› Forums › General Melanoma Community › Stage IIIA patients doing yervoy vs watch and wait.
- This topic has 48 replies, 9 voices, and was last updated 9 years, 3 months ago by
mybelle.
- Post
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- January 30, 2016 at 6:39 pm
Looking for some feedback from other stage IIIA patients who are making the decision to watch and wait or try yervoy. Son diagnosed with IIIA, 1.1mm on right arm, micro one node, 23 other nodes negative. He is leaning more toward boosting his immune system naturally through healthy living due to the side effects of yervoy. Appreciate hearing from other patients in a similar situation.
- Replies
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- January 30, 2016 at 7:14 pm
Hi, sorry your son has to go through this. I am 29, stage 3b, and doing Yervoy. I chose Yervoy over watch and wait for myself due to knowing that I need to feel like I am physically doing something, plus, I am young and healthy so if any side effects came up I'd be able to take care of them quickly. I have done 3 rounds of treatment so far, and the only side effect I have experienced is fatigue. No one knows how a drug will react with their body until they try it, and I am definitely very glad I have been able to get this far with no major side effects at all.
It is a very personal decision. Whatever decision he is most comfortable with will be the best decision for him.
I hope all the best for your son.
-Jenn
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- January 30, 2016 at 7:14 pm
Hi, sorry your son has to go through this. I am 29, stage 3b, and doing Yervoy. I chose Yervoy over watch and wait for myself due to knowing that I need to feel like I am physically doing something, plus, I am young and healthy so if any side effects came up I'd be able to take care of them quickly. I have done 3 rounds of treatment so far, and the only side effect I have experienced is fatigue. No one knows how a drug will react with their body until they try it, and I am definitely very glad I have been able to get this far with no major side effects at all.
It is a very personal decision. Whatever decision he is most comfortable with will be the best decision for him.
I hope all the best for your son.
-Jenn
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- January 30, 2016 at 8:04 pm
Hi Jenn. Thank you for the feedback. I'm so happy for you that you are tolerating yervoy well. He is young and otherwise healthy like you so his oncologist thinks he would probably tolerate it well. Tough decision and I don't think there is a right or wrong decision. Just a personal decision for him to make. He and I have been curious about how many other 3A patients are opting for yervoy. He wants to still be able to work and finish his degree. I wish you the very best also. It helps to talk to other patients going through this.
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- January 30, 2016 at 8:04 pm
Hi Jenn. Thank you for the feedback. I'm so happy for you that you are tolerating yervoy well. He is young and otherwise healthy like you so his oncologist thinks he would probably tolerate it well. Tough decision and I don't think there is a right or wrong decision. Just a personal decision for him to make. He and I have been curious about how many other 3A patients are opting for yervoy. He wants to still be able to work and finish his degree. I wish you the very best also. It helps to talk to other patients going through this.
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- January 30, 2016 at 8:29 pm
I am both in school and working too. I have gone down to part time work rather than my usual full time, just because of the fatigue and my doctor told me I shouldn't overexert myself. I know other people who have mentioned that they continued to work while doing treatments, it's definitely not as debilitating as some older forms of treatment were, which is really nice. I know it can really help hearing positive stories to balance out the negative ones.
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- January 30, 2016 at 8:29 pm
I am both in school and working too. I have gone down to part time work rather than my usual full time, just because of the fatigue and my doctor told me I shouldn't overexert myself. I know other people who have mentioned that they continued to work while doing treatments, it's definitely not as debilitating as some older forms of treatment were, which is really nice. I know it can really help hearing positive stories to balance out the negative ones.
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- January 30, 2016 at 8:29 pm
I am both in school and working too. I have gone down to part time work rather than my usual full time, just because of the fatigue and my doctor told me I shouldn't overexert myself. I know other people who have mentioned that they continued to work while doing treatments, it's definitely not as debilitating as some older forms of treatment were, which is really nice. I know it can really help hearing positive stories to balance out the negative ones.
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- January 30, 2016 at 8:04 pm
Hi Jenn. Thank you for the feedback. I'm so happy for you that you are tolerating yervoy well. He is young and otherwise healthy like you so his oncologist thinks he would probably tolerate it well. Tough decision and I don't think there is a right or wrong decision. Just a personal decision for him to make. He and I have been curious about how many other 3A patients are opting for yervoy. He wants to still be able to work and finish his degree. I wish you the very best also. It helps to talk to other patients going through this.
