Bottle o Tamoxifen
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Lisa I get those damn cramps too.....I need to start a journal of what symptom I get when LOL! Massage does not work for me. One thing I read online was to pinch your upper lip with your thumb and forefinger. It works for me...theory behind it had something to do with acupuncture. I also try and stay very hydrated at night.
All....CHEMO brain is killing me this week.....or is it TAMOXI brain? I am so sick of not being on the ball all the time. I was so on top of things in my former life. HA maybe not that on top but you all know what I am talking about.
hugs
Diane
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I'm not having cramps.....just constant pain. Like a toothache......bones and muscles. Beats cancer tho......don't like having that either.....lol
Rachel you are hilarious......I bout spewed my tea over chewing xanax's like chewing gum. I've had days I felt like doing that!!! lol........thank God for Ativan!
Hope you all have a very good day
hugssss
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Oh...almost forgot....any of you have the clumsies? I've fallen twice this week.......I'd like to blame it on SOMETHING besides just being fat and clumsy....lol. Got a nice goose egg from this one.....fell in the tub and hit the side of it with the side of my face and head. I look like I've been in a bar fight.......and they won!!!!!!!!!!
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Morning all,
Diane - hope you managed a few hours sleep. And hello - you have 3 small children - you don't need chemo or tamo brain as an excuse - specially if you aren't sleeping through the nite. hugs.
Kari - happy DH this morning hey!!! It's going to happen this weekend here too .... yikes!! Talk about performance anxiety. You know I travelled the world when I was younger and never thought of America but it is soo the next place I am going.
Lisa-e - stew with dumplings. hugs.
Munchy - I had my tonsils out at 24 after years of putting up with bouts and antibiotics - they are so hesitant to take them out these days - this is the first time Lili has had antibiotics and I want to keep it that way!!! Won't keep reminding you about it but we are all thinking about you. hugs.
Carollyn - yet bet tamox is going to get us all there and we are going to ride it out together.
Rach - that song made me tear up. My "blow out" was the implant coming unstuck and moving a bit - I could feel bubbles behind it. Eww. Anyway it is restuck now (I hope) and I am still scheduled for my nipple recon in a few weeks. A wise woman said to me that we get angry and upset over things we can fix and lock away the feelings on the things we can't. Makes sense to me to take things out on the washer/dryer or the stupid company - you can deal with that - all this other bulls*#t we can't. I love reading your posts and I love you.
Well another weekend, nothing too exciting planned, just how I like it. See you all soon.
big hugs
Helena
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Genia, I am constantly tripping over and banging into things. My legs are full of black and blues. One of my fellow nurse coworkers, who also has that problem, told me it has to do with being left-handed? I work in Labor & Delivery and my biggest fear is that I'll someday trip when carrying one of the babies to their Mom.
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Rose....I'm right handed. Never been clumsy like this before........ever! Last time I fell was one winter years ago........slipped on ice.
I would be afraid of that too if I worked with babies......especially right now. I'm doin good to just carry myself.......lol
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Genia, the chemo throws our balance all out of whack. I've been seeing a PT for over 4 months now and he has me working on my balance (standing on one leg and trying to balance for 30 sec, I can use my index fingers to lightly touch a surface to help me...then close my eyes and hold for 30 sec) I am all over the place, I practically fall over! He said the chemo does that to some of us. Makes sense. How scary for you, gosh I'm glad you are ok, although sore and looking like a prize fighter!
Helena, Have a nice Saturday...seems so weird cause its Friday afternoon here! heehee...Get over here to America!!!!!!!!! smiles! Good luck with the 'performance' this weekend. DH will be so happy!
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Genia, do you have any numbness or pain residual to the chemo? That nerve damage, especially numbness would be more likely to lead to "clumsiness" than any of the Tamoxifen effects I've ever heard of.
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PatMom--that's what I was thinking of...Genia, make sure to tell your drs about it. Also the leg pain sounds awful. Make sure you are complaining enough so they take you seriously!
Kari--am laughing over your TMI...
Also--it's hard for everyone to balance with their eyes closed--we tried it at yoga once and everyone was falling. When I have allergies (like right now--ugh!), my inner ears get extra pressure and that throws off your balance. Normally I can balance pretty well in yoga (from all those years in ballet!) but once class I kept tipping over b/c of my ears being clogged up I think. I want to try it at home with my eyes shut--that sounds like a good thing to practice...
