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CMF Question

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Comments

  • SusanFL
    SusanFL Member Posts: 9
    edited September 2009

    As far as Decadron, it caused insomnia and spiked my blood sugar (I have diabetes), and may be responsible for some of my weight gain, although I was gaining slowly before the chemo.  Next week is tx #4 (out of 6) and I can't wait 'til it's over with.  I know I'm one of the lucky ones to be getting CMF, but does everyone else have to go to the doctor's office every week?  One week I go for chemo, the next labs, and the next the doctor to go over the labs; then chemo, labs, dr., etc., etc.  They check my blood before chemo, then again the following week, then the next week the doc goes over the labs.  Every week my labs look great, so I don't see the point in seeing the doc every third week. 

    I skipped my dr. appt. yesterday, and they called me first thing this morning.  I can't get away from them....LOL!  I talked them into letting me skip the dr. this week, but the chemo nurse will probably yell at me next week.

    I'm just getting so tired of it all.  And I still have 6 weeks of rads to do after this....cry!

  • mandy1313
    mandy1313 Member Posts: 978
    edited September 2009

    Samiam: I also gained alot of weight during chemo. I read somewhere that weight gains of from 10 to 20 kilos (22 to 44 pounds)  are not unusual....I gained close to 30 pounds!!!  So far I have managed to get 5 pounds off and I finished chemo in May. I think losing weight will be a long term project for me.

  • samiam40
    samiam40 Member Posts: 93
    edited September 2009

    ((Susan)) Heck NO, I did not go to the doctor every week, and would encourage you to tell your doctor at your next visit that it is a hardship and ask whether it is really necessary.   Every 3 weeks, I had an onco appt., then they would draw my labs, start the saline drip, and by the time they had that going, they had the lab results back and could start the chemo.  Then I didn't set foot in their office again for the next 3 weeks.  It sounds to me like your dr.'s office is a little excessive with the visits.  Any chance they get to collect a separate co-pay every time you walk in the door?

    ((Mandy)) I'm glad to hear I'm not the only one who gained a bunch of weight, but am sorry you have to go through the weight loss too.  Congrats on losing 5 lbs. That must feel like a great start!  Sadly, my scale is still creeping up. 

  • mandy1313
    mandy1313 Member Posts: 978
    edited September 2009

    Hey Susan!  Don't know who your onc is but every week seems like overkill.  I would get bloods the same day as my chemo...that was it.  Once when I was going to travel I asked them to draw bloods right before I went so that I was sure my counts were OK.  I went through 8 treatments of CMF and did not have any problems with my counts....

  • SusanFL
    SusanFL Member Posts: 9
    edited September 2009

    Thanks, samiam40 and Mandy1313.  I thought it was a bit overkill and I will tell them so when I go on Monday for chemo.  I'm not sure if I could see the onc the same day as chemo because he is extremely busy and I wait hours to see him.  BTW, they only charge me a copay every 3rd week when I see the doctor.  They also charged me a copay for labs one week, but when I mentioned this to the chemo nurse she took care of it and said I don't have to pay a copay for labs.  I didn't receive a credit, but I will bring that up, too. 

  • ritajean
    ritajean Member Posts: 4,042
    edited September 2009

    Hi gals!

    Susan, I'm with the other gals here.  I had blood drawn every three weeks before the chemo infusions and did not see my onc unless there was a problem with the bloodwork, which only occurred once.  I can't imagine having to go in every week.  Something doesn't seem quite right here.

    Samiam and Mandy, I also gained weight on the chemo and still am carrying much of it around.  I'm taking the Arimidex and think that it helps to retain weight.  Other gals who are finished with it have lost their weight shortly after getting off the drug.  I'm trying to limit my sugar intake and walk and that has helped some in the weight loss program.  It is so hard to get off. Congrats on the five pounds, Mandy.  I know we need to get this extra weight off so I'll keep trying!

    Rita

  • mandy1313
    mandy1313 Member Posts: 978
    edited September 2009

    Thanks Ritajean! I am determined to lose 1/2 the weight over the next year and the other 1/2 after that.   I am watching what I eat, have increased veggies, sprouts and reduced cheese, desserts,  and things like that.  I am not hungry on this diet which was actually suggested by a doctor (not for weight loss, but for health reasons).  I just feel so misterable with this extra weight and know it would be good for my health if I could get rid of it.

