The Bond of a Cancer Best Friend

The Story of Shauna and Rosalina

Cancer best friend: a person that you met on your cancer journey that you share your experience with, and someone you can truly lean on for whatever you need during your cancer experience.

We often place more focus on sibling—or parent—relationships when talking about cancer diagnosis and treatment and how they provide support, but we don’t talk as much about the immense importance of friendships.

Friendships during a cancer diagnosis are game-changing. Friendships allow individuals to adjust to the changes cancer brings, have a more positive outlook, and often report a better quality of life. Friendships that are forged as a result of a cancer diagnosis can be some of the strongest bonds, as such a small number of people truly know what a cancer patient is going through. This is the case for Rosalina and Shauna, two best friends on opposite sides of the country who are now best friends after meeting through their cancer diagnoses.

The Bond of a Cancer Best Friend

Cancer Best Friends: Shauna and Rosalina

Shauna and Rosalina, both diagnosed with hormone-positive breast cancer before age 35, met through a Facebook support group where both had an intense desire to start a podcast to share their cancer experience.

“What I’ve learned [breast cancer] happens more in older women and not necessarily younger women. I felt really alone, and then I just woke up the day after my mastectomy surgery and thought, I’m sick of being angry and feeling alone.

I joined all these Facebook support groups and posted to each, sharing my story and asking if there’s anyone out there around my age that has a similar experience and wants to be a co-host of a podcast with me.

I met Shauna, and I felt like when we did our first zoom meeting together, I just thought that we clicked automatically. I kept thinking about Shauna for like the next couple of days and finally realized she would be a perfect fit for this podcast, and she is so. I’m super glad to have met her.”

Too Young For This Sh*t

Together Shauna and Rosalina started the podcast ‘Too Young For This Shit’ with the mission to bring awareness of breast cancer to young women and create a supportive space where no one is alone on this journey. In episodes, they dive deep into their treatment plans, journeys, struggles, and mental health as they navigate life in their “new” normal.

Even though they are on opposite sides of the country, they have been there for each other and have learned from each other along the way.

“I don’t think I could do it without her. I wouldn’t be where I am right now without her. We are such a good team, we have gone through our cancer journeys together, even on different chemo regimens, and we still had each other’s backs throughout the entire time. We are always texting and on the phone. I’m crying. She’s crying. I try to be super funny at certain times where she is super serious.”

What Shauna and Rosalina Taught Us

A few pieces of advice that we learned from Shauna and Rosalina on what friendship means during a cancer experience include:

  • Laugh together: Be humorous and funny in the right situations and when needed. A funny story, meme, or joke can help lighten the mood and make your friend’s day.
  • Allow space for all emotions (including sadness and frustration): Be a safe and open space for your friend to feel whatever emotion they need to express. Do not steer away from uncomfortable topics or emotions.
  • Talk about topics other than cancer: Your friend is still the same person they were before their diagnosis. Ask about interests, hobbies, or other topics they enjoy. Do you both enjoy a podcast, book series, TV show? Talk about your shared interests to allow them to take a break from talking about their cancer.
  • Ask permission: Asking is always a good place to start. Ask how they want to be supported that day. If they are up for a visit, ask if you can ask questions or talk about certain topics. More important than asking is to ask in a way that your friend knows that saying ‘no’ is a totally valid and acceptable answer.

 

Learn more about cancer best friends Shauna and Rosalina on our podcast, The Support Report with b-present.

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Friendship and Loss: How Being Present, Not Perfect Can Help You Live with No Regrets

Cancer is full of difficult emotions, from diagnosis through treatment and beyond. Here, we discuss the experience of loss and how to maximize the time you have together.

The catalyst for change

The b-present mission started with a lived experience: we lost our inspirational force, Kirsten, to leukemia in 2016. This loss felt abrupt and inexplicable: shortly after ringing the bell to signify the end of her treatment, an infection set in that, without an immune system, her body was unable to fight. The unexpected end to her story shattered the lives of all who knew and loved Kirsten. 

