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The power of integrative medicine in cancer survivorship October is Breast Cancer Awareness Month – and I am very aware! I “celebrated” my first October breast awareness month in 2002 by starting my first day of chemotherapy treatment for breast cancer having just been diagnosed at age 39. I worked as a full spectrum family physician (including obstetrics and hospital work), with 3 kids (ages 2, 4, and 7) and my husband working full-time as a small-town physician. Since then, “Bald to Buff” has become my life motto after finishing treatment including undergoing surgery, chemotherapy, radiation, and hormonal therapy which left me too weak at times to climb a flight of stairs. I wanted to move to the completely other end of the physical spectrum. Since finishing treatment, I have completed a marathon, ironman triathlon, climbed Kilimanjaro, ridden a bike from SC to Texas, completed an Integrative Medicine fellowship, traveled to Africa three times for mission work, left a family medicine practice to start at Integrative Oncology/Survivorship program at a major cancer center and most recently become completely enamored with pickleball. So, what have I learned that can help someone, recently diagnosed, currently having treatment, or a long-term survivor of cancer? Navigating the complexities of post-cancer recovery A common feeling is “loss of control.” When you first hear the word “cancer” it is like being thrown into a hurricane. Things happen fast and it is scary. Most times in life when you feel bad or fall ill you see a physician who helps you feel better. But often with breast cancer you feel fine but face treatment that can have multiple side-effects. And as scary as diagnosis and treatment can be, the end of treatment can be even scarier. How do I recover? Will it come back, and will I know if it comes back? What can I do to decrease to risk of it coming back? And how do I deal with lingering side effects? When I see a survivor for their first consultation, I begin by seeking to understand the patient’s perspective. Common starting questions include, “tell me your story”, I’ve read the chart but want to hear the patient’s perspective and their understanding. Next, I ask about nutrition , physical activity , sleep , supplement use, stressors, sexuality , and their support system. Often this is the first time a patient has been asked about some of these aspects of their well-being. Empowering yourself: strategies for long-term wellness People with cancer are bombarded with false information on the internet, someone always trying to sell them something, and friends/family telling them what they should or shouldn’t do to treat their cancer. They need credible sources of information and empowered to become an integral part of their care and recovery. Providing evidence-informed advice on nutrition, physical activity, supplement use, environmental exposures, non-pharmacological sleep strategies, stress management skills, and management of long-term side effects of cancer and cancer treatment is a big part of my role in Integrative Oncology . And risk reduction strategies to decrease the risk of a recurrence. So, if you or someone you know has been recently diagnosed with cancer or is a cancer survivor, seek someone fellowship-trained in Integrative Medicine to help them develop an evidence-based plan to get through treatment, recover from treatment, and decrease the risk of a recurrence. We can become stronger after a cancer diagnosis; I know I have. The After Cancer is just the place to help cancer survivors and their loved ones find the answers and help that they need. And it doesn’t matter where you live or where you received treatment since it is a virtual practice that comes to you! About Dr. Chasse Bailey-Dorton Dr. Chasse Bailey-Dorton, MD  is a 21-year breast cancer survivor and the Medical Director of The After Cancer. Her mission is to provide reliable information for someone with a cancer diagnosis, being treated for cancer, recovering from treatment, seeking cancer recurrence risk reduction strategies, or at high risk for cancer.

Fatigue, a common concern for cancer survivors From a personal experience with cancer-related fatigue , I can remember feeling too tired to even watch television during chemotherapy treatment. It's not uncommon for individuals undergoing cancer treatment, such as chemotherapy and radiation therapy, to experience profound fatigue that significantly impacts daily life. For me, the journey of recovery included exercise and nutrition, specifically, I started doing triathlons, which would move me as far as possible from that fatigue! In truth, it took a year from the end of chemotherapy and radiation before I felt completely recovered. What is Cancer-related fatigue? Cancer-related fatigue  is a common and distressing symptom experienced by many individuals undergoing cancer treatment or those who have completed treatment. It is different from normal tiredness and is often described as an overwhelming sense of physical, emotional, and mental exhaustion not relieved by rest. Several factors contribute to cancer-related fatigue, including: 1. Cancer Treatment: Chemotherapy, radiation therapy, and other cancer treatments can have a profound impact on the body, leading to fatigue. 2. Anemia: Cancer and its treatments can sometimes decrease red blood cells, causing anemia. This reduction in oxygen-carrying capacity can contribute to fatigue. 3. Inflammation: Cancer can cause inflammation in the body, triggering fatigue as part of the immune response. 4. Sleep Disturbances : Pain, anxiety, and other side effects of cancer and its treatment may disrupt sleep, leading to fatigue. 5. Nutritional Changes: Cancer and its treatments can affect appetite, weight, and nutrient absorption, potentially contributing to fatigue. 6. Emotional and Psychological Factors: Dealing with a cancer diagnosis and its impact on life can be emotionally and psychologically draining, leading to fatigue. How to manage cancer-related fatigue? Management of cancer-related fatigue involves addressing these contributing factors. This may include adjustments to treatment, managing symptoms like pain and insomnia, improving nutrition , and incorporating physical activity when possible. It's important for individuals experiencing cancer-related fatigue to communicate with their healthcare team to develop a personalized approach to managing this symptom. About Dr. Chasse Bailey-Dorton Dr. Chasse Bailey-Dorton, MD is a 21 year breast cancer survivor and the Medical Director of The After Cancer. Her mission is to provide reliable information for someone with a cancer diagnosis, being treated for cancer, recovering from treatment, seeking cancer recurrence risk reduction strategies, or at high risk for cancer.