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- January 30, 2016 at 7:14 pm
Hi, sorry your son has to go through this. I am 29, stage 3b, and doing Yervoy. I chose Yervoy over watch and wait for myself due to knowing that I need to feel like I am physically doing something, plus, I am young and healthy so if any side effects came up I'd be able to take care of them quickly. I have done 3 rounds of treatment so far, and the only side effect I have experienced is fatigue. No one knows how a drug will react with their body until they try it, and I am definitely very glad I have been able to get this far with no major side effects at all.
It is a very personal decision. Whatever decision he is most comfortable with will be the best decision for him.
I hope all the best for your son.
-Jenn
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- January 30, 2016 at 9:32 pm
Hi Mybelle,
I started out in almost the same place as your son just under 2 years ago. At that time I was offered interferon, clinical trial, or watch and wait. I was not accepted for the trial so I chose the watch and wait. I did change my diet and exercise (walk 3.5 miles) 6 days a week. So far so good. I have a CT scan and blood work next week and meet with my oncologist the following week. Tough choice but I am sure he will make the right one for him.
Take care,
Ken
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- January 30, 2016 at 9:32 pm
Hi Mybelle,
I started out in almost the same place as your son just under 2 years ago. At that time I was offered interferon, clinical trial, or watch and wait. I was not accepted for the trial so I chose the watch and wait. I did change my diet and exercise (walk 3.5 miles) 6 days a week. So far so good. I have a CT scan and blood work next week and meet with my oncologist the following week. Tough choice but I am sure he will make the right one for him.
Take care,
Ken
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- January 30, 2016 at 9:48 pm
Hi Ken,
thanks for your post. So good to hear positive stories. This has really been quite a ride since his diagnosis. I appreciate everyone communicating. We have had some low moments with all this and are trying to remain positive. I think that my son and all melanoma patients are some courageous people. I wish you continued good health.
mybelle (Michelle)
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- January 30, 2016 at 9:48 pm
Hi Ken,
thanks for your post. So good to hear positive stories. This has really been quite a ride since his diagnosis. I appreciate everyone communicating. We have had some low moments with all this and are trying to remain positive. I think that my son and all melanoma patients are some courageous people. I wish you continued good health.
mybelle (Michelle)
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- January 30, 2016 at 9:48 pm
Hi Ken,
thanks for your post. So good to hear positive stories. This has really been quite a ride since his diagnosis. I appreciate everyone communicating. We have had some low moments with all this and are trying to remain positive. I think that my son and all melanoma patients are some courageous people. I wish you continued good health.
mybelle (Michelle)
-
- January 30, 2016 at 9:32 pm
Hi Mybelle,
I started out in almost the same place as your son just under 2 years ago. At that time I was offered interferon, clinical trial, or watch and wait. I was not accepted for the trial so I chose the watch and wait. I did change my diet and exercise (walk 3.5 miles) 6 days a week. So far so good. I have a CT scan and blood work next week and meet with my oncologist the following week. Tough choice but I am sure he will make the right one for him.
Take care,
Ken
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- January 30, 2016 at 11:16 pm
Mybelle, if you haven't already read the EORTC trial 18071 findings on Ipilimumab they might be helpfull in making a decision. Just Google Ipilimumab and EORTC and Prof Alexander M M Eggermont of the Gustave Roussy Cancer Campus. It is a very big decision to make especially with the risk of grade 3 or 4 adverse advents being so high. The two approved Pd-1 drugs are already starting to show up in small adjuvant trials and have a much lower rate of grade 3-4 reactions. While waiting and watching is still considered the standard of care for 3A, it is very hard to do when faced with possible progression. Which ever direction your son choose to go he should know that the advancement in Melanoma research are trully amazing during the last 3 to 4 years. If you choose to wait make sure that you are being followed by a good Oncologist that is willing to scan on a regular basis to check for progression. Wishing you the best in your journey!!!!! Ed
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- January 30, 2016 at 11:16 pm
Mybelle, if you haven't already read the EORTC trial 18071 findings on Ipilimumab they might be helpfull in making a decision. Just Google Ipilimumab and EORTC and Prof Alexander M M Eggermont of the Gustave Roussy Cancer Campus. It is a very big decision to make especially with the risk of grade 3 or 4 adverse advents being so high. The two approved Pd-1 drugs are already starting to show up in small adjuvant trials and have a much lower rate of grade 3-4 reactions. While waiting and watching is still considered the standard of care for 3A, it is very hard to do when faced with possible progression. Which ever direction your son choose to go he should know that the advancement in Melanoma research are trully amazing during the last 3 to 4 years. If you choose to wait make sure that you are being followed by a good Oncologist that is willing to scan on a regular basis to check for progression. Wishing you the best in your journey!!!!! Ed
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- January 30, 2016 at 11:58 pm
Hi Ed
Thank you for the info. We have read the IPI trial. Have also found a great melanoma specialist at Mayo in Jvlle Fl. to guide his care and scan on a regular basis. I have been trying my best to help him through this ordeal using every resource I can find. Now he just has to decide yes/no on adjuvant treatment. The PD1 drugs sound much more appealing. I will go to the link you provided and read that article as well. I appreciate the support.
