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Still wonder..but what if

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CiGi View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote CiGi Quote  Post ReplyReply Direct Link To This Post Posted: Aug 28 2010 at 10:24am
Thanks Donna.  I've been taking D3 4,000 ius per day.  Doctor prescribed me 1,000 ius per day, which I took for months until I was dx.  I increased to 2,000 ius at that point since I thought it was not enough.  Since being on this site I increased to 4,000.  I'll increase it again until I get it tested just to be safe. 
 
BTW, love you're new profile pic, you really look great and so happy!   I'll add a pic one day, when I find one that I like. 
Age 40, 4/28/10 lumpectomy (3 cm) TNBC Grade 3 Stage 2 0/3 nodes, TAC 6x 3 week cycles start 6/15 finish 9/27, 33 rounds rads 11/22. BRCA1 & 2 neg. Lymphedema rt hand 8/14. Joint pain Dec 2010.
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trip2 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote trip2 Quote  Post ReplyReply Direct Link To This Post Posted: Aug 28 2010 at 10:41am
Cigi,
 
One of the frustrating things of getting this disease is that we have to speak up, possibly pester or even fire a doc who is not doing what it is you feel you need.
 
Being diagnosed with TNBC has made a semi-monster out of me at times because of if I didn't stay on top of inadequate Oncologist's or docs (my experience) who wouldn't give me a simple test, such as one time I wanted the brca 1/2 and was ignored until I said my piece, then I still wouldn't have answers.
 
We are our best advocate, we pay them to give us the best care.  Stand in the middle of the office if you have to until you get what you need.  Your care is of utmost importance.  When your Onc does their regular blood panel can they not work it in?  Yes stay on them, sad to say, we sometimes have to..
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Post Options Post Options   Thanks (0) Thanks(0)   Quote 123Donna Quote  Post ReplyReply Direct Link To This Post Posted: Aug 28 2010 at 10:52am
Cigi,

I agree with Pam.  The Vitamin D test is just a simple blood draw.  When my onc does it they just draw another vial when they're testing my blood.  Keep pestering them until you get what you need!

Thanks for commenting on my new pic.  Yes I was so happy - we were on a family vacation that I couldn't have imagined a year ago.  Last summer I was recovering from surgery, hairless and going through tx thinking my life could be over.  I've been changing my pics, first with the wig, then when the hair started growing back I kept updating it. 

Hugs,

Donna
DX IDC TNBC 6/09 age 49, Stage 1,Grade 3, 1.5cm,0/5Nodes,KI-67 48%,BRCA-,6/09bi-mx, recon, T/C X4(9/09)
11/10 Recur IM node, Gem,Carb,Iniparib 12/10,MRI NED 2/11,IMRT Radsx40,CT NED11/13,MRI NED3/15

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Post Options Post Options   Thanks (0) Thanks(0)   Quote MsBliss Quote  Post ReplyReply Direct Link To This Post Posted: Aug 28 2010 at 4:14pm
One very important tidbit for all you vitamin D testers!  If your test results are processed by Quest Labs, you have to divide the result by 1.3.  They have a different calibration and have stubbornly refused to alter this.  Your true number will be lower than the report.  Also, 30ng is too low.  That number is not a robust enough number for us.  Go for at least 60.  At least.

Corrected for clarity---Quest reports D levels that are artificially high.  Your true number is actually lower than the report will say.


Edited by MsBliss - Aug 29 2010 at 4:53am
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Post Options Post Options   Thanks (0) Thanks(0)   Quote 123Donna Quote  Post ReplyReply Direct Link To This Post Posted: Aug 28 2010 at 4:53pm
MsBliss,

You are so right.  Constantine Edge-CAM says it should be 66 or higher for anti-tumor effect. 
DX IDC TNBC 6/09 age 49, Stage 1,Grade 3, 1.5cm,0/5Nodes,KI-67 48%,BRCA-,6/09bi-mx, recon, T/C X4(9/09)
11/10 Recur IM node, Gem,Carb,Iniparib 12/10,MRI NED 2/11,IMRT Radsx40,CT NED11/13,MRI NED3/15

