Home › Forums › Lung Cancer › General Lung/Thoracic Cancer Questions › Updating each other in a common thread to kick start the new GRACE?
Tagged: carbo/irinotecan, carboplatin/irinotecan, cold, thyroid
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| February 14, 2012 at 5:40 am #6163 | |
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fortmyr |
Given the move from the old to the new GRACE, and given that some of us (at least myself So I’ll start, and if you want to join in please do so, as I would really love to know how you are all doing (Jazz, Certain Spring, Myrtle, Debra, Laya and her mom, FaithandHope, Gn21, Catender, etc. + the newcomers of course! sorry for not naming everyone here – not enough space and my memory is failing me! ). So as mentioned in my signature, my sister is now in the process of finding a clinical trial after having had 4 lines of treatment. No small task as clinical trials have all kinds of rules and regulations that limit patients entry. My sister just came back from a one-week vacation in Mexique with her 2 daughters, which I’m glad she did as she just had a depressing news before leaving (learning that she could not get on the trial that she was hoping to join). She will have a broncoscopy tomorrow, in the hope that her onc. can find some cancer cells that can then be sent to the MGH in Boston for analysis (to determine what mutation her cancer has undergone and, hopefully, find a trial that will take her). That’s it for me now. Hoping to hear from you all, Myriam Sister (now 45 yo), non-smoker, diagnosed stage 4 NSCLC 12/2009. |
| February 14, 2012 at 8:12 am #6165 | |
|
double trouble |
Hi Myriam. Good luck to your sister tomorrow. I’m currently about 9 weeks post chemorad to my right lung and right pretracheal and hilar lymph nodes. I had labs at 6 weeks and my blood counts (specifically WBC, ANC, and Platelets) were still dropping when they should have been recovering. I go Friday for more labs and another visit with my Oncologist, and I’m hoping the numbers look better. Then on March 16 I’ll have more labs and a scan. The good news is that my energy level and appetite are great! Good idea, Myriam. I hope the others follow suit. 09/10 CT Bil. GGO’s |
| February 14, 2012 at 9:04 am #6166 | |
|
Follansbee |
I’m not new to the site but haven’t been very active on it either, but I would just like to say that I’m so glad to be celebrating Valentine’s Day with my husband. When he was diagnosed last April the things I was reading online lead me to believe that he had six to eight months to live. Then I found GRACE and had hope. Things have been going well with him. He is working part time and staying fairly active. So Husband 74 y, 04/11: dx Stage IV adenoc, LUL, RUL, mediastinum. Neg for KRAS, EGFR. 05/11+ : Carbo/alimta/avastin, two cycles. CT 06/11: majority of bilateral pulmonary nodules and mediastinal lymph nodes decreased in size. 07/11: 4th Carbo/alimta/avastin, well tolerated, ps excellent. On alimta/avastin maintenance. 02/12 Switched to alimta only maintenance due to dx of congestive heart failure. 3/12 Back on Alimta/avastin. |
| February 14, 2012 at 9:29 am #6168 | |
|
fortmyr |
Debra, Follansbee, thank you very much for partcipating in the thread. I’m glad to hear back from you. Debra, good luck with your counts – I’m really happy to hear that you’re feeling good. Take care, Myriam Sister (now 45 yo), non-smoker, diagnosed stage 4 NSCLC 12/2009. |
| February 14, 2012 at 11:35 am #6171 | |
|
gn21 |
And GN21 is also here, and finding it difficult to follow new posts. I’m sure I must be missing some. Oh how I miss the Read All Unread Posts Since Last Visit link. Have had plenty of bad news in the past week with two new light ups showing in my last PET, both apparently in the lung lining and causing a fair bit of discomfort. Plus growth in the other two previously identified tumors. Am now on the roundabout getting all the tests scheduled to try for a new clinical trial which I will hopefully get on and start early March. In the meantime I have had to stop taking my somewhat disloyal friend tarceva. Oh how I miss her fighting spirit. Great to read all your news everyone and hopefully the tweaking of the Grace site will continue and all will be well. Gail Diagnosed February 2009. Failed resection and restaged to Stage 4. Disappointing results from chemo. Commenced tarceva/pertuzumab clinical trial August 2009. Tumors reduced to scar tissue only. Progression acknowledged August 2011. Ceased trial, increased tarceva to 150mg. Progression continued. Commenced new clinical trial March 2012. Initial results good but struggling with side effects April 2012. Still planning holidays. |
| February 14, 2012 at 11:45 am #6173 | |
|
fortmyr |
Gail, good luck with the trial. I hope that you get a respite from this awful disease. I’ll be crossing my fingers for you, Myriam Sister (now 45 yo), non-smoker, diagnosed stage 4 NSCLC 12/2009. |
| February 14, 2012 at 11:45 am #6174 | |
|
