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10-11-2007, 09:03 AM
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#1
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Senior Member
Join Date: Jan 2007
Posts: 368
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Herceptin questions
How do you suppose that your onc decides whether to give your Herceptin with paclitaxel or alone?
I was treated with A/C, then H alone.
How long does your infusion take?
I get a 3 week dose and it's given over 90 minutes.
__________________
12/12/06- IDC Stage III, 4x A/C, 35 rads, Herceptin 1 year
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10-11-2007, 09:32 AM
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#2
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Senior Member
Join Date: Jul 2007
Location: Canada
Posts: 2,193
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Hi Brenda D
One of the "wise ones" will probably have an answer to the Herceptin/Tax.
combo. I don't know why you're getting Herceptin alone.
I also had it every 3 weeks and it took about 90 minutes. As I gained weight, my onc. increased the amount I received, so by the end, it was taking a bit longer to get the infusion. I started Herceptin with Taxol and then carried on with Herceptin only. Hope this helps.
__________________
PinkGirl
Dx Aug/05 at age 51
2cm. Stage 2A, Grade 3
ER+/PR-
Her2 +++
Sept 7/05 Mastectomy
4 FAC, 4 Taxol, no radiation
1 year of Herceptin
Tamoxifen for approx. 4 months,
Arimidex for 5 years
Prophylactic mastectomy June 22/09
" I yam what I yam." - Popeye
My Photo Album
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10-11-2007, 09:40 AM
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#3
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Senior Member
Join Date: Aug 2003
Location: Morris, IL
Posts: 3,507
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Brenda
As far as the Herceptin, when I was on 3 week dosing, I received it over 30 minutes and never had a problem.
__________________
"Be kinder than necessary, for everyone you meet is fighting some kind of battle."
Hugs & Blessings
Sheila
Diagnosed at age 49.99999 2/21/2002 via Mammography (Calcifications)
Core Biopsy 2/22/02
L. Mastectomy 2/25/2002
Stage 1, 0.7cm IDC, Node Neg from 19 nodes Her2+++ ER PR Neg
6/2003 Reconstruction W/ Tissue Expander, Silicone Implant
9/2003 Stage IV with Mets to Supraclavicular nodes
9/2003 Began Herceptin every 3 weeks
3/2006 Xeloda 2500mg/Herceptin for recurrence to neck nodes
3/2007 Added back the Xeloda with Herceptin for continued mets to nodes
5/2007 Taken Off Xeloda, no longer working
6/14/07 Taxol/Herceptin/Avastin
3/26 - 5/28/08 Taxol Holiday Whopeeeeeeeee
5/29 2008 Back on Taxol w Herceptin q 2 weeks
4/2009 Progression on Taxol & Paralyzed L Vocal Cord from Nodes Pressing on Nerve
5/2009 Begin Rx with Navelbine/Herceptin
11/09 Progression on Navelbine
Fought for and started Tykerb/Herceptin...nodes are melting!!!!!
2/2010 Back to Avastin/Herceptin
5/2010 Switched to Metronomic Chemo with Herceptin...Cytoxan and Methotrexate
Pericardial Window Surgery to Drain Pericardial Effusion
7/2010 Back to walking a mile a day...YEAH!!!!
9/2010 Nodes are back with a vengence in neck
Qualified for TDM-1 EAP
10/6/10 Begin my miracle drug, TDM-1
Mixed response, shrinking internal nodes, progression skin mets after 3 treatments
12/6/10 Started Halaven (Eribulen) /Herceptin excellent results in 2 treatments
2/2011 I CELEBRATE my 9 YEAR MARK!!!!!!!!!!!!!
7/5/11 begin Gemzar /Herceptin for node progression
2/8/2012 Gemzar stopped, Continue Herceptin
2/20/2012 Begin Tomo Radiation to Neck Nodes
2/21/2012 I CELEBRATE 10 YEARS
5/12/2012 BeganTaxotere/ Herceptin is my next miracle for new node progression
6/28/12 Stopped Taxotere due to pregression, Started Perjeta/Herceptin
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10-11-2007, 10:19 AM
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#4
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Senior Member
Join Date: Jun 2006
Location: San Antonio, TX
Posts: 2,357
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Hi Brenda!
You can see by my signature what I have had. I go to an onc who listens to me, but far more important is up on everything! He asked to be agressive with my treatment (if my response was good and it didn't ruin my quality of life) and I totally agreed. I figured that 1 year of a goofy life was well worth a longer life. My surgeon, who I also liked very much, said to me that he was sorry that my prognosis wasn't better! That scared me and then made me mad. That probably helped my level of commitment to an agressive program of drugs and radiation. I also know that I go where lots and lots of the phase 1 testing for the drugs we end up taking is done.
I don't know this, but I believe that the combinations that I have taken were designed to work on possible mini mets sights. When I did some research about each of them, I noticed that they targeted areas that BC goes to as mets. I don't know, I just think!
I have learned so much from reading the experiences and shared knowledge of this warrior family. They've taught me to question, to fight for what I want or need, and most of all to have faith and hope in my future.
Best wishes for a very long NED life!
Mary Anne
__________________
MA in TX.
Grateful for each and every day....
Diag. 12/05 at age 60
Stage II, Grade 3, 4.5 cm primary tumor
ER/PR- Her2 +3 strongly positive
Her2 by FISH 7.7 amplified
vascular invasion
Ki67 20% borderline
Jan - March '06 Taxotere/Adriamycin X 3 to try to shrink tumor - it grew
April '06 Rt Modified Radical Mas, 7 of 9 nodes positive
April - Aug. '06 Herceptin/Taxol/Carboplatin X 8 (dose dense)
Sept - Dec. '06 Navelbine/Herceptin x 8 (dose dense)
Radiation & Herceptin Jan. 22 - March 1, 2007
Finished Herceptin Dec. 10 '08! One extra year.
