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All TopicsForum: HER2/neu Positive Breast Cancer → Topic: TRIPLE POSITIVE GROUP

Topic: TRIPLE POSITIVE GROUP

Forum: HER2/neu Positive Breast Cancer — Testing, Herceptin (trastuzumab) treatment, side effects, and more.

Posted on: Jan 31, 2011 07:30 AM, edited Dec 10, 2012 08:55 AM by TonLee

TonLee wrote:

This is primarily for people who find themselves with THREE +'s by their diagnosis. 

If you are new to breast cancer, please click on the link below and read.  It is "What I Wish I Knew At the Beginning of Treatment."

community.breastcancer.org/for...

TCH x6 starting 12/7/2010. Diagnosis: 9/14/2010, IDC, 2cm, Stage IIIa, Grade 2, 4/4 nodes, ER+/PR+ >95%, HER2+++
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May 26, 2012 05:46 PM vickilind61 wrote:

chacha, welcome back and man, am I jealous!  Italy?  My mom's home country and I've never been.  Where all did you go and was the food as amazing as I imagine it would be?  I am with Ton though; I though HER2+ was automatic for chemo?   When mine was +,  my MO even had it re-run to make sure. 

It's not the years, it's the mileage.
Dx 2/13/2012, IDC, 1cm, Stage Ib, Grade 2, 2/4 nodes, ER+/PR+, HER2+Targeted Therapy HerceptinHormonal Therapy TamoxifenSurgery 04/09/2012 Lumpectomy (Right); Reconstruction (Both)Surgery 05/09/2012 Mastectomy (Right); Lymph Node Removal (Right); Reconstruction: Tissue expander placement (Right)Chemotherapy 06/15/2012 carboplatin, Taxotere
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May 26, 2012 07:35 PM shore1 wrote:

tonlee - Thanks for all the eye info. Good to keep in mind, as I've only been taking tamoxifen for about 4 months so far. And if its true about the crying, at least im well-detoxed by this point.

Dx 6/6/2011, IDC, 1cm, Stage I, Grade 3, 0/4 nodes, ER+/PR+, HER2+
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May 26, 2012 10:55 PM ArleneA wrote:

Chacha:  Hope you had a great trip.  I'm with others here (just finished chemo last June) and I too was told chemo is standard for us HER-2+ girls.  Awesome if things have changed....

Dx 1/1/2011, IDC, 1cm, Stage Ia, Grade 2, 0/2 nodes, ER+/PR+, HER2+
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May 26, 2012 11:28 PM fluffqueen01 wrote:

dance....yes it is a blind study. We either get Leukine, which is like neulasta, or leukine mixed with the vaccine, but don't know. Most side effects are localized, with some swelling, itching, hives. She old me that since I had never had neulasta, I might be achy and slightly feverish after the first one, but I wasn't. I will be anxious to see how next week goes. Special K.....I think that study details note that if the doctor feels it is needed to balance the study, they can put you in either arm. Don't know if that really happends or not. YOu will also have to sign off on a paper for the boosters down the road. Apparently some of the women have noted that after their booster and they got home they were breaking ouot in ginormous hives

Tonlee-good info on eyes. Mine didn't change, other than being watery on chemo, but my eye doc always tells me not to use visine. They hate it.

BMX 2/10 w/TE, Taxol 12 wks/herceptin- 1 yr/tamox, TE’s fail/TE’s back in. Implants Nov. 4th- perky!" “It isn't for the moment you are struck that you need courage, but for that long uphill climb back to sanity, faith and security.” Anne M Lindbergh
Dx 1/2011, IDC, <1cm, Stage I, Grade 2, 0/2 nodes, ER+/PR+, HER2+
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May 27, 2012 02:44 PM lago wrote:

Been out of town the last few days so just checking in.

Tonlee my ophthalmologist told me my ducts are clogging a bit with oil so my eyes too are dry. She said to use drops as needed (but not the visine kind). What do you mean by single use? Use the drops once then toss the container away? I know I have a very tiny bottle but it's not single use. BTW I've been using a 1.5+ for computer/reading but my ophthalmologist said for real closeup like reading she recommends 2+. I tried it but it seems too strong. I think my eyes were just dry when she tested me.

