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All TopicsForum: Stage IV and Metastatic Breast Cancer ONLY → Topic: Thinking About our Robin (Rpoole)

Topic: Thinking About our Robin (Rpoole)

Forum: Stage IV and Metastatic Breast Cancer ONLY —

A place for those managing the ups & downs of a Stage IV/metastatic breast cancer diagnosis. Please respect that this forum is for Stage IV members only. There is a separate forum For Family and Caregivers of People with a STAGE IV Diagnosis.

Posted on: Feb 7, 2018 10:58PM - edited Feb 7, 2018 11:13PM by zarovka

zarovka wrote:

Ladies

Our Robin (aka rpoole) is in the hospital tonight. Here is a post from her sister Connie on Inspire. Platelets low, pain, struggling to stay on treatments. Connie is looking for ideas if anyone wants to make a pitch. The trick is finding a treatment that doesn't slam Robin's platelets. Really we need to get her platelets to rise. Her low platelets have limited her access to trials and even prevented her from doing Abraxane consistently. Robin has considered abemaciclib but from the drift of the conversation, I suspect her medical team no longer feels it is going to work fast enough.

In any case, I am very concerned to hear about Robin's condition tonight. Robin's a fighter and not ready to throw in the towel. I am praying for her. I know many here would like an opportunity to join me.

>Z<

Ibrance/Letrozol Feb '16 -Sep '17. Adoptive Cell Therapy Oct 2017. Jan 2018 SBRT to sternum met and liver mets. Jan 2018 start Faslodex. Dx 12/28/2015, IDC, Left, 4cm, Stage IV, metastasized to bone/liver, Grade 3, ER+/PR-, HER2- Hormonal Therapy 1/16/2016 Femara (letrozole) Targeted Therapy 2/2/2016 Ibrance (palbociclib)
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Feb 8, 2018 01:40AM Bigbhome wrote:

Z - Robin is in my thoughts and prayers! I hope they find something that works soon!

Claudia

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Feb 8, 2018 07:28AM Wildplaces wrote:

besides platelet transfusions which are are a short term bandaid

platelets stimulating agents ( hard to pick which one if you don't have the numbers of why they are low - production, consumption, sequestration...) and not without side effects

needs to drag a motivated hematologist out of the lab!!

Some of this is used with blood disorders - both idiopathic and cancers - they are not the bread and butter of a breast oncologist - go hematopoietic specialty whether oncology or lab.

Neumega ( oprevelkin recombinant interleukin 11 ) is used in low platelets ( thrombocytopenia) as a result of chemotherapy - so helps with a platelet production problem.

If the problem is BOTH decreased production and increased consumption by peripheral sequestration, most commonly spleen... that is when it gets hard but essentially the plan would be keep your number above 40 while you get a cancer treatment that works and hopefully puts a stop to your increased platelets consumption. Once that step is achieved you try and can back off a little to let your bone marrow kick back in.



Dx 8/5/2016, DCIS/IDC, Left, 4cm, Stage IIB, Grade 2, 1/13 nodes, ER+/PR+, HER2- Surgery 8/11/2016 Lymph node removal: Underarm/Axillary; Mastectomy: Left; Prophylactic ovary removal Chemotherapy 9/11/2016 AC + T (Taxol) Radiation Therapy 2/21/2017 External: Lymph nodes, Chest wall Hormonal Therapy Arimidex (anastrozole)
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Feb 8, 2018 07:42AM - edited Feb 8, 2018 08:31AM by Wildplaces

This Post was deleted by Wildplaces.
Dx 8/5/2016, DCIS/IDC, Left, 4cm, Stage IIB, Grade 2, 1/13 nodes, ER+/PR+, HER2- Surgery 8/11/2016 Lymph node removal: Underarm/Axillary; Mastectomy: Left; Prophylactic ovary removal Chemotherapy 9/11/2016 AC + T (Taxol) Radiation Therapy 2/21/2017 External: Lymph nodes, Chest wall Hormonal Therapy Arimidex (anastrozole)
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Feb 8, 2018 01:09PM MJHJAN1014 wrote:

Hard to bear the thought of this sweet, strong lady having to endure this. Holding her in a soft healing light and wanting the best for her STAT.