Survivors’ Guilt and Isolation After Loss

When we hear about survivors’ guilt, we often hear stories from cancer survivors who feel immense guilt that they are still alive and their friend with cancer is not. Supporters of a loved one often feel lost and alone as they struggle to process losing someone so young. 

Friends may be uncomfortable talking about death and are quick to change the subject when it comes up, or they may listen but are at a loss for how to offer comfort and support. The result? The friend or survivor is left feeling even more isolated and alone at a time when they could use a friend the most.

“I almost felt this sense of guilt carrying out my life still after the fact,” said Kelly, Kirsten’s friend since first grade. “I almost felt like, how is this fair? … I am here and I am able to do this … and Kirsten is not.” 

Kirsten (left) and Kelly (right) celebrating Kirsten’s 10th birthday.

 

We know we are not alone in experiencing this loss. As part of our mission, sharing our genuine emotions and experiences is vital to help  others out there who may be going through similar difficult times. 

In the seventh episode of our Support Squad webinar series, Kirsten’s friends Kelly, Bri, and Jordann offered candid insights into their journey as friends and supporters of a young adult going through cancer. 

‘It’s very isolating’

Life was looking up after Kirsten rang the bell, celebrating the end of her cancer treatment, which is why all of her friends were surprised by her subsequent rapid downward spiral. Kelly, Bri, and Jordann agreed—none of them thought the last time they saw Kirsten would be the last time.

“I remember walking through the grocery store and everyone is moving around me and living these lives and I am numb,” said Brianna. “Looking back, you always wish that you visited more. A lot of times it’s realizing that you don’t need to be perfect to show up … Even if you showed up for an hour.”

Be Present, Not Perfect. 

We say ‘live life with no regrets,’ but many young adults have never experienced a peer that has been diagnosed with cancer, and fewer have experienced losing a friend at such a young age. 

“Shocking doesn’t even begin to describe the experience,” Jordann said. “Cancer is one of the most complicated things you can go through regardless of the role you play in it.” 

From left to right: Jordann, Bri, and Kirsten at a concert.

 

Learning the news of a friend’s diagnosis can be both devastating and surreal. It can feel like a complete shock, and the array of reactions to this life-changing news is normal and expected. 

“It felt like I was watching a movie. It didn’t feel real.”

Feeling closed off and isolated, wanting to ‘fix’ the problem, and jumping in to do everything and anything you can—having so many unanswered questions is the hardest part.

  • What type of cancer is it? 
  • What is the prognosis? 
  • What’s appropriate to say? 
  • How can I be there for her?
  • How can I support my friend? 

 

It is normal to want everything to be perfect, but striving for perfection can get in the way of simply being present. 

At b-present, we are passionate about empowering the network of people that will be present for their loved ones. Social support is critical to a newly diagnosed young adult’s cancer journey and health outcomes. b-present is on a mission to improve the experience for both young adults with cancer and their supporters. 

“Supportive friends are a huge untapped resource.” 

Young adults diagnosed with cancer are required to press pause during such a pivotal time in their lives and often do not receive consistent support, leading to isolation and poor quality of life. The health care system is often at capacity, and caregivers are stretched to their limits. Friends have this incredible opportunity to provide some relief to their friend with cancer and the people who care for them—finding the time and making time to be present with your loved one has a tangible impact on your friend and the support network. And remember, you don’t need to do something big to make a big difference. 

Every person has the potential to provide the support and love that is needed during this difficult time, and yet isolation is still a problem. So what’s the problem? Inexperience? Fear? No time? We find all kinds of excuses not to stay connected. The challenge is to turn that response on its head, get out of your own way, and lean into the fear, self-doubt, and the awkward unknown. 

