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Old 06-16-2008, 04:00 PM   #1
hopeful200
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Having a hard time dealing with mom's death

Just wanted to share my feelings with you courageous ladies. Mom was diag April 2004 with stage IV, mets to lungs. Very aggressive cancer - had brain mets 1 year later, got WBR, had bone mets, developed skin mets last year, then liver mets. She had been on several chemo regimen, responded to each for a few months, then progressed. Her last 3 regimen she did not respond to, and I think that's when her cancer spread rapidly. She passed away 1 week ago with liver failure, and recurrence of brain mets. I have been looking at this message board and all the ladies doing well on the herceptin-dm1 trial, and I feel so angry at myself that I was not keeping up on the latest research. Had I known about this trial 5 or 6 mos ago, I would have pushed for my mom to get in, and maybe she would still be alive today.

I hope others out there can learn from my mistakes. Please, keep on top of your medical treatments. Do not depend on your oncologist to know all the latest treatments and trials specific to your type of cancer. Maybe if I had taken my mom to a major cancer center, they would have been more aggressive in trying different treatments, "out of the box". I did try to get her into Sloan Kettering early on in her illness, but they did not take her insurance. But, I'm sure if I had really tried, I could have found a way around that.

I am a physician, and because of that I feel that my mom put her trust in me to get her the best treatment, and I feel that I let her down. I will carry this with me for the rest of my life.

Good luck to all you brave ladies. I am rooting for all the new trials, and hope that better, more effective treatments are around the corner.

Thanks for allowing me to share.

A grieving daughter.
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Old 06-16-2008, 04:14 PM   #2
Bill
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I am so sorry to hear of your mother's passing. Mere words at a time like this are often of little comfort, but please accept my thoughts and prayers. Sweetheart, I'm sure that you did your absolute best in taking care of your mother. Remember- it was her doctor's responsibility to saty current and research new avenues of treatment. It's important for the patient and family to learn as much as possible, but in real world scenarios, that's sometimes tough. Please don't beat yourself up too much. Sometimes God deals you a hand and you just play it as well as you can. It sounds like you and your Mom fought hard, and long, and well. It was not your fault. It was this dreaded disease's fault, and sometimes, there's just nothing else you can do. It wasn't anything you did or didn't do. Please accept my warm thoughts and prayers for your comfort, Bill
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Old 06-16-2008, 05:31 PM   #3
dhealey
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I am deeply sorry for the loss of your mother. Please do not beat yourself up regarding your mother's treatment plan, I agree with Bill, that was up to her onc to deal with. It doesn't matter that you are a physician. I am a nurse and felt like you when my mother died after an eight year battle. I did every thing I knew to get her the help she needed and she still lost the battle. It is this awful disease, knows no boundaries and has no rhyme or reason to it. I hope in the coming weeks you will remember the joy you and her shared over the years and don't dwell on her illness. May you find some peace in the coming months and know that your mother is smiling down at you.
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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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Old 06-16-2008, 05:52 PM   #4
Mary Anne in TX
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Hopeful200, look again at some of the signatures of the mighty warriors on this board. Some with the very best care still continue to get mets and some have lost their battle way too soon like your mom. There is still so much we don't know. Give yourself a break. You did what you thought was best at the time. I had the same experience with my mom who had a 3 1/2 year battle with Progressive Supranuclear Palsy. I did my best, but I beat up on myself so badly for not knowing and doing more.
I'm so very sorry your mom lost her battle so soon. I still miss my mom tons and know you will too. ma
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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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Old 06-16-2008, 06:10 PM   #5
chrisy
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Words mean nothing at a time like this. My heart goes out to you. It sounds like your mom fought hard and was fortunate to have you by her side. I harbor grief and guilt over my mom's passing - if I could have done this, that, been stronger for them maybe things would have been different. But in the end, we are not really in control of these things, ever. Please accept my wishes and prayers for you to be comforted during this difficult time.

Much love
Chris
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June 2002 extensive hi grade DCIS (pre-cancer-stage 0, clean sentinal node) Mastectomy/implant - no chemo, rads. "cured?"
9/2004 Diag: Stage IV extensive liver mets (!) ER/PR- Her2+++
10/04-3/05 Weekly Taxol/Carboplatin/Herceptin , complete response!
04/05 - 4/07 Herception every 3 wks, Continue NED
04/07 - recurrence to liver - 2 spots, starting tykerb/avastin trial
06/07 8/07 10/07 Scans show stable, continue on Tykerb/Avastin
01/08 Progression in liver
02/08 Begin (TDM1) trial
08/08 NED! It's Working! Continue on TDM1
02/09 Continue NED
02/10 Continue NED. 5/10 9/10 Scans NED 10/10 Scans NED
12/10 Scans not clear....4/11 Scans suggest progression 6/11 progression confirmed in liver
07/11 - 11/11 Herceptin/Xeloda -not working:(
12/11 Begin MM302 Phase I trial - bust:(
03/12 3rd times the charm? AKT trial

