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		|  05-26-2012, 05:12 AM | #1 |  
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				who is lani?
			 
 Hello Lani,I am a great fan of yours and read your posts with interest but I must admit, particularly after reading many posts wondering about you and calling you various names, that I am curious about you and who you are.
 We are like a family here on the HER2 site and I like to believe a very trusting and well intentioned family and I wonder why you choose to be so anonymous?
 I believe that your intentions are good and helpful but then why do you wish to be so anonymous?  are we so untrustful or dangerous to you?
 I would like to know you better but I respect your choice to be anonymous but because of that I feel a certain distance.
 Keep posting your wonderful and informative posts and hopefully one day you will be able to trust us as we trust and respect you.
 be well
 Health and happiness
 love sarah
 
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		|  05-26-2012, 06:24 AM | #2 |  
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				Re: who is lani?
			 
 I put a high value on Lani's posts--I learn a great deal from the information supplied, and I'm in awe of the generosity that allows her to expend what is clearly a large chunk of time contributing here. 
 Even not knowing anything at all about her, I consider her a friend, because she acts as a good friend does.
 
 Back in the bad old days of usenet (before all the web forums), it mattered to me to know the individual behind the nym. It bothered me that some folks refused to say who they were and to disclose personal information. Over time, I came to understand that it really doesn't matter. Just as anonymous monetary donations to organizations often confer great benefit, anonymous reporting of knowledge has its own value.
 
 Given the state of the internet, it is not always safe for some people to post with identifying information. Years ago, I had a friend who posted anonymously because he worked for NASA, and he was fearful that having his real name known would compromise his job. I've known others in similar circumstances. Heck, I've been in situations where it would've been better for me to be anonymous, but, unfortunately for me, I wasn't.
 
 This site can be googled. I've already had one person find my posts here, so even though I've kept my diagnosis out of the forum in which we both post, he knows I have cancer. That fact has had an impact on our interactions--even though he has kept the information to himself, he drops hints to me about his knowledge more often than I'd like.
 
 I hope that Lani will continue to post here for a long time. If she wants to tell us about herself, I'd be happy to know more, but I'm just as content if she chooses to remain an anonymous force of goodness among us.
 
				__________________
 2/6/09      Core needle biopsy: negative; Mammos through 2010: no change
 3/30/11    Pea-sized lump in left breast at site of prior biopsy; mammo negative, sonogram not so much
 4/14/11    Core needle biopsy: negative for cancer
 5/18/11    Excisional biopsy 1.2 cm tumor, LVI, positive margin; ER+60%,PR+20%,HER2/CEP17 5
 6/15/11    BMX: Left DCIS & LH; Right ADH; SNB: 2/3 nodes: 1.4 cm and 1 mm; ALND L1&2: 0/10; Stage IIa, Grade 3
 7/14/11    CT/Bone scans NED; MUGA 66%
 7/19/11    Biweekly dd AC w/Neulasta; done 8/30/11
 9/13/11    Transfusion (Hemoglobin 8.6); MUGA 64%
 9/20/11    Start Taxol + Herceptin; Taxol done 12/6/2011; continue Herceptin until 9/4/2012
 12/27/11  Radiation - 6 weeks; 2/27/2012 - DONE! Yayyyy!
 2/29/12   Start Tamoxifen 20 mg/day; continue until          2/28/17
 5/16/12    Start five-years Metformin trial
 6/19/12    MUGA 61%
 8/21/12    Brain MRI NED (head still hurts, brain still fogged)
 9/4/12      Herceptin done!
 9/6/12      Port out!
 7/11/13    Aricept 5mg for cognitive impairment; increased to 10mg as of 8/23/13; back to 5mg 12/2013
 5/2014      Add Namenda 7mg
 9/2014      Stop Aricept and Namenda; Neuropsychological evaluation
 10/24/14 Start cognitive rehabilitation therapy
 
 			 Last edited by rhondalea; 05-26-2012 at 06:30 AM..
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		|  05-26-2012, 07:56 AM | #3 |  
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				Re: who is lani?
			 