Port removed August, 2012.
8 1/2 years since diagnosis! 5 1/2 Years NED!
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10-12-2007, 07:44 AM
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#5
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Senior Member
Join Date: Jul 2007
Location: Canada
Posts: 2,193
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bump
Hi Brenda D
I'm bumping this up so one of the "wise ones" can possibly answer your first question about herceptin alone or with a taxtane.
Good luck with your scans.....try not to worry about it 
__________________
PinkGirl
Dx Aug/05 at age 51
2cm. Stage 2A, Grade 3
ER+/PR-
Her2 +++
Sept 7/05 Mastectomy
4 FAC, 4 Taxol, no radiation
1 year of Herceptin
Tamoxifen for approx. 4 months,
Arimidex for 5 years
Prophylactic mastectomy June 22/09
" I yam what I yam." - Popeye
My Photo Album
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10-12-2007, 08:13 AM
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#6
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Senior Member
Join Date: Jan 2007
Posts: 368
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Thanks Pink Girl. 
It's kind of hard not to bounce off the walls right before and after a scan.
My son sent me this today- an article on "what a life is worth".
http://www.msnbc.msn.com/id/21209744/
__________________
12/12/06- IDC Stage III, 4x A/C, 35 rads, Herceptin 1 year
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10-12-2007, 11:50 AM
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#7
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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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Heavy Herceptin user reporting in...
Fabulous article, Brenda! Enlightening and utterly scary. I'm hoping you're doing all right insurance-wise. I am one of the lucky ones in that regard. And, as I've heard Elizabeth Edwards say, she and her husband want the best of medical care for every one! How do we do that? I don't know.
I do know that my Cancer Center is no longer giving Aranesp injections (to boost flagging red blood counts). My insurance company is presently (after 9 months of decision making and stalling and leaving patients *hanging* on...) covering the cost. But I must get a scrip from my doc. Fortunately he is not afraid to prescribe it, w/potential law suits if problems arise w/heart or advanced ca into head and neck area. Then I must take the script to the pharmacy, wait a day for them to get it in and then SELF-INJECT. This system needs fixing. I am broken-hearted over those who can't get important treatment -- even though it is *available*! This is not acceptable.
What is your situation in this regard, Brenda. BTW, you can read my signature about my med history and if you have any questions -- please shoot them over to me. After 12 yrs of I don't know how many doctors appts, infusions, imaging centers and on and on I've been to, and through -- I have accrued a professional patient's awareness. Like being married to a doc (my daughter is married to an OB/GYN and can answer the most amazing panoply of questions re this specialty almost as well as her husband, though not skilled in performing exams and surgery). I have learned a lot about a subject I wish I didn't have to know about, but am empowered all the same (far more than as a newbie, back in the day -- '95).
Andi
__________________
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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10-12-2007, 01:35 PM
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#8
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Senior Member
Join Date: Jan 2007
Posts: 368
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Thanks, Andrea.
I'm doing o.k. so far. Thank goodness I have insurance, and they have paid a large part of my medical bills.
I've also been given a small amount of help through our local Cancer Association, and the hospital lets me make payments on what I owe there.
My Onc (bless him), writes off the co-pay on the Herceptin, and I made arrangements with the Rad Onc's office.
My rad bill was over$120,000 alone. Of course, the insurance paid most of that.
It makes me think though, that some women will opt for a mastectomy over a lumpectomy, simply because they can't afford the radiation treatments.
I attended a meeting of our local CA association last night, and was pretty proud when they awarded checks to 3 local hospitals (to be used for CA related patient help) and 3 other checks to some larger CA treatment and research centers.
They donated $10,000 each to St. Judes Childrens Hospital, Siteman Cancer Center (both of St. Louis) and Simmons Cooper Cancer Institute of Springfield, IL.
__________________
12/12/06- IDC Stage III, 4x A/C, 35 rads, Herceptin 1 year
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10-12-2007, 02:14 PM
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#9
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Senior Member
Join Date: Jun 2007
Location: moved to Lancaster, Pa in June, 2010
Posts: 576
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The article was rather scary. My insurance has paid for most of my treatments. It took me 6 months of threating to get a lawyer before they finally started paying for my herceptin treatments, they did pay for the nulesta injections and anaresp injections when I was taking chemo. My onc's office wrote off what they didn't pay. I also had help with my co-pays from the patient avacocy program. Onc's office signed me up for that. It was a blessing as it paid for $2000 of co-pays. I don't know what the uninsured or underinsured do, as last year when all this started I had about $10,000 worth of medical bills I was responsible for.
__________________
Debbie in North Carolina
Diag 10/2006-high grade invasive ductal carcinoma- mastectomy L breast
2.5 cm tumor ER/PR pos-Her2+++
4 rounds A/C, 4 rounds Taxol
Herceptin every 3 weeks until Jan. 2008
6/18/07 prophylatic mastectomy R breast
8/2007 started aromasin/stopped arimidex (side effects)
12/07 stopped aromasin due to side effects (now what?)
Finished herceptin 1/8/08
started tamoxifen for 2 years then will switch to femera
allergic to tamoxifen started femera 4/2008
June 20, 2008 portacath removed
Learnig to live life to the fullest!
Stopped Femera due to side effects
July 28, 2008 start trial for breast cancer vaccine
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