@primek
The tyranny of distance doesn't help!
Process of elimination after a lot of persistence has at least eliminated mets.
What's highlighted here is your location seems difficult for regular appointments.
I was on Letrozole for 6 months and Onc could see I was struggling from the start but he asked me to persist with time to see if it settled. No it didn't and he changed me to Aromasin, my third AI.
When I first met my Breast Surgeon, Mammogram ultrasound and straight to surgeon, he delivered my diagnosis and the comment that you will be my patient for the next 10 years. Fortunately hubby was with me as I stalled on the 10 year bit and missed the next sentence or two as I kept thinking what did you say 10 years! I have 6 years to go.
It's a hard road that we all travel!
Hope that you get some peace whilst on the break from Letrozole and that your next appointment sorts out where you are at, bursitis is treated and some sense of I am back on an even keel here and I don't hurt like I did! Believe me I know what that's about!
Take care and whinge away