Remember…

The experience is often new for everyone, so take comfort in knowing you are in it together and finding your way. Try not to get hung up on the perfect support experience. Instead, stay authentic to your relationship, and accept that there will be imperfections and mistakes along the way. Have patience and be kind to each other, find forgiveness when mistakes happen, and keep moving forward together. The rewards will be many, but the best will be the lifelong bond and stronger relationship that grows out of overcoming adversity together. 

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Everything You Need to Know About the LGBTQIA+ Cancer Community 

This June, in honor of Pride Month, we are partnering with Escape, an organization created to provide a sense of Escape for LGBTQIA+ Adolescent and Young Adult Cancer Patients, Survivors, and Caregivers, to amplify awareness for LGBTQ Cancer Awareness Week. 

 

LGBTQ+ Cancer Awareness Week

Information on the impact of cancer on the LGBTQIA+ community is limited, and this week (the second week of June) is to highlight the need for comprehensive LGBTQIA+ cancer support services and care. LGBTQIA+ stands for Lesbian, Gay, Bisexual, Transgender, Intersex, Queer and/or Questioning, and Asexual and/or Ally. Adolescents and Young Adults make up the majority of LGBTQIA+ Openly Identifying individuals in the USA.

LGBTQ+ Living With HIV Increase Risk of Cancer 

During the early ’80s to ’90s, a whole generation of LGBTQ+ elders was lost due to the lack of support from the US government or institutions that were supposed to help. The LGBTQ+ community had to rely on each other for support, education, and survival during the HIV/AIDS pandemic. The medical trauma continues today as we continue to fight for access to adequate care. For those living with HIV having access to gender-affirming medical care to prevent the risks of developing cancer is critical. Since HIV attacks the immune system, it’s important to detect cancer risks early through regular check-ups and cancer screenings.

We are all connected and must do our part to support each other. Be informed, learn about how we can help each other, and address barriers to medical care. 

Grief and Loss Among the LGBTQ+ Cancer Community 

Navigating cancer is already hard and can be even more difficult without community support or appropriate care. Support through grief can look different for the LGBTQIA+ cancer community. LGBTQIA+ people experience a loss of community due to community rejection or rejection by friends and family and multiple bereavements, leaving them isolated during a cancer diagnosis.

If you are currently supporting an LGBTQIA+ person grieving the loss of an LGBTQIA+ loved one who has passed from cancer, be sure to validate their feelings and provide a shoulder to cry on. They deserve to feel safe, cared for, and seen fully for their wonderful, authentic self as they process the loss and honor the memory of their loved one.

The Transgender Cancer Community

Transgender youth are being targeted in the United States, as the challenges of accessing gender-affirming care are becoming more and more difficult due to anti-trans legislation being passed nationwide. Insurance companies have been granted authority to choose what is covered in their plans, making treatments or procedures like gender-affirming surgery (not covered by insurance). Cancer preventative care has also been denied to individuals who have had their gender marker removed. While we continue to fight for proper representation and awareness, there is still much that has to be done to change the care given to transgender youth diagnosed with cancer. 

 

Self & Community Care

As an LGBTQIA+ person, self-care may take more intention due to additional stressors like the lack of support, rejection from friends or family, and discrimination from healthcare professionals or institutions. In addition to that, being diagnosed with cancer can change the way an LGBTQIA+ person practices self-care. Like allowing themselves to accept their body can’t physically do what it was able to before cancer.

Community care is a huge component of self-care because, oftentimes, having the right people around us is exactly what is needed. We will all be impacted by cancer at some point in our lives, whether as a patient or a supporter. We must help each other, knowing we will need to lean on others in the future. 

 

Understand what it means to be an LGBTQIA+ patient with cancer

It’s important to learn more about the challenges and health disparities most LGBTQIA+ face due to the lack of knowledge and awareness within the healthcare system for LGBTQIA+ community members.  There are many organizations out there like The Fenway InstituteNational LGBT Cancer NetworkEscapeQueering Cancer, and so many more that have resources available for cancer patients who identify as part of the LGBTQIA+ community.

