Hormone receptor-positive (HR+) breast cancer accounts for a significant percentage of breast cancer diagnoses, characterized by the presence of hormone receptors—estrogen and progesterone receptors—on cancer cells. Understanding HR+ breast cancer and the latest treatment updates is pivotal in offering tailored therapies for improved outcomes. Understanding Hormone Receptor-Positive Breast Cancer HR+ breast cancer is defined by cancer cells having receptors for estrogen, progesterone, or both. These receptors fuel the growth of cancer cells, making HR+ breast cancer sensitive to hormonal therapies. Diagnosis and Subtyping Diagnostic Techniques: Immunohistochemistry (IHC) and other laboratory tests detect hormone receptor status. Subtyping HR+ breast cancer helps guide treatment decisions. Hormonal Therapies: Cornerstone of Treatment Endocrine Therapy Options: Selective Estrogen Receptor Modulators (SERMs) like tamoxifen block estrogen's effects on cancer cells. Aromatase Inhibitors (AIs) prevent estrogen production in postmenopausal women. Combination Therapies: Combining hormonal therapies or pairing with targeted agents enhances efficacy. Latest Treatment Updates CDK4/6 Inhibitors: CDK4/6 inhibitors (e.g., palbociclib, ribociclib, abemaciclib) are game-changers in HR+ metastatic breast cancer. Combined with hormonal therapies, they significantly prolong progression-free survival. Extended Endocrine Therapy: Recent studies evaluate the benefit of extended hormonal therapy beyond the standard 5-year duration. Offers potential for reducing recurrence risk in HR+ early-stage breast cancer. Precision Medicine: Tailoring Treatments Genomic Profiling: Advancements in genomic testing aid in identifying HR+ breast cancer subtypes and predicting response to treatments. Personalized medicine directs therapies based on individual tumor characteristics. Challenges and Emerging Research Resistance Mechanisms: Development of resistance to hormonal therapies remains a challenge. Ongoing research explores mechanisms of resistance and novel treatment strategies. Immunotherapy in HR+ Breast Cancer: Exploring the role of immunotherapy, including immune checkpoint inhibitors, in HR+ breast cancer treatment. Management Beyond Treatment Side Effect Management: Addressing side effects of hormonal therapies, such as hot flashes, bone health issues, and menopausal symptoms. Patient Support and Survivorship: Importance of patient support programs, survivorship care plans, and psychosocial support for HR+ breast cancer survivors. Advancements in HR+ Breast Cancer Treatment The landscape of HR+ breast cancer treatment is continually evolving with innovative therapies and precision medicine approaches. Latest updates in hormonal therapies, combination strategies, and precision medicine offer new avenues for improved outcomes, emphasizing the importance of tailored treatments and ongoing research to combat HR+ breast cancer effectively.

A breast cancer diagnosis is not merely a physical battle but also a significant emotional and psychological journey. Navigating the emotional impact of breast cancer is crucial for overall well-being, and incorporating coping strategies and seeking support can aid in managing the emotional challenges effectively. Understanding the Emotional Impact A breast cancer diagnosis can evoke a range of emotions—fear, anxiety, sadness, anger, uncertainty, and more. Emotional responses vary among individuals and may change throughout the treatment journey. Coping Strategies for Emotional Well-being Seeking Support: Connecting with family, friends, or support groups provides a network of understanding and empathy. Maintaining Open Communication: Honest and open discussions with healthcare providers and loved ones about fears and concerns alleviate emotional burdens. Mindfulness and Relaxation Techniques: Practices like meditation, deep breathing exercises, yoga, or guided imagery reduce stress and promote relaxation. Expressive Therapies: Engaging in creative outlets such as art, music, or journaling allows expression of emotions. Healthy Lifestyle Habits: Prioritizing regular exercise, adequate sleep, a balanced diet, and minimizing alcohol and tobacco consumption contribute to emotional well-being. The Role of Support Resources Support Groups: Local or online support groups provide a safe space for individuals to share experiences, receive encouragement, and learn coping strategies. Counseling and Therapy: Professional counseling, therapy, or psychiatric support helps manage distress, anxiety, or depression. Patient Navigators: Trained navigators guide patients through their treatment journey, offering emotional support and resources. Peer Mentoring Programs: Connecting newly diagnosed individuals with breast cancer survivors offers valuable insights and emotional support. Managing Fear and Uncertainty Educating Oneself: Understanding the disease, treatment options, and potential side effects empowers individuals to feel more in control. Mindfulness and Acceptance: Embracing uncertainty and practicing mindfulness helps cope with the fear of the unknown. Staying Present: Focusing on the present moment rather than worrying about the future or dwelling on the past promotes emotional resilience. Supporting Caregivers and Loved Ones Recognizing the emotional toll on caregivers and loved ones is essential. Providing them with support, encouraging open communication, and directing them to caregiver support groups or resources aids in their well-being. Conclusion: Embracing Emotional Resilience Emotional well-being during breast cancer is a multifaceted journey. Coping strategies, seeking support, and accessing available resources play a vital role in navigating the emotional challenges. Embracing emotional resilience empowers individuals to manage their emotional well-being effectively throughout the breast cancer journey.

In the ever-evolving landscape of cancer research, the emergence of circulating tumor DNA (ctDNA) has revolutionized the field of oncology, offering a promising avenue for early detection, monitoring, and personalized treatment strategies in breast cancer. Understanding ctDNA: What is it and How Does it Relate to Breast Cancer? ctDNA, often referred to as "liquid biopsy," consists of small fragments of DNA released into the bloodstream by tumor cells as they undergo cell death or turnover. These minute traces of genetic material carry valuable information about the genomic alterations specific to the tumor, reflecting its heterogeneity. In the context of breast cancer, ctDNA analysis provides an opportunity to comprehensively study the tumor's genetic profile without the need for invasive procedures like tissue biopsies. This non-invasive approach holds tremendous potential for monitoring disease progression, detecting minimal residual disease (MRD), and tracking treatment response, ushering in an era of precision medicine tailored to individual patients. The Role of ctDNA in Breast Cancer Detection and Monitoring Early detection remains pivotal in improving breast cancer outcomes. ctDNA analysis presents a promising tool for detecting cancer at earlier stages, even before clinical symptoms manifest. By identifying specific genetic mutations or alterations characteristic of breast cancer, ctDNA assays enable the identification of minimal residual disease post-surgery or after completing treatment, aiding in assessing the risk of disease recurrence. Moreover, ctDNA monitoring allows for real-time tracking of treatment response and disease progression. Changes in ctDNA levels or alterations in the genetic profile can provide vital insights into the tumor's behavior, allowing oncologists to adapt treatment plans promptly for optimal therapeutic outcomes. Harnessing ctDNA for Personalized Treatment Strategies One of the most remarkable aspects of ctDNA lies in its potential to guide personalized treatment approaches. By analyzing the genetic mutations present in ctDNA, oncologists can identify targetable alterations and select appropriate targeted therapies or immunotherapies. This tailored approach minimizes trial-and-error in treatment selection, enhancing efficacy while potentially reducing adverse effects. Additionally, ctDNA analysis facilitates the identification of acquired resistance mutations during the course of treatment. This information is invaluable in altering therapeutic regimens, switching to alternative therapies, or enrolling patients in clinical trials testing novel treatments tailored to combat specific mutations. Challenges and Future Directions Despite its promise, challenges persist in the widespread implementation of ctDNA analysis in breast cancer care. Sensitivity and specificity of ctDNA assays, standardization of methodologies, and cost-effectiveness are areas of ongoing research and refinement. Looking ahead, ongoing studies aim to further elucidate the clinical utility of ctDNA across various breast cancer subtypes, exploring its potential in predicting treatment response, monitoring minimal residual disease, and guiding long-term survivorship care. Conclusion: Embracing the Potential of ctDNA in Breast Cancer Care ctDNA stands at the forefront of a transformative shift in breast cancer management, offering a minimally invasive, real-time window into the tumor's genetic landscape. Its application in early detection, treatment monitoring, and personalized therapy heralds a new era of precision oncology, promising improved outcomes and enhanced patient-centered care in the fight against breast cancer. As research continues to unravel the full potential of ctDNA, its integration into routine clinical practice holds the promise of revolutionizing how we diagnose, treat, and ultimately conquer breast cancer.

Exercise plays a crucial role in the recovery journey for individuals diagnosed with breast cancer. Engaging in physical activity during and after treatment offers numerous benefits that positively impact physical health, emotional well-being, and overall quality of life. Benefits of Exercise During Breast Cancer Recovery Enhanced Physical Strength and Function: Regular exercise helps maintain muscle strength, flexibility, and overall physical function, combating the effects of cancer treatments that can lead to muscle weakness or reduced mobility. Reduced Treatment Side Effects: Exercise may alleviate common side effects of breast cancer treatment, such as fatigue, nausea, and neuropathy, improving overall tolerance to therapies. Improved Mental Health: Physical activity is linked to reduced anxiety, depression, and stress, promoting a positive mindset and emotional well-being during a challenging period. Enhanced Quality of Life: Engaging in regular exercise contributes to an improved quality of life by boosting energy levels, promoting better sleep, and fostering a sense of control and empowerment. Types of Exercise Recommended for Breast Cancer Recovery Aerobic Exercise: Activities like brisk walking, cycling, swimming, or dancing elevate heart rate and promote cardiovascular health. Strength Training: Resistance exercises using bands or weights help maintain muscle mass and strength, combating the muscle loss often experienced during treatment. Flexibility and Stretching: Yoga, Pilates, or stretching exercises enhance flexibility, improve posture, and reduce muscle tension. Exercise Recommendations and Considerations Consultation with Healthcare Providers: Prioritize discussions with healthcare providers before starting an exercise regimen, especially during treatment phases, to ensure safety and appropriateness. Gradual Progression: Start slowly and gradually increase the intensity and duration of exercise to avoid overexertion or injury. Individualized Approach: Tailor exercises to personal preferences, considering physical abilities, fitness levels, and any specific treatment-related limitations. Consistency Is Key: Aim for regular, moderate-intensity exercise sessions, striving for at least 150 minutes of moderate exercise or 75 minutes of vigorous exercise weekly. Creating an Exercise Routine Warm-Up and Cool Down: Incorporate warm-up and cool-down exercises before and after workouts to prepare the body and prevent injury. Mind-Body Activities: Activities like meditation, mindfulness, or gentle yoga can complement physical exercise, addressing emotional and mental well-being. Social Support: Engage in group exercise classes or seek support from friends and family to stay motivated and committed to an exercise routine. Conclusion: Empowering Breast Cancer Recovery through Exercise Exercise stands as a cornerstone in the recovery journey for breast cancer survivors. Its multifaceted benefits, from physical strength to emotional resilience, underscore the importance of integrating regular exercise into the breast cancer recovery plan. Tailoring an exercise regimen to individual needs and seeking guidance from healthcare providers can maximize the positive impact of exercise on overall well-being during and after breast cancer treatment.