MJH

Dx 1/10/2014, IDC, 1cm, Stage I, Grade 3, 0/1 nodes, ER+/PR+, HER2- Surgery 1/30/2014 Lumpectomy: Right; Lymph node removal: Right, Sentinel Radiation Therapy 2/10/2014 Breast Chemotherapy 3/5/2014 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Dx 6/10/2016, IDC, Right, 1cm, Stage IV, metastasized to bone/liver, Grade 3, 0/1 nodes, ER+/PR+, HER2- Hormonal Therapy 11/15/2017 Faslodex (fulvestrant) Chemotherapy 3/22/2018 Xeloda (capecitabine) Targeted Therapy Ibrance (palbociclib) Hormonal Therapy Femara (letrozole)
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Feb 8, 2018 01:19PM theresa45 wrote:

Thank you Zarovka for opening this new thread for Robin!! My medical oncologist is out of town next week, but I meet with her physician assistant/nurse practitioner on Monday and will ask about the platelet options that Wildplaces mentioned.

Robin, we're praying for you!

Theresa

Dx 4/20/2009, IDC, <1cm, Stage I, Grade 2, 0/4 nodes, ER+/PR+, HER2-
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Feb 8, 2018 01:36PM Husband11 wrote:

Thanks for letting us know. She is in our prayers. Low blood counts limiting treatment is such a frustrating scurge.

Concerned husband Dx 2008, Left, Stage IIIB, Grade 3, 7/14 nodes, ER+/PR+, HER2- Dx 5/2016, Stage IV, metastasized to liver, ER+/PR+, HER2- Hormonal Therapy Femara (letrozole) Targeted Therapy Ibrance (palbociclib) Chemotherapy Xeloda (capecitabine)
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Feb 8, 2018 01:39PM Micmel wrote:

I honestly they hope they get a move on and find something to get her stabilized...sending thoughts and strength for aquick answer, plus Swift pain relief. Much love ~M~

Dx 1/22/2016, IDC, Left, 4cm, Stage IV, metastasized to bone, Grade 2, 13/35 nodes, ER+/PR-, HER2- Chemotherapy 2/10/2016 AC Surgery 6/21/2016 Lymph node removal: Left, Underarm/Axillary; Mastectomy: Left Chemotherapy 7/20/2016 Abraxane (albumin-bound or nab-paclitaxel) Targeted Therapy 11/7/2016 Ibrance (palbociclib) Hormonal Therapy Arimidex (anastrozole) Surgery Chemotherapy Chemotherapy
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Feb 8, 2018 01:41PM Fraidycat1954 wrote:

Robin, I so hope you turn around quickly. Your sister gets it. You are lucky for that support! Prayers to you.

9/28/16 Stage IV mets to chest nodes. Dx 6/2015, IDC, Both breasts, 5cm, Stage IIIC, Grade 3, 7/9 nodes, ER+/PR+, HER2+ (IHC) Surgery Lymph node removal; Mastectomy Radiation Therapy Whole-breast: Breast, Lymph nodes, Chest wall Targeted Therapy Herceptin (trastuzumab) Chemotherapy Chemotherapy Other
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Feb 8, 2018 02:16PM AnimalCrackers wrote:

Thanks Z and Theresa45 for the new thread on BCO for Robin and the link to the post on Inspire from her sister Connie.

I am very sad to hear that she is in the hospital and struggling with the platelets.  I can only offer support and love and hope her team finds something to relieve her pain and increase her platelets.  

Cathy, diagnosed Stage IV de novo (with bone mets) - June 2014 (age 52). Progression to Liver diagnosed in April 2017. Bisphosphonate infusions (Zometa) every 3 months. Clinical Trial 12/19/2017 - AKT1 Inhibitor (MSC2363318A) with Tamoxifen. Dx 6/23/2014, IDC, Left, 4cm, Stage IV, metastasized to bone, mets, ER+/PR+, HER2- Hormonal Therapy 6/23/2014 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Hormonal Therapy 1/5/2016 Femara (letrozole) Targeted Therapy 1/5/2016 Ibrance (palbociclib) Dx 4/2017, IDC, metastasized to liver, ER+/PR+, HER2- Hormonal Therapy 5/18/2017 Targeted Therapy 5/18/2017 Kisqali Targeted Therapy 12/19/2017 Hormonal Therapy 12/19/2017 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Feb 8, 2018 06:04PM zarovka wrote:

Praying for you Robin. Hope the abraxane infusion went without a hitch today.

