cancel
Showing results for 
Search instead for 
Did you mean: 

Bone mets - please join in

JWD
Member

Re: Bone mets - please join in

Hello I'm new to this forum too. You have every right to be emotionally worried. It must be hell for you. Could you ask for more scans to put your mind at ease. I had mastectomy 9 years ago estrogen positive and had zoladex injections and tamoxafin. Recently been diagnosed with local reoccurrance I had a lump along scar.its still estrogen positive and ct scan clear. I've started taking anastrazole but I'm waiting for bone scan results I rang yesterday and nurse said the results are marked urgent to be looked at as they hav'nt been reported on yet. So I've gone into complete panic. I'm due to have lumpectomy and implant removed on 30th July but unsure of the plan depending on bone scan results. I've got to ring oncologist Secretary on Thursday. I'm usually really good at appointments and ask everything but I failed to ask would the operation still go ahead if the bone scan showed mets. I did ask nurse yesterday and she said she wasn't sure about other options but you know that feeling when you think they are keeping things from you! or is it just me and my mind working overtime.
Community Champion

Re: Bone mets - please join in

FtF, I take the blame for it all! I was too trusting and naive! I was raised that you say Yes Dr., thank you Dr. Never that naive again! FF

Member

Re: Bone mets - please join in

FF, that’s a very shocking story. We’re brought up believing that doctors know best. Most of us just trust them, especially when we’re in a life or death situation.
I was very worried my periods didn’t stop until after chemo 5 and continued on tamoxifen. I was told not to worry. 🙄
And now I’m still worried. I’ve just had another heavy period. I’ve only had one zoladex injection, but it obviously hasn’t worked straight away.

Community Champion

Re: Bone mets - please join in

Nicky and FtF, When I first started with mets I had lupron injections to shut down my ovaries. At 4 months tumors were still growing. Oncologist decided I wasn't hormone positive enough and that no hormonal would work for me. I went for a 2nd opinion and that oncologist felt lupron wasn't enough bc it only shuts down your ovaries and not your adrenal glands. He said if I ever wanted to try hormonal and my Inc wouldn't do them to come see him. Take a big leap over 10 years of chemo and palbociclib came on the market. I wanted to try it. My onc said, NO! He said he would only give it to me if I had my lung tumors biopsies again. He said we needed more evidence it might work. We got in a big argument. I said I wasn't risking having my lungs biopsied again. They were in great jeopardy of collapsing 10 years before, so I wasn't risking it. I said when you give me chemo it's a game. You don't know if it will work so I want to take a chance and see if this works. He finally agreed I could try it, but with a big attitude! Also proclaiming it would never work. Well in  Oct I had a scan and was stable so we continued. In Dec he quit. In April was when the scan told me how great it was doing. He never got to know! Now I'm on E & E, another hormonal and its working too. Pablociclib was my 6th line of treatment. I look back now since I'm doing so good on hormonal and wish I had tamoxifen after my primary. At the 7 year Mark I asked him why I didn't have it and he said bc you weren't ER positive. Then he looked it up and said OH, yes you were. Then he said it was bc he decided it wasn't protocal for my age and no lymph nodes. My surgeon was furious when I told her all this when I had my port placed. She said I should have had tamoxifen and I probably wouldn't have mets. She said but no sense crying over spilt milk! So please fight for whatever you think you need. I thought he was doing whatever I needed. Obviously he wasn't!!

Member

Re: Bone mets - please join in

Thanks for that Nikki, my original diagnosis was a small lump at side of my breast, cancer in 5 of 7 lymph nodes and sentinel node, as you say hopefully more answers tomorrow x
Member

Re: Bone mets - please join in

By the way no one has ever mentioned how strongly ER I am. Last week I requested my original pathology report from last year’s mastectomy and it seems I’m 7/8: 34 to 66%/ strong. Whatever that means.
I know the tamoxifen clearly wasn’t working. 🤔
Member

Re: Bone mets - please join in

Thank you for taking the time to explain HER2 for me Nicky. There’s so much to get my head around in a short space of time. My oncologist probably shouldn’t of suggested HER+ would be the best outcome.
Thank goodness for this forum. 😳 imagine the state I could of got myself into without you ladies. It’s slightly worrying that I need to come here for fact checking, but I’m extremely grateful that I can.

