› Forums › General Melanoma Community › More good news but posting with a heavy heart
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sister of patient.
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- February 4, 2017 at 6:46 pm
Hi all – Came on here last night to post but ended up in a river of tears – for Rita (Charles), for Judy (Vince) and all the newcomers … so many new cases – it's pretty distressing. I feel for all of you!
For what it's worth, I'm going to update on my sister Leisa.
Brain MRIs and thoracic CTs are running about 6 weeks apart and latest CT report is in. Previous showed major shrinkage everywhere and several organs were already clear. Latest scan reveals more clear organs, now including pancreas and lungs. The lungs are a big one – at height of progression, there were about 8 tumours showing – all that's left now is an area of partial lung collapse.
Liver and spleen are still showing multiples but all have shrunk. Bones are also still showing multiple "sclerotic lesions" but predominantly in the spine (no surprise, it invaded just about all of the vertebrae) – T12 is totally collapsed and T5 is partially collapsed (she lost two inches in height when they went). Report now is not even noting other bones that were compromised (several ribs, right arm just below shoulder and right femur had large masses), so, we're taking no mention of those as good news.
At one point, a tumour in the spleen was so large, they couldn't tell if it was growing from the spleen or the kidney and both kidneys were "lighting up" but they're now referring to these areas as "bilateral renal cysts" … there has been no change in their size. Considering everything else has shrunk or resolved, I have no problem believing these are cysts ๐
And last – no new mets – no progression, only regression.
She's now halfway through a clinical trial of 24 infusions of nivo only and left yesterday for a winter getaway in Puerta Plata – yayy!! That's the first time she's been well enough to travel in two years.
So, we're "quietly" hopeful but always aware of how tenuous a great response can be. I'd love to know that NED is in her future … but all I do know is that – for all of us, mel patients or not – all we have is today, tomorrow is unknown.
Best wishes and thoughts going out to everyone on here – please, be as well and happy as can be!!
Barb
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- February 4, 2017 at 8:13 pm
Oh, Barb! That is wonderful news. I have sometimes felt strange and almost inappropriate sharing "good" news when so many others are suffering…. But, I think positive stories like your sister's give us all hope. Not just for each of us personally, but hope for others who are also wallking this difficult path. So thanks for sharing and enjoy! I hope her trip is splendid. You are so right that we each only have today. Will melanoma cause my end? Maybe. But…NOT TODAY!!! love, celeste
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- February 4, 2017 at 9:53 pm
thank you for sharing, I need those positive stories to keep hope! Wonderful
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- February 5, 2017 at 7:18 pm
Hi Judy – I sincerely wish the best outcome for Steven too – his situation sounds similar to my sister's. We too had hoped for Gamma knife but could not get it due to numbers of mets BUT I should mention that we've been told she could get gamma in the future should more brain mets occur, provided there are 4 or less.
You asked on your thread about anything additional that others are doing in conjunction with treatment – my sister isn't doing anything really profound but she has eliminated sugar as much as possible (cancer loves to grow in sugar), takes turmeric and makes sure she gets a good helping of yogurt in every day.
Wishing you and all other newcomers the best!!!!
Barb
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- February 5, 2017 at 7:18 pm
Hi Judy – I sincerely wish the best outcome for Steven too – his situation sounds similar to my sister's. We too had hoped for Gamma knife but could not get it due to numbers of mets BUT I should mention that we've been told she could get gamma in the future should more brain mets occur, provided there are 4 or less.
You asked on your thread about anything additional that others are doing in conjunction with treatment – my sister isn't doing anything really profound but she has eliminated sugar as much as possible (cancer loves to grow in sugar), takes turmeric and makes sure she gets a good helping of yogurt in every day.
Wishing you and all other newcomers the best!!!!