>Z<

Ibrance/Letrozol Feb '16 -Sep '17. Adoptive Cell Therapy Oct 2017. Jan 2018 SBRT to sternum met and liver mets. Jan 2018 start Faslodex. Dx 12/28/2015, IDC, Left, 4cm, Stage IV, metastasized to bone/liver, Grade 3, ER+/PR-, HER2- Hormonal Therapy 1/16/2016 Femara (letrozole) Targeted Therapy 2/2/2016 Ibrance (palbociclib)
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Feb 8, 2018 06:48PM babs6287 wrote:

Robin. Praying for you and hoping they get the platelet thing under control

Bab

Dx 8/17/2012, IDC, 4cm, Stage IIIC, Grade 2, 16/26 nodes, ER+/PR+, HER2- Surgery 8/24/2012 Lymph node removal: Left, Sentinel, Underarm/Axillary; Mastectomy: Left Chemotherapy 9/21/2012 AC + T (Taxol) Radiation Therapy 1/21/2013 Breast, Lymph nodes Hormonal Therapy 3/22/2013 Aromasin (exemestane) Surgery 8/29/2013 Prophylactic mastectomy: Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Surgery 10/30/2013 Reconstruction (left) Surgery 1/28/2014 Reconstruction (left) Surgery 5/18/2014 Reconstruction (left) Surgery 10/17/2014 Reconstruction (left); Reconstruction (right) Dx 1/2015, IDC, Left, <1cm, Stage IV, metastasized to other, Grade 2, 16/26 nodes, ER+/PR+, HER2- (FISH) Hormonal Therapy 2/17/2015 Femara (letrozole) Targeted Therapy 3/14/2015 Ibrance (palbociclib) Dx 10/1/2015, IDC, Left, Stage IV, metastasized to bone/liver, Grade 2, 16/26 nodes, ER+/PR+, HER2- Targeted Therapy 10/24/2015 Chemotherapy 1/1/2016 Xeloda (capecitabine) Chemotherapy 10/6/2016 CMF Chemotherapy 12/9/2016 Taxol (paclitaxel) Chemotherapy 4/27/2017 Gemzar (gemcitabine) Chemotherapy 6/21/2017 Halaven (eribulin) Targeted Therapy 8/10/2017 Chemotherapy 11/29/2017 Halaven (eribulin) Chemotherapy 12/14/2017 Doxil (doxorubicin)
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Feb 8, 2018 07:03PM melmcbee wrote:

Robin Im praying for you. Sending healing thoughts.

Melanie. mentor smooth round high profile gel 700 rt 550 lt with fat grafting 5/30/2013 Dx 6/24/2012, ILC, 2cm, Stage IIIA, Grade 2, 8/15 nodes, ER+/PR+, HER2- Surgery 7/8/2012 Lymph node removal: Right, Sentinel; Mastectomy: Left, Right Surgery 8/8/2012 Lymph node removal: Right, Underarm/Axillary Chemotherapy 8/22/2012 Adriamycin (doxorubicin), Cytoxan (cyclophosphamide), Taxotere (docetaxel) Radiation Therapy 1/8/2013 Breast, Lymph nodes Surgery 5/29/2013 Reconstruction (left); Reconstruction (right) Surgery 12/3/2013 Reconstruction (right) Dx 3/29/2017, ILC, Stage IV, metastasized to bone, ER+/PR- Hormonal Therapy Faslodex (fulvestrant)
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Feb 8, 2018 07:28PM ShetlandPony wrote:

Sending love and support, Robin.

2011 Stage I ILC ER+PR+ Her2- 1.5 cm grade 1, ITCs sn . Lumpectomy, radiation, tamoxifen. 2014 Stage IV ILC ER+PR+Her2- grade 2, mets to breast , liver. Taxol NEAD. 2015,2016 Ibrance+letrozole. 2017 Faslodex+Afnitor; Xeloda. 2018 Xeloda NEAD
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Feb 8, 2018 07:29PM lisajo6 wrote:

Prayers to you Robin.

