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Psychological Support
Questions about support for the mental aspects of breast cancer & treatement.
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AskedPublicly Submitted Question
5/21/2017Hi Lilllie,
Thanks for all your help.
1. I am very fatigued, not sleeping well, hot flashes with night sweats, depressed and feel like crying at times that are unusual for me. The fatigue is the worst part. I did not have chemo. 5 weeks radiation to right breast, axilla and Supra clavicular. Lumpectomies.
Thinking of going back on hormones for quality of life if I can find an MD willing to do this. Side effects of anastrozole and letrozole too much for me. I exercise, don't smoke, limited to very little alcohol like 1 glass of wine per month. MD's want to pitch me to chronic pain management r/t painful joints even off the AI's. I am getting decision fatigue and don't know how to direct these MD's. They are not good at managing side effects. Correct that to they don't want to manage side effects they just want to order chemo, tamoxifin or AI's. Any advice?
RepliedJHU's Breast Center Reply
5/22/2017For decades, doctors focused on one goal-- that being survival. now survivors are speaking up and saying-- I want survival with quality of life. very reasonable request too. but oncologists haven't been accustomed to managing side effects. am assuming you are off of hormonal therapy now? don't resume HRT due to the fact that if you have any residual cancer cells it may feed them like fertilizer would a weed. make sure your vitamin D3 level is above 30. discuss the pros and cons of going on Effexor which is a common remedy today for these side effects from hormonal therapies.

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