Is There A September 2011 Chemo Group?

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  • CJRT
    CJRT Member Posts: 524
    edited February 2013

    cooka and belle, thank you so much. it is such a comfort feeling lost, logging on, and realizing how much support I have. <3

    belle, you put it into words exactly how i am feeling.

    i cannot thank you ladies enough. i will keep you posted. xo

  • CJRT
    CJRT Member Posts: 524
    edited February 2013

    belle, didn't think to ask about that node on the phone. thank you for the reminder. i will be putting together a list of questions that i now have. she also mentioned TDM as a treatment option she was discussing with its researchers. not sure if that means i would be part of a clinical trial.

  • CJRT
    CJRT Member Posts: 524
    edited February 2013

    she didn't mention chemo. she had said "a little radiation to the spot," possibly shut down ovaries completely, and anti-HER2 agent (Herceptin or newer TDM drug)

  • ccjj
    ccjj Member Posts: 128
    edited February 2013

    I'm so sorry CJRT... I don't even have the words to express how wrong this is on so many levels.



    Your age.... 1st of all. I'm appalled you have to deal with this so young.

    Treatment.....You would think pumping all that poison in us would at least give a couple of years break from fighting this disease. How do those bastard cancer cells survive all that?



    I know you don't know your treatment yet and are in that horrible 1st stage of shock and the unknown, please know your in our prayers.



    Re treatment.... I could be wrong, but I don't believe they will put you through chemo again. I believe it will be radiation to the area, a bone drug like Zometa, plus Herceptin again as you mentioned. It's my understanding that Zometa is pretty well tolerated. I apologize if this sounds weird, but its my understanding that if its going to metastasize, the bone is better than organ and that lots of women who get treated for the bone can go NED for many many many years, as Belle stated. It sounds like they caught it really early. That the tear from exercising may have been causing the pain, which led to them finding it. Praying that is the case. That they can zap those stray cells, and strengthen the bone. Hugs.

  • cooka
    cooka Member Posts: 278
    edited February 2013

    It sounds like she is pretty optimistic that she can have you NED with not too much overkill...I'm guessing that is not much consolation at this point though. Is a trial something you would consider?

  • CJRT
    CJRT Member Posts: 524
    edited February 2013

    i was caught off guard when i was on the phone with her and did not realize it was a clinical trial until i researched the drug. i would have to do more research but i think i would try anything that seems positive. i don't exactly know what is involved with clinical trials. i remember one or two of the ladies originally in this group were in some. i am wondering if i should get an online second opinion from partners healthcare, mayo or somewhere like that. trying to figure out a game plan.

  • cooka
    cooka Member Posts: 278
    edited February 2013

    Yes, Partners or Hopkins online might be good to try.  Do you have any National Cancer Centers near you?

  • cooka
    cooka Member Posts: 278
    edited February 2013

    Also, I wonder if you are eligible for vaccine trials? Those are looking very promising too I think.  

  • belleeast
    belleeast Member Posts: 653
    edited February 2013

    Cjrt, I think ccjj has it about right what your treatment plan will probably be. As for clinical trial,my gut says go with the tried and proven route but you did the herceptin and apparently it didn't work too well! So my advice is to get all the info on the trial and whatever your dr is saying, and get the 2nd opinion from online with mayo , hell , get a 3rd opinion then decide! Just remember, you are in our thoughts and prayers. We are here for you!

  • CJRT
    CJRT Member Posts: 524
    edited February 2013

    Thanks for all your advice and input.

    Ccjj- thanks for letting me know a little more of what to expect

    Cooka- there is a national cancer site 5 hrs from me. My treatment center works with them. I am going to look into a face to face 2nd opinion there. Great idea about the vaccines. My sister has a medical background so I will have her research it too.

    Belle- definitely agree with you about preferring tried and true. The weird thing is that my 3.5 cm breast tumor shrunk to undetectable on MRI after 3 rounds of chemo and herceptin and this was confirmed with pathology from my BMX. I don't understand how treatment worked so well elsewhere but there is this random spot.

  • belleeast
    belleeast Member Posts: 653
    edited February 2013

    Cjrt, I don't know either, unless your tumor had blood flow and it escaped thru blood instead of the node. You would think the chemo and herceptin would have taken care of it but maybe it's different with mets. I guess we are still learning about this beast, more than we ever wanted to know. How are you doing? In my thoughts and prayers!

