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		|  03-13-2013, 02:20 PM | #1 |  
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				Survivors
			 
 What do you consider to be your anniversary date?  The day the beast was found?  The day you were diagnosed? 
				__________________**********************************
 05/2011 Mammogram - Clear
 3/12/12 Found Lump Lt Breast (BSE).
 3/13/12 44th Birthday, Mammogram, Ultrasound.
 3/15/12 Needle Biopsy on Lump and Suspicious Node.
 3/20/12 Dreadful "C" Word.
 ER90% PR90% Her2+
 1 cm, IDC, Stage 1, Grade 2
 4/19/12 Portecath, Lumpectomy & Sentinel Node Removal.  0/4 Node Involvement...Yea!!
 Margins Clear......Yea!!
 5/17/12 Chemo Begins.  TCH x 4.
 Herceptin Weekly x 4, every 3 wks thereafter for 1 yr.  Muga Scans every 3 mos.
 8/13/12 Rads x 30
 9/24/12 Start Tamoxifen
 10/22/12 CT/Whole Body Bone Scan.  No Cancer Detected......Yea!
 1/31/13 Annual Mammogram and Ultrasound....NED....:)
 5/23/13 Final Herceptin Appt
 6/25/13 Port Removal
 5/2017 Stop Tamoxifen (Thickening of Uterine Walls)
 5/2017 Start Arimadex
 6/2018 Start Lupron Shot
 9/2019 Stop Arimidex and Lupron Shot
 6/2020 Last Oncology Appt
 4/2024 NED (No Evidence of Disease)
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		|  03-13-2013, 03:28 PM | #2 |  
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				Re: Survivors
			 
 I date it from my date of surgery but think we're all different in this. 
				__________________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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		|  03-13-2013, 04:14 PM | #3 |  
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				Re: Survivors
			 
 I have always been told it is the date of surgery but I think it really is the date you start making all those appointments because you are not putting your head in the sand.  You are doing something to survive and thrive again.  You are preparing to kill the beast. 
				__________________Kind regards
 
 Becky
 
 Found lump via BSE
 Diagnosed 8/04 at age 45
 1.9cm tumor, ER+PR-, Her2 3+(rt side)
 2 micromets to sentinel node
 Stage 2A
 left 3mm DCIS - low grade ER+PR+Her2 neg
 lumpectomies 9/7/04
 4DD AC followed by 4 DD taxol
 Used Leukine instead of Neulasta
 35 rads on right side only
 4/05 started Tamoxifen
 Started Herceptin 4 months after last Taxol due to
 trial results and 2005 ASCO meeting & recommendations
 Oophorectomy 8/05
 Started Arimidex 9/05
 Finished Herceptin (16 months) 9/06
 Arimidex Only
 Prolia every 6 months for osteopenia
 
 NED 18 years!
 
 Said Christopher Robin to Pooh: "You must remember this: You're braver than you believe and stronger than you seem and smarter than you think"
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		|  03-13-2013, 04:38 PM | #4 |  
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				Re: Survivors
			 
 For me I picked the day the cancer was successfully removed which was lumpectomy since they found no cancer at mastectomy. It was all pretty fast and close for me so either date is within a few weeks for me. I agree with Becky, we are survivors from day 1. 
				__________________DX Sept 30 2010 at the age of 49. Oh crap! 1.5 cm idc, stage 1 grade 3 er/pr+, her2+ no lymph nodes, mastectomy Oct/10. Started 6 rounds of TCH Dec/10 and will continue herceptin until Nov /11 and just started femara.
 Stray kitten found my lump while I was playing with it. It is now my pet and my dog is not real happy about that.
 Mammo good
 last herceptin 11/21/11 YAY
 reconstruction 12/09/11
 Chapter closed 12/10/11, hopefully, fingers crossed
 Bone scan, chest xray, clear
 04/27/12 Expander removed, implant put in, ahh sigh of relief, much more comfortable
 Sept 30, 2014, 4 years NED
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		|  03-13-2013, 07:32 PM | #5 |  
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				Re: Survivors
			 
