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		|  04-05-2014, 08:48 PM | #1 |  
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				plan finally in place
			 
 On Monday I'm having a drain put in for my ascites and a peg tube for release of pressure and crud from inoperable bowel obstruction.. oncologist says if I can get home after this and gain some strength, I'll be okay for more chemo.. I'm so pissed that I had so much progression on kadcyla that its nearly killed me.. 
				__________________Stage IV August 2012- mets to liver, bones, omentum, and skin. Started herceptin/perjeta/taxotere
 May 2013- started herceptin/ perjeta/navelbine
 August/September 2013- started kadcyla
 March 2014- ended kadcyla, had gamma knife to three spots in brain
 58 yrs old, post menopausal at dx
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		|  04-05-2014, 08:53 PM | #2 |  
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				Re: plan finally in place
			 
 Debsing,
 I hear you.  I'm disappointed too that you had so much progression on Kadcyla.  I am glad that your oncologist is not throwing in the towel.
 
 We'll pray that you regain your strength quickly.
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		|  04-05-2014, 10:36 PM | #3 |  
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				Re: plan finally in place
			 
 I am so glad to hear from you . You have been in my prayers . I am glad to hear that there is a plan in place! 
				__________________]11/13 Dx IDC left breast
 11/19/2013 Inflammatory Breast Cancer stage 3c  grade 2 Er- Pr- her2+++
 Node involvement suspected based on CT
 12/13  port placed
 12/13 neoadjuvant DD AC xs 4 rounds started
 02/14 taxol/herceptin started every week xs 12 rounds
 Herceptin for 1 year
 Ki67=23%
 BRCA1&2 negative
 5/06/14 last round taxol/herceptin. Chemo done!!!
 5/07/14 clear CT scan
 6/11/14 Bilateral Mastectomy Done
 6/15/14 8mm tumor post chemo. Removed by bmx
 6/15/14  lymph nodes 0/9
 6/15/14 officially Cancer Free
 7/11/14 emergency surgery to left breast . Wound refused to heal and broke open. New TE placed
 7/28/14 emergency medical procedure now to right breast( post op 6 weeks mastectomy ) wound opens.
 8/25/14 - 10/07/14 Radiation
 11/24/14 CT of Brain clear
 01/23/15   One year Herceptin Complete
 02/04/15 Diep done
 5/01/15 1 year Ct scan- mass in thymus
 6/23/15 repeat CT mass in thymus still present
 6/30/15 biopsy thymus 7/03/15 mass Benign! Diagnoses Thymic hyperplasia rebound ( chemo at fault, no long term health effects)
 7/08/15 phase 2 diep
 11/23/15 phase 2b  ( reconstructive surgery with lipo)
 03/05/18 Vinnie Myer 3 D nipple tattoos complete.
 11/19/2018 5 years since Dx of IBC stage 3c remain NED.
 11/19/21- 8 years today I officially remain NED and in 12 days I will be having a lymphnode transfer to help decrease some mild lymphedema! Still working, living life and soon to see a day I thought never would happen and that’s becoming a grandparent June 22nd.
 11/19/2023 - 10 years since diagnosis and I remain NED
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		|  04-05-2014, 11:48 PM | #4 |  
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				Join Date: Apr 2012 Location: Melbourne, Australia 
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				Re: plan finally in place
			 
 So glad to hear you have some idea of how to move forward. Thinking of you and hoping for good results from your procedures. Keep strong!Best wishes....Pam
 
				__________________Diagnosed 2004: Lumpectomy - 2 tumours, both grade 1 infiltrating duct carcinoma, about 12mm. ER+,
 C-erbB-2 status 3+.
 Clear margins, no nodal involvement.
 Radiotherapy, i year Tamoxifen, 4 years Arimidex.
 Rediagnosed 2012: Multiple bone metastases.
 3/12: began on Marianne trial - T-DM1 + Pertuzamab/Placebo.
 5/12:Unexpected development of numerous bilateral liver mets. Came off trial.
 Started Docetaxol/ Herceptin + Zometa.
 8/12:Bones stable +major regression in liver (!)
 9/12:Can't take any more Docetaxol! Start on Herceptin and Tamoxifen. Cross fingers!
 Changed to Denosumab.
 11/12: Scan shows stable - yay!
 11/13: Still stable :-) !!!
 1/16: All stable, but lowered calcium, so switched to Zometa 3 monthly.
 2/19: Happily still stable on Herceptin, Letrozole and 3 monthly Zometa.
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		|  04-06-2014, 08:01 AM | #5 |  
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				Join Date: May 2011 Location: Denver, CO 
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				Re: plan finally in place
			 
 Debsing,
 I understand your anger and frustration. I'm sure it's especially tough when you learn of other people who seem to be doing better than you. I'm sorry you're going through all this.
 
 The best advice I got when I was first diagnosed was "don't worry about anything until you have to." Jesus said something very similar. I'm not one who believes you can cure yourself with positive thoughts, but it makes sense that finding ways to be peaceful is one good thing I can do for myself and those around me when all hell is breaking loose.
 
