{"id":247,"date":"2014-10-31T19:12:15","date_gmt":"2014-11-01T03:12:15","guid":{"rendered":"http:\/\/mmoutreach.org\/cheryl\/?p=247"},"modified":"2016-12-16T16:41:20","modified_gmt":"2016-12-17T00:41:20","slug":"effects","status":"publish","type":"post","link":"https:\/\/mmoutreach.org\/cheryl\/effects\/","title":{"rendered":"Managing side effects"},"content":{"rendered":"<p><a href=\"https:\/\/i2.wp.com\/mmoutreach.org\/cheryl\/wp-content\/uploads\/2014\/10\/side-effects.jpg\"><img data-attachment-id=\"249\" data-permalink=\"https:\/\/mmoutreach.org\/cheryl\/effects\/side-effects\/\" data-orig-file=\"https:\/\/i2.wp.com\/mmoutreach.org\/cheryl\/wp-content\/uploads\/2014\/10\/side-effects.jpg?fit=700%2C461&amp;ssl=1\" data-orig-size=\"700,461\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Side Effects &#8211; On the Path blog by Cheryl Schatz\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i2.wp.com\/mmoutreach.org\/cheryl\/wp-content\/uploads\/2014\/10\/side-effects.jpg?fit=300%2C197&amp;ssl=1\" data-large-file=\"https:\/\/i2.wp.com\/mmoutreach.org\/cheryl\/wp-content\/uploads\/2014\/10\/side-effects.jpg?fit=640%2C421&amp;ssl=1\" loading=\"lazy\" class=\"aligncenter size-full wp-image-249\" src=\"https:\/\/i2.wp.com\/mmoutreach.org\/cheryl\/wp-content\/uploads\/2014\/10\/side-effects.jpg?resize=640%2C421\" alt=\"Side Effects - On the Path blog by Cheryl Schatz\" width=\"640\" height=\"421\" srcset=\"https:\/\/i2.wp.com\/mmoutreach.org\/cheryl\/wp-content\/uploads\/2014\/10\/side-effects.jpg?w=700&amp;ssl=1 700w, https:\/\/i2.wp.com\/mmoutreach.org\/cheryl\/wp-content\/uploads\/2014\/10\/side-effects.jpg?resize=300%2C197&amp;ssl=1 300w\" sizes=\"(max-width: 640px) 100vw, 640px\" data-recalc-dims=\"1\" \/><\/a><\/p>\n<h1>Side Effects?<\/h1>\n<p>I thought I was done with side effects since I finished chemotherapy, but I am learning\u00a0that anything that is strong enough to wallop cancer will likely also cause side effects. I am now waiting for surgery because of the side effects from the pill that I was prescribed to keep me from having a recurrence of cancer.<\/p>\n<p>The pill is called Femara or Letrozole. This tiny little pill is a nonsterooidal aromatase inhibitor (AI) and it is used to treat advanced breast cancer. It fights breast cancer by inactivating an enzyme called aromatase and in turn this prevents the enzyme from supplying estrogen to the cancers that are dependant on estrogen to grow and survive.<\/p>\n<p>At first I didn&#8217;t have any side effects from the pill but within three months of starting the treatment I developed bumps around my wrists and then it progressed to pain. Three fingers in my left hand became numb\u00a0and this numbness\u00a0did not go away after waking in the morning. I was referred to a nerve specialist and her tests showed that I had nerve damage in my fingers from\u00a0carpal tunnel syndrome. \u00a0The nerves are already starting to die off so she recommends immediate surgery. My doctor also said that I had tendonitis in both my wrists and this is causing\u00a0radiating pain up my arms. All of this is a known side effect of Femara. The nerve specialist has warned me that if\u00a0I don&#8217;t have surgery soon, my thumb muscle could atrophy I could have\u00a0permanent nerve damage in my hand. Lovely.<!--more--><\/p>\n<h2>Options<\/h2>\n<p>I have been given the option to go off Femara and onto another drug called Tamoxifen, but I am very hesitant to change drugs as Tamoxifen does not have\u00a0as good a track record as Femara has with inhibiting the growth of cancer. Also my last bone scan showed that Femara is working very well to shrink the cancer that had moved into my spine. It doesn&#8217;t seem wise to mess with what is working. As a researcher I have been working hard to find out how to manage the side effects. I have found several things that have been working very well for me.<\/p>\n<h2>What IS helping<\/h2>\n<p>I started taking Glucosamine\/Chondroitin Sulfate liquid and it eased the pain from the very first day! The doctor says that it helps bring down the swelling. I have been taking it for a week now and every day my wrists are feeling better. I am also taking Advil as it is also an anti-inflammatory drug.<\/p>\n<h2>What is also recommended to help<\/h2>\n<p>I have also researched\u00a0how to manage tendonitis long term. There are two vitamins that appear to have value in bone and tendon management. The\u00a0recommendation is to take vitamin D3 4,000 mg a day to boost the absorption of Calcium. Also\u00a01-50 mg pill of B6 a day over a period of months will help the tendonitis. I can&#8217;t do much about the options I have been given to stop the growth of cancer, but I can take an active role in managing the side effects. My doctor said that I should be on Femera for the rest of my life, so I am going to have lots of opportunity to manage side effects. It doesn&#8217;t have to be a choice between Femara\u00a0or no Femara. There can be a natural way to gain strength and healing, even though the path can look pretty dark at times.