Welcome to our Education Hub

Lymphedema is a side effect that cancer survivors may experience after treatment. It is a condition in which lymphatic fluid builds up in the tissues, causing swelling and discomfort. Lymphedema can occur in any part of the body, but it is most common in the arms or legs. In this article, we will discuss the causes, symptoms, and treatment options for lymphedema after cancer. Causes Lymphedema occurs when lymph nodes and vessels are damaged or removed during cancer treatment, such as surgery or radiation therapy. This can cause a blockage in the lymphatic system, leading to fluid buildup and swelling. Other factors that can increase the risk of developing lymphedema include obesity, infection, and blood clots. Symptoms The most common symptom of lymphedema is swelling in the affected area, which may be accompanied by a feeling of heaviness, tightness, or discomfort. Other symptoms include: Skin tightness or thickening Limited range of motion Aching or discomfort Infection or skin ulcers Treatments There are several treatment options available for lymphedema after cancer. These include: Compression therapy: Wearing compression garments or bandages can help reduce swelling and improve lymphatic flow. Manual lymphatic drainage: This is a massage technique that stimulates lymphatic flow and reduces swelling. Exercise: Gentle exercises, such as walking or swimming, can help improve lymphatic flow and reduce swelling. Surgery: In severe cases, surgery may be necessary to remove excess tissue and improve lymphatic flow. Prevention There are several steps that cancer survivors can take to prevent lymphedema, including: Avoiding injuries or infections in the affected area Keeping the affected limb elevated when sitting or lying down Avoiding tight clothing or jewelry that can restrict lymphatic flow Maintaining a healthy weight and exercising regularly In conclusion, lymphedema is a common side effect of cancer treatment that can cause discomfort and affect a patient's quality of life. However, with proper management and care, the symptoms of lymphedema can be controlled. If you are experiencing swelling or discomfort after cancer treatment, talk to your healthcare provider about your treatment options. Get started with The After Cancer

Breast cancer is one of the most common cancers affecting women worldwide. Survivors of breast cancer may experience physical, emotional, and psychological challenges after completing treatment. Here is what you need to know about life after breast cancer, including coping strategies, recovery tips, and support resources. Coping with life after breast cancer Coping with life after breast cancer can be overwhelming. Patients may experience a range of emotions, including anxiety, fear, depression, and uncertainty about the future. Here are some coping strategies that can help: Seek support: Talking with loved ones, joining a support group, or seeing a therapist can help patients process their emotions and find a sense of community. Manage symptoms: Breast cancer survivors may experience symptoms such as pain, fatigue, and lymphedema. Working with healthcare providers to manage these symptoms can help improve quality of life. Practice self-care: Taking time for self-care activities such as meditation, yoga, or hobbies can help promote relaxation and reduce stress. Address body image concerns: Breast cancer treatment can affect a patient's physical appearance, and this may impact their self-esteem. Connecting with support groups or speaking with a counselor can help patients navigate these feelings. Recovery after breast cancer treatment Recovering from breast cancer treatment can take time. Patients may experience side effects from treatment that persist for weeks, months, or even years. Here are some tips to help with recovery: Follow-up with healthcare providers: Regular follow-up visits with healthcare providers can help monitor for recurrence, manage side effects, and address any new concerns. Practice good nutrition: Eating a balanced diet with plenty of fruits, vegetables, and lean protein can help support recovery and overall health. Stay on top of screenings: Patients should continue to follow recommended breast cancer screening guidelines to detect any potential recurrence early. Consider physical therapy: Physical therapy can help patients regain strength, mobility, and function after breast cancer treatment. Support resources for breast cancer survivors Breast cancer survivors may benefit from a range of support resources, including: Support groups: Local and online support groups can provide a sense of community and connection with others who have gone through similar experiences. Mental health resources including counseling and support groups. Survivorship programs providing education, resources, and support for survivors and their families. Conclusion Life after breast cancer can be challenging, but with the right support and resources, patients can successfully navigate the post-treatment period. Coping strategies, recovery tips, and support resources can all help promote physical, emotional, and psychological well-being for breast cancer survivors. Remember that each patient's experience is unique, and there is no right or wrong way to navigate life after breast cancer. Patients should work with their healthcare team to develop a personalized plan that meets their individual needs and goals. Get started with The After Cancer