Cancer can happen to anyone, and sexual orientation and gender identity should not prevent anyone from getting adequate and appropriate support.

One of the greatest challenges most LGBTQIA+ face is the lack of comfortability, affecting overall experience and health. This community often struggles with sharing personal and vital information for fear of discrimination, trauma related to treatment, lack of treatment due to unpleasant prior experiences, or inadequate/improper health care due to lack of knowledge around the LGBTQIA+ community. Not being appropriately treated or denied access to appropriate screening or check-ups not only increases the inability to treat an LGBTQIA+ patient because of a lack of trust and comfortability but also contributes to cancer patients’ health conditions worsening due to a lack of proper medical care. 

Thankfully there is hope, as much is being actively pursued to obtain long-term results that lead to better cancer care for the LGBTQIA+ community from screening, diagnosis, treatment, and beyond.

 

Talking Tips to Help you Avoid the Pitfalls as a Supporter

In cancer conversations, comments intended to express empathy or comfort can backfire when they are dismissive of the person’s situation, choices, decisions, or emotions.

Remember: 

  • It’s normal and natural to feel unsure about what to say. The fact that you feel uncertain means you care about your friend’s feelings.
  • Avoid commenets that are dismissive of their diagnosis, experience, how they are feeling, or their choices.
  • Only offer advice when asked.
  • Do your best to be mindful, but don’t over-filter what you say.
  • It’s important to own up to your mistakes. Apologize. Learn from it and then move forward. We are stronger together and better when we can learn from each other.
  • The best thing you can do is be present and aware of their physical and emotional state

 

Navigating Cancer with your Friend and Moving Forward Together

Finding out your friend has cancer can be scary and overwhelming but having a shared understanding of what’s ahead is essential so that you can best support your friend during treatment and beyond. Everyone responds differently. Your friend’s support may vary based on many factors: mood, treatment, and care plan. Remember to always respect their privacy.

Connection, support, and normalcy are the things your friend needs from you; learn how your friend wants to be supported. Remain authentic, and remember that the diagnosis has not changed who your friend is on the inside. Your friend won’t always know what to ask for, just listen and provide a safe space for them to process. 

Help comes in many forms, so find positive and meaningful ways to make their day better. Make sure to establish a support network for your friend so that you can stay consistent, coordinated, and connected, as support is vital to your cancer friend’s quality of life. Don’t forget to take care of yourself too. Make time to recharge, heal, and keep your mental health in check by asking for help from a therapist, friend, counselor, trained social worker, or other trusted confidant (always remembering your friend’s privacy wishes). Make the most of every moment and be present. 

 

Learn More About How You Can Support 

Educate yourself on how to support a loved one with cancer better. Check out the different organizations specifically curated to help support LGBTQIA+ cancer patients and LGBTQIA+ caregivers and how you can be a part of the progress. 

 

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Supporting Someone with Cancer While Putting your own Mental Health First

May is Mental Health Awareness Month, and I’ve been loving seeing all of the honest conversations about mental health happening all around the internet this month! I’ve seen so many frank conversations about how cancer has changed patients’ mental health (for worse and for better!), and it’s helped me so much in feeling less alone as I share so many of those mental health experiences. One thing that I wish was talked about more, though, is mental health as a supporter of someone with cancer. Taking care of your own mental health should always be a top priority. You can’t pour from an empty cup, right? I wanted to share some ideas for how to put yourself first. 

Schedule in some “me time”

Think about what really helps you recharge. Is it a walk around the neighborhood? A good sweat session at the gym? A relaxing bath? Maybe it’s just laying in your bed doing nothing. Whatever it is, schedule it in. Physically put it on your calendar to ensure that you don’t blow it off – it can be so easy to treat things like this as a “nice to have” if you have the time, but recharging your batteries is incredibly necessary. By scheduling in time for yourself, you ensure that you prioritize it as important as it actually is. 

