Nurses with Breast Cancer
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Hi! I have been a labor and delivery nurse since the mid 80's. I rarely ever used a sick day so was lucky to have enough time saved up for my first 3 months off and then LTD kicked in. I was off from the end of last July before surgery until early March after chemo and rads were done. I had never expected to need that much time off but it really helped. There were so many days during chemo that the thought of taking a shower was overwhelming! I tried to walk for exercise if I felt well but many days spent alot of time on the couch. I was told by my MD that it may take at least 1 year after treatments to get alot of my energy back. I used to work 12 hour shifts 3/week but have gone back 8 hours. I rest after if I need to. Each month that goes by gets better. I have my expanders in which are fully expanded and cause backaches if I'm on my feet too much. My PS said I would need 2 weeks off after the exchange surgery. He said most of his patients just need pain pills for the first week. I'm not sure about restrictions after. Reading some of the other boards may give more info. I do have to say I have a new appreciation for my job after being a patient. I think I do my job better after all I've been through. I realized how important my great care meant to me and how I hope to give that care to my patients too!!
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I was told 1 week off work and no lifting for 6 weeks. Stretching exercises to regain ROM. I went to a PT to help with that after mastectomy. Hope that helps!
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I hope you all are asking the poor uneducated who work night shifts to feed their families in your studies, really annoys me that a female based , educated society could blame bc for working nights, mothers do that all the time, don;t they? too bad that obese causes cancer, go back and ask that in the studies and then ask who weighs what? I have had too many obese women nurses tell me how to live a healthy life, I learn more from see what I do than let me tell you, I remember when my oldest girl was an infant and this older than me obese nurse tried to tell me how to be healthy, I looked at her and felt what a joke taxpayers pay this fat woman to teach me? just not right, I read her congrats upon retirement and figure yeah another fat lady we have to pay more health care money in thanks for being a diabetic from overeating. SHE should have lived what she taught, a much better example
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Checking in for a moment - I'm doing fine, still tire easily some days, but back to normal busy-ness. I'm back to work one day a week which always makes me really tired but is getting better. I was told to be off work 3-4 weeks, and was off 8 weeks. And the first day back, at one day a week, was still a major push! Amazing! I can't imagine having reconstruction also and extra incisions - but we are all different, and for some reason, I was completely exhausted! I'm now taking vitamin D. Labs are all OK. We'll never know why I responded this way, but I'm so thankful to be moving on now!
Hope everyone else is doing well!
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I am so glad I found this group! I have been an RN 17 years (mostly ICU experience, recently working in cardiac outreach and nursing administration), I am working part time and going to school part time for my NP, due to graduate in 2010... no matter what!
May 22 I start DD AC x4, then start Herceptin every week x8, DD Taxol x 4. wait 4 weeks, then breast tissue expanders replaced with silicone implants, then wait 4 weeks, then 28 doses of radiation. Should be done right before christmas if all stays on track!
I have been off work on disability since my mammogram and biopsy on 3-24. But, trying to complete my clinical hours for this semester as quickly as possible.
I'm anxious to learn chemo and xrt tips and tricks from you nurses' perspectives!
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BethM2boys - just got a chance to catch up some of these posts after a big couple of weeks with a church conference and alot of company! I hope you get some response on this site. It hasn't been especially active, but the perspective from other nurses seems invaluable! If you have specific questions, please ask. And there are many others sites that may help if no one answers from here. Not having chemo or radiation, I will not have the personal experience to speak from, but if we could post some, maybe it will keep this bumped up enough that other nurses will see it and join in!
My surgery was in February and I had several weeks of exhaustion that I didn't expect. About the middle of May, I finally felt like I was ready to return to work, even though I had gone back earlier! (I only work one day a week, and do some call - but we are busy each day!) Since I chose no reconstruction, my incision is now well healed and I have a silicone prosthesis that feels fine - I've adjusted to these new normals (I think!) and am so thankful to have my normal energy levels back again!
Due to resuming normal activites, I don't have alot of time to read all of the sites I would like to, and don't post often. Family life is a priority, but I try to keep up here as time allows! I'll watch for your reply, and try to help if I can. Hope you are doing well with the AC.
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Howdy fellow nurses,
I miss posting here but I can't post as much as I thought I could when I signed on, so decided to post with my September 2008 group.