Breast cancer is the most common cancer among women worldwide. It is estimated that one in eight women will develop breast cancer in their lifetime. With early detection and advances in treatment, the five-year survival rate for breast cancer is now over 90%. In this article, we'll cover the basics of breast cancer, its symptoms, treatment options, and life after breast cancer. Symptoms of breast cancer Breast cancer often shows no symptoms in the early stages. It is important for women to perform regular breast self-exams and schedule regular mammograms as recommended by their healthcare provider. Some of the most common symptoms of breast cancer include: A lump or thickening in the breast or underarm Changes in breast size or shape Nipple discharge or inversion Skin changes on the breast, such as redness or dimpling Breast pain If you notice any of these symptoms, it is important to talk to your healthcare provider as soon as possible. Early detection is key to successful treatment. Breast cancer diagnosis and treatment If your healthcare provider suspects breast cancer, they will order further tests, such as a mammogram, ultrasound, or biopsy. Once a diagnosis of breast cancer is confirmed, your healthcare team will develop a treatment plan tailored to your specific needs. Treatment for breast cancer may include surgery, chemotherapy, radiation therapy, hormone therapy, or a combination of these. Surgery is often the first line of treatment for breast cancer. The type of surgery you have will depend on the size and location of the tumor. Some women may opt for breast reconstruction surgery after their cancer treatment is complete. Chemotherapy and radiation therapy are often used to kill cancer cells that may have spread beyond the breast. Hormone therapy is used to block the hormones that may be fueling the growth of some types of breast cancer. Targeted therapy may be used for women with HER2-positive breast cancer. Life after breast cancer Life after breast cancer can be challenging. Many women experience fatigue, pain, or other side effects of treatment. Some women may also experience anxiety or depression after their cancer treatment is complete. It is important to maintain a healthy lifestyle after breast cancer. This may include eating a balanced diet, exercising regularly, and avoiding tobacco and excessive alcohol consumption. It is also important to stay up to date on recommended cancer screenings. As a breast cancer survivor, you are not alone. There are many resources available to help you navigate life after breast cancer. Support groups, counseling, and other services can help you manage the physical and emotional effects of breast cancer. Breast cancer can be a life-changing experience, but it does not have to define you. With early detection, personalized treatment, and ongoing support, many women go on to live long and healthy lives after breast cancer. Conclusion Breast cancer is a serious health issue that affects many women. Early detection and treatment are essential to improving survival rates. If you have any concerns about breast cancer, talk to your healthcare provider. Remember, you are not alone in your journey. There are many resources available to support you every step of the way. Get started with The After Cancer

Peer support groups foster empathy and shared experiences Peer support groups bring together individuals who have faced similar challenges, creating a space for empathy and shared experiences. Cancer survivors can connect with others who understand their unique journey, offering a sense of validation, comfort, and understanding. These groups promote a supportive and non-judgmental environment where you can share your stories, offer encouragement, and exchange practical advice. Group therapy counts on professional guidance Group therapy is facilitated by mental health professionals who provide guidance and structure to the sessions. These professionals have expertise in addressing psychological issues and can help you navigate the emotional impact of cancer. Group therapy sessions focus on specific goals, using therapeutic techniques to promote healing and personal growth. The presence of a trained professional ensures a safe and confidential space for participants to explore their emotions and receive expert guidance. Mental health after cancer Both peer support groups and group therapy play vital roles in supporting the mental health of cancer survivors. They provide opportunities for you to process your emotions, address common challenges, and develop coping mechanisms. Participating in these groups can help reduce feelings of isolation, improve self-esteem, and enhance overall well-being. It is important to note that while peer support groups offer empathy and shared experiences, group therapy offers the added benefit of professional guidance. The choice between the two depends on your individual needs and