Positive affirmations for healing a cancer diagnosis can help you with pain management and qualitiy of life. Studies show the strong connection between affirmations, meditation and healing. It promotes positive thinking and can be practiced daily to help fight cancer. Multiple Dates Hypnotize Yourself: Learn Self-Hypnosis Wed, Dec 03 Online Event +7 more Come Join Us Multiple Dates Meditation Reflection Mon, Dec 08 Online Event See All Come Join Us Multiple Dates SBC Well-Being Club Mon, Dec 08 Online Event See All Come Join Us Forest Bathing: Winter Solstice Mon, Dec 15 Virtual Event Come Join Us Multiple Dates Reiki Circle of Care Mon, Dec 22 Online Event +4 more Come Join Us Positive Thinking, Mindfulness & Meditation For Healing Meditation On Demand Meditation. Create your own private haven anytime and anywhere. We have a number of beautiful meditations in our library. Choose one and practice it for a week or two. If you practice every day at the same time, you’ll notice that your brain is trained to follow your meditation practice consistently. Live Classes Join us for virtual classes with instructors who understand the cancer experience and offer a warm and welcoming community setting. Meditation & Journaling Join our chakra meditation with Gloria every Monday. After the meditation, participants are invited to write about their experience during the meditation. If they feel called to do so, they can also share their writing with the class. This is a great way to realize how connected we truly are. What are chakras? In Sanskrit, the word “chakra” means “disk” or “wheel” and refers to the energy centers in your body. These wheels or disks of spinning energy each correspond to certain nerve bundles and major organs. To function at their best, your chakras need to stay open, or balanced. Connect with your inner self, your spirit, and being through exploring your chakras. Positive Thinking and the Power to Heal The power of positive thinking is so pervasive today that many doctors and nurses strongly recommend developing a positive mental attitude to prevent sickness, to help overcome medical setbacks like disease, and to assist in the recovery from surgery. There is healing power in positive thinking. But can you heal yourself just by being positive, optimistic and focused? Yes! It is believed that positive thoughts are able to prompt physiological changes in your body that strengthen your immune system, decrease pain, and provide stress relief. The “Power of Positive Thinking”, a self-help book by Norman Vincent Peale , published in the last century, first proposed the method of "Positive Thinking ". It aimed to ensure that one could achieve a permanent fruitful and optimistic attitude through constant positive influence of his/her conscious thought. This was to be accomplished through affirmations/visualizations, thus allowing one to attain higher satisfaction and quality of life. Similarly, in the book, “The Secret” by Rhonda Byrne, the Law of Attraction is explored and suggests that whatever energy, thoughts, or visualizations you put out into the universe, you will receive. So, if you send out negative vibes, or think something negative will happen, it probably will. If you send out positive vibes, positive things will be returned. Read Inspiring Articles How to Develop Positive Beliefs Start by applying the right kind of positive thinking so that you direct your subconscious mind to help heal your body and improve your life. Direct your conscious and subconscious mind to help you heal. Don’t worry. "Worry only takes the joy out of your day". Find a way to focus on the positive. What are you grateful for? Start a mental list of the things and people in your life that you are thankful for. Be optimistic. 1 2 3 On Demand Meditation Cannot make a live class. No worries, we got you covered. You can access our on demand meditations anytime, anywhere! Let's Meditate Now Live Classes: What Your Chakras Are Telling You Chakra images courtesy of HopeSpring.ca Why and how meditation can help? "Meditation brings us into the now – the present and this helps us to eliminate our thoughts on the past and the future. Why this helps is because it is the past that can make us depressed and it is the future that can make us worry." Take a Look at Our Special Deals Meditation testimonials

Explore volunteer opportunities to support breast cancer initiatives. Your time and professional expertise are appreciated in spreading awareness and support. There are so many ways you can help someone diagnosed with breast cancer. Donate Now Start A Fundraiser Your Actions Give Hope Education Request Brochures Request brochures to distribute in your local community, in the schools, at health fairs, or at your doctor's offices. Spread the Word Contact Us Too many people are diagnosed with breast cancer year over year. No one needs to suffer alone. Help spread the word about our community, programs and free services and how you can start an SBC chapter in your area. Attend A Health Fair Let's Chat Volunteer to represent SBC at an upcoming health fair in your area! Become a Peer Advocate Contact Us Join our volunteer team of breast cancer advocates. Advocates provide necessary peer to peer support to SBC members who are newly diagnosed. Volunteer or Intern with SBC If you are a College or Graduate student, you may be eligible to earn credit for your internship with SBC. When applying to a role, please be sure to mention you are interested in earning credit and we'll set up time to speak with you about the process! Your experience becomes someone else's guidebook! Pay it forward. Share your experience. Help to develop local resources in your area for the SBC community! Contact Us Become a local SBC ambassador You Are An Expert Of Your Own Experience

A new metastatic breast cancer diagnosis can disrupt anyone's life in a major way. Learn about your next steps to fight back with innovative treatments. Newly Diagnosed with Metastatic Breast Cancer. Now What? What brings you to this website is most likely a metastatic breast cancer (MBC) diagnosis. Perhaps you experienced a recurrence from early stage breast cancer (stages 0,I, II, or III) to advanced or late stage breast cancer (stage IV, MBC). In some cases you may have been diagnosed de-Novo meaning that you never experienced an early stage of breast cancer and based on diagnostic tests were diagnosed with metastatic breast cancer as your initial diagnosis. Whatever the reason, I want you to know that you will be supported and that our Surviving Breast Cancer (SBC) community is here for you! We are here to help! A metastatic breast cancer diagnosis is different than an early stage diagnosis in the way in which it disrupts our lives and throws us into a whirlwind of continual doctors appointments, follow ups, tests, scans, and the like. Each and every one of us have unique experiences, and what our SBC platform and community provides is education, support, and resources for you as a complement to your medical care. We are not medical professionals, nor provide medical advice. But what we do offer is content, stories, and community when you need it most! What I mean by that is you are welcome to dive in to absolutely everything we offer today, or, you can take bite size approaches to get the information and support when you feel ready for it. We've listed a few links and resources to help get you started and to hopefully make things a bit less overwhelming. Download. Questions to Ask Your Surgeon Download PDF Questions to Ask Your Radiologist Downlod PDF Questions to Ask Your Oncologist Coming Soon Events & Programs Multiple Dates MBC Peer to Peer Support Thu, Dec 04 Virtual Join us for our signature Thursday Night Thrivers Meetup! On the first Thursday of every month, we will have a special breakout room for the MBC community. +1 more RSVP Multiple Dates Reflective Writing for Metastatic Breast Cancer Fri, Dec 12 Online Event Join us for special session for those living with MBC who would like to take some time to reflect with others in the community, participate in a few journaling exercises, and share their thoughts and feelings in a confidential and supportive setting. +3 more RSVP Multiple Dates MBC Support Group with Nancy Gaulin Thu, Dec 18 Virtual Join us for our signature Thursday Night Thrivers Meetup! On the third Thursday of every month, we will have a special meeting for the MBC community. This space will be hosted by the incredible Psychologist Nancy Gaulin. See All RSVP Recent Articles