Receiving a breast cancer diagnosis can be a daunting and challenging experience, not just for the individual diagnosed but also for their family and friends. Knowing how to offer meaningful support to a loved one facing breast cancer is crucial in helping them navigate through this difficult journey with comfort and resilience, but remember to take care of your mental and physical health, too. This article aims to provide insights into supporting loved ones facing breast cancer, offering practical tips, emotional guidance, and ways to be a pillar of support during this challenging time. Understanding Emotional Support Needs Emotional support is vital for someone facing breast cancer. Receiving a cancer diagnosis can be extremely isolating and anxiety-inducing. Here are ways to provide meaningful emotional support: Practice active listening: Be present and attentive when your loved one wants to talk. Let them share their feelings without judgment or interruption. Focus on listening to understand, rather than to respond. Provide empathy and validation: Validate their emotions, fears, and concerns. Express empathy by acknowledging their feelings and offering reassurance. Offer encouragement: Provide words of encouragement and support. Simple phrases like “I’m here for you” or “You’re not alone in this” can make a significant impact. Respect their coping mechanisms: Everyone copes differently. Respect their coping mechanisms, whether they prefer solitude or seek company. Try to stay away from “toxic positivity”: Don’t confuse this with losing hope! However, toxic positivity can reject difficult emotions and invalidate some normal fears, minimizing their experience, and potentially lead to feelings of shame. Providing Practical Support Assisting in practical support can greatly alleviate certain burdens for someone experiencing breast cancer. Some may find it difficult to ask for help. You can support them by offering to take on tasks you know can be done by others, such as: Help with daily chores: Offer to assist with household chores, grocery shopping, meal preparation, or childcare responsibilities. Accompany them to appointments: Attend doctor’s appointments or treatment sessions if your loved one desires company or needs assistance. Consider creating a shared calendar to keep track of appointments. Help with financial tasks: Offer to help organize bills or seek financial aid resources to alleviate their financial burden during treatment. Help them with research and information: Help gather information on treatment options, support groups, or helpful resources that might benefit them. Offer to receive access to their medical information: Whether you are near or far, the information overload and medical jargon can be difficult for you and your loved one to process. If you are caring for your loved one from afar, you may not be able to attend every appointment, and important information can get lost in translation. If your loved one is comfortable with it, allowing you access to their medical information can help with better communication between you and their doctors. Respecting Boundaries and Privacy Respecting boundaries is crucial when supporting a loved one with breast cancer. Sometimes adjusting to needing and receiving help can be overwhelming. It is important to remember that although they are becoming more dependent on you, they also crave a level of normalcy. Here are some ways to help with this: Respect their privacy: Be understanding if they choose not to discuss certain details about their diagnosis or treatment. Ask before offering advice: Always ask before giving advice or suggestions. Sometimes they might just need someone to listen rather than offer solutions. Be mindful of physical contact: Respect their physical boundaries. Some individuals may feel uncomfortable with physical affection or hugs. Encouraging Self-Care and Well-Being Encouraging self-care is essential for their overall well-being. Here are some approaches to consider: Promote healthy habits: Encourage them to prioritize self-care through activities like meditation, gentle exercises, or hobbies they enjoy. If you know their favorite hobby they can partake in, offer to participate with them. Offer to accompany them: Accompany them on walks, yoga sessions, or activities they find relaxing and rejuvenating. Make sure to keep their current health status in mind when doing so. Asking them to do things they aren’t physically able to do at the moment can sometimes lead to discouragement. Express gratitude: Express gratitude for their strength and courage, reminding them that you are inspired by their resilience. Remember YOUR Self-Care and Well-Being, Too Caring for a loved one while they are experiencing cancer and witnessing their good and bad days can be emotionally and physically draining. In order to be a good support for them, you need to take care of yourself, too. Make sure you are eating and sleeping well, engaging in hobbies you enjoy, and taking care of your mental and physical health to avoid burnout so that you have the energy to support them. Consider activities like therapy, meditation and journaling to work through your emotions. Find someone that’s a good listener you can vent to about what you are going through. If it’s too much for you to fill people in on how your loved one is doing when they ask, remember that you do not have to tell anyone anything. You can find an ambiguous phrase like “we’re taking it day by day” to use instead of delving into details. It is a tough experience for both the person with cancer and their loved ones. Make sure you give yourself space to feel what comes up for you during this time. While caring for your loved one, it is vital to care for yourself, too. The Bottom Line: Being a Pillar of Support Supporting a loved one through breast cancer requires empathy, patience, and understanding. Your willingness to listen, offer practical help, and respect their boundaries can make a significant difference in their experience. Remember, being a supportive presence is often the most valuable form of assistance.

Breast cancer treatment, while essential for combating the disease, often brings along various side effects that can significantly impact a patient's quality of life. Understanding and effectively managing these side effects are crucial for the well-being and comfort of individuals undergoing treatment. Common Side Effects of Breast Cancer Treatment Fatigue: Persistent tiredness or lack of energy that can affect daily activities. Hair Loss: Often a side effect of chemotherapy, causing temporary or permanent hair loss. Nausea and Vomiting: Chemotherapy or other medications can cause digestive issues. Pain: Aches or discomfort, especially after surgery, radiation, or certain treatments. Lymphedema: Swelling in the arms or chest due to damage to the lymphatic system. Cognitive Changes: Referred to as "chemo brain," causing memory problems or mental fog. Emotional Distress: Anxiety, depression, or mood changes due to the stress of diagnosis and treatment. Tips for Managing Side Effects Fatigue Management: Prioritize rest, practice gentle exercises like walking or yoga, and maintain a balanced diet. Hair Loss Support: Consider wearing scarves, hats, or wigs. Also going all natural can be equally empowering Nausea Relief: Follow prescribed anti-nausea medications, eat smaller meals, and avoid strong odors and spicy foods Pain Management: Communicate with healthcare providers about pain levels for appropriate pain relief strategies. Lymphedema Prevention: Avoiding heavy lifting, wearing compression garments, and practicing gentle exercises. Coping with Cognitive Changes: Use memory aids, organize tasks, and allow time for mental breaks. Seeking Emotional Support: Join support groups, speak with a therapist, or consider complementary therapies like mindfulness or meditation. Supportive Care Services Palliative Care: Specialized medical care focusing on improving the quality of life for patients and their families. Rehabilitation Services: Physical therapy or occupational therapy to address functional limitations. Nutritional Support: Consulting a dietitian to maintain proper nutrition and manage side effects. Psychosocial Support: Counseling, support groups, or therapy to address emotional distress and promote mental well-being. Complementary Therapies: Integrative therapies like acupuncture, massage, or relaxation techniques to alleviate side effects. Conclusion: Embracing Support and Self-Care Managing side effects during breast cancer treatment is a significant aspect of the journey. By adopting various strategies, seeking support, and accessing available resources, individuals can enhance their quality of life and navigate through treatment with greater comfort and resilience.

Breast cancer is a complex disease influenced by various factors, including genetics, lifestyle, and environmental aspects. Emerging research suggests that dietary choices and nutrition play a pivotal role in both preventing the onset of breast cancer and aiding in the recovery process. Understanding the Link Between Diet and Breast Cancer Numerous studies indicate a significant correlation between dietary habits and the risk of developing breast cancer. While no specific food guarantees complete prevention, certain dietary patterns can potentially reduce the risk: Balanced Diet: Emphasizing a diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats can contribute to overall health and possibly reduce the risk of breast cancer. Healthy Fats vs. Saturated Fats: Consuming healthy fats found in avocados, nuts, seeds, and olive oil while minimizing saturated fats from red meat and processed foods can be beneficial. Limiting Alcohol Intake: Studies suggest a clear link between increased alcohol consumption and an elevated risk of breast cancer. Reducing alcohol intake or avoiding it altogether is recommended. Maintaining a Healthy Weight: Obesity or excess body weight, particularly after menopause, can increase the risk of breast cancer. Regular exercise and a balanced diet help in weight management. Nutrition During Breast Cancer Treatment During breast cancer treatment, maintaining proper nutrition becomes crucial to support the body through therapies that can impact appetite and overall health: Adequate Protein Intake: Protein is essential for tissue repair and healing. Incorporating lean proteins such as poultry, fish, legumes, and dairy helps maintain muscle mass. Focusing on Whole Foods: Prioritize a diet rich in whole grains, fruits, and vegetables to ensure a diverse array of nutrients and antioxidants. Hydration: Staying hydrated is vital, especially during treatments that might cause dehydration. Aim for adequate water intake and avoid sugary beverages. Managing Side Effects: Some foods might exacerbate treatment side effects. For instance, ginger can help alleviate nausea caused by chemotherapy. Role of Phytochemicals and Antioxidants Certain nutrients, particularly phytochemicals and antioxidants present in plant-based foods, exhibit potential in aiding breast cancer prevention and recovery: Cruciferous Vegetables: Vegetables like broccoli, kale, and cauliflower contain compounds believed to have protective effects against cancer. Berries and Citrus Fruits: Rich in antioxidants, berries and citrus fruits may help reduce oxidative stress and inflammation. Omega-3 Fatty Acids: Found in fatty fish like salmon and walnuts, omega-3s possess anti-inflammatory properties. Conclusion: Harnessing the Power of Nutrition While no single food or nutrient guarantees breast cancer prevention or recovery, adopting a balanced and healthy diet can contribute significantly to overall health and well-being. Consultation with a healthcare professional or registered dietitian is crucial to creating a personalized nutrition plan that aligns with individual needs during breast cancer prevention and treatment.

