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Old 08-22-2007, 01:27 PM   #1
VaMoonRise
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Smile Finally some Good News!

Hi Everyone,

Starting about two weeks ago we have had the biggest nightmares of our lives. It first started with the news of me having multiple brain mets and having to go through WBR, then with me being told by phone call on my way home from chemo, not to go home but to go straight to the ER because they thought I had a blockage in my liver and needed a stint put in. Luckily I didn't need a stint put in but my liver function was/is in terrible shape and they kept me in the hospital all weekend. I had been very jaundiced and extremely weak for weeks.

The worst was the Friday before last though. I went in to have my monthly Zometa and they ran blood work while I was there and the blood work came back showing that my liver was in even worse condition now and that I needed to see the nurse practitioner. The nurse prac. gave me a very cold and blunt prognosis of just a couple of days, maybe weeks to live and told us to go ahead and contact Hospice now. Well, you can imagine our shock, horror and utter terror. It made no sense, how could I be dying when I was up walking around, eating well, feeling pretty good over all except for the pain in my liver and being tired. The nurse prac. even went as far as to call me a living miracle already because she couldn't believe that I was up walking around. This being a Friday made it all the worse because my Onc. wouldn't be available until Monday morning sometime. What if I died before then and Billy later found out that something could have been done to prevent it. The weekend was pure hell for us. We had to contact family members and tell them that I had only days or weeks left to live. Telling my sisters was one of the hardest things I have ever had to do in my life and poor Billy was frantic as all get out all weekend watching me for signs of rapid decline. Well, Monday finally rolled around and we were able to get in to see my Onc. and her prognosis was completely different from that of the nurse prac., it was like night and day. She couldn't believe that the nurse prac. had told us that and couldn't state enough how wrong the nurse prac. was. It was the biggest sigh of relief that Billy and I have ever breathed. You can imagine all of the emotions we went through and how relieved and angry my family members were at the nurse prac. for putting us all through that. You can read more about this by going back to my posts titled "Weekend from H, E, Double Hockey Sticks" or "Kicked in the Teeth..."

To make all of the above even worse, as you know, we had been waiting to get me started on Xeloda ever since I had WBR and my insurance company kept denying us. We were down to our last appeal and all of this waiting and not being on any chemo of any kind was only allowing my liver function to grow worse and worse and by the day. Every day was like a nightmare until my Onc. was able to get me on Xeloda after my weekend hospital stay. We also went ahead and started paying for the Xeloda out of pocket until we got the final answer from the Ins. Co. Luckily after a lot of phone calls by my Onc., an advocate at the cancer center, myself and a plethora of paper work the Ins. Co. finally approved it.

I had drastically changed my diet after being given a death sentence. I went to eating fruit and veggies all day long, no red meat, no sugar at all and nothing to drink but lots and lots of water. Just by drastically changing my diet and lots and lots of prayers I was able to get my liver function numbers to stop jumping sky high repeatedly in just over 3 day periods as it had been doing since before going into the hospital. I have been on Xeloda now for 2 weeks, I am on my one week off right now which started on Monday. I just had blood work done yesterday to recheck my liver function and I am ecstatic to tell you that my liver function numbers have started to drop. My Bilirubin went from a 12.3 to 11.7, SGPT from 759 to 409 and my SGOT from 453 to 242. I am thrilled to pieces as is my Onc., she said Xeloda can take up to a month to start working in some patients and this is a very good sign that mine has already started to work which is incredible since I have only been on it a short time. She also said that because I haven't had any side effects as of yet from it that she is going to increase my dosage from 3 pills in the morning and 3 at night to 3 in the morning and 4 at night. If I start to get any side effects I am to stop taking 4 at night and call her immediately to let her know.

I will have my liver functions tested again on the 27th and I am very optimistic that they will show even more impovement in my liver function. I will be sure to keep you all posted.

I have a question, the past 3 days I have had some slight nausea on and off and I am wondering if this is from the Xeloda or possibly from me being weaned off of the steroid? I was anemic when I had my liver functions tested yesterday and they had to give me a shot of Aranesp, can being anemic cause nausea?