 There's a practice that some call "mindfulness meditation" and Christians call "centering prayer." It involves quietly sitting and just being aware and non-reactive, focusing on the breath and allowing thoughts to come and go, with no judgment. I first learned it from a book by Jon Kabat-Zinn called Wherever You Go, There You Are. A friend brought the book over to me when I was freaked out and heartbroken. When I woke up at 3 in the morning with my heart racing, in a panic, I could just lie there, do a body scan, put myself back together, and get back to sleep.
 
 Another technique is guided meditation. I've used that too. That might help you.
 
 It would help us help you if you'd do a signature with your treatment history. To get into that part of the site, click on the "Private Messages" link. There you can find tools to create a signature and, if you like, post a photo or avatar.
 
 You are loved. We are praying for you.
 
				__________________Amy
 _____________________________
 4/19/11 Diagnosed invasive ductal carcinoma in left breast; 2.3 cm tumor, 1 axillary lymph node, weakly ER+, HER2+++
 4/29/11 CT scan shows suspicious lesions on liver and lungs
 5/17/11 liver biopsy
 5/24/11 liver met confirmed--Stage IV at diagnosis
 5/27/11 Begin weekly Taxol & Herceptin for 3 months (standard of care at the time of my DX)
 7/18/11 Switch to weekly Abraxane & Herceptin due to Taxol allergy
 8/29/11 CT scan shows no new lesions & old lesions shrinking
 9/27/11 Finish Abraxane. Start Herceptin every 3 weeks. Begin taking Arimidex
 10/17/11--Brain MRI--No Brain mets
 12/5/11 PET scan--Almost NED
 5/15/12 PET scan shows progression-breast/chest/spine (one vertebra)
 5/22/12 Stop taking Arimidex; stay on Herceptin
 6/11/12 Started Tykerb and Herceptin on clinical trial (w/no chemo)
 9/24/12 CT scan--No new mets. Everything stable.
 3/11/13 CT Scan--two small new possible mets and odd looking area in left lung getting larger.
 4/2/13--Biopsy of suspicious area in lower left lung. Mets to lung confirmed.
 4/30/13 Begin Kadcyla/TDM-1
 8/16/13 PET scan "mixed," with some areas of increased uptake, but also some definite improvement, so I'll stay on TDM-1/Kadcyla.
 11/11/13 Finally get hormone receptor results from lung biopsy of 4/2/13. My cancer is no longer ER positive.
 11/13/13 PET scan mixed results again. We're calling it "stable." Problems breathing on exertion.
 2/18/14 PET scan shows a new lesion and newly active lymph node in chest, other progression. Bye bye TDM-1.
 2/28/14 Begin Herceptin/Perjeta every 3 weeks.
 6/8/14 PET "mixed," with no new lesions, and everything but lower lungs improving. My breathing is better.
 8/18/14 PET "mixed" again. Upper lungs & one spine met stable, lower lungs less FDG avid, original tumor more avid, one lymph node in mediastinum more avid.
 9/1/14 Begin taking Xeloda one week on, one week off. Will also stay on Herceptin and Perjeta every three weeks.
 12/11/14 PET Scan--no new lesions, and everything looks better than it did.
 3/20/15 PET Scan--no new lesions, but lower lung lesions larger and a bit more avid.
 4/13/15 Increasing Xeloda dose to 10 days on, one week off.
 7/1/15 Scan "mixed" again, but suggests continuing progression. Stop Xeloda. Substitute Abraxane every 3 weeks starting 7/13.
 10/28/15 PET scan shows dramatic improvement everywhere. All lesions except lower lungs have resolved; lower lungs noticeably improved.
 12/18/15 Last Abraxane. Continue on Herceptin and Perjeta alone beginning 1/8/16.
 1/27/16 PET scan shows cancer is stable.
 5/11/16 PET scan shows uptake in some areas that were resolved on the last two scans.
 6/3/16 Begin Kadcyla and Tykerb combination
 6/5 - 6/23 Horrible diarrhea from K&T together. Got pneumonia.
 7/15/16 Begin Kadcyla only every 3 weeks.
 9/6/16 Begin radiation therapy on right lung lesion that caused the pneumonia.
 10/3/16 Last of 12 radiation treatments to right lung.
 11/4/16 Huffing and puffing, low O2, high heart rate, on tiniest bit of exertion. Diagnosed as radiation pneumonitis. Treated with Prednisone.
 11/11/16 PET scan shows significant improvement to radiated part of right lung BUT a bunch of new lung lesions, and the bone met is getting worse.
 11/22/16 Begin Eribulin and Herceptin. H every 3 weeks. E two weeks on, one week off.
 3/6/17 Scan shows progression in lungs. Bone met a little better.
 3/23/17 Lung biopsy. Tumor sampled is ER-, PR+ (5%), HER2+++. Getting Herceptin and Perjeta as a maintenance treatment.
 5/31/17 Port placement
 6/1/17 Start Navelbine & Tykerb
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		|  04-06-2014, 08:27 AM | #6 |  
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				Re: plan finally in place
			 
 Debsing, everything that's already been said here! I am SO glad you posted and let us know how you're doing, I have been thinking about you every day and hoping you were coming through this, and you are! Like Amy/Mtngirl says, if you could post your story/signature, it would help us help you. 
 Amy, I'm going to check those books you mentioned out ... sometimes it is just too much to keep thinking positive every minute. Then you start to stress/feel bad because you're not thinking positive! These books sound like they might take some of that pressure off. 
   