FaithAndHope79 |
Gail, good luck with the tests and getting on the new clinical trial. Hope to hear good news from you soon. Take care. 1/07: dry cough |
| February 14, 2012 at 12:43 pm #6176 | |
|
Dr West |
I’m sorry, Gail, that it appears to be time to do a new treatment, but I hope your next one is effective. I look forward to hearing more about the trial. Thanks to others who have joined in, and particularly to Debra for jump-starting things. A reminder that you can just start a new thread by going to a folder that would be an appropriate place, then just scroll down to the open text fields to give your thread a name, and add the text. Adding a tag or two (a descriptive term for the main subject) is a nice bonus to help you and others find the relevant info during a site search, or for other people outside of GRACE to find relevant info for them here. As for the new forums, we will be adding things to make it easier, so please don’t lose faith or patience. At the same time, I don’t think it’s too, too hard to survey the forum or two that you’re most interested in, and you can just look at the “freshness” of the topics to see what new content has been added, and whether there’s anything you should pop in on. -Dr. West +++++++++++++++++++++++++ Howard (Jack) West, MD Views expressed here represent my opinion, not those of GRACE or Swedish Cancer Institute. This information does not constitute medical advice and is intended to supplement and not replace medical information provided by your doctor. |
| February 14, 2012 at 1:50 pm #6178 | |
|
certain spring |
Thank you Myriam for starting this thread. Follansbee, I’m delighted you are having Valentine’s Day with your husband! Debra, it’s great to hear you’ve got some appetite and energy back. And Gail, I wanted to join everyone in wishing you the best on the trial. 48-year-old non-smoker, dx stage IV NSCLC May 2010 (squamous tumour of the left lung with multiple brain metastases). Radiotherapy to chest and brain; progressed through two cycles carbo/gemcitabine. Repeated lung collapses; pneumonia in collapsed lung, Nov 2010; bronchial stent placed, Dec 2010. Declined second-line Taxotere. Mutation testing Feb 2011, surprise EGFR exon deletion 19, ALK negative. Started Tarceva (150mg), Feb 2011. |
| February 14, 2012 at 2:02 pm #6179 | |
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laya d. |
Hi Everyone: Great idea about starting this thread, Myriam. My Mom’s CT scan, bone scan and brain MRI in early Feb. were stable. One small nodule in her left lung is growing a bit, so we will be watching it closely. Other than that, vanilla (YAY)! My Mom still is feeling dizzy (motion sickness. . .not vertigo) and nauseous. She has been doing what the docs are telling her to do (and taking the meds they want her to take), but continues to feel relatively crummy every day. Her fatigue is a bit better (thank goodness). Last night, I had a heart-to-heart telephone chat with her new ENT, and he finally agreed to send her to Vestibular Rehab at our local hospital (YAY!). . .I had a copy of the order faxed to me this morning. . .and it looks like the Doc is ordering 6 weeks of rehab (2x a week). In speaking with the ENT’s nurse this morning, she said that in general, their patients who have done this rehab have had great success with it. . .so, everyone. . .please keep your fingers crossed for my Mom. Other than that. . .just taking it one day at a time. This month we have had a lot of cancer losses and I am feeling somewhat overwhelmed by it all. In addition to our dear Stephanie (ts) – - whom I miss every single day – - the father of one of my ten-year old son’s friends/team-mates died last Thursday of leukemia (he was 54 when he died). I hate cancer!!!! Laya P.S. Gail. . .continued best of luck to you. . . P.S.S. certain spring. . .had no idea that all this was oging on with you. . .hopefully you’ll be all better in a day or two. I don’t know how to ship ice cream across the pond to you home. . .if I figure it out, it will land on your doorstep. 1/10 – My Mom (58) dx w/ NSCLC-Adeno 3a; 1 cycle of neoadjuvent Carbo/Alimta before finding out EGFR+ (Ex. 19), then switched to 7 wks of neoadjuvent Tarceva/150 mg (major shrinkage); 4/10 – right pneumonectomy; 6/10 started 3 rounds of adjuvent Cis/Alimta w/ concurrent chest radiation (7 wks); 8/10 – NED; 11/10 – small nodule in left lung; 1/11 – 3 small nodules in left lung, start Tarceva/100 mg; 4/11 – suspected sclerotic met to hip, continue w/ Tarceva, add XGEVA, brain MRI clear; 9/11 – solitary 3 cm met (adeno w/ T790m mutation) to cerebellum, surgery and gamma knife, up Tarceva to 150 mg; 11/11 – 2 left lung nodules growing, biopsy on 1 shows mutation from adeno to squamous (shocker!), brain MRI clear, continue Tarceva & Xgeva; 2/12 – brain MRI clear, CT scan, remaining nodule slightly bigger – – monitor for now, Tarceva (reduced to 100 mg) & Xgeva continued; 4/12 progression and rebiopsy (confirmed adeno), stop Tarceva, switch to Carbo/Alimta.