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- January 30, 2016 at 11:58 pm
Hi Ed
Thank you for the info. We have read the IPI trial. Have also found a great melanoma specialist at Mayo in Jvlle Fl. to guide his care and scan on a regular basis. I have been trying my best to help him through this ordeal using every resource I can find. Now he just has to decide yes/no on adjuvant treatment. The PD1 drugs sound much more appealing. I will go to the link you provided and read that article as well. I appreciate the support.
-
- January 30, 2016 at 11:58 pm
Hi Ed
Thank you for the info. We have read the IPI trial. Have also found a great melanoma specialist at Mayo in Jvlle Fl. to guide his care and scan on a regular basis. I have been trying my best to help him through this ordeal using every resource I can find. Now he just has to decide yes/no on adjuvant treatment. The PD1 drugs sound much more appealing. I will go to the link you provided and read that article as well. I appreciate the support.
-
- January 30, 2016 at 11:16 pm
Mybelle, if you haven't already read the EORTC trial 18071 findings on Ipilimumab they might be helpfull in making a decision. Just Google Ipilimumab and EORTC and Prof Alexander M M Eggermont of the Gustave Roussy Cancer Campus. It is a very big decision to make especially with the risk of grade 3 or 4 adverse advents being so high. The two approved Pd-1 drugs are already starting to show up in small adjuvant trials and have a much lower rate of grade 3-4 reactions. While waiting and watching is still considered the standard of care for 3A, it is very hard to do when faced with possible progression. Which ever direction your son choose to go he should know that the advancement in Melanoma research are trully amazing during the last 3 to 4 years. If you choose to wait make sure that you are being followed by a good Oncologist that is willing to scan on a regular basis to check for progression. Wishing you the best in your journey!!!!! Ed
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- January 31, 2016 at 12:57 am
Hi – I am also taking ipi for stage 3A. I started in December and will be going for my 3rd dose Monday. I am only taking the 3mg dosage though and not the 10mg. So far I've really only experienced fatigue and it's mostly during the first week. I have had a few episodes of diarrhea but nothing too bad. Could have even been something I ate it was so minimal. I work full time and have a 6 year old and 18 month old so life is pretty tiresome anyways. 🙂 I have read people have no side effects, minimal to horrific so it's really just depends on how it effects that person. Best wishes in making a decision. I know how difficult it was for me and I'm sure y'all are in the same boat.
Misty
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- January 31, 2016 at 12:57 am
Hi – I am also taking ipi for stage 3A. I started in December and will be going for my 3rd dose Monday. I am only taking the 3mg dosage though and not the 10mg. So far I've really only experienced fatigue and it's mostly during the first week. I have had a few episodes of diarrhea but nothing too bad. Could have even been something I ate it was so minimal. I work full time and have a 6 year old and 18 month old so life is pretty tiresome anyways. 🙂 I have read people have no side effects, minimal to horrific so it's really just depends on how it effects that person. Best wishes in making a decision. I know how difficult it was for me and I'm sure y'all are in the same boat.
Misty
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- January 31, 2016 at 2:20 am
Hi Misty. Interesting to hear you are getting the lower dose and my son plans to ask his doctor about this option. From the above posts I can see that several younger people (including you) are opting for yervoy. He is planning to make a decision this week. Thank you for your post. I hope you do very well in the future and glad to hear you are tolerating yervoy without much difficulty. Best wishes.
