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Old 05-19-2008, 02:22 PM   #1
Terri B
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Check out this regimen.....

Beginning June 2nd:

12 weekly doses of Taxol/Herceptin

Then:

4 doses Epirubicin/Carboplaten every 3 weeks x4.

Then:

Herceptin x11 more every 3 weeks.

Doc said that the weekly doses are smaller, therefore better tolerated. She said she likes to give it this way to patients that are able to come once a week.

Muga scan on the 29th, and port placement sometime between here and there.

eeek!! Here i go!!
__________________
Terri B.
46 yrs. young
Dx IDC 3/6/08
1.5 cm & .6 cm grade III, Stage IIA
es/pr- Her2+++, 9/9 richardson
Double Mast w/expanders 4-14-08
3/9 nodes positive.
additional excision rt breast 4-25-08
weekly T/H x 12 (6-2-08) Done!
FEC x4 (9-8-08) Last one 11-10-08!
Herceptin complete 8/10/09!!
33 RADS DONE 2/13/09!
rt. breast biopsy 3/20/09 .. B9!!
reconstruction complete!
DEEEEEEported on 5/19/10!!
almost 5 YEARS NED!!
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Old 05-19-2008, 02:52 PM   #2
Gerri
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Terri,

That is quite a treatment plan! Just remember to listen to your body and rest when you feel tired. Take your meds before you need them - it really helps to stay ahead of everything. I got my port a little late (halfway through chemo) but it still was a great convenience.

You have such a great attitude, you are going to do just fine.


Best of luck to you.
__________________
Gerri
Dx: 11/23/05, Lumpectomy 12/12/05
Tumor 2.2 cm, Stage II, Grade 3, Sentinel Node biopsy negative
ER+ (30%) /PR+ (50%), HER2+++
AC X 4 dose dense, Taxol X 4 dose dense
Herceptin started with 2nd Taxol, given weekly until chemo done
then given every 3 weeks for one year ending on March 16, 2007
Radiation 30 treatments
Tamoxifen - 2 yrs (pre-menopausal)
May 2008 - Feb 2012 Femara
Aug 2008 - Feb 2012 Zometa every 6 months
March 2012 - Stop Femara, now Evista for bone strengthening
**********
Enjoy the little things, for one day you may look
back and realize they were the big things.
- Robert Brault
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Old 05-19-2008, 03:48 PM   #3
swimangel72
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Wow Terri - that's a LOT of treatments, but your onc is right, by spacing them out every week, the doses are smaller and your side effects should be less. Will someone be able to drive you to your txs? My third treatment will be this Wednesday - and I'm keeping my fingers crossed that I won't be kept waiting for 2 hours in the waiting room again like the first two times.....they said if I get the first appointment at 8am, then I should be "in and out".....so that means I'll be finished by 10:30am. I hope your treatments aren't too lengthy. Good luck with the port install.....hope you get a really small incision that heals well (mine isn't.)
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xxoo
Kathy
2/5/08 - dx age 53, post-menopausal;
IDC Stage 1, Grade 1
ER+ 90% /PR+ 90% /Her2++++, BRAC1 & 2 neg
3/5/08 - mast with muscle-sparing free tram;
0/7 nodes clear; Stage 1 lymphedema in right arm
3/11/08 - MRSA infection in abdomen causes large hernia
4/11/08 - Oncotype DX score 22 (intermediate)
4/12/08 - Muga score 67%
4/23/08 - Chemo, Navelbine and Herceptin every 2 weeks
8/20/08 - Last Navelbine infusion! Yay!
1/22/09 - First mammo since dx - unaffected breast CLEAR!
1/30/09 - Second Muga score 63%
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Old 05-19-2008, 08:51 PM   #4
caya
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Good luck Terri - you will do fine. I had a few of the same drugs as you - Taxotere (the same taxane family as Taxol) , Epirubicin (your pee will turn red), and of course Herceptin.

Gerri is right - listen to your body, rest when you need to. Stay ahead of the nausea - take the meds before you think you need them, it's not easy to play "catch up" with the nausea. Drink alot, before, during and after the infusion. Vegetable soups, applesauce, bananas and soda crackers were always on hand.

I could not have done this without my port. I got it inserted before my second chemo. Use emla cream (lidocaine) a couple of hours before your infusion, then you won't feel the stick.

