Photo by Denys Nevozhai
What I learned along the way...
When you face a cancer diagnosis, uncertainty can be very overwhelming. The immediate sense of sadness and confusion tends to take over. I had to acknowledge those emotions, but set them aside and start figuring out how to work the problem. My journey began by evaluating all my possible treatment options, starting with the guideline recommendations. My ultimate path was not defined by single treatments, but by the process of decision-making itself. It required me to become an active learner and collaborator with my medical team. Finding clarity (a quiet relief!) came not from an immediate answer, but from calmly sitting down with every option, researching the literature, talking to my medical team, understanding the trade-offs, and using facts to replace doubts. That deep, deliberate process was the key that ultimately transformed the unknown into thoughtful action.
If you are here, it means you feel uncertain — and that is okay. Uncertainty is not something to be fixed; it is something to navigate. The steps below trace what helped me find my way.
None of this was easy. The process below did not make the diagnoses less hard, but it gave me a way to get through them.
Pausing and breathing.
When I received my first cancer diagnosis, everything felt urgent. The most valuable lesson was realizing that even when I could not fully understand the big picture, I could control the small details of the process.
My first steps:
- Took a moment to breathe.
- Got the surgeon's office number and the nurse's contact info. The nurse walked me through the surgical options — that initial human interaction was really helpful.
- Scheduled the next test or scan as soon as it was available.
- Wrote down a few questions for the next visit.
The goal was not to know everything; it was just to pause and start figuring out my next steps.
Becoming my own researcher.
Once I regained my footing, I started to become an active researcher. The key was understanding that knowledge is my strongest tool.
How I learned:
- Asked detailed questions about every treatment option.
- Wrote lists of concerns for every single appointment.
- Started reading PubMed articles to learn directly from the research.
- Taught myself how to evaluate the different options, and leaned on my medical team for the most valuable guidance.
- Had many conversations with my surgeon to better understand all my options.
This proactive investigation gave me a sense of control that nothing else could.
Weighing what mattered most.
My hardest decision came when I was faced with multiple competing treatments during my third breast cancer diagnosis.
For instance, after a regional cancer recurrence, I was first faced with deciding whether to have a mastectomy (evidence-based recommended option) or have a second lumpectomy. Could that decision affect my survival? I was also faced with another significant decision: whether or not to perform a full lymph node dissection to define the stage of my cancer.
In my book, there was no single ‘best’ answer. All these decisions had their benefits and risks. The moment I realized that my decision had to be guided not by statistics alone, but by my own life values, the path became clear.
From my perspective, my best options are always the ones that align with who I want to be in the future.
Considering the long view.
For me, the journey did not end when I finished treatment. Life has a tendency, at times, to loop back. My second and third diagnoses proved that. I learned that adapting was as crucial as being proactive.
I had to reassess my treatment plan based on new results, new knowledge, or changing circumstances.
I also believe in exploring changes that can improve my overall health and reduce the odds of my cancer coming back.
Remember, none of us have all the answers. Ultimately, I have had to learn to live with uncertainty and move forward the best way possible.
Prepare before you walk into your doctor's office.
Typically the first doctor's visit is around an hour and routine follow-up visits are noticeably shorter. That time goes by quickly. The more I prepared beforehand, the more I got out of each visit. Doing some research about your diagnosis — even a small amount — helps you understand what your doctor is about to discuss. Coming in with written questions makes the conversation more productive. If you have time before your first appointment, a short call with the doctor's nurse can answer practical questions and orient you.
The time with your medical team is limited. Try to be ready for the discussions.
A second pair of ears.
I did not navigate any of this alone. My husband attended all major medical appointments, helped review medical information, asked questions during visits, and helped me evaluate treatment options. Having a second pair of ears in the room mattered — appointments move quickly, and what one of us missed, the other caught.
Beyond the appointments themselves, he was there during the hard parts: the wait after a biopsy, the days I had to weigh a complex decision, the stressful periods when I needed to think out loud. I could bounce ideas off him, talk through what the doctors had said, and process what I was learning. That side support was quietly comforting. I did not have to carry every question alone.
If you can, bring someone you trust into the journey with you — to listen, to ask questions, and to think alongside you.
The power of email and phone calls.
I was fortunate that some of the members of my medical team were willing to communicate with me by email and phone. When a question came up between appointments, I did not have to wait weeks for an answer — I could just send a message. That was especially valuable during the waiting periods between visits, when uncertainty has the most room to grow. If you can establish a way to communicate with your doctor or their assistant whenever questions arise, do it. It changes the experience.
Try not to carry questions alone between appointments. Find a way to ask them when they come up.
There is rarely just one path, and each has trade-offs.
Making treatment decisions can be very complex, and it is a unique experience for every cancer patient. From my point of view, finding the right path is about finding a balanced approach: one that avoids both under-treatment and over-treatment. That is not an easy task given all the uncertainties.
There are often multiple paths to consider, each with its own trade-offs and possible outcomes: recovery time, side effects, impact on daily life, long-term implications. Keep in mind that the standard of care may not be the only option for every decision. Researching your choices and asking your doctors about alternatives can open up options you might otherwise miss.