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- January 31, 2016 at 2:20 am
Hi Misty. Interesting to hear you are getting the lower dose and my son plans to ask his doctor about this option. From the above posts I can see that several younger people (including you) are opting for yervoy. He is planning to make a decision this week. Thank you for your post. I hope you do very well in the future and glad to hear you are tolerating yervoy without much difficulty. Best wishes.
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- January 31, 2016 at 3:21 pm
I’m on the 10mg dose of ippi. Just finished 2nd dose a week ago. Side effects so far was a little tired after infusion. The way my doctor put it was he wanted me to do systemic treatment. He feels like they got it all but if they didn’t he would rather be treating 100 cancer cells vs a billion cancer cells. Greg -
- January 31, 2016 at 3:21 pm
I’m on the 10mg dose of ippi. Just finished 2nd dose a week ago. Side effects so far was a little tired after infusion. The way my doctor put it was he wanted me to do systemic treatment. He feels like they got it all but if they didn’t he would rather be treating 100 cancer cells vs a billion cancer cells. Greg -
- January 31, 2016 at 3:21 pm
I’m on the 10mg dose of ippi. Just finished 2nd dose a week ago. Side effects so far was a little tired after infusion. The way my doctor put it was he wanted me to do systemic treatment. He feels like they got it all but if they didn’t he would rather be treating 100 cancer cells vs a billion cancer cells. Greg -
- January 31, 2016 at 2:20 am
Hi Misty. Interesting to hear you are getting the lower dose and my son plans to ask his doctor about this option. From the above posts I can see that several younger people (including you) are opting for yervoy. He is planning to make a decision this week. Thank you for your post. I hope you do very well in the future and glad to hear you are tolerating yervoy without much difficulty. Best wishes.
-
- January 31, 2016 at 12:57 am
Hi – I am also taking ipi for stage 3A. I started in December and will be going for my 3rd dose Monday. I am only taking the 3mg dosage though and not the 10mg. So far I've really only experienced fatigue and it's mostly during the first week. I have had a few episodes of diarrhea but nothing too bad. Could have even been something I ate it was so minimal. I work full time and have a 6 year old and 18 month old so life is pretty tiresome anyways. 🙂 I have read people have no side effects, minimal to horrific so it's really just depends on how it effects that person. Best wishes in making a decision. I know how difficult it was for me and I'm sure y'all are in the same boat.
Misty
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- January 31, 2016 at 4:50 pm
If he decides to go the natural route, with no medication, I would get him on a curcumin supplement as well as co q10. Reishi mushroom is also beneficial. 14 years ago my mother had stage 3 triple negative breast cancer with 7 nodes involved. She went through with the chemo but also changed her diet and I had her on a bunch of different supplements including these. I firmly believe this is at least partially why she is well today and never had a recurrence. My dad is currently on these supplements as well. Also matcha green tea is excellent! I am kind of a combination alternative and conventional medicine type person. I believe for the best results both might be needed. Oh, & a good probiotics is important as well as high dose of vitamin D. I have found the Biotics brand vitamin D works the best. Let us know what he decides to do. -
- January 31, 2016 at 4:50 pm
If he decides to go the natural route, with no medication, I would get him on a curcumin supplement as well as co q10. Reishi mushroom is also beneficial. 14 years ago my mother had stage 3 triple negative breast cancer with 7 nodes involved. She went through with the chemo but also changed her diet and I had her on a bunch of different supplements including these. I firmly believe this is at least partially why she is well today and never had a recurrence. My dad is currently on these supplements as well. Also matcha green tea is excellent! I am kind of a combination alternative and conventional medicine type person. I believe for the best results both might be needed. Oh, & a good probiotics is important as well as high dose of vitamin D. I have found the Biotics brand vitamin D works the best. Let us know what he decides to do.-
- January 31, 2016 at 5:51 pm
Hi Mybelle, I had a 2mm tumor on my right calf, 4 nodes taken out in the SLNB with one possitive with .9mm micromet…I chose watch and wait with ultrasound and routine scans, that was in August 2014…NED so far , just personally didn't want to do the immunatherapy that was available at the time with such a small amount in one lymp node with the chance I may never have to deal with melanoma again…Best of luck to your son in the choice he makes…
Craig
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- January 31, 2016 at 5:51 pm
Hi Mybelle, I had a 2mm tumor on my right calf, 4 nodes taken out in the SLNB with one possitive with .9mm micromet…I chose watch and wait with ultrasound and routine scans, that was in August 2014…NED so far , just personally didn't want to do the immunatherapy that was available at the time with such a small amount in one lymp node with the chance I may never have to deal with melanoma again…Best of luck to your son in the choice he makes…
Craig
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- January 31, 2016 at 6:37 pm
thanks so much to everyone for the comments. In regard to the most recent posts, I have already started him on vitamin supplements and turmeric. Anything he can do to boost his immune system naturally. Craig's comment above encouraging. Really tough decision and after he meets with his doctor again this week at Mayo he will decide. I'm just trying to research and give him all the info he needs so it will be an informed decision. My best wishes to all the people fighting melanoma out there. Your support means a lot. thank you.
