Stage IIIA, Her2 & now stage IV :(

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Chelee
Chelee Member Posts: 513

For the Her2 gals that have been around here and know me...just wanted to tell you I've had a recurrance to right axilla, right hip/femur, & lilum.  Slight activity to sacrum too.  Also PET portion of scan says slight increased activity in liver...but CT finds nothing?  I was also told it's in my chest wall but It says "stable".  I looked at all my old PET/CT's and I have had a large seroma there for 3 yrs now.  So I think they are wrong about my chest...I pray there are.  PET/CT makes no mention of increased uptake in chest...my onc just doesn't take time to read and tries to scare me more then I already am if that's possible.

I am so pissed off and angry.  I've been asking my onc about my tumor markers rising SLOWLY over this last year...but she said if they don't double or JUMP she is not worried.  I told her I'M WORRIED. If they had been rising & then went down even once..I might not of been as concerned...but they kept creeping up!  I requested a PET/CT 6 months ago and was DENIED by my onc, primary doc and my pulmonary.  Now a year later from the 1st time my tumor markers showed an increase...I find out I did recur.  So that's a year thats gone by that I could of CAUGHT IT EARLIER.  I know most onc say it makes no difference...but that's a bunch of crap if you ask me.  If you put a fire out while its still small...its better then when the entire house is on fire!

I asked my onc and WHY she ignored my markers for a year & let her know how ticked off I was about it.  (I mean WHY even do tumor markers if your NOT going to pay any attention to them!)  I'd been complaining of hip pain, axilla pain, scapula and lungs.  But she decided I should just go away and die I guess.  Her reply to me as to why she didn't do something sooner was, "Chelee sometimes we have to weigh your quality of life with the side affects of treatment".  (Hello...don't I get a say so in my life and if I start treatment or not".  Who died and made her God!   Lets just let it spread all over the place...after all I have cancer so who cares...right.  Da$% her!

So what I wanted to do is WARN each one of you Her2 gals to STAY ON top of things.  Be VERY pro-active...get all copies of reports.  Request tumor markers especially if your stage III or IV.   If your early stage like 0, I, or II you probably don't need to worry about it.  But don't just assume you can fully trust your onc....because ALL oncologist are NOT the same.  (We should be able too..but they a heavy case load of patients & unless you make alot of noise they will send you on your way.)   (Disclaimer...I'm in no way meaning to say ALL onc are like this...because they AREN'T!)  There are some wonderful onc/doctors out there...but if this helps or saves one person the nightmare I'm living right now that will make me feel so much better.  You all take care of number one..that's you. 

I had my ECHO on Saturday, start Herceptin alone on Monday till I get a 2nd opinion on what to add to it.  (Theres been talk about Navelbine.)  Port placement Tuesday and Brain MRI Thursday.  I've been dizzy when I get up from laying down so that scares me too.  What a nightmare this is...I am beyond terrified and not ashamed to admit it. 

Chelee

Comments

  • everyminute
    everyminute Member Posts: 1,805
    edited September 2009

    Chelee - I just am stopping in to let you know I am thinking of you.  Let me preface this by saying - I don't know what I am talking about BUT the fact that your tumor markers crept up VS. jumped and doubled may be a good sign, no?

    Thinking of you!

  • everyminute
    everyminute Member Posts: 1,805
    edited September 2009

    And I imagine you will be getting Zometa, right?  Been know to put bone mets back to bed and prevent more from forming!

  • maryannecb
    maryannecb Member Posts: 1,453
    edited September 2009

    Frig Chelee....it has happened...

    I can feel your anger from here...and understand it...I am sending you some positive energy to help channel that in to the next few weeks of action. You will need this energy to get your body and mind to new places.

    I am so sorry about your new reality. Pick up the pieces and forge ahead. You can do this.

  • KerryMac
    KerryMac Member Posts: 3,529
    edited September 2009

    Chelee - I don't know you very well, but I have read your posts on the Stage 111 board. Just want to say I am so sorry this has happened. I can understand your anger and terror.

    Hang in there, once treatment gets started again you will get into fighting mode again. We are all behind you.

  • 07rescue
    07rescue Member Posts: 168
    edited September 2009

    Chelee - I am so sorry this is happening to you. I have read many of your posts here and on HER2support, so even though we have never conversed, I feel connected to you. I feel really bad that your requests for scans and follow up were denied, that would have driven me crazy. My tumors markers are also rising, but quickly, so my doctors immediately ordered a bone scan and PET. I get the results tomorrow.

    I was dx'ed last year and only 4 months out of chemo, and still on Herceptin, supposed to be NED...

    Diagnosis: 8/21/2008, IDC, 9mm, Stage 1, 0/3 nodes, ER+/PR-/HER2+

  • Brenda_R
    Brenda_R Member Posts: 509
    edited September 2009

    Chelee, remember what I said on Her2 support and demand a bone scan. 