Barb
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- February 8, 2017 at 4:40 pm
Barb… Fantastic news that your sister is having success! Yay! **thumbs up!** Brain metastasis doesn't always reoccur… however, I feel compelled to tell you about the "rule" regarding gamma knife and "provided there are 4 or less". The docs who told her that have old school thinking. I was once denied a gamma treatment, because a local doctor (I live in a small town) reviewing my insurance request stated that "For more than 4 lesions in the brain, targeted radiation is not standard protocol." As a patient receiving care from USC in Los Angeles (it's 180 mile drive one way), I was/am under the watchful eyes of some HIGHLY regarded experts in the field. I called my insurance company and fought this local doctor's "standard treatment". My insurance company overturned the ruling, and I was approved to have gamma knife (this was for my 4th or 5th round) once again. I personally have had 9 lesions gamma treated at one time, and I have heard and read of other patients who have had nearly double that number treated at ONE gamma treatment. Targeted radiation is not only more effective on melanoma lesions, but also carries a much lower chance for detrimental neurological side effects. While it is not always possible to opt for gamma knife over WBR, the reasons should not be limited to "standard practice". To anyone out there who may find themselves in a brain metastasis situation… PLEASE PLEASE PLEASE seek out a second opinion with a well experienced gamma program. It would snap my heart in two IF… IF your sister were to crop up new brain lesions and be told there is "nothing more we can do", as WBR cannot be performed more than once on a given patient. Advancements in care have surpassed the knowledge level of too many local and regional care centers. It is not that these places are care less, it's simply that they don't deal with complex melanoma cases often enough to have the widespread knowledge of the best available options, versus the "standard". Thankfully, many of the new systemic medications are helping reduce the chances of recurrance in the brain, so this is an issue that may never arise for some folks. Best wishes for continued good scans for your sis! …. and to Judy's hubs Steven too!
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- February 9, 2017 at 12:03 am
Hi Niki – I agree 100% and we were pretty upset that gamma knife wasn't an option available to her. There's a couple of reasons though, not the least being that we are in ON, Canada, on a universal healthcare system and everything here is done with a " prognosis v $ cost " reasoning – 4 is the limit and that's it.
She did go to NYC for a 2nd opinion (Weill Cornell Brain & Spine Center) in the little time to act that there was but they agreed with the WBR too. They did make a couple of great suggestions though but there were even a couple more complications that precluded trying those. I could elaborate but it makes me angry all over again.
On this board though I learned that a facility in Buffalo offers state of the art gamma knife and, if we ever have to revisit that dilemma, I think that's where we'll look.
Thanks for your best wishes Niki – ours back to you too!!
Barb
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- February 9, 2017 at 12:03 am
Hi Niki – I agree 100% and we were pretty upset that gamma knife wasn't an option available to her. There's a couple of reasons though, not the least being that we are in ON, Canada, on a universal healthcare system and everything here is done with a " prognosis v $ cost " reasoning – 4 is the limit and that's it.
She did go to NYC for a 2nd opinion (Weill Cornell Brain & Spine Center) in the little time to act that there was but they agreed with the WBR too. They did make a couple of great suggestions though but there were even a couple more complications that precluded trying those. I could elaborate but it makes me angry all over again.
On this board though I learned that a facility in Buffalo offers state of the art gamma knife and, if we ever have to revisit that dilemma, I think that's where we'll look.
Thanks for your best wishes Niki – ours back to you too!!
Barb
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- February 9, 2017 at 12:03 am
Hi Niki – I agree 100% and we were pretty upset that gamma knife wasn't an option available to her. There's a couple of reasons though, not the least being that we are in ON, Canada, on a universal healthcare system and everything here is done with a " prognosis v $ cost " reasoning – 4 is the limit and that's it.
She did go to NYC for a 2nd opinion (Weill Cornell Brain & Spine Center) in the little time to act that there was but they agreed with the WBR too. They did make a couple of great suggestions though but there were even a couple more complications that precluded trying those. I could elaborate but it makes me angry all over again.
On this board though I learned that a facility in Buffalo offers state of the art gamma knife and, if we ever have to revisit that dilemma, I think that's where we'll look.
Thanks for your best wishes Niki – ours back to you too!!