  • elisheva
    elisheva Member Posts: 38
    edited September 2009

    Hello y'all! I'm checking in to see how you are all doing. Interesting discussions here. Susan, like most everybody I am doing it all on the same visit once in 3 weeks: first Labs, then Dr. and then treatment. It seems excessive to have to see the Dr every week! Some people I know had their treatments with hardly ever seeing their Onc. About the Decadron: I have borderline diabetes, and they told me immediately they'll skip the Decadron, as it raises the blood sugar. I'm doing fine without it!

    Tomorrow is tx #5. I am not sorry for taking this treatment, although the Onc thought that readiation may be good enough, without any chemo, and left the decision to me. I also never heard that tumor grade is a consideration, but mine is 3 and oncotype 26, so I decided to do chemo. Unlike you gals I have not gained any weight. On the contrary, I tend to lose a bit unless I eat large meals. Lucky me!

    For those of you on Fosamax or Arimidex - don't these drugs cause some weight gain? So I heard. That is waiting in the wings.

    Good luck to all, Elisheva.

  • Annabella58
    Annabella58 Member Posts: 916
    edited September 2009

    Hello all, another opinion here....I had the option of doing both txtments, and i chose the CMF as I wanted to keep my hair.  In retrospect, pretty lightweight concern!!!

    I would do CMF again; less toxicity, good long term study on effects on major organs (favorable)

    and a doable if not, fun, regime.  A few crappy days and some weight gain (quite a bit) but you are able to have your life during the "chemo holiday"...those two weeks off. 

    Julie, I feel ya!!! Just had my onc 6 monther visit and had a nice BP reading of 158/89.  A little stress, much?  I just HATE them.  But this too, will pass.  I'lm sure when I take it again after I shake it all down and destress in a week or so, it'll be OK>

    I believe, actually, that now as I recall it, my onc said that I could go one way or the other with the txtmnts, and that it really was a matter of convenience in my case.  I understand the decision is usually made for A/C when it is a case of time being of the essence or an aggressive type vs. a "garden variety vanilla" type of cancer, which I had both times.  I could be totally wrong on this, but I think that is what I recall.

    SamIam: I was FREAKED by the weight gain.  I had not weighed that much since I was pregnant with my daughter and I'm talking the whole nine months.  Part of the problem is that you want to eat comfort foods, or at least I did.  That being said; it took 6 months to even budge anything at all, then all at once, 15 lbs. flew off.  Still working on the other 10.  All in good time, my dear.  Look at that beautiful face of yours, who would care?  You have plenty of time to get yourself back into a healthy place and the best start is with finishing chemo :):)!  Don't beat yourself up about it, it'll just go away with the smallest bit of encouragement.  They say to give it a year at least.

    xoxoxoxo to all

    annie

  • colleen1960
    colleen1960 Member Posts: 107
    edited September 2009

    Hello All:  I had my mammo today and it was fine!! I was so happy, after mammo I saw the surgeon and she said I did not need to see her until this time next year.  It was a very stressful day,but it ended with really good results.  I see onc. in Dec. and will schedule some more tests, but free from Drs. and tests for at least the next 3 mths.

    Regarding weight gain.  I can't stand it, but its like I have no will power.  I always feel hungry.  I really have to start and be more diligent.  Hope everyone is well.

    Good Night,

    Colleen

  • mandy1313
    mandy1313 Member Posts: 978
    edited September 2009

    Colleen:  That first mammo is a big first.....YAY to good results. I know what you mean since I had mine 2 weeks ago.  Go out and celebrate!!!!

    Elisheva: I wish I had lost weight on CMF.  I hardly ate at all and the pounds just went on.  So it clearly was the way my body reacted to the chemo.  And I'm not on either an aromitase inhibitor or tamoxifen so that does not explain anything about weight gain in my case. I did read that CMF can cause from 10 to 20 kilos (22 to 44 pounds) of weight gain as a side effect. But each of us is different and that is probably why you are not gaining.  But the good news is that I am now down 6 pounds!!!!!!  So only 24 to go!!!

    After spending the year on BC, today I am off to get a consult on an old shoulder injury which was painful all of last year but I just couldn't get to a doctor because the BC stuff took up so much time.  It is nice to do other things too.