As far as probiotic. I take an acidophilus capsule once a day, eat yogurt and also a teaspoon of Nutra Flora (recommended by my gastroeninoligist several years ago). Love the nutra flora. Did this all through chemo too.

DONE!! alturl.com/3o9ni • Tattoos 2.7.2012 • Nipples 10.6.2011 • Exchange 6.24.2011 • Chemo 1.18. 2011 • BMX 8.31.2010
Dx 7/13/2010, IDC, 5cm, Stage IIb, Grade 3, 0/14 nodes, ER+/PR+, HER2+
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May 27, 2012 05:25 PM Jennt28 wrote:

I have the single use eye-drops. They come in a box with individual little plastic vials. All the pharmacies seem to have them in the same section as the usual visine...

Jenn

Jennt28: 3 x FEC (done!), 12 x weekly Taxol (now), 12 months Herceptin (now), RADs after the chemo
Dx 12/1/2011, IDC, 2cm, Stage IIa, Grade 3, 1/1 nodes, ER+/PR+, HER2+Surgery 12/07/2011 Lumpectomy (Right); Lymph Node Removal: Sentinel Lymph Node Dissection (Right)
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May 27, 2012 05:26 PM, edited May 27, 2012 05:26 PM by Jennt28

This Post was deleted by Jennt28.
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May 27, 2012 06:53 PM, edited May 27, 2012 06:59 PM by Chachamom

Toni, Vickie, and Arlene......I thought it was an automatic chemo/Herceptin treatment too! That's why I went for a second consult with a new MO. She also was concerned about the HER2+ status.......and ordered the oNcotype done which my first MO wouldn't do. I guess I'll get more info on Tuesday....from what I understand, the small size (3mm largest of a multifocal IDC)...along with no positive nodes is the issue......I'm confused, but trust this new MO. Vicki: we spent a week in a villa outside Florence (Mercatale)...a couple of days in Monteroso (Cinque Terre), and tree nights in Venice (my favorite!). It was a trip of a lifetime for me.....but hopefully not my last! Nice to get away from reality for a bit!

Jill
Dx 3/12/2012, IDC, <1cm, Stage Ia, Grade 2, 0/5 nodes, ER+/PR+, HER2+Hormonal Therapy ArimidexSurgery 04/03/2012 Mastectomy (Right)
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May 27, 2012 09:51 PM vickilind61 wrote:

Chachamom, it does sound like the trip of a lifetime.  Glad you were able to go and enjoy it. 

Keep up updated on the Onco results.  My tumors were larger than yours, but I also had multifocal with DCIS EVERYWHERE in the right breast.  There truly was not a single slide of tissue from the rt breast that did not have DCIS in it!  But more than anything, it was the HER2 results that convinced my MO to do the chemo. 

It's not the years, it's the mileage.
Dx 2/13/2012, IDC, 1cm, Stage Ib, Grade 2, 2/4 nodes, ER+/PR+, HER2+Targeted Therapy HerceptinHormonal Therapy TamoxifenSurgery 04/09/2012 Lumpectomy (Right); Reconstruction (Both)Surgery 05/09/2012 Mastectomy (Right); Lymph Node Removal (Right); Reconstruction: Tissue expander placement (Right)Chemotherapy 06/15/2012 carboplatin, Taxotere
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May 27, 2012 09:59 PM Chachamom wrote:

Thanks Vickilind. I've yet to find anyone else with HER2+ that didn't have the chemo and/or Herceptin....my MO says there is not enough people with <5mm>
I'm waiting for the other shoe to drop!

Jill
Dx 3/12/2012, IDC, <1cm, Stage Ia, Grade 2, 0/5 nodes, ER+/PR+, HER2+Hormonal Therapy ArimidexSurgery 04/03/2012 Mastectomy (Right)
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May 27, 2012 10:06 PM fluffqueen01 wrote:

My onc was talking to me about a patient that he was fighting for herceptin now. She came back her2++, and the tmor was small and apparently the insurance company was saying no. He was arguing with them about the importance of herceptin even if she didn't have the three plusses. I havent seen him to know if he won the battle yet.