 I count the date I went to my dr, had the ultrasound & biopsy - cause I knew before the results came back. And then I also count the date of my surgery. They're both dates I won't forget. Count whatever makes sense to you! 
				__________________Dx 8/06 Age 43 Stage IIIA multifocal throughout breast, largest tumor 5 cm, grade 3, comedo, ER+PR+HER+++
 Neoadjuvant A/C 4X Dose Dense
 11/06 Bilateral Mastectomy (no choice on the right, my choice on the left)
 Taxol+Herceptin weekly x12, continuing with Herceptin, finished one year in 12/07
 33 Rads
 Femara for 5+ years, staying on (started with Arimidex, switched after about a month, much happier)
 Abnormal brain MRI shows no cancer, but "extensive white matter diease" - unknown cause
 BRCA negative - lots of cancer in my family
 survivor of thyroid cancer
 also have Crohn's disease
 CT and bone scan say NED as of 5/13
 dx with severe cardiomyopathy 5/12 (likely due to chemo and Herceptin), ejection fraction in low 20's, now up to 40, went to 50, latest read 12/13 is back down to 35
 1/13 Acute pancreatitis - are you kidding me?
 9/13 started Humira for Crohn's. starting to have some energy again
 B12 and Vit D both needed supplementation
 Cataracts in both eyes noted 6/12 - surgery in the next 2-4 years?
 4/14 Kidney stones/blockage/infection - related to Crohn's Disease
 5/14 My aunt passed away - she was diagnosed after I was with Stage I - not Her2+, then Stage 4 for about one year
 6/14 Scans - still NED, thank God. However, broken rib (I didn't notice) lots of bone degeneration osteopenia/osteoporosis. I also still have cardiomyopathy secondary to chemo.
 
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		|  03-13-2013, 10:32 PM | #6 |  
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				Re: Survivors
			 
 I try to use the diagnosis date but I sadly often refer to my little boys date of birth/age as my benchmark as it is easy - I never forget when he ws born and I always seem to relate treatment mlestones to how old he was...... Like scans when he was 2 days old as couldn't have them before!  Anyway Survivor from the off for me so diagnosis was when I started fighting back!
 
				__________________Diagnosed Nov '10 IDC whilst pregnant with 2nd child
 Her 2 ++ ER/PR + but weak and patchy 50% + 5%
 Left mastectomy Dec '10, 6cm tumour 1 of 2 lymph (micro mets)
 Clear margins but lymphovasculer invasion
 Stage 3a Grade 3
 Fec 100 x 3 Jan '11 Taxotere X 3 and Herceptin X 1yr
 Staging scans - CT brain & body and bone - May '11 - NED!!
 Start Femara - in chemo induced menapause
 25 Rads June '11
 Dec '11 Menstruation resumed - zoladex inj monthly and Tamoxifen
 Feb '12 Back on Femera and Zoladex
 March '12 CT brain & body & bone scan all clear
 Zometa x2/yearly
 April '12 - Oopherectomy
 
 Praying the Herceptin is as good as its hype!!
 
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		|  03-14-2013, 11:31 AM | #7 |  
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				Re: Survivors
			 
 I used the date my Dr told me. 
				__________________  dx: DCIS 6/8/10, HER 2+ 7/26/10; Stage I Age 41 
Double mast w reconstruction 
6 TCH w 1yr herceptin 
Tamox. 
25 radiation tx 
Removal of expander on L due to infection. Tried to save it had 3 bouts of antibiotics and went to see plastic surgeon 2-3x wk to get drained. Saving it was my idea not his. But lost it anyway. 
Reconstruction set for December 21st,2011 
Finished chemo 12/2010 
Finished Herceptin 8/26/11 
Reconstruction 12/21/11 
Expanders exchanged for silicon 3/19/12 
Nipple reconstruction 5/18/12 
Nipple tatooing- 7/9/12- All done yay! 
11/22/12-Went back to get scar tissue stretched to even the outside of breast, didn't work due to it being radiated skin.
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		|  03-14-2013, 11:16 PM | #8 |  
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				Re: Survivors
			 
 I use the whole month. And the year too. As in, march 2013 is 17 years since my dx, April is 6 years STAGEfour. :-)
 
				__________________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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		|  03-15-2013, 06:52 PM | #9 |  
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				Re: Survivors
			 
 I count from the day I was told..."you have breast cancer."  It's been 7 years and 9 months ago.  :-) 
				__________________ "Be still and know that I am God." Psalm 46:10 Dx. 6/24/05 age 45 Right Breast IDC ER/PR. Neg., - Her2+++ RB Mast. - 7/28/05 - 4 cm. tumor Margins clear - 1 microscopic cell 1 sent. node No Vasucular Invasion 4 DD A/C - 4 DD Taxol & Herceptin 1 full year of Herceptin received every 3 weeks 28 rads prophylactic Mast. 3/2/06 17 Years NED <>< Romans 8:28 
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		|  03-15-2013, 09:22 PM | #10 |  
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				Re: Survivors
			 
