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Any UPSC 1a who did observation rather than chemo/radiation

Donna Faye's picture
Donna Faye
Posts: 348
Joined: Jan 2017

There appear to be so few 1a UPSC that I have been able to find in the reserch or on this board.

If you were a 1a and decided to skip treatment, please let me know. At 77, I am really wondering 

if I want to do this. 

Double Whammy's picture
Double Whammy
Posts: 2827
Joined: Jun 2010

Donna - I too had chemo for breast cancer.  I did not have to have it for Stage 1, grade 1 endo cancer, but in my little pea brain I thought chemo was chemo and I would get more bang for my bucks by having what I had for breast cancer even tho the endo cancer didn't require any.  Then they educated me that the chemmo recommended for my particular breast cancer was not the same nor as effective as what I might have had for endo cancer.  Different drugs in my case.   I also had only 4 sessions of chemo for breast cancer and my prognosis was always good and it was unlikely that I would ever need any more and my veins did ok.  You have UPSC and it is more aggressive and you will likely have 6 sessions and if you're having Taxol, that's usually administered weekly.  That's a lot of pokes, PICC line or no PICC line.  You should discuss this (if you can) with your oncologists.  There are advantages and disadvantages of being in a local oncology office vs. academic medical center.  Unfortunately, you're experiencing some of the disadvantages (they're big and sometimes the right hand doesn't know what the left is doing!).  The advantage tho is with your "special" endometrial cancer, they have the most experience in dealing with it.  From what I understand, having a port is pretty typical for just about everyone with UPSC.  Do your research and make them explain everything.  They're a teaching hospital, and part of their job is to educate their patients!  Then you can make an informed decision.  Hope all of these issues get resolved quickly.  Hey, tomorrow is Monday - call them!

Suzanne

Suzanne 

sshhaarrii
Posts: 38
Joined: Oct 2016

I had a PICC line for the last 6 weeks of chemo. I did not have to flush it myself, it was flushed weekly prior to my infusions. I originally had a port, but the inscesion would not heal. The port had to be removed when the port was exposed. I had a few issues getting through chemo. Glad that's over. 

I'm also a UPSC, 1A. 6 rounds of carbo/taxol and 3 sessions of brachatherapy for me. I have 2 more sessions of brachatherapy to go. My Dr never said anything about observation. The treatment was not easy, but to wait for this cancer to return would be too much for me.

I pray and wish you smooth journey.

sshhaarrii
Posts: 38
Joined: Oct 2016

Oh, I forgot to say that I preferred the PICC line. It was a pain to shower, but other than that no issues and after chemo is done the PICC line is removed.

Donna Faye's picture
Donna Faye
Posts: 348
Joined: Jan 2017

Headed to the hospital in 4 hours to begin chemo 1. Final decision was no port or PICC - going to use the veins and hope all goes as planned.

Feeling strong and just ready to get it behind me, as I KNOW you ALL understand. Thank you every one for writing to me as it has meant SO much. HUGS to all.

TeddyandBears_Mom's picture
TeddyandBears_Mom
Posts: 1587
Joined: Jun 2015

Good luck Donna! You will do great.

Love and Hugs,

Cindi

janaes
Posts: 794
Joined: May 2016

Yea!!! you'll have one done today.  I remember telling myself that I have to start to get it done.  You sound like a fighter to me!!

janae

Nellasing
Posts: 529
Joined: Oct 2016

Thinking of you today as you are getting #1 checked off the list!  It feels so good to get going and moving in a forward direction instead of sitting and waiting.  Time will fly and soon we'll be congratulating you as you RING THE BELL  (((HUGS)))

Donna Faye's picture
Donna Faye
Posts: 348
Joined: Jan 2017

So far, so good! Sorry pic is sideways, will try and get it upright( : Things went very well but I do think my being an advocate for myself helped.

I got the best and oldest war horse nurse to insert the line in vein and she got it on second stick !!! Did have the allergic reaction to Taxol in first 10 minutes so it was stopped and I was loaded up on benadryl, rested 15 minutes then restarted at slower drip. 16 minutes later speeded the drip up and all well. Even took a nap.

A shout out to our fantastic caregivers! My daughter was there the entire time and I do think her presence also made for great care.  I watched a movie on computer, read , snacked and then it was over. It was 6 hrs. but next one should run faster as they know how I react and can prepare ahead.

