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Breast Cancer Living With Breast Cancer

It's Not Over: Life After Breast Cancer


Medically Reviewed On: October 09, 2003

By Christine Haran

It's often assumed that coping with the shock of a breast cancer diagnosis is the most difficult part of living with breast cancer, but women who have had breast cancer know that life is often hardest after treatment ends. While women and their friends and family are eager for life to return to normal, many women struggle to move from the crisis mode they entered to get though treatment back to everyday activity.

Women who have had breast cancer often say that they are physically and spiritually transformed by having faced a life-threatening illness. These changes can permeate all facets of life and both strain and strengthen relationships.

Hester Hill Schnipper, a breast cancer survivor and chief of oncology social work at Beth Israel Deaconess in Boston, is the author of After Breast Cancer: A Common-Sense Guide to Life After Breast Cancer, which was published by Bantam in October 2003. Below, Schnipper explains how women and their loved ones can learn to cope with the complexities of life after breast cancer.

Why is finishing treatment sometimes more frightening than actually undergoing treatment?
There is a huge relief associated with being completed with the treatment, but it's also frightening for lots of reasons.

The most important one is probably the feeling that, "Uh-oh, now I'm not doing anything active to fight the cancer, and what if there are cells left in my body lurking somewhere that now will be free to flourish and grow."

It's also frightening because while going through treatment, women become accustomed to frequently seeing their doctors or nurses or other caregivers. Particularly during radiation, which is a daily occurrence, the techs that administer the radiation can feel like your closest buddies for a month or six weeks. To all of a sudden be cut off from people who have been so reassuring by being told by your doctor, "Okay, you're done, see you in six months," feels as though you've kind of been pushed out the door precipitously.

The last thing is that because chemotherapy particularly can be so physically arduous, many women have used all of their emotional and physical energy just to get through it day-by-day. When the crisis is over, and you have a chance to sit down, you think, "Oh, my God, what did I just get through?"

How does it affect families and friends?
Most people's family and friends are hugely relieved that it's over and are more than ready to have life get back to normal, though it might be embarrassing for them to admit it. By the time the months of treatment are over, they've really had it, even if they've been wonderfully loving and supportive and helpful all along.

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