What advice would you give someone just diagnosed with BC
Comments
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Just after I was diagnosed, I was given a lot of 'free advise' from people about how I might deal with my treatment. Although, most if it was meant well, I thought at the time I would really have liked GOOD advise, from those who have been there. Sooo, maybe we are in a position to do that. I'm thinking two TOP 10 lists - 1) What to say to someone when they have been diagnised with cancer, and 2) What NOT to say to someone with a cancer diagnosis. If anyone is interested in providing a a couple of thoughts along this line, I'd appreacite it. I'd be happy to complie them and post them later (I'm going to pass on to my FB friends as a way to 'educate'). To start the ball rolling....
1) What to say to someone who has cancer
- If there is anything I can do to help you, please let me know
- Can I bring you supper tonight?
- Would you like to go for a coffee?2) What not to say
- I know exactly how you feel,...
- You are so brave....
- You look so healthy....
- At least you'll get new boobs....
- I know someone who had BC and.....These are just a few of my examples - You ladies will for sure have better ones!!
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Great thread - here are mine!
What to say:
1. I'm right here for you and ready to help in any way. Child care, food prep/shopping, driving to appointments - you name it, consider me on-call. Let's make a plan so you can direct all of your energy toward treatment.
2. My contact list is your contact list: if you need options for doctors or facilities or other opinions, I will put the word out to everyone I can think of to make sure you have choices that are backed up by real-world experience from people I know.
3. You don't need to be anything at all for me right now. If you're not chipper, you don't have to fake it. If you just want to hang out on your couch in your jammies and watch a movie, that's what we'll do. All I care about is your comfort and your company.
4. I love you.
What not to say:
1. At least it didn't spread anywhere really dangerous! (um, you don't know this unless you have super-cellular vision)
2. It's only hair/boobs. Those aren't important anyway. (you're right, in the big picture, but it's still a vanity hit)
3. My other friend had cancer of the eyeballs/elbow/big toe - she went through treatment and she's totally fine now!
4. If you need anything, give me a call (honestly, anyone who knows me knows that I'll NEVER ask)
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Yes, great thread! It got me thinking and although we all need to hear different things-or not, here it goes:
What to say:
1. Let's go for a coffee, there's this new place we haven't been to.
2. I'm here for you if you need help shopping/cooking/walking your pet. We can figure out a plan.
3. I support you in any decision you make.
What not to say:
1. Don't be worried about getting all/any of chemo SEs. Have you ever looked up the Depon (paracetamol) side effects? Almost nobody gets any/all of them.
2. Be patient/brave, next year/in 15 years you'll vaguely remember all of this like a bad dream.
3. They caught it early, right? Don't worry, breast cancer has a 90% cure rate.
4. I know somebody who had breast cancer x years ago, did everything she was told and is still doing fine.
5. Don't question doc's treatment plan, he knows better and you are in no position to make decisions for yourself right now.
6. Can't you be patient for a few months (referring to chemo)? Then it will be over.
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What to say: Please tell me how I can help you? What do you need? Can I drive you to appointments, babysit, set up a meal delivery schedule, grocery shop for you - I am here for YOU and will do whatever you want me to do, even if that is nothing except sit with you and hold your hand.
What not to say: Your hair will grow back better than ever. Oh great, you get perky new boobs! Fill in the blank had cancer and they are fine, or died, or worked all the way through chemo, or didn't lose their hair, etc. None of those things may apply - we are all individuals and can't know how we will respond to treatment. Do not question anyone's choice of treatment, whether you agree with it or not, unless you are their surgeon/oncologist/RO, etc., it is important to respect people's choices. Refrain from sending them emails extolling the miraculous curative powers of asparagus.
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What not to say ---- call me if you need anything. When I was in treatment, I never wanted to bother someone by calling and asking.
Better to say:
--I'm going to the grocery store this afternoon, what do you need?
--Which night this week would be a good time for me to bring over dinner for your family?
--I made a double recipe of lasagna. I can bring it over for you to put in your freezer to have when you need it.
--While I am here visiting, let me run the vacuum cleaner for you or fold a load of laundry or unload the dishwasher, etc.
In other words ---- when you tell someone to "call you if you need anything," they aren't going to. Be specific with what you can do to help them so that they don't have to reach out and ask.
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These are great ladies - keep it coming!!! - I'll tally all the input and provide a final list of top 10 to everyone. I'll have a word document too incase anyone wants to print and post at work, etc. (I REALLY want to educate....... can you tell?!)
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Totally agree with some of the above.
What to Say:
- Suggest something CONCRETE you can do: eg - Which night can I bring you dinner? I'm at the store, what can I pick you up? Can I watch your cat/dog/child while you're at treatments/in surgery? What do you need a ride to this week? Is there anything I can research for you? Is there any news I can pass on for you to other friends/family?