preferences. Some may find support in connecting with peers who have lived through similar experiences, while others may benefit from the structured and expert-led approach of group therapy. Ultimately, both peer support groups and group therapy have the common goal of providing a supportive and empowering environment for cancer survivors. They offer spaces where you can openly express yourself, gain insights, and find comfort in the knowledge that they are not alone in their journey. In fact, peer support groups and group therapy can provide unique benefits for your mental health. Peer support groups foster empathy and shared experiences, while group therapy benefits from the guidance of mental health professionals. Regardless of the option chosen, seeking support and prioritizing mental health is a crucial step towards post-cancer healing and well-being. Get started with The After Cancer

Being afraid of cancer recurrence is normal Facing the fear of cancer recurrence is a common experience for many cancer survivors. The worry and anxiety about the disease coming back can be overwhelming and affect your quality of life. It is important to acknowledge that these feelings are entirely normal and valid. What are the chances? Understanding the chances of cancer recurrence can help you put fears into perspective. While the risk varies depending on the type and stage of cancer, as well as the treatments received, it is essential to remember that advancements in cancer care have significantly improved outcomes and survivorship rates. Regular follow-up care and screenings play a vital role in detecting any potential recurrence or new cancers early. Communicating openly with your healthcare providers about concerns and staying informed about your personal risk factors can provide reassurance and support in managing the fear. Don't let the fear stop you Although the fear of cancer recurrence is natural, it is important not to let it hinder your life. Here are some strategies to help you manage and overcome this fear: Educate yourself: Learn about your specific cancer type, treatment, and potential signs of recurrence. Knowledge empowers you to take proactive steps and recognize when to seek medical attention. Follow a healthy lifestyle: Adopting a healthy lifestyle can contribute to overall well-being and reduce the risk of recurrence. Engage in regular exercise, maintain a balanced diet, manage stress, and get adequate sleep. Seek support: Connect with other cancer survivors, support groups, or mental health professionals who can provide guidance and understanding. Sharing experiences and emotions with others who have been through similar situations can be immensely comforting. Focus on the present: While it is natural to worry about the future, try to focus on the present moment. Engage in activities that bring joy, cultivate mindfulness, and practice gratitude. Living in the present can help alleviate unnecessary stress and anxiety. Communicate with your healthcare team: Establish open and honest communication with your healthcare providers. Discuss your fears, ask questions, and work together to create a personalized follow-up plan that addresses your concerns. You have already shown incredible strength and resilience in battling cancer. Acknowledge and celebrate your accomplishments while embracing a proactive approach to your health. By taking control of your well-being, seeking support, and staying engaged in activities that bring you contentment, you can navigate the fear of cancer recurrence and live a fulfilling life as a cancer survivor. Get started with The After Cancer

What is a secondary cancer? Surviving cancer is an incredible achievement, but the journey doesn't always end there. As a cancer survivor, you may face the unsettling question of whether you can develop a secondary cancer after successfully overcoming your initial diagnosis. A secondary cancer, also known as a second primary cancer, is a new and unrelated malignancy that arises in an individual who has previously been diagnosed with and treated for cancer. It is distinct from cancer recurrence, which refers to the reappearance of the original cancer after a period of remission. Secondary cancers can develop in different parts of the body from the initial cancer and require separate treatment approaches. Survivorship and secondary cancers Survivorship is the stage of life after cancer treatment, when the individual is no longer undergoing active therapy. While survivorship is undoubtedly a significant milestone, it is crucial for cancer survivors to remain vigilant about their health. Research has shown that cancer survivors may have a slightly higher risk of developing a secondary cancer compared to the general population. Various factors contribute to this increased risk, including genetic predisposition, exposure to certain cancer treatments (such as radiation or chemotherapy), lifestyle choices, and environmental influences. However, the risk of developing a secondary cancer varies widely depending on the type of initial cancer and the treatment received. Regular follow-up care and close communication with healthcare providers are essential to monitor