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  • Poetry Lab | Surviving Breast Cancer

    Our breast cancer poetry lab is a space for patients and survivors to express their emotional journeys. Read from others' works and share yours! 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 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. Open Mic Poetry Night Wed, Apr 22 Online More info RSVP Multiple Dates Reflective Writing for Metastatic Breast Cancer Fri, Apr 24 Online Event More info RSVP Multiple Dates Reflective Writing for Metastatic Breast Cancer Fri, May 08 Online Event More info RSVP Multiple Dates Expressive Writing with Thomas Dooley Mon, May 11 Online Event More info RSVP Multiple Dates Expressive Writing with Thomas Dooley Mon, May 11 Online Event More info RSVP 1 2 3 4 5 Welcome to the Poetry Lab Welcome to the Poetry Lab Welcome to the Poetry Lab Welcome to the Poetry Lab Dream Dream Dream Dream Create Create Create Create Express Express Express Express Open Mic Poetry Night Wed, Apr 22 Online More info RSVP Multiple Dates Reflective Writing for Metastatic Breast Cancer Fri, Apr 24 Online Event More info RSVP Multiple Dates Reflective Writing for Metastatic Breast Cancer Fri, May 08 Online Event More info RSVP Multiple Dates Expressive Writing with Thomas Dooley Mon, May 11 Online Event More info RSVP Multiple Dates Expressive Writing with Thomas Dooley Mon, May 11 Online Event More info RSVP

