Hi @dizzyc @Mrsmillie thank you for the words of reassurance regarding Letrozole. I will just have to wait and see how I am, and then plan my return to work. As you say, if one brand is bad, I will ask to try another. I just hope my GPs are aware of this issue with side effects varying from one brand to another. If not, I may need to educate them! It's a lifetime of taking these things, you do not need to be debilitated by them when you need to get out to work each day. 3 more Abraxane for me, No 4 next Tuesday. I should get No 5 in before New Year and last one around 3rd week of January. I will also get a CT scan in January but no appointment as yet. They are going to request it 2nd week so hopefully before last chemo. I don't want it the same week that's for sure as I usually feel like I've been run over! I just go into hibernation for a week! @Somerset Bunnyit sounds like you are having a frustrating time of it. I can totally sympathise with you regarding the Egyptian consultant. I got a Chinese consultant for my first Oncology appointment back in June and I could barely understand him. His English was not great and with a mask on I couldn't grasp what he was saying when he told me my neo-adjuvant chemo was not going ahead. Also he had not read my notes, and kept tittering nervously as really it turned out he was not really sure what he was talking about! I got the lowdown from my Macmillan nurse when she rang to find out if I had a treatment plan. She was appalled as I had just been sent away in a state of shock and confusion, wondering what on earth would happen now! I refused to see him again as I was so upset! In the end they did surgery first as time was running out-you have to be treated within a certain timeframe and as chemo wasn't happening, my surgeon jumped right on it. It was all to do with an inconclusive HER2 biopsy: oncology felt chemo upfront no longer appropriate as the results had come back borderline twice.However further biopsies done after surgery showed it was HER2+ after all! I could have had that chemo to shrink my tumour and save my lymph nodes after all! I may not have needed the ANC which has left me with permanent nerve damage and cording which nothing can solve. I am stuck with it! No amount of stretching makes it go away, and the physio I saw only once said she had seen worse and my mbility was actually good! It doesn't feel "good" to me! It bloody hurts all the time and the stretching really tugs. If I stop doing the exercises I know it will get worse so this is also a lifetime thing, stretches twice a day or else. I knew about it when I felt too ill to do them a couple of times after chemo floored me, and it had got worse in literally 2 days! Not to mention the lymphoedema risk! And the traipsing back and forth to get a seroma drained twice a week after the drain came out. Of course there is no way way to tell how it would have panned out, but it does make me cross that I never got the chance to try it. My outlook may have been different if there had not been a delay which allowed it to spread from 1 node to 10, thus putting me at more risk. My prognosis now is stage 4 with liver mets, and maybe I could have been spared this outcome if I had got my chemo upfront. It's always at the back of my mind, that my outcome could have been different. But it is what it now is, and I just have to hope that this 6 cycles of chemo will work to put it in remission, and that the continuing Phesgo and Letrozole control it for a few years at least. You have no way of telling how long you have left on this earth, and if the Letrozole makes me really feel ill, I would seriously consider stopping it. Maybe quality of life will be more important than simply existing for a few more weeks, when we are getting towards the point where nothing is working any more. Sorry I am being maudlin now, but no-one wants to address this at the hospital-no-one mentions it when really the prognosis with Secondary BC is 2-3 years! It's not long! And if treatment No 1 fails, it could just be constant chemo with short breaks in between them when we are okay for a while, before it fails again. After line 3 we are basically written off! I am not ready to go at 65! I would like to think I could at least draw my pension! Lol! I have paid enough into it! Fingers crossed for all of us, not sure who else has had a Secondary diagnosis but it is literally a death sentence. It will get us in the end, but it could be sooner rather than later. Not a cheering prospect. It does make you re-evaluate your life and put things in perspective. I never did suffer fools, but I have no time for anybody's s**t these days! I am sure you can all relate to that! I will be glad when chemo is over and I can start to pick up my work etc again and get back to some kind of normal. I sure won't be ringing any bells though. For me this will never be over until it finishes me off. Just being realistic. It helps to get things in perspective! And get my house in order! Take care everyone. Jane.x
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