Talk to Friends

There are probably things that your friend with cancer will say to you that can make you anxious and stressed. Cancer is really anxiety-inducing, as is watching someone you love go through it. As I talked about in my Ring Theory blog, you obviously can’t talk to the patient or their close family about the anxiety you feel, but I bet that there are others in your life (or even in their life!) who share those same struggles and would love to talk about it with someone who gets it. Talk to friends who are farther removed from the patient than you are, and you may be surprised by what a load this takes off of your shoulders!

Therapy

This one goes along with the last one, and it probably seems obvious, but this is often the first thing to go when life gets busy. It gets seen as a luxury so often, but sometimes you need a non-judgmental person to talk to about all of this! Being a supporter of a cancer patient is HARD, and often there are thoughts you have about cancer or being a supporter that many would think you were a monster for saying. Honestly, we’ve ALL had those thoughts, and they’re 100% valid in the right setting. Talking through them with a therapist can be so helpful to clear your head and help you work through the trauma of your friend or family member having cancer.

Mindfulness or Meditation

I know that this one isn’t for everyone, but hear me out here. I was a skeptic too, but my work recently gifted all of us a year subscription to the Calm app, and I decided to give it a try. Things like a quick body scan or breathing exercises were such a great way for me to get a very quick moment of calm and me time when I have a few free minutes in my day. I’ve found that since starting to use the app and make it a point to be more mindful in my everyday life, my anxiety has gotten so much better, and I feel overall calmer. 

All of these are mere suggestions, and the most important thing is that you prioritize your own mental health in whatever way works for you. It may feel like you’re taking time away from the patient you support by focusing on yourself, but I promise you, we understand, and we want you to be able to keep living your life and taking care of yourself. We understand that cancer affects not just us but everyone around us, and we want everyone to care for their own mental health. So let go of the guilt (easier said than done, I know), and start taking some time to take care of yourself. I promise you and the person you’re supporting will feel better if you do. 

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Sympathy vs. Empathy vs. Compassion: Cancer Support and Where Each Fits

Sympathy, empathy and compassion are likely all words you’ve heard used a lot within the cancer space. They might even be used interchangeably! But the truth is, they’re all different, and they each have their own unique role when supporting the cancer patient in your life. 

Sympathy

Sympathy is defined as pity or sorrow for someone else’s misfortune. Sympathy was likely one of the first things you felt when your friend or loved one told you they had cancer, but when it comes to expressing sympathy to the person you’re supporting, it can be complex. The last thing we as cancer patients and survivors want to hear is pity; it feels patronizing and will most likely make them feel worse. While sympathy is not something to be ashamed of feeling, it is an emotion that is best kept to yourself, or at least not shared with the person for whom you feel sympathy. Instead, channel those feelings of sorrow or pity into something more productive like empathy, compassion, and support. 

Empathy

Empathy is defined as being able to understand and share the feelings of someone else. Where sympathy is seeing your loved one with cancer’s experience from your own perspective, empathy takes it a step further to see their experience by putting yourself in their shoes. When your friend is going through something as serious and scary as cancer, your first reaction may be to relate their current experience to something you’ve gone through in order to relate to their feelings.

If you have never experienced cancer yourself, though, there’s no way you can truly understand what they’re going through. What you can do, though, is listen to what they are telling you and really take it to heart, rather than trying to assume things about what they feel. When supporting the cancer patient in your life, it’s important to show empathy by listening to how they feel rather than assuming how they feel. 

 

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Compassion

Compassion takes both empathy and sympathy and takes them a step forward; compassion is the understanding that someone is going through something incredibly difficult and then actively trying to alleviate the struggle they are going through. While sympathy and empathy both have distinct roles within the cancer support experience in their own right, we should all strive to be compassionate in every aspect of our support for our loved ones. There really is no such thing as good support without compassion. 

So what does sympathy, empathy, and compassion look like in practice?

Let’s say your friend had a PET scan a few days ago and they call you to let you know their results weren’t good and the cancer is growing.

