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Después de un Diagnóstico ofrece apoyo a aquellos diagnosticados con cáncer de mama, sus cuidadores y familias a nivel global. Rompiendo las barreras para acceder a la información, Surviving Breast Cancer pone en primer lugar a las personas, y crea programas y contenido educativo para la comunidad. Salud Física Salud Mental Arteterapia Podcast More Grupo de Apoyo: Después de un Diagnóstico ¿Has sido diagnosticado con cáncer de mama? ¿Necesitas de alguien que realmente entienda cómo te sientes? El grupo de apoyo para el cáncer de mama de [nombre de la organización] te ofrece un espacio seguro y confiable donde podrás compartir tus experiencias con otras personas que están pasando por lo mismo. En nuestro grupo de apoyo y clases tendrás la oportunidad de: Hacer nuevas amistades Obtener apoyo emocional Compartir tus experiencias y aprender de las experiencias de los demás Únete a nuestro grupo de apoyo y descubre que no estás sola. Disfruta de muchas actividades Cada semana te traemos programas en línea, reuniones, webinars, eventos y oportunidades para que puedas conocer a otras personas mientras transitas por el cáncer de mama. Explora Asistencia en línea Obten apoyo en línea las 24 horas del día cuando más lo necesites. Ofrecemos grupos virtuales y una comunidad de personas que han sido diagnosticadas de cáncer de mama para ofrecerte apoyo entre iguales. Únete Información a tu alcance Descubre información clave sobre el cáncer de mama: factores de riesgo, síntomas y opciones de tratamiento. Obtén datos actualizados sobre la detección temprana y avances en investigación. Conoce la importancia de la autoexploración y mamografías. Encuentra recursos para el apoyo emocional y la prevención. Leer más Servicios para la comunidad Donate Podcast: Después de un Diagnóstico En nuestros webinars y podcasts, aprenderás sobre: Los diferentes tipos de cáncer de mama Los tratamientos disponibles Cómo afrontar los desafíos emocionales Cómo cuidarte a ti misma y a tus seres queridos Explora Escuchar Correo electrónico Enviar ¡Gracias por Suscribirte! Sobre ti Suscríbete al boletín Descarga tu calendario Calendario de eventos

Understanding Your Breast Health is the first step in being breast aware and knowing your body so that you can proactively advocate for yourself when you sense that something is not quit right. Despite how well we eat, exercise, and maintain a healthy life-style, it is still possible to develop breast cancer. This information serves as strategies to empower you and reduce the risk of developing breast cancer. If you develop breast caner, know that it is not your fault. The founder of Surviving Breast Cancer was a vegetarian since the age of 16 later to become a vegan. Out of the blue she was diagnosed with breast cancer at the young age of 34. We don't have all of the answers nor know why some people get breast cancer while others do not. What we do know are tools we can use to be breast aware, get screened, and understand our family history. Breast Health

Find an event that is just right for you! We provide community, support, and resources. Meet others, share stories, and be part of a positive and thriving breast cancer community you can call your own. Surviving Breast Cancer ofrece apoyo, eventos y seminarios web sobre el cáncer de mama sin coste alguno para ti. Ya sea que estés buscando obtener más conocimientos sobre un tema en particular o reunirte con otros sobrevivientes del cáncer de mama, tenemos algo para todos. Únete a nuestro Grupo de Apoyo que se reúne todos los jueves por la noche. Participa en un seminario web en directo con expertos en la materia. Mueve tu cuerpo y tu mente con nosotros. Incluso tenemos un club de lectura mensual para no hablar sobre el cáncer de mama. Apoyo a sobrevivientes de Cáncer de Mama y Eventos Pensados para Ti Suscríbete a Nuestro Boletín Email Enviar Gracias por Suscribirte! A R T E T E R A P I A Para contar la historia de tu tratamiento La narración es una herramienta increíble para la sanación emocional tras un diagnóstico de cáncer. En este taller, usaremos el arte para contar la historia de tu tratamiento de cáncer. CLASES CALENDARIO Ver eventos Eventos y Clases Yoga de Sanación Energética Clases Con Flor Franco Después de un Diagnóstico ¿Has pensado que a veces solo quieres reunirte y pasar el rato con otras personas que lo entienden? ¡Estás en el lugar correcto! El tercer martes del mes por la noche a las 7:00 p. m., Hora del Este, despuesdeundiagnostico.org organiza nuestro evento exclusivo, tu Grupo de Apoyo, una comunidad que forma poderosos lazos que se extiended más allá de un diagnóstico. Unirme Meditación en movimiento Quantum Flow es una metodología que combina los principios de varias metodologías tanto ancestrales como modernas para reconectarte contigo misma y con el universo. Clases CLASES ESCRITURA EXPRESIVA Únete a nosotros para el taller de Escritura expresiva, en este taller aprenderemos las técnicas y herramientas para expresar lo que más nos cuesta decir, lo que nos da vueltas en la cabeza o nos atormenta por las noches.

Una mente sana y equilibrada Ayuda a manejar el estrés, la ansiedad y los desafíos de la vida de manera más positiva Quantum Flow es una metodología conocida como técnica de manifestación de encarnación. Es una práctica que toma los mejores principios de muchas metodologías ancestrales y modernas y los une para formar algo completamente nuevo. Meditación Para Principiantes Respira Calma Relaja Baile Libre Ho'oponopono Yoga Facial Interiorizándonos Introducción a la Escritura Expresiva En esta clase práctica podrás empezar a practicar la escritura expresiva. Marcia nos acompaña en este viaje hacia nuestro interior y nos guía en actividades fáciles para iniciar. ¿Cómo escribir? ¿Qué escribir? Clase 3 Salud Física