Barb
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- February 8, 2017 at 4:40 pm
Barb… Fantastic news that your sister is having success! Yay! **thumbs up!** Brain metastasis doesn't always reoccur… however, I feel compelled to tell you about the "rule" regarding gamma knife and "provided there are 4 or less". The docs who told her that have old school thinking. I was once denied a gamma treatment, because a local doctor (I live in a small town) reviewing my insurance request stated that "For more than 4 lesions in the brain, targeted radiation is not standard protocol." As a patient receiving care from USC in Los Angeles (it's 180 mile drive one way), I was/am under the watchful eyes of some HIGHLY regarded experts in the field. I called my insurance company and fought this local doctor's "standard treatment". My insurance company overturned the ruling, and I was approved to have gamma knife (this was for my 4th or 5th round) once again. I personally have had 9 lesions gamma treated at one time, and I have heard and read of other patients who have had nearly double that number treated at ONE gamma treatment. Targeted radiation is not only more effective on melanoma lesions, but also carries a much lower chance for detrimental neurological side effects. While it is not always possible to opt for gamma knife over WBR, the reasons should not be limited to "standard practice". To anyone out there who may find themselves in a brain metastasis situation… PLEASE PLEASE PLEASE seek out a second opinion with a well experienced gamma program. It would snap my heart in two IF… IF your sister were to crop up new brain lesions and be told there is "nothing more we can do", as WBR cannot be performed more than once on a given patient. Advancements in care have surpassed the knowledge level of too many local and regional care centers. It is not that these places are care less, it's simply that they don't deal with complex melanoma cases often enough to have the widespread knowledge of the best available options, versus the "standard". Thankfully, many of the new systemic medications are helping reduce the chances of recurrance in the brain, so this is an issue that may never arise for some folks. Best wishes for continued good scans for your sis! …. and to Judy's hubs Steven too!
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- February 8, 2017 at 4:40 pm
Barb… Fantastic news that your sister is having success! Yay! **thumbs up!** Brain metastasis doesn't always reoccur… however, I feel compelled to tell you about the "rule" regarding gamma knife and "provided there are 4 or less". The docs who told her that have old school thinking. I was once denied a gamma treatment, because a local doctor (I live in a small town) reviewing my insurance request stated that "For more than 4 lesions in the brain, targeted radiation is not standard protocol." As a patient receiving care from USC in Los Angeles (it's 180 mile drive one way), I was/am under the watchful eyes of some HIGHLY regarded experts in the field. I called my insurance company and fought this local doctor's "standard treatment". My insurance company overturned the ruling, and I was approved to have gamma knife (this was for my 4th or 5th round) once again. I personally have had 9 lesions gamma treated at one time, and I have heard and read of other patients who have had nearly double that number treated at ONE gamma treatment. Targeted radiation is not only more effective on melanoma lesions, but also carries a much lower chance for detrimental neurological side effects. While it is not always possible to opt for gamma knife over WBR, the reasons should not be limited to "standard practice". To anyone out there who may find themselves in a brain metastasis situation… PLEASE PLEASE PLEASE seek out a second opinion with a well experienced gamma program. It would snap my heart in two IF… IF your sister were to crop up new brain lesions and be told there is "nothing more we can do", as WBR cannot be performed more than once on a given patient. Advancements in care have surpassed the knowledge level of too many local and regional care centers. It is not that these places are care less, it's simply that they don't deal with complex melanoma cases often enough to have the widespread knowledge of the best available options, versus the "standard". Thankfully, many of the new systemic medications are helping reduce the chances of recurrance in the brain, so this is an issue that may never arise for some folks. Best wishes for continued good scans for your sis! …. and to Judy's hubs Steven too!
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- February 5, 2017 at 7:18 pm
Hi Judy – I sincerely wish the best outcome for Steven too – his situation sounds similar to my sister's. We too had hoped for Gamma knife but could not get it due to numbers of mets BUT I should mention that we've been told she could get gamma in the future should more brain mets occur, provided there are 4 or less.
You asked on your thread about anything additional that others are doing in conjunction with treatment – my sister isn't doing anything really profound but she has eliminated sugar as much as possible (cancer loves to grow in sugar), takes turmeric and makes sure she gets a good helping of yogurt in every day.
Wishing you and all other newcomers the best!!!!
