Ha! I was thinking yesterday that I should post a little update. I have been reading -- so I'm glad to hear that Linda's bruising seems to be receding; that Feenix is off to my homeland with a wardrobe to envy; that Kip (and someone else, too?) has been named a community champion; and that so many have had clear anniversary mammograms. Here's to more clear mammos! I've been jetting back and forth to the US since my first trip over on 19 March; now on trip #3, returning to London on 5 June and planning to be there for a good stretch this time. (I managed to squeeze my first post-chemo haircut into the 7 days between trip #2 and trip #3 -- it took hardly any time because I've decided to stick with a short pixie for now.) I can't remember what I've shared already, so in "brief" (not that brief): After a month and a half of struggling to figure out a care plan, my mom decided that the best option was for her to move to a nursing home. Because of her disease, only 3 nursing facilities in the state of Virginia were an option; only 2 of them returned our calls, and we picked the better one, about 200 miles away from where my parents live. She lasted there 1 week. They couldn't get the bed or ventilator to work for her, so much so that it was actually riskier for her to be in the nursing facility than at home, and it was definitely far less comfortable, much worse than we'd anticipated. Last week, we finally got the county social services to approve home-based care, and in my last week here I'm scrambling to pull together the application for financial assistance and the switch to a new carer agency that takes state aid since my parents are burning through their savings. Unfortunately, a week at the nursing facility cost $6500, and the trip to and from cost $5400 -- that didn't help, but we would have had to apply for state aid even sooner if she'd remained at the NF. I think the harder bit is switching agencies -- I've been "covering" the 3pm-4am carer shifts, and not getting much sleep as a result. I guess the bright side of all this is that I didn't give a second thought to my own diagnosis anniversary earlier this month while caring for my mom. I have had to rearrange a couple Herceptin injections, and missed the last 2 of 4 Moving Forward sessions, and other logistics of ongoing treatment have been a bit of a headache. But I also got the amazing experience of setting off the radiation sensors at JFK airport when I traveled the day after getting my three-monthly MUGA heart scan. (What a scene that was, proving I'm not a dirty bomb. Still, it was pretty cool when they brought over the special scanner and could detect exactly what medical tracer I had in my body.) My first mammo (left / WLE+RT side) won't be til October, and I'm just going to assume the all-clear streak will continue. I have to have an US the Monday after I get back to check out an area of possible fibrosis in my right / reconstruction breast. The surgeon seemed only mildly concerned, so I'm taking it in stride. There is one side effect that is bothering me: terrible joint pain, presumably from lack of estrogen (I'm on Zoladex + the AI exemestane). I really, really notice it when pulling my mom up in bed (using a draw sheet) or helping her to reposition, but I also wake in the night with pain in my feet, ankles, wrists, and hands; I'm also having a hard time with my knees, especially rising from a squat. I'm taking ibuprofen, but it's not enough. I understand joint pain somewhat maxes out after 3 months on AIs, so I'm hoping it won't get worse, but I'll be chatting with my onco when I see her next, on 12 June. Has anyone stumbled on ways to help with joint pain?
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