I think it’s absolutely disgusting that you can’t have access to these new drugs. Why won’t they allow you to have them? They worked for FF for 21 months. I can’t see how they can justify not allowing them.
I’ve had to battle for my disabled son for the past 27 years. I’ve got a feeling getting access to the treatments I might need over the coming years is also going to turn into a battle. At least I’ve got practice. I just hope I’m as good at fighting for myself as I am for him.
Community Champion

Re: Bone mets - please join in

Hi FtF

I agree with what FF has said.  I am also HER2 negative and have been living with mets for over 10 years now.  After one of my liver biopsies it was decided I was HER2+ but in hindsight we all realised that it was so marginal I wasn't benefitting from any treatment that was specific for HER+. I have however always benefitted from hormone treatments (as well as chemo when I've had to have it)  There's alot to take in when you are first diagnosed with secondaries, far more than with primaries as other treatments are more appropriate and of course it is long term rather than a set amount of cycles.  I only understood what HER2 meant when I was investigating it for myself.  From what I understand we all have HER2 receptors on our BC cells.  However it is only when these are over-expressed (ie there's too many of them) that you are treated with a Herceptin related drug.  In the same way if you do not have a high level of ER or PR receptors you are unlikely to benefit from hormone blocking treatments.  In my case my test results came back as possibly HER2+ so they conducted another set of tests at gene level and this still came back as marginally over the cut off point between what is HER2- and what is HER2+.  I hope this explains it a bit and may make you realise that you don't need to be HER2+ to get excellent treatment.  Being HER2+ means you have another set of receptors that need blocking.  In fact the press always seem to pick up on Herceptin/HER2+ as alot of research has been done to level the playing field between HER2- and HER2+ however there has been more recent drugs that are now being used to boost the effectiveness of hormone treatment.  I, along with other long term secondary BC survivors, can't actually have these newer drugs (in the UK/on the NHS) as they are only for the first line of treatment (ie the first hormone treatment you have after your mets are diagnosed) so we haven't benefitted from the enhanced performance they give.

As to how you are feeling emotionally as I said earlier there's alot to take in and suddenly being plunged into the menopause doesnt help!  I had zoladex injections for 2 years after my primary diagnosis and I do know its not much fun! For ovaries to be shut down almost immediately is difficult especially with all the other emotions going through your head.

 

Member

Re: Bone mets - please join in


I think my emotional state might have something to do with the zoladex injections I’m on. I wonder if anyone else has experienced this?
I know I’m going through a difficult time but I’m genuinely not one for crying. Since I started the injections I seem to be on the verge of tears constantly.
Member

Re: Bone mets - please join in

Thanks for the advice and tips FF.

I started running about 8 weeks ago so I’m hoping this helps. It’s an nhs thing called couch to 5k. I can manage about half an hour running every other day now. I started this before my secondary diagnosis just to get a bit fitter. Who’d of known how important it would turn out to be.

I’m feeling optimistic about the meds, improvements at 6 months would be wonderful. Maybe I’d be eligible for surgery then.
Community Champion

Re: Bone mets - please join in

Feel the Fear, I was on letrozole/palbociclib for 21 months. My first scan at 3 months was stable. The second scan at the 6 month mark showed lots of improvement. Letrozole killed my knees with pain. Palbociclib made my leg muscles weak. I had some friends this happened to, too. I would suggest doing some leg strengthening exercises. My legs have gained some strength back, but not all. This combo worked 21 months for me. FF

Community Champion

Re: Bone mets - please join in

You are welcome. I was hoping you would log back in soon. I wanted to ease your mind some! FF

Member

Re: Bone mets - please join in

Ahh FF, you’ve got no idea how you’ve brought me to my senses. That’s exactly what I needed to hear. I thought you were her positive as well.
Thank you so much for letting me know. 😀

I think my oncologist was referring to me being able to have herceptin if I’d been positive.
You’re obviously doing very well without it. Especially with your recent good news.
Thanks again FF. I might get my appetite back enough to have a late lunch now. 👍
Community Champion

Re: Bone mets - please join in

Feel the Fear, I was told ER+, PR+ and HER 2- is the least aggressive. Then ER+, PR -, HER2-.

 

I was told I was ER+, PR- and HER2-.  Then my new oncologist wrote on a letter I needed that I was PR+. I questioned her about it and she said that there was no difference in treatment and that being PR+ would actually be better. Lol still never gave me an answer on it. 