Dx 5/5/1998, IDC, Right, 2cm, Stage IIB, Grade 3, 6/13 nodes, ER+/PR+, HER2- Dx 6/9/2013, IDC, Right, 2cm, Stage IV, metastasized to other, Grade 3, 6/13 nodes, ER+/PR+, HER2+ Chemotherapy 1/31/2018 Abraxane (albumin-bound or nab-paclitaxel), Taxol (paclitaxel), Taxotere (docetaxel)
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Feb 8, 2018 09:08PM Southernsurvivor wrote:

Sending you hugs tonight, Robin, and lifting you up in prayer. Hoping your platelets are rebounding.

Thanks, Z, for starting this thread.

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Feb 8, 2018 09:49PM momallthetime wrote:

Robin sweetie, hope you could find something to help you real soon. Warm Hugs,

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Feb 9, 2018 12:27AM JFL wrote:

Thanks for letting us know, Z. This is so upsetting to hear. I posted on Inspire. I hope the platelets recover and the doctors figure out the missing link right now. Praying for Robin.

Chart your own course. Dx at 30. Dx with mets at 38 while pregnant. Extensive liver and bone involvement. Currently on Doxil and XGeva. Recently had Y90 liver radioembolization. ER+/PR+, HER2 equivocal (IHC)/negative (FISH) as of 8/2017 liver biopsy. Dx 9/2006, IDC, Stage IIB, Grade 3, ER+/PR+, HER2- (FISH) Surgery 9/22/2006 Mastectomy: Left, Right Chemotherapy 11/6/2006 Adriamycin (doxorubicin), Cytoxan (cyclophosphamide), Taxotere (docetaxel) Hormonal Therapy 3/15/2007 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Dx 12/2014, IDC, Stage IV, metastasized to bone/liver/other, Grade 3, ER+/PR-, HER2- Surgery 12/26/2014 Prophylactic ovary removal Hormonal Therapy 12/26/2014 Aromasin (exemestane), Faslodex (fulvestrant) Targeted Therapy 6/18/2015 Ibrance (palbociclib) Chemotherapy 3/10/2016 Xeloda (capecitabine) Hormonal Therapy 5/14/2017 Aromasin (exemestane) Targeted Therapy 5/14/2017 Afinitor (everolimus) Chemotherapy 8/18/2017 Abraxane (albumin-bound or nab-paclitaxel) Chemotherapy 3/23/2018 Doxil (doxorubicin) Radiation Therapy 4/9/2018 Liver
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Feb 9, 2018 01:02AM jensgotthis wrote:

Adding my prayers and love Robin. We’re all withyou

Dx 12/3/2015, IDC: Tubular, Left, 2cm, Stage IV, metastasized to bone, Grade 1, 0/12 nodes, ER+/PR+, HER2- Chemotherapy 1/5/2016 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Radiation Therapy 5/1/2016 External: Bone Hormonal Therapy 5/23/2016 Surgery 5/25/2016 Lymph node removal: Left; Mastectomy: Left Targeted Therapy 9/14/2016 Ibrance (palbociclib) Hormonal Therapy 9/14/2016 Femara (letrozole) Radiation Therapy Whole-breast: Breast, Lymph nodes, Chest wall Targeted Therapy
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Feb 9, 2018 08:28AM BabyRuth wrote:

Prayers for you Robin. I hope you can get some pain relief and new treatment options soon.

Dx 12/29/2008, IDC, 2cm, Stage IIB, Grade 3, 0/14 nodes, ER+/PR+, HER2+ Targeted Therapy 1/10/2009 Herceptin (trastuzumab) Chemotherapy 3/19/2009 Carboplatin (Paraplatin), Taxotere (docetaxel) Dx 4/23/2012, IDC, Grade 2, ER+/PR+, HER2+ Dx 5/13/2013, IDC, 2/2 nodes, ER+/PR+, HER2+ Chemotherapy 9/12/2013 Taxol (paclitaxel) Dx 6/26/2015, IDC, 1cm, Stage IV, ER+/PR+, HER2+ (FISH) Chemotherapy 7/16/2015 Taxotere (docetaxel) Targeted Therapy 7/16/2015 Herceptin (trastuzumab) Targeted Therapy 7/16/2015 Perjeta (pertuzumab) Hormonal Therapy Faslodex (fulvestrant)
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Feb 9, 2018 01:32PM zarovka wrote:

Praying for you Robin.

