Flalady Update
I had my appointment today with a new doctor that will be doing only surface treatment of hyperthermia with low dose rads. (My 2ndtime for rads) on my worst IBC for the next four weeks. I really like this doctor. He work's at a small research clinic three days a week and goes to I think it is Maryland two days a week to work with the FDA as a drug investigator of some kind. (I waiting for the moment I can pick is brain about the FDA) He said I have too much of a area to treat with rads again so he will only do the worst areas and I would move to a Phase I trail with hyperthermia and Doxil after completing rads. I hate that it is Phase I and no dose has been set. I will be one of the first in the trial at this clinic. Note: Doxil is Adriamyscin in a lipsome (fat) chemo that will stay in the body longer and hopeful will break open when heat from the hyperthermia is placed in my tumor areas.
I have a new cough and shortness of breath that showed up this week. He did not feel concerned... but I am. So I'm back on the phone tomorrow to have some one look into this and see if I just have something non-cancerous (please!) going on or just a the flu.
I just don't know it I should be doing rads again when my skin is not real bad or save this for another time....
This doctor has a usual title...what do you thing it all means. Remember his is overseeing my radiation??
His a MD, FCP
Diplomate American Board of Therapeutic Radiology
American Board of Medical Oncology (not radiology?)
PS First doctor to admit there is a link between thyroid issues and breast cancer. Also vitamin D and he told me triple negative bc ladies have more blood clot issues than other cancer patients. He laughed and said we learned some new things from each other today.
Comments
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Dear FlaLady,
I am heartened that you like this doctor. That always is important in developing trust. It seems reasonable to do the worst areas with rads, doesn't it? To hopefully shrink the tumor burden and give you some relief, and allow the subsequent therapy to then hit the rest of the lesions?
Sorry to hear you have a new cough and will keep myself all twisted in a knot of hope that it is just a cough. Good to get it checked anyway if you're having chest wall rads as that can elicit a cough if lung tissue is affected.
My understanding of FCP is it stands for Fellow, American College of Clinical Pharmacology based in Philadelphia, PA. That makes sense then that he also works with the FDA in Maryland with that title. Sounds like you found yourself a knowledgeable person.
I wish you success and please know that each night I say a special word for you. Your strength and progressiveness constantly amaze me.
My best to you,
Tender
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I am glad you found a path again to get this done. The rads on the skin mets, when they can't get the whole area worries me, unless it is getting close to open wound again. The Phase 1 trial on hyperthermia and doxil has been going on long enough at Duke for results to be reported, so dose should be set. I know you will and have done all your research.
Cam just met with the Dr. you know who came from Moffit...she,the Doctor, was smiling and happier than I have ever seen her. Cam's treatment is working great and almost no side effects.. Everything, nausea, fatigue, pain, mets, tumors, and foot and hand pains are improved from baseline at beginning of trial. The Dr. is meeting with Dr. C at the breast clinic to begin talks about fast tracking the combo Cam is on. Since Cam is the only IBC or even LABC person on the trial here, this may not happen. But the whole crew is very enthused.
Now, keep me posted on your success...I pray it's as good or better...
(Ixempra or one of the chemo's seems to have given Cam an increased sensitivity to Pollen and such, hope that is all your cough is)
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FlaLady,
You are an amazing strong woman. You will be in my thoughts during your treatment. I am glad that you found a doctor that you like and trust.
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Thank Ibspouse,
I do have two open areas again...not very big??? But I do feel like I need a chemo break???
Believe it or not the dose has not been set! And this is my major concern. There are three levels starting at 40mg each treatment and move up 10mg each treatment there after. They are looking at a total of six treatments. I think I was treated with 125 Adriamycin with Taxotere and Cytoxan three years ago. So compare to this the dose is not high but I'm a lot more toxic than I was three...almost four years ago.
I so hope you are right about this miserable cough. The doctor said my throat looked ok and heart/lungs sounded great. Now I'm not sure who to ask about something for this cough??? My old doctor? New? I think I'm going to press this new doctor tomorrow about getting something. I can't have this cough and lay still for rads!
Flalady
PS: I may have heard bad news today for Cam...my doctor thinks her doctor will be coming back to Moffitt soon....
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FlaLady - you will be in my throughts and prayers for good results with these treatments. I like the way your describe your new doctor - - I sense a positive vibe with him. Since Spring is in the air lots of allergies starting to kick up cough symptoms in many of us. Best wishes, Joann
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Thanks everyone for your support (A special thank you to Tender- I love you sister)
I've never met a doctor who smiles so much that speaks to everyone he passes with a smile and a kind word. He was so interested in my history and research. I felt a immediate connection. The sad part is he can only oversee my first treatment because he is evaluating the study for the FDA on the second part --the Phase I trial and there will be a conflict of interest. But I thought...why not? The clinic is so small all he has to do is stick his head into the next room and ask me how I'm doing... So I hope I like the next doctor as much. God has blessed me in the past (except MDA) with a great team that has worked with me each step of the way. I pray that this is the right step for now...
