Hi Everyone. Odd title to this post but couldn't reply individually, so all
sorts of things below. Some are for stage iv BC and some for BC 2.
Back in 1996 I had a mammogram (I endearingly call it the crusher) in the
February ~ all clear. 3-4 weeks later I felt a knotty lump something the size of
the top of a thumb, rushed to the doctors and told him I had cancer. Calm down
was his reply not all lumps are cancer etc. etc.(haven't we all heard that one
before?) however, he could feel it, not my imagination, he faxed the surgeon and
I saw him a few days later. FNA biopsy and another 'crusher' ordered for the
following week. FNA came back positive, 'crusher' all clear, again ~ ordered an
ultrasound and it was on there, clear as a bell. If I had not been doing self
examining I might have been another year before the next crusher invitation. All
you ladies who are getting MRIs be grateful that medicine has moved on since my
original diagnosis. The tumour was 2 cm but I didn't get any staging or grading.
Later when the cancer spread to the bones I was told ER+ No lymph involvement
I have read a lot about your thoughts on Tamoxifen and the AIs; Femara,
Aromasin, Arimidex and probably Faslodex (the lady who is about to go on monthly
injections)
I see a number of you are having aches and pains with Arimidex. Here in UK
current guidelines are 5 years Tamoxifen then change to Arimidex because by 5
years Tamoxifen is coming to the end of it's effectiveness. Femara is about to
replace Arimidex so I understand.
Because I have mets to the bone (since 2001) I have had no option but to take
these drugs.
Tamoxifen definitely upset my vision, I had my spectacles changed every 8
months whilst on it, saw the oculist at the hospital who denied Tamoxifen can
damage the eyes, then one day I presented him with the pack insert which clearly
states eye problems. Well, he said it must be the Tamoxifen then! Less than a
year from coming off it, my sight improved. Yes, Drs are good at prescribing but
apparently not so good at reading the adverse events in the literature.
When I first had Tamoxifen I was premenopausal and bleed? did I bleed? Stood
in a shop one day and onto the floor. I was in work on the next occasion, a
prison here in UK, training inmates on health and safety and then stood up. It
poured, two inmates laughed, all of them came to look and in the end I was
entirely unprofessional and told them to 'get out' only that wasn't quite the
words I used but two words from their own database of language that they clearly
understood.
I had to come off it as I was so anaemic, I had bled non stop for 72 days. I
was offered nothing else and a few years later when I was post menopausal and
diagnosed with mets I was put on it again and of course no bleeding problems
but aching joints
Arimidex made just about every joint in my body hurt and so stiff, Aromasin
not quite every joint, Faslodex less, Femara even less.But I am now running out
of choices and will take anything to gain extra time.
I want to tell you about Faslodex. The base liquid is oil so when you inject
into the muscle it doesn't spread very well and I was left with a very painful
rear end, each month for 18 months. My nurse used alternate buttocks each time
but the build up was so bad I asked where else I could be injected and she asked
the makers (as I was on a clinical trial the drug has to be administered 'just
so') but she came back to me and said that I could have the shots in my thigh.
This was a great improvement and I guess it's because the leg muscles are used
so much they disperse the drug base. But my poor bottom end was so sore, hot,
red and lumpy for months even after coming off it. Eventually the cancer became
resistant to it and the disease progressed. If you have Faslodex (the pack
insert warns of injection site problems but makes them sound minimal) try a
thigh or two if you ever have it.
Mastectomies and back ache, YES.
In my own case my posture became rather poor, I became a bit hunched. I was
tight from the implants and could not get my back straight. My surgeon said it
happens quite often, we pull you about rather a lot on the theartre table and
the pectoralis muscle is over the implant so everything is bound to be rigid and
then there is the swelling on top of that. The physiotherapist told me to ease
my shoulders back 4 -5 times a day, (aswell as other arm exercises) accept my
posture for the moment and gradually increase the easing and hold for longer and
longer each day. After a month or so I was back to being reasonably straight.***
see end of para.
I didn't have my mastectomies until 3 years after the primary. By that time I
had found my mother and discovered all the family that had had breast cancer and
armed with this went back to the geneticist who advised prophylactic
mastectomies. 2 years after this I had a Latissimus dorsi flap to replace the
burn from the radiotherapy and pretty bad backache again. Interestingly though,
I had a leak from the saline implant about a year later and had to have it
removed and the back ache again. Because I was doing another degree at the time
and exams pending I didn't have a replacement (because longer time off from
univ) until 4 months later and.... no doubt you have guessed..... backache
returned. I think it is all to do with the rib muscles one triggering the next.
***I was diagnosed with cancer in the sternum, manubrium and collar bone so
never really got my shoulders back completely because it triggers pain.
To the lady who said she has dreadful backache and is wondering if it's a
return of the cancer, please get yourself a bone scan, MRI or whatever is the
best type for you. There is nothing like a scan to ease the mind. Alternatively,
or as well as, get someone to press firmly on each verebrae, then the muscles at
each side of them until you can locate the pain more precisely. Bone pain is
quite different to muscle pain and someone else pressing locates the source of
the pain better than yourself.
Just as a matter of interest I keep very careful notes of all visits to the
hospital and my family doctor. What I go with, what I ask, what is said, what I
am given, what I am advised, who I saw. I always take a list with me and spaced
so I can write down the answers. It takes a bit of time but write up notes in
the consultation, though some docs don''t like you doing it ... do I care?.. but
certainly when you come out because it's so difficult to remember by the time
you are home and if you are told something upsetting it throws you out
completely. Ideally take someone with you who can write down for you. Once I had
a doctor say to me, must you really write whilst I am speaking? I replied, must
you really keep answering the phone whilst I am consulting you? And we stared at
each other for some seconds neither speaking, then he continued as though he
hadn't asked. Funny old lot, some of these medics!!! (Funny old lot, some of
these patients .... well me anyway) I don't
put up with any nonsense from doctors, I don't treat them like Gods. I have in
my time met some of the rudest, once I went in and the doctor put a clock on the
front of the desk facing me and said you have 10 minutes, get on with it. So I
gave him my list and said read that and don't hang about, I have a train to
catch. I was out in 8 minutes and refused to say 'thank you doctor' He was
completely wrong,he diagnosed me with a frozen shoulder, no treatment and I
actually had Polymyalgic Rheumatica and needed treatment.
Finally I want to say to you all that I haven't been a member very long but
just adore these forums. I feel the warmth, the compassion and the love, you
are just wonderful caring and sharing people, if only we could all meet up, be
safe, be happy, be well, love from Velvet