>Z<

Ibrance/Letrozol Feb '16 -Sep '17. Adoptive Cell Therapy Oct 2017. Jan 2018 SBRT to sternum met and liver mets. Jan 2018 start Faslodex. Dx 12/28/2015, IDC, Left, 4cm, Stage IV, metastasized to bone/liver, Grade 3, ER+/PR-, HER2- Hormonal Therapy 1/16/2016 Femara (letrozole) Targeted Therapy 2/2/2016 Ibrance (palbociclib)
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Feb 10, 2018 04:48AM Bluebird-DE wrote:

Robin - checking in on you.

"Every mistake I have made has proven to be invaluable information for someone. Namely, me." Me. Diane Dx 7/15/2011, IDC, Right, 2cm, Stage IV, metastasized to liver/lungs/other, Grade 3, 3/11 nodes, mets, ER+/PR+, HER2- Chemotherapy 4/4/2017 Xeloda (capecitabine) Targeted Therapy Ibrance (palbociclib) Hormonal Therapy Faslodex (fulvestrant) Hormonal Therapy Arimidex (anastrozole) Hormonal Therapy Femara (letrozole) Radiation Therapy External: Lymph nodes Surgery Lumpectomy: Right; Lymph node removal: Left
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Feb 10, 2018 08:16AM kaayborg wrote:

Thinking of you Robin. No advice but deep care and prayers for answers, comfort, health, and peace of mind very soon.


Dx 6/24/2014, IDC, Left, 1cm, Stage IA, Grade 3, 0/3 nodes, ER-/PR-, HER2- Surgery 7/16/2014 Lumpectomy: Left Chemotherapy 8/20/2014 AC + T (Taxol) Surgery 1/4/2015 Mastectomy: Left, Right; Prophylactic mastectomy: Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Surgery 3/31/2015 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Dx 7/24/2015, 6cm+, Stage IV, Grade 3, ER-/PR-, HER2- Chemotherapy 8/3/2015 Carboplatin (Paraplatin), Gemzar (gemcitabine) Chemotherapy 6/21/2016 Carboplatin (Paraplatin) Chemotherapy 9/13/2017 Xeloda (capecitabine) Chemotherapy 9/25/2017 Halaven (eribulin) Targeted Therapy 11/13/2017 Chemotherapy 2/5/2018 Gemzar (gemcitabine)
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Feb 10, 2018 08:32AM Grannax2 wrote:

praying for you and your family.💞

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Feb 10, 2018 11:53AM zarovka wrote:

Thinking of you today Robin.

>Z<

Ibrance/Letrozol Feb '16 -Sep '17. Adoptive Cell Therapy Oct 2017. Jan 2018 SBRT to sternum met and liver mets. Jan 2018 start Faslodex. Dx 12/28/2015, IDC, Left, 4cm, Stage IV, metastasized to bone/liver, Grade 3, ER+/PR-, HER2- Hormonal Therapy 1/16/2016 Femara (letrozole) Targeted Therapy 2/2/2016 Ibrance (palbociclib)
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Feb 10, 2018 04:47PM Fraidycat1954 wrote:

Robin.my thoughts and prayers are with you.

9/28/16 Stage IV mets to chest nodes. Dx 6/2015, IDC, Both breasts, 5cm, Stage IIIC, Grade 3, 7/9 nodes, ER+/PR+, HER2+ (IHC) Surgery Lymph node removal; Mastectomy Radiation Therapy Whole-breast: Breast, Lymph nodes, Chest wall Targeted Therapy Herceptin (trastuzumab) Chemotherapy Chemotherapy Other
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Feb 10, 2018 10:54PM Micmel wrote:

Thinking of you today and wanted you to know. Keeping you close In thoughts of strength. Hugs ~M~

Dx 1/22/2016, IDC, Left, 4cm, Stage IV, metastasized to bone, Grade 2, 13/35 nodes, ER+/PR-, HER2- Chemotherapy 2/10/2016 AC Surgery 6/21/2016 Lymph node removal: Left, Underarm/Axillary; Mastectomy: Left Chemotherapy 7/20/2016 Abraxane (albumin-bound or nab-paclitaxel) Targeted Therapy 11/7/2016 Ibrance (palbociclib) Hormonal Therapy Arimidex (anastrozole) Surgery Chemotherapy Chemotherapy
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Feb 11, 2018 12:17AM zarovka wrote:

From Robin's sister as of yesterday .. woohoo!

