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Do you ever just want to meet up and hang out with others who just get it? We got you covered! Every Thursday night at 7pm ET, Survivingbreastcancer.org hosts our signature get together event, Thursday Night Thrivers! ​ Yes, we enjoy getting together and talking about breast cancer, sharing our stories, and the trials and tribulations, but our community is so much more than a "breast cancer support group". We forge bonds that extend well beyond our diagnosis. We laugh, we share experiences, and at the end of the day we offer support! ​ If you are looking for a "come as you are", "no agenda" meetup, this is the place! ​ We host this standing appointment every Thursday so when you are ready, we are here for you! Our standing appointment on Thursdays is for all stages. We also host specific breakout groups once a month for specific stages and subtypes such as Metastatic breast cancer, and Inflammatory Breast Cancer, etc. See the schedule below for specific details and to RSVP. ​ ​ Multiple Dates Thursday Night Thrivers-IBC 2.0 Thu, May 23 Online Event May 23, 2024, 7:00 PM – 8:30 PM EDT Online Event May 23, 2024, 7:00 PM – 8:30 PM EDT Online Event IBC 2.0 is a private support group for individuals who have graduated from our standing Thursday Night Thrivers-IBC. Our IBC 2.0 group dives into topics, questions, and concerns on a deeper level as members already know one another and have graduated from TNT-IBC. Share RSVP Multiple Dates Thursday Nights Thrivers Meetup Thu, May 23 Virtual May 23, 2024, 7:00 PM – 8:00 PM EDT Virtual May 23, 2024, 7:00 PM – 8:00 PM EDT Virtual This is your weekly breast cancer support group! It's a welcoming and inviting virtual space where you can come to meet others, ask questions, or just listen in. Our sessions are always confidential and a friendly space offering support as well a a bit of humor. Share RSVP Multiple Dates Grupo de Apoyo: Después de un Diagnóstico Tue, May 28 Virtual May 28, 2024, 7:00 PM – 8:00 PM EDT Virtual May 28, 2024, 7:00 PM – 8:00 PM EDT Virtual ¡Únete con nosotros para nuestro exclusivo Evento Martes - después del diagnóstico en español! Share RSVP Multiple Dates Grupo de Apoyo para Cáncer de Mama Metastásico Tue, May 28 Virtual May 28, 2024, 8:00 PM – 9:00 PM EDT Virtual May 28, 2024, 8:00 PM – 9:00 PM EDT Virtual ¡Únete a nuestro encuentro exclusivo "Después de un Diagnóstico" el 4to martes del mes por la noche! Share RSVP Multiple Dates MBC Peer to Peer Support Thu, Jun 06 Virtual Jun 06, 2024, 7:00 PM – 8:00 PM EDT Virtual Jun 06, 2024, 7:00 PM – 8:00 PM EDT Virtual Join us for our signature Thursday Night Thrivers Meetup! On the first Thursday of every month, we will have a special breakout room for the MBC community. Share RSVP Multiple Dates Thursday Night Thrivers IBC Meetup Thu, Jun 13 Online Event Jun 13, 2024, 7:00 PM – 8:00 PM EDT Online Event Jun 13, 2024, 7:00 PM – 8:00 PM EDT Online Event Join the Inflammatory Breast Cancer SBC community, meet others diagnosed with IBC, and connect with those who truly understand the unique needs we all face. Share RSVP Multiple Dates MBC Support Group with Nancy Gaulin Thu, Jun 20 Virtual Jun 20, 2024, 7:00 PM – 8:30 PM EDT Virtual Jun 20, 2024, 7:00 PM – 8:30 PM EDT Virtual Join us for our signature Thursday Night Thrivers Meetup! On the third Thursday of every month, we will have a special meeting for the MBC community. This space will be hosted by the incredible Psychologist Nancy Gaulin. Share RSVP RSVP Below - See you there! Thursday Night Thrivers MeetUp (AKA Support Group!) Laura D., MA My Testimonial Thank you for last night! I was so happy to celebrate the start of 2020 with such a dynamic and friendly group of women. The conversation transcended even beyond breast cancer stories, thus creating even stronger connections.” Caroline Paterson My Testimonial Thank you for hosting this amazing event and for all of the other things you continue to do to keep us all educated. I feel such a sense of community and I’ve only come to two Thrivers’ meetings so far. I cannot wait for next week!

Lymphedema What is the Lymphatic System? Our bodies have a network of lymph nodes and lymph vessels. This system collects and carries a watery, clear lymph fluid, much like how veins collect blood from distant parts of the body and carry it back to the heart. This fluid consists of proteins, salts, and water, as well as white blood cells, which help fight infection. What Is Lymphedema? Lymphedema is most commonly caused by the removal of, or damage to, your lymph nodes as a part of cancer treatments. It results from a blockage in your lymphatic system, which is part of your immune system. The blockage prevents lymph fluid from draining well, and the fluid buildup leads to swelling. According to the National Cancer Institute, anywhere from 5-17% of women who have sentinel lymph node biopsy develop lymphedema. Among women who have axillary lymph node dissection, the percentage is higher — from 20-53% — and the risk increases with the number of nodes taken out. Not surprisingly the risk is even higher if you receive radiation to the breast, chest, and under the arm area. ​ Lymphedema is the build up of lymph fluid within the lymphatic system. The buildup can be caused by a number of factors which we will get into below. Lymphedema can occur in the limbs and extremity such as the arms and legs. As it relates to breast cancer, the most common occurrence of lymphedema occurs in the arm, chest, or back. ​ Lymphedema is something that can be managed so you never get it, or, it is something you manage on a continual basis to avoid flareups and progression as there is no cure for lymphedema. Although there is no official cure, there are plenty of beneficial treatment plans that help mitigate side effects. How To Prevent Lymphemdema​ After Surgery, your surgeon may recommend specific exercises to increase mobility and prevent lymphedema. They may also recommend seeing a physical therapist. With approval of your medical care team (and feel free to ask them!) you may start exercises to prevent cording. Cording, which is also known as axillary web syndrome (AWS) which refers to a long line of "cord" that develops under the armpit and axilla area and can happen after someone undergoes a sentinel lymph node biopsy (SLNB) or a full axillary lymph node dissection (ALND). ​ One of the most common exercises to prevent cording and/or axillary web syndrome is the activity of "walking the walk". This is an excellent exercise: 1. Stand perpendicular to the wall 2. With the affected arm, using your fingers to start crawling up the wall (think itsy bitsy spider). 3. As your arm makes it way up the wall, lean in to the highest point you are able to achieve without causing harm or pain, and hold for 10 seconds. ​ Repeat this process several times throughout the day. ​ Your doctor may also recommend specific exercises utilizing weights and limits on the number of pounds or kilos you should lift. It's always better to start off light, never over do it, and increase weight slowly and gradually, over time. ​ 10 Recommendations To Prevent Lymphedema: ​ Avoid tight clothing and jewelry on the arm and wrists Avoid cutting your cuticles Use insect repellent when outdoors Avoid sunburn and excessive amounts of heat from saunas and baths Avoid having IV's or blood pressure taken in the at-risk arm. Wear a compression sleeve when traveling on air planes or carrying a lot of heavy luggage. Keep your arm elevated whenever possible Engage in activities that help promote the movement of your lymph fluid such as yoga and swimming Nutrition plays an important role in life after a breast cancer diagnosis; maintain a healthy weight and a low sodium diet Carry handbags and purses on the unaffected arm > Lymphedema 101 On Breast Cancer Conversations, the Podcast Listen Now

Food as medicine Eat Right, Feel Amazing Health and nutrition is such an important part of the fitness equation. The right compliments of foods allow you to achieve optimal performance and feel your best! ​ ​ "Let food be thy medicine and medicine be thy food" Breast Cancer 101 Lifestyle & Wellness Resources Programs Content Library Podcast For Providers Subscribe More Nutrition Guide A Partial Guideline for Nutrition and Exercise For Breast Cancer Patients and Survivors A healthy diet is only one of several factors that can affect the immune system; exercise and stress management are equally as important in improving one’s overall health and well-being. Following the initial diagnosis of breast cancer, most women tend to re-think their nutrition and health practices. It’s only natural to question what caused this cancer to occur and what lifestyle changes one should be making. Most women believe they must make significant dietary changes to ensure good outcomes following breast cancer treatment. We found several studies to be most helpful when coming to terms with Nutrition and Exercise post diagnosis. ​ What follows is directly pulled from the John Hopkins study : ​ There are no food or dietary supplements that will act as “magic bullets” to prevent breast cancer from returning. National Cancer Institute guidelines for cancer prevention can be used to decrease the chance of a breast cancer recurrence. These guidelines include: ​ Increase intake of fruits, vegetables and whole grains Decrease fat intake to less than 30 percent of calories Minimize intake of cured, pickled and smoked foods Achieve and maintain a healthy weight Alcohol consumption should be done in moderation, if at all This second study from Dana Farber addresses diet and exercise suggestions ​ http://www.dana-farber.org/health-library/articles/healthy-diet-and-exercise-tips-for-breast-cancer-patients/ Exercise ​ Exercise Exercise during all stages of life is important, but it can be particularly important for breast cancer survivors because it can help you feel better after treatment and promote survivorship. Studies show that walking 3-5 hours per week at a pace of 2 to 3 miles per hour can lower the chances of breast cancer recurrence and death by up to 40 percent. Walking can help you fight fatigue, depression, and anxiety as well as improve heart and bone health. Engaging your children in physical activity can be a great way to incorporate exercise into your daily life schedule. Remember to talk to your doctor before beginning an exercise program. ​ Plant-based diet Plant-based diets, which include fruits, vegetables, whole grains and lean proteins, are all highly recommended components of a balanced diet for breast cancer survivorship. Research has found that eating 5 or more daily servings of fruits and vegetables a day in addition to the equivalent of walking 30 minutes, 6 days per week is associated with significant survival advantage. ​ Eating a well-balanced diet with lean protein, including plant sources, such as lentils, beans, nuts, nut butters, whole grains, fruits, vegetables and healthy fats like avocado and olive oil, in amounts to maintain a healthy weight, along with exercise is the best thing you can do for optimal health. Surviving Breast Cancer 3 days ago 4 min Understanding and Managing GI Issues Caused by Breast Cancer Treatment Learn about the causes, symptoms, and management strategies of GI issues related to breast cancer treatments. 183 Post not marked as liked Surviving Breast Cancer Jan 14 2 min The Impact of Diet and Nutrition on Breast Cancer Prevention and Recovery Numerous studies indicate a significant correlation between dietary habits and the risk of developing breast cancer. While no specific food 53 Post not marked as liked Surviving Breast Cancer Jan 14 3 min Herbal Remedies and Supplements in Breast Cancer: 5 Myths vs. Facts Navigating breast cancer treatment often leads to exploring herbal remedies and supplements. Know the facts, 284 Post not marked as liked Surviving Breast Cancer Sep 5, 2023 3 min Making Food Choices During Breast Cancer Treatment By Rafia Nasir Food plays a vital role in our health. For those diagnosed with breast cancer, choosing the right diet can significantly... 338 2 likes. Post not marked as liked 2 Surviving Breast Cancer Aug 16, 2023 3 min Metabolic Changes After A Breast Cancer Diagnosis By Stacey Devine, MD Many women gain weight or increase in body fat percentage after a breast cancer diagnosis. These metabolic changes... 1,160 1 like. Post not marked as liked 1 Surviving Breast Cancer Aug 7, 2022 2 min Breakfast Creation: Smoothie French Toast Today I decided to experiment with a new breakfast creation. Is it healthy? Well, I'm considering it healthy but we all have our own... 79 Post not marked as liked 1 2 3 4 Meal Planning and Phytonutrients Raw vs. cooked vegetables? Vegetables are an important part of a healthy diet. Eating a variety of different types of vegetables, whether cooked or raw, provides the body with various vitamins, minerals, and phytonutrients. ​ Raw and cooked vegetables provide different nutrients. For example, cooked tomatoes are rich in lycopene, a nutrient that's not as available in raw tomatoes. In turn, raw tomatoes are rich in potassium and vitamin C, nutrients that decrease with cooking. ​ In all methods of preparation, and whether you buy them frozen or fresh, be sure to include plenty of vegetables in your daily diet. ​ What are the best ways to cook vegetables? The healthiest ways to cook vegetables include steaming, stir-frying, sautéing, baking and grilling. These methods prevent the overcooking of vegetables that would disintegrate the valuable nutrients. ​ ​ Which are healthier: fruits and vegetables that are fresh or frozen? They are equal. No matter how they are stored, the nutritional value of fruits and vegetables varies only slightly whether they are fresh or frozen. Buy them and enjoy them often; that's the healthiest way to eat fruits and vegetables. Choosing locally grown produce is another option for maximizing the nutrient levels in produce. ​ ​ What about canned fruits and vegetables? Buy fruit canned in water or light/natural juice. When buying canned vegetables, check the label for the sodium content and choose the low-sodium version. Canned fruits and vegetables can be easy to digest, and therefore are good choices for persons with diarrhea due to cancer treatment or recent surgery. ​ ​ Should I choose organic fruits and vegetables? The scientific research on organic verses conventional foods and cancer risk is not conclusive enough for specific guidelines to be determined. Therefore, the decision to choose organic or conventional produce is ultimately a personal health choice. When consuming produce, remember these points: ​ Always wash all produce (organic or conventional), even if the package is labeled "pre-washed" If you decide to choose organic produce and cost is a concern, choose organic produce that has been found to contain the highest levels of pesticide residues when grown conventionally. ​ ​ The following lists may be useful for making wise choices. ​ The USDA, Consumer Reports, and the Environmental Working group have investigated the amounts of pesticide residues found on commonly consumed produce and created the following tables. Produce was washed before pesticide levels were tested. ​ Produce with highest levels of pesticide residue: ​ Apples Bell Peppers (Green and Red) Celery Cherries (U.S.) Grapes (Chile) Lettuce Nectarines Peaches Pears Potatoes (U.S.) Spinach Strawberries ​ ​ Produce with lowest levels of pesticide residues: ​ Asparagus Avocados Bananas Broccoli Sweet Corn Cabbage Eggplant Kiwi Mango Onions Pineapples Peas (frozen) ​ ​ The bottom line: The benefits of eating fresh fruits and vegetables far outweigh the risks associated with pesticide residue. Phytonutrients found in fruits and vegetables (organic or conventional) promote immune support and detoxification in the body and are excellent sources of disease-fighting nutrients. Read Articles Events & Programs Our events and programs are designed to offer healing, support, and friendship. Whether you attend a weekly meetup, a meditation class, or an art therapy session or expressive writing workshop, our programs promote well-being while offering a safe and nurturing space for you to just be you! ​ All of our events and programs are at no cost to you! Explore the Schedule