Best of luck to you, let us know how you are doing.

all the best
caya
__________________
ER90%+/PR 50%+/HER 2+
1.7 cm and 1.0 cm.
Stage 1, grade 2, Node Negative (16 nodes tested)
MRM Dec.18/06
3 x FEC, 3 x Taxotere
Herceptin - every 3 weeks for a year, finished May 8/08

Tamoxifen - 2 1/2 years
Femara - Jan. 1, 2010 - July 18, 2012
BRCA1/BRCA2 Negative
Dignosed 10/16/06, age 48 , premenopausal
Mild lymphedema diagnosed June 2009 - breast surgeon and lymph. therapist think it's completely reversible - hope so.
Reclast infusion January 2012
Oopherectomy October 2013
15 Years NED!!
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Old 05-20-2008, 06:24 AM   #5
Terri B
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Wink

Thanks Caya and Swimmee!

I don't know what i'd do without this board. Such a wealth of information and support. Nobody seems to know (except other Her2 folks) what we're going through.

You guys will appreciate this: My Onc was SHOCKED at how much I knew about the chemo treatments, the DNA results of my testing, what her2 was, etc etc. I told her about this site. She was pleasantly surprised!

I have PLENTY of support. My mom has been by my side for everything so far. She says it's the only way she will know what's happening because she is not a "computer person" ) Also, my oldest daughter (who is pregnant with my first grandchild) comes to many of my appointments too. My Husband is a truck driver so he misses alot, but goes with me whenever he is home. My sister picks up the slack of my other kids (school etc) and dog issues. Like I said, plenty of support and I am VERY thankful for that!

Let the shedding begin!!
__________________
Terri B.
46 yrs. young
Dx IDC 3/6/08
1.5 cm & .6 cm grade III, Stage IIA
es/pr- Her2+++, 9/9 richardson
Double Mast w/expanders 4-14-08
3/9 nodes positive.
additional excision rt breast 4-25-08
weekly T/H x 12 (6-2-08) Done!
FEC x4 (9-8-08) Last one 11-10-08!
Herceptin complete 8/10/09!!
33 RADS DONE 2/13/09!
rt. breast biopsy 3/20/09 .. B9!!
reconstruction complete!
DEEEEEEported on 5/19/10!!
almost 5 YEARS NED!!
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Old 05-20-2008, 12:54 PM   #6
Terri B
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Port placement this Friday!!

EEk!!

This is furreal ladies and gents!!
__________________
Terri B.
46 yrs. young
Dx IDC 3/6/08
1.5 cm & .6 cm grade III, Stage IIA
es/pr- Her2+++, 9/9 richardson
Double Mast w/expanders 4-14-08
3/9 nodes positive.
additional excision rt breast 4-25-08
weekly T/H x 12 (6-2-08) Done!
FEC x4 (9-8-08) Last one 11-10-08!
Herceptin complete 8/10/09!!
33 RADS DONE 2/13/09!
rt. breast biopsy 3/20/09 .. B9!!
reconstruction complete!
DEEEEEEported on 5/19/10!!
almost 5 YEARS NED!!
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Old 05-20-2008, 01:30 PM   #7
mimiflower07
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you will grow to love your port...not instantly but shortly there after. I had mine put in Nov 27/ 07 no problems. should not be a problem!! Now I'm on herceptin for my year which will end in Feb. Good luck..you sound strong!!
Suzanne
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suzannne
dx aug10/07
3 pos high, grade 3
tumor 2.5cm multifoc
bil mast recon sept 24/07
neg snb/neg lymph vascular
clear marg
chemo a/cx 4 rds
tomoxifan started feb11/08
herceptin to begin soon
herceptin completed feb/09
aromacin(A.I)for as long as i can
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Old 05-20-2008, 02:14 PM   #8
tricia keegan
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Terri good luck with the treatments and port placement. I had'nt wanted a port but by the time I had my fourth a/c my veins were so damaged it was taking over an hour just to find one. Thats when I decided I was being stupid, the tx's were easier once I had it and a lot less stressful, I just wish I'd had it from the start!
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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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Old 05-20-2008, 02:18 PM   #9
Terri B
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Yeah, I had decided a long time ago that I was going to have a port. When I went into my mastectomy surgery, I had an I.V. in my left forearm. When I came out of surgery, the i.v. was in the back of my hand, and i had a HUGE bruise where the i.v. had been.
THEN< during my recovery, i ended up with a painful bout of phlebitis in that same vein. UGH.
My right arm used to be the good arm for veins. But since we can't use that arm anymore, the left has not been a good substitute.

