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My story, new to this board, looking for guidance, positivity, and prayers

Forums General Melanoma Community My story, new to this board, looking for guidance, positivity, and prayers

  • Post
    ramannjr
    Participant

      In April 2006, I found a black mole on my right ankle.   After having it punch biopsied by my dermatologist and looked at by pathologist, it
      was determined it was 1.4 mm melanoma.   I had WLE done and no chemo/immunotherapy.    I remained fine with no new moles or anything
      unusual until April this year.    I had a marble sized raised bump on my upper right thigh.    After months of testing, I found out last
      week that it is a melanoma from the original melanoma.   They had to send it to the Mayo clinic to confirm with an expert.   Last Thursday,
      I met with a surgical oncologist and oncologist.   I had surgery on Friday, another WLE and SLN dissection.    It turns out that there
      were no traces of melanoma in the WLE site, but there are a couple of microscopic traces of melanoma (I believe 2 and they are less than 0.4
      mm).   The oncologist on Thursday, said best case scenario (no melanoma in lymph nodes, all WLE site is clear and PET scan is clear),
      I would have to do weekly Interferon shots once a week for a year and be PET scanned every 3 months.   My PET scan is scheduled for this
      Tuesday.   I'm hoping and praying it has not spread beyond the lymph nodes in my right groin.    The surgeon already is recommending a
      lymphendectomy of the right groin area, but is awaiting the PET scan to determine if surgery is required anywhere else.    I meet with the
      oncologist to go over everything next Thursday and come up with a plan.   Do you have any idea what I might expect to be done?   I'm
      very scared right now.  I'm 38 yrs old, married happily with an 8 month old son.   I'm hoping I can get through this.   Is there a
      chance for a cure in my situation you think?   The surgeon told me 24% 5-yr survival rate, which has really scared me.   That was a general stage IV number? 

      I feel okay now and I'm healthy, do you think I have many years left?

      Does anyone know of a good oncologist in the St. Louis area that specializes in

      melanomas?   I'm currently working with Dr. Ryan Neff on the surgical side and

      Dr. Hsiao O. Hu on the treatment side.    I'm mainly going with them based on insurance tiering. 

      Thanks,

      Roger

    Viewing 14 reply threads
    • Replies
        awillett1991
        Participant
          I was in your position 2.5 years ago – facing lymph node dissection of pelvis & rt groin. I’ve had more ups than downs, and I am still here battling. Once you have a PET you can be properly staged 3 or 4. Interferon is usually only offered for stage 3 and has a low success rate vs the side effects. There are clinical trials for stage 3 also. This site has lots of information available on treatment options and the community is very supportive. Survival statistics are outdated based on the two new melanoma drugs approved last year and some of the exciting results being seen in clinical trials recently. Educate yourself, find a good melanoma oncologist, and face the fact that melanoma or not, there are no guarantees for any of us. Appreciate today.
          awillett1991
          Participant
            I was in your position 2.5 years ago – facing lymph node dissection of pelvis & rt groin. I’ve had more ups than downs, and I am still here battling. Once you have a PET you can be properly staged 3 or 4. Interferon is usually only offered for stage 3 and has a low success rate vs the side effects. There are clinical trials for stage 3 also. This site has lots of information available on treatment options and the community is very supportive. Survival statistics are outdated based on the two new melanoma drugs approved last year and some of the exciting results being seen in clinical trials recently. Educate yourself, find a good melanoma oncologist, and face the fact that melanoma or not, there are no guarantees for any of us. Appreciate today.
            awillett1991
            Participant
              I was in your position 2.5 years ago – facing lymph node dissection of pelvis & rt groin. I’ve had more ups than downs, and I am still here battling. Once you have a PET you can be properly staged 3 or 4. Interferon is usually only offered for stage 3 and has a low success rate vs the side effects. There are clinical trials for stage 3 also. This site has lots of information available on treatment options and the community is very supportive. Survival statistics are outdated based on the two new melanoma drugs approved last year and some of the exciting results being seen in clinical trials recently. Educate yourself, find a good melanoma oncologist, and face the fact that melanoma or not, there are no guarantees for any of us. Appreciate today.
              EmilyandMike
              Participant

                Hi Roger!  Glad you postedhere – I forgot to tell you about the recommended places in MO – this info is from the Melanoma International Foundation site which is also a great source of info along with the MRF.  You might be able to get a referral to these places – call your insurance or your doc.  http://www.melanomainternational.org/resources/cancercenters.html

                MISSOURI

                Ellis Fischel Cancer Center

                University of Missouri Health Care
                115 Business Loop 70 W
                Columbia, MO 65203
                (573) 882-2100
                http://www.muhealth.org
                 