Free resources for your cancer paitents. SurvivingBreastCancer.org provides weekly support groups, art therapy classes, movement classes and so much more. Free Programs in English Download the Brochures From Art Therapy and Expressive Writing, to Yoga & Meditation SBC provides the complementary care your patients deserve. Free Programs offered in English & Spanish Download the Flyer From virtual meet-ups to art therapy and webinars, our programs provide proven emotional support to assist your patients undergoing breast cancer treatment Free Educational Webinars Download the Flyer Offered in both English & Spanish, SBC provides educatoinal content through our livestreaming webinar series. Breast Self-Exam Tips Monthly breast checks are critical to detecting changes. Learn how to perform a breast self-exam with our tips! Download now Classes, Webinars, LiveStreams, and More! Order Materials For Your Office Looking for bulk flyers and brochures to put in patient packets or distribute at upcoming health fairs? We have you covered. You can shop at our store and we kindly ask for a donation to help support the cost of printing and shipping. Order Now What Sets Us Apart Our Story Download Flyers for your Office, Clinics, and Patient Packets Empowering Resources for your patients! Refer a Patient Download Brochures Building Strong Connections Through Online Support Groups All Stages. All Subtypes Download Flyers Join Our Medical Professionals Mailing List First name* Last name* Email* Company name Address Submit Refer Your Patients Let us bring hope and joy to the patients you serve. Looking to have a patient join one of our free online support groups, have them attend a workshop, or request a care package before your patient starts chemo or has surgery? SurvivingBreastCancer.org is here for you! Submit the Patient Referral Form below and we'll take it from there! Learn More Join Join Our Medical Professionals Mailing List Thanks for subscribing!

Breast Cancer is hard enough so why not gift yourself or someone you love essential items to enjoy! Shop Survivingbreastcancer.org's brand, cloths, and lifestyle products and feel the love! Quick View 5x7 IBC Flyers (50) Price $25.00 Excluding Sales Tax Quick View Event Flyer (English and Spanish) Price $25.00 Excluding Sales Tax Quick View Tri-Fold Brochures (English and Spanish) Price $25.00 Excluding Sales Tax Quick View Variety Pack Price $45.00 Excluding Sales Tax Quick View 5x7 MBC Flyers (50) Price $25.00 Excluding Sales Tax Quick View 5x7 Book Club Flyers (50) Price $25.00 Excluding Sales Tax Quick View 5x7 Expressive Writing and Meditation (50) Price $25.00 Excluding Sales Tax Quick View 5x7 Art Therapy Flyer (50) Price $25.00 Excluding Sales Tax Products Designed With You & Your Patients In Mind All Proceeds from our sales go directly back into SBC to support our programs and services. Thank you for shopping for a cause!

Reiki Circle of Care Reiki is a gentle, hands-on energy healing practice that promotes relaxation, reduces stress, and supports overall well-being. Especially helpful for those navigating breast cancer, Reiki can ease pain, anxiety, and fatigue while restoring balance to the body and mind. Experience the calming benefits of Reiki as part of your healing journey. Start Now

