TRIPLE POSITIVE GROUP

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  • ashla
    ashla Member Posts: 1,581
    edited May 2015

    tomboy

    My husband uses the VA...despite private insurance...because he has gotten great care there and the EhR system is great. Think that was supposed to be the model.

    I think I've probably given up on the notion that any info is private or secure anymore.

    I was one of millions whose records may have been breached @ BC/BS.

    Do you think I could contact medical records directly to get my result? Never occurred to me...

  • Mommato3
    Mommato3 Member Posts: 633
    edited May 2015

    I'm able to get my test results from MyChart too. It gives me test results, appointment reminders, allows me to pay my bill, and send messages to my Dr.

    Unfortunately, I'm also one that may have had my info breached through BC/BS.

  • Moonflwr912
    Moonflwr912 Member Posts: 6,856
    edited May 2015

    Hello to all. Welcome to the new people. And Ang, cute grandbaby! (I'm a bit behind)

    ashla, call your doctor and tell them you want the results. I have my chart from Aurora. I get the test results there by the next day. Occasionally if it needs interpretation it takes a week. Xrays, etc. But usually they call to tell me if something isn't right. The blood tests are always there the next day.

    Much love


  • ashla
    ashla Member Posts: 1,581
    edited May 2015

    hi Moonflwr:)

    Called my doctor and left 2 messages! Very, very unhappy...

    Meanwhile, I've been on an AI holiday for 3 weeks and felt much better...even my skin is soft once again!

    Going on Aromasin( exemestane) today. Every other day to start. Anyone with advice about it? It's apparently a completely different chemical reaction than Femara & arimidex... $194 per month...with insurance discount .until I reach my co pay!


  • ElaineTherese
    ElaineTherese Member Posts: 3,328
    edited May 2015

    I'm on Aromasin. In terms of SEs, I've had the usual hot flashes and was pretty moody until MO prescribed Celexa (it's an SSRI). Otherwise, I feel fine. I take Aromasin in the morning after I've eaten breakfast, along with my other meds. MO says that 80% of women do fine on Aromasin, but that 20% experience joint pain that runs the gamut from annoying to debilitating. Some of the ladies on the Aromasin board also blame it for hair thinning; that hasn't happened to me.

  • ashla
    ashla Member Posts: 1,581
    edited May 2015

    thank you Elainethere! Hope I am as fortunate as you! The hair loss seems to go with all of them..sadly. Was told by my MIA MO that it has less musculoskeletal issues as a S/E...

    We shall see.


  • SpecialK
    SpecialK Member Posts: 16,486
    edited May 2015

    ashla - lago is on Aromasin after switching from Arimidex, I believe. She might share some info about how she is doing on it. 

    I have seemychart and my doctor will link labs and imaging reports once he has looked at them.  He receives an email with results and that prompts him to review and then link the report.  If I have a pending result I have occasionally also had a call from his nurse to let me know things look good so that I wouldn't worry.  Seemychart also lets me graph labs so that I can see the trending pattern.

  • ashla
    ashla Member Posts: 1,581
    edited May 2015

    thanks SpecialK!

    Still no word. I'm assuming no news is good news but..excuse my acronym... But WTF?

    You are also state of the art. Gonna have a talk with someone next week when I see the doctor.

    My hospital just joined mega system New YOrk Hospital Presbyterian so I imagine it will get there eventually.

    Thx again:)

  • SpecialK
    SpecialK Member Posts: 16,486
    edited May 2015

    ashla - also, amazingly, the military now has electronic charting and a portal that you can make appointments and send messages to your physician.  I have not yet tried the appointment making tool but I need to get a new PT referral and want to talk with my PCM about metformin (slightly elevated glucose and borderline A1C) once again, so I think I am going to try it.

  • ashla
    ashla Member Posts: 1,581
    edited May 2015

    that's great Special K! How I would love that kind of access!

    Reading a lot about Metformin( husband takes it) one of the only drugs with some good side effects!

  • Tomboy
    Tomboy Member Posts: 3,945
    edited May 2015

    Hi, Ashla. Good luck on Aromasin. I wanted to try it, since 1.Arimidex, 2. tamoxifen, 3. femara, and now 4, tamoxifen again, have ALL caused unholy pain, especially to my poor feet, mostly. And my back, hands hips etc. I had tried to talk to my onc's np, and she told me that I couldn't try aromasin unless i had progression, in which case I would have to have it in combo with affinitor. Which I want NO part of affinitor, and also by the way, seems to be used mostly on women who are ER+ her2-.

    So I got a three month break from all of them and am now back on tamoxifen. And my feet never stopped hurting, I am on pain pills and gabapentin because of the pain. I had been walking five miles a day, and sadly, don't do anything near that now... So, when I went to read my clinic notes from that last visit, i noticed my onc said I had fibromyalgia! Hmmm, no one ever told me that before! So yesterday, my primary care physician, said no you don't. it is the medicine. He is the one who treats my pain, and also the one who is interested in my health, and mental health, as a whole. Before BC, I only saw him once or twice a year. Once a month now.

