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Topic: How Many Stage 4 Girls are getting SS disability..

Forum: Stage IV/Metastatic Breast Cancer ONLY —

Please respect that this forum is for members with stage IV/metastatic breast cancer only. There is a separate forum for caregivers and friends: Caring for Someone with Stage 4 or Mets.

Metastatic breast cancer (MBC; also called stage IV) is breast cancer that has spread to other parts of the body, most commonly the bones, liver, brain, or lungs. Metastatic breast cancer can be treated but not cured. Metastatic disease is NOT hopeless. There are a wide variety of treatment options for metastatic breast cancer, and new medicines are being tested every day. More and more people are living life to the fullest while being treated for metastatic breast cancer.

Note: Please contact your doctor for any specific concerns about symptoms you are experiencing or your course of treatment.

Learn more about living with MBC.

Intro medically reviewed by: Brian Wojciechowski, M.D.
Last review date: November 22, 2020

Posted on: Sep 19, 2006 06:22AM

Shepgirl wrote:

Seems like a lot of stage 4 US citizens are getting Social Security Disability Insurance payments. So lets see how many there are! If you were denied, please comment if it was for medical issues. My understanding is denials are more "not paid in enough" issues than medical.

PLEASE TAKE POLL ONCE ONLY!
Dx 12/23/2004, IDC, 2cm, Stage IV, Grade 2, 2/22 nodes, mets, ER+/PR-, HER2-
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Jun 3, 2020 03:36PM KBL wrote:

Thank you, vinrph. That would be nice if they would count back to my diagnosis, since that was on May 3, 2019. I am working four hours this month and am not sure whether I should wait to apply until July so I’m totally done. I am an S corporation and not paying myself a salary this month. I have been working steadily for 39 years just in this job, and working since I was 16.

Dx 5/1/2019, ILC, Stage IV, metastasized to bone/other, ER+/PR+, HER2- (FISH) Hormonal Therapy 6/23/2019 Femara (letrozole) Targeted Therapy 6/23/2019 Ibrance (palbociclib)
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Jun 10, 2020 06:55PM - edited Jun 19, 2020 12:32PM by KBL

I applied Monday and did not end up working this month, so my last workday was May 22nd. I understand the process much better after reading all the posts. I won't be paid from my diagnosis date because I made too much per month, so it will be from my last day of work. The interview took about an hour. The rep was so nice, and I didn't have to send any paperwork. It was fairly easy. Now I wait. Part of me is happy that I'm done working, and the other part of me feels sadness. I told very few people I was applying, so I just said I was retiring. I was in my field for 39.5 years.


Dx 5/1/2019, ILC, Stage IV, metastasized to bone/other, ER+/PR+, HER2- (FISH) Hormonal Therapy 6/23/2019 Femara (letrozole) Targeted Therapy 6/23/2019 Ibrance (palbociclib)
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Jun 10, 2020 11:59PM aprilgirl1 wrote:

KBL, thanks for posting an update. I am still working but have been wondering about the process when I decide to stop working. I understand how you have mixed feelings. Congratulations on your retirement - 39.5 years in your field is impressive! Enjoy the summer. With covid19 I have spent more time at home than I usually do and it has been nice.

recurrence in lymph nodes (superclavicle/mediastinal)"You can do it like it's a great weight on you, or you can do it like it's part of the dance." Ram Dass Dx 11/7/2008, IDC, Left, 1cm, Stage IB, Grade 2, 0/3 nodes, ER+/PR+, HER2- Dx 11/13/2019, IDC, Left, Stage IV, metastasized to other, ER+/PR+, HER2-
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Jun 11, 2020 06:31AM KBL wrote:

Thank you, Aprilgirl1. I will enjoy the summer mostly indoors. The heat is unbearable where I live. I came home to work in 2015, so it wasn’t a shock to the system to be home more.

Dx 5/1/2019, ILC, Stage IV, metastasized to bone/other, ER+/PR+, HER2- (FISH) Hormonal Therapy 6/23/2019 Femara (letrozole) Targeted Therapy 6/23/2019 Ibrance (palbociclib)
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Jun 11, 2020 08:54AM KBL wrote:

As I said, I applied Monday. I see what’s coming in my mail, and I see two pieces of mail from the Division of Disability Determinations. I see on the Social Security website that a medical determination has already been made. I’ll post here what the two letters say once I open them.

