You know I havent had any breast removed one because back then in 2009 my surgeon at the time who wanted to do a double mastectomy referred me of course to a oncologist and she advised that because it had matasticized (I could never get my mouth around that word) I didn't need to have a mastectomy. So I still have both and I've got to play the waiting game with now. If I listen to my body really listen I'll get through it I thinK. As for the pain management I am not getting any advise at all from radio oncology though fortunately I have a medical oncology appointment this coming monday at RPH so I'll ask my Dr for advise there. I hope she'll be flexible in how I want to or not want to continue taking Tamoxifen. I hate it with a passion because it's changed the landscape of my body. If any body tells me its necessary I continue then they should be willing to swap places with me. My physical and my mental and physiology being are all one; it's not separate as far as i'm concerned. They're all connected and to change one area of me changes everything. Well that's how I'm feeling now the next few months will give me detail as I continue on this journey. Thanks again for your message. It really heartens me when I get feed back from this wonderful group. I am glad you are in a good place and I look forward to when I get there too. I will continue to blog here and look forward to your comments. Take care, Donna