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Living Well Beyond Breast Cancer: A Survivor's Guide for When Treatment Ends and the Rest of Your Life Begins

Overview

What do I do now? Why am I still so tired? Am I really cured? How do I reduce my risk of recurrence? Is it safe for me to get pregnant? How do I get rid of the hot flashes so I can sleep?  

This fully revised and updated second edition contains crucial information about these issues and more?including the revolutionary medical advances in follow-up testing, ongoing treatments, and recovery. With answers for everything from how to deal with hair loss and weight gain to ...

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Living Well Beyond Breast Cancer: A Survivor's Guide for When Treatment Ends and the Rest of Your Life Begins

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Overview

What do I do now? Why am I still so tired? Am I really cured? How do I reduce my risk of recurrence? Is it safe for me to get pregnant? How do I get rid of the hot flashes so I can sleep?  

This fully revised and updated second edition contains crucial information about these issues and more—including the revolutionary medical advances in follow-up testing, ongoing treatments, and recovery. With answers for everything from how to deal with hair loss and weight gain to finding online support groups and understanding healthy foods and supplements, Living Well Beyond Breast Cancer contains a greater depth and breadth of information in its enhanced chapters—plus all-new chapters that cover current treatment options and preventative tips for those at high risk for developing breast cancer.

Enhanced Chapters:
•    Tests: Peer, Poke, and Prod
•    After Mastectomy: Re-creating a Breast with or Without Surgery
•    Intimacy, Sex, and Your Love Life: Relieving Discomfort and Increasing Libido
•    A Child in Your Future: Fertility, Pregnancy, and Adoption
•    Reducing Your Risk: Living Well

All-New Information:
•    Pre-Survivors: Risks and Prevention
•    Thinking and Remembering: Clearing the Fog and Sharpening Your Mind
•    Bone Health: Weakness Explained and Strengthening Exercises
•    Sleep: Restoration and Renewal
 
With this book as your guide, you’ll have the tools not just to live beyond breast cancer, but to live well and well beyond this challenge in your life!

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Editorial Reviews

From the Publisher
“Women at any stage of the breast cancer journey, including those grappling with emotional issues surrounding the chance of recurrence, will benefit from the Weisses' up-to-date and uplifting outlook.”
Publishers Weekly
Publishers Weekly
This expanded second edition includes updated information reflecting advances in breast cancer treatment made in the past decade. Weiss, a physician specializing in breast cancer and founder of Breastcancer.org, and her mother, a writer and breast cancer survivor, have included new chapters on “mind-fog,” bone health, intimacy and sex, as well as the latest on hormone therapies, drugs and other treatments, and diagnostic technology. The text also covers topics that seem more suited to those who have been recently diagnosed or are still undergoing treatment (i.e., choosing a physician, hair loss, breast reconstruction and traveling the maze of scans and tests). Some survivors may prefer to race to the later chapters, which focus on life style choices, environmental concerns and genetic factors, homing in and preventing and managing recurrence. The authors explain that while several of the most influential risk factors (family history, being a woman and getting older) can't be controlled, women have the power to modify such other risks as weight gain (a hazard for recurrence as well as lymphedema), exercise, diet, smoking and use of alcohol. Women at any stage of the breast cancer journey, including those grappling with emotional issues surrounding the chance of recurrence, will benefit from the Weisses' up-to-date and uplifting outlook. (Jan.)
Library Journal
Radiation oncologist Marisa Weiss, founder of the nonprofit Breastcancer.org, here revisits the territory she traversed so well with her mother, Ellen, a breast cancer survivor, over a dozen years ago in this book's first edition. With early diagnosis, advances in technology and diagnostics, a variety of new protocols, and breakthroughs in drug and chemical intervention, today even more women and men are living far beyond initial treatment. In 23 chapters within five major categories (e.g., "Treatment Over, on with Your Life" and "Additional Care Beyond Treatment"), the authors update the post-breast cancer landscape with their take on bone health, sexual matters, and the ever-present fear of another diagnosis, among other topics. The format is similar to the original edition, with shaded sidebars and lists, e.g., adjuvant therapies and do's and don'ts. Sections discuss various concerns, followed by "Solutions." VERDICT This book's straightforward presentation will help readers gain control over these often scary concepts. With a proven track record and a reasonable price, this volume is highly recommended for all members of the breast cancer club. (Index not seen.)—Bette-Lee Fox, Library Journal
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Product Details