Dx 5/1/2019, ILC, Stage IV, metastasized to bone/other, ER+/PR+, HER2- (FISH) Hormonal Therapy 6/23/2019 Femara (letrozole) Targeted Therapy 6/23/2019 Ibrance (palbociclib)
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Jun 11, 2020 12:46PM ts542001 wrote:

i have bone mets and at the time i was diagnosed i was in severe pain, had spine surgery twice and radiation therapy and radiosurgery. i was sure i would never be able to get back to work and was happy that i was able to get social security disability. anyway i'm certainly not ready to go to work full time, but i have been thinking about doing some work one day a week, anything to keep me busy, but my question is does anyone know how much money you are allowed to make while on disability? i'm pretty sure i that you are allowed to earn something, if not, i would probably volunteer one or two days a week to keep me busy and around other people.

and KBL, if you applied on monday for disability and they already made a determination i'm sure you were approved. when i spoke to the person doing my application he said, not to be surprised if i get notified very quickly re dispostion, as people with "your diagnosis" often hear from us very quickly. and i did, i was approved within a couple of weeks.

Dx 3/2003, DCIS/IDC, Both breasts, <1cm, Stage 0, Grade 3, 0/3 nodes, ER+/PR+, HER2- Surgery 3/14/2003 Lumpectomy: Left, Right Dx 3/13/2019, IDC, Left, 1cm, Stage IB, Grade 3, 1/1 nodes, ER+/PR+, HER2- Surgery 4/7/2019 Lumpectomy; Lymph node removal: Sentinel Radiation Therapy Surgery Immunotherapy Radiation Therapy External: Bone Chemotherapy CMF Hormonal Therapy Femara (letrozole) Hormonal Therapy Aromasin (exemestane) Radiation Therapy External: Bone Chemotherapy CMF Targeted Therapy Ibrance (palbociclib)
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Jun 11, 2020 02:24PM NineTwelve wrote:

I worked for five years with a stage 4 diagnosis. With Covid around, I finally left work and started applying for disability. I just got a call from them, and they were asking a lot of questions about my ability to work. I thought disability insurance was automatic with a stage 4 breast cancer diagnosis? I am freaking out now. (I live in Oregon.)

12/15/20 - Progression to liver. Tx changed to Xeloda. Dx 9/12/2014, IDC, 4cm, Stage IV, Grade 2, mets, ER+/PR+, HER2- Hormonal Therapy 9/15/2014 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone), Zoladex (goserelin) Hormonal Therapy 9/30/2014 Dx 7/2016, IDC, Stage IV, metastasized to bone/lungs Hormonal Therapy 8/15/2016 Faslodex (fulvestrant), Zoladex (goserelin) Targeted Therapy 8/15/2016 Ibrance (palbociclib)
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Jun 11, 2020 03:22PM candy-678 wrote:

NineTwelve- Stage 4 is an automatic qualifier. They may ask you if you have a diagnosis that will lead to death, the answer is Yes. They will have to get your medical records to verify diagnosis. Here is a link to a webinar I watched and was helpful for me.


Found mets on CT for unrelated issue. I only had 2 treatments with IV chemo for the Stage II, then found Stage 4 and switched to hormone therapy/targeted therapy. I consider myself de novo. Also using Xgeva injections for bone mets Dx 6/2017, ILC/IDC, Left, 3cm, Stage IIB, Grade 3, 0/1 nodes, ER+/PR+, HER2- Dx 9/2017, ILC/IDC, Stage IV, metastasized to bone/liver, 0/1 nodes, ER+/PR+, HER2- Targeted Therapy Ibrance (palbociclib) Hormonal Therapy Femara (letrozole), Zoladex (goserelin) Chemotherapy AC Surgery Lymph node removal: Sentinel; Mastectomy: Left
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Jun 11, 2020 05:07PM KBL wrote:

NineTwelve, that must be standard protocol. The mail I got today was something I have to fill out about pain and then one with the last 15 years of work history. Is that what you got?

I’m not quite sure how to fill out the pain one. I would assume I’m supposed to fill it out with pain from my cancer. Well, my cancer is in my stomach and possibly omentum. I have issues with eating and nausea. How do I put that as pain? I do have pain after I eat. Then it asks if you use a TENS unit, physical therapy. I mean, really? Do they assume everyone has bone or muscle pain with this? I do have chronic pain, but it’s from a car accident.

I have a call in to the lady that took my application. I don’t know what they are looking for, so I will try to ask her.