Surviving Breast Cancer Mar 23, 2023 3 min Blog Men: Know Your Breast Cancer Risk By Rod Ritchie So very often, when it comes to getting timely treatment for a nagging symptom, or indeed other health matters, men can be... Surviving Breast Cancer Dec 18, 2022 7 min Resources & Tool Kits Different Types of Breast Cancer Different Types of Breast Cancer Breast cancer is not just one disease — it can be classified into different types of breast cancer... Surviving Breast Cancer Nov 27, 2022 3 min Male Breast Cancer Resources for Male Breast Cancer Patients By Rod Ritchie A guy is generally blindsided by a breast cancer diagnosis, whether it be early stage or Stage IV. After the initial shock... Surviving Breast Cancer Nov 4, 2022 3 min Male Breast Cancer Becoming a Patient Advocate By Rod Ritchie We all belong to the SurvivingBreastCancer.org community for different reasons. Many are variously curious and seek... Surviving Breast Cancer Oct 8, 2022 3 min Male Breast Cancer Pinktober: Raising Awareness or Just Pink Hoopla? By Rod Ritchie October is Breast Cancer Awareness Month (BCAM) and that’s when breast cancer charities go all out to raise funds.... Surviving Breast Cancer Sep 13, 2022 3 min Male Breast Cancer Genderless Breast Cancer Research By Rod Ritchie Most cancers are genderless, with the notable exceptions of ovarian, cervical, testicular, and prostate cancers. Why is... Surviving Breast Cancer Aug 16, 2022 3 min Male Breast Cancer The Stigma Surrounding Male Breast Cancer By Rod Ritchie I’ve written a lot about the stigma many men experience when they are given a breast cancer diagnosis. This truly is a big... Surviving Breast Cancer Aug 7, 2022 3 min Male Breast Cancer Male Breast Cancer: Treatment and The Pink Gown By Rod Ritchie Entering the world of breast cancer treatment can be a unique challenge for a guy. Be prepared to get around the scanning... Surviving Breast Cancer Aug 7, 2022 4 min Breast Cancer Stories 3-Time Male Breast Cancer Survivor By Vance Stacks My name is Vance Stacks, Jr. and I am a 3x male breast cancer survivor! I am also a son, a brother, a grandson, a nephew,... News, Articles, & Stories Share Your Story Men Get Breast Cancer Too You are not in this alone. ​ Breast Cancer In Men Breast cancer in men is a rare condition that affects men of all ages, though it is most commonly diagnosed in men over the age of 60. Male breast cancer makes up less than 1% of all breast cancers diagnosed each year. Male breast cancer usually starts in the milk ducts or lobules of the breast, and can metastasize (spread) male breast cancer is male breast cancer that has spread to the liver. Male breast cancer usually starts in the milk ducts or lobules of the breast, and can metastasize (spread) to other parts of the body, such as the lymph nodes, bones, brain, and liver. Early detection is key to successful treatment, so it is important for men to be aware of the signs and symptoms of male breast cancer. These include a lump or mass in the chest, discharge from the nipple, and changes in the appearance of the nipple or breast. If you experience any of these symptoms, be sure to see a doctor right away. With prompt treatment, male breast cancer can be successfully treated. Signs and symptoms of male breast cancer The most common symptom of male breast cancer is a lump or mass in the breast tissue. However, some men may also experience the following symptoms: -Pain or tenderness in the breast -Nipple discharge or changes in the nipple (such as redness, scaling, or inverted nipple) -Skin changes on the breast (such as dimpling or puckering) -Swelling of the breast -Lymph node enlargement (under the arm or around the collarbone) It is important to note that these symptoms can also be caused by benign conditions, such as gynecomastia (enlargement of male breasts due to hormonal changes). Therefore, it is important to see a doctor if you experience any of these symptoms. Only a doctor can properly diagnose the cause of these symptoms. ​ Risk factors for male breast cancer include: -Increasing age -Family history of breast cancer (male or female relatives) in which case you may consider genetic testing in order to understand your lifetime risk of developing breast cancer. -Exposure to certain chemicals, such as radiation or estrogenic compounds -Klinefelter syndrome (a genetic condition that affects males) -Liver disease -Obesity There is no sure way to prevent male breast cancer and having a family history of breast cancer does not mean you will get breast caner either. However, you may be able to reduce your risk by avoiding exposure to known risk factors, such as certain chemicals and radiation. You should also see a doctor regularly for check-ups, so that any cancerous growths can be detected early. Male breast cancer treatment The treatment of male breast cancer will depend on a number of factors, including the stage of the cancer, the size of the tumor, and the patient's overall health. Treatment options may include surgery, radiation therapy, chemoherapy, hormone therapy, or a combination of these methods. Surgery is the most common treatment for male breast cancer. The type of surgery will depend on the stage of the cancer. If you develop breast cancer a lumpectomy (removal of the tumor without removing the entire breast) may be an option. For more advanced cancers, a mastectomy (removal of the entire breast) may be necessary. Radiation therapy treatment uses high-energy beams to kill cancer cells. It can be used alone or in combination with surgery. Chemotherapy uses drugs to kill cancer cells. It is often used in combination with radiation therapy. Hormone therapy uses drugs to block the effects of hormones that can promote the growth of breast cancer cells. It is often used in combination with other treatments, such as surgery, radiation therapy, or chemotherapy. Examples of hormone therapy include tamoxifen or a class of drugs referred to as aromatase inhibitors. Prevention of male breast cancer There is no sure way to prevent male breast cancer. However, you may be able to reduce your risk by avoiding exposure to known risk factors, such as certain chemicals and radiation. You should also see a doctor regularly for checkups, so that any cancerous growths can be detected early. Living with male breast cancer A diagnosis of male breast cancer can be overwhelming. You may feel scared, alone, and unsure of what the future holds. However, it is important to remember that you are not alone. There are many resources available to help you through this difficult time. The most important thing you can if you have been diagnosed with male breast cancer do is to learn as much as you can about your cancer and your treatment options. This will help you make informed decisions about your care. You should also talk to your doctor about your concerns and ask any questions you have. There are also many support groups available for people with breast cancer. These groups can provide emotional support and practical advice. You may find it helpful to talk to other people who are going through similar experiences and living with a male breast cancer diagnosis. Understanding the subsets of breast cancer In order to make informed decisions about your care, it is important to understand the different types of male breast cancer. The two main types of male breast cancer are ductal carcinoma and lobular carcinoma. Infiltrating Ductal carcinoma is the most common type of male breast cancer. It begins in the milk ducts and typically spreads to the surrounding tissue. Lobular carcinoma is a less common type of male breast cancer. It begins in the milk lobules and may spread to other parts of the breast. In addition to these two main types of male breast cancer, there are several subtypes. The most common subtypes are invasive ductal carcinoma, invasive lobular carcinoma, and ductal carcinoma in situ. Invasive ductal carcinoma is the most aggressive form of male breast cancer. It typically spreads quickly and can be difficult to treat. Invasive lobular carcinoma is less aggressive than invasive ductal carcinoma, but it can still spread quickly. Ductal carcinoma in situ is a non-invasive form of male breast cancer. It means that the breast cancer cells are present in the ducts, but have not spread to the surrounding tissue. In addition to the different types of male breast cancer, there is also a subtype known as inflammatory breast cancer. This type of cancer is rare, but it is more aggressive than other types of male breast cancer. Inflammatory breast cancer typically spreads quickly and can be difficult to treat. This type of cancer is rare, but it is more aggressive than other types of male breast cancer. Inflammatory breast cancer typically spreads quickly and can be difficult to treat. ​ Symptoms of inflammatory breast cancer The most common symptom of inflammatory breast cancer is a change in the appearance of the breast. The breast may appear red, swollen, or have a rash. Other symptoms may include pain, nipple discharge, and changes in the size or shape of the breast. Treatment for inflammatory breast cancer There is no one-size-fits-all treatment for male breast cancer, as the best course of action will depend on the individual case. However, treatment typically includes a combination of surgery, radiation, and chemotherapy. In some cases, hormone therapy or targeted therapy may also be used. Inspiring stories of male breast cancer A diagnosis of male breast cancer can be devastating, but it is important to remember that there are many people who have been through similar experiences and gone on to lead happy and healthy lives. One inspiring story is that of Dale Oen, a world-champion swimmer from Norway. Oen was diagnosed with male breast cancer in 2011, but he continued to compete and went on to win a silver medal at the 2012 Olympics. He is now cancer-free and serves as an inspiration to other male breast cancer survivors. Another inspiring story is that of John Travolta, who was diagnosed with male breast cancer in 2010. Travolta underwent treatment and is now cancer-free. He has been very open about his experience with male breast cancer and has said that his main goal is to raise awareness about the disease. These stories show that a diagnosis of male breast cancer does not have to be a death sentence. With early detection and treatment, many people are able to lead long and healthy lives. Questions to ask your doctors about male breast cancer If you have been diagnosed with male breast cancer, you will probably have many questions for your doctors. Here are some important questions to ask: -What is the stage of my cancer? -What is the grade of my tumor? -What are my treatment options? -What are the side effects of each treatment option? -How likely is it that my cancer will come back after treatment? -What can I do to reduce my risk of recurrence? -What are the long-term side effects of my treatment? -How will my treatment affect my quality of life? -Is there anything I can do to improve my prognosis? Male Breast Cancer: Treatment Side Effects After a male breast cancer diagnosis, you will likely have many questions about your treatment options and the potential side effects. It is important to discuss these with your doctor so that you can make the best decision for your health. Some common side effects of male breast cancer treatment include fatigue, hair loss, nausea, and vomiting. These side effects can be difficult to deal with, but there are ways to manage them. Fatigue is a common side effect of male breast cancer treatment. It is important to get plenty of rest and to pace yourself. You may need to cut back on your activities or take a break from work. Hair loss is another common side effect of male breast cancer treatment. There are a number of ways to deal with hair loss, such as wearing a wig or using cold caps. Nausea and vomiting are other common side effects of male breast cancer treatment. There are medication that can help to control these symptoms. It is important to discuss the potential side effects of male breast cancer treatment with your doctor so that you can make the best decision for your health. BRCA1 and BRCA2: What You Need to Know The BRCA1 and BRCA2 genes are important in the development of male breast cancer. These genes are responsible for repairing damaged DNA. Mutations in the BRCA1 and BRCA2 genes can increase the risk of male breast cancer. Men with these mutations have a higher risk of developing male breast cancer, especially if they have a family history of the disease. There are a number of ways to test for the BRCA1 and BRCA2 mutations. A blood test can be used to look for the genetic mutation. If you have the BRCA1 or BRCA2 mutation, you may be able to take steps to reduce your risk of male breast cancer. For example, you may be able to take medication to lower your risk. You may also be able to have surgery to remove your breasts. If you are at high risk for male breast cancer, it is important to talk to your doctor about your options. You may be able to take steps to reduce your risk. Male Breast Cancer: Coping with a Diagnosis A male breast cancer diagnosis can be difficult to deal with. You may feel scared, overwhelmed, and alone. It is important to remember that you are not alone. Read Their Stories Every diagnosis is unique. Read their stories, hear their voices, feel inspired. Get the Facts Breast cancer in men is a rare condition that affects men of all ages Male breast cancer is a type of cancer that affects men. Though it is not as common as breast cancer in women, it can be just as deadly.

Breast Cancer 101 Lifestyle & Wellness Resources Programs Content Library Podcast For Providers Subscribe More Newly Diagnosed. Now What? What brings you to this website is most likely a breast cancer diagnosis. Perhaps you found a lump, noticed swelling or experienced pain; maybe you are awaiting test results; or you just heard the words that you've been diagnosed with breast cancer; or perhaps you are experiencing a recurrence. Whatever the reason, I want you to know that you will be supported and that our Surviving Breast Cancer (SBC) community is here for you! ​ We are here to help! A breast cancer diagnosis disrupts our lives and throws us into a whirlwind of doctors appointments, follow ups, tests, scans, and the like. Each and every one of us have unique experiences, and what our SBC platform and community provides is education, support, and resources for you as a complement to your medical care. We are not medical professionals, nor provide medical advice. But what we do offer is content, stories, and community when you need it most! What I mean by that is you are welcome to dive in to absolutely everything we offer today, or, you can take bite size approaches to get the information and support when you feel ready for it. We've listed a few links and resources to help get you started and to hopefully make things a bit less overwhelming. Download. Questions to Ask Your Surgeon Download PDF Questions to Ask Your Radiologist Downlod PDF Questions to Ask Your Oncologist Download PDF Burning Questions Latest News Who Should I Tell? Learning that you have been diagnosed with breast cancer can set you into a whirlind of uncertainty and that is to be expected. There is probably a lot of information you do not yet know. At this time, you may want to start thinking about who you should tell. While this can also be difficult for loved ones, family, and friends to hear, you are actually in the process of cultivating your support team! Remember, you do not need to tell everyone all at once. Perhaps starting with close family, let friends know how they can help support you during this time. It is a personal decision on how private or public you want to be and completely your choice in how much information you choose to share. You may want to have seperate conversations with your children depending on their ages. We also recommend speaking with your medical team about your treatment options and getting a plan in place for when you may need to take time off from work or be out of the office. Should I Get A Second Opinion? You may consider receiving a second opinion from another medical oncologist or breast surgeon. In some cases, people get multiple opinions before making any decisions on their care and medical treatment plan. Women in our Breast Cancer Support Group often share that it is important for them to feel comfortable with your doctors; that there is a rapport and trust. After all, your medical team is going to be your primary caregiver throughout treatment so it is important you feel comfortable with the person, able to ask questions, and feel confident in your plan of action. ​ Your Medical Care Team may consist of one or several of the following: Breast Oncologist Breast Surgeon Breast Plastic Surgeon Radiation Oncologist Social Worker Psychologist What Treatment Options Do I Have? Thanks to continued research taking place in Breast Cancer, people diagnosed today have a variety of treatment options and are able to live long healthy lives. Treatment options will be tailored to your specific diagnosis and dependent on the stage of your breast cancer (1-4) and it's characteristics. For example, is it HER2 positive or negative, is it triple negative meaning it is estrogen receptor negative, progesterone receptor negative and HER2 negative. Your oncologist will also take into consideration how advance the cancer is. During this phase you may be getting more tests and scans. During this phase, you may also consider genetic testing. Genetic testing is helpful for a multitude of reasons including helping to make surgery decisions. If you end of testing positive for a genetic pre-disposition to developing breast cancer, your surgeon may recommend a full double mastectomy. Traditional standard of care includes: Surgery (not always required if you are diagnosed with metastatic stage IV breast cancer, that is, your cancer has spread beyond your breast to your bones, lungs, liver, or brain) Radiation (not always required) Chemotherapy (not always required) Hormonal Therapy (not always required) Oftentimes people will also consider integrative therapies as a complement to the standard treatments which also has been shown to reduce some of the side effects of treatment: Acupuncture Yoga Meditation Additionally speak to your oncologist about Clinical Trials and if you would be a candidate. Will I Need Chemotherapy? Not everyone diagnosed with breast cancer will need chemotherapy. There are several factors that go into this determination and should be a conversation you have with your oncologist. For example, your doctor will take into consideration the stage of cancer that you have (i.e., stage 1, 2, 3, 4) and the characteristics of your tumor, (i.e., if it is hormonal positive or negative) etc. In some instances, chemotherapy will be an option for people prior to surgery. This is called neo-adjuvant chemo. Other times, chemotherapy may be prescribed after surgery which is referred to as adjuvant chemotherapy. ​ . Tue, Sep 10 Online 8 Week Program Encourage and Empower Program for the Newly Diagnosed Sep 10, 2024, 11:00 AM – 12:00 PM EDT Online 8 Week Program Join Gloria Shoon for a weekly gathering of encouragement and empowerment. In this 8 week program, designed specifically for those who are newly diagnosed, participants will explore tiny habits that build upon each other. Share RSVP Join our community SBC offers a safe space to build community. We provide reliable information and offer what you most need during the diagnosis: understanding. English Español

Cancer bereavement Support Understanding and Coping Strategies for patients and caregivers Explore different ways on navigating grief following a cancer diagnosis. ​ Discover expert insights, coping mechanisms, and support resources to help you through this challenging experience. ​ Prioritize self-care and find solace in community understanding. After a breast cancer diagnosis, we often feel as though the world is crumbling around us. The shock of hearing such news about a loved one can be overwhelming, leaving us grappling with a whirlwind of emotions ranging from fear and sadness to anger and confusion. Learning to cope with the realities of the diagnosis is a journey filled with uncertainty and challenges. It requires resilience, strength, and a willingness to navigate through the unknown. Yet, amidst the darkness, there is also hope – hope for moments of joy amidst the struggle, and for the unwavering support of family, friends, and medical professionals. Each step forward, no matter how small, is a testament to our determination to confront and overcome the obstacles that lie ahead. Articles Surviving Breast Cancer May 8 8 min Motherless Mother’s Day: Honoring your Loved One on Holidays 190 3 likes. Post not marked as liked 3 Surviving Breast Cancer Jan 9 5 min Breaking the Silence on End-of-Life: What is a Death Doula? 245 1 like. Post not marked as liked 1 Surviving Breast Cancer Dec 17, 2023 3 min Navigating Grief: Understanding the Stages of Loss and Healing 191 1 like. Post not marked as liked 1 Surviving Breast Cancer Jun 11, 2023 4 min Coping with Expectations After a Breast Cancer Diagnosis: The Realities and Challenges 377 6 likes. Post not marked as liked 6 Surviving Breast Cancer Aug 7, 2022 3 min Expecting the Unexpected: Anticipatory Grief and Breast Cancer 59 Post not marked as liked Surviving Breast Cancer Aug 7, 2022 3 min We All Have Our Ways Of Coping 38 Post not marked as liked Surviving Breast Cancer Aug 7, 2022 3 min On Matters of Life, Love, and Death 6 Post not marked as liked Surviving Breast Cancer Aug 7, 2022 3 min How End of Life Planning and Support Can Help Reduce Your Fear of Death 10 Post not marked as liked Surviving Breast Cancer Aug 7, 2022 5 min Disenfranchised Grief 103 Post not marked as liked Surviving Breast Cancer Aug 7, 2022 4 min Grief, Joy, and Sisterhood 11 Post not marked as liked Our blog serves as a beacon of knowledge, offering valuable insights, personal stories, and practical advice Podcast Tune in to insightful discussions featuring experts, survivors, and caregivers sharing invaluable insights, practical tips, and heartfelt stories.

