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	<title><![CDATA[No Surrender Breast Cancer Foundation by Survivor ~ for Survivor  Message Forum]]></title>
	<link>http://www.nosurrenderbreastcancersurvivorforum.org</link>
	<description><![CDATA[No Surrender Breast Cancer Foundation by Survivor ~ for Survivor  Message Forum]]></description>
	<ttl>60</ttl>
	<pubDate>Sun, 20 May 2012 08:54:19 GMT</pubDate>
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		<title><![CDATA[Sad News, Svetlana is now an angel]]></title>
		<link>http://www.nosurrenderbreastcancersurvivorforum.org/post?id=5829028</link>
		<description><![CDATA[Many of you knew our dear Svetlana, "Sstefano"<br>She passed away with her family around her. She was a loving woman who fought ever so hard.... she was very close to our Constantine and he helped her immensely.<br>She came to us with advanced TNBC and lived a long time with it.<br>Even though she did not post often, she was a valued member here and she will be missed.<br>We are so fortunate to get to know each other.... there are such incredible women who make up No Surrender. It is ever so hard to say goodbye, but the gift of having known someone we normally would have never met, is a beautiful thing.<br>The stars are a bit brighter tonight as another angel joins our other sisters who have gone before us.<br>God Bless You, Svetlana, we will miss you. Thank you for being part of our lives.<br><br>gina<br><br> <p>Forum: <a href="http://www.nosurrenderbreastcancersurvivorforum.org/?forum=96657">CLUB METS (click here for more)</a>
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		<pubDate>Thu, 03 May 2012 17:07:48 GMT</pubDate>
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		<title><![CDATA[Blood Test Predicts Breast Cancer]]></title>
		<link>http://www.nosurrenderbreastcancersurvivorforum.org/post?id=5824836</link>
		<description><![CDATA[If we only knew then what we know now.... this test is huge for future generations<br><a href="http://www.telegraph.co.uk/health/healthnews/9237415/Blood-test-could-detect-breast-cancer-years-in-advance.html" target="_blank">http://www.telegraph.co.uk/health/healthnews/9237415/Blood-test-could-detect-breast-cancer-years-in-advance.html</a><br><br> <p>Forum: <a href="http://www.nosurrenderbreastcancersurvivorforum.org/?forum=104793">BREAKING BREAST CANCER NEWS (click for the latest news)</a>
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		<guid isPermaLink="false">http://www.nosurrenderbreastcancersurvivorforum.org/post?id=5824836</guid>
		<pubDate>Tue, 01 May 2012 06:33:38 GMT</pubDate>
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		<title><![CDATA[TNF Blockers]]></title>
		<link>http://www.nosurrenderbreastcancersurvivorforum.org/post?id=5824427</link>
		<description><![CDATA[Hi Edge! &nbsp;<div><br></div><div>I realize that this topic may not be one included in your research, and if that's the case please don't spend a lot of time on this. &nbsp;Just let me know. <img src="/images/boards/smilies/smile.gif" border="0" align="absmiddle"></div><div><br></div><div>I have Rheumatoid Arthritis and Sjogren's Syndrome. &nbsp;I am borderline for additional autoimmune diseases. &nbsp;While being treated for triple negative breast cancer in '07, we stopped all of my arthritis drugs (I had just switched from Remicade to Enbrel; I also took methotrexate and an anti inflammatory). Thankfully, during tx, &nbsp;I was symptom free of RA and all other autoimmune issues). &nbsp;After tx ended, I went back on Enbrel, methotrexate, and an anti inflammatory with really good results.&nbsp;</div><div><br></div><div>In '11 I developed oroparyngeal cancer. This cancer was not a recurrence, but a new primary. I was in tx from October until January, and again stopped all RA drugs during this time. &nbsp;My RA had been in remission until recently. &nbsp;After my second cancer, my Rheumatologist was hesitant to allow me to resume the TNF blockers. &nbsp;He discussed this with my Onc, and he agrees, no more Enbrel.&nbsp;</div><div><br></div><div>My question for you is are you aware of any breast cancer research that included RA patients? &nbsp;I'd like to research alternatives to TNF's, but I'm not finding much information. &nbsp;Is it a correct assumption that while TNF blockers carry an increase of lymphoma and leukemia, does a previous dx increase the risk even more so? Any info would be greatly appreciated. &nbsp;And again, if its not something you are familiar with, no harm no foul. <img src="/images/boards/smilies/wink.gif" border="0" align="absmiddle"></div><div><br></div><div>Carynn</div> <p>Forum: <a href="http://www.nosurrenderbreastcancersurvivorforum.org/?forum=96951">THE CUTTING EDGE (click to learn what you need to know)</a>