Kimberly Wyatt is a breast cancer patient, advocate, and mentor. Listen to her interview here on the Joyfully Black Podcast . I am an avid Breast Cancer Advocate and Mentor I pride myself on looking at the glass half full instead of half empty. Having a positive mindset amid your diagnosis and treatment is so hard. You can’t really see the forest through the trees so to speak. I am living proof that you can turn things around in a positive way during and after your diagnosis. Two cancer diagnoses I’ve been diagnosed twice and have had enough chemotherapy, radiation, and surgeries to last me a lifetime. Looking at life differently because of my diagnoses. Loving and living life. Keeping only positive uplifting people around . It really does start with you and your circle to turn things around. Having a diagnosis doesn’t mean it's over it means life for you has just started and what are you going to do with it? Cancer changed my life The diagnosis has changed my life for the better. I have multiple businesses. I’ve become more spiritual. I lean on my faith for everything. My outlook on life is clear, and I know where I am going. Giving back is my greatest accomplishment and I couldn’t have done it without my support system and God’s Grace.

Before Jennifer Dickenson was diagnosed with brain cancer 12 years ago, she was a busy and stressed-out lawyer. With two elementary school-aged children and a supportive husband, she vowed to do everything she could to improve her odds. Based on the tools she used for herself with miraculous results, she shares this information with others. Her book, “ The Case for Hope ”, teaches others how we can restore health. The importance of laughter One of my favorite tools I used fighting illness was prioritizing joy in my life and, more specifically, laughter. This simple practice can help us let go, relax, give ourselves a break from the challenges of our lives, and laugh-ourselves silly just because it’s fun to do! But laughter is no laughing matter. The bible says in Proverbs 17-22 “A merry heart doeth good like a medicine, but a broken spirit drieth the bones.” So, even when things are not ideal in our lives, it is important, like “a medicine”, to find some laughter somehow. Research has shown that laughter can enhance our health and mood by relieving stress and stimulating our organs by introducing more oxygen intake, thereby supporting our heart, lungs, and muscles. It also increases endorphins released from the brain which help create natural pain killers in our bodies and allow us to feel happy and relaxed. The consistent use of laughter can also improve our immune system and increase personal satisfaction as we are more able to deal with difficult situations. There are plenty of ways to enjoy good-hearted laughter. There are plenty of ways to enjoy good hearted laughter. I personally enjoy listening to and watching stand-up comedians. My favorite ones make me laugh so hard my stomach hurts and I am left with a big smile on my face. At the end of this blog I have a list of top stand-up comedians you can explore for yourself. Easy ways to find these acts are on TV, streaming services, satellite radio (like Sirius in your car), the internet, or buying their DVD’s and CD’s. Spending more time with friends and family members who are particularly funny can be a good source for more laughter. Funny board games (like Mind the Gap or Twister), movies and tv shows like Seinfeld, The Office, and Caddyshack can be hilarious too. Funny podcasts, certain humorous books, joke books and just telling jokes to each other can help us get more of this good stuff. Have you ever played knock-knock jokes with little kids? That can also be a real hoot. Listening to humorous books on CD’s can be another way to feel the joy of laughter. In fact, my friend who has a great sense of humor, bought me a bunch of used funny books on CD when I was sick. I listened to them on my way to my doctors’ appointments, at home, anywhere really, since it made me feel happy and better prepared to manage my situation. One of them , Sh*t My Dad Says by Justin Halpern (the book was a #1 New York Times Best Seller), was an instant classic for me. I’m smiling just thinking about it! It is interesting to me that we can fake our laughter and still receive the healing benefits from real laughter. Laughter yoga , is similar to yoga but incorporates the action of laughing to create energy, oxygen and relaxation in our body and mind. Those