 Hang in there Debsing we are all rooting for you! And I don't blame you for feeling pissed, I would be too. It SUCKS, there's no way around it. 
   
 But now you have a plan. That's something positive. And if you ever went to pm me just to vent, I am all ears and here for you.    
 Carol Ann
				__________________July 24, 2013: "Infected" Right Nipple and benign cyst removed, pathology report revealed Paget's, DCIS, and ILC 1.25 cm, ER+/Pro+/HER2 equivocal, Grade 2 under benign cyst, previous diagnostic mammo/ultrasound said I was perfectly healthy in both breasts.
 
 Aug 18, 2013: MRI report says Left breast is perfectly healthy "consistent with previous studies".
 
 Sept 2013: I insist on a bilateral mastectomy anyway. Too nervewracking to let left breast remain with higher risk after 3 cancers in right, nipple in right is already gone anyhow.
 
 Sept 18, 2013: Bilateral mastectomy, 11 right nodes removed, ALL negative BUT -- ER+/PRO+/HER2+ tumor, 1.0 cm, Grade 2 found in a piece of "grossly unremarkable" breast tissue from prophylactic mastectomy of left breast, no nodes removed.
 
 Oct 25, 2013: 13 left side nodes removed, ALL negative, Stage 1 across the board, NO RADS needed, YAAAAY! Port also installed.
 
 Nov 25, 2013 Begin 6 rounds TCH.
 
 March 10, 2014 Just finished 6th and LAST Chemo today, YAAAAAY!
 
 March 24, 2014 Echocardiogram to make sure I'm still good for Herceptin every 3 weeks.
 
 March 31, 2014 Echo results NORMAL, first Herceptin all by itself. Now if only my eyes would stop streaming from the Taxotere ... :)
 
 April 21, 2014 Started Arimidex and therapy for "mild" lymphedema in left hand and arm
 
 May 2014 Therapy completed, I have sleeves and gloves for both arms, a Flexi touch lymph pump to hook up to for an hour every day, and I've become an arm bandaging expert. :)
 
 June 2014 Begin Fosamax to prevent osteoporosis; bone scan revealed osteopenia
 
 Nov 17, 2014 FINAL Herceptin!
 
 Dec 4, 2014 My right thigh muscle has been extra achy for days ... I discover a blister rash cluster on the side of my right thigh while taking a shower. Port appointment cancelled until Dec 17, my doc is working me in tomorrow afternoon to see me and the rash. My muscle at least feels less achy.
 
 Dec 5, 2014 Yep, I have shingles. Boo! I start acyclovir and also have a prescription for a painkiller just in case for over the weekend.
 
 Dec 17, 2014 Port is OUT!
 
 January 2016 Shingles again and this time it started where my left breast (where the hidden HER2+++ tumor was!) used to be. My onc nurse got me a same day appointment to see my doc when I called and told her I had a rash on the site. The antiviral meds are working once again, though, so that is good news. :)
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		|  04-06-2014, 10:12 AM | #7 |  
	| Senior Member 
				 
				Join Date: May 2010 
					Posts: 184
				 
		 
		 
		
		 
		
		
	
		
	
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				Re: plan finally in place
			 
 Debsing. I've been thinking about you. I am so glad you have a plan in place and hopefully it relieves some of the stress of all this. Keep us posted as to how you are doing and what's going on.
 Hugs
 Cathy
 
				__________________3/06 DX stage III er-pr-her2+++ breast, 1+node
 age 49 and 364 days
 3XAC 4X taxol and herceptin continue herceptin one year
 bilat mastectomy w/TRAM
 32 rads
 9/08 recurrance 4 sternal nodes
 mediastinoscopy, able to remove 3
 taxotere, carboplatin, herceptin, x6
 continue herceptin indefinately
 5/10 recurrance in same node/area
 mediastinoscopy, removed nodes
 added tykerb
 27 rads
 10/18/10 PET shows inflammation no active disease
 8/2011 recurrence one right mediastinal node, xeloda and proton radiation to node.
 D/C xeloda due to toxicity
 12/5 PET scan clear
 2/2012 colon blockage, breast cancer
 (never thought it could go there! thought I was constipated)
 start abraxane, herceptin, continue tykerb
 10/2012 Kidney ablation (renal CA!)
 3/2013 CT and biopsy R kidney (BC met to R kidney)
 4/4/2013 Begin Kadcyla
 7/30/13 Craniotomy cerebellar mets, 1.7cm 3cm
 Sept 4-6 post op cyberknife
 Sept 23 ablation right kidney (blow up pesky breast ca met)
 Oct headaches MRI Oct 10 (only surgical changes ! Yay!)
 Short of breath. CT, pulmonary function, echo
 New crap in right lung heart good. Pooh!
 12/13 DC kadcyla. Begin halaven
 2/14 MRI brain NED Yay!
 4/3/14 CT mostly stable but breast mets r kidney growing
 4/16/14 ablation right kidney again
 Continue halaven, tykerb
 dc halaven gemzar?
 2nd opinion May 14
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		|  04-06-2014, 11:08 AM | #8 |  
	| Senior Member 
				 
