{"id":64278,"date":"2022-06-15T10:36:09","date_gmt":"2022-06-15T16:36:09","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=64278"},"modified":"2022-06-15T10:36:09","modified_gmt":"2022-06-15T16:36:09","slug":"treatment-for-triple-positive-breast-cancer","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/treatment-for-triple-positive-breast-cancer\/","title":{"rendered":"During treatment for triple-positive breast cancer, she earned her master’s degree and two promotions"},"content":{"rendered":"
<\/div>
\"Anna
Anna Salvador earned her master’s degree and two promotions at USAA, where she works in the banking division while battling triple-positive breast cancer. She relied on her family, friends and faith to make it through treatment.\u00a0 Photos by Mark Reis for UCHealth.<\/figcaption><\/figure>\n

To say Anna Salvador has mastered the magic of multitasking is a bit of an understatement.<\/p>\n

While lying on a gurney in a hospital operating room, just before anesthesia was to be administered, Salvador told her surgeon: \u201cI\u2019ve completed all my assignments for my master\u2019s degree!\u2019\u2019<\/p>\n

Dr. Laura Pomerenke<\/a>, her breast surgeon at UCHealth Memorial Hospital, laughed. Anesthesia was given, and Pomerenke placed a port in Salvador so she could begin receiving a regimen of chemotherapy for breast cancer.<\/p>\n

Have you noticed any lumps in your breasts?<\/strong><\/h2>\n

A few weeks earlier, during Salvador\u2019s yearly well-woman checkup, her OB-GYN asked: \u201cAnna, have you noticed any lumps on your left breast?\u2019\u2019<\/p>\n

At the time, Salvador didn\u2019t think twice about it. She was pursuing her master\u2019s degree in organizational development. One of her daughters was about to graduate from the University of Colorado Boulder with a bachelor\u2019s and master\u2019s degree in psychology and linguistics. Another was enrolled in environmental sciences at Stanford. Salvador had also interviewed for a promotion at USAA<\/a>, where she has worked for 20 years.<\/p>\n

Nonetheless, her OB-GYN ordered a diagnostic mammogram after the well-woman checkup in November 2020. Salvador let her boss know she\u2019d be away from her desk for a few hours and she would be right back to work. No big deal.<\/p>\n

The diagnostic mammogram went well, but the nearly three-hour wait afterward was agonizing. Then came the news from a doctor: \u201cI am so sorry to say, this is breast cancer.\u2019\u2019<\/p>\n

\"Anna
Anna Salvador recites the rosary at St. Gabriel the Archangel Catholic Church in Colorado Springs.<\/figcaption><\/figure>\n

Salvador wept and shook uncontrollably. The doctor said she would need a biopsy and referred her to UCHealth\u2019s Dr. Pomerenke. Salvador, a devout Catholic who worships the Virgin Mary, relied on her faith.<\/p>\n

\u201cWhen I got the biopsy, I was praying the rosary. \u2018Please, please don\u2019t test positive for the cancer.\u2019\u2019\u2019<\/p>\n

Tests showed Salvador had three types of cancer: HER2, estrogen and progesterone. Pomerenke relayed the results directly, but compassionately. The only thing Salvador could say was: \u201cOh my God; oh my God.<\/p>\n

\u201cWhat are you talking about? It doesn\u2019t run in my family.\u2019\u2019<\/p>\n

Developing a plan of care for triple-positive breast cancer<\/h2>\n

Dr. Pomerenke and a multi-disciplinary team quickly developed a plan of care.<\/p>\n

\u201cShe had what is called a triple-positive (breast) cancer, one that is driven by hormones and the HER2 protein,\u2019\u2019 Pomerenke said. \u201cThat gives us three targets for treatment and these patients can have excellent results with therapy.<\/p>\n

\u201cAnna was seen in our multidisciplinary clinic, where she met with a medical oncologist, radiation oncologist and support staff — all at one visit.\u00a0 This enables us to facilitate treatment and provide the most comprehensive care possible,\u2019\u2019 Pomerenke said.<\/p>\n

