Starting chemo January 2009?
Comments
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carlajane
Good luck to you! We can do this!!!!
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i was diagnosed halloween with invasive lobular carcinoma...had bilateral masectomy two days before thanksgiving...begin treatment january 14...had tissue expanders along withmasectomy...they have gone well...my tumor was 1.4cm on the mammo. but ended up being 3.4cm after surgery...my oncologist has recommended 4xAC 3 weeks apart followed with femara for 5 yrs...there has been no mention of taxol or taxotere...i am post menopausal but it seems many here are followed with the T drug first...i'm kind of second guessing my doctor now even though i looked long and hard to find him...he comes highly recommended and is located at a very good treatment center...my tumor was ER+PR+Her2-...
i've read the threads on getting ready for chemo but am very scared...i just moved to a new town months before i was diagnosed...live 20 miles from the nearest pharmacy and grocery store...60 miles from my hospital...most of my friends are far away...i'm a divorced mom with an 18 yr. old daughter at home...
i need advice to prepare...
will i need someone in my home with me?
what are the major side effects and how can i get a handle on them early?
do anti nausea meds need to start before the first chemo?
i tried on wigs yesterday and came home with none!
where is the best place to order headwear?
i'm sure i'll have tons more questions...right now my biggest problem is living in the country and feeling very isolated....thanks!
how do you get your diagnosis/tumor info to appear at the bottom of each post?
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Carlajane,
I was the similar. I just moved to Jacksonville FL when I was diagnosed. I didn't know anybody; the new subdivision has no houses yet, no neighbors, my husband and my family far away. I have 3 boys; 15, 9, and 6, but they didn't yet have friends; and so I didn't have support close by, and that was one of my biggest worries. I didn't have the courage to ask for help from somebody that I hardly knew or just met! Although now I'm thinking I should have... Anyways, I hired help. I have someone come in everyday to help me and that way she can check on me, too; and take me to the doctor if necessary. I have also contacted and asked some people that live close by to be an emergency contact. Hope this helps! Mimi
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thx for the good advice...i'm just learning my way around these boards...am sure i'll be spending much time here...hope to hear from those who are just beginning AC as i am and those who are ahead of me so i'll know what to expect...
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Hi Everyone!!!
thank you soooo much for your replys................its seems as a overall group we all seem to be doing quite well??!!
Auriga: I would question the neulsta shot.............make sure you get a second a opion I was on the 3 week off and i had to have it, my oc seems to think there was no other way.
Sorry if i did not write down names to reply to everyone, I am 7 days out of surgey and can lift my arm over my head do you think that is because I did not do recon??
I was never told not to lift anything and I have already be given th permission to drive.
Lisa my head did inch a lot when my hair fell out!! but not any pain, and a note to everyne...........you can read way to much and make your self crazy........you need to hope that your doctor has kept up with the lastest on this thing and just go with that.
My husband was bringing home 100's of pages from the internet and half of what was told to me never can true...................
Thank you to all who spet time writing me back I should be on latter. I see my chemo doctor on Friday will let you know what she says!!!! Thanks again Pamela
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Hi There, your diaganosis is similar to mine, my doctor did chemo first to shrink the tumor, in fact it made it disappear all together...................make sure they give you Emends for nausus it is very new but very good, Be careful about reading to much, I read so much and was scared to death........I was lucky I did not have one side effect!!! Drink lots of water the night before and the next two days.
My first chemo I just sat in the chair for 3 hours and cryed...............we are allowed to do that.
to put your diags go to your home page and it will say change profile, click that and re enter your data. You sound so much like me in October, I really had no one to help.
I did not miss one day of work my appt was on Monday I worked from 6am-100, then went to my appt till around 400 drove myself home. went to work the next day went to get the neustra shot, the ac worked so well I did no have to do my third treatment.
Take a deep breath make yourself a cup of tea,................if you are not ususally a very sick person, then I don't think that this will make you sick, I have only been out 3 times in 12 years and those 3 wa because I was pissed at a boss!!!
If you would like to take together hit your email bottom and it will be just like us emailing alone.
My first person in October did that for me and we still talk she has been a rock for me,I wish you the best and hope to talk to you soon. Pamela
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Carlajane
We are so glad you found us here! This is a great site -- take the time to read the thread for those stating chemo in Dec (or Nov or Sept) -- there is a ton of info there. We all have the same questions and concerns and fears -- you can bet someone else has asked your question (more than once)!!
I am also divorced and live alone -- you shouldn't need anyone in the house.