                Siteman Cancer Center
                Washington University School of Medicine
                660 South Euclid Avenue, Campus Box 8109 
                St. Louis, Missouri 63110 
                 (314) 362-8020 
                 
                Take care,
                Em
                  ramannjr
                  Participant
                    Thanks all. Do clinical trials cost anything?
                    ramannjr
                    Participant
                      Thanks all. Do clinical trials cost anything?
                      ramannjr
                      Participant
                        Thanks all. Do clinical trials cost anything?
                        Janner
                        Participant

                          In general, the cost of the drug is usually covered by the company sponsoring the trial.  Things like scans and general health stuff – the trial usually expects your insurance to pick up these expenses.  So you'd be responsible for deductibles/copays/etc for most of your care except the drug cost itself.  Each trial may pay for different costs, so you really need to ask trial specific question of the contact person.

                          Janner
                          Participant

                            In general, the cost of the drug is usually covered by the company sponsoring the trial.  Things like scans and general health stuff – the trial usually expects your insurance to pick up these expenses.  So you'd be responsible for deductibles/copays/etc for most of your care except the drug cost itself.  Each trial may pay for different costs, so you really need to ask trial specific question of the contact person.

                            ramannjr
                            Participant
                              Thanks so much you all are a blessing!
                              ramannjr
                              Participant
                                Thanks so much you all are a blessing!
                                ramannjr
                                Participant
                                  Thanks so much you all are a blessing!
                                  Janner
                                  Participant

                                    In general, the cost of the drug is usually covered by the company sponsoring the trial.  Things like scans and general health stuff – the trial usually expects your insurance to pick up these expenses.  So you'd be responsible for deductibles/copays/etc for most of your care except the drug cost itself.  Each trial may pay for different costs, so you really need to ask trial specific question of the contact person.

                                  EmilyandMike
                                  Participant

                                    Hi Roger!  Glad you postedhere – I forgot to tell you about the recommended places in MO – this info is from the Melanoma International Foundation site which is also a great source of info along with the MRF.  You might be able to get a referral to these places – call your insurance or your doc.  http://www.melanomainternational.org/resources/cancercenters.html

                                    MISSOURI

                                    Ellis Fischel Cancer Center

                                    University of Missouri Health Care
                                    115 Business Loop 70 W
                                    Columbia, MO 65203
                                    (573) 882-2100
                                    http://www.muhealth.org
                                     
                                    Siteman Cancer Center
                                    Washington University School of Medicine
                                    660 South Euclid Avenue, Campus Box 8109 
                                    St. Louis, Missouri 63110 
                                     (314) 362-8020 
                                     
                                    Take care,
                                    Em
                                    EmilyandMike
                                    Participant

                                      Hi Roger!  Glad you postedhere – I forgot to tell you about the recommended places in MO – this info is from the Melanoma International Foundation site which is also a great source of info along with the MRF.  You might be able to get a referral to these places – call your insurance or your doc.  http://www.melanomainternational.org/resources/cancercenters.html

                                      MISSOURI

                                      Ellis Fischel Cancer Center

                                      University of Missouri Health Care
                                      115 Business Loop 70 W
                                      Columbia, MO 65203
                                      (573) 882-2100
                                      http://www.muhealth.org
                                       
                                      Siteman Cancer Center
                                      Washington University School of Medicine
                                      660 South Euclid Avenue, Campus Box 8109 
                                      St. Louis, Missouri 63110 
                                       (314) 362-8020 
                                       
                                      Take care,
                                      Em
                                      Nell
                                      Participant

                                        Hi…I go to Dr. Gerald Linette at Siteman Cancer in St. Louis.  He is a melanoma specialist and a good Dr.  I wish you the very best of luck and blessings.

                                        Nell
                                        Participant

                                          Hi…I go to Dr. Gerald Linette at Siteman Cancer in St. Louis.  He is a melanoma specialist and a good Dr.  I wish you the very best of luck and blessings.

                                            ramannjr
                                            Participant
                                              Thanks so much he is in my tier 2 insurance. I’m making an appt on Monday

                                              God bless

                                              ramannjr
                                              Participant
                                                Thanks so much he is in my tier 2 insurance. I’m making an appt on Monday

                                                God bless

                                                Nell
                                                Participant

                                                  Please keep us posted.  They are working hard to make strides with melanoma…Keep looking up!!!

                                                  Nell
                                                  Participant

                                                    Please keep us posted.  They are working hard to make strides with melanoma…Keep looking up!!!

                                                    Nell
                                                    Participant

                                                      Please keep us posted.  They are working hard to make strides with melanoma…Keep looking up!!!