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The Carfang Group presents eleven issues that will change the financial world.  We call these the “Megatrends”.  This article presents the eleven megatrends and invites your feedback and discussion.  Subsequent articles will explore each of these in detail. Megatrends in Treasury, Money and Banking Megatrends in Treasury, Money and Banking Anthony J. Carfang, The Carfang Group Innovation, technology, regulation and geopolitics are intersecting and are about to change the face of treasury, money and banking as never before. Issues that appear small or incremental today could be seismic in the longer term. As markets, institutions and governments deal with these cross-currents, we could be witnessing the beginning of a transformation on a grand scale in finance. In this series, The Carfang Group presents eleven issues that will change the financial world. We call these the “Megatrends”. This article presents the eleven megatrends and invites your feedback and discussion. Subsequent articles will explore each of these in detail. These are the eleven Megatrends which we believe will reshape our financial world over the next decade. Central Bank roles are scaled back. Asset Managers overtake banks. Deposit Banking diminishes in importance. Deposit Insurance becomes universal. Private Liquidity Funds emerge as a major asset class. Technology disintermediates the intermediaries. Truly immediate payments eclipse “faster payments”. 20th century institutions and structures are realigned. Currency takes on a new role. Alternative currencies gain acceptance. Solutions for the underbanked take shape. About the author: Anthony J. Carfang is Managing Director of The Carfang Group and has a distinguished background in consulting, writing, speaking, thought leadership and advocacy in the area of treasury, payments and liquidity. He encourages you to provide feedback on this article or any other issues to tony_carfang@carfang.com . You can follow Tony at https://www.linkedin.com/in/carfang/ Central Bank roles are scaled back. To receive a pdf version of this white paper, email tony_carfang@carfang.com ." Central Bank roles are scaled back. Without question, many central banks functioned superbly during the financial crisis in the dual roles of lender of last resort and payment guarantor of last resorts. They forcefully took on powers necessary to prevent a worldwide depression. Instead of reverting to their historical role after the crisis abated by 2011, they continued to function in crisis mode and now seem to have taken for themselves an entirely new mandate of economic support. We believe that this will come under close scrutiny over the next decade and the missions of central banks world-wide will be scaled back. Consider the following “last resort” moves that remain in place ten years post-crisis: Central bank balance sheets remain at levels which make them THE dominant players, distorting the financial markets rather than merely facilitating those markets. Securities on their balance sheets now stand at $23 trillion, up from $4 trillion pre-crisis. The Federal Reserve began paying interest on bank excess reserves in a not so subtle effort to inject capital into banks and to fund its swollen balance sheet. Long after the crisis, it still pays market interest, thereby competing for private capital while quashing the intrabank Fed Funds market. Operation Twist was a specific program designed to lower long term rates relative to short term rates. Many of these OT securities remain on the Fed balance sheet, impacting the shape of the yield curve today. Quantitative Easing and Quantitative tightening are direct attempts by central banks to impact growth levels, still ongoing today, and are not a direct part of their mandate. Combined, these activities distort the important market signals that are necessary in robust markets. Central bank roles will come under close examination. The debate will be intense but healthy. Should central banks be limited to their "first principles" of currency stability and lender of last resort? Or should they proactively manage world economies? We expect a tilt back toward the former. Asset Managers overtake banks. Commercial banks have historically been the primary conduit through which depositors and borrowers clear the market. Most individuals and businesses maintain bank accounts to facilitate transactions and savings. Similarly, for individuals and all but the largest businesses, these banks are also the primary source of loans. Asset managers, on the other hand, provide investment management services primarily by deploying their investors’ capital via the secondary markets. That is abruptly changing in ways that are just beginning to emerge. We believe that over the next decade, asset managers will overtake banks as the primary financial institutions in both the retail and wholesale markets. Commercial banks, long the dominant market players, saw their competitive advantage sharply curtailed following the financial crisis. They became subject to SIFI supervision, Basel III’s liquidity requirements, tiered capital requirements and much more. Over the past ten years, total assets of the largest banks have been relatively flat. Asset managers not subject to these requirements, in particular the largest three companies, have grown enormously. The “Big 3” have nearly tripled in assets since the crisis and are now larger than the largest commercial banks. We expect that these supersized asset managers will be able to muscle into all aspects of the commercial banking franchise and radically alter the playing field. It is true that commercial banks enjoy the dual monopolies of deposit aggregation powers and payment settlement finality. However, technology will diminish those advantages (see below) to the point at which they cannot overcome their regulatory, capital and liquidity burdens. Deposit Banking diminishes in importance. The centuries-old deposit banking paradigm will not disappear anytime soon. But we believe it will radically change in the near future, creating significant winners and losers among financial and payments institutions. Deposits have long served two primary functions. They were a buffer to mitigate the uncertain clearing time for payments and they served as a repository for savings on the part of individuals who did not have direct access to the institutional markets. Rates paid on transaction deposits were negligible but that was part of the offset for transaction costs. Rates paid on savings were more competitive but slightly below market, given that banks provided the only way for retail savers to earn any return at all. Even today, banks aggressively compete for deposits across most wholesale and retail segments. Yet we believe this model is about to change as the cross currents of technology and regulation play out. On the transaction front, with faster (instant) payments will come greater certainty, leading to what we refer to as “just-in-time money”. In this new world, the need for a buffer vanishes. Fintech solutions will fund these accounts as necessary and will deploy all excess funds into the money markets. On the savings front, technology is eliminating the friction and transaction costs that stood in the way of savers directly accessing the markets. On-line brokers and internet banks are just the tip of the iceberg. Further, traditional commercial banks are saddled with Basel III related capital, liquidity and stable funding requirements that further erode their competitiveness. Deposits were once the holy grail of banking. That is about the change. Deposit Insurance becomes universal. Government insurance for bank deposits is a common safety net worldwide. By insuring a set level of deposits, governments boost depositors’ faith in the banking system and encourage capital formation. Banks are assessed premiums by the insuring government agency. These premiums are generally passed along to depositors in the form of slightly lower rates or higher transaction costs. At the onset of the financial crisis, the U.S. Congress raised the coverage amount from $100,000 to $250,000 per depositor per institution, and that has not been rolled back during the recovery. Temporarily, the limit was removed altogether for non-interest-bearing accounts. Taking deposit insurance well beyond the safety net aspect, financial institutions and tech companies are partnering to expand coverage to all of a customer’s deposits. A depositor can place funds well above the $250,000 limit with a lead participant. A servicer will take that large deposit, break it into $250,000 units and place one unit each with other banks in their network. Some networks include over 1,000 banks, enabling a depositor to place up to $250 million in a single deposit and have the entire amount insured. While this might seem to be at odds with the spirit of deposit insurance, neither the FDIC nor Congress have taken steps to limit the rapid spread of these deposits that now exceed $1 trillion, one-eighth of the total insured deposit base. In fact, in 2018 Congress passed legislation that gave regulatory support to “reciprocal” deposits, a subset of these types of programs. Consider, then, the rapidly approaching scenario in which ALL deposits are insured and the resulting moral hazard. A thin layer of bank shareholder capital is the only source of market discipline. The government is on the hook for all losses. That asymmetry likely leads to outsized risk taking. Ultimately, the government will be forced to step in and de facto nationalize the banks. Bills have been introduced in Congress, most recently in 2018, to allow the US Postal Service to take deposits and make loans. This could be the logical conclusion of unlimited deposit insurance. If the government is bearing all the risks of the banking system, the logical conclusion is that it takes over the banking system. USPS banks could be the first step in that direction. Private Liquidity Funds emerge as a major asset class. Like private equity funds a few decades ago, which provided a way to circumvent public markets for long term capital, Private Liquidity Funds will circumvent the public markets to enable the efficient provision of liquidity to both investors and borrowers. Technology is enabling “just-in-time money” which will redefine “liquidity”. Sweep accounts are now available at low cost to most savers and investors. Funds can be fully invested right up to the day they are needed. Thanks to fintech advances, funds can be drawn down at precisely the time they are needed. At the same time, regulators in the U.S. and around the world have hamstrung money market funds that focus on private sector liquidity. In 2016, US regulators implemented regulations that reduced the viability of prime money market funds. Prime funds invested in commercial paper and other private sector debt instruments. Thus, both the providers and users of liquidity were penalized. The bulk of prime fund assets flowed into government and treasury funds and are no longer available to provide liquidity to businesses. Similar regulations are currently being implemented in Europe. Unfortunately, because of the dramatic scale-back of prime funds, the most efficient conduit between providers and users of liquidity has been significantly curtailed. The upshot will be an entirely new asset class. Some forward-thinking asset managers have already established the first funds of this breed. They are similar to the pre-regulation 2a-7 funds but are limited to institutional investors. However, we expect these to morph into an asset class that will ultimately look very different from the current funds (MMFs, SMAs and Ultra Short Bond Funds) and incorporate the redefined “liquidity” and facilitate just-in-time cash. Forty years ago, no one envisioned the current structure and transformative role of private equity funds. We believe a similar transformation is about to overtake the liquidity market. Technology disintermediates the intermediaries. Historically, banks and other financial intermediaries filled the information gap between suppliers of capital (depositors, investors) and users of capital. They also bridged the gap between risk takers and risk avoiders. Banks knew both sides of the trade and could comfortably stand between providers and users of capital who did not know each other. If a single bank did not know the counter party of a transaction, it could easily locate a correspondent bank that did. These intermediaries lowered the transaction costs and risks (friction) that separated borrowers from lenders. The result was the rapid global expansion of trade and commerce. Fintech is changing all that in five key ways: Technology is fast closing that information gap. It is putting more reliable and more up-to-date information in the hands of all the parties in any given transaction, reducing the need for an intermediary. Social networks such as LinkedIn and others allow buyers and sellers to connect and investigate each other directly. Peer-to-Peer networks and microfinance