Your loved one has just been diagnosed? Supporting Your Loved One Through Cancer prioritizing self-care to maintain your own well-being and be a source of strength for your loved one. A Caregiver's Guide to Breast Cancer Hear from the voices that inspire us to keep on going... ​ Are you a caregiver? Share your story William's Story Introduction In the middle of a lovely, sunny, late summer walk along the beaches of Boston, my partner, twelve months into treatment for breast cancer, looked up at me and opined: ​ “This has been the worst year of my life”. ​ My response was immediate: ​ “I must wholeheartedly disagree, I feel that this has been the best year of your life”. ​ She looked at me like I had two heads and inquired about my meaning. I elaborated with a thoughtful smile, “You have just beaten breast cancer”. This conversation aptly summed up my role as a breast cancer caregiver. ​ Closing - Managing Expectations ​ In closing I’d like to suggest that a caregiver remain focused on the job at hand and manage expectations. Don’t try to do to much. Recognize what you can do, perform your due diligence so that you can assist in the discussion and decision making. Remain positive and inspirational and as helpful as positive. But remember it’s a long haul and you, and your patient, will need to count on each other throughout the ordeal. Encourage Optimism, Avoid Negativity ​ A final anecdote: during the middle of a particularly depressing spell, I suggested that we go for a bicycle ride to get her out of her environment. As usual we went too far (40 miles total that day) and her depression was kicking in. So about thirty miles into our ride we stopped and took a break. After rehydrating and fueling we were able to get up and return the last 10 miles to our condo in Boston. Months later she asked how I was able to help her overcome her severe and scary depression on that particular ride. She told me her thoughts bordered on taking irrational actions. I told her that I remained focused on the positive and didn’t offer up any psychological rationale about dealing with her extreme sadness and potentially deleterious behavior. She then asked me “how did you know how to respond” and my answer was simply to reaffirm the healthful, positive aspects of our lives, which always returns us to our code during times of trouble - KGH (keep going hard). Characteristics of Caregiving There are many characteristics of life as a caregiver. The support that one provides to a cancer patient/survivor includes many of the following: emotional, physical, intellectual, financial, social, spiritual, nutritional, and motivational aspects to name just a few. But you are never alone. There is help and assistance everywhere. I found the following links to be quite helpful in coming to terms with my role as a caregiver. ​ https://www.cancercare.org/tagged/caregiving http://www.breastcancer.org/community/acknowledging/caregivers ​ From diagnosis and onward the responsibilities associated with caregiving kick in. There are meetings and discussions with your oncological and surgical teams. Options and alternative courses of action are proffered and weighted. Decisions have to be made in short order so it’s best to prepare yourself ahead of time by performing as much due diligence as you can. Do your research on the various options as spelled out by your care team. Once a course of action is agreed upon and plotted, take particular care to stay on top of developments, i.e. scheduled appointments, pain/emotional management, medications, coordinating and communicating information to the extended caregiving family, and helping with chores. ​ At all times, be aware that you are there to assist the patient. This isn’t about you. Involve yourself with the patient’s emotional issues. You do not need to be a medical professional. Common sense and responding through the lens of caregiving should provide you with enough tools to deal with the myriad emotions that arise, such as fear and depression/sadness. There are many support groups that you can reach out to, including hospital care groups, psychiatrists, social/media pages, https://www.survivingbreastcancer.org/ ​ #survivingbreastcancer The Social Perspective ​ Together we went out on a limb and informed all of our friends, both in person and through social media of the diagnosis. We also discussed it with our local area restaurant staff and work out circles at the YMCA, to eliminate any fears of considerations/communications from friends and associates regarding her cancer. Remember, the patient will be going through both emotional and physical changes, but still will want to resume enjoyable activities like date nights or walking on the treadmill as much as possible. We found that discussion opened many doors of kindness, friendship, and offers of help. Long Term ​ Breast cancer remediation and treatment is a long-term commitment. Be cognizant of the fact that you too, as a care giver, need help and support, and quality time as well. Don’t try to do it all. Involve others, either extended family, or friends, or even medical support groups. ​ Remain flexible. Due to the constant changing nature of recovery, from chemotherapy, to surgery, radiation, additional chemotherapy (if necessary) and follow up hormonal treatments, you may find yourself faced with multiple patient fronts. Side effects of the treatment are varied and include hair loss, water weight gain, physical breast alteration, depression, exhaustion, lymphedema, foot and mouth issues, to name several. Prepare yourself as best as you can to prevent the above from adversely affecting you in your role. It’s ok for the patient to be tired and sad. It’s also ok for the caregiver. I found comedy and music (movies, TV, radio) to be a great relief as it tends to change the narrative. Multiple Dates Tue, Jun 18 Zoom The Caregiver Huddle Jun 18, 2024, 7:00 PM – 8:30 PM EDT Zoom Caregiver support groups for cancer patients provide a platform to explore ways of caring for a loved one while simultaneously receiving vital emotional and practical support for themselves. Share RSVP Articles Supporting your loved one through cancer involves empathy, communication, and practical assistance. Read the following blogs to learn more about caregiving. Surviving Breast Cancer Apr 12 10 min The Last Thing I Told My Mom Was a Lie (Part 2) By Olivia Smith Content warning: death and dying Read part 1 of Olivia’s story: The Last Thing I Told My Mom Was a Lie (Part 1) My sister... 463 3 likes. Post not marked as liked 3 Surviving Breast Cancer Apr 5 6 min The Last Thing I Told My Mom Was a Lie (Part 1) By Olivia Smith Content warning: death and dying “I have some news to share with you girls. I went to the doctor because I have been... 1,141 9 likes. Post not marked as liked 9 Surviving Breast Cancer Jan 14 4 min Supporting Loved Ones with Breast Cancer: How to Offer Meaningful Help Emotional support is vital for someone facing breast cancer. Here are ways to provide meaningful emotional support 114 1 like. Post not marked as liked 1 Surviving Breast Cancer Jan 9 5 min Breaking the Silence on End-of-Life: What is a Death Doula? Talking about death is important. This statement may seem obvious to some, but it is a topic that is often avoided or treated as taboo in... 245 1 like. Post not marked as liked 1 Surviving Breast Cancer Dec 17, 2023 3 min Navigating Grief: Understanding the Stages of Loss and Healing Losing someone dear to breast cancer can be an immensely painful and emotional experience. As we grapple with the departure of our dear... 191 1 like. Post not marked as liked 1 Surviving Breast Cancer Mar 14, 2023 6 min No Coincidence By Donna Valentine, PA-C I have never had breast cancer, although it’s played a role in my daily life for over two decades. And I... 458 4 likes. Post not marked as liked 4 Surviving Breast Cancer Oct 16, 2022 3 min Cancer Caregivers: Contending with Change #FeatureFriday As difficult as it may be to grapple with breast cancer as a patient or a survivor, it’s important to remember that... 57 Post not marked as liked Surviving Breast Cancer Aug 7, 2022 3 min How To Be Helpful When A Loved One Is Sick By Nate Kolmodin My name is Nate Kolmodin. My mother was diagnosed with breast cancer in May 2004. After recently learning about her... 83 Post not marked as liked Surviving Breast Cancer Aug 7, 2022 4 min Well-Being for Caregivers By Alexis Puthussery What is a caregiver? The American Cancer Society defines caregiver as “the person who most often helps the patient... 67 1 like. Post not marked as liked 1 Podcasts Discover podcasts on caregiving for insightful discussions, practical tips, and emotional support.Listen to experts and caregivers share experiences, strategies, and encouragement to navigate the challenges of caregiving with compassion and resilience. Caregiver & Patient Programs Are you caring for a loved one with breast cancer? We understand the challenges you face, and we want to support both of you on this journey. Join our tailored programs designed for breast cancer patients and their caregivers. Multiple Dates Restorative Yoga with Kate: Unearthing Opportunities Mon, May 20 Online Event May 20, 2024, 5:30 PM – 6:30 PM EDT Online Event May 20, 2024, 5:30 PM – 6:30 PM EDT Online Event Did you know you have magical powers? We all can literally change our bodies through breath and movement. Experience this ancient practice and feel your own powers grow! Share RSVP Multiple Dates Pilates with Nina: Breast Cancer Home Workouts Fri, May 24 Online Event May 24, 2024, 10:00 AM – 11:00 AM EDT Online Event May 24, 2024, 10:00 AM – 11:00 AM EDT Online Event You're invited to join our empowering online Pilates class set against the tranquil space of your home. Share RSVP Multiple Dates Qi Gong with Kim Tue, May 28 Online Event May 28, 2024, 11:30 AM – 12:30 PM EDT Online Event May 28, 2024, 11:30 AM – 12:30 PM EDT Online Event Join Kim OBrien for guided Qi Gong class. A time-honored practice that utilizes breath, movement, and intention setting to promote health and equilibrium in the body. Share RSVP Multiple Dates Yoga Fitness with Chair Assist with Kim Tue, Jun 11 Online Event Jun 11, 2024, 11:30 AM – 12:30 PM EDT Online Event Jun 11, 2024, 11:30 AM – 12:30 PM EDT Online Event Join Kim OBrien for guided yoga fitness with chair assist. This is a WHOLE BODY practice with the intent to move and stimulate the body, mind and soul from head to toe. Share RSVP Multiple Dates Yoga Stretching for DIEP Flap Tue, Jun 11 Online Event Jun 11, 2024, 6:00 PM – 7:00 PM EDT Online Event Jun 11, 2024, 6:00 PM – 7:00 PM EDT Online Event Yoga stretching can be a helpful way to improve your range of motion and reduce pain after DIEP flap surgery. Share RSVP

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Breast Cancer 101 Lifestyle & Wellness Resources Programs Content Library Podcast For Providers Subscribe More Fitness Tips for Breast Cancer Survivors (& their Caregivers) It is well documented that physically active women have a lower risk of breast cancer than do others who are not. Thus, it stands to reason that physically active breast cancer survivors may reduce the risk of cancer’s return, and dramatically improve quality of life. As always, consult your oncological team before starting out on your fitness program. ​ According to Breastcancer.org, exercise can lower your risk of breast cancer coming back, as well as help you maintain a healthy weight, ease treatment side effects, boost your energy, and more! Exercise Is Safe Per Breastcancer.org (one of the attached links below), “a roundtable convened by the American College of Sports Medicine in 2010 reviewed available research and concluded that exercise is safe during and after all breast cancer treatments (as long as you take any needed precautions and keep the intensity low) and improves physical functioning, quality of life, and cancer-related fatigue. There also is evidence that exercise can help breast cancer survivors live longer and lead a more active life.” ​ Risk Reduction According to Cancer.gov (link below) “studies show that physically active women have a lower risk of breast cancer than inactive women. Physical activity has been associated with a reduced risk of breast cancer in both premenopausal and postmenopausal women; however, the evidence for an association is stronger for postmenopausal breast cancer.” This study further elaborates on how exercise can reduce the risks of cancer, and, or its return: Exercise has a number of biological effects on the body, including: ​ Lowering the levels of hormones , such as estrogen , and of certain growth factors that have been associated with cancer development and progression ​ Helping to prevent obesity and decreasing the harmful effects of obesity ​ Reducing inflammation Improving immune system function Cognitive Impairment (“chemo brain”) Furthermore, a new study (found in the Sciencedaily.com link below) “indicates that cancer patients and survivors have a ready weapon against fatigue and "chemo brain": a brisk walk. ​ Their data suggests “that being more physically active could reduce two of the more commonly reported symptoms in breast cancer survivors: fatigue and cognitive impairment". ​ Cognitive impairment, such as memory problems or shortened attention spans, is a common complaint among cancer patients and survivors, and is thought to be similar to decline due to aging. Fitness Recommendations With the above (and below) referenced studies in mind, we at Survivingbreastcancer.org are recommending the following exercise possibilities: Walking The health effects of a brisk walk cannot be overstated, notably for cognitive impairment, but also for muscular and circulatory systems. Yoga This discipline combines stretching, deep breathing, toning of the muscular system and offers a wonderful way to relax the nervous system. Meditation According to the Laura-Sage (link below), meditation can effectively reduce stress, anxiety, depression, fatigue, and fear of recurrence. It can also help reduce hot flashes. Weight Resistance & Training Program In another recent study study, researchers looked at data from the Physical Activity and Lymphedema (PAL) trial to determine whether slowly increased weight lifting could increase muscle strength among breast cancer survivors and help them avoid frailty and maintain physical function. Aerobic and Cardio Training (swimming, running, elliptical, stairmaster, etc.) Lastly, another recent study (for the NIH) showed that a “10 week moderate-intensity aerobic exercise program significantly improves quality of life and physical functioning in breast cancer survivors.” Please note that further long-term studies have been recommended ​ Related Articles Surviving Breast Cancer 2 min Fitness & Exercise Controlling a Controllable: Thriving Through Exercise & Movement Exercise is a powerful tool, and has many potential benefits for those diagnosed with breast cancer. Surviving Breast Cancer 3 min Fitness & Exercise The Importance of Physical Therapy During and After Cancer Treatment By Taylor McKnight Physical therapy is often the last thing on people’s minds when they receive a cancer diagnosis. However, it is an... Surviving Breast Cancer 2 min Fitness & Exercise The Role of Exercise in Breast Cancer Recovery: Benefits and Recommendations Exercise plays a crucial role in the recovery journey for individuals diagnosed with breast cancer. Engaging in physical activity during and Surviving Breast Cancer 4 min Fitness & Exercise The Healing Power of Pilates: Benefits for Breast Cancer Patients A breast cancer diagnosis can be a life-altering event, bringing with it a range of physical and emotional challenges. While medical... Surviving Breast Cancer 4 min Breast Cancer Stories Moving Through Treatment and Survivorship By Briana Rickertsen When I imagined my first wedding anniversary, I envisioned drinking bubbly while exploring a fun mountain town.... Surviving Breast Cancer 2 min About SBC Tell Cancer To Go #TakeAHike Are you ready to lace up your hiking boots or put on your walking shoes? October is Breast Cancer Awareness Month, and we're inviting you to 1 2 3 4 Additional Resources We found the following links to be beneficial: ​ https://www.cancer.gov/about-cancer/causes-prevention/risk/obesity/physical-activity-fact-sheet https://www.scribd.com/document/268275865/Breast-cancer-and-physical-activity https://www.acefitness.org/education-and-resources/lifestyle/blog/6753/exercise-for-breast-cancer-survivors https://www.sciencedaily.com/releases/2017/07/170725122242.htm https://www.cdc.gov/physicalactivity/basics/pa-health/index.htm#ReduceCancer https://www.cancer.org/treatment/survivorship-during-and-after-treatment/staying-active/physical-activity-and-the-cancer-patient.html http://www.breastcancer.org/tips/exercise https://community.breastcancer.org/forum/44/topics/836196 http://www.lbbc.org/building-and-restoring-physical-fitness-after-breast-cancer https://www.mindbodygreen.com/articles/what-you-need-to-know-about-exericse-and-cancer https://www.huffingtonpost.com/laura-sage/5-benefits-of-meditation_b_10617412.html https://www.cancer.org/.../study-weight-lifting-helps-breast-cancer-survivors-stay-health ... https://www.ncbi.nlm.nih.gov/pubmed/25313756

