"Helping women survive the trauma of breast cancer... ... one friend at a time."
The friends and family network for support and inspiration.
The best way to solve your own problem is to help someone else solve hers.
All women are at risk for breast cancer. About 90% of women who develop breast cancer do not have a family history of the disease.
Nutrition Guide
Eat a variety of healthful foods, with an emphasis on plant sources.
Eat five or more servings of a variety of vegetables and fruits each day.
Include vegetables and fruits at every meal and for snacks.
Eat a variety of vegetables and fruits.
Limit French fries, snack chips, and other fried vegetable products.
Choose 100% juice if you drink fruit or vegetable juices.
Choose whole grains in preference to processed (refined) grains and sugars.
Choose whole grain rice, bread, pasta, and cereals.
Limit consumption of refined carbohydrates, including pastries, sweetened cereals, soft drinks, and sugars.
Limit consumption of red meats, especially those high in fat and processed.
Choose fish, poultry, or beans as an alternative to beef, pork, and lamb.
When you eat meat, select lean cuts and smaller portions.
Prepare meat by baking, broiling, or poaching, rather than by frying or charbroiling.
Choose foods that help maintain a healthful weight.
When you eat away from home, choose food low in fat, calories, and sugar and avoid large portions.
Eat smaller portions of high-calorie foods. Be aware that “low fat” or “fat free” does not mean “low calorie” and those low-fat cakes, cookies, and similar foods are often high in calories.
Substitute vegetables, fruits, and other low-calorie foods for calorie-dense foods.
American Cancer Society
Questions to ask your doctor
Communicating with your doctor is very important while going through the diagnosis, surgeries and adjunct treatments that go hand in hand with many breast cancer experiences. Even though we might understand the importance of speaking openly and honestly with your physician, there may be times you feel embarrassed, reluctant, or at a loss for words during an office visit. It is your right and responsibility to be your own best health advocate. Unfortunately, during this highly emotional and traumatic time you may need some help to get all your questions answered.
Be prepared! Write down questions and discussion topics and bring them with you, or better yet, print this list and highlight the ones that are important to you. If at all possible invite a friend or family member to go with you to help remember to ask the questions and take notes of the answers. They will be happy to go with you. If you need to go alone, bring along a tape recorder. You may think you will remember everything that the doctor tells you, but in the emotional state that often accompanies a newly diagnosed patient, you may likely forget most of what is said.
You should feel free to ask as many questions as you need. You should also have confidence that the laboratory and diagnostic equipment are up to date and that the physician is conversant with the new research that is available. A doctor should never hesitate to fully explain why a procedure, test or medication is necessary. The AMA recommends that patients be persistent and not leave the doctor’s office until receiving the desired information, even if the doctor seems abrupt. If your doctor is in a hurry tell them you have several more questions, do they have time now, or is there a time when we can talk on the phone. Another option is to book another appointment. These are just suggestions, not all newly diagnosed patients need this much information and yet others may need more. Use your judgment.
Before biopsy:
What type of biopsy will I have? Why? How long will it take? Will I be awake? Will it hurt?
How soon will I know the results?
If I do have cancer, who will talk with me about the next steps: Surgery, others treatments I might need?
How soon can I schedule that conversation?
If diagnosed with cancer:
What did my biopsy or needle aspiration (surgery with a needle to remove fluid or cells) show?
What kind of breast cancer do I have?
What is the stage of my disease?
What is the size of the tumor?
How will you determine whether the disease has spread?
Are there tests to see if the cancer has spread to any other organs (liver, lungs, bones)?
How will this information help me in deciding what type of treatment or future tests will be best for me?
How might I benefit from a second opinion?
How does my age effect my treatment options? Premenopausal vs. Postmenopausal?
Before surgery
Will I need additional surgeries? What type? Why?
Why do you recommend this surgery and/or this treatment or procedure?
What are the risks of surgery? How might I feel after the surgery, emotionally and physically?
How long will I be in the hospital?
Will there be much pain? How will it be taken care of?
Will I need help at home after the surgery?
What books or pamphlets I can read to get more information?
What is a Sentinel Lymph Node Biopsy? Do I need this procedure?
When will I have to decide what treatment I will have?
How long will it be before I can do housework such as vacuuming? Drive a car?
Should I store some of my own blood in case I need a transfusion?