I'm just getting over Taxol... enormous foot edema and severe neuropathy resolved ...neuropathy left in R big toe only; cane walking due to balance problems is over. I hope I never see or hear of that drug EVER again
lol..
All my docs think the side effects may have been due to my type 2 diabetes, which came back when I received steroids, before they gave me Methotrexate for my RA. arrgh. I had gestational diabetes in 1986: my perinatologist was right when he told me it could return.
Triple neg or should I correctly say double neg BC is a battle. Just finished # 16 of 28 radiation treatments....af/am here ...skin darkening and beginning to hurt a bit...though not nearly as much as my pale sisters.{{{{{Hugs to ya}}}}}/
Port in until all scans are completed and to have easy access for every two weeks blood work during radiation.
Since I have Fibromyalgia, 1994, Subacute Cutaneous Lupus, 1977, and RA, 1999, I hoped my fatigue factor would be negligible...NOT.
Yesterday I wanted to lie down in the Radiation Oncology waiting room, but I had a wonderful chat with a beautiful sweet young--to me--38 year old who is triple Neg with the gene. She is a marvel. We compared our treatment plans, rated our oncologists and talked about everything from hair to what's up for us in the future.
nurses....luv you all
Mina
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Mina, bless you, dear, for coming through as well as you have. Love those amazing waiting room encouters!!
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Hi everyone, another RN here. I graduated from a diploma program in 1984, and have worked at the same small hospital for all of my career. I have worked in med/surg, dialysis and ICU, then I went on to be the Infection Control Nurse, then Director of Quality Management and Risk Manager. I am now on SSDI due to extreme exhaustion from the weekly chemo. I miss working, but really had no choice but to go off on disability. I give you girls who are still working a lot of credit (especially those who are in direct patient care). Nursing is not easy, especially these days. I am really surprised at the number of nurses there are here with BC. I am another one who worked nights for many years; I have read many times that night shift work can cause many serious health problems, and wonder if it may have contributed to my BC. My best friend who worked right along side me for many of those nights also had BC. She had treatment and is now 10 years out and doing well. I was originally diagnosed in 2006, and developed mets in 2008. Now it is treatment for life. My Dr's are wonderful and treat me with respect. I have worked with them for many years and in fact my oncologist was on my Patient Quality of Care Committee when I was diagnosed. He was very upset when my mets was diagnosed and said to me "why did this have to happen to you." I was very touched by his concern.
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forgot to say hi...bless you kak and all of us.
tired but sharing just in case... information new to me, I think...chemo brain prevents further comment.:)
http://www.webmd.com/breast-cancer/news/20090602/new-drug-for-hard-to-treat-breast-cancer
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Hi, I just found this board. I have been a nurse since 1993. Worked 4 years in Med-Surg 12 hr days, then 3-11 for a yr and a half, then 18 months in MICU on 12 hr. nights. I moved to another hospital to get into L&D, and that's where I've been for 9 yrs on 12 hr nts. I've wondered if that night shift had anything to do with my diagnosis, or if it was lack of consistent exercise, drinking a little more alcohol than recommended, or the environment of living here on Long Island. Bottom line is, I'll never know what caused it. But I am doing things to change my lifestyle around.
I had a lumpectomy, followed by radiation, which I worked through without a hitch, and now am on tamoxifen, and I'm constantly rethinking whether I will stay on it or not due to side effects and worries about long term effects.
I just started on an 8 hr 7-3 shift, I work out regularly now for the past yr and a half, have cut down on alcohol, and am eating very a healthy cancer fighting type of diet. I'm also trying to work on being more expressive, not holding my emotions in, because I think that stress had a lot to do with it. I read something about a cancer prone personality being someone who doesn't express emotions and worries about others without taking good care of themself. That's me and I'm trying to be a little more selfish instead of just trying to please all the time.
I'm curious about other nurses with breast cancer and what you all think caused yours.
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Hi rgiuff, Welcome,
I think my taking hormone replacement therapy for more than 10 years caused my Breast Cancer. That was one of the causes I checked on my intake sheet when I met my Onc. No one really knows, but I wish I had stopped earler than 06, but I hated feeling like a 10 year old.
