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		|  07-29-2006, 12:19 PM | #1 |  
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				Join Date: Oct 2005 Location: TAMPA, FL 
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	 | 
				 It's Getting Closer 
 Well, I had a visit with the oncs office that will be supplying me the Tykerb.The co-ordinator had her "telephone interview" last week with the Glaxo people and I went in on Thursday and signed my consent form - Yippeeeee
 
 I had everything explained to me in depth, had my blood work done and had an Ecocardiogram on Friday and am scheduled for a CT on Monday. I will meet with them again on Wednesday and hopefully they will have the drug by Thursday.
 
 I can't believe I can be so anxious to actully begin on Chemo AGAIN but of course after 6 weeks off of chemo and progressing tumors, I see why.
 
 I do not forsee any reason at this time that the Glaxo people will not allow me to have the compassionate use for this but until I actually receive the drug, I am still keeping my fingers crossed.
 
 I am sure that those of you out there that are working with an office that is trying to obtain qualification for the EAP, will be seeing results soon.
 
 Will let everyone know when I start.
 
 Good luck to everyone.
 
				__________________Irene from Tampa
 1996 - INFILT DUCTAL CAR.W/ LYMPH NODE INVOLVEMENT. ADRIA/CYTOXIN/5FU
 1999 - RECURR. TO AUXILA AND 2 TUMORS IN LIVER
 TREAT: STEM CELL REPLACEMENT/HERCEPTIN.
 2002 - RECUR TO LIVER
 TREAT: NAVELBINE, THEN GEMZAR, THEN XELODA.
 2004 - TUMORS STILL IN LIVER
 TREAT: RFA TO LIVER
 STABLE UNTIL
 2004 - TUMOR PROGRESSION IN LIVER.
 TREAT: RESECT HALF OF LIVER.
 2005 - RECURR TO LYMPH NODE OUTSIDE OF LIVER.
 TREAT: TAXOL/CARPO/HERCEPTIN. FAILED ON
 THIS TRIO. STARTED ON ABRAXANE.
 2006 - PROGRESS WITH 2ND TUMOR GROWTH.
 TREAT: AUG. BEGAN ON TYKERB/XELODA
 TRIAL. CONSIDERED STABLE TO DATE.
 2007 - TAKEN OFF OF TYKERB/XELODA TRIAL DUE TO
 PROGRESS STARTING TYKERB/AVASTIN.
 NOV 2007 - SCANS SHOW PROGRESS TUMOR GROWTH
 IN ABDOM. AND TWO NEW TUMORS IN NECK AREA.
 BEGAN HERCEPTIN/AVASTIN/TAXOTERE
 Feb 08 - Ixempra/Xeloda
 June 08 - Her/DM1 trial
 
 "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."
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		|  07-29-2006, 12:45 PM | #2 |  
	| Senior Member 
				 
				Join Date: Sep 2005 Location: Stockton, NJ 
					Posts: 4,179
				 
		 
		 
		
		 
		
		
	
		
	
	 | Irene
 
 I am so excited and happy for you.  Keep us in the loop (and let us know when your vacation starts so we don't worry about you).  I am interested in how Tykerb works in general and how it will make you NED!
 
 You are in my thoughts.
 
 Kindest regards
 
 Becky
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		|  07-29-2006, 04:34 PM | #3 |  
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				Join Date: Sep 2005 Location: melbourne, australia 
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	 | it is great that something is finally happening.Good luck
 Christine
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		|  07-29-2006, 05:12 PM | #4 |  
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				Join Date: Oct 2005 Location: New Jersey 
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	 | Dearest Irene,
 Will keep you in my prayers and wishing you all the best!
 
 Jean
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		|  07-29-2006, 05:32 PM | #5 |  
	| Senior Member 
				 
				Join Date: Sep 2005 Location: Central Coast, CA 
					Posts: 3,207
				 
		 
		 
		
		 
		
		
	
		
	
	 | 
				
				Finally
			 
 Dear Irene,I'm so glad to see that you finally have some forward movement on this.  I hope and pray that this will be one perfect treatment for you - one that will set you back on track for a long time.
 