How to support someone with cancer can be a daunting task. Knowing what to say to someone with cancer, or how to support them can be hard. This is the ultimate caregiving guide that supports the caregiver and enables that person to be the best they can be to support a loved one, spouse, and friend. Support for caregivers: Support for caregivers: Support for caregivers: Support for caregivers: Resources, tips, and community for those caring for a loved one with cancer. Resources, tips, and community for those caring for a loved one with cancer. Resources, tips, and community for those caring for a loved one with cancer. Resources, tips, and community for those caring for a loved one with cancer. Your loved one has just been diagnosed? Supporting Your Loved One Through Cancer prioritizing self-care to maintain your own well-being and be a source of strength for your loved one. A Caregiver's Guide to Breast Cancer Multiple Dates The Caregiver Huddle Tue, Dec 16 Zoom See All RSVP Are you a caregiver? Share your story Hear from the voices that inspire us to keep on going... William's Story Introduction In the middle of a lovely, sunny, late summer walk along the beaches of Boston, my partner, twelve months into treatment for breast cancer, looked up at me and opined: “This has been the worst year of my life”. My response was immediate: “I must wholeheartedly disagree, I feel that this has been the best year of your life”. She looked at me like I had two heads and inquired about my meaning. I elaborated with a thoughtful smile, “You have just beaten breast cancer”. This conversation aptly summed up my role as a breast cancer caregiver. Closing - Managing Expectations In closing I’d like to suggest that a caregiver remain focused on the job at hand and manage expectations. Don’t try to do to much. Recognize what you can do, perform your due diligence so that you can assist in the discussion and decision making. Remain positive and inspirational and as helpful as positive. But remember it’s a long haul and you, and your patient, will need to count on each other throughout the ordeal. Encourage Optimism, Avoid Negativity A final anecdote: during the middle of a particularly depressing spell, I suggested that we go for a bicycle ride to get her out of her environment. As usual we went too far (40 miles total that day) and her depression was kicking in. So about thirty miles into our ride we stopped and took a break. After rehydrating and fueling we were able to get up and return the last 10 miles to our condo in Boston. Months later she asked how I was able to help her overcome her severe and scary depression on that particular ride. She told me her thoughts bordered on taking irrational actions. I told her that I remained focused on the positive and didn’t offer up any psychological rationale about dealing with her extreme sadness and potentially deleterious behavior. She then asked me “how did you know how to respond” and my answer was simply to reaffirm the healthful, positive aspects of our lives, which always returns us to our code during times of trouble - KGH (keep going hard). Characteristics of Caregiving There are many characteristics of life as a caregiver. The support that one provides to a cancer patient/survivor includes many of the following: emotional, physical, intellectual, financial, social, spiritual, nutritional, and motivational aspects to name just a few. But you are never alone. There is help and assistance everywhere. I found the following links to be quite helpful in coming to terms with my role as a caregiver. https://www.cancercare.org/tagged/caregiving http://www.breastcancer.org/community/acknowledging/caregivers From diagnosis and onward the responsibilities associated with caregiving kick in. There are meetings and discussions with your oncological and surgical teams. Options and alternative courses of action are proffered and weighted. Decisions have to be made in short order so it’s best to prepare yourself ahead of time by performing as much due diligence as you can. Do your research on the various options as spelled out by your care team. Once a course of action is agreed upon and plotted, take particular care to stay on top of developments, i.e. scheduled appointments, pain/emotional management, medications, coordinating and communicating information to the extended caregiving family, and helping with chores. At all times, be aware that you are there to assist the patient. This isn’t about you. Involve yourself with the patient’s emotional issues. You do not need to be a medical professional. Common sense and responding through the lens of caregiving should provide you with enough tools to deal with the myriad emotions that arise, such as fear and depression/sadness. There are many support groups that you can reach out to, including hospital care groups, psychiatrists, social/media pages, https://www.survivingbreastcancer.org/ #survivingbreastcancer The Social Perspective Together we went out on a limb and informed all of our friends, both in person and through social media of the diagnosis. We also discussed it with our local area restaurant staff and work out circles at the YMCA, to eliminate any fears of considerations/communications from friends and associates regarding her cancer. Remember, the patient will be going through both emotional and physical changes, but still will want to resume enjoyable activities like date nights or walking on the treadmill as much as possible. We found that discussion opened many doors of kindness, friendship, and offers of help. Long Term Breast cancer remediation and treatment is a long-term commitment. Be cognizant of the fact that you too, as a care giver, need help and support, and quality time as well. Don’t try to do it all. Involve others, either extended family, or friends, or even medical support groups. Remain flexible. Due to the constant changing nature of recovery, from chemotherapy, to surgery, radiation, additional chemotherapy (if necessary) and follow up hormonal treatments, you may find yourself faced with multiple patient fronts. Side effects of the treatment are varied and include hair loss, water weight gain, physical breast alteration, depression, exhaustion, lymphedema, foot and mouth issues, to name several. Prepare yourself as best as you can to prevent the above from adversely affecting you in your role. It’s ok for the patient to be tired and sad. It’s also ok for the caregiver. I found comedy and music (movies, TV, radio) to be a great relief as it tends to change the narrative. Finding Strength, Sharing Support This group offers a safe and encouraging environment to find strength, share burdens, and gain valuable insights from others walking a similar path. The Caregivers Huddle: Join now Articles Supporting your loved one through cancer involves empathy, communication, and practical assistance. Read the following blogs to learn more about caregiving. Podcasts Discover podcasts on caregiving for insightful discussions, practical tips, and emotional support.Listen to experts and caregivers share experiences, strategies, and encouragement to navigate the challenges of caregiving with compassion and resilience. Caregiver & Patient Programs Are you caring for a loved one with breast cancer? We understand the challenges you face, and we want to support both of you on this journey. Join our tailored programs designed for breast cancer patients and their caregivers. Multiple Dates Yoga Stretching for DIEP Flap Tue, Dec 09 Online Event More info RSVP Multiple Dates Pilates with Nina: Strengthen, Restore & Breathe Fri, Dec 12 Online Event More info RSVP Multiple Dates Restorative Yoga with Kate: Inner Glow Mon, Dec 15 Online Event More info RSVP

Every breast cancer donation gives hope. You can get involved and make an impactful and meaningful difference. Donate to breast cancer support programs. Because You Believe In Our Vision Community Education Resources SBC RETREATS Bringing People Together to Share Connection, Forge Friendships, and Create Lasting Memories SBC RETREATS SBC RETREATS SBC RETREATS SBC RETREATS $100 $50 $250 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! $50 $100 $250 Make an Impact. Inspire. Empower. Support. Mental & Emotional Support Your generous donation enables us to provide essential complementary programs to help breast cancer survivors make sense of the trauma a breast cancer diagnosis brings through professionally led programs in art therapy and expressive writing. These modalities foster healing beyond just the physical. They touch upon the mental and emotional well-being of breast cancer survivors. Donate Now Donate $50 Donate $100 Donate $250 Support Groups Our support groups provide a virtual community setting to allow those diagnosed to share personal experiences, ask questions, and foster connection. Our programs are tailored to early-stage breast cancer, those living with metastatic breast cancer, as well as inflammatory breast cancer which impacts less than 5% of those diagnosed. Now those diagnosed with Inflammatory breast cancer finally have a community they can call their own! The online experience enables us to reach rural communities, health centers, and patients who may not have access to support programs otherwise. Your contribution makes our weekly support groups truly THRIVE! Donate Now Wellness Programs Give the gift of wellness. SBC offers many wellness programs tailored for those diagnosed with breast cancer. We offer weekly online classes such as Yoga, Meditation, Qi Gong, Pilates, Mindfulness, Movement Classes, and more! Donate Now Donate $50 Donate $100 Donate $250 Donate $50 Donate $100 Donate $250 Educational Content to Empower Knowledge is Power! Support accurate and trustworthy educational content in the form of blogs, articles, and research, to weekly podcast episodes and ask the experts webinars. Help us ensure that we are getting the information into the hands (eyes and ears) of those diagnosed who need it most! Donate Now Donate $50 Donate $100 Donate $250 Educatoinal Travel Grants Our travel grant program enables breast cancer patient advocates to attend important conferences and events such as the San Antonio Breast Cancer Symposium, the American Society of Clinical Oncology, Living Beyond Breast Cancer, and may others. Your generosity helps off set the cost of travel, registration, hotels, and meals so those diagnosed with breast can attend conferences, gain valuable information, and connect with survivors, thrivers, and patient advocates! Donate Now Donate $50 Donate $100 Donate $250 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 Home Page Breast Cancer 101 Lifestyle & Wellness Resources Programs Content Library Podcast: Breast Cancer Conversations Download the App Subscribe to the Newsletter Donate to a Program More Make a Donation Make a Difference Your Contribution Matters. Help provide essential emotional & wellness support services to the thousands of women (and men) diagnosed with breast cancer each year. Donate Today Donate Today Contribute to our Breast Cancer Retreats Your contribution to our in-person breast cancer retreats provides those diagnosed with breast cancer to experience a much-deserved and needed respite for a long weekend. Participants on our SBC Retreats receive an all-inclusive weekend get-a-way to connect with others diagnosed with breast cancer, customized programming, delicious and nutritious meals, and opportunities to be in nature and make lasting connections. Consider giving a life-changing experience to those in our breast cancer community. Turn Your Assets into Impact—Give Beyond Cash and Support the Cancer Community! Learn More