  • Privacy Policy | Survivingbreastcancer.org

    Privacy Policy This document was last updated on February 21, 2020, Privacy Policy: Survivingbreastcancer.org is committed to maintaining privacy protections for its users. This Privacy Policy governs the manner in which www.survivingbreastcancer.org (the “Organization”) collects, uses, maintains and discloses information collected from users (each, a "User") of the http://www.survivingbreastcancer.org website ("Site"). For purposes of this agreement, “Service” refers to the Organization’s service which can be accessed via our website at www.survivingbreastcancer.org in which users can find educational resources. The terms “we,” “us,” and “our” refer to the Organization. “You” refers to you, as a user of Service. By accepting our Privacy Policy and Terms of Use, you consent to our collection, storage, use and disclosure of your personal information as described in this Privacy Policy. Personal identification information We may collect personal identification information from Users in a variety of ways, including, but not limited to, when Users visit our site, place an order, fill out a form, respond to a survey, and in connection with other activities, services, features or resources we make available on our Site. Users may be asked for as appropriate, but not limited to the following: name, email address, mailing address, phone number. Users may, however, visit our Site anonymously. We will collect personal identification information from Users only if they voluntarily submit such information to us. Users can always refuse to supply personally identification information, except that it may prevent them from engaging in certain Site related activities. Non-personal identification information We may collect non-personal identification information about Users whenever they interact with our Site. Non-personal identification information may include the browser name, the type of computer and technical information about Users means of connection to our Site, such as the operating system and the Internet service providers utilized and other similar information. Web browser cookies Our Site may use "cookies" to enhance User experience. User's web browser places cookies on their hard drive for record-keeping purposes and sometimes to track information about them. User may choose to set their web browser to refuse cookies, or to alert you when cookies are being sent. If they do so, note that some parts of the Site may not function properly. We use cookies to personalize content and ads, to provide social media features and to analyze our traffic and visitor behavior. We use cookies that are strictly necessary, support performance, enable functionality and provide you with a personalized experience. We also share information about your use of our site with our social media, advertising and analytics partners as necessary. How we use collected information www.survivingbreastcancer.org may collect and use Users personal information for the following purposes: To run and operate our Site We may need your information display content on the Site correctly. To improve customer service Information you provide helps us respond to your customer service requests and support needs more efficiently. To personalize user experience We may use information in the aggregate to understand how our Users as a group use the services and resources provided on our Site. To improve our Site We may use feedback you provide to improve our products and services. To run a promotion, contest, survey or other Site feature To send Users information they agreed to receive about topics we think will be of interest to them. To send periodic emails We may use the email address to send User information and updates pertaining to their order, announcements, blog posts, events and educational information. It may also be used to respond to their inquiries, questions, and/or other requests. How we protect your information We adopt appropriate data collection, storage and processing practices and security measures to protect against unauthorized access, alteration, disclosure or destruction of your personal information, username, password, transaction information and data stored on our Site. However, these measures do not guarantee that your information will not be accessed, disclosed, altered or destroyed by breach of such firewalls and secure server software. By using our Service, you acknowledge that you understand and agree to assume these risks. Links to other websites As part of the Service, we provide links to or compatibility with other websites or applications. However, we are not responsible for the privacy practices employed by those websites or the information or content they contain. This Privacy Policy applies solely to information collected by us through the Site and the Service. Therefore, this Privacy Policy does not apply to your use of a third party website accessed by selecting a link on our Site or via our Service. To the extent that you access or use the Service through or on another website or application, then the privacy policy of that other website or application will apply to your access or use of that site or application. We encourage our users to read the privacy statements of other websites before proceeding to use them. Sharing your personal information We may share or sell information with third parties for marketing or other purposes. We may use third party service providers to help us operate our business and the Site or administer activities on our behalf, such as sending out newsletters or surveys. We may share your information with these third parties for those limited purposes provided that you have given us your permission. Electronic newsletters If User decides to opt-in to our mailing list, they will receive emails that may include the Organization news, updates, related product or service information, etc. If at any time the User would like to unsubscribe from receiving future emails, we include detailed unsubscribe instructions at the bottom of each email or User may contact us via our Site. Third party websites Users may find advertising or other content on our Site that link to the sites and services of our partners, suppliers, advertisers, sponsors, licensors and other third parties. We do not control the content or links that appear on these sites and are not responsible for the practices employed by websites linked to or from our Site. In addition, these sites or services, including their content and links, may be constantly changing. These sites and services may have their own privacy policies and customer service policies. Browsing and interaction on any other website, including websites which have a link to our Site, is subject to that website's own terms and policies. Advertising Ads appearing on our site may be delivered to Users by advertising partners, who may set cookies. These cookies allow the ad server to recognize your computer each time they send you an online advertisement to compile non personal identification information about you or others who use your computer. This information allows ad networks to, among other things, deliver targeted advertisements that they believe will be of most interest to you. This privacy policy does not cover the use of cookies by any advertisers. You may learn more about opting out of major ad networks at https://websitebuilders.com/tools/advertiser-opt-out/ . Google Adsense Some of the ads may be served by Google. Google's use of the DART cookie enables it to serve ads to Users based on their visit to our Site and other sites on the Internet. DART uses "non personally identifiable information" and does NOT track personal information about you, such as your name, email address, physical address, etc. You may opt out of the use of the DART cookie by visiting the Google ad and content network privacy policy at http://www.google.com/privacy_ads.html Compliance with children's online privacy protection act Protecting the privacy of the very young is especially important. For that reason, we never collect or maintain information at our Site from those we actually know are under 13, and no part of our website is structured to attract anyone under 13. Changes to this privacy policy www.survivingbreastcancer.org has the discretion to update this privacy policy at any time. When we do, we will post a notification on the main page of our Site. We encourage Users to frequently check this page for any changes to stay informed about how we are helping to protect the personal information we collect. You acknowledge and agree that it is your responsibility to review this privacy policy periodically and become aware of modifications. Your acceptance of these terms By using this Site, you signify your acceptance of this policy. If you do not agree to this policy, please do not use our Site. Your continued use of the Site following the posting of changes to this policy will be deemed your acceptance of those changes. Contacting us If you have any questions about this Privacy Policy, the practices of this site, or your dealings with this site, please contact us. Our Website Host: WIX Our website is hosted on Wix.com Ltd. They provide us with the online platform that allows us to sell our products and provide services to you. Your data is stored through Wix’s data storage, databases and the general Wix application. They store your data on a secure server behind a firewall. Payment with WIX If you choose a direct payment gateway to complete your purchase, then Wix stores your credit card data. It is encrypted through the Payment Card Industry Data Security Standard (PCI-DSS). Your purchase transaction data is stored only as long as is necessary to complete your purchase transaction. After that is complete, your purchase transaction information is deleted. All direct payment gateways adhere to the standards set by PCI-DSS as managed by the PCI Security Standards Council, which is a joint effort of brands like Visa, MasterCard, American Express and Discover. PCI-DSS requirements help ensure the secure handling of credit card information by our store and its service providers. For more insight, you may also want to read Wix’s Terms of Service http://www.wix.com/about/terms-of-use or Privacy Statement http://www.wix.com/about/privacy THIRD-PARTY SERVICES WITH WIX Wix has partnered with a number of selected service providers, whose services and solutions complement, facilitate, and enhance our own. These include hosting and server co-location services, communications and content delivery networks (CDNs), data and cyber security services, billing and payment processing services, domain name registrars, fraud detection and prevention services, web analytics, e-mail distribution and monitoring services, session recording and remote access services, performance measurement and Such Third Party Services may receive or otherwise have access to our Visitors’ and Users’ Personal Information and/or Users-of-Users’ Personal Information, in its entirety or in part – depending on each of their particular roles and purposes in facilitating and enhancing our Services, and may only use it for such purposes. Note that while our Services may contain links to other websites or services, we are not responsible for such websites’ or services’ privacy practices, and encourage you to be aware when you leave our Services and read the privacy statements of each and every website and service you visit. This Privacy Policy does not apply to such linked third-party websites and services. Wix is accountable for personal data that it receives under the Privacy Shield and subsequently transfers to a third party as described in the Privacy Shield Principles. In particular, Wix remains responsible and liable under the Privacy Shield Principles if third-party agents that it engages to process the personal data on its behalf do so in a manner inconsistent with the Principles, unless Wix proves that it is not responsible for the event giving rise to the damage. SECURITY WITH WIX Wix has implemented security measures designed to protect the Personal Information you share with us, including physical, electronic, and procedural measures. Among other things, we offer HTTPS secure access to most areas of our Services; the transmission of sensitive payment information (such as a credit card number) through our designated purchase forms is protected by an industry-standard SSL/TLS encrypted connection; and we regularly maintain a PCI DSS (Payment Card Industry Data Security Standards) certification. We also regularly monitor our systems for possible vulnerabilities and attacks, and regularly seek new ways and Third Party Services for further enhancing the security of our Services and protection of our Visitors’ and Users’ privacy. However – regardless of the measures and efforts taken by Wix, we cannot and do not guarantee the absolute protection and security of your Personal Information, your Users-of-Users’ Information, or any other User Content you upload, publish, or otherwise share with Wix or anyone else. We, therefore, encourage you to set strong passwords for your User Account and User Website and avoid providing us with any sensitive information that you believe its disclosure could cause you substantial or irreparable harm. Furthermore, because certain areas of our Services are less secure than others (for example, if you set your Support forum ticket to be “Public” instead of “Private”, or if you browse to a non-SSL page), and since e-mail and instant messaging are not recognized as secure forms of communications, we request and encourage you not to share any Personal Information on any of these areas or via any of these methods. California Online Privacy Protection Act CalOPPA is the first state law in the nation to require commercial websites and online services to post a privacy policy. The law's reach stretches well beyond California to require a person or company in the United States (and conceivably the world) that operates websites collecting personally identifiable information from California consumers to post a conspicuous privacy policy on its website stating exactly the information being collected and those individuals with whom it is being shared, and to comply with this policy. - See more at: http://consumercal.org/california-online-privacy-protection-act-caloppa/#sthash.0FdRbT51.dpuf According to CalOPPA we agree to the following: Users can visit our site anonymously Once this privacy policy is created, we will add a link to it on our home page, or as a minimum on the first significant page after entering our website. Our Privacy Policy link includes the word 'Privacy', and can be easily be found on the page specified above. Users will be notified of any privacy policy changes: • On our Privacy Policy Page Users are able to change their personal information: • By emailing us COPPA (Children Online Privacy Protection Act) When it comes to the collection of personal information from children under 13, the Children's Online Privacy Protection Act (COPPA) puts parents in control. The Federal Trade Commission, the nation's consumer protection agency, enforces the COPPA Rule, which spells out what operators of websites and online services must do to protect children's privacy and safety online. We do not specifically market to children under 13. Fair Information Practices The Fair Information Practices Principles form the backbone of privacy law in the United States and the concepts they include have played a significant role in the development of data protection laws around the globe. Understanding the Fair Information Practice Principles and how they should be implemented is critical to comply with the various privacy laws that protect personal information. In order to be in line with Fair Information Practices we will take the following responsive action, should a data breach occur: We will notify the users via email • Within 7 business days We will notify the users via in site notification • Within 7 business days CAN SPAM Act The CAN-SPAM Act is a law that sets the rules for commercial email, establishes requirements for commercial messages, gives recipients the right to have emails stopped from being sent to them, and spells out tough penalties for violations. We collect your email address If at any time you would like to unsubscribe from receiving future emails, you can email us and we will promptly remove you from all correspondence.

  • The Carfang Group | Megatrends

    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. 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.

