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Old 11-03-2006, 06:07 PM   #1
Tom
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Mom's PET/CT results and a ?

The waiting is over. We got Mom's PET/CT results at the end of the day yesterday, but I was just too exhausted to sit down and post.

The PET/CT showed that not only was there no sign of current malignancy, but that the questionable suspicious areas from her last PET scare, have resolved themselves. I sat stunned as the oncologist reviewed the results. Unlike most of her previous test results, I did not go get them ahead of the oncology appointment. For some reason, probably fear and anxiety, I decided to give myself an extra day of "peace" by not obtaining the results personally. It really made me think this time, about the anguish that the women on this site go through while waiting for their results of various diagnostics. My guts were in a knot. I couldn't eat. I couldn't sleep. My mind raced around the clock, plotting and planning what we would do if we got bad news. After all, Mom has not received any Herceptin since the beginning of July due to low LVEF. I compare that waiting time to walking aound holding a live grenade in my hand with the pin pulled.


But after all of that, I sat limp and spent in the chair as I heard the news that there was no sign of any cancer for now. This is a far more cruel journey than I had earlier realized. God Bless all of you that go through this alone. I can't even imagine what it must be like to be the patient and sit in the waiting room. It explains some of the "10,000 yard stares" I see on patients' faces from time to time in the oncology office.


Even the doctor seemed perplexed that there have been no metastases, considering the fact of course, that 12/20 positive nodes were removed last April, a full 8 months after her original surgery to remove several tumors and an area of chest wall involvement, as I'm sure most of you are sick of hearing about by now. Don't get me wrong. I'm not complaining. But what in the world is going on with Mom's disease? It just doesn't make any sense after reading some of the courses of disease that occur with women on this site. Many women who have had the "Full Monty" of chemotherapies week after week, that hammered them like a circus clown's oversize mallet, have metastases and recurrences in many cases.
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Old 11-03-2006, 06:10 PM   #2
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continued...

Remember that Mom has had NO conventional chemotherapy. I have to ask myself the question: Is there something, anything, beneficial about Mom NOT having received conventional rounds of powerful chemotherapy drugs, only Herceptin alone as a single agent? Is all of the nutritional and supplement intake really helping suppress the cancer? Is the curcumin really inducing apoptosis in any remaining cells? Is the green tea and green tea extract really acting as a tyrosine kinase inhibitor? Is the inositol hexaphosohate really doing it's job by inhibiting PI3K?

I'd love to know the answers to these questions, particularly if it might help somebody else fighting this damned disease. I'd love to hear what a researcher has to say about someone being treated with Herceptin alone from the time of first diagnosis. I know they have precious little data with respect to someone in my Mom's position, as nobody would dare forego the standard treatment protocols in the interest of furthering clinical research, and I can't blame them.


I just have this knawing feeling that there is something going on here that somebody doing the research needs to know about, but I don't quite know who to contact. They would probably laugh me out of the office if I walked in with such questions anyway. And I dare not suggest to any scientist or medical person that God Almighty had a hand in my Mother's rather strange disease course...lol.
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Old 11-03-2006, 06:12 PM   #3
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continued...

Well, that's the story. I thought it might offer some hope to somebody out there going through this mess to hear just how powerful Herceptin can be for some. God Bless the people at Genentech that developed this wonderful drug. And I wish the same good fortune to those at GSK who no doubt worked just as hard on Tykerb. I pray that Mom doesn't reach the point where she needs to turn to Tykerb for help. The question put to me by the oncologist now, is whether to resume giving Mom Herceptin. It sure is a break not schlepping up to the hospital every Friday to get her infusion. But will she remain cancer-free without it? If anybody wants to chime in on that one, please do. Like Ross Perot in his presidential debate years ago, "I'm all ears". I think I'll go have an eclair with Mom and ponder that question.


Greatfully yours,
Tom
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Old 11-03-2006, 06:35 PM   #4
eric
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Amazing and great news! Like you and many others, I would love to know what if anything did the trick. Maybe her onc can offer a suggestion. Anyway, I'm thrilled for both you and your mother. You deserve it, you're a special person, as I'm sure she is. ENJOY AND CELEBRATE!!!
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Old 11-03-2006, 06:38 PM   #5
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Thumbs up Gentle Love

Add your particular brand of loving care to your Mom's list of positives. YOU give her a reason to fight and for her body to continue to resist any cancer activity. You know that Herceptin stays in one's system for several months and this hold over effect has also been at work I am sure.

If her med onc will order more Herceptin, I would go for it. Even if it is for say 3 months. Many of us (myself included) are doing well on Herceptin after getting either the initial cancer or mets under control.

I have been praying that your Mom (I feel like she is Mom to all of us here!) is a responder. With the advantage that often in the older patient the cancer is not as aggressive, she probably has this also going for her.