The sympathetic response would be to shift your tone and body language to sadness, as that’s what her words make you feel, and tell them that you’re sorry for their PET scan results.

The empathetic response would be to shift your tone and body language to match their mood as you think about what they’re telling you about their feelings. An empathetic response would be to listen to their anger, fear, sadness, and frustration and tell them, “It sounds like this has been a really difficult day for you.”

The compassionate response would be to continue with your empathetic response by sharing their feelings and saying something like, “This has been such a difficult day for you today. Can I grab you dinner from your favorite restaurant to help you relax?”

It is clear that sympathy, empathy, and compassion all play a distinct role in your support of a cancer patient. Now that you know when each comes into play within the support experience, it’s time to start putting them into practice! 

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Ring Theory: The Ins & Outs of Sharing Feelings

When your friend gets diagnosed with cancer, it can be hard to know what to say. We all know that cancer affects everyone around the patient, not just the patient. But when you center yourself in conversations about someone else’s cancer, you’re likely to offend them inadvertently. I recently learned about a concept that helps handle crises and I think all supporters of cancer patients should become comfortable with it: Ring Theory.

The Ring Theory

Ring Theory was a concept developed by a psychologist named Susan Silk when she had breast cancer. She found others around her consistently centering themselves in conversations about her cancer, something most of us with cancer have experienced. Through this experience, she developed Ring Theory as a technique to help others avoid making the same mistakes, and it applies to all crises you may encounter, not just cancer.

Start by drawing a small circle in the middle of a page and write the name of the person dealing with the crisis in the center. Then, draw another circle around that circle and write the name(s) of the people closest to the person in the center. Continue drawing concentric circles and writing names inside them as much as necessary, putting closer people toward the center and more distant friends and relatives in the larger outside circles. Now that you have your concentric circles, you have only a few simple rules: 

  1. The person in the center is the only one who can complain about whatever they want, to whoever they want. 
  2. The people in outer circles can complain as well, but only to people in the larger circles. 
  3. If you’re talking to someone whose circle is smaller than yours, you are only allowed to provide help and support. 

In essence, comfort goes inwards, and dumping goes outwards.

Ring Theory

Illustration by Wes Bausmith for the Los Angeles Times

This sounds very simple and something that everyone should know, but when a crisis occurs with someone you love, it’s often difficult to remember that you’re not in the center of it all. We all know that you would never tell a cancer patient that you weren’t prepared for how sick they look, but would you remember not to say that to their significant other, parent, or best friend? Maybe not. Ring Theory helps us put into perspective how the crisis affects everyone and gives you an idea of who you can dump your feelings on versus who you should provide help and support to. 

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Staying Connected Even When COVID and Cancer Keep You Apart

COVID and Cancer—The Challenges

When you’re first diagnosed with cancer, it’s usually a time when everyone you’ve ever spoken to comes out of the woodwork to support you. MealTrains are started, flowers are sent, donations are given in your honor. But for those of us diagnosed or going through treatment during COVID, that support looks a little different.

I was diagnosed with metastatic breast cancer in September of 2020, right in the middle of the pandemic. I remember when I was first diagnosed, all I wanted was a hug from my best friends. Because of COVID though, I was forced to only see them outdoors, from a distance, with masks on. I was so grateful for their support, but I always wished that we could safely be close to each other. 

When I started treatment, it became even more difficult to spend time with friends. There were many times where my blood work would come back showing that my immune system was dangerously low, and that I shouldn’t be around others at all. Cancer is already isolating, but when you add COVID on to that, it can become even more isolating to not be able to see others in person.

With the surge of the delta variant in the US, these COVID precautions have become important for cancer patients again despite vaccinations. If you are trying to support your friend through cancer during COVID, here are some suggestions for safe things you can do:

covid and cancer

Plan Something Virtual

Some of my favorite times I spent with my friends while COVID kept us physically apart were the virtual activities we planned. I love games and have a very competitive streak, so we did a lot of virtual trivia and virtual escape rooms. It was always a fantastic time “seeing” my friends on the screen and playing something together like we would if we were able to be in person. These are just some ideas that I have tried, but the sky is the limit on virtual activities!

