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	<title>Melanoma Research Foundation | kathycaribe | Activity</title>
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				<title>kathycaribe replied to the topic Brain met stats are so horrific (&#062;3) in the forum General Melanoma Community</title>
				<link>https://forum.melanoma.org/forums/topic/brain-met-stats-are-so-horrific-3/#post-275936</link>
				<pubDate>Fri, 05 Nov 2021 12:30:54 -0400</pubDate>

									<content:encoded><![CDATA[<p>thanks everyone! i&#8217;m very encouraged!</p>
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				<title>kathycaribe replied to the topic Update Stage 4 in the forum General Melanoma Community</title>
				<link>https://forum.melanoma.org/forums/topic/update-stage-4/#post-275935</link>
				<pubDate>Fri, 05 Nov 2021 12:29:35 -0400</pubDate>

									<content:encoded><![CDATA[<p>i had a full body rash after ipi/nivo #1 but well managed w/zyrtec, benadryl, adn 30mg pred.  good luck!</p>
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				<title>kathycaribe replied to the topic Brain met stats are so horrific (&#062;3) in the forum General Melanoma Community</title>
				<link>https://forum.melanoma.org/forums/topic/brain-met-stats-are-so-horrific-3/#post-275925</link>
				<pubDate>Thu, 04 Nov 2021 14:44:11 -0400</pubDate>

									<content:encoded><![CDATA[<p>ok bubbles, im encouraged for more than 4-5 months. 🙂 thanks so much!</p>
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				<title>kathycaribe started the topic Brain met stats are so horrific (&#062;3) in the forum General Melanoma Community</title>
				<link>https://forum.melanoma.org/forums/topic/brain-met-stats-are-so-horrific-3/</link>
				<pubDate>Sun, 31 Oct 2021 19:02:26 -0400</pubDate>

									<content:encoded><![CDATA[<p>No tx and 3-4 months, all kinds of stuff tried (WBRT, ICI) and I get 4 more. This is so depressing trying to fight to conserve neurocognitive when I likely won&#8217;t be alive in half a year.</p>
<p>Does anyone have good stats? I have a T10-12 lesion treated w/SRS, 1 lung nodule, 9 brain mets tx w/SRS early 9/21 and now 10-15 brain mets after 2 courses of ipi/nivo.</p>
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				<title>kathycaribe replied to the topic WBRT vs repeat SRS. delay of 3rd cycle ipi nivo in the forum General Melanoma Community</title>
				<link>https://forum.melanoma.org/forums/topic/wbrt-vs-repeat-srs-delay-of-3rd-cycle-ipi-nivo/#post-275907</link>
				<pubDate>Sun, 31 Oct 2021 18:22:34 -0400</pubDate>

									<content:encoded><![CDATA[<p>If you do WBRT, look into (HA)hippocampal shielding and concomminnt use of memantine to decrease neurocog deficits. WBRT+HA+ secondardy met pass has good results compared to WBRT alone from my research. Not a lot out there if you have multiple mets tho</p>
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				<title>kathycaribe started the topic WBRT vs repeat SRS. delay of 3rd cycle ipi nivo in the forum General Melanoma Community</title>
				<link>https://forum.melanoma.org/forums/topic/wbrt-vs-repeat-srs-delay-of-3rd-cycle-ipi-nivo/</link>
				<pubDate>Fri, 29 Oct 2021 22:25:56 -0400</pubDate>

									<content:encoded><![CDATA[<p>I presonally prefer SRS as i had it already and few side effects. My brain mets have increased from 9 to 10-15 int the past 2 months and the oncs are concerned about that growth rate and want to stop the current cycle to do WBRT. MD Anderson onc thinks it could be that few of the new mets are too small and may hemorrhage with SRS.</p>
<p>Has anyone been&hellip;<span class="activity-read-more" id="activity-read-more-9404"><a href="https://forum.melanoma.org/forums/topic/wbrt-vs-repeat-srs-delay-of-3rd-cycle-ipi-nivo/" rel="nofollow ugc">Read more</a></span></p>
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				<title>kathycaribe replied to the topic PCP prophylaxis during ICI in the forum General Melanoma Community</title>
				<link>https://forum.melanoma.org/forums/topic/pcp-prophylaxis-during-ici/#post-275828</link>
				<pubDate>Sun, 10 Oct 2021 22:50:25 -0400</pubDate>

