6 Questions to Ask Your Doctor to ensure your breast cancer doesn’t come back
6 Questions to Ask Your Doctor to ensure your breast cancer doesn’t come back
Breast cancer (BC) is the commonest malignancy among women globally. In fact, recurrence can happen in the short or long term, with more than 50% of patients have a recurring rate of 5+ years after their diagnosis. While these statistics can be daunting, it is important to realize that remission isn’t always the end of the road. Despite reaching remission it is essential to have ongoing conversations with your oncologist to understand the risk of recurrence, as well as what symptoms will require your attention post-remission.
During this challenging time, it’s crucial to empower yourself by engaging in open and informed conversations with your doctor to understand your diagnosis, treatment options, and the road ahead. Addressing the question of “life beyond treatment” allows for discussions on what the best treatment option for yourself is, potential side effects, and embracing strategies that aid overall quality of life while avoiding the recurrence of cancer at the same time. This could include informed conversations about newer advanced therapies that go beyond chemotherapy.
According to Dr K. Govind Babu,Consultant Medical Oncologist -St.Johns Medical College and Hospital, HCG Hospitals, Bangalore “In my practice, 30% with early breast cancer come back with a recurrence. Almost all of them are mentally and financially drained – they are jaded by previous treatments and the possibility of recurrence isn’t on their mind. Having seen, diagnosed, and treated these conditions up close – I cannot emphasize enough how patients should be explained about advanced adjuvant therapies as they can lessen their risk of recurrence significantly. Post-surgery or remission, their doctors should discuss and explore what treatments align with their priorities in life. These discussions should definitely include advanced treatments that go beyond chemotherapy including genomic strategies as they not only offer improved outcomes but also help patients live a longer and better life without recurrence.”
Here are 6 questions that can help guide your conversations with your doctor –
- What stage is my breast cancer, and what does it mean? Understanding the stage of your breast cancer is vital for determining the appropriate treatment plan. Ask your doctor to explain the stage in clear terms, including the size of the tumour, whether it has spread to nearby lymph nodes or other parts of the body, and its potential implications. By grasping the stage, you can better comprehend the severity of your condition, the chance of recurrence, and the treatment options available.
- What are the available treatment options? Inquire about the range of treatment options available for your specific breast cancer. Ask your doctor to explain the benefits, risks, and potential side effects of each treatment option. Additionally, inquire about any recent advanced treatments that go beyond chemotherapy. While the thought of going through treatment can be overwhelming, there are many advanced treatments that can help you not only live a longer life but a better life free of recurrence.
- What is the risk of recurrence and What type of recurrence could it be? Post-surgery or remission, it is important to understand the risk of recurrence based on what stage of breast cancer you have. Recurrence could be local or distant metastasis to other parts of the body, such as bones, liver, or lungs. The risk could change depending on the type and stage of breast cancer – understanding this information will help guide further discussions.
- Will the recommended treatment maintain/improve my quality of life? It is essential to discuss the potential impact of treatment on your quality of life. Ask your doctor how the recommended treatment may affect your daily activities, physical well-being, emotional health, and overall quality of life. Inquire about strategies to manage treatment-related side effects and ways to enhance your well-being during treatment.
- Are there supportive care services available? Dealing with breast cancer can be physically and emotionally demanding. Inquire about the supportive care services offered by your healthcare facility. These may include access to a multidisciplinary team, such as oncology nurses, social workers, psychologists, nutritionists, and palliative care specialists. Supportive care services can provide guidance, emotional support, symptom management, and resources to help you navigate your journey effectively.
- What are the long-term implications and survivorship considerations? Discuss the long-term implications of your breast cancer and survivorship considerations with your doctor. Ask about the potential future recurrences, the need for ongoing monitoring and follow-up, and strategies for maintaining overall health. Inquire about lifestyle modifications, such as exercise, diet, and stress management, that may contribute to your long-term well-being.
When facing a breast cancer diagnosis, it is crucial to have open and honest discussions with your doctor. The questions mentioned above serve as a starting point to gain clarity on the risk of recurrence, treatment options, impact on quality of life, availability of supportive care services, and long-term implications. Empower yourself with knowledge and seek the guidance of trusted healthcare professionals to make informed decisions about your care and well-being. Remember, you are not alone in this journey, and support is available to help you navigate through it.
