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 Post subject: Kasey's Story
PostPosted: Wed Apr 20, 2005 11:13 am 
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Joined: Fri Nov 12, 2004 11:27 am
Posts: 5686
Location: PA
My story, like most of everyone's here, would more than likely be a book if told in its entirety. Trust me, I am not going to do that here. However, I do feel there are some aspects of it that I feel so much the need to share with all the very special people who make up this site. So here it goes - in skeletal form and for whatever it is worth!

My primary care physician told me over the phone that the CT scan certainly looked just like lung cancer. YIKES! Bronchoscopy done a few days later showed nothing. Boy was I happy but not for long. I was told a biopsy was needed - simple to just make a little slit and grab a little piece. PROBLEM! First indication that what I had was a humdinger. Had to be a CT guided needle biopsy. Took a week to set it up for the surgeon had a difficult time finding someone to actually guide the scan. YIKES again! Nine days after the biopsy we - husband and I - met with the pulmonary doc who was coordinating everything. He had been waiting for a call back from the thoracic surgeon and hadn't gotten it yet, so we proceeded without his input. It is cancer. It is early stage. It has not spread. You are young (58)) and healthy - no heart problems, no diabetes, not anything wrong - just lung cancer. We can just go in and cut it out, have a chemo treatment or two and you are cured. My husband and I practically fell to our knees in praise of God. We were at the desk making the surgeon's appointment when we were called back to the office. Seems that now the surgeon had called and surgery was NOT an option. We would be making chemotherapy and radiation appointments instead. Now it was 5:00 - closing time. So that was it, no more explanation or anything. We made those appointments and headed for home.

Okay I'm making this way too long. The next day I had a call in to the pulmonary doc with a question. He called me back at 4:45 on Friday. He answered my question and then offhandedly mentioned the term pancoast tumor. We hung up. It was the weekend. I know how to use the internet. YIKES three times over. Pancoast tumors are VERY bad news! First thing Monday morning guess what I was doing? And guess who was on vacation?

Not one doctor here in my city had ever seen a pancoast tumor. So you can see how EASY for the misinformation at the biopsy report! I went to Sloan Kettering in New York for a second opinion. They agreed with treatment recommended here and NEVER mentioned they have a renowned pancoast tumor surgeon there. So I began radiation and chemo locally. It took me a while before I realized it was for palliative purposes only. I was told I was incurable, never would be curable, and would NEVER be a candidate for surgery. I was told there was no light at the end of my tunnel. I was told that if the November CT scan did not show significant shrinkage that I would not see flowers this spring. YES, believe it! I was told all that!

Well, I felt that was just not satisfactory with me. Off I went for a third opinion to a very reputable cancer center near Philadelphia. I was sent away by the pancoast expert there. I was in bad shape if a pancoast expert turned me away. I planned my funeral and took care of all those things one needs to take of at a time like this. I prepared my husband whose first wife had been claimed by cancer twenty five years earlier at a very young age. We prepared the children for losing another mother to cancer. It was a very dark time here.

This whole time, September until mid November, I searched the internet day and night. I am sure most of you can identify with searching at 2:00 and 3:00 in the morning! I was a pancoast expert. By ACCIDENT one morning when I googled whatever I googled including the word pancoast, this website presented itself. I found Donna G. who was listed as a 7 year survivor!!!!!!!!! FIRST positive thing in all this time. I PM'd her. She PM'd back with another pancoast survivor, mhutch, (aka MaryAnn). I PM'd her. She PM'd back. We went back a forth a few times and her surgeon's name came up. He is at the National Institutes of Health in Bethesda, MD. She is in MD and I am in PA. We are neighbors. So I googled the surgeon. I EMAILED the surgeon. He EMAILED me back that same day!!! He saw me the following Tuesday. And the 6 words he said to me are branded into my brain. He said, I think I can help you. MY GOD!!!!!!!!!!!!!!!