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CiGi View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote CiGi Quote  Post ReplyReply Direct Link To This Post Posted: Aug 29 2010 at 4:35pm
Thanks everyone for your help.  I will throw a tantrum if needed to get it tested.  My original test done was through Quest and it was 10.  I'll need to make sure to ask which lab they send to.  Thanks for the tidbit on the K2 and calcium.  Need to be concerned about that because I do have hypertriglycerdemia which when my fats go up, it brings up cholesterol, so always concerned of anything building up in veins.  I had an ultrasound done on my veins 2 years ago to make sure there were no buildups or bloodclots and was good then.  Don't want any issues with my ticker!  Like I'm not putting it through enough.
 
Talk to ya gals later.  Have a great week!!!
Carol (CiGi)
Age 40, 4/28/10 lumpectomy (3 cm) TNBC Grade 3 Stage 2 0/3 nodes, TAC 6x 3 week cycles start 6/15 finish 9/27, 33 rounds rads 11/22. BRCA1 & 2 neg. Lymphedema rt hand 8/14. Joint pain Dec 2010.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote cdenunzio Quote  Post ReplyReply Direct Link To This Post Posted: Aug 30 2010 at 1:11pm
MsBliss, thank you for your kind words and honesty. "what if" will eventually apply to everyone of you. In our situation, decisions were made based usually on the docs recommendation, in addition when things got worse we went to Mayo (apparently the leaders in breast cancer, but aren't they all..) for another recommendation, they were consistent. We did 'fire' the first onc but were surprised to find the 2nd onc at Baptist in Jax wanted to take the same approach.  I was the complete opposite of your opinion in participation. I attended every appt, every chemo, every surgery, every plural, etc..I researched the PARP before most docs even knew of it. Practically read every thread on this forum, read the very morbid statistics of TNBC, I was not frightened and if anyone spoke discouraging about Heather, I would rip them, including the docs, nurses, including family and friends.

One can break down issues to molecular, DNA, minerals, etc until red in the face but what I saw was a medical community who was clueless in what they were dealing with. Treating symptoms and calling success on anything that changed for the better. A great example is tumor size, when its a .5mm smaller we should double the dose.  But doc, my arms and neck hurt, doc says you shouldn't have pain, the other patients dont. here take some 7.5 hydocodone apap, whatever its called.  But she really needed morphine or something.  I demanded the doc give her stronger, he was worried about the DEA or something, that is BS.  He finally obliged.  Not until the next MRI, Pet, x-ray, ultrasound and plasma-beam(sarcasm) were used that lo-and-behold we have mets in your arms and neck..Doc says, holy smokes this isn't supose to happen at the same time we are shrinking the other one by .5mm.  Its all sort of pull the trigger and see what happens thing.  This is were I asked the most important question all of you need to 'How many triple negative patients have your treated and what was your outcome'.  I will leave it at that.

Another place that pissed me off was these Cancer Centers of America.  My conversation with them lasted 5 minutes.  There first words were not I am sorry about your wife, what type of cancer, etc but what is your insurance number. 

MsBliss I dont believe vitamin D would have helped my wife. Her cancer all the sudden spread everywhere only after being poked, biopsied basically messed with but we asked them to.


Edited by cdenunzio - Aug 30 2010 at 3:25pm
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trip2 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote trip2 Quote  Post ReplyReply Direct Link To This Post Posted: Aug 31 2010 at 12:02pm
I agree with what you have said, it is a hard truth to realize. 
 
I felt like during my treatments (twice) they were just fumbling for something that would stick, like spaghetti on the wall.  Not very comforting when it is you or someone you love.  Truth be known I still feel that way when it comes to my monitoring.
 
Interestingly atleast for me, I have found now going thru another serious health issue that various docs in that specialty field do not seem to agree, like the nightmare is back but in another form!  What is a patient supposed to do, is it like this for all who deal with a serious health problem??
Doesn't seem to be inclusive of TNBC for me, anyway.
 
These are my feelings folks, I've rambled enough recently, peace...