who subscribe to this technique believe that the mind and body can’t discern whether we are faking our laughter or genuinely doing it. But often the fake laughing becomes the real thing which is funny to watch. It might seem a little strange but there could be something to it. When I was in high school one of my teachers, probably sick of these annoying teenagers, started class one day by playing a laughter track. It started quietly with just a few chuckles from the track, and then more and more, until the voices on the track were filled with laughter. It was contagious for the kids, and the whole classroom, normally filled with teenage angst, was now filled with laughter as we were mercilessly powerless to stop it! My teacher clearly won that day! But really, we all did. So don’t wait to dive into yet another healing tool easy to incorporate in your life that will help you on your path to wellness, joyfulness, and balance…and start laughing! Comedians recommendations Some well-known stand-up comedians you may want to explore: Little to no profanity Some profanity Profanity Oldies but Goodie Brian Regan Sebastian Maniscalco Dave Chappelle Bob Hope Jerry Seinfeld Kathleen Madigan Bill Burr Jack Benny Nate Bardatze Wanda Sykes Eddie Murphy Red Skelton Jim Gaffigan Joan River Chris Rock Bob Newhart Ellen DeGeneres George Carlin Johnny Carson Jeff Foxworthy ​ Richard Pryor Phyllis Diller Ray Romano ​ Ron White Redd Foxx

Tierney Landgon was diagnosed with breast cancer in 2018. As a super active person, she had to learn how to slow down, hear her body and cope with her cancer journey. Dancing, yoga, and cancer have always been a part of my life. I have been a dancer all my life. My mom signed me up for dance class when I was about 3 years old. I fell in love with all disciplines of dance, and as I grew up it became my passion. Dance was the one thing in my life that I knew excelled in. It motivated me to stay physically fit and live a healthy life. I practically lived at my dance studios with class, rehearsals, and performances. In the summers we would have occasional teachers from other forms of exercise like step aerobics, pilates, and yoga come and lead us through their classes. I was good at a yoga. Dancers usually are good at yoga. Ballet requires good posture and alignment. Yoga creates good posture and alignment. At 10 years I first learned about breast cancer, because of my maternal grandmother’s diagnosis. Shortly after she died from metastatic breast cancer, she called it “the traveling kind.”. This was a devasting loss for my mom and myself. My grandmother was my best friend. Her loss became the reason for my mom and I to advocate for breast cancer awareness, and support in finding a cure. As a college student, I joined a sorority where the very philanthropy was for local breast cancer foundations. Dancing, yoga, and cancer have always been a part of my life. As a young lady growing up I didn’t realize how integral they would become in my life. I was mad, devastated, defeated, irate, annoyed, all things MAD. Fast forward to 2018. I am an adult, an educator, a part-time dance instructor, and an equestrian. I also became a person with the diagnosis of stage 2 B breast cancer . I was mad, devastated, defeated, irate, annoyed, all things MAD. I was stuck in a state of what I called “pissedoffedness.” I made that word up. I had no choice, for my own sanity, but to create a way to cope with this diagnosis and the journey to follow. The advice given to me was intense and all over the place. People gave tips from eating more all-natural foods, to juicing, and drinking carrot juice and graviola extract to all other sorts of other tips and facts. I was advised to get rid of all white sugar and processed foods, only drink high PH water and tons of other tips. The most frequent, and helpful advice was to keep my body healthy and moving so recovery wouldn’t be so intense. I was told all of this helpful information, but no one could personally, step by step, tell me how. So, I started creating ways to cope on my own. At first, it was too much. I didn’t know how to rest. I didn’t know how to take it easy. I am a kinesthetic person, being still is not that easy. In my case having just had a double mastectomy with drains hanging out of my body, a port under my skin, and preparing to go to chemotherapy to sit in a chair for hours bald, broken, and cut up; I had to learn to become still. I felt like this cancer journey was