    And Lisa (and anyone who knows California) ---I am going to visit my daughter in San Francisco. We are going to drive down to Big Sur and San Luis Obispo...if anyone has any suggestions about places to stay/eat/visit would love to hear your suggestions.  You can PM me since this is probably not a topic for the CMF thread.

    And once again, Colleen, a big WAHOOOOOOOOOOOOOOOOOOOOOOOOOOOO!!!!!

    Hugs

    Mandy 

  • Annabella58
    Annabella58 Member Posts: 916
    edited September 2009

    Colleen: WAHOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO

    GO GIRL!!

    xoxoxoxo

    (colleen, just eat. ) Go ahead,but try to make it sorbet, not ice cream, and go easy on the carbs.  You'll find if you stick a salad in there first of all, it will go away on it's own with a little exercise.

    How about that Mandy!  I did not lose an ounce for six months, and she's gotten 6 off already.

  • Harley44
    Harley44 Member Posts: 2,126
    edited September 2009

    hi ya'll...  sorry I've been AWOL for awhile...  I guess I've been wanting to go back to 'normal' for awhile... 

    HAPPY NEW YEAR, belated, to Mandy...  Thanks for the pep talk on the phone awhile back.  I really needed it!! 

    Rita,

    I am still trying to beat your score in CUBECRUSH...  can't seem to do it!!  Lately, I am addicted to Bejeweled, and of course, Mafia Wars...  someone hitlisted me a week or so ago for $16 MILLION!!!    :D   Did think I was worth that much $$

    Annie,   

    How are you doing?  Glad to read that everyone seems to be doing well. 

    Carol,

    How is the Femara going for you?  I am considering starting it, maybe in December.  Can hardly believe that it's been almost two years since I finished chemo and started Tamoxifen.  My onc wants me to switch to an AI, and we'll discuss it when I go back for my 6 month check up in Dec.

    Wow!  It's hard to believe that it is just about 2 1/2 months left til then... 

    There don't seem to be any bc walks in my area...  I think there may be one in Wilmington on Oct. 17th...  I'll have to go look it up....

    Take care....

    Sending lots of HUGS to ALL!!!  

    Love ya! <3<3<3

    Harley

  • elisheva
    elisheva Member Posts: 38
    edited September 2009

    Hi All,

    Last treatment (#5) for the first time I had to get a Neulasta shot for too-low white blood cells count. Dr. said this trend may continue. Got the shot on Saturday and so far no side effects. Feeling fine today too (Monday). Did any of you Gals have any experience with Neulasta?

    Hope you all are doing great. Stay well, Elisheva.

  • Harley44
    Harley44 Member Posts: 2,126
    edited September 2009

    Elisheva,

    I had terrible bone pain with Neupogen, which I got after my 1st tx...   so after the 2nd tx, I demanded Neulasta, and I had no trouble at all with the Neulasta...  however, my chemo nurse told me to take Claritin, regular Claritin, not Claritin D, for 3 days after my Neulasta shot.  It is supposed to help with any pain from the Neulasta.  Well, it helped me.  Sorry to be popping in too late, but it may help you in the future.

    HUGS

    Harley

  • ritajean
    ritajean Member Posts: 4,042
    edited September 2009

    Harley,  I've heard about taking the Claritin also before the Neulasta shots.  I guess I was lucky.  I had no problems with mine.  Hey, it's always good to hear from you!  It sounds like things are going well in your life right now......and that is super!  Keep in touch!  You've been missed.   As for the computer games, I've been off them for awhile now. I've had some lower back problems and I can't sit too long in one position or it all starts in again so I've basically kept up with my email, the boards and regular Facebook features! They are addictive though!

    Rita 

  • Harley44
    Harley44 Member Posts: 2,126
    edited September 2009

    Rita,

    It's nice to be missed...    I love ALL of you!  I'm so glad that I found you!!  When I start to feel down or depressed, I know that whatever I'm feeling, you've all been through it, and can understand.

    Sorry about your back pain...  I have some back pain, too, at times, but mine usually comes after I stand too long.  I may have mentioned that I started working at this little produce market nearby my house, and it is nice to be back out in the work force, I guess...  I just get the low back pain, from standing, so I only work a 1/2 day.

    Yes, the computer games ARE very addictive, and I think I will try to wean myself off them for awhile...