Edited by trip2 - Aug 31 2010 at 12:05pm
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cdenunzio View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote cdenunzio Quote  Post ReplyReply Direct Link To This Post Posted: Aug 31 2010 at 2:29pm
Ladies - please, please and pretty please - do not let me steal any hope from you.  Like I said earlier I am going thru my emotional thingy dealing with my loss.  I read my post and sound negative, maybe its best for me to not think about this topic right now.  It is not my intention to make you lie in your bed at night and deal with the 'hard truth'.  This is wrong for me and yes you asked I vent and say whatever but in hind sight I would never have spoke to Heather this 'hard truth' and would be positive and reassuring.  Sometimes its best not to know.  I surely don't know what will happen with you.  My wife died because ....I can put a million periods in that sentence to represent a pause of the unknown.  I want to believe she is in a better place without pain and worry but who would steal a mommy from little children.  It's sucks.  I am sorry for not being sorry.  You are beauty and wish all of you comfort and peace.

Chris



Edited by cdenunzio - Aug 31 2010 at 2:32pm
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Post Options Post Options   Thanks (0) Thanks(0)   Quote zoomommy2 Quote  Post ReplyReply Direct Link To This Post Posted: Aug 31 2010 at 4:52pm
Chris,
Don't apologize for your feelings.  You and your children have suffered a loss that I can't even imagine.  Your feelings are what they are and this is the best place to vent.  You aren't making us deal with the thoughts we don't already have.  Vent when you need to.
Lee in Denver
dx6/09,stageII,gr3,(L)mastectomy 7/09,ACx4,Taxolx7,Avastin study,gall bladder surgery 1/10,4/11 Stage 4, mets to lung, 4/11 Started Taxotere and Xeloda, 5/11 Taxotere stopped, off Xeloda
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Debris Quote  Post ReplyReply Direct Link To This Post Posted: Aug 31 2010 at 6:07pm
Chris,
 
May you find Peace in time - but now, let the hurt and the anger out!  This is one place you can feel safe doing so.
 
God Bless
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Post Options Post Options   Thanks (0) Thanks(0)   Quote trip2 Quote  Post ReplyReply Direct Link To This Post Posted: Aug 31 2010 at 8:03pm
Chris,
 
 
Bless your heart, as already pointed out, we have learned many of these hard truths thru our own journey's or those of our sisters.
 
By all means, this is the place to say whatever is on your mind, we welcome you and your thoughts, your contribution to this wonderful community and our hearts break for your loss.  I so wish there were answers.   All we can do is our best at the moment.Hug
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Post Options Post Options   Thanks (0) Thanks(0)   Quote overwhelmed Quote  Post ReplyReply Direct Link To This Post Posted: Sep 01 2010 at 12:26pm
So, I am reading that Vitamin D2 does no good and D3 is needed?  My Vit D level was at 22 before chemo started.  It was tested by my gyn at my request.  She recommended 1000mg D2 daily, which I have done since.  So, has no good since I haven't been taking D3?
DX ILC TNBC 3/10 at 50, Stage IIb; Grade 3; 5.1 to 7 cm,SNB neg;TC-6 rnds, 30 rads, Avastin-18 rnds, BRAC 1&2-
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Post Options Post Options   Thanks (0) Thanks(0)   Quote MsBliss Quote  Post ReplyReply Direct Link To This Post Posted: Sep 01 2010 at 8:47pm
Dear Over,
If you are taking over the counter D, then it is D3.  D2 is only available thru prescription at much higher strengths.
Bliss

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Post Options Post Options   Thanks (0) Thanks(0)   Quote overwhelmed Quote  Post ReplyReply Direct Link To This Post Posted: Sep 01 2010 at 9:09pm
You are right.  I just checked and I've been taking D3 all along.  Duh!
DX ILC TNBC 3/10 at 50, Stage IIb; Grade 3; 5.1 to 7 cm,SNB neg;TC-6 rnds, 30 rads, Avastin-18 rnds, BRAC 1&2-
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Post Options Post Options   Thanks (0) Thanks(0)   Quote 123Donna Quote  Post ReplyReply Direct Link To This Post Posted: Oct 04 2010 at 11:15pm
Originally posted by MsBliss MsBliss wrote:

. . .But mind you, when you take high doses of D, you have to monitor serum calcium because D will cause circulating calcium levels to go up.  For me, I take 150 micrograms of K2 with the D.  The K2 prevents any circulating calcium from collecting along the artery walls, which is one of the concerns of supplementing with high amounts of D.  But at levels of 2000IU a day, this is not high enough to cause this.