 

I have had mets for almost 13 years and I am HER 2 negative!!!

 

FF

Member

Re: Bone mets - please join in

Thanks for the support ladies.
Annie, it’s brilliant that your mets are shrinking.
I would love to have surgery at some point. My biggest lesion is just over 1cm. My oncologist said it was over 2 but the radiologist said no, much smaller. I have 7 or 8 in total. Most are that small they’re barely visible.

Oncologist wants me to try these meds before considering surgery. I noticed looking at my scan that there’s one lesion quite close to a portal vein. 😳 that’s giving me sleepless nights.
I think I just need to give my head a shake. I’m usually so positive. I’ve even cried on the phone to my Mam this afternoon and now I feel terribly guilty, she’ll be worried sick. 🙄
Member

Re: Bone mets - please join in

Ftf, sorry it wasn't the news you wanted. Try to focus on the positive- you may be her-neg, but you are still er+, which from what I've read is probably the most important element in terms of possible treatments. Totally understand your wobble, I have them frequently and they come in every shape and size! Sending hugs and best wishes for when you start treatment.xx
Community Champion

Re: Bone mets - please join in

FTf ,

 

fingers crossed for the ibrance, seems to be getting really good resultsxx Sorry I have no real knowledge of herceptin, but Ibrance hopefully will work well for you.

 

Moijan

Member

Re: Bone mets - please join in

.

Community Champion

Re: Bone mets - please join in

Hi Feelthefear, how awful for you. I really sympathise with your situation. My secondaries are in both lungs, and I am on Letrozole and Palbociclib, and have been for over a year. The good news is that I have responded well to this regime and my tumours have shrunk. So..yay me, and hopefully....yay you! I have a friend who had a 7 cms liver met, and on this same regime it is now reduced and she is on the surgery list. I hope that these two examples give you a bit of a lift. 

My wonderful Onco does not place undue importance on receptors , but looks at other indicators as well. His reasoning is that it gives rise to anxiety, and so long as other blood markers are good ( neuts, white blood, bone marrow) and I feel 'well in myself' we just mosey on. At the moment I am very happy with this and my motto is to never ask a question I don't want the answer to! But blinkered, perhaps, but it is a coping strategy that has worked well for me so far. 

Wishing you every bit of good luck. 🍀🍀🍀. X

Member

Re: Bone mets - please join in

Afternoon ladies.
My oncologist just rang with my biopsy results as they weren’t ready for my Friday appointment.
The receptors haven’t changed since my original diagnosis. So the liver bc is oestrogen positive, her negative. My oncologist said it was worth testing to see if the her had changed to positive. He said this would be the best outcome.

Now I’m absolutely devastated that I’m still her negative. I don’t know whether I’m just looking in the wrong places, but everyone past the 10 year mark seems to be her positive. I’ve totally wiped myself out. I’m having a proper wobble, I wasn’t expecting to react like this. 😳
I started letrozole on Friday and he’s starting me on palbociclib on Monday instead of Friday as originally planned.
Member

Re: Bone mets - please join in

hi riversidedawn,

 

I'm a newbie to the forum but 3+ years in with bone mets.

 

My oncologist has said he'll only give me a CTscan torso once a year & I'm emotionally troubled by this; especially knowing that many of us are asymptomatic when new mets are found....sorry to go on.....bee in bonnet!! x

Community Champion

Re: Bone mets - please join in

Hi ladies, I haven't been on for a while. I switched off notifications as can't keep up with all the messages taking over my life!!!

 

A little good news story for you, especially those struggling. I was diagnosed with bone mets Christmas 2017 and have been on Palbociclib / Letrazole plus Zometa and Zoladex since January.

 

Had my first 3 month MRI scan end of March which showed reduction in all three tumours (vertebra, sacrum and pubic bone) and the larger vetebra one has started to re-build itself. 

 

Well, just had the results from my 6 month MRI which shows stable although there is some activity, but no growth and no new tumours. 