taking away EVERYTHING I love to do. And that is the moment when pieces of “yes you can’s” began to shift my mindset. So, shift the mindset I did. I took this time to learn how to understand my body and how what helps it best heal. I learned how small things can become a strong foundation for the big things! In the past, as a dancer, gymnast, and equestrian I rarely took the yin style yoga classes. These classes are slow-moving with amazing stretches but very few moves that increase the heart rate. I always wanted the power power power yoga. With cancer and chemo now in my life, I had this opportunity to be still and learn how to do the meditative, slower callisthenic side of yoga. This slowly began my ability to understand and feel my body more. It gave me an opportunity to listen to what my body needs and be able to successfully give it just that. I learned how to focus on my core in every movement I made so that I wouldn’t be prone to hunching over or holding my chest as a protective measure. I begin to learn how to move all over again as my body changed through the cancer journey. The first 6 months of my recovery I did LOTS OF STILLNESS. I had a double mastectomy, a port placed in my chest for chemo, expanders as I waited for reconstruction, and a bald head; so there was not much that I was able to or even felt strong enough to do. I found guided meditations that were 5 to 10 minutes long. I listened to the directions, and I followed as best I could. I would attend physical therapy at a facility in Atlanta named Turning Point . The physical therapist would give me a few exercises each visit to help work my range of motion in my arms, auxiliary and pectoral muscles. I would then add them into my guided meditation. Slowly as my healing process improved, I would add a few more moves like squats and side bends and leg lifts into my guided meditation until I was cleared to finally attend classes at a yoga studio. I started going to yoga studios and I would take YIN and Restorative style yoga classes. I would chuckle to myself about the irony of now taking classes I used to avoid. These classes helped me learn about the asanas (poses) in yoga and how each aspect of yoga can truly work to help alleviate pain and suffering in the body. I knew as a cancer fighter, attitude is everything . Yoga gave me that time to be positive to create positive energy and to manifest stillness in the chaos.

Annie Sicard is a breast cancer survivor and a patient advocate. She works closely with cancer patients to support them with after cancer care, such as how to improve cognitive disorders such as chemobrain, chemo fog and brain fog. What are cognitive disorders? Cancer treatments such as surgery, chemotherapy , radiotherapy , oral chemotherapy, and hormonal therapy have been an important part of extending survival in patients diagnosed with breast cancer. 20 to 50% of patients treated for breast cancer express a cognitive complaint. Oncology treatments can lead to cognitive disorders such as brain fog (chemobrain) in some patients. There are a multitude of causes of brain fog. They would be due to the cancer itself, to the impact of the announcement of the disease, to anxiety and fatigue, but also to the neurotoxic action of the chemotherapy, to oxidative stress (which attacks the cells), and to hormonal or immune disorders. The cognitive difficulties encountered by patients have a negative impact on their quality of life, memory, attention, and concentration. These disorders can have an impact when returning to work. In elderly patients, cognitive disorders have repercussions on their autonomy, such as compliance with oral chemotherapy treatments at home. Signs and symptoms Confusion Difficulty concentrating Memory loss Difficulty in performing routine tasks Search for words Risk Factors Cancer itself Radiation therapy of the brain High doses of chemotherapy or radiotherapy Hormone therapy Tiredness Lack of sleep Stress, anxiety Nutritional deficiencies How to reduce the symptoms? Regular physical activity decreases fatigue and improves mood and alertness Brain exercise: memory games, learning new languages Cognitive rehabilitation workshops Relaxation, mindfulness, sophrology, yoga Make “to do” lists Get enough rest and sleep Focus on one thing at a time Will the symptoms of chemobrain ever go away? Symptoms improve within 9 to 12 months after the end of chemotherapy. A smaller proportion (about 10-20%) may experience long-term effects.