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		<guid isPermaLink="false">http://www.nosurrenderbreastcancersurvivorforum.org/post?id=5824427</guid>
		<pubDate>Mon, 30 Apr 2012 23:39:16 GMT</pubDate>
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		<title><![CDATA[Best supplement(s) for immune support?]]></title>
		<link>http://www.nosurrenderbreastcancersurvivorforum.org/post?id=5822468</link>
		<description><![CDATA[I'm actually asking this for my 20 year old daughter, who has no definable disease, but seems to get sick a lot more than most people, and has for years. This winter she has basically been sick all winter. She's not very energetic, either. What supplement or supplements would you recommend for immune system boosting?<br><br>Also, I am about to go on a system immune suppressant for my autoimmune disease. Now, all winter, while everyone around me was sick, I haven't been sick. An immune booster would run counter to the suppressant, wouldn't it? I'm not sure what supplement/s I take that help my immune system, but I rarely get sick since I started them. So the question is, would taking an immune booster be counter productive to the immune suppressant, or are there supplements that you can take (like, say, zinc) that help without interfering with the action of the suppressant? If it is counter productive, do I need to go thru my supplements to see which are boosting my immune system?<br><br>I suppose a quick list of supplements is in order here. So:<br>EGCg, Calcium, Magnesium, Rhodiola Rosea, Phytosterols, Resveratrol, Vitamin D, multivitamin, Curcumin, CoQ10, Melatonin, flaxseed, and fish oil.<br><br>Thanks!!<br><br> <p>Forum: <a href="http://www.nosurrenderbreastcancersurvivorforum.org/?forum=108199">NEW FRONTIER:CAM/ALTERNATIVE (click here)</a>
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		<guid isPermaLink="false">http://www.nosurrenderbreastcancersurvivorforum.org/post?id=5822468</guid>
		<pubDate>Mon, 30 Apr 2012 05:32:11 GMT</pubDate>
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		<title><![CDATA[What We Do and Why  Support It]]></title>
		<link>http://www.nosurrenderbreastcancersurvivorforum.org/post?id=5813281</link>
		<description><![CDATA[  <ul style="margin-left:.0243in;direction:ltr;unicode-bidi:embed;margin-top:  0in;margin-bottom:0in"><p style="margin: 0in; font-family: Tahoma; font-size: 10pt;"><b style="color: rgb(0, 0, 102);">What We Do and Why Support It - A Personal Perspective</b><br></p><p style="margin: 0in; font-family: Tahoma; font-size: 10pt; color: rgb(0, 0, 0);">Here's my very own  ten-point list of <span style="font-weight: bold; color: rgb(0, 0, 102);">What We Do</span>  at No Surrender, and it<span style="mso-spacerun:yes">&nbsp; </span>represents  just<span style="mso-spacerun:yes">&nbsp; </span>a fraction of the services because  everyone in this Community is involved in providing hope and guidance for all  members.</p><p style="margin: 0in; font-family: Tahoma; font-size: 10pt; color: rgb(0, 0, 0);">&nbsp;</p><ol style="margin-left: 0.375in; direction: ltr; unicode-bidi: embed; margin-top: 0in; margin-bottom: 0in; font-family: Tahoma; font-size: 10pt; color: rgb(0, 0, 0);" type="1"><li value="1" style="margin-top:0;margin-bottom:0;vertical-align:middle"><span style="font-family:Tahoma;font-size:10.0pt;font-family:Tahoma;font-size:       10.0pt">We provide state-of-the-art evidence-based guidance to the No       Surrender Community, the <span style="font-style: italic; text-decoration: underline;">only</span> evidence-based survivor forum on the       Internet.<hr></span></li><li value="2" style="margin-top:0;margin-bottom:0;vertical-align:middle"><span style="font-family:Tahoma;font-size:10.0pt">We undertake special       evidence-based reports on selective topics (aspirin and BC, benefits of       Zometa, etc.).<hr></span></li><li value="3" style="margin-top:0;margin-bottom:0;vertical-align:middle"><span style="font-family:Tahoma;font-size:10.0pt">We provide unbiased       evidenced-based assessments of alternative therapies (DCA<span style="mso-spacerun:yes">&nbsp; </span>therapy, Insulin Potentiation Therapy       (IPT), etc.).