 I totally agree with Rhonda and know that the internet is tricky but happily this site seems to be very open.  sorry you've had problems, it's horrible when that happens.yes, we all appreciate Lani's posts, whomever she or he is.
 take care
 sarah
 
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		|  05-26-2012, 10:38 AM | #4 |  
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				 Re: who is lani? 
 Whatever you post here is available to anyone on the internet world wide. Joining as a member of any site and posting opens one up to everyone in the world knowing one's business no matter how personal. Nothing is confidential. Someday do an internet search on your member name. What you find should enlighten you. It enlightened me. Most of us signed HIPPA forms at our doctor's office and have a right to privacy regarding our medical history and personal problems.
 We can still help each other and share information and still remain private. We can be selective about what we share if we wish to do that. It is the choice of each individual member. All are welcome here regardless of how much each person wants to share with the entire world about herself or himself.
 I am with Lani. I think she has a right to remain private about her health history and her personal indentity if she wishes.
 For all we know Lani might be a pen name of one of our board of directors or medical advisors listed on our front page. Now wouldn't that be interesting?
 The information Lani wishes to share seems reliable. I for one have read alot of the information and learned from it. It adds to my knowledge of medicine and health care most of the time regardless of whether or not it applies to me.
 			 Last edited by ElaineM; 05-26-2012 at 10:43 AM..
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		|  05-26-2012, 11:32 AM | #5 |  
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				Re: who is lani?
			 
 I asked a similar question shortly after joining the board. I didn't get a response so I guessed that Lani perhaps wanted to remain anonymous.I even had a mad thought that Lani may be a man and using this name for the board.I think Lani is very caring to us all and I appreciate her posts as they often bring so much hope for the future.
 Whether she is a Dr, scientist, nurse or researcher I hope she will continue to support us on the board.
 Ellie
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		|  05-26-2012, 12:08 PM | #6 |  
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				 Re: who is lani? 
 Just wish I was as up on things as Lani, but this 72 year old just does not understand a lot of what is being said. Hopefully she or he whatever the case may be will on this site for a long time. Heck I have to go over and over things with my onc. but he takes it in good stride., Jeanette |  
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		|  05-26-2012, 03:20 PM | #7 |  
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				Re: who is lani?
			 
 Lani is, as far as I can tell, a fellow Her2 breast cancer survivor who's knowledgeable of the biomedical field. She's well connected with other scientists/researchers and she has been generously sharing her time/effort with us since at least mid 2005.  
There's no reason why anyone needs to share anything more than they've already had. The truth is, we don't even know if half of our fellow survivors are using their real names/telling real stories/... Not to mention there are spammers hanging around everyday!
  
From the 'Members List', we can figure out when a member first joined this group. We can locate all the previous postings using the 'Search' fuction. (Many members deleted their personal information a year or two ago out of the concern of spammers/invaders/Phishers...) Most of us have introduced ourselves when we first joined the group. But some didn't bother with it. Many of us have shared detailed personal/medical information during discussion, but some chose not to do so. Just as I appreciate others' being tolerant to all the personal stories/opinions I've shared (and/or 'forced upon others'   , I respect members' choice of privacy.
  
In the Cyber space, anyone can paint a totally different picture of himself/herself. The purpose/function of this group is to share information/support among fellow survivors/their loved ones/supporters/... Let's continue to use our 'imagination' to paint a picture/write a biography/tell a story ... of our fellow survivors on this board...
  
(Just my two cents...  
				__________________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			 Last edited by Jackie07; 05-26-2012 at 07:09 PM..
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		|  05-26-2012, 04:20 PM | #8 |  
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				Join Date: May 2008 Location: Hershey, PA.  Live The Sweet Life! 
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				Re: who is lani?
			 