    I was told I had mets in several spots in shoulder, spine, and hip bones and after getting a bone scan 6 months later, it showed NO METS.

  • orange1
    orange1 Member Posts: 930
    edited September 2009

    Chelee - This totally sucks - I am so sorry this is happening to you.  Since you are a member of our little Her2 family, I feel especially connected to you. 

    Thank you so much for reminding us that we have to strongly advocate for ourselves.  Even while you are suffering with this diagnosis, you are performing a great public service.

  • Bold
    Bold Member Posts: 692
    edited September 2009

    Chelee: Wow I can relate to your frustration. We need Docs that care really care. I know that your onc. could not stop the cancer but still. There are some protocols that start stage lll or stage IIb on Ferma or Zometa as a preventative. I am soo bummed that you now have to face a struggle for your life. I do know as I am sure that you do to that many women win that battle. You have years ahead of you with much to look forward to. You are in my prayers and thoughts.You can fight and you can win!!!!!!

  • Chelee
    Chelee Member Posts: 513
    edited September 2009

    It's late tonight so not alot of time...have to get to bed...have port placement EARLY in the morning.  Sigh.  Today was my first infusion of Herceptin and I did get the Zometa.  (And flu shot.)  I don't remember having any problems with my herceptin infusions the first go around with cancer but today I kept getting hot flashes & sweating like a pig...I never did tell the chemo nurse. 

    Brenda I had a bone scan probably a good seven months ago...maybe longer?  I'll have to look it up...I DO know it mentioned problems with my both hips.  Recommended me to start Zometa, Actenol, etc.  But my onc ever did.  I already have bone problems PRIOR to cancer...my scoliosis is bad enough.  And it has caused me serious hip problems for YEARS.  So I do want to have this doubled checked to make sure it is mets before they start blasting me with radiation, tons of chemo or whatever. 

    When you mentioned a bone scan on the Her2 board...I guess my chemo brain thought your meant a PET/CT which I already had.  So I thought you missed it...but in fact it was I that missed it.  lol  That would be great to find out I DON'T have mets and it's from my other bone related problems.  THANKS BRENDA!

    Did they say on your PET/CT that it suggested neoplasms?  In fact what found the mets...a combo PET/.CT...or just a CT?  What made them run a bone scan?  Was it just your normal time to have it checked?  They run a bone scan on me about every 16 to 18 months.  I've had two or three?  Last one showed lots of issues especially with my hips. 

    Did they start you on chemo and later find out you didn't have bone mets?  Would be interested in what happened?  Thanks again Brenda.

    Chelee

  • Chelee
    Chelee Member Posts: 513
    edited September 2009

    everyminute,  That's a good point about the markers creeping up.  Although the last time they were checked it was a week apart..they went from 46 to 53.  But I have read inflammation and arthritis (sp) and other benign condition can make them go up.  I know my husband really wants me to have a 2nd opinion to make sure of what this place is saying.  My body took a big hit finally when my estrogen finally went into menopause...that alone could take a toll on MY bones.  I hurt every where. 

    Hey there Maryannecb,  Thanks for the support...and one question...can I please borrow those pink boxing gloves.  lol :)

    Thanks to each one of you for your support and prayers...I so need them!  It means alot to me.  Please stay pro-active...no one knows your body better then you do.  If you think something is wrong...jump up and down...stand on your head...whatever it takes to get their attention and to take your seriously.  Even if it turns out to be nothing...YOUR worth it.  Don't take no for an answer.  Thanks to all of you.  Now I better get to bed...port early morning...I pray this goes ok.

    Chelee

  • maryannecb
    maryannecb Member Posts: 1,453
    edited September 2009

    Might not be a bad idea to have a biopsy of one of the  suspected spots. Two reasons...for confirmation and also to make sure the tumor markers are the same.

    LOL,my pink gloves have been passed along...thye are in the hands of their third owner. in my original chemo group of 15 or so women...the Rocktober group of 2005...we have had 1 lady metastasize, and 2 develop new breast cancers requiring new courses of treatment. I do hope to never see those gloves again...but am on guard for whatever comes next and I wear them mentally every day. So , here, I am passing you a pair of Everlast pink boxing gloves, virtual ones.

    Fists up, Chelee!!

  • lexislove
    lexislove Member Posts: 2,645
    edited September 2009

    chelee,

    I have read some of your posts on the Her2 Support, they have brought me comfort. Im so...so very sorry about this news.

    You have a fighting spirit, like marryann said "fists up"!

  • mmm5
    mmm5 Member Posts: 1,470
    edited September 2009

    Chelee

    I am very sorry you are having to face this all! I find it hard to come up with the words, except to say we are behind you and support you. There are so many women that are able to keep Her2 cancer in remission with the new drugs. I find so much comfort from them, Jenninmichigan is one and she may come along shortly or you could PM her. You are so awesome to come back here and remind us to speak up, fight for our feelings (they are our bodies anyway), and to be vigilant. That takes a wonderful soul to remind us all and post, during a time that you must be feeling very low.