<hr></span></li><li value="4" style="margin-top:0;margin-bottom:0;vertical-align:middle"><span style="font-family:Tahoma;font-size:10.0pt">We<span style="mso-spacerun:yes">&nbsp; </span>provide detailed patient-individualized       explanations and interpretations of the real significance of pathology       (scans, markers, etc.) findings.<hr></span></li><li value="5" style="margin-top:0;margin-bottom:0;vertical-align:middle"><span style="font-family:Tahoma;font-size:10.0pt">We provide comprehensive       patient-individualized clinical reviews of best treatment options and       their tradeoffs.<hr></span></li><li value="6" style="margin-top:0;margin-bottom:0;vertical-align:middle"><span style="font-family:Tahoma;font-size:10.0pt">We provide comprehensive       reviews of patient-individualized of the most<span style="mso-spacerun:yes">&nbsp; </span>promising options clinical trials       available.<hr></span></li><li value="7" style="margin-top:0;margin-bottom:0;vertical-align:middle"><span style="font-family:Tahoma;font-size:10.0pt">We provide experience-based       patient-individualized recommendations for best oncologists for second       opinions in a particular geographic area, for your specific case.<hr></span></li><li value="8" style="margin-top:0;margin-bottom:0;vertical-align:middle"><span style="font-family:Tahoma;font-size:10.0pt">We provide comprehensive       evidence-based answers and guidance to questions in all aspects of cancer       management, from diagnosis, pathology, and treatment, to coping and       managing with adverse side effects, and complex issues in drug-drug,       drug-food, and drug-CAM interactions.<hr></span></li><li value="9" style="margin-top:0;margin-bottom:0;vertical-align:middle"><span style="font-family:Tahoma;font-size:10.0pt">We provide state-of-the-art       regularly updated best-evidenced CAM regimens as adjuncts to traditional       therapies.<span style="mso-spacerun:yes">&nbsp;&nbsp; <hr></span></span></li><li value="10" style="margin-top:0;margin-bottom:0;vertical-align:middle"><span style="font-family:Tahoma;font-size:10.0pt">We provide the Paths of Hope       series to highlight breakthroughs in long-term survival even in the most       challenging forms of breast cancer, at all disease stages. </span></li></ol><p style="margin: 0in 0in 0in 0.375in; font-family: Tahoma; font-size: 10pt; color: rgb(0, 0, 0);">&nbsp;</p><p style="margin: 0in; font-family: Tahoma; font-size: 10pt; color: rgb(255, 0, 0); font-weight: bold;">Support NSBCF, and  support hope and promise through knowledge and caring.</p><p style="margin: 0in; font-family: Tahoma; font-size: 10pt; color: rgb(0, 0, 0);"><br></p><p style="margin: 0in; font-family: Tahoma; font-size: 10pt; color: rgb(0, 0, 102);">Edge</p><hr><p></p><p style="margin: 0in; font-family: Tahoma; font-size: 10pt; color: rgb(0, 0, 102);">Constantine Kaniklidis</p><p style="margin: 0in; font-family: Tahoma; font-size: 10pt; color: rgb(0, 0, 102);">Director of Medical Research<br></p><p style="margin: 0in; font-family: Tahoma; font-size: 10pt; color: rgb(0, 0, 0);"><span style="color: rgb(255, 0, 0);">and Proud to be part of the No Surrender Community (The House That Gina Built)!</span><br></p><p style="margin:0in;margin-left:.375in;font-family:Tahoma;font-size:10.0pt">&nbsp;</p></ul>   <p>Forum: <a href="http://www.nosurrenderbreastcancersurvivorforum.org/?forum=96660">WELCOME TO NO SURRENDER! (click to learn more)</a>
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		<pubDate>Wed, 25 Apr 2012 00:06:05 GMT</pubDate>
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		<title><![CDATA[original diagnosis = 7 years]]></title>
		<link>http://www.nosurrenderbreastcancersurvivorforum.org/post?id=5803549</link>
		<description><![CDATA[Today marks 7 years since my original dianosis with stage 2a TN breast cancer.&nbsp; I wish I was still celebrating NED but instead I am celebrating NED with my stage 4 diagnosis!&nbsp; <IMG src="http://www.nosurrenderbreastcancersurvivorforum.org/images/boards/smilies/smile.gif" align=absMiddle border=0>&nbsp; <br><br>Was living my life.....and it was all coming together for me.&nbsp; Just 30 years old and BAM.....it changed in a second!&nbsp; But here I am....still fighting and still winning the battle!&nbsp; Almost 2 1/2 years since my mets diagnosis....here's hoping to many, many more!<br><br>Thank you for this website Gina!&nbsp; it has given me much hope since my cancer returned!&nbsp; I am FOREVER grateful!<br><br>Cathi<br> <p>Forum: <a href="http://www.nosurrenderbreastcancersurvivorforum.org/?forum=96657">CLUB METS (click here for more)</a>
