Friday, May 30, 2014

The Bullet whole in my breast

Breast cancer don't hurt they say... MM

So I asked Dr. K so why do I have this continues burning pain in my right breast after the biopsy.  Sometimes it burns like hell and I have to take pain killers - it was not like this before.

Well. it is because they drilled a bullet size whole into the cyst and it is bleeding inside the syst.  That is why you can feel it now and why it burns.

I laugh and think back before the biopsy how they sat me down and explained that they going to take this tiny needle and you would hardly be able to see the whole.  And here the oncologist say that is just BS they drill a good size whole to get a decent amount of cells.  LOL

So when do you believe them and when not...

Telling and finding a loyal friend other than just family

Bella said OK.  She took it well.

Lolli was like a fountain pouring rain just continuing to cry.  I took her aside and together we talked about Gods purpose for our lives and how we are always in His hands.  And that now we have to be strong for one another.  After we went through the pathology report she felt better.  So much energy was pouring from my heart working with my daughter through

After telling my daughters I still felt like telling as few people as possible.  I wish I had a lovely loyal friend just like Ruth that I could trust not to over burden me with words of pity.  

In the end I have found a lovely encouraging friend in a total newcomer in my life Vicky that shared this experience herself.

‘But Ruth said,
“Do not press me to leave you
or to turn back from following you!
Where you go, I will go;
Where you lodge, I will lodge;
Your people shall be my people and your God my God.
Where you die, I will die
There I will be buried.
May the Lord do thus and so to me
And more as well
If even death parts me from you!”’
 


Ruth is a short version of 'retut', ‘lovely friend’

Ruth was a foreigner, an immigrant from Moab that married into a Jewish family. She became of great significance for all Christians in the lineage of Jesus – only four women are named in Mathew 1 2-17 and Ruth is one of them  Ruth, Orpah were that daughter in-laws of Naomi.  All three of them were widows.  Naomi that lived in Moab all this time with her family because of a famine decided o go back to her people in Bethlehem Both Ruth and Orpha was Moabites women they were the natural enemies of Israel.  When Naomi decided to go back to her people she stopped and encouraged the daughter in-laws to go back to their own families.  However Ruth a childless widow told Naomi that her people is her people and her God is her God and that she will follow Naomi.  It speaks of unfaltering loyalty of a friend.


 Ruth has a immigrant/ foreigner in Israel showed courage and ingenuity and this triumphed over her misfortune.  Ruth later followed the wisdom of her mother-in-law and caught the attention of a rich family member Boas and in the end Ruth celebrates family and her lineage became the great –grandmother of Israel’s great king David thus all the way to Christ.   This shows us clearly that a despised immigrant (Moabites) could move Gods plan to for full mint. 

Ruth and Naomi shared the same lowliness but they comforted one another and yet Naomi was a not selfish to keep Ruth to herself as a friend.  She also showed to be an unselfish loyal friend to Ruth she advised her how to go about to get the attention of a rich family member Boaz.
So Boaz took Ruth and she became his wife. 

When they came together, the Lord made her conceive, and she bore a son. Then the women said to Naomi “Blessed be the Lord, who has not left you this day without next of kin. May his name be renowned in Israel! He shall be to you a restorer of life and nourishment for your old age. For your daughter-in-law who loves you, who is more to you than seven sons, has borne him”. 
Then Naomi took the child and laid him in her bosom, and became his nurse.’

During this fight for your life you will need to tell loyal, unselfish friends about your life changing event.  So that they as friends can stand in prayer with you and lift you up.  You will need a community that is genuine, loving and caring.  I suggest you seek out those friends.  I have just so far told my office people my children and one other newcomer that share this burden with me at work.

Isiah 41:13
For I am the LORD your God who takes hold of your right hand and says to you, Do not fear; I will help you.