 Ok.  This is a good thread!  Why?  Because we all have wondered about the mysterious Lani.  Even Joe swore he did not know who she was.  I think every lady needs an air of mystery about them and Lani does just that with flair!
 Anyway, I think it might be fun as Jackie has, but I will be much more silly (well now there's a surprise!), to describe who WE think Lani is in our mind's eye.  So here goes!
 
 When I envision Lani in my mind I see a tall, blonde woman in her forties walking briskly in an airport terminal somewhere in the world.  She strides along with rolling suitcase behind her as she dashes to make her gate headed to yet another research conference.  I even see her in heels (sensible pumps, of course), a lab coat billowing in her wake, and she has very nice legs (of which I am completely jealous for the record, Lani!).  In my mind's eye Lani is not American, but hails from Scandinavia.  I think she is brilliant and is involved in research.  I have never considered the notion of Lani being a fellow Her2 survivor, interesting twist there, Jackie.
 
 Ok, someone top that!  How do you picture our mysterious resident propeller head Lani?
 
 Lani, I hope you do not mind a bit of fun here.  Please do not feel that we are trying to "OUT" you.  Never!  We love your air of mystery!
 
				__________________
 Smile On!
 Laurel
 
 Dx'd w/multifocal DCIS/IDS 3/08
 7mm invasive component
 Partial mast. 5/08
 Stage 1b, ER 80%, PR 90%, HER-2 6.9 on FISH
 0/5 nodes
 4 AC, 4 TH finished 9/08
 Herceptin every 3 weeks. Finished 7/09
 Tamoxifen 10/08. Switched to Femara 8/09
 Bilat SPM w/reconstruction 10/08
 Clinical Trial w/Clondronate 12/08
 Stopped Clondronate--too hard on my gizzard!
 Switched back to Tamoxifen due to tendon pain from Femara
 
 15 Years NED
 I think I just might hang around awhile....
 
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		|  05-26-2012, 05:21 PM | #9 |  
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				Re: who is lani?
			 
 Lol!  I love logging on and seeing that there are posts from Lani - she has always responded to my questions as well.
 I must admit that I made a probably incorrect assumption that she was a person in the medical field who posted here perhaps by contract with the site administrators. You all now have me intrigued.
 I too love the air of mystery and am ever so grateful for Lani's postings whoever she (or he?) may be.
 Lani - I "love" you!
 
				__________________Amanda xx
 40 year old Mum to three gorgeous kids - son 5 and daughters 8 and 11
 Wife to my wonderfully supportive husband of 17 years!
 22 February 2011 - Diagnosed Early Breast Cancer IDBC Stage2b (ER/PR -ve, Her2+ve +++) - 38 years old
 (L) skin sparing mastectomy with tissue expander, axilla clearance (2/14 affected) clear margins.
 Fec*3, Taxotere and herceptin*2 - stopped due to secondary diagnosis
 June 24 2011 Stage IV - Skin met, axilla node, multiple lung lesions
 Bolero3 trial - Navelbine, Hereptin weekly, daily Everolimus/Placebo
 February 2012 - July 2012 Tykerb and Xeloda - skin mets resolved, Lungs initially dramatically reduced but growing again
 August 2012 (turn 40!) tykerb and herceptin (denied compassionate use of TDM1) while holidaying in Italy!
 September 2012 - January 2013 TDM1 as part of the Th3resa trial - lymph nodes resolved, lungs slowly progressing.
 January 2013 - herceptin, carboplatin and Perjeta (compassionate access)
 April 2013 - Some progression in lungs and lymph nodes - Abraxane, Herceptin and Perjeta
 July 2013 - mixed response - dramatic reduction of most lung disease, progression of smaller lung nodules and cervical and hilar nodes - ? Add avastin.
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		|  05-26-2012, 10:21 PM | #10 |  
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				Re: who is lani?
			 