 

It is really reassuring to have these regular scans as it makes the stress of living with the diagnosis and hardship of the side effects so worthwhile. x

Member

Re: Bone mets - please join in

I certainly felt better when I had a treatment plan in place. I was diagnosed in March breast lymph nodes and bones all at the same time. No surgery.Zometa Anastrozole Ibrance and Calcium tablets. First scan was a few weeks ago results on August 6th (delay my fault as I’m away). Feel fine so far and breast pump seem to have all but disappeared. I know it’s hard to believe in those horrible early days but most of the time I accept the situation. I imagine we all have pit moments. I think it’s also important to like and trust your team. I love mine but I can really understand why you’d swap if you didn’t. It does seem that treatment varies. We’re all treated as individuals. Best wishes to everyone coping with all this. We’ve been in Devon for a week - baking hot! We’ve had a lovely time but we are a little worries about how our garden will be when we get home. We left it in the hands of our son!
Community Champion

Re: Bone mets - please join in

Hi Zana

Sorry you have to find yourself in the place no one wants to be but you have come to the right place for advice and support. We have all experienced that absolute shock you get when you are told you have secondary BC (or mets as we tend to call it) so we all understand how you are feeling right now. The main advice would be don’t Google anything! Statistics will be out of date and there’s a lot of info out there that is also out of date. I have had bone mets for over 10 years now and I don’t think any statistic has been changed in that time despite new treatments being used. 

Bone mets are usually treated with a bone strengthener which can be an injection (Denosumab) or intravenous (IV) such as zometa and occasionallytablet form. You will then also have another treatment based on what type of BC your primary was and this will generally be systemic ie it will treat any areas of BC in your body which is why the operation to remove your lymph nodes is not taking place right now. This could be hormone treatment or chemo or Herceptin depending on what your primary was.

Good luck with your appointment tomorrow and feel free to ask any questions you might have on here, there will always be someone who can help. Also, once you do get a treatment plan in place you will hopefully feel more able to cope as it does make you feel something is being done whereas when you are left in limbo not knowing it preys on your mind.

Nicky x

Community Champion

Re: Bone mets - please join in

Silver, Your forever home sounds fantastic. I love my hubby but some days I wish we could have three homes. Mine nice and tidy. His could be a typical messy man cave which I will stay out of! Then a house we share. I've often wished on our property that we could have our main house and then a little place for each of us. I better play the lottery. We needed rain too, but 10 days in a row is a lot. The trees and plants look happy again, after the rain. FF

Community Champion

Re: Bone mets - please join in

Zana..was sorry to hear your news..what a shock!

 

my primary was diag in 2001 and I had 12/13 lymph nodes involved, which they removed. I then got an infection around my breast implant and ended up with lymphoedema.....I’m thinking that maybe in your case they think it’s less traumatic to treat wholeistically..I have noticed practice has changed during the years since my intitial treatment...

 

when you see see them again you could ask them to explain whyxx

 

my bc mets were found in 2013 to liver and bones...I have it in my spine, pelvis and ribs...but have Zometa, which they tell me is keeping the bones stable.

 

love and best wishes

 

Moijan💚

Member

Re: Bone mets - please join in

hi tatyana,

 

I'm literally turning green with envy!!! I'm losing plants and tis' breaking my heart. My garden is my pride and joy!

 

'They' keep dangling the proverbial carrot in saying its going to rain 'today' and not one drop of the wet stuff!!! I really miss the rain....for emotional reasons, too.....can't believe this heat wave!!! Bizarre!!!

 

wishing u a relaxing Sunday..xx

Member

Re: Bone mets - please join in

Silver, I don't want to make you jealous, but we had some proper rain on Friday. The garden just loved it!
Ff, please send us some of your rain, you don't want it but we do! I hope you get some sun for your beach trip.
Member

Re: Bone mets - please join in

hello dear funny face,

 

My 'forever' garden is in my 'forever' home.....its my turn of phrase......after my divorce, I went a-searching for a tiny bit of England to call my forever home.........its mine till the end of my time.....just a turn of phrase....

 

Did i hear the word 'rain'......nae one drop here...its upsetting me!!...boo hoo ...hugs...oo

Community Champion

Re: Bone mets - please join in

Ok I have to ask. What is a forever garden? I'm guessing a perennial garden. Lol if it is mine is basically dead. It did well for many years and last year wasn't doing well. This year up popped a ton of gristle in it.I had to pull them out with leather gloves. Two were is later they were back. Same process and now they are back again. Decided to just chop it all off. This is right against the front of my house. I figure next year I will have to rip it all out. Might turn into two bushes and some potted plants. 

