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Topic: one year to live with brain & liver mets!?? says onc

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  • Posted on: Jul 2, 2009 04:35 am
United Kingdom
Joined: Apr 2009
Posts: 97
Dee2810 wrote:

Hi

Haven't posted in a while... Not my computer... belongs to teen girlie daughter. Feeling panicked... Went to see onc on tues and to cut a long story short he told me that the average survival rate for women with mets in liver and brain is one year!! It can 't be can it.... God what a shock! I desperately need to hear from someone to give me some hope!Told him I would have to be an exception but feel so scared and tearful... bum bum bum ......

Dee XX


Dx 2/14/2009, , Stage IV, Grade 3, 2/40 nodes, mets, ER+/PR+, HER2-

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Posts 1 - 30 (43 total)
bourscheid
Murphy, NC
Joined: Aug 2008
Posts: 388
Jul 2, 2009 07:28 am bourscheid wrote:

Wow, what a kick in the ---.  Remember, you don't have an expiration date!  I was also told to make sure I had my affairs in order when it was found that I had multiple lesions in the liver and all throughout the chest/collarbone area, that the average survival rate was two years in my case...well, 8 months later, I am in complete remission.  So never give up!  You BE that exception!

Hugs and blessings!

Lori

Lori
Dx 8/18/2008, IDC, 5cm, Stage IV, Grade 3, 27/29 nodes, mets, ER-/PR-, HER2-
RobinWendy
Long Island, NY
Joined: Mar 2007
Posts: 1,665
Jul 2, 2009 07:59 am RobinWendy wrote:

Dee,

I don't know much about brain mets but I have been living with Stage IV for 5 years and 7 months and I have mets in my lungs and liver.  They've been in the liver for over 2 years with no compromise to my liver function.  Do not listen to prognoses about how long we will live!!  I had an onc who said I would not live 5 years and hear I am feeling 100% wonderful at over 5 1/2 years.  If your onc is too negative about your situation, get a NEW ONC!!!!

Best of luck proving this guy WRONG!!

robin 

dx Stage II primary BC in Jan. 2001;dx with DCIS on other breast in Jan. 2003; dx with mets to lungs in Jan. 2004 (What's up with me and January, anyway?)
Fitztwins
MI
Joined: Dec 2004
Posts: 8,175
Jul 2, 2009 08:29 am Fitztwins wrote:

Everyone is different, averages mean nothing.

It is hard not to ask how much time we have, It would be nice is our doctors gave more positive spins on results.

I sure this average is if you do NO treatment.

Hang in.

Wash away my troubles, wash away my pain, with the rain of shambala
Dx 12/12/2004, IDC, Stage IV, Grade 2, mets, ER+/PR+, HER2+
kenzie57
Milford, OH
Joined: Feb 2007
Posts: 199
Jul 2, 2009 11:04 am kenzie57 wrote:

It's hard to hear these averages numbers from the oncs.  I ask them, because I do want to know.  However, you never know if you are going to respond favorably to a treatment or not and that can work in your favor if you do.  So, even though my average number looks grim right now, I am trying to get through another treatment.  I would like to be stable for a while!  I am hoping that you also remain stable for a long time to come.

rkt
MS
Joined: Jul 2008
Posts: 336
Jul 2, 2009 11:33 am rkt wrote:

Dear Dee,

Statistics should just be thrown out the window!  Average means that half of the women do succumb during that time, but it also means that half survive longer, some in this half much much longer.  Statistical distributions end up very skewed and they possess a very long tail.  The following site has a very interesting essay by Stephen Gould, regarding statistics and cancer survival.

http://www.cancerguide.org/median_not_msg.html

He was diagnosed with a form of cancer that had '8 month average survival', but lived ~ 20 years longer.

Will keep you in my prayers.