This will make life much easier, I'm sure!
__________________
Terri B.
46 yrs. young
Dx IDC 3/6/08
1.5 cm & .6 cm grade III, Stage IIA
es/pr- Her2+++, 9/9 richardson
Double Mast w/expanders 4-14-08
3/9 nodes positive.
additional excision rt breast 4-25-08
weekly T/H x 12 (6-2-08) Done!
FEC x4 (9-8-08) Last one 11-10-08!
Herceptin complete 8/10/09!!
33 RADS DONE 2/13/09!
rt. breast biopsy 3/20/09 .. B9!!
reconstruction complete!
DEEEEEEported on 5/19/10!!
almost 5 YEARS NED!!
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Old 05-20-2008, 06:53 PM   #10
CindyE
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Best wishes on all your treatments and port. I had my arm port put in on May 8 and it's healing nicely now. You'll be happy you have a port and not damage your veins. Take care,

Cindy
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Cindy

L/IDC, 1.2 cm, Stage 1, Her2+, ER+/PR+ at age 48
4/15/2008 Lumpectomy + sentinel node biopsy
Margins neg and Nodes neg (2 tested)
MUGA score 55 on 5/6/2008

Treatment starting 05/08/2008:
Chemo 4 cycles, 3 weeks apart with Taxotere & Cytoxan - Chemo - Done 7/24/2008!
Herceptin for 1 year
Radiation starting in 9/2008
MUGA score 61.9 on 9/04/2008
33 Rads with boost - Done 10/13/2008
MUGA score 58 on 12/01/2008
MUGA score 59 on 3/16/2009
Herceptin for 1 year - Done 4/27/2009
MUGA score 64 on 6/22/2009
All scans - NED 6/24/2009
MRI - NED 11/10/2009
All scans - Still NED 8/25/2011
Still NED 2024!



I am calling this my pink journey
Follow my journey into the pink at my blog here

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Old 05-20-2008, 09:34 PM   #11
sassy
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I've had my port for over three years, and yet to have a problem. No, mets--and still I'm reluctant to part with it!
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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.......
14YEARS NED!
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Old 05-27-2008, 07:40 AM   #12
swimangel72
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Thumbs up

Good luck with your port Terri - you'll do just fine I'm sure! You are so right though - this IS "furreal"......somehow I didn't feel that way until I got my port installed, weird, right? Oh and you seem waaaay too young to become a grandmother!
__________________
xxoo
Kathy
2/5/08 - dx age 53, post-menopausal;
IDC Stage 1, Grade 1
ER+ 90% /PR+ 90% /Her2++++, BRAC1 & 2 neg
3/5/08 - mast with muscle-sparing free tram;
0/7 nodes clear; Stage 1 lymphedema in right arm
3/11/08 - MRSA infection in abdomen causes large hernia
4/11/08 - Oncotype DX score 22 (intermediate)
4/12/08 - Muga score 67%
4/23/08 - Chemo, Navelbine and Herceptin every 2 weeks
8/20/08 - Last Navelbine infusion! Yay!
1/22/09 - First mammo since dx - unaffected breast CLEAR!
1/30/09 - Second Muga score 63%
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Old 05-27-2008, 07:49 AM   #13
Terri B
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Kathy,

Sometimes i feel too young to be a grammy because i still have a kid in junior high!! But then again, my oldest is 25, and i had her when i was 21 sooo....
__________________
Terri B.
46 yrs. young
Dx IDC 3/6/08
1.5 cm & .6 cm grade III, Stage IIA
es/pr- Her2+++, 9/9 richardson
Double Mast w/expanders 4-14-08
3/9 nodes positive.
additional excision rt breast 4-25-08
weekly T/H x 12 (6-2-08) Done!
FEC x4 (9-8-08) Last one 11-10-08!
Herceptin complete 8/10/09!!
33 RADS DONE 2/13/09!
rt. breast biopsy 3/20/09 .. B9!!
reconstruction complete!
DEEEEEEported on 5/19/10!!
almost 5 YEARS NED!!
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Old 05-27-2008, 07:53 AM   #14
swimangel72
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When is the baby due? My nephew and his wife just had their first baby - so now I'm a grand-aunt (is that a word?) and my mother is a great-grandma for the first time! I tell my daughters - better to have your kids in your 20's - it reduces your risk for BC.....but nowadays, I really have to wonder about that too.
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xxoo
Kathy
2/5/08 - dx age 53, post-menopausal;
IDC Stage 1, Grade 1
ER+ 90% /PR+ 90% /Her2++++, BRAC1 & 2 neg
3/5/08 - mast with muscle-sparing free tram;
0/7 nodes clear; Stage 1 lymphedema in right arm
3/11/08 - MRSA infection in abdomen causes large hernia
4/11/08 - Oncotype DX score 22 (intermediate)
4/12/08 - Muga score 67%
4/23/08 - Chemo, Navelbine and Herceptin every 2 weeks
8/20/08 - Last Navelbine infusion! Yay!
1/22/09 - First mammo since dx - unaffected breast CLEAR!
1/30/09 - Second Muga score 63%
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Old 05-27-2008, 07:57 AM   #15
Terri B
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Baby is due in December. I should be done with this chemo by then!