  • SBC Educational Scholarships | SurvivingBreastCancer.org

    Apply for a Scholarship Fund a Scholarship SBC Educational Scholarship Program Education Is Empowerment. Community Is Healing. Each year, SurvivingBreastCancer.org awards Educational Scholarships to individuals impacted by breast cancer — providing access to national conferences where learning, connection, and transformation happen. Why This Matters While metastatic breast cancer is lifelong, this program provides short-term relief during high-intensity treatment periods — ensuring responsible stewardship while delivering meaningful, timely support. Increased confidence in treatment decision-making Improved understanding of metastatic and early-stage care Stronger peer-to-peer support networks Decreased isolation among participants Participants returning home feeling informed, connected, and empowered How To Apply Applications open annually and will be published on this website and announced in our weekly newsletter. Scholarships are available to individuals diagnosed with breast cancer and we encourage individuals who have not previously attended these conferences and who are involved in our SBC community to apply. Application Cycle: Applications are now open for the Living Beyond Breast Cancer (LBBC) Conference on MBC. What Scholars Receive Conference registration Shared accommodations A Visa gift card to assist with travel, meals, and incidentals Pre-conference connection with other SBC scholars Post-conference integration support through SBC programming Apply Conferences our SBC Scholars have attended include: Living Beyond Breast Cancer (LBBC) Conference on MBC The Young Survival Coalition (YSC) Summit The San Antonio Breast Cancer Symposium (SABCS) If you are living with breast cancer and seeking education and community, we encourage you to apply. Fund a Scholar When you fund an SBC Educational Scholarship, you are not simply covering a registration fee. You are funding: Health literacy Confidence in medical decision-making Peer connection Emotional resilience Leadership development within the survivor community $1,500 sponsors one full scholar experience at a 3-day conference $3,000 sponsors one full scholar experience at the week long SABCS symposium. " The SBC Educational Scholars Program is invaluable. SBC is providing an amazing opportunity to breast cancer survivors and advocates by offering this kind of financial support." ~Megan B. Donate Today

  • Donate Today | SurvivingBreastCancer.org

    Your generosity gives hope. Find out how you can get involved and make an impactful and meaningful difference. Donate to breast cancer and make a difference. Lifestyle & Wellness Resources Programs Content Library Podcast Download the App Subscribe to the Newsletter Make a Gift More Make a Difference Through Asset Based Giving & Charitable Bequests Donating assets and making charitable bequests to SurvivingBreastCancer.org holds significant value and contributes immensely to our mission of providing comprehensive support, resources, and advocacy for those battling breast cancer. Below 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 that live on: A legacy gift is a deeply personal way to ensure that your values, compassion, and commitment to community continue to make an impact—today and for generations to come. By including SurvivingBreastCancer.org (SBC) in your estate plans or making a legacy gift during your lifetime, you help ensure that no one faces breast cancer alone. Your generosity sustains free education, community connection, and integrative oncology–inspired programs for individuals and families navigating breast cancer at every stage. 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! Your donation transforms lives 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 English Español

  • Financials | SurvivingBreastCancer.org

    Financial Reports Financial Transparency and Accountability At SurvivingBreastCancer.org, we believe in complete transparency and accountability to our donors, sponsors, and the community we serve. We are proud to share our financial information and demonstrate our commitment to responsible stewardship of the resources entrusted to us. Financial Reports We provide access to our financial documents to ensure full transparency: IRS Form 990s: Our annual federal informational returns are available for public review. Financial Audits: We undergo regular independent audits to verify our financial integrity. These documents are available for download on this page, showcasing our dedication to openness and accountability. Charity Navigator 4-Star Rating We are honored to have earned a prestigious 4-Star rating from Charity Navigator, America's largest and most trusted nonprofit evaluator. This exceptional designation sets SurvivingBreastCancer.org apart and signifies that we: Exceed industry standards Outperform most charities in our field Demonstrate strong financial health Show a commitment to accountability and transparency A 4-star rating is the highest possible score, given only to organizations that score 90 or above in Charity Navigator's comprehensive review. Our Commitment By maintaining high standards of financial management and transparency, we ensure that your donations are used effectively and efficiently to further our cause. We are dedicated to maximizing the impact of every dollar received in our efforts to support breast cancer survivors and their families. Thank you for your trust and continued support. Together, we are making a difference in the lives of those affected by breast cancer. Financial Documents 2024 990 2023 Audit 2023 990 2022 Audit 2022 990 2021 990 2020 990 2019 990 2018 990 Donate Thank You to Our Donors and Sponsors We extend our heartfelt gratitude to all our donors and sponsors whose generosity makes our mission possible. Your support enables us to provide vital resources and support to those diagnosed with breast cancer and their caregivers.