There is a wide range of se's -- some poor folks really get hit with all of them--fatigue, nausea, diarrhea or constipation, sores in the mouth, loss of taste, bone pain -- some of us are blessed and have virtually no se's. The one se that almost ALL of us is certain of is that we are destined to lose our hair. And there is a specific thread on that issue as well. Many of us are working right through the treatment (except chemo day); some simply cannot. There are positives to living along -- when you are tired, you can simply go to bed. You don't have to cook or clean, etc....
They will include antinausea meds in your chemo; just be sure to get and fill a prescription from your onc to have at home and take it if you feel the least bit nauseated. You won't need to take it in advance. If you are very stressed, ask him for something to help you relax (and take it!) like Ativan. At the top of this topic is a great post on preparing a chemo bag to take for your first tx.
Good sources for headwear online: TLC, Chemosavvy, CJHats. If you shop at local stores, just remember that the hat has to come down further in the back and the sides in order to cover where you don't have hair. TLC has bangs that you can get to wear under your scarf or hat when you don't want to wear a wig.
For a good fit, you may want to find someone locally for your wig rather than order online (call the American Cancer Society) who will do a custom fit for your wig. Also ask them when you can attend a LookGood Feel Better session in your area -- free class, free makeup kit, wig/scarf tip.
Altho you are some distance from your treatment facility, you might inquire from them (or ACS) about Breast Cancer Support Group meetings -- generally once a month. Great way to meet others and share experiences and recommendations -- usually have a speaker on a petinent topic of interest.
Good luck, post often, read more often! Ask questions!!
Bren
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thanks to all of you for the great advice...one of my biggest questions is why my doctor is doing AC without the T...it seems most of you do the TC or AC followed by T...don't want to start second guessing him...i understand the heart risks of the "A" but am wondering if there are different side effects between the AC treatment and TC treatment...
thanks fitchik for the wig advice...i'm going back tomorrow with a friend and hope to come home with something...maybe a new color...
i'm going to check out the other threads you've all suggested and keep telling myself this is doable...doable...doable...
CJ
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mar666- your story sounds like mine. My onc is giving me a mid-range dose of TC. I am on Day 5 after first treatment. Day 1 - I was hyped on steroids - only SE was heartburn which pepcid took care of. Day 2 - a little tired, no nausea - ate reasonably well - exercised. Day 3 - fatigue and nausea --- like bad flu. no appetite, funny taste in my mouth. Day 4 - repeat of day 3, but better toward evening. Day 5 - feel good- worked full day - mouth still feels weird and nausea is mild, but tolerable. drinking and eating but no real appetite.
I took Zofran 8mg every 8 hours starting Day 1. I also took Colace for constipation next time I'll start that a couple days beforehand (assuming I return to "normal") I also took Ativan0.5 mg Day 1 through 4 at night - I slept well. It works as an anti-nausea/anti-anxiety med. I think next time I will use that during the daytime of Day 3&4....maybe next time will be different, but as I felt lousy, I imagined what would happen next "how bad will this get?" and imagining all kinds of things that haven't happened...I think the ativan would have eased that.
Remember to drink lots and lots of fluids on Day 1 and 2. -- it was harder to do that on Day 3 and 4. Day 5 is OK again.
re: neulasta. My onc believes at my dose, I will be fine without it. I plan to push the protein to help my body re-build blood cells.
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Pam - I think the masactomy without the recon makes a big difference. My PS wanted me to be very careful because she did not want the expander getting moved out of position. I would guess that having the muscle stretched over the expander (mine was partially inflated immediately) also makes things stiffer and a bit more painful.
Carlajane - I would try to reach out to a few new neighbors. Your "crisis" will make it easier for them to reach back to you and you may set up the foundation for some long term friendships. I am new to my neighborhood (though still very near old friends) and at least one of my new neighbors who I shared my new with has been wonderful. She bought over a full dinner while I was recovering from surgury, invited us to dinner when I was feeling better, recommended the doctor her mother used and calls at least every other week to check in on me. I told another neighbor who introduced me to a neighbor who is just recovering from BC and she was the first live survivior I spoke to. She herself is a doctor and helped me out when the nurse at the hospital forgot to remove to remove the needle port thing from my arm so it was still in when I was home, as well as bring over a few dinners. It is a wonderful thing to realize that people are so giving and kind. It also makes you feel safer knowing your neighbors know and care. Think about whether you would want your neighbors to hesitate to turn to you for help in a similiar situation? Would you think they were imposing or would you be happy to have a chance to help and maybe improve your own Karma? I am glad you have your daughter living with you as she can be a big help and support but I have read that you need to be careful not to put too much adult responsiblity on teens dealing with this situation. Enough to make them feel useful but not so much that they are asked to be pseudo adults.
