Stage 4 breast cancer

Gerry2​ I get where you’re coming from. I’ve had a couple of chest infections on the combo.  Had a couple of holidays from it over the years. I’m on Ibrance 125 mg and anastrozole. Just gone back on it after my longest break in 6 years. It’s a bit like starting all over again. Difference being I know what to expect. Doesn’t help that I have had the general anaesthetic last week fir my little opp. Thankfully I just started the week off Ibrance. Don’t start again till friday after bloods, oncologist and monthly jab of    Denosumab. Hate to think how I would be feeling if I was still taking the Ibrance.  
The opp and post treatment is certainly a surprise.  2 litres of fluid a day. 2 doses if metamucil   Plus 2 doses of lactulose all the soft fibrous food i can tolerate. Struggling to fit it all in. Amount of gas is disturbing. Good thing is the opp went well. No results yet not sure when. Back to post surgery clinic on 23rd.as well as the lung specialist. I will be spending the whole day at the hospital.   Start with a 10am appointment then another at 1pm.   The whole lot is exhausting. 
Do you know why I persevere. Im not dying till I die and I’m not ready yet. 
that doesn’t mean that on the bad days, thoughts of why do I bother don’t creep in. Just over the years I’ve mostly managed to steer those thoughts away. My mum used to say count your blessings name them one by one ( or she’d sing it.). Or look around you at where you’ve come and how much further you could go. Even the healthiest, fittest people don’t know when their time here is up.   
You can get calendars that have inspirational quotes on them. I’m lucky one of my daughters posts a good morning with encouraging words every day on Facebook. 
start each day with positive warm thoughts and finish the day with the same. Every little bit helps. 
There have been times when that thought pattern happens too often and thats when the psychologist is so helpful  mostly she lets me ramble on subtly throwing in a helpful comment  you don’t realise thats shes done it but I always come away feeling so much lighter and brighter after her appointments. 
Not sure what strength of meds you’re on but maybe they can reduce it. I know I can go to a lower dose of the Ibrance if needed.   
Try not to  beat yourself up. What you’re going through isn’t easy and sometimes only just doable.