One of the most common side effects of cancer treatments is cancer fatigue, a feeling of physical and emotional tiredness that can last for months. In this post, we'll explore cancer fatigue symptoms, what cancer fatigue feels like, and ways to manage it. What is cancer fatigue? Cancer fatigue is a multi-dimensional symptom that can have various contributing causes, making it a complex symptom to manage. It can show up in different forms and affect people with cancer differently. Some people experience fatigue during cancer treatment, while others experience it after completing treatment. Post-cancer fatigue syndrome is a type of cancer fatigue that affects people after cancer treatment, making it hard to perform routine activities. Fatigue can be challenging to manage and is often accompanied by other symptoms like pain, anxiety, depression, and difficulty sleeping. What does cancer fatigue feel like? Cancer fatigue symptoms can manifest differently in each person, making it challenging to define what it feels like for everyone. Generally, cancer fatigue is described as a feeling of physical and emotional tiredness that doesn't improve with rest. People with cancer fatigue may feel a lack of energy, weakness, or exhaustion. The severity of cancer tiredness can vary and can be debilitating, making it hard to perform daily activities. What causes cancer fatigue? Cancer fatigue can have many contributing causes, including the type of cancer and treatment received, existing diseases, medications, living and working conditions, and mental status. Cancer treatments like chemotherapy and radiation therapy can cause cancer fatigue. Chemotherapy-induced fatigue, also known as chemo fatigue, is particularly challenging to manage, as it can be severe and long-lasting. How to manage cancer fatigue? While there is no simple medical treatment for cancer fatigue, there are many ways to manage it. Physical activity , such as moderate exercise, has been shown to boost energy levels, reduce fatigue, and improve the overall quality of life for people with cancer. Exercise can also help prevent muscle wasting and improve strength and endurance. Cognitive-behavioral interventions, such as mindfulness-based stress reduction and relaxation techniques can help manage cancer fatigue by reducing stress and improving sleep quality. Mindfulness-based stress reduction is a mind-body intervention that teaches people to be present in the present moment and non-judgmental of their thoughts and feelings. Relaxation techniques, such as deep breathing, visualization, and progressive muscle relaxation, can help reduce muscle tension and promote relaxation. In addition to exercise and relaxation techniques, it's important to maintain a healthy diet, stay hydrated, and get enough sleep. A diet rich in fruits, vegetables, whole grains, and lean protein can help provide the energy and nutrients needed to combat cancer fatigue. Staying hydrated can also help prevent dehydration, which can contribute to fatigue. Getting enough sleep and establishing a regular sleep routine can help improve sleep quality and reduce fatigue. Conclusion Cancer fatigue is a common side effect of cancer treatments that can affect people with cancer in different ways. It's a complex symptom that can be challenging to manage, but there are many ways to alleviate cancer-related fatigue, including physical activity, cognitive-behavioral interventions, and maintaining a healthy diet and lifestyle. If you're experiencing cancer fatigue, talk to a therapist to develop an individualized plan to manage it. Remember, managing cancer fatigue is an essential part of cancer care and can help improve overall quality of life.

Dr. Kokenes is from Charlotte NC and practices at Charlotte Gastroenterology . He is a graduate of Duke University ’83 BS and UNC Chapel Hill ’87 MD. He did his internal medicine training at Boston University and gastroenterology fellowship at Emory University . He is a past board member of Hospice and Palliative Care Charlotte Region and past President of the NC Society of Gastroenterology . He is the UNC Chapel Hill School of Medicine Course Director for gastroenterology at the Novant Campus in Charlotte, NC Colorectal Cancer (CRC) I appreciate the opportunity from The After Care to explore the experiences of Colorectal Cancer (CRC) survivors. My work as a gastroenterologist typically focuses on diagnosing CRC and then referring patients to oncologists, surgeons, and back to their primary care providers. I do get to see them for the surveillance colonoscopies which is usually a joyous experience since it means they are through the shock of the diagnosis and the surgical and oncologic treatment. They can finally focus on a future without CRC. Let’s begin with the good news! The incidence of CRC is declining thanks to robust population colon cancer screening (CCS) especially since the Affordable Care Act of 2010 which made CCS a mandated benefit of health insurance. Also, with earlier detection and improved therapies, two-thirds of CRC survivors are living well beyond 5 years after diagnosis. I will outline some basic strategies to anticipate potential short- and long-term issues related to CRC aftercare. Before we review recognizing the symptoms of a recurrence it is important to be aware of the most current guidelines for CRC surveillance. Catching problems before symptoms develop is the real goal! American Cancer Society CRC Survivorship Care Guidelines 1-2 Years post treatment: History and Physical exam (H & P) every 3-6 months Carcinoembryonic Antigen (CEA) every 3-6 months if a candidate for further intervention CT scan of the chest/abdomen/pelvis every 12 months (Stages I-II if high risk and all Stage III) Colonoscopy in 1 year; if advanced adenoma found, repeat in 1 year, otherwise in 3 years 3-5 Years post treatment: H & P every 6 months CEA every 6 months if a candidate for further intervention CT scan of the chest/abdomen/pelvis every 12 months (Stages I-II if high risk and all Stage III) Colonoscopy in year 4; if no advanced adenoma found, repeat every 5 years > 5 Years post treatment: CEA not recommended. CT scan of the chest/abdomen/pelvis not recommended. Colonoscopy every 5 years starting 9 years after resection if no advanced adenomas found. Listening to Your Body