\"Anna
Anna Salvador’s relied on her strong faith to help her through triple-positive breast cancer. The rosary was a gift her daughter brought home from Rome.<\/figcaption><\/figure>\n

Without question, there will be bad days after you learn you have cancer. \u00a0Salvador has surely had them. She wasn\u2019t sure she should continue seeking a promotion at work since she didn\u2019t feel well. But like many who have received devastating news about their health, she has relied on her daughters, Nadine and Mikaela; family, friends and unbreakable faith. She\u2019s also followed her doctor\u2019s recommendations. A single mom, Salvador has had no choice but resilience.<\/p>\n

Daughter Nadine, 24, had earned two bachelor\u2019s degrees in psychology and linguistics and a master\u2019s in linguistics from the University of Colorado and has a job as a clinical research coordinator on the Anschutz Medical Campus.<\/a> Mikaela, now a senior studying environmental science at Stanford, has been accepted into a master\u2019s program at Stanford to study earth systems. She\u2019ll travel to the Philippines and Hawaii this summer for internship programs.<\/p>\n

\u201cI was crying after the diagnosis and you know how it is with cancer patients, your mood \u2013 sometimes you\u2019re up, sometimes you\u2019re down,\u2019\u2019 Salvador said. \u201cSo, Mikaela and I would cry for a couple of hours and then Nadine would come in and say, \u2018Mom, you\u2019ve got to stop, you\u2019ve got to stop. You can\u2019t use your cancer as a crutch.<\/p>\n

\u201cAnd she was telling me, \u2018Mom, you have to finish your master\u2019s. And we said, wouldn\u2019t it be cool if we had a picture of all three of us in the living room, all master\u2019s graduates?\u2019\u2019<\/p>\n

Nadine would not allow her mom to cry for more than 5 or 10 minutes. Mikaela, who was studying online at home because of the pandemic, would allow her mom to call all she wanted. Together, they made a great supportive team.<\/p>\n

\"Anna
Anna Salvador at a cubicle at the Colorado Springs USAA office where she works in the banking division.<\/figcaption><\/figure>\n

The day after she received the port, Salvador met with four UCHealth cancer doctors on the campus of UCHealth Memorial Hospital North<\/a>. The physicians developed a treatment plan that included radiation and chemotherapy. One of the physicians mentioned that she would lose her hair.<\/p>\n

During the meeting, Salvador\u2019s phone blew up. She received multiple phone calls but didn\u2019t answer since she did not recognize the phone number. Then, after multiple unanswered calls, Salvador\u2019s boss called and said another senior-ranking leader at USAA was trying to call and she should answer.<\/p>\n

Salvador cried to her boss.<\/p>\n

\u201cI am going to lose my hair!\u2019\u2019 she cried. \u201cI\u2019m going to need to go on short-term disability.\u2019\u2019<\/p>\n

Her boss, Salvador recalled, told her to calm down and pick up the phone. Good news was on the way.<\/p>\n

Salvador had been promoted to a \u201csenior\u2019\u2019 in the banking division. The single mom who had raised two very smart young ladies was being rewarded for her own good work. Still, she worried about being on short-term disability and not being able to immediately begin in the new role.<\/p>\n

Her employer, USAA, gave her full support after cancer diagnosis<\/h2>\n

USAA, Salvador said, could not have been more supportive.<\/p>\n

\u201cThey said, \u2018Take all of the time that you need. We will wait for you,\u2019\u2019\u2019 Salvador said.<\/p>\n

In the course of two days, Salvador had completed her master\u2019s assignments, received a promotion and a treatment plan \u2013 radiation and chemotherapy. Starting Dec. 31, 2020, Salvador began chemotherapy. She had infusions once every three weeks for nearly 18 months. She still had a master\u2019s thesis to write and on Feb. 1, 2021, she returned to work full time.<\/p>\n

\"Anna
Anna Salvador pauses to pray before a statue of the Virgin Mary.<\/figcaption><\/figure>\n