 Best of luck to you, thanks for keeping us updated.
 chris
 
				__________________Chris in Scotts Valley
 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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		|  07-29-2006, 07:41 PM | #6 |  
	| Senior Member 
				 
				Join Date: Feb 2006 Location: Southern, CA 
					Posts: 2,511
				 
		 
		 
		
		 
		
		
	
		
	
	 | Irene, It must be a relief to finally get the ok. I am so happy for you. Please keep us updated as I know we are all excited to see how fast this tykerb takes to kick your tumors behind. I have a good feeling about this drug. Many prayers that this one will do it for you. Hang in there...it won't be long till your on the road to NED again. 
 Chelee
 
				__________________DX: 12-20-05 - Stage IIIA, Her2/Neu, 3+++,Er & Pr weakly positive, 5 of 16 pos nodes.
 Rt. MRM on 1-3-06 -- No Rads due to compromised lungs.
 Chemo started 2-7-06 -- TCH - - Finished 6-12-06
 Finished yr of wkly herceptin 3-19-07
 3-15-07 Lt side prophylactic simple mastectomy. -- Ooph 4-05-07
 9-21-09 PET/CT "Recurrence" to Rt. axllia, Rt. femur, ilium. Possible Sacrum & liver? Now stage IV.
 9-28-09 Loading dose of Herceptin & started Zometa
 9-29-09 Power Port Placement
 10-24-09 Mass 6.4 x 4.7 cm on Rt. femur head.
 11-19-09 RT. Femur surgery - Rod placed
 12-7-09 Navelbine added to Herceptin/Zometa.
 3-23-10 Ten days of rads to RT femur. Completed.
 4-05-10 Quit Navelbine--Herceptin/Zometa alone.
 5-4-10 Appt. with Dr. Slamon to see what is next? Waiting on FISH results from femur biopsy.
 Results to FISH was unsuccessful--this happens less then 2% of the time.
 7-7-10 Recurrence to RT axilla again. Back to UCLA for options.
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		|  07-29-2006, 07:51 PM | #7 |  
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				Join Date: Dec 2005 Location: Walnut Creek, CA 
					Posts: 438
				 
		 
		 
		
		 
		
		
	
		
	
	 | I am so happy for you.
 Hugs.
 
 Karen
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		|  07-29-2006, 08:02 PM | #8 |  
	| Senior Member 
				 
				Join Date: Dec 2005 Location: Alexandria, VA 
					Posts: 1,055
				 
		 
		 
		
		 
		
		
	
		
	
	 | Best of luck to you.  BB |  
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		|  07-30-2006, 07:50 AM | #9 |  
	| Senior Member 
				 
				Join Date: Feb 2006 Location: Acworth, GA 
					Posts: 2,104
				 
		 
		 
		
		 
		
		
	
		
	
	 | Irene, 
 I'm glad that you have gotten the go ahead to receive tylkerb.  Please keep us informed on your progress as I'm sure there are many of us on this board who may one day be going down the same path.  My thoughts and prayers are with you.
 
				__________________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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		|  07-30-2006, 08:34 AM | #10 |  
	| Senior Member 
				 
				Join Date: Sep 2005 Location: Ontario, Canada 
					Posts: 752
				 
		 
		 
		
		 
		
		
	
		
	
	 | Irene;
 So glad to hear your good news.... I can well understand your relief at finally getting some action on this.
 
 Best regards,
 
 Cathy
 
				__________________Cathy
 
 Diagnosed Oct. 2004 3 cm ductal, lumpectomy Nov. 2004
 Diagnosed Jan. 2005 tumor in supraclavicular node
 Stage 3c, Grade 3, ER/PR+, Her2++
 4 AC, 4 Taxol, Radiation, Arimidex, Actonel
 Herceptin for 9 months until Muga dropped and heart enlarged
 Restarting herceptin weekly after 4 months off
 Stopped herceptin after four weekly treatments....score dropped to 41
 Finished 6 years Arimidex
 May 2015 diagnosed with ovarian cancer
 Stage 1C
 started 6 treatments of carboplatin/taxol
 Genetic testing show BRCA1 VUS
 Nice! My hair came back really curly. Hope it lasts lol.  Well it didn't but I liked it so I'm now a perm lady
 29 March 2018 Lung biopsy following chest CT showing tumours in pleura of left lung, waiting for results to the question bc or ovarian
 April 20, 2018 BC mets confirmed, ER/PR+ now Her2-
 Questions about the possibility of ovarian spread and mets to bones so will be tested and monitored for these.
 To begin new drug Palbociclib (Ibrance) along with Letrozole May, 2018.
 Genetic testing of ovarian tumour and this new lung met will take months.
 To see geneticist to be retested for BRCA this week....still BRCA VUS
 CA125 has declined from 359 to 12 as of Aug.23/18
 