				Join Date: Sep 2005 Location: Stockton, NJ 
					Posts: 4,179
				 
		 
		 
		
		 
		
		
	
		
	
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				Re: plan finally in place
			 
 I am also thinking about you too.  I am wondering if your onc can give you Herceptin or Herceptin/Perjeta - either without chemo until you regain strength.  They should not curtail your recovery and may hasten any progression from being on "nothing". 
				__________________Kind regards
 
 Becky
 
 Found lump via BSE
 Diagnosed 8/04 at age 45
 1.9cm tumor, ER+PR-, Her2 3+(rt side)
 2 micromets to sentinel node
 Stage 2A
 left 3mm DCIS - low grade ER+PR+Her2 neg
 lumpectomies 9/7/04
 4DD AC followed by 4 DD taxol
 Used Leukine instead of Neulasta
 35 rads on right side only
 4/05 started Tamoxifen
 Started Herceptin 4 months after last Taxol due to
 trial results and 2005 ASCO meeting & recommendations
 Oophorectomy 8/05
 Started Arimidex 9/05
 Finished Herceptin (16 months) 9/06
 Arimidex Only
 Prolia every 6 months for osteopenia
 
 NED 18 years!
 
 Said Christopher Robin to Pooh: "You must remember this: You're braver than you believe and stronger than you seem and smarter than you think"
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		|  04-06-2014, 11:45 AM | #9 |  
	| Senior Member 
				 
				Join Date: Sep 2013 
					Posts: 43
				 
		 
		 
		
		 
		
		
	
		
	
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				Re: plan finally in place
			 
 Herceptin/perjeta was my very first treatment a year and a half ago and had progression once the taxotere was stopped.. unfortunately.. I'm beginning to wonder how her2+ I really am 
				__________________Stage IV August 2012- mets to liver, bones, omentum, and skin. Started herceptin/perjeta/taxotere
 May 2013- started herceptin/ perjeta/navelbine
 August/September 2013- started kadcyla
 March 2014- ended kadcyla, had gamma knife to three spots in brain
 58 yrs old, post menopausal at dx
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		|  04-06-2014, 12:46 PM | #10 |  
	| Senior Member 
				 
				Join Date: Oct 2005 Location: LAND OF YES!
w/home in Boca Raton, Florida
Orig from L.I., N.Y.
Ever hovering IN THE NOW... 
					Posts: 1,904
				 
		 
		 
		
		 
		
		
	
		
	
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				Re: plan finally in place
			 
 Well Amy said what I was thinking.  And Carol Ann too.
 I meditate every day, since the day I was dx in 1995.  I use guided imagery and breathing techniques.  I go to my special place (a "find" a friend brought me to in the Catskill mountains that was truly heavenly.  Full of elation, serenity, beauty, a haven midst the deep woods.  I remember it vividly and it was over 50 yrs ago!).  Slowly taking in life-affirming air through my nostrils, holding onto to it for a bit, and then gently blowing it out through my pursed lips, kissing all that is negative goodbye.  Letting it go.
 
 Letting the anger and blame go!!!!  Opening my heart as I breathe in to being filled with the abundant supply of Universal Love.  Living with that Love.  Offering it to everyone!  Along with compassion, kindness, tenderness, generosity of Spirit and yes, forgiveness..........
 
 It is so immensely healing to your body and your Spirit.
 
 With Love and Light,
 Andi
 
 Oh yes, I agree a signature would help us all help you better!  And a pic would be grand, so I can see you as I pray for you.
 You can e me if you'd like.  Click Andrea Barnett Budin and it will offer you that choice.  OOOOOO
 
				__________________Andi BB '95 post-meno dx Invasive LOBULAR w/9cm tumor! YIKES + 2/21 nodes. Clear mammo 10 mnths earlier. Mastec/tram flap reconst/PORT/8 mnths chemo (4Adria/8CMF). Borderline ER/PR. Tamoxifen 2 yrs. Felt BLESSED. I could walk and talk, feed and bathe myself! I KNEW I would survive...
 