If your friend is into crafting, why not do a craft night together on Zoom? If they love to cook and still have an appetite, try a virtual cooking class through Airbnb’s virtual experiences! It doesn’t matter what you do, just knowing you’re thinking of them and are setting time aside to be with them will surely brighten their spirits. If you’re interested in some of the virtual activities I tried, here are my recommendations: for virtual trivia, check out Sporcle as they run live virtual trivia most days, often with fun themes, and it’s always a great time. For virtual escape rooms, The Escape Game has a variety of great options. 

covid and cancer

Outdoor Socially-Distant Activities

When cases were low in my area, and my blood counts cooperated, I loved spending time outdoors and socially distanced with my friends. We got really creative with how we spent time outside, from carrying a TV outdoors and having cozy movie nights under the stars (with masks on and our chairs spread out) to outdoor tea parties where we each sat at different tables and wore masks when we weren’t eating or drinking. This was about as close to a normal friend hang out as I could get, so I cherished this time so much and appreciated my friends for being willing to sit outside bundled up in blankets just to spend time with me.

FaceTime Them While They Get Treatment

Many cancer centers still aren’t allowing patients to bring support people in with them for chemo infusions. This can lead to AYAs feeling especially lonely – I know when I’m at the cancer center, I’m always the youngest one there by at least 20 years and can often feel isolated because of it. Talk to your friend about their treatment schedule, and ask whether they would like to chat while receiving chemo. You can FaceTime them, call them, or even just text (I love when people send funny memes while I’m getting treatment).

Knowing you’ve set aside time to be there for them, even though you can’t physically be there, can help with the isolation of being there alone. I have one cancer friend who always gets chemo in a chair by a window. Her friends drop by that window with signs cheering her on, or even just sit outside the window and chat on the phone with her so that it’s almost like they’re hanging out in person. Depending on the setup at your friend’s cancer center, this could also be an option! 

Help Them Out with Chores from Afar

Your friend might be too tired to grocery shop, cook dinner, pick up prescriptions, or even walk their dog. These are all things that you can help them with while still staying socially distanced! You can drop food, prescriptions, or their favorite takeout/a home-cooked meal on their porch, and if they’re up for a visit when you drop things off, you can stand outside and distanced while wearing a mask. If they need help with a pet, you could pick the pet up from their yard or other outdoor area and walk it while they rest. While being indoors with your friend might not be an option right now, you can still support them from afar if you talk to them about their needs. 

Use the b-there Tool to Plan Support

Most of the suggestions I have listed here for supporting your friend from afar require that friend to be feeling well enough to spend time with you. The b-there tool is a great way to understand your friend’s needs and limitations, and using the information they share within the tool, you’ll be able to plan your support accordingly. In addition to coordinating activities, it also lets you know how they want to connect and what they are in the mood to do. Flexibility is key. Remember that they might wake up one day and not feel up to something you had planned that day. While it might be disappointing or even hurtful, try to remember that it’s not personal. 

The Bottom Line

Don’t let the pandemic restrictions keep you from spending time with your friends. You may not be able to do something every day, but by allowing yourself to get creative and think outside the box, you will be amazed at how many ways you can continue to enjoy each other and have fun doing something together…even if it is more than six feet apart.

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Cancer Support Challenges for Active Duty Military: Q&A with Rebecca Satterwhite

Did you know that  over 80% of the nearly 1.33 million active duty military personnel are young adults between 18-35? Imagine getting a cancer diagnosis while you are serving your country. Social support for this unique community can often be hard to find. Rebecca Satterwhite, a member of the U.S. Navy, received a devastating breast cancer diagnosis at 26. Due to her own experience with inadequate support throughout treatment and beyond, she is on a mission to make a change and amplify support for military members whose lives have been touched by cancer. Here’s her story…

Tell us about yourself, pre and post-diagnosis?