 
 
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		|  07-30-2006, 04:11 PM | #11 |  
	| Senior Member 
				 
				Join Date: Sep 2005 Location: Grand Rapids, MI 
					Posts: 1,516
				 
		 
		 
		
		 
		
		
	
		
	
	 | 
				 Great News Irene!!!! 
 Will keep the prayers coming. Take care and God bless. 
 Rhonda
 
				__________________Rhonda
 
 Dx 2/1/05, Stage 1, 0 nodes, Grade 3, ER/PR-, HER2+ (3.16 Fish)
 2/7/05, Partial Mastectomy
 5/18/05 Finished 6 rounds of dose dense TEC (Taxotere, Epirubicin and Cytoxan)
 8/1/05 Finished 33 rads
 8/18/05 Started Herceptin, every 3 weeks for a year (last one 8/10/06)
 
 2/1/13...8 year Cancerversary and I am "perfect" (at least where cancer is concerned;)
 
 
 " And in the end, it's not the years in your life that count. It's the life in your years."- Abraham Lincoln
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		|  07-30-2006, 05:00 PM | #12 |  
	| Senior Member 
				 
				Join Date: Nov 2005 Location: Northern Calif. 
					Posts: 981
				 
		 
		 
		
		 
		
		
	
		
	
	 | 
 Oh, I can feel your excitement reading your post. I have nothing but positive thoughts and prayers for you as you begin the new tx. The tykerb sounds so promising. They are coming out with new txs all the time it seems. This may be the tx for you to keep this disease at bay.
 Love and Prayers,
 Lexi
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		|  07-31-2006, 08:08 AM | #13 |  
	| Senior Member 
				 
				Join Date: Sep 2005 Location: Madison, Connecticut 
					Posts: 639
				 
		 
		 
		
		 
		
		
	
		
	
	 | 
 Irene, I am curious, did they analyze your tumor to see if you had overexpression of HER1?
 You truly are a trailblazer and how fortunate the rest of us are to have the benefit of your experience.  Thank you for sharing your experiences with us.
 Love Kim from CT
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		|  07-31-2006, 08:54 AM | #14 |  
	| Senior Member 
				 
				Join Date: Sep 2005 
					Posts: 285
				 
		 
		 
		
		 
		
		
	
		
	
	 | Irene,
 My onc says that GSK keeps sending him forms to sign. I don't know whether anyone has had a telephone interview yet.  Do you remember when your onc started the process with GSK?
 
 Love and light,
 
 Lisa
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		|  07-31-2006, 10:28 AM | #15 |  
	| Member 
				 
				Join Date: Jul 2006 Location: Ft. Bragg N.C. 
					Posts: 14
				 
		 
		 
		
		 
		
		
	
		
	
	 | I too have signed my consent forms, had all my tests and go back next monday.  Are you getting just Tykerb? I am getting mine on the EAP(?) I believe but not sure.  I will be in the Tykerb/herceptin or Tykerb alone study so I find out which arm I'll be on next monday also.  
 I pray that this works for you and I!
 
 Steph
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		|  07-31-2006, 12:26 PM | #16 |  
	| Member 
				 
				Join Date: Jul 2006 Location: Michigan 
					Posts: 19
				 
		 
		 
		
		 
		
		
	
		
	
	 | 
				 great news.. 
 I remember when I found out that I could get herceptin, I felt like I had won the lottery!
 May Tykerb be your lottery.
 