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- January 31, 2016 at 6:37 pm
thanks so much to everyone for the comments. In regard to the most recent posts, I have already started him on vitamin supplements and turmeric. Anything he can do to boost his immune system naturally. Craig's comment above encouraging. Really tough decision and after he meets with his doctor again this week at Mayo he will decide. I'm just trying to research and give him all the info he needs so it will be an informed decision. My best wishes to all the people fighting melanoma out there. Your support means a lot. thank you.
-
- January 31, 2016 at 6:37 pm
thanks so much to everyone for the comments. In regard to the most recent posts, I have already started him on vitamin supplements and turmeric. Anything he can do to boost his immune system naturally. Craig's comment above encouraging. Really tough decision and after he meets with his doctor again this week at Mayo he will decide. I'm just trying to research and give him all the info he needs so it will be an informed decision. My best wishes to all the people fighting melanoma out there. Your support means a lot. thank you.
-
- January 31, 2016 at 5:51 pm
Hi Mybelle, I had a 2mm tumor on my right calf, 4 nodes taken out in the SLNB with one possitive with .9mm micromet…I chose watch and wait with ultrasound and routine scans, that was in August 2014…NED so far , just personally didn't want to do the immunatherapy that was available at the time with such a small amount in one lymp node with the chance I may never have to deal with melanoma again…Best of luck to your son in the choice he makes…
Craig
-
- January 31, 2016 at 4:50 pm
If he decides to go the natural route, with no medication, I would get him on a curcumin supplement as well as co q10. Reishi mushroom is also beneficial. 14 years ago my mother had stage 3 triple negative breast cancer with 7 nodes involved. She went through with the chemo but also changed her diet and I had her on a bunch of different supplements including these. I firmly believe this is at least partially why she is well today and never had a recurrence. My dad is currently on these supplements as well. Also matcha green tea is excellent! I am kind of a combination alternative and conventional medicine type person. I believe for the best results both might be needed. Oh, & a good probiotics is important as well as high dose of vitamin D. I have found the Biotics brand vitamin D works the best. Let us know what he decides to do. -
- February 1, 2016 at 11:35 pm
I'm sorry you've had to find yourself here, mybelle. It's a good group with lots of different experiences and opinions with the same disease so you'll get a good variety for making a decision. First, I want to emphasize that there is no right or wrong decision. Your son needs to do what feels right for him and then hope for the best because nothing is guaranteed. When it comes to Yervoy, your son will either be a responder or he won't be. There is no way to know which in advance. If he is a responder to Yervoy, he will also be a responder later IF he advances to stage IV. If he is not a responder, then it won't make a difference now or later.
For what it's worth, I believe living a healthy lifestyle IS "doing something". Our immune system is our number one defense against cancer. Cancer cannot exist in an environment where our immune system is functioning perfectly. Even Yervoy, when it works, is using the immune system.
There is a lot of conflicting information out there on what constitutes a "healthy" diet. My own doctor believes it is not one-size-fits-all but rather that some of us are meat-eaters, some of us more vegetarian and some of us are both. Wherever you fall on the spectrum, find the cleanest most natural versions of that food as possible (no hormones, antibiotics, pesticides, etc.). And if you eat animals, make sure those animals ate what they are designed to eat (I.e., cows eat grass, not grains, chickens eat grass, seeds and insects, not corn). No sugar, flour or processed foods. There's a lot of junk in our food supply unfortunately. But also lots of farmers' markets and on-line resources.