Second Opinion

Second Opinion

In something as close to you as the boops or the two girls on your chest- or as close as a good part of yourself image you might want to obtain a second opinion.  I have decided I want a second opinion and it truly makes a big difference on the planning of your treatment.  My first doctor was very professional kind of cold and none caring about the patient itself. Don’t get me wrong the first doctor was proficient but I need a little more humanity and understanding.
He is really laid back and like a real  Cowboy or the best description for him will be he look like Mr. Despicable.  That means he is tall bent over and seem really tough but with a small heart.  Finally a person that is a human..  We arrived there few minutes early they immediately took us.  He went with us through the p.  report step by step.  He explained that my situation really well.    And also the grades within the stages.  The other doctor was very conservative and pretty much felt that I should try and preserve as much all the time as I could.   Dr. K.  allow you more freedom of choice and he said that if I have a mastectomy then the changes of having breast cancer in his opinion can come down to 98%.  I do not have the results of the BRC 1/ 2 or the other tests.  I think still I will do the mastectomy –  my appointment now finally is made with the sergeant for after I return from vacation


PS: I want to tell you In the mean time think my family acts strange at times – they say the strangest things?  Maybe they have some nuclear sells that attach to the brain.  Or maybe people just don’t know what to say to a person with cancer and then they say the craziest things at times.

The First Pathology Report and what it means in simple language

The First Pathology Report

Breast cancer comes in the following forms
1.     DCIS (Ductal Carcinoma In Situ) the beginning non invasive, inside the milk duct.
2.     LCIS (Lobular Carcinoma in Situ) this is a tumor inside the milk making part called the lobules.
3.     IDC (invasive Ductal Carcinoma) this is a cancer that started in the milk duct but now as exited this area through growth and this is the most common type of breast cancer.
4.     ILC (invasive Lobular Carcinoma) this cancer starts in the milk glands also called lobules, however it grows into the surrounding area.

So first you identify your type of Cancer.
What type of cancer do you have?____________


Cancer stages in general
Stage Zero
Is the beginning and not life threatening, and non-invasive.

Stage One, Two, and Three
 This is invasive breast cancer (cancer cells are breaking through to or invading normal surrounding breast tissue and are considered life threatening from now on forward

Stage Four
Stage IV describes invasive breast cancer that has spread beyond the breast and nearby lymph nodes to other organs of the body, such as the lungs, distant lymph nodes, skin, bones, liver, or brain, and sometimes it is inoperable.  It is considered life threatening

What stage are your cancer?___________

Different grades of cancer

Every stage of cancer is divided into three grades.  This is really a reference to what the cancer cells look like in comparison with normal cells.   Be sure to understand that there is a difference between stage and grade.  My nurse told me in error in the beginning that I am at stage three with cancer when se read the pathology report and when in fact I was a Grade three.  It makes a world of difference.  I cried for two hours straight at work.  So another tip – wait until you talk it over with the doctor.  Grade one is a low grade and cancer cells look near normal and grow slow.  Grade two, are considered intermediate and they grow a little faster than normal.  Grade three cancer cells are little vicious buggers they look very different and are fast growing

What grade is your cancer? _______________________________________
Mine is nuclear Grade 3.


How big is your cancer?

For sure the doctors want to play a trick on you because now they jump to a metric system.  The tumor size will be measured in centimeters this also helps determine the stage and the treatment of the breast cancer. Mine was in size and weight 4, 5 X 3.0xo.3cm. The color is yellow.  It is true that a large tumor can grow slow and the other way around.  When planning the treatment is is kind of also up in the air until they cut you open.  The doctor needs a clear margin around the cancer of about one centimeter.
How big is your cancer?_____________

Do the cancer cells have Hormone receptors?
The way I think of the receptors is that the hormones are like water that boost the growth of the “cancer”/ plant.
ER by QIA Positive
The cancer has receptors (boosting power) for the hormones estrogen.  Mine is 93% positive.

PR by QIA positive
The cancer has receptors (boosting power) for the hormones progesterone.  Mine is 67% positive.
This is what I learned from my first pathology report

Fight Cancer Like a Girl

Fight like a girl?

I am sick and tired going for testing. How can I fight something if they can’t tell me anything for sure? I go from one test to the other.   Today I met with a counselor it took three hours and yes every time I have to be off work.  I thank God for my spouse that goes with me every time.  First I completed 6 pages of family history; I thought I was done with this. But now they just want it again or in more detail.  The outcome was simple I should be tested for BRC1 and 2 and yes just all the testing because this help determine the plan of action.  However the results will only be available in about 4 to 5 weeks.   They did share with me how it cuts my changes of future breast cancer with complete mastectomy etc.  It makes me feel a little better because I have a greater change of not getting it again if I do certain thing and that is what I need to figure out.  Overall I think this went well.  They slurped up my blood in a small glass vase at the end and I was on my way 
Now I had to figure out how to fight cancer like a girl?