				__________________Janis
 
 Enjoy Every Sandwich
 
 
 dx 12/2004, er/pr+ her2+++ Stage IIIC
 AC/Taxol dd 4/4,33 Rads,
 Herceptin ( every 3 weeks) 5/05-5/06,
 Tamoxifen 1 year
 Femara 2 years
 dx with Mets to pelivs bone 6/08,
 herceptin, 6 tx Taxotere, rads, zometa
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		|  07-31-2006, 02:30 PM | #17 |  
	| Senior Member 
				 
				Join Date: Jun 2006 Location: san luis obispo, ca 
					Posts: 1,150
				 
		 
		 
		
		 
		
		
	
		
	
	 | 
				
				Tykerb
			 
 Hi Irene, I am so happy for you. I just had a PET scan that came back with new signs of possible metastesis to nodes on my right hilar region and paratreacheal region. I have been on Herceptin for 2 1/2 years and Avastin for 1 year. I have asked my Onc for options including Tykerb and am awaiting news from him. He has a call into UCLA to see where to go from here. It is quite scary after I thought I was doing so well. I have IBC and have been through chemo twice, radiation twice and will see what happens next. I have heard great things about Tykerb. I wish you the best, Vickie H |  
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		|  07-31-2006, 04:51 PM | #18 |  
	| Senior Member 
				 
				Join Date: Oct 2005 Location: TAMPA, FL 
					Posts: 568
				 
		 
		 
		
		 
		
		
	
		
	
	 | 
				 Soon I hope 
 Thank you all for your constant support through all of this. I am almost afraid to get too confident since I am not on it yet....but
 I did have the encocardiogram last Friday (all was good) and I am having a CT scan tomorrow and that should be all for now. My oncs office has not received the drug yet but hoping to this week (I call and check with them every day)
 
 I was not checked specifically for Her1 although I know that Tykerb is suppose to target those also.
 
 I am not quite sure when this office applied for the EAP program but am assuming it was as soon as it was opened up for compassionate use which I think was a couple of months ago. I can find out when I go this Thursday. and yes Lisa, they have had paperwork going back and forth for a while (this is why I am so anxious since it seems to go on forever) Everytime I call the co-ordinator there is another piece of paper she has to send.  I will meet with the co-ordinator in the office on Thursday and if they have all of my test results back, they have to fax over to GSK and have me documented with tumor size, then and only then can I start on the chemos.  This week is 7 weeks without chemo for me so you can just imagine how I am bouncing off the walls (and I am a pretty patient person) . I can only imagine how big my tumors must be by now.
 
 I think that if you are approved for the EAP program you will be taking Tykerb with Xeloda. You will bet both on this program.  The Tykerb with or without Herceptin I believe is a trial being conducted.
 
 I will certainly let everyone know the outcome of this week and wish those of you waiting the best of luck and speedy acceptance.
 
 Take Care
 
				__________________Irene from Tampa
 1996 - INFILT DUCTAL CAR.W/ LYMPH NODE INVOLVEMENT. ADRIA/CYTOXIN/5FU
 1999 - RECURR. TO AUXILA AND 2 TUMORS IN LIVER
 TREAT: STEM CELL REPLACEMENT/HERCEPTIN.
 2002 - RECUR TO LIVER
 TREAT: NAVELBINE, THEN GEMZAR, THEN XELODA.
 2004 - TUMORS STILL IN LIVER
 TREAT: RFA TO LIVER
 STABLE UNTIL
 2004 - TUMOR PROGRESSION IN LIVER.
 TREAT: RESECT HALF OF LIVER.
 2005 - RECURR TO LYMPH NODE OUTSIDE OF LIVER.
 TREAT: TAXOL/CARPO/HERCEPTIN. FAILED ON
 THIS TRIO. STARTED ON ABRAXANE.
 2006 - PROGRESS WITH 2ND TUMOR GROWTH.
 TREAT: AUG. BEGAN ON TYKERB/XELODA
 TRIAL. CONSIDERED STABLE TO DATE.
 2007 - TAKEN OFF OF TYKERB/XELODA TRIAL DUE TO
 PROGRESS STARTING TYKERB/AVASTIN.
 NOV 2007 - SCANS SHOW PROGRESS TUMOR GROWTH
 IN ABDOM. AND TWO NEW TUMORS IN NECK AREA.
 BEGAN HERCEPTIN/AVASTIN/TAXOTERE
 Feb 08 - Ixempra/Xeloda
 June 08 - Her/DM1 trial
 