Sincere thanks to each of you who helped me decide which road to travel...in this case it was the one all of you chose. Love ya to the moon and back !

NoTimeForCancer's picture
NoTimeForCancer
Posts: 2678
Joined: Mar 2013

Donna, I had my friends who came keep notes on the treatment so we knew what worked and didn't work. I agree, having them there was wonderful.  I did not have a port and had to get stuck each time.  We only had problems one time getting a vein which wasn't all that fun.  As for the reaction to Taxol, again - being your own advocate, you will want to make sure you mention that right away for the next visit.  Did they not give you bendryl before the treatment started?  I will say the nurses (who are GREAT) were always good about telling me what they were giving me.  

SandyD's picture
SandyD
Posts: 130
Joined: Oct 2015

is absolutely recommended. I think you're right about this improving care and I also found that the family member or friend could note or remember things that I didn't due to all the benadryl I received due to my severe reaction to the taxol at the first treatment. Sounds like you've got it all together with this! 

Nellasing
Posts: 529
Joined: Oct 2016

quick reminder and maybe you just didn't mention it- be sure to be drinking water the whole time and even MORE after!!!  It helps so much and you do not want to experience the burning pee, bladder, or constipation!!!  Also, you probably wont be running much faster than that- I'd be really surprised it always took about 5 hours or more- they can't run that taxol slow enough as it is the one that causes the most problems for most people.  They always started me off with a bag of steroids etc. waited 20 min then began the taxol and by the end I had to have it run even slower and cut by 50%.  I don't think you are having as many if my brain is working correctly....?  (((HUGS)))

Kvdyson's picture
Kvdyson
Posts: 789
Joined: Jan 2016

Faye, congrats on being one-third of the way done already! You can do this!! Like Nellasing advised, stay hydrated! Also, eat lots of protein to help you body bounce back. I took Miralax to help keep my bowels regular during chemo but there are lots of other choices, too. Good luck to you and keep us posted on how you're doing! Kim 

Donna Faye's picture
Donna Faye
Posts: 348
Joined: Jan 2017

I have had zero nausea but the steriods do wire me and sleep is not as forthcoming. I feel great which in a way is not good as I find it hard to rest and not do things like clean closets. I bet when I stop the nausea meds I'll feel like a wet noodle, My 77th bd was yesterday and I had 5 goodlooking men bring me dinner and 2 cakes! We had a blast. They were my son, son in laws and 2 grandsons. Calls from my Fl son and grandson, calls and cards from friends made for a super day. Each of us has experienced a life changing time and we are all making the best of it. Thank you all again for being open to sharing.

Faye

Nellasing
Posts: 529
Joined: Oct 2016

So glad you are feeling good- if wired.  So happy you had a wonderful time celebrating your birthday with your family- sounds like the best gift ever!  (((HUGS)))

TeddyandBears_Mom's picture
TeddyandBears_Mom
Posts: 1587
Joined: Jun 2015

Happy Birthday Donna Faye! They do seem to have more meaning these days! I just celebrated my 60th on 4/7. :-)

Glad you are feeling good after chemo. Even if it is temporary.  I looked forward to those good days.

Love and Hugs,

Cindi

Nellasing
Posts: 529
Joined: Oct 2016

Wow- some April babies what a wonderful reminder of new life and all the promises it brings.  Hope your day was extra special and that the year ahead holds BLESSINGS!  (((HUGS)))

TeddyandBears_Mom's picture
TeddyandBears_Mom
Posts: 1587
Joined: Jun 2015

Thanks Nellasing. And I hope your year also brings loads of blessings! You have come a long way in a short time.

Love and Hugs,

Cindi

sshhaarrii
Posts: 38
Joined: Oct 2016

Happy Birthday!!!  How wonderful for you to have the support from family and friends, so important. Hope you are having a good day today, too. 

Soup52's picture
Soup52
Posts: 903
Joined: Jan 2016

Happy Birthday! It sounds like you have had an awesome one with caring family!

Donna Faye's picture
Donna Faye
Posts: 348
Joined: Jan 2017

Thank goodness I have you all to talk to at this time. Day 2 and 3 post chemo was a breeze, but as the steriods wore off, I crashed into pain and fatigue. I have not had a BM and am taking all kinds of meds. At this point I am not feeling very good about my care as I have to call and talk to a nurse or see a doctor that is not mine. I wonder if I want to continue on this journey of chemo or let this be it. I know the middle of the night is not a good time to make decisions. My daughter is here with me but she wonders about the quality of concern from doctor as well. I am hoping tomorrow will look brighter. 

