Calling all triple negative breast cancer patients in the UK
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Hello Hanieh,
We have not heard from you in a few days and I do hope that all is fine with you and that you are busy enjoying your days to the full.
November has been a miserable month here and a lot of people seem fed up. The past few days in Exmouth have been very windy, very dull and not a glimpse of sunshine. The wind has been dreadful and very tiring.
On Saturday Raymond's digital camera packed up on him, so we are going to have to replace it.
On the radio we have been listening to adaptations of the novels by Emile Zola, a very famous French writer of the nineteenth century. This radio adaptation is based on the twenty-one novels based on the generations of the family Rougon-Macquart. It has been brilliant. We still have to catch up on some of it on the BBC i-player. I read a lot of the books in French during my first year in France.
How are you getting on with your teaching?
Thinking of you.
Sylvia xxxx
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Hi Sylvia
I think what you say about the English are not very political is true but I seem to remember being told that politics and religion should not be discussed in polite conversation. I might be dreaming though.
When I say Irish media I mean Republic of Ireland. Good grief, Northern Ireland media is pathetic. It is self obsessed, inward and backward looking. It made me sick two weeks ago when amid the horror of Paris and Beirut all NI media could focuss on were the stupid endless talks about the NI political situation. If you download a program or app called Tunein radio that will enable you to listen to RTE radio one. The best shows are Monday to Friday between 10 and midday and weekends between 11am and 2pm. You will get UK politicians and journalists saying things that they would never disclose in the UK.
Actually my mate Dennis agreed with me about ruthlessness.
I haven't caught up with Owen Jones's videos yet. I am about a month behind schedule with everything.
Michael
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Hello Sylvia
Just joined this forum. Im from UK and diagnosed withTNBC in Feb 2104. 5cm tumour, no nodes positive stage 111A grade 3. Had neo-adjuvant chemo (including taxol), then mastectomy on right and risk reducing mastectomy on left, then 15 treatments of radiotherapy. I feel well in myself, but still get very tired. I find it so hard living with the uncertainty of this disease, always wondering when it will rear its ugly head again, it is difficult to make plans. I know i should be positive and live every day to the full but find it so hard. I am a single parent with 2 teenage daughters and wonder all the time what will happen to them. I have no local family and at times fell so isolated and low. I was taking an antidepressant but stopped this recently as I read it could promote TNBC, so am feeling lower again. Added to this I read in the papers just today that breast cancer patients who are depressed have a significantly lower survival rate than non depressed women!!! I know i sound despondent but just find it difficult even nearly 2 years on. I work but find this so hard. I am 55 years old. You seem so upbeat I wish I could be like this
Katzie
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Hello Katzie,
I am so glad that you found us and I would like to say a very warm welcome on behalf of everyone here. I am sorry that you have to be here, but you will get all the support and comfort that you need.
Thank you for giving all your details. This helps us to know what treatment you have been through and how it may have affected you. I can identify with a lot of your treatment, as I had neoadjuvant chemotherapy, but instead of Taxol I had Taxotere, but they both belong to the group of drugs known as taxanes. These taxane drugs are supposed to be very effective in the treatment of breast cancer with triple negative receptors.
I noted that you have had a bilateral mastectomy and that will have taken a toll on your body and it will take time for your immune system to recover, so do not be too hard on yourself. Cancer treatment sets us back and we have to give ourselves time to recover.
You have not yet reached two years out since diagnosis, so you are bound to feel tired. Do not overdo things and when you feel tired just try to rest.
You will find that as time goes on, you will think less about cancer and you will be able to put it in a smaller corner of your life. If I think back to my own diagnosis in June 2005 and then think back to June 2007, then my breast cancer was still very much on my mind.
We all worry about recurrence and spread but we somehow carry on with our lives and try to live as normally as we can. I am coming up for ten and a half years since diagnosis, and I live normally, but never take anything for granted. I just do the best I can to stay healthy through good nutrition, keeping active and trying to avoid stress.
Concentrate on the positive and try to make plans while living one day at a time. If you have problems, put them all away in a drawer and then pick one out at a time and deal with that one. I found this did me a lot of good in the first years and stopped all kinds of things swirling around in my brain. Be strong, be positive and tell yourself you are going to be fine and like the rest of us you are going to get through all of this.