I now have an appointment to do a family photo shoot on Sunday and will do my last nice haircut on Thursday in prep for that. I will talk to them about giving me a break on a short hair cut in a week or two given my circumstances if they say no I may just go to a cheapo place because I don't want to sink $50 into a hair cut that I will have for maybe three weeks before it all falls out. I am also going to ask my stylist if she would concider comeing with me to pick out my wig when the samples come in. A friend suggested that.
I am still waiting for a call back from my Onc office on what the next step is. It has been a week but last week was a bit strange with snow storms and New Years. tomorrow I get my last fill and start a new support group. I hope bad weather does cause me to cancel, the roads are supposed to be bad.
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Hi all:
Carlajane--I hope you will find as much support from these boards as I have. I have had one round of AC, and I felt fine the day after, but had pain from the Neulasta shot on day 3. Definitely ask your onc about his recommendation. I'm worried about how the 2nd tx will affect me, but my nurse said that how I felt after the first is a good indication of my future SEs (although I've read otherwise on these boards!!). I am following the AC with T, but my dx is different from yours.
Got my hair cut short today in anticipation of it beginning to fall out next week. Not my style but it doesn't really matter since it will all be gone soon. Enjoyed a long walk by myself (1st time!), and it was so nice. Still mulling over returning to work...
HUGS to all, and best wishes to all starting tx this week. We're going to make it!
Kim
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Renrel--just saw your post. Re haircuts, ask your social worker at the hospital if she knows of any salons that provide free haircuts to cancer patients. I just got one today at a local very upscale place, which offers 3 freebies to cancer patients at any point before or after chemo. Good luck with your next step.
Well, teenage daughter wants on the computer...the least I can do...
kim
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Hello Ladies: I signed on thinking a January Chemo thread was needed and it was already here. Thanks Lisa. Had my surgery on Dec. 4th. Was waiting on Onocotype test results and hoping right to the end that it would relieve me of the chemo treatments, but no such luck. My oncotype test score came back at a 47! Dr. said he is going to throw the full load at me. I will start Thursday (January 8th) and will get Adriamcin/Cytoxanl every two weeks for 4 treatments and then Taxotere every 3 weeks for 4 treatments. Will have chemo then radiation and hormone therapy for five years.
I will not be having a port put in. My dr. thinks my veins are going to work. Hope he is right. Guess the worse that can happen is I'll need a port later on down the road if necessary.
Went and got my hair cur real short tonight! My doctor said I WILL lose hair so I decided to go short first and tham maybe it would not be such a shock to me and other that know me. Not to mention I've done a lot of reading which has said just easier to deal with hair falling out if it is short. Will be interesting when I show up at school tomorrow with new hairdo.
I am a preschool teacher and I hope to continue to work through treatment but don't want to scare the kids with my bald head so I will probably get a wig but have heard they are not real comfortable. Well--my motto--One day at a time! Got the hair cut today and will worry about being bald when the time comes.
Sorry for all of us that have to be here, but glad to have others to share the journey. Hope you are all feeling well TODAY. Will get back on to report on my first treatment soon.
Patti
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I don't remember where I left off with my last post. My underhair arrived late yesterday and the cap part was too tight and the hair was too blonde. So, I returned it today to be made bigger and darker blonde. So, for now, I'm living in knit hats. A very sweet friend of mine came over today bearing gifts...yet another knit hat and a beautiful silk scarf. I immediately put on the scarf and loved it. Though cotton may be less slippery and less apt to move!?!?!
I also met one of our Jewels today. Martha and I met and went for a 4 mile walk by the beach. It was so great to compare stories and learn from one another!
I'm starting to lose more hair and I'm glad its short. Also losing lots of hair down south. A friend emailed me and said that's all the rage with the teenage girl set. wow! who knew we were all so trendy!?!?
Lisa
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Hi all, and hugs to all!
I'm scheduled to have my port put in this friday morning. I also just found out (yesterday) that I'll need radiation after chemo. Sigh. I'm now trying to decide between TAC, a study that''ll give me either TAC or just TC, and something called dose dense, that would give me AC every two weeks for four weeks, and then taxol every two weeks for four weeks. I don't know how to decide ... any suggestions? Thanks!
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Hi GryffinSong,
I was given the choice of that same study (TAC or TC). My oncologist gave me the choice, but the more she told me about "A", the more I didn't want it. I chose to go with TC. I'm doing 4-6 rounds....the more the better, but if I have bad SE's, I'll only do 4 rounds. My 1st cycle went well.
I will also have radiation.
My receptors are the same as yours. I had 6/17 nodes....so our stats have some similarities. Best of luck with your decision!