 Mastectomy date 
				__________________  Suzan W. 
age 54 at diagnosis 
5/05 suspicious mammogram-left breast 
5/05 biopsy-invasive lobular carcinoma with LCIS,8mm tumor,stage 1 grade 2, ER+ PR+ Her2+++ 
6/14/05 bilateral mastectomy, node neg. all scans neg. 
Oncotype DX-high risk  
8/05-10/05 4 rounds A/C 
10/05 -10/06 1 yr. herceptin  
arimidex-5 years 
2/14/08 started daily self administered injections..FORTEO for severe osteoporosis 
7/28/09 BRCA 1 negative BRCA2 POSITIVE 
8/17/09 prophylactic salpingo-oophorectomy 
10/15/10 last FORTEOinjection 
RECLAST infusion(ostoeporosis)  
6/14/10 5 year cancerversary! 
8/2010-18%increase in bone density! 
no further treatments 
Oncologist says, "Go do the Happy Dance"  
I say,"What a long strange trip its been" 
'One day at a time' 
6-14-2015. 10 YEAR CANCERVERSARY! 
 7-16 to 9-16. Extensive (and expensive) dental work done to save teeth. Damage from osteoporosis and chemo and long term bisphosphonate use 
 6-14-16. 11 YEAR CANCERVERSARY!! 
7-20-16 Prolia injection for severe osteoporosis 
    2 days later, massive hive outbreak. This led to an eventual dx of Chronic Ideopathic Urticaria, an auto-immune disease from HELL.  
6-14-17 12 YEAR CANCERVERSARY!! 
     still suffering from CIU.  4 hospitilizations in the past year
 
as of today, 10-31-17 in remission from CIU and still, CANCER FREE!!! 
6-14-18 13 YEAR CANCERVERSARY!! NED!!
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		|  03-16-2013, 09:05 AM | #11 |  
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				Re: Survivors
			 
 This is interesting...as I'm "new" to this and REALLY appreciate ALL you gals!!! 
 To Snolan, I noticed you dealt with an infection after a mastectomy, I recently did as well...being very small breasted a now about a month out...WHEW, was that an ordeal...now finally healing...and getting ready very soon to take on my next chapter of chemo!
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		|  03-16-2013, 09:24 AM | #12 |  
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				Re: Survivors
			 
 I use the date my dr told me my biopsy was positive for breast cancer.  Not long after my diagnosis I was at our local American Cancer Society office looking at wigs.  The wonderful lady who was helping me referred to me as a survivor and I said "I'm not a survivor yet - I haven't even started treatment."   She replied - "The minute you decide to fight you are a survivor".   And that's what I've used ever since.   The minute that radiologist told me I had cancer, I was fighting.   But the whole month of March is a struggle for me every year.  3/1-found a lump; 3/4 had biopsies and there were two lumps; 3/9-told I had cancer; 3/25-sentinel node biopsy all clear; 3/31-bilateral mastectomy.  Dates I try to ignore but can't seem to stop letting them bother me.    If it weren't for a couple of good dates in March -just celebrated our 42 wedding anniversary on 3/14 and a dear's friends birthday on the same day - I'd just hide under the bed the whole month. 
				__________________Joni -64 yrs old -
 3/01/10: found lump in rt.breast
 3/12/10: mammogram/ultrasnd/biopsy-invasive bc & DCIS; 2 tumors (2cm er-/pr-/HER2-& 1.8 cm er-/pr-/HER2+); grade 3;poorly differentiated
 3/24/10:sent.node biopsy clear
 3/31/10:bi-lateral mx.;atypical ductal hyperplasia-lft side
 4/21/10:wound revision-infection/scarring 4/28/10:seromas both sides
 5/21/10:port installed,TCH chemo (6 x 3 wks); Herc,-1yr; 33 rad tx after chemo
 07/2010: port not working-2nd port didnt'work;3rd port opposite side.
 07/2010: 2 weeks after 3rd port surgery, threw 3 pulm. emboli-IVC filter installed; warfarin
 08/2010: hospitalizations w/3 of chemos; decision to stop after 4th-on to radiation in Oct 2010;Herc cont.
 12/03/2010 - finished 33 rads Hooray!! cont. Herc. every 3 wks
 4/2011 - pneumonia ??? Nope-radiation pneumonitis. No more Herc.
 5/2011 - NED!!! port out.
 8/2011 - clean PET & CT scans.Still NED
 7/2012 - Still NED/very blessed.
 2/2013 - 6 mos checkup-all clear. CA2729 down frm 13 to 11.
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		|  03-16-2013, 09:34 AM | #13 |  
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				Re: Survivors
			 