In my own case, the same kind of decision came up twice — and after a long, careful process, I chose differently each time. After my first diagnosis (Stage 0, low Oncotype score), I declined hormonal treatment because the side-effect profile did not justify the risk given my family history. A decade and two more diagnoses later — after a regional recurrence with positive lymph nodes — I chose to take another type of hormonal treatment, an aromatase inhibitor. Same kind of choice, two different answers, because the situation was different and so were the trade-offs.
As much as possible, try to be an active participant in your care. Different paths may lead to different outcomes. Understand the trade-offs and explore the ones that fit your goals.
Resources beyond the doctor's office.
When you are facing cancer, the sheer volume of information can be overwhelming. My journey taught me that professional medical advice is necessary, but it only tells part of the story. To feel prepared, I realized I needed to build my own knowledge — a way to supplement what my doctors told me with reliable, external insights. These resources were not meant to replace my team; they were tools that helped me show up at appointments equipped to ask highly specific questions and participate as an active partner in my care plan.
I relied on the foundational guides, like comprehensive books or patient resource materials, to give me a basic understanding. Next came the deeper dive into scientific literature using tools like PubMed to bypass simple explanations and read directly from published research papers and clinical trials. This was where I learned about complex concepts like genomic testing or hypofractionated radiation, enabling me to understand why certain options were considered best-case scenarios. Finally, I used the expert perspectives, drawing from specialized presentations and webinars by thought leaders in oncology (like specific surgeons or medical oncologists). These resources did not just show me what was possible; they helped translate incredibly difficult topics into digestible segments, giving me the vocabulary to talk to my own team with confidence.
Try to build some understanding of your case. If you do, it can help you participate as a true partner.
Listed below are a few examples of material I reviewed while trying to understand my diagnosis and evaluate my cancer treatment options.
Foundational guide
Be a Survivor — Your Guide to Breast Cancer Treatment, by Vladimir Lange.
General information about breast cancer and treatment options.
Scientific literature
PubMed — NIH National Library of Medicine.
Source for online articles and published research.
Cancer-focused publication
Oncology newspaper — it features highly validated coverage of clinical cancer research, policy news, patient care, clinical practice issues, and thoughtful commentary by leaders in the field of oncology.
Expert perspectives (videos)
Note: The experts mentioned below were not part of my medical team.
Webinars, presentations, and short videos by well-known physicians.
Dr. Jennifer Griggs (Medical Oncologist) — Get to Know Yerbba's Oncologist: Dr. Jennifer Griggs.
Dr. Maggie DiNome, Professor and Chief, Breast Surgery Section, Duke University School of Medicine (recorded at UCLA Health, 2019) — Leave my lymph nodes alone! When less is more (webinar).
Related trials on this topic: ACOSOG Z0011, AMAROS, IBCSG 23-01, and SENOMAC (2024) — on omitting ALND with a few positive sentinel nodes; SOUND (2023) and INSEMA (2025) — on omitting sentinel node biopsy itself for select postmenopausal patients.
Interactive tool
Build a personalized, printable list of questions to bring to your next appointment.
Articles and online information from reputable sources can help patients better understand their specific type of cancer and provide useful information to discuss further with their medical team.
How could AI help?
Where AI can help me prepare:
- Drafting prioritized questions to bring to a specific visit.
- Understanding the pathology report in plain language before the next appointment.
- Understanding the shape of a decision — the trade-offs involved — without expecting it to choose for me.
- Debriefing after appointments: explaining what a test, term, or recommendation meant.
- Generating a list of relevant clinical trials to discuss with your medical team.
What to watch for:
- AI can be confidently wrong. Never trust it for numbers: survival statistics, recurrence rates, drug dosing. Verify everything numerical with your team.
- AI tends to agree with you. If you ask hoping for a particular answer, you may get it reflected back. Ask it to argue against itself.
- Be careful about pasting full medical records into a chatbot. Check the privacy settings before sharing identifiable health information.
AI is a translator, not the final word. I would always bring its answers back to my medical team, and would not act on them alone.
To the doctors, nurses, radiologists, and supporting staff who walked with me through each diagnosis — thank you. Your willingness to listen, your patience with my questions, and your care made every difficult decision feel less alone. Your work and dedication matter more than you may know.
To my family — thank you for the calls and the texts, the prayers and the well wishes, the quiet and constant presence through every diagnosis. You carried what I could not always carry alone.
A note from one patient.
My journey began at the age of 41 with my first breast cancer diagnosis. Over the following years, it required managing multiple breast cancer diagnoses, each stage presenting its own complex puzzle of treatment options. What I learned was that navigating this disease was not only about evidence-based treatments but also about evaluating other potential treatment options. My story is less about the disease itself, and more about how I learned to balance scientific facts with quality of life. During the most overwhelming parts of the journey, I kept my diagnosis private, even from colleagues, simply to protect a sense of normalcy.
The Full Story
A longer, more detailed account of my three diagnoses, the decisions I made at each stage, and the reasoning behind each choice.
Includes: Introduction · First diagnosis · Second diagnosis · Third diagnosis · Update: Two and a half years in · What is next?
Read the full story →