Day to Day Living Beyond Breast Cancer

Tufia C. Haddad, M.D., is a medical oncologist specializing in breast cancer. She sees patients with all types and stages of breast cancer, striving to promote their understanding of their cancer and empowering them to become partners in managing their health. She has a special interest in survivorship care and works together with clinicians from many different specialties -- including integrative medicine, women's health, cancer psychology, primary care and others -- to provide holistic care for complex problems. Her research focuses on identifying novel strategies to transform cancer care with an emphasis on using telehealth tools and artificial intelligence. Dr. Haddad is the Medical Director of Digital Product and Platform Strategy, Center for Digital Health, and co-Chair of Platform and Digital Innovation, Mayo Clinic Comprehensive Cancer Center. Kathryn J. Ruddy, M.D., M.P.H., is a medical oncologist specializing in breast cancer. She has particular expertise in treating younger women with breast cancer, helping them navigate the side effects of cancer treatment and address survivorship issues such as fertility preservation and future pregnancy. Dr. Ruddy also has expertise in male breast cancer and survivorship concerns unique to men. She is active in research focused on prediction and prevention of toxicity in patients with cancer. Dr. Ruddy is the Director of Cancer Survivorship for the Department of Oncology at Mayo Clinic.

• TABLE OF CONTENTS9 Preface 13 CHAPTER 1 A NEW NORMAL 14 Coping with your emotions 22 Transitioning to follow-up care 24 You’ve got this 27 CHAPTER 2 WATCHING FOR SIGNS OF CANCER RECURRENCE 28 Understanding cancer recurrence 37 Supplemental screening 40 Dealing with uncertainty 42 CHAPTER 3 STAYING HEALTHY 43 Follow a healthy diet 46 Strive for a healthy weight 49 Stay active 52 Prioritize good sleep 54 Don’t smoke or vape 56 Avoid alcohol 57 Get regular health screenings 60 Maximize healthy benefits 61 CHAPTER 4 LINGERING OR LATE SIDE EFFECTS 62 General side effects 72 Sides effects of local or regional treatments 80 Side effects of systemic treatments 90 CHAPTER 5 LIVING WITH METASTATIC BREAST CANCER 91 Treatment for metastatic breast cancer 95 Your emotions (and how to cope) 100 ‘My cancer is back’ 105 Finding acceptance 107 CHAPTER 6 MAXIMIZING QUALITY OF LIFE WITH PALLIATIVE CARE 107 Palliative care is not hospice care 111 CHAPTER 7 CLINICAL TRIALS 112 What is a clinical trial? 112 Phases of investigation 113 Who should participate in a cancer clinical trial? 114 How can you find a clinical trial? 115 What questions should you ask before agreeing to participate? 116 CHAPTER 8 INTEGRATIVE THERAPIES 117 Mindfulness 121 Acupuncture 125 Massage 127 Hypnosis 128 Medical cannabis 131 CHAPTER 9 SEXUAL INTIMACY 132 How treatment may affect your sexual health 134 Restoring your sexual wellness 138 Boost your body image 140 Reconnect with your partner 142 Dating after breast cancer 146 CHAPTER 10 FERTILITY AND PREGNANCY 147 Contraception 150 Pregnancy after cancer 154 Fertility options 159 CHAPTER 11 FAMILY AND FRIENDS 160 Easing back into family life 165 Supporting your children 168 Reconnecting with friends 173 A period of adjustment 174 CHAPTER 12 WORK AND MONEY 175 Returning to work 180 Finances in survivorship 188 Know your rights 192 CHAPTER 13 FOR PARTNERS 193 Give yourself time 194 Take care of yourself 200 Stay supportive of each other 203 Move forward together 204 CHAPTER 14 STOPPING TREATMENT 205 Leaving a legacy 207 Hospice care 209 Resources 000 Index