schemes bypass the financial intermediary entirely. Technology is powering broad based sweep programs that move excess funds out of even the smallest investor or depositor accounts, the intermediaries, and directly into the financial markets. Intelligent technologies, such as robo-advisors, use sophisticated algorithms to bypass the traditional channels. The upshot is that the intermediary role of financial institutions is being displaced. Truly immediate payments eclipse faster payments. Over the past several decades, payments have become faster, cheaper and more reliable. Checks used to take days in the mail and then days to clear once deposited. International funds transfers would pass through several banks, each taking a “lifting” fee as the funds slowly passed from originator to recipient. Fortunately, those days are over. Now, central banks, commercial banks and payment networks are all racing each other to make payments even speedier. This is all very good since timing delays in payments and the attendant information flows create risk and uncertainty as well as wreaking havoc with cash forecasts and liquidity cushions. In the US the Fed launched its Faster Payments task force with this statement: “The task force calls upon all stakeholders to seize this historic opportunity to realize the vision for a payment system in the United States that is faster, ubiquitous, broadly inclusive, safe, highly secure, and efficient by 2020.” Around the globe, the UK announced its Faster Payments Service in 2008. In 2017, the European Central Bank kicked off its TIPS program (TARGET Instant Payment Settlement) with the goal of “instant” payments 24/7 within the euro area. The Monetary Authority of Hong Kong launched the Faster Payments System initiative in 2018. No doubt, payments are becoming much faster, more secure and more universal. The benefits of these initiatives are immense. In faster payments, funds and information, however fast and efficient, must still flow between the originator, the originator’s payment processor and/or bank, a central bank, the recipient’s payment processor and/or bank before becoming settled funds in the recipients account with finality. Even the ECB, in its TIPS communique, defined instant payments as “a matter of seconds”. That is a huge improvement. However, as high-frequency traders and arbitrageurs know, “a matter of seconds” is an eternity in financial markets. We believe that there will be one more step beyond faster payments: truly immediate payments. These payments will settle instantly, anywhere, anytime. At present, it’s difficult to envision. Perhaps blockchain technology is providing us the first glimpse. This has the potential of eliminating the sequential process of moving money and information (however fast) among transactors, their intermediaries and their settlement network. Alternatively, the paradigm for instant payments might come from outside the industry. Consider this analogy with railroads. In the late 19th century, railroads competed with each other to provide faster, safer and cheaper options in moving both passengers and freight between two points. Yet, even in the heat of that competition, no one within the industry considered putting wings on rail cars. Ironically, most payment intermediaries today refer to their networks as “rails”. 20th century institutions and structures are realigned. Post-WWII, late 20th century institutions and structures are unraveling. But, because they are so ingrained in our psyche, these shifts seem incomprehensible. The magnitude and scope of their impact are difficult to assess. But we believe that this is a megatrend impacting Treasury, Money and Banking. Trade organizations and trade agreements are coming apart or are being realigned in material ways. To see just a few underway right now, look no farther than the Pacific trade agreements, NAFTA and the EU with Brexit. Countries are subtly shifting to bi-lateral rather than multi-lateral constructs. Structures are also giving way. SWIFT is caught in a tug of war between its nominal role as a funds transfer communication system and its externally imposed role of sanctions enforcer. LIBOR, the reference rate for several trillion dollars of actual debt and hundreds of trillions of dollars of derivatives is phasing out within the next two years. The financial world needs to be repapered! Government-Sponsored Enterprises (GSEs) are coming under scrutiny. Agencies such as Fannie Mae and Freddie Mac that provide government guarantees in order to meet a “social good” took shape following the early 20th century’s great depression. They have now grown into behemoths, and some lay the blame of the 2008 financial crisis at the doorstep of the housing GSEs. Although governments decried the size of these agencies and vowed to trim then, they have continued to grow since the crisis. Paradoxically, central banks need GSE to create the instruments that now sit on their swollen balance sheets. We believe that many of these agencies will be downsized over time. The 20th century financial and geopolitical world is changing, and all market participants must adapt. Currency takes on a new role. This megatrend is counter-intuitive, but the data are clear. For decades, we’ve heard that we’re moving toward a cashless society. One with everything on a card or in a chip. Not so. The evidence is that, over the last decade, currency in circulation as a percentage of GDP has nearly doubled worldwide. In the US, currency increased from $800 billion in 2006 to $1.7 trillion in late 2018. That’s hardly a cashless society. (Scandinavia is an exception we need to explore.) Central banks and academia are beginning to study this phenomenon. Some key hypotheses about factors contributing to this are currently being formulated. They include: Convenience – It’s easy to transact in cash. Low holding cost – In an ultra-low interest rate environment, cash is cheap. Privacy – Currency transactions (and barter) are the only types of economic activity that don’t inherently require a corresponding exchange of data. Historically, currency has defined the underground economy. We now see an emerging role for currency in the above-ground economy for market participants desiring and valuing privacy or anonymity. Store of Value – In negative interest rate environments we see in some parts of the world, there is actually an economic benefit to holding currency in order to retain value. More interestingly, in certain low interest rate environments, the low carrying costs, to many, seem like a small price to pay to hedge political or economic uncertainty. India is a fascinating case study in progress. In November 2016, India eliminated large denominated rupee notes that represented 86% of India’s currency. Citizens had the opportunity to exchange the notes for smaller denomination notes. The intent was to root out the underground economy and raise tax revenue. The ramifications were far reaching and still playing out. But Bloomberg offers one interesting conclusion: “Cash remains the most popular form of tender in India. Currency with the public has increased to 18.5 trillion rupees in August 2018 from 17.9 trillion rupees before demonetization.” That is a 3% increase in currency in spite of an 86% drop in large denominated notes! Again, economists at present are trying to understand the factors behind this trend. Obviously, however, this creates a nightmare for regulators and those managing monetary policy. The trend is both real and “Mega”. Alternative currencies gain acceptance. This megatrend challenges the definition of money itself – the gaining acceptance of alternative currencies including crypto currencies. In ancient times, post-barter, precious commodities were the prevailing instrument of exchange and store of value. These commodities had intrinsic value that resulted in their reliability and acceptance. The middle ages saw the emergence of fiat currencies. They had value because a government said they had value. The problem with pre-modern fiat currencies is that they could be easily debased. A ruling body could simply turn on the printing press. Current fiat currencies such as the dollar, euro, pound, etc. are much more stable than their predecessors. That’s because they are issued and backed by the full faith and credit of sovereign governments. They are managed with a “goal” of price stability by central banks. The track record is far from perfect and debasement examples abound, but it is certainly improved. Crypto technologies are now enabling a new genre of fiat currency: crypto currencies like bitcoin and others. They are not the product of precious metals or scarce commodities. They are not issued by governments (yet). They are not “full faith and credit” instruments. They are not managed by central backs. Proponents insist that this litany of “they are nots” is actually a benefit, not a shortcoming. Following the Subjective Theory of Value, crypto currencies have value because buyers and sellers believe they have value. They are fiat currencies without governments or central banks. Adherents argue that frees them from manipulation by governments or central banks and creates a universal value. Air-BnB, Uber and Lyft offer instructive examples. After all, who would invite a total stranger to spend a night in their homes or jump into a stranger’s car. A key thing these companies provide to the gig economy is a decentralized mechanism of trust (in contrast to the trusted “central” bank). In doing so, they have transformed industries. This could be the trajectory of certain crypto currencies. We believe that some alternative currencies will become mainstream. While they might not be both a universal store of value and medium of exchange, some might take hold as settlement vehicles for specific types of payments. Others, because of their distributed processing security, could be liquidity vehicles. Still others, because of their global nature, could eliminate the need for foreign exchange in global trade. We’ll explore the profound implication in later megatrend articles. Solutions for the underbanked take shape. 30% of the world’s population do not have bank accounts. Many more do not have access to a basic set of banking services. They must either transact in cash, barter or use third party payment services, which tend to be very expensive. Check cashing services, payday lending, money orders, money transfer services, etc. provide the underbanked with some ability to make payments, but at a high cost. The economic impact is significant. In addition to the direct cost that the underbanked pay to access the financial system, there is an even greater cost in terms of lost economic activity. The inability to easily transact reduces the level of transactions and depresses commerce and trade. Fortunately, new technologies could provide economically viable solutions for the underbanked in the three most critical financial functions: Payment system access – Currently, people and businesses need a bank account to initiate or receive payments. Solutions developed by payments intermediaries and enabled by blockchain will provide the underbanked with payment services, conceivably bypassing the banking system altogether. Store of value – Blockchain could become the system of record for certain types of financial assets. This promises to allow the underbanked to safely and securely accumulate financial assets without having bank accounts. Assets could even be denominated in traditional central bank currencies or in crypto currencies. Access to capital – Peer to peer lending and micro finance are already providing non-traditional access to capital for the underbanked. Technology will accelerate this trend and make these services available to a larger population. Bringing the underbanked into the mainstream of the world’s economies creates opportunities that are difficult to fully appreciate. Increased economic activity, improved standards of living, expansion of markets are just some of the benefits that await. In Conclusion , this paper has presented eleven megatrends impacting treasury, money and banking on a global scale. Some of these trends are natural extensions of technological innovation, others are regulatory work-arounds or the result of geopolitical forces well beyond the control of any single jurisdiction. The Carfang Group believes that each of these megatrends, individually, are transformational and collectively point to a potential radical change to the financial system. Future articles will consider each of these megatrends in greater depth. We welcome your feedback as we embark of this exploration. About the author: Anthony J. Carfang is Managing Director of The Carfang Group and has a distinguished background in consulting, writing, speaking, thought leadership and advocacy in the area of treasury, payments and liquidity. He encourages you to provide feedback on this article or any other issues to tony_carfang@carfang.com . You can follow Tony at https://www.linkedin.com/in/carfang/ © 2019 The Carfang Group, LLC. All rights reserved.