    One more thing I saw a post yesterday I believe from "fitztwins" called the Cleopatra trial you should check out right away because it is for those that are recently dxed HER2 stage 4 before they try other chemos. Be your advocate here now as well.

    We will be praying for you, and come here to vent and ask for support at any time.

  • Brenda_R
    Brenda_R Member Posts: 509
    edited September 2009

    Chelee, my first Pet/ct lit up in several places in bone. The report said "worrisome for", "suggestive of" and "consistant with" metastatic disease, and recommended a bone scan to correlate the findings.

    I asked my surgeon, GP and Onc about the bone scan and all of them said there was no need, that the pet/ct was enough.

    I had surgery and chemo, and after chemo, when I went to my rad onc for the first time, he set up the bone scan, and it was negative!  I was told that the pet/ct throws a lot of false positives.

    You can't always believe the pet as it's super sensitive and shows things like arthritis, inflammation, and bursitis.

    I would get a new bone scan if I were you, just to be sure.

  • ango74
    ango74 Member Posts: 255
    edited October 2009

    Oh gosh Chellee, I'm so sorry.  I agree with other posters about getting a bone scan. Take Care!

  • EWB
    EWB Member Posts: 2,927
    edited October 2009

    crumb, this kind of news is always hard. I am so sorry you are going thru this, kind of falling thru the cracks. Sending bestest wishes and thoughts that oncs are able to find the right treatment for you.

  • radiant
    radiant Member Posts: 464
    edited October 2009

    Hi Ladies:

    I have to agree 100% w/Chelee here. I've found myself in a similiar position. A while ago, I e-mailed a few Stage 3ers that were just getting done w/their tx, to warn them of this very situ. Basically 4 years ago, I was dx w/Stage 3C (listed as 3A officially, but I was definitely 3C b4 surgery/neo-adjavunct chemo). After a very long run w/tx - over 1.5 years, including mega triple dose chemo/ surgery, more chemo/rads and 1 year of herceptin - my emphasis was putting this behind me. It was just too much, all at once, and for a long time.

    ALL along, my onc was ALWAYS coming into my appts NEVER  reading my current history b4 hand, and reading the reports in front of me. Catching up w/herself, basically. I liked my nurse so much, and had been told that my onc was so great, that I thought this is how it was. But, I never felt totally comfortable w/her. I was directing WAY too much of my care. I was right all along. My onc never gave me any scans, and when I asked "Why is there an "H" by this CEA", she just blew it off. I had no idea, sadly, what a CEA was.  Well, my CEA rose another point  or so, 3 months later, and she immediately sent me into a scan (my first over 2 years since finishing tx).  I was dx w/a 5cm wide and almost as thick recurrence in lymph node in front of my heart. It's been heartbreaking that's for sure.

    After 21 MORE rounds of chemo, it only shrunk in 1/2. I've been stable 1 year now, on Herceptin and a new A/I, and of course switched oncs immediately. My new onc is ALWAYS prepared, and is the exact opposite. He works with me, and does not come from the top down mindset that he knows best. It's a HUGE, huge difference. I believe the reality is most oncs, or people for that matter, aren't that far along w/themselves yet to work with patients as partners - it's a consciousness issue, I feel.

    Bottom line: Stage 3ers need to be VERY vigilant about their care, I would say for the first 5 years for sure. My new onc would have scanned much more often, and I believe 100% that catching  this early,would have put me into NED. I'm considered a regional recurrence, but I am inoperable,  non-radiable, w/limited options at this point. I personally can't handle anymore chemo at this point - for me 33 rounds of chemo has been more than enough. So, neither Chelee or I, want anyone else to walk in these shoes.  

    That's what we are trying to say.

    - Kim

  • lkc
    lkc Member Posts: 1,203
    edited October 2009

    Hi again Cheele, I have been following what's been happening to you , and It makes me so sad. I remember way back your concerns about your onc not examing you and how upset you were about  the tx you rec'd.( or didn't receive!)

    Anyway, I agree with most of what's been said already. It is a good idea to get biopsies, so you know exactly what you're dealing with ( tumors do change ). I also think it would be well worth it to speak directly with an Radiation Oncologist or a very good Medical Oncologist who can clearly explain what is going on with the ? conflicting Scan reports. Someone NEEDS to explain this to you decisively.Nott to minimize your situtation , but  It may be that your that is " contained" to the axilla ( local) and the bone, as both are very treatable. (Make sure if you're still HER2 pos, you get back on Herceptin)You're a fighter and I think you'll well in this second round. God  Bless.

  • vivo
    vivo Member Posts: 532
    edited October 2009

    Hello sister...

    As I understood you never took Herceptin till now. I am stage IV, her2+ but a lot of stage II also take it. Herceptin is powerfull drug for all of us and in fact it is the rescue for a lot of stage IVs. I wish you are one of them, fight and make the nightmare go away!!

    Good luck with your tests:)

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