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. Multiple Dates Reflect and Recharge with Thomas Dooley Mon, Dec 08 Online Event More info RSVP Multiple Dates Reflective Writing for Metastatic Breast Cancer Fri, Dec 12 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 Multiple Dates Reflect and Recharge with Thomas Dooley Mon, Dec 08 Online Event More info RSVP Multiple Dates Reflective Writing for Metastatic Breast Cancer Fri, Dec 12 Online Event More info RSVP

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

Surviving Breast Cancer offers guidance on sex after breast cancer, helping survivors navigate intimacy, relationships, and emotional healing. Breast Cancer & Intimacy Sex After Breast Cancer In a previous blog and podcast we opined on the difficulties of maintaining relationships with loved ones, family, spouses, partners, etc. following a breast cancer diagnosis. Now we look at the adversarial effects of breast cancer towards sexual intimacy. Many, although not all, women find that breast cancer treatment, I.e. surgery, radiation, chemotherapy, estrogen eliminating hormonal therapy, severely hampers intimate sexual relations. Poor self image, physical exhaustion, painful treatment, and emotional distress all tend to weigh in negatively regarding sex drive. But overall recovery from breast cancer is partially dependent on overcoming the above referenced issues and participating in warm loving sexual acts. Sex can thus play a pivotal role. As we have mentioned in previous posts, single women who have been diagnosed worry how breast cancer will affect their relationship prospects, and also about how and when to tell those prospective lovers about their condition. The most uncomfortable stuff to talk about is probably your sex life and the changes that have taken place with your illness. You may not know what needs fixing or how to fix it, but you know things are different. Many women report having less sex than before their illness, for several reasons: • The breast cancer experience slows down your body. It takes longer to do lots of things, including getting interested in and starting and finishing sexual intercourse. • Sex may be uncomfortable or even painful if you've been thrown into sudden onset menopause. No surprise that you tend to have less sex, for now. Many women may have had little or no sex from the time of diagnosis through treatment. Most people have wild ideas about what goes on in other people's bedrooms. Give yourself a break: The carefully researched book Sex in America (by Michael, Gagnon, Laumann, and Kolata) tells us that Americans have a lot less sex than the movies, television, and the guys in the locker room would have you believe. The averages reported in that book are: • seven times a month between ages 30 and 40 • six times a month between ages 40 and 50 • five times a month between ages 50 and 60 For people over 60, the numbers continue to decline. But although you may assume that no one in their 70s and 80s has a sex life, that's just not so. Don't let the myths about other people's sex lives get in the way of what's happening in yours. And remember that there are exceptions to every pattern. If your sex life is not working the way you want it to, your doctor or nurse may be able to referee these issues with your partner and you. You can cue your doctor in advance, since he or she has most likely already touched on delicate issues with you. Maybe he or she can be the tour guide for the two of you. If your partner is there when you talk with the doctor who's managing your care, you and your partner both get a chance to air and dispel fears, and replace myths and false information with facts. Help from a pro Not all doctors and nurses are comfortable discussing sexual issues and practices. Most doctors don't routinely ask about your sex life. And patients don't usually begin to discuss their love life with a doctor who hasn't mentioned it. Nobody's talking! Someone has to break the pattern. A trained social worker, sex therapist, psychologist, or psychiatrist can help you open up communication with your partner and get around to talking about intimacy and sex issues. A support group may be more helpful than you might realize. Women in these groups often share advice that extends to the bedroom, including ways to increase sexual pleasure that are explicit and specific for women who've had breast cancer. Meeting needs in other ways Most marriages have problems that don't get fixed. Marriage is a package deal, and in marriages that work, the good things outweigh the bad. But as a survivor, you may find that breast cancer highlights the problems in your marriage. Can you live with those problems? Can you enjoy your marriage even as you contemplate what's missing? Can you capture the missing pieces in other ways? Give serious thought to your needs and how to meet them. Other ways to meet your needs: • Fantasy can enrich your life. Countless women read to fill the vacuum (romance novels are enormously popular). • Join a book club, a church or synagogue, or a group that meets to discuss investments, movies, or local politics. • Do more with individual friends, like walking, shopping ("retail therapy"), or travel. • Make a bigger deal of birthdays and anniversaries. • Expand your involvement in community or spiritual activities. • Get politically active in the breast cancer movement: camaraderie for a cause close to your heart. Having a serious illness almost always takes some kind of toll on your sex life. But breast cancer can bring all thoughts of intimacy and sexuality to a screeching halt. Treatments can bring on temporary -- and sometimes permanent -- premature menopause, making intercourse painful. Chemotherapy and radiation often lead to crushing fatigue. You may want to stay in bed, but you don’t want to use it for anything but sleep. The medications you take, as well as the emotional effects of the disease, can lead to depression. And of course, from the changes wrought by surgery to the hair loss and puffiness of chemotherapy, breast cancer can have a devastating effect on your body image and your ability to feel sexy. The sexual side effects of breast cancer can linger long after treatment stops. A 2007 follow-up report on young breast cancer survivors, conducted by researchers at the University of California-Berkeley, found that some women reported persistent sexual difficulties five years after their treatment had ended. And according to the National Cancer Institute, about one out of every two women who’ve undergone breast cancer treatment experiences long-term sexual dysfunction. That’s the bad news. But the good news is there is sex after breast cancer! > Sex and self-image Breast cancer changes the way you see your body. “Women sometimes feel very disconnected from their bodies when they go through this,” says Jean Carter, PhD. Carter is a licensed psychologist and the sexual health counselor for the sexual health program at Memorial Sloan-Kettering Cancer Center. “Your body’s been through so much and it’s worked to get well,” she says. ”But there have been sacrifices.” One thing you need to know early on is that your partner still finds