  • SBC On Demand | SurvivingBreastCancer.org

    Discover empowering on-demand movement classes designed for breast cancer thrivers. Heal, strengthen, and thrive with expert-led exercises tailored to support your journey. Access flexible, self-paced classes today On Demand Classes On Demand Classes On Demand Classes On Demand Classes Flexible Practice for Busy Lives Pilates Fire Ceremony Expressive Art Forest Bathing Meditation Reiki Circle of Care Qi Gong Restorative Yoga Diep Flap Yoga Breathwork Pilates Fire Ceremony Expressive Art Forest Bathing Meditation Reiki Circle of Care Qi Gong Restorative Yoga Diep Flap Yoga Breathwork Pilates Fire Ceremony Expressive Art Forest Bathing Meditation Reiki Circle of Care Qi Gong Restorative Yoga Diep Flap Yoga Breathwork Meditation Movement Classes Expressive Art Empower Your Experience Empower Your Experience Empower Your Experience Empower Your Experience Thriving Through Movement Thriving Through Movement Thriving Through Movement Thriving Through Movement On-Demand Movement Classes for Thrivers Unlock the power of movement with our on-demand classes designed for breast cancer thrivers. Whether you’re looking to strengthen your body with Pilates, restore balance with gentle Yoga, or deepen your practice with DIEP Flap Yoga, our expert-led sessions provide the flexibility and support you need on your healing journey. Start thriving today! Practice Now Restorative yoga is a gentle practice focused on deep relaxation and healing, making it ideal for breast cancer survivors and those undergoing treatment. By using props for support, restorative yoga helps release tension, restore energy, and promote emotional healing. It can alleviate stress, improve sleep, and enhance flexibility, supporting physical and mental well-being during recovery. This practice fosters peace and balance, empowering individuals to reconnect with their bodies and promote healing. #RestorativeYoga #BreastCancerWellness #HealingThroughYoga #StressRelief #MindBodyConnection #SurvivingBreastCancer #EmotionalHealing #QiGong #BreastCancerWellness #EnergyHealing #MindBodyConnection #SurvivingBreastCancer #EmotionalHealing #StressRelief Pilates is a low-impact exercise that focuses on strengthening the core, improving flexibility, and enhancing posture, making it a great practice for breast cancer survivors. It helps build endurance, restores balance, and promotes physical rehabilitation, especially post-surgery or treatment. Pilates can reduce stress, improve body awareness, and foster overall well-being, supporting both physical and emotional healing throughout the recovery journey. #PilatesForBreastCancer #BreastCancerRecovery #CoreStrength #PostSurgeryWellness #PhysicalRehabilitation #SurvivingBreastCancer #HealingThroughMovement Pilates is a gentle yet powerful exercise method that helps breast cancer survivors, thrivers, and those living with metastatic breast cancer (MBC) rebuild strength, improve flexibility, and restore balance. Designed to enhance core stability, posture, and overall well-being, Pilates offers a low-impact way to support physical and emotional healing after surgery, treatment, or recovery. #RestorativeYoga #BreastCancerWellness #HealingThroughYoga #StressRelief #MindBodyConnection #SurvivingBreastCancer #EmotionalHealing #QiGong #BreastCancerWellness #EnergyHealing #MindBodyConnection #SurvivingBreastCancer #EmotionalHealing #StressRelief DIEP Flap Yoga is a specialized practice tailored for individuals recovering from breast cancer surgery, specifically DIEP flap reconstruction. This gentle yoga focuses on restoring mobility, improving posture, and promoting healing in the body after surgery. By combining mindful movement with breathwork, DIEP Flap Yoga helps alleviate tension, reduces stress, and enhances emotional well-being. It supports the recovery process by fostering strength, flexibility, and a deeper connection to the body, empowering individuals to reclaim their health and balance. #DIEPFlapYoga #BreastCancerRecovery #PostSurgeryWellness #HealingThroughYoga #SurvivingBreastCancer #MindfulMovement #BreastCancerSupport Yoga with chair assistance offers a gentle yet empowering way for breast cancer survivors, thrivers, and those living with metastatic breast cancer (MBC) to experience the benefits of yoga with added support. Using a chair for stability, this practice helps improve balance, flexibility, strength, and relaxation while being accessible to all levels and abilities. Qi Gong is a gentle, meditative movement practice that helps breast cancer survivors, thrivers, and those living with metastatic breast cancer (MBC) restore balance, reduce stress, and enhance overall well-being. Rooted in traditional Chinese medicine, Qi Gong combines slow, intentional movements, breathwork, and mindfulness to promote energy flow (Qi) and support physical and emotional healing. EXPRESSIVE ARTS EXPRESSIVE ARTS EXPRESSIVE ARTS EXPRESSIVE ARTS ART GALLERY View classes Breast Cancer Conversations MBC Webinar Series Meditation Reflections Meditation On Demand Discover Watch Over 600 Videos On-Demand: Breast Cancer Thrivers Unite! Welcome to our On-Demand Video Library, your ultimate destination for breast cancer resources and inspiration.

  • Clinical Trials | Surviving Breast Cancer

    Clinical trials for breast cancer research allow patients to receive innovative treatment methods while opening up healing possibilities for future patients. Transforming Your Breast Cancer Care Clinical Trials are an excellent option. Watch Now on Breast Cancer Conversations, the podcast Meet the People Behind the Amelia Study! Clinical Trials 101 Breast cancer clinical trials offer hope to many women and men diagnosed with the disease. They provide access to cutting-edge treatments that are not yet available to the general public. Explore 1. Our Specialties You get a tailored curated list of clinical trials from experts who are doing cutting edge research and have partnered with SBC to bring these trials to you! 2. Featured Projects Relationships are key for any cancer care. We have taken the time to meet with the scientists, the researchers and the principle investigators engaging in the research and trials we bring to you, our SBC community members! 3. Resources We are not just highlighting trials, we are providing you with an in-depth look at the trial through interviews with the researchers, expert blogs and fireside chats with the scientists, and access to reliable opportunities. 4. The Latest Clinical trials provide you with access to the lastest resources and access to some of the best people in the world who are dedicating their lives to ending cancer. You don't just get the standard of care, you get above and beyond the standard! ARETHA-1 Study for Metastatic Triple Negative Breast Cancer A Phase II Study of Evexomostat plus Eribulin for People with Triple-Negative Breast Cancer Phase 2 Randomized Control Trial of Evexomostat (SDX-7320) in Combination with Eribulin for Patients with Metastatic Triple-Negative Breast Cancer and Metabolic Dysfunction: The ARETHA Study This study is being conducted at Memorial Sloan Kettering Cancer Center. Learn More Amelia 1 for HR+ (estrogen or progesterone), Her2-, metastatic breast cancer with a PIK3CA gene mutation and previously treated with a CDK 4/6 inhibitor (e.g., Ibrance®) in1st line setting The Amelia 1 clinical study is testing a new, experimental cancer treatment called Evexomostat to see if it prolongs patient treatment when combined with Piqray® and Faslodex® and if it helps control blood glucose spikes. Learn More PROTECT-BC (PROton Therapy to Eliminate Cardiac Toxicity for Breast Cancer) A study to assess the safety and effectiveness of a condensed course of radiation delivered daily over approximately 1-2 weeks instead of 5-6 weeks. Learn More Get In Touch Our Clinical Trial Partners Food for Thought Study of Food and Brain Health in women being treated for Triple Negative breast cancer A research team at The Ohio State University in Columbus, OH, is recruiting participants for a remote study of diet and cognition among breast cancer patients. You might be eligible for this study if you:  Are female  Were recently diagnosed with stage II-III triple-negative breast cancer  Have just started, or soon will start systemic therapy (e.g. chemotherapy, targeted or endocrine therapies)  Are 40-65 years old Enrolled participants will be randomized to receive a personalized 12-week nutrition intervention for cognitive health with a registered dietitian-nutritionist or a 12-week general healthy lifestyle program, and will complete all study visits remotely. Participants will be contacted 6 months after the intervention for data collection. If you are interested in this study and would like to find out if you are eligible to participate, please complete a brief screening survey and someone from the research team will contact you directly. Complete the Screening Survey Sexual Health And REhabilitation Online (SHAREonline): A Research Study for Young Female Cancer Survivors Facing Changes in Sexual Health & Sexual Function Researchers at the Dana-Farber Cancer Institute are conducting a research study: “Sexual Health and Rehabilitation Online” (SHAREonline), for women age 19-49 who are experiencing changes in sexual functioning after cancer treatment. For more information visit sharesurvivorship.com or email share@dfci.harvard.edu . Learn More Get In Touch Cognitive Behavioral Therapy for Cancer Survivors with Insomnia Up to 30–50% of cancer survivors experience chronic, often untreated insomnia. This study is evaluating a virtual cognitive behavioral therapy for insomnia (CBT-I) program designed specifically for cancer survivors. Delivered online by a trained clinician, the Survivorship Sleep Program aims to address cancer-related barriers to sleep using an evidence-based approach. By expanding access to CBT-I across survivorship stages, this research seeks to better understand how targeted, virtual care can improve sleep and overall quality of life after cancer. Learn more SURGE Study: Virtual Exercise Program for Cancer Survivors The Survivors Uniting for Remote Guided Exercise (SURGE) Study is exploring how online exercise programs can support individuals living with and beyond cancer. This fully virtual study compares live, group-based exercise classes with recorded exercise sessions to understand how they impact physical activity levels, physical fitness, quality of life, and loneliness. All study activities are completed 100% online, including virtual exercise sessions, brief surveys, fitness assessments, and the use of a physical activity monitor during the study. Learn more Who We Work With Are you designing a clinical trial and looking for a patient advocacy organization to partner with? Let’s connect! When patient advocates are given a seat at the table, everyone benefits. Get In Touch