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		<guid isPermaLink="false">http://www.nosurrenderbreastcancersurvivorforum.org/post?id=5803549</guid>
		<pubDate>Wed, 18 Apr 2012 14:49:15 GMT</pubDate>
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		<title><![CDATA[PET Scan]]></title>
		<link>http://www.nosurrenderbreastcancersurvivorforum.org/post?id=5797093</link>
		<description><![CDATA[Well, got my PET scan back today. Spot is still there behind the sternum in a lymph node. Officially, the report says stable, but the spot appears slightly smaller and less bright on the actual picture. <br><br>So, 2 more rounds of Taxol and Herceptin. My doc feels that it must be doing something since the spot is not bigger and no new spots have appeared. If the next scan shows no improvement, we will switch to a new chemo.<br><br>So, I guess we are okay. Wanted to hear that it was gone, but we will take this over other options right now!<br> <p>Forum: <a href="http://www.nosurrenderbreastcancersurvivorforum.org/?forum=96657">CLUB METS (click here for more)</a>
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		<guid isPermaLink="false">http://www.nosurrenderbreastcancersurvivorforum.org/post?id=5797093</guid>
		<pubDate>Sat, 14 Apr 2012 02:32:54 GMT</pubDate>
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		<title><![CDATA[4 Year Celebration]]></title>
		<link>http://www.nosurrenderbreastcancersurvivorforum.org/post?id=5796895</link>
		<description><![CDATA[I just had to check in to say that back 4 years ago when I found Gina through googling triple negative breast cancer, she was there for me&nbsp; &amp; my daughter on a night that I didn't know how I was going to do it.&nbsp; Do you remember me Gina?&nbsp; I was so scared and so worried and had just been diagnosed with triple negative breast cancer.<br>I just celebrated 4 years this April of being done with lumpectomy/chemo and radiation!&nbsp; <br>I feel great and just wanted to offer hope to others.&nbsp; I know how much that helped me.<br>Love, Prayers &amp; Hugs,<br>Cheryl from Ohio<br><br> <p>Forum: <a href="http://www.nosurrenderbreastcancersurvivorforum.org/?forum=96656">TRIPLE NEGATIVE BREAST CANCER (click to find hope)</a>
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		<pubDate>Sat, 14 Apr 2012 00:09:31 GMT</pubDate>
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		<title><![CDATA[Arimidex and CRPS?]]></title>
		<link>http://www.nosurrenderbreastcancersurvivorforum.org/post?id=5789717</link>
		<description><![CDATA[In my ongoing knee pain saga, my orthopedic oncologist says he believes the widespread, constant pain in my left leg, ankle, foot and sometimes thigh, is Complex Regional Pain Syndrome.&nbsp; Not a great thing to have.&nbsp; He attributes it to my knee injury (frayed meniscus) but I have to wonder ... could Arimidex be the culprit?&nbsp; I've had increasing joint pain in all kinds of places during the almost two years I've now been on the drug.&nbsp; <br><br>I really reallly don't want to have CRPS.&nbsp; It hurts like hell and I can't stand the thought of always having it.&nbsp; I'm already walking with a pronounced "jerky" gait and feel like a 90 year old woman.&nbsp; Dare I have hope that once I'm off Arimidex the CRPS might go away?<br><br> <p>Forum: <a href="http://www.nosurrenderbreastcancersurvivorforum.org/?forum=97284">WHAT'S YOUR QUESTION? (click for answers)</a>
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		<guid isPermaLink="false">http://www.nosurrenderbreastcancersurvivorforum.org/post?id=5789717</guid>
		<pubDate>Mon, 09 Apr 2012 12:55:30 GMT</pubDate>
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		<title><![CDATA[Patchy Scan? Help!]]></title>
		<link>http://www.nosurrenderbreastcancersurvivorforum.org/post?id=5769872</link>
		<description><![CDATA[My left knee was giving me fits, so I had an xray and MRI.&nbsp; Verdict is a frayed meniscus.&nbsp; "Another finding ..."&nbsp; (don't you just cringe when you hear those words from the doctor?) from the MRI is a "patchy scan" in the tibia where it meets the knee.&nbsp; Radiologist wants me to get a bone scan to rule out mets.&nbsp; SIGH.&nbsp; I just had a bone scan six months ago.<br><br>I tried googling patchy scan and I get tons of medical jargon about marrow, but I really don't see any clear references to cancer.&nbsp; <br><br><b>Do I really need this scan?</b><br><br>Sorry to vent, but I've become afraid to go to the doctor now for ANYTHING, because it seems there's always some "other finding" around cancer.&nbsp; <br><br> <p>Forum: <a href="http://www.nosurrenderbreastcancersurvivorforum.org/?forum=97284">WHAT'S YOUR QUESTION? (click for answers)</a>