Concentrate on living your life happily each day with your daughters. I can understand how you can feel isolated as a single parent, but I hope you have some good friends with whom you can talk. You can certainly come here and talk about anything you like. We cancer survivors have to stick together and talk to one another. No one else can understand what we have been through and how we feel.
I do not know where you are in the country, but remember you can get counselling through your hospital. GP or cancer charities.
Please stay with us and we shall try to help you.
I do not think that antidepressants are the answer in the long run. The women on here do various things for relaxation. Some believe in yoga and acupuncture as a great relaxant and stress reliever. Others like quiet walks or relaxing music. Do not take everything you read in the papers for gospel.
I hope this has been of some help for you and please come here as often as you like. If I can get through this, if people like Mary, Hanieh, adagio and Amanda can do it, so can you. We have all had our individual and personal problems but we are still here to tell the tale. I hope, Katzie, that my words will help a little.
Sending you fond thoughts.
Sylvia xxxx
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Hello Michael,
Thank you for your post. It is indeed very true that we are told that we should not mention politics and religion in polite conversation, but that is very difficult, especially with politics as it is the stuff of everyday life. Be reassured you were not dreaming.
I thought you meant the Republic of Ireland but people seem to be lax about this.
Last night on Channel 4 News there was a feature in which two women were being interviewed about their views on abortion and the person interviewing them referred to Northern Ireland and Southern Ireland. After the interview she came back on and apologised and said she should have said the Republic of Ireland. I must admit that I have tried to follow the Northern Ireland MPs when they speak on PMQs, but I do find the different parties a bit difficult to follow.
I shall try to follow some of the RTE Radio one programmes you mentioned. I find these days I do not have sufficient hours in a day to get through all I want to do. I do know that the Irish accent always seems to cheer me up.
What do you think about the free vote that JC has given to the PLP?
Yesterday in the Independent I found a short article under Health entitled "Cancer sufferers 'can't afford to celebrate'". It said "Thousands of people with cancer will feel 'cold and lonely' this Christmas because they do not have enough money to celebrate or heat their homes, a charity has warned".
MacMillan Cancer Support said almost 170,000 people in the UK with cancer are suffering because of a lack of cash.
I find this appalling and scandalous. How can we be ready to spend £170 billion on Trident, but have cancer people and plenty of other people living in these conditions? How can there be such inequality in the fifth richest country in the world?!
That is about all for this evening. Take care and keep well.
Sylvia
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Hello HIRA4321 (Hiraida)
I am writing to say that I hope all is well with you. I see you have not been around since your one and only post. Do not be shy and do not worry about your English. There is nothing wrong with it.
Let us know you are OK.
Very best wishes.
Sylvia
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I just finished ACT starting Taxol tomorrow. Tumor did not shrink. Glad to hear that you had chemo first and all is well. I was nervous about not having the surgery
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Hi Sylvia
It's been a while since I posted here. Though I check this thread every day, I miss you as I haven't posted here because of being too busy. First of all, my daughter was infected by a new virus and she was sick for 3 days. I didn't let her go to school until I was sure she was completely fine as I feared other students my get affected by this virus. I had to help her full time not to fall behind the class. Thankfully she's pretty well now and has managed to keep up with the class. Tomorrow is a religious holiday in Iran in the memory of a holy martyr followed by our weekend . Again we took this chance to take a trip and now we are in Qeshm island in Hormoz strait in South of Iran. This is the first time we are here as we usually used to go to Kish Island which is more touristy.The weather is so nice and we are enjoying both the scenery of here and the shopping at some malls with extremely low prices. Here we can see how living in big cities like Tehran is so expensive . My mother in law is also with us.
Fortunately I m somehow far from bc thoughts at the moment which is really good but I should say in response to what Mary said about medical errors that the fear of it is always with me as my father's oncologist told me my chemo regimen was not enough and I needed taxol and taxotere. I hope he's not right.
About what you said about Emil Zola, I should say he was one of my favorite writers during my university. But now, unfortunately, I m too far from literature . However,I want to start Hillary Clinton 's book ' Hard Choices '. Also I'm busy with translating 'The Rainbow Diet ' which is really pleasing to me.