'98 -- multiple mets to liver. HER2+ 80%. ER/PR- Raging, highly aggressive tumors spreading fast. New PORT. 9 mnths Taxotere Fought fire w/fire! Pronounced in cautious remission 5/99. Taxotere weekly for 6 wks, 2 wks off -- for 9 mnths. TALK ABOUT GRUELING! (I believe they've altered that protocol since those days -- sure hope so!!)
+ good old Vit H wkly for 1st 3 yrs, then triple dosage ev 3 wks for 7 yrs more... The "easy" chemo, right?! Not a walk in the park, but not a freight train coming at 'ya either...
 
Added Herceptin Nov '98 (6 wks after FDA fast-tracked it for met bc). Stayed w/Vit H till July '08! Now I AM FREE! Humbly and eternally grateful for this life-saving drug! NED since '99 and planning on keeping it that way. To hell w/poor prognosis and nasty stats! STOPPED VIT H JULY '08...!  REMAIN STABLE...  Eternally grateful...Yes is a world & in this world of yes live (skillfully curled) all worlds ... (e e cummings) EVERY DAY I BEAT MY PREVIOUS RECORD FOR # OF CONSECUTIVE DAYS I'VE STAYED ALIVE. Smile KNOWING you too can be a miracle. Up to me and God now...
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		|  04-07-2014, 03:13 AM | #11 |  
	| Senior Member 
				 
				Join Date: Jan 2008 Location: "Love never fails." 
					Posts: 5,809
				 
		 
		 
		
		 
		
		
	
		
	
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				Re: plan finally in place
			 
 Hi, 
Glad you are able to utter: "I'm so pissed that..."  A good sign/technique ...    
Sending you good vibes.
				__________________Jackie07
http://www.kevinmd.com/blog/2011/06/doctors-letter-patient-newly-diagnosed-cancer.html 
http://www.asco.org/ASCOv2/MultiMedi...=114&trackID=2
 
NICU 4.4 LB
Erythema Nodosum 85 
Life-long Central Neurocytoma 4x5x6.5 cm  23 hrs 62090 semi-coma 10 d PT OT ST 30 d 
3 Infertility tmts 99 > 3 u. fibroids > Pills 
CN 3 GKRS 52301 
IDC 1.2 cm Her2 +++ ER 5% R. Lmptmy SLNB+1 71703 6 FEC 33 R Tamoxifen 
Recc IIB 2.5 cm Bi-L Mast 61407 2/9 nds PET 
6 TCH Cellulitis - Lymphedema - compression sleeve & glove 
H w x 4 MUGA 51 D, J 49 M
Diastasis recti
Tamoxifen B. scan 
Irrtbl bowel 1'09 
Colonoscopy 313 
BRCA1 V1247I 
hptc hemangioma 
Vertigo 
GI - > yogurt 
hysterectomy/oophorectomy 011410 
Exemestane 25 mg tab 102912 ~ 101016 stopped due to r. hip/l.thigh pain after long walk 
DEXA 1/13 
1-2016  lesions in liver largest 9mm & 1.3 cm onco. says not cancer. 
3-11 Appendectomy - visually O.K., a lot of puss.  Final path result - not cancer. 
Start Vitamin D3 and Calcium supplement (600mg x2)  
10-10 Stopped Exemestane due to r. hip/l.thigh pain OKed by Onco 11-08-2016 
7-23-2018 9 mm groundglass nodule within the right lower lobe with indolent behavior.  Due to possible adenocarcinoma, Recommend annual surveilence. 
7-10-2019 CT to check lung nodule. 
 1-10-2020 8mm stable nodule on R Lung, two 6mm new ones on L Lung, a possible lymph node involvement in inter fissule.
"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." Irene from Tampa
 
Advocacy is a passion .. not a pastime - Joe |  
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		|  04-07-2014, 04:35 AM | #12 |  
	| Senior Member 
				 
				Join Date: Jul 2010 Location: South Jersey 
					Posts: 516
				 
		 
		 
		
		 
		
		
	
		
	
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				Re: plan finally in place
			 
 Glad to hear from you.  Was praying.  Will continue.
 :-) Penny
 
				__________________...but he said to me, “My grace is sufficient for you, for power is made perfect in weakness.” I will rather boast most gladly of my weaknesses, in order that the power of Christ may dwell with me. (2 Corinthians 12:9)
 