Breast cancer treatment often involves a combination of conventional medical approaches such as surgery, chemotherapy, and radiation therapy. However, many individuals also explore holistic or complementary practices to augment their overall well-being during and after treatment. Understanding these holistic approaches, their benefits, and their integration with conventional treatments can be valuable for individuals navigating the breast cancer journey. Understanding Holistic Approaches to Complement Breast Cancer Holistic approaches encompass a wide range of practices that focus on treating the whole person—mind, body, and spirit. These practices aim to complement traditional medical treatments and may include: Mindfulness and Meditation: Mindfulness practices cultivate present-moment awareness and meditation techniques that promote relaxation and stress reduction. Yoga and Exercise: Yoga offers physical activity combined with breathing exercises and meditation, promoting flexibility, strength, and stress relief. Acupuncture: This traditional Chinese medicine technique involves inserting thin needles into specific points on the body to alleviate pain and promote overall well-being. Nutritional Therapy: Emphasizing a balanced diet with whole foods, antioxidants, and supplements to support overall health during treatment. Benefits of Holistic Approaches Stress Reduction: Holistic practices like meditation, yoga, or deep breathing exercises can help reduce stress and anxiety levels often associated with cancer treatment. Pain Management: Techniques like acupuncture or massage therapy might assist in managing treatment-related pain or discomfort. Enhanced Well-being: Holistic practices contribute to overall well-being by promoting relaxation, improving sleep quality, and fostering a positive outlook. Supporting Conventional Treatments: Integrating holistic approaches can complement traditional treatments by supporting the body's natural healing processes. Integrating Holistic Approaches with Conventional Treatments Consultation with Healthcare Providers: Always consult with healthcare providers before incorporating holistic practices, ensuring they align with the ongoing treatment plan. Incorporating Mindfulness: Practice mindfulness and relaxation techniques daily to manage stress and promote emotional well-being. Physical Activity: Engage in gentle exercises, such as yoga or walking, to improve flexibility, reduce fatigue, and enhance overall wellness. Nutritional Guidance: Seek guidance from a registered dietitian to ensure a balanced diet that supports treatment and recovery. Safety and Considerations Communication with your Healthcare Team: Inform healthcare providers about any complementary practices being incorporated into the treatment plan. Individualized Approach: Holistic approaches should be personalized to meet individual needs and preferences. Potential Interactions: Some herbs or supplements might interact with medications, so always discuss these with healthcare providers. Conclusion: Enhancing Well-being Holistically Holistic approaches offer a multifaceted approach to support individuals throughout their breast cancer journey. When integrated thoughtfully with conventional treatments and under the guidance of healthcare professionals, these practices can contribute positively to emotional well-being, stress reduction, and overall quality of life. This comprehensive guide aims to explore holistic approaches that complement conventional breast cancer treatments, emphasizing their benefits, integration with medical care, and considerations for individuals seeking to enhance their well-being during and after breast cancer treatment.

In this article, we debunk common myths and provide factual insights into the use of herbal remedies and supplements in breast cancer. We emphasize the importance of informed decisions and consultation with healthcare providers when considering complementary therapies in the breast cancer journey. Navigating breast cancer treatment often leads individuals to explore various complementary therapies, including herbal remedies and supplements. While these options may promise benefits, understanding the myths and facts surrounding their efficacy and safety is crucial for individuals seeking complementary support. 1. Herbal Remedies and Supplements in Breast Cancer: 5 Myths vs. Facts Myth: Herbal Remedies Alone Can Cure Breast Cancer Fact: While early stage breast cancer is treatable, if not curable, there is no cure for metastatic breast cancer (also known as Stage IV breast cancer). Herbal remedies and supplements are not standalone treatments for breast cancer. They are complementary and should not replace conventional medical treatments such as surgery, chemotherapy, or radiation therapy. There is insufficient scientific evidence to support claims of herbs or supplements curing cancer. You should always speak with your medical team about any herbal supplements you are considering as some supplements may interfere with your current treatments. 2. Herbal Remedies and Supplements in Breast Cancer: 5 Myths vs. Facts Myth: All Herbal Remedies and Supplements Are Safe Fact: Not all herbal remedies and supplements are safe, and some may interfere with cancer treatments or pose risks. For instance: St. John's Wort: This herb can interfere with chemotherapy drugs and reduce their effectiveness. Soy Supplements: Contain phytoestrogens that may affect hormone-sensitive breast cancer treatments. Green Tea Extract: May interfere with certain medications or exacerbate side effects. 3. Herbal Remedies and Supplements in Breast Cancer: 5 Myths vs. Facts Myth: Natural Means Safe Fact: Natural does not always equate to safe. In fact, several products have started utilizing the term “natural” on their branding and marketing as consumers equate “natural” with health. Herbal remedies and supplements can have potent active ingredients that may interact with medications or cause adverse effects. Don’t be fooled by labels! Additionally, not all herbal remedies and supplements are safe, and some may interfere with cancer treatments or pose risks. For instance: St. John's Wort: This herb can interfere with chemotherapy drugs and reduce their effectiveness. Soy Supplements: Contain phytoestrogens that may affect hormone-sensitive breast cancer treatments. Green Tea Extract: May interfere with certain medications or exacerbate side effects. Always consult with healthcare providers before incorporating them into your treatment plan. 4. Herbal Remedies and Supplements in Breast Cancer: 5 Myths vs. Facts Myth: All Herbal Products Are Regulated and Standardized Fact: Herbal supplements are not rigorously regulated like prescription medications. They may vary in quality, purity, and potency, making it challenging to ensure consistency or safety across different brands or products. 5. Herbal Remedies and Supplements in Breast Cancer: 5 Myths vs. Facts Myth: Herbal Remedies Have No Side Effects Fact: Herbal remedies and supplements can have side effects or interactions with medications. For instance: Echinacea: May cause allergic reactions or interact with immunosuppressant medications. Garlic Supplements: Can thin the blood and increase the risk of bleeding, particularly during surgery. In fact, in some cases, herbal remedies and supplements have been linked to liver damage, kidney problems, or other adverse effects. Inform healthcare providers about any supplements you're taking to avoid potential complications. Conclusion: Making Informed Choices While herbal remedies and supplements may offer potential benefits, it's crucial to approach them cautiously. Consult with healthcare providers before incorporating any supplements into your breast cancer treatment plan. Emphasize open communication to ensure the safe integration of complementary therapies alongside conventional treatments.

Breast cancer, one of the most prevalent cancers among women, can be categorized into two main types: hereditary and sporadic. Understanding the distinctions between these types is crucial as they differ in causes, risk factors, and implications for treatment and prevention. Hereditary (or Familial) Breast Cancer Hereditary breast cancer accounts for a small percentage (5-10%) of all breast cancer cases and is primarily caused by inherited genetic mutations. Some of the most common genes for detecting mutations are the BRCA1 and BRCA2 genes. However, there are several more worth noting: ATM, TP53, PTEN, PALB2, CHK1etc. Key Characteristics: Genetic Mutations: Inherited mutations in specific genes like BRCA1, BRCA2, ATM, TP53, PTEN, etc., significantly increase the risk of breast cancer. Family History: Individuals with a strong family history of breast cancer across generations, especially at younger ages, might have an increased likelihood of hereditary breast cancer. Risk Factors: Women with genetic mutations have a higher risk of developing breast cancer, often at an earlier age. Implications: Risk Assessment: Genetic testing and counseling for individuals with a family history of breast cancer aid in identifying hereditary factors. Preventive Measures: Prophylactic surgeries, like mastectomy or oophorectomy, might be considered to reduce the risk of developing breast or ovarian cancer. Targeted Treatments: Knowing the genetic mutation type can guide treatment decisions, such as targeted therapies or PARP inhibitors for BRCA-mutated cancers. Sporadic Breast Cancer Sporadic breast cancer, accounting for the majority of cases (90-95%), occurs without any apparent inherited genetic predisposition. Sporadic breast cancer means there is no risk of the person passing the gene on to their children. The underlying cause of sporadic breast cancer is a combination of internal, or hormonal, exposures; lifestyle factors; environmental factors; and normal physiology, such as DNA replication. Key Characteristics: Random Occurrence: Sporadic breast cancer arises without a clear genetic predisposition or familial inheritance pattern. Risk Factors: Factors such as age, reproductive history, hormone levels, lifestyle choices (like smoking, alcohol consumption, obesity), and environmental exposures contribute to sporadic breast cancer risk. Implications: Early Detection: Regular screenings, mammograms, and self-examinations are vital for early detection and improved outcomes in sporadic breast cancer. If you have a genetic predisposition you may consider a preventative surgery (prophylactic mastectomy) Lifestyle Modifications: Adopting a healthy lifestyle, maintaining a balanced diet, regular exercise, limiting alcohol consumption, and avoiding tobacco can help reduce the risk of sporadic breast cancer. Treatment Approach: Treatment plans focus on factors like tumor type, stage, and hormone receptor status, rather than genetic mutations. Conclusion: Importance of Understanding the Differences Understanding the differences between hereditary and sporadic breast cancer is essential for risk assessment, preventive measures, treatment decisions, and overall management. Genetic counseling, regular screenings, healthy lifestyle choices, and personalized treatment plans are crucial aspects in addressing both types of breast cancer effectively.