Becky

Becky, Stage IV, bone mets, ER+/PR?, HER2-, diagnosed June 2008
katie11
Joined: Jan 2007
Posts: 2,155
Jul 2, 2009 12:53 pm katie11 wrote:

Dee,

Ignore the statistics and live your life as best and meaningfully as you can.  There are many people out there defying the statistics out there and you will be one of them.  I was given 2 years to live when first diagnosed.  I never asked for the stats but Dr Death seemed to quite enjoy telling me nevertheless.  3 years later and I'm still kicking.

xxx

tooyoungtoh…
Bay Area, CA
Joined: Jul 2005
Posts: 494
Jul 2, 2009 01:46 pm tooyoungtohavebc wrote:

Awww yeah don't listen to him. They call them averages and statistics for a reason. Not everyone is the same. I asked and my onc wouldn't even say because he says it keeps changing because the meds keep changing and new ones keep coming out. I was stage 3 at diagnosis 4 years ago and been stage IV for 2 with mets to liver and bones and nodes...and still doing quite well.

Hang in thereSmile


Dx 2005, IDC, 6cm+, Stage IV, Grade 3, 1/7 nodes, ER+/PR+, HER2+
dreamwriter…
Toronto , ON
Joined: Feb 2008
Posts: 2,017
Jul 2, 2009 01:50 pm dreamwriter wrote:

I had an expiration date.... my original oncologist said that I would live maximum 1 yr.  That was January 2007.  SO expiration date January 2008.  The fact that Im still here, and I walk, talk and breathe on my own.... says so much for that.  Statistics are educated maybes.

Laugh until it really IS funny.
Dx 12/20/2005, 6cm+, Stage IV, Grade 3, 18/18 nodes, mets, ER+/PR+, HER2-
MaineCoonKi…
Mt Vernon, OH
Joined: Apr 2009
Posts: 102
Jul 2, 2009 02:56 pm MaineCoonKitty wrote:

My mother had thyroid cancer back in the early 60's, when she was 48.  The only treatments available to her were surgical removal and radioactive iodine, which was considered very experiemental and quite risky.  I had just turned just 8 yrs old at that time.  Her doctor told her to go home after her surgery and the iodine treatment and put her affairs in order because she wouldn't live to see me get to 9 yrs old because the "statistics" at the time predicted that she would live less than a year.

 My mother lived to be 92 years old and never had a single recurrence of the cancer.  Granted, thryoid cancer is very different from breast cancer, but no one really knows for certain how each individual will progress or react to treatments.  And there are new drugs and treatments in the pipeline every year.  Throw the statistics out the window, hun, and keep fighting - you might be the next one that blows the "stats" out of the water too.

apple
Shawnee, KS
Joined: Dec 2008
Posts: 1,893
Jul 2, 2009 03:12 pm apple wrote:

i think they feel compelled to offer the worst possible scenario.  I have made a list of all the things I want to accomplish and various goals.  That really helps me focus sanely on the future.

Best of luckSmile


Dx 5/10/2008, IDC, 5cm, Stage IIIc, Grade 3, 4/9 nodes, ER+
EWB
NJ
Joined: Jul 2008
Posts: 2,714
Jul 2, 2009 03:39 pm EWB wrote:

Oh sweetie, what an awful thing to hear! Always remember that these averages are made up of a wide range and are not always true to life. My best, best wishes and prayers are with you. Just take one day at a time, be good to yourself and treat yourself as you would a good friend...gently and well.

Gentle hugs and prayers, Elaine


Dx 11/9/2006, 4cm, Stage IV, Grade 3, mets, ER+/PR+, HER2+
vivo
Greece
Joined: Mar 2009
Posts: 427
Jul 2, 2009 04:46 pm vivo wrote:

Dee please try not to leave any rate to influence your reality... Four years ago in a hospital where I had a surgery for a not malignant tumour into my " healthy breast" I made a friend who then had stage IV breast cancer with spots on her liver and lung. I called here and told her my story after being diagnosed last October and she told me not to be afraid. She is FINE after 4 years (the first two years were tougher) and told me that another woman who had then stage1 breast cancer is now an angel. I am trying to remind you that there are no no no rates for ones personal life!

I will pray for you my dear.