Attend an Event Multiple Dates Restorative Yoga with Kate: Unearthing Opportunities Mon, May 20 Online Event May 20, 2024, 5:30 PM – 6:30 PM EDT Online Event May 20, 2024, 5:30 PM – 6:30 PM EDT Online Event Did you know you have magical powers? We all can literally change our bodies through breath and movement. Experience this ancient practice and feel your own powers grow! Share RSVP Multiple Dates Pilates with Nina: Breast Cancer Home Workouts Fri, May 24 Online Event May 24, 2024, 10:00 AM – 11:00 AM EDT Online Event May 24, 2024, 10:00 AM – 11:00 AM EDT Online Event You're invited to join our empowering online Pilates class set against the tranquil space of your home. Share RSVP Multiple Dates Qi Gong with Kim Tue, May 28 Online Event May 28, 2024, 11:30 AM – 12:30 PM EDT Online Event May 28, 2024, 11:30 AM – 12:30 PM EDT Online Event Join Kim OBrien for guided Qi Gong class. A time-honored practice that utilizes breath, movement, and intention setting to promote health and equilibrium in the body. Share RSVP Multiple Dates Yoga Fitness with Chair Assist with Kim Tue, Jun 11 Online Event Jun 11, 2024, 11:30 AM – 12:30 PM EDT Online Event Jun 11, 2024, 11:30 AM – 12:30 PM EDT Online Event Join Kim OBrien for guided yoga fitness with chair assist. This is a WHOLE BODY practice with the intent to move and stimulate the body, mind and soul from head to toe. Share RSVP Multiple Dates Yoga Stretching for DIEP Flap Tue, Jun 11 Online Event Jun 11, 2024, 6:00 PM – 7:00 PM EDT Online Event Jun 11, 2024, 6:00 PM – 7:00 PM EDT Online Event Yoga stretching can be a helpful way to improve your range of motion and reduce pain after DIEP flap surgery. Share RSVP ​ Email dleroy@survivingbreastcancer.org with your background, interests, and class offerings. Interested in Becoming a Movement Monday Instructor? Pilates Heal & Move: Gentle Qigong for Breast Cancer Recovery This supportive class uses gentle movements & breathwork to promote healing, manage side effects, & find inner peace during breast cancer recovery. Suitable for all levels. DIEP flap Yoga Movement Days Creative and expressive movement, in the form of mind, body, and spirit exploration, holds the power to heal. Survivingbreastcancer.org offers free, monthly, online classes in restorative yoga, yoga for breast cancer, and Zumba. Enjoy weekly guided meditation, breathwork, and other mindfulness practices, as well as monthly expressive writing and art therapy workshops. All are welcome, including caregivers and supporters of those diagnosed. Move your body and mind with us every Monday! Restorative Yoga Articles Surviving Breast Cancer 5 days ago 2 min Controlling a Controllable: Thriving Through Exercise & Movement Exercise is a powerful tool, and has many potential benefits for those diagnosed with breast cancer. 194 Post not marked as liked Surviving Breast Cancer Feb 22 3 min The Importance of Physical Therapy During and After Cancer Treatment By Taylor McKnight Physical therapy is often the last thing on people’s minds when they receive a cancer diagnosis. However, it is an... 387 Post not marked as liked Surviving Breast Cancer Jan 14 2 min The Role of Exercise in Breast Cancer Recovery: Benefits and Recommendations Exercise plays a crucial role in the recovery journey for individuals diagnosed with breast cancer. Engaging in physical activity during and 119 Post not marked as liked 1 2 3 4 5 Multiple Dates Mon, May 20 Online Event Restorative Yoga with Kate: Unearthing Opportunities May 20, 2024, 5:30 PM – 6:30 PM EDT Online Event Did you know you have magical powers? We all can literally change our bodies through breath and movement. Experience this ancient practice and feel your own powers grow! Share RSVP Multiple Dates Fri, May 24 Online Event Pilates with Nina: Breast Cancer Home Workouts May 24, 2024, 10:00 AM – 11:00 AM EDT Online Event You're invited to join our empowering online Pilates class set against the tranquil space of your home. Share RSVP Multiple Dates Tue, May 28 Online Event Qi Gong with Kim May 28, 2024, 11:30 AM – 12:30 PM EDT Online Event Join Kim OBrien for guided Qi Gong class. A time-honored practice that utilizes breath, movement, and intention setting to promote health and equilibrium in the body. Share RSVP Multiple Dates Tue, Jun 11 Online Event Yoga Fitness with Chair Assist with Kim Jun 11, 2024, 11:30 AM – 12:30 PM EDT Online Event Join Kim OBrien for guided yoga fitness with chair assist. This is a WHOLE BODY practice with the intent to move and stimulate the body, mind and soul from head to toe. Share RSVP Multiple Dates Tue, Jun 11 Online Event Yoga Stretching for DIEP Flap Jun 11, 2024, 6:00 PM – 7:00 PM EDT Online Event Yoga stretching can be a helpful way to improve your range of motion and reduce pain after DIEP flap surgery. Share RSVP Breast Cancer Recovery Yoga: Gentle Poses with Chair Support (Improves Flexibility & Reduces Lymphedema) This restorative yoga class is designed specifically for breast cancer patients and survivors. Join certified instructor Kim O´Brien for a gentle sequence of poses using a chair for added comfort and support.

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Everyone's breast cancer diagnosis is different. People respond differently to treatment and even make different decisions based on their own personal preferences. We also understand that breast cancer extends well beyond the person who is diagnosed. It touches all aspects of life including family members, friends, and loved ones. ​ Sharing your experience not only helps others looking for connection, but it is also therapeutic for YOU! Unpacking everything you have been through, expressing your concerns, questions, fears, successes, and celebrations can help you make sense of the cancer experience. Moreover, it shows those in our survivingbreastcancer.org community that they are not alone and that we are a powerful community of warriors! Looking for examples? Explore our breast cancer survivor and breast cancer thriver stories here . We also are building out resources for moms, daughters, spouses, and more, so be sure to check back often. ​ Need help with topics and ideas? We have guidance and recommendations for getting started located below the Submission Form. What personal information I should include in my story? ​ You are free to share as much or as little information as you feel comfortable with. Think back to when you were diagnosed- what information were you looking for? What do you wish you would have known? A few things to consider sharing (but not required) include: Age of diagnosis What was your diagnosis (type, stage)? Did you have chemotherapy, and if so, which drugs were you on? Did you have surgery? If so, what type, how did you make that choice, and/or were lymph nodes involved? Did you have radiation? If so, how many weeks? Were you on any experimental trials? How did they go? Are you taking any hormonal therapies, and if so, which drugs? You are always welcome to also include your email, if you would like survivors to email and connect with you directly. If you do not want your name included with your story, you can always let us know if you prefer to be anonymous. ​ What topics should I cover in my story? You are welcome to share on a variety of topics. Express your own experience. Share topics that you think would be helpful for others to understand. Utilize your story as a means of catharsis. A few examples (but not limited to) include: ​ What to expect going through chemotherapy How to manage losing your hair, tips, and advice Understanding body changes and how to cope Health and nutrition/ eating habits while undergoing treatment Fighting fatigue and “chemo brain” Managing work, home, and life balance, while in treatment The top 10 things you wish you knew before starting treatment/ surgery A day in the life of a survivor… ​ What if I don’t like to write or journal? Are there other ways to share my story? ​ Absolutely! This is a creative and open space for survivors and caregivers to share their experiences through a variety of expressive mediums. Feel free to share your story through journaling/ writing, poetry, music, art, movement, and more. You name it! ​ You can always send us images to include with your story, or as a visual representation of your story. If you want support with editing any content, then just let us know. We are happy to help! ​ What if I want to include pictures, or update my story at a later date? Not a problem! Just get in touch with us, and we can add photos and make updates at any time.​ ​ Submit Content Stories. Poetry. Blogs Share your story, blog, article... First Name Last Name Email Submit Thanks for submitting! Social Media Handles (if applicable) Paste your Submission Below or Link to a Google Doc: Attach image Upload File Upload supported file (Max 15MB) Upload File Upload your submission file Upload supported file (Max 15MB) I want to subscribe to the newsletter.

Are You Breast Dense Aware? Breast Density Dense breast tissue makes it harder for radiologists to see cancer. On mammograms, dense breast tissue looks white, and breast masses or tumors also look white. So, the dense tissue can hide tumors. In contrast, fatty tissue looks almost black. On a black background it’s easy to see a tumor that looks white. So, mammograms can be less accurate in women with dense breasts. What Is Breast Density Survivingbreastcancer.org acknowledges that the above video is sited from our friends at beingdense.com (@Breastdense). The video may not be reproduced without Beingdense.com's permission. The FDA has announced important new steps to modernize breast cancer screening and help empower patients with information when they are considering important decisions regarding their breast health care. ​ Not all U.S. states are required to notify their patient as to whether or not they have dense breast. Is your state one of them? View Data What is breast density and how does it affect screenings? Watch Now How to advocate for additional screenings Watch Now Why is Understanding Breast Density Important? Having dense breast tissue might increase your risk of getting breast cancer. Women who have dense breast tissue have a slightly higher risk of breast cancer compared to women with less dense breast tissue. It’s unclear at this time why dense breast tissue is linked to breast cancer risk. We know there are many risk factors for breast cancer – starting menstrual periods early, late menopause, first pregnancy after age 30, family members with breast cancer – just to name a few. The 2 most important risk factors are being a woman and getting older. Women who have a strong family history of breast cancer or the breast cancer genes (BRCA1 or BRCA2) are at high risk for breast cancer. Women at high risk should have MRIs each year along with their mammograms. Women with dense breast tissue are at moderate risk for breast cancer. MRIs are not recommended for women at moderate risk for breast cancer based on what’s known today. What is Dense Breast Tissue? Breasts are made up of lobules, ducts, and fatty and fibrous connective tissue. ​ • Lobules produce milk and are often called “glandular tissue.” • Ducts are the tiny tubes that carry milk from the lobules to the nipple. • Fibrous tissue and fat give breasts their size and shape and hold the other tissues in place. Your breasts will be seen as dense if you have a lot of fibrous or glandular tissue and not much fat in the breasts. Some women have more dense breast tissue than others. For most women, breasts become less dense with age. But in some women, there’s little change. Breast density is very common, and is not abnormal. ​ How do I know if I have Dense Breasts? Breast density is seen only on mammograms. Some women think that because their breasts are firm, they are dense. But breast density isn’t based on how your breasts feel. It’s not related to breast size or firmness. Radiologists are the doctors who “read” x-rays like mammograms. They check your mammogram for abnormal areas, and also look at breast density. There are 4 categories of breast density. They go from almost all fatty tissue to extremely dense tissue with very little fat. The radiologist decides which of the 4 categories best describes how dense your breasts are. ​ Some mammogram reports sent to women mention breast density. At one time, doctors assigned a number to the density category, but it’s now worded in a way that’s easier to understand. Women whose mammograms show anything more than scattered areas of dense tissue may be told that they have “dense breasts.” Breasts are almost all fatty tissue. There are scattered areas of dense More of the breast is made of dense glandular and fibrous tissue. glandular and fibrous tissue. This can make it hard to see small tumors in or around the dense tissue. Breasts are extremely dense, which makes it hard to see tumors in the tissue. ​ ​ Why is Breast Density Important? Having dense breast tissue might increase your risk of getting breast cancer. Women who have dense breast tissue have a slightly higher risk of breast cancer compared to women with less dense breast tissue. It’s unclear at this time why dense breast tissue is linked to breast cancer risk. We know there are many risk factors for breast cancer – starting menstrual periods early, late menopause, first pregnancy after age 30, family members with breast cancer – just to name a few. The 2 most important risk factors are being a woman and getting older. Women who have a strong family history of breast cancer or the breast cancer genes (BRCA1 or BRCA2) are at high risk for breast cancer. Women at high risk should have MRIs each year along with their mammograms. Women with dense breast tissue are at moderate risk for breast cancer. MRIs are not recommended for women at moderate risk for breast cancer based on what’s known today. If I Have Dense Breasts, Do I Still Need a Mammogram? Yes. Most breast cancers can be seen on a mammogram even in women who have dense breast tissue. So, it’s still important to get regular mammograms. Mammograms can help save women’s lives. Even with a normal mammogram report, a woman should know how her breasts normally look and feel. Anytime there’s a change, she should report it to her health care provider right away. What should I do if I have dense breast tissue? If your mammogram report says that you have dense breast tissue, talk with your provider about what that means for you. Be sure that your doctor or nurse knows your medical history and whether there’s anything in your history that increases your risk for getting breast cancer. ​ Any woman who’s already in a high-risk group (based on gene mutations, a strong family history of breast cancer, or other factors) should have an MRI along with her yearly mammogram. >