any potential symptoms of a secondary cancer. These routine check-ups and screenings enable early detection and timely intervention, improving the chances of successful treatment and outcomes. Taking care of yourself after cancer Taking care of yourself remains vital even after surviving cancer. Here are some essential steps for maintaining optimal health and reducing the risk of secondary cancers: Follow a healthy lifestyle: Engage in regular physical activity, maintain a balanced diet rich in fruits, vegetables, and whole grains, and limit processed foods. Avoid tobacco and excessive alcohol consumption. Sun protection: Protect your skin from harmful UV radiation by using sunscreen, wearing protective clothing, and avoiding excessive sun exposure. Stay informed: Educate yourself about the potential signs and symptoms of secondary cancers related to your previous diagnosis and treatment. Report any new or unusual changes to your healthcare provider promptly. Emotional support: Seek emotional support from friends, family, support groups, or mental health professionals to help cope with the emotional challenges that may arise during survivorship. Survivorship is a unique journey, and each individual's experience may differ. By staying proactive, maintaining a healthy lifestyle, and remaining vigilant about your health, you can enhance your overall well-being and reduce the risk of secondary cancers. Get started with The After Cancer

Why do cancer survivors feel guilty? Surviving cancer is a tremendous achievement, but it can also evoke unexpected emotions, including survivor guilt. Many cancer survivors may experience guilt for various reasons, such as: Survival: Some individuals may feel guilty for surviving when others with similar diagnoses did not. They may question why they were spared and harbor feelings of undeserved luck or a sense of injustice. Treatment outcomes: If a survivor's treatment is successful while others face more challenging outcomes, they may feel guilty for having a better response to therapy. This guilt may be further intensified if they had similar or less aggressive forms of cancer. Impact on loved ones: Survivors may feel guilty for the burden their illness placed on their loved ones. Witnessing the emotional distress of family and friends can lead to feelings of guilt, even if it was beyond the survivor's control. Coping with guilt Dealing with cancer survivor guilt requires acknowledging and addressing these complex emotions. Consider the following strategies to help cope: Self-reflection: Understand that survivor guilt is a common and natural response to a life-altering experience. Reflect on your feelings and recognize that guilt does not invalidate your journey or the challenges you faced. Seek support: Connect with other cancer survivors who may have experienced similar feelings. Join support groups or engage in therapy sessions to share your emotions and learn from others who have navigated survivor guilt. Practice self-compassion: Treat yourself with kindness and compassion. Remind yourself that your survival is not something to feel guilty about. Focus on your resilience and the strength it took to overcome cancer. Pay it forward: Consider ways to give back to the cancer community or support others going through a similar journey. Engaging in advocacy, volunteering, or participating in fundraisers can help alleviate guilt by channeling your experiences into making a positive impact. Talk about your feelings Opening up about survivor guilt with trusted friends, family, or healthcare professionals can be immensely helpful. Expressing your emotions and concerns can provide validation and support. Additionally, consider the following communication strategies: Share your story: Speaking openly about your survivor guilt can help raise awareness and reduce the stigma surrounding this issue. Sharing your experiences can encourage others to share their own struggles and foster understanding. Seek professional help: If survivor guilt becomes overwhelming and affects your daily life, it may be beneficial to consult a mental health professional. They can offer guidance, tools, and techniques to help navigate and overcome these challenging emotions. Remember, survivor guilt is a complex and individual experience. Be patient with yourself and allow yourself to heal emotionally. By acknowledging your feelings, seeking support, and engaging in open dialogue, you can gradually find ways to manage and cope with survivor guilt, reclaiming a sense of peace and self-acceptance. Get started with The After Cancer

