I am getting better at knowing when and where to expect things. I did one surgery and a 1/2 day of clinic yesterday, and as predicted, crapped out at 1pm.  We changed the drugs a little more, and I think it is slightly better, again.  And I have this little diet chart that tells me what I could eat on what day. And that is working.  So, all in all, I would not say it is great, but would say it is better.  Mastectomy now scheduled for November 18.  I think of it as 3 more big hurdles, 2 more chemo, and then surgery.  But who knew I would get this far. I am grateful for that.