<\/p>\n<h2>I can do all things<\/h2>\n<p>This past week I was re-reading Paul&#8217;s words in Colossians 4:13. He said:<\/p>\n<blockquote><p><span lang=\"en-US\">Philippians 4:13<\/span> (NASB)<\/p>\n<p><span lang=\"en-US\">I can do all things through Him who strengthens me.<\/span><\/p><\/blockquote>\n<p>This is a verse that I memorized as a kid, but I was meditating on what Paul meant by saying that he can do &#8220;all things&#8221;. Did Paul mean that he could sing a solo or outrun a train, if he wasn&#8217;t particularly gifted at singing or able to run as fast as a train? Can he really do ALL things? Here is what I found from the context:<\/p>\n<blockquote><p>Philippians 4:12 (NASB) I know how to get along with <em><strong>humble means<\/strong><\/em>, and I also know how to<em><strong> live in prosperity<\/strong><\/em>; in any and every circumstance I have learned the secret of <em><strong>being filled and going hungry<\/strong><\/em>, both of <em><strong>having abundance and suffering<\/strong><strong> need<\/strong><\/em>.<\/p><\/blockquote>\n<p>Paul is saying that he has learned the secret of how to live with humble means, to live in prosperity, and in any CIRCUMSTANCE that he finds himself in, from being hungry, to be filled with food, to have abundance and to live with suffering need. In verse 14, the verse\u00a0right after the &#8220;I can do all things&#8221; verse, Paul\u00a0wrote\u00a0that the Philippians had done well to share with him in his AFFLICTION. The context is to be content and joyful in every circumstance, including suffering.<\/p>\n<p>So&#8230;.I am learning that I CAN do ALL things so that in EVERY CIRCUMSTANCE, I can\u00a0live successfully with\u00a0abundance or with\u00a0suffering so that I can live contented in CHRIST. It seems to me that this is the way to LIVE in Him or to DIE in Him for He will enable us to be a victor in everything that we will ever experience. I am confident that He will give me the strength to go through whatever path I need to travel for He has already walked the path ahead of me.<\/p>\n<div class=\"sharedaddy sd-sharing-enabled\"><div class=\"robots-nocontent sd-block sd-social sd-social-icon-text sd-sharing\"><h3 class=\"sd-title\">Share this:<\/h3><div class=\"sd-content\"><ul><li class=\"share-email\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"\" class=\"share-email sd-button share-icon\" href=\"https:\/\/mmoutreach.org\/cheryl\/effects\/?share=email\" target=\"_blank\" title=\"Click to email this to a friend\"><span>Email<\/span><\/a><\/li><li class=\"share-print\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"\" class=\"share-print sd-button share-icon\" href=\"https:\/\/mmoutreach.org\/cheryl\/effects\/\" target=\"_blank\" title=\"Click to print\"><span>Print<\/span><\/a><\/li><li class=\"share-facebook\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-facebook-247\" class=\"share-facebook sd-button share-icon\" href=\"https:\/\/mmoutreach.org\/cheryl\/effects\/?share=facebook\" target=\"_blank\" title=\"Click to share on Facebook\"><span>Facebook<\/span><\/a><\/li><li class=\"share-twitter\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-twitter-247\" class=\"share-twitter sd-button share-icon\" href=\"https:\/\/mmoutreach.org\/cheryl\/effects\/?share=twitter\" target=\"_blank\" title=\"Click to share on Twitter\"><span>Twitter<\/span><\/a><\/li><li class=\"share-pinterest\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-pinterest-247\" class=\"share-pinterest sd-button share-icon\" href=\"https:\/\/mmoutreach.org\/cheryl\/effects\/?share=pinterest\" target=\"_blank\" title=\"Click to share on Pinterest\"><span>Pinterest<\/span><\/a><\/li><li class=\"share-end\"><\/li><\/ul><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Side Effects? I thought I was done with side effects since I finished chemotherapy, but I am learning\u00a0that anything that is strong enough to wallop cancer will likely also cause side effects. I am now waiting for surgery because of the side effects from the pill that I was prescribed to keep me from having a recurrence of cancer. The pill is called Femara or Letrozole. This tiny little pill is a nonsterooidal aromatase inhibitor (AI) and it is used&#8230;<\/p>\n<p class=\"read-more\"><a class=\"btn btn-default\" href=\"https:\/\/mmoutreach.org\/cheryl\/effects\/\"> Read More<span class=\"screen-reader-text\">  Read More<\/span><\/a><\/p>\n<div class=\"sharedaddy sd-sharing-enabled\"><div class=\"robots-nocontent sd-block sd-social sd-social-icon-text sd-sharing\"><h3 class=\"sd-title\">Share this:<\/h3><div class=\"sd-content\"><ul><li class=\"share-email\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"\" class=\"share-email sd-button share-icon\" href=\"https:\/\/mmoutreach.org\/cheryl\/effects\/?share=email\" target=\"_blank\" title=\"Click to email this to a