Hi, I was diagnosed as stage 4 in January 2014 and at that time had a very busy role involving global travel. I have extensive mets in all long bones, both shoulders and hips and spine. I went back to work full time but with reduced (almost no) travel. My firm have been great allowing me to take time off for treatments etc. i take Wednesday afternoon off each third week for chemo (Herceptin, pertusamab, zoladtonuc acid) and 3 monthly heart and CT scans. The two biggest issues fir me are bone pain and fatigue. I'm using paracetamol, codeine and oramorph to control the pain, I try not to take too much because it makes the fatigue worse. when I developed really bad left hip pain my oncologist arranged for me to have a single shot of radiotherapy and that really helped. In terms of the fatigue, I do nit have it under control at all, and sometimes find myself just sitting and being too exhausted to walk to the kitchen to get water. Like you, I don't want to stop work but some days it's a really bug mountain just to climb out of bed. On those days, I try not to do anything That isn't necessary. hoping you don't get hit by the fatigue and my advice is to get pain medication that works for you Liz x
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