I have stage IV breast cancer metastasized to bone (skull, spine upper part of long bones (arms and legs) sacral area and ribs. So far have had success with mastectomy and estrogen blocker. Stable scans since Aug 2011, when diagnosed. I noted another person on MedHelp with metastatic breast cancer that is 6 (SIX!!) 100 mcg fentanyl patches. My question is: Just how painful is this going to get?? I am on one 50 mcg fentanyl patchy q. 72 hours with hydrocodone for breakthrough pain. I almost missed a day but caught it at 14 hours and the pain was pretty intense. I have a pretty good idea re: longevity, etc, but not sure about having to be so drugged that I can't wipe my own bottom. I have a pretty good relationship with my oncologist, but am just trying to get a better feel on how bad this is going to get. Any info welcome,, Thanks.