 AMEN...way to persevere...congrats on 42 years!! 
As to my port...praying I have a good go at it!!    |  
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		|  03-16-2013, 04:42 PM | #14 |  
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				Re: Survivors
			 
 I don't use any date since I won't survive. 
If anybody asks I might say "I've had cancer 4 years" but chemo brain keeps me from keeping track of these things anymore!   
				__________________  http://butdoctorihatepink.com 
08/17/09  Dx'd. 
Multifocal/multicentric IDC,  largest 3.4 cm, associated ADH, LCIS, DCIS 
HER2+ ER+/PR- Grade 3, Node Negative
 
10/20/2009:  Right mastectomy, reconstruction with TE 
12/02/2009:  Six rounds TCH, switched to Taxol halfway through due to neuropathy 
03/31/2010:  Finished chemo 
05/01/2010:  Began tamoxifen, the worst drug ever 
11/18/2010:  Reconstruction completed 
12/02/2010:  Finished herceptin 
05/21/2011:  Liver Mets.  Quit Tamoxifen 
06/22/2011:  Navelbine/Zometa/Herceptin 
10/03/2011:  Liver Resection, left lobe.  Microwave      ablation, right lobe - going for cure! 
11/26/2011:  C-Diff Superbug Infection, "worst case doctor had seen in 20 years" 
03/28/2012:   Progression in ablated section of the          liver - no more cure.  Started Abraxane, continue herceptin/zometa 
10/10/2012:  Progression continues, started Halaven, along with herceptin and zometa.  
01/15/2013:  Progression continues, started Gemzar and Perjeta, an unusual combo, continuing with herceptin and zometa 
03/13/2013:   Quit Gemzar, body just won't handle it.  Staying on herceptin, zometa and perjeta.   
04/03/2013:   CT shows 50% regression in tumor, so am starting back on Gemzar with dose reduction, staying with perjeta/herceptin/zometa.  Can't argue with success! 
05/09/2013:  Discussing SBRT with Radiology due to inability of bone marrow to recover from chemo. 
06/07/2013:  Fiducial placement for SBRT 
07/03/2013:  Chemo discontinued, on Perjeta, Herceptin and Zometa alone 
07/25/2013: SBRT (gamma knife) begins 
08/01/2013: SBRT completed 
08/15/2013: STABLE! continuing with Perjeta, Herceptin, Zometa 
06/18/2014: ***** NED!!!!*****  continuing with Perjeta, Herceptin, Zometa 
01/29/2014: Still NED.  continuing with Perjeta, Herceptin.  Zometa lowered to every 3 months instead of monthly. 
11/08/2015: Progression throughout abdomen and lungs. Started TDM-1, aka Kadcyla. Other meds discontinued. Remission was nice while it lasted.
 
5/27/18:  Stable. Kadcyla put me right back in the barn. I have two teeny spots on my lungs that are metabolically inactive, and liver is clean. 
 
I’m beating this MFer. I was 51 when this started and had two kids, 22 and 12. Now I’m 60. My oldest got married and trying to start s family. My youngesg graduates from Caltech this June. My stepdaughter gave me grandkids. Life is fantastic.
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		|  03-16-2013, 06:56 PM | #15 |  
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				Re: Survivors
			 
 Keeping you in my prayers, because I believe we have a Mighty Physician!!  Sending you Huge hugs!!! |  
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		|  03-16-2013, 07:29 PM | #16 |  
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				Re: Survivors
			 