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		<guid isPermaLink="false">http://www.nosurrenderbreastcancersurvivorforum.org/post?id=5769872</guid>
		<pubDate>Mon, 26 Mar 2012 14:29:30 GMT</pubDate>
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		<title><![CDATA[OUR BEFORE FORTY INITIATIVE: NOW MORE THAN EVER]]></title>
		<link>http://www.nosurrenderbreastcancersurvivorforum.org/post?id=5769009</link>
		<description><![CDATA[<h3 class="post-title entry-title"> The Before Forty Initiative Helps End the Disparity for African American Women </h3> <div class="post-header">  </div>  <div style="color: red;"> <span style="font-size: large;">The Washington Post and Kaiser Family Foundation's study is in: PROOF POSITIVE THAT OUR <a href="http://nosurrenderbreastcancerhelp.org/page84/Before40/4/0.html" target="_blank">BEFORE FORTY INITIATIVE</a> WILL SAVE AFRICAN AMERICAN WOMEN'S LIVES.</span></div> <span style="font-size: small;"><br></span><br> <h1> <span style="font-size: small;">Fear's big role in breast cancer disparity</span></h1> <div class="byline">               Originally published: March 21, 2012 8:58 PM<br>       Updated: March 22, 2012 6:40 AM<br>                                        By <span class="author">VANESSA WILLIAMS. The Washington Post</span>       </div> <a target="_blank" href="http://www.newsday.com/news/health/li-s-top-docs-1.3020989"> </a><br><div id="media">                           </div> Doctors and advocates say a fear that  keeps possible breast cancer patients from acting quickly is all too  common among black women. It is among the factors that contribute to a  disturbing trend: Although they are less likely than white women to get  breast cancer, black women are more likely to die from it.<br> <br>                                 The difference in mortality began to  emerge in the early 1980s. By 2007, the American Cancer Society  found that, even though death rates for both groups were going down,  the rate was 41 percent higher among African-American women.<br> <br>                                 <blockquote class="tr_bq"> Some health-care professionals and  advocates contend that the disparate mortality rates argue for a more  urgent effort to reach more black women.</blockquote> <br>                                              They are frustrated that,  with all of the information available about the importance of early  detection and treatment, the statistics remain so dire.<br> <br>                                 In a survey focusing on African-American  women by The Washington Post and the Kaiser Family Foundation,  75 percent of black women rated their health as good or excellent,  about the same percentage as white women, black men and white men.<br> <br>                                 Health data, however, tell a different  story. Across the country, women of color report higher rates of  disease and health problems, are more likely to be uninsured and have  had fewer doctor visits for preventive care. A 2009 Kaiser study noted  "consistently higher rates of health challenges among black women,  ranging from poor health status to chronic illness to obesity and cancer  deaths."<br>                                 <br> <blockquote class="tr_bq"> <div style="color: red;"> <span style="font-size: large;">For breast cancer in particular,  experts cite some additional factors: Black women often get their  diagnoses at later stages and appear to be more susceptible to  aggressive tumors. </span><span style="font-size: large;">They also have a higher rate than white women of a  diagnosis before age 40.</span></div> </blockquote> <br>                                 Regina Hampton, a surgeon who works with  the Capital Breast Care Center in the District of Columbia,  which serves uninsured women, said, "a lot of women come in at later  stages . . . and what I hear from my patients is they're all afraid."<br> <br>                                 Besides the fear that most women have  that the disease will rob them of femininity or sexuality, Hampton and  others think black women also carry angst stemming from a historically  unhealthy relationship between African-Americans and a medical system  that was inaccessible.