and Knowing Your Poop Surviving cancer gives one the opportunity to reevaluate their overall health and make important adjustments in behavior and lifestyle. To be able to identify potentially alarming GI symptoms one must first establish excellent bowel health and then from as healthy as possible a baseline it will be easier to recognize important deviations. We only use unleaded gasoline in our cars, and we never give our pets food that we know can harm them. However, we are commonly ingesting foods with high concentrations of sugars and fats that are often overly processed and in greater than appropriate portions. Food is fuel. In essence, we take better care of our cars and pets than we do of our own bodies. As a result, many of us live with gas-bloat, abdominal cramps and discomfort, diarrhea and constipation which can lead to pathological hemorrhoids and bleeding. How can we identify pathologic symptoms of possible cancer recurrence when this is our norm? Nutritionists are largely in agreement that the Mediterranean Diet is the overall healthiest diet. In a nutshell this means daily fruits, vegetables, grains, and lean protein in proper quantities. A healthy colon is populated with a wide variety of bacteria known as the colonic biome. A diet rich in fiber is the best first step to having soft, easy to pass, regular bowel movements. When achieved, it is easier to identify changes that should be investigated between the scheduled exams, x rays, and labs listed above. It is important to note that there is no evidence-based research that indicates that a healthy diet will reduce one’s chances of recurrence. Furthermore, almost half of CRC survivors have some degree of chronic diarrhea independent of how well they eat because of post-surgical changes, chemotherapy side effects, and in cases of rectal cancer, chronic radiation injuries. Working with a gastroenterologist and nutritionist can help to optimize one’s quality of life and improve these symptoms so that the best possible baseline of digestive health can be achieved. Colorectal Cancer Symptoms to Look For Early-stage recurrence: A change in bowel habits, such as more frequent diarrhea or constipation Blood in stool Abdominal pain or discomfort such as cramps, gas or bloating The sensation of incomplete bowel movements Late-stage recurrence: Weakness, fatigue, shortness of breath, and dyspnea on exertion Unintentional weight loss Any of the above symptoms should warrant checking in with your physician for proper evaluation. This will allow for the earliest possible detection since even strict adherence to the CRC survivorship guidelines can miss things. Genetics and Colorectal Cancer Another way to enhance survival after CRC and any cancer is not just to listen to your body but to know your body all the way down to your DNA. Let me be clear, everyone with cancer does not need genetic testing. However, it can be critically important in many cases. Consider sharing your diagnosis with your family and creating a detailed family tree of other relatives with cancer. The more you know the more accurate genetic testing can be. Review this information with your physician and decide if you should see a genetic counselor. It is estimated that 20% of patients with CRC who are less than 50 years old have an inherited genetic defect that predisposes them to the disease. Knowledge of one’s genetics can modify the screening strategies for other malignancies and help guide the medical care of other relatives potentially at risk and otherwise unaware and asymptomatic. We have come a long way in the understanding, early detection, and treatment of CRC. We need to stay vigilant even years after successful treatment and follow the survivorship care guidelines, take excellent care of ourselves, know our bodies and our poop, and alert our physicians when there has been an unexpected change. Only when we work together will have the best long-term outcomes.

As a cancer survivor, you may be searching for ways to honor your journey and celebrate life after overcoming the challenges of cancer. A popular way to do this is by getting a tattoo, which can be a powerful symbol of resilience and a reminder of your strength. In this article, we will discuss tattoos for cancer survivors, including the best time to get one, and provide some inspiring ideas for meaningful designs. Can Cancer Survivors Get Tattoos? As a cancer survivor, you may be wondering if getting a tattoo is a good idea. The good news is that you can generally get tattoos, but it's important to consult with your healthcare team first. They'll be able to advise you on whether the tattooing process could interfere with your ongoing treatments or compromise your healing process. Remember that each survivor's situation is unique, so it's important to consider any medical recommendations or restrictions before proceeding. The Best Ideas and Inspirations for Cancer Survivor Tattoos: Symbolic representations: Cancer survivors often choose symbols that hold personal significance. This could include the cancer ribbon or a lotus flower symbolizing rebirth and strength. Quotes and mantras: Inspirational quotes or personal mantras can serve as empowering reminders of your journey. Popular choices include phrases like "Strength Through Struggle" or "Warrior Within." Nature-inspired designs: Many cancer survivors find solace and inspiration in nature. Designs featuring elements such as trees, birds, or butterflies can symbolize growth, freedom, and transformation. Customized designs: By working with a skilled tattoo artist, you can create personalized designs incorporating elements such as your cancer type, treatment dates, or even a portrait of a loved one who supported you throughout your journey. Scar cover-Up tattoos: Some survivors use tattoos to conceal surgical scars or radiation markings . Skilled tattoo artists can create designs that incorporate scars into larger, transformative artworks, helping patients reclaim their bodies. Tattoos can hold deep personal meaning for cancer survivors, symbolizing their strength, resilience , and the journey they have overcome. There are so many meaningful tattoo ideas out there to explore. This form of self-expression is a creative way to celebrate life after cancer and find healing and empowerment.