 Alright, I'll admit it, I'm Lani. 
				__________________1996 cancer WTF?! 1.3 cm lumpectomy Er/Pr neg. Her2+ (20nodes NEGATIVE) did CMF + rads. NED.
 2002 recurrence. Bilateral mastectomy w/TFL autologous recon. Then ACx2. Skin lymphatic rash. Taxotere w/Herceptin x4. Herceptin/Xeloda.  Finally stops spreading.
 2003 - Back to surgery, remove skin mets, and will have surgery one week later when pathology can confirm margins.
 ‘03 latisimus dorsi flap to remove skin mets. CLEAN MARGINS. Continue single agent Herceptin thru 4/04. NED.
 ‘04 '05 & 06 tiny recurrences - scar line. surgery to cut out. NED each time.
 1/2006 Rads again,  to scar line. NED.
 
 3/07 Heartbreaking news - mets! lungs.sternum. Try Tykerb/Xeloda. Tykerb/Carbo/Gemzar. Switch Oncs.
 12/07 Herceptin.Tykerb. Markers go stable.
 2/8/08 gamma knife 13mm stupid brain met.
 3/08 Herceptin/tykerb/avastin/zometa.
 3/09 brain NED. Lungs STABLE.
 4/09 attack sternum (10 daysPHOTONS.5 days ELECTRONS)
 9/09 MARKERS normal!
 3/10 PET/CT=manubrium intensely metabolically active but stable. NEDhead.
 Wash out 5/10 for tdm1 but 6/10 CT STABLE, PET improving. Markers normal. Brain NED. Resume just Herceptin plus ZOMETA
 Dec 2010 Brain NED, lungs/sternum stable. markers normal.
 MAR 2011 stop Herceptin/allergy! Go back on Tykerb and switch to Xgeva.
 May-Aug 2011 Tykerb Herceptin Xgeva.
 Sept 2011 Tykerb, Herceptin, Zometa, Avastin.
 April 2012 sketchy drug trial in NYC. 6 weeks later I’m NED!
 OCT 2012 PET/CT shows a bunch of freakin’ progression. Back to LA and Herceptin.avastin.zometa.
 12/20/12 add in PERJETA!
 March 2013 – 5 YEARS POST continue HAPZ
 APRIL 2013 - 6 yrs stage 4. "FAILED" PETscan on 4/2/13
 May 2013: rePetted - improvement in lungs, left adrenal stable, right 6th rib inactive, (must be PERJETA avastin) sternum and L1 fruckin'worsen. Drop zometa. ADD Xgeva. Doc says get rads consultant for L1 and possible biopsy of L1. I say, no thanks, doc. Lets see what xgeva brings to the table first. It's summer.
 June-August 2013HAPX Herceptin Avastin Perjeta xgeva.
 Sept - now - on chemo hold for calming tummy we hope. Markers stable for 2 months.
 Nov 2013 - Herceptin-Perjeta-Avastin-Xgeva (collageneous colitis, which explains tummy probs, added Entocort)
 December '13 BRAIN MRI ned in da head.
 Jan 2014: CONTINUING on HAPX…
 FEB 2014 PetCT clinical “impression”: 1. newbie nodule - SUV 1.5 right apical nodule, mildly hypermetabolic “suggestive” of worsening neoplastic lesion. 2. moderate worsening of the sternum – SUV 5.6 from 3.8