Barb
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- February 4, 2017 at 9:53 pm
thank you for sharing, I need those positive stories to keep hope! Wonderful
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- February 4, 2017 at 9:53 pm
thank you for sharing, I need those positive stories to keep hope! Wonderful
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- February 4, 2017 at 8:13 pm
Oh, Barb! That is wonderful news. I have sometimes felt strange and almost inappropriate sharing "good" news when so many others are suffering…. But, I think positive stories like your sister's give us all hope. Not just for each of us personally, but hope for others who are also wallking this difficult path. So thanks for sharing and enjoy! I hope her trip is splendid. You are so right that we each only have today. Will melanoma cause my end? Maybe. But…NOT TODAY!!! love, celeste
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- February 4, 2017 at 8:13 pm
Oh, Barb! That is wonderful news. I have sometimes felt strange and almost inappropriate sharing "good" news when so many others are suffering…. But, I think positive stories like your sister's give us all hope. Not just for each of us personally, but hope for others who are also wallking this difficult path. So thanks for sharing and enjoy! I hope her trip is splendid. You are so right that we each only have today. Will melanoma cause my end? Maybe. But…NOT TODAY!!! love, celeste
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- February 4, 2017 at 11:17 pm
Hi Barb, great news!!! It is very welcome news, during the tough times many are having lately!!!! I just had my 80th Immunotherapy treatment last Friday and continue to have stable scans. Some times it starts to feel a little like Ground hog day( the movie with Bill Murray ). It is hard to want to celebrate when many on the forum are in the middle of a life and death struggle, but the hope that positive news like yours can bring is always most welcome!!!Best Wishes!!!!Ed
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- February 4, 2017 at 11:17 pm
Hi Barb, great news!!! It is very welcome news, during the tough times many are having lately!!!! I just had my 80th Immunotherapy treatment last Friday and continue to have stable scans. Some times it starts to feel a little like Ground hog day( the movie with Bill Murray ). It is hard to want to celebrate when many on the forum are in the middle of a life and death struggle, but the hope that positive news like yours can bring is always most welcome!!!Best Wishes!!!!Ed
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- February 4, 2017 at 11:17 pm
Hi Barb, great news!!! It is very welcome news, during the tough times many are having lately!!!! I just had my 80th Immunotherapy treatment last Friday and continue to have stable scans. Some times it starts to feel a little like Ground hog day( the movie with Bill Murray ). It is hard to want to celebrate when many on the forum are in the middle of a life and death struggle, but the hope that positive news like yours can bring is always most welcome!!!Best Wishes!!!!Ed
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- February 5, 2017 at 6:02 am
Thanks Celeste and Ed for your "thumbs up" and all good wishes. Celeste – that's exactly how I felt – that it would be inappropriate and that I would be acting like some kind of ridiculous "pollyanna" … later, I realized that we all grasp for any kind of hope that might be out there, great or small … and almost have a responsibility to share our good news when it comes.
Ed, I totally get the Groundhog Day comparison but … if you can't be NED yet, may you remain stable for as long as it takes! (ya know, Wiarton Willie also made a good prediction last week ๐
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- February 5, 2017 at 6:02 am
Thanks Celeste and Ed for your "thumbs up" and all good wishes. Celeste – that's exactly how I felt – that it would be inappropriate and that I would be acting like some kind of ridiculous "pollyanna" … later, I realized that we all grasp for any kind of hope that might be out there, great or small … and almost have a responsibility to share our good news when it comes.
Ed, I totally get the Groundhog Day comparison but … if you can't be NED yet, may you remain stable for as long as it takes! (ya know, Wiarton Willie also made a good prediction last week ๐
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- February 5, 2017 at 6:02 am
Thanks Celeste and Ed for your "thumbs up" and all good wishes. Celeste – that's exactly how I felt – that it would be inappropriate and that I would be acting like some kind of ridiculous "pollyanna" … later, I realized that we all grasp for any kind of hope that might be out there, great or small … and almost have a responsibility to share our good news when it comes.
