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bad news–Gamma Knife experience needed

Forums General Melanoma Community bad news–Gamma Knife experience needed

  • Post
    NYKaren
    Participant

      so I had my scans yesterday for measurable disease to get me into PD1 trial and to rule out brain mets.

      good  news–i've got measurable disease.

      bad news–brain mets.  3 around 1 centemeter, and 1 less than 5 mm.  I am scheduled to see Dr. Kondzolka, Director of Stereotactic brain neurosurgery @ NYU.  Tomorrow is consult, Gamma Knife procedure is probably Tuesday.  He used to be at University of Pittsburgh…anyone know of  him?

      So I guess I'm stage IV now.

      I was crying on the phone when Dr. Pavlick told me. 

      so I had my scans yesterday for measurable disease to get me into PD1 trial and to rule out brain mets.

      good  news–i've got measurable disease.

      bad news–brain mets.  3 around 1 centemeter, and 1 less than 5 mm.  I am scheduled to see Dr. Kondzolka, Director of Stereotactic brain neurosurgery @ NYU.  Tomorrow is consult, Gamma Knife procedure is probably Tuesday.  He used to be at University of Pittsburgh…anyone know of  him?

      So I guess I'm stage IV now.

      I was crying on the phone when Dr. Pavlick told me. 

      I guess I'll post more after I see Dr. K tomorrow…my husband is coming with me…can anyone suggest questions to ask?

      I know some of you have had Gamma Knife, can you please share your experience with me?

      thanks,

      Karen

    Viewing 26 reply threads
    • Replies
        King
        Participant

          Karen,

          i have not had gamma knife but just had to chime in to let you know that you are in my thoughts and prayers.  I've been following your posts and just had to "speak up".  One day at a time.

          Stay Strong

          King

          Stage IV 7/05  Liver mets

          King
          Participant

            Karen,

            i have not had gamma knife but just had to chime in to let you know that you are in my thoughts and prayers.  I've been following your posts and just had to "speak up".  One day at a time.

            Stay Strong

            King

            Stage IV 7/05  Liver mets

              Candi13
              Participant

                Hi Karen,

                 

                I am a Newbie to this world of melanoma & this blog site. I have learned alot by just reading your posts.

                I am so sorry that you were told you have brain mets. You must be devastated.

                Does this mean that you cannot get on the PD1 trial that you have fought so hard to get qualified for?

                This is very scary you need treatment before your ear get worse.

                I will pray for you.

                  

                Justin

                Candi13
                Participant

                  Hi Karen,

                   

                  I am a Newbie to this world of melanoma & this blog site. I have learned alot by just reading your posts.

                  I am so sorry that you were told you have brain mets. You must be devastated.

                  Does this mean that you cannot get on the PD1 trial that you have fought so hard to get qualified for?

                  This is very scary you need treatment before your ear get worse.

                  I will pray for you.

                    

                  Justin

                  Candi13
                  Participant

                    Hi Karen,

                     

                    I am a Newbie to this world of melanoma & this blog site. I have learned alot by just reading your posts.

                    I am so sorry that you were told you have brain mets. You must be devastated.

                    Does this mean that you cannot get on the PD1 trial that you have fought so hard to get qualified for?

                    This is very scary you need treatment before your ear get worse.

                    I will pray for you.

                      

                    Justin

                  King
                  Participant

                    Karen,

                    i have not had gamma knife but just had to chime in to let you know that you are in my thoughts and prayers.  I've been following your posts and just had to "speak up".  One day at a time.

                    Stay Strong

                    King

                    Stage IV 7/05  Liver mets

                    awillett1991
                    Participant
                      Oh no! I am so sorry to hear this Karen. This is not the end! I got 2 mets on Ipi – 4mm and 6 mm. Had SRS which is just another flavor of gamma knife/cyberknife. Brain has been stable 7 mos as of last week. No after effects either, just really tired for a couple of days.

                      Dex was suggested a couple of months ago when I had a little inflammation/headache but I declined it since it wasnt deemed medically necessary. I couldn’t drive for 3 months though, that was the hardest thing w 3 kids.