Noticias sobre el cáncer, historias y más

Breast cancer is an uncontrolled growth of breast cells. To better understand breast cancer, it helps to understand how any cancer can develop. What the risk factors are, understanding the symptoms of breast cancer, how to screen for breast cancer, the types of breast cancer and staging. Cáncer de mama Etapas del cáncer de mama Mama en etapa temprana El cáncer de mama en etapa temprana se refiere a las etapas 0-III Cáncer de mama en etapa tardía o avanzada El cáncer de mama en etapa tardía se refiere a la etapa IV o cáncer de mama metastásico (MBC) ¿Qué es el cáncer de mama? El cáncer de mama es un crecimiento descontrolado de las células mamarias. Para comprender mejor el cáncer de mama, es útil entender cómo se puede desarrollar cualquier tipo de cáncer. El cáncer se produce como resultado de mutaciones o cambios anormales en los genes responsables de regular el crecimiento de las células y mantenerlas sanas. Los genes están en el núcleo de cada célula, que actúa como la "sala de control" de cada célula. Normalmente, las células de nuestro cuerpo se reemplazan a sí mismas a través de un proceso ordenado de crecimiento celular: nuevas células sanas toman el relevo a medida que mueren las viejas. Pero con el tiempo, las mutaciones pueden “activar” ciertos genes y “desactivar” otros en una célula. Esa célula cambiada adquiere la capacidad de seguir dividiéndose sin control ni orden, produciendo más células iguales y formando un tumor. Un tumor puede ser benigno (no peligroso para la salud) o maligno (tiene el potencial de ser peligroso). Los tumores benignos no se consideran cancerosos: sus células tienen una apariencia casi normal, crecen lentamente y no invaden los tejidos cercanos ni se diseminan a otras partes del cuerpo. Los tumores malignos son cancerosos. Si no se controlan, las células malignas eventualmente pueden diseminarse más allá del tumor original a otras partes del cuerpo. El término “cáncer de mama” se refiere a un tumor maligno que se ha desarrollado a partir de células en la mama. Por lo general, el cáncer de mama comienza en las células de los lóbulos, que son las glándulas productoras de leche, o en los conductos, los conductos que drenan la leche desde los lóbulos hasta el pezón. Con menos frecuencia, el cáncer de mama puede comenzar en los tejidos del estroma, que incluyen los tejidos conectivos grasos y fibrosos de la mama. Anatomía mamaria. Una mama se compone de tres partes principales: lóbulos, conductos y tejido conectivo. Los lóbulos son las glándulas que producen la leche. Los conductos son tubos que llevan la leche al pezón. El tejido conectivo (que consta de tejido fibroso y graso) rodea y mantiene todo unido. La mayoría de los cánceres de mama comienzan en los conductos o lobulillos. Con el tiempo, las células cancerosas pueden invadir el tejido mamario sano cercano y llegar a los ganglios linfáticos de la axila, pequeños órganos que filtran sustancias extrañas en el cuerpo. Si las células cancerosas ingresan a los ganglios linfáticos, tienen un camino hacia otras partes del cuerpo. El estadio del cáncer de mama se refiere a cuánto se han propagado las células cancerosas más allá del tumor original (consulte las Etapas del cáncer de mama a continuación para obtener más información). El cáncer de mama siempre es causado por una anomalía genética (un “error” en el material genético). Sin embargo, solo entre el 5 y el 10 % de los cánceres se deben a una anomalía heredada de la madre o el padre. En cambio, el 85-90% de los cánceres de mama se deben a anomalías genéticas que ocurren como resultado del proceso de envejecimiento y el “desgaste” de la vida en general. Hay pasos que cada persona puede tomar para ayudar a que el cuerpo se mantenga lo más saludable posible, como comer una dieta balanceada, mantener un peso saludable, no fumar, limitar el consumo de alcohol y hacer ejercicio con regularidad (aprende lo que puedes hacer para controlar los factores de riesgo de cáncer de mama ). Si bien estos pueden tener algún impacto en su riesgo de contraer cáncer de mama, no pueden eliminar el riesgo. Desarrollar cáncer de mama no es culpa tuya ni de nadie. Sentirse culpable o decirse a sí misma que el cáncer de mama ocurrió por algo que usted o cualquier otra persona hizo, no es productivo. Etapas del cáncer de mama La estadificación es un término estándar que se usa en la profesión médica para comunicar qué tan extendido o avanzado está el cáncer en el tejido mamario y posiblemente en otras partes del cuerpo. Si le diagnostican cáncer de mama, los médicos y patólogos examinarán los resultados de la biopsia y las imágenes para determinar la etapa, también conocida como progresión, de la enfermedad. El proceso es complicado pero necesario para determinar el mejor plan de tratamiento para su tipo particular de cáncer. El sistema de estadificación más común es el TNM (Tumor, Nódulo, Metástasis; más sobre esto a continuación), que se centra en el tamaño del tumor, la afectación de los ganglios linfáticos y la diseminación metastásica del cáncer. También tiene en cuenta detalles relacionados con los receptores hormonales, la proteína HER2 y la tasa de crecimiento de las células. Los médicos utilizan la estadificación de su tumor para explicar la amplitud y el alcance del cáncer y les ayuda a determinar cómo avanzar con el tratamiento, incluida la cirugía, si es necesario. Los médicos usan pruebas de diagnóstico para determinar la etapa del cáncer, por lo que es posible que la estadificación no esté completa hasta que se terminen todas las pruebas. La etapa de un cáncer de mama está determinada por las características del cáncer, como su tamaño y si tiene o no receptores hormonales. La etapa del cáncer le ayuda a usted y a su médico a: • averiguar su pronóstico, el resultado probable de la enfermedad • decidir las mejores opciones de tratamiento para usted • determinar si ciertos ensayos clínicos pueden ser una buena opción para usted El estadio del cáncer de mama generalmente se expresa como un número en una escala de 0 a IV; el estadio 0 describe los cánceres no invasivos que permanecen dentro de su ubicación original y el estadio IV describe los cánceres invasivos que se han propagado fuera del seno a otras partes del cuerpo. Estadificación clínica vs. patológica La estadificación clínica se basa en los resultados de las pruebas realizadas antes de la cirugía. Si su biopsia resulta positiva, su médico puede ordenar pruebas adicionales para obtener una mejor comprensión de si las células cancerosas se han diseminado y hacia dónde. Este período de recopilación de datos puede incluir exámenes físicos, mamografías, ecografías y resonancias magnéticas. En algunos casos, su médico también puede ordenar una tomografía computarizada o de huesos. La estadificación patológica se basa en lo que se encuentra durante la cirugía para extirpar tejido mamario y ganglios linfáticos. Si bien muchas de las pruebas antes mencionadas pueden brindarle a su equipo oncológico mucha información y puntos de datos, no es hasta que se realiza la cirugía en la que los cirujanos pueden extirpar el tumor y los posibles ganglios linfáticos para confirmar el tamaño del tumor, el número de afectación de los ganglios linfáticos y si el cáncer ha hecho metástasis o no. Cáncer de mama en etapa temprana El cáncer de mama en etapa temprana se refiere a las etapas 0-III. Etapa 0 Los cánceres en etapa 0 se denominan “carcinoma in situ”. Carcinoma significa cáncer e “in situ” significa “en el lugar original”. Los tipos de “carcinoma in situ” incluyen • CDIS: carcinoma ductal in situ • CLIS: carcinoma lobulillar in situ • Enfermedad de Paget del pezón Etapa I El estadio I se puede dividir en estadio IA y estadio IB. La diferencia está determinada por el tamaño del tumor y los ganglios linfáticos con evidencia de cáncer. Etapa II El estadio II significa que el cáncer de mama está creciendo, pero aún está contenido en la mama o el crecimiento solo se ha extendido a los ganglios linfáticos cercanos. Esta etapa se divide en grupos: Etapa IIA y Etapa IIB. La diferencia está determinada por el tamaño del tumor y si el cáncer de mama se ha propagado a los ganglios linfáticos. Etapa III El cáncer en etapa III significa que el cáncer de mama se ha extendido más allá de la región inmediata del tumor y puede haber invadido los ganglios linfáticos y los músculos cercanos, pero no se ha propagado a órganos distantes. Esta etapa se divide en tres grupos: Etapa IIIA, Etapa IIIB y Etapa IIIC. La diferencia está determinada por el tamaño del tumor y si el cáncer se ha propagado a los ganglios linfáticos y al tejido circundante. Etapa IV En la Etapa IV, el cáncer se ha diseminado a otros órganos y partes del cuerpo más allá del seno. Esta etapa a menudo se denomina cáncer de mama metastásico (CMM) y es más difícil de tratar debido al impacto en otros órganos. Los síntomas del cáncer en etapa IV incluyen hinchazón visible en el seno y la axila; piel seca y escamosa; piel roja con hoyuelos; secreción del pezón; dolor en los senos; fatiga; insomnio; pérdida de apetito; pérdida de peso; dificultad para respirar y otros síntomas relacionados con los órganos específicos involucrados. Aunque el cáncer de mama en etapa IV no es curable, es tratable hasta cierto punto y los avances actuales en investigación y tecnología médica significan que cada vez más mujeres viven más al manejar la enfermedad como una enfermedad crónica con un enfoque en la calidad de vida como un objetivo principal. Con excelente atención y apoyo, así como motivación personal, el cáncer de mama en estadio IV puede responder a una serie de opciones de tratamiento que pueden prolongar la vida durante varios años. Sistema de estadificación TNM Los médicos usan el sistema TNM para asegurarse de que los profesionales médicos usen el mismo lenguaje y sistema para describir el tumor. T se refiere al tamaño del tumor medido en centímetros y dónde está ubicado. N se refiere al número de ganglios linfáticos que dieron positivo para el cáncer. Si no hubiera ganglios linfáticos afectados, el informe patológico indicaría N(0). M se refiere a si el cáncer ha viajado o no a una parte distante del cuerpo, como los huesos o los órganos. Si se ha propagado, indicará dónde y cuánto. Por ejemplo, el estadio IIB puede decir algo como esto: (T3, N0, M0), lo que significa que el tumor mide más de 55 mm y no se ha propagado a los ganglios linfáticos ni a otras partes del cuerpo. Directrices de puesta en escena actualizadas El Comité Conjunto Estadounidense sobre el Cáncer (AJCC) estableció la forma en que se comunica el cáncer. Los médicos y la comunidad de vigilancia cuentan con el AJCC para obtener los datos de estadificación anatómica más completos disponibles, es decir, el Manual de estadificación del cáncer y el Atlas de estadificación del cáncer. En 2018, el AJCC actualizó las pautas de estadificación del cáncer de mama para agregar otras características del cáncer al sistema T, N, M para determinar la etapa del cáncer. Además de conocer el estadio de tu cáncer, el cáncer de mama también se clasifica según otras características. Estos incluyen cuán sensible es a las hormonas estrógeno y progesterona, así como al nivel de ciertas proteínas que desempeñan un papel en el crecimiento del cáncer de mama, como HER2. También se clasifica por la composición genética del cáncer. • Grado del tumor: una medida de cuánto se parecen las células cancerosas a las células normales • Estado del receptor de estrógeno y progesterona: ¿las células cancerosas tienen receptores para las hormonas estrógeno y progesterona? • Estado de HER2: ¿las células cancerosas están produciendo demasiada proteína HER2? • Puntuación Oncotype DX, si el cáncer es receptor de estrógeno positivo, HER2 negativo y no hay cáncer en los ganglios linfáticos. Las pautas modificadas anteriormente han ayudado a crear y reforzar los avances en tratamientos ontológicos/quirúrgicos. Como puede imaginar, la estadificación es una tarea compleja y estas últimas pautas del AJCC permiten un diagnóstico y opciones de tratamiento más coherentes y universales. Escucha el podcast

Breast Cancer Radiation Treatment Chemotherapy, Surgery, Radiation & Hormonal Therapy When you meet with your oncology team, it is always important to remember that this is a partnership; a partnership between you and your doctors. It is ok to ask questions, to ask for clarification and to ensure you are 100% comfortable with your treatment options. Depending on the type of breast cancer you have (Triple Negative, Lobular, Inflammatory, etc. ), and the stage of your breast cancer, your treatment options will vary. In some cases people will start with chemotherapy, while others may have surgery first. In some cases, if your cancer has spread to the bones or organs, surgery may not be necessary. The point is, treatments very and if you read our breast cancer stories , you'll see the wide range of experiences our members share. What's the Difference between Diet and Nutrition? On Breast Cancer Conversations, the Podcast Listen Now Radiation Therapy Videos Coming Soon TOPICS COVERED IN THIS EPISODE -People who refuse aspects of therapy including radiation. -What to expect when going in for radiation-Planning appointment -What is radiation and why would I need it? -Radiation and skin care -Proton Beam Radiation (the science behind protons; a number of clinical trials exploring proton beam radiation in the breast cancer community to minimize cardiac toxicity). -Risks association with radiation, but we still sign the consent. As a young breast cancer survivor, I ask Dr. Jimenez to explain the 10, 20 and 50 year plan for women who go through treatment. HEALTH RISKS -Cardiac toxicity -Field of cardio oncology partners and have mapped out the ideal -Herceptin and anthracyclines. After 5 years of survivorship, you should have a cardiac stress test. -Getting a baseline with an ultrasound of the heart so if there are changes, doctors can track them. -Our job (in Radiation Oncology) in follow up is to open up and make sure that referrals are made. How is your nutrition? Are you exercising? Did you schedule your next mammogram? QUOTES: "Your providers are your providers for life". "You are never a bother, it is our job and privilege to take care of you! " Radiation Therapy: What Every Breast Cancer Patient Needs To Know | With Dr. Rachel Jimenez Listen Now Radiation Therapy for Metastatic Breast Cancer (MBC) with Dr. Rachel Jimenez and Dr. Kim Corbin. Listen Now Tales from the Radiology Tech Amy Ellen Parliman lives life by faith and enjoys spreading kindness. 26 years ago, she went to school to become a radiology technologist. She enjoys performing diagnostic imaging on her patients, she prides herself in safe and quality care. About 12 years ago she became a leader in her field and has moved into a leadership role in the Diagnostic Imaging Department. She worked in mobile imaging for 13 years, she recently changed jobs to reenter the hospital scene. She enjoys sharing her skills in diagnostic imaging with newer technologist. Her thoughts are to create an environment that is warm and inviting for patients during some of the worse times of their lives. She lives by a code to treat all of her patients like she wants her parents treated. Her goal is a smile or maybe a laugh while caring for her patients. Over the years she has been able to learn from her patients and team. On January 29, 2014 Amy became a Cancer patient. She underwent treatment for stage III breast cancer during 2014. She lived with NED until January 29, 2019 then she was told she had MBC. She is currently on her first line treatment. If the opportunity presents, she will share her various experiences of living after diagnosis. Listen Now

