Take the Fright Out of Breast Cancer™
Comments
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So many good points being made here. The pink October fundraising campaigns are always reductive and simplisitic. OK, keep it simple, raise more dough. But BCO should lead the way with a more nuanced campaign that is not so harmful to us patients, is upfront and honest with the public, and which didn't use base emotions to put their fundraising case.
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Sara, always happy add a little humor. This subject is dark enough.
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OK Traveltext, point well taken. Obviously my "Ivory Towerish-ness" was showing. Thanks for the clarification.
Prostates and testicles are for sure not vestigial! However I personally would be a little wary about transplants for the latter. "Be careful what you wish for....."
Also to those advocating for official inclusion of males into this "club"...THANKS! Hey, there's a whole army of female survivors out there and they all have guys that in some way are significant to them. Ladies pass the word on, please. If enough men are ID'd perhaps a significantly sized cohort may one day exist to warrant clinical studies into MBC. Learning more about the disease, in all its manifestations, will benefit all victims.
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While we canhappily get sidetracked here, we're obviously keen to hear what is happening with this frightful campaign.
Any news from upstairs Mods?
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🙈🙉I think it's pretty clear they're not changing a thing, at least not this year.😱
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We've heard your concerns, and are making changes to address many of the points you've raised in this thread. Our intention has been to address fear as one of the many barriers that may keep people from getting the best care possible. We have changed our About page, and our flipper banners. The initial post in this thread is now the new language in the About section of the campaign. More changes will be coming in the next weeks. We will be inviting community members to join us for some live discussions on how we can make our efforts better in the future. We'll try to reach out to some of you individually but if you don't hear from us and are interested in talking to us, please let us know. Thank you as always for you honest feedback.
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Thanks for the head's up Mods. I can see that there is a big departure from the original plan, in that a Halloween event is presented as just one of many other fundraising ideas. I guess that will allow people a choice of events to either hold or attend. I hope you will not list Halloween events as a sanctioned option next year, since it remains a totally inappropriate day to promote breast cancer awareness. Surely that message got through to you from the reactions posted here and on social media. The campaign logo, "Take the Fright Out of Cancer" remains as an absurd statement.
I notice you are aiming to raise for $5 million for a website re-vamp. This is a huge sum to spend on this site, so I'm assuming you have great plans. But you need to try harder to keep the community intact if you want BCorg to quote: "be there for all those with varying cancer diagnoses" since is really is the community that is dealing with the people on a day-to-day basis. The information section of the site was unique 18 years ago when you started, but this info is all across the web now, and from very authoritative sources. And while this was once the main site to come to for support, various social media have their own communities, and this has allowed bc folks with varying subsets of this disease to gather for help and support.
Anyway, thanks for meeting us part way.
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I think TravelText has basically said what I feel. It's great that you are willing to look at this...thank you for that.
For me, personally, changes in copy are a bit insignificant compared to the branding "take the fright out of", used with spooky "B movie" font. I honestly believe you need to change your logo and URL entirely; anything less doesn't address what I believe is distressing most of us. I hope you're changing the marketing packaging . Thank
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The main reason I keep coming back to BCO is to help people that are in the horrible period of first getting diagnosed. Talking to survivors is how I was able to cope and get on with my life.
I also come for information exchange.
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Although I'm glad the Moderators have made some changes, but overall I agree with both Meow and PoseyGirl.
Also, where is the data that fear of breast cancer or fear of treatment decreases percentage of women getting mammograms? What I can find in the research actually suggests the opposite. Women more afraid of breast cancer are more likely to get mammograms. I'd appreciate knowing the background of such an offensive campaign: is this tactic grounded in knowledge or is it just something somebody came up with?
My impression from BCO is that one of the main goals of the site is to promote mammography. While not going into the controversy over whether mammography is really very helpful, I want to point out that the recent research I found identified fear of having to pay for it as the major barrier, not fear of the procedure or treatment of cancer. The other factors I find: doctors not mentioning it, individuals' overall burdens of psychological distress, time, travel/access, having more children in the household. Finally - mistrust of the healthcare system, fatalism and the related fear of learning a diagnosis - aren't as simple as being afraid of the procedures. We have solid evidence that to this day people of color do not receive health care equivalent to whites in this country, and hospitals that would not admit people of color are not that far back in memory. The cultural belief that the medical establishment may at best not care about you and may at the worst be trying to screw you is a natural product of our history, not individual women's irrational fears.
So where is this even coming from? A marketing agency? BCO is insulting us by equating our very reasonable fears - sometimes terrors - with the fun spookiness of Halloween, which is fun because we know the scary thing isn't real.
What cancer did to me is real. Had I known what would happen, I would not have been any less afraid.
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The Health Belief Model, used in the health psychology field, suggests that people make behavioral change (like engage in health-promoting behaviors) when we have enough fear or anxiety to be motivated, but that too much fear leads to inertia and paralysis.
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That's interesting ksusan. The fear many of us have here can't be resolved by behavorial change. And any fear of breast cancer instilled in kids is a fear that can't be resolved by them.
