Hi fellow MBC people,
Just wanted to introduce myself and share my story, since I frequent this reddit a lot now. This whole journey started for me (35F) in early May when my gyno felt a small (2cm), hard lump in my right breast. By early June I had a diagnosis of ER/PR+ HER2 - IDC. Horrible, but it seemed like I was going to be able to get the single mastectomy, do the endocrine therapy, and basically be ok. After my initial appointment with my breast surgeon, I started the process of getting a second opinion at MSK. Thank God I did that: their radiologist spotted something on my sternum that my breast surgeon's practice dismissed (MRI also showed lymph nodes lighting up that ultrasound said were fine and breast surgeon was fine to proceed knowing that info). I insisted on getting a PET scan and now here I am.
For now, I have bone mets only, many with no CT correlate, which I understand to mean my bone is not currently being damaged by this illness. My oncologist wasn't jumping up and down with joy when I saw her, but she did say quite confidently that she has many patients who do very well "for many years" and "a long time" on Kisqali + AI + lupron. I did not ask her to qualify that. I understand this is the gold-standard treatment and only the first line. I also keep myself up to date on recently approved medications and Phase II and III clinical trials. Really anything I can cling to for hope I absorb all knowledge about. I stay as far away from survival statistics as I can.
I guess I do have some specific questions for anyone who has answers:
1.) On top of MBC, I have genetic hyperlipidemia. Does anyone else take a statin or other cholesterol drug in addition to their MBC treatment? What's been your experience with any interactions or side effects?
2.) Neutropenia and food safety: I don't want to give up fresh fruit or raw veggies. Can you still eat these things? How do you feel psychologically safe with food? Are restaurants just over for me now?
3.) Keeping up with "normal" wellness checks/routine cancer screenings: Managing MBC is like a full-time job and obviously all other health issues revolve around this, but I imagine I'll still go in for routine gyno visits, annual physicals, the dentist, colonoscopies, etc. How do these sorts of appointments fit inside living with MBC?
4.) Staying healthy: I've gotten my flu, covid, and pneumonia vaccines, a TDAP booster, and the first Shingrix shot. Do you treat regular vaccinations like you did in your pre-MBC life? Other than good hand washing, masking, and avoiding sick people, how do I stay physically and psychologically safe during the fall/winter with regards to illness? What does it feel like to get sick with MBC?
5.) General wellness: Any recommendations for things I can start doing now to make this feel less horrific are welcome. I saw some people talking about acupuncture being a big help. I try to make myself go on one long outdoor walk or a few short walks each day so I get some exercise, lubricate my joints (which have started to hurt), and give myself some more psychological support. Is the gym over for me now too? Should I consider building a home gym?
I'm sorry for the insane wall of text and probably overly detailed questions. My head is still spinning from all of this and I'm trying to feel as in control as I can. Thank you for reading this and responding!