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Jocks wife

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      Jocks wife
      Participant

        Hi, I had surgery on 5 separate sites (3 subcutaneous, adrenal and pancreas)after 5years between primary and stage 4. That was 20 months ago, and I remain disease free, so my views are biased, but the cure rates for survival are still the best with surgery.

        I understand your surgeons wish to wait and see, as everyone's disease is different, if there are more tumours just starting to grow a systematic therapy might be a better option, but my opinion remains, get it out!

        I am not a religious person, I told my surgeon that he is my higher being, but I wish your daughter a positive outcome. A solitary tumour can offer you hope, there are long term survivors out there who have had a solitary tumour surgically removed.

        Best wishes to you and your daughter.

        Jocks wife
        Participant

          Hi, I had surgery on 5 separate sites (3 subcutaneous, adrenal and pancreas)after 5years between primary and stage 4. That was 20 months ago, and I remain disease free, so my views are biased, but the cure rates for survival are still the best with surgery.

          I understand your surgeons wish to wait and see, as everyone's disease is different, if there are more tumours just starting to grow a systematic therapy might be a better option, but my opinion remains, get it out!

          I am not a religious person, I told my surgeon that he is my higher being, but I wish your daughter a positive outcome. A solitary tumour can offer you hope, there are long term survivors out there who have had a solitary tumour surgically removed.

          Best wishes to you and your daughter.

          Jocks wife
          Participant

            Hi, I had surgery on 5 separate sites (3 subcutaneous, adrenal and pancreas)after 5years between primary and stage 4. That was 20 months ago, and I remain disease free, so my views are biased, but the cure rates for survival are still the best with surgery.

            I understand your surgeons wish to wait and see, as everyone's disease is different, if there are more tumours just starting to grow a systematic therapy might be a better option, but my opinion remains, get it out!

            I am not a religious person, I told my surgeon that he is my higher being, but I wish your daughter a positive outcome. A solitary tumour can offer you hope, there are long term survivors out there who have had a solitary tumour surgically removed.

            Best wishes to you and your daughter.

            Jocks wife
            Participant

              Hi, thanks for taking the time to reply. I have just been in to see my oncologist and signed on the dotted line. Just as you suggested I have asked him to put a surgery plan B in place. He has said he will alert my two previous surgeons so we can go straight into surgery if the need arises(very glad I dropped some Xmas treats to these guys, hopefully they will feel obliged to keep me alive)!

              i feel extremely fortunate to have got a place as it opened here on Xmas eve and there is only one spot now available, just too much melanoma!

               

              i hope you re enjoying your NED label, it is so easy to fret about what is coming next and not enjoy the moment, it seems now though when the moment is over there are new and better options available. 

              Thankyou, and my best wishes.

               

              kind regards

              Steph

              Jocks wife
              Participant

                Hi, thanks for taking the time to reply. I have just been in to see my oncologist and signed on the dotted line. Just as you suggested I have asked him to put a surgery plan B in place. He has said he will alert my two previous surgeons so we can go straight into surgery if the need arises(very glad I dropped some Xmas treats to these guys, hopefully they will feel obliged to keep me alive)!

                i feel extremely fortunate to have got a place as it opened here on Xmas eve and there is only one spot now available, just too much melanoma!

                 

                i hope you re enjoying your NED label, it is so easy to fret about what is coming next and not enjoy the moment, it seems now though when the moment is over there are new and better options available. 

                Thankyou, and my best wishes.

                 

                kind regards

                Steph

                Jocks wife
                Participant

                  Hi, thanks for taking the time to reply. I have just been in to see my oncologist and signed on the dotted line. Just as you suggested I have asked him to put a surgery plan B in place. He has said he will alert my two previous surgeons so we can go straight into surgery if the need arises(very glad I dropped some Xmas treats to these guys, hopefully they will feel obliged to keep me alive)!

                  i feel extremely fortunate to have got a place as it opened here on Xmas eve and there is only one spot now available, just too much melanoma!

                   

                  i hope you re enjoying your NED label, it is so easy to fret about what is coming next and not enjoy the moment, it seems now though when the moment is over there are new and better options available. 

                  Thankyou, and my best wishes.

                   

                  kind regards

                  Steph

                  Jocks wife
                  Participant

                    Thanks Kevin, I completely agree with you, but unfortunately in New Zealand we have only very occasional access to these drug trials. They approved drugs (ipi) are also prohibitively expensive ($100s of thousands per treatment), so I am feeling very backed in a corner. 