Lisa
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Patti and GyrffinSong: Glad you found the January Jewels, but sorry at the same time, ya know? LadyJane, I'm thinking of making a surprise visit to my 3 classes of students on Thurs or Frid, so they can see my new do (and how to tell 1st, 2nd, 3rd graders you're going to lose the hair?). We have the same treatment plan, but I'm doing the Avastin trial. Good luck Thurs.
Gryffin--good luck deciding. Deciding on participating in a study is so hard. I'm really nervous about mine, but feel that there might be great benefit, and my onc. recommended it. However, there are SEs I'm worried about, but on the plus side they will be monitoring me very closely. Whenever I asked about the serious SEs, the onc and trial coordinator said they're extremely rare, and I'd be fine. I told them if they thought I could handle it I'd do it..hope that's not blind faith.
Lisa: Wow--4 miles. Go girl! I need to get some scarfs--but have to figure out how to tie them. I'll have to ask my teenage daughters about the current down south look...
Good night all, and Hugs.
kim
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Can I reluctantly join the club? I'm out here in Oahu. I start 4 rounds of Cytoxan and Taxotere on Jan 21! Whohooo! Is that what you all referr to as TC? Sorry newbie!
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Hi Alo123,
Welcome to the club. I'm on Oahu too. Will start my chemo on Thursday. I will have 4 treatments of AC - doxorubicin (adriamycin) and cyclophoshamide every 2 weeks. Then 12 weekly Paclitaxel. I'm nervous about starting but also very anxious to get started. I'm having chemo therapy before surgery to shrink the tumor. My onc and BS firmly believe this is the way to go.
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Sorry your here with me....on the positive side I don't think our heads will be cold....that'a the brightest thing I can say about the whole thing. By the way...the surgery was not as bad as I had anticipated....I am hoping the same for the chemo!
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i can't remember... can i take my fish oils (EPA-DHA) pills during chemo? I think they said no to milk thistle, but fish oil was recommended right? starting chemo tomorrow....
a
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Hello all. I talked with the school social worker and she and I will talk to my students about my situation. All in all it depends how my ses go interms of whether or not I work. The first tx will tell. The doc still hasn't told me dates. i wait till thursday this week to find out the deal. Waiting seems to take forever.
Principess--I will be thinking of you tomorrow.
Hugs to gryffinsong and patti and alo123.
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Carlajane,
I am with Renrel on this, too. I didn't know anybody in this area and felt very alone and scared, too. But when my husband told our son's gymnastics coach that our son won't be able to attend this weekends' meet due to his traveling out of state and my situation, one of the gymnastics mom called me up today and told me that she had breast cancer two years ago, too! She said she will support me 100%, she offered to take my son to the meet, she is giving him a ride to and from gymnastics every week, she is giving me advice on how to get through chemo, teaching me how to make protein drinks, etc. etc., and she lives close by! You never know where help lies! Also, my husband called up our real estate agent that we knew lived close by to ask him if he would be our emergency contact during his absence. Turns out that he went through cancer, too, and he and his wife is offering to help! I am getting support from two wonderful families that I hardly know! I feel so much safer now. I am kicking myself for not asking sooner. So reach out for help! Mimi
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I spoke to my Onc's nurse today and I am now an official patient of Dr. Erban at Mass General. I will start treatment with 4-6 sessions of TC January 21st, which allows me to travel the weekend before for my dad's 75th b-day. Next week I have to get a bone scan and a cat scan. What are those like? I am scared of finding something but assume the tests themselves are not painful. Am I wrong? The nurse explained that Dr. Erban is very confident that TC is a more effective treatment than AC based on the trial of 4x of one vs 4x of the other. Since the trial of 6x is not complete yet he will do 6x if I am handling the treatments well. I will have my teaching class the same day as the first session. She will call in my presciptions and send me info on taking the Decodron? before the treatment. It is a relief to know what I am doing but scary too. I am feeling very tired.
My support group was canceled today, I assume due to weather.
I had my last fill today and my next surgury will be about 8 weeks post chemo. My PS recommened that if I get a port that I urge them to put in in my arm or abdomin because she says I tend to scar badly and she will not be able to make the scar look any better. I already have a scar on my breast from a surgury when I was an adolesent and of course there are those lovely masectomy scars, but those will change after the final surgury and the nipple creation, assuming I do the whole thing. The PS is every happy with how I look so far.
I got a call from by boss today. Human Resources needs some more paper work to cover my current absense since my leave expired December 24th. I have to figure out what I want to do. I have 4.5 weeks of sick leave left and then vacation time. I want to work some part time hours so that I don't go through all my leave time. Probably I will work mornings and have a friend pick up DS from school and take him home so I can have a few hours each afternoon to sleep, post here or cry, whatever I need.