Love you
Hanieh
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Hi Katzie,
I'm sorry that you are here but want to welcome you and tell you that we are all on the same boat. We can understand each other more than anyone else. Try to be as positive as you can by doing exercises, reading lots of inspirational books and enjoying company with some positive people. These were all the ways by which I have tried to manage my anxieties. Remember pain and suffering can make us much stronger and we can render a better picture of ourselves by not dwelling on our fears and enjoying our rebirth . I say rebirth as we could have died by this diseas in a very short time as my friend's mother did. Whenever fear strikes me I try to go to some old threads here to remember that a lot of survivors are out of here living their normal lives . There are some nice and great survivors like Sylvia who try to be inspirations to others but many more exist that do not bother themselves with posting their stories of success here to help others with their fears.
You are in my thoughts and prayers.
Hanieh
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Hello 3timesthebattle,
I have just read your post and would like to welcome you to this thread. I want to reassure you and tell you there is nothing to worry about with having chemotherapy before surgery. Chemotherapy is usually given before surgery when the tumour is over a certain size, to help it to shrink and to make surgery easier. In a way, chemotherapy first is a good idea, in my opinion, because it is a systemic treatment and thus circulates throughout the body and helps mop up any stray cells. It does not necessarily shrink the tumour so that it disappears. I had a large tumour and it shrunk somewhat while I did my six months of chemotherapy. I had epirubicin (Ellence), which is the same drug group as doxorubicin (Adriamycin), these two drugs are known as anthracyclines, and cyclophosphamide. After that I had docetaxel (Taxotere). Docetaxel (Taxotere) and paclitaxel (Taxol) belong to the same group of drugs called taxanes and they were introduced for cancer treatment more recently than the other chemotherapy drugs mentioned, which have been around for quite some time.
I noticed that you said you had just finished ACT. What does the T stand for in your ACT? I am asking this because you said you are starting Taxol tomorrow.
I want to tell you that we shall all be thinking of you as you start your treatment with Taxol and reassure you that you are going to be just fine. Taxanes are very effective in the treatment of breast cancer. They are derived from the bark of yew trees.
After finishing your chemotherapy you are usually given time to recover before having surgery. Standard treatment is usually finished with some radiotherapy to mop up and other stray cells.
I had an excellent pathology report after my surgery, even though my tumour did not shrink completely during chemotherapy.
Make sure you drink plenty of water during your chemotherapy treatment, rest as much as you need, keep a positive attitude and keep looking forward. You can get through this journey.
Wishing you all the very best.
Sylvia xxxx
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Hello Hanieh,
It was so nice to see you back on the thread. I was sorry to hear that your daughter has not been well and I am sure she was very well looked after by her loving mother!
I shall answer in more detail later today.
We actually have a bit of sunshine today!
Fond thoughts.
Sylvia xxxx
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thank you for your reassurance that means a lot. I have the option of going for inravenous fluids tomorrow but the oncologist said see how I am after this first treatment. I guess they just add The T meaning first the AC then the T for the total treatment. I will begin using the special mouthwash today too because I don't want those nasty white things that appeared during the AC so uncomfortable. They tell me Taxol will be easier than the AC. I have to be honest never had upset stomach or anything with all the anti vomit meds they gave me. Thanks again.
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Also to reassure me they will repeat the MRI after 6 TREATMENTS OF TAXOL
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Hello Katzie, I will jump in here and say welcome to the group. I was diagnosed just slightly before you, in January of 2014. As I am approaching 2 years since diagnosis, I have to say the cancer is still quite on my mind. I feel like a different person now than I was before, both physically and mentally.
Many other things have happened too, for good and bad. I had many negative physical leftovers from the chemo, and my husband's illness ended in his death in February 2015. But I learned that family and friends are there for the long haul, and will help you get through the hardest parts. In your case you children need you, but through them you will also find the strength to go on. And the odds are in your favor that you will be around for a long time!
It pretty much boils down to something my cancer surgeon told me. I told her at one point I didn't think I could keep going with my various ills, my husband's ills, and the fear of the cancer returning. She said, "Yes you can, just like all the rest of us. Each day you put one foot in front of the other and move through it, and you will find the days get easier as you go." So far she has been right. And coming here to talk to Sylvia, and Hanieh, and Adagio, and to read of Michael and Sylvia's view of English politics (of which I am pretty much ignorant), is just a blessing. It is so good to talk to people who know what you are going through.
I would also say that I have avoided the use of antidepressants. I was offered them many times by different doctors, and even tried them, but only felt strange side effects. I have instead tried to get stronger, and eat better, and stay busy. I have also been offered drugs for my chemo-induced neuropathy which I do not use. I do know people who use them and say they help, personally I do not wish to go through my days feeling drugged.