    So, in the beginning of all of this, I just got what ever papers they handed me, sometimes path reports, but mostly blood tests. But I got very curious about six months into it, and had ordered ALL clinic notes, office visit notes etc. It was about 2 inches thick, and Veeery interesting. Wow, I even got to read all about the surgery itself! I did have to pay about $80. A few pennies a page. There are so many awful things said about me personally in them, and also plain mistakes, I couldn't believe it! They even tried to say it was my own fault that I got lymphedema, because I washed the underside of a vehicle! No, I had told bs when she asked if i was trying to get back to normal actions, that i tried to help my boyfriend wash his truck. I sat on a bucket and tried to gently wash the wheel well of one tire, very gingerly and had to stop. I was on chemo at the time, and neeeeeedeed to lie down, immediately! And called me non compliant, even though I did everything they asked me to do. What ever. Too many stories to tell here. And if I can ever stand to, I am going to try to get all the things like that ammended. I am thinking about transfering to UCLA, or the other, USC, I think, for the rest of my follow up, but even that just seems like too much trouble....

  • SpecialK
    SpecialK Member Posts: 16,486
    edited May 2015

    ashla - the bad Metformin SE I am a bit nervous about is the Big D.  I am prone to it - had it all through chemo for 10 days following each infusion, so this could be interesting.  I brought an article about the trial of Metformin for breast cancer the last time I saw him, but he was reluctant to give it to me without demonstrated need because of the digestive issues.  I am hoping that because of the elevated glucose and A1C he will reconsider.  My MO refused to prescribe it without proven data, told me to speak with the PCM.

  • ashla
    ashla Member Posts: 1,581
    edited May 2015

    hi Tomboy,

    ouch about the personal stuff in your records. Guess I never think about that when I'm there. Probably better to be completely open anyway.

    Regarding Aromasin . He said it is the newest of the 3 AI's and works completely differently. The other 2 look very similar on a molecular level and work the same way. Think Aromasin is a steroid.:( it is supposed to be better on the musculoskeletal issues that are my biggest complaint.

    He said MOs can use the 3 interchangeably.

    I like my MO otherwise... He treats me with respect, explains complex issues to me patiently, always listens to me carefully and never rushes my appointments but the system stinks and he's swamped. Think I may switch too:

  • Tomboy
    Tomboy Member Posts: 3,945
    edited May 2015

    I like my MO too, but he is just not into explaining things, and neither is his nurse. She has told me not to google, but if THEY won't answer questions, and I am not supposed to google, what am I supposed to do, just shut up and DO it? Its just that I would like them to actually acknowledge the fact of my problems with the anti hormonals. And not just say, "hmmmm, I've never heard of THAT before!! " They kind of make me feel like i am the only one, a freak. Not too much fun, and then i get anxious about having to see them. Then the mo writes that I am anxious. But it is them that is making me feel that way, because I know when I see them, they will discount my pains and problems.

  • ashla
    ashla Member Posts: 1,581
    edited May 2015

    Tomboy

    That's why I left my first MO & it was a very difficult decision. He taught most of the oncologists in the area and was brilliant, respected, kind and closely tied to my breast surgeon. But....and for me it was a big but....he didn't explain anything! His attitude was 'don't you worry your pretty little head. I'll take care of everything.' And truthfully, he did. He and my bs decided on my neoadjuvant treatment .... At a time when it wasn't so common...and decided on the plan that resulted in a complete response. Can't really ask more from him. Guarantees not forthcoming:(

    But I need to know as much as possible. That's me. So I switched.

    And sadly I might do it again....

    Also remember Tomboy that anxiety goes with this territory..don't feel ashamed of it. Goes with the cancer dx and it goes with estrogen deprivation! If you feel it...tell them .

    Forgot....

    I honestly believe that many oncologists don't realize the extent of the side effects especially with the anti estrogens. I'm in that trial where they're studying it now....

  • Jerseygirl927
    Jerseygirl927 Member Posts: 438
    edited May 2015

    I am not happy with my MO's nurse and chemo nurses, they act like I am complaining about the side effects and they have got excuses for them all, the dr himself is good, but do think i might switch. We had another BS speak about the latest in B C treatments, X-rays, types of chemo and genetics, she was from MD Anderson and was very knowledgeable. She commented on our questions about everything, very informal setting and very likable . Just that she is an hour and a half away. And there is another oncologist nearer. Have 2 more chemos left before finishing hercepton and then the pills for 5 years to start. So thinking this thru for now. Feel better girls.

  • Suladog
    Suladog Member Posts: 952
    edited May 2015

    Hi,

    just had this group recommended by lago. Glad to find some TPs . Last time I had bc I was in my 30's (25 yrs ago) and I was triple negative, so this is a totally different experience. I finished my Taxol/herceptin a month and a half ago, still on Herceptin til end of Jan, and have just been given arimidex to start.