 For me it was when they performed my lumpectomy...11/11/11.  
				__________________ 
				DX 10/2011 
PET Scan + MRI 10/2011 
Lumpectomy 11/11/11 
Stage 2B +++  ER+(10%), PR+(5%), HER2+++(1 positive node, 1 micromets to second node) 
AC started 12/2011 ended 1/2012 
Taxol + Herceptin weekly for 12 weeks ended 4/2012 
30 zaps of radiation done 6/2012 
Tamoxifen 6/2012  
every 3 weeks of Herceptin for another year. 
Metformin Trial 8/12 
10/12 MRI- CLEAR 
01/13 BRAIN MRI- CLEAR! 
01/13 Neck MRI- CLEAR! 
FINISHED HERCEPTIN 1/9/2013...Woot Woot 
Starting Walter Reed Vaccine Trial 2/13 
CT Scans + ultrasound of abdomen CLEAR-5/13 
02/2015 through 11/2015 emergency D&Cs for Tamoxifen induced uterine polyps which caused uncontrollable hemorrhaging  
12/2015 blood clot to left leg caused by Tamoxifen. No longer taking it. On Xarelto, a blood thinner 
12/2015 Ablation to prevent hemorrhaging from potential issues with Tamoxifen residue in my system 
1/2016 continuing journey without hormonal therapy. Reevaluating the option of a hysterectomy and oopherectomy.  
4/1/2018 2mm stroke. Yes, stroke! No cause ever found but they believe it was a migraine that went bonkers and created a tiny clot. No deficits. I was back to normal with 24hrs. Now on baby aspirin for life. 
7/27/2018 hysterectomy and oopherectomy 
01/07/2019 Mastectomy and expanders put in 
3/22/2019 Vtach, almost died. Cause unknown.  
7/22/2019 New perky boobs put in  
7/21/2020 Off of all drugs but a baby aspirin because of the stroke in 2018. 
www.mychemobag.org
www.facebook.com/mychemobag
 8 YEARS NED |  
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		|  03-16-2013, 07:50 PM | #17 |  
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				Re: Survivors
			 
 I personally use around the date of initial diagnosis, but my onc uses the timing of when I finished rads and chemo - no more treatment, which is about six months after initial diagnosis.
 Coolbreeze - I think everyday we are alive we are surviving, and of course every single person in the world at some point is not going to survive - not just us Stage IV gals!  When I read your blog from time to time, it definitely seems to me that you are surviving each day.  xx
 
 Cheers Marie
 
				__________________dx Dec 2000 dcis 2.5cm clear sentinel node, ER/PR- Her-2+
 lumpectomy, 6 cycles AC, 6 weeks rads
 October 2007 three x 2.5cm lung mets. 8 months Taxol, started Herceptin and continue. Significant reduction in lung mets.
 June 2011 3cm x 4cm liver tumour. Started Abraxane and continue with Herceptin.
 November 2011. Finished with Abraxane, continue with just Herceptin. Liver tumour now reduced to 15mm x 12mm. Lung tumour now 10mm x 0.5mm
 February 2012. Scans show everything stable, and brain scan clear.
 July 2012. PET/CT scans show I'm in remission - no active cancer!
 ]Dec CT brain cllear, lungs stable, liver tumour has increased to 20mm. PET scans showed active liver met and active lung thinglet, and possible bone met.
 Jan 2013 recommence Abraxane, continue with Herceptin.
 June 2013 finish Cycle 6 Abraxane, continue with Herceptin. 30% reduction in liver tumour, everything stable.
 December 2013. CA15-3 on rise.
 February 2014. PET and CT scans show single liver tumour has increased to 35mm. No other activity.
 March 2014. Planned for SBRT for liver met, but couldn't have treatment as tumour too close to bowel. Continue Herceptin.
 April 2014. Surgeon advises that I am a good candidate for liver resection, so will have operation early May (after camping holiday). Tumour now 44mm x 29mm.
 May 7, 2014. Two liver tumours surgically removed. Third of liver removed, and gall bladder. Am I NED?May 2014. Pathology of tumour shows it's now ER+ (95% staining).
 June 2014. CA15-3 has decreased to 18 from a pre-surgery reading of 59!
 June 2014. Started Femara, continue with Herceptin.
 July 2014. Stop Femara due to severe Osteoporosis. Commence Tamoxifen, continue Herceptin. Waiting to hear if I can have Aclasta infusion.
 August 2014. CA15-3 has decreased further to 12 - YAY!
 October 2014.  Aclasta infusion for Osteoporosis.  November 2014, CA15-3 decreased to 11. Scans of liver all clear, something new showing up on lung, but just watching at the moment.
 November 2015. Started SBRT on solitary lung met.
 November 2015. Bone density scan showed very good improvement  so back on Femara - yay!
 December 2016.  6 treatments of SBRT radiation on lung.  Seems to have had some effect.
 June 2016.  CA15-3 still stable and low at 9.
 June 2016.  Started subcutaneous Herceptin replacing infusion.
 Jan 2017. LVEF dropped to 46%.  Stopped Herceptin.
 Feb 2017. Started ACE Inhibitor and BETA Blocker. Still off Herceptin.
 Aug 2017. Two new mets - Portacaval lymph node and mediastinal lymph node.
 Aug 2017. Blood tests show extremely elevated liver enzyme levels.  Many tests to investigate.
 Sept 2017. Portacaval lymph node blocking liver bile duct causing liver enzyme and Bilirubin problems.
 Oct 2017. 8cm stent inserted into liver bile duct.  Procedure caused pancreatitis, and hospitalised for 3 days.  Liver enzymes improving rapidly.
 Nov 2017. Commenced 4 weeks of radiation on Portacaval lymph node. 5 week break before chemo.
 Jan 2018. CT scan.  11 new small liver mets, and new superclavical lymph node med.
 Jan 2018. Start Kadcyla. CA15-3 426.
 Apr 2018. First scans since starting Kadcyla.  All tumours reducing.  CA15-3 dropped to 30 from 426.
 Dec 2019. Still on Kadcyla, but two small brain mets have been treated in the past month with SRS.  CA15-3 stable for 12 months at 11.
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		|  03-17-2013, 03:00 PM | #18 |  
	| Senior Member 
				 