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BethM2boys and all -
How is everyone this morning? I keep checking when I have time, which is sometimes more often than other times! It's always great to hear the updates! Still have some very minor issues but life is busy and God is always there to lift us up! Hope you all have a wonderful day.
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Well just finished the exchange surgery on 24th June for rather interesting saline implants. Developed something interesting, edema in the chest bilateral...Has anyone ever heard of it? What can I do? I know what can be done for lymphedema of the arm but not the chest. Anyhow it feels alot better than the expanders, ooh the comfort. Still on Zoladex and Arimidex and enjoying the hormone swings. 6th month post op appt coming up end of July. I can not believe that it has been 9 months since the bilateral mastectomy. Only 3 months more to have one year down. I still worry that something will show up before or after then. The fear seems to always be there.
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I have a unique problem. I am a oncology nurse, and work with breast cancer patients only. I was dx with breast cancer and had mastectomy. I am finding it difficult to return to work and deal with patients. any ideas or help?
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anne26 - I'm not sure if I can help but everyone's situation is different. I've worked oncology too and since I'm no longer there, I'm not sure how I would feel about returning myself. But maybe you can help someone so much more for knowing personally about the cancer and the surgery. I found it so different to be the patient! We know so much, but when the dx is OURS, there's so much we don't know - what happens in the doctors office, how the surgery recovery time is etc. I can imagine that there may someday be a patient that may NEED your personal perspective in some way. Or even non breast cancer patient could be helped so much by knowing that you truly understand....not just say you do!
What stage was your cancer? Do you need chemo? My onc is great - of course, I knew the best one from having worked onc. First, they gave me a surgeon appointment with someone that I had seen treat a family very unkindly - so I said, "No,I will not see him! I want _____" Then, they made an appointment with another onc - who is fine but just not the best. So I said, "No, I want to see _______" Oh my! They probably thought I was awful picky making them change things but....oh well!
Now I'm waiting for a dx mammogram appointment for a left breast nodule - probably a cyst but needs further checking since it hasn't gone away. Wondering if I start the round of appointments all over again - but I know God is in control and will keep me in His Hands!
Hope you have had a wonderful day!
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I am a stage 1,ER/PR+,0/2 nodes, no chemo just hormones. I had a BSO so they could start AI. having lots of side effects. planning reconstruction in the fall. I returned to work after my BSO and nearly had a breakdown. my job is triage for a breast service. I was so overwelmed by the medical patients needs( i provide support and reassurance) that It was liking reliving everything I have been through over and over afgain for 8 hours. I agree that we know to much. I really know to much about my disease and treatment and outcomes. I have a diffucult time se[parating the nurse from the patient. I thought I could plow straight ahead and have no problems with adjusting. was I wrong. working everyday with patients with the same dx is very hard, I also am being treated with the same doctors and staff as the patients I care for. I really loved my job and miss it. I am going to try to return to work 2 days a week. and only work with the surgery patients in attempt to see if I can mnange this population. I hope that at some point this experience with allow me to provide better care to the patients.
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HI, anne26,
This experience WILL make you a better care provider. You will have so much empathy--you will have walked in your patients' shoes. You will understand about waiting waiting waiting for diagnosis and results.
When I was first diagnosed, I just couldn't work. I had my surgery and radiation, then went back to work. I needed every bit of that time off to nurture myself. I couldn't "give" to my patients.
Working in oncology as a provider-survivor offers a unique set of challenges. It sounds like you have great support. Give yourself some time to recover. Be mindful what you say to patients--keeping the focus on them, not what you've been through. Before you know it, the pure rawness of it will be healing for you.
Bless you for what you do,
Anne
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I would like to give this group a nod on behalf of my mom, Clara Jean. She passed away March 10th 2006. She was diagnosed with BC in August of 1998, 11/11 positive nodes. She had a radical mastectomy followed by high dose chemo and what she called stem cell rescue, maybe a BMT? She lived cancer free until November 2004 when she was diagnosed with a large met to the brain, this was also removed, shortly after this she was diagnosed with Acute Myloid Leukemia from all the BC treatments. When I was diagnosed with my BC almost 2 months ago and talked to my Oncologist for the first time she said "wow, they very rarely do that treatment anymore". What a difference 10 years makes. Anyway, when I saw your group I thought wow my mom would have for sure been a member, lol. She was a ICU nurse for over 25 years and also had alot of co-workers diagnosed. Although she never questioned enviromental factors in her work place, I always have. Anyway, your group just made me think of her so I thought I would say hi and best wished to you all!!