So I had surgery and follow-up chemo. I am healing and getting stronger and feistier every day.
The point of MY STORY here though, is the role this website has played. For me it literally SAVED MY LIFE. No matter how long it may be, I DID see flowers this spring and I CAN see a light at the end of my tunnel. I feel each day a gift from all of you here. I am shy and do not post often. But I read EVERY day. I feel like I do know many of you. I read so much. I missed Frank when he was away. I was at ALL of Cindi's parties. I wasn't sitting up at the bar though. I was at the table back in the corner, too shy to join in. I anxiously await test results with you and celebrate when they are good. I cry and pray when the news is less than what we would want. When I come here I am comforted by those of you who are the caregivers. I am filled with hope by those of you who are surviving and thriving. I receive courage from those of you fighting the hard fight at the moment. Finally I get the sense of family, of people who understand and care and support in ways those not here cannot do.

So thank you, first of all to Katie and Rick for the website. Thank you to Donna for caring enough to PM me and giving me the first glimmer of hope. And finally to MaryAnn who led me by the hand to my life saver. I am indebted to you all forever. Thanks to everyone here for what you do every day- reach out your hands to those who need it.

_________________
Kasey ~ 8 year survivor ~ Stage IIIb 'inoperable' (yea, right!) lung cancer
9/20/04 Dx lc
9/24/04 Bronchoscopy
10/08/04 CT guided needle biopsy
10/14/04 Dx Pancoast tumor - NSCLC 111a(?) - inoperable - incurable
11/02/04 2nd opinion - Sloan-Kettering - concurs with local dx and tx
11/03/04-12/02/04 Radiation x22 chemo x5 taxol/carboplatin
11/04 - 3rd opinion - FoxChase -turned away
11/04 FOUND LCSC & HOPE
11/04 4th opinion NIH - surgery possible
1/04/05 Successful surgery - RU lobectomy - all margins, nodes, and path reports are NEGATIVE
2/05 chemo x2 taxol/carboplatin
3/05 Esophagus stretched twice
4/06/05 bloodwork, chest x-ray, CT scan, PET scan, NED
5/05 2 more esophagus stretches
7/13/05 bloodwork, chest x-ray, CT scan, PET scan, brain MRI, NED
10/05/05 bloodwork, chest x-ray, PET/CT scan, NED
1/11/06 bloodwork, chest x-ray, PET/CT scan, brain MRI, NED
4/05/06 bloodwork, chest x-ray, PET/CT scan, NED
6/10/06 emergency appendectomy
7/12/06 bloodwork, chest x-ray, PET/CT scan, brain MRI, NED
9/26/06 bloodwork, chest x-ray, PET/CT scan, NED
1/10/07 bloodwork, urinalysis, chest x-ray, CT, PET/CT scan, arm CT, brain MRI, NED
7/11/07 bloodwork, urinalysis, chest x-ray, PET/CT scan, brain MRI, NED
1/9/08 bloodwork, urinalysis, chest x-ray, PET/CT scan, brain MRI, CT w/contrast.....mm 'spot' lower right lobe - watch and wait 3 months
4/8/08 bloodwork, urinalysis, chest x-ray, PET/CT scan, NED
10/14/08 bloodwork, urinaysis, chest x-ray, PET/CT scan, brain MRI, NED
4/15/09 bloodwork, urinalysis, chest x-ray, PET/CT scan, brain MRI, NED
10/13/09 bloodwork, urinalysis, chest x-ray, PET/CT scan, brain MRI, CT/contrast, NED
4/13-4/15/10 bloodwork, urinalysis, chest x-ray, PET/CT scan, brain MRI, CT/contrast, PFT, echocardiogram, EKG, stress test, NED
4/11-4/13/2011 bloodwork, urinalysis, chest x-ray, PET scan, CT scan w/contrast, brain MRI, NED
4/16-4/18/2012 bloodwork, urinalysis, chest x-ray, PET scan, CT scan w/contrast, brain MRI, NED


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 Post subject: Re: Kasey's Story
PostPosted: Tue Sep 20, 2011 6:39 pm 
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Director of Support & Advocacy, LUNGevity
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Joined: Thu Jan 09, 2003 11:09 am
Posts: 14986
Location: Texas
7 years ago today ....