A cancer diagnosis can be a life-changing event, with a profound impact on physical, emotional, and psychological well-being. While medical treatments like chemotherapy and radiation therapy are crucial for managing the disease, cancer patients and survivors often face a range of challenges beyond the physical symptoms. These can include depression, anxiety, post-traumatic stress disorder (PTSD), and difficulties adjusting to life after cancer treatment. While there are a variety of treatment options available, some cancer patients and survivors have found What is peer-to-peer therapy? Peer-to-peer therapy is a form of therapy where individuals who have similar experiences come together to share their stories, offer advice, and provide emotional support to one another. In the case of cancer patients and survivors, this may involve meeting with others who have been through cancer treatment, who have similar cancer diagnoses, or who have experienced similar side effects of cancer treatment. Peer-to-peer therapy can take many forms, including online support groups, in-person support groups, or one-on-one meetings with other cancer survivors. In some cases, peer-to-peer therapy may be facilitated by a mental health professional or social worker, but the focus is on providing support to one another rather than receiving therapy from a trained professional. Benefits of peer-to-peer therapy One of the primary benefits of peer-to-peer therapy is the sense of community that it can provide. Cancer can be an isolating experience, and peer-to-peer therapy can help patients and survivors feel less alone in their experiences. By sharing their stories and hearing from others who have been through similar experiences, cancer patients and survivors can gain a sense of perspective and hope. Another benefit of peer-to-peer therapy is the opportunity to learn from others who have gone through similar experiences. Cancer patients and survivors may face a range of challenges after cancer treatment, from managing physical symptoms to adjusting to changes in their daily lives. By sharing tips and strategies for coping with these challenges, peer-to-peer therapy participants can learn from one another and build a toolkit for managing life after cancer. For some cancer patients and survivors, peer-to-peer therapy can also provide a sense of empowerment. By sharing their experiences and supporting others, cancer survivors can feel a sense of purpose and agency in their cancer journey. Is peer-to-peer therapy right for you? Peer-to-peer therapy can be a valuable source of support for many cancer patients and survivors, but it may not be the right choice for everyone. Some individuals may prefer to work with a trained mental health professional, who can offer more targeted treatment for depression, anxiety, PTSD, or other mental health concerns. Others may prefer to rely on family and friends for support. If you are considering peer-to-peer therapy, it's important to find a group that is a good fit for you. Look for groups that are focused on your particular cancer diagnosis or side effect of treatment, and consider whether you prefer an in-person or online format. You may also want to consider whether you feel more comfortable in a larger or smaller group. If you're not sure where to start, your healthcare provider or cancer care team may be able to provide referrals to local support groups or online resources. Conclusion Cancer can be a difficult journey, but peer-to-peer therapy can provide a valuable source of support for cancer patients and survivors. By sharing their experiences and supporting one another, individuals can gain a sense of community, learn from one another, and feel empowered in their cancer journey. If you're considering peer-to-peer therapy, take the time to find a group that is a good fit for you, and remember that there are a variety of treatment options available to help you manage your mental and emotional health. Get started with The After Cancer to talk to a cancer survivor

Kathryn White is a Stage 4 Colon Cancer survivor. After completing treatment and getting her health back she dug deep into nutrition and mindfulness to help heal her body, mind, and spirit. She became a certified culinary nutritionist, yoga teacher, and holistic cancer coach. She works with cancer patients, mainly dealing with colorectal cancer, supporting them to make lifestyle changes as they learn to create a life with cancer. If you think the best way or the only way for you to achieve your goals is to do it by yourself then I would like to help you change that thought. Do you believe that reaching out to someone, and a professional somehow indicates that you aren't enough? That it somehow means you're incapable and not smart enough, strong enough, or good enough? Or is this thought coming from a place of overwhelm, fear, or uncertainty? Or, perhaps you don't even know that Cancer Coaching is a possibility… Well, let me assure you, the people who come to cancer coaching are ready to dive into their healing and supporting themselves with and after cancer and work with a professional who will enable them to achieve their goals, to find ease in their thoughts and feelings, and to not have to do all the work on their own. A cancer coach will facilitate your self-discovery to help you manage your cancer diagnosis, identify your needs, and facilitate lifestyle choices to support your health and healing. People who come to cancer coaching are people who want to dig into healing their cancer and feel like they are making a difference in their health. Coaching is powerful in that people come to realize that they were settling for something outside of themselves to make a difference in their life with cancer. They were settling for good when they could