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Old 09-30-2014, 08:06 AM   #1
embur102
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Accept Disability, or not?

Hello everyone,

Do any of you have experience with receiving disability? I was recently awarded disability under the Compassionate Care Allowance, (with Stage 4 brain mets they dont expect you to live a long time) It's a small amount, not enough to live on but it is a guaranteed monthly income. if I accept it, I am then limited to how much income I can bring in each month from employment.


My dilemma is: do I accept the guaranteed amount, and then limit my work hours, or do I turn it down with the belief that I will be one of the long term survivors who is still able to work?

Either way, my income still won't cover all the bills. And, I have no sick pay or vacation, so no work=no pay.

Ladies with mets.....are you still able to work? What has been your experience with long term treatment effects? I am just beginning this mets journey....not sure what to expect.

Thanks!!
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Dx 4-12-2012
R unilat Mx 5-25-2012 (no reconstruction)
Stage 2B, Grade 3, Her2+++, Er + (15%), Pr -
4.2 cm, 2/14 nodes +
3 AC, 4 T/H
Zoladex 4 months
Oophorectomy Feb 2013
AI daily
Herceptin every 3 wks until Sept 2013
Gamma Knife June 2014, 2 cm brain met
Liver mets Oct 2014
Taxotere/herceptin/perjeta-CLEOPATRA trial Nov 2014-Mar 2015


"RISK BEING SEEN, IN ALL OF YOUR GLORY!" Jim Carrey
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Old 09-30-2014, 11:59 AM   #2
annettchen
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Re: Accept Disability, or not?

I'm also early on, but thought I'd reply anyway for what it's worth.
I have bone mets, went thru 6 cycles of THP and am now on Herceptin and Perjeta, plus Xgeva. I continue to work full time, but am lucky because I started working from the home office prior to my diagnosis in March this year.

So far, I think the impact on work is not big - some more doctors appointments than other people, and for a while I was not able to travel for work, but this is on the way to resolve. I have to say, though, that my boss has been absolutely amazing all thru this - he really tries to work around whatever limitations there are, and this approach has been profitable for both sides so far.

Side effects of Herceptin / Perjeta on their own are WAY less than with the Taxotere. So far just some big D, but easily manageable with occasional Immodium. Some bone and joint pain (but I still go horseback riding 3 times a week, and move as much as I can, as that makes me feel better). Some itch. But really - nothing to write home about.

I intend to continue working as long as I can - not only for financial reasons, but also because it helps me keep my sanity and instills some much needed normalcy into our family life...

Overall I think it depends on the amount of effects or side effects you experience, and also on the type of work... I'm a "pencil pusher", so if I don't function 100%, no one will come to harm from it, and there's not much physical strength needed for what I do...
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----------------------------------------
03/2014: Diagnosed with ER/PR-, HER2+++ MBC (bone mets, oligometastatic)
04/2014: Started 6 cycles of "PHD" (Perjeta, Herceptin, Docetaxol)
07/2014: Finished 6 cycles of PHD; restaging; 2 bone mets are sclerotic - looks like Herceptin and Perjeta is working
10/2014: STABLE!
01/2015: STABLE!
04/2015: STABLE!
08/2015: STABLE!
12/2015: BRAIN METS. BODY STABLE.
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Old 09-30-2014, 04:22 PM   #3
Adriana Mangus
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Re: Accept Disability, or not?

Embur, I tend to agree with Annett.

It's basically up to you, how are you feeling? do you feel like you can continue working? You are entitled to attend all of your doctor's appointments, your employer has no choice, but to abide.

I worked until my husband suffered a stroke in 2007. I was dx in 2003 with mets to lung- rt side- and continue working with minimum side effects and I really enjoyed work, it gave me a purpose in life. I believe I'd continue working if not for my husband's disability.

My doctor isn't concerned at all with brain mets, people like you can live for a long, long time; 10-20 years - -who knows. You seem real young, maybe disability can wait for awhile?

Best of all to you and your family.