  • ISBN-13: 9780307460226
  • Publisher: Crown Publishing Group
  • Publication date: 1/5/2010
  • Edition description: Updated
  • Edition number: 2
  • Pages: 528
  • Sales rank: 528,170
  • Product dimensions: 6.10 (w) x 9.10 (h) x 1.30 (d)

Read an Excerpt

CHAPTER ONE  
Over, Not Over    

I never forget. Cancer has become part of my consciousness, part of my society. With every cancer death, my heart turns over. I'm always amazed at how other people take their lives for granted, as if they'll live forever.  

I became assertive, someone I'd never been. I had a new voice. I said whatever I felt, like a cranky old lady. I knew nobody would stop me. I took my husband to an auction, my first post-treatment outing; I bought a few things, and he asked, "What areyou going to do with this junk?" I exploded--I just couldn't help myself: "You should be thanking God I'm interested in something again!"  

Right after treatment I felt very old, and lost, like I was looking into my grave. I got help, and it took a while, but I came around to feeling reborn, reinvented.    

****

First Things First  

It's over. Treatment, that is. You've survived the initial ordeal. Now what? No one hands you an instruction manual as you go from under treatment to beyond treatment. From Geralyn Lucas' book Why I Wore Lipstick:    

I make a list of everything I want to do. Should I quit my job, leave my husband, travel the world? I decide that maybe the most courageous thing I can do is to try to return to my regular life, with the knowledge that there is nothing regular about it. Since everything has changed, how could we remain the same?    

Maybe it's been two weeks, maybe two years, maybe twenty. But no matter how little or how much time has passed, the breast cancer experience is never completely over. Active issues, leftover concerns, and reminders can dog you every day or pop up just once in a while.  

When it's all over, just when you think you should be celebrating this huge accomplishment, you may feel worse than you did during treatment. How confusing and disorienting. It starts to make sense when you realize that all parts of your life have beentouched by the breast cancer experience. It may have taken over your life: bills, taxes, job, vacation, housework, and even children were put on hold.  

Now, with the end of treatment, you have to adjust back to normal. But is that really possible? The fact is, life changes after breast cancer treatment. Normal will never look and feel exactly the same. The only thing you can do is to go forward with therest of your life, one step at a time. You have to find and create your new normal. Many of you speak of how changed you are, almost renewed. This is my hope for each of you as you read my book: a chance to renew your life, one that brings you comfort, meaning, joy, fun, and hope.  

Throughout this book, I will help you understand the challenges and identify the solutions to help you live well beyond breast cancer. We'll start by looking at the issues you'll begin facing immediately after treatment.    

Challenges  

You can cope with this new life. Countless women have done it and are doing it. When you feel as wobbly inside as a new toddler or as stiff and creaky as a little old lady, draw strength from these other survivors. They understand that your cheery frontis covering up the vulnerable, exhausted you. And unlike many others, they appreciate this new you. In time, you will, too.  

When chemo is all over, the supportive care is over too. You're worn down by the accumulated side effects of all your treatments with nearly no pick-me-ups. That's when many of my patients tell me they barely feel as if they're among the living.    

Separation Anxiety  

After months or more of concentrated attention on you, your illness, and your therapy, you come to that moment when the days mapped out for you by hour and procedure come to an end. Many of my patients felt thrown into an emotional limbo: "'Come back in three months,' the doctor said. I felt like I was dumped, and I was so frightened," Janet recalled.  

Your health care team provided emotional support you may not have fully appreciated when so many things were happening to you at once--and at the end of your whirlwind treatment experience, you suddenly miss it. "I felt more scared after treatment wasover than I did before it started," said Gena. "During treatment I had peace." The scheduled routine and plan of attack were very comforting, and now they're gone. "When treatment ended, I didn't know what to do with myself," Christy recalled.  