have been experiencing great. These clients experience an increased quality in their lives in all areas, from increased nutritional support to enhanced relationships with themselves and others, and from better physical health to increased emotional health. They feel, many for the very first time since their diagnosis, that they are fully and actively a part of their healing process. A common mistake is to think, “I can do this alone.” Why do this alone when you don't have to? A cancer coach will lead you through a process where you can get clear about what you do and do not want in your life. You can uncover what is important to you and what you need to thrive in life with a cancer diagnosis. You can stop settling for a life that you are waiting to live and enjoy until treatments are done and you are told to move forward with your life. You can learn how to create the life you want to be living right now. Instead of leaving your health and happiness just to the medical system, why not invest in yourself in a way that will give you support for your body, mind, and spirit? Why not be the co-creator of your happiness and the changes that can support you as you live with cancer? Working with a coach on an ongoing basis is an investment you can make in yourself and your quality of life. Another significant mistake is waiting for a "good" time to make a change or go after the things you really want in life. When you are living with cancer you want to start making life changes now. Waiting to make changes is waiting to nurture and care for yourself right now when you need it most. The biggest mistake is telling yourself you can't afford a cancer coach. The truth is that you can't afford not to have one. Coaches are highly in demand these days because coaching has proven itself to be an extremely effective method for facilitating personal growth. If you are still unsure, consider this, it's not enough for you to say you want things to be different. Just wanting something doesn't make it so. You must make a decision and then take purposeful action toward what you want. When you invest in yourself and invest in a coaching program you take the first steps to learning how to thrive in life with cancer. What are you waiting for? Get started with The After Cancer

Radiotherapy is a common treatment for many types of cancer, such as breast cancer, lung cancer, and prostate cancer. While radiotherapy is an effective way to destroy cancer cells, it can also cause long-term side effects that can affect a patient's quality of life. Here are some of the main long-term side effects of radiotherapy that cancer patients and survivors should be aware of: Skin changes One of the most common side effects of radiotherapy is skin irritation and changes in the skin, including dryness, redness, and itchiness. In some cases, the skin may become darker or more sensitive to the sun. These side effects can last for months or even years after the treatment has ended. Fatigue Radiotherapy can also cause fatigue, which is characterized by a feeling of extreme tiredness and a lack of energy. This side effect can last for several months after the treatment has ended and can be especially challenging for patients who are trying to resume their normal daily activities. Lymphedema Lymphedema is a condition that can occur after radiation therapy for breast cancer. It is caused by damage to the lymph nodes, which can result in swelling in the arm, hand, or breast. Lymphedema can develop several months or even years after the treatment has ended. Sexual dysfunction Radiotherapy can also cause sexual dysfunction in both men and women. In men, radiotherapy to the pelvic area can damage the nerves and blood vessels that are responsible for erections, while in women, it can cause vaginal dryness and narrowing, making sex painful or uncomfortable. Bone and joint problems Radiation therapy can also cause long-term bone and joint problems, such as osteoporosis, joint pain, and stiffness. These side effects can occur years after the treatment has ended and can be especially challenging for older cancer survivors. Heart and lung problems Radiation therapy to the chest area can cause long-term heart and lung problems, such as shortness of breath, chest pain, and an increased risk of heart disease. These side effects can develop months or even years after the treatment has ended. Digestive problems Radiation therapy to the abdomen or pelvic area can cause digestive problems, such as diarrhea, nausea, and vomiting. These side effects can last for several weeks after the treatment has ended and can be especially challenging for patients who are trying to maintain a healthy diet. Cognitive problems Radiation therapy to the brain can cause cognitive problems, such as memory loss, difficulty concentrating, and confusion. These side effects can be especially challenging for cancer survivors who are trying to return to work or resume their normal daily activities. It is important for cancer patients and survivors to be aware of the potential long-term side effects of radiotherapy and to discuss any concerns with their healthcare team. While some side effects can be managed with medication or lifestyle changes, others may require more specialized care. By working closely with their healthcare team, cancer patients and survivors can take steps to manage these side effects and maintain their overall health and well-being. Get started with The After Cancer to manage your side effects