you attractive and desirable. That’s rough on the days when you look in the mirror and can’t imagine ever feeling sexy again, much less looking sexy to someone else. It’s important to prepare yourself and your partner for what you’ll see. If you haven’t yet had surgery, ask your breast center if they have photographs of women after the kind of surgery you’ll undergo. Look at them with your partner and talk about what to expect. There's no denying that the sexual side effects of breast cancer can linger long after treatment is over, but there is sex after breast cancer. Lumpectomies, Mastectomies, Breast Reconstructions and Thoughts on Body Image. It was created by women in a cancer survivors’ group at Penn State. “The way your partner looks at your incision for the first time,” says Lillie Shockney, RN, “you’ll remember that forever.” Shockney is administrative director of the Johns Hopkins Breast Center and a breast cancer survivor herself. “If he has no clue what to expect and has a puzzled look on his face, the woman may interpret it as ‘He thinks I’m ugly, he thinks this is awful.’ Showing photographs can take the surprise away.” Communication is important. Talk with your partner about what you’re comfortable with, and what you’re not. “Both partners may be waiting for the other one to make the first move,” says Shockney. “She’s waiting for him to tell her he wants sex, and he’s waiting for her to touch him.” Your partner may be afraid of hurting you, or afraid that you’ll think he’s pushing you to have sex when you’re not ready simply by asking about it. If your breasts were major erogenous zones for you before surgery, you may be feeling particularly bereft after a mastectomy or even a lumpectomy . Shockney suggests taking the pressure off by exploring and discovering other areas of your body, rather than trying to “force it” in areas where you still have performance or body image issues. “For some women, the diminished arousal in areas of a newly constructed breast or scar tissue might serve as a painful reminder that their sex life has changed,” Shockney says. Instead, think of areas like shoulders, ears, and knees as new hot spots for intimate touch. If you’re still not comfortable with your new body, that’s what lingerie is for! There’s nothing wrong with getting a little help. A soft, satin nightie can be sexy and arousing. At the same time, it can help to conceal areas you’re still shy about. Or you can get even more creative. “I asked a patient to try using a feather boa to help her feel sexy, and at the same time keep her scars from being so evident. She loves it!” says Shockney. “It’s all about finding what you’re comfortable with.” Coping with changes But even as you get comfortable with the “new you” in the mirror, other parts of your body may be causing you problems in the bedroom. You may go through temporary menopause because of chemotherapy. Or if you have estrogen-receptor positive breast cancer, you may be taking hormonal therapy that can leave you in a menopausal state for years. The resulting vaginal dryness and other symptoms may make it painful to even think about having sex. “A lot of women I see are afraid to have sex,” Carter tells WebMD. “They’re really struggling. And it’s a shame, because there are wonderful, simple strategies to improve your sexual experience that, taken together, can work wonders.” Vaginal moisturizers. These aren’t lubricants, which are meant to be used during sex. Instead, they’re like the moisturizers you use on your face and hands, to benefit the tissues themselves. “They’re introduced as a suppository into the vagina adding moisture back into the vaginal space and giving it that natural elasticity,” says Carter. “It’s meant to be absorbed, and it helps the vagina to have more health and moisture for several days.” Lubricants. You definitely still want a lubricant for use during intercourse, says Carter. But lubricants should be combined with regular, ongoing use of vaginal moisturizers for best results. “If you’re feeling a rubbing or burning sensation during intercourse,” Carter says, “you don’t have enough lubrication. If it’s a stretching , painful sensation like the skin is going to split, you don’t have enough moisture.” Exercises. The classic Kegel exercises -- tightening and releasing the sphincter muscle as you do when you urinate -- that so many women use during pregnancy are also great for making intercourse easier. “If intercourse has been painful,” Carter says, “you may tighten up in anticipation of the pain. If you do Kegels right before intimacy , you fatigue the vaginal muscles and it is more open.” Vaginal dilators. A sex therapist, like Dr. Carter, can teach you how to use these dilators, which help gently stretch the vaginal tissue. Over and over again,” Carter says, “I’ve seen women who are completely hormonally deprived be able to have comfortable, enjoyable intimacy by using these strategies. A lot of the time, it’s so easy to fix. It astonishes me how often women come into my office and ask, ‘Why didn’t anyone tell me this? Shockney advises her patients to shake up their previous sexual habits. She tells them they may have been a silent player in bed before. But now she wants them to speak up. She tells them, “Say, ‘This feels good. This doesn’t feel good.’ Don’t rely on grunting for him to figure it out. That’s not the best way to communicate.” She also tells her patients, “If you’ve never watched an x-rated movie, try one -- just one. It may jump-start things, and you’ll be amazed at how active you’ll become. Or try various sex toys. So what if you never did these things before. You never had breast cancer before, either! I’ve had women come to me and say ‘I thought my sex life was great before, and then I thought I was going to lose it. But now it’s better than ever. TOPICS COVERED IN THIS EPISODE -People who refuse aspects of therapy including radiation. -What to expect when going in for radiation-Planning appointment -What is radiation and why would I need it? -Radiation and skin care -Proton Beam Radiation (the science behind protons; a number of clinical trials exploring proton beam radiation in the breast cancer community to minimize cardiac toxicity). -Risks association with radiation, but we still sign the consent. As a young breast cancer survivor, I ask Dr. Jimenez to explain the 10, 20 and 50 year plan for women who go through treatment. HEALTH RISKS -Cardiac toxicity -Field of cardio oncology partners and have mapped out the ideal -Herceptin and anthracyclines. After 5 years of survivorship, you should have a cardiac stress test. -Getting a baseline with an ultrasound of the heart so if there are changes, doctors can track them. -Our job (in Radiation Oncology) in follow up is to open up and make sure that referrals are made. How is your nutrition? Are you exercising? Did you schedule your next mammogram? QUOTES: "Your providers are your providers for life". "You are never a bother, it is our job and privilege to take care of you! " What's the Difference between Diet and Nutrition? On Breast Cancer Conversations, the Podcast Listen Now Looking for more ways to support your healing journey? View Programs