 "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."
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		|  07-31-2006, 05:46 PM | #19 |  
	| Webmaster 
				 
				Join Date: Feb 2005 Location: Home of the "Flying Tomato"
Carlsbad, CA 
					Posts: 2,036
				 
		 
		 
		
		 
		
		
	
		
	
	 | Heres the latest from GSK:
 
 Hi Joe,
 The latest US update is that we have 9 sites active and 10 patients enrolled.
 As you know sometimes site approval is longer than 2 weeks as it takes a while for contract negotiations, reg doc submissions and IRB approvals.
 For patients who are being screened for the study, it could take up to 2 weeks, depending on what testing needs to be done for the patient and the time frame in which these tests can be scheduled.
 All patients must have progressive disease with scans done within 2 weeks of study entry to confirm this progression, as well as an ECHO or MUGA scan to confirm that the subject has adequate cardiac function.  If these can be done, and results gotten back rather quickly at an institution, the patient could probably be treated in less than 2 weeks.  If not, then it could be up to 2 weeks from consent to dosing.
 Hope this answers your questions.
 Thanks and take care.
 Cathy
 
 
				__________________A Proud webmaster to the internet's most informed, educated, COMPASSIONATE and caring group of breast cancer survivors.
 
Illegitimi non carborundum
 
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		|  07-31-2006, 06:07 PM | #20 |  
	| Senior Member 
				 
				Join Date: Nov 2004 Location: Misty woods  of WA State 
					Posts: 4,128
				 
		 
		 
		
		 
		
		
	
		
	
	 | 
				 Scan-itis 
 Dear Irene -I have been following your posts on trying to get Tykerb.  And you always mention that with no chemo those tumors must be taking off.  This is an absolutely normal and reasonable fear. (Most of us think that with every little new ache and pain anyway ...)
 
 Think of the half life of those drugs you are just off of and know that they have been there attacking cells.  We know they were not reversing the progress, but you may be somewhat stable right now.  That is my hope and prayer for you.
 Can't remember if you do tumor markers or not, but my message is that I am thinking good thoughts that your scans will only show the progression necessary to get you on the new drug.
 
 Make sure you have lots of "comfort food" since you can't eat before the scans!
 
				__________________"When I hear music, I fear no danger. I am invulnerable. I see no foe. I am related to the earliest times, and to the latest." H.D. Thoreau
 Live in the moment.
 
 MY STORY SO FAR ~~~~
 Found suspicious lump 9/2000
 Lumpectomy, then node dissection and port placement
 Stage IIB, 8 pos nodes of 18, Grade 3, ER & PR -
 Adriamycin 12 weekly, taxotere 4 rounds
 36 rads - very little burning
 3 mos after rads liver full of tumors, Stage IV Jan 2002, one spot on sternum
 Weekly Taxol, Navelbine, Herceptin for 27 rounds to NED!
 2003 & 2004 no active disease - 3 weekly Herceptin + Zometa
 Jan 2005 two mets to brain - Gamma Knife on Jan 18
 All clear until treated cerebellum spot showing activity on Jan 2006 brain MRI & brain PET
 Brain surgery on Feb 9, 2006 - no cancer, 100% radiation necrosis - tumor was still dying
 Continue as NED while on Herceptin & quarterly Zometa
 Fall-2006 - off Zometa - watching one small brain spot (scar?)
 2007 - spot/scar in brain stable - finished anticoagulation therapy for clot along my port-a-catheter - 3 angioplasties to unblock vena cava
 2008 - Brain and body still NED! Port removed and scans in Dec.
 Dec 2008 - stop Herceptin - Vaccine Trial at U of W begun in Oct. of 2011
 STILL NED everywhere in Feb 2014 - on wing & prayer
 7/14 - Started twice yearly Zometa for my bones
 Jan. 2015 checkup still shows NED
 2015 Neuropathy in feet - otherwise all OK - still NED.
 Same news for 2016 and all of 2017.
 Nov of 2017 - had small skin cancer removed from my face. Will have Zometa end of Jan. 2018.
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