Ed, I totally get the Groundhog Day comparison but … if you can't be NED yet, may you remain stable for as long as it takes! (ya know, Wiarton Willie also made a good prediction last week ๐
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- February 5, 2017 at 4:19 pm
Unbelievable! Sincere congrats! Can you pls tell to newcomers like me what was the treatment used and for how long to acheive these incredible results. Thank you
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- February 5, 2017 at 7:03 pm
Yes, I sure can – I'll try to be brief:
– 1st dx xmas 2014, followed by WLE and SNB – mel found in 2 nodes, so rest of that group taken – was told "all clear" by Easter (2015)
– end Nov. 2015, extreme back pain for no apparent reason – exray revealed T12 compund fracture – bone scan results and 2nd dx in just in time for xmas again
– all but 2 vertebrae in thoracic invaded by mel – all vertebrae of lumbar spine involved – none of the cervical spine was touched, thank God – her pain was so extreme she received radiation for it (this was a palliative measure only) – finished rads by end of Jan. 2016 – CT and brain scan were also done that month
– Feb. 2016, started Taf/Mek combo (she is BRAF +) because her tumour burden was so high – by then, we knew how far it had spread (heart, brain and colon were all clear at that point but it was just about everywhere else)
– within days, and I'm not kidding, we saw sub-qs literally disappearing!! – after one week, several of her bone mets could not be felt
– week 2 on Taf/Mek brought the fevers, chills, sooo sick, it was awful – that's when I joined this board, desperate for answers
– rash set in too – progressed – onc played with Taf/Mek dose to see if we could get a handle on it, she also didn't like the fevers spiking so high (103 at times) – nothing worked on the rash and it was eventually determined to be a grade 3 allergic reaction – had spread to 80% of her body and she was taken off Taf/Mek – we were devastated because we could see how well it was working on the mel – that was in March
– April CT showed that only the few weeks of Taf/Mek worked enough magic, that she was allowed to begin immunotherapy – started on ipi/nivo infusions – was to receive the standard 4 and then onto nivo only
– after 1st infusion, ipi actually attacked her retinas – she didn't say anything for fear of being booted off the trial but her sight was getting worse daily
– day after 2nd infusion she woke up with roaring tinnitus – saw the onc immediately – interestingly, onc was more concerned about the eyes than the tinnitus (we were not – scared to death that it was brain mets) – onc confirmed ipi had attacked retinas and brain scan confirmed brain mets – so many of them that they were never counted, at least one bleeding (ultimately there were three bleeders)
– WBR was the only option given (we fought for other treatment and even sought gamma-knife in the US but everyone concurred WBR immediately – max rads)
– that radiation started in May and ended in June
– July, was allowed back into immunotherapy program but on nivo only – so, she really only received two infusions of ipi
– 1st brain scan showed no change other than bleeding had stopped, all the same tumours were there but nothing new – and they still refused to count them
– 1st thoracic CT (Sept., I think) showed great response to immunotherapy – shrinkage everywhere and some structures clear
– 2nd brain scan showed complete resolution of everything – there's still a couple of things "lighting up" that they want to watch but they don't believe it's the mel
– results of last thoracic scan are the subject of this post … and that's where we are now ๐
– hope this helps!!
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- February 5, 2017 at 7:03 pm
Yes, I sure can – I'll try to be brief:
– 1st dx xmas 2014, followed by WLE and SNB – mel found in 2 nodes, so rest of that group taken – was told "all clear" by Easter (2015)
– end Nov. 2015, extreme back pain for no apparent reason – exray revealed T12 compund fracture – bone scan results and 2nd dx in just in time for xmas again
– all but 2 vertebrae in thoracic invaded by mel – all vertebrae of lumbar spine involved – none of the cervical spine was touched, thank God – her pain was so extreme she received radiation for it (this was a palliative measure only) – finished rads by end of Jan. 2016 – CT and brain scan were also done that month
– Feb. 2016, started Taf/Mek combo (she is BRAF +) because her tumour burden was so high – by then, we knew how far it had spread (heart, brain and colon were all clear at that point but it was just about everywhere else)
– within days, and I'm not kidding, we saw sub-qs literally disappearing!! – after one week, several of her bone mets could not be felt
– week 2 on Taf/Mek brought the fevers, chills, sooo sick, it was awful – that's when I joined this board, desperate for answers
– rash set in too – progressed – onc played with Taf/Mek dose to see if we could get a handle on it, she also didn't like the fevers spiking so high (103 at times) – nothing worked on the rash and it was eventually determined to be a grade 3 allergic reaction – had spread to 80% of her body and she was taken off Taf/Mek – we were devastated because we could see how well it was working on the mel – that was in March
– April CT showed that only the few weeks of Taf/Mek worked enough magic, that she was allowed to begin immunotherapy – started on ipi/nivo infusions – was to receive the standard 4 and then onto nivo only
– after 1st infusion, ipi actually attacked her retinas – she didn't say anything for fear of being booted off the trial but her sight was getting worse daily
– day after 2nd infusion she woke up with roaring tinnitus – saw the onc immediately – interestingly, onc was more concerned about the eyes than the tinnitus (we were not – scared to death that it was brain mets) – onc confirmed ipi had attacked retinas and brain scan confirmed brain mets – so many of them that they were never counted, at least one bleeding (ultimately there were three bleeders)
– WBR was the only option given (we fought for other treatment and even sought gamma-knife in the US but everyone concurred WBR immediately – max rads)
– that radiation started in May and ended in June
– July, was allowed back into immunotherapy program but on nivo only – so, she really only received two infusions of ipi
– 1st brain scan showed no change other than bleeding had stopped, all the same tumours were there but nothing new – and they still refused to count them
– 1st thoracic CT (Sept., I think) showed great response to immunotherapy – shrinkage everywhere and some structures clear
– 2nd brain scan showed complete resolution of everything – there's still a couple of things "lighting up" that they want to watch but they don't believe it's the mel
– results of last thoracic scan are the subject of this post … and that's where we are now ๐
– hope this helps!!