- I am thinking about you every day; I love you.
- I support whatever you decide.
- I admire your strength/courage/humor/judgment while dealing with XYZ (most of the time we don't feel strong at all, or decisive - but we are doing our best and it's nice to hear that we may be coping well
)
What not to say:
- As mentioned above: Call me if you need anything. It can be a burden to think of what you need and whether it's convenient for the person offering.
- What not to do: completely avoid talking about the cancer altogether.
- At least you caught it early and you'll get it all taken care of (in reality it's much more complicated than that for most people)
- "It's probably nothing." Or, "That biopsy/mammogram/pathology is going to be negative, I just know it!"
Great idea for a thread!!!
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OMG, K, I'm cracking up because I've gotten the asparagus email at least three times in the past two months, along with several WebMD articles. I scream at my laptop every time a new one pops up, but then I just shake it off and send a brief reply thanking people for thinking of me. IT'S SO, SO ANNOYING, THOUGH.
I really hope I never accidentally turn my webcam on and film my reaction for these people to see. I keep chanting "they mean well, they mean well"...
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I would advise them to register at the NCCN website and read the professional version of their guidelines for breast cancer treatment including the footnotes and discussion on the last 50 pages.
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What to say-
I am here for you, vent if you need to.
Don't say anything, hug me, cry with me, hold my hand.
What not to say-
My XXX had BC and didn't make it but I am sure you will your so young.
Oh, if you get them taken off you can get new perky boobs!
It must be all the Diet Pepsi you drank.
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I'd also advise to tell as few or as many people as you are comfortable telling...but beware! When people start asking how you feel, you have to answer and after awhile it can be unnerving and sometimes taxing. Try standing in front of a mirror and practice saying even if you are feeling awful, "Thanks for asking, how are you?". And when they start asking stupid questions...again practice in front of a mirror and say, " Excuse me?". And then let the silence linger in the air. And when you really get flummoxed, just give them the evil eye. Practice in front of the mirror several times a day....it gets easier over time!
The bottom line is that most people don't know what to say or do when you are diagnosed! You need to be proactive!
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what not to say:
1) I wouldn't/would do chemo/rads/mastectomy - if you haven't had a diagnosis you will never know what you would do, please refrain from medical opinions
2) god only gives us what we can handle - really? I think my abilities have been way over-estimated!
3) what is your prognosis? - I heard this shocker a few times.
4) if you catch it early its like 95% curable right? followed by (lowered voice) you caught it early right? this is part of the pink washing issue but that's a topic for another time
5) this will only make you stronger
what to say
1) I agree TOTALLY with all the other ladies - be specific about how you would like to help and nail down a time/date/task
2) I am here for you whenever you want to talk, and if you don't that's ok too
what not to do
1) drop in without warning - yikes, didn't have time to draw on my lashes and there were days I didn't shower!
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I agree with voraciousreader! I told only a few friends and only close family members of my diagnosis. Even then I found it difficult to deal with their questions. I will add to the list:
Do not ask what stage the cancer is as this just broke me down - I felt that they were hoping for my untimely demise.
I had a friend who kept asking if there was anything she could do for me and I knew then that I wasn't going to ask for any help. The help that I needed was:
Can I bring you some groceries or am at the store you need something etc.
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Boy did this thread hit home.
What to say... "I'll help you through this in any way that I can. I will be calling to check in frequently, if you don't feel like talking, just don't answer the phone"- and then follow through.
What not to say... I'll repeat what's already been said a number of times (these two should definitely make the top ten)... "You are so strong" and "My acquaintance had cancer and here's what happened", particularly if the person did not survive. Yes, I had my dentist tell me that his mom passed away from breast cancer in her forties. Really?, thanks for sharing.
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What to say, "I'm so sorry this is happening to you."
What not to say, "OMG, I really hope you don't have to have chemo! It's horrible for you!"
(Someone actually said that to me.
)
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nina - I got the asparagus emails, and had to consider the source, and it made sense. I found them hilarious though!
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I agree with all that's been said as to what people should and should not say. I would like to add that if you say the right things you have to follow up on them. Otherwise, they turn into things that you should not say. In my world, actions speak louder than words.
I'd like to share one thing that my husband and I did that helped with dealing with people's questions. I was pretty open with the fact that I had been diagnosed, I'm not good at hiding things and like to have things in the open, but that does leave you open to being asked loads of questions. What my husband did was write an email to our friends, basically a mass mail out to about 15 people, at appropriate times during my treatment. The email contained pertinent information about where I was in my treatment and we shared what we were comfortable sharing. This way people were up to date as to what was going on with me. When I met up with my friends they already had all of the cancer information and we could focus on other discussion topics. Plus I didn't have to answer the same questions from multiple people at different times. I'm not sure this is something for everyone but it worked for us, we got good feedback for friends, so I thought I would share.