 

Raining here for the next 10 days. I was supposed to go to the beach this week. Quite bummed my only time this year at the beach and its going to rain for it. 2018 hasn't been cooperative for having fun! 

 

FF

Member

Re: Bone mets - please join in

 
Member

Re: Bone mets - please join in

Hi Zana,

 

Sorry to hear your recent news. 3 years plus ago, at Dx, they found mets in my lymph nodes so axilliary clearance and a week later mets on both hips.......hang on in there....hugs..

Member

Re: Bone mets - please join in

Hi Zana,
Sorry you've had this diagnosis so soon after your lumpectomy, you must be feeling really battered. You've come to the right place, if you browse through the recent posts on this thread you'll find some really encouraging stories.
I can't help you myself specifically about bone Mets, as mine are in lymph nodes, lungs, etc but none diagnosed in bones yet (doesn't mean they ain't there!). But the people here are very welcoming and supportive no matter what your particular diagnosis is. One thing I've learned is that we're all different and none of us is a statistic, so try to ignore statistics and concentrate on you as an individual.
I hope you'll feel better when you've seen the team, it does get easier when there's a plan. Best of luck and big hugs!
Member

Re: Bone mets - please join in

hi ramade,

 

Thx for answering. I'd never heard of this particular type of mets. before. I guess 'it' showed up on a CT......thinking of you till you wait for the 8th. Waiting is just 'horrid'!!! 

Hugs to you, too,

silver...xx

 

Hoping you have family & friends around you.....x

Member

Re: Bone mets - please join in

Hi Silv, well soft tissue cancer is when it's not in an organ but just loads floating around. mine is in my neck and chest. Don't know what they're going to try next but will find out on the 8th August.

hugs to you

Ramade xx

Member

Re: Bone mets - please join in

Forgot to say I Had the original lump removed less than 3 months ago and was due to go back in and get a full lymph node removal, but they have now said I don’t need it after finding the bone met? Don’t know what treatment I’m going onto as yet, will find that out on Tuesday when I meant the specialist team.

Member

Re: Bone mets - please join in

Hi I don’t know if I’m posting this in the right place, but I have just been told yesterday that I have bone mets in my spine and that I can’t be cured that they can only treat me and buy me as much time as possible. I’m assuming there are people on here that have been living with bone mets for years, would be good to know how long you guys have had this to give me some sort of hope moving forward, 

thank you x

Community Champion

Re: Bone mets - please join in

Sarah, That put a smile on my face! Fantastic that you feel good! FF

Member

Re: Bone mets - please join in

I'm feeling great thanks just got back from 3 weeks travelling Europe in our camper😊. Just on letrozole and denosumab atm scan results in couple of weeks x
Community Champion

Re: Bone mets - please join in

Sarah, How are you feeling? How's treatment going? I'm happy you found some comfort in our stories. We never know how this will play out, but we all need some hope! Believe me I searched and searched for positive stories when I was diagnosed. Hugs, FF

Member

Re: Bone mets - please join in

Great news ff - you give me such hope and inspiration. I remember looking at yours and nickys posts when I was first diagnosed with secondaries and after a nurse (she worked in breast clinic but was not a specialist breast nurse!) saying to me "you might be offered a bit of palliative chemo but lots of ladies decide not too as side effects not worth it"!!!! I thought that's it then until I came on here and read your stories
Ramade I'm so sorry your having a tough time chemo is so gruelling and so hard when there is no change how manyou sessions have you got left?
Sarah x
Member

Re: Bone mets - please join in

hi tatyana,

 

Ditto....I empathise completely in that my 'forever' garden is a very young one, too. Rain was promised today and we have had about 2 minutes worth so far in! I'm genuinely missing the rain...never ever thought I'd say this; in this country!!! Its all rather 'odd'......

 

All good wishes,

silver xx

Member

Re: Bone mets - please join in

Silver, I can sympathize with you about the garden- isn't it horrendous! Ours is quite small, but a large proportion of the plants are not long established, the previous owners didn't really do gardening so we've spent four years planting stuff and I really love it now. But it's so hard for newish plants to survive in this weather. We water what we can, using lots of recycled washing-up water, but we can't get round all of them. You try your best, then suddenly notice yet another plant with crinkly leaves.
Why won't it just RAIN?!!
Community Champion

Re: Bone mets - please join in

Ramade, I'm sorry you didn't get better results! We all want it to get smaller! Most of my treatments  would shrink mine a tiny bit. Mine was stable which = no changes for 5 years on vinorelbine. Are you staying on the treatment? FF

Member

Re: Bone mets - please join in

Hi ramade,

 

I'm a lil' bemused. What is soft tissue....liver?? 