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Allie, good info
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I'm back...meant to ask if anyone read those two articles under Research News on the breastcancer.org main page--one was about tamox increasing the risk of ER/PR negative tumors in women who initially had ER+ tumors. Oh great. (The risks were still small compared to the benefits of tamox). Also they did a study where they gave low-dose estrogen to women for whom tamox was no longer working. I almost fell off my chair reading that...I guess they found that the estrogen receptors got used to the tamox and it stopped working the same way (maybe this is why we take it for only 5 yrs)--and found that adding estrogen actually decreased cancer risk.
Here are the links:
Tamox and ER neg risk--http://www.breastcancer.org/treatment/hormonal/new_research/20090825.jsp
Estrogen study--http://www.breastcancer.org/treatment/hormonal/new_research/20090818.jsp
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Carollyn- ROFL- "my youngest is 24 and the youngest because he did not sleep thru the night for 2 1/2 years!!!!!"
Munchy-"The worst part is just when you think you can put all the cancer crap behind you, it pops it's ugly head up again. "
Yeah, and I am sure that my friend sees me as being that cancer popping up, that my trying to warn her about what could happen down the line seemed like I was predicting a recurrence. I know where she is coming from, and also the gal who thinks she'll wait for recurrence, I was there, I know exactly what they are thinking, and I was twice as bad as they are, but your posting was like a sign from G-d that I had to try. You don't know how much it means to me what you said- yeah, I guess you do. Thank you so much. Your being able to play sports and climb is like her ability to do surgery- and ain't is a pisser that she's a freaking doctor, a surgeon no less, and she STILL doesn't get it? All I can do is hope that a) she stays on the safe side of cancer and doesn't have to deal with this and b) she sorts out what i was trying to do for her and will speak to me again. Yeah, I knew I had to say something or I couldn't live with myself.
lisa-e is it only us who know that song???? C'mon... I think we can make better lyrics...
kari- YAY for getting lucky!!! YAY for happy DH YAY for you! Man I chomped a bundle of those Xanax and Valium from DX day right through to RADS. :::urp::: Yeah, when the kid does wake up in the middle of the night, I am secretly thrilled to get to hold him. I have one of those video monitors I can watch him sleep Its so cool. On the MS thing, Mary and I and Renee found that we all had someone with MS in our lives and it was interesting how much that affected all of us in the same way. We wondered about the relationship to cancer of course, and we kinda shared what happens when you can't tell if the person you love is freaking out because of the MS or because they have another issue. MS, another gift that keeps on giving like cancer.
Diane - I get those leg cramps, not often but I get them, and this is pre-Tamox. I do keep a symptom list for that reason. The thing about pinching your upper lip (which I will try) sounds a lot like banging your head against a wall when your shoes are too tight... head hurts so bad you forget about your feet... Blame the hurricanes, Bill and Dan for the foggy brain this week, I am.
Genia- you are Year Of the Hat aren't you? Here's a howdy dooty for ya, your joint pain is actually good news... yes.. another study.. but here's a convenient link from breastcancer.org:
http://www.breastcancer.org/treatment/hormonal/new_research/20081029b.jsp
"Toxic Effects of Breast Cancer Hormone Treatment May Herald Success
Email to a friend Print2008-10-29T06:30:00-04:00
Judith GrochWhat breastcancer.org says about this article…Toxic Effects of Breast Cancer Hormone Treatment May Herald SuccessHormonal therapy side effects may include hot flashes, night sweats, and joint pain. The study reviewed here found that when women taking hormonal therapy had these side effects, breast cancer was less likely to come back compared to women on hormonal therapy who didn't have these symptoms.Tamoxifen and aromatase inhibitors (two types of hormonal therapy medicines) are usually taken for 5 years after surgery (and possibly radiation and chemotherapy) to lower the risk of hormone-receptor-positive early-stage breast cancer coming back in post-menopausal women. Because the hormonal therapy medicines are taken after surgery, they're called adjuvant hormonal therapy.Tamoxifen works by blocking the effects of estrogen on breast cancer cells. Aromatase inhibitors work by lowering the amount of estrogen in the body. The aromatase inhibitors are:Arimidex (chemical name: anastrozole)Aromasin (chemical name: exemestane)Femara (chemical name: letrozole)Hot flashes and night sweats -- also known as vasomotor symptoms -- can happen while