The meaning of life is not what you learn but what you teach
Dee2810
United Kingdom
Joined: Apr 2009
Posts: 97
Jul 2, 2009 06:18 pm Dee2810 wrote:

You people are totally glorious!!  Thank you SO much for all the replies and encouragement. ..Much calmer today Have had some good chats with a couple of friends, at first didn't want to tell anyone close as it felt to big. Didn't want to taint the time left with them. Anyway you ladies are all right and have chosen to ignore that statistic !!! Also feel that you are all really generous coming to my rescue even tho I don't get to post much as can only get hold of puter when teen girlie goes to bed/ out! Also my right hand is dodgy after a stroke and typing seems to take ages! 

Bless you all!! Big hugz and huge thanks Dee (0:xx  


Dx 2/14/2009, , Stage IV, Grade 3, 2/40 nodes, mets, ER+/PR+, HER2-
Denny123
Joined: Jan 2004
Posts: 2,516
Jul 2, 2009 06:45 pm Denny123 wrote:

Hi Dee,

Your onc is an idiot.  There are no cut and dried stats anymore.

 In Jan, 2004, my liver was 1/5 involved with mets.  I had a 9cm tumor and numerous (too numerous to count) 2cm tumors throughout.

After 9 months of Gemzar and Herceptin, my liver went into remission and I am still in remission 5 years later.

I am on Herceptin for life-every three weeks and feel fine.

ElaineD
United Kingdom
Joined: Feb 2008
Posts: 1,361
Jul 3, 2009 02:41 am ElaineD wrote:

Oh Dee! Hugs.... One of the many problems with being stage 1V and asking "that" question is that inevitably the answer will come back, "between 1-3 years". It's all they can say really, as they have no idea how any of us will respond to treatment. What works for one won't work for another etc. I hope you can put it out of you mind (difficult, I imagine, as once the question is asked, it's hard to ignore the answer). I'm steadfastly refusing to ask that question, until such times as I've run out of treatment options, when it will then become a realistic question for me to ask. I'm sure your onc wasn't being deliberatley cruel-it must be hard for them too, when a patient asks the question, and they have to give a guesstimate.Hopefully you'll be one case that he got wrong!


Dx 11/4/2007, 5cm, Stage IV, Grade 3, ER-/PR-, HER2+
Dee2810
United Kingdom
Joined: Apr 2009
Posts: 97
Jul 3, 2009 12:14 pm Dee2810 wrote:

HI Elaine. I don't think any less of my onc.... Getting the info came about after me asking lots of?'s re other unanswered stuff .... at the point at which I flippantly expressed that I was going to live for another 5 10/15 years he asked if I wanted to discuss that.... I stupidly agreed... not his fault... am working hard to prove him wrong!! How's your new treatment going?? Well I hope.

Hugs Dee (0: x 


Dx 2/14/2009, , Stage IV, Grade 3, 2/40 nodes, mets, ER+/PR+, HER2-
jader
Joined: Jan 2009
Posts: 221
Jul 3, 2009 12:54 pm jader wrote:

I am sorry you had to hear this insensitive remark.  I understand they want to be realistic but drugs are so new these days they have no way of knowing the real outcome, do they?

((((hugs))))

Peace out
rkt
MS
Joined: Jul 2008
Posts: 336
Jul 3, 2009 01:15 pm rkt wrote:

Dear All,

I think the one thing we always need to keep in mind is that many of the statistics are survival of folks who were initially treated with very different chemo and drug regimes compared to what are availalble now.  Look at that 30+ year survivor of mets that LuAnn mentioned seeing at the Boston conference - that woman was treated with medicines very different from what we have available in our arsenals, and she has survived, living  many years with metastatic disease. 

So, hopefully in the coming years, those 'average' times will get longer and longer as we all outlive the dreaded stage iv prognosis of 1 to 3 years.  I have read on this board a post saying what we have to do is survive until the next generation of drugs/treatments  appears on the horizon, I think that is very true.  On these boards, we learn of new treatments in the pipeline, what treatments are offered to others in our particular situation and I believe this makes us much more capable of contributing to our health care decisions, rather than soley relying on our doctor. 

