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May 5, 2021 12:34PM
Saw my MO today and asked about why we aren't staying on chemo until progression. She said she usually does 6 cycles and then a break because of toxicity and wanting to give the body a break. Because she knows that currently, my body responds well to chemo, and because to her, I got a long time off endocrine therapy ( I guess everyone's definition of long is subjective. I was on tamoxifen for 5 months before having an oopherectomy and switching to letrozole where I feel I got a year or maybe a little more out of it), that it would be okay to just do tamoxifen, give my body a break from toxicity , and go from there. The risk we run into is becoming resistant, progressing, and going to an even more toxic therapy without giving my system a chance to rebound. She told me it is up to me and there is no rigth or wrong answer in our case. There're reasons to continue and reasons to take a break. Unless i've already stopped responding to treatment, there's a good chance my tumours will be gone by the end of six. fingers crossed
She did mention that where we live, treatments like ibrance are given on a compassionate basis and in windows, so we have to consider that as well . She does not want to use those drugs until we have to but it might have to end up being earlier than we want so I can access it period. It is so frustrating my province hasn't adopted it yet.
I know this is a liver mets threat but I also wanted to ask anyone who's gotten the covid vaccine.. how long did it take for SE's to appear and disappear? I booked my shot for day 3 of my cycle, and i get tx on day 1,8, and 15. I don't want the SE's to be so bad I miss chemo.
8/17/2018, IDC, Left, Stage IV, metastasized to liver, ER+/PR+, HER2- (FISH)
9/18/2018 Cytoxan (cyclophosphamide), Ellence (epirubicin), Fluorouracil (5-fluorouracil, 5-FU, Adrucil)
2/26/2019 Mastectomy: Left, Right
4/29/2019 Whole-breast: Breast, Lymph nodes, Chest wall
IDC, Stage IV, metastasized to liver, ER+/PR-, HER2- (FISH)
Abraxane (albumin-bound or nab-paclitaxel)
Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
Prophylactic ovary removal