I know what you mean by risk. I was supposed to be "low risk" when i looked at the list:

1. I had my first kid @ 21
2. I breast fed 3 kids
3. I started my menses @ 12
4. I was "active" as a teen (more like a "jock")
5. No b/c in my family

Go figure.
__________________
Terri B.
46 yrs. young
Dx IDC 3/6/08
1.5 cm & .6 cm grade III, Stage IIA
es/pr- Her2+++, 9/9 richardson
Double Mast w/expanders 4-14-08
3/9 nodes positive.
additional excision rt breast 4-25-08
weekly T/H x 12 (6-2-08) Done!
FEC x4 (9-8-08) Last one 11-10-08!
Herceptin complete 8/10/09!!
33 RADS DONE 2/13/09!
rt. breast biopsy 3/20/09 .. B9!!
reconstruction complete!
DEEEEEEported on 5/19/10!!
almost 5 YEARS NED!!
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Old 05-27-2008, 09:26 AM   #16
swimangel72
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I was considered "low risk" too. Maybe I'll start a new thread on this subject - I find it fascinating how all the computer models for risk seem so inadequate!
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xxoo
Kathy
2/5/08 - dx age 53, post-menopausal;
IDC Stage 1, Grade 1
ER+ 90% /PR+ 90% /Her2++++, BRAC1 & 2 neg
3/5/08 - mast with muscle-sparing free tram;
0/7 nodes clear; Stage 1 lymphedema in right arm
3/11/08 - MRSA infection in abdomen causes large hernia
4/11/08 - Oncotype DX score 22 (intermediate)
4/12/08 - Muga score 67%
4/23/08 - Chemo, Navelbine and Herceptin every 2 weeks
8/20/08 - Last Navelbine infusion! Yay!
1/22/09 - First mammo since dx - unaffected breast CLEAR!
1/30/09 - Second Muga score 63%
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Old 05-27-2008, 09:36 AM   #17
Sheila
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Terri
You are going to love having the port...it is a welcome part of my treatments...I went without for over 4 years...got mine in November....I LOVE IT. Makes treatments so much easier, especially if your veins are crappy. You are in a great frame of mind...you are strong, you have prepared well for this fight...you are empowered and we are all with you on this journey.
__________________
"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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Old 05-27-2008, 09:38 AM   #18
Ruth
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Terri & Kathy ~ I too was very low risk....breastfed all kids; competitive swimmer for over 10 years; no b/c history; athletic, no bc pills, no smoking, drinking very little...except college :-)...
crazy. I don't think about why anymore because I don't think I will ever get an answer!

Good luck with treatments! Terri glad you got the port. My veins were ruined after A/C and I finally decided to get one. Never regretted it.

Hugs ~ Ruth
__________________
[/SIGPIC]~~~~~~~~~~~~~~~~~~~~~~~~~~~

Diagnosed 6/03 nursing daughter
Dose dense A/C 4x
Modified rad mast 8/03
IDC; 3 cm; 10+/16 nodes; ER/PR-; Her2+++
Weekly taxol w/Herceptin (off label) 12x's
40 weeks Herceptin
Radiation 33x
Reconstruction w/ implants 05 & 07
NED
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Old 05-27-2008, 04:06 PM   #19
dhealey
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Posts: 576
As the others said you will love your port and before you know it chemo will be behind you and then herceptin will be behind you. Congrats on a grandchild. They are so special. I have 2 grandsons. The love you feel for them is totally different from what you feel for your children.
__________________
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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