  • ccjj
    ccjj Member Posts: 128
    edited February 2013

    CJRT.. I know it doesn't help to dwell on how this happened, but I would also be curious what your MO has to say about your breast tumor responding so well to the chemo but now a random spot. One thing I read recently is that in studies, about 7% of the time when the sential node came back neg and more nodes were removed as part of the study, cancer was then found in 1 or more nodes. It became standard of care to test only the sential node since 93% of the time it was accurate and obviously decreased the LE risk dramatically. Still, even if you happened to be in that 7%, you would think the chemo would have taken care of any stray cells in your other nodes. Also, your treatment wouldn't have changed had you had pos nodes.



    Did you have any scans when first dx? Do they still think the hip pain was caused by an exercise injury and not the stray cells? Or maybe the spot caused the tear? Only reason I mention it, is you may have found the spot earlier than most as a fluke if the pain was exclusively due to the exercise injury. Many more of us may be walking around with stray cells at his point that haven't become apparent yet.



    Re clinical trial... I would def look into. Odds are they add the study drug to existing standard of care. So you wouldn't be losing out on the current treatment, but could benefit from the addition of the study drug.



    Hugs..



  • CJRT
    CJRT Member Posts: 524
    edited February 2013

    Hi ladies, I was doing a bit better until late in the day yesterday when I started looking at statistics. Then I let myself get too negative. Thank you for all of the support, both emotional and concrete about things to consider and questions to ask.

    ccjj- thank you for all the thought you have put into my situation. i did not have any scans other than a few mris of the breast at different stages and a brain scan because i complained of headaches after starting Tamoxifen. At the onset, the entire tumor board (and 2 outside oncologists) did not recommend a PET for me. I did not have a bone scan until just now; though the bone scan did not indicate metastisis. I am now feeling twinges of mild discomfort (wouldn't even call it pain) in the area of the spot, but I don't know if it is real, psychosomatic, or due to the biopsy site being a little swollen. As for the primary pain, that has gotten somewhat better because I have rested, but that is in a different area and corresponds with the pain typical of the type of hip tear (with the MRI revealing the hip tear). Your statement about walking around with stray cells that haven't become apparent does make me feel better, and it is also what my oncologist was somewhat insinuating. Thank you for the thoughts about clinical trials. my sister has a couple of oncologists that she networks with that have given me some info on SBRT versus conventional radiation for low quantity mets. one such place is doing new research and is sending me their new patient paperwork and information on the protocol.

    i have my appointment Monday with the top onco. ortho in my neck of the woods (recommended by 3 different doctors in 2 states plus my oncologist). if anyone comes up with any questions that you feel i should ask at the appointment, please let me know. today is my daughter's 5th birthday, and we are having a "slumber" party tonight with cousins and then a birthday brunch with family and friends tomorrow. i am going to try to take a cancer hiatus until sunday, but plan to do more research sunday so that i am prepared for monday's appointment and have a game plan for seeking a second opinion.

    thank you again for being such a blessing to me.

  • belleeast
    belleeast Member Posts: 653
    edited February 2013

    Cjrt,enjoy your daughter's birthday and the weekend! Have a great one. I've watched 2 of my grandkid's 5 and 4 yrs old 4 days this week. I usually have them 3 days, they keep me going when sometimes I'd rather stay in bed! LOL

  • cooka
    cooka Member Posts: 278
    edited February 2013

    Glad to hear you are able to gather so many resources so quickly CJRT. Hope you are able to take your hiatus and enjoy some family time!

  • rjbaby69
    rjbaby69 Member Posts: 349
    edited February 2013

    Cjrt:  Sorry just doesn't seem to be enough!  Damn it!  I wished I was there so we could talk face to face.  Damn this cancer!  I just hate this disease more and more every day!

    I am glad you posted pictures of your babies!  They are so cute!  I just know in my heart you're gonna be around a long, long time.  I'm thinking of you and love ya lots.

    Hugs!