                                                      ramannjr
                                                      Participant
                                                        Thanks so much he is in my tier 2 insurance. I’m making an appt on Monday

                                                        God bless

                                                        Randy437
                                                        Participant

                                                          I also am a patient of Dr. Linette and highly recommend him and the Siteman Cancer Center.

                                                          Randy437
                                                          Participant

                                                            I also am a patient of Dr. Linette and highly recommend him and the Siteman Cancer Center.

                                                            Randy437
                                                            Participant

                                                              I also am a patient of Dr. Linette and highly recommend him and the Siteman Cancer Center.

                                                            Nell
                                                            Participant

                                                              Hi…I go to Dr. Gerald Linette at Siteman Cancer in St. Louis.  He is a melanoma specialist and a good Dr.  I wish you the very best of luck and blessings.

                                                              Gene_S
                                                              Participant

                                                                Hi Roger,

                                                                Attitude and your diet are very important as well as getting some sunshine on your skin.

                                                                Avoid stress the best that you can. Drink lots of Spring water and get adequate amount of sleep.

                                                                The following info is what I gave to my oncologist when he wanted me to take interferon, (this is from another forum group) I refused to take it and still I am happy about my decision even though I progressed to stage IV. Remember It is your choice and your body!

                                                                 

                                                                Re: Interferon Posted: 4:40:56 pm on 1/4/2008 Modified: 4:45:13 pm on 1/4/2008  
                                                                Interferon can be a tough treatment to take. The research on it has been controversial, with opponents saying it only extends time of recurrence but not overall survival. Many centers of excellence don't prescribe it for melanoma treatment and that includes, Sloane Kettering, Mayo Clinic, Penn, and Johns Hopkins. It was once thought that the initial high dose might be the part that does something but that hasn't panned out.   I hope you have discussed this with your doctor and you may need another opinion about it as well. 
                                                                Re: Stage IIIA-To Interferon or Not To Interferon?
                                                                 
                                                                As a patient advocate I just want you to consider what you are choosing very carefully.  I totally understand your reasons for choosing a toxic therapy such as interferon, as there really are no alternatives. (leukine or watch and wait) It is a scary prospect to think about melanoma recurring.  But let me reiterate what the experts have told me:  interferon does not prevent recurrence, or extend lifetime survival,  it MAY extend recurrence time by one year.  You may lose one year of productivity and quality of life.  Do not choose interferon if you have a family history or personal history of depression or mental illness of any kind. It is known to exacerbate these conditions and it can be long term debilitation. 

                                                                Here is where I would start. Obtain, read and understand the book "The Maker's Diet". Have your blood tested for vitamind-3 and spend the time learning about your cancer. I believe that my melanoma was caused by the lack of sun, my diet and poor sleeping habits. Best Wishes,  Gene

                                                                Here is an excellent video about cancer in general, it is a must see video!

                                                                http://www.youtube.com/watch?v=WnaBG177VIw&feature=related

                                                                Gene_S
                                                                Participant

                                                                  Hi Roger,

                                                                  Attitude and your diet are very important as well as getting some sunshine on your skin.

                                                                  Avoid stress the best that you can. Drink lots of Spring water and get adequate amount of sleep.

                                                                  The following info is what I gave to my oncologist when he wanted me to take interferon, (this is from another forum group) I refused to take it and still I am happy about my decision even though I progressed to stage IV. Remember It is your choice and your body!

                                                                   

                                                                  Re: Interferon Posted: 4:40:56 pm on 1/4/2008 Modified: 4:45:13 pm on 1/4/2008  
                                                                  Interferon can be a tough treatment to take. The research on it has been controversial, with opponents saying it only extends time of recurrence but not overall survival. Many centers of excellence don't prescribe it for melanoma treatment and that includes, Sloane Kettering, Mayo Clinic, Penn, and Johns Hopkins. It was once thought that the initial high dose might be the part that does something but that hasn't panned out.   I hope you have discussed this with your doctor and you may need another opinion about it as well. 
                                                                  Re: Stage IIIA-To Interferon or Not To Interferon?
                                                                   
                                                                  As a patient advocate I just want you to consider what you are choosing very carefully.  I totally understand your reasons for choosing a toxic therapy such as interferon, as there really are no alternatives. (leukine or watch and wait) It is a scary prospect to think about melanoma recurring.  But let me reiterate what the experts have told me:  interferon does not prevent recurrence, or extend lifetime survival,  it MAY extend recurrence time by one year.  You may lose one year of productivity and quality of life.  Do not choose interferon if you have a family history or personal history of depression or mental illness of any kind. It is known to exacerbate these conditions and it can be long term debilitation. 

