9/2011 Hers2 negative DCIS Grade 1 Stage 1 (4cm) Lumpectomy Presently undergoing radiation therapy Day 10 of 30 then to follow with 5 yr oral course tamifoxen
Hx 56 yr with hysterectomy r/t placenta acreata in 77. Have ovaries intact not told in menopause or verified with recent lab test. Annual labs WNL
Severe chronic dry eye, moderate dry mouth and dry itchy skin. Hotflashes (of on) since 08
Off / on mild moderate joint pain and stiffness in 38 of 40 joints with idiopathic pheriperal neuropathy UE LE 05 present with 2 point differential
I have found no articles mentioning differentating side effects radiation therapy with Sjogrens and fibromyalgia Recent increase fatigue (radiation tx?) with increase sporadic low back siatic pain, muscle pain and joint stiffness UE LE (flare of Sjogrens and Fibromyalgia?) No temp usually sub grade with just flu like s/s. Current flu imunizations Nov 4
Also have been unsuccesful what to look for in radation treatment besides radiation side effects of itching, rash, redness, unusual bumps, skin peling or pigmemtation changes or breast pain.
Specialist puzzled and do not want to discuss are possibly unsure of a response or whom to direct back to- PCP or
rheum.
Minimalist with meds didn't like way body felt in aggresive tx 08 to10 with Previous drug therapies Buspar COX inhibitors lidocaine patches plaquinel, ecovax restasis.
11 Presently manage with NSAIDS OTC capsasin and absorbine JR- Restasis, Refresh drops, and other CAM therapies TENS yoga, meditation, biofeedback, myfacial massage dry needling accupuncture, chiropractor and aqua therapy reluctantly 2011 reintroduction of neurontin (less 90 days) and Cymbalta (less 90 days) Recent fall. Functional ADL just with moderate difficulty weather conditions worse especially wet damp cold also sudden barametric pressure changes
Annual xrays labs wnl