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I am a night shift RN just diagnosed with IDC! I too have seen the information that is linking night shift workers to an increased risk of cancers. Probably the constant stress we are under by not sleeping enough and trying to live a normal life when we are not working nights!! Unfortunately I have a broad base of information on BC due to past experience---I have 2 friends that have died of this horrid disease and one that is currently in year 4 of being 'cancer free'.
I am very fortunate to have a great management team that is doing whatever they can to accomodate my illness. Hopefully I will be able to keep working as I am hoping for lumpectomy/radiation, but should I need chemo, we will deal with that (I work in a Pedi ER). My surgeon is great and I am scheduled for an MRI this week to confirm the size of my tumor.
I have found that so far being a nurse has been helpful. The radiologist and all the nurses invovled in my diagnosis and biopsy were more forthcoming due to me being a Nurse and my oncologist was very frank and able to talk to me without having to explain every little thing.
And I DON'T like being a patient at all!!!!
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Anne and others, I am not a nurse, I am actually a mammographer, so I understand the irony of your situation and the difficulties that go along with it. My first few patients after being diagnosed were hard, especially those "difficult" patients. After surgery, I had troubles with positioning due to arm limitations. I am 10 months out of dx, 6 months passed rads. I have more 'better' days now than bad, but do find emotionally some patients hard to deal with. A very limited few, I have even confided my own story with, but very few, maybe 4 or 5. I did consider getting out completely but now feel that with more time, things will get easier. The one major problem I find still working closely with BC is it never gives me a chance to just forget for awhile, I am hoping that will make me stronger. Best of luck to you all.
Penny
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buccaneersdj - Thank-you for your best wishes; it was thoughtful of you to write on behalf of your mom. Hope you are doing well. It must bring back memories of your mothers illness, but hopefully good memories of her apart from the cancer also!
ReneeJean - I agree that it's quite difficult to be the patient! Sometimes we know too well how to NOT be a good patient! I had a minor surgery several years ago, and the O2 really bugged me in the recovery room. So I kept an eye on the nurse and put it down to my chin! Of course, I kept an eye on my O2 sat also! When the nurse started to get up from her chair at the nurses station, I'd put the O2 back on right -- but only until she left again! Oh well! Guess if I was awake enough to process all that, I didn't really need to be there anymore! This time with my dx, I found out that as much as I knew about bc and chemo etc. was VERY different when it came to doctors office, SNB, decision-making, and procedures that are not done on the units I've worked! I appreciate my doctors talking the medical talk I know - but hope they don't skip something thinking I know it when I don't! One surgeon I called for his opinion said, "Make sure they treat you like a patient, not a nurse." My onc is great that way - he has a great balance of recognizing my nursing but not assuming I know it all! Best wishes to you also!
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Hi! It's great to find a group of nurses. I've been an ER nurse for 33 years. I was diagnosed in April and had a bilateral mastectomy with expanders placed on June 2. I'm blessed I didn't have to take chemo or radiation, but have started on Arimidex. I was scheduled to go back to work tomorrow. I was getting anxious about it this weekend. I just didn't know how I could do a 12 hour shift in a busy ER. I get so tired just getting dressed and doing a few things around the house. I'm still in pain due to lymphedema in my back. I guess the Arimidex has a part in the fatigue as well as hot flashes & a few other unpleasant side effects. My PS told me to take 2 more weeks off and use my energy to heal instead of work. I was feeling like a wimp. It helps to know others have had difficulty jumping back in to work also.
For WNYnurse with edema in the chest, I have been going to the Lymphedema Center where they did manual lymphatic drainage several times a week. They have taught me how to do it on myself and gave me exercises. I wear a Assest camisole from Target and it acts as a compression camisole. It has helped the pain & edema. there was so much swelling it was compressing the intercostal nerve. It was 9/10. Now it's between 3-4. Hope you are doing better.