                    My plan was to continue having tumours resected if and when they popped up, and I could do that, but my oncologist thinks this trial looks too promising to miss out on. We were only allocated 4 spaces and 2 of them have been filled….nothing like a bit of pressure!

                     

                    Hope your NED status continues, bask in it!

                     

                    Steph

                    Jocks wife
                    Participant

                      Thanks Kevin, I completely agree with you, but unfortunately in New Zealand we have only very occasional access to these drug trials. They approved drugs (ipi) are also prohibitively expensive ($100s of thousands per treatment), so I am feeling very backed in a corner. 

                      My plan was to continue having tumours resected if and when they popped up, and I could do that, but my oncologist thinks this trial looks too promising to miss out on. We were only allocated 4 spaces and 2 of them have been filled….nothing like a bit of pressure!

                       

                      Hope your NED status continues, bask in it!

                       

                      Steph

                      Jocks wife
                      Participant

                        Thanks Kevin, I completely agree with you, but unfortunately in New Zealand we have only very occasional access to these drug trials. They approved drugs (ipi) are also prohibitively expensive ($100s of thousands per treatment), so I am feeling very backed in a corner. 

                        My plan was to continue having tumours resected if and when they popped up, and I could do that, but my oncologist thinks this trial looks too promising to miss out on. We were only allocated 4 spaces and 2 of them have been filled….nothing like a bit of pressure!

                         

                        Hope your NED status continues, bask in it!

                         

                        Steph

                        Jocks wife
                        Participant

                          Thanks for your reply, it really helps to talk to others in the same boat. Yes, i think you are right, this disease seems to come back when you are least expecting it, after 3 years NED I had gotten a bit smug, starting to think a bit too far ahead.

                          Think I will have to go with this trial in the hope of a durable response, actually I would even take semi durable at the moment!

                           

                          Steph

                           

                          Jocks wife
                          Participant

                            Thanks for your reply, it really helps to talk to others in the same boat. Yes, i think you are right, this disease seems to come back when you are least expecting it, after 3 years NED I had gotten a bit smug, starting to think a bit too far ahead.

                            Think I will have to go with this trial in the hope of a durable response, actually I would even take semi durable at the moment!

                             

                            Steph

                             

                            Jocks wife
                            Participant

                              Thanks for your reply, it really helps to talk to others in the same boat. Yes, i think you are right, this disease seems to come back when you are least expecting it, after 3 years NED I had gotten a bit smug, starting to think a bit too far ahead.

                              Think I will have to go with this trial in the hope of a durable response, actually I would even take semi durable at the moment!

                               

                              Steph

                               

                              Jocks wife
                              Participant

                                Hi Artie

                                Thanks for taking the time to reply, yes this is the ipi keytruda combo, my Oncologist thinks we can manage side effects ok, with steroids if needed. As the combo is only for 12 weeks then up to 2 years on just Keytruda. Unfortunately I don't have any other drug options available here, so really feeling the pressure to go with this. Although ipi is approved in New Zealand it is not funded, my onc tells me we would be looking at over $100 000 per treatment, and he thinks new anti PD1 drugs could be double that when approved, it makes it hard to say no to this trial!

                                Steph

                                Jocks wife
                                Participant

                                  Hi Artie

                                  Thanks for taking the time to reply, yes this is the ipi keytruda combo, my Oncologist thinks we can manage side effects ok, with steroids if needed. As the combo is only for 12 weeks then up to 2 years on just Keytruda. Unfortunately I don't have any other drug options available here, so really feeling the pressure to go with this. Although ipi is approved in New Zealand it is not funded, my onc tells me we would be looking at over $100 000 per treatment, and he thinks new anti PD1 drugs could be double that when approved, it makes it hard to say no to this trial!

                                  Steph

                                  Jocks wife
                                  Participant

                                    Hi Artie

                                    Thanks for taking the time to reply, yes this is the ipi keytruda combo, my Oncologist thinks we can manage side effects ok, with steroids if needed. As the combo is only for 12 weeks then up to 2 years on just Keytruda. Unfortunately I don't have any other drug options available here, so really feeling the pressure to go with this. Although ipi is approved in New Zealand it is not funded, my onc tells me we would be looking at over $100 000 per treatment, and he thinks new anti PD1 drugs could be double that when approved, it makes it hard to say no to this trial!

                                    Steph

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