And how is that I ask myself.   How do girls fight?  What tools do I have in my pocket to fight this cancer?   Well the only tool I can think off today is the word of God that is based on “LOVE” “FAITH” and “HOPE”

Cor 13;13
12 For now we see in a mirror dimly, but then face to face; now I know in part, but then I will know fully just as I also have been fully known. 13 But now faith, hope, love, abide these three; but the greatest of these is love.

Letter to Friend

Dear Sarah,

Dad & I talked about your generous offer. I think it will be awesome if you can come and help us out when I have the surgery.   I have no idea what to expect or how it will be or can be. I think (or expect) to be in the hospital for maybe a few days and then I guess I will be able to go home.  It was my hope to start recovering when the school is in full swing.  I hope to put as little stress on the household as possible. 

We are however,  concerned about the summer plans and do not want  to spend all my time recovering during the time when the kids are off and we as a family want to do some exciting things together unless we are dealing with a CRITICAL issue. In a similar way, I want to be fair to both our summer plans and my own health.  At this time the doctor believe I am at stage ___ period 3  It is just before the next stage.  However when it moves over to that Stage  it becomes serious life threatening and invasive - I don’t really want to wait too long.  No one can tell for sure how fast the cancer grows. 

When I come back from XX  I will see the surgeon and then the week after the plastic surgeon.  I will try to schedule my surgery as close as possible to that time so that you can come in after you are done there.  We will definitely appreciate it if you can make this happen from your end - every little bit will help us during this time.  In all of this, I will need different surgeons to schedule their time so they work together in one location – Bottom line; they will have to tell us when that can work out for all of them.


1. Local growth and damage to nearby tissues
Cancer cells multiply quickly. A cancerous (malignant) tumour is a lump or growth of tissue made up from cancer cells. Cancerous tumours normally first develop in one site - the primary tumour. However, to get larger, a tumour has to develop a blood supply to obtain oxygen and nourishment for the new and dividing cells. In fact, a tumour would not grow bigger than the size of a pinhead if it did not also develop a blood supply. Cancer cells make chemicals that stimulate tiny blood vessels to grow around them which branch off from the existing blood vessels. This ability for cancer cells to stimulate blood vessels to grow is called angiogenesis.

Cancer cells also have the ability to push through or between normal cells. So, as they divide and multiply, cancer cells invade and damage the local surrounding tissue.

Related articles q
2. Spread to lymph channels and lymph nodes

Some cancer cells may get into local lymph channels. (The body contains a network of lymph channels which drains the fluid called lymph which bathes and surrounds the body's cells.) The lymph channels drain lymph into lymph nodes (sometimes called lymph glands). There are many lymph nodes all over the body. A cancer cell may be carried to a lymph node and there it may become trapped. However, it may multiply and develop into a tumour. This is why lymph nodes that are near to a tumour may enlarge and contain cancer cells.

BRCA1 and BRCA2 Testing

BRCA1 and BRCA2 Testing

Expert Quote

"Simply having a proven gene abnormality does not necessarily mean that a woman will develop breast cancer, or that her cancer will be any worse than cancer that does not stem from an inherited genetic flaw."
-- Marisa Weiss, M.D., president and founder, Breastcancer.org

Today I guess is another big day for me. I am going for what they call a BRCA test.  By now you would think I am medical smart in all these medical terms.  The first day I saw the oncologist he gave me a book about breast cancer and you, I read it right through within a hour.  And the question is do I understand what is happening? MM not really.. I have an idea but there is really just whole lot I have no clue.  Today I am going for the BRCA test that will help determine if I have a family history or gene of breast Cancer, if it is heredity since this will help determine the action for the future for me.  I understand that there are BRCA test One and Two, it can be an abnormal gene from either your father or mother and it will be important for my three daughters to have this information, because then I will have a much higher change of the cancer returning and it will properly be best for sure for me to have both breast removed.  I had several immediate relatives that had cancer and breast cancer. “Women with an abnormal BRCA1 or BRCA2 gene have about a 60% risk of being diagnosed with breast cancer during their lifetimes (compared to 12-13% for women overall).”  It further increases the risk of ovarian cancer.   At this time I only have one ovary left when I was twenty one I had 3 cysts removed two from one ovary and then they removed that ovary and after that I had one ovary left and I developed a cyst of 10 cm on that ovary.  I had no children at the time and I remember the stress at the time and how our church that we pastured prayed and the gynecologist said you will not know until after the surgery if I will be able to save your ovary or not.  I so wanted children and that seemed to be such a final event at the time.  I tried for nearly two years then to get pregnant and all that happened was just one cyst after the other.  Many people and many churches prayed for me and God gave me a word I would have children it seemed like a mute situation at the time.  I would not know the outcome ant the possibility   But I can say today I woke up after that cyst removal and they saved one ovary and the nurse said you are ok.  You will be able to have kids.  I was ok from there forward I hold on to the promises of God.  We were blessed with four wonderful children through six pregnancies