<br> <br>                                 Breast cancer,  she said, "is the most treatable female cancer that we have. I think  one of the challenges is getting people to realize that the survival  rates are very good for breast cancer if you present early. I think that  message has not resonated through our community."<br> <br> <a href="http://nosurrenderbreastcancerhelp.org/page84/Before40/4/0.html" target="_blank">PLEASE JOIN US IN THE FIGHT TO SAVE THE LIVES OF AFRICAN AMERICAN WOMEN. JOIN THE BEFORE FORTY INITIATIVE. </a> <p>Forum: <a href="http://www.nosurrenderbreastcancersurvivorforum.org/?forum=104793">BREAKING BREAST CANCER NEWS (click for the latest news)</a>
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		<guid isPermaLink="false">http://www.nosurrenderbreastcancersurvivorforum.org/post?id=5769009</guid>
		<pubDate>Sun, 25 Mar 2012 22:56:18 GMT</pubDate>
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		<title><![CDATA[CAM for Triple Neg Lepto Mets]]></title>
		<link>http://www.nosurrenderbreastcancersurvivorforum.org/post?id=5751927</link>
		<description><![CDATA[Dear Edge,<div><br></div><div>I was just diagnosed with lepto mets. Do you have CAM recommendations that are specific to this difficult to treat condition?</div><div><br></div><div>My treatment plan is 10 radiation treatments (5 completed) to the spine and then Xeloda monotherapy. Depending on how effective that is, we will consider IT therapy after one Xeloda cycle. I am also on Fragmin injections for a blood clot.</div><div><br></div><div>Your input is always so helpful - thank you!</div><div><br></div><div>Laura</div> <p>Forum: <a href="http://www.nosurrenderbreastcancersurvivorforum.org/?forum=97284">WHAT'S YOUR QUESTION? (click for answers)</a>
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		<guid isPermaLink="false">http://www.nosurrenderbreastcancersurvivorforum.org/post?id=5751927</guid>
		<pubDate>Wed, 14 Mar 2012 01:11:58 GMT</pubDate>
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		<title><![CDATA[first wine... now xanax... Edge-- pls give your opinion!!]]></title>
		<link>http://www.nosurrenderbreastcancersurvivorforum.org/post?id=5744568</link>
		<description><![CDATA[<h2><font size="3"><font face="Arial"><span style="color: rgb(0, 0, 153);">Dear Edge-- Pls see the article below.&nbsp; Your thoughts??&nbsp; My 1st thought was that the grp receiving hypnotics were sleep-deprived (hence the Rx for a hypnotic!) and were therefore ALREADY at a greater risk... ie, there's a confound there...&nbsp; My 2nd thought is that xanax is not a hypnotic.&nbsp; However, they list a bunch of benzos... Ideas??&nbsp; I know I should stop relying on xanax for a variety of reasons.&nbsp; However, 0.5 mg at night helps me sleep.&nbsp; I have reduced my dose significantly but haven't weaned off already.&nbsp; <sigh>&nbsp; Don't want to worry that the drug I am taking to quell worries is going to kill me! </span><img style="color: rgb(0, 0, 153);" src="http://www.nosurrenderbreastcancersurvivorforum.org/images/boards/smilies/wink.gif" align="absmiddle" border="0"><span style="color: rgb(0, 0, 153);"> I was under the impression that ativan and xanax (though not without *other* risks) were pretty risk-free in the cancer recurrence department... thanks in advance for the help. xxoo</span><br></font></font></h2><h2>Hypnotics Linked With Increased Mortality, Cancer <p><strong>Elsevier Global Medical News. 2012 Feb 27, S Worcester</strong></p><p>Hypnotic  drugs are associated with a more than threefold increase in the risk of  death, even when prescribed in limited quantities, according to  findings from a large matched cohort study.</p><p>The risk was increased  more than fivefold among those receiving the highest quantities, Dr.  Daniel F. Kripke of the Scripps Clinic Viterbi Family Sleep Center in La  Jolla, Calif., and his colleagues reported in BMJ Open.</p><p>In  addition, the use of hypnotic drugs was associated with an increased  incidence of cancer among those receiving higher quantities.</p><p>The  hazard ratios for death in 10,529 patients from a large health system  who received hypnotic prescriptions for poor sleep, compared with 23,676  matched controls with no hypnotic prescription, were 3.60 for those  prescribed 0.4-18 doses per year, 4.43 for those prescribed 18-132 doses  per year, and 5.32 for those prescribed more than 132 doses per year,  the investigators reported (BMJ Open 2012   ).