 Penny
 
 July 2010 IDC grade 3 stage 3 er-/pr-/her2+++, BRCA2
 Skin mets 11/10
 1/12/11 Surgery path - complete response
 Rads 2/11-4/11
 Liver mets 11/11 now stage IV
 Xeloda & Tykerb 12/11
 Allergic reaction to Tykerb 12/11
 Xeloda only 12/11
 Added herceptin January 2012
 Progression February 2012.
 Started Veliparib (parp inhibitor) trial 3/5/12.
 4/30/12 Liver met shrunk in half! Praise Jesus!
 6/18/12 another 25% shrinkage, down to @3x3. Thank you, God!
 8/8/12 Brain MRI - clear! Praise to You, Lord Jesus Christ!
 8/27/12 Thank You, God - another 20% decrease in liver met! Now @ 3.2x1.9.
 10/5/12 stable-ish
 11/21/12 allergic reaction to carboplatin
 12/10/12 stable & progression
 12/31/12 liver ablation
 2/6/13 ablation successful but new tiny mets in liver.  May or not be cancer.
 Another ablation scheduled 2/28/13. Cancelled.
 2/20/13 started taxotere & herceptin. Pretty toxic. Oncologist says start tdm1 4/3/13. From her lips to God's ears. Praying for no allergic reactions/adverse side effects.
 3/28/13 increase in liver mets - number & size
 4/3/13 started TDM1
 6/25/13 Praise God!  Scan shows only one viable lesion and it's smaller.
 10/8/13 MRI shows 1 large and two small tumors.
 10/11/13 Ablation of tumors.  It's in God's Hands.
 10/23/13 Jesus and TDM1
 12/19/13 Started trial of palbociclib & herceptin after scan showed growth of liver tumor and a questionable spot on rib.
 2/6/14 CT scan - previous suspicious spot on rib probably damage from radiation - Praise God!  MRI - over 200% growth in cancer in liver.
 2/19/14 started Navelbine, Perjeta, & Herceptin combo.
 5/2-5/4/14 hospitalized with very high liver function numbers, plus skin and eyes are yellow, plus urine is orange.  Feel ok, so doctor not sure if liver failing due to cancer, chemo, or infection.  Hospital gets numbers to go down and sends me home.  MRI done in hospital reveals cancer shrinking - praise God!
 5/6/14 - 5/8/14 hospitalized with no white blood cell count.  Released when they go back up, @ 6 days after doctor gave me a neulasta shot.
 5/16/14 - informed blood cultures done in hospital are back and that I contracted hepatitis e.  Have to take ribavirin (anti-hep med) until liver function numbers are back to "normal" before re-starting chemo.  Will probably go on veliparib and temodar this time.
 5/26/14 - my birthday - GI doctor informed me that the hepatitis e was completely gone - I didn't even need the anti-viral meds!  This is a miracle from God!
 5/28/14 - started veliparib and temodar (compassionate use)
 8/18/14 MRI shows 90% growth in liver tumors
 8/20/14 start Perjeta, Herceptin, & Navelbine. Thanking & giving Glory to God for each moment.
 9/22/14 - 9/24/14 Hospitalized with 102.2 fever and neutropenia
 11/13/14 ER for high fever and fast heart rate. Got both down with IV antibiotic and fluids. Sent home same night. Thank You, Lord!
 12/2/14 MRI shows progression in liver.  Grateful to God that I still feel good.
 12/11/14 Simulated SIR-spheres.  Successful.  Real thing (1st lobe) scheduled for the 23rd.  Also starting Xeloda on 22nd for 2 weeks because it's synergistic with the spheres.
 12/23/14 SIR-spheres in left lobe of liver.  On Xeloda 12/22/14 - 1/4/15.
 1/7/15 Receiving Perjeta & Herceptin while awaiting next course of action.
 2/9/15 SIR-spheres in right lobe of liver.  On Xeloda for 2 weeks (started 2/8).  Still on Perjeta & Herceptin.  Don't know what's next for me.  :-)
 3/25/15 Final read on MRI report - there are new and multiple lesions in both lobes of liver. Sigh. Praise God I've made it this far!
 4/1/15 Started Gemzar & Herceptin.  1st week G&H, 2nd week G only, 3rd week off.  Thank You, Lord, for this option.
 4/15/15 Labcorp - liver enzymes in 200's.  Appointment 4/22 with oncologist to discuss.  Also, "radiation recall" in previously treated area?  Very itchy.  Need to discuss.
 4/22/15 Enzymes came down.  Received reduced dose of Gemzar only.  No herceptin.  Will get labs at lapcorp next two weeks since taking break for vacation purposes.  Treat radiation area.
 5/9/15 ER for severe abdominal pain.  Constipation. Sent home with meds and advice to follow up with oncologist regarding jaundice and bilirubin.
 5/11/15 Hospitalized for rising bilirubin and jaundice. CT scan reveals larger and more constricting tumors in liver.
 5/13/15 Met with my oncologist. Bilirubin came down. If still down by Monday, I'll get chemo. If not, than I guess I'll see you all in Heaven. Praise God. Please pray, pray, pray.
 5/18/15 Bilirubin jumped up. Trying lowered dose of Ixempra, with Herceptin.  Oncologist is surprised that I'm functioning so well, given the high bilirubin.  I have anywhere from 2 weeks - 2 months to live.
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		|  04-07-2014, 06:18 AM | #13 |  
	| Senior Member 
				 
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				Re: plan finally in place
			 
 glad you have a plan. Keeping you in my thoughts and prayerswishing strength.
 Lisa
 