If I decide to have plastic surgery to rebuild my breast, how and when is that performed?
Can breast reconstruction be done at the time of the surgery, or is it best to wait?
If I choose not to have reconstruction, what types of breast prostheses are available?
Where can I buy breast prosthesis and is it covered by insurance?
Can you suggest a plastic surgeon for me to contact?
How do I get a plastic surgeon involved before the first incision is made?
What additional treatment do you recommend, and why?
Are there any alternative or complementary treatments that you would consider in my case?
How might I benefit from a second opinion?
Are there more or less aggressive options available for me?
What happens if I choose to receive no treatment?
Question Before Considering Plastic Surgeon
Am I a candidate for breast reconstruction?
When can I have reconstruction done?
What types of reconstruction are possible in my specific case?
What is the average cost of each type? Does insurance cover them?
What type of reconstruction is best for me? Why?
How much experience do you (plastic surgeon) have with this procedure?
What results are realistic for me?
Will the reconstructed breast match my remaining breast in size?
How will my reconstructed breast feel to the touch?
Will I have any feeling in my reconstructed breast?
What possible complications should I know about?
How much discomfort or pain will I feel?
How long will I be in the hospital?
Will I need blood transfusions? If so, can I donate my own blood?
How long is the recovery time?
What type of care will I need at home?
When can I start my exercises?
How much activity should I have at home?
What do I do if I get swelling in my arm (lymphedema)?
When will I be able to return to normal activity such as driving and working?
Can I talk with other women who have had the same surgery?
Will reconstruction interfere with chemotherapy?
Will reconstruction interfere with radiation therapy?
How long will the implant last?
What kinds of changes to the breast can I expect over time?
How will aging affect the reconstructed breast?
What happens if I gain or lose weight?
Are there any new reconstruction options that I should know about?
The anesthesia will you use?
Where will the surgery take place?
Questions you may want to ask after surgery:
Are there any precautions I should take? (For example, if lymph nodes were removed, should I avoid having an injection in that arm or shaving under that arm?)
Who will be responsible for my follow-up care after my treatment?
Will you refer me to an oncologist for treatment recommendations?
Will I need additional treatment (radiation therapy, chemotherapy and/or hormonal therapy) following my surgery?
How does the removal of some lymph nodes affect my chances of developing lymphedema? What is lymphedema?
How can I reduce my chance of getting lymphedema?
What support groups or other services are available?
Are there any experimental studies in which I might be involved?
What is my long term prognosis?
What kind of tests do you recommend I have now?
How often do you recommend I come in for follow-up?
Who will be in charge of my follow-up care?
Before chemotherapy:
What do you expect this treatment will do for me?
How will this affect my every day routine? How debilitating are the treatments?
How will chemotherapy make me feel?
How often do I need chemotherapy and how long does it take to administer?
What drugs will I be taking? What will they do?
Are there ways to help me prepare for treatment and decrease the chances of side effects?
Will I loose my hair? What other side effects might I have?
Are there side effects that require immediate medical attention?
How long does the chemo stay in my system?
Will I be able to continue working?
Can I care for my family?
Will I have any physical limitations?
(If you qualify for short term disability, make sure to let your doctor know so the paperwork can be started in a timely manner. He/She will have to sign papers.)
When will I be able to get back to my normal routine?
Are there any long term changes or side effects I need to be aware of with chemotherapy?
How and when will the effectiveness of this treatment be evaluated?
Before radiation:
What do you expect this treatment will do for me?
What are the benefits and the risks of radiation treatment?
How often do I need radiation and how long does it take to administer?
What are the side effects I might experience?
How will I feel during therapy?
How will this affect my every day routine? How debilitating are the treatments?
Will I be able to continue working?
Can I care for my family?
Will I have any physical limitations?
When will I be able to get back to my normal routine?
How long does the radiation stay in my system?
What can I do to take care of myself during therapy?
Are there any long term changes or side effects I need to be aware of with radiation?
How and when will the effectiveness of this treatment be evaluated?
We don’t expect that you will ask all of these questions. We do suggest that you print this out and highlight the ones that matter to you. When you are meeting with your physician, look at the stage you are at in the treatment and find the appropriate questions printed above. Feel free to ask any others that come to mind.
Please notify us at mail@breastfriends.com of other helpful questions we need to add to our list.
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