Breast Cancer & Intimacy Sex After Breast Cancer? In a previous blog and podcast we opined on the difficulties of maintaining relationships with loved ones, family, spouses, partners, etc. following a breast cancer diagnosis. Now we look at the adversarial effects of breast cancer towards sexual intimacy. Many, although not all, women find that breast cancer treatment, I.e. surgery, radiation, chemotherapy, estrogen eliminating hormonal therapy, severely hampers intimate sexual relations. Poor self image, physical exhaustion, painful treatment, and emotional distress all tend to weigh in negatively regarding sex drive. But overall recovery from breast cancer is partially dependent on overcoming the above referenced issues and participating in warm loving sexual acts. Sex can thus play a pivotal role. As we have mentioned in previous posts, single women who have been diagnosed worry how breast cancer will affect their relationship prospects, and also about how and when to tell those prospective lovers about their condition. The most uncomfortable stuff to talk about is probably your sex life and the changes that have taken place with your illness. You may not know what needs fixing or how to fix it, but you know things are different. ​ Many women report having less sex than before their illness, for several reasons: ​ • The breast cancer experience slows down your body. It takes longer to do lots of things, including getting interested in and starting and finishing sexual intercourse. ​ • Sex may be uncomfortable or even painful if you've been thrown into sudden onset menopause. No surprise that you tend to have less sex, for now. Many women may have had little or no sex from the time of diagnosis through treatment. ​ ​ Most people have wild ideas about what goes on in other people's bedrooms. Give yourself a break: The carefully researched book Sex in America (by Michael, Gagnon, Laumann, and Kolata) tells us that Americans have a lot less sex than the movies, television, and the guys in the locker room would have you believe. The averages reported in that book are: ​ • seven times a month between ages 30 and 40 • six times a month between ages 40 and 50 • five times a month between ages 50 and 60 For people over 60, the numbers continue to decline. But although you may assume that no one in their 70s and 80s has a sex life, that's just not so. Don't let the myths about other people's sex lives get in the way of what's happening in yours. And remember that there are exceptions to every pattern. If your sex life is not working the way you want it to, your doctor or nurse may be able to referee these issues with your partner and you. You can cue your doctor in advance, since he or she has most likely already touched on delicate issues with you. Maybe he or she can be the tour guide for the two of you. If your partner is there when you talk with the doctor who's managing your care, you and your partner both get a chance to air and dispel fears, and replace myths and false information with facts. ​ Help from a pro Not all doctors and nurses are comfortable discussing sexual issues and practices. Most doctors don't routinely ask about your sex life. And patients don't usually begin to discuss their love life with a doctor who hasn't mentioned it. Nobody's talking! ​ Someone has to break the pattern. A trained social worker, sex therapist, psychologist, or psychiatrist can help you open up communication with your partner and get around to talking about intimacy and sex issues. A support group may be more helpful than you might realize. Women in these groups often share advice that extends to the bedroom, including ways to increase sexual pleasure that are explicit and specific for women who've had breast cancer. Meeting needs in other ways Most marriages have problems that don't get fixed. Marriage is a package deal, and in marriages that work, the good things outweigh the bad. But as a survivor, you may find that breast cancer highlights the problems in your marriage. Can you live with those problems? Can you enjoy your marriage even as you contemplate what's missing? Can you capture the missing pieces in other ways? Give serious thought to your needs and how to meet them. Other ways to meet your needs: ​ • Fantasy can enrich your life. Countless women read to fill the vacuum (romance novels are enormously popular). • Join a book club, a church or synagogue, or a group that meets to discuss investments, movies, or local politics. • Do more with individual friends, like walking, shopping ("retail therapy"), or travel. • Make a bigger deal of birthdays and anniversaries. • Expand your involvement in community or spiritual activities. • Get politically active in the breast cancer movement: camaraderie for a cause close to your heart. Having a serious illness almost always takes some kind of toll on your sex life. But breast cancer can bring all thoughts of intimacy and sexuality to a screeching halt. Treatments can bring on temporary -- and sometimes permanent -- premature menopause, making intercourse painful. Chemotherapy and radiation often lead to crushing fatigue. You may want to stay in bed, but you don’t want to use it for anything but sleep. The medications you take, as well as the emotional effects of the disease, can lead to depression. And of course, from the changes wrought by surgery to the hair loss and puffiness of chemotherapy, breast cancer can have a devastating effect on your body image and your ability to feel sexy. The sexual side effects of breast cancer can linger long after treatment stops. A 2007 follow-up report on young breast cancer survivors, conducted by researchers at the University of California-Berkeley, found that some women reported persistent sexual difficulties five years after their treatment had ended. And according to the National Cancer Institute, about one out of every two women who’ve undergone breast cancer treatment experiences long-term sexual dysfunction. That’s the bad news. But the good news is there is sex after breast cancer! Sex and self-image Breast cancer changes the way you see your body. “Women sometimes feel very disconnected from their bodies when they go through this,” says Jean Carter, PhD. Carter is a licensed psychologist and the sexual health counselor for the sexual health program at Memorial Sloan-Kettering Cancer Center. “Your body’s been through so much and it’s worked to get well,” she says. ”But there have been sacrifices.” One thing you need to know early on is that your partner still finds you attractive and desirable. That’s rough on the days when you look in the mirror and can’t imagine ever feeling sexy again, much less looking sexy to someone else. It’s important to prepare yourself and your partner for what you’ll see. If you haven’t yet had surgery, ask your breast center if they have photographs of women after the kind of surgery you’ll undergo. Look at them with your partner and talk about what to expect. ​ ​ There's no denying that the sexual side effects of breast cancer can linger long after treatment is over, but there is sex after breast cancer. ​ Lumpectomies, Mastectomies, Breast Reconstructions and Thoughts on Body Image. It was created by women in a cancer survivors’ group at Penn State. ​ “The way your partner looks at your incision for the first time,” says Lillie Shockney, RN, “you’ll remember that forever.” Shockney is administrative director of the Johns Hopkins Breast Center and a breast cancer survivor herself. “If he has no clue what to expect and has a puzzled look on his face, the woman may interpret it as ‘He thinks I’m ugly, he thinks this is awful.’ Showing photographs can take the surprise away.” ​ Communication is important. Talk with your partner about what you’re comfortable with, and what you’re not. “Both partners may be waiting for the other one to make the first move,” says Shockney. “She’s waiting for him to tell her he wants sex, and he’s waiting for her to touch him.” Your partner may be afraid of hurting you, or afraid that you’ll think he’s pushing you to have sex when you’re not ready simply by asking about it. If your breasts were major erogenous zones for you before surgery, you may be feeling particularly bereft after a mastectomy or even a lumpectomy . Shockney suggests taking the pressure off by exploring and discovering other areas of your body, rather than trying to “force it” in areas where you still have performance or body image issues. “For some women, the diminished arousal in areas of a newly constructed breast or scar tissue might serve as a painful reminder that their sex life has changed,” Shockney says. Instead, think of areas like shoulders, ears, and knees as new hot spots for intimate touch. ​ If you’re still not comfortable with your new body, that’s what lingerie is for! There’s nothing wrong with getting a little help. A soft, satin nightie can be sexy and arousing. At the same time, it can help to conceal areas you’re still shy about. Or you can get even more creative. “I asked a patient to try using a feather boa to help her feel sexy, and at the same time keep her scars from being so evident. She loves it!” says Shockney. “It’s all about finding what you’re comfortable with.” Coping with changes But even as you get comfortable with the “new you” in the mirror, other parts of your body may be causing you problems in the bedroom. You may go through temporary menopause because of chemotherapy. Or if you have estrogen-receptor positive breast cancer, you may be taking hormonal therapy that can leave you in a menopausal state for years. The resulting vaginal dryness and other symptoms may make it painful to even think about having sex. ​ “A lot of women I see are afraid to have sex,” Carter tells WebMD. “They’re really struggling. And it’s a shame, because there are wonderful, simple strategies to improve your sexual experience that, taken together, can work wonders.” Vaginal moisturizers. These aren’t lubricants, which are meant to be used during sex. Instead, they’re like the moisturizers you use on your face and hands, to benefit the tissues themselves. “They’re introduced as a suppository into the vagina adding moisture back into the vaginal space and giving it that natural elasticity,” says Carter. “It’s meant to be absorbed, and it helps the vagina to have more health and moisture for several days.” ​ Lubricants. You definitely still want a lubricant for use during intercourse, says Carter. But lubricants should be combined with regular, ongoing use of vaginal moisturizers for best results. “If you’re feeling a rubbing or burning sensation during intercourse,” Carter says, “you don’t have enough lubrication. If it’s a stretching , painful sensation like the skin is going to split, you don’t have enough moisture.” Exercises. The classic Kegel exercises -- tightening and releasing the sphincter muscle as you do when you urinate -- that so many women use during pregnancy are also great for making intercourse easier. “If intercourse has been painful,” Carter says, “you may tighten up in anticipation of the pain. If you do Kegels right before intimacy , you fatigue the vaginal muscles and it is more open.” Vaginal dilators. A sex therapist, like Dr. Carter, can teach you how to use these dilators, which help gently stretch the vaginal tissue. ​ Over and over again,” Carter says, “I’ve seen women who are completely hormonally deprived be able to have comfortable, enjoyable intimacy by using these strategies. A lot of the time, it’s so easy to fix. It astonishes me how often women come into my office and ask, ‘Why didn’t anyone tell me this? Shockney advises her patients to shake up their previous sexual habits. She tells them they may have been a silent player in bed before. But now she wants them to speak up. She tells them, “Say, ‘This feels good. This doesn’t feel good.’ Don’t rely on grunting for him to figure it out. That’s not the best way to communicate.” She also tells her patients, “If you’ve never watched an x-rated movie, try one -- just one. It may jump-start things, and you’ll be amazed at how active you’ll become. Or try various sex toys. So what if you never did these things before. You never had breast cancer before, either! I’ve had women come to me and say ‘I thought my sex life was great before, and then I thought I was going to lose it. But now it’s better than ever.’” ​ ​ > What's the Difference between Diet and Nutrition? On Breast Cancer Conversations, the Podcast Listen Now

Breast Cancer Book Club Where we read books that have nothing to do with cancer! Become a Clubber Upcoming Events Multiple Dates Breast Cancer Book Club Sun, Jun 02 Online Jun 02, 2024, 11:00 AM – 12:00 PM EDT Online Jun 02, 2024, 11:00 AM – 12:00 PM EDT Online Each month, the Breast Cancer Book Club chooses a book that has nothing to do with breast cancer. Share RSVP Our Current Book Pick of the Month Non of this is true by Lisa Jewell The Breast Cancer Book Club™ is a monthly virtual book club for breast cancer patients and survivors. Unlike the traditional support group, where breast cancer is the usual topic of discussion, this book club is designed to take our minds OFF of cancer, while still providing opportunities for support and connection! ​ When do we meet?​ The Book Club meets the first Sunday of every month at 11 am ET. You are welcome to join each month or pick and choose your month based on your availability and the book we are reading. ​ How do I know what book to read? During our Sunday virtual Book Club, we will announce the next book the group will be reading. Once announced, the information will be published on our website. You can purchase the book and join the discussion the following month. ​ Membership Membership is free! Those who join the Breast Cancer Book Club™ are encouraged to follow our Instagram Account as well as get involved in the weekly discussions through our private online group. ​ Who are the moderators? Our Breast Cancer Book Club™ is spearheaded by Dr. Jandie Schwartz, D.O. , Fellow Breast Surgical Oncology, University of Pittsburgh Medical Center (UPMC) and is supported by Dr. Carole Weaver, Ph. D. and best selling Author as well as the team at Survivingbreastcancer.org ​ How do I sign up ?​ It's easy! Each month, we will have that month's book club published on our Event's Page . Just RSVP and you will receive the zoom link to attend the meeting. ​ Support Our Book Club! Your donation enables us to provide books to those diagnosed with breast cancer at no cost to the patient. We firmly believe in access to services and resources and breaking down those financial barriers. thank you for your support. DONATE TO THE BOOK CLUB Join the Breast Cancer Book Club Community~ Membership FREE Come Join Us The First Sunday of Every Month at 11 AM ET May 2024: None of this is True by Lisa Jewell April 2024: The Women by Kristin Hannah March 2024: Trust, by Hernan Diaz February 2024: Romantic Comedy by Curtis Sittenfeld January 2024: Remarkably Bright Creatures by Shelby Van Pelt December 2023: Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones by James Clear November 2023: West With Giraffes by Lynda Rutledge. October 2023: Sisters: A Novel by Daisy Jonshon September 2023: Group: How One Therapist and a Circle of Strangers Saved My Life August 2023: One Italian Summer: A Novel by Rebecca Serle July 2023: Everyone in My Family Has Killed Someone: A Novel by Benjamin Stevenson June 2023: The Paper Palace: A Novel by Miranda Cowley Heller May 2023: Lessons in Chemistry, by Bonnie Garmus April 2023: American Spy by Lauren Wilkerson March 2023: Somebody’s Daughter by Ashley C. Ford February 2023: Our Missing Hearts, by Celeste Ng January 2023: Atlas of the Heart A Novel by Celeste Ng December 2022: Atlas of the Heart, by Brené Brown November 2022: It All Comes Back to You, by Beth Duke October 2022: The Maid by Nita Prose September 2022: The Twentieth Wife, by Indu Sundaresan August 2022: The Reading List, by Sara Nisha Adams July 2022: All's Well, by Mona Awad June 2022: The Mists of Avalon, by Marion Zimmer Bradley May 2022: The Lions of Fifth Avenue, by Fiona Davis April 2022: The Push, by Ashley Audrain March 2022: A Woman of No Importance, by Sonia Purnell February 2022: The Spanish Love Deception, by Elena Armas January 2022: Algorithms to Live By: The Computer Science of Human Decisions, by Brian Christian December 2021 The Last Thing he Told Me by Laura Dave November 2021: Life is So Good October 2021: Life Is So Good, by George Dawson and Richard Glaubman September 2021: The Flatshare, by Beth O'Leary August 2021: Quiet: The Power of Introverts in a World That Can’t Stop Talking, by Susan Cain July 2021: The Nightingale, by Kristin Hannah June 2021: The Vanishing Half, by Brit Bennett May 2021: A Man Called Ove, by Fredrik Backman April 2021: American Dirt, by Jeanine Cummins March 2021: Is This Anything, by Jerry Seinfeld February 2021: The Red Tent, by Anita Diamant January 2021: Joyful, by Ingrid Fetell Lee December 2020: Where the Crawdads Sing, by Delia Owens November 2020: A Most Beautiful Thing, by Arshay Cooper Breast Cancer Book Club™ List Pick Your Own Book

