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Old 08-16-2012, 07:16 AM   #1
Mtngrl
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Re: Adding Carboplatin to Perjeta and Herceptin

Dear Sheila,

So sorry you're disabled, in pain, and experiencing progression. I pray that the new regimen is your ticket out.

I love you.
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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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Old 08-16-2012, 08:33 AM   #2
Andrea Barnett Budin
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Re: Adding Carboplatin to Perjeta and Herceptin

Dearest Sheila,

Always always always thinking of you. You are one of the most remarkable women I've ever had the pleasure to know. (Even if it is a cyberspace love affair...)

My husband is diabetic and having major nerve issues (eye and thigh, ulna). The doc has recommended just what I've been pleading with him to take. He's not a supplement person. But since the endocrin lady told him, he's added some.

B12 (helps energy as well as nerve repair) and B6. Also Alpha Lipoic Acid (600 mg), L-Carnitine 500 x 2 and Co-enzyme Q-10 -- 150 X 2.

I pray these will help you get some relief. And, of course, that your new recipe will be effective and kick canser's butt!

Much love, as always, always, always,

Andi
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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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Old 08-16-2012, 10:59 AM   #3
Lani
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Re: Adding Carboplatin to Perjeta and Herceptin

not saying it will help, but doubt it could hurt:

have you ever tried TENS--transcutaneous electronic nerve stimulation

Non invasive, it uses gel pad electrodes attached by wires to a machine smaller than a transistor radio
(really dating mysel!!!)

It works on the prinicipal that if you place the ekectrodes between the pain and the brain that it will interfere with the gating mechanism of incoming pain messages to the spinal cord and brain.

It sort of mildly tickles the nerve above where the pain is and works similarly to biting your finger when you stub your toe. The brain doesn't seem to be able to process two pain messages coming at the same time, so by biting your finger your toe pain seems less.

I knew a breast cancer patient who tried this 20 years ago, long before bisphosphonates were used, for pain from multiple mets in her thighs and pelvis and it seemed to help her.

Was it the placebo effect? Maybe. Was it coincidence? Perhaps. The devices are usually free to try from physical therapists, may be available to rent rather than buy and have come way down in price over the years as I understand it.

Perhaps asking your doctor for a referral to a pain doctor early on before things get out of hand would be useful---or at least ask if your doctor thinks this might be worth a try on the theory that there is no reason it should hurt.(you don't put it over the site of the pain but proximal to it so no strong electric fields near the tumor (it only uses pocket batteries anyway)and nothing is invasive, just skin pads with gel.) and it might possibly help.

As you know I ALMOST never make suggestions(I am not qualified to do so), just post info. Don't know if my suggestion is pertinent or advisable, but from what I have read and heard, it is unlikely it could hurt.

Best of luck
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Old 08-16-2012, 12:00 PM   #4
Andrea Barnett Budin
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Posts: 1,904
Adding Carboplatin to Perjeta and Herceptin

In '01 I fell in a pothole and broke my ankle in 3 places, tore tendons and muscle and required surgery. After the 3 mnths of terrible pain they removed the cast and I was allowed to go for physical therapy. I did so 3 days a wk for mnths.

After phys therapy they put ice on the ankle and then the TENS machine. It vibrated little tiny tickles and after a while it lessened, so I asked them to turn the machine up. They did. And it was great for a while, but I needed to crank it up again. And again and again. They finally moved the machine next to me so I could do it myself.

I swear it's electronic nerve stimulation helped me heal and lessened the severe pain. I love that machine. And would recommend it to everyone! It was miraculous in helping me heal and experience far less pain.
__________________
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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