    RJ

  • rjbaby69
    rjbaby69 Member Posts: 349
    edited February 2013

    Belle:  Glad you got good news!  I am always anxious around scan time.  I was thinking maybe I should ask my onc to cut back the scans to 1 time a year because of my deductible, but, on the other hand, I think I'll just do whatever he says.  Probably best that way!

    Talk to you soon!

    HUGS!

    RJ

  • belleeast
    belleeast Member Posts: 653
    edited February 2013

    Thanks,Rj, me,too! I kinda like that I got a breast MRI in jan,2012,mammo in July,2012 and now MRI in jan this year. Works out to something every 6 months! Although how the follow-up MRI in 6 months will affect that I don't know. It's scary that the bone scan CJRT had did not pick up her mets! I've been wanting one for my peace of mine but MO won't do it.

  • ccjj
    ccjj Member Posts: 128
    edited February 2013

    CJRT..... Hope you were able to take a mental break from all your going through and enjoy your daughters bday celebrations.



    Wishing you luck at your Dr.s appt tomorrow. I think it sounds like your getting excellent care and have a very strong team around you. Big plus that your sister is in the medical field.



    Regarding scans when first dx..... I have also never been scanned. I go to a national cancer center, and they said the same thing, that it wasn't necessary for me. I feel like we have pretty similar stats. Your tumor was bigger than mine, but I had the micro met in the sentinel, and we are both triple pos. I'm not as young as you,45 now, 43 when dx, but also have young children, 7 year old twins. So I get all the fears and emotions that go along with having young kids. I bet the discomfort you mention is from the biopsy. Frankly, I have aches and pains all the time. It's very hard to know what to worry about and what to attribute to all the drugs. I agree with RJ that you are going to be around a long time. Once you meet with the dr.s, get your questions answered, and a plan in place, you can forge forward. Hopefully radiate those few cells, build up the bone and be NED for many many years to come. Good luck tomorrow.

  • CJRT
    CJRT Member Posts: 524
    edited February 2013

    Thanks, ccjj. Yes, there are many parallels between us. I am sending all my medical records today to a mets program that seems more aggressive, so I will see what they say. I will keep you posted after my appointment today and then hopefully will be able to go over that information and my other questions with my MO asap. Thank you for your positive words and for giving me a better idea of the typical course with a bone lesion.

  • CJRT
    CJRT Member Posts: 524
    edited February 2013

    well the appt was not conclusive. they apparently didn't have all of the imaging so luckily i was able to leave, get cds, and then come back (because this is a different facility from where I have been treated). however, they apparently didn't have the biopsy results and i couldn't get those at the same place. the doctor said he wants them to double check the pathology from the bone first and double-check that it matches my initial pathology from the breast. so i will have to get pathology from both over to them. then he wants another xray to see any changes over the last 2-3 weeks. he will then meet with me on monday b/c he is traveling to haiti friday to do a surgery. he said one week won't make a difference. he wants to make sure it is definitely breast cancer mets and not another primary tumor (though this would be unlikely). he doesn't see any other mets to the bone, so that is good. however, it is not good that i would have a met so soon after the initial diagnosis. it seems that i will have radiation first but the type is dependent on confirmation of the pathology. he said the tumor is taking up most of the head of my femur and that i am definitely at risk of imminent fracture, so he wants me using a wheelchair. he said after radiation there are some surgical options to reinforce but that down the road i will likely need a partial hip replacement b/c arthritis will set in early. though i felt upset after the appt, i was somewhat comforted by the fact that he said i will need a hip replacement eventually, because to me that meant that i will be living at least long enough to need that done. still hoping and praying this is an isolated freak thing and that I can be NED for a long time. i need to find out more about the lymph node. i plan to call my MO in the meantime and see what i need to do on my end while waiting for the ortho onc to get everything and see me on monday. sorry this is rambling! will keep you all posted. thank you again for your support and prayers.

  • belleeast
    belleeast Member Posts: 653
    edited February 2013

    Wow,CJRT that is a lot to take in!!! I am sorry you have to be in a wheelchair but better safe than sorry!! Ughhhh,more surgery sucks but it's good they will be able to reinforce the femur! sounds like the spot is bigger than originally thought,but the radiation will still zap that bugger!!! One thing,where is the lymph node that lit up,is it in the armpit or pelvis area? if in the arm area,could it be lit up because of an infection or scar tissue,sometimes if you are sick they can light up! will they double check it and do a biopsy?

