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Old 09-21-2016, 08:04 PM   #1
SoCalGal
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Join Date: Apr 2007
Location: LA LA Land
Posts: 1,607
Re: Ever want to give in/up?

Colleen,
I am so weary of treatment, limitations, worry and the stress of a chronic disease. The one thing that keeps me absolutely going forward is the thought of my kids experiencing the loss of their mom when I know that they want me around till I'm an older old lady. So I try to create good things for which to look forward, and do a lot of self talk to myself (obvi) to stay motivated. And I have a support group. And a therapist. Maybe you need more support resources around you - it really does seem to help many.
__________________
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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Old 09-22-2016, 09:51 AM   #2
thinkpositive
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Join Date: May 2014
Location: San Diego
Posts: 411
Re: Ever want to give in/up?

Colleen,

I'm not in your situation so I'm not sure how I would feel if I were in your shoes. However, I just lost my husband a few weeks ago. He died unexpectedly at age 60. We were together for over 40 years. I can tell you that I would do anything and pay any amount of money to have him back. My guess is that your family would feel the same way about you!

Having a chronic disease must be draining. These diseases have both a physical and mental aspect to them. I believe at times, we focus only on the physical and ignore the mental. My guess is that what you are feeling is perfectly normal and that seeking out help from a professional would be helpful. I have found that they can help and offer different coping skills that can be effective.

I will keep you in my thoughts and prayers.

Take Care,
Brenda
__________________
8/2013 Diagnosed IDC Left Breast ER-/PR-/HER2+ Stage 3C, DCIS ER+/PR+/HER2- Right Breast (54 yr)
8/2013 PET/CT scan shows mass in uterues and suprclavicular nodes
8/20/13 Begin 6 rounds TCH chemo, Perjeta added for rounds 4-6
9/2013 After 1st round of chemo, mass in neck and breast no longer able to feel
11/2013 Hysterectomy, mass from PET/CT scan not cancer (adenomylosis)
12/2013 Finished chemo
1/2014 Double mastectomy with chest expanders
1/2014 Pathology report from surgery and SNB show complete pathological response!
3/2014 Finish IMRT radiation
8/2014 Fat transfer to radiated breast
8/2014 Completed 1 yr of Herceptin
10/2014 exchange surgery expanders removed implants placed
6/2015 3D nipple and areola tattoos
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Old 09-23-2016, 05:01 AM   #3
TiffanyS
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Join Date: Sep 2016
Posts: 459
Re: Ever want to give in/up?

Hello Colleen,

I understand where you are coming from, as I’ve been thinking the same thing myself lately. I was diagnosed with HER2 positive breast cancer in January, at the age of 41, and had a full mastectomy in February along with 14 lymph nodes removed (eight has cancer in them). I started Docetaxel, Carboplatin, and Herceptin in March, and radiation at the end of July. I also started taking the drug tamoxifen in mid-July. Everything was going well until a week before I was supposed to finish radiation. At that time, we noticed that the scab over my scar tissue had come off, and the doctor decided to biopsy the area. It turns out that there were still cancer cells there. I went back to see my surgeon, who told me the growth was left-over from my first surgery, and that he could remove it and all would be fine. In the meantime, my oncologist sent me for tests in order to “re-stage” me. The ultra-sound and bone scan were clear, and the breast MRI showed three small masses at my surgery site, but nothing in the lymph nodes. We were all happy with these results, and I was getting ready to have surgery until we got the results of my CT scan. It turns out that there are new spots on my lungs and a lymph node in my centre chest that is quite large. Given these new results, I will no longer be having surgery, and will be starting TDM1 next Tuesday, which I will be taking every three weeks for an indefinite period of time. My oncologist is also going to try and get me into some clinical trials. She told me that I am a rarity, and that she’s never known anyone who has gone though the treatment I’ve gone through, and still have cancer. She says that my breast cancer is the most aggressive cancer she’s ever seen, and she is looking into new, aggressive treatments for me. This does not leave me feeling very optimistic! I have been holding up as best I can, however, I have felt nauseous since I got the news, and I don’t have much of an appetite. Up until now, I have been fairly confident that I would beat this cancer, but that is no longer the case. Right now, my biggest fear is that my oncologist is going to tell me that I have six months to a year to live, even with the new medication, and that’s not what I want to hear at the age of 41! So, while I’m trying very hard to stay positive, I’m really having a hard time doing so, and I keep wondering if it’s worth putting my family and friends through so much stress just to extend my life by a year or two. In fact, I just got off the phone with my seven year old niece who told me that she’s sorry that I’m going to die, and that she will keep me in her heart forever, and she didn’t want to get off the phone with me. I think she’s scared it might be the last time she gets to talk to me. I tried to stay positive for her, but it breaks my heart to hear her say that. My aunt died of ovarian cancer six years ago after a six year battle, and I remember the stress my family was under at that time. Everyone’s life was on hold, as she would be good one day, and sick the next. No one knew what to expect. I really don’t want to put my family though that again. I also can’t help but wonder how anyone can get through their days, trying to live life to the fullest, knowing that there may not be many days left. So, like you, I am left wondering “what’s the point”. I’m sure my family would feel differently than I do, but that’s how I am feeling right now.
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