  • Movement & Exercise Classes | SurvivingBreastCancer.org

    Why Movement Matters During and After Breast Cancer Join us Weekly, Monthly, and On Demand! Upcoming Movement and Exercise Classes Multiple Dates Mon, Apr 20 Restorative Yoga: A Monthly Journey Into Calm, Comfort & Inner Healing / Online Event RSVP Apr 20, 2026, 5:30 PM – 6:30 PM EDT Online Event Step into a space of deep relaxation and gentle healing with our Restorative Yoga class, offered year-round by SurvivingBreastCancer.org. Designed for all experience levels, this cozy, nurturing practice invites you to slow down, breathe deeply, and reconnect with your body. +38 more Multiple Dates Fri, Apr 24 Pilates for Breast Cancer Recovery / Online Event RSVP Apr 24, 2026, 10:00 AM – 11:00 AM EDT Online Event Did you know that Pilates can specifically address post-surgical tightness and lymphatic health? From restoring range of motion after a mastectomy to strengthening the "powerhouse" following flap reconstruction, Pilates offers a low-impact solution to post-treatment side effects. +16 more Multiple Dates Wed, Apr 29 Tai Chi & Qi Gong for Breast Cancer Thrivers / Online Event RSVP Apr 29, 2026, 8:00 PM – 9:00 PM EDT Online Event Slow down. Breathe. Move with intention. In this gentle Tai Chi & Qi Gong session, you’ll be guided through flowing movements designed to release tension, restore energy, and support healing from within. No experience needed,just bring your body, exactly as it is. +17 more Multiple Dates Tue, May 12 Yoga Stretching for DIEP Flap / Online Event RSVP May 12, 2026, 6:00 PM – 7:00 PM Online Event Join us for our Online DIEP Flap Yoga Classes, a gentle, supportive, and guided movement series created specifically for individuals preparing for or recovering from DIEP flap breast reconstruction surgery. +20 more

  • Social | SBC

    Listen to the Podcast: Breast Cancer Conversations Listen to the Latest Podcast Episodes Donate to SBC Donate Our song: "Then it hit me" ♪ Listen Now ♪ Breast Cancer Resources Join Our Mailing List Submit Your Story Resources for Newly Diagnosed Resources for Those Living With MBC Resources for Men with Breast Cancer Read the Latest Blog Articles Read the Blog Sign Up & Attend an Event, Program, or Webinar RSVP Now

  • Mental Health | SurvivingBreastCancer.org

    Your mental health during breast cancer treatment is vital. Explore our resources for dealing with mental struggles accompanying a breast cancer diagnosis. Breast Cancer & Mental Health

  • Support Groups | SurvivingBreastCancer.org

    Support groups designed for you! Real conversations. Real understanding. Support for every stage of breast cancer. Upcoming Support Groups Multiple Dates Tue, Apr 21 The Caregiver Huddle / Zoom RSVP Apr 21, 2026, 7:00 PM – 8:30 PM Zoom Monthly Virtual Support for Those Caring for a Loved One with Cancer Caring for someone with cancer can be overwhelming, isolating, and emotionally complex. You don’t have to carry it alone. See All Multiple Dates Thu, Apr 23 All Stages Breast Cancer Support Group | Thursday Night Thrivers / Zoom RSVP Apr 23, 2026, 7:00 PM – 8:00 PM EDT Zoom Join our All Stages Breast Cancer Support Group every Thursday night. A supportive, inclusive space for breast cancer thrivers at any stage to connect, share, and find community. See All Multiple Dates Thu, Apr 23 Círculo de Mujeres: Apoyo Emocional y Crecimiento Personal / Zoom RSVP Apr 23, 2026, 8:00 PM – 9:00 PM Zoom Círculo de Mujeres es un encuentro recurrente creado especialmente para mujeres diagnosticadas con cáncer que buscan trabajar en sí mismas, descubrir nuevas herramientas de crecimiento personal y fortalecer su bienestar emocional. +3 more Sun, Apr 26 Metastatic Breast Cancer (MBC) Facilitator Training for Support Groups / Virtual RSVP Apr 26, 2026, 5:00 PM – 6:30 PM EDT Virtual Ready to make a difference? Join our SBC peer-2-peer support group facilitator training and help create a supportive space for those navigating a metastatic breast cancer diagnosis. Are you living with Metastatic Breast Cancer and have a desire to learn and support others? If so, this is your sign! +3 more Multiple Dates Tue, Apr 28 Grupo de Apoyo: Después de un Diagnóstico de cancer de Mama / Virtual RSVP Apr 28, 2026, 8:00 PM – 9:00 PM Virtual Encuentro en Español | Martes por la Noche ¡Únete a nuestro Grupo de Apoyo en Español: Después de un Diagnóstico de Cáncer de Mama, un espacio seguro, privado e inclusivo creado para acompañarte en cada eta¡Únete con nosotros para nuestro exclusivo Evento Martes - después del diagnóstico en español! Multiple Dates Thu, May 07 Early Stage Breast Cancer Support Group | Thursday Night Thrivers / Zoom RSVP May 07, 2026, 7:00 PM – 8:00 PM EDT Zoom Join our Early Stage Breast Cancer Support Group for thrivers every Thursday night. A safe, supportive space to connect, share experiences, and find emotional support after an early-stage breast cancer diagnosis. See All Multiple Dates Thu, May 07 MBC Peer to Peer Support | Thursday Night Thrivers Meetup / Virtual RSVP May 07, 2026, 7:00 PM – 8:00 PM EDT Virtual Join our MBC Peer to Peer Support group during Thursday Night Thrivers. A monthly breakout space for the metastatic breast cancer community to connect, share, and find support. +2 more Multiple Dates Thu, May 14 Inflammatory Breast Cancer Support Group (IBC) Online Meetup / Online Event RSVP May 14, 2026, 7:00 PM – 8:00 PM EDT Online Event Join our free monthly IBC Online Support Group to connect with others, share experiences, and find expert-guided emotional support. Hosted virtually, this group offers a safe space to discuss IBC symptoms, treatments, side effects, and real-life coping strategies. +3 more Multiple Dates Thu, May 21 Metastatic Breast Cancer (MBC) Support Group with Nancy Gaulin, PsyD / Zoom RSVP May 21, 2026, 7:00 PM – 8:00 PM EDT Zoom Join us for our Thursday Night Thrivers MBC Support Group, a warm and uplifting space created specifically for the Metastatic Breast Cancer community. This free, online support group is facilitated by the exceptional psychologist Nancy L. Gaulin, PsyD, MBA a specialist in cancer-related support +3 more

