Grace’s Story

Site created on January 26, 2023

In March 2019, Grace was diagnosed with stage 2 multifocal invasive ductal carcinoma (IDC) of her right breast, ER (estrogen receptor)/PR (progesterone receptor) positive, HER-2 negative.  IDC begins in the cells of a milk duct, then it grows through the duct walls and into the surrounding breast tissue.  Stage 2 means that the tumor(s) has grown and spread to a few nearby lymph nodes.  In Grace’s case, there were two invasive tumors and 3/23 lymph nodes the cancer had spread to.  ER/PR positive breast cancers tend to grow more slowly and are more likely to respond to hormone therapy.  HER-2 positive breast cancers are typically more aggressive so being HER-2 negative provided some relief at that time. 

Derrick and Delainey, her twins, had just turned a year old and her oldest, Charlie was 7 which made things a little more challenging for her.

She was treated with chemo 4/2019-8/2019, underwent a bilateral mastectomy 9/2019, radiation treatment 10/2019-12/2019, hysterectomy with bilateral salpingo-oophorectomy (removal of ovaries and fallopian tubes) and then reconstruction 8/2021.

Fast forward to July 2022, Grace began having recurrent upper respiratory infections.  Early September 2022, she had an episode where she passed out and was taken to the emergency room.  An MRI of her head at that time showed no evidence of metastatic disease.  Over the next few weeks, she began to have increasing pain and weakness in her back and legs.  Late November, she went to step on a platform at work, her left leg gave out and she fell.  She continued to work over the next few weeks despite there being days she was hardly able to walk.  Two days before Christmas, Grace fell at home, she felt and heard a pop in her left hip.  An MRI of her lumbar spine on 12/28/22 showed multifocal osseous metastatic disease.  In normal words, cancer that has spread to the bone in multiple areas. 

She had bone biopsies 1/11/23 which revealed metastatic breast cancer ER 98%, PR 0, HER-2 2+ with a Ki-67 of 13%, HER-2 FISH negative.  This is for those of you that actually understand what this means.  For the rest of us, continue reading for terms we can actually understand. =)

Ki-67 is a protein found in the nucleus of cancer cells.  This protein exists only in cells that are actively growing and dividing.  Knowing how much Ki-67 is produced helps her medical team estimate how likely the cancer is to grow and spread.  Less than 10 percent is considered low and that is about all I know on this.

Because Grace’s HER-2 levels changed from her initial cancer, her doctor ordered a FISH test which double checks the HER-2 levels and helps determine the best course of treatment for her.  The results were negative and so her cancer is HER-2 negative which is good OR HER-2 negative treatment was determined to be the best course of treatment for her based on the results.  To be honest with you, the entire FISH testing conversation threw me for a loop so you all may have to google that one on your own. 

Over the last few days, I know Grace has been overwhelmed with emotions and it’s probably hard for her at times to answer the phone or respond to a text message.  So, I thought I would start this site for her so that you all can follow her treatment and watch her kick cancer’s ASS again.  I’ll try as much as I can to keep everyone updated and then once Grace’s feels up to it, she can post updates.  I wanted to give you guys a background of the cancer history for her so that you have an idea of how things have progressed.

So, what this all means, Grace has been diagnosed with metastatic breast cancer.  It is stage 4, it is terminal and she will never go into remission.  The cancer has spread throughout her thoracic and lumbar spine, her sternum, left lower ribs, the top of her skull, bilateral femur (both legs, the portion of the thigh bone closest to her hip joint) and it has consumed the majority of her left hip.  With that being said, over the last few days, I have come across several blogs of several women with metastatic breast cancer still going strong 10+ years after their diagnosis.  SO START SENDING ALL OF THOSE PRAYERS!  GRACE NEEDS THEM! 

As if the diagnosis itself wasn’t enough, the cancer has progressed so much in her hip that there are portions of the bone gone.  She will need a total hip replacement at some point, but the risk of infection for her is too high so that is not an option right now.  The only option for her is non-weight bearing and she is now in a wheelchair.  So we are in the process of making her home wheelchair friendly!  

