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Old 08-04-2012, 11:28 AM   #1
Kim in CA
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Location: California's Gold Country
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Re: Oh PooP...Herceptin Holiday Over!

I'm feeling a little less frustrated today.

I have my docs cell phone number, and hate to use it, but I phoned him yesterday to tell him that I was not happy about having to wait two weeks to get my Herceptin. He was actually at the hospital seeing patients, and sounded a little annoyed by my call. When I told him the scheduling dept. had me coming in on the 15th despite the fact he had written "ASAP" on my orders, he got more involved. I got a call late yesterday from scheduling saying they were changing my appt. to this Monday. Yeah!

I had already tried to see if I could get an appt. at another location, to no avail.

I will also be getting a PET/CT scan as well, to see what might be brewing inside me. I suspect it's in my abdomen though, cause a couple of weeks ago I started noticeing an unusual feeling of fullness whenever I eat anything. At least for now, I will be getting my Herceptin, and then we will add to it when we know what's going on.

I have become a very "squeaky wheel" when I know something isn't right, after my experience in 2001. I was so naive back then. When my tumor markers first became elevated in June of 2001, we waited a month and then rechecked them. I figured if anything was up they would give me a call.

Well somehow I slipped through the cracks, and by the time they called me to order further testing, and got the results of the scans and ultra sound, my liver was riddled with tumors. My CA15-3 had been at 48 in June, and by the time I started on my Herceptin and Taxotere at the end of September, they were over 1000 and it was getting difficult to button up my jeans!

I made my Doc promise he would never let this happen again, but sometimes I think he gets complacent because I've done so well for so long. You just can't ever let your guard down when it comes to this disease!

Also want to mention, that my doc didn't have much faith in the Her2 Serum test, but he is now rethinking that position. His experience with me is teaching him, that yes, some tests are very accurate, for certain people.

Thanks to this board I started requesting that test a few years ago, and it was the first marker to go up in my case. My Her2 Serum results have never been low, even when I was on Herceptin (usually between 11 and 15) so going off the Herceptin might not have been the best strategy. I really did enjoy the break though. My energy level seemed to really increase, and my finger nails have even gotten noticeably thicker!

Unfortunately, I've always said, when I'm feeling really good, I think my cancer starts to feel good too. At least I've always been able lead a pretty normal life while on the Herceptin and Femara. I will miss the extra energy I've had, the last year, but it's not going to stop me from staying active.

I'm still hoping to get my new young horse out on the trail soon, and maybe into some limited distance endurance rides at some point! :-)
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Diag. Feb 1997 4.5cm IDC <10%ER+, PR-. 5 out of 36 nodes +. Mastectomy followed by 3 rounds Adriamycin/Cytoxin.


5/1997 Hi Dose Chemo w/ Stem cell rescue. Spent 4 weeks in isolation ward. Then 6 weeks radiation.

9/2001 widespread mets to liver. 8 mos Taxotere/Herceptin brought me almost to NED. Stop Taxotere & add Femara .

11/2002 liver resection to remove spot that turned out to be necrosis. Officially NED!

7/2003 Tumor markers rising add Xeloda Disastrous reaction, 8 days hospital, but tumor markers came back to normal!

June -Dec 2004 UW Vaccine Trial.

7/2005 MRI single 11mm brain met
8/2005 Gamma Knife.

Brain MRI @3 months NED!

2006-2011 brain/body still NED

8/04/11 Taking Herceptin break, will monitor with tumor markers.

6/20/12 Tumor markers begin to rise. CA15-3 is 31.3 and Her2 Serum is at 17.1 Decide to repeat in one month.

7/23/12 CA15-3 now 49.3
Her2 Serum 26.8

8/6/12 Back on Herceptin
CA15-3 now 76
Her2 Serum now 49

11/7/12 Add weekly Taxotere for 4 cycles

2/2013 Stopped Taxotere added Perjeta. MRI shows approx. 50% reduction liver mets. CA15-3 still elevated @ 55. Will continue on just Herceptin & Perjeta.

November 2014 Continuing on Herceptin, Perjeta, and
Femara indefinitely. Guess I'm NED again, but watching those tumor markers carefully!

Dec. 2015 PET scan reveals mass in perirectal area of abdomen.biopsy confirms. Still Her2+, but no longer ER+. Bye bye Femara

Jan 2016 Begin Kadcyla

March 2016 PET scan shows tumor now barely visible, still NED everywhere else.
2016/2017 continue Kadcyla

November 2017 brain MRI reveals small focus of T2 hyperintensity with possible 4mm enhancing nodule. Short term follow up MRI suggested. Stay tuned...
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Old 08-04-2012, 12:49 PM   #2
Jackie07
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Re: Oh PooP...Herceptin Holiday Over!

Yes!

Glad your assertiveness helped get things moving!
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Old 08-04-2012, 02:47 PM   #3
StephN
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Re: Oh PooP...Herceptin Holiday Over!

Thanks, Kim, for the complete update.

You have things WELL in hand now that you got your nerve up to use the onc's cell number. That is why you have it - to use when you need him!

All the best for the scans to show a minimum of mets that you slap right back down.
__________________
"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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