				Join Date: Dec 2009 
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				Re: Survivors
			 
 Bunty, of course, we all survive day-to-day and all of us will die.  But, you don't ask people without cancer how long they've been a survivor, you ask them how old they are.     
If you've read my blog, you know I don't like the term "survivor" (and many other cliches) when it comes to cancer as it ignores those of us who will die of the disease.  It's part of the whole pinkwashing thing - those of us with mets are brushed away, ignored by the Pink Ribbon groups,  because we are the ugly side of this disease, the failures.  For them, it's all about survivorship, not women like me, who won't survive.  You can't sell a pink flashlight if you put a dying woman on the packaging.
 
Even counting survivorship this way leaves us out.  So, I say how long I've been living with cancer, not how long I've been a survivor, because cancer will kill me.  I am not a "survivor" even though I am alive today.
 
I always look at that term in a political sense.      Sorry, I know the question wasn't meant that way, just got on my pink horse for a minute.     
Anyway, I'll jump off that horse now.       I think, for those of you who want to count it this way, you get to choose.  I have heard that it starts officially from the mastectomy/lumpectomy, when the cancer was removed and you are hopefully, cancer-free forever.  
 
And, here's hoping everybody who reads this is cancer-free forever!
				__________________  http://butdoctorihatepink.com 
08/17/09  Dx'd. 
Multifocal/multicentric IDC,  largest 3.4 cm, associated ADH, LCIS, DCIS 
HER2+ ER+/PR- Grade 3, Node Negative
 
10/20/2009:  Right mastectomy, reconstruction with TE 
12/02/2009:  Six rounds TCH, switched to Taxol halfway through due to neuropathy 
03/31/2010:  Finished chemo 
05/01/2010:  Began tamoxifen, the worst drug ever 
11/18/2010:  Reconstruction completed 
12/02/2010:  Finished herceptin 
05/21/2011:  Liver Mets.  Quit Tamoxifen 
06/22/2011:  Navelbine/Zometa/Herceptin 
10/03/2011:  Liver Resection, left lobe.  Microwave      ablation, right lobe - going for cure! 
11/26/2011:  C-Diff Superbug Infection, "worst case doctor had seen in 20 years" 
03/28/2012:   Progression in ablated section of the          liver - no more cure.  Started Abraxane, continue herceptin/zometa 
10/10/2012:  Progression continues, started Halaven, along with herceptin and zometa.  
01/15/2013:  Progression continues, started Gemzar and Perjeta, an unusual combo, continuing with herceptin and zometa 
03/13/2013:   Quit Gemzar, body just won't handle it.  Staying on herceptin, zometa and perjeta.   
04/03/2013:   CT shows 50% regression in tumor, so am starting back on Gemzar with dose reduction, staying with perjeta/herceptin/zometa.  Can't argue with success! 
05/09/2013:  Discussing SBRT with Radiology due to inability of bone marrow to recover from chemo. 
06/07/2013:  Fiducial placement for SBRT 
07/03/2013:  Chemo discontinued, on Perjeta, Herceptin and Zometa alone 
07/25/2013: SBRT (gamma knife) begins 
08/01/2013: SBRT completed 
08/15/2013: STABLE! continuing with Perjeta, Herceptin, Zometa 
06/18/2014: ***** NED!!!!*****  continuing with Perjeta, Herceptin, Zometa 
01/29/2014: Still NED.  continuing with Perjeta, Herceptin.  Zometa lowered to every 3 months instead of monthly. 
11/08/2015: Progression throughout abdomen and lungs. Started TDM-1, aka Kadcyla. Other meds discontinued. Remission was nice while it lasted.
 