</p><p>The "modestly increased  statistically significant" elevations of incident cancer were seen in  those in the middle and highest tertiles of prescribed doses (hazard  ratios, 1.20 and 1.35, respectively), and the hazard ratio for lymphomas  and for lung, colon, and prostate cancers were even greater than those  for current smoking, they added.</p><p>The associations held in separate  analyses of several different hypnotics, including new short-acting  hypnotics and older hypnotics, and after poor health was controlled for.  Analyses were performed for zolpidem, temazepam, eszopiclone, zaleplon,  other benzodiazepines, barbiturates, and sedative antihistamines. The  highest mortality risk was with eszopiclone.</p><p>The data also were adjusted for age, sex, smoking, body mass index, ethnicity, marital status, alcohol use, and prior cancer.</p><p>Even  after different classes of comorbidities and each patient's overall  burden of comorbidities were considered, the results remained robust in  each comorbidity group.</p><p>"Whereas the raw death rate of the user  cohort was 4.86 times that of non-user controls, adjustment for all  covariates ... with stratification by comorbidities only reduced the  overall HR to 4.56," the investigators wrote.</p><p>Subjects in this  study were members of a large U.S. health system, and had a mean age of  54 years. All were followed for an average of 2.5 years between 2002 and  2007. Patient data were derived from longitudinal electronic medical  records, and hypnotic users and nonusers were well matched with respect  to age, sex, period of observation, and BMI. They did not differ in  ethnicity, marital status, or smoking status, the investigators said.</p><p>The  findings, which support those of numerous prior studies that also  suggested a link between hypnotics and increased mortality and between  hypnotics and cancer, are important given that hypnotic drugs are among  the most widely used treatments in medicine; an estimated 6%-10% of  adults in the United States used hypnotics in 2010, the investigators  reported.</p><p>Of note, the top third of hypnotic users in this study were prescribed nearly 93% of all the prescription doses of hypnotics.</p><p>"Perhaps  the most striking finding was that an increased hazard for death was  present even in the lowest tertile of hypnotic use, such that hypnotic  drugs were associated with a 3.6-fold increased risk of dying for  patients using less than 18 hypnotic pills per year," they wrote. The  minimal impact of the major confounders that were controlled for in this  study suggest it is unlikely that confounding of other inadequately  assessed confounders could explain the high mortality rate seen with  hypnotics.</p><p>As for why the association exists, multiple causal pathways have been demonstrated, the researchers noted.</p><p>These  include, but are not limited to, mixed-drug overdoses and increased  incidences of depression, impaired motor and cognitive skills, sleep  apnea, gastroesophageal conditions, and infections. All of these, the  authors pointed out, could contribute to mortality, such as by  automobile accidents with impaired motor and cognitive skills or by  cancer with gastroesophageal conditions and infections.</p><p>The  findings are limited by the fact that the electronic health records used  in this study provide information on medication orders only, and not on  dispensing or ingestion of the medications. The investigators also were  unable to control for depression, anxiety, and other emotional factors.  Still, they asserted that the findings raise concerns about the use of  hypnotics.</p><p>Rough order-of-magnitude estimates suggest that in  2010, hypnotics may have been associated with 320,000-507,000 excess  deaths in the United States alone, the investigators reported.</p><p>Although  this study cannot define what portion of the mortality associated with  hypnotics was directly attributable to the drugs, the consistency of the  estimates suggests that the effect of hypnotics was substantial.</p><p>"Even  10,000 yearly excess deaths caused by hypnotics would be too many,"  they said, concluding that it is prudent to weigh the evidence of  mortality risks, as shown in this and 24 prior studies, against the  meager benefits of hypnotics, in order to reconsider whether even  short-term use is sufficiently safe.</p><p>Dr. Kripke reported a family  interest in an investment corporation, which has a small percentage of  its assets in stock of Sanofi-Aventis and Johnson &amp; Johnson. The  other authors reported having no relevant financial disclosures.</p></h2> <p>Forum: <a href="http://www.nosurrenderbreastcancersurvivorforum.org/?forum=96951">THE CUTTING EDGE (click to learn what you need to know)</a>