                      I know how you feel right now, it is purely devastating. There are many many brain met survivors on here. Gamma knife will zap those critters straight back to hell as my radiation oncologist says!! Never give up!!

                      Amy

                      awillett1991
                      Participant
                        Oh no! I am so sorry to hear this Karen. This is not the end! I got 2 mets on Ipi – 4mm and 6 mm. Had SRS which is just another flavor of gamma knife/cyberknife. Brain has been stable 7 mos as of last week. No after effects either, just really tired for a couple of days.

                        Dex was suggested a couple of months ago when I had a little inflammation/headache but I declined it since it wasnt deemed medically necessary. I couldn’t drive for 3 months though, that was the hardest thing w 3 kids.

                        I know how you feel right now, it is purely devastating. There are many many brain met survivors on here. Gamma knife will zap those critters straight back to hell as my radiation oncologist says!! Never give up!!

                        Amy

                        awillett1991
                        Participant
                          Oh no! I am so sorry to hear this Karen. This is not the end! I got 2 mets on Ipi – 4mm and 6 mm. Had SRS which is just another flavor of gamma knife/cyberknife. Brain has been stable 7 mos as of last week. No after effects either, just really tired for a couple of days.

                          Dex was suggested a couple of months ago when I had a little inflammation/headache but I declined it since it wasnt deemed medically necessary. I couldn’t drive for 3 months though, that was the hardest thing w 3 kids.

                          I know how you feel right now, it is purely devastating. There are many many brain met survivors on here. Gamma knife will zap those critters straight back to hell as my radiation oncologist says!! Never give up!!

                          Amy

                          POW
                          Participant

                            Oh, Karen, what a bummer! I understand how frightened and disappointed you are. But as Amy says, all is not lost! This is just a bump in the road; you will get through this, you'll see.

                            Have any of your mets been tested for the BRAF mutation? If not, you might consult a neurosurgeon to see if they can do a stereotactic needle biopsy of a brain met before they do the radiation. Knowing your BRAF status will be very important in the future. You might also find out if any and all of the larger mets can be surgicallly removed. I know that brain surgery is a scarey thought, but I've heard that it is less stressful than you might imagine. And with surgery (crainiotomy) you know you got rid of the met; radiation is always wait-and-see.

                            I guess I'm saying that, while I am glad that you and your doctors are being quick to address the brain mets, don't go TOO fast. Take a little time to examine your options and make an informed decision before you rush into treatment. 

                            POW
                            Participant

                              Oh, Karen, what a bummer! I understand how frightened and disappointed you are. But as Amy says, all is not lost! This is just a bump in the road; you will get through this, you'll see.

                              Have any of your mets been tested for the BRAF mutation? If not, you might consult a neurosurgeon to see if they can do a stereotactic needle biopsy of a brain met before they do the radiation. Knowing your BRAF status will be very important in the future. You might also find out if any and all of the larger mets can be surgicallly removed. I know that brain surgery is a scarey thought, but I've heard that it is less stressful than you might imagine. And with surgery (crainiotomy) you know you got rid of the met; radiation is always wait-and-see.

                              I guess I'm saying that, while I am glad that you and your doctors are being quick to address the brain mets, don't go TOO fast. Take a little time to examine your options and make an informed decision before you rush into treatment. 

                              POW
                              Participant

                                Oh, Karen, what a bummer! I understand how frightened and disappointed you are. But as Amy says, all is not lost! This is just a bump in the road; you will get through this, you'll see.

                                Have any of your mets been tested for the BRAF mutation? If not, you might consult a neurosurgeon to see if they can do a stereotactic needle biopsy of a brain met before they do the radiation. Knowing your BRAF status will be very important in the future. You might also find out if any and all of the larger mets can be surgicallly removed. I know that brain surgery is a scarey thought, but I've heard that it is less stressful than you might imagine. And with surgery (crainiotomy) you know you got rid of the met; radiation is always wait-and-see.

                                I guess I'm saying that, while I am glad that you and your doctors are being quick to address the brain mets, don't go TOO fast. Take a little time to examine your options and make an informed decision before you rush into treatment. 