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. Home Page Breast Cancer 101 Lifestyle & Wellness Resources Programs Content Library Podcast: Breast Cancer Conversations Download the App Subscribe to the Newsletter Donate to a Program 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: Donating assets allows individuals to leave a lasting legacy of support for breast cancer patients and survivors. It embodies a commitment to making a positive difference in the lives of those affected by breast cancer, leaving an enduring impact on our community Encouraging Others to Give: Your donations serve as an inspiring example, encouraging others within our community and beyond to contribute, fostering a culture of generosity and philanthropy. The people in this community are so warm and welcoming. The conversations transcend beyond breast cancer stories, thus creating even stronger connections. I finally found my tribe! 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

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. 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A variety of breast cancer treatment options exist to help patients in their fight, including chemotherapy, surgery, radiation, and hormonal therapy. Breast Cancer Radiation Treatment Options Chemotherapy, Surgery, Radiation & Hormonal Therapy When you meet with your oncology team, it is always important to remember that this is a partnership; a partnership between you and your doctors. It is ok to ask questions, to ask for clarification and to ensure you are 100% comfortable with your treatment options. Depending on the type of breast cancer you have (Triple Negative, Lobular, Inflammatory, etc. ), and the stage of your breast cancer, your treatment options will vary. In some cases people will start with chemotherapy, while others may have surgery first. In some cases, if your cancer has spread to the bones or organs, surgery may not be necessary. The point is, treatments vary, and if you read our breast cancer stories , you'll see the wide range of experiences our members share. What's the Difference between Diet and Nutrition? On Breast Cancer Conversations, the Podcast Listen Now Radiation Therapy Video Library Welcome to our Radiotherapy Video Library, where we provide expert insights, real patient experiences, and practical tips to help you navigate radiation therapy for breast cancer. Whether you're preparing for treatment, currently undergoing radiotherapy, or managing side effects, our videos offer clear, compassionate guidance every step of the way. Radiation Therapy: What Every Breast Cancer Patient Needs To Know | With Dr. Rachel Jimenez TOPICS COVERED IN THIS EPISODE -People who refuse aspects of therapy including radiation. -What to expect when going in for radiation-Planning appointment -What is radiation and why would I need it? -Radiation and skin care -Proton Beam Radiation (the science behind protons; a number of clinical trials exploring proton beam radiation in the breast cancer community to minimize cardiac toxicity). -Risks association with radiation, but we still sign the consent. As a young breast cancer survivor, I ask Dr. Jimenez to explain the 10, 20 and 50 year plan for women who go through treatment. HEALTH RISKS -Cardiac toxicity -Field of cardio oncology partners and have mapped out the ideal -Herceptin and anthracyclines. After 5 years of survivorship, you should have a cardiac stress test. -Getting a baseline with an ultrasound of the heart so if there are changes, doctors can track them. -Our job (in Radiation Oncology) in follow up is to open up and make sure that referrals are made. How is your nutrition? Are you exercising? Did you schedule your next mammogram? QUOTES: "Your providers are your providers for life". "You are never a bother, it is our job and privilege to take care of you! " Listen Now Radiation Therapy for Metastatic Breast Cancer (MBC) with Dr. Rachel Jimenez and Dr. Kim Corbin. Listen Now Tales from the Radiology Tech Amy Ellen Parliman lives life by faith and enjoys spreading kindness. 26 years ago, she went to school to become a radiology technologist. She enjoys performing diagnostic imaging on her patients, she prides herself in safe and quality care. About 12 years ago she became a leader in her field and has moved into a leadership role in the Diagnostic Imaging Department. She worked in mobile imaging for 13 years, she recently changed jobs to reenter the hospital scene. She enjoys sharing her skills in diagnostic imaging with newer technologist. Her thoughts are to create an environment that is warm and inviting for patients during some of the worse times of their lives. She lives by a code to treat all of her patients like she wants her parents treated. Her goal is a smile or maybe a laugh while caring for her patients. Over the years she has been able to learn from her patients and team. On January 29, 2014 Amy became a Cancer patient. She underwent treatment for stage III breast cancer during 2014. She lived with NED until January 29, 2019 then she was told she had MBC. She is currently on her first line treatment. If the opportunity presents, she will share her various experiences of living after diagnosis. Listen Now Stories to Explore Tripple Negative Breast Cancer in your 20's and 30's >

SurvivingBreastCancer.org provides art workshops to help breast cancer patients & survivors heal emotionally using painting, collage, & other art forms. Art Expression for Breast Cancer Support & Healing Heal through creativity. Connect through color. Empower your spirit. Learn More Why Art Expression Matters Art expression is a powerful, non-verbal way to process the emotional complexities of a breast cancer diagnosis. At SurvivingBreastCancer.org, we provide guided workshops where you can use painting, drawing, collage, and other art forms to explore your healing journey—no artistic experience required. What To Expect In Our Art Expression Workshops Create in community with others who understand what you're going through Express emotions that may be difficult to put into words Reduce stress and anxiety through mindful creative activities Access inner resilience and foster a sense of control and empowerment Stitch & Share: A Mindful Crochet Gathering Wed, Dec 03 Online Event Sign Up RSVP "I’m not an artist, but these sessions gave me space to breathe, to cry, and to feel whole again." ~Mary , MN. Backed by Research Creative expression isn't just a hobby—it’s a validated practice that supports emotional well-being, stress reduction, and connection during the cancer journey. Over the past decade, a growing body of research has demonstrated the benefits of engaging in the arts for those affected by cancer. From painting and drawing to collage and mixed media, visual art-making offers meaningful ways to cope with uncertainty, process emotions, and reduce treatment-related distress. Reduces Emotional Distress and Anxiety A 2021 systematic review in Frontiers in Psychology found that art therapy interventions significantly reduced anxiety, depression, and distress in breast cancer patients. Many participants reported increased relaxation, improved mood, and a deeper sense of control [1]. Improves Quality of Life In a 2020 randomized controlled trial, women undergoing breast cancer treatment who participated in art-based interventions reported enhanced emotional and psychological quality of life. Activities like painting and mandala creation provided a calming outlet for stress and a structured way to express difficult emotions [2]. Decreases Fatigue and Boosts Self-Efficacy A 2018 study published in the Journal of Pain and Symptom Management found that art-making helped reduce treatment-related fatigue and fostered a sense of self-efficacy—particularly valuable for individuals navigating long-term or metastatic care [3]. Enhances Emotional Processing and Connection: According to a 2019 study in Arts & Health, breast cancer patients participating in group-based visual art sessions reported increased self-awareness, emotional expression, and peer connection. Creating art in community helped reduce isolation and build resilience [4]. Art On Demand 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, 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. Click on the videos below to watch Why It Matters At SurvivingBreastCancer.org, we recognize that emotional and mental well-being are essential aspects of whole-person care. Our Art Expression workshops are informed by this research and designed to: Create a safe space for emotional exploration Reduce stress and anxiety through mindful creativity Build a sense of control and agency during uncertain times Foster connection with others walking a similar path Whether you're coping with a new diagnosis, in active treatment, or living with metastatic breast cancer, art can offer comfort, insight, and a quiet moment of peace. 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. 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 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. Stitch & Share: A Mindful Crochet Gathering Wed, Dec 03 Online Event RSVP Looking For More Ways To Incorporate Creativity Into Healing? Check out our Expressive Writing Workshops and the transformative power of narrative storytelling to support your emotional well-being! Looking for more ways to support your healing journey? View Programs References: 1. Frontiers in Psychology, 2021 2. Thyme, K.E. et al. (2020). Effects of art therapy on quality of life for women undergoing breast cancer treatment. 3. Nainis, N., et al. Art Therapy Improves Quality of Life in Cancer Patients. Journal of Pain and Symptom Management. 4. Arts & Health, 2019