Dx 5/1/2019, ILC, Stage IV, metastasized to bone/other, ER+/PR+, HER2- (FISH) Hormonal Therapy 6/23/2019 Femara (letrozole) Targeted Therapy 6/23/2019 Ibrance (palbociclib)
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Jun 11, 2020 06:40PM - edited Jun 11, 2020 06:40PM by KBL

This Post was deleted by KBL.
Dx 5/1/2019, ILC, Stage IV, metastasized to bone/other, ER+/PR+, HER2- (FISH) Hormonal Therapy 6/23/2019 Femara (letrozole) Targeted Therapy 6/23/2019 Ibrance (palbociclib)
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Jun 11, 2020 09:27PM DodgersGirl wrote:

KBL- interesting questions you were asked. I thought I had read where TENS units were not recommended on bone mets.

Dx 3/10/2017, IDC: Mucinous, Right, Stage IIIB, Grade 2, ER+/PR+, HER2- Surgery 9/11/2017 Mastectomy: Right Dx 12/2019, IDC, Right, Stage IV, metastasized to bone Radiation Therapy Whole-breast: Breast, Lymph nodes, Chest wall Chemotherapy AC + T (Taxol) Hormonal Therapy Arimidex (anastrozole)
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Jun 12, 2020 02:20AM SondraF wrote:

DG - TENS shouldn't go directly on tumors but since you cant pinpoint exactly where they are...probably not the best idea. Which sucks because I like using them and, frankly, was using one on my pelvis last summer just before I was diagnosed. However, if you have lower back pain for some other non-cancer reason then perhaps this is just the generic question.

Dx 9/27/2019, IDC, Right, 5cm, Stage IV, metastasized to bone, Grade 3, ER+/PR+, HER2- Targeted Therapy 11/29/2019 Ibrance (palbociclib) Hormonal Therapy 11/29/2019 Femara (letrozole), Zoladex (goserelin)
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Jun 12, 2020 05:53AM KBL wrote:

I have a feeling the person who sent me this paperwork doesn’t know about my Stage IV diagnosis. I think this might be paperwork that they automatically send out no matter what. I will keep you posted on whether I have to fill it out.

Dx 5/1/2019, ILC, Stage IV, metastasized to bone/other, ER+/PR+, HER2- (FISH) Hormonal Therapy 6/23/2019 Femara (letrozole) Targeted Therapy 6/23/2019 Ibrance (palbociclib)
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Jun 12, 2020 08:41AM KBL wrote:

DodgersGirl, I don’t know because I don’t have diagnosed bone mets. My cancer is in my organs only as far as I know.

Dx 5/1/2019, ILC, Stage IV, metastasized to bone/other, ER+/PR+, HER2- (FISH) Hormonal Therapy 6/23/2019 Femara (letrozole) Targeted Therapy 6/23/2019 Ibrance (palbociclib)
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Jun 12, 2020 08:45AM - edited Jun 12, 2020 09:14AM by KBL

Just got the call back. She said the paperwork does go out automatically, and I don't have to fill it out.

Dx 5/1/2019, ILC, Stage IV, metastasized to bone/other, ER+/PR+, HER2- (FISH) Hormonal Therapy 6/23/2019 Femara (letrozole) Targeted Therapy 6/23/2019 Ibrance (palbociclib)
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Jun 12, 2020 09:14AM NineTwelve wrote:

Thanks for the encouraging words, candy and KBL - I'm glad you're approved. I'm not sure yet what's going on with my application, but I'm trying to be calm about it. If worse comes to worst, I'll just have to appeal, and make sure I have all my ducks lined up better, I guess.

12/15/20 - Progression to liver. Tx changed to Xeloda. Dx 9/12/2014, IDC, 4cm, Stage IV, Grade 2, mets, ER+/PR+, HER2- Hormonal Therapy 9/15/2014 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone), Zoladex (goserelin) Hormonal Therapy 9/30/2014 Dx 7/2016, IDC, Stage IV, metastasized to bone/lungs Hormonal Therapy 8/15/2016 Faslodex (fulvestrant), Zoladex (goserelin) Targeted Therapy 8/15/2016 Ibrance (palbociclib)
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Jun 16, 2020 02:18PM NineTwelve wrote:

My disability claim was denied: You state you are unable to work because of Stage 4 Breast Cancer. We have determined you currently have the capacity to perform work you have done in the past as a Clerical.

The whole application was done over the phone. All of the questions were about what my job was. None of the questions were about my capacity to do the job.