                                                                  Here is where I would start. Obtain, read and understand the book "The Maker's Diet". Have your blood tested for vitamind-3 and spend the time learning about your cancer. I believe that my melanoma was caused by the lack of sun, my diet and poor sleeping habits. Best Wishes,  Gene

                                                                  Here is an excellent video about cancer in general, it is a must see video!

                                                                  http://www.youtube.com/watch?v=WnaBG177VIw&feature=related

                                                                  Gene_S
                                                                  Participant

                                                                    Hi Roger,

                                                                    Attitude and your diet are very important as well as getting some sunshine on your skin.

                                                                    Avoid stress the best that you can. Drink lots of Spring water and get adequate amount of sleep.

                                                                    The following info is what I gave to my oncologist when he wanted me to take interferon, (this is from another forum group) I refused to take it and still I am happy about my decision even though I progressed to stage IV. Remember It is your choice and your body!

                                                                     

                                                                    Re: Interferon Posted: 4:40:56 pm on 1/4/2008 Modified: 4:45:13 pm on 1/4/2008  
                                                                    Interferon can be a tough treatment to take. The research on it has been controversial, with opponents saying it only extends time of recurrence but not overall survival. Many centers of excellence don't prescribe it for melanoma treatment and that includes, Sloane Kettering, Mayo Clinic, Penn, and Johns Hopkins. It was once thought that the initial high dose might be the part that does something but that hasn't panned out.   I hope you have discussed this with your doctor and you may need another opinion about it as well. 
                                                                    Re: Stage IIIA-To Interferon or Not To Interferon?
                                                                     
                                                                    As a patient advocate I just want you to consider what you are choosing very carefully.  I totally understand your reasons for choosing a toxic therapy such as interferon, as there really are no alternatives. (leukine or watch and wait) It is a scary prospect to think about melanoma recurring.  But let me reiterate what the experts have told me:  interferon does not prevent recurrence, or extend lifetime survival,  it MAY extend recurrence time by one year.  You may lose one year of productivity and quality of life.  Do not choose interferon if you have a family history or personal history of depression or mental illness of any kind. It is known to exacerbate these conditions and it can be long term debilitation. 

                                                                    Here is where I would start. Obtain, read and understand the book "The Maker's Diet". Have your blood tested for vitamind-3 and spend the time learning about your cancer. I believe that my melanoma was caused by the lack of sun, my diet and poor sleeping habits. Best Wishes,  Gene

                                                                    Here is an excellent video about cancer in general, it is a must see video!

                                                                    http://www.youtube.com/watch?v=WnaBG177VIw&feature=related

                                                                    lrkg1234
                                                                    Participant

                                                                      I can't offer any help or advice because my husband, Scott was just diagnosed a week ago too, stage IV.   We are in the search for Doctors and what to do too.  We are in Indianapolis. 

                                                                      The only thing that I can offer is prayers.  I will be thinking/praying for you and your wife, baby when I pray for us. 

                                                                      We are pretty messed up by all this and it really takes a toll on your mind/body.  I do know what you are going through.  We are there too. 

                                                                      This site has been the best.  I think it will help you. You will learn so much and be encouraged.  There are lots of people on here that are doing way better than the odds. 

                                                                      Take care, Lisa

                                                                      lrkg1234
                                                                      Participant

                                                                        I can't offer any help or advice because my husband, Scott was just diagnosed a week ago too, stage IV.   We are in the search for Doctors and what to do too.  We are in Indianapolis. 

                                                                        The only thing that I can offer is prayers.  I will be thinking/praying for you and your wife, baby when I pray for us. 

                                                                        We are pretty messed up by all this and it really takes a toll on your mind/body.  I do know what you are going through.  We are there too. 

                                                                        This site has been the best.  I think it will help you. You will learn so much and be encouraged.  There are lots of people on here that are doing way better than the odds. 

                                                                        Take care, Lisa

                                                                        lrkg1234
                                                                        Participant

                                                                          I can't offer any help or advice because my husband, Scott was just diagnosed a week ago too, stage IV.   We are in the search for Doctors and what to do too.  We are in Indianapolis. 

                                                                          The only thing that I can offer is prayers.  I will be thinking/praying for you and your wife, baby when I pray for us. 

                                                                          We are pretty messed up by all this and it really takes a toll on your mind/body.  I do know what you are going through.  We are there too. 

                                                                          This site has been the best.  I think it will help you. You will learn so much and be encouraged.  There are lots of people on here that are doing way better than the odds. 

                                                                          Take care, Lisa

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