  • Healing Through The Arts | SurvivingBreastCancer.org

    Art Therapy and Expresive Writing are excellent modalities for coping with a breast cancer diagnosis. Attend our free programs and events, meet those on a similar journey, and take a deep dive into managing breast cancer through the arts. 1 2 3 4 5 Healing Through The Arts A cancer diagnosis can ignite our deepest fears, and while navigating this life-altering experience, we often lose touch with the present moment. Through art, writing, and other creative modalities, we hold the power to manage our stress, make sense of our now, and relax into moments of stillness. Express yourself, get it out, connect with others, and find your breath again. Upcoming Events Multiple Dates Stitch & Share: A Mindful Crochet Gathering Wed, Apr 22 Online Event More info RSVP Multiple Dates Artistic Expression: Emotional Wellness & Self-Discovery Mon, May 04 Online Event More info RSVP Upcoming Events Open Mic Poetry Night Wed, Apr 22 Online More info RSVP Multiple Dates Reflective Writing for Metastatic Breast Cancer Fri, Apr 24 Online Event More info RSVP Multiple Dates Reflective Writing for Metastatic Breast Cancer Fri, May 08 Online Event More info RSVP Multiple Dates Expressive Writing with Thomas Dooley Mon, May 11 Online Event More info RSVP Multiple Dates Expressive Writing with Thomas Dooley Mon, May 11 Online Event More info RSVP Expressive Art: Unveiling my self Express your feelings, release tension, and explore your healing process without fear of judgment or perfection. Expressive Art: Season of Gratitude Adopting gratitude as a consistent practice helps transform a person's entire outlook, fostering optimism and resilience even in challenging circumstances. Expressive Arts: Honoring Your Life Celebrate resilience, courage, and self-expression through art. Expressive Arts Blossoming Beyond Embark on a transformative journey of renewal, where we blossom beyond challenges and embrace happiness through creativity and self-expression. Expressive Arts: Exploring Relationships In this class, we use art as a tool for healing, reflection, and self-discovery. Expressive Arts Class: Love Yourself Join us for a powerful Expressive Arts space focused on self-love, healing, and creativity. Expressive Arts: Creating Mandalas for Inner Peace and Reflection explore the power of mandalas as a creative tool for healing, mindfulness, and emotional expression. Expressive arts: Pebble Drawing Releasing the need to control is part of our learning process. We need to learn how to trust the flow, and find beauty in the unexpected. Expressive Arts: Write it, Feel it, Transform it Explore how expressive arts and creative arts can help breast cancer survivors process emotions, reduce stress, and foster healing. Expressive Art: Self Portrait This creative workshop is designed to help you explore your identity, emotions, and inner voice through the powerful tool of self-portraiture. Expressive Art Colors of my voice In this session, we invite you to explore the connection between emotion, voice, and color, using art as a gentle path to self-expression and healing. Expressive arts: Tree of Life Explore the Tree of Life as a tool for healing, reflection, and hope. Expressive Writing Art As Therapy Art As Therapy Art As Therapy Art As Therapy Read the Incredible Poems Coming Out Of Our SBC POETRY LAB Looking for more ways to support your healing journey? View Programs New to Expressive Art as Therapy? No worries, we have you covered! In the canvas of life, every stroke tells a story, and we believe that art can be a powerful medium for healing and self-expression. Join Elisa and other resilient individuals as we explore the therapeutic benefits of artistic expression, fostering a supportive community where stories are shared, and strength is discovered. Embrace the canvas of your life with bold strokes of self-discovery, and let the vibrant colors of your resilience paint a masterpiece of healing and growth.

  • Inspiring Breast Cancer Stories | SBC

    Breast cancer stories can inspire hope, strength, and courage for fellow patients and survivors. Discover new perspectives and share your unique experiences. 1 2 3 4 5 Inspiring Breast Cancer Stories Everyone's breast cancer experience is different. People respond differently to treatment and even make other 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. Below, you will find many inspiring breast cancer stories from our community. Submit Your Story

  • Breast Cancer Exercise & Fitness | Surviving Breast Cancer

    Learn how exercise, breast cancer risk, and recovery are connected. Regular activity can lower estrogen, reduce obesity, and support overall health. Lifestyle & Wellness Resources Programs Content Library Podcast Download the App Subscribe to the Newsletter Make a Gift More Fitness & Exercise Tips for Breast Cancer Survivors 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 1 2 3 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

  • Our Legacy | Surviving Breast Cancer

    In Loving Memory We honor the brothers and sisters we have lost to Metastatic Breast Cancer and the 119 people we lose each day to this disease. We promise to: Say their names Talk about them often Share their stories and honor their legacy

  • Can Men Get Breast Cancer? | Surviving Breast Cancer

    Men can get breast cancer too. Male breast cancer diagnoses are rare but can be isolating for men, and appropriate treatment is vital for successful outcomes. News, Articles, & Stories Men Can 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. Share Your Story