Chemotherapy is a common treatment for many types of cancer. While chemotherapy is effective in killing cancer cells, it can also cause various side effects. These side effects can be short-term or long-term and can have a significant impact on a patient's quality of life. Living with cancer and the long-term side effects of chemotherapy can be challenging, but there are resources available to help. Cancer survivors can benefit from support groups, counseling, and other resources to help them cope with the physical and emotional effects of cancer treatment. It's important to note that the long-term side effects of chemotherapy can vary depending on the type of cancer, the chemotherapy regimen, and other individual factors. Patients should work closely with their healthcare providers to monitor their health and manage any long-term side effects. In this article, we cover the most common lasting side effects caused by chemotherapy and how to deal with them. Peripheral neuropathy Peripheral neuropathy is a common long-term side effect of chemotherapy. It is characterized by numbness, tingling, and pain in the hands and feet. The symptoms can persist for years after treatment has ended, making it challenging for patients to perform daily activities such as walking, writing, and even holding objects. Some patients also experience balance problems, which can increase the risk of falls. Cognitive function issues or “chemo brain” Chemo brain is a term used to describe cognitive problems that can occur after chemotherapy. The symptoms can include memory loss, difficulty concentrating, and difficulty processing information. Patients may also experience problems with decision-making, multitasking, and organizing. These symptoms can persist for years after treatment has ended and can significantly impact a patient's daily life. Fatigue Fatigue is another common long-term side effect of chemotherapy. It can be characterized by feelings of tiredness, weakness, and lack of energy. This can make it challenging for patients to perform everyday tasks, such as walking, cooking, and cleaning. Fatigue can persist for months or even years after treatment has ended. Heart and lungs problems Chemotherapy can also cause long-term damage to the heart and lungs. This can lead to shortness of breath, chest pain, and other respiratory problems. The risk of heart disease and lung cancer may also increase after chemotherapy, so patients need to monitor their symptoms closely and follow up with their healthcare provider regularly. Kidneys and liver damage Chemotherapy can also damage the kidneys and liver. The symptoms may include fatigue, nausea, and jaundice. Long-term damage to these organs can lead to kidney and liver failure, which can be life-threatening. Endocrine system problems Chemotherapy can damage the endocrine system, which controls hormones in the body. This can lead to problems such as infertility, early menopause, and low testosterone levels. Patients who experience these symptoms should discuss them with their healthcare provider to determine appropriate treatment options. Bone, joint and soft tissues problems Chemotherapy can cause long-term damage to the bones, joints, and soft tissues. This can lead to osteoporosis, joint pain, and muscle weakness. Patients may also experience a higher risk of fractures and falls, making it important to take steps to maintain bone health. Dental problems Chemotherapy can also cause long-term damage to the teeth and gums. Patients may experience dry mouth, mouth sores, and increased sensitivity to hot and cold temperatures. It is important for patients to maintain good oral hygiene and to visit a dentist regularly to prevent these problems. Digestion problems Chemotherapy can also lead to long-term digestive problems. Patients may experience nausea, vomiting, diarrhea, and constipation. These symptoms can persist for months or even years after treatment has ended, making it important for patients to discuss them with their healthcare provider and receive appropriate treatment. In conclusion, while chemotherapy is a vital part of cancer treatment, it can also cause long-term side effects that can significantly impact a patient's quality of life. Patients should be aware of these side effects and work closely with their healthcare provider to manage them. Regular follow-up appointments and monitoring can help detect and manage long-term side effects of chemotherapy, allowing patients to live a healthier and happier life after cancer treatment. Get started with The After Cancer to manage your side effects