    Always in my prayers and thoughts. You have a hard road ahead with the hip surgery down the road but you CAN do it!!!

  • cooka
    cooka Member Posts: 278
    edited February 2013

    Wow CJRT, Belle said it.  That is alot to take in.  I am glad you are getting a direction to move in, but sad that you have deal with this. It does sound good though that he thinks you will be around for a long time...and he seems pretty frank and straightforward.  Praying for NED to come into your life for a long term relationship!

  • khegidio
    khegidio Member Posts: 100
    edited February 2013

    CJRT: I haven't been on here in a while - came back to check after belleeast clued me on on what was going on.  HOW TERRIBLE.  It is not want any of us want to have to go through this whole process again.  I am very sorry you have to face this but please know that we are behind you 100% of the way.  And I agree with everyone.... if I had to have a mestasis - i would choose the bones.  From articles/blogs I have read, people live very long lives with bone mets.  I am not trying to make it sound like what you are facing is a walk in the park - because lets face it... cancer bites the big one and treatment for it bites the big one even more.  I'm just trying to help pull you out of the dark side.  You can and will be there to see your beautiful children grow up. 

    I will be on here more often to stay in touch with my lovely cancer sisters!! Love you all and we need each other for support in ways that a non-cancer person cant provide.  Our caregivers are awesome.... but we know the ins and outs of where cancer takes you. 

  • CJRT
    CJRT Member Posts: 524
    edited February 2013

    Belle- the node is sub pectoral. Waiting on a call back from my MO about follow up for this. Got another appt scheduled for Monday with the ortho onco. Gathering everything in the meantime.

    Cooka- thank you! Xo

    Kate- Thank you for your words of support.

    Thanks, RJ. <3</p>

  • belleeast
    belleeast Member Posts: 653
    edited February 2013

    CJRT,as we all know waiting is one of the hardest things to do! Hope this next week goes by easily and quickly for you! Did u get a wheelchair,how is that going? Remember,don't be doing any wheelies!!! Maybe, just a few races! In my thoughts and prayers,you and yours!!

  • belleeast
    belleeast Member Posts: 653
    edited February 2013

    I have a question for everyone. Has anyone else noticed a change in your taste buds? I know they changed during chemo but mine went back to normal. The last couple months,things I used to love say Lindor truffles-hazelnut- are just kind of blah-ok! I know it's silly but kinda wondered if it was just me!

  • CJRT
    CJRT Member Posts: 524
    edited February 2013

    belle- thank you! you made me laugh. i got a wheelchair but am only using it when i go out of the house, so I have someone to push me. even though i am in decent cardio shape, i am embarassed to say that i have a hard time wheeling myself because my pecs are so weak since the mastectomy and recon. i am using the crutches in the house. i spoke to my MO today and will be seeing the RO tomorrow to speed the waiting process. as for the taste buds, i haven't noticed anything at this point....but now you have me wanting one of those truffles. :)

  • belleeast
    belleeast Member Posts: 653
    edited February 2013

    CJRT , those truffles are delish!!! For the past few years,I order them online for Xmas gifts. I get a case of 500 for $120 with free shipping(for orders over $100). I bag them up,all the kids and their spouses,and grandkid's get their own bag!! They love it!!

  • ccjj
    ccjj Member Posts: 128
    edited February 2013

    CJRT....I think it's good they are double checking all the pathology. Your team sounds very good. You probably are aware, but wanted to make sure you saw the

    30-40 yr old group on the stage IV board. You might be able to connect with others your age, with young kids, going through similar treatment. But don't leave us here.

    Re: hip replacement. Can't they just replace it now? Get all plastic parts in there so the cancer has less places to go. I'm sure there is a reason they don't do it, but just seems like would make sense. Great news he confirmed there are no other spots. Hopefully you can get that pesky node figured out soon. Maybe your MO can better explain the spread with no initial node involvement. Is the hip lesion on the same side your bc was?



    Belle... I haven't noticed any taste changes, but I'm still trying to drop the chemo weight I put on, so everything I eat these days is boring. Where do you order the truffles from? They sound delish!

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