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tkoss

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      tkoss
      Participant
        4x yervoy .after 4th treatment i got severe headache.
        went to ER where MRI showed my pituatary gland was fried…shock to me, to docs, mehh!

        so i now must take hormones for the rest of my life

        on opvido 12x @ 480mg going on 1 year , widespread itching sporadically and alot of joint pain

        note; my 1st course of opvido 24x @ 240mg had no side effects. don’t know if going 2x a month at 240 would reduce sideeffects

        tkoss
        Participant
          an update from Tkoss…i actually thought i had the best case going for me…….but….after recurence and a 2nd lymphedectomy I had nerve damage which settled to a manageable state….IOW no impairment but a feeling that never leaves my upper arms….

          i had to do a 3rd surgery because PETSCAN* after 2nd Lymphodectomy* revealed melanoma still existing after 2nd suregery…….problem is the 2nd lympedectomy left scar tissue which could not be gotten behind on 3rd lympthodectomy. so there is some question as too efficacy of 3rd surgery.

          but what i want to draw you attention to is that after 2nd and quickly there after 3rd surgery i had 4 rounds of ipi + 4 rounds of nivo. 3 weeks after last ipi infusion I had debilitatigng headaches requiring ER and hospitalization . Seems Ipi inflamed and enlarrged my pituatary gland causing the debilitaing headaches but also disruptions to pituartry activities as well as thyroid disprutpion. I am thus on homrmone presumbly for years to come. Of course it may not have been just ipi, but the combo of ipi + nivo but i am back on nivo since about 4 weeks. so that is too soon to judge…..SO if it happpens that you get debilitating headaches don’t wait around,..get to an ER stat that knows from headaches and that will do an MRI………i think they diagnososed me within minutes of review of case history becase they gave me some IV homrmones and the pain was gone in minutes never to return..so far its been about 8 weeks.

          tkoss
          Participant
            u didn’t say what you didn’t understand
            tkoss
            Participant
              epic…..good one on the Texas comment…i always say Texas wants’ to be in the 20’s..unfortunately its the 1920’s/

              I had 4 axial LNs extracted at time of sentinel LN biopsy…MM’s in size. after a year of opvido and then another year plus a few months they came back to same armpit…this time much larger . I think the surgeon removed 11. before the original LN surgery I c.ouldn’t feel them in my armpit…..after the recurrence, you could grab them by your hand. Neither the onc nor i could say ,,,,,’did opvido delay the new growth? not even sure if its metastasis cause it was in the same armpit.

              As to the headache….just the one….the great big one all over…….

              BTW your skepticm is noted, its like picking burrs out of your sock, your have to shut up , listen and maybe u can earn some valuable intel…i was well under care in the ER when someone suggested the swollen pituitary was a result of ….hold on …don’t jump the gun…..you thought i was gonna say Ipi……….well no…no one said anything like that in the ER before the Brain scan….no one said that till my next day when a resident Onc made their rounds. They new enough to apply the right drugs but wouldn’t offer up but the most vague reasons as to cause of the pain.

              So the next day in the hospital I did learn from the hospital resident Onc that the pituatray gland can swell on Ipi. The radiologist or one of some 20 docs that I saw said my pituatary gland ‘lit up’ on the MRI. That was a lot different than it was described the day before as being ‘inflamed.”

              This is my opion based on what I could glean……..Ips lead to pituitary glan swelling which lead to incurable headache except y a IV medication…..which laid it down almost immediately.

              I don’t know if the swelling is now going down since I stopped taking the Ipi. Know can say until another Brain MRI>

              You really got to listen ,,,,,hard………..to learn just exactly what they are thinking.

              here is something i can attest to: there is a huge difference in quality of care depending on where you go.

              The first team at a notable hospital neary got It all wrong….i won’t go into details…but the melanoam team at UT SWST. Dallas , was a life changer.

              Still you really gotta parse their words……..alot*

              tkoss
              Participant
                EDIT FUNCTION DOSENT WORK -REPOST WITH TYPO CORREDCTIONS
                —————————————————————–

                I will answer as responsibly as i can from my experiences…this is not what doctors told me

                1. no one mentions what type of immo you are on or going to get. Makes all the difference. I was on Opvido 240 mg twice a month for a year. With ABSOLUTELY NO SIDE EFFECTS. NONE…i GAINED WEIGHT and stayed NED for 1 year and some months after last infusion.
                Then LNs blew up(enlarged) spectacularly…….no one can or would tell me that Opvido did anything…… original 4 LN”S were very small….and then some 1 year and a few months after last Opvido dose they blew up to the size of a spoon. (excluding the handle LOL).
                2. after 3 LN surgeries (second one didn’t get all the LN ‘s involved..long story there) i went on Ipi + Nivo….Ipi every 3 weeks x 4 and Opvido still continuing. I posted above that the only side-effect was itching..I assume it was the Ipi. Amend that. After the last Ipi dose 3 weeks prior I wound up in ER with a crushing headache. Swollen pituitary gland…..turns out that is a side effect….In my case delayed by some 3 weeks. It was so persistent and all encompassing of my head that it would make you want to jump off a high bridge….but they diagnosed with Brain MRI, applied drugs and pain disappeared in a matter of minutes.

                3. Triple check if you change states that you are still eligible for ur new state’s Medicaid. If you come to Texas you are S-O-L.

                4. Time commitment….Nivo/OPvido…1-1/2 hours every 2 weeks….or double the dose and go once a month. Other than that there is no disruption in you life, unless you get side effects. But again i only had side effects when taking Ipi.