you're taking either tamoxifen or an aromatase inhibitor. Hot flashes and night sweats happen because of the effects these medicines have on estrogen. These side effects are more likely to happen if you're taking tamoxifen. Joint pain is more common with aromatase inhibitors than with tamoxifen. Doctors aren't exactly sure why aromatase inhibitors can cause joint pain.In this study, researchers looked at the medical histories of almost 4,000 post-menopausal women who were part of the ATAC (Arimidex, Tamoxifen, Alone or in Combination) study. The women all had been treated for hormone-receptor-positive early-stage breast cancer and then took either tamoxifen or an aromatase inhibitor to lower the risk of the breast cancer coming back. After the women had taken either tamoxifen or an aromatase inhibitor for 3 months, the researchers looked to see whether each woman had new hot flashes, night sweats, or joint pains during the 3 months. The researchers followed the women for about 9 years to see if any of the women had breast cancer come back.Women who had new hot flashes, night sweats, or joint pain after 3 months of hormonal therapy were less likely to have breast cancer come back than women who didn't have hot flashes, night sweats or joint pain. This was true whether the women took tamoxifen or an aromatase inhibitor.About a third (37.5%) of the women had new hot flashes or night sweats in the 3 months after starting hormonal therapy. During the next 9 years, these women were 16% less likely to have breast cancer come back compared to women who didn't have new hot flashes or night sweats.About a third (31.4%) of the women had new joint pain in the 3 months after starting hormonal therapy. During the next 9 years, these women were 40% less likely to have breast cancer come back compared to women who didn't have new joint pain.Women who had new joint pain but not new hot flashes or night sweats were less likely to have breast cancer come back than women who had new hot flashes or night sweats but no new joint pain. Women who had new hot flashes and night sweats AND new joint pain were less likely to have breast cancer come back than women who had EITHER new hot flashes or night sweats alone or new joint pain alone.The researchers aren't sure why having these side effects while taking hormonal therapy is linked to a lower risk of the cancer coming back. Because these side effects can be troubling, doctors should know about this research and explain the link between side effects and a lower risk of cancer coming back to women taking hormonal therapy. Knowing that side effects might indicate a reduced risk of the cancer coming back might help some women stick with treatment despite the side effects.If you're taking hormonal therapy medicine to reduce the risk of breast cancer coming back, you might have some of the side effects mentioned in this study. If the side effects are a problem, talk to your doctor about managing them or switching medications. Don't let side effects stop you from doing all you can to keep your risk of the cancer coming back as low as it can be.For more information on why it's so important to stick to your treatment plan, visit the Breastcancer.org Staying on Track with Treatment section.RESEARCH NEWS ON HORMONAL THERAPYSequential Strategy No Help in Early Breast CancerLow-Dose Estradiol an Option for Some Breast CancersASCO: Conflicting Data on Breast Cancer, Tamoxifen, SSRIsGoserelin Matches Tamoxifen over Long TermSABCS: Combination Endocrine Therapy Delays Metastatic Breast Cancer ProgressionMore Research News on Hormonal Therapy (42 Articles)
LONDON, Oct. 29 (MedPage Today) -- The hot flashes, night sweats, and joint symptoms that come with adjuvant endocrine treatment for breast cancer may signal a reduced likelihood of recurrence, researchers found.For women who developed new vasomotor and joint symptoms within the first three months of treatment with estrogen-depletion or blockade drugs, the nine-year recurrence rate was reduced by 11.4% compared with the rate in women who did not have those symptoms, Jack Cuzick, Ph.D., of the University of London, and colleagues reported online in the Lancet Oncology....
...A greater decrease in breast cancer recurrence was also seen for the 1,245 of 3,964 (31.4%) eligible women who reported new joint symptoms at three months compared with those not reporting those symptoms (158 during 9,242 women-years of follow-up versus 366 during 11,573 women-years of follow-up; adjusted HR 0.60 (95% CI 0.50 to 0.72, P<0.0001).
Compared with women who reported none of these symptoms at three months, women who reported both side effects had an absolute decrease in recurrence of 11.4% (95% CI 9.9 to 12.5) after nine years.Those with joint symptoms only had a 10% (95% CI 8.7 to 10.8) absolute decease and those with vasomotor symptoms only had a 6% (95% CI 6.2 to 7.2) absolute risk decrease. "
So it sucks but at least its not for nothin'!