TeddyandBears_Mom's picture
TeddyandBears_Mom
Posts: 1587
Joined: Jun 2015

Donna Faye, So sorry you are having to deal with this. I don't know if this will help but you are hitting the peak of the issues associated with chemo. It is "normal" for most of us. And it hits about day 3. The worst of it will last about 3 days. Some are lucky and have less issues. Drink lots of water. Watermelon helped me a lot.  If you do decide to continue with your next treatment, start taking Miralax a couple of days before and for a couple of days after the treatment. This will get things moving.

Fatigue is going to be with you throughout most of this and will last a while post treatments. Some days are much better than others.

Hang in there. It does get better.  Please come back and let us know how you are doing.

Love and Hugs,

Cindi

Editgrl's picture
Editgrl
Posts: 903
Joined: Jun 2015

Constipation was probably the most significant side effect I had from chemo, especially the first few times.  I echo what Cindy said about Miralax.  I also used Smooth Move tea, heated prune juice, lots of liquids, fresh fruits.  After the first few rounds, I started just to not worry about not having a BM unless it was uncomfortable, and that seemed to help a lot.  My body usually normalized by the end of the first week, so hang in there.

Donna Faye's picture
Donna Faye
Posts: 348
Joined: Jan 2017

I am better today. Have started to have some movement in the bm dept.  I am feeling more normal. i had a drop in temps yesterday and was sent to the ER from onco for tests. Sitting in that waiting room with so many sick people just broke me down and my daughter and I left w/o tests.  Surely there is a better place to get labs But, will stay strong. I do think I expected to do better and to feel more in control. 

Again, you all mean so much to me It is just a comfort to walk with those who know your path though we all wish it were another.

Kvdyson's picture
Kvdyson
Posts: 789
Joined: Jan 2016

Faye, it is good to hear that you are doing better today. Chemo is tough and you will have lots of ups and downs but you'll get through it. Stay hopeful!

Also, try to stay on top of the constipation. After a major episode with constipation after my first cycle, I took Miralax every day until chemo was over. It made a world of difference.

Also, keep moving. Even if it's just to the mailbox and back, do it. Then, do it again. Keep doing it. You'll feel more energized if you keep moving. Trust me, you won't want to do it. You'll need to push yourself. The studies are out that it works (Google the term "chemo fatigue study 2017" if you want to see them).

Hoping that tomorrow is even better for you! Keep us posted. Kim

Soup52's picture
Soup52
Posts: 903
Joined: Jan 2016

I can pretty much echo what the others have said. It can be deceiving when you feel so good the day after chemo. That's the steroids doing theIf job. The feeling pretty poorly for a few days is part of it, too. My gastroenterologist told me I can take miralax as often as I need to also. I continue to also. I'm not sure how your oncologist office works, but mine has a number I can call anytime I'm having a problem such as fever etc. it may be the PA I talk to or the doctor himself. It varies.

CheeseQueen57's picture
CheeseQueen57
Posts: 870
Joined: Feb 2016

Hi Donna Faye,

Sorry your'e having to go through this.  Previous posters have some great advice.  Miralax is your friend. 

As important as dealing with the physical side effects is battling the mental side effects.  My friend had sent me a book that was of comfort to me.  It was called:  Praying Through Cancer: Set Your Heart Free from Fear: A 90-Day Devotional for Women

Also, I practiced some guided imagery exercises.  U of M cancer center has some on their website and they're free.  You can find them at :  http://www.mcancer.org/support/managing-emotions/complementary-therapies/guided-imagery/audio-library, I would try to do this every day. 

Good luck.  We're here for you. 