 3. increasing sclerosis & decreasing activity of L1 met “suggests” mild healing. (SUV 9.4 v 12.1 in May ‘13)
 4. scattered lung nodules, up to 5mm in size = stable, no increased activity
 5. other small scattered sclerotic lesions, one in right iliac and one in thoracic vertebral body similar in appearance to L1 without PET activity and not clearly pathologic
 APRIL 2014 - 6 YRS POST GAMMA ZAP, 7 YRS MBC & 18 YEARS FROM ORIGINAL DX!
 October 2014: hold avastin, continue HPX
 Feb 2015 Cancer you lost. NEDHEAD 7 years post gamma zap miracle, 8 years ST4, +19 yrs original diagnosis.
 Continue HPX. Adding back Avastin
 Nov 2015 pet/ct is mixed result. L1 SUV is worse. Continue Herceptin/avastin/xgeva. Might revisit Perjeta for L1. Meantime going for rads consult for L1
 December 2015 - brain stable. Continue Herceptin, Perjeta, Avastin and xgeva.
 Jan 2016: 5 days, 20 grays, Rads to L1 and continue on HAPX.  I’m trying to "save" TDM1 for next line. Hope the rads work to quiet L1. Sciatic pain extraordinaire :((
 Markers drop post rads.
 2/24/16 HAP plus X - markers are down
 SCIATIC PAIN DEAL BREAKER.
 3/23/16 Laminectomy w/coflex implant L4/5. NO MORE SCIATIC PAIN!!! Healing.
 APRIL 2016 - 9 YRS MBC
 July 2016 - continue HAP plus Xgeva.
 DEC 2016 - PETCT: mets to sternum, lungs, L1 still about the same in size and PET activity. Markers not bad.  Not making changes if I don't need to. Herceptin/Perjeta/Avastin/Xgeva
 APRIL 2017 10 YEARS MBC
 December 2017 - Progression - gonna switch it up
 FEB 2018 - Kadcyla 3 cycles ---->progression :(
 MAY30th - bronchoscopy, w/foundation1 - her2 enriched
 Aug 27, 2018 - start clinical trial ZW25
 JAN 2019 - ZW25 seems to be keeping me stable
 APRIL 2019 - ONE DOZEN YEARS LIVING METASTATIC
 MAY 2019 - progression back on herceptin add xeloda
 JUNE 2019 - "6 mos average survival" LMD & CNS new single brain met - one zap during 5 days true beam SBRT to cord met
 10/30/19 - stable brain and cord. progression lungs and bones. washing out. applying for ds8201a w nivolumab. hope they take me.
 12/27/19 - begin ds8401a w nivolumab. after 2nd cycle nodes melt away. after 3rd cycle chest scan shows Improvement, brain MRI shows improvement, resolved areas & nothing new. switch to plain ENHERTU. after 4th cycle, PETscan shows mostly resolved  or improved results.  Markers near normal. I'm stunned but grateful.
 10/26/20 - June 2021 Tucatinib/xeloda/herceptin - stable ish.
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		|  05-27-2012, 05:22 AM | #11 |  
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				Re: who is lani?
			 