Guess I need to get an attorney.

12/15/20 - Progression to liver. Tx changed to Xeloda. Dx 9/12/2014, IDC, 4cm, Stage IV, Grade 2, mets, ER+/PR+, HER2- Hormonal Therapy 9/15/2014 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone), Zoladex (goserelin) Hormonal Therapy 9/30/2014 Dx 7/2016, IDC, Stage IV, metastasized to bone/lungs Hormonal Therapy 8/15/2016 Faslodex (fulvestrant), Zoladex (goserelin) Targeted Therapy 8/15/2016 Ibrance (palbociclib)
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Jun 16, 2020 02:48PM - edited Jun 16, 2020 02:49PM by KBL

I don't understand that at all, NineTwelve. Did you answer the question that your illness will end in death? Maybe someone better versed will come on and say something that could help. I'm sorry. I can't imagine the stress you're going through. I'm sure you'll appeal. Did your doctor submit records?

Dx 5/1/2019, ILC, Stage IV, metastasized to bone/other, ER+/PR+, HER2- (FISH) Hormonal Therapy 6/23/2019 Femara (letrozole) Targeted Therapy 6/23/2019 Ibrance (palbociclib)
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Jun 16, 2020 02:58PM candy-678 wrote:

Nine Twelve----I don't understand it either. Social Security Disability has a Compassionate Allowance Program for Stage 4 folks. Our cancer will result in death. Can you call them and asked about that Program? Maybe they can resubmit the paperwork under that Program. Are you still working? Do you have an HR department that could help you? Try calling Social Security first before hiring an attorney.

Found mets on CT for unrelated issue. I only had 2 treatments with IV chemo for the Stage II, then found Stage 4 and switched to hormone therapy/targeted therapy. I consider myself de novo. Also using Xgeva injections for bone mets Dx 6/2017, ILC/IDC, Left, 3cm, Stage IIB, Grade 3, 0/1 nodes, ER+/PR+, HER2- Dx 9/2017, ILC/IDC, Stage IV, metastasized to bone/liver, 0/1 nodes, ER+/PR+, HER2- Targeted Therapy Ibrance (palbociclib) Hormonal Therapy Femara (letrozole), Zoladex (goserelin) Chemotherapy AC Surgery Lymph node removal: Sentinel; Mastectomy: Left
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Jun 16, 2020 04:04PM Momchichi wrote:

nine twelve,

I used to work for SSA doing disability claims, all you need to do to get approved is provide your pathology report showing mets. You must have gotten an idiot adjudicator. You can file an appeal on your own, called a reconsideration and ask for it to be fast tracked/compassionate allowance. Don’t get a lawyer or they’ll take some of your $ and that doesn’t need to happen. I think there are advocacy groups and American Cancer Society patient navigators that help for free.

Dx at 38, TN in breast, HER2 + in some nodes. TN met to L2 at 40. Dr thinks I was never HER2+ & it was a false + from neoadjuvant chemo - whaaat??? Dx 7/19/2017, DCIS/IDC, Right, 4cm, Stage IIIC, Grade 3, 16/19 nodes, ER-/PR-, HER2+ (FISH) Chemotherapy 8/9/2017 AC Chemotherapy 9/27/2017 Taxol (paclitaxel) Surgery 1/18/2018 Lumpectomy: Right; Lymph node removal: Underarm/Axillary Targeted Therapy 2/15/2018 Herceptin (trastuzumab) Targeted Therapy 2/16/2018 Perjeta (pertuzumab) Chemotherapy 2/16/2018 Carboplatin (Paraplatin), Taxotere (docetaxel) Radiation Therapy 6/23/2018 Whole-breast: Breast, Lymph nodes, Chest wall Dx 6/19/2019, Stage IV, metastasized to bone, Grade 3, ER-/PR-, HER2- (IHC) Radiation Therapy 8/11/2019 External: Bone Chemotherapy 9/3/2019 Xeloda (capecitabine) Dx 11/22/2019, IDC, Stage IV, metastasized to liver/lungs, Grade 3, ER-/PR-, HER2- Chemotherapy 12/6/2019 Carboplatin (Paraplatin), Gemzar (gemcitabine) Chemotherapy 1/6/2020 Abraxane (albumin-bound or nab-paclitaxel) Immunotherapy 1/9/2020 Tecentriq (atezolizumab) Targeted Therapy Trodelvy (sacituzumab govitecan-hziy)
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Jun 17, 2020 10:30AM - edited Jun 21, 2020 10:49AM by NineTwelve

