Back to the drawing board...

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jmarie
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Back to the drawing board...

Postby jmarie » Wed Aug 18, 2010 1:29 am

I was hoping to update great news but I can't do that today. I feel like I have became an expert at hoping for the best and preparing for the worst.

The tumors they were monitoring all had slight progression, keeping me at just under 20% overall progression. Unfortunately I have many new tumors. A few in my lungs and many in my liver all only a few mm each. The one that really pisses me of is that they believe I have a reoccurrance in my rectum. The report said wall thickening with the resemblance of a nodule. Recommended a scope to confirm. So I am off the study, no more globetrotting to Atlanta.

Sucks, no way around it. I had my little pity party this afternoon and am feeling better about it now. Although I wish I was sleeping. I just mainly feel mad for wasting so much time, energy and money on this. But I did know going into this that there was a 50/50 chance of getting the placebo. Well we don't know for sure I got the placebo but considering the results it is the most likely result. I see my local Onc on Thursday to start figuring out our next plan of action. I am leaning towards desensitization to oxaliplatin. Before my allergic reaction to oxi it cleared my colon and stopped the liver tumors from metabolizing. Hopefully it can work again. My ATL onc said there were some new studies I might do well on but I feel that I need to get on something I know could work and get this crap under control. Hopefully the desensitization works.

Although this truly sucks I have so much to be thankful for. My quality of life for the last 3 mos has been great. I have been able to travel quite a bit this summer, spending a few weeks win my sister and her babies. That was 2 wonderful weeks bonding with my niece. There was a time I didn't think I would live to meet her. Not only did I meet her I played with her, threw her in the air, read to her and even met her baby brother. The bottom line is, for stage IV with progressing disease I am in great shape, very active with no symptoms from the cancer. In 3 months I will be at two years post dx which I view as a huge accomplishment. A little bit nervous about the next steps but ready for whatever may come.

Now that I at least have a week off of chemo tomorrow I will have overeasy eggs for breakfast, a medrare steak for dinner with a few glasses of my favorite wine. Then I believe I will make some sangria to sip on the rest of the week. And of course running after my baby girl, which always brings a smile to my face.
Last edited by jmarie on Wed Aug 18, 2010 7:57 am, edited 1 time in total.
DX Stage IV 11/25/08
mets liver lung, kras mutant
Baby 2yrs old! I am 32yrs
Too many chemo txs to count
trying to find a clinical trial
"You can't stop the waves, but you can learn to surf"

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Gaelen
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Re: Back to he drawing board...

Postby Gaelen » Wed Aug 18, 2010 5:27 am

Jessica, I wish that your response had been better. I know it might feel like a waste of time to have tried this, but know at least you know that Xeloda only for maintenance isn't really going to cut it for you. Did the trial docs say anything about perisophone compassionate use or are they not at that point yet?

Are you KRAS mutant so that Erbitux/Vectibix aren't options? Or have they just not been tried yet? If you're KRAS wild-type, those two drugs are options that you might want to consider at this point.

My strongest thoughts.
Be in harmony with your expectations. - Life Out Loud
4/04: dx'd @48 StageIV RectalCA w/9 liver mets. 8 chemos, 4 surgeries, last remission 34 mos.
2/11 recurrence R lung, spinal bone mets - chemo, RFA lung mets
4/12 stopped treatment

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BrownBagger
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Location: Central NYS

Re: Back to he drawing board...

Postby BrownBagger » Wed Aug 18, 2010 5:47 am

I'm so sorry to hear that, Marie. Yes, we share the good news and the bad, and around here, it seems to come in streaks.

Get some sleep if you can. I'm finding that lack of sleep (for me, anyway) can be debilitating, and that's the last thing you (or I) need at this point.

Hang in there, friend.
Eric, 58
Dx: 3/09, Stage 4 RC
Recurrences: (ongoing, lung, bronchial cavity, ribs)
Major Ops: 6/ RFA: 3 /bronchoscopies: 8
Pelvic radiation: 5 wks. Bronchial radiation—brachytheray: 3 treatments
Chemo Rounds (career):136
Current Chemo Cocktail: Xeloda & Erbitux & Irinotecan biweekly
Current Cocktail; On the Wagon (mostly)
Bicycle miles post-dx 10,477
Motto: Live your life like it's going to be a long one, because it just might, and then you'll be glad you did.

ams5796
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Joined: Fri Feb 06, 2009 10:07 am

Re: Back to he drawing board...

Postby ams5796 » Wed Aug 18, 2010 6:03 am

Yes, Jessica, sleep does help. Keep fighting, girl. You're doing all the right things. I am truly inspired by you.