CONGRATULATIONS KASEY!!
viewtopic.php?f=4&t=45622


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 Post subject: Re: Kasey's Story
PostPosted: Tue Sep 20, 2011 7:25 pm 
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Joined: Sat Jan 08, 2005 8:13 pm
Posts: 6760
Location: Voorhees, NJ (near Philly)
AWESOME!!!!! WAY TO GO GF.... :mrgreen: :mrgreen: :mrgreen: :mrgreen: :mrgreen: :mrgreen: :mrgreen: :mrgreen: :mrgreen: :mrgreen: :mrgreen:

Love this stuff!!

Maryanne :wink:

_________________
"Life is not measured by the number of breaths we take...but by the moments that takes our breath away"
[size=75]
Husband Joel, 58 dx 10/18/04 Smoker since age 15 stopped when diagnosed
Adenocarcinoma- stage 1B
Lobectomy Left upper lobe on 12/15/04
biopsy on lymph nodes - negative NED
1/13/04 Oncologist appt.to see about preventive Chemo.
Cancelled due to chronic fatigue
1/12 fentynal patch for pain
1/14 discontinued Fentynal patch bad reaction
1/15 Blood test showed high T levels
2/1 Endoconrinologist visit diagnosed over-active thyroid
2/8/05 took Radioactive Iodine to kill thyroid
2/16/05 appetite back, fatigue leaving
2/24/05 visit with Pulmonary Doc. Breathing at 96% capacity,
Next visit 3 mos.
3/9/05 Endocrinologist visit -T levels went from 25 down to 5.
3/30 started Synthoid(thyroid med)
3/31 Oncologist. appt. CT results NED...
4/14 starting adjunctive Chemo (carbo/taxol) 4 treatments
3 weeks apart.
6/15/05 Joel finished chemo, chest X-ray clear, Next CT in August
9/01/05 1st CT since Chemo.. NED
11/17/05 CT - small nodule found 4 or 5 mil. in his good lung
1/10/06 CT - nodule Stable
7/2006 CT/ Nodule stable
10/2006 CT Nodule seem to have grown from 4 to 7 mil.
10/2006 Pet- showed some uptake
10/2006- operation- wedge section right upper lobe turned out to be cancerous 2 nodules next to each other. 2 different types of cancer. 1 squamous cell carcinoma (new primary)2- adenocarcinoma-(not sure if new primary or metastasis)
May be restaged to IIIB
11/07/2006 will start 4 rounds of taxotere. 3 weeks apart. Will take Decadron before, day of and day after. Will get a shot of Leunesta the day after. Here we go again.. Joel's attitude.... great as usual
Horrible reaction to the neulasta shots. One night(New Years eve) went to ER. Spent 3 days in hosptal.
Feb 2007 finished chemo.
March 2007 had his CT .. as expected right now all is clear.
June 2007 NED!!!
Sept 07- CT- small nodule 3.5 mm
Going to do another CT in 6 weeks.
October 07- CT done, results STABLE...YEA
Jan. 2008... STABLE!!!
April 2008 little growth but still called stable
July 17 208 nodule doubled in size to 9mm. Needs Pet Scan, tests, hopefully cyberknife...
July 29 met with his surgeon... said Cyberknife is the way to go.
August 1- Cyberknife visit... Joel is a canidate, its a go...Happy B-day Joel...
Sept 22, 2008 finshed up the last of 3 cyberknife procedures
Nov. had CT scan
Nov. 9th results of CT from Cyberknife..... Tumor completely gone... right now NED!!!
Feb. 09- Pet/CT results. . . NEd!!!
May 09 Pet/CT results. . . NED!!!
Sept. 09 Pet/CT results.....NED!!
Jan. 2010--- NED!! Pet now will be every 6 months.
June 8,2010 Pet scan on our Anniversary... hope thats a good sign..
June 17, NED!!!
Dec. 30,2010... NED!!!
June 20,2011... NED!!!
March 2012....NED!!!

pic of Joel and our daughter Nicole at walk NOV. 07

[img]http://www.freewebs.com/beansprouts2005/nik_and_dad_1LC_walk.jpg[/img]

http://www.babababies.com


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 Post subject: Re: Kasey's Story
PostPosted: Tue Sep 20, 2011 11:35 pm 
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Joined: Sat Jan 17, 2009 1:00 pm
Posts: 1070
Location: Seattle
Kasey,
Now that's a story! Thank you for sharing.