With the end of treatment, your family and friends generally conclude the disease is beaten and done with. There's usually a shower of congratulations and celebrations. But you don't feel like yourself. You're still feeling disoriented and conflicted: profound relief and exhilaration mixed with uncertainty and forced enthusiasm. "I dreaded going to my own end-of-treatment party," one woman said. You're expected to feel great and back to normal and ready to get on with your life, but instead you feel lost. Separation anxiety takes on new meaning.    

Lingering Concerns  

As you move forward, a string of troubling questions can pollute your peace of mind:  

*What do I do now?  
*Where's my support?  
*Can I really get along without my doctors and nurses?  
*When do I get to see my doctor again?  
*Now that I don't see my doctors every day or every week, how do I get all my questions answered?  
*What about that new treatment that I just heard about on TV--does it apply to me? 

Flooded with these kinds of questions, you can feel fearful and insecure--making you wonder: Can I ever handle my life on my own again?    

Cancer Worry  

Even if you've been discharged by your doctors, there's likely still that cancer worry in a corner of your mind: "Every time something hurts or I get sick, I think the cancer has come back."  

You may also fear that the cancer might grow back because you are no longer doing anything active to keep it away. Annamarie's coping mechanism was ceaseless activity: "I got depressed . . . cancer was still on my mind twenty-four hours a day. I started looking for things I could do, things I still had to decide about, like diet, exercise, tamoxifen, anything I could possibly do to avoid recurrence." You may also worry whether the treatment really worked, whether you're fit to be discharged.  

Cancer worry is something you must learn to manage and live with. "Like a whale that moves into your living room" is how one patient described her lingering fears of breast cancer. "Over time, the whale gets smaller, but it never quite goes away completely. A tenant you can't get rid of. Maybe it gets down to the size of a magazine rack. Once in a while you bump into it, and sometimes it swells up into your face again, like when you have a mammogram and they call you back for extra views."  

Cancer worry dogs most of the people I take care of--a little or a lot. They carry it with them indefinitely, even as year after year proves them disease-free. Over time, the burden gradually gets processed, loosens its grip, and gets put in its place.    

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Table of Contents

Acknowledgments ix

Introduction: Living Well Beyond Breast Cancer xi

Part 1 Treatment Over, On with Your Life

1 Over, Not Over 3

2 Support: Building a Network 15

Part 2 Additional Care Beyond Treatment

3 You and Your Doctors: Continuing Care 33

4 You and Other Health Care Professionals: Allied Care Team 63

5 Tests: Peer, Poke, Prod 76

6 After Mastectomy: Re-creating a Breast-With or Without Surgery 109

7 Ongoing Therapy: Hormonal, Herceptin, and Other Treatments 141

Part 3 Coping with Side Effects of Treatment

8 Fatigue and Loss of Energy 163

9 Understanding and Controlling Pain 173

Swelling (Lymphedema), Stiffness, and Skin Changes: Prevention and Management 205

11 Hair Loss and Nail Changes: Terrible but Temporary 230

12 Bone Health: Weaknesses and Strengths 247

13 Thinking and Remembering: Clearing the Fog and Sharpening Your Mind 268

14 Menopause and Growing Older: Hot and Cold, Wet and Dry 285

Part 4 Caring for Your New Self

15 Sleep: Restoration and Renewal 315

16 Your Immune System: Blows and Boosts 329

17 Sustenance: Nutrition and Supplements 338

18 Weight and Exercise: Gains and Losses 358

19 Intimacy, Sex, and Your Love Life 380

20 A Child in Your Future: Fertility, Pregnancy, Adoption 399

Part 5 Preventing and Managing Recurrence

Reducing the Risk of Breast Cancer 425

22 Recurrence: If Cancer Comes Back 443

23 Endings: Comfort, Closure, and the Circle of Life 459

Conclusion: Through Crisis Comes Opportunity 481

Index 487

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