Thanks everyone for all of your words of encouragement, inspiration, wisdom and prayers. I love you all so much!

Love, Hugs & God Bless,
Nicola
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March 18, 2004, Age 36
Diagnosed: High Grade DCIS, Microcalcifications, Solid and Comedo type, Nuclear grade 3 with 1mm margins, ER+, PR+, Stage "0"
3-8-04 Left breast lumpectomy.
4-1-04 thru 6-24-04 Adjuvant XRT.
11-29-05 Gallbladder attack.
12-01-05 Surgery to have gallbladder removed, discovered cancer spread throughout liver in both lobes, HER2+ amplified by FISH and interestingly enough negative for ER and PR.
12-9-05 Clinical trial consisting of Tykerb, Taxol and Herceptin along with Zometa once a month. On clinical trial for 15 months before liver mets started progressing. Started on Navelbine 3-9-07. Navelbine failed, switched to Gemzar July 07. MRI of the brain on July 7, 07. Results revealed multiple brain tumors. Taken off of Gemzar immediately and began 15 rounds of WBR which I completed on July 26, 07. CT scan on 7-26-07 significant progression in the liver mets. I am now getting ready to start on Xeloda along with Herceptin and Zometa once a month.
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Old 08-22-2007, 03:00 PM   #2
tousled1
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Nicola,

That's wonderful news! I can't even begin to imagine how you felt after the nurse practioner spoke to you. I'm so happy for you that the Xeloda seems to be working and that your numbers are getting better. I will keep you in my prayers.
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Kate
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 08-22-2007, 03:21 PM   #3
caya
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Great News Nicola

Nicola,

So happy to see your post and that you are doing better. That NP should be given a severe reprimand - I hope your onc. will look into this.
The most important thing is that Xeloda seems to be working its magic -
All the best to you
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!!
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Old 08-22-2007, 03:38 PM   #4
dorinda
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so happy about the great news. i understand the excitement of the numbers going down. i have ben wondering about you and how the meds were working on you. this is super great news.keep us posted. i will keep you in my prayers dorinda
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nov 2006 dx. with bc. 3 tumors removed from left breast lumpectomy done. her2 postive er+pr-. scans showed extensive spine mets(to many to count) ,3 tumors on left rib,one tumor on skull and 3 tumors on liver. stage IV from get go. dec.2006 started chemo taxol and herceptine wkly. zometa monthly. rescanned in march 2007, liver tumors shrinking a little. bones to early to tell but pain is gone in my back. rescanned in june 2007. liver mets gone, bone scan looking better but still alot in my spine. still on taxol and herceptine. zometa monthly. rescanned in august due to ca 2729 going up. liver still good , mets in ribs and skull gone but multiple areas still on lumbar and sacrum. mri of brain august 07 negative for mets.I AM BELIEVLING GOD FOR MY HEALING.
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Old 08-22-2007, 03:57 PM   #5
Grace
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Nicola,

That is very good news, and I'm very very happy for you. The NP should be spoken to, at the least by your oncologist. I can imagine that right now your sole concern is getting stable but I wish I could give her a piece of my mind. What a terrible thing to do! Again, so very happy she was wrong!
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Old 08-22-2007, 04:24 PM   #6
chrisy
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Nicola,

I had read your other two posts - what can I say. You were certainly ready for some good news - and you finally got it! As well as the Xeloda. So GLAD things have turned around for you.

I think you should try and get special dispensation from your onc in view of the TWO disastrous weekends. Get his/her cell phone number and make a deal that he/she be "on call" for you on weekends. I'm serious - what happened to you is outrageous. It seems your onc thinks you have a good chance of hanging around for a good while longer - if some yahoo tries to tell you differently on a Friday night you need to get a 2nd opinion from someone who "knows" you!