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What bugged me was not what people said but the way they would look at me...furrowed brow, pitying eyes, "how are you feeling?" I started staying in rather than deal with that look from people. It wasn't the words, it was the facial expression that went along with it.
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Another thing that was nice, but odd, was that people brought me cookies and cake right after they heard...and I hadn't even had surgery yet! I could have used those 8 month later when I was in my last weeks of chemo.
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"I support you in whatever you do" - Unless you are my Hubby or Sons. DON'T say that to me! To me, that is SO INCREDIABLY stupid/rude. It comes across as saying "I know better than you what you should do, but - - -".
There are no one 'right' or 'wrong' words to say to all. We are each so unique. Be honest - as long as someone is being honest, that's what matters to me. Even if the words are a bit 'off' - the way they are said and the demeaner of the person will let you know what is in their heart.
The only person I can remember really getting HOT with/at was Son's G-friend and her Mother at the time. They told him that because of 'someone' they had 'known', I'd be dead in 3 - 6 months. (They tried telling Hubby the same thing.) Aug will be 5 years and I'm still here.
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Don't say "Too bad you didn't have to have a mastectomy. You could have gotten some nice perky new boobs!" I'm allowed to make a joke about it, but you aren't. Plus, don't go on and on how great I look. Under the circumstances, yes, I don't look that bad. But with no hair, obviously thinning eyelashes and eyebrows, and some stupid scarf or hat on, I usually don't feel pretty compared to my pre-treatment self. A simple "You look nice" will do. Also, telling someone they are "lucky" that they got breast cancer instead of a more "serious" cancer is a no-no. I mean, really? That's like telling a guy in a wheelchair that he is lucky he is in one because he gets to park in the handicap spot.
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I also appreciated cards in the mail with gift cards in them to local restaurants. Even if you don't feel well enough to go out to eat, somebody can swing by and get take out to bring home.
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Don't say, "you will get through this treatment and be back to normal in no time!" Uh, no. Even doctors were guilty of that one. There is no going back, and I will never be the same as I was before. Some of the changes are permanent. We all hope to get comfortable with our "new normal" but it can be a struggle. Don't say (or assume) that once treatment is over the person can "go back to her life again". Often that is precisely the time that is most difficult. We may look fine, but still be dealing with pain, weakness and emotional issues that you can't see.
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Excellent stuff!! I particularily like all the input on what to say and do...I know that people are truely tongue tied when they find out someone has cancer, and kind of cancer. I know I was before BC, so I am hoping to get this out to anyone I can to help with this. People want to help they just don't know how.
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Jab...the list of do's and don'ts for other people are endless! That's why I advocate, instead, that WE be the ones that are proactive! Its up to US, not THEM, to steer the journey.
Recently, a friend was diagnosed with DCIS. I never told her that I was previously diagnosed. However, she called me, as she usually does, for doctor recommendations. Over the next few months, she kept calling me to calm her down. I kept telling her to stop talking to so many " friends" because they were driving her crazy. Unfortunately, she couldn't control herself and at one point she had been calling me three times a day! I finally saw her husband and asked him what kind of "friends" did she have because it seemed like I was the only one who was truly helping her! He said that for smart women, in his humble opinion, they were all dumb! Two weeks ago, she and her close "friends" and I got to celebrate her birthday. At the table there were these highly accomplished women, two of whom I'm friends with. As I looked around the table my mind was boggled that so many of them caused her such grief following her diagnosis. Considering they were highly intelligent and still were capable of making such faux pas, I think it is impossible to believe that they or others are capable of behaving "correctly" when a friend, colleague or relative is diagnosed with cancer. That's why I think it is up to US to lead the way'. I call it full body armor, as though we need to prepare for war! Bombs lurk EVERYWHERE on the journey. Early in my journey, I used to dress up prepared for war! Not so much anymore, because life got in the way of my cancer journey. The less I think of cancer, the even less my friends think of it and before you know it, no one is saying dumb ass things about my health because they have resumed, like I have, living life!
Now, I don't need that mirror as much as I needed it when I was first diagnosed. The only thing that mirror does now when I look into it, is it confirms that I'm alive!
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Oh my gosh-just found this thread and love it! I don't know how many times I have gotten the asparagus-or similiar cures.
Do: Call or text me from the grocery/pharmacy/target and ask what I need-not if i need something-what I need.
Show up-my friends know they can show up-come in the back door-and be there.