Surviving Breast Cancer provides breast cancer support, events, and webinars at no cost to you! Whether you are looking to gain more knowledge on a particular topic or meet up with other breast cancer survivors, we have something for everyone. Join our Support Group which meets every Thursday night. Attend one of our Sunday Metastatic Breast Cancer Series. Explore a live webinar featuring experts in the field. Move your body and mind with us every Monday. We even have a monthly Breast Cancer Book Club! Learn More and RSVP for Upcoming Events & Programs (Click here for Programs in Spanish) ​ Multiple Dates Meditation Affirmations: Third Eye Chakra (Ajna) Mon, May 20 Online Event May 20, 2024, 10:00 AM – 11:00 AM EDT Online Event May 20, 2024, 10:00 AM – 11:00 AM EDT Online Event The process of focused meditation with attention and intention can provide answers to various questions we may have especially around limiting beliefs. This is an opportunity to anchor the chakra teachings and transform our consciousness around. Share RSVP Multiple Dates Restorative Yoga with Kate: Unearthing Opportunities Mon, May 20 Online Event May 20, 2024, 5:30 PM – 6:30 PM EDT Online Event May 20, 2024, 5:30 PM – 6:30 PM EDT Online Event Did you know you have magical powers? We all can literally change our bodies through breath and movement. Experience this ancient practice and feel your own powers grow! Share RSVP In body Breathwork Tue, May 21 Virtual Event May 21, 2024, 6:00 PM – 7:00 PM EDT Virtual Event May 21, 2024, 6:00 PM – 7:00 PM EDT Virtual Event Breathwork is a powerful modality that combines conscious breathing techniques with mindfulness and meditation. Share RSVP Multiple Dates Thursday Night Thrivers-IBC 2.0 Thu, May 23 Online Event May 23, 2024, 7:00 PM – 8:30 PM EDT Online Event May 23, 2024, 7:00 PM – 8:30 PM EDT Online Event IBC 2.0 is a private support group for individuals who have graduated from our standing Thursday Night Thrivers-IBC. Our IBC 2.0 group dives into topics, questions, and concerns on a deeper level as members already know one another and have graduated from TNT-IBC. Share RSVP Multiple Dates Thursday Nights Thrivers Meetup Thu, May 23 Virtual May 23, 2024, 7:00 PM – 8:00 PM EDT Virtual May 23, 2024, 7:00 PM – 8:00 PM EDT Virtual This is your weekly breast cancer support group! It's a welcoming and inviting virtual space where you can come to meet others, ask questions, or just listen in. Our sessions are always confidential and a friendly space offering support as well a a bit of humor. Share RSVP Multiple Dates Pilates with Nina: Breast Cancer Home Workouts Fri, May 24 Online Event May 24, 2024, 10:00 AM – 11:00 AM EDT Online Event May 24, 2024, 10:00 AM – 11:00 AM EDT Online Event You're invited to join our empowering online Pilates class set against the tranquil space of your home. Share RSVP Brain Spotting Mon, May 27 Virtual Event May 27, 2024, 6:00 PM – 7:00 PM EDT Virtual Event May 27, 2024, 6:00 PM – 7:00 PM EDT Virtual Event Brainspotting is a therapy technique used to address trauma and emotional distress. Share RSVP Multiple Dates Qi Gong with Kim Tue, May 28 Online Event May 28, 2024, 11:30 AM – 12:30 PM EDT Online Event May 28, 2024, 11:30 AM – 12:30 PM EDT Online Event Join Kim OBrien for guided Qi Gong class. A time-honored practice that utilizes breath, movement, and intention setting to promote health and equilibrium in the body. Share RSVP Meet the SBC Early Stage Team Tue, May 28 Livestream May 28, 2024, 7:00 PM – 8:00 PM EDT Livestream May 28, 2024, 7:00 PM – 8:00 PM EDT Livestream Meet SurvivingBreastCancer.org’s Early Stage Leadership Team! Share RSVP Multiple Dates Triage Cancer: Benefits for Veterans with Cancer Wed, May 29 webinar May 29, 2024, 2:00 PM – 3:00 PM EDT webinar May 29, 2024, 2:00 PM – 3:00 PM EDT webinar Triage Cancer Conferences cover key tips to help navigate legal and practical issues, reduce the financial burden of a cancer diagnosis, and lower stress. Share RSVP Multiple Dates Breast Cancer Book Club Sun, Jun 02 Online Jun 02, 2024, 11:00 AM – 12:00 PM EDT Online Jun 02, 2024, 11:00 AM – 12:00 PM EDT Online Each month, the Breast Cancer Book Club chooses a book that has nothing to do with breast cancer. Share RSVP Multiple Dates Meditation Affirmations: Crown Chakra (Sahasrara) Mon, Jun 03 Online Event Jun 03, 2024, 10:00 AM – 11:00 AM EDT Online Event Jun 03, 2024, 10:00 AM – 11:00 AM EDT Online Event The process of focused meditation with attention and intention can provide answers to various questions we may have especially around limiting beliefs. This is an opportunity to anchor the chakra teachings and transform our consciousness around. Share RSVP Multiple Dates Artistic Expression: HOPE Mon, Jun 03 Online Event Jun 03, 2024, 6:00 PM – 7:00 PM EDT Online Event Jun 03, 2024, 6:00 PM – 7:00 PM EDT Online Event Unlock the transformative potential of creative expression with our immersive art exploration sessions. Delve into the healing energy of artistic endeavors as you discover the profound impact of mindfulness on emotional equilibrium. Share RSVP Multiple Dates Forest Bathing Tue, Jun 04 Virtual Event Jun 04, 2024, 6:00 PM – 7:00 PM EDT Virtual Event Jun 04, 2024, 6:00 PM – 7:00 PM EDT Virtual Event Join this Forest Bathing class and experience a deeper connection with nature, reduce stress, improve mental well-being, and increase feelings of calm and relaxation Share RSVP Multiple Dates MBC Peer to Peer Support Thu, Jun 06 Virtual Jun 06, 2024, 7:00 PM – 8:00 PM EDT Virtual Jun 06, 2024, 7:00 PM – 8:00 PM EDT Virtual Join us for our signature Thursday Night Thrivers Meetup! On the first Thursday of every month, we will have a special breakout room for the MBC community. Share RSVP Multiple Dates Reflect and Recharge with Thomas Dooley Mon, Jun 10 Online Event Jun 10, 2024, 6:00 PM – 7:30 PM EDT Online Event Jun 10, 2024, 6:00 PM – 7:30 PM EDT Online Event How can we dial down the noise in our daily lives to listen to the story emerging within ourselves? In this interactive session, we will come together to reflect on the personal narratives that give shape and meaning to our lives and find community in the experiences we share. Share RSVP Multiple Dates Yoga Fitness with Chair Assist with Kim Tue, Jun 11 Online Event Jun 11, 2024, 11:30 AM – 12:30 PM EDT Online Event Jun 11, 2024, 11:30 AM – 12:30 PM EDT Online Event Join Kim OBrien for guided yoga fitness with chair assist. This is a WHOLE BODY practice with the intent to move and stimulate the body, mind and soul from head to toe. Share RSVP Multiple Dates Yoga Stretching for DIEP Flap Tue, Jun 11 Online Event Jun 11, 2024, 6:00 PM – 7:00 PM EDT Online Event Jun 11, 2024, 6:00 PM – 7:00 PM EDT Online Event Yoga stretching can be a helpful way to improve your range of motion and reduce pain after DIEP flap surgery. Share RSVP Load More Breast Cancer Support & Events Curated For You

Newly Diagnosed with Metastatic Breast Cancer. Now What? What brings you to this website is most likely a metastatic breast cancer (MBC) diagnosis. Perhaps you experienced a recurrence from early stage breast cancer (stages 0,I, II, or III) to advanced or late stage breast cancer (stage IV, MBC). In some cases you may have been diagnosed de-Novo meaning that you never experienced an early stage of breast cancer and based on diagnostic tests were diagnosed with metastatic breast cancer as your initial diagnosis. Whatever the reason, I want you to know that you will be supported and that our Surviving Breast Cancer (SBC) community is here for you! ​ We are here to help! A metastatic breast cancer diagnosis is different than an early stage diagnosis in the way in which it disrupts our lives and throws us into a whirlwind of continual doctors appointments, follow ups, tests, scans, and the like. Each and every one of us have unique experiences, and what our SBC platform and community provides is education, support, and resources for you as a complement to your medical care. We are not medical professionals, nor provide medical advice. But what we do offer is content, stories, and community when you need it most! What I mean by that is you are welcome to dive in to absolutely everything we offer today, or, you can take bite size approaches to get the information and support when you feel ready for it. We've listed a few links and resources to help get you started and to hopefully make things a bit less overwhelming. Download. Questions to Ask Your Surgeon Download PDF Questions to Ask Your Radiologist Downlod PDF Questions to Ask Your Oncologist Coming Soon Burning Questions Latest News Who Should I Tell? ​ Click here to add your File description. Summarize the content of the file, why it is useful, and who should download it. Should I Get A Second Opinion? You may consider receiving a second (third, or fouth) opinion from another medical oncologist or breast surgeon. In some cases, people get multiple opinions before making any decisions on their care and medical treatment plan. ​ Women in our Breast Cancer Support Group often share that it is important for them to feel comfortable with your doctors; that there is a rapport and trust. After all, your medical team is going to be your primary caregiver so it is important you feel comfortable with the person, able to ask questions, and feel confident in your plan of action. As one woman in our MBC community mentioned, "the more smart people reviewing my specific cancer, the better!" ​ Your Medical Care Team may consist of one or several of the following: Breast Oncologist Breast Surgeon Breast Plastic Surgeon Radiation Oncologist Social Worker Psychologist Palliative Care team Natrapathic Doctor Nutritionist What Treatment Options Do I Have? Thanks to continued research taking place in Breast Cancer, people diagnosed with metastatic breast cancer have a variety of treatment options and are able to live long and fulfilling lives. Treatment options will be tailored to your specific diagnosis and dependent on where the cancer has metastasized (spread). For example, is it HER2 positive or negative, is it triple negative meaning it is estrogen receptor negative, progesterone receptor negative and HER2 negative. Additionally, though a series of diagnostics, your oncologist will also be able to tell if the cancer is in one area like the bones or the lungs, or if it is in multiple areas such as bones and other organs (liver, brain, etc.). ​ You may also consider genetic testing. The more information you have about you, your body, and your caner, the better! ​ Traditional standard of care includes: Surgery (not always required if you are diagnosed with metastatic stage IV breast cancer, that is, your cancer has spread beyond your breast to your bones, lungs, liver, or brain) Radiation (not always required but may be offered to target specific metastasis and/or allieveate pain as a form of palliative treatment) Chemotherapy Hormonal Therapy (not always required) ​ Oftentimes people will also consider integrative therapies as a complement to the standard treatments which also has been shown to reduce some of the side effects of treatment: Acupuncture Yoga Meditation ​ Additionally speak to your oncologist about Clinical Trials and if you would be a candidate. Will I Need Chemotherapy? It is most likely that if you are diagnosed with metastatic breast cancer you will be offer chemotherapy, immunotherapy, or targeted therapy. Treatment options can come in the form of oral chemotherapy or IV. ​ . Tue, Sep 10 Online 8 Week Program Encourage and Empower Program for the Newly Diagnosed Sep 10, 2024, 11:00 AM – 12:00 PM EDT Online 8 Week Program Join Gloria Shoon for a weekly gathering of encouragement and empowerment. In this 8 week program, designed specifically for those who are newly diagnosed, participants will explore tiny habits that build upon each other. Share RSVP

Breast Cancer 101 Lifestyle & Wellness Resources Programs Content Library Podcast For Providers Subscribe More Make A Difference Through Asset Based Giving Donating assets to SurvivingBreastCancer.org holds significant value and contributes immensely to our mission of providing comprehensive support, resources, and advocacy for those battling breast cancer. Here are several key points highlighting the importance and advantages of asset-based donations: $50 $100 $250 Making a Meaningful Difference: Your asset donations directly contribute to providing essential services, financial aid, emotional support, and educational resources to breast cancer patients, survivors, and their families. Each donation helps in fostering a community of hope and resilience. Tax Advantages and Financial Benefits: Because we are a federally recognized 501(c)(3) non profit donating appreciated assets, such as stocks, real estate, automobiles or other investments, may offer substantial tax advantages. It can result in tax deductions for the fair market value of the donated assets, potentially reducing capital gains taxes and providing significant financial benefits to the donor. ​ Supporting Ongoing Programs and Initiatives: Asset-based donations contribute to sustaining and expanding SurvivingBreastCancer.org's programs, including support groups, awareness campaigns, research initiatives, and access to vital resources for underserved communities. ​ Creating Lasting Legacies: Donating assets allows individuals to leave a lasting legacy of support for breast cancer patients and survivors. It embodies a commitment to making a positive difference in the lives of those affected by breast cancer, leaving an enduring impact on our community ​ Encouraging Others to Give: Your donations serve as an inspiring example, encouraging others within our community and beyond to contribute, fostering a culture of generosity and philanthropy. The people in this community are so warm and welcoming. The conversations transcend beyond breast cancer stories, thus creating even stronger connections. I finally found my tribe! How to Donate I encourage you to consider the significant impact of donating assets to SurvivingBreastCancer.org. Your contributions, whether large or small, play a pivotal role in our collective efforts to support and uplift those affected by breast cancer. Together, let's continue our mission of bringing hope, support, and strength to individuals and families facing the challenges of breast cancer. Or contact William at 603.361.7018 Email William Today Contact William Directly to discuss the endless possibilities and to set up your donation. More Ways to Give If you would like to schedule an appointment and discuss legacy donations or endowments, please contact SBC. We are happy to partner with you! Donate by Check Survivingbreastcancer.org 5 Cedar Street, Suite 1 Roxbury, MA 02119 Checks can be made out to "Survivingbreastcancer.org" Donate by Venmo @Survivingbreastcancerorg Donate Securities Contact SBC Donate Now

Breast Health Understanding Your Breast Health is the first step in being breast aware and knowing your body so that you can proactively advocate for yourself when you sense that something is not quit right. ​ Despite how well we eat, exercise, and maintain a healthy life-style, it is still possible to develop breast cancer. This information serves as strategies to empower you and reduce the risk of developing breast cancer. ​​ If you develop breast caner, know that it is not your fault. The founder of Surviving Breast Cancer was a vegetarian since the age of 16 later to become a vegan. Out of the blue she was diagnosed with breast cancer at the young age of 34. We don't have all of the answers nor know why some people get breast cancer while others do not. What we do know are tools we can use to be breast aware, get screened, and understand our family history. >