My name is Tracy, and in February 2022, my world changed forever when I was diagnosed with glioblastoma with primitive neuronal component (GBM-PNC). This rare and aggressive form of brain cancer came with daunting statistics and a challenging prognosis. But through this journey, my husband Jason and I have discovered the profound strength of faith, resilience, and community support. The day I received my diagnosis was one of the most terrifying days of my life. Hearing the words "4 cm brain tumor" felt like a death sentence. This rare and aggressive tumor, known for its poor prognosis, left us reeling. However, Jason and I were determined to face this challenge head-on. The initial surgery went well, but within two weeks, the tumor had recurred , necessitating another surgery and immediate radiation therapy. GBM-PNC is notorious for its aggressive nature, and the treatment was grueling. Jason was my constant support, never leaving my side, even when things got tough. His unwavering presence gave me the strength to endure the painful treatments and maintain hope. The survival statistics for glioblastoma are grim, with most patients not living beyond 15 months post-diagnosis. Initially, I was consumed by these numbers, feeling like my life had been reduced to a set of bleak probabilities. But Jason helped me shift my focus. He reminded me that I was not a statistic, but a person with dreams, purpose, and a family. Cancer doesn't just affect the patient; it impacts the entire family, especially marriages . Studies show that the stress of dealing with a life-threatening illness can strain even the strongest relationships. For women, the risk of divorce or separation is significantly higher when they are the affected partner. This statistic was daunting, but it motivated us to do something about it. We faced moments of tension and exhaustion. There were days when the treatments left me exhausted and frustrated, and Jason felt helpless watching me suffer. But through it all, we communicated openly and honestly. We sought support from friends and family, ensuring that our family would not collapse during this time of chaos. Being vulnerable and humble to help allowed us to focus on healing. To those in the cancer community who are married or in committed relationships, I want to share this: your partnership is a powerful tool in your battle against cancer. Lean on each other, communicate openly, and seek support. Remember that it is okay to feel vulnerable and scared. These emotions are a natural part of the journey. Some days you will not want this to be part of your story. Some days it will be too much for you and your spouse. You need to have someone to vent, cry and lament that can be in prayer and shoulder your pain. Jason and I found joy in small things—watching our favorite movies, taking short walks, and having a date day even if it included labs and doctor visits. These moments of “normalcy” helped us cope with the constant medical appointments and treatments. If you find yourself struggling, remember that there are resources available to help. We’ve launched Aware Coaching. Aware Coaching offers personalized coaching for couples dealing with a cancer diagnosis. Our services focus on strengthening marriages through encouragement, teaching, and personal experience. For more information, visit myawarecoaching As I continue my fight against glioblastoma, I have learned the value of resilience and faith. Jason and I remain advocates for more research and support for cancer patients. Our journey has not been easy, but it has brought us closer together and shown us the strength of our bond. To the After Cancer community, I offer my story as a testament to the power of faith, resilience and hope. Stay strong, support each other, never give up, and engage an army of support. Together, we can face the challenges of cancer and emerge stronger on the other side. Cancer is a formidable adversary, but it does not have to define your life or your relationships. By standing together, supporting each other, and believing in the possibility of a brighter future, we can find strength and hope even in the darkest times. My journey with Jason has taught me that together with faith we can overcome any obstacle. To all the couples out there facing similar battles, know that you are not alone. Cherish each other, fight together, and hold on to hope. The road may be tough, but together, you can make it through. And remember, if you need support, we are here to help you navigate this journey.