5/27/18:  Stable. Kadcyla put me right back in the barn. I have two teeny spots on my lungs that are metabolically inactive, and liver is clean. 
 
I’m beating this MFer. I was 51 when this started and had two kids, 22 and 12. Now I’m 60. My oldest got married and trying to start s family. My youngesg graduates from Caltech this June. My stepdaughter gave me grandkids. Life is fantastic.
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		|  03-23-2013, 09:19 AM | #19 |  
	| 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... 
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				Survivors CAN'T REMAIN MUTE
			 
 Don't lose your grip on the dreams of the past.  You must fight just to keep them alive.  It's "the eye of the tiger"...rising up to the challenge...The last known survivor stalks his prey in the night.
 In the dark night of your fight you must never give up, my Sister.  You have the skill to survive.  Hold tight your will to survive.  You are a Survivor.  You've been through so much.  I understand you feeling as you do.  Still I applaud you.  And urge you to not give up on Surviving.  It can get better.  I believe that.  If you will begin to reach out and believe that!
 
 Have you ever considered seeking alternatives to add or integrate with conventional medicine?  The key is in the secret recipe which goes beyond the doctors' standard of care.  I wouldn't be here without it all!
 
 Supplements.  Meditation.  Trolling your thoughts for signs of negativity.  I can see yours from here, Cool one.  YOUR BODY LISTENS TO EVERYTHING YOU THINK, SAY OR WHISPER.  IT'S JOB IS TO FOLLOW YOUR DIRECTIONS.  IT HAS NO SENSE OF HUMOR.  IT IS LITERAL.  IF YOU SAY, I KNOW I AM GOING TO DIE, YOUR BODY WILL FULLFILL YOUR COMMAND.
 
 At the first sign of I'M JUST AFRAID THAT..., I JUST "KNOW" THAT... (or even declaring that I AM LIVING WITH CANCER) -- those are explicit invitations to cancer to stay with you.  Those ideas are heavy with defeat!
 
 I may sound like a nut job to you, and that's fine if you think that, but I can't stop myself from trying to awaken you to what it is you are participating in (I believe completely unwittingly).  So I wanted to alert you!  Red flags are all over the place here.
 
 I feel compelled to point out to you that toxic thoughts and the images they evoke are full of energy.  You may believe you are simply being a realist.  I see a realist drenched in negativity.  Thoughts can create realities you may not truly desire.  Or --they have the potential to assist you and your miraculous body to heal.  It isn't easy.  Gosh, I KNOW this well.  But once you form the habit of recognizing negativity lurking in you, you have the power to consciously choose to immediately reject it -- and then the responsibility to replace it with chosen outcomes.
 
 I've learned we must state what we want clearly and vividly.  We must make our Intention and our Expectation completely clear.  Because the energy of our thoughts and visions goes directly to our body as a  distinct MESSAGE.  And -- the vibrational quality of our thoughts and visions is sensed and also responded to by the Universe itself -- IN KIND.  Negativity begets more of the same.  Positivity calls positivity directly to you.  What you give away returns to you.  Love included.
 
 You can participate in your own wellness.  You must.  Without you, all the surgery and chemotherapies in the world, all the brilliant docs and top nurses can't make you well.
 
 I see you as a Survivor.  I identify myself as a Survivor.  Like any survivor of any great and mighty challenge, I can talk to a soldier or a Holocaust Survivor and we all but immediately find a bond.
 
 In 1995, I'd gone for a mammo because there was this weirdness about my left breast (not a lump, never had a lump, not a pea or a marble).  I felt the urgent need to move my mammo up.  I felt a hardness the size of the palm of my hand and I could move it.
 