Megatrends in Treasury, Money and Banking Megatrends in Treasury, Money and Banking Anthony J. Carfang, The Carfang Group Innovation, technology, regulation and geopolitics are intersecting and are about to change the face of treasury, money and banking as never before. Issues that appear small or incremental today could be seismic in the longer term. As markets, institutions and governments deal with these cross-currents, we could be witnessing the beginning of a transformation on a grand scale in finance. In this series, The Carfang Group presents eleven issues that will change the financial world. We call these the “Megatrends”. This article presents the eleven megatrends and invites your feedback and discussion. Subsequent articles will explore each of these in detail. These are the eleven Megatrends which we believe will reshape our financial world over the next decade. Central Bank roles are scaled back. Asset Managers overtake banks. Deposit Banking diminishes in importance. Deposit Insurance becomes universal. Private Liquidity Funds emerge as a major asset class. Technology disintermediates the intermediaries. Truly immediate payments eclipse “faster payments”. 20th century institutions and structures are realigned. Currency takes on a new role. Alternative currencies gain acceptance. Solutions for the underbanked take shape. ​ ​ About the author: Anthony J. Carfang is Managing Director of The Carfang Group and has a distinguished background in consulting, writing, speaking, thought leadership and advocacy in the area of treasury, payments and liquidity. He encourages you to provide feedback on this article or any other issues to tony_carfang@carfang.com . You can follow Tony at https://www.linkedin.com/in/carfang/ Central Bank roles are scaled back. ​ To receive a pdf version of this white paper, email tony_carfang@carfang.com ." ​ Central Bank roles are scaled back. ​ Without question, many central banks functioned superbly during the financial crisis in the dual roles of lender of last resort and payment guarantor of last resorts. They forcefully took on powers necessary to prevent a worldwide depression. Instead of reverting to their historical role after the crisis abated by 2011, they continued to function in crisis mode and now seem to have taken for themselves an entirely new mandate of economic support. We believe that this will come under close scrutiny over the next decade and the missions of central banks world-wide will be scaled back. Consider the following “last resort” moves that remain in place ten years post-crisis: ​ Central bank balance sheets remain at levels which make them THE dominant players, distorting the financial markets rather than merely facilitating those markets. Securities on their balance sheets now stand at $23 trillion, up from $4 trillion pre-crisis. The Federal Reserve began paying interest on bank excess reserves in a not so subtle effort to inject capital into banks and to fund its swollen balance sheet. Long after the crisis, it still pays market interest, thereby competing for private capital while quashing the intrabank Fed Funds market. Operation Twist was a specific program designed to lower long term rates relative to short term rates. Many of these OT securities remain on the Fed balance sheet, impacting the shape of the yield curve today. Quantitative Easing and Quantitative tightening are direct attempts by central banks to impact growth levels, still ongoing today, and are not a direct part of their mandate. Combined, these activities distort the important market signals that are necessary in robust markets. Central bank roles will come under close examination. The debate will be intense but healthy. Should central banks be limited to their "first principles" of currency stability and lender of last resort? Or should they proactively manage world economies? We expect a tilt back toward the former. Asset Managers overtake banks. Commercial banks have historically been the primary conduit through which depositors and borrowers clear the market. Most individuals and businesses maintain bank accounts to facilitate transactions and savings. Similarly, for individuals and all but the largest businesses, these banks are also the primary source of loans. Asset managers, on the other hand, provide investment management services primarily by deploying their investors’ capital via the secondary markets. That is abruptly changing in ways that are just beginning to emerge. We believe that over the next decade, asset managers will overtake banks as the primary financial institutions in both the retail and wholesale markets. Commercial banks, long the dominant market players, saw their competitive advantage sharply curtailed following the financial crisis. They became subject to SIFI supervision, Basel III’s liquidity requirements, tiered capital requirements and much more. Over the past ten years, total assets of the largest banks have been relatively flat. Asset managers not subject to these requirements, in particular the largest three companies, have grown enormously. The “Big 3” have nearly tripled in assets since the crisis and are now larger than the largest commercial banks. We expect that these supersized asset managers will be able to muscle into all aspects of the commercial banking franchise and radically alter the playing field. It is true that commercial banks enjoy the dual monopolies of deposit aggregation powers and payment settlement finality. However, technology will diminish those advantages (see below) to the point at which they cannot overcome their regulatory, capital and liquidity burdens. Deposit Banking diminishes in importance. The centuries-old deposit banking paradigm will not disappear anytime soon. But we believe it will radically change in the near future, creating significant winners and losers among financial and payments institutions. Deposits have long served two primary functions. They were a buffer to mitigate the uncertain clearing time for payments and they served as a repository for savings on the part of individuals who did not have direct access to the institutional markets. Rates paid on transaction deposits were negligible but that was part of the offset for transaction costs. Rates paid on savings were more competitive but slightly below market, given that banks provided the only way for retail savers to earn any return at all. Even today, banks aggressively compete for deposits across most wholesale and retail segments. Yet we believe this model is about to change as the cross currents of technology and regulation play out. ​ On the transaction front, with faster (instant) payments will come greater certainty, leading to what we refer to as “just-in-time money”. In this new world, the need for a buffer vanishes. Fintech solutions will fund these accounts as necessary and will deploy all excess funds into the money markets. On the savings front, technology is eliminating the friction and transaction costs that stood in the way of savers directly accessing the markets. On-line brokers and internet banks are just the tip of the iceberg. Further, traditional commercial banks are saddled with Basel III related capital, liquidity and stable funding requirements that further erode their competitiveness. Deposits were once the holy grail of banking. That is about the change. Deposit Insurance becomes universal. Government insurance for bank deposits is a common safety net worldwide. By insuring a set level of deposits, governments boost depositors’ faith in the banking system and encourage capital formation. Banks are assessed premiums by the insuring government agency. These premiums are generally passed along to depositors in the form of slightly lower rates or higher transaction costs. At the onset of the financial crisis, the U.S. Congress raised the coverage amount from $100,000 to $250,000 per depositor per institution, and that has not been rolled back during the recovery. Temporarily, the limit was removed altogether for non-interest-bearing accounts. Taking deposit insurance well beyond the safety net aspect, financial institutions and tech companies are partnering to expand coverage to all of a customer’s deposits. A depositor can place funds well above the $250,000 limit with a lead participant. A servicer will take that large deposit, break it into $250,000 units and place one unit each with other banks in their network. Some networks include over 1,000 banks, enabling a depositor to place up to $250 million in a single deposit and have the entire amount insured. While this might seem to be at odds with the spirit of deposit insurance, neither the FDIC nor Congress have taken steps to limit the rapid spread of these deposits that now exceed $1 trillion, one-eighth of the total insured deposit base. In fact, in 2018 Congress passed legislation that gave regulatory support to “reciprocal” deposits, a subset of these types of programs. Consider, then, the rapidly approaching scenario in which ALL deposits are insured and the resulting moral hazard. A thin layer of bank shareholder capital is the only source of market discipline. The government is on the hook for all losses. That asymmetry likely leads to outsized risk taking. Ultimately, the government will be forced to step in and de facto nationalize the banks. Bills have been introduced in Congress, most recently in 2018, to allow the US Postal Service to take deposits and make loans. This could be the logical conclusion of unlimited deposit insurance. If the government is bearing all the risks of the banking system, the logical conclusion is that it takes over the banking system. USPS banks could be the first step in that direction. Private Liquidity Funds emerge as a major asset class. Like private equity funds a few decades ago, which provided a way to circumvent public markets for long term capital, Private Liquidity Funds will circumvent the public markets to enable the efficient provision of liquidity to both investors and borrowers. Technology is enabling “just-in-time money” which will redefine “liquidity”. Sweep accounts are now available at low cost to most savers and investors. Funds can be fully invested right up to the day they are needed. Thanks to fintech advances, funds can be drawn down at precisely the time they are needed. At the same time, regulators in the U.S. and around the world have hamstrung money market funds that focus on private sector liquidity. In 2016, US regulators implemented regulations that reduced the viability of prime money market funds. Prime funds invested in commercial paper and other private sector debt instruments. Thus, both the providers and users of liquidity were penalized. The bulk of prime fund assets flowed into government and treasury funds and are no longer available to provide liquidity to businesses. Similar regulations are currently being implemented in Europe. Unfortunately, because of the dramatic scale-back of prime funds, the most efficient conduit between providers and users of liquidity has been significantly curtailed. The upshot will be an entirely new asset class. Some forward-thinking asset managers have already established the first funds of this breed. They are similar to the pre-regulation 2a-7 funds but are limited to institutional investors. However, we expect these to morph into an asset class that will ultimately look very different from the current funds (MMFs, SMAs and Ultra Short Bond Funds) and incorporate the redefined “liquidity” and facilitate just-in-time cash. Forty years ago, no one envisioned the current structure and transformative role of private equity funds. We believe a similar transformation is about to overtake the liquidity market. Technology disintermediates the intermediaries. Historically, banks and other financial intermediaries filled the information gap between suppliers of capital (depositors, investors) and users of capital. They also bridged the gap between risk takers and risk avoiders. Banks knew both sides of the trade and could comfortably stand between providers and users of capital who did not know each other. If a single bank did not know the counter party of a transaction, it could easily locate a correspondent bank that did. These intermediaries lowered the transaction costs and risks (friction) that separated borrowers from lenders. The result was the rapid global expansion of trade and commerce. Fintech is changing all that in five key ways: Technology is fast closing that information gap. It is putting more reliable and more up-to-date information in the hands of all the parties in any given transaction, reducing the need for an intermediary. Social networks such as LinkedIn and others allow buyers and sellers to connect and investigate each other directly. Peer-to-Peer networks and microfinance schemes bypass the financial intermediary entirely. Technology is powering broad based sweep programs that move excess funds out of even the smallest investor or depositor accounts, the intermediaries, and directly into the financial markets. Intelligent technologies, such as robo-advisors, use sophisticated algorithms to bypass the traditional channels. The upshot is that the intermediary role of financial institutions is being displaced. Truly immediate payments eclipse faster payments. Over the past several decades, payments have become faster, cheaper and more reliable. Checks used to take days in the mail and then days to clear once deposited. International funds transfers would pass through several banks, each taking a “lifting” fee as the funds slowly passed from originator to recipient. Fortunately, those days are over. Now, central banks, commercial banks and payment networks are all racing each other to make payments even speedier. This is all very good since timing delays in payments and the attendant information flows create risk and uncertainty as well as wreaking havoc with cash forecasts and liquidity cushions. In the US the Fed launched its Faster Payments task force with this statement: “The task force calls upon all stakeholders to seize this historic opportunity to realize the vision for a payment system in the United States that is faster, ubiquitous, broadly inclusive, safe, highly secure, and efficient by 2020.” Around the globe, the UK announced its Faster Payments Service in 2008. In 2017, the European Central Bank kicked off its TIPS program (TARGET Instant Payment Settlement) with the goal of “instant” payments 24/7 within the euro area. The Monetary Authority of Hong Kong launched the Faster Payments System initiative in 2018. No doubt, payments are becoming much faster, more secure and more universal. The benefits of these initiatives are immense. In faster payments, funds and information, however fast and efficient, must still flow between the originator, the originator’s payment processor and/or bank, a central bank, the recipient’s payment processor and/or bank before becoming settled funds in the recipients account with finality. Even the ECB, in its TIPS communique, defined instant payments as “a matter of seconds”. That is a huge improvement. However, as high-frequency traders and arbitrageurs know, “a matter of seconds” is an eternity in financial markets. We believe that there will be one more step beyond faster payments: truly immediate payments. These payments will settle instantly, anywhere, anytime. At present, it’s difficult to envision. Perhaps blockchain technology is providing us the first glimpse. This has the potential of eliminating the sequential process of moving money and information (however fast) among transactors, their intermediaries and their settlement network. Alternatively, the paradigm for instant payments might come from outside the industry. Consider this analogy with railroads. In the late 19th century, railroads competed with each other to provide faster, safer and cheaper options in moving both passengers and freight between two points. Yet, even in the heat of that competition, no one within the industry considered putting wings on rail cars. Ironically, most payment intermediaries today refer to their networks as “rails”. 20th century institutions and structures are realigned. Post-WWII, late 20th century institutions and structures are unraveling. But, because they are so ingrained in our psyche, these shifts seem incomprehensible. The magnitude and scope of their impact are difficult to assess. But we believe that this is a megatrend impacting Treasury, Money and Banking. Trade organizations and trade agreements are coming apart or are being realigned in material ways. To see just a few underway right now, look no farther than the Pacific trade agreements, NAFTA and the EU with Brexit. Countries are subtly shifting to bi-lateral rather than multi-lateral constructs. Structures are also giving way. SWIFT is caught in a tug of war between its nominal role as a funds transfer communication system and its externally imposed role of sanctions enforcer. LIBOR, the reference rate for several trillion dollars of actual debt and hundreds of trillions of dollars of derivatives is phasing out within the next two years. The financial world needs to be repapered! Government-Sponsored Enterprises (GSEs) are coming under scrutiny. Agencies such as Fannie Mae and Freddie Mac that provide government guarantees in order to meet a “social good” took shape following the early 20th century’s great depression. They have now grown into behemoths, and some lay the blame of the 2008 financial crisis at the doorstep of the housing GSEs. Although governments decried the size of these agencies and vowed to trim then, they have continued to grow since the crisis. Paradoxically, central banks need GSE to create the instruments that now sit on their swollen balance sheets. We believe that many of these agencies will be downsized over time. The 20th century financial and geopolitical world is changing, and all market participants must adapt. ​ Currency takes on a new role. This megatrend is counter-intuitive, but the data are clear. For decades, we’ve heard that we’re moving toward a cashless society. One with everything on a card or in a chip. Not so. The evidence is that, over the last decade, currency in circulation as a percentage of GDP has nearly doubled worldwide. In the US, currency increased from $800 billion in 2006 to $1.7 trillion in late 2018. That’s hardly a cashless society. (Scandinavia is an exception we need to explore.) Central banks and academia are beginning to study this phenomenon. Some key hypotheses about factors contributing to this are currently being formulated. They include: ​ Convenience – It’s easy to transact in cash. Low holding cost – In an ultra-low interest rate environment, cash is cheap. Privacy – Currency transactions (and barter) are the only types of economic activity that don’t inherently require a corresponding exchange of data. Historically, currency has defined the underground economy. We now see an emerging role for currency in the above-ground economy for market participants desiring and valuing privacy or anonymity. Store of Value – In negative interest rate environments we see in some parts of the world, there is actually an economic benefit to holding currency in order to retain value. More interestingly, in certain low interest rate environments, the low carrying costs, to many, seem like a small price to pay to hedge political or economic uncertainty. India is a fascinating case study in progress. In November 2016, India eliminated large denominated rupee notes that represented 86% of India’s currency. Citizens had the opportunity to exchange the notes for smaller denomination notes. The intent was to root out the underground economy and raise tax revenue. The ramifications were far reaching and still playing out. But Bloomberg offers one interesting conclusion: “Cash remains the most popular form of tender in India. Currency with the public has increased to 18.5 trillion rupees in August 2018 from 17.9 trillion rupees before demonetization.” That is a 3% increase in currency in spite of an 86% drop in large denominated notes! Again, economists at present are trying to understand the factors behind this trend. Obviously, however, this creates a nightmare for regulators and those managing monetary policy. The trend is both real and “Mega”. ​ Alternative currencies gain acceptance. This megatrend challenges the definition of money itself – the gaining acceptance of alternative currencies including crypto currencies. In ancient times, post-barter, precious commodities were the prevailing instrument of exchange and store of value. These commodities had intrinsic value that resulted in their reliability and acceptance. The middle ages saw the emergence of fiat currencies. They had value because a government said they had value. The problem with pre-modern fiat currencies is that they could be easily debased. A ruling body could simply turn on the printing press. Current fiat currencies such as the dollar, euro, pound, etc. are much more stable than their predecessors. That’s because they are issued and backed by the full faith and credit of sovereign governments. They are managed with a “goal” of price stability by central banks. The track record is far from perfect and debasement examples abound, but it is certainly improved. Crypto technologies are now enabling a new genre of fiat currency: crypto currencies like bitcoin and others. They are not the product of precious metals or scarce commodities. They are not issued by governments (yet). They are not “full faith and credit” instruments. They are not managed by central backs. Proponents insist that this litany of “they are nots” is actually a benefit, not a shortcoming. Following the Subjective Theory of Value, crypto currencies have value because buyers and sellers believe they have value. They are fiat currencies without governments or central banks. Adherents argue that frees them from manipulation by governments or central banks and creates a universal value. Air-BnB, Uber and Lyft offer instructive examples. After all, who would invite a total stranger to spend a night in their homes or jump into a stranger’s car. A key thing these companies provide to the gig economy is a decentralized mechanism of trust (in contrast to the trusted “central” bank). In doing so, they have transformed industries. This could be the trajectory of certain crypto currencies. We believe that some alternative currencies will become mainstream. While they might not be both a universal store of value and medium of exchange, some might take hold as settlement vehicles for specific types of payments. Others, because of their distributed processing security, could be liquidity vehicles. Still others, because of their global nature, could eliminate the need for foreign exchange in global trade. We’ll explore the profound implication in later megatrend articles. Solutions for the underbanked take shape. 30% of the world’s population do not have bank accounts. Many more do not have access to a basic set of banking services. They must either transact in cash, barter or use third party payment services, which tend to be very expensive. Check cashing services, payday lending, money orders, money transfer services, etc. provide the underbanked with some ability to make payments, but at a high cost. The economic impact is significant. In addition to the direct cost that the underbanked pay to access the financial system, there is an even greater cost in terms of lost economic activity. The inability to easily transact reduces the level of transactions and depresses commerce and trade. Fortunately, new technologies could provide economically viable solutions for the underbanked in the three most critical financial functions: ​ Payment system access – Currently, people and businesses need a bank account to initiate or receive payments. Solutions developed by payments intermediaries and enabled by blockchain will provide the underbanked with payment services, conceivably bypassing the banking system altogether. Store of value – Blockchain could become the system of record for certain types of financial assets. This promises to allow the underbanked to safely and securely accumulate financial assets without having bank accounts. Assets could even be denominated in traditional central bank currencies or in crypto currencies. Access to capital – Peer to peer lending and micro finance are already providing non-traditional access to capital for the underbanked. Technology will accelerate this trend and make these services available to a larger population. Bringing the underbanked into the mainstream of the world’s economies creates opportunities that are difficult to fully appreciate. Increased economic activity, improved standards of living, expansion of markets are just some of the benefits that await. ​ In Conclusion , this paper has presented eleven megatrends impacting treasury, money and banking on a global scale. Some of these trends are natural extensions of technological innovation, others are regulatory work-arounds or the result of geopolitical forces well beyond the control of any single jurisdiction. The Carfang Group believes that each of these megatrends, individually, are transformational and collectively point to a potential radical change to the financial system. Future articles will consider each of these megatrends in greater depth. We welcome your feedback as we embark of this exploration. ​ About the author: Anthony J. Carfang is Managing Director of The Carfang Group and has a distinguished background in consulting, writing, speaking, thought leadership and advocacy in the area of treasury, payments and liquidity. He encourages you to provide feedback on this article or any other issues to tony_carfang@carfang.com . You can follow Tony at https://www.linkedin.com/in/carfang/ ​ ​ ​ © 2019 The Carfang Group, LLC. All rights reserved.