Been waiting for these results and the news is wonderful! The suspicion that the hot spots on the last PET were from bumps or arthritis seems to have panned out. Enjoy those occasional eclairs and consider life good.
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"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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Old 11-03-2006, 07:23 PM   #6
kareneg
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Dear Tom,

I am truely happy for your mom! You are an amazing man and I hope and pray this horrible monster never ever returns. Enjoy several more eclair's with your mom. God bless you both.
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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 11-03-2006, 08:14 PM   #7
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Tom, I am SOOO happy for your mom and for you. You are an angel to her and I'm sure all your help and concern has helped her tremendously. It has to be such a relief to have someone that you can turn all the worrying and question asking over to. You are an awesome son. I have also been cramming in the curcumin, grape seed extract, green tea pills and other stuff..so I am hoping that it will indeed help keep the cancer away. Give your mom a hug for me and tell her to enjoy her holidays..sherryg683
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Old 11-03-2006, 08:31 PM   #8
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Tom

This is great news! Breast cancer is a deadly beast and I don't think anyone knows the why's or wherefor's of what makes one person have such a terrible struggle while others seem to just breeze through it. Your mother is extremely lucky to have such a loving son. I am sure that prayers have had a lot to do with your mom's results. I personally was delighted to hear the news especially since I too had such severe lymph node involvement. You have given me the encouragement that I needed to hear and at a great time. Now you can stop worrying for a while and relax. Do something nice just for yourself you surely do deserve it.
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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 11-03-2006, 08:43 PM   #9
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Tom, this is indeed incredible news! I am sure you want to scream for joy and yet you don't dare not knowing what is around the corner. I ask the same question with myself what is doing the trick here. We may never know! It is probably a little of everything. It is a great reward for you as you have worked very hard for your Mom and for her fighting this battle. Even though she has not done chemo, its still been a battle for her. May I asked why no conventional treatment? Was there a reason she couldn't do it, didn't want to which is a choice she has a right to. Herceptin certainly, has been a life saver for many and yet for many it isn't. For me I think it may have slowed my disease and perhaps, even kept it it localized but it did not clean it up. My oncologist is expecting the Tykerb to clean it up!!! If your Mom ever needs the Tykerb don't despair it is an easy drug to tolerate not at all like chemo. Certainly, worth keeping it as an option down the road. Now, that I have been off the Herceptin for two months I realize how much better I feel!!! Have lost nearly 15 pounds and so don't feel like I weigh 500 pounds. My feet and hands were not swellen so didn't see the need for meds to get rid of fluid. It was all at the waist!! Enough said, I am so excited for you and your Mom. Sending you both a big hug and enjoy that eclair!! Sandy
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Dx. 03/01, Rt. IBC
AC/Taxatere
Rt. MRM-with graft Lt. simple
5 rads-skin mets
Herceptin, taxol, carboplatin (taxol seem to be the magic drug)
Navelbine & xeloda (did not work)
topical miltex for skin mets
Tykerb/xeloda
thoracentesis x 2 left lung fluid shows cancer cells
Port removal (4 years) with power port replacement
Doxil
Updated 05-07 Scans show no bone or organ involvement we shall see!




I shall not pass this way again. Any good I can do or any kindness that I can show let me not defer or neglect it for I shall not pass this way again.
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Old 11-03-2006, 09:22 PM   #10
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Thrilled to hear all is well. Don't know about more H. I guess results in 07 will tell us more.

I'm waiting on scans done this week. I'm assuming no news is good news, as with the original dx, you had the phone call w/in
24 hrs.

You, like Gina, should pursue a medical career. You are such a positive force. Thanks for good news. BB
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Old 11-05-2006, 06:50 AM   #11
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Tom


Obviously all the wonderful care you have given your Mother has helped tremendously. The great diet and supplement regime has clearly helped. Also, I believe that your mom seems (via your posts) more relaxed about everything too. This is a huge boon to the regime.

I am so happy for you. It is always a joy when hard work (especially on behalf of a loved one) pays off so dearly well.

Sincerely

Becky
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Old 11-05-2006, 11:01 PM   #12
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Many thanks

Dear friends, I just wanted to take a minute to thank you all for your kind words, not to mention your continued support, be it informational or emotional in nature. Again, I can't express my gratitude enough, for all of the kindness, concern, and prayers that Mom and I both have received from all of you here. It's value cannot be overstated.

I also wanted to respond to the questions some of you posted as well.

StephN is probably right about Mom being a responder to Herceptin. Considering the number of nodes involved and the time they had a free ride to grow, the Herceptin surely helped once it was administered. As far as Mom's age making for a less aggressive course of the disease, I don't know if that applies to estrogen negative BC, but I will try to find out.

Kate, as far as doing something nice for myself, I ordered a new hand plane I have been eyeing for some time now. Maybe I will have the peace of mind for a bit in order to finish Mom's grandfather clock in time for Christmas. But as far as gifts go, there could be none better than knowing her BC is at least under control for the time being.