BMX 2/10 w/TE, Taxol 12 wks/herceptin- 1 yr/tamox, TE’s fail/TE’s back in. Implants Nov. 4th- perky!" “It isn't for the moment you are struck that you need courage, but for that long uphill climb back to sanity, faith and security.” Anne M Lindbergh
Dx 1/2011, IDC, <1cm, Stage I, Grade 2, 0/2 nodes, ER+/PR+, HER2+
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May 27, 2012 10:15 PM dancetrancer wrote:

chachamom - yes, there are women < 5 mm who have chosen not to have chemo/Herceptin.  I've met them on this board.   It is a very controversial topic and not an easy decision, either way.  I wish you all the best! 
TCHX6 started 4/10/12; 33 rads; BMX w/fat grafting; DX: 7/29/11 @ age 43: Stage 1A on L (3 mm IDC, Gr 2 ER/PR+, HER2+) 0/3 nodes w/ 6 cm DCIS; Stage 0 on R (2 mm DCIS Gr 2). IDC was missed on L by first 3 path reviews; see bio for details.
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May 27, 2012 10:23 PM AlaskaAngel wrote:

There are also people who do not have the resources to manage doing all the time-consuming efforts involved in doing chemotherapy (constant doctor visits, labs, imaging, effects on physical ability to work when they don't happen to have "sick leave" coverage or even babysitting coverage, etc. etc. Those people may be able to manage doing trastuzumab alone, but some end up doing without either one because the "standard" is to do both.

I think that is very poor medical practice -- especially when the addition of chemo is so hit or miss anyway.

A.A.

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May 27, 2012 10:24 PM scottie52 wrote:

Hello fellow Trip3's Sure wish I'd fould you all back in July when 1st diag. Down to only 4 Herceptin treatments. Had already lined up BS and PS, 4 a simultanous mastectomy and impants, now one has gone MIA (long story) lol! Will have to reinterview and reschedule. Thought I was almost done. Have a powerport but all but infusion team refused to use it, so got poked all the time. Had to lay off hercpt 4 about 9 wks due 2 questionable MUGA, but back on til the end, just a lower dose. Will update when I have more to say.

Dx 6/28/2011, 1cm, Stage I, Grade 3, 0/4 nodes, ER+/PR+, HER2+Chemotherapy 08/22/2011 Cytoxan, TaxotereTargeted Therapy 08/22/2011 Herceptin
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May 27, 2012 10:39 PM fluffqueen01 wrote:

AA-not sure herceptin alone would impact anything you noted. Even with just herceptin you have bloodwork every time, a heart scan every three months and even more appointments because it takes a year. Chemo can be givn at the same time. Depending on the chemo, I am sure there is some truth to missed work, but I really felt the side effect from my weekly taxol were more manageable than the every three weeks herceptin. That wiped me out for a few days.

BMX 2/10 w/TE, Taxol 12 wks/herceptin- 1 yr/tamox, TE’s fail/TE’s back in. Implants Nov. 4th- perky!" “It isn't for the moment you are struck that you need courage, but for that long uphill climb back to sanity, faith and security.” Anne M Lindbergh
Dx 1/2011, IDC, <1cm, Stage I, Grade 2, 0/2 nodes, ER+/PR+, HER2+
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May 28, 2012 03:01 PM Chachamom wrote:

AA: my first MO said Herceptin would ONLY be given with chemo because that is the standard. My new MO said although it is the standard she doesn't always follow "protocol"
(I love her for that!). She said she has a patient now that gets Herceptin alone....age and other health factors taken into account. .....and they're BOTH Kaiser doctors so I don't think it's an insurance issue...more a doctor/patient issue

Jill
Dx 3/12/2012, IDC, <1cm, Stage Ia, Grade 2, 0/5 nodes, ER+/PR+, HER2+Hormonal Therapy ArimidexSurgery 04/03/2012 Mastectomy (Right)
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May 28, 2012 03:39 PM wasgij96 wrote:

What do you ladies know of this AE37 vaccine. Is this something that we could benifit from if it works ? Is this something that would possibly work for us that are +++ ?