Addie
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1994 - rt brst, .lump, underarm node dissection,chemo+rad 1.2 cms, Grade 3.
28 nodes neg
Er,Pr, Positive HER2 status unknown
2003- Recur to rt lung.July 16 ( B-Day!)
Her2+++ Er,Pr, Negative
2003 - Aug04--Navelbine + Herceptin
2004- 2007--
NED - Herceptin, only
2007 Feb-April Xeloda added to hereceptin
2007-May Back on Navelbine+Herceptin
2008-Feb-Mar 15 Ses Rad to Rt. Lung
2008- Oc 17 Add Tykerb to Herceptin
2009- June-- Discont Tykerb
2009 July 7--Current Taxol + Herceptin
2009 Dec--Discontinued treatment due to progression. Looking into cyberknife.
2010-Aug Accepted to TDM1, no SE, except liver count went up.
2010-2011 September got kicked out of the trial, due to a small spot found on lung.
2011- 2012 September thru early 2013 on Herceptin
2013- March Bone density shows small spot on 5th rib.
2013 - April 4th appt with onc. will post after discussing course of treatment.
2013-March-April Cyber knife to brain and radiation to rib. Chest --base line before chemo-CT-Scan stable for lung issue. CA2729 Normal.
2013 April Herceptin- TDMI
2013 Sept Herceptin + Perjeta . CA2729 within normal range. Brain and Pet scans October 31st. will post results.
2013 October Brain MRI- mixed response. Will see Onc/rad on Halloween.
2013 October/November Brain-MRI nothing new. Repeat MRI next year in May.

2013 December Continue Herceptin and Perjeta. Stable at the moment.
2014 February Brain MRI -clear!
2014 January Added Taxotere to Perjeta+Herceptin.
2014 March Stopped chemo-chest ct-scan next.

2014- March Scans shows tumor's larger, CA2729 higher. Discontinue Herceptin.
2014 April Perjeta+ Halaven
2014 April CA2729 went down 60 points after one cycle. Cough does not want to go away.
2014 June Continue on Perjeta + Halaven-- no more cough. Stable
2014 June Back on Herceptin + abraxane
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Old 09-30-2014, 09:54 PM   #4
Saygoon
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Posts: 158
Re: Accept Disability, or not?

I had to weigh the pros and cons when it came to disability. For me it was worth it but I live in South Dakota and I there are alot of other programs that are available for those on disability to help pay bills etc. You might want to check and see what is available in your state as well. Plus you don't have to stay on disability. Social Security has a program designed to let you work and eventually get off disability. Check their website and also call your local Employment office. I guess the bottom line is - you have options. As others have said it depends on how you feel as well. No I dont have as much money but I do have alot more time for family etc and pursuing other interest. Keep the faith girl - you may live a long wonderful life!
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Paula T. (saygoon means dog, yes I am Native)
DX March 2012
Stage IV w/ 5 bone mets to spine 2 on ribs
Herceptin, Zometa, Taxotere and Anasterole and of course radiation
2/14/2014 2 mets on pelvic bone
Stop Anasterole continue on Herceptin and Zometa start radiation (again)
2/24/2014 start T-DM1 continue Herceptin and Zometa
4/28 more radiation that brings total to 5 (10 days ea) - I think I will soon glow in the dark....
6/01/2014 Great news! Rib mets gone, 4 of 5 spine mets showing new bone growth and pelvic mets shrinking.
8/28/2014 T11 on spine is being stubborn started Perjeta, Herceptin, Zometa and Taxol - goodbye hair!
9/04/2014 Tomo therapy - pain finally gone
1/3/2015 - starting New Year out as still stable. Feeling positive
2/23/2015 - problems with left leg, bone met flaring up - MORE radiation Whew!
2/24/2015 Stress fracture in right side of pelvic - (great just great) back to wheelchair then walker then.....
2/26/2015 Off Taxol!! Still on Perjeta, Herceptin and Hormone Blocker starting to feel a little more human.
4/10/2015 Cancer has spread to spinal fluid - not sure where I go from here
6/29/2015 Omaya Port placed,begin IT Herceptin on 7/7/2015
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Old 10-01-2014, 09:38 AM   #5
yanyan
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Posts: 403
Re: Accept Disability, or not?