-
- February 5, 2017 at 7:03 pm
Yes, I sure can – I'll try to be brief:
– 1st dx xmas 2014, followed by WLE and SNB – mel found in 2 nodes, so rest of that group taken – was told "all clear" by Easter (2015)
– end Nov. 2015, extreme back pain for no apparent reason – exray revealed T12 compund fracture – bone scan results and 2nd dx in just in time for xmas again
– all but 2 vertebrae in thoracic invaded by mel – all vertebrae of lumbar spine involved – none of the cervical spine was touched, thank God – her pain was so extreme she received radiation for it (this was a palliative measure only) – finished rads by end of Jan. 2016 – CT and brain scan were also done that month
– Feb. 2016, started Taf/Mek combo (she is BRAF +) because her tumour burden was so high – by then, we knew how far it had spread (heart, brain and colon were all clear at that point but it was just about everywhere else)
– within days, and I'm not kidding, we saw sub-qs literally disappearing!! – after one week, several of her bone mets could not be felt
– week 2 on Taf/Mek brought the fevers, chills, sooo sick, it was awful – that's when I joined this board, desperate for answers
– rash set in too – progressed – onc played with Taf/Mek dose to see if we could get a handle on it, she also didn't like the fevers spiking so high (103 at times) – nothing worked on the rash and it was eventually determined to be a grade 3 allergic reaction – had spread to 80% of her body and she was taken off Taf/Mek – we were devastated because we could see how well it was working on the mel – that was in March
– April CT showed that only the few weeks of Taf/Mek worked enough magic, that she was allowed to begin immunotherapy – started on ipi/nivo infusions – was to receive the standard 4 and then onto nivo only
– after 1st infusion, ipi actually attacked her retinas – she didn't say anything for fear of being booted off the trial but her sight was getting worse daily
– day after 2nd infusion she woke up with roaring tinnitus – saw the onc immediately – interestingly, onc was more concerned about the eyes than the tinnitus (we were not – scared to death that it was brain mets) – onc confirmed ipi had attacked retinas and brain scan confirmed brain mets – so many of them that they were never counted, at least one bleeding (ultimately there were three bleeders)
– WBR was the only option given (we fought for other treatment and even sought gamma-knife in the US but everyone concurred WBR immediately – max rads)
– that radiation started in May and ended in June
– July, was allowed back into immunotherapy program but on nivo only – so, she really only received two infusions of ipi
– 1st brain scan showed no change other than bleeding had stopped, all the same tumours were there but nothing new – and they still refused to count them
– 1st thoracic CT (Sept., I think) showed great response to immunotherapy – shrinkage everywhere and some structures clear
– 2nd brain scan showed complete resolution of everything – there's still a couple of things "lighting up" that they want to watch but they don't believe it's the mel
– results of last thoracic scan are the subject of this post … and that's where we are now ๐
– hope this helps!!
-
- February 5, 2017 at 4:19 pm
Unbelievable! Sincere congrats! Can you pls tell to newcomers like me what was the treatment used and for how long to acheive these incredible results. Thank you
-
- February 5, 2017 at 4:19 pm
Unbelievable! Sincere congrats! Can you pls tell to newcomers like me what was the treatment used and for how long to acheive these incredible results. Thank you
-
- February 6, 2017 at 2:49 am
WOW! That is such fantastic news and so happy for your sister!!!!!! Thank you for sharing the good news, it helps to know that these Meds are working for people!!!
Jen
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- February 6, 2017 at 2:49 am
WOW! That is such fantastic news and so happy for your sister!!!!!! Thank you for sharing the good news, it helps to know that these Meds are working for people!!!
Jen
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- February 6, 2017 at 2:49 am
WOW! That is such fantastic news and so happy for your sister!!!!!! Thank you for sharing the good news, it helps to know that these Meds are working for people!!!
Jen
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