\u201cI had to keep on going, even if I didn\u2019t feel good, and I had to have the COVID vaccine, and it made my immune system even weaker.\u2019\u2019<\/p>\n

Salvador worked 10-hour shifts, Monday through Thursday, so she could take Fridays off for the chemotherapy treatment, which lasted six to eight hours.<\/p>\n

\u201cYou know how you feel when you are so sick to your stomach and you can barely move all the time? Oh my goodness, and then you feel like throwing up. It was pretty intense. I would say I didn\u2019t feel good and then mix that up with the COVID vaccine requirements too.<\/p>\n

\u201cThe nurses were spectacular, they were awesome. The doctors, spectacular. I have no complaints whatsoever. The hard part of the chemo for me, this was the emotional state and seeing my hair fall off.\u2019\u2019<\/p>\n

Nadine insisted that her mom continue to walk her dog named \u201cMonster\u2019\u2019 and as hard as it was, she did. One day, Nadine shaved her mother\u2019s head.<\/p>\n

\u201cIt was all intense,\u2019\u2019 Salvador said. Despite the difficulty, she said the rosary and attended Mass weekly at St. Gabriel the Archangel Catholic Church.<\/p>\n

Having support from family and friends makes a positive difference for patients, Pomerenke said.<\/p>\n

\u201cI love it when patients have the attitude that they are not going to give up or stop doing what they enjoy.\u00a0 Anna personifies that by succeeding in her education, career and personal life, all while going through cancer treatment,\u2019\u2019 Pomerenke said. \u201cShe is so fortunate to have had such great support from her employer and family and is a wonderful example of fortitude and perseverance.\u2019\u2019<\/p>\n

Though Salvador had been promoted to \u201csenior\u201d soon after her cancer diagnoses, she learned of another opportunity for promotion that she wanted to pursue. She submitted her resume and application with more than 100 other applicants for the manager position.<\/p>\n

Two weeks after returning to work in February 2022, she learned she had been promoted again. And two months later, after submitting her thesis about corporate responsibility to Regis University, Salvador received word that she had earned her master\u2019s degree. She finished with 3.9 GPA and no student debt. USAA had paid for her master\u2019s degree.<\/p>\n

In August 2021, she began the first of 26 radiation treatments. She was exhausted and weak.<\/p>\n

\u201cMy body was giving up, and I was forcing myself to walk with my dog. That is the one thing that Nadine kept saying, you have to walk Monster (her dog),\u2019\u2019 Salvador said.<\/p>\n

Despite earning her master\u2019s degree, seeing her children thrive and earning two promotions, the best news of all came in April 2022 when scans could not detect cancer.<\/p>\n

\u201cIt\u2019s all clear! It\u2019s all clear!\u2019\u2019 she told her daughters. On March 30, nearly 18 months after her OB-GYN had asked about a lump in her left breast, Pomerenke removed the port from Salvador.<\/p>\n

She plans to travel with friends to Fatima in Portugal to give thanks to the Virgin Mary. In December, she will go home to her native Philippines and visit the National Shrine of Our Lady of Perpetual Help. She\u2019ll see her mom, her sisters and her nieces, and they\u2019ll celebrate.<\/p>\n","protected":false},"excerpt":{"rendered":"

To say Anna Salvador has mastered the magic of multitasking is a bit of an understatement. While lying on a gurney in a hospital operating room, just before anesthesia was to be administered, Salvador told her surgeon: \u201cI\u2019ve completed all my assignments for my master\u2019s degree!\u2019\u2019 Dr. Laura Pomerenke, her breast surgeon at UCHealth Memorial […]<\/p>\n","protected":false},"author":20,"featured_media":64282,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[7],"tags":[655,28],"class_list":["post-64278","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-stories","tag-breast-cancer","tag-cancer-care-oncology"],"acf":[],"yoast_head":"\nTriple-positive breast cancer, a master's and two promotions - UCHealth Today<\/title>\n<meta name=\"description\" content=\"Anna had triple-positive breast cancer, driven by hormones and HER2 protein. 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