Had a quick check-up with Dr. Li this morning before radiation. This one was easy – I didn’t even have to bloodwork beforehand. We talked a little more about whether or not I should go on Tamoxifen. It’s not something that would happen until after I’m done with radiation (although in many places they occur concurrently). The benefit to me would be minimal since the main tumor came back only 1% ER/PR positive, and the lymph node was weakly PR positive at 20%. Dr. Li is leaving it up to me whether or not I want to take the drug. I’m leaning towards no because I already got pathological remission, and the cancer was so weakly positive for progesterone, which doesn’t get as strong a benefit as estrogen to begin with. I’ll have to look up some research to see what the experts have to say.
The other thing we talked about was the addition of another drug on the market for HER2 positive breast cancers. If I were going through chemotherapy now, Dr. Li would have added Perjeta to my therapy as well. I find it fascinating that it’s barely been six months, and yet the treatment is already changing. Of course, it’s another $10,000 drug, on top of the $8,000 Herceptin, and all the other treatment I’ve been getting. I am so glad I have health insurance, and I can see why people go bankrupt trying to pay for cancer treatment.
I have to do a followup with my gynecologist (do I have one of those?) to check on the abnormality found on my ovary way back at the beginning of the treatment (when I was getting all those scans). Otherwise, I don’t have to go back for four months! Last thing I did before I left was give Dr. Li my Little Pink Houses of Hope medical paperwork so I’m cleared for the retreat in May. Then, it was over to the radiation wing, where they were having all kinds of problems since one of their machines was down. Not mine, I was selfishly happy to notice.