Dx 3/23/2012, IDC, 3cm, Stage IIa, Grade 3, 0/7 nodes, ER+/PR+, HER2+Chemotherapy 05/16/2012 Cytoxan, Taxotere
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May 28, 2012 04:11 PM lago wrote:

wasq ij966 I think they are testing early breast cancer (disease free) that is high risk: node-positive or high-risk node negative breast cancer patients with any level of HER2. I may be wrong but I think those of us that are node negative and triple positive are of moderate risk. I believe node negative, HER2+, ER/PR- is high risk the node negative that would be eligible.

But I might be wrong

DONE!! alturl.com/3o9ni • Tattoos 2.7.2012 • Nipples 10.6.2011 • Exchange 6.24.2011 • Chemo 1.18. 2011 • BMX 8.31.2010
Dx 7/13/2010, IDC, 5cm, Stage IIb, Grade 3, 0/14 nodes, ER+/PR+, HER2+
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May 28, 2012 04:40 PM kayb wrote:

Here's the criteria from the trial posting. I think just being Her2+ is good enough.

Criteria
DISEASE CHARACTERISTICS:
Inclusion criteria:
Lymph node-positive breast cancer or high-risk lymph node-negative breast cancer. The latter is defined by any one of the following criteria:
T2 disease
Grade 3 disease
Lymphovascular invasion
Estrogen receptor- or progesterone receptor-negative disease
HER2/neu-expressing tumor (immunohistochemistry [IHC] 3+ and/or amplified fluorescence in situ hybridization [FISH] >2.2, or N0 (i+))

HER2/neu-expressing tumor (IHC 1-3+ and or positive FISH >1.2)

Completion of primary standard of care breast cancer therapies (i.e., surgery, chemotherapy, immunotherapy and radiation therapy as appropriate per standard of care for patients' specific cancer)

Clinically cancer-free (no evidence of disease)

Patients may be enrolled between 1-6 months from completion of standard primary breast cancer therapies

Good performance status (as defined in Exclusion Criteria)

Capable of informed consent

Diagnosed: May 20, 2010: IDC Left, 2cm, Stage I, Grade 2, 0/2 nodes; DCIS R, 0/3 nodes, ER+/PR+, HER2+
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May 28, 2012 11:29 PM fluffqueen01 wrote:

Wasg....I am in that trial. A highly positive HER2 status was all it took for me. I is a phase two trial, so there would still be one more to go before it would ever be public. SpecialK is getting ready to start it also, but she was HLA+ (some kind of typing of your blood), so she will be in the other arm. I was HLA-, so I am in the AE-37 side. I don't know if I am getting the vaccine with an immune system booster, or just the immune system booster.

I ask the oncology nurse if she felt there really was merit to the study as they looked back from the original start to today. She said she felt there was...she wasn't sure at first because the group was very small, but now they have expanded it in this phase and she said what they have been seeing is very positive.

So....that is all I know, but my thinking is that a lot of women had to participate in a trial to get herceptin approved, so if I can help by doing this, and it really turns into something, I will feel good about it. Side effects are very minimal and mostly itching and hives around the injection site. (I haven't had those yet).

BMX 2/10 w/TE, Taxol 12 wks/herceptin- 1 yr/tamox, TE’s fail/TE’s back in. Implants Nov. 4th- perky!" “It isn't for the moment you are struck that you need courage, but for that long uphill climb back to sanity, faith and security.” Anne M Lindbergh
Dx 1/2011, IDC, <1cm, Stage I, Grade 2, 0/2 nodes, ER+/PR+, HER2+
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May 29, 2012 01:36 AM Kitchenella wrote:

I have a friend that had a breast tumor so small that  they couldn't even see or feel it.  The only reason they looked harder for it was that she had an enlarged lymph node in her arm and one in her neck that were growing tumors.  Personally I wouldn't want to mess around just because a tumor is tiny if one is Her+.  But I'm not an oncologist.   I would definitely get some second opinions.