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susanb2 - How did work go? My surgeon said I could return to work after 1 - 2 weeks! After 3 weeks, I asked him about it since I was exhausted with only getting dressed. He didn't understand. "Most ladies can go back by now!" "Maybe if you went back, you'd get your mind off it." (He might have well said, "You must be depressed"). "Well, if you can't, then I guess you can't!" I went back in 2 months and barely made it through ONE 8 hour shift a week the first couple of times! We are all different and surgeons should learn to know their patients better! Some jobs are more sedentary - I probably could have gone back to a bank teller job! Anyway, I hope you are doing well. Don't feel like a wimp, please! When I found out that breast tissue goes clear up to the collar bone - it really is a major surgery and there's more healing besides "just" the incision!
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Why do we nurses always think we're superhuman? I have to say that breast cancer and treatment has really put things into perspective for me, and I am no longer shy about saying it to my work manager and my family.
Just because we care for others does not mean that we don't need to have people care for us. I have made the decision to no longer work myself to death. If an employer cannot adequately staff, that is their problem. Today, we all work with such skeleton crews that the loss of someone working becomes a crisis.
Remember as nurses, we have the upper hand in the medical industry. There aren't enough of us so we can call the shots..literally!
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Hi 2hands4me & JoAnn,
I didn't go back Wed.The PS is female & very understanding. She told me to wait and go back July 29. She said we could reevaluate that Mon. if I was still in pain. That will make it 8 weeks off. I hope I do feel like going back so I can save the other 4 weeks of the FMLA. I'm in the process of reconstruction and obviously we never know what will happen in our lives. None of us planned to have BC and I could fall and break an ankle or something and not be able to work.
You are right about the skeleton crews, plus it is just busier with sicker patients. I remember several years ago, I could go to work and get through a shift not feeling well. Now it's so crazy, if I'm not on my A game, I'm afraid I could make a mistake and really screw up.
Hope it is going well for both of you.
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I returned to work this week(only 2 days) , my work has limited my time with the med-onc breast patients. so far this is working for me. I hope to gradually resume my job( triagenurse for breast service). take care of your self or you cannot take care of patients. listening and providing support 8hrs a day was to much, I felt like I lived my disease 24/7. the breast patients are very needy(I know what they need, as I need the same thing) unable to give it to them now. I thoiught I was was a superwoman, and crashed big time about 1 week after I returned, please listen to your inner voice, dont' go back until yoou feel ready. You need to heal emotional and physically. I hope you have support amoung your co-workers. anne26
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Hi Anne,
I guess thinking we need to be superwoman is part of the personality of people that decide to become nurses. I've always said no sane person would choose to work in an ER where we usually see not only sick people, but people often at the worse time in their lives.
With you seeing BC patients it's much the same, the worse time of their lives.
It's good that work is allowing you to ease back into it. When you are stronger, you will be able to give the breast patients a unique support and perspective, if you chose to continue in the position.
My co-workers have been great, encouraging and supportive. Many of them have told me to take care of myself. The place will still be there when I'm able to come back. Thanks for your encouragment and sharing your story. Susan
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Yes, our personalities are that of being 'superwoman' and head caretaker that lead us to nursing. Add to that I am the typical ED nurse---short attention span and going 1000 miles an hour--anything less makes me crazy! So, no, I am not a good patient nor do I possess patience! I have thought that maybe one of the lessons I am going to learn from this proccess is PATIENCE...but I am not counting on it.
I had my MRI the other day and had to tell myself the entire time that if I freaked out I would just have to do it again. I literally had a running commentary in my head telling myself to slow down my breathing and not think about the claustrophobic feelings I was having! I am a baby...but I got through it. One step at a time is how we manage this disease.
I began to tell co-workers this week. Everyone is great. It is hard to see the fear/care/loss of words when they hear (and why I considered not telling anyone). As with most night shifts, we are a pretty close group and it is nice to have their support. I know I have lots of prayers going up on my behalf due to these wonderful folks.
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Hi Renee,
Welcome to the group. This website has been so helpful. I wish I had started getting on the discussion boards when I was first diagnosed back in April. I am sorry you are having to go through this. During the MRI I kept my eyes closed the entire time. I didn't even look at the machine when I walked in. I got through it by praying the whole time that I can do all things through Christ who gives me strength.
ED crews are great for support. We may fight like brothers and sisters sometimes, but when the chips are down they are there when you need them. The group I work with has been wonderful and my boss has been very supportive.
As you travel the journey that is BC, keep us updated on how you are doing.
Susan
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