I have a routine check up due next month, and was just looking for a bit of advice on how to deal with it. I had surgery, chemo,rads and have now been on tamoxifen for fifteen months. My problem is that at each follow up appointment, I always seem to answer "I'm fine", to all the questions the oncologist asks, when what I really want to say is,"Actually the hot flushes, sleeplessness, breast pain and pretty much any other menopausal symptom you care to mention do get me down, and if I could give up the Tamoxifen tomorrow I would". I think I feel duty bound to put on a brave face and underplay my symptoms because a) I don't want the Onc, (he is nice, but unfailingly upbeat, to the point of appearing a bit casual), to think I can't cope and write "worrier" in my notes, and b) because my partner is there and I don't want to upset him. I've tried writing down my questions/concerns and taking the bit of paper into the appointment, but somehow the discussion gets sidetracked. The clinic is always running at least an hour late and I think I'm taking up too much time and leave feeling I've got nowhere. In all other areas of my life I'm pretty confident and assertive, so any advice to help me get a better outcome from my next appointment would be great.
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