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  • Same Issues in England

    Posted 5/3/2013 by hhill

      It is always comforting to me to realize that others share our concerns. There is nothing surprising in this article from the BBC about survivorship issues in England and the need for physicians to expand the conversation beyond the specific medical concerns. People completing cancer treatment the world over must share the same worries about returning to work, families, sexuality, energy, etc. The health care system is somewhat different in Britain, and GPs (general practitioners, similar to our PCPs) seem to do more of the oncology follow up than is generally true in the US. Studies here have suggested that women who are followed by their PCPs after breast cancer treatment do just as well as those who continue to see their medical oncologists, but that is generally not the system. I suspect, in the era of more attention to costs, that may become increasingly true here, too. It is less expensive to see the PCP than to see a specialist.

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  • Understanding Risk of DCIS

    Posted 5/1/2013 by hhill
      Whatever the specifics of a breast cancer diagnosis, women worry. Of course we may worry a little more or a litte less depending on the statistics we hear or some of the details of the pathology, but we generally understand that no one gets a guarantee and that we are each an "n" of one. It has always interested me that this is equally true for women who are diagnosed with DCIS (or LCIS) which is generally described as "Stage 0". In fact, some doctors say that DCIS is not cancer, that it is something that might become cancer in the future if not treated. And the real kicker there is that many DCISs (is that the plural?) would never become invasive, but that we don't know how to tell those sleeper ones from the potentially dangerous ones. Read more... Comments (0)
  • Fear

    Posted 4/28/2013 by hhill
      Fear and anxiety are constant companions in the early months or even years of living with breast cancer. As time passes and, if we are lucky and stay well, they diminish, but they rarely vanish forever. All it takes is hearing about a friend whose cancer has recurred or experiencing a symptom that likely will go away but causes panic in the short term or reading something about a woman who has died of breast cancer...and the fear grips us. Read more... Comments (0)
  • Coping Differences between Straight and Sexual Minority Women

    Posted 4/23/2013 by hhill
      It is always dangerous to make sweeping (or even semi-sweeping) generalizations, and that surely applies to any assumptions about coping. I have read a number of article through the years that compare the Quality of Life (QOL) or coping of straight vs lesbian women with breast cancer, but this study is the first I have seen that breaks it down even further. Speaking only from a perspective of clinical observation, I would be hard pressed to make any statements about differences among groups. Of course, different women process a breast cancer diagnosis and treatment very differently, but I could not generalize about particular groups or populations. The variables have always seemed to be related to the individual and her unique perspectives, resources, and life experiences. Read more... Comments (0)
  • Meditation

    Posted 4/17/2013 by hhill
      Once again, full disclosure: I am a (relatively) recent convert to daily meditation, so I am a zealot. My husband and I attended a meditation course in January 2012 and have quite regularly meditated twice a day ever since. On long plane flights, e.g. our recent trip to Africa, we meditated a lot more, and found it truly helped with fatigue and jet lag. On some days, when my schedule is especially busy and unusual (because habit helps), I forget and suddenly realize at bedtime that I have missed meditation. Read more... Comments (0)
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About the Blogger

Hester Hill Schnipper, LICSW, OSW-C is the Manager of Oncology Social Work at BIDMC. For more than thirty years, her daily work at BIDMC has been primarily focused on supporting women with breast cancer. A nationally known writer and speaker, she was the Susan G Komen Breast Cancer Foundation's first Hatcher Survivorship Professor. In 1993, and again in 2005, she was diagnosed with breast cancer and went through the standard treatments of surgery, radiation, chemotherapy, and hormonal therapy. These experiences have given her great credibility with her patients and transformed her life's work to her life. Ms. Schnipper lives gratefully with her husband in an ancient farmhouse outside of Boston and spends as much time as possible in a water front cottage on Mt Desert Island. Between them, they have five adult children and seven grandchildren; she claims biological responsibility for two and three of them.