    I guess I'm doing alright...  Just kind of tired alot.  I spoke to my primary care dr. today and asked him about a drug that might help with the fatigue.  He wrote me a Rx for it, but now, the CVS tells me that my insurance needs to approve it before they can give it to me.   I guess maybe I am not supposed to take it... 

    So good to be back!!  

    Hope everyone is feeling great!! 

    HUGS to all!  I've missed you!!! 

    Harley

  • ritajean
    ritajean Member Posts: 4,042
    edited October 2009

    Just bumping up this thread so it's available for anyone who needs it.  I hope all of you are doing well!

  • samiam40
    samiam40 Member Posts: 93
    edited October 2009

    Hi everyone.  Sorry to hear about your back pain Rita.  I know you love to be active and I hope it resolves soon.  Harley, I'm curious what drug helps with fatigue.  Can you share the name.  I am definitely suffering from it these days--although I did get out finally to take a short walk the last couple days and it does seem to make a world of difference.   Hope all the CMF-ers are well!

  • PamsPromise
    PamsPromise Member Posts: 14
    edited October 2009

    Hi everyone:  Had my 3rd treatment on Tuesday and this time it got me.  I slept all day today.  I hate not having any energy but I do know I have been blessed so far.  I have not gained any weight and still keeping off the 42 I lost when first diagnosed.  I do have metabolic syndrome and the decadron bothers my blood sugar so I am careful with carbs.  I have given up sleeping on any kind of schedule.  I just sleep when I get tired.  Lucky I am not working. I am happy for those of you who are doing well and for those who are not I hope you do better soon.  Take care, Pam

  • mandy1313
    mandy1313 Member Posts: 978
    edited October 2009

    Hi Pam:  I was someone who had alot of fatigue from CMF...so just rest as you need to. Before you realize it, you will be done with chemo.  There were two things that helped me a bit with the energy.  First, I tried to take a daily slow walk with my then 17 year old dog Mandy---we would go out for about 30 minutes but didn't cover that much ground. But I would find that I felt better when I go back home.  And second, I went for acupuncture. I used an acupuncturist who was recommended by my internist and who was trained in both Western and Traditional Chinese Medicine.  After a treatment, I would have a real energy boost, no nausea, etc.  I also had very dry mouth and no mouth sores--my onc and her nurse both commented on my lack of mouth sores and when I said I'd gone for acupuncture, they said there were studies showing that it did reduce  chemo side effects and mouth sores in particular.  One of the other CMFers was the person who suggested the acupuncture to me for my side effects and I was glad that she did.

     An integrative doctor put me on a very strict and strange diet....it is basically a vegan diet with fish allowed.  Everything has to be whole grain such as whole wheat pasta (which my husband likes better than the regular pasta).  Now I have cheated a bit with a delicious apple cake I made for the holidays, an occasional glass of wine, etc. but I am giving the diet my best try. The only good side effect from this diet is that I am losing weight---down 7 pounds in just under two months and I am not hungry at all.  So I have only 23 more pounds to go to be my pre-chemo weight!!!!!

    In just under two weeks, I am off to the West Coast to see my older daughter who lives in San Francisco.  We plan a weekend road trip to Big Sur and San Luis Obispo and then a few days in San Fran with a stop at one of my favorite restaurants---Chez Panisse Cafe.  They can take something as simple as a tomato salad in oil and vinegar and somehow the combination of everything is so perfect that it brings tears to my eyes just to think of it.

    This weekend I am finishing my income taxes. They were due when I was in the middle of chemo and rads so I got the extension until October 15 which is coming up soon.

    Have a nice weekend all. 

    Love you gals.

    Mandy

  • samiam40
    samiam40 Member Posts: 93
    edited October 2009

    Mandy, I also got an extension on my taxes because of treatment and just finished them on Friday.  It felt so good to no longer have that hanging over my head-- I had to celebrate with a glass of wine!  Thanks for sharing the diet suggestions.  I'm trying to eat more plant based foods and cut out refined carbs.  Scale hasn't budged yet but at least I'm eating healthier.

    Pam--rest up and feel better.  It will be over before you know it.

  • Harley44
    Harley44 Member Posts: 2,126
    edited October 2009

    Rita,

    Hope your back pain gets better.  I hate not being able to be as active as I'd like.  