  • Reconstruction Surgery | Surviving Breast Cancer

    Breast cancer reconstruction surgery poses many questions and concerns for patients. Discover information on life-saving surgical options for breast cancer. Surgery Options Questions to ask your Surgeon Download PDF What should I expect during a consultation for breast reconstruction? During your breast reconstruction consultation, be prepared to discuss: Your surgical goals Medical conditions, drug allergies and medical treatments Current medications, vitamins, herbal supplements, alcohol, tobacco and drug use Previous surgeries Your plastic surgeon will also: Evaluate your general health status and any pre-existing health conditions or risk factors Examine your breasts and take measurements of their size and shape, skin quality and placement of nipples and areolae Take photographs Discuss your options and recommend a course of treatment Discuss likely outcomes of breast reconstruction and any risks or potential complications Be sure to ask your plastic surgeon questions. It's very important to understand all aspects of your breast reconstruction. To help, we have prepared a checklist of questions to ask your breast reconstruction surgeon that you can take with you to your consultation. It's natural to feel some anxiety, whether it's excitement for your anticipated new look or a bit of preoperative stress. Don't be shy about discussing these feelings with your plastic surgeon. What options are available for breast reconstruction? If you've decided to have breast reconstruction, you'll still have many things to think about as you and your doctors talk about what type of reconstruction might be best for you. There are many different reconstruction techniques available. Take the time to learn about the breast reconstruction options and consider talking to others who have had that procedure before you make a decision. Breast reconstruction with implants Implant-based breast reconstruction may be possible if the mastectomy or radiation therapy have left sufficient tissue on the chest wall to cover and support a breast implant. For patients with insufficient tissue on the chest wall, or for those who don't desire implants, breast reconstruction will require a flap technique (also known as autologous reconstruction). The most common method of tissue reconstruction uses lower abdominal skin and fat to create a breast shape. There are several techniques that can be used for implant-based breast reconstruction. Make sure to discuss with your plastic surgeon which is appropriate for you. Immediate breast reconstruction above the pectoral muscle This procedure is performed in combination with the mastectomy and results in an immediate breast mound. After the mastectomy has been performed by the breast surgeon, the plastic surgeon will place the breast implant, wrapped in a biological mesh known as acellular dermal matrix (ADM), to help the implant maintain correct anatomic position, above the pectoralis muscle. With this procedure, recuperation may be more rapid because the muscle in the chest has not been elevated. Further, the breast implant itself is not influenced by the contraction of the muscle. Complications, while rare, may include skin loss, excess bleeding, infection, malposition of the implant so that asymmetry occurs, wrinkling or rippling of the implant, possible fluid collection underneath the implant and/or unfavorable scarring. This procedure may also require secondary autologous fat transfer to eliminate upper pole wrinkling and rippling over time, which will occur over secondary procedures. Immediate breast reconstruction under the pectoral muscle This procedure is also performed as a combination with the mastectomy and results in an immediate breast mound. The incision generally is performed through the mastectomy site. Once the mastectomy is completed, the plastic surgeon will elevate the pectoralis major muscle. This will allow the muscle to retract upward and allow a pocket to be developed underneath the muscle and at the bottom of the normal breast position. Delayed breast reconstruction utilizing tissue expander. The initial portion of this procedure entails the breast surgeon performing a standard mastectomy and possible axillary dissection. In many instances, a drain will be placed between the muscle and the skin of the mastectomy. Once these procedures have been performed, the plastic surgeon will divide the lower pole of the chest wall muscle, elevate the chest wall muscle and the lateral chest muscle together upwards towards the collarbone. After that is done, the muscle and tissue below is elevated together to form the pocket for the breast expander at the base of the breast or the inframammary crease. The pocket is made large enough for the expander to be placed and the muscle closed. Occasionally, there is a need for placement of a small amount of acellular dermal matrix (ADM) to assist in the closure of the muscle. There are two types of breast tissue expander ports. One, similar to a chemotherapy port, is placed separate from the tissue expander, usually along the rib cage. This will require a separate small incision for the port. The second type is a port that is contained within the expander itself. In both instances, the ports will be used to inflate the tissue expander over several visits with saline solution. The port is accessed with a small needle and saline is injected into the expander through the port site Tissue expansion usually occurs weekly according to patient tolerance. The volume of the tissue expanders commonly exceeds the weight of the mastectomy tissue. Once the final tissue expansion, or stretching, is completed there will be a time of passive expansion where little to no volume is added to the tissue expanders. This allows the muscle and skin to stretch and relax. The length of time will vary from patient to patient. Once this is completed, a second outpatient procedure will be necessary to remove the tissue expander and place the permanent breast prosthesis. Complications, while rare, may include skin loss, exposure of the expander, excess bleeding, infection, malposition of the implant so that asymmetry occurs, wrinkling or rippling of the implant, possible fluid collection underneath the implant, pain at the injection site, muscle spasms with expansion and/or unfavorable scarring. Lymphedema 101 On Breast Cancer Conversations, the Podcast Listen Now A biodegradable acellular dermal matrix (ADM) will be placed at the bottom of the breast or inframammary crease and attached to the muscle. The breast implant will be placed under the ADM and your own muscle. This allows the breast implant to settle in a normal position, and the ADM stretches into a pleasing, rounded lower breast shape. It is not uncommon to have drains placed with this procedure. They may be removed anywhere from 48 hours to 2 weeks after surgery. This procedure is a one-staged procedure, which allows the desired shape to result without any further surgical intervention. The muscle on top of the implant will help prevent the development of upper pole wrinkling. Complications, while rare, may include skin loss, excess bleeding, infection, malposition of the breast implant so that asymmetry occurs, wrinkling or rippling of the implant, possible fluid collection underneath the implant and/or prosthesis deflation. Immediate breast tissue expander placement The surgical process for saline breast tissue expanders and breast expanders following mastectomy are the same. Expanders with saline have been used for decades but recently, a new type of expander using air, which allows for more patient control, have been introduced. Expanders have some of the same complication rates and risks as the other types of breast reconstruction, which include infection, seroma, hematoma, extrusion and/or expander deflation. The expander is placed into a submuscular or subcutaneous space with no external filling ability. The expander will fill with compressed air contained within the expander itself. The patient will do self-controlled expander fills utilizing an external automatic activation device at home and will achieve similar results to the standard saline filled tissue expansion devices. It will be necessary to monitor the incisions and progress on your own and contact the physician if you feel there is something wrong. The advantage of the expander it that it may decrease doctor visits and decrease total expansion time. Immediate breast reconstruction utilizing latissimus dorsi muscle. This procedure is performed as a secondary operation immediately during the mastectomy or delayed after radiation. The latissimus muscle is a very large vascular muscle in the back that is attached at the base of the arm, extends onto the chest from the arm past the shoulder blade and attaches close to the spinal column. The latissimus muscle stretches to the tip bone and hallway into the axilla or armpit area and is supplied mostly by artery in the axilla. The latissimus flap is frequently used when the amount of soft tissue is limited secondary to surgery, the pectoralis muscle is absent, partially removed or damaged secondary to radiation. It entails undermining the skin on the back and releasing some of the skin