Donna Faye's picture
Donna Faye
Posts: 348
Joined: Jan 2017

I have spent much of the day sleeping, finally; reading more discussions on steriods so I now know what I should have been told before treatmant. My constipation was resolved and I sent my daughter for miralax. I guess there is so much to tell us that some of it is omitted. I, do , however believe I will be better prepared for #2 as I will taper the steriods, not stop and crash. I have been so frustrated but the hugeness of my cancer center but am slowly figuring out how to get the information I need. At 77, I grew up when the doctor made housecalls and my first cancer treatment was a small office where I felt cared for and known Times they are a changing. I am so thankful I found this website and am sharing with other ladies going through this. xoxoxo Faye

Donna Faye's picture
Donna Faye
Posts: 348
Joined: Jan 2017

Wow!I should have known what steriods do to your metabolism!!! I now know why I crashed so hard and will certainly ask more questions prior to #2 chemo. 7 days post chemo and finally feeling almost normal.   We were so concentrated on delivery - port or PICC that steriods were overlooked. 

Linda D
Posts: 2
Joined: Apr 2017

I was diagnosed with Serous Endometrial Cancer on March 2.  On March 20, I had a hysterectomy.  The cancer was in a little "lump" in the uterus and had not spread to lymph nodes, uterine muscle, etc.  Because the results were good, my oncologist said that I would not have to have chemo.  I was thrilled.  But now I'm beginning to wonder.  Especially when I see all the ladies who were also 1A, but had chemo AND radiation.

I have an appointment with another cancer center on April 28 for a second opinion.  I have not had a CA-125 test yet.  The CT scan showed a small spot on one lung, but the oncologist said that it didn't mean anything.  Also, he does not prescribe Metformin "off label," and got very huffy when I asked about it.

What do you all think?

(Also, I'm 72 and I still need to work full time.)

 

 

Lou Ann M's picture
Lou Ann M
Posts: 996
Joined: Feb 2015

2nd opinions never hurt and may be very helpful.  Different doctors certainly have different ideas concerning treatment sometimes.  Some even have gotten a third opinion.  I have an oncologist and a gyro-oncologist.  They two different hospitals two hundred mile apart, and often have different ideas.  They talk and discuss and come up with a treatment plan that they both agree on.

i asked both of my them about the Metformin and they both said that there was interesting research out there and that it held promise for some.  But not for me.  My blood sugar was already low normal and they were afraid that it would prove on the dangerous side for me.

Linda, welcome to this club that no one really wants to belong to.  You will find a great group of ladies here.  This as a good place to come for info and support.

Hugs and prayers, Lou Ann

Editgrl's picture
Editgrl
Posts: 903
Joined: Jun 2015

I think a second opinion is always a good thing, especially with the rarer and more aggressive cancers.  While the NCCN guidlines do include observation only for "select patients," standard of care for UPSC generally does include chemo and/or some kind of radiation for even Stage 1A. Make sure you have copies of your pathology reports, scans, and scan reports in case you find yourself wanting a third opinion.  

The CA-125 may or may not be a good marker for you.  In my case, it has always been in the normal range, even before my surgery, and even now, when I have a recurrence.  However, for some it can be an indicator.  It certainly wouldn't hurt to have it done, and some doctors do it matter of course periodically.

Doctors do get weird about the metformin.  TakingControl58 has mentioned this, too.  I wonder if your oncologist prescribes any drugs off-label or he's just got an attitude about this one.  I, too, ran into a wall when I asked my medical oncologist about it.

 

takingcontrol58
Posts: 257
Joined: Jan 2016

I always find it very suspicious when oncologists have an attitude about metformin. The oncologist
in charge of giving me my chemo at MSKCC called my integrative oncologist unethical for prescribing
it for me, and yet I'm insulin reistant, which is a major risk factor for our cancer.  My glucose, insulin and
insulin growth factor-1 levels have never been more normal. Metformin is addressing all the health issues
that drove my cancer plus has anti-cancer properties. And the drug will prevent me from getting
diabetes (my father got Type 2 diabetes in middle age so I knew I was at risk). But the same oncologist
entered me in the Taxol/Carbo trial with placebo or metformin- and were giving me bottles of pills that
could have been metformin. Luckily I got out of the trial after one month, and was in complete remission
6 months later. From the day I started metformin, Feb 2015, I never grew more cancer. 

It is well known that metformin has many anti-cancer benefits- the anti-cancer benefits were first discovered in
2005- that is 12 years ago. They fast track expensive immunotherapy drugs yet won't fast track a cheap,
effective drug like metformin for cancer treatment. It costs me $8/month for metformin- it is the only
prescription drug I use. I think that's why- it's cheap and it works. Next month will be two years since
my chemo ended, and I haven't had any since then, and I remain in remission, and I had Stage IV metastatic EC. 