Again, I'm so glad things are looking up.
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June 2002 extensive hi grade DCIS (pre-cancer-stage 0, clean sentinal node) Mastectomy/implant - no chemo, rads. "cured?"
9/2004 Diag: Stage IV extensive liver mets (!) ER/PR- Her2+++
10/04-3/05 Weekly Taxol/Carboplatin/Herceptin , complete response!
04/05 - 4/07 Herception every 3 wks, Continue NED
04/07 - recurrence to liver - 2 spots, starting tykerb/avastin trial
06/07 8/07 10/07 Scans show stable, continue on Tykerb/Avastin
01/08 Progression in liver
02/08 Begin (TDM1) trial
08/08 NED! It's Working! Continue on TDM1
02/09 Continue NED
02/10 Continue NED. 5/10 9/10 Scans NED 10/10 Scans NED
12/10 Scans not clear....4/11 Scans suggest progression 6/11 progression confirmed in liver
07/11 - 11/11 Herceptin/Xeloda -not working:(
12/11 Begin MM302 Phase I trial - bust:(
03/12 3rd times the charm? AKT trial

5/12 Scan shows reduction! 7/12 More reduction!!!!
8/12 Whoops...progression...trying for Perjeta/Herceptin (plus some more nasty chemo!)
9/12 Start Perjeta/Herceptin, chemo on hold due to infection/wound in leg, added on cycle 2 &3
11/12 Poops! progression in liver, Stop Perjeta/Taxo/Herc
11/12 Navelbine/Herce[ptin - try for a 3 cycles, no go.
2/13 Gemzar/Carbo/Herceptin - no go.
3/13 TACE procedure
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Old 08-22-2007, 05:00 PM   #7
kareneg
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Talking

WOO HOO!!!!!!!!!!!!!! I just knew you would get good news hunny! Love yah
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Love and Hope
Karen

IDC
DX 1998 STAGE I ER+/ PR+
AC CHEMO TILL FEB 1999
Tamxofin till 2001
2001 exstensive liver mets and mets to lungs
Started weekly taxol
Jan 2002 found out I was strongly HER2POS+++ started herceptin continued with taxol and herceptin till June 2002 then from June 2002 till Jan 2005 just herceptin and Arimidex
2005 Navelbine herceptin had RFA Then back on taxol with herceptin
April 2006 progression again went on clinical trial with tykrerb/herceptin progressed on the started Xeloda/ herceptin
Feb 2007 started Doxil
August 2007 Taxotere,Carboplatin and Herceptin exstensive mets to liver and pancreas
October 2007 Had to stop Carboplatin due to sever allergic reaction
Jan 2008
Stopped Taxotere due to progression now on Gemzar and Herceptin
March 2008 Starting Carboplatin, Abraxane, and Herceptin.
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Old 08-22-2007, 05:35 PM   #8
lexigirl
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That is TERRIFIC news!! I am thrilled for you, too!!

Hugs,
Lexi
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Old 08-22-2007, 05:44 PM   #9
Becky
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Yeah! You really deserve a break and it looks like you're going to get it. You've had some rotten luck with the evil and misinformed nurse practioner (even I really work hard to make SURE I have my facts straight when I post on this board because I want to make sure I don't misinform anyone - and I am just a lay person)!

I am very happy for you (and Billy too because I know our loved ones need a break just as much as we do).

Big hug to you
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Kind regards

Becky

Found lump via BSE
Diagnosed 8/04 at age 45
1.9cm tumor, ER+PR-, Her2 3+(rt side)
2 micromets to sentinel node
Stage 2A
left 3mm DCIS - low grade ER+PR+Her2 neg
lumpectomies 9/7/04
4DD AC followed by 4 DD taxol
Used Leukine instead of Neulasta
35 rads on right side only
4/05 started Tamoxifen
Started Herceptin 4 months after last Taxol due to
trial results and 2005 ASCO meeting & recommendations
Oophorectomy 8/05
Started Arimidex 9/05
Finished Herceptin (16 months) 9/06
Arimidex Only
Prolia every 6 months for osteopenia

NED 18 years!

Said Christopher Robin to Pooh: "You must remember this: You're braver than you believe and stronger than you seem and smarter than you think"
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