And yes, I got the clumsies, and so does my kid. Lots of broken stuff, near misses. I bet you look more like you held your own in that bar fight
Helena- is right as usual ...Diane you don't need an excuse with 3 kids those ages! But hey, the song was supposed ot make you LAUGH not cry! Jeeash! "we get angry and upset over things we can fix and lock away the feelings on the things we can't"
of course that's so true. It's hard to tell sometimes which is which. Whatever I figure out my issue is, I go right in after it. So it was the washer. This time. This thing with the bubbles in your boob does not sound fun. Is that something that normally goes on or something special just to annoy our QOTD? Damn. I love reading your posts and you too! We are the world, we are the Oh nevermind
Well if the clumsiness isn't mercury retrograde or hurricanes, if it's chemo then I have no excuse for being a klutz. Just the way it is
Hugs ladies
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I have been getting leg/feet cramps too. Is this an SE of Tamoxifen??
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While I was postin... I missed...
Allie- wow, what a bummer. And that report JUST came out. I followed as far as I could to the original study. At least for those of us just getting on the Tamoxitrain, there is this: "Tamoxifen use for <5 years was not associated with ER- contralateral breast cancer risk. Although adjuvant hormonal therapy has clear benefits, risk of the relatively uncommon outcome of ER- contralateral breast cancer may now need to be tallied among its risks. This is of clinical concern given the poorer prognosis of ER- compared with ER+ tumors. "
I can only hope that by the time we get a couple years under our belts they have come up with the rest of the information on that study. Or, of course, the cure. Seems odd they hadn't noticed an increase of secondary hormone negative cancers on Tamoxifen users until now? And they don't know about the AIs yet. Damn.
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Wanna hear something really funny? I bruised my elbow too.......and didn't even know it until my face stopped hurting so much. Right on the end of the boney part.....big bruise!
No Rachel I look like I LOST the fight bigtime......lolol. My husband was laughing a little while ago.........I went out on the front porch in my nightgown.....with an almost black eye........him sitting there drinking a beer with no shirt on. We look like HILLBILLY HEAVEN sittin out there!!! lolol
I don't know if your leg cramps are from the Tamox or not Bev.....would be intersting to find that out.
Thanks for that article Rachel.......seems like the se's are a good thing! Easier said than felt.....
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Hi all
Got a good fright when I read the headline in the paper Leading breast cancer drug raises tumor risk by 300pc
By Steve Connor
Wednesday August 26 2009
A DRUG widely used to treat breast cancer has been found to result in a four-fold increase in the risk of developing a second tumour in the opposite breast, scientists have said.
Tamoxifen, which cancer patients have taken for more than 30 years, has previously been shown to decrease the risk of the most common form of breast cancer. But a study published in the journal 'Cancer Research' suggests that it may also increase the risk of a more aggressive form of the disease.
The drug works by blocking the action of the hormone oestrogen, which can stimulate a form of tumour known as oestrogen-receptor positive cancer.
However, the new study suggests that the drug is associated with breast tumours that are not triggered by oestrogen, called oestrogen-negative breast cancer, which are more difficult to treat.
Scientists emphasised that the findings are still preliminary, and that the benefits of taking tamoxifen still outweigh any increased risks of developing either second cancers or side effects such as blood clots, stroke and cancer of the uterus.
The study assessed the history of tamoxifen use among 1,103 breast cancer survivors who were initially diagnosed with oestrogen-positive breast cancer between the ages of 40 and 79, and were given the drug. Of these, 369 went on to develop a second breast cancer.
Association
Although the study found a strong association between long-term tamoxifen use and an increased risk of oestrogen-receptor negative tumours, it did not suggest that patients should stop taking the drug.
"These therapies have risks, and an increased risk of oestrogen-receptor negative second cancer may be one of them. Still, the benefits of this therapy are well established and doctors should continue to recommend hormonal therapy for breast cancer patients who can benefit from it," he added.
Although Dr Li emphasised that patients taking tamoxifen should not stop taking the drug, they said the apparent increase in the risk of developing a second breast cancer should be investigated further -- especially since the second cancer is more difficult to treat.
Experts urged cancer patients not to panic.