Whirlwind of visits and just a information tornado

Yesterday was a lovely sunny day at work:

I met up with a lady that is a breast cancer survivor Vicky.  She has being an immense wonderful resource and help to me just by sharing her experience with a Bilateral Mastectomy that she had.  We met up at twelve and went for just a walk with a great talk.  We talked about how your family react when they find out you have cancer, my husband’s first response was no and then the stage was another no.   I decided do a simple email to the 13 people I work with and yes said I HAVE KNOWN YOU FOR 12 YEARS AND WE ARE SUCH A SMALL GROUP AND AS YOU KNOW i HAVE HAD SOME HEALTH CHANGES.  HOWEVER i WAS RECENTLY DIAGNOSED WITH B/CANCER AND WILL GO THROUGH SOME CHANGES.  The response were just like normal and sorry - I was like that too -  It is only a reality once a situation touch your own life.  Some were just pouring with sympathy and that makes it hard to deal with - so I just decided to not tell any of my extended family like my mother, father etc.  But I will still I just need to absorb it all myself still and figure out the medical approach.  This coming week I will go for the BRCA testing to see what my level of concern for the future should be and if I would get a Bilateral Mastectomy or what.  I am also going to visit a second oncologist that is not that conservative so that I can have two opinions.

I have walked through stage three breast cancers with my mom - her chemo and radiation after a mastectomy on one breast.


It is a lot to think about and suddenly I feel so close to my breast / boobs (two girls) here in front of me.  After all they are a big part of me. Together we fed four kids, played in the sun, had fun making love... and now they are ready to kill me...

But life goes on ... it never stop... and if these boobs are ready to kill then perhaps it is time to trade them in...

The first few days, post diagnosis, have been a whirlwind:  telling family, friends, and co-workers, doctors appointments, visiting HR regarding FMLA, checking on insurance.  And of course, starting a therapeutic blog!



I am now taking positive steps to help me through this journey.  I learned that you can contact out the Breast Cancer Resource Center of Austin to pair you up with a patient navigator.    Patient navigators are breast cancer survivors who act as a resource for newly diagnosed patients.  They provide advice on what to expect, recovery, how to stay motivated and positive, and just another person to talk to who has already experienced the journey I am starting.  I have found a patient navigator in a new friend.



Never say Die

Never say Die

Deborah is ‘bee’ in Hebrew. It can also mean ‘spirited or fiery woman’. Thinking back when attacked, Deborah could sting like a bee.

The first thing that you have to learn in this battle against the great C is to never say Die and never to give up but to fight like a girl in faith with trusting God.  You have to trust in God just like Deborah did and the Israelis and in return God helped the Israelis to  defeat and army that seemed to be an invincible and superior military.  The first access to the plain of Esdraelon/Jezreel insured the victory for Israel.


Deborah, a judge of Israel, summoned Barak (Judges 4:1-11, 5:1-18).  Deborah sat under a palm tree from where the Israelite s will come and visit her and seek wisdom from her.  She was a prophetess a judge a speaker of wisdom.  Her victory came in battle when the outnumbered Israeli troops was led huge victory.  She appointed the best able military general and she gave him orders as what to do.  It was a typical 






Hello Girl this is just for you


Psalm 91:16 says:


WITH LONG LIFE  I WILL SATISFY  (put your name here), AND WILL SHOW HER MY SALVATION!!!!!

NOTICE THERE ARE NO CONDITIONS ON THIS PROMISE.  NOT IF (you) LIVES IN KANSAS CITY, OR IF (you) IS 5’4”, OR IF (you) HAS THREE CATS!!!  NO!!!  THE PROMISE IS THAT YOU WILL HAVE A LONG LIFE.  A SATISFIED LIFE. 

The challenge here is to let go of the fear, anxiety, worry, control, and determine that no matter what, I will determine to live in peace, trust in my God, and believe that He knows everything I need for this battle.  And that He will be with me every step of the way, day by day, minute by minute, granting me healing and giving me peace that passes understanding in the midst of this storm. 