Flalady
Flalady
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The feeling is mutual, Flalady!
Tender
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Fladlady. You are in my prayers. Hoping the trial does the trick for you and the cough is unrelated. You are an inspiration for me so I am totaling praying for you!! It is great you found a doctor you click with ..... so important.
Jennifer
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My prayers are with you! I hope the cough is just from all our wonderful pollen! It is great to have an supportive Dr.
Sue
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Flalady,
Is this the process that is being done in the progressive German clinics? It seems Burton Goldberg did a video of these which was impressive. Can you take anything to help you with die-off or detox?
Maybe we can come up with something. I would start by taking 1 packet of Livon Labs Lypo-Spheric Vitamin C every hour throughout the day for a total of 8 per day.
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Hello Flalady,
You are in my thoughts and prayers for a successful treatment. I follow your posts, but don't post much myself. I am one of the few who has not gone with the traditional treatment, except for surgery, so I am interested in all that has been posted! Best wishes. You are an inspiration to so many of us to keep searching for answers.
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anomdenet,
I've not heard of this person before? This comes from research that has been around a while but Duke Univ has been working with this for three years and I have been following them all along. The doctor feels it is my best approach for now. I asked him today about supplements....he said he was not against supplements as long as you don't take a lot of antioxidants while in rads. I shocked he even said this coming from is FDA investigational research back ground. He felt they did have benefits for cancer patients...who would ever guess?
Your right about needing something to detox this dieing cell junk...Help me look around for what I need to start with. I know I will kick up my modified citrus pectin and a few others.
MomoB - thank you fo your prayers the most valuable medicine of them all.
Flalady
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FlaLady-I just found this thread and am happy you have updated us. I was worried about you. It is great that you were able to get into this trial and have a doctor who you seem to like. I will be saying a prayer that all goes well. Please continue to keep us informed. You know how much we appreciate your tireless efforts to help others in the face of all you are going through.
MrIBC-I am relieved that you have chimed in too and that Cam seems to be doing well also. You both have been in my prayers. I sure do miss your wonderful sense of humor and I hope we can get our little banter going again as soon as you all get well. All my best to you and the lovely Camille. Please keep us up to date.
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Flalady - Wishing you all the best. Glad you found this new doctor. Your posts have helped me so much since I have been diagnosed. Your research is always amazing. Please post all that happens.
Linda
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Flalady, I always say prayers for you but especially now. You are an inspiration to all of us, your research is awesome, you are always helping us on this journey, we are all so grateful.
Love
Lorraine ox
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Flalady ~ I second everything Lorraine said. Could not have said it any better.
Sending best wishes & lots of (((hugs))),
Val
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God Bless you all for your support.
I went back on Friday to do my rads simulation setup. I ask to speak to the doctor about my concerns. He came into the the CT room and set down and talk to me. He said that the CT today he would double check my lungs. He also will be treating a bigger area than I thought. We also talked about the timing of using rads and he really felt that zapping the bigger tumors will help the next stage to work faster. He also mentioned that a Phase I trial has less than a 8% chance of helping the patient??? The difference in this trial is there is a pretty long history with Duke Univ researching this.
I did feel better after speaking with him a second time about doing this now. I now have to wait a week for the rads setup to take place in the their computer. I still praying that I have NO lung met. This could change everything.
Flalady
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Fla Lady - praying right along with you. All the best.
Linda
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Flalady, I am so glad to hear you've found a doctor you're comfortable with. I wonder if you went to medical school if you'd learn anything new. lol Any doctor of yours will need to read a lot to keep ahead of you. I am so hopeful that this treatment will kick those skin mets to the curb.
As for the coughing, I'm right there with you. I've been sneezing and coughing a lot this year. I suppose I always do in the spring. This year though I've been doing a lot of deep breathing exercises, plus my new air system installed 3 months ago has a uv light that's supposed to kill off germs and various airborne nasties. I guess I'm disappointed that I dont see improvement. It's been especially windy also, but I sneeze and cough before I even step outside, so go figure.
Good luck with your new treatments. Keep us posted.
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Flalady,
You did not get the memo...you are not allowed to have lung mets..Your cancer DNA is too close to Cam's. So it's not an option.