                                jP85
                                Participant
                                  I had gamma knife just before Christmas on a 2.5cm tumour along with four smaller spots. My main side efffect was fatigue starting around 3 days after and lasting for maybe a week but nothing in comparison tio the fatigue experienced from whole brain radiotherapy recently on the forty mets.

                                  The gamma worked well at shrinking and controlling the five tumours treat pre Christmas, but zelboraf didn’t do the job for me in my brain or elsewhere unfortunately.

                                  No probs whatsoever with the frame or fitting or the actual treatment which took about 2.5 hrs after plan setting. I lost a patch of hair a month after as the biggest tumour was near to the surface….it did start to grow back within a couple of months but now obvs all gone with the wbr

                                  Good luck and sorry to hear your news.

                                  Jenny

                                  jP85
                                  Participant
                                    I had gamma knife just before Christmas on a 2.5cm tumour along with four smaller spots. My main side efffect was fatigue starting around 3 days after and lasting for maybe a week but nothing in comparison tio the fatigue experienced from whole brain radiotherapy recently on the forty mets.

                                    The gamma worked well at shrinking and controlling the five tumours treat pre Christmas, but zelboraf didn’t do the job for me in my brain or elsewhere unfortunately.

                                    No probs whatsoever with the frame or fitting or the actual treatment which took about 2.5 hrs after plan setting. I lost a patch of hair a month after as the biggest tumour was near to the surface….it did start to grow back within a couple of months but now obvs all gone with the wbr

                                    Good luck and sorry to hear your news.

                                    Jenny

                                    jP85
                                    Participant
                                      I had gamma knife just before Christmas on a 2.5cm tumour along with four smaller spots. My main side efffect was fatigue starting around 3 days after and lasting for maybe a week but nothing in comparison tio the fatigue experienced from whole brain radiotherapy recently on the forty mets.

                                      The gamma worked well at shrinking and controlling the five tumours treat pre Christmas, but zelboraf didn’t do the job for me in my brain or elsewhere unfortunately.

                                      No probs whatsoever with the frame or fitting or the actual treatment which took about 2.5 hrs after plan setting. I lost a patch of hair a month after as the biggest tumour was near to the surface….it did start to grow back within a couple of months but now obvs all gone with the wbr

                                      Good luck and sorry to hear your news.

                                      Jenny

                                      kylez
                                      Participant

                                        Sorry to hear you running into this setback, Karen. Sorry to see how many different directions you're being pulled right now, by all the conflicting priorities. 

                                        My experience with GK was, the morning of the procedure, the surgeon attached a titanium frame to my head with 4 posts. They anesthetize the areas around where the posts would go. A little pressure when they tighten it securely and immovably but it felt fine afterwards. 

                                        Then they stuck my whole head, frame and all into an MRI. That's the only MRI that was difficult for me to get comfortable, they had to redo some of it because I moved. That gives them the reference from the frame to the locations they want to shoot beams at. Because the frame is so secure, they can shoot very accurately and not have to shoot any 'extra' from this accuracy. 

                                        They may place music for you. I brought a playlist so they plugged my iPhone in to run through their speakers.  It was about 3 3/4 hours to treat a 3mm tumor, a 1.4 cm tumor, and also 2 resection beds. Guessing yours will might shorter.  don't remember any particular issues afterwards. 
                                         
                                        I know what you mean about crying on the phone. Good luck with your consult tomorrow.
                                        kylez
                                        Participant

                                          Sorry to hear you running into this setback, Karen. Sorry to see how many different directions you're being pulled right now, by all the conflicting priorities. 

                                          My experience with GK was, the morning of the procedure, the surgeon attached a titanium frame to my head with 4 posts. They anesthetize the areas around where the posts would go. A little pressure when they tighten it securely and immovably but it felt fine afterwards. 

                                          Then they stuck my whole head, frame and all into an MRI. That's the only MRI that was difficult for me to get comfortable, they had to redo some of it because I moved. That gives them the reference from the frame to the locations they want to shoot beams at. Because the frame is so secure, they can shoot very accurately and not have to shoot any 'extra' from this accuracy. 