I love you beautiful ladies!!!  All will be well.  You will see. Promise.


Telling my younger kids later

Post Three

Note to my Teenage Daughters


Dear teenage daughters, I am truly sorry that I could not tell you right at the moment I found out about my cancer.  I wanted to talk to you but it was yearend for the school here in May and I did not want you to be upset – when it is just what it is.  Really what do one say, it is like throwing a person with a raw egg with no cloth to clean up.  In a way it is not really fair to you that you have to wait before  I can tell – I did  tell your brother and sister that are in their twenties and they  took it ok. Perhaps when school is over we can take a walk in the park.  I just love the time when we just go for the walk and talk over this and that.  When I listen to you girls then I wish I can be the teenage girl with the two long legs and pimply face and the wind gently tossing your long hair around.  I wish… then I remember don’t wish live 


Life is so precious! 

Keep Smiling with Jesus

  The Dancing Girl

Don’t let the cancer steal your joy,
Dress every morning with your smile
Rejoice in Christ for all His wonders
How small or how ever few…

Every morning go and stand in front of the mirror,
Count and name at least three things,
that you are thankful for…
every week you can consider three new things…

If you can’t think of anything:
How about breathing?
How about sight?
How about family?
How about friends?

How about Christ that gave His life for you?


The Dancing Nana - Superb YouTube Video


https://www.youtube.com/watch?v=6J-Xab9b_a8


The Dancing Nana. What a great feel good video. Please share and spread a smile to others you love. A great reminder for all Nannas, Grandpas, parents and ch…

Romans 8:17
Now if we are children, then we are heirs--heirs of God and co-heirs with Christ, if indeed we share in his sufferings in order that we may also share in his glory.

1 Corinthians 12:27

Now you are the body of Christ, and each one of you is a part of it.

2 Corinthians 1:5

For just as we share abundantly in the sufferings of Christ, so also our comfort abounds through Christ.

2 Corinthians 6:10

sorrowful, yet always rejoicing; poor, yet making many rich; having nothing, and yet possessing everything.

2 Corinthians 12:15

So I will very gladly spend for you everything I have and expend myself as well. If I love you more, will you love me less?



What now? My world was tubmling in



I want to say I kind of guessed something was wrong when I went from one test to the other. When my doctor called in her soft gentle angel like voice, explaining that my 3rd mammography was positive for cancer.  I was ok her voice was so reassuring  But it was later when the nurse called and announced the visit with the Oncologist that I just broke up in tears and sat crying at my desk for several hours.  I asked the nurse what stage it was and after I found the following information on the internet.  I was devastated.  After my entire mother had stage three inflammatory cancer, at about age 50. I lived with her through it so I had a good idea of what it can look like.  It is like your whole world God a death sentence - here I desire to grow old to be a mother for the last two kids and a grandmother for all four kids’ kids.  Just like Paul addressed the women saying that he was mindful of the grandmother’s faith and the mother and hers – that is what I wanted my legacy to be and now I just received a death sentence.

2 Timothy 1:5 4longing to see you, even as I recall your tears, so that I may be filled with joy. 5For I am mindful of the sincere faith within you, which first dwelt in your grandmother Lois and your mother Eunice, and I am sure that it is in you as well

For part of it I felt I can't do this - perhaps I will run away - perhaps I will just end it all...  I had so many other things to deal with in my life right now, in my job and relationships how can God expect me to take on more.  It was a time of brokenness.


That night was a long cold night;   It was like I could not fall asleep just tossing from side to side.  At times tear will just run down my cheeks with no noise just a fountain draining from my soul.  I don’t want to be dead I want to live.  My ex-husband that was now my domestic spouse after we started working on restoring our relationship was just like me overcome by the news.  I would say he was more in denial than even me.  We had so many new plans for restoring our life and getting married building a new house, travelling the world, getting old together and holding hand when we were ninety.  We have just recently renewed our love after a divorce of 25 years and separation of just less than 2 years.  Why this? Why now?  