 I am Spartacus. |  
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		|  05-27-2012, 06:25 AM | #12 |  
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				Re: who is lani?
			 
 I like to think of Lani, (be she male or female) as a person who is devoted to making certain we can make the best choices in treatment of our disease by giving us the information we need to make educated and informed decisions.
 Thank you Lani!
 
 Marcia
 			 Last edited by Soccermom; 05-27-2012 at 06:56 PM..
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		|  05-27-2012, 07:46 AM | #13 |  
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				Re: who is lani?
			 
 Hi all;
 Actually it seems to me that Lani did discuss herself once.....likely in 2005 or 2006.  I am only sorry my memory is so bad that I can't recall the details.  I'm just very grateful she's here for us all.  Thank you.
 
 Cathy
 
				__________________Cathy
 
 Diagnosed Oct. 2004 3 cm ductal, lumpectomy Nov. 2004
 Diagnosed Jan. 2005 tumor in supraclavicular node
 Stage 3c, Grade 3, ER/PR+, Her2++
 4 AC, 4 Taxol, Radiation, Arimidex, Actonel
 Herceptin for 9 months until Muga dropped and heart enlarged
 Restarting herceptin weekly after 4 months off
 Stopped herceptin after four weekly treatments....score dropped to 41
 Finished 6 years Arimidex
 May 2015 diagnosed with ovarian cancer
 Stage 1C
 started 6 treatments of carboplatin/taxol
 Genetic testing show BRCA1 VUS
 Nice! My hair came back really curly. Hope it lasts lol.  Well it didn't but I liked it so I'm now a perm lady
 29 March 2018 Lung biopsy following chest CT showing tumours in pleura of left lung, waiting for results to the question bc or ovarian
 April 20, 2018 BC mets confirmed, ER/PR+ now Her2-
 Questions about the possibility of ovarian spread and mets to bones so will be tested and monitored for these.
 To begin new drug Palbociclib (Ibrance) along with Letrozole May, 2018.
 Genetic testing of ovarian tumour and this new lung met will take months.
 To see geneticist to be retested for BRCA this week....still BRCA VUS
 CA125 has declined from 359 to 12 as of Aug.23/18
 
 
 
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		|  05-27-2012, 08:32 AM | #14 |  
	| Senior Member 
				 
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				Re: who is lani?
			 
 Yes Cathy, I also remember Lani discussing her background early on. What I remember is that she was diagnosed early stage and was not a dr, but had a medical background.
 
 Thats all I remember. Hopefully she will correct me if I am wrong.
 
 and thank you Lani for all of your research. You have helped me numerous times, when I was pushing  my dr for a certain treatment or to give me hope of possible future treatments.
 
 Laurie
 
				__________________diagnosed stage 2-  3/2005
 4.5 cm & 2+ nodes , er/pr- & HER2+
 4 AC
 12 taxol/Herceptin
 Year of Herceptin
 liver mets- July-2010
 7 taxotere/Herceptin
 RFA- Feb.2011
 NED
 U of Wa vaccine trial-oct 2011-Feb 2012
 Herceptin/tykerb
 Ned - 2 1/2 years
 Herceptin & perjeta
 Ned 3 years
 Herceptin- reducing treatments , due to s/e, to 5-6 a year
 NED- 3 1/2 years
 Ned - 4 years
 2/15- stopped herceptin - on no treatment
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		|  05-27-2012, 10:20 AM | #15 |  
	| Senior Member 
				 
				Join Date: May 2006 
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				 Re: who is lani? 
 I am thankful for Lani's participation. It doesn't matter who she or he is. If Lani wishes to remain private it is her or his right to do so. Let's all just accept Lani and be thankful for Lani's participation and  not expect more of her or him than she or he is willing to share.
 Thank you Lani for years of participation in this site and your dedication to trying to help us understand breast cancer.
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		|  05-27-2012, 02:01 PM | #16 |  
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				Re: who is lani?
			 
 I agree with Elaine but think Lani will be smiling at this thread, I dont care if she wants to remain private but love her posts here and thanks Lani! 
				__________________Tricia
 Dx July '05 IDC 1.9cm Triple positive 3/9 nodes positive
 A/C X 4 ..Taxol/Herceptin x 12 wks then herceptin 1 yr
 Rads x 36 ..oophorectomy August '06
 Currently taking Arimidex..
 June 2011 osteopenia/ zometa x1 yearly- stopped Zometa  2015 as Dexa show normal bone density.
 Stopped Arimidex July 2014- Restarted Arimidex 2015  for a further two years on the advice of my Onc.
 2014 Normal Dexa scan
 2018 Mammo all clear, still NED!
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		|  05-27-2012, 03:14 PM | #17 |  
	| Senior Member 
				 
				Join Date: Jan 2008 Location: "Love never fails." 
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				Re: who is lani?
			 
 Lani's statement on 9-1-2009: 
"I have no qualifications to make my opinion worth anything--having just read a lot of the medical literature and had an active imagination.}}"
  
2-05-2006:
  
"I am not an attorney--just recording what I have gleened over the years."
  
2-03-2011:
  
"I almost NEVER make any recommendations on this site, but I would seriously recommend you reconsider your decision to do ..."
  