I wish the very best to you and your daughters.
Mary
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Hello Sylvia,
Regarding the use of bisphonates to ward off bone metastases, I guess if one knew it was going to happen it might be worth it. I feel much as you do, and don't like taking pharmaceuticals just in case they might help. I would need a very good reason. My friend with osteopenia is trying to use exercise to build bone instead of taking the drug, her oncologist wants her to take the Fosamax. I have another friend with osteopenia, who is doing neither exercise or the drug; but she is still in her 40's and it probably hasn't all hit home yet.
It does make sense that a weak bone would be more likely to get metasteses, but I haven't seen anything that says that is so.
We briefly discussed metformin the other day. After that I saw in a UK paper 2 days ago that now they are starting testing metformin to see if it is an all-around anti-aging drug! If you haven't seen it check telegraph.co.uk from a couple of days ago. They are saying it could help one live to be 120! Which opens up a whole new world of questions, right?
Talk to you soon,
Mary
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Hello 3timesthe battle,
Sorry your tumor didn't shrink, I would not worry too much about it, they will take care of it with surgery. In my case, they discussed neo-adjuvant therapy, but then did the mastectomy first anyway. My tumor was about 2 cm. At that time I wasn't educated enough to question that decision, so it goes or so it went! I think many people with TNBC have the chemo first, including our Sylvia.
I had the mouth sores with the AC, but not with the T. The thick mouthwash they give you is okay, but there is one I preferred which you make yourself with warm water, salt and baking soda. Your doctors should be able to tell you about that.
I hope all goes very well for you as you proceed, and you have as easy a time as possible. The anti-nausea pills work very well, I agree.
Best wishes, Mary
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Hello Hanieh,
I do hope you are enjoying your short break and I am sure you will tell us all about it.
It can only do you good to put breast cancer in a corner and give yourself a break enjoying life.
I am sure that when we have to have medical treatment we all have fear and anxiety about possible errors and mishaps.
I do remember when I read your thread that I did wonder why you had not had either of the taxanes, Taxol or Taxotere. They are the second generation of chemotherapy drugs after epirubicin, doxorubicin and cyclophosphomide. Taxanes are supposed to be very effective against triple negative.
I was glad to know that Emile Zola is one of your favourite writers. It all seems a long time ago now but when I spent a year in France as a part of my Honours Degree in French I read all twenty books of the Rougon Macquarc series, tracing a long family history. Not so long ago there was a series, a drama, entitled The Paradise, which was based on one of these books entitled Au Bonheur des Dammes. It was about relationships in one of the first department stores.
I would recommend anyone viewing the post to read some of these novels if they want to find great intrigue and great depth. You will be able to get them in English.
Let us know what you think of Hillary Clinton's Book.
The Rainbow Diet is a very long book, so I imagine it will take quite some time to translate.
Thinking of you and sending best wishes.
Sylvia xxxx
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Hello 3timesthebattle,
I was so glad that our reassurance has helped.
I do hope that all will go well with you during your Taxol treatment. You will be carefully checked and have blood tests before each treatment to make sure that everything is alright before the next treatment. If there are problems, the next chemotherapy may not be given and the blood given time to normalise.
I do hope you will manage to get through with no side effects, but there are treatments to combat most of these.
Have you been told of all the possible side effects? Your blood cell counts will all be monitored, as white cells which help fight off infection, red cells which carry oxygen around the body, and platelets, which are important for blood clotting, can all be affected. Because of this, you may have the following side effects.
Lower resistance to infection – so keep away from crowded places and people with colds etc.
Anaemia – deficiency of red blood cells.
Bruising and bleeding - if you have low platelets you can get nose bleeds and bruising.
Nausea and vomiting.
Sore mouth and mouth ulcers.
Early menopause.
Problem with veins.
There are ways to deal with all these problems.
Women on the thread have said they found chemotherapy on a weekly regimen easier to deal with than every three weeks.
Because you can have problems with veins, you should have had ways of delivering the chemotherapy discussed with you.
I found with Taxotere that my eyebrows and eyelashes disappeared and that I had a metallic taste in my mouth.