Genetic testing can lead to important outcomes that help inform surgery decisions. Lymphedema What is the Lymphatic System? Our bodies have a network of lymph nodes and lymph vessels. This system collects and carries a watery, clear lymph fluid, much like how veins collect blood from distant parts of the body and carry it back to the heart. This fluid consists of proteins, salts, and water, as well as white blood cells, which help fight infection. What Is Lymphedema? Lymphedema is most commonly caused by the removal of, or damage to, your lymph nodes as a part of cancer treatments. It results from a blockage in your lymphatic system, which is part of your immune system. The blockage prevents lymph fluid from draining well, and the fluid buildup leads to swelling. According to the National Cancer Institute, anywhere from 5-17% of women who have sentinel lymph node biopsy develop lymphedema. Among women who have axillary lymph node dissection, the percentage is higher — from 20-53% — and the risk increases with the number of nodes taken out. Not surprisingly the risk is even higher if you receive radiation to the breast, chest, and under the arm area. Lymphedema is the build up of lymph fluid within the lymphatic system. The buildup can be caused by a number of factors which we will get into below. Lymphedema can occur in the limbs and extremity such as the arms and legs. As it relates to breast cancer, the most common occurrence of lymphedema occurs in the arm, chest, or back. Lymphedema is something that can be managed so you never get it, or, it is something you manage on a continual basis to avoid flareups and progression as there is no cure for lymphedema. Although there is no official cure, there are plenty of beneficial treatment plans that help mitigate side effects. How To Prevent Lymphemdema After Surgery, your surgeon may recommend specific exercises to increase mobility and prevent lymphedema. They may also recommend seeing a physical therapist. With approval of your medical care team (and feel free to ask them!) you may start exercises to prevent cording. Cording, which is also known as axillary web syndrome (AWS) which refers to a long line of "cord" that develops under the armpit and axilla area and can happen after someone undergoes a sentinel lymph node biopsy (SLNB) or a full axillary lymph node dissection (ALND). One of the most common exercises to prevent cording and/or axillary web syndrome is the activity of "walking the walk". This is an excellent exercise: 1. Stand perpendicular to the wall 2. With the affected arm, using your fingers to start crawling up the wall (think itsy bitsy spider). 3. As your arm makes it way up the wall, lean in to the highest point you are able to achieve without causing harm or pain, and hold for 10 seconds. Repeat this process several times throughout the day. Your doctor may also recommend specific exercises utilizing weights and limits on the number of pounds or kilos you should lift. It's always better to start off light, never over do it, and increase weight slowly and gradually, over time. 10 Recommendations To Prevent Lymphedema: Avoid tight clothing and jewelry on the arm and wrists Avoid cutting your cuticles Use insect repellent when outdoors Avoid sunburn and excessive amounts of heat from saunas and baths Avoid having IV's or blood pressure taken in the at-risk arm. Wear a compression sleeve when traveling on air planes or carrying a lot of heavy luggage. Keep your arm elevated whenever possible Engage in activities that help promote the movement of your lymph fluid such as yoga and swimming Nutrition plays an important role in life after a breast cancer diagnosis; maintain a healthy weight and a low sodium diet Carry handbags and purses on the unaffected arm Lymphedema 101 On Breast Cancer Conversations, the Podcast Listen Now

Club de Lectura Se parte del club En su libro "Los cuatro acuerdos", don Miguel Ruiz desvela el origen de todas las creencias que restringen nuestras posibilidades y nos privan de la felicidad, resultando en un sufrimiento innecesario. Inspirados en la sabiduría ancestral tolteca, estos cuatro acuerdos nos presentan un impactante código de conducta capaz de modificar instantáneamente nuestra existencia, convirtiéndola en una nueva vivencia caracterizada por la libertad, la alegría plena y el amor absoluto. Los Cuatro Acuerdos Libro del Mes Octubre Apoya nuestro Club de Lectura Su donación nos permite proporcionar libros a las personas diagnosticadas con cáncer de mama sin costo alguno para el paciente. Creemos firmemente en el acceso a los servicios y recursos y en romper esas barreras financieras. gracias por tu apoyo. DONAR AL CLUB Únete a nuestro Club de Lectura ÚNETE Suscríbete y únete a nosotros Un sábado al mes Membresía GRATIS Salud Física Salud Mental Arteterapia Podcast More Download the App / Subscribe For Those Newly Diagnosed / For Those Living with MBC / For Families / For Caregivers El Club de Lectura™ es un club de lectura virtual mensual para pacientes y sobrevivientes de cáncer de mama. A diferencia del grupo de apoyo tradicional, donde el cáncer de mama es el tema habitual de discusión, este club de lectura está diseñado para distraernos del cáncer, ¡y al mismo tiempo brindar oportunidades de apoyo y conexión! ¿Cuándo nos encontramos? Nos reunimos el primer sábado del mes. Puedes unirse cada mes o elegir un mes según tu disponibilidad y el libro que estamos leyendo. ¿Cómo sé qué libro leer? Durante nuestro club de lectura virtual, anunciaremos el próximo libro que leerá el grupo. Una vez anunciado, la información será publicada en nuestro sitio web. Puedes comprar el libro y unirte a la discusión el mes siguiente. Afiliación ¡La membresía es gratis! Se alienta a quienes se unen al Club de Lectura™ a seguir nuestra cuenta de Instagram y participar en las discusiones semanales a través de nuestro grupo privado de facebook . ¿Cómo me registro? ¡Es fácil! Cada mes, publicaremos el club de lectura de ese mes en la página de nuestro evento. Solo confirma tu asistencia y recibirás el enlace de zoom para asistir a la reunión. SUSCRIBETE A NUESTRO BOLETÍN Ir

Meet Laura and learn about her journey with breast cancer. Diagnosis: I was diagnosed with Stage IIB breast cancer in the fall of 2016 at the age of 34. I've been through chemo-therapy : Adriamycin, Cytoxan, Taxol, Perjeta, Herceptin, Xeloda Surgery : Partial Mastectomy and full axillary node dissection. Radiation : 6 Weeks Hormonal Therapies: Tried Anastrozole, didn't react well to it so now I am on Exemestane + Lupron shot. And I am here to share my story! Laura's Journey Subscribe to my Vlog Day 1 post chemo My Port & My Hair Chemo #8 of 16 Morning Workout day of surgery Symptoms from Chemo (AC Treatment) Waking up from Surgery Intravenous Chemo #3 Night Before Surgery Day 4 Post-Op Warning: Graphic Content - Drains 4 Weeks Post-Op Radiation, 3 Weeks In Last round of Radiation, 30/30! Round 1 of Xeloda Round 8 of Xeloda Have questions or want to get in touch? Email Laura! Have a story you want to share? We want to hear from you! Submit a Story! Return Back to Survivor Stories

Exercise has a number of biological effects on the body, including lowering the levels of hormones, such as estrogen, and of certain growth factors that have been associated with cancer development and progression helping to prevent obesity and decreasing the harmful effects of obesity Walking Meditation Building Strength Salud Física Salud Mental Arteterapia Podcast More Fitness Tips for Breast Cancer Survivors (& their Caregivers) It is well documented that physically active women have a lower risk of breast cancer than do others who are not. Thus, it stands to reason that physically active breast cancer survivors may reduce the risk of cancer’s return, and dramatically improve quality of life. As always, consult your oncological team before starting out on your fitness program. According to Breastcancer.org, exercise can lower your risk of breast cancer coming back, as well as help you maintain a healthy weight, ease treatment side effects, boost your energy, and more! Exercise Is Safe Per Breastcancer.org (one of the attached links below), “a roundtable convened by the American College of Sports Medicine in 2010 reviewed available research and concluded that exercise is safe during and after all breast cancer treatments (as long as you take any needed precautions and keep the intensity low) and improves physical functioning, quality of life, and cancer-related fatigue. There also is evidence that exercise can help breast cancer survivors live longer and lead a more active life.” Risk Reduction According to Cancer.gov (link below) “studies show that physically active women have a lower risk of breast cancer than inactive women. Physical activity has been associated with a reduced risk of breast cancer in both premenopausal and postmenopausal women; however, the evidence for an association is stronger for postmenopausal breast cancer.” This study further elaborates on how exercise can reduce the risks of cancer, and, or its return: Exercise has a number of biological effects on the body, including: Lowering the levels of hormones , such as estrogen , and of certain growth factors that have been associated with cancer development and progression Helping to prevent obesity and decreasing the harmful effects of obesity Reducing inflammation Improving immune system function Cognitive Impairment (“chemo brain”) Furthermore, a new study (found in the Sciencedaily.com link below) “indicates that cancer patients and survivors have a ready weapon against fatigue and "chemo brain": a brisk walk. Their data suggests “that being more physically active could reduce two of the more commonly reported symptoms in breast cancer survivors: fatigue and cognitive impairment". Cognitive impairment, such as memory problems or shortened attention spans, is a common complaint among cancer patients and survivors, and is thought to be similar to decline due to aging. Fitness Recommendations With the above (and below) referenced studies in mind, we at Survivingbreastcancer.org are recommending the following exercise possibilities: Walking The health effects of a brisk walk cannot be overstated, notably for cognitive impairment, but also for muscular and circulatory systems. Yoga This discipline combines stretching, deep breathing, toning of the muscular system and offers a wonderful way to relax the nervous system. Meditation According to the Laura-Sage (link below), meditation can effectively reduce stress, anxiety, depression, fatigue, and fear of recurrence. It can also help reduce hot flashes. Weight Resistance & Training Program In another recent study study, researchers looked at data from the Physical Activity and Lymphedema (PAL) trial to determine whether slowly increased weight lifting could increase muscle strength among breast cancer survivors and help them avoid frailty and maintain physical function. Aerobic and Cardio Training (swimming, running, elliptical, stairmaster, etc.) Lastly, another recent study (for the NIH) showed that a “10 week moderate-intensity aerobic exercise program significantly improves quality of life and physical functioning in breast cancer survivors.” Please note that further long-term studies have been recommended Related Articles Check back soon Once posts are published, you’ll see them here. Additional Resources We found the following links to be beneficial: https://www.cancer.gov/about-cancer/causes-prevention/risk/obesity/physical-activity-fact-sheet https://www.scribd.com/document/268275865/Breast-cancer-and-physical-activity https://www.acefitness.org/education-and-resources/lifestyle/blog/6753/exercise-for-breast-cancer-survivors https://www.sciencedaily.com/releases/2017/07/170725122242.htm https://www.cdc.gov/physicalactivity/basics/pa-health/index.htm#ReduceCancer https://www.cancer.org/treatment/survivorship-during-and-after-treatment/staying-active/physical-activity-and-the-cancer-patient.html http://www.breastcancer.org/tips/exercise https://community.breastcancer.org/forum/44/topics/836196 http://www.lbbc.org/building-and-restoring-physical-fitness-after-breast-cancer https://www.mindbodygreen.com/articles/what-you-need-to-know-about-exericse-and-cancer https://www.huffingtonpost.com/laura-sage/5-benefits-of-meditation_b_10617412.html https://www.cancer.org/.../study-weight-lifting-helps-breast-cancer-survivors-stay-health ... https://www.ncbi.nlm.nih.gov/pubmed/25313756

