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Herceptin / Tykerb Share your experiences or ask questions about Herceptin or Tykerb

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Old 07-06-2007, 12:25 AM   #1
Daisypink
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Join Date: Jun 2007
Location: Staffordshire, England
Posts: 22
Hi Brenda

thanks for the reply.. in answer to your question about health care treatments over here.. well we have the NHS and i have been able to have all my treatment through this and funded by them. I have been very lucky in that respect. It is a postcode lottery over here though when it comes to access to drugs.. our NHS leaves decisions about paying for drugs to each areas primary care trusts and some unfortunately will not pay for some drugs - all down to cost and how much debt each trust is in.. very wrong i know but that is how it is.. we also have to wait for NICE (national institute for clinical excellence) approval on drugs before the NHS makes them available, as it stands over here - tykerb isn't licenced so i am have access to it through a clinical trial. We had huge media interest over here when Herceptin was licenced for early breast cancer as the NHS would not fund it and there were a hell of a lot of ladies who desparately needed this drug and couldnt get it. I would guess it will go the same way when Tykerb goes to licence.

I dont have private insurance so i cant really comment on whether treatment is better, i do have a friend who does and she has had the same treatment/drugs as me the only difference made is she gets appointments faster and goes to a private hospital where obviously the surroundings are a lot nicer. We have the same Oncologist. I know certain scans she has to have are not funded by her insurance. As to whether your friend would of got better treatment.. i dont know..

In my experience so far.. i think it all depends on where your being treated over here and the individual oncologist.. i am very fortunate to have an excellent one who has access to all the latest treatments and his specialist subject is breast cancer..

Hope this helps in your query.. i'm sure any others who might be reading this over here in England might be able to share there experiences..

Hope your well

Love jakki
xxxx
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Jakki
-xx-

DX May 2005 grade 3 IDC - partial mastectomy/immediate LD Recon. 0 /20 lymph nodes affected
Er+PR+HER2-
E-CMF chemo July 05 - Feb 06, 33 x rads. Tamoxifen
June 06 - Regional Reccurrence - supraclavicular lymph nodes, HER2+. Taxotere chemo Aug 06 - Dec 06, 25 x rads, Arimidex, zoladex, Herceptin.
Feb 07 - further supraclavicular progression, re-staging tests.
April 07 - Lung mets DX, oncologist trying to get me on Tykerb & xeloda on LEAP trial.
June 07 - Lung mets doubled in size, 3 new tumours and one in my back - commenced Tykerb/Xeloda - Zoladex & Arimidex stopped.
September 07 - Tykerb/Xeloda failed.. lung mets still growing and more new ones
October 2007 - Commenced Vinorelbine and back on Herceptin again..
March 2008 - New Scans reveal lung mets still progressing, now have 3cm Liver Met and Bone Met to Sternum - looking for a new clinical trial...
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Old 07-06-2007, 11:28 PM   #2
hutchibk
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Thanks Jakki - Like I said, I like to know how it works in other countries. Alot of people complain about our system in the US, and I know it is not perfect, but I feel fortunate to have the care and access to drugs that I have.
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Brenda

NOV 2012 - 9 yr anniversary
JULY 2012 - 7 yr anniversary stage IV (of 50...)

Nov'03~ dX stage 2B
Dec'03~
Rt side mastectomy, Her2+, ER/PR+, 10 nodes out, one node positive
Jan'04~
Taxotere/Adria/Cytoxan x 6, NED, no Rads, Tamox. 1 year, Arimadex 3 mo., NED 14 mo.
Sept'05~
micro mets lungs/chest nodes/underarm node, Switched to Aromasin, T/C/H x 7, NED 6 months - Herceptin only
Aug'06~
micro mets chest nodes, & bone spot @ C3 neck, Added Taxol to Herceptin
Feb'07~ Genetic testing, BRCA 1&2 neg

Apr'07~
MRI - two 9mm brain mets & 5 punctates, new left chest met, & small increase of bone spot C3 neck, Stopped Aromasin
May'07~
Started Tykerb/Xeloda, no WBR for now
June'07~
MRI - stable brain mets, no new mets, 9mm spots less enhanced, CA15.3 down 45.5 to 9.3 in 10 wks, Ty/Xel working magic!
Aug'07~
MRI - brain mets shrunk half, NO NEW BRAIN METS!!, TMs stable @ 9.2
Oct'07~
PET/CT & MRI show NED
Apr'08~
scans still show NED in the head, small bone spot on right iliac crest (rear pelvic bone)
Sept'08~
MRI shows activity in brain mets, completed 5 fractions/5 consecutive days of IMRT to zap the pesky buggers
Oct'08~
dropped Xeloda, switched to tri-weekly Herceptin in combo with Tykerb, extend to tri-monthly Zometa infusion
Dec'08~
Brain MRI- 4 spots reduced to punctate size, large spot shrunk by 3mm, CT of torso clear/pelvis spot stable
June'09~
new 3-4mm left cerrebellar spot zapped with IMRT targeted rads
Sept'09~
new 6mm & 1 cm spots in pituitary/optic chiasm area. Rx= 25 days of 3D conformal fractionated targeted IMRT to the tumors.
Oct'09~
25 days of low dose 3D conformal fractionated targeted IMRT to the bone mets spot on rt. iliac crest that have been watching for 2 years. Added daily Aromasin back into treatment regimen.
Apr'10~ Brain MRI clear! But, see new small spot on adrenal gland. Change from Aromasin back to Tamoxifen.
June'10~ Tumor markers (CA15.3) dropped from 37 to 23 after one month on Tamoxifen. Continue to monitor adrenal gland spot. Remain on Tykerb/Herceptin/Tamoxifen.
Nov'10~ Radiate positive mediastinal node that was pressing on recurrent laryngeal nerve, causing paralyzed larynx and a funny voice.
Jan'11~ MRI shows possible activity or perhaps just scar tissue/necrotic increase on 3 previously treated brain spots and a pituitary spot. 5 days of IMRT on 4 spots.
Feb'11~ Enrolled in T-DM1 EAP in Denver, first treatment March 25, 2011.
Mar'11~ Finally started T-DM1 EAP in Denver at Rocky Mountain Cancer Center/Rose on Mar. 25... hallelujah.

"I would rather be anecdotally alive than statistically dead."
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