ACX4 ( Bi weekly) THX 12 (weekly) Herceptin for a year and rads at the end of the year.
Dx 11/14/2011, IDC, 1cm, Stage IIa, Grade 3, 1/20 nodes, ER+/PR+, HER2+
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May 29, 2012 03:35 AM jackboo09 wrote:

Hi ladies
I don't know enough about how trials work. I live in the uk. When can I expect this vaccine to be available here?

Liz

Stage 2b Her 2 + Est + one pos node Age 40
Dx 2/27/2011, IDC, 2cm, Stage IIb, Grade 3, ER+, HER2+
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May 29, 2012 10:23 AM F1_IT_Chick wrote:

Anyone here have a bilateral DIEP or other kind of flap reconstruction?  Looking into what alternatives I may have besides implants.

Dx 2/3/2012, IDC, 1cm, Stage I, 0/0 nodes, ER+/PR+, HER2+
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May 29, 2012 11:35 AM kayb wrote:

jackboo - that particular trial is only being done in the US, Germany and Greece.

Clinical trials go through 3 phases. The first phase only has a handful of participants and they test for toxicity. Phase 2 (like this vaccine trial) recruits more widely and tests for efficacy. If the therapy appears to work, then phase 3 expands to an even larger group to see if the results hold up across a larger sample. Only if all of that is successful and the FDA approves, will the drug be available for use.
It's a long process and it's easy to see why it can take more than a decade for new therapies to make it to general practice.

Since this vaccine is still recruiting for Phase 2 and they plan to follow the patients for 5 years, well - no telling how long it will be before we see something like this available to us :-(

If you're interested, the website
clinicaltrials.gov shows all the trials approved by our FDA. You can search it for things that might interest you, and if you scroll to the bottom of the page of any trial, it will list all the places around the world that trial is being done. I'll bet your government has a similar site!

Diagnosed: May 20, 2010: IDC Left, 2cm, Stage I, Grade 2, 0/2 nodes; DCIS R, 0/3 nodes, ER+/PR+, HER2+
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May 29, 2012 05:11 PM rozem wrote:

hi everyone

was wondering when you went back to work if you have decided to...I am still on herceptin until November.  I can't start any meaningful full time work until after my bmx surgery in september but I have taken on some part-time/contract work in the meantime.

are you working full time?  and if yes how far after treatment - how are you feeling, how do you drag yourself out of bed every morning

I am still sooooooo tired 

neo chemo 3xfec 3xtax +H, lump, 25 rads, tamox, bmsx 08/12
Dx 8/2011, IDC, 2cm, Stage IIa, Grade 3, 0/2 nodes, ER+/PR+, HER2+
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May 29, 2012 05:32 PM SpecialK wrote:

rozem - I went back full-time 30 days after the 6th TCH.  It did not go well for me, lol!  I knew I was having surgery 3 weeks after I went back, but I went back because I had exhausted all my FMLA, STD, ADA accomodation and LTD was indicating that they felt I would qualify for SSDI (social security disability) because of the number of surgeries, LE and my AGE!!!  So I just went back to work on the arbitrarily agreed upon date.  I was OK Mon and Tues - by Wed I was coming home and falling asleep in my scrubs, then waking up a couple of hours later unsure of whether it was day or night, and unsure of whether I had gone to work or not!  Needless to say, Thurs and Fri were a mess.  I did that for 3 weeks and then resigned, with a re-hire clause, because I was having the left expander put back - would be starting twice weekly PT for the LE, and weekly fills, as well as still receiving Herceptin every three weeks - with echo, CBC's, etc.  Just felt that work would suffer, and with direct patient care (transfusions) didn't want to make a mistake and hurt someone.  I had 5 surgeries in the 3 months prior to the start of chemo and that put me behind the eight ball, I found it difficult to rebound.