Member

Re: Bone mets - please join in

dear ff i am so pleased for you i can't tell you. fantastic news,well done,

i haven't posted for ages,trying to get through 6 months of hellish chemo,result no change. it seems they aren't too worried about bones these days which might be interesing to some. i have chemo in the soft tissue which they do seem worried about but can't find any info on it, anyone??

anyway once again so pleased for you.

;ove and hugs

Ramade

Member

Re: Bone mets - please join in

Hello dear Nicky.Smiley Happy

 

Many thx for your highly informative post...very much appreciated. Sometimes, I feel like I'm 'flying' in the dark! What is Fulvestrant? I'm on letrozole & Denosumab injections.

 

When I asked my oncologist to explain the pathological breakdown of my biopsies, he said that I did not need to worry about all that!!

 

I'm a divorcee & I live on my ownsome...thank goodness for my Mcmillan befriender. I did not find him till the initial blast of chemo. & radio. were over; more's the pity.

 

My body does not like the heat so I'm finding this heat wave very hard but I've gr8 fans!!

 

I love my forever garden to pieces and I'm now losing plants...Boo hoo!! (grumpy ol' woman...te, he, he.....)

With all good wishes ,

silver xx

Community Champion

Re: Bone mets - please join in

Thanks girls! Please know that I'm not naive about this. I don't think I could ever go back to thinking it is gone forever. As much as I would love to think that I could never have that trust. I just plan on enjoying it for the moment. Hugs, FF

Community Champion

Re: Bone mets - please join in

Hi silver - glad to be of help and I'm happy to share as much as I do, I keep a few things back especially any real identifiers to who I am and my family - hence no photo - ever!

I'm currently on Fulvestrant and Denosumab, both injections (not IV) every 4 weeks. I'm strongly ER and PR positive, and, for now at least HER2-

I can't explain what happens to bone mets - you might need to read up on it as I'd get it wrong. But basically bone is a living part of us, it grows and it dies. Its this mechanism and status quo that cancer disrupts.  The bone strengthening treatments are there to do just that - strengthen the bones, but they also stop the cancer from attacking the bones even more. So the damage is still there and therefore there can be weak points, which often cause pain, and therefore the areas affected will show up on CT scans, MRI scans and of course bone scans.  My hosptial only uses bone scans for diagnosis so I have only had one back in 2008 when I had one hot spot and one spot on my upper spine.  Because the bone mets went on the rampage in 2013 (when I wasnt getting regular scans) I now know they are all over or 'extensive' as my reports say.  However they have all been stable since 2013.  I know roughly where they are as places such as the ribs are tender to press, so I know they are there!

My CT scan is just the normal one, no extra passes, I believe all soft tissue and bone mets (and node enlargement) will be picked up over a certain size (MRI scans are more accurate and pick up smaller lesions as well) but I dont think they can pick up skin mets but as I dont have them I dont actually know.  Our CT scanners at the hosptial I have treatment at are pretty new and hi tech whereas maybe some of the older ones in other hospitals are not so accurate hence the need for other scans?

As to the heat I'm enjoying it when I can but definitely prefer it to be cooler and breezier! A spot of rain (or a downpour) would be nice so I don';t have to keep watering my plants.

Take Care

Nicky xx

ps Even better news from you FF and thanks for sharing. I think my liver 'witch' has also left the room - for a while at least, no sign of her on the recent CT scan despite setting up home there 5 years ago.  Obviously the surgical knife got her ha ha.  As you have said it all seems a bit unreal when you have had certain mets for years and suddenly they are gone or lying dormant.  However I'm well aware 'she' will be back from her holidays at some point! xx

Community Champion

Re: Bone mets - please join in

Funny face

You are a legend and thanks for sharing your good news ...your oncologist has been a hero over the years. .prescribing the best treatment plans for you.
I saw my new oncologist yesterday and I felt very confident with her ..nothing was too much trouble and I felt in very safe hands whatever the outcome of my scans is going to be !

☺☺☺