2-22-2011:
 
"I met Dr. Juliann Smith at the lunch table betweeen sessions at a conference hosted by Dr. Neil Love in May 2005. She was one of maybe 100 participants in the audience. It was at this conference that Dr. Love met her as well and decided to let her tell her story in his audio journal. Here is a bit of the dialogue--feel free to google and listen to the full audio as it is quite moving, especially when she discusses her experience with chemo.
…
Every person who has unexpectedly stepped off the edge of this planet into the bottomless pit of life-threatening illness knows that the view from down there is very different and that no amount of bargaining with whatever or whomever one believes in changes the reality that to survive, it is essential to be able to reach inside to find faith and courage."
 
2006 
At the Genentech stockholders' meeting (I am not one) they were asked about their post-marketing surveillance and described their's (finding out what problems people were having with their drugs after clinical trials are over and they are being used by greater numbers of people--when more people take a drug, new problems are usually discovered which may be rare or only happen in a subgroup of patients).
  
5-2011
  
"Have a different story.  
Repost of one of threads I started:
  
Lani 
Senior Member
  
Join Date: Mar 2006 
Posts: 3,895 
more in the "soy saga"
  
I had been under the impression that whether or not soy might increase or decrease the chance of recurrence of bc was related to ER/PR status but now two studies one out of Japan and one out of Korea (below) say soy's effect on recurrence more likely depends on tumor's her2 status. The article below is based on a small number of patients, but the full article refers to the Japanese study and is very interesting...
  
Nutr Cancer. 2012 Jan 2. [Epub ahead of print] 
Differential Influence of Dietary Soy Intake on the Risk of Breast Cancer Recurrence Related to HER2 Status."
  
1-2-2005
  
"Previous comments have been made on the need to be discriminating when reading articles on breast cancer studies performed in vitro(in petri dishes or test tubes) or in vivo (in rats or mice usually) utilizing breast cancer cell lines. One thread recently posted on this site had to do with whether flaxseed was good or bad for her2+ breast cancer and listed a study performed by someone in Nutritional science on a breast cancer cell line implanted in mice that turned out to be both estrogen negative AND her2 negative!
 
  
I found a nice list of breast cancer cell lines which specify whether or not they are her2+. It still does not tell which are ER+, but it will help one spot right away whether the study was done on her2+ or her2- breast cancer cells and thus help those of you with her2 positive breast cancer have an idea whether the study has any likelihood of providing information useful to your case"
  
[And we have thought Greg (gdpawel)was the one taught us about the difference between 'in vitro' and 'in vivo'...    Jackie07]
  
Quoted by NEDenise recently:
 
Hi All!
Here are Lani's instructions, copied from another thread, about how to find info about [x, y, and z].
 
"go to the yellow bar above and click on search.
 
put in Lani xyz (that should cover the subject in the search) I have provided info from at least a dozen articles over the years I would think
 
Otherwise be a DIY (do it yourselfer) and go to google and put in
Entrez Pub Med once you get the right entry click on it and put
 erbb2 [= Her2] xyz into the search box
 
 you will find hundreds if not thousands of articles"
 
				__________________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			 Last edited by Jackie07; 05-27-2012 at 04:22 PM..
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		|  05-27-2012, 03:35 PM | #18 |  
	| Senior Member 
				 
				Join Date: May 2011 Location: Denver, CO 
					Posts: 1,427
				 
		 
		 
		
		 
		
		
	
		
	
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				Re: who is lani?
			 
 Beautiful. 
				__________________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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		|  05-27-2012, 03:35 PM | #19 |  
	| Senior Member 
				 
				Join Date: Sep 2005 Location: Grand Rapids, MI 
					Posts: 1,516
				 
		 
		 
		
		 
		
		
	
		
	
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				 Re: who is lani? 
 This is from 4/12/2006...and Lani was even gracious to call me and talk to me (about this time)...she is VERY informed and has a wealth of knowledge...I ALWAYS put a post by Lani WAY up there...
 "My genetics and biochemistry background are ancient history--undergraduate degree in biology with lots of biochemistry taken, 2/3 of a year of graduate work in medical genetics, all more than 30 years ago.
 