                5. Absolutely i will do whatever a good Melanoma Specialist tells me. D.id i mention the 2nd surgery?…that was not a melanoma specialist but a general oncologist and he dropped the ball. SOC…”standard of care” are devised thru trials…IOW scientifically not anecdotally..Bubbles can best address this….

                The temptation is to play doc…I wouldn’t.

                tkoss
                Participant
                  D i will answer as repsonsibly as i can from my expeiences…this is not what doctors told me

                  1. no one menttions what type of immor y9ou are on or going to get. I was on Opvido 240 mg twice a month for a year. ABSOLUTELY NO SIDE EFFECTS. NONE…i GAINED WEIGHT. stayed NED for 1 year and some months.
                  Then LNs blew up(englarged) spectaculariy…….no one can or would tell me that Opvido did anything……4 orginal 4 LN”S were very small….and then somce 1 year a a few months after last Opvido dose they blew up to the size of a ping pong ball.

                  2. after 3 LN surgeries (second one didn’t get all the LN ‘s invoved..long story there) i went on Ipi + Nivo….Ipi every 3 weeks x 4 and Opvido still continuing. I posted above the only side-effect was itching.. amend that. After last Ipi dose 3 weeks prior I would up in ER with crushing headache. Swollen pituatray gland…..turns out that is a side effect….in my case delayed by some 3 weeks. It was some persistant and all encompassing of my head that it would make you want to jump off a high bridge….but they diagnosed with BRain MRI, applied drugs and pain disappered in a matter of minutes.

                  3. Triple check if you change states that you are still eligibel for ur new state6s Medicaid. If you come to Texas you are S-O-L.

                  4. Time committement….1-1/2 every 2 weeks….or double the dose and go once a month. Other than that there is no disruption in you life, unless you get side effects. But again i only had side effects when taking Ipi.

                  5. absolutey i will do whatever a good melanoma specialist tells me. did i mention the 2nd srugery?…that was not a melanoma specialist but a general oncologist and he dropped the ball. SOC…”standard of care” are devised thru trials…IOW scientifically not anecdotally..Bubbles can best address this….the tempation is to play doc…i wouldn’t.

                  tkoss
                  Participant
                    3c from 2019. 3 LN surgeries and now in 2nd round of immo.
                    1st round….opvido…2x month for a year. never 1 side effect

                    2nd round ..nivo + ipi …have had 3 of 6 infusions …3 weeks apart.

                    started itching like a blue tic hound on a lousiana porch…..

                    other than that no side other side effects

                    ps..anyoone know the best remedy for itching?…taking claritin and lots of skin cream helps a little. the therory is because your skin is drying out…although it doen’s feel dry……

                    tkoss
                    Participant
                      1

                      tkoss
                      Participant
                        this is from Bristol Myers brachure entitled ‘ For Adults with Advanced Melanoma”

                        no where do they refer to STAGES… not one mention of any STAGE.

                        they do say quite prominently and on several different pages

                        “In an analysis of 945 previously UNTREATED patients.”

                        then the stats. which is 65% afte 6.5 years of the Comobo……..23% of ipi alone. They spill alot of ink on that stat, repeating in varous forms

                        so what defines ‘previously untreated’ and doe the meter start at first biposy or first WLE of first infusion?

                        tkoss
                        Participant
                          an update on nerve damage. I have never been able to get onc surgeon or oncologist to say much about my nerve damage. In particular I asked about an kind of PT to help. They smiled and nodded in the way the do.

                          but

                          once out of the room the nurse said this: they don’t recommend PT before 6 weeks because, in my case of a lymphodectomy, that PT could dislodge remaining melanoma cells from excision site.50

                          tkoss
                          Participant
                            btw gopher and JudiAU

                            i am still playing doctor. new clinic has not accepted me yet.

                            current oncs talked about getting a petscan……i see on the patient forum its not been scheduled.

                            but also

                            would a brain MRI be in order? in essence i am kinda starting over from the beginning. my thinking of course….if LN’s were much larger than original condition then its seems 60chances are microscopic melanoma likely other places but especially the brain.

                            tkoss
                            Participant
                              thanks gopher and judiAU

                              i am going to Tex Onc who have an melanoma specialist in Dallas

                              preciate you all’30s help.

                              posted my experiences for newbies but it seems forum participation way down… so probably won’t reach anyone

                              tim

                              tkoss
                              Participant
                                pss…should i have had a brain scan as well? did so originally.
                                tkoss
                                Participant
                                  thanks gopher ..i take all ur points

                                  judiAU…i am in Fort worth. i was at texas oncology and they had 1 melanoma specialists for 400 doc, in houston. so i went JPS FTW where my bro got good care for throat cancer. Ist onc suregeon was very good….alas he moved on.

                                  so if there is anyway to find a melanoma onc specialist i would love to try. i am on medicare.

                                  tkoss
                                  Participant
                                    a follow up to my own post:

                                    i have no idea if these guys know didly about melanoma. I left one practice cause out of 400 oncs they had one melanomoa specialists.

                                    so if they don’t specialize maybe they are not qualified to be my docs???

                                    also, and forgive me for sounding like i know something….but have been forced to the internet for knowledge.

                                    i definitely have never had a BRAF test but it seems that can be equally as efficacious as immo therapy and….660

                                    I understand there is not much or any improvement with ipi+ nivo vs nivo…i am , self ascertained 3c. No comment on that from ONc’s after 3 years+.

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