allowing it to remain attached to the muscle. The main muscle and artery is called pedicle flap. This flap is released from the back, passed through a tunnel that is made underneath the axilla and into the anterior chest to fill the mastectomy defect site. The muscle is placed and sutured to the chest wall. An implant is then placed behind this flap and in front of the chest. One can also use a tissue expander and gradually increase to breast size. The advantage to this expander is it can completely replace the amount of breast tissue that has been removed and protect the latissimus flap. A completely inflated implant or a postoperative adjustable expander/implant can be immediately placed. It is not uncommon to require a secondary revision procedure to gain more accurate symmetry of both breasts. The latissimus flap is recommended for patients who have already had mastectomy and radiation. The use of radiation frequently limits the amount of implant surgery that can be performed. The secondary advantage of this flap is that it brings new blood flow and healthy skin to the radiated field. It is also recommended for patients who are very thin and have limited options for flap reconstruction. Complications, while rare, may include limited blood flow of the artery compromising the flap, skin loss, exposure of the expander, excess bleeding, infection, malposition of the implant so that asymmetry occurs, wrinkling or rippling of the implant, possible fluid collection underneath the implant, pain at the injection site, muscle spasms with expansion and/or unfavorable scarring. Breast reconstruction with abdominal-based flaps Sometimes a mastectomy or radiation therapy will leave insufficient tissue on the chest wall to cover and support a breast implant. In these cases, breast reconstruction usually requires a flap technique (also known as autologous reconstruction). This is the most common method of tissue reconstruction, using lower abdominal skin and fat to create a breast shape. A woman may also choose not to have an implant for personal reasons. The skin and fat used for this procedure is the tissue between your belly button and pubic bone that you can pinch. Once this tissue is taken to make a breast, you will typically have a scar from hip bone to hip bone and around your belly button. However, some women may not be candidates for abdominal-based flaps for various reasons: • Not enough donor tissue in the lower abdomen • Prior scars that may have damaged important blood vessels • Previous flaps that have failed and seeking an alternative Specific flap options Several different flaps use the tissue from the lower abdomen. The difference between each of them is related to blood vessels that supply these flaps. These flaps include the Pedicled TRAM (traverse rectus myocutaneous) flap, the free TRAM flap, the DIEP (deep inferior epigastric artery perforator) flap and the SIEA (superficial epigastric artery) flap. Pedicled TRAM flap A TRAM flap uses the muscle, fat and skin from your lower abdomen to reconstruct a breast. In order to survive on your chest in its new location, this tissue requires a blood supply. The blood supply to this tissue comes from the underlying rectus (six-pack) muscle. The flap remains attached to your rectus abdominis muscle and is tunneled up through the abdomen and chest to create the breast mound. Since your entire muscle is sacrificed, you may experience some abdominal weakness or have difficulty performing sit-ups. Free TRAM flap Like the TRAM flap, the free TRAM flap is also based on the blood vessels coming through the rectus abdominis muscle. However, in this flap the muscle above and below the blood vessels is divided, so that only a portion of muscle is removed. The entire flap is then transplanted to the chest. The blood vessels from the muscle are connected to blood vessels in the chest using a microscope. DIEP flap The DIEP flap utilizes the same lower abdominal skin and fat as the TRAM and free TRAM flap; however, it spares the rectus abdominis muscle and fascia. Rather than taking the entire muscle or a small portion of the muscle, the small blood vessels – an artery and a vein – that come through the muscle to the skin and fat are identified; these vessels are then dissected through the muscle prior to being divided. Once they are divided, the tissue is again transplanted to the chest and the vessels are connected to blood vessels in the chest. Since your muscle is preserved, there is a lower risk of abdominal weakness or hernias and less postoperative pain. SIEA flap The SIEA flap also uses the lower abdominal skin and tissue, but the blood vessels that supply this flap do not go through the abdominal muscle. Rather, they only go through the fat. Advantages of this flap include preservation of the abdominal muscles, resulting in less postoperative pain and a speedier recovery. However, these blood vessels may not be present in all women; and even when present, may be too small to provide a reliable blood supply for a flap. For these reasons, the SIEA flap is not performed as frequently as the DIEP or free TRAM flaps. Special notes regarding recovery Because the free TRAM, DIEP and SIEA flaps involve microsurgical tissue transfer, blood flow to the flap is closely monitored in a hospital setting after surgery. If there are concerns about the flap, a reoperation may be necessary to assess the blood flow. Breast reconstruction with thigh-based flaps Sometimes a mastectomy or radiation therapy will leave insufficient tissue on the chest wall to cover and support a breast implant. In these cases, breast reconstruction usually requires a flap technique (also known as autologous reconstruction). Thigh-based flaps may be a good option for women with small to medium volume breasts. To achieve a larger size, these flaps may be combined with an implant or another flap (called "stacked flaps," which are not widely available). All of these techniques require your plastic surgeon to have skill and training in microsurgery. However, some women may not be candidates for thigh-based flaps for various reasons: • Not enough donor tissue in the upper thighs • Prior scars that may have damaged important blood vessels • Previous flaps have failed and they are seeking an alternative Specific flap options Gracilis-based flaps are based on the gracilis muscle, located in the upper inner thigh. The gracilis muscle helps bring the leg toward the body, and its function will be lost after this type of surgery. During these procedures, a flap of skin, fat, muscle and blood vessels from the upper thigh is moved to the chest to rebuild the breast. Blood vessels are carefully reattached using microsurgery. Different names are used to describe the orientation of the resulting donor site incision on the upper inner thigh: • TUG flap: Transverse Upper Gracilis flap • VUG flap: Vertical Upper Gracilis flap • DUG flap: Diagonal Upper Gracilis flap The choice of incision depends on your unique thigh shape and your surgeon's experience. Most surgeons will try to conceal the scars in the crease at the top of the thigh, but the scar may end up a bit lower and be visible while wearing a bathing suit. These flaps result in a tighter inner thigh, similar to an inner thigh lift. Similar to the gracilis-based flaps, a PAP flap uses skin and fat from the back of the upper thigh to reconstruct the breast using microsurgery. PAP stands for Profunda Artery Perforator, which is a blood vessel that supplies this area of the thigh. No muscle is used, so a PAP flap is considered muscle-sparing. PAP flap scars are usually hidden in the crease between the lower buttock and upper thigh. Special notes regarding recovery Because these flaps involve microsurgical tissue transfer, blood flow to the flap is closely monitored in a hospital setting after surgery. If there are concerns about the flap, a reoperation may be necessary to assess the blood flow. Thigh-based flaps do tend to have more healing problems at the donor site than abdominal-based flaps due to the location of the incision. Lower leg swelling may occur but usually resolves with time. When one thigh-based flap is used to reconstruct one breast, asymmetry may result due to tightness and thinness of one thigh. Additional procedures may be recommended to improve symmetry between the thighs.

  • Breast Health | Surviving Breast Cancer

    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 quite 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. >

  • Download the App | Surviving Breast Cancer

    SurvivingBreastCancer App Free to join. Always here! Download from the App Store Download from Google Play Download from the App Store Download from Google Play

  • For Kids & Adult Children | Surviving Breast Cancer

    Read Stories 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 Lifestyle & Wellness Resources Programs Content Library Podcast Download the App Subscribe to the Newsletter Make a Gift More Resources For Children & Adolescents Resources For Children & Adolescents Resources For Children & Adolescents Resources For Children & Adolescents Share your story. Share Your Why. Share A picture. Share. Email Kyla at pinkkids@survivingbreastcancer.org

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