Tu generosidad brinda esperanza. Encuentra como puedes hacer una diferencia significativa. Dona al cáncer de mama y marca la diferencia. Porque crees en nuestra misión Donate Now Your Contribution Gives Hope Marca la diferencia. Cambia vidas. Dona Hoy. Comunidad Educación Recursos $50 $250 $100 Reunir a las personas para Compartir, Conectar, forjar Amistades y Crear Memorias Inolvidables SBC RETIROS $50 $250 $100 La gente de esta comunidad es muy cálida y acogedora. Las conversaciones van más allá de las historias sobre el cáncer de mama, creando así conexiones aún más fuertes. ¡Por fin he encontrado mi tribu! Programas comunitarios Cuando donas a SurvivingBreastCancer.org estas brindando soporte a tu comunidad, apoyando a construir programas. Nuestra misión es proporcionar soporte y recursos a aquellas personas que han sido diagnosticadas con cáncer de mama así como a sus familias y amigos. Ya sea de manera virtual o en persona, es crítico que exista una red de apoyo para que no importando en donde te encuentres siempre haya alguien acompañándote y no tengas que vivir esta etapa en soledad. $50 $250 $100 Contribuye a nuestro programa Después de un Diagnóstico Este programa ofrece una comunidad virtual que permite a las personas diagnosticadas compartir sus experiencias personales, hacer preguntas y conectarse con otras personas a otro nivel. La experiencia en linea nos permite llegar a comunidades remotas, centros de salud, y pacientes que, de otra manera, no tendrían acceso a programas de apoyo. Tu contribución hace posible estas reuniones semanales de Después de un Diagnóstico ¡Un programa para PROSPERAR verdaderamente! Otra $25 $50 $250 $100 $2500 $500 $1000 $5000 $50 $250 $100 ¡Saber es poder! Apoya el contenido educativo preciso y fiable en forma de blogs, artículos, investigaciones, episodios de podcast, PDFs descargables, paquetes de información y mucho más. Ayúdanos a garantizar que la información llegue a las manos, ojos y oídos de los diagnosticados que más la necesitan. Educación BIENESTAR Las investigaciones muestran que una terapia holística e integral ayudan a reducir los efectos negativos de la quimioterapia, radiación y terapias hormonales (i.e., acupuntura, yoga, arteterapia, reiki, etc) . Además, una buena nutrición y ejercicios pueden reducir la probabilidad de recaídas y de avances. Ofrecemos clases GRATUITAS de salud y bienestar, talleres y seminarios web para que los diagnosticados con cáncer de seno puedan tener acceso a estos servicios tan importantes y puedan embarcarse en un viaje saludable, con un estilo de vida saludable evitando los efectos secundarios del tratamiento a largo plazo ¡y salir adelante como SOBREVIVIENTE! $50 $250 $100 Summer Soiree ¡Nuestra tercera velada anual de verano se llevará a cabo el 14 de julio! Tu contribución a este programa anual nos permite reunir a las sobrevivientes de cáncer de mama, las que prosperan y sus familias para un evento espectacular bajo las estrellas. Los huéspedes participan en una variedad de actividades como pintura rupestre, degustaciones de chocolate y juegos. ¡Es una noche de pura alegría y una oportunidad para dejar su cáncer a un lado! $50 $250 $100 Más opciones para donar Si deseas programar una cita y hablar sobre donaciones o dotaciones heredadas, comunícate con SBC. ¡Estamos felices de asociarnos contigo! Dona por cheque Survivingbreastcancer.org 5 Cedar Street, Suite 1 Roxbury, MA 02119 Puedes hacer los cheques a nombre de "Survivingbreastcancer.org" Dona por Venmo @Survivingbreastcancerorg Donar valores Contacta con SBC Dona Ahora Salud Física Salud Mental Arteterapia Podcast More

Breast Cancer Risk Factors Breast Cancer Risk and Risk Factors You may be familiar with the statistic that says 1 in 8 women will develop invasive breast cancer. Many people misinterpret this to mean that, on any given day, they and the women they know have a 1-in-8 risk of developing the disease. That’s simply not true. In reality, about 1 in 8 women in the United States — 12%, or about 12 out of every 100 — can expect to develop breast cancer over the course of an entire lifetime. In the U.S., an average lifetime is about 80 years. So, it’s more accurate to say that 1 in 8 women in the U.S. who reach the age of 80 can expect to develop breast cancer. In each decade of life, the risk of getting breast cancer is actually lower than 12% for most women. People tend to have very different ways of viewing risk. For you, a 1-in-8 lifetime risk may seem like a high likelihood of getting breast cancer. Or you may turn this around and reason that there is a 7-in-8, or 87.5%, chance you will never get breast cancer, even if you live to age 80. How you view risk often depends on your individual situation — for example, whether you or many women you know have had breast cancer, or you have reason to believe you are at higher-than-normal risk for the disease — and your usual way of looking at the world. Even though studies have found that women have a 12% lifetime risk of developing breast cancer, your individual risk may be higher or lower than that. Individual risk is affected by many different factors, such as family history, reproductive history, lifestyle, environment, and others. Breast Cancer Risk Factors A “risk factor” is anything that increases your risk of developing breast cancer. Many of the most important risk factors for breast cancer are beyond your control, such as age, family history, and medical history. However, there are some risk factors you can control, such as weight, physical activity, and alcohol consumption. Be sure to talk with your doctor about all of your possible risk factors for breast cancer. There may be steps you can take to lower your risk of breast cancer, and your doctor can help you come up with a plan. Your doctor also needs to be aware of any other risk factors beyond your control, so that he or she has an accurate understanding of your level of breast cancer risk. This can influence recommendations about breast cancer screening — what tests to have and when to start having them. Risk Factors You Can Control Weight . Being overweight is associated with increased risk of breast cancer, especially for women after menopause. Fat tissue is the body’s main source of estrogen after menopause, when the ovaries stop producing the hormone. Having more fat tissue means having higher estrogen levels, which can increase breast cancer risk. Diet . Studies are looking at the relationship between diet and breast cancer risk and the risk of recurrence. The Women's Health Initiative Trial suggested that a diet very low in fat may reduce the risk of breast cancer. More research is needed in this important area for women who are interested in eating well to reduce their risk of ever getting breast cancer. In the meantime, here's what dietitians suggest: • Keep your body weight in a healthy range for your height and frame. Body mass index , though not a perfect measurement, can help you estimate your healthy weight. • Eat plenty of vegetables and fruit (more than 5 cups a day). • Try to limit your saturated fat intake to less than 10% of your total calories per day and limit your fat intake to about 30 grams per day. • Eat foods high in omega-3 fatty acids . • Avoid trans fats, processed meats, and charred or smoked foods. You'll find that processed foods generally don't fit in this type of diet as well as fresh foods do. For more information, visit our page on healthy eating to reduce risk of breast cancer in the Nutrition section. Exercise . Evidence is growing that exercise can reduce breast cancer risk. The American Cancer Society recommends engaging in 45-60 minutes of physical exercise 5 or more days a week. (See our Fitness Guide) Alcohol consumption. Studies have shown that breast cancer risk increases with the amount of alcohol a woman drinks. Alcohol can limit your liver’s ability to control blood levels of the hormone estrogen, which in turn can increase risk. Smoking. Smoking is associated with a small increase in breast cancer risk. Exposure to estrogen. Because the female hormone estrogen stimulates breast cell growth, exposure to estrogen over long periods of time, without any breaks, can increase the risk of breast cancer. Some of these risk factors are under your control, such as: • taking combined hormone replacement therapy (estrogen and progesterone; HRT) for several years or more, or taking estrogen alone for more than 10 years • being overweight • regularly drinking alcohol Recent oral contraceptive use. Using oral contraceptives (birth control pills) appears to slightly increase a woman’s risk for breast cancer, but only for a limited period of time. Women who stopped using oral contraceptives more than 10 years ago do not appear to have any increased breast cancer risk. Stress and anxiety. There is no clear proof that stress and anxiety can increase breast cancer risk. However, anything you can do to reduce your stress and to enhance your comfort, joy, and satisfaction can have a major effect on your quality of life. So-called “mindful measures” (such as meditation, yoga, visualization exercises, and prayer) may be valuable additions to your daily or weekly routine. Some research suggests that these practices can strengthen the immune system. (See our resources on Positive Thinking, Meditation and Affirmations ) Risk Factors You Cannot Control Gender. Being a woman is the most significant risk factor for developing breast cancer. Although men can get breast cancer, too, women’s breast cells are constantly changing and growing, mainly due to the activity of the female hormones estrogen and progesterone. This activity puts them at much greater risk for breast cancer. Age. Simply growing older is the second biggest risk factor for breast cancer. From age 30 to 39, the risk is 1 in 228, or .44%. That jumps to 1 in 29, or just under 3.5%, by the time you are in your 60s. Family history of breast cancer. If you have a first-degree relative (mother, daughter, sister) who has had breast cancer, or you have multiple relatives affected by breast or ovarian cancer (especially before they turned age 50), you could be at higher risk of getting breast cancer. Personal history of breast cancer. If you have already been diagnosed with breast cancer, your risk of developing it again, either in the same breast or the other breast, is higher than if you never had the disease. Race. White women are slightly more likely to develop breast cancer than are African American women. Asian, Hispanic, and Native American women have a lower risk of developing and dying from breast cancer. Radiation therapy to the chest. Having radiation therapy to the chest area as a child or young adult as treatment for another cancer significantly increases breast cancer risk. The increase in risk seems to be highest if the radiation was given while the breasts were still developing (during the teen years). Breast cellular changes. Unusual changes in breast cells found during a breast biopsy (removal of suspicious tissue for examination under a microscope) can be a risk factor for developing breast cancer. These changes include overgrowth of cells (called hyperplasia) or abnormal (atypical) appearance. Exposure to estrogen. Because the female hormone estrogen stimulates breast cell growth, exposure to estrogen over long periods of time, without any breaks, can increase the risk of breast cancer. Some of these risk factors are not under your control, such as: • starting menstruation (monthly periods) at a young age (before age 12) • going through menopause (end of monthly cycles) at a late age (after 55) • exposure to estrogens in the environment (such as hormones in meat or pesticides such as DDT, which produce estrogen-like substances when broken down by the body) Pregnancy and breastfeeding. Pregnancy and breastfeeding reduce the overall number of menstrual cycles in a woman’s lifetime, and this appears to reduce future breast cancer risk. Women who have never had a full-term pregnancy, or had their first full-term pregnancy after age 30, have an increased risk of breast cancer. For women who do have children, breastfeeding may slightly lower their breast cancer risk, especially if they continue breastfeeding for 1 1/2 to 2 years. For many women, however, breastfeeding for this long is neither possible nor practical. DES exposure. Women who took a medication called diethylstilbestrol (DES), used to prevent miscarriage from the 1940s through the 1960s, have a slightly increased risk of breast cancer. Women whose mothers took DES during pregnancy may have a higher risk of breast cancer as well. What's the Difference between Diet and Nutrition? On Breast Cancer Conversations, the Podcast Listen Now

