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Old 12-14-2008, 08:44 PM   #1
harrie
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Location: Hilo, Hawaii
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Joy...just thinking of you...wondering how you are doing....
Maryanne
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*** MARYANNE *** aka HARRIECANARIE

1993: right side DCIS, lumpectomy, rads
1999: left side DCIS, lumpectomy, rads, tamoxifen

2006:
BRCA 2 positive
Stage I, invasive DCIS (6mm x 5mm)
Grade: intermediate
sentinal node biopsy: neg
HER2/neu amplified 4.7
ER+/PR+
TOPO II neg
Oncotype dx 20
Bilat mastectomy with DIEP flap reconstruction
oophorectomy

2007:
6 cycles TCH (taxotere, carboplatin, herceptin)
finished 1 yr herceptin 05/07
Arimidex, stopped after almost 1 yr
Femara
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Old 12-15-2008, 09:55 AM   #2
doh2pa
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Location: Chadds Ford, Pa
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Hi Joy,

Well, I think you and I are in a similar boat, sister. Remissions are getting shorter and shorter and my onc is running out of things to try. So I started Doxil in early November (it's a once every 28 days) and I hate it. My quality of life is horrible on this drug and I will not get a third treatment (working or not). My choice.

So here's my encouragement. I am lucky to have a doctor for a husband. Everytime I have a treatment decision coming up, he scours clinicaltrials.gov to look for relevant trials. The last time he looked was June. He just looked recently and was ASTOUNDED by the number of phase I and phase II clinical trials for liver mets. According to his estimate there are at least 4 times the amount of trials that there were in June. That means CHOICES!!! That means more researchers looking for that elusive "one thing" that will work for me and you. I myself am trying to get my liver enzymes down to get on the DM-1 trial. So over the holidays we plan on going over all this data he is accumulating, throwing out the cookey stuff and narrowing the trials down to a few that make sense. I will pass on what we find to you and maybe one of them will be right for you.

I know you don't want to do Cytoxan - I had the same reaction for Doxil (adriamycin in drag!) but every step forward keeps us in the game and I really do believe that these researchers are SO CLOSE.

So let's make a pact, girl, to hang in there together. Cancer sucks, fighting it blows, and its so HARD. So many times I want to give up, but I keep it going for the people who love me and would be devastated by my death. You have people who love you too and their life would be diminished without you.

You deserve to cry and be mad. And if your heart is really telling you that Cytoxan is not right for you, maybe it's time for a fresh look. I have set up appointments in January at University of PA and Memorial Sloan Kettering in NY with other oncologists. I love my onc now, but he seems stuck and out of ideas so it's time to put myself out there and see what happens. Might you consider doing the same.

I am giving you a big cyber hug. Feel free to e-mail me privately. I will keep you posted on what I find.

Hang in there
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Donna
Diagnosed 2/04 - Invasive ductal - no clean margins
node negative - er+pr+, her2++
Mastectomy 4/04 - 4 rounds AC
9/05 - mets to liver treated with carbo/ixabipelone/herceptin
3/06 - complete remission
9/06 - new liver mets, starting Taxotere/Herceptin
1/07 -Liver mets stable, staying on Herceptin
5/07 - Liver, lung progression - starting T/X
12/07 - Liver, lung progression - starting weekly Navilbene/Herceptin
4/08 - Liver progression - started Abraxane, Carbo, Tykerb and Herceptin
7/08 - Liver Progression - started Gemzar, Avastin and Tykerb
10/08 - Liver progression - starting Doxil
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Old 12-15-2008, 11:54 AM   #3
StephN
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Thumbs up

Dear Joy -
Donna wrote a beautiful message and you might have a good ally in her doctor hubby's research.

NERATINIB - I don't know if you have been too heavily "pretreated" to qualify, but I like those result stats. Maybe your onc saw that presentation.

I know just from what I learned from the drug manufacturers' reps at the cancer researchers meeting in April that the number of new drugs coming out of phase 1 trials for HER2 breast cancer is boggling (as Donna's hubby discovered).

Knowing you have a lot on your plate with your kids and Luca and his, you need to save a little energy to heal and fend off the fear. We REALLY do need some peace and quiet time for our bodies and minds to process the many possibilities forging ahead.

This is the time your family needs to "give back" to you, even though I know from personal experience that we do not like to be treated as a "sick" person. I learned to look at that time as "down time" when I could divert some of that outgoing energy to my innermost needs.

Let us know how it goes with your onc visit, lovely lady.

Wishing you a holiday season of Peace, Glad Tidings and, most of all, JOY!
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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 12-15-2008, 12:09 PM   #4
Jackie07
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Joy,

Just re-read your posting and wondered how you are doing/feeling. Holiday seasons can be tough for sensitive souls like us who are battling for our lives. But
it is also the season of celebration and hope.

Sending you cheers and wishing you happy holidays. E-mail us, call us, post on the board - we want to hear from you.
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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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Old 01-08-2009, 08:00 AM   #5
julierene
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Posts: 327
When my mother passed away from breast cancer, and was bald, I told myself if I ever had the choice I would just refuse treatment. Now I find that my hair won't do me much good if I am dead. But in the same sentence, I wanna die with my hair. It makes me so mad too. I just started dating someone new, and my new onc tells me the treatment I had the first time I was stage 4 will cause my hair to fall out. It didn't cause it to fall out the first time, it just thinned a little. Why does he feel like he has to load me down with the medicine that worked in smaller doses the first time? If he loads me down, I will have count problems just like I did the first time and I will have to delay doses. I don't get it. But I tried to argue with him and he just wouldn't budge. It almost makes me want to get a new onc. I want my hair. If the low dose worked the first time, I would think it would be just as effective the 2nd time. Any thoughts?
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Jan04: Bilateral Mastectomy at age 28
Initial DX: Left Breast: IDC 2cm, Grade 3, HER2+3, 0 Nodes +, ER/PR-. Right Breast: Extensive DCIS ER-/PR+; Stage 1-2a
Feb04-Apr04: 4 AC, dose dense
Aug 04: 4 Taxotere
Dec 05: Bone and Liver METS; Stage 4. Carboplatin/Taxol/Herceptin. DX with Li-Fraumeni Syndrome
Apr 06: NED, maintenance Herceptin
Apr 07: CA1503=14; masses in liver; Xeloda/Tykerb
Nov 07: NED, Tykerb maintenance
Sept 08: Liver mets again, on Tykerb/Xeloda again, CA=19 and 27
Nov 08: Progression, Tykerb/Gemzar, CA=25
Dec 08: Progression, Herceptin/Navelbine, CA=40, 57, and 130
Jan 09: Progression in bone, recession in liver, Herceptin/Carbo/Abraxane CA=135
June 09: CA27/29=24, chemo break
Sept 09: Progression, CA=24, waiting on clinical trial (4 weeks no treatment)
Nov 09: now have brain mets, trial "on hold", getting 14 WBR treatments starting 11/2/09
Dec 09: possible start on p53 trial
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