friend\"><span>Email<\/span><\/a><\/li><li class=\"share-print\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"\" class=\"share-print sd-button share-icon\" href=\"https:\/\/mmoutreach.org\/cheryl\/effects\/\" target=\"_blank\" title=\"Click to print\"><span>Print<\/span><\/a><\/li><li class=\"share-facebook\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-facebook-247\" class=\"share-facebook sd-button share-icon\" href=\"https:\/\/mmoutreach.org\/cheryl\/effects\/?share=facebook\" target=\"_blank\" title=\"Click to share on Facebook\"><span>Facebook<\/span><\/a><\/li><li class=\"share-twitter\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-twitter-247\" class=\"share-twitter sd-button share-icon\" href=\"https:\/\/mmoutreach.org\/cheryl\/effects\/?share=twitter\" target=\"_blank\" title=\"Click to share on Twitter\"><span>Twitter<\/span><\/a><\/li><li class=\"share-pinterest\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-pinterest-247\" class=\"share-pinterest sd-button share-icon\" href=\"https:\/\/mmoutreach.org\/cheryl\/effects\/?share=pinterest\" target=\"_blank\" title=\"Click to share on Pinterest\"><span>Pinterest<\/span><\/a><\/li><li class=\"share-end\"><\/li><\/ul><\/div><\/div><\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"spay_email":""},"categories":[2,7,9,29,4],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.8 - 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I declined\u2026","rel":"","context":"In &quot;Cancer&quot;","img":{"alt_text":"My surgery and no pain On the Path blog by Cheryl Schatz","src":"https:\/\/i1.wp.com\/mmoutreach.org\/cheryl\/wp-content\/uploads\/2014\/02\/no-pain.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":149,"url":"https:\/\/mmoutreach.org\/cheryl\/good-bad-news\/","url_meta":{"origin":247,"position":1},"title":"Good and bad news","date":"February 5, 2014","format":false,"excerpt":"Today I met with my doctor and received the results of the bone scan that was taken yesterday. There was good and bad news and the doctor didn't mince words.\u00a0 The bad news, he said, is that the bone scan found cancer in my spine in the T3 disk. But\u2026","rel":"","context":"In &quot;Cancer&quot;","img":{"alt_text":"Good and bad news On the Path blog by Cheryl Schatz","src":"https:\/\/i1.wp.com\/mmoutreach.org\/cheryl\/wp-content\/uploads\/2014\/02\/good-bad.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":21,"url":"https:\/\/mmoutreach.org\/cheryl\/cancer-battle\/","url_meta":{"origin":247,"position":2},"title":"Cancer battle for life &#8211; and update","date":"October 11, 2013","format":false,"excerpt":"This is my first post on my new personal blog that I am calling \"On the Path\". This blog will be where I can post my personal updates and reflections on life. I have chosen to create a personal blog because I didn't want my ministry blogs to get bogged\u2026","rel":"","context":"In &quot;Cancer&quot;","img":{"alt_text":"Cancer battle On the Path blog by Cheryl Schatz","src":"https:\/\/i0.wp.com\/mmoutreach.org\/cheryl\/wp-content\/uploads\/2013\/10\/cancer_battle.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":271,"url":"https:\/\/mmoutreach.org\/cheryl\/last-surgery-2014\/","url_meta":{"origin":247,"position":3},"title":"Last surgery for 2014","date":"December 21, 2014","format":false,"excerpt":"Last Surgery On December 11, 2014 I had the last surgery on my right hand, the last of five surgeries this year. I am doing well after a very painful second hand surgery. I have a rare extra muscle in my hand once again that needed to be cut, and\u2026","rel":"","context":"In &quot;After cancer&quot;","img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":264,"url":"https:\/\/mmoutreach.org\/cheryl\/healing-god\/","url_meta":{"origin":247,"position":4},"title":"God is a healing God","date":"December 2, 2014","format":false,"excerpt":"God is a Healing God I got my bandages off my left hand on Sunday night. My incision looks like it is splitting apart, but my surgeon said that this is what happens as it heals. I am\u00a0posting a picture for those who have no idea of what carpal tunnel\u2026","rel":"","context":"In &quot;After cancer&quot;","img":{"alt_text":"","src":"https:\/\/i0.wp.com\/mmoutreach.org\/cheryl\/wp-content\/uploads\/2014\/12\/IMG_1291-224x300.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":301,"url":"https:\/\/mmoutreach.org\/cheryl\/cheryl-schatz-still-alive\/","url_meta":{"origin":247,"position":5},"title":"Is Cheryl Schatz still alive?","date":"August 9, 2016","format":false,"excerpt":"\"Is Cheryl Schatz still alive?\" some have asked. It has been far too long since I updated my On the Path blog. I am still alive, and I am still on the path, although I have suffered through a time of spiritual abuse. I am doing very well physically, and\u2026","rel":"","context":"In &quot;After cancer&quot;","img":{"alt_text":"Is Cheryl Schatz still alive? 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