Stage III
Stage III is divided into subcategories known as IIIA, IIIB, and IIIC.
Stage IIIA describes invasive breast cancer in which either:
  • no tumor is found in the breast or the tumor may be any size; cancer is found in 4 to 9 axillary lymph nodes or in the lymph nodes near the breastbone (found during imaging tests or a physical exam) OR
  • the tumor is larger than 5 centimeters; small groups of breast cancer cells (larger than 0.2 millimeter but not larger than 2 millimeters) are found in the lymph nodes OR
  • the tumor is larger than 5 centimeters; cancer has spread to 1 to 3 axillary lymph nodes or to the lymph nodes near the breastbone (found during a sentinel lymph node biopsy)
Stage IIIB describes invasive breast cancer in which:
  • the tumor may be any size and has spread to the chest wall and/or skin of the breast and caused swelling or an ulcer AND
  • may have spread to up to 9 axillary lymph nodes OR
  • may have spread to lymph nodes near the breastbone
Inflammatory breast cancer is considered at least stage IIIB. Typical features of inflammatory breast cancer include:
  • reddening of a large portion of the breast skin
  • the breast feels warm and may be swollen
  • cancer cells have spread to the lymph nodes and may be found in the skin
Stage IIIC describes invasive breast cancer in which:
  • there may be no sign of cancer in the breast or, if there is a tumor, it may be any size and may have spread to the chest wall and/or the skin of the breast AND
  • the cancer has spread to 10 or more axillary lymph nodes OR
  • the cancer has spread to lymph nodes above or below the collarbone OR
  • the cancer has spread to axillary lymph nodes or to lymph nodes near the breastbone
Learn about what treatments you can generally expect for stage IIIA and operable IIIC in the Options by Cancer Stage: Stage IIIA and Operable IIIC page in Planning Your Treatment.
Learn about what treatments you can generally expect for stage IIIB and inoperable IIIC in the Options by Cancer Stage: Stage IIIB and Inoperable IIIC page in Planning Your Treatment.

Chemotherapy
Chemotherapy is the most commonly used treatment when cancer has spread. The drugs kill cancer cells or slow their growth. There are many types of chemotherapy drugs, which are often used in different combinations and strengths. Treatment is usually given over a few hours or days, followed by a rest period of 2–3 weeks. Most people usually have several courses of treatment.
The chemotherapy drugs are usually given by injecting the drugs into a vein (intravenously), but can also be given as tablets or capsules (orally). Ask your doctor which combination of drugs is best for you, and how long your treatment will last.
Side effects of chemotherapy can include nausea, depression, tiredness and hair loss. Many of these are temporary and can be prevented or reduced. Different types of chemotherapy have different side effects – for instance, not all of them cause hair loss.
For more information see the chemotherapy section.
Surgery
Surgery can remove tumours from affected areas, for example the bowel or lymph nodes. It can also relieve discomfort caused by tumours that obstruct organs or cause bleeding, such as unblocking the bile duct to relieve jaundice in pancreatic cancer.
Your doctor might suggest surgery on organs that stimulate tumour growth because of the hormones they release, for example, removing the testicles to reduce testosterone levels and slow the growth of prostate cancer.
Radiotherapy
Radiotherapy uses radiation, such as x-rays, to kill cancer cells or injure them so that they cannot multiply. This can be precisely targeted at cancer sites in your body. Treatment is carefully planned to do as little harm as possible to your normal body tissues.
Radiotherapy can shrink tumours or stop them from spreading further. It can also relieve symptoms such as pain from secondary cancer in the bones. External beam radiation or internal radiation (brachytherapy) may be offered.
Side effects from radiotherapy can include fatigue, skin problems or loss of appetite. These may be temporary or longer lasting.
For more information see the radiotherapy section.
Hormone therapy
Cancer that grows in response to hormones can often be slowed by taking drugs to suppress the body’s production of the hormone. Other treatments interfere with the effect of hormones on tumour cells.
If you have prostate, breast or uterine cancer, you may be offered hormone therapy. This may cause some side effects.
For women, certain hormonal drugs will cause menopausal symptoms, regardless of your age. Hormonal drugs called aromatase inhibitors may be used if you have been through menopause, and these may cause thinning of the bones (osteoporosis) and vaginal dryness. For men, hormone treatments can produce hot flushes.
Palliative care
Palliative care allows people with advanced cancer to maintain their quality of life. It helps you cope with the symptoms of cancer or its treatment, as well as the practical problems of daily life.
Many people think that palliative care is just for people that are dying, but it is appropriate at any stage of advanced cancer. People can receive palliative care for many months or even years.
Palliative care also involves spiritual care and the support of relatives and carers. It incorporates a range of services offered by medical, nursing and allied health professionals, as well as volunteers and carers.

You can have palliative care while you are having active treatment