After five months Anne-Marie's treatment plan has turned into a treatment "don't make any plans" plan. The reason for this is two-fold.
#1 The approach of the SCCA doctors
#2 The fact that this is a recurrence, not an initial cancer diagnosis
I would go into depth on these two things, but you probably don't care and just want to know what changed.
Dr. Korde says the cancer is not responding to the Herceptin and surgery needs to be done right away. Apparently, it was the Tykerb that--while simultaneously destroying Anne-Marie's life--was successfully shrinking the tumor. Since going off of it, Herceptin alone hasn't had any measurable effect beside maybe keeping the cancer at bay.
The most amazing thing about this story is the fact that we both greeted this news with total indifference. Six years ago we would have completely freaked out. Somewhere between a Godly peace and a worn-out apathy, we joked with each after getting the news that "we're busy in October". I'm thinkin' that "right away" means "next month" in medical terms. Right?
So, Anne-Marie made a pre-op consult appointment for a couple of weeks from now. We'll update you as this develops