Sandy H, the reason Mom had no conventional chemotherapy was that she was 80 years old when diagnosed, and also because she was told at the time of the original surgery that she had no node involvement, and it was thought that she was HER2-. Even radiation therapy was being discouraged early on, until the pathology report was corrected to reveal the HER2+ status. Then of course in addition, the extensive node involvement was discovered 8 months later.

Kaye, I give my Mom 900 mg of concentrated curcumin extract from Life Extension, 3 times a day. The green tea extract is 725 mg, containing 250 mg of EGCG, and 425 mg of other polyphenols. The inositol hexaphosphate is 800 mg, with 220 mg of inositol as well. That is given twice a day. She also consumes about a quart of decaffeinated green tea each day as well.



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Old 11-05-2006, 11:12 PM   #13
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continued

Chrisy, I often think about that nightmarish earlier PET scan that 'showed progession' and 'extensive mets' to many areas. That one still gets my shorts in a knot. Had I not been my usual pig-headed self and asked for a CT follow-up at the time to confirm what they said they were seeing, Mom's Herceptin would have been stopped much earlier and for good, and they would have sent her home to die without further treatment.

Jackie, Mom is still taking 100 mg of CoQ-10 3 times a day, and I am giving her 4,200 mg of EPA and 3,000 mg of DHA (both Omega-3) daily, as well as the Omega-3 in the form of 7,000 mg of alpha linolenic acid from her flaxseed oil. The flaxseed oil also provides 2,500 mg of oleic acid, which adds time to the effectiveness period of Herceptin. She also gets gamma linoleic acid, which has been shown to down-regulate HER2 all by itself.

Becky, the one fact you mentioned goes a little further than you might think when it comes to Mom being 'relaxed' about the whole thing. From the very start, I decided that since Mom was already suffering from vascular dementia, I would NOT tell her that she had breast cancer. This was a very controversial decision among some of her doctors, and may even offend the senses of some of you guys. It seemed to me that it was more unfair to give her yet another thing in life to worry about besides her mental decline. I also wonder if the absense of the incredible amount of stress associated with knowing you have a life threatening disease, may have somehow lessened the impact on her imminue system, allowing it to better fight the BC. I will never know.

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Old 11-05-2006, 11:20 PM   #14
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continued

The closest Mom ever came to realizing she had BC, was after her first surgery when she asked me why her breast was out of shape. She gave that observation about 30 seconds of attention at the time in the recovery room, then moved on to more serious questions, like when were we going to get something for lunch. Her nurses were at first horrified, then laughing themselves silly, when she first awoke and said very slowly, quietly, and deliberately, "I'm going to die........................if I don't get something decent to eat soon". I still laugh about that one.

Since that moment, I have told her nothing except that she has an infection that requires us to go to the doctor's frequently to get it cleared up.

Anyway, thank you all again for your comments. I hope that this upcoming year will bring more and better options for all of us in our treatment. I always have to remind myself that many of you are not or have not been, as lucky as Mom in the success of your particular treatment regimens. I sometimes feel guilty when celebrating good news, as the memory of those who have passed on or are suffering even now from this scourge, tempers my joy. I think about Linda, Sherry in WV, and others all the time, and pray for those less fortunate in their journey. God Bless all of you, and remember that the most potent medicine of all is faith and prayer.


Sincerely,
Tom
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Old 11-06-2006, 12:36 PM   #15
jag
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Thumbs up Tom

I Too Try To Do All I Can To Help My Mother.....i Know How You Feel.....all You Did Was For Your Moms Best .....god Bless You....hope Your Mom Continues To Be Well///
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Old 11-06-2006, 07:28 AM   #16
Jean
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Dearest Tom,

Isn't it just wonderful to have hard work and love pay off! What a powerful
combo....May God continue to bless you and Mom.

Warmly,
Jean
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Old 11-06-2006, 08:57 AM   #17
Lolly
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Dear Tom, I just want to comment on your decision to help your Mom's peace of mind by not revealing the extent of her "infection".... Like you I feel day to day peace of mind is so important, and to be happy and content in one's daily life, well, we should all be so lucky.

<3 Lolly

Last edited by Lolly; 11-07-2006 at 10:41 AM.. Reason: Privacy Concerns
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Old 11-08-2006, 06:43 PM   #18
MCS
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hurray for the great news. Congratulations to you both. Here's the recipe


herceptin
your love and care
faith
hope
luck
the guy above has a purpose for her here

XO

MCS ( maria)
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Old 11-09-2006, 06:00 AM   #19
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Tom-

I am delighted that you shared you and your mom's good news with us. Good luck in making your decisions.

Regards,
Shell
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Old 11-17-2006, 11:10 AM   #20
Cathy1
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Dear Tom,

I haven't been on the board for a long time, but I remember what a wonderful son you have always been to her. Never underestimate the power of prayer, because it is indeed the hand of Almighty God. He is in complete control of everything! Your mom is so blessed to have such a caring, compassionate and loving son and she must be a truly remarkable mother. God has rewarded you both. God Bless, Cathy
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