[Carolyns]

Hi Rich,

I think it is a good discussion. I wish I could continue getting Herceptin weekly rather than the 3 week dose with TDM1. It is not up to me and I am grateful to be in the study... just in a perfect world I would get it weekly.

I went with the less is more approach ever since I was found to have mets. The original cancer center I went to had suggested the double barrel method. It was a very tough decision for me because I didn't want to believe that I could not be "cured" again. I also thought that I was wouldn't being trying hard enough if I didn't do the roughest treatment. In the end, with much research and discussion with oncologist that are "breast cancer" only doctors, I found that less is more. 4 years, 12 lines of therapy later I am still working full time and raising my 11 year old son.... living a full life... waiting for the cure. It has seemed to be the right thing for me so far and I would like to continue down this path of less is more.

Thanks for your thoughts and observations.

Carolyn