Praying for you on scans and treatment.
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Hey everyone,
I've been waiting to see if I would get my final CT scan results. It's still not completely back but they are saying I now have Pleural effusion...mets to fluid around my lungs. I did get steroids and a new cough syrup. Both of these helped a lot in the last few days. I did start rads this week but not hyperthermia until next week. This new cramp does mean I will start chemo #10 during rads. I was so hoping for a longer break. This may also mean I will not get to do the Thermadox trial later.... Believe it or not after getting the cough under control and I do still have shortness of breath, but over all I'm feeling much better. My big problem is the cough syrup makes my sleepy. This can't be good laying around with fluid building up in my lungs???
I still check in daily ladies and I'm so proud of you all with your continue research and sharing. It is so lovely seeing a gentler group on people wanting to come and join us. I think times are changing and other want to be a part of their health recovery.
flalady
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Fla Lady-
I haven't been here long but long enough to know you have been such a source of strength as well as an incredible amount of knowledge which you so freely share. I've learned so much from you in such a short amount of time and I will be eternally grateful.
Count me in on those praying for you daily. We all need you here so you must continue to kick cancer butt as you have been doing for years.
God Bless you dear Fla Lady.
xoEllen
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Fla Lady
You are incredible! You have helped me so much to understand (truly understand) the studies that I use to gloss over.. and still, with all you are going through you take the time to talk to those of us who might now or in the near future need your incredible mind! Thanks so much for all you do and please yes pick the brain of this FDA guy - if you like him that tells me there is hope for the FDA yet!!! <huge warm hug>
Deirdre
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I second Flalady's being incredible! You're a leading star on joining traditional with CAM in breast cancer treatment.
I'm very sorry for your recent news, yet heartened as the others you're guided by a compassionate and wise pharmaceutical oncology expert. I'll be following along here with the others lending support. As always you remain in my heart and on my mind, and I wish you peace and limited cough and fatigue.
Tender XX00
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Flalady,
Please look into "moxibustion" from an accupuncturist for pleural effusion. I have heard of it working several times.
Also, you will probably get used to the cough meds and will be kicking butt around here in no time.
We are rooting for you, sweetie
Anom
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Dear FloridaLady,
You are in my prayers.I always read your posts and get lot of good info.
I am glad you found a good provider.I hope and pray for all to go well for you.
Love
Kamla
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Flalady,
I was just reading about copper, also known as Cu. It seems to deflect cancer cell death or apoptosis. So, maybe you wish to check your vitamin and see if it has any, and if so, think about that. Some cancer researchers are working on a copper chelate compound to counter act multiple chemotherapy resistence, particularly in adriamycin, one of the most effective breast cancer drugs as you know. I don't see this is on the market as yet, just in study.
Thought you might like to know this so you can research it if desired.
Biometals. 2009 Apr;22(2):377-84. Epub 2008 Oct 28The role of copper in drug-resistant murine and human tumors.Majumder S, Chatterjee S, Pal S, Biswas J, Efferth T, Choudhuri SK.Department of In-Vitro Carcinogenesis and Cellular Chemotherapy, Chittaranjan National Cancer Institute, 37, S. P. Mukherjee Road, Kolkatta, 700 026, India.Multidrug resistance (MDR) is still a major threat to successful clinical application of cancer chemotherapy. Copper plays an important role in biological systems, and copper is also involved in carcinogenesis. In the present investigation, we addressed the question whether metal copper might be involved in drug resistance of murine and human tumors. By means of atomic absorption spectroscopy, we determined serum copper concentrations. We found that the blood serum of tumor-bearing mice contained higher amounts of copper than healthy mice with tumors. Secondly, mice bearing doxorubicin-resistant Ehrlich ascites carcinoma- or cyclophosphamide-resistant Lewis lung carcinoma contained more copper in their serum than mice bearing the corresponding drug-sensitive parental tumors. Furthermore, the analysis of patients with breast cancer, colon carcinoma or lung cancer showed that the serum copper contents were higher in patients not responding to chemotherapy when compared to patients whose tumors responded to treatment. The copper levels in serum of healthy volunteers were lower than in cancer patients irrespective of their response to chemotherapy. Our results imply that the level of serum copper may be considered as a biomarker for treatment response.
and: http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&pubmedid=17107616 for more.
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If thoughts could cure you would be cured Flalady. With best possible wishes Nena
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Thanks to you all for the support.
Tender I've not read about copper but I've done a lot of research in the past about silver and mostly the treatment of skin mets. I will check into this.
Flalady
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FlaLady
Thinking of you today, and hoping you are doing better. Did you try the castor oil compress?
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