Regrowth process after cancer One of the concerns cancer patients often have during treatment is the loss of hair due to chemotherapy . The good news is that hair regrowth is a natural part of the healing process. After completing chemotherapy, hair follicles gradually start to recover and regrow hair. While the timeline varies for each individual, most people experience noticeable hair growth within 3 to 6 months after treatment. What helps hair growth after chemo? While hair regrowth after chemo occurs naturally, there are several things you can do to support the process and stimulate healthy hair growth: Patience is key: Understand that hair regrowth takes time and varies from person to person. Be patient with yourself and give your body the time it needs to recover. Healthy diet and supplements: Opt for a balanced diet rich in vitamins, minerals, and protein, which are essential for hair health. Consult with your healthcare team about any supplements that may aid in promoting hair growth. Gentle haircare products : Use mild, sulfate-free shampoos, conditioners, and styling products. Avoid heat-styling tools and opt for air-drying whenever possible to prevent unnecessary damage. Scalp massage: Massaging your scalp gently can improve blood circulation and stimulate hair follicles. Use your fingertips to massage the scalp in circular motions for a few minutes each day. Protect your hair: Shield your hair from excessive sun exposure and harsh environmental elements by wearing a hat or scarf when outdoors. Avoid tight hairstyles or using hair accessories that may pull or tug on fragile new hair. Taking care of yourself After chemo, you get an opportunity to focus on your overall self-care and well-being. Here are some tips to nurture yourself during this transformative phase: Embrace self-acceptance: Celebrate each step of your regrowth journey and embrace your changing appearance. Remember that your beauty is not defined by your hair, but by the strength and resilience within you. Seek emotional support: Reach out to support groups or counseling services to share your feelings and connect with others who have gone through similar experiences. Emotional support can play a vital role in building confidence and self-esteem. Explore styling options: Experiment with different haircuts, wigs, scarves, or head wraps to enhance your personal style and boost your self-confidence. Have fun trying out new looks and accessories that make you feel comfortable and beautiful. Practice self-care: Engage in activities that bring you joy and relaxation. Whether it's practicing mindfulness , exercising, enjoying a hobby, or spending time with loved ones, prioritize self-care to nourish your overall well-being. Remember, hair regrowth after chemo is a testament to your resilience and strength. Be patient, practice self-care, and celebrate every milestone along the way. Your hair will grow back, but more importantly, you will continue to grow stronger and embrace the beauty.

Science arises from contradiction. Authors battle themselves using evidence as a weapon in order to achieve the so rare “scientific consensus”. From this organized mess we have been able to provide some answers to important matters in the past. To answer the question of whether aluminum in antiperspirants can cause breast cancer , we need to dig deep into one of these debates. Three studies came up with the link between cancer and antiperspirants with aluminum. The first evidence of such a link comes from a 2001 article that found that breast tumors appeared mostly in the upper outer quadrant of the breast. Then in 2003, a study   claimed that antiperspirant/deodorant use and underarm shaving were associated with an earlier age of breast cancer diagnosis. Finally, a 2005 article reported a significant and linear increase in breast cancer located in the upper outer quadrant over the period 1979– 2000, an area closer to the armpit and presumably more exposed to aluminum deposits from cosmetic use. These publications created a hypothesis that the aluminum contained in antiperspirants causes breast cancer. There isn’t strong evidence to support that antiperspirants with aluminum cause cancer.   As a consequence, several studies have been conducted to determine whether there is a link between aluminum-containing antiperspirants and breast cancer. Most of the epidemiologic studies conducted to date have not produced consistent results on this association. There are mixed results, but no article with high quality evidence proving the correlation. The claim that the incidence in the upper outer quadrant increases over time has not been confirmed . Other evidences suggests that there is no association, such as the non-increase in the incidence of bilateral breast cancer. If the product is applied to both armpits, it should increase the incidence of bilateral breast cancer, but this was not the case. In addition, men also use these products, so we should find an increased incidence of breast cancer among them. But we didn’t. Although there is some biological evidence that aluminum has some carcinogenic potential when tested in vitro and in animal models, the human body is far more complex than these tests can capture. This evidence isn't strong enough. What do the American Cancer Society and the National Cancer Institute say? In the meantime, the American Cancer Society has stated: “There are no conclusive epidemiologic studies (studies in humans) linking breast cancer risk to antiperspirant use, and very little scientific evidence to support this claim”. The National Institutes of Cancer say: “no scientific evidence links the use of these products to the development of breast cancer”. Our recommendation regarding aluminum in antiperspirants So, the conclusion is not categorical: aluminum probably does not cause breast cancer. This might not be the answer that you were expecting but it’s what science is saying far. Since it is still a subject in debate, if you want to be extra careful it is prudent to reduce exposure to aluminum and avoid application on injured or irritated skin. Written By Luis Guilherme