Bienvenidos a Conversaciones sobre cáncer de mama: “Después de un Diagnóstico”. Mi nombre es Brenda Coronado. Y mi nombre es Lourdes Heras, somos sobrevivientes de cáncer de mama y Co-Fundadoras de SBC para la comunidad de habla Hispana, una organización sin fines de lucro que brinda apoyo en una plataforma virtual y educativa con el propósito de brindar grupos de apoyo y recursos para las personas diagnosticadas con cáncer y para sus seres queridos desde el primer día Después de un Diagnóstico. Después de un Diagnóstico Hola, y bienvenidos a Conversaciones sobre cáncer de mama: “Después de un Diagnóstico”; un podcast presentado por survivingbreastcancer.org. Mi nombre es Brenda Coronado. Y mi nombre es Lourdes Heras, somos sobrevivientes de cáncer de mama y Co-Fundadoras de SBC para la comunidad de habla Hispana, una organización sin fines de lucro que brinda apoyo en una plataforma virtual y educativa con el propósito de brindar grupos de apoyo y recursos para las personas diagnosticadas con cáncer y para sus seres queridos desde el primer día Después de un Diagnóstico. Salud Física Salud Mental Arteterapia Podcast More Download the App / Subscribe For Those Newly Diagnosed / For Those Living with MBC / For Families / For Caregivers Todos tenemos algo que contar, si has sido diagnosticada y quieres compartir tu historia, si eres un médico especialista, oncólogo u otro Participa ¿Quieres ser invitado al podcast?

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Únete a la comunidad ¡Únete al boletín! Ten acceso a foros de discusión, noticias e información privilegiada Sanando a través del Arte Un diagnóstico de cáncer puede manifestar nuestros miedos más profundos, y mientras transitamos por esta experiencia que altera la vida, a menudo perdemos el contacto con el momento presente. A través del arte, la escritura y otras modalidades creativas, tenemos el poder de gestionar nuestro estrés, dar sentido a nuestro ahora y relajarnos en momentos de estrés. Exprésate, desahógate, conéctate con los demás y recupera el aliento. RSVP Grupo de Apoyo Un espacio para sanar en comunidad

El diagnóstico de cáncer de mama de cada persona es diferente. Cada persona responde de forma diferente al tratamiento. Comparte TU HISTORIA El diagnóstico de cáncer de mama de cada persona es diferente. Las personas responden de forma diferente al tratamiento e incluso toman decisiones diferentes en función de su situación personal. También entendemos que el cáncer de mama se extiende mucho más allá de la persona diagnosticada ya que afecta a todos los aspectos de la vida, incluidos los miembros de la familia, los amigos y los seres queridos. Compartir tu experiencia no sólo ayuda a otras personas que buscan una conexión, sino que también es terapéutico para ti. Desahogarte por todo lo que has pasado, expresar tus preocupaciones, preguntas, miedos, éxitos y celebraciones, puede ayudarte a dar sentido a la experiencia del cáncer. Además, muestra a los miembros de nuestra comunidad survivingbreastcancer.org que no están solos y que somos una poderosa comunidad de guerreros. ¿No sabes como empezar? Explora nuestras historias de supervivientes y luchadores contra el cáncer de mama aquí . También estamos creando recursos para madres, hijas, cónyuges y otros, así que asegúrate de visitarnos a menudo. Envíanos tu contenido HISTORIAS - BLOGS - POESÍA Formulario Comparte tu historia, blog o artículo Nombre Apellido Email Enviar Sube tu documento o compartenos el link de Google Docs Sube tu foto aquí Sube tu artículo aquí Si quieres puedes compartir tu usuario en redes ¡Gracias por Compartir! ¿Necesitas ayuda con los temas y las ideas? Tenemos orientaciones y recomendaciones para empezar. Puedes encontrarlas debajo del formulario de presentación. ¿Qué información personal debo incluir en mi relato? Siéntete libre de compartir toda la información con la que te sientas cómodo. Piensa en el momento en que te diagnosticaron la enfermedad: ¿Qué información buscabas? ¿Qué te hubiera gustado saber? Algunas de las cosas que puedes compartir (pero que no son obligatorias) son: Edad del diagnóstico ¿Cuál fue tu diagnóstico (tipo, estadio)? ¿Te has sometido a quimioterapia y, en caso afirmativo, qué fármacos has tomado? ¿Te han operado? En caso afirmativo, ¿Qué tipo de operación, Cómo se hizo esa elección, y/o se vieron afectados los ganglios linfáticos? ¿Te has sometido a radiación? Si es así, ¿cuántas semanas? ¿Estuviste en alguna prueba experimental? ¿Cómo fue tu experiencia? ¿Estás tomando alguna terapia hormonal, y si es así, qué medicamentos? Siempre puedes incluir tu correo electrónico, si quieres que los supervivientes te envíen un correo y se pongan en contacto contigo directamente. Sólo utilizamos los nombres reales si te así lo deseas y siempre puedes indicarnos si prefieres el anonimato. ¿Qué temas debo contar en mi historia? Puedes compartir sobre una variedad de temas. Expresa como es o fue tu propia experiencia. Comparte temas que creas que pueden ser útiles para que otros los entiendan. Utiliza tu historia como medio de catarsis, para desahogarte y liberarte. Algunos ejemplos (pero no limitados a) incluyen: ¿Qué esperar de la quimioterapia? ¿Cómo gestionar la pérdida de cabello, consejos y recomendaciones? Entender los cambios corporales y cómo afrontarlos Salud y nutrición/hábitos alimenticios durante el tratamiento Combatir la fatiga y el "chemo brain" Gestionar el equilibrio entre el trabajo, el hogar y la vida, mientras estás en tratamiento Las 10 cosas que desearía saber antes de iniciar el tratamiento/la cirugía Un día en la vida de un superviviente... ¿Y si no me gusta escribir o llevar un diario? ¿Hay otras formas de compartir mi historia? ¡Por supuesto! Este es un espacio creativo y abierto para que los sobrevivientes y sus cuidadores compartan sus experiencias a través de una variedad de medios expresivos. Siéntete libre de compartir tu historia a través de un diario/escritura, poesía, música, arte, movimiento y más. ¡Comparte lo que tú quieras! Siempre puedes enviarnos imágenes para incluirlas con tu historia. Si quieres que te ayudemos a editar cualquier contenido, sólo tienes que decírnoslo. Estaremos encantados de ayudarte. ¿Y si quiero incluir fotos o actualizar mi historia más adelante? No hay problema. Sólo tienes que ponerte en contacto con nosotros y podremos añadir fotos y hacer actualizaciones en cualquier momento.