"There is overwhelming evidence that tamoxifen, and newer more effective hormone-blocking treatments, prevent far more recurrences, new breast cancers and cancer-related deaths than they might stimulate," said Professor Jack Cuzick, head of Cancer Research at University of London.(© Independent News Service)
- Steve Connor
However - I looked up the original study and it appears that this is only applicable in cases where the drug has been taken for over five years. But the real point I was going to make before I got sidetracked was that I had seen my onc on tuesday having been taking tamox for a month now. He put me on Lyrica for the aches and pains as well as 8 paracetamol a day (which really don't have any impact). I am still mentally coming to terms with being on medication for the next 7 years and then you pick up the paper and read these articles which are not quite accurate - it really is irresponsible journalism.
Now the MOJO thing - mine gone!!!! But what worries me is DH's MOJO also gone - could it be as a result of the new lopsided me??? Anyone have any experience of this? Of course he denies this when I asked but it does seem to be a co-incidence.
I really empathise with those of you who spoke about your mothers. I can actually see it from both sides. I am fortunate that Mum is very healthy and living near me, however, as she suffers from dementia she does not understand why I have not been able to care for her as I use to over the past few months. I would love her comfort and support at this time but she is incapable of grasping the situation and thinks I am just neglecting her - it's sooooo frustrating!!
Well I'm off to bed now and must take the 1st pill of my second month of Tamox - I hope I will eventually stop counting!!! Sweet dreams to all or I guess that should be 'enjoy your day' for most of you!!
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Clonidine is the name of the drug the Dr gave me for hot flashes. I'll let you know if it works.
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Hello, just skimmed through the posts. I have always been a klutz. As a child growing up I was in the ER so much that I called it my hopsital.
HAving a great visit w/family. We went to New Jersey today just to get Mega Millions Lotto tickets, not that we would win but it was an adventure and of course it is only 10 miles on 80.
Took car in and they took everything apart and did 36000 mile maintenance work. Brakes work great now. I took her her down winding curving roads,down hill and nothing locked up or smelled hot. She has to be back in Mi for her son's orientation on Sunday. Will leave Saturday after dinner.
As for aches and pains, I really contain not contribute all of that to tamoxifen. Sleeplessnees yes!!!
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Hi all . .. well finally was able to pick up the tamox (the pharmacy had to order in the smaller 10mg dosage for me) and took my half pill last night. So, I have officially boarded the train.
chiming in on the klutz-discussion. I am known as a real klutz - I had a trip and fall at work a few years ago that tore the tendon in my right wrist - I tripped over a doorway (don't ask). I am constantly bruising and hurting myself - my husband and I joke about things we see in videos of other people and he'll just smirk at me. I trip on perfectly flat ground, just walking along. Have great balance, just bounce off things. Always have, always will.
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So sleeplessness is a SE of Tamox too! I thought it was from the Rads, my Rads Onc gave me some ambien and it works great, but not with the Cortisone they put me on for the burns, will get back to it next week but only have a week left of well, guess I am getting by with restless sleep looks like I may have to get used to it. My MOJO may be gone, (DH doesn't mind, get all the hugs, kisses , and the best foot and back rubs) but my passion for my hobbies is coming back. Worked on the wine, flowers garden, and enjoy doing it. Putterd in my Potting Shed/Cannin Shack and floweer garden for 3 hours today felt great, first time in awhile I puttered. Burns are doing much better and I am feeling stronger. Looks like I may go back to work part time next week will see how I feel Monday morning, I am lucky to get the option! Here is a picture of the currant and apricot wine in the secondary fermentors, racked them today and put them in the basement
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carollyn.....my hubby wants to know how you make your wine. He tried....but didn't have much luck. I love wine....but haven't drank much of it since I've had cancer. Didn't wanna mix it with some meds that I've had to take.
Would love to have your recipe tho...........
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carollyn, my dad grows grapes (he lives in the CA wine country) and has just produced his second batch of wine. I've asked for a bottle as a xmas present.
I am another klutzy person, but not as klutzy as my sister. She has broken so many bones that she was tested for oestophorsis at an early age. But her bone density is fine, just prone to tripping and falling. As for me, I usually have some bruises from running into something or from climbing. My gyn is firmly convinced my dh beats me, even though I have explained the sources of every bruise she has asked me about.
Finally, I also have trouble sleeping. It is worse since I started taking tamoxifen.0 -
A question ladies, what is your experience in relation to weight gain on Tamox. Have you gained weight? If so how much over what period of time and have you had any success in shedding the weight again? As I already have almost 100 pounds of excess weight to loose I am just wondering how I will manage to do that on Tamox.