Robin is out of the hospital and doing better after all the fluids. She is in a lot of pain from bone mets, but that's being managed. We are praying this Abraxane will do it's job!!

Ibrance/Letrozol Feb '16 -Sep '17. Adoptive Cell Therapy Oct 2017. Jan 2018 SBRT to sternum met and liver mets. Jan 2018 start Faslodex. Dx 12/28/2015, IDC, Left, 4cm, Stage IV, metastasized to bone/liver, Grade 3, ER+/PR-, HER2- Hormonal Therapy 1/16/2016 Femara (letrozole) Targeted Therapy 2/2/2016 Ibrance (palbociclib)
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Feb 11, 2018 04:03AM babs6287 wrote:

Sooo happy Robin is out of the hospital!!! Hoping the pain subsides!

Bab

Dx 8/17/2012, IDC, 4cm, Stage IIIC, Grade 2, 16/26 nodes, ER+/PR+, HER2- Surgery 8/24/2012 Lymph node removal: Left, Sentinel, Underarm/Axillary; Mastectomy: Left Chemotherapy 9/21/2012 AC + T (Taxol) Radiation Therapy 1/21/2013 Breast, Lymph nodes Hormonal Therapy 3/22/2013 Aromasin (exemestane) Surgery 8/29/2013 Prophylactic mastectomy: Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Surgery 10/30/2013 Reconstruction (left) Surgery 1/28/2014 Reconstruction (left) Surgery 5/18/2014 Reconstruction (left) Surgery 10/17/2014 Reconstruction (left); Reconstruction (right) Dx 1/2015, IDC, Left, <1cm, Stage IV, metastasized to other, Grade 2, 16/26 nodes, ER+/PR+, HER2- (FISH) Hormonal Therapy 2/17/2015 Femara (letrozole) Targeted Therapy 3/14/2015 Ibrance (palbociclib) Dx 10/1/2015, IDC, Left, Stage IV, metastasized to bone/liver, Grade 2, 16/26 nodes, ER+/PR+, HER2- Targeted Therapy 10/24/2015 Chemotherapy 1/1/2016 Xeloda (capecitabine) Chemotherapy 10/6/2016 CMF Chemotherapy 12/9/2016 Taxol (paclitaxel) Chemotherapy 4/27/2017 Gemzar (gemcitabine) Chemotherapy 6/21/2017 Halaven (eribulin) Targeted Therapy 8/10/2017 Chemotherapy 11/29/2017 Halaven (eribulin) Chemotherapy 12/14/2017 Doxil (doxorubicin)
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Feb 11, 2018 09:17AM Fraidycat1954 wrote:

I hope the Abraxane works quickly and you bounce back soon.

9/28/16 Stage IV mets to chest nodes. Dx 6/2015, IDC, Both breasts, 5cm, Stage IIIC, Grade 3, 7/9 nodes, ER+/PR+, HER2+ (IHC) Surgery Lymph node removal; Mastectomy Radiation Therapy Whole-breast: Breast, Lymph nodes, Chest wall Targeted Therapy Herceptin (trastuzumab) Chemotherapy Chemotherapy Other
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Feb 11, 2018 09:42AM PHOTOGIRL-62 wrote:

Praying for some relief Robin. We are all here for you. Hoping Docs can figure out something soon.

Gentle hugs coming your way.

Anita

Dx 10/30/2008, IDC, Right, 2cm, Stage IIA, Grade 1, 0/3 nodes, ER+/PR+, HER2- Dx 8/24/2016, IDC, Right, Stage IV, metastasized to bone, ER+/PR+, HER2- Hormonal Therapy Faslodex (fulvestrant) Targeted Therapy Ibrance (palbociclib)

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