Becky

Becky, Stage IV, bone mets, ER+/PR+, HER2-, diagnosed June 2008, right mastectomy May 2009, 0/13 nodes
Burkiworks
Roseville, CA
Joined: Mar 2009
Posts: 18
Jul 3, 2009 02:18 pm Burkiworks wrote:

All your comments are so hopeful. On Wednesday, I got similar words from my oncologist: The chemo (Taxotere) was not working, peritoneal and rectal cancer growing and my belly filling up again with fluid (ascites). His first choice was I get a port for the ascites (which he said would not allow for further chemo - it was one or the other) and go into Hospice and count myself lucky that I had gotten an extra year. The other choice was Gemzar chemo, which he said had an only 10 percent chance of helping me. He was very negative about that. Geez! Rock and hard place!

A wonderful oncology counselor, once the doc was out of the room, talked with my daughter and I and asked us lots of questions. She spent a couple hours with us. When I told her how confused I was about what to do, but how I had all these plans (I'm a writer and artist, working on several projects, she said she felt I wasn't ready to throw in the toweland she really encouraged me to try again, as did my daughter, who, of course, was crying the whole time.

 My question is: has anyone here any experience with gemzar?

 I can totally relate to  Dee2810 and her feelings of panic, but I am so heartened by all your replies and experiences. You are all wonderful and in my prayers.

Joanne B.

Joanne B.
diana50
Palm Desert, CA
Joined: Jan 2003
Posts: 411
Jul 3, 2009 02:32 pm diana50 wrote:

i really think we have to take one day at a time; one day leads into another day....and another.  statistics are just statistics...numbers that give an average....the individuals in the statistics are all kinds of people; some healthy to begin with...some not...some who don't take care of selves..(smoke..drink...drugs...etc..) some who respond to a specific tx and some who don't  i think it is really important to find an onc who is willing to fight with you...change meds if something isn't working....be honest...and rreality based.  in a year a lot can happen.  new chemo...new breakthrough...etc.  i was in a clinical trial 7 years ago on the chemo (TAC) and now it is standard.  besides..our world isn't so safe; N korea wants to nuke us....i live in california and we can have The Big One any time...there is a lot of living to do....one day at a time....live in the moment.  deal with stuff as it comes up. don't get so far ahead of yourself.....

sending hugs, warm thoughts...prayers....hang in

diana50

Feel the strength inside; tap into the power of self and soul. Healing comes from inside and out**
Dx 2/26/2002, IDC, 1cm, Stage IIIc, Grade 3, 10/12 nodes, ER+/PR+, HER2-
joaniji
chicago, il
Joined: Jan 2007
Posts: 387
Jul 3, 2009 04:22 pm joaniji wrote:

Hi Dee,

I am sure that you are overwhelmed and frightened right now.  It takes your breath away to hear such awful news.  I have decided that I don't want any one to tell me how long I have to live. I think each of us will know when our fight is nearing the end and for you the end is NOT around the corner.  I have to believe that determination and interest in living will keep you going.  Right now you need support, encouragement and words of comfort so that you can fight this battle.   I am hoping that with time to heal from this unexpected shock, you will once again feel on solid ground.  Lots of women are thinking of you right now and sending healing wishes your way.

joani
Dx 1/1/2009, 2cm, Stage IV, Grade 2, 0/3 nodes, mets, ER+/PR-, HER2-
EWB
NJ
Joined: Jul 2008
Posts: 2,714
Jul 4, 2009 09:52 am EWB wrote:

If necessary, take things 15 minutes at a time. You can do ANYTHING for 15 minutes. Big breath, let go of anything you can (I know its easier said than done), write out fears, concerns whatever, esp the things you have no control over and put the paper in a box, and forget it, or at least don't worry about trying to remember it.

Hope it makes sense, just know you can do this & we're all here to help and lean on when needed.


Dx 11/9/2006, 4cm, Stage IV, Grade 3, mets, ER+/PR+, HER2+
Irina
Rockford, IL
Joined: Feb 2008
Posts: 796
Jul 4, 2009 06:21 pm Irina wrote:

Only God know how long we can be alive.