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In my own experience, which admittedly isn't vast, women don't skip mammograms because they're frightened. They skip them because they're leading busy lives and let appointment dates slide by, or because the cost of a mammogram is too high.
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ksusan, that may be a model, but none of the research I can find on why women don't get mammograms suggests that fright is a major reason. By far the one that comes up most often is being afraid of having to pay something. Models are fine, but then they have to be validated in the situations in which you are using them. What I am asking them for is where they have found validation for this model in this situation, because I can't find it.
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The last two posts are worth reading again and again. And if you have ever been physically or psychology abused or have ever had a medical proceedure or medication pushed at you by a doctor who was getting an insane markup or kickback, you understand the mistrust. Have you ever gone numb to get through an exam even when, consciously, you do
trust the current doctor? There are more women than you think trying to work out this kind of stuff.
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Like many Stage IV people, my DX wasn't from a mammogram. My cancer was discovered unexpectedly. I was 0 risk with 0 history of any type of cancer in any family members. I had an MRI of my spine to confirm that I had one or more herniated discs. THAT is how my cancer was found. No herniated discs, but a moth eaten spine. A spinal biopsy showed the cells to be Metastatic Breast Cancer.
FOUR mammograms at two different facilities could not locate the primary cancer in either breast. An NCI hospital with more advanced equipment was able to locate the micro tumor that was the cause of my widespread bone mets. Bonus - I have never had elevated tumor markers, something that is not as uncommon as I once thought.
Would a routine mammogram had made a difference? No. Mammograms are limited in their usefulness and IMO cause more false positives than true ones. THAT is scary.
We all need better and more accurate ways to find cancers hiding in our bodies. More importantly we all need effective long-term treatments without harsh SEs. Ultimately, we all need a cure!
BCO gives us a voice. BCO advocates for us.
But.....
The website is a mess to navigate. Most members stick to the forums and never see the announcements made by the Mods.
The "front-page" of the site does have some useful information. Most however is brief, vague or terribly outdated. Studies with very little scientific evidence using very small numbers of test subjects are touted as breaking factual news.
I am looking forward to the much needed redesign. My requests to the powers that be are :
* More input from NCI affiliated specialists
* More information on local/regional advocates and services available for BC patients and their loved ones
* Password protected forums for registered members to protect our privacy and to prevent other websites from farming us for information. Our medical discussions are now regularly showing up on other supposedly trustworthy information sites. Not BCO articles - we evidently are all the "real experts".
* Leave the "Worried but not yet Diagnosed" and other newbie forums open to all.
* Ask for more member input on the discussion boards - where the requests will be seen
Please Mods, let us all work together. BCO is a true lifeline. Let us have the opportunity to support you as you have us.
With no more Halloween wreckage please.
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I get so angry when I see things like healthy lifestyle keeps cancer away. WARNING I will rip down any sign I see suggesting that. Most people are totally shocked by cancer diagnosis, meaning they do live healthy and never experienced illness. It is down right dangerous to have people think healthy life weight exercise you don't need to worry so why bother with scans.
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interesting discussion re: barriers to getting mammograms. I think they are somewhat different in the US, as in Canada, we all have ready access to mammograms. These are the barriers I see here, and this comes from discussions with other bc patients and friends without bc:
- they don't think it's a common enough disease and may not know anyone with it. I know my diagnosis scared several friends to go in. Many times - as is human nature - we don't think something will happen to us as it seems so remote
- women (and men
) may feel a lump but are so busy and stressed about other things that they tend to let that doctor's appointment slip. As soon as I saw my breast contour change, I was in there like a shot. But I was very sensitized to breast changes, as I had very lumpy and dense breasts always
- we still think of cancer as an older person's disease. Stats and a walk through a chemo suite reinforce this belief because it's true to an extent. But cancer can happen any time. Our Ontario breast cancer screening program for women starts at 50. So I think many women don't start considering it till then. I met a woman in her mid fifties who told me she had never done a breast check. I was kind of stunned. Which leads to my last point
- education. I think that we don't want to be an alarmist society, but I think every senior high school student should have a health unit on cancer. And one on heart disease. And so on. If 40-50 percent of people will get diagnosed with cancer, we should and could benefit from one month of learning when we're young adults about this. people really know nothing about it until it hits close to home. I totally get that, bit a little proactivity can help
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PoseyGirl,
In the US, the ACA mandated coverage of mammograms, but not everybody knew it and who knows what will happen to the ACA. But before the ACA . . .
My intention wasn't to derail the thread, but to ask BCO to justify why they are so wedded to this particular campaign. There actually is a lot of research about barriers to mammograms, and I found nothing that supported "fear fear as one of the many barriers that may keep people from getting the best care possible," unless you counted fear of having to pay something.
I agree the modified statement is much improved. But I am still very offended by the idea that women shouldn't be as afraid as they are of breast cancer or its treatment, and the research I found showed a correlation between more fear and a higher chance of getting a mammogram, not vice-versa. I will link to some of it when I have a little more time later. Our fears are justified. To turn our past and present fears into the subject of a silly Halloween event is to make a farce of our suffering.
