A bit scared

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Hi everyone, I have posted before, but it's been a little while. I hope you are all doing as well as you can be too. Really need some advice!

                       I was diagnosed nearly a year ago IDC,Es+, PR+, HER2+.I decided not to have treatment for various reasons, mainly how it'd affect the mirad of other things I have wrong health wise. But since my scan in November, to see if it had spread beyond the breast and right armpit lymph nodes, it is now mainly all my breast and I'm getting pain in ribs under the breast and occasionally a stitch kind of feeling there.

                      From what Ive read I know it's not common policy for any follow up to check progression if you say no to treatment, but it has literally been nothing since November. The pain has been so bad & due to my health I'm limited to two pain meds, one being paracetamol, I have started to have a smoke!! This helps so much!

                       But I'm wondering if I would be given a scan to check progression as it has advanced so much in 7 months, more than I thought it would. I feel a bit abandoned.

                      Any advice would be gratefully received. Lots of love to you all and gentle hugs.