* Adjudicators may, at their discretion, use the Medical Evidence of Record or the listings suggested to evaluate the claim. However, the decision to allow or deny the claim rests with the adjudicator

^This is the small print on the compassionate allowance list for metastatic breast cancer. They are allowed to be uncompassionate with me and that is what they're doing.

https://secure.ssa.gov/apps10/poms.nsf/lnx/0423022125

12/15/20 - Progression to liver. Tx changed to Xeloda. Dx 9/12/2014, IDC, 4cm, Stage IV, Grade 2, mets, ER+/PR+, HER2- Hormonal Therapy 9/15/2014 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone), Zoladex (goserelin) Hormonal Therapy 9/30/2014 Dx 7/2016, IDC, Stage IV, metastasized to bone/lungs Hormonal Therapy 8/15/2016 Faslodex (fulvestrant), Zoladex (goserelin) Targeted Therapy 8/15/2016 Ibrance (palbociclib)
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Jul 8, 2020 02:37PM mlc96 wrote:

I was just approved for SSD, have been stage 4 since December 2016 and was trying to work full time. I applied for LTD in 2017 but was denied as Unum determined I was stable on Herceptin and Perjeta.In 2018 new tumors were growing and had to go back on Taxol. I was not getting good response and chemo changed 3 times. I applied for LTD again and was approved. I had an admin job but I listed out the reasons I was unable to perform my desk job; severe fingertip neuropathy made using keyboard and handling paperwork very painful, body aches made sitting at desk very uncomfortable, frequent digestive track problems and spending too much time in bathroom, lowered immune system and need to reduce contact with employees and visitors, chemo causing poor memory, all these caused greatly reduced productivity which my employer could not accommodate.


Dx 4/26/2012, IDC, Right, 6cm+, Stage IIIC, metastasized to bone, Grade 3, 0/8 nodes, ER+/PR+, HER2+ Targeted Therapy 7/10/2012 Herceptin (trastuzumab) Surgery 11/1/2012 Mastectomy: Right; Prophylactic mastectomy: Left; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Radiation Therapy 1/27/2013 Whole-breast: Chest wall Dx 12/22/2016, IDC, Right, 6cm+, Stage IV, metastasized to bone, Grade 3, ER+/PR+, HER2+ Targeted Therapy 1/5/2017 Herceptin (trastuzumab) Chemotherapy 1/5/2017 Taxol (paclitaxel) Hormonal Therapy 5/1/2017 Femara (letrozole) Chemotherapy 11/19/2018 Navelbine (vinorelbine)
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Jul 8, 2020 09:55PM KBL wrote:

Mic96, I’m sure it’s a relief to be approved. I know we would much rather be working and not have to deal with this.


Dx 5/1/2019, ILC, Stage IV, metastasized to bone/other, ER+/PR+, HER2- (FISH) Hormonal Therapy 6/23/2019 Femara (letrozole) Targeted Therapy 6/23/2019 Ibrance (palbociclib)
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Jul 13, 2020 10:35PM DodgersGirl wrote:

I was approved for SSD and should receive my first disability check next month. Pretty quick process. I applied online since CoVid has my local office shut down for face-to-face meetings.

Question for those already receiving benefits— were you asked about federal taxes and how much to withhold? Like a W-4 when you start a job???

Dx 3/10/2017, IDC: Mucinous, Right, Stage IIIB, Grade 2, ER+/PR+, HER2- Surgery 9/11/2017 Mastectomy: Right Dx 12/2019, IDC, Right, Stage IV, metastasized to bone Radiation Therapy Whole-breast: Breast, Lymph nodes, Chest wall Chemotherapy AC + T (Taxol) Hormonal Therapy Arimidex (anastrozole)
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Jul 18, 2020 08:58PM MargaritaMS wrote:

Dodgersgirl, congrats on your approval. No, I wasn’t asked or invited to have any withholding. It’s created tax issues for me every year since I was approved because it is so hard to live on the payments and then also save for taxes. If you an opportunity to withhold, I’d take it - and please let me know. I’ll sign up for withholding too. Admittedly, I’ve been too lazy to search out myself whether withholding is an option

Dx 5/2000, IDC, Left, Stage IIB, ER+ Dx 4/2015, IBC, Right, Stage IV, metastasized to bone/liver/other, Grade 3, ER-/PR-, HER2+
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Jul 18, 2020 11:25PM DodgersGirl wrote:

MargaritaMS— I received a letter from So Security today which talked about having taxes withheld. There is a W4 form online that you can fill out and mail to Social Security.