				__________________ 
				[SIGPIC]Lisa 
Routine mammogram 12/20/2013 
Call back with repeat films on12/31/2013 Ultrasound with core needle biopsy same day 
Dx 1/2/2014 IDC ER/PR+ 
1/10/14 HER2 + 
2/14/14 BRCA results negative 
2/17/2014 skin & nipple sparing BMX with reconstruction Tissue expanders placed  
IDC Stage 2A left breast.  9mm tumor no other CA 1/4 nodes positive 
ER + PR + Her2 +(by FISH) 
Right breast no cancer, sclerosing adenosis 
3/13/14 Round 1 AC minimal side effects 
3/27/14 Round 2 AC 
4/10/14 Round 3 a little more nausea 
4/24/14 round 4 hurray! Done with phase 1! 
5/8/14 THP (  taxol weekly x12, Herceptin & perjeta every 3 weeks x 4)  
7/24/14 done with chemo 
Continue of Herceptin every 3 wks x 1 yr 
5/14 start Tamoxifen x 5 years 
8/18/14 removal of TEs silicone implants placed 
9/14/14 Cellulitis Right Breast, suspect infected implant. Managed with Oral antibiotics, avoided surgery to remove implant. Whew! 
12/17/14 nip & tuck revision of Left breast 
 We  gain strength, courage, and confidence by each experience in which  we really stop to look fear in the face. The danger lies in refusing to face the fear, not in daring to come to grips with it. We must do that which we  think we cannot do. -Eleanor Roosevelt
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		|  04-08-2014, 12:43 PM | #14 |  
	| Senior Member 
				 
				Join Date: Apr 2008 Location: Sunny San Diego 
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				Re: plan finally in place
			 
 Debsing,
 If you were just Her2 3+ then you would have similar results to the rest of the group.
 
 You must have another factor that is fueling the growth.  What is your ER status?
 
 Have you been genetically tested for any other factors?  BRCA, KRAS, etc
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		|  04-08-2014, 01:39 PM | #15 |  
	| Senior Member 
				 
				Join Date: Sep 2013 
					Posts: 43
				 
		 
		 
		
		 
		
		
	
		
	
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				Re: plan finally in place
			 
 When I was first diagnosed, I tested 95% er positive 
				__________________Stage IV August 2012- mets to liver, bones, omentum, and skin. Started herceptin/perjeta/taxotere
 May 2013- started herceptin/ perjeta/navelbine
 August/September 2013- started kadcyla
 March 2014- ended kadcyla, had gamma knife to three spots in brain
 58 yrs old, post menopausal at dx
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		|  04-08-2014, 01:41 PM | #16 |  
	| Senior Member 
				 
				Join Date: Apr 2008 Location: Sunny San Diego 
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				Re: plan finally in place
			 
 What have you been taking for the ER+? |  
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		|  04-08-2014, 07:55 PM | #17 |  
	| Senior Member 
				 
				Join Date: Sep 2013 
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				Re: plan finally in place
			 
 Strangely enough, nothing. I guess every time my cancer has progressed, its been bad enough to need chemo? I started on herceptin/ perjeta/taxotere, and that lasted for 6-8 months. I had progression two months after the taxotere was dropped. Then I did herceptin/ perjeta/navelbine, and I had regression in some areas and progression in others, so that was about three months. Lastly, there was the most recent disappointment, kadcyla. That gave me 5 months.. never any estrogen blockers.. I think they've focused too much on the her2 aspect 
				__________________Stage IV August 2012- mets to liver, bones, omentum, and skin. Started herceptin/perjeta/taxotere
 May 2013- started herceptin/ perjeta/navelbine
 August/September 2013- started kadcyla
 March 2014- ended kadcyla, had gamma knife to three spots in brain
 58 yrs old, post menopausal at dx
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		|  04-08-2014, 08:05 PM | #18 |  
	| Senior Member 
				 
				Join Date: Sep 2005 Location: Naples FL 
					Posts: 1,744
				 
		 
		 
		
		 
		
		
	
		
	
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				Re: plan finally in place
			 
 Have you ever said how old you are, or whether you are pre or post menopausal? I personally agree that you need to address the ER+ . It certainly can't hurt!!! Sending a big hug your way!! 
				__________________  Suzan W. 
age 54 at diagnosis 
5/05 suspicious mammogram-left breast 
5/05 biopsy-invasive lobular carcinoma with LCIS,8mm tumor,stage 1 grade 2, ER+ PR+ Her2+++ 
6/14/05 bilateral mastectomy, node neg. all scans neg. 
Oncotype DX-high risk  
8/05-10/05 4 rounds A/C 
10/05 -10/06 1 yr. herceptin  
arimidex-5 years 
2/14/08 started daily self administered injections..FORTEO for severe osteoporosis 
7/28/09 BRCA 1 negative BRCA2 POSITIVE 
8/17/09 prophylactic salpingo-oophorectomy 
10/15/10 last FORTEOinjection 
RECLAST infusion(ostoeporosis)  
6/14/10 5 year cancerversary! 
8/2010-18%increase in bone density! 
no further treatments 
Oncologist says, "Go do the Happy Dance"  
I say,"What a long strange trip its been" 
'One day at a time' 
6-14-2015. 10 YEAR CANCERVERSARY! 
 7-16 to 9-16. Extensive (and expensive) dental work done to save teeth. Damage from osteoporosis and chemo and long term bisphosphonate use 
 6-14-16. 11 YEAR CANCERVERSARY!! 
7-20-16 Prolia injection for severe osteoporosis 
    2 days later, massive hive outbreak. This led to an eventual dx of Chronic Ideopathic Urticaria, an auto-immune disease from HELL.  
6-14-17 12 YEAR CANCERVERSARY!! 
     still suffering from CIU.  4 hospitilizations in the past year
 
as of today, 10-31-17 in remission from CIU and still, CANCER FREE!!! 
6-14-18 13 YEAR CANCERVERSARY!! NED!!
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		|  04-08-2014, 08:34 PM | #19 |  
	| Senior Member 
				 
