Shahyan; 
I have made an inquiry with the Canadian Life and Health Ins. Assocation regarding any exceptions or suggestions they might have regarding your mothers need for a clinical trial here in Canada.  Their website is  www.clhio.ca .  On the US front, I am wondering if her existing scans and reports could be emailed to a US hospital for the clinical trial.  This might save at least some money.  Unfortunately I have heard from a woman at my own hospital, the General in Ottawa, that even herceptin is not widely available in Pakistan.  There is a clinical trial (although I don't know if it is still open) of lapatinib at the General Hospital in Ottawa.  
  
Best regards,
  
Cathy  
		
	
		
		
		
		
		
		
			
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				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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