We all have different side effects and we all have different ways of dealing with them. I used to eat prunes and dried figs to keep up my iron level and to avoid constipation. I used to drink ginger tea and put fresh grated ginger in and had a few ginger biscuits and never felt sick. I always tried natural things and avoided any extra pills or medication, other than those you have to take in the first few days.
Please keep us posted as to how you are doing and if you want any information or tips, do not be afraid to ask.
Thinking of you.
Best wishes.
Sylvia xxxx
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Hello Mary,
I think your friend has made the right decision in not taking Fosamax. I feel that for osteoporosis, vitamin D is important, along with calcium citrate and magnesium citrate. I also feel that it is best to try to eat a calcium-rich diet but not dairy. One of the best sources of calcium is kale and all nuts are rich in calcium and magnesium.
I did see the headline about metformin and living to 120. I need to read the article in more detail. I think the medical establishment is just trying to get everyone on cheap pills – statins, metformin, bisphosphonates, steroids, aspirin etc. I steer clear of all of them. In the UK we are told that there is not enough funds for social care of the elderly, even at 80, so I do not know why they want people to live to 120. Where are the pensions coming from? We already have an epidemic of different kinds of dementia and inadequate facilities, so where are we going? However, there seems to be plenty of money for bombs to kill innocent people!
It is always a pleasure to talk to you, Mary.
Take care and keep in touch.
Fond thoughts.
Sylvia xxxx
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hi Sylvia / everyone
Hope everyone is ok . I've not posted on the forum for a while as I forgot and yet again had to reset my password lol... I blame it all on chemo brain .
I've been at work now only a few weeks so didn't last long. I was sent home yesterday with another sickness bug. I think my resistance is low also I work with the public so am open to catch everything going .
Hanieh I wish you a lovely break with your family . Please send some of your sunshine to us ☀️Winter has definitely come here ☃.
Mary you have had such a terrible time with this illness and the the loss of your husband life is just not fair. Sending you love and hugs.
Are you still busy with your garden Sylvia? I do love summer flowers but I think the trees look so beautiful this time of year when the leaves turn copper and red.
Anyway wishing everyone a lovely evening and praying the decision is not to bomb Syria
Amandaxxx
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Hi Sylvia and all
While in Tehran we could not get out without wintery clothes, here in this island the weather is completely summery. It's as though I have travelled to a foreign land with completely different customs as well. The people especially women wear different and interesting clothes and have a traditional life style. I enjoy seeing different kinds of lives. Yet, what bothers me is that they are underdeveloped and lack the facilities of people in big cities however have extremely big modern malls. Their main job is to travel by boats or ship to Dubai and smuggle. That's why everything is so cheap here.I also met a lot of Chinese people who have come here to work. It's seems they can make good profits here. I have bought some clothes that if I tell their prices to people in Tehran, they could hardly believe.
Tomorrow we will be back to Tehran.
Lots of love
Hanieh
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Hello Amanda,
It is nice to see you back on the thread.
I was sorry to read that you had to be sent home yesterday from work with another sickness bug. You are probably still suffering from the after effects of your treatment. It is a slow journey back from all that and, as you say, you are mixing with the public and so vulnerable to picking up all sorts of bugs. Are you taking anything to build up your immune system?
This is a very bad time of year in this country and the only answer seems to be to go somewhere else where it is summer time.
I am not doing much in the grounds of our apartment complex but am thinking of going out raking leaves up today, as I think I am suffering from cabin fever already. I do not like staying indoors too much but do not like the damp and wind here in Exmouth. I do like the autumn colours of the trees and shrubs but they have long gone here in Exmouth.
I feel somewhat down today as a result of the debate yesterday whether to bomb or not. It is hard to believe we are back bombing in the Middle East, this time Syria. Like you, I was hoping that common sense would prevail and there would be a decision not to bomb. Wars just create more wars.
Amanda, could you put the details of your treatment in your profile, so that we have a reference to your treatment.
Wishing you better and take great care.
Fond thoughts.
Sylvia xxxx
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Hello Hanieh,
Thank you for the post and photographs. You look really healthy. I was so interested in what you had to say about where you were having a holiday. Your country is certainly very varied and it is educational for us on the thread to learn all about it.
Are you looking forward to going back to Tehran?
I am so glad that November has gone, as it has been a dismal month here in Exmouth and I have found all the news very depressing. This country of mine is so unequal and our government seems to be spending money on all the wrong thing. They are busy throwing bombs around again, that cost billions.