    I went to UCSF and my docs there were far more interested in the HER2+ part than the ER+ part for me. Evidently my HER2+ status was described as "florid" which they say is a good thing as the worse the HER2 the better the herceptin likes it or whatever...anyway they have been less concerned about the ER+ part and in fact I've been told that that part for me is low risk so if I have problems they would not be afraid to take me off of it. They tell me, since I have been in chemo pause since 1990, and am small and my body has already been running on empty for 25 years I should have no problems with this AI (here's hoping). I have to add that this time around is nothing like last time in Los Angeles when they told me I had a poor prognosis yet here I am. There was no such thing as the internet to find anything out or go to talk with others in the same situation!!! Sometimes I'm glad there was no internet then because had I been able to look up triple positive at the time I would have gone bat shit.

  • Tomboy
    Tomboy Member Posts: 3,945
    edited May 2015

    Hi, SulaDog, and welcome. Sorry you are back for round two, though. That was a pretty good stretch! Do you mind me asking where you went in Los Angeles the first time? I agree, though, how great is it that we have internet! Florid, yikes!

  • Suladog
    Suladog Member Posts: 952
    edited May 2015

    Tomboy,

    Back in 1990 I was treated at Cedars Sinai Hospital, I love those guys. Now I've been treated at UCSF they're also great

  • Anonymous
    Anonymous Member Posts: 1,376
    edited June 2015



    All my tests are loaded up and I can download and print them, contact the docs, cancel and reschedule appointments

  • Blownaway
    Blownaway Member Posts: 760
    edited June 2015

    Suladog - I haven't posted in a while but sorry to hear the bc came back.  I was under the impression that if we made it 5 years without reoccurrence, we're in the clear......

    I am not able to have Herceptin because it caused heart damage for me so I'm still "batshit" over the triple +++

  • Suladog
    Suladog Member Posts: 952
    edited June 2015

    Blownaway,

    I had triple negative back in 1990, so I'm not even supposed to be here. My MO at the time said I couldn't count 5 yrs in my case so I've always been alert. Fortunately it was small less than 1cm, non nodal, but aggressive. They gave me CMF which I was told accounted for my long term survivorship. At the time Cedars Sinai gave me a poor prognosis. Evidently those TNs of us back in the day that had CMF did very well. I didn't expect to be around long enough to get cancer again. I was in my 30's the last time around. This time I'm TP also small 7mm no nodes. They told nme at UCSF they didn't want to do too much or too little so I had 12wk of taxcol and herceptin, now will continue to get herceptin alone til the end of Jan., I'm also on arimidex

  • Mommato3
    Mommato3 Member Posts: 633
    edited June 2015

    Unfortunately there is still a risk down the road for ER+ BC. The greatest risk is in the first five years which is why they use that number. After that your risk drops significantly but not down to zero.

  • oconnor2450
    oconnor2450 Member Posts: 58
    edited June 2015

    Hi Ladies, you are the go to for info, support and general stuff no one else understands:

    Question: For early stage bc is Zometa (infusion) necessary?

    I am finding conflicting info and have some anxiety about sitting for more infusions, waiting for SE's etc... whine:/ Taking Arimidex, meh, sucks but I'm 99% e+, so that happened.

    Please point me in any direction you think would be helpful in making this decision.

    Many thanks!

    Bridget in Maine



  • windgirl
    windgirl Member Posts: 340
    edited June 2015

    I think Suladogs new tumor would be considered a new primary and completely unrelated to her first TNcancer.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited June 2015

    oconnor - is your doc giving you Zoladex to counteract any bone loss from Arimidex?  Did you have a DEXA that indicated you are osteopenic or osteoporotic already?  I had an accurate baseline at diagnosis that confirmed long time osteopenia, but after chemo and six months of Femara I exhibited more loss, so my MO started me on Prolia injections.  There are a number of us that take bone building drugs.

    windgirl - I agree - different breast, long time between dx, and different receptors - sounds like a new primary to me too.

  • Suladog
    Suladog Member Posts: 952
    edited June 2015

    wind girl,

    Yes it was another primary...totally as different as can be from 1990. For one thing it was in my remaining breast the other culprit long gone. First was in my 30's second one... Well older. Both were small and node neg but that's about it

  • Mommato3
    Mommato3 Member Posts: 633
    edited June 2015

    I think it's pretty rare for TN to recur after 7-8 years.

  • Suladog
    Suladog Member Posts: 952
    edited June 2015

    mommato,

    Yes, my mo told me the other day, usually after about 10 yrs you're in the clear with that but way back in 1990 they barely knew anything about that type of cancer. In fact it was the guys at UCSF looking at my old pathology who said that what I had had then was TN , all I knew at the time was the doctors thought it was bad. My cancer surgeon was the one who told me he knew I was going to do fine. That meant a lot to me then, and we're still friends and meet for lunch when I'm in LA for busines

  • windgirl
    windgirl Member Posts: 340
    edited June 2015

    Suladog sorry you have to go through this again, it's so unfortunate. im in my late 30s and fear I have to go through this again.

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