    Samiam,

    sorry, I didn't see your post.  The drug that is supposed to help with fatigue...  well, another bc.org friend mentioned that she was taking it and it seemed to be helping, some.   It's called Provigil, and there is an even newer drug called Nuvigil...   These drugs are usually prescribed for those people who have sleep disorders like Narcolepsy, they can't stay awake at all....  or someone else told me that they use it also for sleep apnea...    I also read that it's been used for ADHD disorder.  I also researched Chronic Fatigue Syndrome, and found that in some cases, Provigil was being prescribed for these patients as well.

    I see you said that exercise helps you to feel better.  Sometimes it helps me, but more recently, even though I push myself to go out and exercise, I don't feel any better after.  Also, even when I sleep, I don't feel refreshed when I wake up. 

    I went to CVS to check on my Rx, and... I almost fell over, because ...   Tricare APPROVED it!!   WOW!!  So, I may try it tomorrow, and see what happens.  It's kind of scary to me. 

    I hope this helps you. 

    Take care.

    Hugs

    Harley 

  • cabmom
    cabmom Member Posts: 291
    edited October 2009

    Hey ladies, do any of you know of anyone that has lost their hair with CMF?  I've heard that it's more likely if C is taken orally, at least that's what my onc has said.......can anyone shed some light on this topic?

  • aprilgirl1
    aprilgirl1 Member Posts: 806
    edited October 2009

    Hello CMF'rs! 

    cabmom - I had hair thinning -and took cytoxan daily for 6 months.  I do not know of anyone who lost all their hair on CMF - mine was not obvious - except to my family because the hair was ALL over the house, and my mom noticed that my hair in a ponytail was much less.  I  lost probably 25%.

    I am also trying to cut back on carbs to lose some weight.  I am going thru radiation now which is more painful at this point than I had realized.  Two more weeks left.

    Mandy - I love Chez Panisse.  I grew up just east of Berkeley and then attended UC Berkeley.  I just love Chez Panisse.  My parents go their a lot (the cafe is the only place I have been) and I try to go there when we visit the Bay Area.

    Rita - sorry about your back!  Hope you are feeling better.

    Pam - keeping off 42 pounds - good for you!

    I did not gain weight on chemo, but have gained 25 pounds over the past 5 years.  Now seems like a good time to get rid of it with all I read about extra weight and bc.  I did not take decadron at chemo but used zofran which worked.  I didn't like the steroid buzz I got from it and as the zofran worked, stuck with that.

    Colleen - congrats on the clear mammogram in the end of Sept.  Great news!!!!

    I'm sorry I have been absent - just busy with radiation and life I guess.  

    Susan

  • ritajean
    ritajean Member Posts: 4,042
    edited October 2009

    Cabmom...I've never heard of anyone losing all their hair during CMF.  It does thin but usually only you and your hairdresser know.  There have been several gals who have taken the C orally and have still kept their hair,  I think that total hair loss would be very unusual with CMF.

    Susan...we've missed you, but isn't it good to be "back to being busy?" 

    Pam, just rest when you need to rest.  This will all be over before you know it.  I found myself going "one day at a time" and that worked for me...and those single days just kept accumulating and it wasn't long and NO MO' CHEMO!  Just hang in there and do what you need to do to combat the fatigue.  Hugs to you!

    Well, I think it's time to grab a good book and chill out!

    Rita

  • cabmom
    cabmom Member Posts: 291
    edited October 2009

    aprilgirl1 and ritajean, thanks so much for the quick responses.  You ladies are truly a blessing.  I am suppose to start chemo either the 1st or 2nd week in November and I chose CMF, it is suppose to be less toxic and also you retain your hair.  I chose it because of those two facts and because of my oncotype dx score, one oncologist said no chemo and one said yes to chemo.  It was a difficult choice but this seemed to please everyone involved, including me.  I don't know why losing my hair freaks me out so terribly bad and I feel awful that it does bother me so much but it does.  I'm assuming it does most everyone but still praying that I retain most of it.  Thanks again for your reassurances.....means more than I can say.......

