs.

Your oncologist should probably be able to straighten out the problem, but it's unfortunate to have to be put through the worry.

Hang tight. Better times are around the corner.

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 01-02-2009, 11:08 AM   #15
sarah
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Flori,
So sorry you're going through this but I'm sure your doctor will get it straight. Meanwhile, take some deep breathes, lie with your eyes closed not thinking about anything and then go and give each of your family and friends a big hug - you'll feel better.
BIG hug and love
sarah
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Old 01-02-2009, 11:48 AM   #16
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
Thinking of you and sending more love. Happy New Year.>>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 01-02-2009, 02:07 PM   #17
vickie h
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Flori, I know how you feel and it is almost unbearable at times. I, too, had several epidurals and was in pain management for over a year. They even resorted to giving me a bottle of morphine to take home. I spent weeks sleeping upright in a recliner because the pain was so horrific. There were days that faded into nights that blurred back into days. I felt that this was to be the rest of my life and I began to look at that morphine bottle as my possible way out. It was the bleakest time I can remember through this journey and I felt no one really understood...how could they? Just as I was about to give up, A friend handed me a copy of "When Thing s Fall Apart" and it changed my life. The pain slowly started to subside (this was 3 1/2 years ago) and I began to walk on the beach, collecting sea shells and taking hikes through the sand dunes. I threw the morphine away, and my hopelessness away with it. I pray that the pain is resolved and you have some comfort. I know how that pain can make life miserable, everything becomes skewed and resting all the time makes life questionable. I am thinking of you and sending you much empathy. This pain will pass and you will feel energy and strength again. Don't give up, my friend, you have so many who love you and you are never alone. I am very glad that you shared this with all of us. You need to express that pain and ask for help and understanding and compassion. Please let us know how you are doing and I would be more than happy to drive down and help you in any way I can. Much love to you today, Vickie
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Love and Hugs, Vickie

Life's not about waiting for the storm to pass,
It's about learning to dance in the rain.


Feb 04 IBC IIIC/IV er-/pr- her2+++
3/04 TCH X4
7/ 04 MRM 9/04 Taxol/herceptin wkly 1 yr 33X rads
11/04 skin mets 33x rads,10/05 Avast/Herc. 11 mos.
8/ 06 PET mets lymphs, neck
9/ 06 Navelbine/herceptin
11/ 06 PET NED
2/ 07 skin mets, 4/07 Xeloda, 5/07 add Tykerb
2/ 08 Tykerb failed. Doxil /Herceptin 6 months
8/08 PET skin mets, 8/08 Abraxane/Avastin
11/ 08 PET prog., skin mets
1/09 PET/CT progress, 1/09 Ixempra, 2/09 add Xeloda and low dose Naltrexone
2/09 off Ixempra/Xeloda
3/09 navelbine/herc/cytoxin 4/09 PET shows regress.7/09 start Topotecan. Failed.
8/09 extensive mets rgt brst, back and torso. starting Pazopanib clinical trial.
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Old 01-04-2009, 06:56 AM   #18
Sheila
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Flori
Sorry to hear that the insurance is being a pain in the a**....sometimes I think they "hope" we will just give up and they won't be spending the money! You just need to let them know what fighters us survivors are....it is just sad that they really know how to kick us and sit back and watch for our reaction. We have so many battles with this disease......one at a time, breathe, one at a time!
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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 01-04-2009, 05:20 PM   #19
Soccermom
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Dear Flori,
just want you to know I am sending gentle ,loving thoughts to you...and this as well...

"El na r’fa na la." "O God, pray heal her!

Marcia
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Old 01-05-2009, 06:43 AM   #20
schoolteacher
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Flori,

I hope you are feeling better this morning.

Amelia
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