Rebecca C. Walden is a writer/speaker on breast cancer, faith, mental health, and parenting good humans. The stigma of Depression Breast cancer is a socially acceptable disease. Mental health not so much. And that’s exactly why I’m talking about it. When active treatment ends, things don’t just go back to normal (whatever that word even means). In my case, it was a full year before I felt my mental clarity, short term memory, and overall sharpness return. Not being able to engage in your usual witty banter or recall simple words that are part of your everyday vocabulary really sucks. Even if you understand that it’s just a temporary dulling of the senses, it’s upsetting. It can also trigger depression, something I’m all too familiar with. I debated about whether or not to even post on a topic like this. There is absolutely a stigma attached to mental health. There are also people on different paths in their life journey, and they may judge me or look at me differently for what I’m about to share. A Divine Intervention: An Unexpected Conversation But then this morning, while waiting for the beach attendant to set up our chairs, I found myself in a casual turned serious conversation that could not be taken for anything other than divine intervention. He casually asked me “How are you doing today?” I answered as a person fully immersed in a relaxing vacation would, adding that when we were here two years ago I was beginning the biggest health battle of my life. “So after that, man, every day is a good day.” I then asked him the same. The rote “I can’t complain” came next, but I sensed there was more he wanted to say. So I took the earbuds off and really took the time to look at him and be fully present. “I’ve struggled most of my life with depression,” he began. “Mostly mild, you know, but then it got worse.” I held his gaze. “I mean, I understand it and I deal with it, but people have really serious things, like you and cancer. I don’t have anything to complain about!” Horse poop, I thought, listening to hear what he would say next. “But I mean, for like 10 years there every day I would wake up and think about killing myself. I mean, I’d come here and help the kids set up the chairs first because I don’t want to leave them hanging. And then I would think about going home and doing it afterward.” I kept listening, blinking back the tears welling in my eyes. “You know I have a lot to be thankful for. I love God. I get to work in the most beautiful place in the world. Remember Kurt Cobain? I watched this show about him and they said that most people who kill themselves don’t wanna die. They just want the pain to stop.” He waited for me to respond, and there in the sunrise hour at my favorite beach on earth, with only a heron and a few seagulls to hear us, this is what I said. Finding Hope in Shared Experiences “I have depression too. I take medicine for it. I understand everything you have just said. You matter. Nothing is worth dying for.” I continued. “Never compare your struggles to others and think yours aren’t as bad. That is bullshit. Pain is pain. I used to think I was somehow deficient, like my depression was this dark and shameful thing. I didn’t want to take medicine because I thought it was a sign of weakness. Then one day someone said it to me like this: It’s a chemical imbalance. You didn’t *do* anything to cause it. And you taking medicine is no different than a diabetic who needs insulin. I could see him brighten, so I kept going. “The best thing you can do is be your own advocate. Get yourself some therapy. One of the best things I’ve ever done for myself was to find and attend a 10-day outpatient clinic focused on helping people with depression. We met each weekday from 10 am to 4 pm and got raw and real on all sorts of topics, from brain chemistry to the importance of maintaining boundaries from toxic people. We learned about the physical and physiological changes that happen when anxiety and panic set in, and how to stop it. We explored the very real and very damaging affects of stress on the body and the mind. We practiced coping skills to use when depressive thoughts start to creep in, and put in the unglamorous work to retrain the go-to, unhelpful talk tracks in our heads. You matter. Thank you for talking with me.” He nodded quietly, wished me a good day, and returned to his work. I swore I’d never disclose any detail of my own mental health struggles, but that’s such a selfish and insecure position to take. People are suffering and need to know they are not alone and that they don’t have to just live with the gremlins in their head. Breaking the Silence Kate Spade. Anthony Bourdain. Naomi Judd. We talk openly about mental health and suicide when it’s a celebrity. But when it hits closer to home, we tend to talk in smaller circles and hushed tones. In my own community there are heartbreaking stories of such loss, and if you think our children are too young or innocent to know what suicide even is, you are so terribly mistaken. I’ve mentioned before a little nugget of wisdom shared by a personal hero I was able to meet back in June – Robin Roberts of Good Morning America. She is known for saying “Make your mess your message.” Dear readers, cancer is but a fraction of my mess. As I have the energy and bravery to share more of my mess/age, I will. In the meantime, love those in your midst well, and be a light to those who are placed in your path. We need each other. Check out our Breast Cancer Online Program