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| February 14, 2012 at 2:22 pm #6184 | |
|
double trouble |
cs, thank you for “coming out” and I hope you’re able to breathe more comfortably now. I’m hoping, too, that you have someone able and willing to fetch ice cream. I know you don’t like talking about yourself. Follansbee, I’m so happy your husband is feeling so well, and I hope your Valentine is wonderful. Gail, good luck with getting into the trial. Fingers and toes crossed. Please keep us updated. I’m sorry the scan wasn’t better. Myriam, I hope your sister finds a trial to participate in. I’m so glad we’re all together again and hope the rest of the gang shows up as well. Dr. West, no problem. It was fun learning my way around. Did you get my last PM before the old site got archived? Debra 09/10 CT Bil. GGO’s
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| February 14, 2012 at 4:31 pm #6189 | |
|
Dr West |
Debra, Thanks, I did. Sorry I didn’t respond (up to my eyeballs in upgrade stress), but I really appreciated your thoughtful comments, which made a lot of sense to me. -Dr. West +++++++++++++++++++++++++ Howard (Jack) West, MD Views expressed here represent my opinion, not those of GRACE or Swedish Cancer Institute. This information does not constitute medical advice and is intended to supplement and not replace medical information provided by your doctor. |
| February 14, 2012 at 6:23 pm #6196 | |
|
katiejolove |
Hi everyone, |
| February 14, 2012 at 6:38 pm #6199 | |
|
Dr West |
+++++++++++++++++++++++++ Howard (Jack) West, MD Views expressed here represent my opinion, not those of GRACE or Swedish Cancer Institute. This information does not constitute medical advice and is intended to supplement and not replace medical information provided by your doctor. |
| February 15, 2012 at 1:11 am #6207 | |
|
certain spring |
Thank you, katiejolove and Dr West! 48-year-old non-smoker, dx stage IV NSCLC May 2010 (squamous tumour of the left lung with multiple brain metastases). Radiotherapy to chest and brain; progressed through two cycles carbo/gemcitabine. Repeated lung collapses; pneumonia in collapsed lung, Nov 2010; bronchial stent placed, Dec 2010. Declined second-line Taxotere. Mutation testing Feb 2011, surprise EGFR exon deletion 19, ALK negative. Started Tarceva (150mg), Feb 2011. |
| February 15, 2012 at 3:33 am #6211 | |
|
fortmyr |
Laya, Certain Spring, Dr. West, Faith and Hope, thanks for joining the thread. I’m glad I started it as I had no clue what was going on with you CS, nor how your mother was doing, Laya. Certain Spring: you’re a very courageous lady. This ‘debunking’ does not sound like a piece of cake… I’m glad that it worked for you in the past though, and hope that it will be really effective this time around too. Laya: good luck to your mother with the vestibular rehab (I’ve heard about it before as we have vertigo problems in my family – both my mother and I – although it’s not cancer-related). I hope that she finds her balance back real soon and am glad to hear that she had, overall, good news at her latest scans. Take care everyone, Myriam Sister (now 45 yo), non-smoker, diagnosed stage 4 NSCLC 12/2009. |
| February 15, 2012 at 4:37 am #6212 | |
|
warriorprincess |
I’m nearly half way thru 3rd line of chemo for ext-SCLC. 3rd round is nxt week. I’m repeating carbo/etop, which I did first line. It is all going very smoothly so far. No nausea and minimal tiredness. My WBC count was a bit low after first round, so they reduced the dosage. All fine second round. The pain that I was experiencing from bone mets has reduced significantly and mobility has increased…..until today! Today I am in quite a bit more pain than I have been since I started chemo. Hopefully its just a one off and will be better tomorrow. Since I started chemo, I havent needed any breakthru pain relief, except on chemo days, and today! One issue I’m not quite sure how to deal with is community nursing. It was organised for me when I was in hospital to monitor how pain meds are going, and also to keep an eye on how “regular” I am. They are scheduled to come once every 2 weeks. I’m still working full time (mostly from home), and the nurse that I have been allocated just doesnt seem to be able to come at the appointment time (which is a 2 hour window)… she comes late, she doesnt turn up at all, she came at an additional time, and apart from that, I dont feel like she feels very comfortable with me……. so its really not working for me. But I’m not really sure how to raise it with this nurse. I did ring today and spoke to someone else to say that she didnt turn up last week, and to find out when my next appt is. I dont really need someone to come regularly, so I might ask for them just to give me a call on a regular basis, and I’ll call them when I need them…….. any other suggestions? *************************************************************************** Diagnosed ex-SCLC at 42y.o in June 2010. never smoker. 