Oncologists very well know statistic but they should better study medical ethics

Dx 2/2004, 4cm, Stage IV, 5/0 nodes, mets ER+PR+HER2-
Dx 2/2004, IDC, 4cm, Stage IV, 5/0 nodes, mets, ER+/PR+, HER2-
heatherpalm…
KLAMATH FALLS , OR
Joined: Feb 2008
Posts: 2,009
Jul 6, 2009 09:54 am heatherpalmerton wrote:

Like so many that have posted i totally agree.  I have learned from so many women on this board that stats are meant to be broken. I have made it very clear to all my Drs that they are not my GOD. They are just my guardian Angels guiding me through this journey. I plan to live every day with rainbows,laughter, and perseverance. With a wing and a prayer that I will be hear for a very long time. So I say Poo Poo on the stats.

PS. There was a sweet little gal at our ONC office that had brain mets for five years. She passed from other complications. 

Heather

IRINA, So glad to see you are back from your trip.

HEATHER PALMERTON
Dx 1/18/2008, Stage IV, ER+/PR+, HER2-
EWB
NJ
Joined: Jul 2008
Posts: 2,714
Jul 6, 2009 11:55 am EWB wrote:

Irina- nice to see you back from your trip, hope you had a lovely time and that you are feeling well.


Dx 11/9/2006, 4cm, Stage IV, Grade 3, mets, ER+/PR+, HER2+
Dee2810
United Kingdom
Joined: Apr 2009
Posts: 97
Jul 6, 2009 03:48 pm Dee2810 wrote:

Saying a huge thanks again to all of you. Much less fearful now and feeling confident about enjoying life for a long time yet! On my rounds of enquiry I have only found women that outlived any definitive prognosis rather than the other way round!! So going back to loving and living my life to the full!!

Hugz Dee(0:  


Dx 2/14/2009, , Stage IV, Grade 3, 2/40 nodes, mets, ER+/PR+, HER2-
dreamwriter…
Toronto , ON
Joined: Feb 2008
Posts: 2,017
Jul 6, 2009 07:32 pm dreamwriter wrote:

The only thing I cannot do for 15 minutes is hold my pee.

Laugh until it really IS funny.
Dx 12/20/2005, 6cm+, Stage IV, Grade 3, 18/18 nodes, mets, ER+/PR+, HER2-
Annaswe
Joined: Jul 2008
Posts: 55
Jul 7, 2009 12:52 pm Annaswe wrote:

"Statistical distributions end up very skewed and they possess a very long tail" someone wrote and I can´t agree more. Nine years ago I found out I was stage IV, liver mets too.

I never asked but a doctor told my husband, one year left. Two years ago I was treated for a brain met. At the moment I feel fine, no chemo, only Arimedix. Remember the long tail and try to think you are in the tail...

Anna 

rumoret
Joined: Jun 2006
Posts: 731
Jul 7, 2009 01:09 pm rumoret wrote:

There was a commercial on television of a woman who was dx with pancreatic cancer and her doctor just told her there was nothing he could do for her. Then she went to Cancer Treatment Center of America and the doctors there told her she did not have an EXPIRATION date stamped on the bottom of her feet. Anyway according to the commercial she became NED and is doing fine so far.

I think no doctor or person should ever take HOPE away from you. Could you imagine how Lance Armstrong felt with his diagnosis..........he had HOPE........and his doctors had HOPE..........and his family and friends had HOPE........and I just heard he is doing really great in the TOUR d'FRANCE bike race (sorry if I fumbled on spelling the name of the race).

My friend was also given a couple of months by my own oncologist.......and she was not ready to just go home and not fight! She continued her fight and lived another 2 years. 

NEVER......NEVER......GIVE UP HOPE!

Love Always,

Terry


Dx 4/13/2006, IDC, 2cm, Stage II, Grade 3, 0/15 nodes, ER+/PR+, HER2-
Roya
Paris
Joined: May 2008
Posts: 338
Jul 7, 2009 01:27 pm Roya wrote:

According to the Bible, we each have our appointed day / hour............and as far as I know, God did not give any docs access to  that appointment book.    So, none of them can give you a time frame.Wink

As far as the statistics go.........let them go...........................

Believe!
Dx 5/2008, IDC, 2cm, Stage II, Grade 3, 0/5 nodes, ER-/PR-, HER2-

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