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.

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

Cancer bereavement Support Understanding and Coping Strategies for patients and caregivers Explore different ways on navigating grief following a cancer diagnosis. Discover expert insights, coping mechanisms, and support resources to help you through this challenging experience. Prioritize self-care and find solace in community understanding. After a breast cancer diagnosis, we often feel as though the world is crumbling around us. The shock of hearing such news about a loved one can be overwhelming, leaving us grappling with a whirlwind of emotions ranging from fear and sadness to anger and confusion. Learning to cope with the realities of the diagnosis is a journey filled with uncertainty and challenges. It requires resilience, strength, and a willingness to navigate through the unknown. Yet, amidst the darkness, there is also hope – hope for moments of joy amidst the struggle, and for the unwavering support of family, friends, and medical professionals. Each step forward, no matter how small, is a testament to our determination to confront and overcome the obstacles that lie ahead. Articles Our blog serves as a beacon of knowledge, offering valuable insights, personal stories, and practical advice Podcast Tune in to insightful discussions featuring experts, survivors, and caregivers sharing invaluable insights, practical tips, and heartfelt stories.

About Surviving Breast Cancer Sur.viv.or. anyone who has been diagnosed with breast cancer. You are surviving! Our Story Survivingbreastcancer.org (SBC) was created in 2017 to help fill the gaps in breast cancer support, education and resources. It was founded by Laura Carfang, recently diagnosed at that time in her early 30’s, and has grown exponentially since, serving members in the global breast cancer community. Over these past few years the SBC website has been visited by community members (over 1,000,000 page views) across 120+ countries, and Laura’s podcast, Breast Cancer Conversations has been listened to in over 80 countries. The SBC website has been translated into Spanish, French, Italian and Arabic. Leveraging technology and breaking down barriers to access and information, SBC puts the patient first, educating, encouraging and inspiring advocacy. Community members are encouraged to participate in the various free programming, events and services and are all invited to contribute to resolving the growing needs of this population. All services, education, programming and events are free to those diagnosed with breast cancer, as well as their caregivers. Our Approach SBC serves as an educational and virtual community platform offering support and meeting patients and their families where they are on the continuum of a cancer diagnosis. We combine evidence-based medical research with the personal lived experiences of those we serve. From risk reduction strategies and prevention, to treatment, survivorship, living with a terminal diagnosis, navigating end of life, and beyond, Surviving Breast Cancer is here for you every step of the way. Our Core Values We Belive in Collaboration We Care About Our Community We Engage in Win-Win Partnerships that Bring Value and Have Impact We Lead with Integrity We Serve with Compassion & Empathy We Put People First We Treat Everyone with Dignity & Respect We Embrace Innovation Who We Serve Breast cancer does not just affect the patient; it affects everyone around them. That is why we develop comprehensive programs, services, and education to meet the needs of: Those diagnosed with breast cancer Those living with metastatic breast cancer Spouses, families, and children caring for a loved one diagnosed with breast cancer Spouses, families, and children who have lost a loved one to breast cancer Our Mission To empower those diagnosed with breast cancer and their families from day one and beyond. Meet Our Team, Partners and Collaborators SBC partners with patient advocates, medical oncologists, physicians, and experts in the field, as well as corporations and organizations, to offer the best education, support, and community resources so that we can execute our mission. Meet our Team Learn More About Our Partners Our Purpose SurvivingBreastCancer.org (SBC) is a national nonprofit dedicated to ensuring that no one faces breast cancer alone. Through education, community, and integrative oncology–inspired programs, SBC provides free resources, support groups, and wellness opportunities to empower those impacted by breast cancer to live fully and thrive. At SBC, we believe healing is more than medical treatment—it’s emotional, mental, and spiritual well-being. Our holistic approach bridges evidence-based education with whole-person support, creating a community where every individual feels seen, supported, and empowered throughout their cancer journey.

