Wednesday, March 19, 2014

Tamoxifen woes

I just feel nervous all the time! And I've been having my period for three weeks. Probably my fault for starting on the 3rd day. It wasn't much but it just kept it up for so long. It's tapering off now. I was told to expect some changes in my cycle. I'm very, very regular so all this is not what I'm used to!

But the nervousness... it can't go on. I have strange nightmares. One about a boy being kept in a barrel last night and something else disturbing... Can't remember. There are solutions. One is to switch me to an AI (aronmatase inhibitors). Don't want to do that yet since I'm solidly pre-menapausal and AI's are usually given to post-menapausal women. I'm actually not entirely clear on the differences between AI's and Tamoxifen, but I have about 5 years to figure it out. Also, there is an anti-depressant that works against Tamoxifen's side effects but I'm not thrilled to start that unless I know that these symptoms are here to stay. Tamoxifen often has wonky symptoms for the first 1-3 months and then settles down.

I'm officially done with rads. I took the images and letter from Dr. N to nice Rads-Onc lady and she examined me. She seemed relieved that it wasn't anything to be concerned about (because I wasn't overly worried myself). Nice people there but got a little sick of going there. She'll see me in a year.

I took Davina to a Purim party on Sunday, where she was doing a Purim play with her Talmud Torah class. Fun to be able to snap pictures since it wasn't a Saturday or a holiday. One of the moms came up to ask how I was doing. I said it was all fine, done with rads, just ran into a little snag with how the controls would be organized... So I recounted what transpired with Dr. N. Turns out, she and her husband are friends with him.

She starts telling me personal stuff and I stopped her. No! This is my doctor, in a white coat, who sits behind a machine, looks at a screen and tells me whether or not I have cancer. I don't want to hear about Volley Ball or the pool he has or where he lives... These doctors in my life are creatures who exist only in their lairs, do not emerge during sunlight hours and do not mix with Normal Humanity, at least, to me.

"Doesn't he speak English well? (pause) Please don't tell me that he's been your doctor for 14 years and you've never even tried to speak English to him??"

Guilty! No, I learned long ago not to do that for reasons I won't go into now and didn't with her.

Then she mentions how he spends his entire vacation going back to his home country and volunteering in a hospital there. My heart melted!

Now, you can start telling me about my radiologist!

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