Breast reconstruction surgery plays a vital role in the physical and emotional recovery for many individuals who have undergone mastectomy or breast-conserving surgery. Understanding the options, considerations, and recovery aspects of breast reconstruction is crucial for making informed decisions and promoting post-surgical well-being. There are many different reconstruction techniques available. Take the time to learn about the breast reconstruction options and consider talking to others who have had that procedure before you make a decision. ​Types of Breast Reconstruction Implant-Based Reconstruction: Implant-based breast reconstruction may be possible if the mastectomy or radiation therapy have left sufficient tissue on the chest wall to cover and support a breast implant. Involves using saline or silicone implants to reconstruct the breast mound. It may require multiple surgeries to achieve the desired size and shape. Autologous (Flap) Reconstruction: For patients with insufficient tissue on the chest wall, or for those who don't desire implants, breast reconstruction will require a flap technique (also known as autologous reconstruction). This uses the patient's own tissue, often from the abdomen, back, or thighs, to reconstruct the breast. It results in a more natural-looking and feeling breast but is a longer and more complex surgery. Combination Reconstruction: Utilizes a combination of implants and autologous tissue to reconstruct the breast. Implants above or under the muscle Immediate breast reconstruction above the pectoral muscle This procedure is performed in combination with the mastectomy and results in an immediate breast mound. After the mastectomy has been performed by the breast surgeon, the plastic surgeon will place the breast implant, wrapped in a biological mesh known as acellular dermal matrix (ADM), to help the implant maintain correct anatomic position, above the pectoralis muscle. ​ With this procedure, recuperation may be more rapid because the muscle in the chest has not been elevated. Further, the breast implant itself is not influenced by the contraction of the muscle. Immediate breast reconstruction under the pectoral muscle This procedure is also performed as a combination with the mastectomy and results in an immediate breast mound. The incision generally is performed through the mastectomy site. Once the mastectomy is completed, the plastic surgeon will elevate the pectoralis major muscle. This will allow the muscle to retract upward and allow a pocket to be developed underneath the muscle and at the bottom of the normal breast position. A biodegradable acellular dermal matrix (ADM) will be placed at the bottom of the breast or inframammary crease and attached to the muscle. The breast implant will be placed under the ADM and your own muscle. This allows the breast implant to settle in a normal position, and the ADM stretches into a pleasing, rounded lower breast shape. It is not uncommon to have drains placed with this procedure. They may be removed anywhere from 48 hours to 2 weeks after surgery. This procedure is a one-staged procedure, which allows the desired shape to result without any further surgical intervention. The muscle on top of the implant will help prevent the development of upper pole wrinkling. Complications, while rare, may include skin loss, excess bleeding, infection, malposition of the breast implant so that asymmetry occurs, wrinkling or rippling of the implant, possible fluid collection underneath the implant and/or prosthesis deflation. Delayed breast reconstruction utilizing tissue expander. The initial portion of this procedure entails the breast surgeon performing a standard mastectomy and possible axillary dissection. In many instances, a drain will be placed between the muscle and the skin of the mastectomy. ​ Once these procedures have been performed, the plastic surgeon will divide the lower pole of the chest wall muscle, elevate the chest wall muscle and the lateral chest muscle together upwards towards the collarbone. After that is done, the muscle and tissue below is elevated together to form the pocket for the breast expander at the base of the breast or the inframammary crease. The pocket is made large enough for the expander to be placed and the muscle closed. Occasionally, there is a need for placement of a small amount of acellular dermal matrix (ADM) to assist in the closure of the muscle. There are two types of breast tissue expander ports. One, similar to a chemotherapy port, is placed separate from the tissue expander, usually along the rib cage. This will require a separate small incision for the port. The second type is a port that is contained within the expander itself. . In both instances, the ports will be used to inflate the tissue expander over several visits with saline solution. The port is accessed with a small needle and saline is injected into the expander through the port site ​ Tissue expansion usually occurs weekly according to patient tolerance. The volume of the tissue expanders commonly exceeds the weight of the mastectomy tissue. Once the final tissue expansion, or stretching, is completed there will be a time of passive expansion where little to no volume is added to the tissue expanders. This allows the muscle and skin to stretch and relax. The length of time will vary from patient to patient. Once this is completed, a second outpatient procedure will be necessary to remove the tissue expander and place the permanent breast prosthesis. Complications, while rare, may include skin loss, exposure of the expander, excess bleeding, infection, malposition of the implant so that asymmetry occurs, wrinkling or rippling of the implant, possible fluid collection underneath the implant, pain at the injection site, muscle spasms with expansion and/or unfavorable scarring. Immediate breast tissue expander placement The surgical process for saline breast tissue expanders and breast expanders following mastectomy are the same. Expanders with saline have been used for decades but recently, a new type of expander using air, which allows for more patient control, have been introduced. Expanders have some of the same complication rates and risks as the other types of breast reconstruction, which include infection, seroma, hematoma, extrusion and/or expander deflation. The expander is placed into a sub-muscular or subcutaneous space with no external filling ability. The expander will fill with compressed air contained within the expander itself. The patient will do self-controlled expander fills utilizing an external automatic activation device at home and will achieve similar results to the standard saline filled tissue expansion devices. It will be necessary to monitor the incisions and progress on your own and contact the physician if you feel there is something wrong. The advantage of the expander it that it may decrease doctor visits and decrease total expansion time. Considerations Before Surgery Health Factors: Assessing overall health and discussing surgical risks with the healthcare team is crucial before opting for reconstruction. Timing of Reconstruction: Reconstruction can be immediate (at the same time as mastectomy) or delayed (after completing cancer treatments). Expectations and Goals: Discussing expectations regarding the surgical outcomes, including breast appearance, size, and symmetry, is essential. Reconstruction Techniques: Exploring various reconstruction options and understanding their implications helps in making informed choices. Recovery Period and Expectations Hospital Stay: Depending on the type of reconstruction, hospital stays can vary from one to several days. Pain Management: Managing post-surgical discomfort through prescribed medications and follow-up appointments is crucial. Physical Limitations: Patients may experience restricted arm movement initially, requiring time to heal and gradually regain mobility. Support Garments: Special bras or compression garments might be recommended to support healing and reduce swelling. Emotional and Psychological Support Counseling and Support Groups: Connecting with others who have undergone similar experiences can provide emotional support and valuable insights. Body Image and Self-Esteem: Adjusting to changes in body image after surgery can be challenging. Seek support to address these concerns. Recovery Timeline: Understand that emotional healing might take longer than physical recovery. Being patient with oneself is essential. Follow-Up Care and Long-Term Monitoring Regular follow-up appointments with healthcare providers are necessary to monitor the reconstructed breast, assess healing, and address any concerns or complications.

By Kiara Ford For help, contact the Domestic Violence Hotline: 1-800-799-SAFE (7233) Chat online: thehotline.org Resources: ncadv.org/resources Text "START" to 88788 Breast cancer and domestic violence are, unfortunately, connected in many ways, including the fact that they share October as their respective awareness months. They are both important, complex topics that need to be addressed in their own unique ways; however, it is also worth examining their overlaps. As difficult as it is to acknowledge, there is an undeniable link between a breast cancer diagnosis and domestic violence, and although there is only one month dedicated to these subjects, these are conversations which can and should be happening year-round. Keep reading to learn more about the intersection of disability and domestic violence, how cancer can change a relationship, and the unique challenges people with cancer face when experiencing intimate partner violence. Breast cancer and domestic violence are similar in the fact that although they can happen to anyone, they are most commonly experienced by women. One in three women have experienced some form of physical violence from an intimate partner, and this rate increases in the case of people with disabilities. Disabled women have a 40% higher chance of experiencing intimate partner violence than non-disabled women, and the instances of violence are typically more frequent and severe. Breast cancer is included as a disability by the ADA, and there is no denying that the circumstances of a breast cancer diagnosis can place someone in a more vulnerable position for domestic abuse. The stress of a cancer diagnosis changes relationships. Experts agree that cancer exacerbates patterns of behavior, both positive and negative, and can sometimes intensify the anger of partners who previously demonstrated aggressive behavior. Combined with the fact that breast cancer and its treatment can affect sexual function, this change can result in increased rates of sexual violence within relationships. Studies and anecdotal experience alike have found post-mastectomy sexual violence to be a “present phenomenon.” It is never simple or easy to leave a domestic abuse situation, and breast cancer can create even more barriers to doing so. The financial burden of cancer treatment can tie the patient to their abuser economically, or they may be forced to rely on their partner’s daily support due to the physical limitations created by cancer. The inherent power differential created by a breast cancer diagnosis creates a set of circumstances which enables abusers. Breast cancer and domestic violence can both carry a great deal of shame. Many people view them as private issues, making them difficult to discuss outside of the home. Nevertheless, it is vital that these discussions do take place in order to destigmatize these experiences and create pathways forward. It is crucial to understand more not just about breast cancer and domestic violence individually, but also their unique intersections and the people affected by them such as increased barriers to leaving, increased rates of sexual violence, and increased rates of frequency and severity of physical violence. For help, contact the Domestic Violence Hotline: 1-800-799-SAFE (7233) Chat online: thehotline.org Resources: ncadv.org/resources Text "START" to 88788 Learn More: No Less of a Woman: Standing Tall Through Hardships Partner Abandonment and Cancer The Psychological Impact of Breast Cancer: Strategies for Coping SBC Webinar Recording: Domestic Violence & Cancer About the Author: Kiara Ford is a recent graduate of Emerson College, where she majored in communication studies and minored in health and society. She is currently a community health worker trainee with the non-profit organization Asian Women for Health. She is passionate about patient advocacy and health equity, and hopes to raise awareness and increase understanding of patients’ rights through her work. From the Same Author: Datopotamab Deruxtecan Shows Promise in Clinical Trials Metastatic Breast Cancer: Understanding the Significance of Stage IV Breast Cancer and Healthcare Access Within the Hispanic Community Inflammatory Breast Cancer: Breaking Down the Basics

By Maria Montanile Stereotactic, it’s fantastic! Keep still now, this won’t be drastic, Stick the needle in my breast, It won’t hurt, it’s just a test, Stereotactic, it’s fantastic! They observe the screen, but I’m not spastic, “We can’t see, you have to stand, lift up your arms, move your hands,” Stereotactic, it’s fantastic! Needle’s deep, becomes erratic, Left to right and right to left, Feels like a knife inside my chest, We are done, I’m sarcastic, The cells returned……fantastic Share your poetry: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetups Free Events