Círculo de Mujeres Un espacio recurrente diseñado especialmente para mujeres diagnosticadas con cáncer que buscan trabajar en sí mismas, descubrir nuevas herramientas de crecimiento personal y fortalecer su bienestar emocional. A través de dinámicas de coaching, reflexión y acompañamiento grupal, cultivamos juntas la resiliencia, el empoderamiento y una nueva mirada hacia la vida. Multiple Dates Thu, Dec 04 Círculo de mujeres / Zoom RSVP Dec 04, 2025, 8:00 PM EST – Dec 05, 2025, 9:00 PM EST 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. See All Multiple Dates Thu, Dec 18 Círculo de mujeres / Zoom RSVP Dec 18, 2025, 8:00 PM EST – Dec 19, 2025, 9:00 PM EST 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. Comunicación asertiva con familiares, médicos y cuidadores Aprender a establecer límites, expresar necesidades y tomar decisiones informadas es clave durante el proceso oncológico. En el Círculo de Mujeres, fomentamos la comunicación asertiva como una herramienta poderosa para mejorar las relaciones personales y el autocuidado. Las participantes desarrollan confianza para dialogar con su equipo médico, familiares y cuidadores desde un lugar de claridad, respeto y seguridad. Manejo emocional después del diagnóstico En el Círculo de Mujeres abordamos el manejo emocional tras un diagnóstico de cáncer como una parte fundamental del proceso de sanación. Reconocer, expresar y validar emociones como el miedo, la tristeza o la incertidumbre ayuda a liberar tensiones y a fortalecer el equilibrio emocional. A través de dinámicas grupales, técnicas de journaling y ejercicios de mindfulness, las participantes aprenden a cultivar una mentalidad más compasiva y resiliente. Autoestima y reconexión con el cuerpo El cáncer puede transformar la relación que una mujer tiene con su cuerpo. En este espacio, trabajamos la autoestima y la reconexión corporal desde la aceptación y el amor propio. Usamos herramientas de visualización, movimiento consciente y diálogo interior para recuperar la confianza, reconectar con la feminidad y honrar el cuerpo como un aliado en el camino de recuperación. Multiple Dates Círculo de mujeres Thu, Dec 04 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. See All RSVP

Looking for a breast cancer support group? Join our Thursday Night Thrivers group to meet like-minded people for peer-to-peer support. SBC Weekly Virtual Support Groups: Thursday Night Thrivers Featuring sessions for all stages of breast cancer, metastatic breast cancer (MBC), early-stage breast cancer, inflammatory breast cancer (IBC), and a Spanish-language group! Join SurvivingBreastCancer.org’s virtual meetup We Get It — And We Get You Do you ever just want to meet up and hang out with people who get it—without having to explain? That's exactly what Thursday Night Thrivers is all about. No matter your stage or type of breast cancer – whether you were just diagnosed, navigating survivorship, or living with metastatic breast cancer (MBC) – Thursday Night Thrivers is for you. You belong here. If you’re looking for a “come as you are,” agenda-free meetup, you’re in the right place. We meet weekly in a safe, welcoming, and judgment-free virtual space where we can show up as our full selves—however we’re feeling that day. See below for the full Thursday Night Thrivers lineup. RSVP Below - See you there! Multiple Dates Early Stage Meetup -Thursday Nights Thrivers Thu, Dec 04 Virtual More info RSVP Multiple Dates MBC Peer to Peer Support Thu, Dec 04 Virtual More info RSVP Multiple Dates Thursday Nights Thrivers Meetup Thu, Dec 11 Virtual More info RSVP Multiple Dates Thursday Night Thrivers IBC Meetup Thu, Dec 11 Online Event More info RSVP Multiple Dates MBC Support Group with Nancy Gaulin Thu, Dec 18 Virtual More info RSVP Multiple Dates Grupo de Apoyo: Después de un Diagnóstico Tue, Dec 23 Virtual More info RSVP Thursday Nights Thrivers Meetup Thu, Dec 25 Zoom More info RSVP More Than a Support Group Yes, we talk about breast cancer. But Thursday Night Thrivers is more than that. It’s a space to laugh, cry, celebrate the wins (big and small), and lean on one another through the tough days. We’ve built a community where authentic friendships form and last well beyond a Zoom call. Many participants say this is the first place they’ve felt truly seen since their diagnosis. Who Can Join? Everyone! You’re newly diagnosed and overwhelmed You’re in treatment and navigating side effects You’ve finished treatment and wondering, “What now?” You’re living with MBC and want connection, not pity All are welcomed at our table. What People Are Saying Laura D., MA My Testimonial Thank you for last night! I was so happy to celebrate the start of 2020 with such a dynamic and friendly group of women. The conversation transcended even beyond breast cancer stories, thus creating even stronger connections.” Caroline Paterson My Testimonial Thank you for hosting this amazing event and for all of the other things you continue to do to keep us all educated. I feel such a sense of community and I’ve only come to two Thrivers’ meetings so far. I cannot wait for next week! Explore More Programs

Learn about Metastatic breast cancer, also called stage IV breast cancer, and the innovative treatments that are changing the story for patients. Living with Metastatic Breast Cancer Resources & Support So You Can Keep Living Life! Created in partnership with Abigail Johnston and the Grieving Together Project. In honor of the late Alyson Tischler. What is Metastatic Breast Cancer? Metastatic breast cancer—also called stage IV breast cancer—means that the cancer has spread beyond the breast and nearby lymph nodes to other parts of the body. Common sites of metastasis include the bones, liver, lungs, and brain. When breast cancer cells travel through the blood or lymphatic system to other organs, they can grow and form new tumors. Read More Advanced Treatment Options If you’ve recently been diagnosed with metastatic breast cancer (MBC), it can feel like you’re suddenly thrust into a new world filled with acronyms, treatment decisions, and unfamiliar terminology. We take a deeper look at four innovative categories of treatment that are changing the landscape of metastatic breast cancer care: CDK4/6 inhibitors, Antibody-drug conjugates , Immunotherapies, & PARP inhibitors Read More Understanding Survivor's Guilt Why Am I Still Here When Others Are Gone? If you’ve ever felt this way, you’re not alone. Many people living with metastatic breast cancer (MBC), or have no evidence of disease/ active disease, after treatment experience a complex emotional weight known as survivor’s guilt. Read More What is Metastatic Breast Cancer? Newly Diagnosed with MBC? Start Here Explore a wide variety of programs, virtual meet-ups, webinars, blogs, & podcasts curated specifically for those living with Metastatic Breast Cancer. Monthly Metastatic Breast Cancer Webinars Explore the Series Attend Upcoming Events &Programs See The Full Calendar Enhance your Advocacy Get involved and volunteer with SBC Today! Contact Us Handy Resouces File Name Description Download SBC MBC Legacy Workshop Handout Ideas, inspiration, and resources for leaving your legacy Estate Planning for the Terminally Ill A practical guide to the logistics and administration of estate planning. Financial Literacy & Breast Cancer Definition of terms, budget sheets, and financial considerations to help you navigate MBC MBC Resources (Recap from SABCS 2022) Breast Cancer Advocates, Stephanie Walker and Christine Hodgdon share a PDF with MBC resources. Read the Blog Join Our Mailing List and Receive Weekly Newsletters and Announcements Subscribe to Our Mailing List Join Thanks for subscribing!