Berkleykim - Thanks for the suggestion on hair cuts.
Ladyjane - remember how accepting preschooler tend to be. I think if you just explain in terms they understand what is happening and act like it is normal they will accept it. They have a much more broad idea of beauty then us adults. Of course I am all nervous about how my 5 yr old will react to my bald head, so think as I type not as I do.
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Hi all: Got my hair cut real short last night and when I went to school today as Renrel wrote the kids werer like new hair....on with their own business. I do think the majority of them will not even question the loss of hair. One thing I read on here was to not say the medicine I am taking for my sickness caused it!! I thought that was good advice can you imagine the problems that could create in getting them to take their medicine.
Tomorrow is the big day for me. I am working in the a.m. and due to start chemo at 2 p.m. I am so grateful to have my job and my students to distract me until the time comes.
Got to go make some dinner for the kiddos. I think it may be a late night for me so I'll probably be back. If not I'll let you all know how it goes tomorrow.
Patti
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hi y'all -
finally got a date to start chemo: a week from today, jan 14. will be having AC every two weeks for four cycles, then Taxol every two weeks for four cycles. will be having the neulasta shot the day after each chemo infusion. then two months of radiation, then six months of zometa. it's going to be a long year!
thanks for sharing, everybody. it really helps to know what to expect.
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Hi all:
Miss Andrea--I just saw my accupuncturist, who is also trained as an oncologist, and she said fish oil is fine. But now I can't remember how much...
Jess--good luck with work. I've been calling around to get the accommodations form, and think with plenty (like no yard duty, cafeteria duty, more breaks, maybe limited day length), I can do it.Pretty much all the medical people say take time off, but I want to try (and I just put in for my student teaching--which I might delay til next year before my cred. expires--I'm feeling pretty crazed by it all).
Renrel--I had a PET/CT, and I took an Lorazepam before. I had to sit in a chair for 1 hour quietly waiting for the radioactive sugar to go through my body. Didn't do the other scans (I guess the PET covers all bases). PET/CT is more of a donut--unlike the MRI tube, so you're not completely enclosed. Didnt' hurt al all.
Patti and ddlatt--good luck with starting chemo! I'm having my second AC the day after your first, ddlatt. Hope it goes ok again.
My short hair looks better today than after the stylist spiked it out, and I went out and bought some material remnants thinking I might be able to figure out how to sew a scarf..We'll see! I might just need to go with the "turn a t-shirt into a turban" that I learned from the Looking Good Feeling Better people.
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Renrel- My onc sent me the research results on the ACx4 vs TCx4 study. When my Oncotype came back a 29, he said he would recommend TCx6. I was surprized that it went from 4 to 6 cycles; he then referred to the study that is using 6 cycles. I haven't been able to locate any info on that study - do you have a reference? Of course, I can ask him too, but I like to have my homework done before my appt.
And - I'm on Day 6 after first TC cycle - worked all day, did the stationery bike x30 min and ate two full meals today --- feel almost human again. Ativan 0,5mg really helped with the anxiety and sleeplessnes around this first cycle.
Welcome to everyone - sorry we all are here - but we are in great company. Reading here and thinking I'd like to take a 4 mile walk on a beach in Hawaii..... it's a great visualization if I can't actually do it. Could walk along the frozen shore of Lake Superior, but it just wouldn't be the same....at least not til July
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Kathy
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Kathy,
<:AtomicElement>Are you from Michigan? Yeah, Lake Superior in July is wonderful
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Hi there...well, I had to go to the ER last night because I was running a fever of 101. My onc said the only way they could make sure I didn't have some icky infection was to go and get a bunch of blood work done. Turns out I have a regular old virus!!! Sore ear, sore throat, etc. They couldn't tell if it was a virus or from the Neulasta though because every joint in my body also hurt!!!! Not the best of nights. They ended up giving me a bag of anti-biotics and sending me home. My Onc wants me to hang tight at home for at least tomorrow before I try to go back to work again. (I went in on Monday). He wants me to have at least 24 hours without any fever.
My boss called tonight to check on me too. She said as much as she misses me...she DOES NOT want me coming back until my system can handle the cest pool of germs that float around our workplace. :-) I've got short term disabilitly to cover me if I'm one of the rare cases that catches everything.
My husband just doesn't know what to do with me right now. It's been hard enough accepting that I had cancer and having a double mast., but now to be sick on top of the chemo...I think he's starting to loose it. I wonder if there's a support group for husbands?
Take care!
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