A breast cancer diagnosis can be a life-altering event, bringing with it a range of physical and emotional challenges. While medical treatments play a crucial role in the recovery process, complementary therapies like Pilates can offer numerous benefits for breast cancer patients. In this blog, we’ll explore the incredible advantages of incorporating Pilates into your wellness journey during and after breast cancer treatment. From improved physical strength to enhanced emotional well-being, Pilates can provide a holistic approach to healing. Pilates is a form of exercise that focuses on strength, flexibility, and body awareness. It was developed by Joseph Pilates in the early 20th century and has gained popularity worldwide for its ability to improve posture, core strength, and overall physical fitness. In episode 214 of SurvivingBreastCancer.org’s podcast, Breast Cancer Conversations, Nina Prol, Beverly Breen, and Marie McGuire discuss their personal experiences with Pilates and how it has helped them in their journeys being diagnosed with breast cancer. 214. The Benefits of Pilates for Breast Cancer Recovery Nina Prol, a registered nurse with 30 years of experience working with adult medical oncology patients, discovered Pilates through a chance encounter with a dance instructor. Intrigued by the instructor’s vitality and strength, Nina decided to join a Pilates class and quickly fell in love with it. She went on to complete a 600-hour certification program and now incorporates Pilates into her work with cancer patients. Nina recognizes the importance of maintaining vitality and strength, especially for older individuals, and believes that Pilates can play a significant role in achieving this. Beverly Breen, an executive assistant who went through breast cancer in 2021, met Nina during her radiation treatment. Nina asked Beverly if she liked Pilates, and although Beverly had only done a little bit of it and some yoga before, she was eager to try. Three years later, Beverly continues to practice Pilates and has even introduced it to her colleagues at work. She describes Pilates as a chance to step aside and find peace, allowing her to take care of herself and feel better. Exercise is essential for those diagnosed with breast cancer Exercise is essential for those diagnosed with breast cancer. This statement holds true for several reasons, as highlighted in our podcast on the benefits of Pilates. First and foremost, exercise helps those diagnosed with breast cancer regain a sense of normalcy in their lives. When diagnosed with cancer, individuals often feel overwhelmed by the disease and may lose their sense of self. Engaging in physical activities provides a much-needed sense of normalcy and control amidst the chaos. Additionally, exercise plays a crucial role in maintaining both mental and physical well-being. A breast cancer diagnosis and treatment can have a significant impact on a person’s mental health, and may lead to anxiety, depression, and body image issues. Exercise has been shown to alleviate these symptoms and improve overall mental well-being. It boosts mood, reduces stress, and increases self-confidence, allowing those diagnosed with breast cancer to feel empowered and in control of their bodies. Pilates is for everyone Pilates is not just for athletes or fitness enthusiasts. It is for everyone, including breast cancer survivors. Pilates can help individuals become stronger and better able to lift heavy objects, carry out daily tasks, and engage in activities they enjoy. It is particularly beneficial for individuals who are on treatments that may weaken their bones, such as chemotherapy or aromatase inhibitors. The resistance and spring-based exercises in Pilates can counteract the toxicities of these treatments and help protect bone health. Exercise can alleviate fatigue, improve cardiovascular health, and enhance immune function, all of which contribute to better treatment outcomes and overall quality of life. Moreover, exercise has been linked to improved treatment outcomes. Studies have shown that regular physical activity can enhance the efficacy of cancer treatments. Our podcast episode highlights Pilates as a low-impact exercise that focuses on strength, flexibility, and body awareness and has proven to be beneficial for those diagnosed with cancer. It helps rebuild strength, improve posture, and enhance mobility, which are often compromised during treatment and living with metastatic disease. Pilates also promotes body awareness and mindfulness, allowing participants to connect with their bodies and foster a positive relationship with themselves. 5 Benefits of Pilates: Lymphatic system support: Breast cancer treatments can disrupt the lymphatic system, leading to swelling and discomfort, commonly known as lymphedema. Pilates exercises that focus on controlled movements and deep breathing can promote lymphatic flow and reduce the risk of lymphedema development or exacerbation. Improved posture and body awareness: Pilates places a strong emphasis on proper posture and body awareness, which can be particularly beneficial for breast cancer patients who may experience changes in their posture due to surgery or discomfort. Regular Pilates practice can help patients regain their postural alignment and increase body awareness, reducing the risk of musculoskeletal issues. Stress reduction: A breast cancer diagnosis often comes with significant emotional stress and anxiety. Pilates, with its focus on controlled breathing and relaxation techniques, can be a powerful stress-reduction tool. Engaging in Pilates can help patients manage their stress levels, improve sleep quality, and enhance their overall emotional well-being. Enhanced core strength: Many Pilates exercises target the core muscles, which can be particularly beneficial for breast cancer patients. Improved core strength can aid in better balance and stability, reducing the risk of falls and injuries, especially during the recovery phase. Rehabilitation and pain management: Pilates can be customized to suit each patient’s unique needs and limitations. This adaptability makes it an excellent choice for rehabilitation and pain management, allowing breast cancer survivors to gradually regain their strength and mobility. Pilates offers Social Support and Community Participating in Pilates classes or group sessions can provide a sense of community and support for breast cancer patients. Sharing experiences and challenges with others who are going through similar journeys can be incredibly empowering and motivating. If you are curious about the benefits of Pilates, we encourage you to check out one of our movement classes that offer a safe and supportive environment where you can engage in physical activity, connect with others facing similar challenges, and receive guidance from experienced instructors like Nina. Check out this episode of Breast Cancer Conversations to hear the full conversation on Pilates for breast cancer recovery with Nina Prol, Beverly Breen, and Marie McGuire. SBC's Event Calendar: Join us for Pilates, Yoga, Meditation, and more! https://www.survivingbreastcancer.org/events

Talking about death is important. This statement may seem obvious to some, but it is a topic that is often avoided or treated as taboo in many cultures. However, discussing death openly and honestly can have numerous benefits for individuals and society as a whole. In the episode 213 of Breast Cancer Conversations, we speak with Gabi Dias, a trained death doula who empowers individuals with end-of-life choices. 213. Breaking the Silence on End-of-Life: Connecting Birth, Life, and Death with Curiosity with Gabi Dias Continue reading to learn more about why talking about death is so important and how a death doula can help support this important chapter of an individual’s life. First and foremost, talking about death allows us to confront our own mortality. Death is an inevitable part of life, and acknowledging this reality can help us live more fully and appreciate the time we have. By discussing death, we can reflect on what is truly important to us and make the most of our lives. Furthermore, discussing death can help alleviate fear and stigma surrounding the topic. Many people find death to be a frightening and uncomfortable subject, but avoiding it only perpetuates these negative emotions. By openly talking about death, we can normalize the conversation and reduce the fear and anxiety associated with it. This can be particularly beneficial for individuals facing terminal illnesses or those who have experienced the loss of a loved one. In addition, discussing death allows us to make important decisions and plans for the end of life. By openly communicating our wishes and preferences, we can ensure that our desires are respected and that our loved ones are not burdened with difficult decisions during a time of grief. This includes discussing topics such as funeral arrangements, end-of-life medical care, and estate planning. Having these conversations in advance can provide peace of mind and make the grieving process easier for those left behind. What is a death doula? A death doula, also known as an end-of-life doula or a death midwife, is a trained and compassionate individual who provides emotional, spiritual, and practical support to people who are nearing the end of their lives and their families. Much like a birth doula who assists with childbirth, a death doula helps individuals navigate the dying process with dignity and comfort. It’s important to note that while death doulas provide valuable support, they are not medical professionals. They complement the care provided by healthcare professionals and hospice teams, but do not provide medical treatment or make medical decisions. Death doulas have gained recognition and popularity in recent years as more people seek a holistic and person-centered approach to end-of-life care. How can a death doula empower end-of-life choices? A death doula empowers end-of-life choices by providing education, support, and companionship during the dying process. The doula’s main goal is to ensure that individuals have the best end-of-life experience possible, whether that be through a home funeral or a green burial. One of the key aspects of the doula’s role is to teach individuals that a home funeral is a viable option. Many people may not be aware that they have the choice to have a funeral in the comfort of their own home. This alternative can be just as beautiful and even more profound than a traditional funeral outside of the home. The doula is there to educate and empower individuals to make the best decision for themselves and their loved ones. In addition to teaching about home funerals, a doula can educate individuals about green burials. In today’s world, it is important to consider the impact we have on the planet and the legacy we leave behind for future generations. Doulas typically emphasize the importance of discussing last wishes and making choices that align with one’s values and beliefs. Companionship is another vital aspect of the doula’s role. The doula is there to hold space for individuals, providing loving awareness and support without trying to fix or take away their decisions. This companionship is crucial during a time that can often feel isolating and filled with guilt and shame. The doula is there to hold individuals’ hands and empower them through the transitions of the dying process. The doula also provides holistic support, addressing emotional, mental, physical, and spiritual needs. They are non-judgmental and can work with individuals from any walks of life, respecting their beliefs and preferences. The doula’s role is to ensure that individuals’ lives and wishes are honored, creating a safe and supportive environment. This podcast episode also touches on the importance of embracing the fact that death is coming. Regardless of one’s background, financial status, or achievements, death is inevitable. By acknowledging this reality and having open conversations about death, individuals can live life more fully and prepare for the end-of-life journey. Overall, the role of a death doula is to empower individuals and families to make informed choices about their end-of-life process. By providing education, support, and companionship, the doula helps individuals navigate this challenging time with clarity, compassion, and peace. Talking about death and embracing the conversation is essential for personal growth, reducing fear and stigma, and appreciating the preciousness of life. Normalizing conversations about birth and death One of the key aspects we cover in the podcast episode is the normalization of conversations about birth and death. The podcast emphasizes the importance of talking about these natural human experiences and breaking the taboo surrounding them. We discuss how society has forgotten what is normal and how birth and death have become medicalized and removed from the home. Tibetan traditions, for example, approach death in a completely different way. Instead of quickly removing the body, Gabi Dias explains that family members and loved ones sit with the body for three days, celebrating the life that was lived and encouraging the soul to move on. This approach allows for a deeper connection with the dying person and a more meaningful transition. When we openly discuss death, we can offer comfort and support to those who are grieving or facing their own mortality. This sense of community can be incredibly valuable during times of loss and can help individuals feel less alone in their grief. When we confront the reality of death, we are reminded of the preciousness and fragility of life. This can inspire us to live more intentionally, cherish our relationships, and prioritize what truly matters. By embracing the conversation about death, we can cultivate a deeper gratitude for the present moment and a greater sense of purpose in our lives. In the podcast episode with Gabi, we also discuss the fear and anxiety that often surround death. Fear can create a chronic response in the nervous system, leading to increased levels of cortisol and adrenaline. By talking about death and bringing it to light, we can find other ways to approach it that are not as scary as they may seem. We encourage listeners to understand their bodies and their own reality, as the body does not differentiate between real threats and fears in the mind. “Preparing for end-of-life wishes is not about manifesting death, but rather it’s about creating peace of mind for ourselves and our loved ones.” “By being mindful of our environment and relationships, we can avoid wasting vital energy on things that do not bring us life or nourishment. Our thoughts, feelings, and emotions shape our physical body and our overall experiences. Therefore, investing time in having nourishing conversations can be life-giving rather than manifesting death.” “By embracing the unknown, we can approach life with a sense of curiosity and wonder. We can let go of the need for complete understanding and instead focus on being present in the moment. This allows us to fully experience and appreciate the richness and complexity of life.” “Our bodies have a way of communicating with us, often through physical sensations or discomfort. These signals serve as a reminder to stop and pay attention to what is happening internally. By acknowledging these messages and taking the time to pause, we can begin the healing process not only for our physical body but also for our spiritual and emotional well-being.” Check out this episode of Breast Cancer Conversations to hear the full conversation with professional death doula Gabi Dias. Additional Resources:

In the realm of breast cancer treatment, advancements in targeted therapies have revolutionized the landscape, offering new hope and improved outcomes for patients. Among these breakthroughs, the emergence of Cyclin-Dependent Kinase 4 and 6 (CDK4/6) inhibitors has sparked considerable enthusiasm and transformed the paradigm of breast cancer management. Decoding CDK4/6: Unveiling the Molecular Players CDK4/6 enzymes play a pivotal role in regulating cell cycle progression by partnering with cyclin proteins to facilitate cell division. In breast cancer, aberrant activity of CDK4/6 promotes uncontrolled cell growth and proliferation, contributing to tumor progression. The advent of CDK4/6 inhibitors marks a significant milestone in targeted therapy by specifically targeting these enzymes. The Role of CDK4/6 Inhibitors in Breast Cancer Treatment CDK4/6 inhibitors, including Ibrance (palbociclib), Kisqali (ribociclib), and Verzenio (abemaciclib) which is now used in early-stage breast cancer, have emerged as a potent class of drugs that impede (inhibit!) the activity of CDK4/6 enzymes, halting the uncontrolled cell division characteristic of breast cancer cells. These inhibitors work by binding to CDK4/6, preventing their interaction with cyclin proteins and interrupting the signaling pathways responsible for driving cancer cell growth. By inducing cell cycle arrest (a stopping point in the cell cycle, where it is no longer involved in the processes surrounding duplication and division), CDK4/6 inhibitors exert their anti-cancer effects, ultimately slowing tumor progression. Clinical Efficacy in Breast Cancer: A Game-Changer in Therapy CDK4/6 inhibitors have demonstrated remarkable efficacy in the treatment of hormone receptor-positive (HR+) and human epidermal growth factor receptor 2-negative (HER2-) breast cancers, particularly in combination with endocrine therapies. When used in conjunction with hormonal therapies such as aromatase inhibitors or fulvestrant, CDK4/6 inhibitors exhibit synergistic effects, significantly delaying disease progression and improving overall survival rates in both metastatic and early-stage breast cancer. Potential Side Effects and Management Strategies While generally well-tolerated, CDK4/6 inhibitors may cause certain side effects, including: Neutropenia: Reduced neutrophil counts leading to increased infection risk. Fatigue: Feelings of tiredness or weakness. Gastrointestinal Issues: Nausea, diarrhea, or vomiting. Proactive management strategies include regular blood tests to monitor neutrophil levels, supportive care to alleviate symptoms, and dosage adjustments as necessary. Expanding Horizons: Ongoing Research and Future Directions The success of CDK4/6 inhibitors has sparked ongoing research endeavors to further optimize their use and explore their efficacy in different breast cancer subtypes. Clinical trials are investigating novel combinations of CDK4/6 inhibitors with immunotherapies, HER2-targeted therapies, endocrine therapy, and other emerging treatments, aiming to enhance treatment outcomes and expand options for patients. For example, the Natalee trial, a global Phase III multi-center at the time of this blog post, is a randomized, open-label trial to evaluate the efficacy and safety of Kisqali® (ribociclib) with endocrine therapy as an investigational adjuvant (after surgery) treatment versus endocrine therapy alone in patients with stage II and III HR+/HER2- EBC. Results previously announced at the American Society of Clinical Oncology (ASCO) Annual Meeting 2023 showed Kisqali plus endocrine therapy, compared to endocrine therapy alone, lowered the risk of cancer recurrence by 25.2%. Novartis announced similar findings during the 2023 results from San Antonio Breast Cancer Symposium (SABCS) noting a reduction in risk of disease recurrence in people with stage II and III hormone receptor-positive/human epidermal growth factor receptor 2-negative (HR+/HER2-) early breast cancer (EBC) treated with adjuvant Kisqali plus a non-steroidal aromatase inhibitor as standard endocrine therapy compared to endocrine therapy alone. Embracing the Promise of CDK4/6 Inhibitors CDK4/6 inhibitors have emerged as a cornerstone in breast cancer therapy, reshaping treatment paradigms and offering renewed hope to patients. Their synergistic effects with endocrine therapies, coupled with their manageable side effect profile, underscore their significance in improving outcomes for patients with HR+/HER2- breast cancer. As research continues to unravel the complexities of CDK4/6 inhibitors and their role in breast cancer treatment, their integration into routine clinical practice heralds a new era of precision medicine, promising enhanced therapeutic benefits and improved quality of life for breast cancer patients. We Want To Hear From You: Are you on a CDK 4/6 inhibitor? What has your experience been? We would love to hear from you and share your story!

By Stephanie Hargis My name is Stephanie Hargis. I am 26 years old, married, and have a four-year-old daughter. In March 2022, I found a lump in my right breast and went to the doctor. I, along with my nurses and doctors, thought it could’ve just been a swollen lymph node since the lump was painful, I had no family history of cancer, and I was only 25 years old. After doing a sonogram and a biopsy, I was diagnosed with stage 2 triple negative invasive ductal carcinoma. At the time, I was finishing up the last year of my bachelor’s degree in social work. I didn’t want to stop going to school because I knew I could use that as a distraction from cancer treatment. My oncologist used my blood sample and submitted it to Myriad Genetics for genetic testing. I did not meet with a genetic counselor. I was told by the surgical oncologist that I could wait for the results in order to make a decision about what surgery to do. I had made up my mind on doing a double mastectomy and decided to not wait. In April 2022 I had a double mastectomy. It turns out I made a good choice! I tested positive for the BRCA 1 gene mutation. This gene mutation puts me at risk for ovarian cancer, so I will need to have surgery in a couple of years to have my ovaries removed. I remember feeling like I was “defective” because no one else in my family had cancer. Two days after my mastectomy, I was back in the hospital for a week because of a fully collapsed lung. I started chemotherapy (doxorubicin and Cytoxan) that June, and completed my treatment on Halloween. I graduated magna cum laude from The University of Texas at Arlington in December. I continued going to check ups and getting multiple scans. In April 2023, I found out the cancer was back. I actually did not have any symptoms and did not feel anything different. It was much easier to notice something out of the ordinary on my body before any surgery and implants. The oncologist had ordered a PET scan and that came back clear. Less than two weeks later, I had an appointment with my surgical oncologist where she felt a strange lump. I had to go do a sonogram and biopsy, and that is how I found out about the cancer again. I had to have more scans done to make sure it hadn’t spread, which thankfully it hadn’t. In May I had surgery again. This time I had a lumpectomy and 12 lymph nodes taken out, which thankfully tested negative for cancer. I had to do physical therapy to get my arm moving like normal again. Coincidentally, I started chemo and immunotherapy in June 2023, on the same day that I had started chemo the year before. The chemo I was administered was gemcitabine and carboplatin, which made me feel really sick. The immunotherapy I received was Keytruda. On October 27, 2023, I finished chemo and the first part of immunotherapy. I am currently going through radiation. I have to do a total of 20 sessions. I am almost halfway done and I am experiencing what feels and looks like a sunburn. I will be completing radiation on January 18, 2024 and starting more immunotherapy on February 13. In August 2023 I started the advanced standing master’s program for social work at UTA and if everything goes well, I will be done in August 2024. This experience has been full of ups and downs, but I feel blessed to still be here today fighting and pushing through. The longer I have been in treatment, the more I find myself struggling with chemo brain and fatigue. Some days I cannot seem to get out of bed, but I am thankful that my daughter is understanding and knows those days are all about snuggles and movies. Other days I can get more things done and play outside with her and our puppy. During my first chemo experience, chemo brain would frustrate me so much, especially while being in school. I would leave school crying because I was unable to memorize information that I would need for tests and quizzes. Over time I have learned to be patient with myself, and to be like Steve from Blue’s Clues and use my handy dandy notepad on my phone to type things I need throughout the day. When I have a chance, I work on different types of puzzles to help stimulate my mind. A piece of advice that I would give someone who just got diagnosed would be to live your life to the max and reach your goals because cancer cannot and will not stop you. Find one good thing in every little moment and focus on that to get through the bad times. Thank you for sharing your story, Stephanie! Connect with Stephanie: stephaniemelo27@yahoo.com Read More: Breast Cancer in Young Women: Common Questions Answered 11 Tips To Manage Chemotherapy Side Effects Understanding Genetic Testing for BRCA1 and BRCA2 Mutations They Were My Blessing: Facing Breast Cancer With Young Kids Addressing Breast Cancer Recurrence in High-Risk Patients Immunotherapy Response Monitoring in Patients with Breast Cancer On the Podcast: Breast Cancer Conversations Yes, I Have Cancer, But What About My Kids? Submit Your Story: Story, Poetry, and Blog Submissions

(a paean to the underserved) By William Laferriere In the heart of a forgotten, ill-served community, breast cancer whispers its cruel song. It's a silent invader, creeping into lives already burdened by inequality. In these forgotten corners, where resources are scarce and hope often elusive, the impact is a symphony of despair, a cantata of loss. Then we see her, a strong-willed matriarch, her dreams eclipsed by the shadow of illness. Her days once vibrant and filled with purpose, now marred by the daunting battle against this unseen foe. The weight of her responsibilities never lightened, yet her spirit flickers as she weathers …the dual storms of fear and uncertainty. There's a certain resilience, a raw beauty in her fight. She navigates through the labyrinth of healthcare disparities, grappling with barriers to access— diagnostics delayed treatments inaccessible cultural challenges. She bears the brunt of this unjust burden, where healthcare divides and biases deepen, and survival hinges ofttimes on chance. The echoing silence of unspoken fears reverberates through the minority's plight. Stigma and cultural taboos cloak the illness, relegating it to whispers in hushed tones, inhibiting open dialogue about health and well-being. We note the collective weight of these untold stories, the anguish woven into the fabric of underserved lives. It's a tapestry of struggle, where the ravages of breast cancer seep into every aspect— financial strains emotional upheaval and shattered dreams. Yet, in the shadows, a flicker of hope endures. It's the unsung heroes—community advocates, grassroots organizations— working tirelessly to bridge the gap, to amplify voices muted by adversity. They strive to untangle the knots of disparity, offering support, education, and a glimmer of possibility. In the heart of this hardship, we witness an unyielding strength. Despite the odds stacked against them, these underserved minorities stand tall, defying the darkness that seeks to engulf them. They're the unsung heroes of resilience, teaching the world about courage in adversity, and shining a light on the unseen battles fought every day. Share your poetry: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetups Free Events