My best friend and my oldest daughter went with me for my hair shave-by another good friend. My best friend looked at me after, burst into tears and said-thank God-i was so afraid your head shape would be ugly. Yes. Laughter is ok. Very ok.
This is weird. Help change the sheets. I was alone. @$#$ husband walked day of port. Chemo was rough. A friend helped me change my sheets. It was wonderful.
Send new PJs. A friend from out of town sent me new PJs twice. A real treat.
I was OK when my friends told me I looked like crap. I knew I did. I hated it when people told me how great i looked.
Set up a care page account. My daughter did one for me. It was her therapy.
Don't
Tell me I look great when I look like crap. I still look like crap and am almost 2 years.
Tell me if I have faith and am strong I will beat it. So all those dead people lack faith and are weak?
Tell me @ least I did not have to have both sides done @ the same time. That would be really hard to have both "cut off" @ the same time.
Ask me why I did not get new perkies. I will be happy to refer to my breast surgeon and PS for the answer.
Ask me how long I have. That came from a medical professional.
Tell me how many people they know who died of BC.
Smells were really bothersome to me-so be cautious about taking food. I appreciated so much-but it often went to waste.
Great idea for a thread and for a way to help a new person. I talked to a new one a couple weeks ago and tried to help her with some of this. My chemo brain still causes problems though
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~susan
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Good ones SusanHG123 - I too still have the smell thing going on and I'm 6 weeks post Chemo.
voraciousreader - I agree that we have to guide our own journey, and now that I am post chemo, post DX, I feel like I can do that - I am feeling stronger both physically and mentally. But when I was first diagnosed, I was scared, confused and was looking for advise, because I just didn't know what I was up against. I got the worst and stupidest advise from people who were educated - I find entitlement can often be in the form of thinking ones knows everything about everything...... That said, I would have given my left arm to get some of the great advise already on this tread and in these forums.. Also I hope 'educate' some of those highly educated people thought they had such great advise....What better way to do it with real words of wisdom, from those who have been there!
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Interesting topic.
What to say? In addition to the specific offers of help noted in many of the above posts, first and foremost, say something empathic. Too many well-meaning friends gave advice ("eat this, don't eat that;" "exercise helps!" etc.) instead of empathy when i was going through Cancer Hell a year ago. One friend said, 'this must be a crazy time for you...and we'll get through it together!' and i knew that she 'got' it--and 'got' me and how 5 bad biopsies were raining down on my head like a ton of bricks.
The only things i'd add to the list of things to not say are these: first, i grew a little weary of hearing 'i'm sorry,' because after awhile, it began to sound as rote as hearing 'gesundheit' or 'bless you' after a sneeze. I know, i know: i've said it a million times to others myself, and i certainly know how easy it is to fall back on a stock response to someone else's pain or misfortune when you're feeling tongue-tied. And second, if you know someone is agnostic/atheistic/otherwise not religious, don't offer prayers or requests for other forms of divine intervention!
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Jab....the best things ever said to me were said by my MO....and I didn't realize it until many months after I completed active treatment! As I researched my cancer, I realized in retrospect all the good info he had provided me while making an active treatment plan. I also realized early on, that.....unless someone had a cancer diagnosis....no one knows what to say or do! That's why THIS place is an oasis for comfort, support and empowerment. Those bright, educated "friends" are more likely to not "get" it! Enlighten them? Lots of luck! I thank my lucky stars that I shared my diagnosis with just a handful of people so I hadn't subjected myself to some of the painful feelings that others here have had! My heart has hurt more over other sisters' journeys than my own....I sincerely wish you well in enlightening others....but until there is a groundswell of understanding breast cancers I'm not too encouraged that our wisdom is transferable.....
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I think the "I know someone who had bc…" could be a great thing in a different way: if you know someone who's been through something similar and you are offering that person up as someone for your newly diagnosed friend to connect with, then that's GREAT in my opinion.
ONe of the best things that happened when I was diagnosed: one of the people I least expected to be helpful (in fact someone I would never have told save for a series of coincidences that threw us together for hours upon me learning of my diagnosis) told me, "I know someone who had bc and I'm going to contact her tonight and see if she can speak to you, IF YOU are interested…" (This bc survivor was treated at the hospital I was going to)…Well, I was interested. The person who "had bc" and I arranged to talk on the phone the next day as she drove in to work. She was this terrific go-getter. A super smart, super successful, super together person. Someone whose words to me were essentially: whatever it may feel like now, let me tell you, I got through this, and you will to. She gave me so much great advice. Some of which I followed, some of which I didn't. But she was so helpful to me in ways I can barely begin to explain in this post. So, if you know someone who is "experienced", and can be supportive and positive, and you want to offer that person up as a support contact, I think it's great to say, "I know someone who had bc…"
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