1st line carbo/etop. PCI Nov 2010. 2nd line CAV may 2011. severe hip/leg pain sept 2011. lung and spine radiation in hosp Nov 2011. 3rd line carbo/etop Jan 2012. progression march 2012. 4th line irinotecan. |
| February 15, 2012 at 5:51 am #6213 | |
|
Dr West |
certain spring, Denise and I will be attending an event in her honor this weekend (fitting for a foodie, it’s being held at a hip local restaurant she and Michael often frequented). Michael relayed to me that the GRACE community meant a great deal to her, as I think we all know, but I also know that the connection went both ways. I’m planning to start a post in which people can share some comments, their own thoughts, that can help shape what I say as a representative of the GRACE community she was such an important part of. I’ll include a link to the thread in the archived forums. -Dr. West +++++++++++++++++++++++++ Howard (Jack) West, MD Views expressed here represent my opinion, not those of GRACE or Swedish Cancer Institute. This information does not constitute medical advice and is intended to supplement and not replace medical information provided by your doctor. |
| February 15, 2012 at 7:36 am #6218 | |
|
certain spring |
Thank you, Dr West, I’m so glad to hear that. If you have time, will you post something about the party? I just wrote to Michael and it seemed so strange, writing to someone you’ve never met about someone you’ve never met. 48-year-old non-smoker, dx stage IV NSCLC May 2010 (squamous tumour of the left lung with multiple brain metastases). Radiotherapy to chest and brain; progressed through two cycles carbo/gemcitabine. Repeated lung collapses; pneumonia in collapsed lung, Nov 2010; bronchial stent placed, Dec 2010. Declined second-line Taxotere. Mutation testing Feb 2011, surprise EGFR exon deletion 19, ALK negative. Started Tarceva (150mg), Feb 2011. |
| February 15, 2012 at 11:19 am #6220 | |
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laya d. |
Happy belated Valentine’s Day, my dears!!!! Unlike the crafty Dr. West, I don’t know how insert clip-art into my posts yet (I bet after a bit of tinkering around I can figure it out), but trust me when I say that the the heart I will insert will make Dr. West’s look teeny-tiny!. ;O) certain spring: My understanding of Vestibular Rehab is that they try to retrain your brain not to rely on the vestibular nerve for balance issues. The thought is that either the brain tumor or the surgery or the gamma knife or the combination caused damages to my mom’s vestibular nerve (which from what I understand goes from the ears to the cerebellum). The cerebellum is the balance center for the brain. . .and so the rehab will retool my mom’s brain to rely on other parts for balance and not feel motion sick/dizzy/nauseous anymore. At least that’s the hope. . . People with vertigo have had great success with this type of rehab. Anyway, I’ll keep you all posted. . . Laya 1/10 – My Mom (58) dx w/ NSCLC-Adeno 3a; 1 cycle of neoadjuvent Carbo/Alimta before finding out EGFR+ (Ex. 19), then switched to 7 wks of neoadjuvent Tarceva/150 mg (major shrinkage); 4/10 – right pneumonectomy; 6/10 started 3 rounds of adjuvent Cis/Alimta w/ concurrent chest radiation (7 wks); 8/10 – NED; 11/10 – small nodule in left lung; 1/11 – 3 small nodules in left lung, start Tarceva/100 mg; 4/11 – suspected sclerotic met to hip, continue w/ Tarceva, add XGEVA, brain MRI clear; 9/11 – solitary 3 cm met (adeno w/ T790m mutation) to cerebellum, surgery and gamma knife, up Tarceva to 150 mg; 11/11 – 2 left lung nodules growing, biopsy on 1 shows mutation from adeno to squamous (shocker!), brain MRI clear, continue Tarceva & Xgeva; 2/12 – brain MRI clear, CT scan, remaining nodule slightly bigger – – monitor for now, Tarceva (reduced to 100 mg) & Xgeva continued; 4/12 progression and rebiopsy (confirmed adeno), stop Tarceva, switch to Carbo/Alimta. |
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