_________________
(photo: me in '61)
Female never smoked, 52 at diagnosis, otherwise healthy
09/08: false cardiac event = finding of 3 cm tumor upper right lobe plus two .5 cm nodes elsewhere on chest x-ray at ER
09/08: CTScan with IV contrast confirms.
10/08: Pulmonary referral for EBUS - bronchoscopy - confirms NSCLC - adenocarcinoma, with bronchoalveolar features
10/08: PetScan - further confirmation, classified T1N0MX (false negative) VATS scheduled.
11/08: full open surgery - revised to T4N2MX with positive spread to 2 lymph nodes, removed upper lobe with 3 cm tumor and partial mid lobe with (1) .5 cm tumor, 3 lymph nodes on trachea - 1 lymph node and margins negative.
5 night hospital stay.
12/08: Port-a-cath implanted
12/08: Brain MRI and hearing test - good other than minor high end loss in left ear
12/08: start (4) 21 day cycles of chemo - day 1 cisplatin and gemcitabine, day 8 gemcitabine alone, day 15 off - tolerated it pretty well - a little hair thinning and follicle inflammation, some ringing in ears and vertigo, much fatigue, and nausea. Kept my taste-buds almost intact.
02/27/09: completed 4 cycles of chemo!
03/03/09: removed port-a-cath
03/27/09: tattooed for radiation
03/30/09: start radiation (IMRT) 5x/wk for 6 weeks - fatigue, moderate esophagitis
5/08/09: completed treatment
6/22/09: NED
9/18/09: Recurrance in the liver and scattered in lungs. No symptoms. Rx Tarceva.
9/25/09: start Tarceva
11/20/09: clear lungs, shrinkage in liver.
2/24/10: still good on Tarceva
6/3/10: graduated to 6 month scan
12/9/10: new 6 cm tumor in liver
12/28/10: stop Tarceva
1/10/11: carbo/alimta/avastin
3/11/11: scan after 3 cycles 72%ish met reduction, stay the course
5/26/11: scan after 6 cycles, stable.
5/31/11: begin Avastin maintenance.
8/17/11: met growth, stop Avastin. Start Alimta.
10/25/11: met growth, stop Alimta. Wondering what to do next?
1/24/11: start hospice


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 Post subject: Re: Kasey's Story
PostPosted: Wed Sep 21, 2011 7:44 am 
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Joined: Mon Apr 25, 2011 2:50 pm
Posts: 218
Congrats to you Kasey, I only hope I can join you there someday.Pancoast Shramcoast, I'll be there even without surgery. Good for you.


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 Post subject: Re: Kasey's Story
PostPosted: Thu Sep 22, 2011 2:07 am 
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Joined: Sat Feb 20, 2010 5:53 am
Posts: 1316
Location: Airdrie north Lanarkshire
Hi Kasey,
What a story-congratulations on 7 years,best wishes for many more anniversaries to come.
Alan,although all of us here seem to have different circumstances to deal with on our cancer journey,I wish you and everyone else,the same success as Kasey has had with her survivorship.

_________________
Regards,
Eric Byrne

To read my story, please follow the link : http://lungevity.org/l_community/viewtopic.php?t=43268


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 Post subject: Re: Kasey's Story
PostPosted: Sat Sep 24, 2011 7:37 am 
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Joined: Mon Sep 26, 2005 7:06 am
Posts: 371
Location: The Netherlands
Congratulations, Kasey!!

Henk and Ellen.