Breast cancer is a life-altering experience, not just for the individuals diagnosed but also for their loved ones. It's a time when fears and uncertainties surface, requiring personal courage and the delicate task of sharing this life-changing news with your loved ones. Breast cancer can bring about significant changes in personal relationships, creating shifts in family dynamics, friendships, and romantic relationships. Relationships can be strained under the weight of breast cancer treatment and beyond. Understanding how to maintain and adapt relationships during and after breast cancer treatment is crucial for emotional support and recovery. A robust support system is vital, yet breast cancer often brings intricate interpersonal dynamics to the forefront. To navigate these complexities, we offer insightful tips on fostering and maintaining relationships throughout your treatment and in the transformative period that follows. The following guidelines will empower you and your loved ones, strengthening bonds in the face of adversity. Family Dynamics Family members may struggle with fear and uncertainty, which can lead to changes in their behavior toward their loved one with breast cancer. It's essential for family members to seek support, possibly through resources like the Family Caregiver Alliance. Romantic Relationships Breast cancer often has profound impacts on romantic relationships, altering dynamics in ways both challenging and subtle. The physical and emotional toll of treatments like chemotherapy, radiation, and surgery can lead to significant changes in body image, sexual desire, and overall energy levels. These changes often require partners to adopt new roles, fostering deeper communication, understanding, and patience. The experience can bring couples closer as they navigate the complexities of support, caregiving, and emotional intimacy. However, it can also strain relationships as partners grapple with fear, uncertainty, and the demands of ongoing care. Breast cancer often necessitates a redefinition of intimacy and partnership, requiring both individuals to adapt to new realities and find strength in each other's support and resilience. Friendships Breast cancer treatment can significantly impact a person's social life, including friendships. When someone undergoes physical and emotional changes from treatment, their ability to maintain social activities and interactions may decrease. Friends may struggle with how to offer support, sometimes leading to misunderstandings or distancing. People going through breast cancer treatment might feel isolated due to their health situation or the side effects of treatment, such as fatigue or mood changes. Sometimes, these challenges can also strengthen friendships, as some friends may become more empathetic, understanding, and supportive. They might engage in new, more accommodating activities and provide a listening ear or a shoulder to lean on, deepening the bonds of friendship. However, the dynamic changes brought on by breast cancer treatment necessitate sensitivity and adaptability from both the person with breast cancer and their friends. Communication Strategies Deciding what to share about your cancer diagnosis and choosing who to share it with is an intensely personal decision. It's important to move forward in a way that feels most comfortable and right for you now. To assist you in navigating through the potential communication challenges, here are some tips and suggestions that may prove helpful. Telling Family and Friends Be direct and honest. Don't beat around the bush. Explain your diagnosis simply and clearly, reducing confusion and speculation. Share details like your cancer stage and treatment plan, if you’re comfortable. Let people know how they can help. Give loved ones guidance on what you need: help with meals, rides to treatment, childcare, or simply emotional support. People want to be there for you, but may not know how. Accept offers of help. Don't feel like you need to take on everything yourself. Let family and friends contribute where possible; it makes them feel helpful. Set boundaries if needed. Be direct and let people know if they’re being overbearing or if you need space. You get to decide what support works best for you. Connect people to resources. Share information from organizations like SurvivingBreastCancer.org on how people can be supportive caregivers. Handling Relationship Dynamics Talk openly with your partner. Maintaining intimacy may be challenging with body image concerns or medications affecting libido. Discuss your needs and concerns openly. Seek counseling if needed. A cancer diagnosis can strain even the healthiest relationships. Professional help can provide tools to navigate challenges. Your care team can recommend counseling resources. Connect with support groups. Speaking with others in a similar place can provide perspective. SurvivingBreastCancer.org provides many opportunities to meet others facing breast cancer to ensure you’re never alone. Instead, you’re surrounded by others who have similar experiences. We offer several peer-to-peer online meetups, including all stages and types of breast cancer, metastatic breast cancer (MBC), inflammatory breast cancer (IBC), and a Spanish-language meetup. Make time for yourself. Give yourself space for self-care like journaling, gentle exercise, or other enjoyable hobbies. You need to look after your mental health first. Set boundaries with friends. It's okay to not feel up for social events or hosting. True friends will understand your needs. Be honest about your energy and comfort levels. Rebuilding Intimacy During and After Treatment Communicate your needs. Speak openly with your partner about what types and levels of intimacy you feel ready or not ready for. Maintaining intimacy may be challenging with body image concerns or medications affecting libido. Discuss your needs and concerns openly. Go slowly. Give affection freely. Non-sexual intimacy, like hugging or hand-holding, builds emotional closeness. Affection can pave the way for sexual intimacy later. Consider couples counseling. Many couples benefit from having an impartial third party help them work through intimacy challenges during and after treatment. Don't be afraid to get professional help. Explore new approaches. If your old ways of being intimate no longer feel right, brainstorm new ideas together. Intimacy can take many forms. Use aids if needed. Products like lubricants or vaginal dilators can aid physical readiness for intercourse. Shop together to reduce shyness. Focus on pleasure. Intercourse may not be possible initially. Explore other activities you both find pleasurable, like massage. Remove pressure. Rebuilding intimacy after a breast cancer diagnosis requires patience, communication, and commitment. With time, openness, and experimentation, you can reconnect and resume your sex life. Support organizations can provide guidance specific to your situation. Don't be afraid to seek help. Count On Us for Information, Resources, and Support Navigating relationships during and after breast cancer treatment is complex and requires patience, understanding, and open communication. Utilizing resources and seeking professional help can ease this process, providing the support needed for you and your loved ones. Whether you’re newly diagnosed with breast cancer, are navigating survivorship, or are the loved one of someone experiencing breast cancer, you can count on SurvivingBreastCancer.org to keep you informed. We provide educational information to help you better understand symptoms, testing, treatment options, surgery, etc., and podcasts that feature professionals, advocates, and caregivers who share valuable information. Your donations enable SurvivingBreastCancer.org to offer resources and support every day, every month, and every year. Note: This article is designed to provide general information and not replace professional medical advice. Always discuss your options with your healthcare provider. Learn more: Cancer Etiquette: How to Talk With Loved Ones About Their Breast Cancer How To Be Helpful When A Loved One Is Sick Cancer Caregivers: Contending with Change Breast Cancer and Intimacy On the Podcast: Breast Cancer Conversations Sexual Health and Breast Cancer with Dr. Bober SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetups Free Events

About Kristen Carter [Passed away October 17, 2023] Kristen Carter was a certified coach, an author who encouraged readers to be their true authentic selves, and a beautiful woman unfortunately living with metastatic breast cancer. Kristen was part of the SurvivingBreastCancer.org MBC Leadership team and an avid writer responding to inquiries through her Dear Kristen blog. Thank you, Kristen, for being such a formative part of our organization! Read Kristen's writing: Scanxiety Reassurance for Genetic Testing How to Deal with Brain Fog Living Without Regrets How to Feel Positive About Life Again Coping with Survivor's Guilt My Animal Companion Has Been With Me Throughout Breast Cancer Do Positive Thoughts Help You Heal? New Meanings and Shifting Priorities How Do I Find ME Again? No Matter Your Weight, Shape, or Size, You Matter. Tips for Managing Mood Swings and Breast Cancer Self-Love Comes First Life and Cancer Lessons From a Wet Wedding Putting Yourself First Why Won't My Teenager Talk To Me About My Diagnosis? Reconnect With Your Inner Strengths Cancer Helped Me Find Myself The Alternative To Feeling Like A Victim Creating Your Legacy Dealing with the Stress of Having Metastatic Breast Cancer (MBC) What People in the SBC Community are saying Laura: Kristen was a joy! She brought so much to our SurvivingBreastCancer.org community! She served on our MBC leadership team and wrote many blogs as part of her “Dear Kristen” corner! Abigail: Kristen was such a valued member of our community and she will be missed, greatly. May her life and legacy be a blessing to all. Gabby: I am so sorry to read about Kristen’s passing, heartfelt condolences. Amy: I enjoyed reading your post. We will continue to carry your legacy. Holding space for your family! Dawn: I met her in Colorado at the beginning of the year.  She was such a sweet lady. She even text me happy birthday on Oct 9th. I had no ideal She was that sick. I pray for her to rest in peace and I pray for her family. She will be missed and her articles. God bless her and her family. I love you my pink sister. Lisa: I've been thinking about Kristen a lot lately missing her pieces in the newsletters. So very sad. Prayers to everyone in SBC and her family. Pooja: Kristen’s newsletters were very informative. May her soul rest in peace.

By Dawn Oswald – In Loving Memory Sweet or spicy It’s your choice Pick one Do you want to be sweet today or full of spice? Sweet as a peach Spicy as a pepper I chose sweet today Tomorrow I might be a little spicy You don’t have to pick It might depend on where you are Or what you’re doing You might be at a doctor office yelling at a nurse who is not listening Or you might be with family where everything is sweet and nice Who knows? Who knows how you might be feeling in that present time? Sweet is the way to go, but keep spicy in your back pocket You never know when you will need it Sweet or spicy Either way You choose Share your poetry: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetups Free Events