There are no cancer drugs on the market that do all that metformin can do. Will it work on everyone? Of course not,
but neither does chemotherapy for advanced or metastatic endometrial cancer. You have to do more than just use
standard cancer treatments.

The issue of prescribing the drug off label is bogus, because the chemo they are giving us is prescribed
off label for endometrial cancer.  These chemos were originally tested on breast and ovarian cancer.  Look how
many women get Avastin for EC, but it is not FDA approved for endometrial cancer. TheFDA does not test every
chemo and chemo combination on every type of cancer.  So these doctors are hypocrites. They have no right
witholding a drug from you that has more research on it than most drugs on the market. And might save your life.
It saved my life.

I would suggest you talk to your internist about the drug or an endocrinologist or integrative oncologist. 
If you have pre-diabetic levels of glucose (100-125) metformin can help you. This drug might save your life,
or keep your cancer from progressing-no doctor has a right to refuse a drug that has so much potential.
And serous carcinoma is the most aggressive. Frankly, I don't know how some doctors sleep at night knowing
their patients have a poor prognosis yet they refuse to prescribe metformin.  You could tell your oncologist that
you will sign a document that says you will not hold your doctor responsible for any side effects of the drug, if that
is what is his issue. See what he says then. 

You are in charge of your cancer, not your doctor.

Takingcontrol58

Donna Faye's picture
Donna Faye
Posts: 348
Joined: Jan 2017

Linda, your UPSC sounds exactly like mine, even to the lung node. After much research and starting this discussion, it does appear that most oncologists want at least 3 chemo and 5 bracky. I decided, at 77, to take the treatment and after a rough first one, am pretty sure I will finish all recommended. I discovered that I must be the only human living who has never taken a steriod. I followed the directions given and stopped them on the second day after chemo and had a crash. Now 9 days post chemo, I am finally feeling almost normal and realize had I tapered the steriods off, would probably have been fine. 

Do read all this discussion and do get another opinion and then ,as all these ladies advise, follow your own heart and mind.  I have 2 sons in medicine and they encouraged me to do the treatments after their own reserch. Feel free to write us as often as you need. The support here has been my mainstay after my family.

I know how you are feeling.

Faye

Donna Faye's picture
Donna Faye
Posts: 348
Joined: Jan 2017

In spite of 4 bad days from stopping steriods too quickly, have had 2 good weeks and now looking at #2 on Thursday. Less concern now that have learned some lessons about chemo in the 21st century. Family and friends have boosted my spirit and am going in optimistic about the next bout.  Then only one more to go, some radiation and I can put this behind me for a long time - hopefully.

Again, many thanks to this website and the strong women and men who post and find friends they may never meet but whose words mean so much at a time when needed.

TeddyandBears_Mom's picture
TeddyandBears_Mom
Posts: 1587
Joined: Jun 2015

Good luck Donna on chemo #2. Your attitude will help get you on the other side of the bad days! I'll be sending you loads of support for this next round....

Love and hugs,

Cindi

Kvdyson's picture
Kvdyson
Posts: 789
Joined: Jan 2016

Agreed! Now that you have one under your belt it should be a little easier to manage this second cycle. Good luck to you and let us know how you are doing. Kim

sshhaarrii
Posts: 38
Joined: Oct 2016

Donna Faye, 

I love your picture! It's like "bring it on, this won't get the best of me." I wish you well on your next infusion.

 

Donna Faye's picture
Donna Faye
Posts: 348
Joined: Jan 2017

Could not take the hair coming out in clumps so shaved the head and now in cowgirl mode! Feeling much calmer this time around as once you have a round, you sort of know what to expect.  Will be there at 9 a.m. so better than the 2 p.m. app't. Won't close the center down. Hoping for an easier let down as we are tapering steriods off. Did any of you get advice on tapering steriods?

Hugs to all. Cowgirl Faye

Kvdyson's picture
Kvdyson
Posts: 789
Joined: Jan 2016

Love the new look, Faye! I hope this second round goes smoothly for you. I only took steroids the night before and the day-of treatment so I don't have any advice on the tapering. I'm sure others will join-in with their experiences. Kim

sshhaarrii
Posts: 38
Joined: Oct 2016

Cowgirl,

Nice new look! I hope your 2nd round goes smoothly. 