Grace just started her chemo treatment Friday, KISQALI (ribociclib).  This is an oral treatment where she will take 600 milligrams for 21 days and then she will stop for 7 days.  The plan I believe is that she will continue this for at least for the first year.  This is the first line of treatment.  She was started on Exemestane and will also receive monthly Zometa infusions which slows bone loss and may help prevent bone fractures.  She will start radiation therapy next week which will target only the left hip area and maybe the sacrum.  I think the plan for now is to start with 10 treatments to provide some pain relief for her.  Grace is in constant pain right now and unfortunately; the pain medications only take the edge off the pain.

Please keep Grace in your prayers and I will update this site as often as I can with how she is doing.

I have added links for her GO FUND ME, MEAL TRAIN (under the tab more ways to help) and her appointments (planner tab).  There have been several that have offered to take her to appointments so I have added some of her upcoming appointments for those that have been wanting to take her.


https://gofund.me/a68fdd75
https://mealtrain.com/4rl702

Newest Update

Journal entry by Beth Rice

Hey everyone,

Well, not the greatest of updates today, but it’s not all doom and gloom either.

So we’ve learned that Grace is no longer a candidate for the clinical trial.  I think they already knew on Friday when we met with them.  She doesn’t qualify for the trial or any other trial at this point.  This is because of her blood counts and also they have concerns with her lungs.  Her blood counts aren’t stable.  Even if they were to come up enough to start the trial, there is no guarantee that they would stay up at this point because they suspect there are other things going on too.  

I was telling Grace, I don’t know that this is necessarily a bad thing right now.  Her pain seems to be increasing just a little more each day.  The pain medication takes the edge off only for a short period but it just doesn’t seem to provide a lot of relief for her.  She has still been on medication for her pain and cancer related symptoms, but in terms of actively fighting the cancer, there’s been a standstill the last 2 months and no treatment to actually fight it.  Considering how she is feeling right now, enduring a clinical trial right now, the travel associated with the trial and a trial medication that could worsen her symptoms might not be the best thing for her this very moment.  So there is a part of us a little sad about the trial, but we’re not going to focus on that because we’ve come to terms that this isn’t a good time for the trial.  This experience has taught us what questions to ask and has prepared us for when she is actually ready for a clinical trial, so it’s not a complete loss.  Our focus now is getting her feeling better before revisiting any trial options.  Which at some point, we won’t have a choice.  This last chemo will only work for so long and then her only treatment options are clinical trials. 

So, no more cross-referencing pages of medications to see if she can take them or not because of a trial.  INTERESTINGLY, there’s a whole page of cancer-fighting supplements the trial team advised against during the trial, which makes me wonder about their potential benefits.  There obviously has been some proven benefits so we’ll definitely be looking into these! Like yesterday!!! We have nothing left to lose at this point!!! 

Meanwhile, we are going to get an appointment with her oncologist and get her started on the Enhertu (chemo) here.  Honestly, we can’t rely on KU to get her started this week or even next week.  We need to get her first treatment ASAP and then she can continue with it in Kansas City.  We are going to redo her labs tomorrow also.  If her blood count is still down, they are planning to do a blood transfusion too.  We are still planning to do the pulmonary function testing along with the consultation.  We are here and it’s scheduled for tomorrow so we are going to keep these appointments. 

The Enhertu is the traditional IV chemo.  She will have to do the treatments at the hospital, she will lose all of her hair, she will have a few rough days post-treatment.  The usual chemo package, which Grace isn’t thrilled about.  However, she’s excited to do something wild with her hair for the kids before it goes.  LOL!

For now, we are still in Houston, focusing on starting her new treatment.  Sadly, she doesn’t seem to be feeling any better than before our trip here when she was in the hospital.  She may say she does and still have a smile on her face, but I am with her 24/7 right now and she does not.  I anticipate, we’ll be able to go home not this weekend but the end of next week. 

If you’ve reached out to me over the last week and I haven’t responded, I am sorry.  I have tried to keep up with all of the texts and will go through them again soon.  I’ll continue to share updates.  

Some of Grace’s friends started a Super Bowl fundraiser on FaceBook.  I’ll try and attach the link for the FaceBook page below if anyone wants to purchase a square.  Just comment on Facebook post.  You should be able to see the squares that have been purchased today so far.

Grace's Super Bowl Fundraiser

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