El diagnóstico de cáncer de mama de cada persona es diferente. Cada persona responde de forma diferente al tratamiento. Comparte TU HISTORIA Everyone's breast cancer diagnosis is different. People respond differently to treatment and even make different decisions based on their own personal preferences. We also understand that breast cancer extends well beyond the person who is diagnosed. It touches all aspects of life including family members, friends, and loved ones. Sharing your experience not only helps others looking for connection, but it is also therapeutic for YOU! Unpacking everything you have been through, expressing your concerns, questions, fears, successes, and celebrations can help you make sense of the cancer experience. Moreover, it shows those in our survivingbreastcancer.org community that they are not alone and that we are a powerful community of warriors! Looking for examples? Explore our breast cancer survivor and breast cancer thriver stories here . We also are building out resources for moms, daughters, spouses, and more, so be sure to check back often. Need help with topics and ideas? We have guidance and recommendations for getting started located below the Submission Form. Everyone's breast cancer diagnosis is different. People respond differently to treatment and even make different decisions based on their own personal preferences. We also understand that breast cancer extends well beyond the person who is diagnosed. It touches all aspects of life including family members, friends, and loved ones. Sharing your experience not only helps others looking for connection, but it is also therapeutic for YOU! Unpacking everything you have been through, expressing your concerns, questions, fears, successes, and celebrations can help you make sense of the cancer experience. Moreover, it shows those in our survivingbreastcancer.org community that they are not alone and that we are a powerful community of warriors! Looking for examples? Explore our breast cancer survivor and breast cancer thriver stories here . We also are building out resources for moms, daughters, spouses, and more, so be sure to check back often. Need help with topics and ideas? We have guidance and recommendations for getting started located below the Submission Form. Submit Content Stories. Poetry. Blogs SUBMIT FORM COMING SOON. In the short term please email your submission via email to info@survivingbreastcancer.org Thank you!

Cómo apoyar a alguien con cáncer puede ser una tarea abrumadora. Saber qué decirle a alguien con cáncer o cómo apoyarlo puede ser difícil. Esta es la guía definitiva para el cuidado que apoya al cuidador y permite que esa persona sea lo mejor posible para apoyar a un ser querido, cónyuge y amigo. Salud Física Salud Mental Arteterapia Podcast More Te acaban de diagnosticar... Aprende de nuestros cuidadores cómo tu familia, amigos y compañeros de trabajo pueden apoyarte. Una guía para Cuidadores de personas Diagnósticadas con Cáncer de Mama Escucha las voces que nos inspiran a seguir adelante... ¿Eres un cuidador o cuidadora? Comparte tu Historia con nosotros! Historia de William Introducción En medio de un agradable y soleado paseo de finales de verano por las playas de Boston, mi pareja, que llevaba doce meses en tratamiento por cáncer de mama, me miró y me dijo: “Este ha sido el peor año de mi vida”. Mi respuesta fue inmediata: “Estoy en total desacuerdo, siento que este ha sido el el mejor año de tu vida”. Me miró como si tuviera dos cabezas y me preguntó a qué me refería. Elaboré mi respuesta con una sonrisa pensativa, “Acabas de vencer al cáncer de mama”. Esta conversación resumió acertadamente mi papel como cuidadora del cáncer de mama. Cierre - Manejo de expectativas Para terminar, me gustaría sugerir que como cuidador permanezcas enfocado en el trabajo que tienes entre manos y manejes las expectativas. No intentes hacer demasiado. Reconoce lo que puedes hacer, investiga debidamente para que puedas ayudar en la discusión y la toma de decisiones. Mantente positivo e inspirado y tan útil sea posible. Pero recuerda que es un largo recorrido y que tu y tu paciente deberán contar entre ustedes durante la terrible experiencia. Fomentar el Optimismo, Evitar la Negatividad Una última anécdota: en medio de un momento particularmente deprimente, le sugerí que fuéramos a dar un paseo en bicicleta para sacarla de su entorno. Como de costumbre, fuimos demasiado lejos (40 millas en total ese día) y su depresión estaba surgiendo. Así que aproximadamente treinta millas de nuestro viaje nos detuvimos y tomamos un descanso. Después de rehidratarnos y cargar combustible, pudimos levantarnos y regresar las últimas 10 millas a nuestro condominio en Boston. Meses después, me preguntó cómo pude ayudarla a superar su depresión severa y aterradora en ese viaje en particular. Me dijo que sus pensamientos bordeaban la realización de acciones irracionales. Le dije que permanecí enfocado en lo positivo y que no le ofrecí ninguna justificación psicológica para lidiar con su tristeza extrema y su comportamiento potencialmente dañino. Luego me preguntó “cómo supiste cómo responder” y mi respuesta fue simplemente reafirmar los aspectos saludables y positivos de nuestras vidas, lo que siempre nos devuelve a nuestro código en tiempos de problemas: Seguir Adelante. Características del cuidado Hay muchas características de la vida como cuidador. El apoyo que se brinda a un paciente/sobreviviente de cáncer incluye muchos de los siguientes: aspectos emocionales, físicos, intelectuales, financieros, sociales, espirituales, nutricionales y motivacionales, por nombrar solo algunos. Pero nunca estás solo. Hay ayuda y asistencia en todas partes. A continuación hay 2 artículos que pueden servirte de guía para ser un cuidador. Después del Diagnóstico: Una guía para pacientes y sus familias Bienestar para los cuidadores Desde el momento del diagnóstico en adelante, entran en juego las responsabilidades asociadas con el cuidado. Hay reuniones y discusiones con sus equipos oncológicos y quirúrgicos. Se ofrecen y ponderan opciones y cursos de acción alternativos. Las decisiones deben tomarse en poco tiempo, por lo que es mejor prepararse con anticipación realizando la mayor diligencia posible. Investigar sobre las diversas opciones según lo explicado por tu equipo de atención. Una vez que se acuerde y planifique un curso de acción, ten especial cuidado de mantenerte al tanto de los desarrollos, es decir, citas programadas, manejo del dolor/emocional, medicamentos, coordinación y comunicación de la información a la familia de cuidado extendida y ayuda con las tareas del hogar. En todo momento, ten en cuenta que estás allí para ayudar al paciente. Esto no se trata de ti. Involúcrate en los problemas emocionales del paciente. No es necesario ser un profesional médico hay que tener sentido común y brindar nuestra respuesta a través de la lente del cuidado, es así como deben brindarle las herramientas suficientes para lidiar con la miríada de emociones que surgen, como el miedo y la depresión/tristeza. Hay muchos grupos de apoyo a los que puedes comunicarte, incluidos grupos de atención hospitalaria, psiquiatras, páginas de redes sociales/medios. SurvivingBreastCancer.org #survivingbreastcancer La perspectiva social Juntos nos arriesgamos e informamos a todos nuestros amigos, tanto en persona como a través de las redes sociales, del diagnóstico. También lo discutimos con el personal de nuestro restaurante del área local y en círculos de trabajo en la YMCA, para eliminar cualquier temor de consideraciones/comunicaciones de amigos y asociados con respecto a su cáncer. Recuerda, el paciente pasará por cambios tanto emocionales como físicos, pero aún querrá reanudar actividades placenteras como citas nocturnas o caminar en la caminadora tanto como sea posible. Descubrimos que la discusión abrió muchas puertas de bondad, amistad y solidaridad. Largo Plazo El remedio y el tratamiento del cáncer de mama es un compromiso a largo plazo. Debes ser consciente del hecho de que tu también, como cuidador, necesitas ayuda y apoyo, y también tiempo de calidad. No intentes hacerlo todo. Involucra a otros, ya sea familiares, amigos o incluso grupos de apoyo médico. Mantente flexible. Debido a la naturaleza cambiante y constante de la recuperación, desde la quimioterapia hasta la cirugía, la radiación, la quimioterapia adicional (si es necesaria) y los tratamientos hormonales de seguimiento, es posible que te enfrentes a múltiples facetas en los pacientes. Los efectos secundarios del tratamiento son variados e incluyen pérdida de cabello, aumento de peso por agua, alteración física de los senos, depresión, agotamiento, linfedema, problemas de fiebre aftosa, entre otros. Prepárate lo mejor que puedas para evitar que lo anterior te afecte negativamente en tu función. Está bien que el paciente esté cansado y triste. También está bien para el cuidador. Encontré que la comedia y la música (películas, televisión, radio) son un gran alivio, ya que tienden a cambiar la narrativa. SUSCRÍBETE Nuestro boletín semanal incluye historias e información importante, tenemos varios eventos gratuitos para ti. Suscribete

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Health and fitness has always been a part of who I am. For decades I have practiced yoga, enjoyed running, hiking, biking, swimming and weight training. I followed a vegan diet and thought I was in the best shape of my life, that is, until I was diagnosed with breast cancer at the age of 34. "How could this happen to me?" This shattering news became the catalyst for launching SurvivingBreastCancer.org. I have undergone both neoadjuvant and adjuvant chemotherapy, surgery, radiation, and hormonal therapies, and noticed that the real trauma from a cancer diagnosis came after I completed my active treatment. It was when I heard the good news that my next follow-up appointment would not be next week, but in 12 weeks, followed by 6 months, and then in a year. That's when it hit me. That's when I realized the important role Survivingbreastcancer.org plays in the breast cancer arena and why I have dedicated myself to building a breast cancer survivorship platform. Understanding my own health and wellness not only became my top priority, but it became my full-time job. Managing one’s health isn’t something that you do 3 days a week. It is a commitment to one’s self and life-style choice. The Surviving Breast Cancer organization revolves around a positive mindset, and I want to share that mindset with you! Come take a look around and make yourself at home! Xo, -- Laura about us Latest Newsletter Get Inspired. Find Hope. Each week Surviving Breast Cancer shares words of wisdom, insights, and resources to help you manage a cancer diagnosis. From breast cancer survivor stories, to tangible tips to keep you going on those tough days. Whether you have invasive lobular carcinoma and are considering a double mastectomy or have stage III triple negative breast cancer, our newsletter is for you. Click below to read this week's newsletter READ MORE SUBSCRIBE LATEST PODCAST On "Breast Cancer Conversations", the podcast, you will listen to voices that unveil the realities of breast cancer. Surviving Breast Cancer asks poignant questions, our guests give us authentic answers. You will hear inspiring stories from those who are navigating a breast cancer diagnosis, understand the complexities of mammography, breast reconstruction, and gain valuable information delivered to you weekly. LISTEN NOW SUBSCRIBE Diagnosed with breast cancer at 34 We all have a story. We are all here to share & Support.