Thanks.
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Ainm,. in the first few months on tamox, I gain about 7 lbs. But I increased the intensity and frequency of my workouts a bit, and the weight came back off. I've continued to workout, even if not as often as I want, and the wt. has still stayed off.
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Hi Ainm - no weight gain for me but I have had a few problems with my implant surgery so I have had to stop running for a few weeks and over time I have noticed that I am certainly flabbier - same weight on the scales - but my clothes feel tighter and hence makes me more uncomfortable. I have tried eating less but can't manage that at all!!! I think by the time you get to the tamoxifen stage you have been through a lot and it is a cumulative effect if you have gained weight, I wouldn't blame it on tamoxifen just perhaps fatigue and the change in lifestyle due to this SFBC. Exercise is the key, if you can manage it.
big hugs
Helena
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AinM - Only been on Tamox for 1 month and no weight gain yet. As for Klutziness, not usually to klutzy but today I slipped on our hardwood stairs carrying a laundry basket and telephone. I went smack down on my upper right back ribcage, totally took my breath away for what felt like a minute or more. Spent several hours deciding whether to go to the emergency room, but opted not to. I called a parent of a student who is an ER nurse. She basically said the pain was normal and gave me some things to watch for. I was radiated on the right side. This today of all days, we are taking my daughter back to college tomorrow, it is a 4 1/2 ride each way. My DH is trying to tell me not to go, but don't really want to stay home. Once she leaves, she won't be home again until Thanksgiving. Her 1st year we visited 2x before then but we may only vist once or none this year. It will depend on some things. Anyway have a good Sunday all.
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My .02... can you get to an emergency room to make sure its nothing serious, then go?
Did the ER nurse friend feel confident giving you the lowdown, or did she/he want you to get checked out?
Are you concerned about your back, your ribs or your lungs- or all three?
if you are concerned about your back, and its OK so far, try sleeping with a pillow under your knees, and between your knees on your back, and try not to stress out. Let your spine relax and spread out- and go to sleep NOW. Sleep is good for the back
Ribs and lungs, I don't know poop, but I'd be super careful. Do what's necessary to check that its safe, then go! it will suck big time if you do go and then have a problem with lungs or ribs on the road. Not pretty for anyone. Go on, go sit in the emergency room for a couple hours exposing yourself to swine flu and gunshot wounds... oh wait, that's my life in NYC, maybe less gunshot wounds in KoP... (Seriously, go get checked out, then you can go on the trip and be happy.)
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Ouch! I did something similar many years ago, and cracked a rib. They don't do anything about ribs unless they are out of place, but carrying anything heavy is painful. My Mom (who worked for an orthopaedic surgeon at the time) didn't believe that I was really hurt and made me carry several bags of groceries that night. I was working at a campground in upstate NY, and she made me wait a week until my next day off to get x-rays that proved I had a fractured rib.
You can always wait until morning to make your decision to go or stay. The pain is frequently worse the next day, and even if it is just soft tissue bruising, sitting in one position for 9 hours could make it worse.
If you do decide to go with them, make sure you pack enough of your best pain pills just in case the pain hits an hour or two into the ride to the college.
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Ouch, Patti. I' ll chime in and vote for getting checked out before you undertake a long car trip. Even if nothing is seriously damaged, just bruised, you can get some pain meds or muscle relaxants. Reminds me of the time my sister broke her tailbone. She went to the ER, where the doctor asked her what she wanted him to do about it. She told him she wanted him to write a prescription, so he did.
Patmom, your story reminds me about the time my son broke his leg. He took a minor fall of the jungle gym and wouldn't walk. He was only three and I thought he was just being hysterical. His leg wasn't swollen & no deformity. When he still wouldn't walk 7 hours later, I took him to the ER. I am so glad he doesn't really remember the episode!
Also, I got a laugh out of your comment about packing enough pain pills. I have a whole drawer of unused pain pills, all obtained in the last year.
It is too, too hot here today. I am sitting here drinking a beer and considering making dinner.0 -
Patti - hope you don't wake up too sore and sorry. Ouch. Rachal's idea of getting it checked out sounds like a good idea if you can. Good luck with the trip, could be a long drive. hugs.
Lisa-e - hope you enjoyed your beer and did dinner happen? LOL
big hugs
Helena
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