_________________
Henk (age 71 at dx) is diagnosed 9/14/05 having NSCLC, adeno, st. IIIB, T4N0M0, pancoast tumor, inoperable. Also has COPD.
10/05 - 02/06 chemo (cisplatin/VP16) and radiation. Several bouts of pneumonia since 9/06.


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 Post subject: Re: Kasey's Story
PostPosted: Sat Sep 24, 2011 10:47 am 
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Senior member
Senior member

Joined: Wed Jun 01, 2005 5:30 pm
Posts: 3015
Location: CA
Kasey your story gives so much hope.

Carol

_________________
Carol
64 Year old former smoker
1/4/05 at age 56 DX NSCLC, upper right lobe.
Staged IIA by PET Scan.
Restaged to IIIA by surgeon prior to surgery, after he examined PET and CT Scan results.
4/7/05 Completed 6 weeks of radiation and chemotherapy (taxol/carboplatin).
4/29/05 CT Scan.
5/21/05 PET Scan.
5/31/05 Met with surgeon, PET Scan showed nodule in left lung lit up that never lit up before.
6/9/05 Biopsy=OK nodule is scar tissue.
7/1/05 BRONCHOSCOPY,
MEDIASTINOSCOPY, THORACOTOMY SURGERY=ALL MARGINS CLEAN, 20 LYMPH NODES REMOVED. PLUS ONE RIB BONE. ALL NEGATIVE FOR CANCER.
8/9/05 & 9/1/05 ADJUVANT CHEMO. 10/4/05 1ST CT SCAN="Defined patchy density at the superior segment of the right lower lobe. Findings are most likely related to recent surgery and/or posttreatment change, however, this should be followed on subsequent studies".
1/3/06 Brain CT=Clear;Chest CT=Scar Tissue.
1/4/06 ONE YEAR SINCE DIAGNOSIS
4/1/06 Brain & Chest CT=NED. 6/13/06 XRAY=NERD.
7/1/06 ONE YEAR SINCE SURGERY.
10/25/06 CT=NED.
1/4/07 TWO YEARS SINCE DIAGNOSIS
5/3/07 CT=NED.
7/1/07 TWO YEARS SINCE SURGERY.
11/6/07 CT=NED
PLEASE continue to keep me in your prayers.WHEN PRAISES GO UP, BLESSINGS COME DOWN.[/size]
1/4/08 THREE YEARS SINCE DIAGNOSIS
3/20/08 CT=NED
6/20/08 X-RAY=NED
7/1/08 THREE YEARS SINCE SURGERY.
10/27/08 CT=NED
1/4/09 FOUR YEARS SINCE DIAGNOSIS
3/26/09 X-RAY=NED
7/1/09 FOUR YEARS SINCE SURGERY.
9/17/09 CHEST X-RAY CEA BLOOD TEST=NED
1/4/10 FIVE YEARS SINCE DIAGNOSIS
3/29/10 X-RAY=NED
10/5/10 CT=NED
4/1/11 X-RAY=NED
7/1/11 SIX YEARS SINCE SURGERY
10/10/11 X-RAY=NED
4/15/12 CT/PET=NED
4/18/13 CT=NEW 3MM NODULE FOUND ON UPPER LEFT LOBE


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 Post subject: Re: Kasey's Story
PostPosted: Sat Sep 24, 2011 10:58 am 
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Joined: Mon Nov 10, 2008 9:37 am
Posts: 885
Location: Southern Oregon
Your story is certainly an inspiration. Congratulations!!!