                                          They may place music for you. I brought a playlist so they plugged my iPhone in to run through their speakers.  It was about 3 3/4 hours to treat a 3mm tumor, a 1.4 cm tumor, and also 2 resection beds. Guessing yours will might shorter.  don't remember any particular issues afterwards. 
                                           
                                          I know what you mean about crying on the phone. Good luck with your consult tomorrow.
                                          kylez
                                          Participant

                                            Sorry to hear you running into this setback, Karen. Sorry to see how many different directions you're being pulled right now, by all the conflicting priorities. 

                                            My experience with GK was, the morning of the procedure, the surgeon attached a titanium frame to my head with 4 posts. They anesthetize the areas around where the posts would go. A little pressure when they tighten it securely and immovably but it felt fine afterwards. 

                                            Then they stuck my whole head, frame and all into an MRI. That's the only MRI that was difficult for me to get comfortable, they had to redo some of it because I moved. That gives them the reference from the frame to the locations they want to shoot beams at. Because the frame is so secure, they can shoot very accurately and not have to shoot any 'extra' from this accuracy. 

                                            They may place music for you. I brought a playlist so they plugged my iPhone in to run through their speakers.  It was about 3 3/4 hours to treat a 3mm tumor, a 1.4 cm tumor, and also 2 resection beds. Guessing yours will might shorter.  don't remember any particular issues afterwards. 
                                             
                                            I know what you mean about crying on the phone. Good luck with your consult tomorrow.
                                            DeniseK
                                            Participant

                                              Karen,

                                              You are where I am at now.  I went in for SRS on one tumor, they found out after the MRI to isolate it that I actually have 7. My hope was to get into an Anti PD 1 trial too but now we will have to wait for stable MRI's of 8 weeks.  Someone told me they are in the Merck trial and they only wanted 4 weeks stable.  The machine they used last week on me could only isolate to 5mm or larger so they only zapped 2.  I"m going to San Francisco for the other to be zapped by a specialist.  By the time I get my MRI after that I'm hoping I'll be stable.  If they use the mask on you and your claustrophobic it's not very fun.  It's like a mesh mask that your fitted with and they snap it to a foam form that your also fitted to for the back of your head.  I had to take an Atavan before the procedures.  They zapped mine for 5 days.  My specialist said that's not SRS, but that;s what I was told was done.  I guess in San Fran they zap them once.  Fatigue has been the worst side effect but not nearly as bad as WBR.  Other than that it's a breeze.

                                              I'm hoping we can stay stable for the amount of time required to get into our trials.  I"ll be thinking about you so keep us posted.

                                              All my best to you Karen,

                                              Denise

                                              DeniseK
                                              Participant

                                                Karen,

                                                You are where I am at now.  I went in for SRS on one tumor, they found out after the MRI to isolate it that I actually have 7. My hope was to get into an Anti PD 1 trial too but now we will have to wait for stable MRI's of 8 weeks.  Someone told me they are in the Merck trial and they only wanted 4 weeks stable.  The machine they used last week on me could only isolate to 5mm or larger so they only zapped 2.  I"m going to San Francisco for the other to be zapped by a specialist.  By the time I get my MRI after that I'm hoping I'll be stable.  If they use the mask on you and your claustrophobic it's not very fun.  It's like a mesh mask that your fitted with and they snap it to a foam form that your also fitted to for the back of your head.  I had to take an Atavan before the procedures.  They zapped mine for 5 days.  My specialist said that's not SRS, but that;s what I was told was done.  I guess in San Fran they zap them once.  Fatigue has been the worst side effect but not nearly as bad as WBR.  Other than that it's a breeze.

                                                I'm hoping we can stay stable for the amount of time required to get into our trials.  I"ll be thinking about you so keep us posted.