I was struck by a photograph in one of our newspapers yesterday about a little boy of two who has had to go to the US for life-saving cancer treatment. He and his mother have flown to Oklahoma for therapy to fight his brain tumour that was refused treatment by our NHS after his rare condition "was not on the list". The article says that his parents raised more than £140,000 on line through donations from 8,000 well-wishers. The NHS medic said that the little boy would benefit from the therapy but refused funding. The parents raised money through a fund raising appeal with the charity Kids'n'cancer on justgiving.com. The NHS expressed "sympathy"!! I think it is disgraceful. The cost of that treatment is peanuts compared to what this government is spending on bombs and will be spending on Trident.
Thinking of you and sending best wishes.
Sylvia xxxx
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Hi Sylvia
I'm usually not in the habit of hating anyone but I should confess that I hate most politicians and their dirty job of suppression. Wars are the worst results of their policies that affects the people in all countries involved. The war in Syria is in fact the war between the opposing policies of the world. The result is the empowering of terrorism and the thousands of refugees that are big burdens on western countries. Also,the story you said about that little boy is just one of a million instances of the cruel policies where money is devoted to killing instead of saving and improving people's lives.
About what you asked me about returning to Tehran, I should confess that it's usually hard to return to work after such a vacation, but I'm happy that I'm healthy enough to undergo the too much responsibilities I have. We had a great time here getting to know different cultures of our country and also doing some shopping at very good prices.
Tomorrow I will travel from summer to winter by just one and a half hours fly.
Love you and wish you the best
Hanieh
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Hi, Hanieh
It sounds like you had a nice warm break from routine. Very interesting how the people where you were vacationing are not up-to-date but have big shiny malls. Smuggling sounds like a dangerous way to make money!
I think most people here share your dislike of most politicians; most of them have proven to be untrustworthy. They say one thing, and do another when the time comes. I noticed you said you were going to read Hilary's new book. I have not read it, and really have no desire to read it. She has been caught lying over and over and I don't like to listen to politicians when I know they are lying. They cannot seem to answer a hard question in a straight way, they try to distract the questioner with a different subject. Frustrating!
I noticed you said your father's oncologist thought you should have had a taxane added to your regimen. Is there any chance you can talk to this doctor, or would there be any use? I do agree with Sylvia, you look as lovely as always, and in good health.
I had a tooth pulled Monday, I am getting over that. Seems like just one thing after another.
I hope it was not too cold when you got home. It was cold last night here, but got nice and sunny today. January is usually our worst month, although we never really know when winter will get serious.
Talk to you soon Hanieh, take care.
Mary
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Hi, Amanda
Good to see you back, sorry you have been ill. It is that time of year, seems like there is always some kind of bug going around.
Thanks for the hugs! Very welcome, it has been a rough few years for me. My husband too, but he is out of it now.
You are finished with your chemo right? I hope so and I hope you are back to strength soon. It does take a while!
Try to come back before your password gets lost again!
Best wishes
Mary
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Hi Mary
I hope you're feeling better now. I talked to my father's oncologist but he was very discouraging. My oncologist is a well known specialist in bc and is known to be so experienced in this field. I hope he has made the right decision for me as well.
I never thought there could be a land in my country where you can see some shiny malls in the middle of the poverty. The investors are probably the wealthy merchants who are never the locals. There were lots of Chinese working there but it seemed nothing was done to improve the conditions of life for the citizens. Even I saw lots of laid off projects that could make big changes there. Fortunately Iran is rich in natural resources but the mismanagement of them by our Politicians and rulers has led to such problems. If they were honest to people and really cared for them everything would be so different . That's the main reason I hate all of them. We all deserve better lives and interaction with the whole world in peace.
Right now I'm sitting in the airport waiting for calling to our delayed flight. The weather is so warm and sunny here. But we should expect wintery weather in a few hours.
Love you and wish you the best
Hanieh
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Hi Amanda
I'm so sorry to hear you were sick . I hope you feel better now. After all the treatments we had, our bodies do not show enough strength facing these bugs.
Take care of yourself
Hanieh
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Hi Mary
About what you said about Hillary Clinton ' book, I should say my oncologist insisted on reading it and it's not found in Iran. I asked my cousin who lives in London to order it for me. I m just eager to read it out of curiosity. I should always have a book studying.
Love
Hanieh
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