Shari

 

Soup52's picture
Soup52
Posts: 903
Joined: Jan 2016

Interesting about steroids. My question- did others continue getting steroids after treatment? I only had them the night before chemo and day of chemo.

TeddyandBears_Mom's picture
TeddyandBears_Mom
Posts: 1587
Joined: Jun 2015

I find it interesting as well how different centers use steroids. I was never given anything in pill form. My steroids were given through IV the day of my treatments.

Kvdyson's picture
Kvdyson
Posts: 789
Joined: Jan 2016

My experience was the same, Soup. The night before and day-of only.

Donna Faye's picture
Donna Faye
Posts: 348
Joined: Jan 2017

I am using D.H. Lawrence's ss title as that is how I feel! Left home at 8:30 - got home at 3:30 - 5 minutes from center - long day. However, all went well - no problem finding a vein but here is where the steriods come in. I had a mild allergic reaction during first 10 min. of Taxol during 1st chemo.  So this time I had prodnisone 20 mg. last night and before leaving home this morning; get 20 mg in drip, then a saline flush, then the Taxol(3 hrs), then the second chemo drug( 30 min) then take 2 /4 mg dexamethasome 2 times a day for 2 days. That was the order on first. This time will take for 4 days but will reduce daily the amount until weaned off.  

Interesting that none of you had this protocol.  Feeling good now but very tired. Will be watching how this tapering works and if I have better let down.

Cowgirl Up! Faye

SandyD's picture
SandyD
Posts: 130
Joined: Oct 2015

I did have to take the steroids for 2X day for 2 days after chemo. I also had a severe allergic reaction to the taxol the first time and received IV steroids along with the taxol (as well carboplatin) but can't remember the order of steroids and chemo drugs. Also was given Benadryl via IV.  It was sometime after the 2 days of steroids ended that I started having more side effects such as pain in feet and legs, some restless leg symptoms, extreme tiredness, etc.

Sandy 

Lou Ann M's picture
Lou Ann M
Posts: 996
Joined: Feb 2015

i only had them the day of chemo and then through my IV.  Once I was sent home with a prescription for dexamthazone, but I never had to use it.

Hugs and prayers, Lou Ann

sshhaarrii
Posts: 38
Joined: Oct 2016

I had the dense dose chemo, 6 rounds/18 weeks. Carbo/taxol on week one, taxol on weeks two and three. Steroids, Benadryl, Prilocec (and other nausea meds) at each infusion. On the Carbo/taxol weeks I took steroids (dex) on days two and three. The steroids kept me up all night, so I slept a lot the following days

Donna Faye's picture
Donna Faye
Posts: 348
Joined: Jan 2017

I am in a research study so will ask if the continued steriods is something new althought sshhaarrii's routine is similiar to mine. I slept well last night ( chemo day) and so far today am not flying high so hope will continue. All good so far and glad I carried on!

NoTimeForCancer's picture
NoTimeForCancer
Posts: 2678
Joined: Mar 2013

I will say, you all made me go to grab some of the info I was given (and saved) from almost five years ago.  I was given a calendar with what to take every day starting with the steroids the night before (20 mg), the day of (20 mg), the following day (8 mg in the am and 8 mg at noon), the day after that (8 mg in the am and 8 mg at noon), the day after that (4 mg in the am and 4 mg at noon) and FINALLY the next day (4 mg in the am and 4 mg at noon) - so I had total of 6 days starting at 20 mg and stepping down.  (Each pill was 4 mg)   I knew you had to step steroids down so I stuck to the schedule.  Funny that they would prescribe so much ativan I could never use it but they would only write scrips for the steroids in enough for each treatment.  

Yikes, after I posted I wanted to add:  Linda D - I can't tell if you are working with a gynecologic oncologist or not.  If not - go find one and get a second opinion from them.  

I also was told to take Zofran - anti-nausea meds - during this time on certain days and had extra if I needed it.  

Miss Donna - love the new look!  

Donna Faye's picture
Donna Faye
Posts: 348
Joined: Jan 2017

Thank you for this post! That is the schedule they gave me THIS TIME after I complained about the sudden stop. I am doing so much better this second time as I know what to expect and how to react. It seems that one can EVER be too proactive with their doctors.  That is why this board is So IMPORTANT as it gives strength to those who seek to know more.

Linda, let us hear from you. 

Thanks to all!!!

Cowgirl Faye

 

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