and I will start carboplatin only on December 26th. I saw my oncologist this morning and I was reminded why I like her so much. She is flexible, smart and personable. I am doing just carboplatin because single agents are the standard for metastatic breast cancer. And it makes sense - if you do a combo and you have progression, you don't know which drug failed. So I'll be doing carbo once a week for three weeks, one week off, rinse and repeat. Because I will receive smaller doses at a time, it should be quite tolerable. We'll do tumor markers at the beginning of each new cycle, and I'll have a PET/CT scan every three months unless there is a rise in tumor markers. I'm also having a new baseline PET/CT on December 21. If I can coordinate it with my Radiation Oncologist, I'm hoping to have a brain MRI on the same day.
Carboplatin passes the blood/brain barrier, so that's another good reason to use it this time. And back in May, there was a clinical trial using carboplatin and generic actos. So we are going to add the actos to the mix and I'll stay on it to see if it helps. This drug just got a black box warning from the FDA stating that it can cause bladder cancer if you use it for more than a year, so we'll pay attention to the length of time I use this drug. If 11 more months come along and I'm still doing this protocol, we'll probably have to skip the actos. But then, this would be really good news and I'd probably be in regression. We'll cross that bridge when we get there.
I also visited my surgeon and I'm now scheduled to have the port placed next Monday morning. It was good to hear my Dana Farber nurse tell me how much confidence she has in this particular surgeon. I know a lot of people who have ports placed and have trouble with them, but my first one never bothered me for a second. Unfortunately, she can't put it in the same vein so she'll have to tip my head back to get at another vein. I'll be out - who cares?
So now I can plan the next few months including a trip to Florida, probably in February, to visit our friends who will be soaking up the sunshine. I'm sure I'll be ready for some sun and warmth by then.
And more importantly, I can enjoy Christmas with my family and friends!