5/12 Scan shows reduction! 7/12 More reduction!!!!
8/12 Whoops...progression...trying for Perjeta/Herceptin (plus some more nasty chemo!)
9/12 Start Perjeta/Herceptin, chemo on hold due to infection/wound in leg, added on cycle 2 &3
11/12 Poops! progression in liver, Stop Perjeta/Taxo/Herc
11/12 Navelbine/Herce[ptin - try for a 3 cycles, no go.
2/13 Gemzar/Carbo/Herceptin - no go.
3/13 TACE procedure
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Old 06-16-2008, 08:55 PM   #6
juanita
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I can only agree with all of what the others have said and add my thoughts and prayers with theirs. I'm so sorry for your loss.
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dxd 9-04, lumpectomy,
st 1, gr 3, er,pr-, her2 +,
2 tac,33 rads,6 cmf
1 yr herceptin,
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Old 06-16-2008, 10:14 PM   #7
Jackie07
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Both you and your Mom tried your best. That's what matters most. We are human, and we are programmed to make mistakes - if you have to call them mistakes. I usually just look up to the sky and whisper a little bit, so the one up there can take care of things that I have no control over. I am very, very sorry for your loss. And I thank you for sharing with us. This is a very ugly disease. Let's hope the cure is near.
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http://www.kevinmd.com/blog/2011/06/doctors-letter-patient-newly-diagnosed-cancer.html
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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
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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

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Old 06-19-2008, 09:18 PM   #8
vickie h
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The loss of your mother

Please know that you are in my prayers everyday and that I know what you must be going through. Your mother was a brave woman who loved you deeply and I can feel the pain you are going through. There is no love greater than that of a mother and her children.
What a wonderful daughter you are to share your loss with all of us. I wish I could take away some of the anguish you are living through. Instead I can only offer you my love and support and empathy.
I lost my mother 23 years ago, when I was 36. I still think of her everyday.
Much love, Vickie
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Life's not about waiting for the storm to pass,
It's about learning to dance in the rain.


Feb 04 IBC IIIC/IV er-/pr- her2+++
3/04 TCH X4
7/ 04 MRM 9/04 Taxol/herceptin wkly 1 yr 33X rads
11/04 skin mets 33x rads,10/05 Avast/Herc. 11 mos.
8/ 06 PET mets lymphs, neck
9/ 06 Navelbine/herceptin
11/ 06 PET NED
2/ 07 skin mets, 4/07 Xeloda, 5/07 add Tykerb
2/ 08 Tykerb failed. Doxil /Herceptin 6 months
8/08 PET skin mets, 8/08 Abraxane/Avastin
11/ 08 PET prog., skin mets
1/09 PET/CT progress, 1/09 Ixempra, 2/09 add Xeloda and low dose Naltrexone
2/09 off Ixempra/Xeloda
3/09 navelbine/herc/cytoxin 4/09 PET shows regress.7/09 start Topotecan. Failed.
8/09 extensive mets rgt brst, back and torso. starting Pazopanib clinical trial.
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Old 06-19-2008, 11:56 PM   #9
harrie
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Hopeful,
It is all to easy to feel blame and guilt. I think that is commonly all part of the grieving process. I also lost my mother to cancer and feelings of guilt and regret are part of my ego's way of dealing with the loss. In all reality though, please remember that I am sure you gave much to her in so many ways and it was all based on your love to her. That is more important then anything, I feel. What was meant to be, happened. It is time for letting go and acceptance that all was done as it was suppose to have been done. With this disease, there is most definitely no one perfect way of doing things. There are many choices and many directions.
At this point please try to be grateful that you and her were able to share so many physical yrs together as mother and daughter and had the time to develop your love together.
That is what life is all about and what gives death meaning.
Love and peace to you.
Maryanne
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*** MARYANNE *** aka HARRIECANARIE

1993: right side DCIS, lumpectomy, rads
1999: left side DCIS, lumpectomy, rads, tamoxifen

2006:
BRCA 2 positive
Stage I, invasive DCIS (6mm x 5mm)
Grade: intermediate
sentinal node biopsy: neg
HER2/neu amplified 4.7
ER+/PR+
TOPO II neg
Oncotype dx 20
Bilat mastectomy with DIEP flap reconstruction
oophorectomy

2007:
6 cycles TCH (taxotere, carboplatin, herceptin)
finished 1 yr herceptin 05/07
Arimidex, stopped after almost 1 yr
Femara
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Old 06-20-2008, 03:56 AM   #10
GemmaG
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She's Home with our good God Almighty Ou Father

