Hello Sarah.  I am also stage 4 cancer and like you I have been extremely fatigued lately......more than usual.  I am sorry to tell you that this is often a  sign that the end is near  I am sure you don't want any sugarcoating, and you would rather know the truth, and that is the truth.  Extreme fatigue happens when our bodies are shutting down and we are near the end.  MY thoughts are with you, because I know exactly how you feel, and it is not a nice place to be.  Take care my love, xx. 

This is what i thought. And am trying to get my head around it. 

This is what i thought. And am trying to get my head around it. 

Me too Sarah.  It's a harsh place to be isn't it?  To know that your body is breaking down and the end is near.  And it doesn't matter what platitudes or words of comfort people try to give you, the only thing that you can think of is that fairly soon you will lose this battle with the monstrous big C.  I honestly wish I knew  what to say to you, but I am in the same boat as you and I really don't know what to say............it's like being in a nightmare isn't it?