                                                All my best to you Karen,

                                                Denise

                                                DeniseK
                                                Participant

                                                  Karen,

                                                  You are where I am at now.  I went in for SRS on one tumor, they found out after the MRI to isolate it that I actually have 7. My hope was to get into an Anti PD 1 trial too but now we will have to wait for stable MRI's of 8 weeks.  Someone told me they are in the Merck trial and they only wanted 4 weeks stable.  The machine they used last week on me could only isolate to 5mm or larger so they only zapped 2.  I"m going to San Francisco for the other to be zapped by a specialist.  By the time I get my MRI after that I'm hoping I'll be stable.  If they use the mask on you and your claustrophobic it's not very fun.  It's like a mesh mask that your fitted with and they snap it to a foam form that your also fitted to for the back of your head.  I had to take an Atavan before the procedures.  They zapped mine for 5 days.  My specialist said that's not SRS, but that;s what I was told was done.  I guess in San Fran they zap them once.  Fatigue has been the worst side effect but not nearly as bad as WBR.  Other than that it's a breeze.

                                                  I'm hoping we can stay stable for the amount of time required to get into our trials.  I"ll be thinking about you so keep us posted.

                                                  All my best to you Karen,

                                                  Denise

                                                  Brendan
                                                  Participant

                                                    Hi Karen,

                                                    My first brain met was discovered last June.  Gamma Knife didn't work well for me and I had a craniotomy in November to remove the met.   However, from what I read on the board many people do benefit from the procedure.  Good luck to you.  Hang in there; treatments continue to improve.

                                                    Brendan

                                                    Brendan
                                                    Participant

                                                      Hi Karen,

                                                      My first brain met was discovered last June.  Gamma Knife didn't work well for me and I had a craniotomy in November to remove the met.   However, from what I read on the board many people do benefit from the procedure.  Good luck to you.  Hang in there; treatments continue to improve.

                                                      Brendan

                                                      Brendan
                                                      Participant

                                                        Hi Karen,

                                                        My first brain met was discovered last June.  Gamma Knife didn't work well for me and I had a craniotomy in November to remove the met.   However, from what I read on the board many people do benefit from the procedure.  Good luck to you.  Hang in there; treatments continue to improve.

                                                        Brendan

                                                        Owl
                                                        Participant

                                                          Dear Karen,

                                                          I am so sorry to hear about your brain mets. Until now we do not have any experience with Gamma Knife, just want to let you know that my thaughts are with you. Good to hear, that your husband is with him. Keep on fighting, you will beat this awful beast!

                                                          All the best, Jenny

                                                          Owl
                                                          Participant

                                                            Dear Karen,

                                                            I am so sorry to hear about your brain mets. Until now we do not have any experience with Gamma Knife, just want to let you know that my thaughts are with you. Good to hear, that your husband is with him. Keep on fighting, you will beat this awful beast!

                                                            All the best, Jenny

                                                            Owl
                                                            Participant

                                                              Dear Karen,

                                                              I am so sorry to hear about your brain mets. Until now we do not have any experience with Gamma Knife, just want to let you know that my thaughts are with you. Good to hear, that your husband is with him. Keep on fighting, you will beat this awful beast!

                                                              All the best, Jenny

                                                              Tina D
                                                              Participant

                                                                Karen, I have been following your posts, but my husband's 'Surface' would not let me post responses. I am so sorry for all of the new challenges you are facing in your treatment. It sounds like you are on a good track, though, to see this specialist.. get those mets taken care of and then proceed from there. I am sure this is all scary and discouraging. Keep your head up, though, you have already come through a lot and there is a road through all of this, as well. One day at a time. One moment at a time.

                                                                Tina

                                                                Tina D
                                                                Participant

                                                                  Karen, I have been following your posts, but my husband's 'Surface' would not let me post responses. I am so sorry for all of the new challenges you are facing in your treatment. It sounds like you are on a good track, though, to see this specialist.. get those mets taken care of and then proceed from there. I am sure this is all scary and discouraging. Keep your head up, though, you have already come through a lot and there is a road through all of this, as well. One day at a time. One moment at a time.

                                                                  Tina

                                                                  Tina D
                                                                  Participant

                                                                    Karen, I have been following your posts, but my husband's 'Surface' would not let me post responses. I am so sorry for all of the new challenges you are facing in your treatment. It sounds like you are on a good track, though, to see this specialist.. get those mets taken care of and then proceed from there. I am sure this is all scary and discouraging. Keep your head up, though, you have already come through a lot and there is a road through all of this, as well. One day at a time. One moment at a time.

                                                                    Tina

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