Hopefull200
I'm so sorry for your loss. Please know that I'm thinking and praying for you. My mom passed away of this terrible disease at age 68 in 1996. THat time, I was hoping that they'll find the cure already.
Don't grieve because she is Home with our Almighty Father.
My love to you
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My love to you all
Gemma
____________________________________
Dx July03 at 35
Rt,breast lump.,1 node+
ER+(98%)ER-, grade3
A/C 4rounds,Rad for 38 days
Tamoxifen 2004-05
Recurrence Feb.2006, radi double mastectomy canceled bec. of mets, StageIV lungs mets
Her2+++, BRCA negative
Taxol/Herceptin six rounds of Taxol from April06.then Herceptin alone til May07. Started Tykerb/Xeloda in Jun07-Sept.07 bec of progression of the lympnodes. Navalbine/Herceptin Sept.07 to April 08 due to progression . Gemzar/Hercptin Apr08.June08 Brain MRI showed Brain Mets.CraniectomyAug.1,08, tumor removed completely
completed 20 wbrt!
Started Doxil 10/31/08 (monthly) and weekly Herceptin
Ixempra on 2/13/09
due to multiple hepatic mets
will have Herceptin as well.
Radical rt.breast Mastectomy June2009.
Ixempra/Herceptin 11/06/09--increasing right axillary lymphanenopathy and enlarging left upper lobe nodule :-(
Taxotere/Herceptin 3/5/10,more liver mets, lungs, lymphnodes. 2 weeks on, one week off...
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Old 06-20-2008, 06:26 AM   #11
Hopeful
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Hopeful200,

I am so very sorry to hear of your loss. I lost my own mother April 5, and I understand what you are going through. As others have said in this thread, you can't beat yourself up, and obsess over the "what if's" - we can't go back and rewrite time, and it is not helpful to dwell on it. Instead, focus on all the extraordinary things you did for her. You were a tremendous source of support to her, and I am certain she did not pass blaming you for not doing more - she was probably more grateful to you than you can know for all the love and care you showed her. Now is the time for you to be good to yourself, to work through the greiving process and come out stronger on the other side. It is ok to be angry at the disease, but please, don't be angry at yourself. You and your family will be in my thoughts.

Hopeful
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Old 06-20-2008, 07:45 AM   #12
Jean
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Dear Hopeful200,
It is obivious that you are a loving and devoted daughter. Like you I had a very strong loving bond with my Mother and there was nothing I would not do for her. I would move heaven and earth for her to still be with me, but lung cancer came and took her from me.
(not from bc) my mother was a huge smoker in her day.
The point I wish to share with you is that you are a dr.
and your jounrey in life is helping others and saving lives.
Be kind to yourself and remember even you, the loving devoted daughter/who is also a doctor did everything she could do. You do not know if your mother would have been accepted into the trial? Please do not
feel that you could have done more....there is a point where the loving daugher and dr. must accept we are but human. Rest easy in knowing that your mother knew she was well loved and cared for by you. We are NEVER ready to let go of our wonderful Moms. Allow yourself the time it takes to adjust the loss.

Regards,
Jean
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Stage 1, Grade 1, 3/30/05
Lumpectomy 4/15/05 - 6MM IDC
Node Neg. (Sentinel node)
ER+ 90% / PR-, Her2+++ by FISH
Ki-67 40%
Arimidex 5/05
Radiation 32 trt, 5/30/05
Oncotype DX test 4/17/06, 31% high risk
TOPO 11 neg. 4/06
Stopped Arimidex 5/06
TCH 5/06, 6 treatments
Herceptin 5/06 - for 1 yr.
9/06 Completed chemo
Started Femara Sept. 2006
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Old 06-20-2008, 09:24 AM   #13
SoCalGal
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also wanted to say...

I am sorry for your tremendous loss. There is never a good time to lose a parent. Even if they could live to be 100 you would not be ready to say good-bye. At least my feelings on that subject.

Another thought from a stage 4 fighter with a daughter (and son)...if I live long enough to see my kids finish college I will be happy. Your mom lived to see you become a doctor. That is pretty special for a parent to see. I am sure she was not disappointed in your care of her case and if anything she must have felt so lucky to have her daughter on her team.

Let go of the guilt. Shoulda-woulda-coulda is a waste of time. Just let it go. I promise you your mom would not want you to add guilt to your grieving. If you are a mom you will understand this to be true. If you are not then believe me when I say mom's do not want their kids to have any kind of pain.

Thanks for posting. Sorry again for your loss.
Blessings-
Flori
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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 06-21-2008, 05:18 AM   #14
Sheila
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Hopefull200
Like so many have said, we are never ready for the loss of a parent....they are our foundation to all that we are. How proud your Mom must have been at what a successful child she raised.....we do all we can, and still experience loss....please remember all the blessings you shared. My deepest sympathy in this loss...your Mom is just a prayer away.
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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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