 Instead of calling me in for additional pictures, as they sometimes did cause I had dense breasts, they said the Radiologist wanted me to have a sonogram.  Right then.  She came into the sono room obviously agitated.  I didn't take it personally.  She gooped the thing and ran it around and around, looking at the screen.  Over and over and over.  Very distressed.  Still, I didn't get it.  Thought she'd been having a bad day.
 
 Get dressed and see me in my office.  And she left.  I dressed and followed.  In her office her chest was heaving.  She locked eyes with mine and told me I needed a breast surgeon.  I had hypothesized that it was probably a cyst and might need surgery.  I offered that.  Her eyes still locked in mine, hands clasped or more aptly clenched together on her desk, she said, No!  What you have is -- a pause -- a solid mass.  Hervoice quivered.  That was 5 o'clock on the Friday of Fourth of July weekend.  She called a breast surgeon she highly recommended.  The office was closed till Tuesday.  She had a thought, I have his home phone number, Do you want me to call him for you?  I nodded, unable to speak.  I heard her explain my 9 cm tumor and details.  Did she say tumor?  Couldn't that be benign, I thought.  Stunned.
 
 The breast surgeon opened his darkened empty office on Saturday morning at 10 o'clock.  After some discussion with me and my husband I heard my DH ask, How certain are you?  Good question I thought.  The doc thought it was breast cancer!  He paused, shook his head side to side, calculating, leaned forward and said slowly, 99.9% certain.
 
 Surgical biopsy confirmed that it was 100% malignant breast cancer, lobular.  Mastectomy showed  2 out of 21 nodes involved.  I had my mastectomy on July 14.
 
 So I go by July 14 as the day I began my trek from 4th stage breast cancer to survival.  I note it on my calendar each year and I celebrate that I am still here.  I've been doing that all along, through my metastasis and the discovery of my HER2+ gene which wasn't even tested for in '95.
 
 I did that when I had less than a 15% chance of surviving.
 
 Deep down I know it started the Friday of the 4th of July weekend.
 
 You are living with bc, Cool Lady but you are surviving with each day.  And, with the help of your thinking, plus hopefully some serious meditation, the nurturing effect mantras have on your psyche and perhaps the addition of supplements you can take religiously as I do since '98 -- to get your immune system to kick into gear, to fight off, neutralize and down-regulate free radicals, to detoxify your liver, prevent cancer proliferation, rid your body of toxins, strengthen your heart and your bones -- you will come to see yourself and be a Survivor.
 
 You are already a Warrior, a Shero with a strong will.  You're a vital spark, a life force.  Get in touch with the Spirit at your core, Breezy, and I pray you will find miraculous results.  YOU ARE THE CAPTAIN OF YOUR SOUL.  THE MASTER OF YOUR FATE.  Take charge.  Please.
 
 With much love,
 
 Andi
 P.S.  I HATE PINK TOO...
 
				__________________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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		|  03-23-2013, 09:49 AM | #20 |  
	| Senior Member 
				 
				Join Date: Apr 2012 
					Posts: 183
				 
		 
		 
		
		 
		
		
	
		
	
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				Re: Survivors
			 
 Hi Andi,
 I have to say I think you rock!!!  I so appreciate how you reach out to others with your wisdom and energy.  I sincerely mean that.  Have a  most wonderful day to you and all the people on this board. Your words have particular meaning as you have "been there, done that" as you know first hand the emotional impact of having breast cancer that then spreads to your liver.  I think you should write a book!
 
 Take good care,
 
 Jackie
 
				__________________10/11  IBC Stage IV; 1 liver met 4.6 cm.
 10/11-2/12  TCH for 6 rounds
 3/12   Right MRM
 5/12-7/12  33 Radiation treatments
 8/1/12   Started Perjeta along with the Herceptin
 10/12  Scans said NED for first time
 5/15  UWSeattle Vaccine Trial 3 months
 12/16 Scans still show NED.  Herceptin and Perjeta continue indef.
 8/17 Taken off Perjeta;staying on Herceptin.  Still NEAD.
 3/18 Still NEAD
 8/19 Now on Subcutaneous Herceptin
 10/21 Remain on Subcutaneous Herceptin (Hylecta)
 11/21 CT showed possible lung mets. Was told to wait and see until scan
 1/22  CT shows continued growth
 03/22 Lung Biopsy said sample was too small but nodules keep growing and IR is convinced that it is indeed cancer
 04/22 Oncologist referred for consult for a transbronchial biopsy. This does not sound pleasant
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