  • ritajean
    ritajean Member Posts: 4,042
    edited October 2009

    Cabmom....you sound like you have a similar situation to mine.  I was "iffy" also in the chemo category.  One oncologist suggested the CMF to me and it seemed the best solution for me.  I was the type of person who wanted to hit this head on so hopefully I never had to do it again but like you, I dreaded the hair loss and the harsher effects of the other chemos.  CMF is very doable.  Are you doing the 6 infusions spaced three weeks apart?  At least when you have the treatments finished, you will know that you did everything possible to beat this terrible disease!  We will help you through it and I think you will be surprised at the minimal side effects.

    Hugs to you!

    Where are you located?  Tell us a little more about you!

    Rita

  • cabmom
    cabmom Member Posts: 291
    edited October 2009

    ritajean, thanks so much for all the support.  It does sound as though our situations are similar.  Deciding to do chemo as been a challenge because neither oncologist feels that I will be benefiting more than 1 to 2% from it but I just couldn't be happy knowing that I could have done more and didn't especially when it might affect my child growing up without his mom.  So, even though it's a very small percentage, I had to do it.  However, because the percentage was so small, I didn't want to take the stronger chemos knowing that the benefit is minimal.  So.....my decision was CMF, hoping to be spared some of the side effects.  My heart goes out to everyone that is doing any kind of treatment for cancer, it is just so hard. 

    As for CMF, I think that it will be 6, every three weeks.  Not sure about the shot after-wards that some people talk about with TC, did you have to have that shot?  Can't remember the name but starts with an N.  I'm actually waiting on my final call from the oncologists nurse to let me know since I had to have another surgery last week, this has put me out another 4 weeks.  I was going to do TC but just couldn't justify the possible SE's v/s benefits so he changed it to CMF.  Hoping that it is the right choice.  From everything I've heard, CMF is tried and true and has been around for a long time. 

    As for me, I just turned 44 a couple weeks ago, was diagnosed in June.  I have 1 little boy and we live in KS.  We have no family in KS, so it's mainly just the 3 of us.  That's another reason that I'm hoping that CMF will not be as hard as I've heard TC can be.  I have so many questions, on will I be able to take care of my family, take my child to school, cook meals, etc.  I know that my husband will do everything he can to make things okay but he travels a great deal and is on the road so mostly it is just me and my child.  I just hope CMF is that doable.  As you can see, right now, my life seems to be consumed with this topic and I actually feel obsessed with wanting to know as much as I possibly can about what's going to happen and when :)!  Not sure that's healthy but I can't seem to help it.

    This board has been such a blessing, especially when I was having such conflicting feelings and trying to figure everything out.  It helped so much having people write about things that I was actually feeling myself.  So.....thanks to all of you ladies that are on here.....you're helping so many people.  I hope to be someone that can help someone else someday.  It's such a terrible feeling to be so scared and not know what's happening or what's going to happen. 

    Hopefully, by the end of this week, my chemo start date will be set and I will not be so nervous but I'm sure that's just wishful thinking on my part.  Thanks for caring.  Hope this tells you a little more me and what's happening in my life.  I'm sure I've left out parts but as the weeks go forward, I hope to know each of you a little better.  Thanks again......

  • colleen1960
    colleen1960 Member Posts: 107
    edited October 2009

    cabmom:  Welcome to this thread.  And believe me what you are feeling, we have all felt so don't be so hard on yourself.  This thread really helped me get through things.  I was diagnosed 1 year ago, had surgery last Oct. and started my treatments in Dec.  Unlike most on this thread I did CMF every 10 days for 8 treatments.  I was on a trial which I hope helped, I will find out more in Dec. when I see the onc.  The CMF is very doable.  Each person is different and some people experience more side effects then others, but you will get through.  My advice from my own experience is to drink plenty of fluids (for me it was water), sleep when you are tired and take the anti nausea pills before you need them.  All this great advice was given to me last Nov. from a lot of these great ladies on this thread.  Do you have any kind of support system from friends or from your son's school?  If people offer to help, whether they want to cook some meals or drive your son to and from things, take them up on it.  It was my experience that people really wanted to help my family out.  And now after all people did for me, I am trying to pay it forward to anyone I hear in my community who may need the same kind of help.  I wish you all the best of everything and come back often with any questions or concerns you may have.  Undoubtedly someone will be able to help you.

    Also thank you to all for the great wishes for a good 1 year mammo.  Things get better with each new day.  Hope everyone is well and have a good week.

    Colleen