									<content:encoded><![CDATA[<p>Thanks so much! That makes a lot of sense.</p>
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				<title>kathycaribe started the topic PCP prophylaxis during ICI in the forum General Melanoma Community</title>
				<link>https://forum.melanoma.org/forums/topic/pcp-prophylaxis-during-ici/</link>
				<pubDate>Sun, 10 Oct 2021 11:56:20 -0400</pubDate>

									<content:encoded><![CDATA[<p>Has anyone been on PCP prophylaxis during immunotherapy with or without steroids? My MD Anderson doc put me on Bactrim and aggressively warned me off dex and now that I&#8217;m off dex I&#8217;m thinking (and this seems to be backed up by studies <a href="https://link.springer.com/article/10.1007/s00277-021-04452-9" rel="nofollow ugc">https://link.springer.com/article/10.1007/s00277-021-04452-9</a> ) and this study seems to indicate increased risk for&hellip;<span class="activity-read-more" id="activity-read-more-8758"><a href="https://forum.melanoma.org/forums/topic/pcp-prophylaxis-during-ici/" rel="nofollow ugc">Read more</a></span></p>
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				<title>kathycaribe replied to the topic Ipi Nivo colitis in the forum General Melanoma Community</title>
				<link>https://forum.melanoma.org/forums/topic/ipi-nivo-colitis/#post-275717</link>
				<pubDate>Tue, 21 Sep 2021 13:39:11 -0400</pubDate>

									<content:encoded><![CDATA[<p>I spent much of yesterday going through the AIM videos. THank you SO MUCH for those!!!!</p>
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				<title>kathycaribe replied to the topic Ipi Nivo colitis in the forum General Melanoma Community</title>
				<link>https://forum.melanoma.org/forums/topic/ipi-nivo-colitis/#post-275712</link>
				<pubDate>Fri, 17 Sep 2021 18:45:26 -0400</pubDate>

									<content:encoded><![CDATA[<p>I would personally remove all dairy and processed foods but I&#8217;m sure that&#8217;s not very helpful. Walking is good. Drinking lots of water will move things along in the gut. No narcotics will keep peristalsis going. maybe increasing good gut bacteria (probiotics) but I seem to remember a study indicating weird (both positive and negative?) issues with&hellip;<span class="activity-read-more" id="activity-read-more-8004"><a href="https://forum.melanoma.org/forums/topic/ipi-nivo-colitis/#post-275712" rel="nofollow ugc">Read more</a></span></p>
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				<title>kathycaribe replied to the topic use of Avastin as a steroid-sparing agent prior to immunotherapy (ipi+nivo) in the forum General Melanoma Community</title>
				<link>https://forum.melanoma.org/forums/topic/use-of-avastin-as-a-steroid-sparing-agent-prior-to-immunotherapy-ipinivo/#post-275711</link>
				<pubDate>Fri, 17 Sep 2021 18:42:00 -0400</pubDate>

									<content:encoded><![CDATA[<p>I can&#8217;t get into my company melanoma onc until end October but I actually have an appointment with MD Anderson at the end of this month with their melanoma person. They won&#8217;t do evistis with my state so I have to go in person. I suppose I could try to get in before next Friday with them and see what they say&#8230;.</p>
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				<title>kathycaribe replied to the topic use of Avastin as a steroid-sparing agent prior to immunotherapy (ipi+nivo) in the forum General Melanoma Community</title>
				<link>https://forum.melanoma.org/forums/topic/use-of-avastin-as-a-steroid-sparing-agent-prior-to-immunotherapy-ipinivo/#post-275702</link>
				<pubDate>Fri, 17 Sep 2021 15:19:59 -0400</pubDate>