 Have been reviewing the literature on the web on a voluntary basis as a way to help friends with cancer over the past 8 years--NKT cell lymphoma, rhabdomyosarcoma, cutaneous Tcell lymphoma, Acute Lymphocytic Leukemia, nonsmall cell lung cancer, triple negative breast cancer, etc. I even went with some of them to their doctors' appointments. Three years ago the "dress rehearsals" of doing so came in handy as I started researching my own family's cancers--squamous cell carcinoma of the parotid and islet cell tumor of the pancreas.
 
 So all the articles I have read over the past 8 years about the different kinds of T cells and oncogenes and tumor suppressor genes has certainly been new to me, my previous education gave me a very dated general background for it but did not really prepare me for its complexity--but I didn't let that frighten me away from trying to read it.
 
 I try to be careful in what I post so as not to give anyone the impression of being authoritative in any way (except about "ganglions"!). Whatever "knowledge" I had about the biology, physiology, immunology and chemistry of cancer is three decades old. But what I have gleened from my attempts to review the literature is the fact that it IS possible to look up the same articles that medical researchers and oncologists read if you are not afraid(and knowledge is liberating!)--and that is what I try to ENCOURAGE others to do."
 
				__________________Rhonda
 
 Dx 2/1/05, Stage 1, 0 nodes, Grade 3, ER/PR-, HER2+ (3.16 Fish)
 2/7/05, Partial Mastectomy
 5/18/05 Finished 6 rounds of dose dense TEC (Taxotere, Epirubicin and Cytoxan)
 8/1/05 Finished 33 rads
 8/18/05 Started Herceptin, every 3 weeks for a year (last one 8/10/06)
 
 2/1/13...8 year Cancerversary and I am "perfect" (at least where cancer is concerned;)
 
 
 " And in the end, it's not the years in your life that count. It's the life in your years."- Abraham Lincoln
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		|  05-27-2012, 03:49 PM | #20 |  
	| Senior Member 
				 
				Join Date: Sep 2005 Location: Mountains of Virginia 
					Posts: 2,267
				 
		 
		 
		
		 
		
		
	
		
	
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				Re: who is lani?
			 
 For a minute I thought I was Lani when Laurel started describing her......
 ".........When I envision Lani in my mind I see a tall, blonde woman in her forties walking briskly...and she has very nice legs....."
 
 .....maybe not.
 
				__________________Rhonda (Sassy)
dx age 45
DX 2/15/05 Stage IIb (at surgery)restaged IIIa
Left mast .9cm tumor 5 of 14 nodes
Triple Positive 
4 DD A/C
12 Taxol/Herceptin
33Rads
Strange infect mast site one year aft surg, hosp 1 wk
Herceptin for total of 18 months
Lupron Monthly 4 yrs
Neurontin for aches, pains and hot flashes(It works!)
Ovaries removed 11/09 stop Lupron and Neurontin
Arimidex 6 yrs (tried Femara, no SE improvement)
Tried Exemestane-hips got so bad could hardly walk
Back to Arimidex for year seven
Zometa 2X Annual for 7years, Lasix
Stop Arimidex 5/13
Stop Zometa 7/13-Bi-lateral Stress Fractures in Femurs from Zometa 
5/14 Start Tamoxifen
3/15 Stem cell transplant to stimulate femur bone growth/healing
5/15 Complete fracture of right femur/Titanium rods both femurs
9/16 Start Evista stopTamoxifen
 3/17 Stop Evista--unwelcome side effects!
 NED and no meds.......
14  YEARS NED! |  
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