When to quit or push on?
Hi all,
I'm 82 days out of Double Masectomy with TE's and felt great until about 3 weeks ago. It also coincided with going back to work. I started feeling super depressed and having lots of joint pain and fatigue. I thought it was work but after seeing my oncologist when it got so bad they told me it was the arimidex.
They took me off it for a month to regroup and then were going to start it again in Oct with tweaks ( whatever that means )
In the meantime I honestly don't think I can work. I'm a wreck and just can't function. My therapist says its trauma and were working on it, but I'm also scared about going back on the drugs and the exchange Nov 4th and the ensuing recovery.
I have the option of taking the next 8-10 weeks off and am eligible for disability still. I just don't know what to do.
I'm scared to not work and scared to work.
I'd love to hear some of your experiences. I honestly can't make a decision and its causing stress! It's not like me.
Comments
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It's a tough call to decide to leave work or not. I hear you on that. I guess the question I have is this: if you were to continue to take time off of work, how would you be spending your days? Will you be filling them with things that bring you healing and closer to health or will you fall deeper into depression with nothing to occupy your time? I ended up leaving my job just to focus on treatment for the next 6 months or so. I was, like you said, scared to work and scared not to work. I made a deal with myself that I would do all that I could to make my time off of work a time of healing. I've joined the cancer support community, I've gone to a few yoga classes when I'm feeling good, I meet with friends for lunch, etc. I was out for three weeks after my lumpectomy, returned to work for about two months and then I left again 3 weeks ago to start chemo. So far I've had a few down days but I force myself to live up to that promise I made to myself and keep as active as possible. On those days when I'm not well enough to be active outdoors I'm taking some free online courses at Coursera, binge watching TV series on Netflix, reading the Game of Thrones series, working on knitting projects, started journaling - anything that nourishes, entertains and heals me. I hope I can sustain it for the next 5 months and hold on to that commitment I made to myself. Maybe you can work with your therapist to develop a "healing plan" of sorts. This will make it easier to transition back onto the hormone therapy as well. Good luck to you, erinm.
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I think most of us, at one time or another, go through a really "down" time when the tears just flow. It happened to me 4 months after mast. First time in my life when I just couldn't handle a situation and the fear that comes with diagnosis. Finally reached out and Onc. and she set me up with a therapist.
The doctor said this happens to 99% of women with breast cancer diagnosis. When we are first diagnosed, we spend a lot of energy and emotions being strong for everyone else....because that's just what females do. It's in our nature to take care of everyone and everything, but sooner or later, we will have a melt down. Don't beat yourself up. Take care of yourself in all ways and you will get stronger. It only took me a couple sessions. Really, what I mostly needed, is validation that what I was feeling....the fears, frustration, fatigue ...is completely normal. I still have moments when it hits me and I think that will continue for a long time, but all in all,I am able to work through them so I can function.
Good luck to you and please reach out to the boards anytime you need to. We are here for you. -
Erin - So sorry you a going through such a hard time. About two months after my mx, I had a complete emotional breakdown. I had NO idea what was going on. Only later did I find out that many many women suffer from PTSD after active treatment. My dark period coincided with me beginning tamoxifen and I blamed every thing on the drug. Counseling, meds and time pulled me out of the dark well. About a year later I tried tamoxifen again and this time I had few side effects.
There is an article on the main pages of BCO that says 23% of women have symptoms of PTSD early on. I'd link it, but don't know how on my iPad.
My PCP is convinced that there is something going on hormonally for women who have mx. He believes the loss of the breast tissue triggers something in the brain. Who knows? I am so very glad you have a therapist.
Honestly I think if I had been working full time it may have been a good thing. It would have given me something to do instead of sitting around dwelling on BC. Also, since my main job now is taking care of our 15 acres, I was even more depressed during the recon because I couldn't get out and do the physical things I was used to doing.
Be easy on yourself. You've been through a lot. Try to separate what is going on with the Arimidex from other stress related symptoms, even if you have to delay it a tad bit.
My counselor would always say "You know how long it is going to take for you to feel better?As long as it takes!". Hugs -
You're all so encouraging. Thank you.
I think I'll talk to my counselor on Weds and see if she and I can come up with a plan.
I really I don't want to work if I continue to feel like this.
PTSD sounds right, my therapist called it trauma. I denied it at first, but now I'm not so sure.
Thank you again, I just may sleep tonight:) -
I've been able to take time off through all of my treatments. At first, I had a hard time with it, it felt like a weakness to not be able to just 'tough it out'. In retrospect, time off to recollect, to heal, to grieve, and to have a bit of privacy and down time as I've been on this journey has been so beneficial, and essential. I am so very blessed to have been in a position where I could get disability through my job, and still maintain my health insurance. It's been financially scary, and I've had weeks where I thought working would be better, but I think if I were working I'd be using it as a distraction for the emotions and I'd have ignored fatigue and probably pushed myself too hard and had a melt down in a few months and wonder why I felt so imbalanced.
Instead I reached out to a naturopath, and focused on complementary healing practices. I started reading, writing, meditating, preparing healthy meals when I felt well, went for walks, cried for days, crafted, watched TV, caught up with friends, sent thank you cards that I crafted to friends and family and coworkers who've helped us out, slept, recited daily affirmations, and learned a lot!