Surviving Breast Cancer May 10 1 min Poetry They Look at You Surviving Breast Cancer May 9 1 min Poetry This Journey of Life Surviving Breast Cancer May 3 1 min Poetry BEYOND THE DREAM Surviving Breast Cancer May 1 1 min Poetry Uninvited Surviving Breast Cancer Apr 26 1 min Poetry VESSEL Surviving Breast Cancer Apr 15 1 min Poetry The Now Surviving Breast Cancer Apr 11 2 min Poetry Solitude No More Surviving Breast Cancer Apr 10 1 min Poetry Knowing Surviving Breast Cancer Apr 3 2 min Poetry SBC Surviving Breast Cancer Mar 27 1 min Poetry I learnt to live, I learnt to stay Surviving Breast Cancer Mar 19 1 min Poetry Abrupt Surviving Breast Cancer Mar 15 1 min Poetry What No One Tells You Surviving Breast Cancer Mar 8 1 min Poetry Moremi Surviving Breast Cancer Feb 28 1 min Poetry Sunshine Surviving Breast Cancer Feb 1 1 min Poetry Nurse Surviving Breast Cancer Jan 16 1 min Poetry Moving forward but not moving on… Surviving Breast Cancer Jan 16 1 min Poetry Body Reclaimed Surviving Breast Cancer Jan 11 1 min Poetry Fantastic Surviving Breast Cancer Jan 3 2 min Poetry Breast Cancer’s Cruel Song Surviving Breast Cancer Dec 20, 2023 1 min Poetry Sweet or Spicy Surviving Breast Cancer Dec 14, 2023 1 min Poetry In The Quiet Realm (forever renowned) Surviving Breast Cancer Dec 12, 2023 1 min Poetry Love in Two Dimensions (my tiny love story) Surviving Breast Cancer Nov 29, 2023 1 min Poetry I Miss Surviving Breast Cancer Nov 24, 2023 1 min Poetry A poem for my medical team during my cancer battle Surviving Breast Cancer Nov 21, 2023 1 min Poetry Wig Surviving Breast Cancer Nov 16, 2023 1 min Poetry How I Can Change Surviving Breast Cancer Oct 18, 2023 1 min Poetry Retreat 2023 Surviving Breast Cancer Oct 11, 2023 1 min Poetry Inspire & Innovate Surviving Breast Cancer Oct 3, 2023 1 min Poetry Compassion Surviving Breast Cancer Sep 20, 2023 1 min Poetry A Roller Coaster Surviving Breast Cancer Sep 14, 2023 1 min Poetry Brooklyn 9/12 Surviving Breast Cancer Sep 12, 2023 3 min Poetry Via Con Dios Surviving Breast Cancer Sep 6, 2023 1 min Poetry The Biopsy Surviving Breast Cancer Aug 30, 2023 1 min Poetry You’re Worth It Surviving Breast Cancer Aug 15, 2023 2 min Poetry Resilience Unveiled Surviving Breast Cancer Aug 3, 2023 1 min Blog Le Tour (An allegory) Surviving Breast Cancer Jul 25, 2023 1 min Poetry The Mask Surviving Breast Cancer Jul 14, 2023 1 min Blog Continue to dance in the rain Surviving Breast Cancer Jul 11, 2023 1 min Blog Free Surviving Breast Cancer Jul 7, 2023 1 min Blog NEVER AGAIN Surviving Breast Cancer Jun 28, 2023 1 min Blog Anniversary Surviving Breast Cancer Jun 22, 2023 1 min Blog To everything a purpose Surviving Breast Cancer May 30, 2023 1 min Poetry Light House Surviving Breast Cancer May 24, 2023 1 min Poetry The Universe Speaks Surviving Breast Cancer May 17, 2023 1 min Poetry Word Wonderland Surviving Breast Cancer May 9, 2023 1 min Poetry New Day Surviving Breast Cancer Apr 28, 2023 1 min Poetry New Saying or New Dates? Surviving Breast Cancer Apr 26, 2023 1 min Poetry I Will Be Better Surviving Breast Cancer Apr 20, 2023 1 min Poetry Waiting for Hercules Surviving Breast Cancer Apr 18, 2023 1 min Poetry Atlanta in November 1 2 3 Make a Difference Today This is your Welcome section paragraph. As the first text your readers encounter, this copy should clearly convey what your site is all about. Explore Make a Difference Today This is your Welcome section paragraph. As the first text your readers encounter, this copy should clearly convey what your site is all about. Explore Make a Difference Today This is your Welcome section paragraph. As the first text your readers encounter, this copy should clearly convey what your site is all about. Explore Multiple Dates Reflect and Recharge with Thomas Dooley Mon, Jun 10 Online Event Jun 10, 2024, 6:00 PM – 7:30 PM EDT Online Event Jun 10, 2024, 6:00 PM – 7:30 PM EDT Online Event How can we dial down the noise in our daily lives to listen to the story emerging within ourselves? In this interactive session, we will come together to reflect on the personal narratives that give shape and meaning to our lives and find community in the experiences we share. Share RSVP Expressive Writing How can we dial down the noise in our daily lives to listen to the story emerging within ourselves? In this interactive session, we will come together to reflect on the personal narratives that give shape and meaning to our lives and find community in the experiences we share. Breast Cancer Poetry Writing is a great form of therapy and healing. Enjoy the original compositions from our Survivingbreastcancer.org Community! Be Inspired. Submit Your Poem

Resources For Parents A breast cancer diagnosis not only affects the person with the disease, but also has a significant impact on the people around them; their families, spouses, children, friends and co-workers. Receiving the news that someone you love has been diagnosed with cancer may propel you into a flurry of emotions. It is natural to feel worried about the unknown and uncertainty. It is also natural to want to do everything you can to protect and support the person as well. After all, we want to be strong and be there for the person as they are going through grueling treatments and tireless complex decision-making. ​ At Survivingbreastcancer.org (SBC), we also understand that the role the family (parent, spouse, & children), caregivers, and friends play is a critical one, and you too need support and resources. ​ Navigating a breast cancer diagnosis takes both an emotional and physical toll on each and every one of us. While a lot of the attention may be directed towards the person with breast cancer, we pride ourselves on carving out space to provide education, community, and resources to meet your specific needs as the spouse, parent, child, or friend. Whether you recently found out that someone you love has been diagnosed with breast cancer, has experienced a recurrence or progression, or has passed away from metastatic disease, we hold space for you and want you to know that you are not alone. We are here for you! ​ Remember that each of us manages and navigates a breast cancer diagnosis differently. What we aim to provide is a community where you can share experiences and recommendations, and learn from each other. No one is navigating this alone. Your story is someone else's lifeline. We are all experts in our own experiences; we share the names and memories of those we have lost; continue to love; and we are here to build lasting friendships and forge bonds as we navigate a breast cancer diagnosis from day one and beyond. ​ With Gratitude, Laura Carfang Executive Director Kids & Adult Children Caregivers More Resources For Spouses Hello Moms, Dads, Children, and Loved Ones.​ Surviving a Child's Diagnosis Surviving a Spouse's Diagnosis Surviving a Parent's Diagnosis Hear Their Stories Subscribe to Our Mailing List Join Thanks for subscribing!

Read Stories Surviving Breast Cancer Sep 14, 2022 1 min My Boys and My News By Jill Rackham I will never know what it was like for my children to receive such news about their mum, Telling my boys about my cancer... 113 Post not marked as liked Surviving Breast Cancer Aug 7, 2022 3 min How To Be Helpful When A Loved One Is Sick By Nate Kolmodin My name is Nate Kolmodin. My mother was diagnosed with breast cancer in May 2004. After recently learning about her... 83 Post not marked as liked Surviving Breast Cancer Aug 7, 2022 2 min All the Things I Wish You Were Here For: I Lost My Mom to Breast Cancer By Kyla Thompson All the things I wish you were here for. All the things I wish you could tell me. All the things I struggle with because... 31 Post not marked as liked Surviving Breast Cancer Aug 7, 2022 1 min Goodbyes Are Hard By Matilda Flanagan (11 years old) I cry as someone holds me Trying to calm me They rock me Just like my mom did Before she got sick I... 25 Post not marked as liked Surviving Breast Cancer Aug 7, 2022 1 min It Will Be OK By Matilda Flanagan (11 years old) It will be OK She will be OK Hair isn’t everything It will grow back I can’t pretend everything is OK... 47 Post not marked as liked Surviving Breast Cancer Aug 7, 2022 4 min Kyla’s Story This is a story about my mom. A story of love. A story changed by breast cancer, but not defined by it. My mom was my best friend. She... 32 Post not marked as liked 1 2 My name is Kyla Thompson, and I welcome you, kids, like me, to our space! My mom passed away of metastatic breast when I was 13. She was first diagnosed when I was two years old. I didn't know what breast cancer was then. 11years later, on October 21, 2014, a world that was filled with sports, homework, friends, and more shifted in a few seconds. My mom was gone. It was at a breast cancer walk just a few weeks later, with thousands of people, when I realized the need for #pinkkids. Of all the walkers, more than half were kids. I knew then I wasn’t alone. ​ I knew we needed to connect with each others and #pinkkids is the place for that connection. We are starting by sharing stories on the blog and through podcasts, as well as a private Group (link below). We’ll keep you up to date through SBC emails, as well as our Instagram (_pinkkids_). Looking forward to talking! Do you have a mom or dad who has been diagnosed with breast cancer? Or perhaps you have lost a parent to MBC? Connect with Kyla, share your story, post your why, or just let her know how you are doing today, we're all here to listen, support, and be a resource! ​ Email Kyla at pinkkids@survivingbreastcancer.org Breast Cancer 101 Lifestyle & Wellness Resources Programs Content Library Podcast For Providers Subscribe More Resources For Children & Adolescents Share your story. Share Your Why. Share A picture. Share. Email Kyla at pinkkids@survivingbreastcancer.org

Know the Stats Get the Facts Understand your risk. About 1 in 8 U.S. women (about 12%) will develop invasive breast cancer over the course of her lifetime. ​ In 2021, an estimated 281,550 new cases of invasive breast cancer are expected to be diagnosed in women in the U.S., along with 49,290 new cases of non-invasive (in situ) breast cancer. ​ About 2,650 new cases of invasive breast cancer are expected to be diagnosed in men in 2021. A man’s lifetime risk of breast cancer is about 1 in 833. ​ About 43,600 women in the U.S. are expected to die in 2021 from breast cancer. Death rates have been steady in women under 50 since 2007, but have continued to drop in women over 50. The overall death rate from breast cancer decreased by 1% per year from 2013 to 2018. These decreases are thought to be the result of treatment advances and earlier detection through screening. ​ Understandng Breast Cancer Breast Cancer Statistics Breast Cancer Symptoms Risk Factors Geneic Testing Breast Desnity ​ For women in the U.S., breast cancer death rates are higher than those for any other cancer, besides lung cancer. ​ As of January 2021, there are more than 3.8 million women with a history of breast cancer in the U.S. This includes women currently being treated and women who have finished treatment. ​ Breast cancer is the most commonly diagnosed cancer among American women. In 2021, it's estimated that about 30% of newly diagnosed cancers in women will be breast cancers. ​ Breast cancer became the most common cancer globally as of 2021, accounting for 12% of all new annual cancer cases worldwide, according to the World Health Organization. ​ In women under 45, breast cancer is more common in Black women than white women. Overall, Black women are more likely to die of breast cancer. For Asian, Hispanic, and Native-American women, the risk of developing and dying from breast cancer is lower. Ashkenazi Jewish women have a higher risk of breast cancer because of a higher rate of BRCA mutations. ​​ Breast cancer incidence rates in the U.S. began decreasing in the year 2000, after increasing for the previous two decades. They dropped by 7% from 2002 to 2003 alone. One theory is that this decrease was partially due to the reduced use of hormone replacement therapy (HRT) by women after the results of a large study called the Women’s Health Initiative were published in 2002. These results suggested a connection between HRT and increased breast cancer risk. In recent years, incidence rates have increased slightly by 0.5% per year. ​ A woman’s risk of breast cancer nearly doubles if she has a first-degree relative (mother, sister, daughter) who has been diagnosed with breast cancer. Less than 15% of women who get breast cancer have a family member diagnosed with it. ​ About 5-10% of breast cancers can be linked to known gene mutations inherited from one’s mother or father. Mutations in the BRCA1 and BRCA2 genes are the most common. On average, women with a BRCA1 mutation have up to a 72% lifetime risk of developing breast cancer. For women with a BRCA2 mutation, the risk is 69%. Breast cancer that is positive for the BRCA1 or BRCA2 mutations tends to develop more often in younger women. An increased ovarian cancer risk is also associated with these genetic mutations. In men, BRCA2 mutations are associated with a lifetime breast cancer risk of about 6.8%; BRCA1 mutations are a less frequent cause of breast cancer in men. ​ About 85% of breast cancers occur in women who have no family history of breast cancer. These occur due to genetic mutations that happen as a result of the aging process and life in general, rather than inherited mutations. ​ The most significant risk factors for breast cancer are sex (being a woman) and age (growing older). References American Cancer Society. How Common Is Breast Cancer? Jan. 2021. Available at: https://www.cancer.org/cancer/breast-cancer/about/how-common-is-breast-cancer.html . American Cancer Society. Key Statistics for Breast Cancer in Men. Jan. 2021. Available at: https://www.cancer.org/cancer/breast-cancer-in-men/about/key-statistics.html . American Cancer Society. Cancer Facts & Figures 2021. Available at: https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2021/cancer-facts-and-figures-2021.pdf . Reuters. Breast cancer overtakes lung as most common cancer-WHO. Feb. 2021. Available at: https://www.reuters.com/article/health-cancer-int/breast-cancer-overtakes-lung-as-most-common-cancer-who-idUSKBN2A219B . National Cancer Institute. BRCA Gene Mutations: Cancer Risk and Genetic Testing. Nov. 2020. Available at: https://www.cancer.gov/about-cancer/causes-prevention/genetics/brca-fact-sheet . American Cancer Society. Breast Cancer Risk Factors You Cannot Change. Sept. 2019. Available at: http://www.cancer.org/cancer/breast-cancer/risk-and-prevention/breast-cancer-risk-factors-you-cannot-change.html . Breast Cancer Conversations A WEEKLY PODCAST ​ Where we talk about all things breast cancer. Hear from medical experts, learn about the latest treatments, listen to stories from those diagnosed with breast cancer and be inspired by visionary #cancerpreneurs , advocates, and more! Privacy Policy © 2022, Registered 501(c)(3). EIN 82-2953427 Contact us info@survivingbreastcancer.org 5 Cedar Street, Boston, MA 02119 Never miss a beat. 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