Ann
Stage 3C (or 4?) Rectal Cancer 01/07
2/10 lung mets
3/11 VATS
6/11 VATS
7/13 lung met
2/14 SBRT
NED 8/14
5/17 scan and MRI found treated spine met

cindyc
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Location: North Carolina

Re: Back to he drawing board...

Postby cindyc » Wed Aug 18, 2010 6:14 am

Your daughter is one lucky little girl!! You have such a positive, look-on-the-bright-side attitude that I know makes you a wonderful mother. Having a mother who truly enjoys just being in her child's presence is such a gift!

Your news makes me sad, but I really hope you and your team are able to come up with a plan that works and keeps you feeling great. In the meantime, enjoy those over-easy eggs and sangria. There are so many people pulling for you and your family!
My husband is Richard, age 54
Dx 11/3/09 Rectal Cancer Stage IIA T3N0M0
Xeloda + Radiation-- 28 treatments
LAR, j-pouch & temp. ileostomy 3/3/10
Finished 5 rounds Xeloda 7/27/10
Takedown 9/8/10
Clear scans 3/11, 12/11, 12/12

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starbuck30
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Location: Milwaukee, WI

Re: Back to he drawing board...

Postby starbuck30 » Wed Aug 18, 2010 6:42 am

Jessica,

This does indeed suck. So often since dx I've wished for a crystal ball to see the future so I could KNOW things like "do I NEED chemo", "will it work", "will I remain NED". Alas, no ball, so we just have to try things and do the best we can. At least you KNOW the test wasn't right for you so you aren't left wondering, "gee, if I'd done that test what would've happened?" Probably very small comfort now, I'm sure.

I've often admired your positive attitude here and I'm kind of in awe of it now. That, to me, may be one of our strongest weapons in this... what? Fight? Journey? Whatever it is, I feel strongly that a good attitude helps. I hope you can savor those eggs, that steak and wine, the sangria (God that sounds good), and the week off chemo. And I dearly hope you can get some sleep. Whenever you feel, please keep us posted with what your team decides for a next step.

Much love, hope, and support to you,
Starbuck
2/26/10 Dx'd colon cancer
3/12 complete colerectomy, temporary ileostomy
3/19 pathology came back Stage IIIC CC
4/2 started FOLFOX
Chemo "precautionary", last CT showed NED PLEASE God let's keep it that way
9/16/10 FOLFOX finished! Woo hah!

daddys1
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Location: douglas,ga

Re: Back to he drawing board...

Postby daddys1 » Wed Aug 18, 2010 7:25 am

sorry you didn't get the news you were hoping for...good luck to you on your next step
my father was diagnosed with cc in jan/09

02/09 colon resection
Stage 4 -11/21 lymph nodes-spot on liver
chemo -03/09-09/09


06/2010- spot on liver/lung
07/20/10 -partical liver resec.



03/16/12--my dad lost the battle- he was 62 yrs old.

SkiFletch
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Facebook Username: Michael Fletcher
Location: Buffalo, NY

Re: Back to the drawing board...

Postby SkiFletch » Wed Aug 18, 2010 8:04 am

Sucks Jessica, sorry to hear that. Just wanted to chime in that the oxali desensitization thing worked for me and I hope it can keep your histamines at bay and let the oxali nuke em till they glow :)
11/13/09 5cm Stage IV 9/25 lymph nodes w/2cm peritoneal met at 29 YoA
12/15/09 LA right hemi-colectomy
6/16/10 Folfox FINISHED
8/10/10 Prophylactic HIPEC
10/9/10 got Married :D
Still NED and living life to the fullest

"Can any one of you by worrying add a single hour to your life."

Surroundedbylove
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Location: Seattle

Re: Back to the drawing board...

Postby Surroundedbylove » Wed Aug 18, 2010 8:13 am

Hi there,

I signed on today after being off the boards for a few weeks and wow - bad news all around. I'm sorry you've had progression. I echo the comment by Gaelen about compassionate use of the trial drug - I'd at least ask about it.

I'm glad you've gotten to have the good things this summer - those are wonderful times for you and for your family.

SBL
Surroundedbylove

Rectal Cancer @ 43, '08
Clinical: T3,N2a,MX (IIIB)
6 wks XELOX & radiation
LAR, colonic j-pouch, & temp ileo '09
Surgical: ypT3,ypN0,ypMX (0 of 20 nodes)
FOLFOX; XELOX
Ileo Takedown ‘09
LARS for 10 years before learning it is finally being studied
InterStim Sacral Nerve Neuromodulator 2019

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joeyooser
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Joined: Thu Dec 17, 2009 6:43 pm

Re: Back to the drawing board...