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		<pubDate>Thu, 08 Mar 2012 21:39:32 GMT</pubDate>
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		<title><![CDATA[Decisions.......]]></title>
		<link>http://www.nosurrenderbreastcancersurvivorforum.org/post?id=5740817</link>
		<description><![CDATA[I have some pretty heavy decisions to make in the next couple of weeks.&nbsp; While I have been having some great success with Gem/Carbo/BSI-201, it has really taken its toll on my body.&nbsp; We have had to delay many recent cycles due to sickness, low white counts or low platelets.&nbsp; I have my last day of the cycle today.&nbsp; Will have a PET scan on March 15th, with results on the 20th with my oncologist.&nbsp; While I have been NED since Sept. 2011, I am not sure what this scan will show.&nbsp; I feel pretty good,&nbsp;lack energy is my biggest hurdle, along with extra weight and aches and pains from carrying this extra weight.&nbsp; My liver functions continue to be normal, my CA 27-29 continues to flucuate between 40 and 48.&nbsp; My blood pressure continues to be normal.&nbsp; My heart rate has started to increase....sometimes as high as 130 bpm.&nbsp; I am going to see about having an EKG today just to make sure my heart is ok.&nbsp; I have been on Gemzar since November 20, 2009 with only a two month break in that time span.&nbsp; I have been on Carbo/BSI since November 15, 2010.&nbsp; My body is just plain TIRED!!!&nbsp; I am not ready to give up and stop treatment all together, but was wondering thoughts on just doing BSI alone and dropping the gem/carbo.&nbsp; I know that this is a total crap shoot and so many things could happen if I do this, but if I continue who's to say that my heart won't just give out.&nbsp; What are the long term effects of chemo on not only my heart, but my other vital organs?&nbsp; What are the long term effects of the steroid I get once a week for two weeks?&nbsp; I have a huge amount of faith and really that's what it boils down to....who do I trust more?&nbsp; My doctor or my God?&nbsp; <BR><BR>Do you guys have any thoughts, advice or words of wisdom?&nbsp; Edge, do you have any medical information as far as BSI and how it works alone?&nbsp; Oh man....I am just so confused!<BR><BR>Cathi<BR> <p>Forum: <a href="http://www.nosurrenderbreastcancersurvivorforum.org/?forum=96657">CLUB METS (click here for more)</a>
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		<pubDate>Tue, 06 Mar 2012 14:55:56 GMT</pubDate>
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		<title><![CDATA[Peripheral neuropathy]]></title>
		<link>http://www.nosurrenderbreastcancersurvivorforum.org/post?id=5734163</link>
		<description><![CDATA[I think I have peripheral neuropathy in my feets, it is hard to walk and I have pains in my feets, like as I was dancing on highheels two days....<br>I have it from yesterday, but I googled it and found it is common with the Taxanes...<br>I am on Taxotere and Xeloda treatmen, I made my second Taxotere in Friday.<br>With my first one I haven't such issues... Today I feel so bad, and that PN is on the top... <br>Are there some things to do to feel better? Is it permanent or will last while the all treatment... I will&nbsp;ask my ocologiest in the next week, but I know your advices are unsurpassed.<br>I was wondering if my dose was too high? I&nbsp;was taking 160 mg Taxotere on 21 days and 2 times daily * 3 pills Xeloda for 14 days + 7 days rest.<br>I am 61 kg, 175 sentimeters high. <br>If Constantine could add his oppinion I will be more than gratefull!<br>My Tumor marker CA 15-3 was about 50 points down for 20 days, after the first treatment. Hope the combo is working....<br>Oh, I just notised the Constantine's post for the Avemar! We have it in my country and I may start taking it. Do you think it could be taken with Taxotere+Xeloda combo?<br>Or maybe to&nbsp;start taking&nbsp;B6 or/and B12? <br> <p>Forum: <a href="http://www.nosurrenderbreastcancersurvivorforum.org/?forum=96657">CLUB METS (click here for more)</a>
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		<pubDate>Thu, 01 Mar 2012 21:40:28 GMT</pubDate>
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