									<content:encoded><![CDATA[<p>Thanks so much Celeste. I know I&#8217;m coming off half crazed 🙂 and it is probably because the team I thought was going to lead the way has been in stasis all week and I&#8221;m getting no input from the melanoma oncologist and my primary oncologist is breast cancer (but she is at my workplace, which makes GETTING immunotherapy incredibly easy &#8211; she comes&hellip;<span class="activity-read-more" id="activity-read-more-7982"><a href="https://forum.melanoma.org/forums/topic/use-of-avastin-as-a-steroid-sparing-agent-prior-to-immunotherapy-ipinivo/#post-275702" rel="nofollow ugc">Read more</a></span></p>
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				<title>kathycaribe replied to the topic use of Avastin as a steroid-sparing agent prior to immunotherapy (ipi+nivo) in the forum General Melanoma Community</title>
				<link>https://forum.melanoma.org/forums/topic/use-of-avastin-as-a-steroid-sparing-agent-prior-to-immunotherapy-ipinivo/#post-275697</link>
				<pubDate>Fri, 17 Sep 2021 00:42:11 -0400</pubDate>

									<content:encoded><![CDATA[<p>I understand that Immunotherapy + brain SRS=good outcome, however, my oncologist totally dropped the ball and didn&#8217;t even start on immunotherapy approval until well after I completed the SRS so that ship has sailed. I am on way too much steroid right now, during spine radiation treatments, to start immunotherapy, so that ship is waiting to sail.&hellip;<span class="activity-read-more" id="activity-read-more-7948"><a href="https://forum.melanoma.org/forums/topic/use-of-avastin-as-a-steroid-sparing-agent-prior-to-immunotherapy-ipinivo/#post-275697" rel="nofollow ugc">Read more</a></span></p>
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				<title>kathycaribe replied to the topic use of Avastin as a steroid-sparing agent prior to immunotherapy (ipi+nivo) in the forum General Melanoma Community</title>
				<link>https://forum.melanoma.org/forums/topic/use-of-avastin-as-a-steroid-sparing-agent-prior-to-immunotherapy-ipinivo/#post-275693</link>
				<pubDate>Thu, 16 Sep 2021 18:28:01 -0400</pubDate>

									<content:encoded><![CDATA[<p>FWIW, my neuroonc is with a smaller organization, my onc is with a university-level and I have also established care at Mayo. I have requested input from the Mayo onc but have been waiting since Monday for a reply. Getting antsy.  🙂</p>
<p>Second question &#8211; I have established care with MD Anderson also (gotta love RN healthcare) and wondered if that&hellip;<span class="activity-read-more" id="activity-read-more-7939"><a href="https://forum.melanoma.org/forums/topic/use-of-avastin-as-a-steroid-sparing-agent-prior-to-immunotherapy-ipinivo/#post-275693" rel="nofollow ugc">Read more</a></span></p>
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				<title>kathycaribe&#039;s profile was updated</title>
				<link>https://forum.melanoma.org/activity/p/7938/</link>
				<pubDate>Thu, 16 Sep 2021 18:19:34 -0400</pubDate>

				
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				<title>kathycaribe started the topic use of Avastin as a steroid-sparing agent prior to immunotherapy (ipi+nivo) in the forum General Melanoma Community</title>
				<link>https://forum.melanoma.org/forums/topic/use-of-avastin-as-a-steroid-sparing-agent-prior-to-immunotherapy-ipinivo/</link>
				<pubDate>Thu, 16 Sep 2021 18:16:57 -0400</pubDate>

									<content:encoded><![CDATA[<p>Hello. I am trying to determine the best course of action when my oncologist disagrees with my neurooncologist on the possible use of Mvasi as a steroid sparing agent and taper my current dose of dexamethasone 8mg/day. I received SRS to 9 brain mets for 6 sessions, ending 9/3. I began 10 spinal radiation treatments for a T12 met on 9/10 and the&hellip;<span class="activity-read-more" id="activity-read-more-7937"><a href="https://forum.melanoma.org/forums/topic/use-of-avastin-as-a-steroid-sparing-agent-prior-to-immunotherapy-ipinivo/" rel="nofollow ugc">Read more</a></span></p>
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