Postby joeyooser » Wed Aug 18, 2010 9:11 am

I'm sorry to hear that - I thought things had really started to look up after your last post. I really don't agree with this placebo business for cancer patients. Particularly since there would be all kinds of existing data on xeloda effectiveness, so the placebo arm really wasn't necessary for a comparison. Maybe you can get your hands on the real thing.
Tim
Stage IIIc - 9/23 lymph nodes, poorly diff, 35yo father of 2.
Lap resection Jul 28 09 resulted in near-deadly leak
Finished chemo Feb '10; Takedown March '10;
Nov 2010 - carcinomatosis
May 2011 - Clinical Trial, failed out of trial, in hospice care

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jmarie
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Facebook Username: Jessica Ramos Smith
Location: Jacksonville, FL
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Re: Back to the drawing board...

Postby jmarie » Wed Aug 18, 2010 9:27 am

Thanks everyone, I can't imagine going through this before internet made these support groups possible!

The study does not have a compassionate use stipulation(not sure if that's the correct terminology) so we have to wait till it gets approved by the FDA. It has been fast tracked so hopefully that will be soon.

One thing I have learned to do since starting this journey, is to really put the negative junk out of my mind and focus on enjoying my friends and family. I still have a few breakdowns but overall do much better and haven't even needed any ativan yet;-)
DX Stage IV 11/25/08
mets liver lung, kras mutant
Baby 2yrs old! I am 32yrs
Too many chemo txs to count
trying to find a clinical trial
"You can't stop the waves, but you can learn to surf"

NWgirl
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Facebook Username: Belle Piazza
Location: Battle Ground, Washington

Re: Back to the drawing board...

Postby NWgirl » Wed Aug 18, 2010 9:30 am

I'm so sorry. This isn't great news but as usual, you are facing the future with a strong will and strength that I don't know I'd ever come close to matching. You are one tough Mom. Hugs to your precious little girl and you enjoy your week off from chemo.
Belle - "Don't Retreat - Reload"DX 10/07 Stage III Rectal
Surgery 11/07; 27 of 38 nodes
Perm Colostomy 8/11
12/10 recurrence lungs & LN's
VATS Jan 2011
Radiation Oct 2013
Chemo for Life
2012 Colondar Model

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hopeful
Posts: 1372
Joined: Mon Jan 04, 2010 11:43 am

Re: Back to the drawing board...

Postby hopeful » Wed Aug 18, 2010 9:36 am

jmarie, I'm so sorry to hear this news. Now that you're discontinuing the study do they ever tell you for sure whether you got the drug or pleacebo? My most thoughts and prayers are with you as you and your team figure out the next plan of attack.
Caregiver to husband diagnosed 11/09 stage IIIb colon cancer
Surgery 11/5/09
12 rounds FOLFOX beginning 12/18/09
Folfox finished 6/3/10
Last scan Jan 2015
NED since Dec. 2009

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Terry
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Facebook Username: Terry Minor
Location: Silver Cliff, Wisconsin

Re: Back to the drawing board...

Postby Terry » Wed Aug 18, 2010 9:45 am

I'm so sorry Jessica. I saw your post on FB yesterday but didn't want to ask questions, I knew when you felt like talking about it, you'd post.

I really think your making a wise choice by trying the desensitization. You knew it worked and I think your (just my opinion) right in trying to get this under control now before going on to another study. Kathrine did the desensitization and got through the treatments, hopefully you'll do the same. Most likely since you felt so good your probably right and received the placebo. I really wish there was a way for them to do a trial and give everyone the drug, it's such a gamble.

Your so much in my thoughts and prayers.
DX 7/3/07
Chemo, radiation, 20 mo. chemo, IMRT, cyberknife, 6/11 lobectomy.
1/16 resection perm. colostomy intraop. rad.
PET 2/12 nose, thyroid, liver, lngs
Folfox 3/12
Lord I know You'll keep me here until
you know I cannot suffer any longer!

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Nanette
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Facebook Username: Nanette Pepperday-Derry
Location: Buffalo, NY

Re: Back to the drawing board...

Postby Nanette » Wed Aug 18, 2010 10:35 am

I am so sorry, Jessica. That news just stinks! I also saw your post on Facebook as well. I wish there was more I could do for you. Everyone's giving you good advice here. You are also a very strong, positive person and that means a lot.

You are in my thoughts and prayers, as always...
-Nanette
Husband, Bruce - diag. 12/07/08 at age 50
Stage IIIB CC, poorly diff, muc. adeno, sig. ring cell
Stage I bladder cancer
1 of 17 LN affected
Colonectomy 12/11/08
Finished chemo/rad on 8/19/09
Four years NED on 12/11/12 - Thank God!!
Livin' life!!!!!!


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