I have a question about Vitamin K.  Should it be K2 only or a combination of Vit. K, like K2 (menaquinone-7, menaquinone-4) and K1?

Donna


Edited by 123Donna - Oct 04 2010 at 11:15pm
DX IDC TNBC 6/09 age 49, Stage 1,Grade 3, 1.5cm,0/5Nodes,KI-67 48%,BRCA-,6/09bi-mx, recon, T/C X4(9/09)
11/10 Recur IM node, Gem,Carb,Iniparib 12/10,MRI NED 2/11,IMRT Radsx40,CT NED11/13,MRI NED3/15

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Marti Quote  Post ReplyReply Direct Link To This Post Posted: Oct 05 2010 at 4:19pm

To Cdenunzio: I am so sorry for the loss of your wife, Heather. I am new to this site today. I was diagnosed with triple negative breast cancer Jan. 8, 2008. I had a lumptectomy on Jan. 16 and my tumor was almost 3 cm. Like your wife, I was told that my body was clear after surgery and I went on to have radiation and chemo. But, I survived. However, the effects of chemo have greatly reduce the quality of my life since I was given cytotoxin, taxotere and adriamiacin. I have regreted taking the chemo but the cancer has not returned. Hearing about Heather helps me to understand that we simply do not know much about triple negative cancer and, in fact, there is no way to predict its return whether we take action or not. I do not want to by cynical but it does seem to be in the hands of God. I pray that you find peace. It is a difficult thing to do. I lost my firstborn child, a little girl when she was only 2. I know loss. May God show you the way to peace and may you understand the love of God in your lifetime and find a way to move forward knowing that closure is merely a genteel phrase and not a reality. Time eases the pain but your heart records the loss of a beloved souldmate forever and ever. God Bless.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote hummingbird10 Quote  Post ReplyReply Direct Link To This Post Posted: Oct 05 2010 at 9:35pm

Chris,

I just read all your comments and all the responses.  Although I did not know your Heather since
I just came here after this May's diagnosis, I can tell everyone loved her here on TNBC blog.
I believe strongly that you have every right to vent your feelings about her journey and her
treatments.  We all need to know about this.  The frustrations are very understandable and
very normal.  As Ms. Bliss said in her "on-point" comments we need a lot of answers.
TNBC is very complex.  And it is disappointing to hear Mayo in JAX didn't have all the
answers for Heather.  I don't know what went wrong. And yes, it certainly "sucks."
You are right, they don't know enough to customize our treatments.  One day they will.
I've been told that may be pretty far down the road.  In the mean time we all just
cont. to take and do what is suggested.  But, like yourself and Ms. Bliss and others here
WE WILL CONT> TO SAY QUESTIONS, regardless of who doesn't like it!!!!!!!!!!!!
 
Peace and love to you and the children and Heather,
Hummie
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Post Options Post Options   Thanks (0) Thanks(0)   Quote TNBC_in_NS Quote  Post ReplyReply Direct Link To This Post Posted: Oct 05 2010 at 10:32pm
Chris:
I am so sorry for the loss of your darling wife, Heather!
May you and the children find peace and a new "normal' as some of us have had to find too.
Bless you on your journey, and please post here when you need to, we are here to support you!
Hugs, another sister on the journey, Helen in NS
Diag@57TNBC04/092.5cm Lquad 05/09 TCx4Radsx30CT03/01/10 FU03/31/10ClearBRCA- 01/2011 RTNBC BMX 06/14/2011~2013 clear
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Post Options Post Options   Thanks (0) Thanks(0)   Quote hummingbird10 Quote  Post ReplyReply Direct Link To This Post Posted: Oct 05 2010 at 10:58pm
Chris,
correction to my post above...
 
last line should read....   We will cont. to ASK (not say) questions, regardless of who
(referring to all medical personnel) doesn't like it.
 
Hummie
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