I stopped working last September after being on chemo for 3 years straight. I have a young kid and spending more time with her is important to me. I purchased a long term disability insurance through work after I was diagnosed which covers 70% of my previous income. If you can, I would suggest purchasing an insurance policy of such. So when you decide to stop working , this is very helpful. Another thing to consider is your medical insurance. After being on social security disability, you will qualify for Medicare.
__________________
1/11 age 36 DX
ER/PR-, Her2 +
TCH*6, Herceptin
BMX with immediate recontruction 5/2011 Lattismus Flap- Dx stage 3c 10/23 nodes
9/11 Radiation
3/12 Local recurrence to skin stage IV
Whole body scan CLEAR
4/12 Tykerb & Xeolda Skin mets slowly regressing
8/12 PET & Brain CT Clear
5/13 Skin mets progressing
6/13 PET scan chestwall recurrence in contralateral anxillary,internal mammary and ipsilateral subpectoral nodes
6/13 kadcyla
10/13 whole body scan -clear NED. previously resolved skin rash gone but 3 new lesions. Biopsy confirmed for skin recurrence
11/13 to 02/14 tykerb & herceptin
02/14 add abraxane/gemzar, 2 weeks on 1 week off at reduced dose
05/14 whole body PET clear/ brain CT clear but skin mets are getting worse, ready for new chemo
05/14 navelbine perjeta herceptin
07/14 skin mets progressing red rash worse
08/14 wide local excision with diep flap to close wound. Final path shows 2 positive margins showing inflammatory carcinoma Going back to surgery in 2 weeks
09/01/14 resection- clear margins
3 weeks after 2nd surgery, a new nodular rash found near drain incision with 2 small red spots behind the chest wall biopsy on 10/1. Positive for breast cancer
Radiation 11/2014 with xeloda then weekly cisplatin
11/14 brain MRI clean
12/14 finished 33 radiations burnt and very painful. Bedridden for 1 week
12/14 t current Herceptin and perjeta only
02/15 rash on upper back right side skin mets radiation planned
02/15 staring electron radiation *35
Stopped at 30 due to severe skin burn, resumed 10 days later
05/15 red patches appeared in between previously radiated area, skin mets. Ct and brain Mri clear. Simulation planned, radiation to start after trip to Alaska.
05/24 new spot identified in scar line on previously radiated reconstructed breast- electron on both side chest wall area and scar line
07/15 multiple skin and lung recurrence begin halaven
11/15 cough much better but very tired on halaven and starting to see some new red skin blotches-suspicious
11/15 heading to China for immune therapy
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Old 10-05-2014, 02:36 PM   #6
Jackie07
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Re: Accept Disability, or not?

I believe you can still work while drawing disability as long as the amount of income does not exceed certain limit.

I worked continuously for nearly 20 years after my first brain (tumor) surgery and 7 years after the 2nd brain surgery/4 years after the first breast cancer diagnosis/treatment and was working during the 2nd breast cancer treatment.

I finally called it quit in 2009 - not because I wanted to quit, but because I kept being let go. I figured the emotional damage is just not worth it even though accepting my own disability (mainly in the short-term memory region and easy fatigue ability) was a tougher hurdle for myself.
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NICU 4.4 LB
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Life-long Central Neurocytoma 4x5x6.5 cm 23 hrs 62090 semi-coma 10 d PT OT ST 30 d
3 Infertility tmts 99 > 3 u. fibroids > Pills
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1-2016 lesions in liver largest 9mm & 1.3 cm onco. says not cancer.
3-11 Appendectomy - visually O.K., a lot of puss. Final path result - not cancer.
Start Vitamin D3 and Calcium supplement (600mg x2)
10-10 Stopped Exemestane due to r. hip/l.thigh pain OKed by Onco 11-08-2016
7-23-2018 9 mm groundglass nodule within the right lower lobe with indolent behavior. Due to possible adenocarcinoma, Recommend annual surveilence.
7-10-2019 CT to check lung nodule.
1-10-2020 8mm stable nodule on R Lung, two 6mm new ones on L Lung, a possible lymph node involvement in inter fissule.
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Old 10-05-2014, 05:26 PM   #7
Ceesun
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Re: Accept Disability, or not?

I was a teacher and worked for two years (after stage 4) and did some of my best work while on xeloda and tykerb. My kids were grown and I was tired after work. But I did it. After I had to have a mastectomy ( same breast as lumpectomy) I decided it was time to end my teaching career and retired. I had 31 years of teaching so I qualified. Did not know then I could qualify for SS..applied in 2011 and received one year retro and get my monthly check now. My vote would be to do it and as Jackie said you can still work, but I don't know what the formula is....best wishes to you. Cathy
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