Diane

_________________
3/98 Dx squamous cell NSCLC 2a at 50 yrs
4/98 Left lung removed, no chemo/rad
8/08 Persistent cough and shortness of breath, first appt. with pulmonary doc 11/4/08
11/08 X-ray and CT show tumor in right lung. PET scan confirms tumor, shows no apparent spread
12/08 CT/needle biopsy shows squamous cell NSCLC IIIB, doctors don't seem to agree if its a new cancer or recurrence - but onc believes it is a new one
12/08 Start concurrent radiation/chemo, Cisplatin/Etoposide
1/09 Chemo switched to Carbo/Taxol due to intolerance of Cisplatin
2/09 Radiation completed
3/09 Chemo completed
5/09 CT shows spot where tumor was likely/hopefully scar tissue
6/09 Begin Lucanix trial
9/09 CT scan - stable
12/07/09 CT scan - stable
3/1/10 CT scan - stable
6/1/10 CT scan - stable - begin 2nd year of trial
8/23/10 CT scan - stable
10/25/10 CT scan - stable
1/20/11 CT scan - stable
4/25/11 CT scan - stable - completed drug portion of trial, now follow-up with 3-mo scans
8/1/11 CT scan - stable
10/24/11 CT scan - stable. At my request, switching to 6 mo scans.
4/24/12 CT scan - stable.
10/30/12 CT scan - stable.
2/26/13 CT scan - stable

Avatar is with 10-mo-old grandson Ethan at Xmas


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 Post subject: Re: Kasey's Story
PostPosted: Sat Oct 08, 2011 8:52 am 
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OVER 500 POSTS !
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Joined: Thu Jul 21, 2005 1:14 am
Posts: 606
Location: Philippines
I'm a little late but happy anniversay Kasey!!!!

_________________
[size=85]DAD, former smoker, quit smoking upon dx, 58 years young in 2005
AUG-2004 Chest pains, misdiagnosed as heart problem
APR-2005 Chest pains again. CT shows approx 6.0 x 4.2cm mediastinal mass and pleural lesions on right upper and middle lung. VATS for biopsy, talc procedure for pleural efflusion
MAY-2005 Dx NSCLC (Squamous Cell IIIB) Inoperable and unable to have radiation.
6 rounds of Taxotere/Carboplatin - 25-JUL-2005 STABLE
26-SEPT-2005 Chest CT STABLE
01-OCT-2005 Tarceva
16-JAN-2006 Chest CT shows mild progression in existing nodules, new 1.2x 1.3cm nodule, some opacities stable. Continue Tarceva for 3 more months.
20-APR-2006 Chest CT again shows more progression of medistinal mass. Other tumors stable.
12-MAY-2006 Gemzar/Carboplatin
11-JUL-2006 Chest CT STABLE
OCT - NOV 2006 Chemo Break
4-DEC-06 Chest CT STABLE
MARCH 2007 Chest CT STABLE
JUNE 2007 Chest CT STABLE
SEPT 2007 Chest CT - some tumor progression. :( Port-a-cath insertion procedure. Chemo resumes after 1 YEAR of no treatment.
NOV-2007 61st birthday! End of 3 chemo cycles (Gemzar - Carboplatin)
24-NOV-2007 Some tumor reduction, for the first time in this more than 2-year battle! Continue chemo.
25-JAN-2008 Stable. Continue chemo. (Gemzar/Carboplatin)
5-MAY-2008 Chest scans show no significant changes. Chemo break.
26-AUG-2008 Chest scans show no significant changes. No chemo.
Mid-2009 Alimta
Dec-2009 Stable disease
+ + + + + + +
2009-2010 looking for records
+ + + + + + +
18-FEB-2011 Stable disease, no pleural efflusion
JUL-2011 Mild progression; minimal pericardial fluid, minimal sclerotic changes 5th-6th ribs "not changed"
29-JUL-2011 Start of Taxol/Carboplatin
4-OCT-2011 End of 3 cycles of Taxol/Carbo. Admitted after 2nd and 3rd cycles for blood transfusion due to low blood count.
Scans show progression. :( Minimal loculated pleural efflusion, superior vena cava is compressed. Mediastinal extension, medistinal lymphadenopathies, right pleural, fissural, and right chest wall metastases. Degenerative osseous changes with probably osseous metastases involving 5th -6th lateral ribs
Will start ALIMTA again.


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 Post subject: Re: Kasey's Story
PostPosted: Sun Oct 09, 2011 7:31 am 
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Joined: Tue Oct 04, 2011 4:39 am
Posts: 14
I love the hope your story brings for so many. Congrats on being a 7 year survivor xxx


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