The Wash U Tumor Board met Monday evening and my case was presented. Their recommendation is to continue the same systemic treatment (Herceptin and Perjeta) and use gamma knife to zap the new brain tumor into oblivion (my wording, not theirs). The systemic treatment is handling everything below the neck extremely well as I have been stable for 9 months now. These drugs do not cross the blood brain barrier so we will continue brain MRIs every three months to monitor.
There is a lot to coordinate in scheduling this since my neurologist and my radiologist both have to be present for the procedure. I probably will not hear when it is scheduled until next week. I am relieved to know the decision has been made. Onward and upward!