I plan on withholding 18%, if that is an option. Otherwise, I will have 20% withheld for taxes. 85% of my disability will be taxable.

Dx 3/10/2017, IDC: Mucinous, Right, Stage IIIB, Grade 2, ER+/PR+, HER2- Surgery 9/11/2017 Mastectomy: Right Dx 12/2019, IDC, Right, Stage IV, metastasized to bone Radiation Therapy Whole-breast: Breast, Lymph nodes, Chest wall Chemotherapy AC + T (Taxol) Hormonal Therapy Arimidex (anastrozole)
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Jul 19, 2020 09:19AM MargaritaMS wrote:

Good to know about the W4. I’ll have to fill that out. Thanks

Dx 5/2000, IDC, Left, Stage IIB, ER+ Dx 4/2015, IBC, Right, Stage IV, metastasized to bone/liver/other, Grade 3, ER-/PR-, HER2+
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Dec 23, 2020 01:34PM Frap wrote:

Curious for those who were able to claim early SSDI as a MBC candidate, did you need your Dr's approval or input? My Dr says I'm perfectly fine working even though she has no clue the mental stress of my job, not to mention battling the side effects. Wondering if her input will disqualify my application. Certainly appreciate any input and many blessing to all who are suffering through the many SE of these meds.

Dx 7/5/2019, IDC, Right, <1cm, Stage IV, metastasized to bone, Grade 2, ER+/PR+, HER2- (IHC) Targeted Therapy Verzenio Hormonal Therapy Arimidex (anastrozole)
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Dec 23, 2020 01:41PM Chicagoan wrote:

Frap-You don't need your doctor's approval but they will check your medical records. I don't think you will have a problem since you are stage 4. In future doctor's visits, you may want to be sure to tell your doctor about side effect difficulties, fatigue, etc so it is in her notes. My doctor was cool-she said she is fine with patients working or not working. It's a very personal decision. Some people find their jobs life-giving; others find them to be life sucking and stressful.

Dx 9/21/2016, IDC, Left, Stage IV, metastasized to bone, Grade 1, ER+/PR+, HER2- Radiation Therapy 9/27/2016 Hormonal Therapy 10/5/2016 Femara (letrozole) Targeted Therapy 10/27/2016 Ibrance (palbociclib)
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Dec 23, 2020 06:42PM - edited Dec 23, 2020 07:03PM by Momchichi

frap, I used to process ssa disability claims and all you need to provide is the path report showing your Mets. It'll go by your date last worked unless you were using sick leave, received accommodations at work, etc. don't be shy stating how cancer kept you from working normally. There is 5 month waiting period before benefits start so the sooner you quit working the better!

Dx at 38, TN in breast, HER2 + in some nodes. TN met to L2 at 40. Dr thinks I was never HER2+ & it was a false + from neoadjuvant chemo - whaaat??? Dx 7/19/2017, DCIS/IDC, Right, 4cm, Stage IIIC, Grade 3, 16/19 nodes, ER-/PR-, HER2+ (FISH) Chemotherapy 8/9/2017 AC Chemotherapy 9/27/2017 Taxol (paclitaxel) Surgery 1/18/2018 Lumpectomy: Right; Lymph node removal: Underarm/Axillary Targeted Therapy 2/15/2018 Herceptin (trastuzumab) Targeted Therapy 2/16/2018 Perjeta (pertuzumab) Chemotherapy 2/16/2018 Carboplatin (Paraplatin), Taxotere (docetaxel) Radiation Therapy 6/23/2018 Whole-breast: Breast, Lymph nodes, Chest wall Dx 6/19/2019, Stage IV, metastasized to bone, Grade 3, ER-/PR-, HER2- (IHC) Radiation Therapy 8/11/2019 External: Bone Chemotherapy 9/3/2019 Xeloda (capecitabine) Dx 11/22/2019, IDC, Stage IV, metastasized to liver/lungs, Grade 3, ER-/PR-, HER2- Chemotherapy 12/6/2019 Carboplatin (Paraplatin), Gemzar (gemcitabine) Chemotherapy 1/6/2020 Abraxane (albumin-bound or nab-paclitaxel) Immunotherapy 1/9/2020 Tecentriq (atezolizumab) Targeted Therapy Trodelvy (sacituzumab govitecan-hziy)

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