				Join Date: Aug 2011 
					Posts: 271
				 
		 
		 
		
		 
		
		
	
		
	
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				Re: plan finally in place
			 
 Deb, you are going through so much. I am thinking about you and hope they find right combo for you. 
				__________________DX November 2010
 Brain MRI, CT of lung, liver, bone, all clear
 Double Mastectomy w/expanders December 1, 2010
 ER- PR- Her2+++, grade 3, 12 positive nodes out of 15
 Stage IIIc
 Started TCH/Chemo December 31, 2010
 6 rounds TCH
 Herceptin every 3 weeks for a year
 33 rounds of TomoTube radiation, to chest wall, neck, skin and lymph area
 September, 2011, MRI to lower spine, hips, DX bulging disk, L4 & L5, pain not from cancer
 Expanders removed, implants in Dec 1, 2011
 Finished Herceptin, December 21, 2011
 August 2012, CT of chest and abdomen, all ok
 Enrolled in MC1136 Phase I Peptide Vaccine Trial at Mayo Clinic, Rochester, Minnesota
 March 2013, First Vaccine
 April 2013, 2nd Vaccine
 May 2013, 3rd Vaccine
 June 2013, 4th Vaccine
 July 2013, 5th Vaccine
 August 2013, 6th Vaccine Done!
 September 2013, Mayo visit, Echo results 68, vaccine did not effect my heart! Blood work normal.
 January 31, 2013, Mayo visit, Echo normal
 February 23, 2014, Numb lips on right side, Brain MRI, normal!
 June, 2015, Finished the trial at Mayo Clinic. Feels good!
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		|  04-08-2014, 11:23 PM | #20 |  
	| Senior Member 
				 
				Join Date: May 2006 Location: California 
					Posts: 668
				 
		 
		 
		
		 
		
		
	
		
	
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				Re: plan finally in place
			 
 Deb,
 Glad to hear there is a plan in place.
 
 Hopefully as soon as possible you will be able to resume chemo. Keeping you in my prayers.
 
 Sending you love and good vibes your way.
 
 Adriana
 
				__________________1994 - rt brst, .lump, underarm node dissection,chemo+rad 1.2 cms, Grade 3.
 28 nodes neg
 Er,Pr, Positive HER2 status unknown
 2003- Recur to rt lung.July 16 ( B-Day!)
 Her2+++ Er,Pr, Negative
 2003 - Aug04--Navelbine + Herceptin
 2004- 2007--NED - Herceptin, only
 2007 Feb-April Xeloda added to hereceptin
 2007-May Back on Navelbine+Herceptin
 2008-Feb-Mar 15 Ses Rad to Rt. Lung
 2008- Oc 17 Add Tykerb to Herceptin
 2009- June-- Discont Tykerb
 2009 July 7--Current Taxol + Herceptin
 2009 Dec--Discontinued treatment due to progression. Looking into cyberknife.
 2010-Aug Accepted to TDM1, no SE, except liver count went up.
 2010-2011 September got kicked out of the trial, due to a small spot found on  lung.
 2011- 2012 September thru early 2013 on Herceptin
 2013- March Bone density shows small spot on 5th rib.
 2013 -  April 4th appt with onc. will post after discussing course of treatment.
 2013-March-April Cyber knife to brain and radiation to rib.  Chest --base line before chemo-CT-Scan stable for lung issue. CA2729 Normal.
 2013 April   Herceptin- TDMI
 2013 Sept   Herceptin + Perjeta . CA2729 within normal range. Brain and Pet scans October 31st. will post results.
 2013  October Brain MRI- mixed response. Will see Onc/rad on Halloween.
 2013 October/November Brain-MRI nothing new. Repeat MRI next year in May.
 2013 December  Continue Herceptin and Perjeta. Stable at the moment.
 2014  February Brain MRI -clear!
 2014 January  Added Taxotere to Perjeta+Herceptin.
 2014  March   Stopped chemo-chest ct-scan next.
 2014- March Scans shows tumor's larger, CA2729 higher. Discontinue Herceptin.
 2014 April Perjeta+ Halaven
 2014 April  CA2729 went down 60 points after one cycle. Cough does not want to go away.
 2014 June Continue on Perjeta + Halaven-- no more cough. Stable
 2014 June  Back on Herceptin + abraxane
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