As I approach the end of radiation, and come to the next part of this journey with follow up tests, its time to know if I'm headed back to work in a few weeks, or back for more chemo...I'm really hoping for the back to work option! I'll be starting tamoxifen around the same time, and going back will probably feel overwhelming, but I feel more centered and ready to move on after having a fulfilling sabbatical to move through BC with rest, healing, and quiet solitude to be with and work through the big feelings. And having a therapist helped too. -
I was between jobs when diagnosed and have not attempted to resume work under these circumstances, and I think for me it's been a mixed bag. I am prone to depression and anxiety anyway and having a lot of time on my hands and not much to do - or much ability to do anything depending on treatment phase - seems to make the days go that much slower (MUCH slower). I feel that the cabin fever has made me even more out of sorts than would be the case otherwise. On the other hand I am not at all sure that I could contribute much - or be counted on to deliver things at critical times - at work and there have been plenty of days when even getting there and back would have been too much. Is it a stressful job? How supportive or understanding do you think people there will be (or are capable of being - if they have not been through something similar)? I agree with others that arts and crafts, activities etc. are a good idea if you decide to continue time off. Sending hugs and best wishes for your healing.
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Erin, I'm wondering if in addition to everything you have mentioned, that you might be depressed. You have been through a lot and you just may need time to heal and recover. Yes, you are in trauma, but if you have underlying depression that is not addressed, it will be very hard to go forward. Many women on this board have, at some time during treatment, found a great deal of help with meds for depression. If it is depression, meds can get you out of the place where its so painful. I know things will get better and I am thinking good thoughts for you.
Liz
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No doubt I'm depressed cowgirl. I'm prone to depression and am already on an antidepressant. So I know it's a combo.
This is just hard because I can't pinpoint the major factor - hoping my therapist helps me tomorrow to decide -
Hang in there Erin! Do what works for you and do not feel guilty - I had double mx in May & going thru chemo now, I chose to take leave of abscence, it was too hard for me to keep it together at work & weekly chemo & my husband & son - I look at it as a time to re-charge & heal - sending you hugs!!!
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Erin, how are you doing? I hope things are going a little more smoothly.
Liz
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Thank you for sharing this post. I have been on Tamoxifen for only 3 weeks now and absolutely hate it!! I'm a single mom of 3 kids and have been the strong rock everyone needs until now. I just want to cry for no reason at all, I'm tired all the time and depressed!!
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My Drs have all met up ( pyschiatrist, therapist, oncologist) and they agreed to take me off work to recover. They're meeting next week to decide how to get me back on the arimidex with less problems
In the meantime, I get to see my therapist twice a week ( I must be crazy!) and work on excersise, diet and sleep.
I have to keep a positive attitude that the next round of the meds is going to be better. -
Erin, so glad you checked in. I think its wonderful that everyone met...and that you get to see your therapist 2x week. As for being off work, there is no way I could have worked while going thru treatment. Your plan sounds Excellent!
Take care.
Liz
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I am about to have my 2nd chemo tomorrow & have extremely high anxiety. Seems we go about our new normal life then BAM! Another appointment, which seems to be a trigger for me. It brings everything to the forfront. Makes it REALLY hard to deal with. I want to run away, not deal with this crap anymore, hide in a corner, go to sleep til it is over with. I just don't know if I want to continue with the chemo. I will be half done tomorrow, keep telling myself I can do it, but have doubts. Just need a hug & some reassurrance.
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omg I'm in the same boat but with taxotere after my bilateral mastectomy it was 4 weeks that i started my first dose and it was awful. I lost all energy completely and sadly i ended up in the ER because i came down with a fever and a throat infection. Now I'm stuck here and they want to bring up my white blood count. Today they poked me 3 times and they couldn't find no good vein. Im struggling to fight the infection and now gave me those neopogen shots to build up the white blood cells and that also has its own side effects. Why would i want 3 more rounds of chemo. Surgery is done. Pathologist report came back with no more cancer cells. So why push my body.?? -
You are half way done - keep going, as hard as it is, because down the road, your options for treatment diminish. We all hope that the cancer is gone after surgery - but the reality is...stray cancer cells can travel to distant areas setting you up for reoccurance....even if you had clean margins, no lymph node involvement or a mastectomy - it can travel through the blood stream. Once cancer metastasizes, you become stage 4 and it's a whole other ballgame. Throw everything you can at this beast in the beginning when you have more treatment options. I know women who decided against the recommended chemo and rads only to regret it when diagnosed with mets.
Annie -
Thanks Annie. My slump is only on the day before my tx . I am 1/2 way through it now. I don't think the weather helps. It has been 4 days of dark cloudy weather. Nice outside, just dark & dreary. It helps to have a place to write all the emotions out. Thanks again. -
70charger,
Hang in there! I'm 7 weeks pfc and believe it or not, I'm feeling almost "normal" again. More energy, happier moods - and trust me I have my doom and gloom days too! I remember telling friends that I'd finish chemo even if I had to crawl across the finish line. It was a tough go but it does finally end and you get to ring that bell! I can finally see the light at the end of the tunnel now that I'm half way through radiation. Please feel free and open to let your emotions out here on the boards anytime - that's what we are here for - to have each others backs and to offer cyber hugs.
Annie -
Thanks Annie. When does a person get their taste buds back?. I am making a list of places I want to go eat at for when I get them back. REALLY miss the taste of a good meal.
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