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I, personally, would love to hear from the mockety mucks who conceived this idea and those who approved it as to their reasoning for this campaign and the trademarking of it. I don't see that happening though. No offense Mods, but you probably are writing off a script because so far we on this thread have not been totally convinced. I would like BCO to cite your statistics where fear is a barrier is a barrier from getting the best care possible.
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I just don't like the clunky machine and all the fussing around to get things right. Then the clamping down, It's a drag is all and sometimes it's painful. Why can't they design better machines? Are there no women designers? But the techs always let me have a look at the photos. It's worse than a dentist appointment.
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Meow13, exercise coupled with BMI regarding breast cancer recurrence has a plethora evidenced based science research to back up the claim..for instance: https://www.sciencedaily.com/releases/2017/02/170221120804.htm There is no one or any cancer research claiming that exercise and low BMI means you can do away with scans and cancer will never return. A quote from link posted: ..lifestyle changes should never be used as a substitute for standard therapy.
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Lilac, why are healthy people getting cancer? There many many of us. Yes I would agree that good health is important but I don't think it has anything to do with why people get cancer. Those stats are BS, the majority of the people out there have high BMI.
To me if I see a sign that says "cancer doesn't like healthy bodies" I am ripping it down and tearing it up.
BAD HEALTH DOESN'T EQUATE TO CANCER. Just look at all the overweight people that DON'T have cancer.
That is the problem to think if you are low risk that you won't get cancer
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Lilac - The last lines in the article you referred to :
"The authors caution that these recommendations are not a silver bullet for all women with breast cancer. Some breast cancers have aggressive biology and will recur despite the most meticulous lifestyle behaviours.
Patients should not be made to feel that inadequate lifestyle changes have led to recurrence of their cancer, they conclude."
Meow - You have hit the proverbial nail on the head.
"BAD HEALTH DOESN'T EQUATE TO CANCER"
"That is the problem to think if you are low risk that you won't get cancer"
There are plenty of members here who had ALWAYS done all the "right things" before their initial DX. There were oh so many members who continued to lead healthy lifestyles while undergoing treatment, yet died anyway.
Anyone can get cancer. There is no one solid reason why. Anyone with early stage BC can metastasise at anytime. There is no rhyme or reason to it. Cancer happens no matter what.
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I have never stated bad health equates to cancer, or that exercise and low BMI are the panacea - the cure to cancer. Yet, continuing to work for being as healthy as you can during and working to be healthy after treatment is empowering and can reduce the risk of cancer recurrence. No one is making anyone feel anything. Meow, you and I know that cancer is when abnormal cells divide in an uncontrolled way, uncontrollably grow and do not die. I've never found a sign up on any wall in any setting where people with cancer are to be found that states: cancer doesn't like healthy bodies. I'm pointing out there is true, actual evidenced based science research to using exercise & BMI to help keep recurrence at bay. There are women and men who want to significantly decrease their breast-cancer risk by exercising regularly and try to keep their weight within a normal range for their height. I meet them all the time and not one person feels cowed or humiliated - concerned about the future - absolutely. These are people who earnestly want to stay has healthy as possible, especially after what they had been through in their treatment.
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I was just providing information that might be helpful for the discussion. I wasn't making any comment about this campaign. Out.
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LilacBlue,
I agree with your perspective on healthy eating habits and lifestyle. I too have never seen, nor been told, that positive lifestyle choices choices will guarantee I won't get cancer or recur/progress. I am not sure why people who practice healthy lifestyles are shocked/upset/mad if they are dx'ed, as healthy lifestyle , while helping with risk reduction, brings no promises or guarantees. I encourage everyone to eat well and exercise, but risk reduction is not a promise of never developing or progressing with bc! Do what you can to mitigate risks, but know that there are no guarantees.
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Hey all,
Let's get along; we're all on the same page and want to support. I appreciate all the input here...we may not be talking about the campaign exactly all the time, but discussing fright in general is important.
I didn't read your comments negatively, Lilac. You were sharing info that is good stuff that we can all work toward (most of the time). It can't promise us a thing, but it can make a difference for a good many and exercise is something we can control.
But when you take a step back from all the various subthreads here...would any of us be here if fright didn't factor in at some point for us? Ya, no. I don't think so. Which reaffirms that fright will always be here till breast cancer ain't.
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Which reaffirms that fright will always be here till breast cancer ain't.
Yes.
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Re: Meow13's statement: "I get so angry when I see things like healthy lifestyle keeps cancer away. WARNING I will rip down any sign I see suggesting that. "
I took this as a reference to a campaign that the American Cancer Society ran a couple of years ago in the Pacific NW featuring signs around their premises stating "Cancer hates healthy bodies" (or something very similar). I found that extremely offensive and let them know it, too.
Yes, there are lots of other entities and columnists making similar claims but the ACS campaign was inexcusable.
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