IDC/DCIS on right, ADH/ALH on left, Dx 9/27/10 Skin/Nipple sparing BMX/dbl SNB 11/1/10, Right AND 12/6/10, 4 skin/TE surgeries 12/21/10 - 7/19/11, Exchange 2/24/12, Chemo TCHX6 2/17/11 - 6/2/11, Herceptin done 1/19/12, Lymphedema dx Aug 2011
Dx 9/27/2010, IDC, 2cm, Stage IIb, Grade 3, 2/14 nodes, ER+/PR+, HER2+
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May 29, 2012 06:02 PM Jennt28 wrote:

I have an office job. I worked right up until 2 weeks ago when I got a really bad cold that wouldn't go away (after 3 rounds of FEC and 9 of 12 weekly Taxol/Herceptin) and my doctor ordered me to stay home until chemo was finished.

We actually didn't know that I now have pneumonitis until this week. So now I don't get the last Taxol due this Friday but will continue with the Herceptin.

I am planning on going back to the office next Wednesday which will be 13 days after last Taxol and 5 days after first Herceptin only. I have an inter-state trip set-up for the following week. Part of my job is to go visit hospitals running my clinical trials to check they are filing everything OK and because of chemo I am overdue on a couple of those visits that need catching up! I am looking forward to staying in a hotel close to the beach and being able to go for walks along the boardwalk after I get back to the hotel each afternoon. I think it will be like a little mini-break!

I was able to keep working because we have VERY generous sick leave provisions, flexible hours, and I was able to work from home if I wasn't well enough to go to the office.

Jenn

Jennt28: 3 x FEC (done!), 12 x weekly Taxol (now), 12 months Herceptin (now), RADs after the chemo
Dx 12/1/2011, IDC, 2cm, Stage IIa, Grade 3, 1/1 nodes, ER+/PR+, HER2+Surgery 12/07/2011 Lumpectomy (Right); Lymph Node Removal: Sentinel Lymph Node Dissection (Right)
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May 29, 2012 08:21 PM Chachamom wrote:

Hello, ladies!
My MO told me today that my Oncotype came back at a "low to intermediate" risk
(score 20), and that based on that I have a 1 out of 8 chance of recurrence in the next five years. She feels chemo would be higher risk than any potential benefit, so I'm going to be on Tamoxifen for 1 1/2 years and then switch to Arimadex for the next 3 1/2. I'm also getting follow up ultrasound and CT scans because I have several cysts on my liver, pancreas, and one in my ovary. Fingers crossed!
Thanks for all your support!

Jill
Dx 3/12/2012, IDC, <1cm, Stage Ia, Grade 2, 0/5 nodes, ER+/PR+, HER2+Hormonal Therapy ArimidexSurgery 04/03/2012 Mastectomy (Right)
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May 29, 2012 09:29 PM vickilind61 wrote:

rozem, I am hoping to go in part time for a couple of weeks starting next week and then I will work during my chemo.  I don't have a choice; need the money since we are a two income family,  plus, I will go crazy if I'm here too much more!

It's not the years, it's the mileage.
Dx 2/13/2012, IDC, 1cm, Stage Ib, Grade 2, 2/4 nodes, ER+/PR+, HER2+Targeted Therapy HerceptinHormonal Therapy TamoxifenSurgery 04/09/2012 Lumpectomy (Right); Reconstruction (Both)Surgery 05/09/2012 Mastectomy (Right); Lymph Node Removal (Right); Reconstruction: Tissue expander placement (Right)Chemotherapy 06/15/2012 carboplatin, Taxotere
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May 29, 2012 09:51 PM shore1 wrote:

Rozem, I have been on leave from work since august. I will have to go back in September, but getting the stress of work off my plate has been good for me. I wish I didn't have to go back at all, but financially, I do. Im a lawyer, and I took the leave of absence because I knew I would not be able to focus and would likely make mistakes as a result.

Dx 6/6/2011, IDC, 1cm, Stage I, Grade 3, 0/4 nodes, ER+/PR+, HER2+

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