I wish you and your son well. Best of luck making this difficult choice.
Maggie
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- February 3, 2016 at 12:22 am
Hi Maggie,
I responded earlier to your post but I don't see it…so will reply again. Thank you so much for your kind reply. It is all sound advice and I will take it to heart. He has already started eating an organic diet. Interesting thoughts on responder vs non-responder. I have tried to gather information for him and I have now stepped back to let him think it through and make his own decision. Worried mom..so it's difficult. I appreciate your support and I wish you the very best.
-
- February 3, 2016 at 12:22 am
Hi Maggie,
I responded earlier to your post but I don't see it…so will reply again. Thank you so much for your kind reply. It is all sound advice and I will take it to heart. He has already started eating an organic diet. Interesting thoughts on responder vs non-responder. I have tried to gather information for him and I have now stepped back to let him think it through and make his own decision. Worried mom..so it's difficult. I appreciate your support and I wish you the very best.
-
- February 3, 2016 at 12:22 am
Hi Maggie,
I responded earlier to your post but I don't see it…so will reply again. Thank you so much for your kind reply. It is all sound advice and I will take it to heart. He has already started eating an organic diet. Interesting thoughts on responder vs non-responder. I have tried to gather information for him and I have now stepped back to let him think it through and make his own decision. Worried mom..so it's difficult. I appreciate your support and I wish you the very best.
-
- February 1, 2016 at 11:35 pm
I'm sorry you've had to find yourself here, mybelle. It's a good group with lots of different experiences and opinions with the same disease so you'll get a good variety for making a decision. First, I want to emphasize that there is no right or wrong decision. Your son needs to do what feels right for him and then hope for the best because nothing is guaranteed. When it comes to Yervoy, your son will either be a responder or he won't be. There is no way to know which in advance. If he is a responder to Yervoy, he will also be a responder later IF he advances to stage IV. If he is not a responder, then it won't make a difference now or later.
For what it's worth, I believe living a healthy lifestyle IS "doing something". Our immune system is our number one defense against cancer. Cancer cannot exist in an environment where our immune system is functioning perfectly. Even Yervoy, when it works, is using the immune system.
There is a lot of conflicting information out there on what constitutes a "healthy" diet. My own doctor believes it is not one-size-fits-all but rather that some of us are meat-eaters, some of us more vegetarian and some of us are both. Wherever you fall on the spectrum, find the cleanest most natural versions of that food as possible (no hormones, antibiotics, pesticides, etc.). And if you eat animals, make sure those animals ate what they are designed to eat (I.e., cows eat grass, not grains, chickens eat grass, seeds and insects, not corn). No sugar, flour or processed foods. There's a lot of junk in our food supply unfortunately. But also lots of farmers' markets and on-line resources.
I wish you and your son well. Best of luck making this difficult choice.
Maggie
-
- February 1, 2016 at 11:35 pm
I'm sorry you've had to find yourself here, mybelle. It's a good group with lots of different experiences and opinions with the same disease so you'll get a good variety for making a decision. First, I want to emphasize that there is no right or wrong decision. Your son needs to do what feels right for him and then hope for the best because nothing is guaranteed. When it comes to Yervoy, your son will either be a responder or he won't be. There is no way to know which in advance. If he is a responder to Yervoy, he will also be a responder later IF he advances to stage IV. If he is not a responder, then it won't make a difference now or later.
For what it's worth, I believe living a healthy lifestyle IS "doing something". Our immune system is our number one defense against cancer. Cancer cannot exist in an environment where our immune system is functioning perfectly. Even Yervoy, when it works, is using the immune system.
There is a lot of conflicting information out there on what constitutes a "healthy" diet. My own doctor believes it is not one-size-fits-all but rather that some of us are meat-eaters, some of us more vegetarian and some of us are both. Wherever you fall on the spectrum, find the cleanest most natural versions of that food as possible (no hormones, antibiotics, pesticides, etc.). And if you eat animals, make sure those animals ate what they are designed to eat (I.e., cows eat grass, not grains, chickens eat grass, seeds and insects, not corn). No sugar, flour or processed foods. There's a lot of junk in our food supply unfortunately. But also lots of farmers' markets and on-line resources.
I wish you and your son well. Best of luck making this difficult choice.
Maggie
-
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