Losing someone dear to breast cancer can be an immensely painful and emotional experience. As we grapple with the departure of our dear friends due to metastatic breast cancer, it's essential to recognize that grief is a complex and individual journey. This year has been particularly hard in our breast cancer community and our heart aches for the families who have lost a mom, grandmother, and/or spouse. Grief is something we do not talk about enough. Oftentimes we may get a few days off from work for bereavement and then are expected to return as if everything is somehow fine. Understanding the stages of grief can provide a framework for navigating this challenging process and finding healing amidst the ebbs and flows of pain. Stages of Grief Denial: Initially, when faced with the loss of a loved one, it's common to feel a sense of disbelief or denial. It's our mind's way of protecting us from the overwhelming reality. Thoughts like "this can't be happening" or "it's just a bad dream" might surface as we struggle to comprehend the finality of the loss. Anger: As the reality of the loss sinks in, feelings of anger may emerge. We might question why this happened or feel anger towards the unfairness of the situation. Anger can be directed at various sources - illness, fate, or even towards the departed for leaving us. Bargaining: During this stage, it's not uncommon to find ourselves bargaining or making deals in our minds. We may ruminate on thoughts like "If only we had detected it earlier" or "If I had done something differently." We seek ways to negotiate with the situation, attempting to reverse what has already occurred. Depression: Grief often brings waves of profound sadness and emptiness. This phase can be marked by feelings of deep sorrow, loneliness, and a lack of motivation or interest in things that were once enjoyable. It's important to allow oneself to feel and process these emotions rather than suppress them. Acceptance: Acceptance doesn't mean forgetting or being unaffected by the loss. It signifies coming to terms with the reality of the situation and finding a way to move forward while cherishing the memories and honoring the life of the departed. It's a gradual process and doesn't happen in a linear fashion. Finding Meaning and Healing: Throughout these stages, it's essential to acknowledge that grief is a personal journey. There is no 'right' or 'wrong' way to grieve, and each individual's experience is unique. Finding support from friends, family, support groups, or seeking professional help can be invaluable in navigating through the grieving process. Remembering the friends we have lost to metastatic breast cancer as a source of inspiration, celebrating their life, and cherishing the memories we shared can contribute to finding solace amidst the pain. Finding purpose or meaning in the loss by supporting causes related to breast cancer, fundraising for research, or volunteering can also aid in the healing process. SurvivingBreastCancer.org Resources on Grief #104. End of Life Can Be Beautiful with Christy Knutson #108. What is Grief & Giving Yourself Permission | Kelly Grosklags #111 Complicated Grief and Caregiver Bereavement | The Caregiver Perspective 149. What to Say and Not Say to Your Children about Death and Grief 153. Grief Is Something No One Wants To Talk About, Yet It Effects Literally Everyone 180. Survivors Grief, Family, and Managing Progression with Amy, Amanda and Claudia As we mourn the loss of our dear friends to metastatic breast cancer, it's okay to seek comfort in each other, reminisce about the beautiful moments, and find strength in the love and support that surrounds us. Together, may we honor their memory, celebrate their life, and find solace in our shared journey of healing.

About Dawn Oswald [Passed away December 15, 2023] Dawn joined SurvivingBreastCancer.org (SBC) in 2020. She immediately stepped forward to become part of our SBC Metastatic Breast Cancer (MBC) Leadership Team and has taken a very active role in leading our MBC support group on Thursdays. Dawn is a loving soul and always offered support, advice, and friendship. In addition, for the last two years Dawn has been crocheting beanies for SBC that would be sent to those newly diagnosed with breast cancer throughout the U.S. Dawn has crocheted over 100 beanies for the community! Several members of our community had the pleasure of meeting Dawn when she came to visit Boston as well as when we attended the MBC conference held by Living Beyond Breast Cancer in Philly in April 2023. Read Dawn's blog about the conference! It is with a very heavy heart that MBC has taken the life of this beautiful person leaving behind her children, husband, and grandchildren. The Poetry Lab Dawn also contributed significantly to our SBC Poetry Lab. Please read and enjoy several of Dawn's original writings: Going Home How Can I Change It's Still Me Joy Love. Yes Love. Lymphedema My 4 Roses New Day The Mask Words Rollercoaster Scans Sick Sweet or Spicy Time The Choices The Light of My Legacy The Plane Today then Tomorrow Waves You're Worth It What People in the SBC Community are saying Julia: Prayers up for our dear fearless friend Dawn Debra: The last time she texted me was 12:45 Tuesday. And I replied to her about 1ish Tuesday. Then today when I was at my oncologist I sent her a copy of a sign that says never give up. This is what I sent her. Jennifer Fuller: I was just thinking of Dawn this morning. Was going to ask tonight if there were any updates on Dawn. So sorry to hear this news. She is in my thoughts. Sorry, I couldn’t make it to todays zoom go her. Lisa Lewis: I'm sending love and support to Dawn and her family!  Many prayers too. Julie Cottrell: I had been wondering how Dawn was doing. Dawn may not know it, but she helped me in deciding to be a mentor with ABCD. She told me about ABCD mentorships. I always admired her on the calls in my early SBC days when she was in Alaska. Ashifa Shaw: Dawn,  I am so grateful that I had the opportunity to meet through SBC. Your hats warmed my heart and made me feel a connection. Continued love & support on your journey. Xoxo Andrea Magni: Dawn Oswald⁩ you are a bright soul and I love seeing the things you’ve created to warm others. Sending you lots of love and thinking of you and your beautiful family. Melanie Clippinger: Dawn you are such a kind, giving, amazing woman.Sending lots of love to you and your beautiful family. Julie she also inspired me to become an ABCD mentor also. Renata: When I joined the SBC family, I felt a great connection to you, Dawn. You were in Alaska back then and you had the same metastasis I had, and were on the same treatment I was, only several steps forward than me. I followed you as a guide, an inspirational guide. When you started Enhertu, I went to my oncologist asking if I could have it but I couldn't yet. When I was allowed to have it, I felt closer to you. Then for me everything changed, but that connection is still strong. Please, keep fighting. I love you and I pray for you and your family. Brookshire: Dawn, you remain on my mind this morning. Your husband and children are there, too. My heart overflows with inspiration from you. You are one of th sisters my mother said I would never have! Love you lots. Dawn’s obituary may be viewed here: https://www.charliemarshallfuneralhomes.com/obituaries/dawn-oswald Please feel free to make a donation in honor of Dawn Oswald.

By Kiara Ford The holiday season is in full swing, bringing with it a fresh wave of stress. Holidays can be a demanding time for anyone, but for those with breast cancer, it creates a unique opportunity for anxiety and sadness. If you are currently undergoing treatment, you may not have the energy or ability to keep up with your usual traditions. Those with metastatic breast cancer may be dreading that this could be their last holiday with their loved ones. What is supposed to be the most wonderful time of the year can quickly devolve into a perfect storm for sorrow. The most important thing you can do to mitigate these difficult realities is to look after yourself first and foremost, even during the season of giving. Below are some tips on how to cope with the logistical and emotional stress of a holiday season with breast cancer. Be aware of travel limitations. Traveling to see loved ones is standard fare for the holidays. In December 2022, it was estimated that almost 113 million Americans planned to travel 50 miles or more between December 23 and January 2. While for many this travel is worthwhile for the payoff of spending the holidays with loved ones, for others it simply may not be possible due to breast cancer treatment. Patients are generally advised to wait a certain amount of time after chemotherapy or radiotherapy treatment before traveling, and they face additional restrictions for flying after surgery. The exact parameters of these travel restrictions are individual and should be discussed with your care team. Beyond these basic safety considerations, side effects from breast cancer treatment could make long-distance travel unpleasant or painful. It can be heartbreaking to tell loved ones that travel is not possible at the moment. At the same time, it’s important to understand and respect your body’s limitations. Don’t be afraid to change the menu. Food plays a major role in holiday celebrations. This might be panic-inducing if you have diet restrictions due to your cancer diagnosis or treatment. If you are experiencing nausea or vomiting due to chemotherapy, don’t pressure yourself to consume certain foods for the sake of tradition. It’s more important to maintain the dietary plan you’ve established with your care team. If you are longing to eat, but perhaps fearful of carcinogens or inflammatory properties in certain foods, remember that food can be both delicious and healing. For specific recipes, this blog is a great place to look. This holiday season may be a great time to start incorporating new nutritious foods into your traditional spread. For holiday shopping, look online. For a person with breast cancer, the notion of navigating holiday shopping crowds for the best deal can sound less like a bargain and more like a nightmare. Even just a quick trip to the mall may feel like you’re overexerting yourself. This is an excellent time to utilize modern technology. Many gifts can be found online, with numerous sites even offering gift wrapping for a small fee to save further hassle. This can be an excellent option if you’re looking to conserve energy and remove the pressure of holiday shopping. Communicate your needs and set your boundaries. While the loved ones you see over the holidays will probably want to help and support you, they may not know how. In these situations, it’s often best to be honest about your abilities and needs. You may not be able to host an event or travel to see relatives. While these are disappointing realities, they are your lived experience and should be understood by those around you. That being said, people are not mind readers. Consider taking time before the holidays to determine what will and will not be possible for you, and what you may need from others to get you through this time. Openly communicating these needs and boundaries prior to the holidays will help set realistic expectations for your loved ones and yourself. Give yourself grace. Remember that breast cancer is an extremely difficult experience, and there is no right or wrong way to respond to it. All emotions the holidays bring up are valid. Allow yourself a moment to hold space for them. Ultimately, the best thing is to do what is right for you. Whether it’s soaking in every second with your loved ones, or deferring visits to the new year, take this holiday season as a time to look after yourself. Learn More: The Psychological Impact of Breast Cancer: Strategies for Coping Navigating Cancer Treatment: Top Tips from an Oncology Pharmacist Unlocking the Power of Emotional Intelligence Delicious (and Nutritious) Ideas for Thanksgiving Living With Metastatic Breast Cancer On the Podcast: Breast Cancer Conversations How to Get a Grip: Coping Strategies for Complicated Times About the Author: Kiara Ford is a recent graduate of Emerson College, where she majored in communication studies and minored in health and society. She is currently a community health worker trainee with the non-profit organization Asian Women for Health. She is passionate about patient advocacy and health equity, and hopes to raise awareness and increase understanding of patients’ rights through her work. From the Same Author: Metastatic Breast Cancer: Understanding the Significance of Stage IV Breast Cancer and Healthcare Access Within the Hispanic Community Inflammatory Breast Cancer: Breaking Down the Basics Datopotamab Deruxtecan Shows Promise in Clinical Trials

By William Laferriere “One generation passeth away, and another generation cometh; but the earth abideth forever…. The sun also ariseth, and the sun goeth down, and hasteth to the place where he arose…” Ecclesiastes In the quiet realm where courage dwells, A tale unfolds, resilience swells. Beneath the canvas of the morning sky, A sunrise paints hope, a refusal to die. In the hush before the dawn’s embrace, Breast cancer survivors find solace and grace. Each ray that breaks through the night’s cocoon, Echoes the strength of those who’ve faced the gloom. As the sun ascends with golden hue, So do these warriors, brave and true. They’ve journeyed through shadows, faced the unknown, Yet their spirits persist, and brightly shone. With every sunrise, triumph declare, Against the solemn whispers of despair. The morning chorus, a melody strong, Sings of endurance, a victory song. But as the sun climbs, it too must descend, A metaphor for life, a tale to attend. Yet in the twilight, where shadows may fall, Survivors stand tall, defying it all. The sunset whispers stories untold, Of battles fought, of hearts made bold. Yet, in the fading light, a promise is found, That strength endures, forever unbound. For with each day, a cycle complete, Survivors rise, their victory sweet. From sunrise to sunset, a journey profound, Breast cancer survivors, forever renowned. Dedicated to Dawn Share your poetry: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetups Free Events