Before I was diagnosed, I felt smart. I was the strongest I’d ever felt and the fastest because of the training I was in, I put up with a lot more BS, work was my number one priority, I felt like I had a lot of good friends and awesome people that I worked with. After I was diagnosed, I wouldn’t say my main goals changed that much, maybe just my timing. 

I always wanted to retire from the military, and I still do, but I’m more focused on switching career fields sooner than I had previously planned. My job right now is pretty cool because of where I work, but I don’t want to work on electronics forever, and after chemo, I feel like I lost a lot of my knowledge on the subject. 

The main life change I was not expecting was meeting my husband. We met right before I started chemo, and lucky for me, he didn’t let any of the medical stuff phase him one bit. The second time we really got to hang out was right after I lost my hair, and I was so nervous for him to see me. I had built up this whole situation in my head, and all that went away when he saw me, smiled, and kissed the top of my baby-smooth head. That was the start of a new mindset on my part; I was spending a little too much time worrying about work, and I needed to spend more time on what and who makes me happy. 

Post-diagnosis and post-treatment, I really started to realize I had to get used to what everyone calls their “new normal,” which is always rough. I’m not going to lie, I’m still fighting that internal battle that I’ll never be exactly who I was before, and it’s hard. I’m still as smart as I was before, but now it takes me a lot more time than I’d like to be able to think of the right word or remember where I put something earlier. 

I’m not as physically strong as before, and it sucks starting over; I have pain in weird spots, and parts of my body feel numb, which is strange. I might get as strong and as fast as I once was, but it will take more time and more effort.

 

Tell us about your cancer experience?

Right in the middle of a pretty tough military training school, I found a lump in my left breast. I immediately thought it was cancer. Most of my family members that were over the age of 40 have had some type of cancer, so I guess I always thought it would happen to me someday too. I just didn’t expect it to be at age 26. 

I found out later on that it wasn’t genetic at all and that it had probably been growing for a little over three years. After that, I always wondered if it was job-related, and honestly, I may never find out. I’m active duty in the Navy, and I work on communications equipment, which means when I worked on an aircraft carrier, I was constantly working and living around RF radiation among all sorts of other chemicals for roughly five years. 

 

 

Once I was diagnosed, I was told my best option was to have a lumpectomy with sentinel node biopsy and radiation therapy following the surgery. The first surgery went well, but more information came from the biopsy. I was told the cancer had started to spread, and I would need another surgery followed by chemotherapy before I ended the treatments with radiation. 

Up until this point, I had, of course, been upset that I had cancer, but I always felt that I would be alright once I got through all of the treatments. But after finding out that I would be getting 12 rounds of chemo, I started to feel crushed. I wasn’t ready to feel sick all of the time or tired or lose my hair or any of the number of things I felt once I actually started. 

I had no idea what to expect or how I’d feel, and that was scary. I googled a lot, which was not the right answer, but I like to try and feel as prepared as possible. I was not prepared, though. 

In my first chemo session, I packed some books, a blanket, snacks, and my laptop. My mom came with me, and I think she was more nervous than I was, but of course, she was trying to look fine. I was glad she was there, but I also didn’t want to look worried. For whatever reason, I felt like I needed to be the strong one. 

Sitting in the hospital getting pumped full of meds and chemicals, I was actually not as sick or tired as I expected, but once I got back home, I felt like all I wanted to do was lay in bed. I went from feeling like a pretty healthy and fit 26-year-old to feeling tired constantly and having bone pain that made me shuffle instead of walk normally. After a while, I got used to how it would feel, only to have them start me on a new kind of chemo that comes with different side effects. 

Still, I knew it would end eventually, and I would get back to normal life! That definitely was not the case. I did finish treatment and was told I was cancer-free, and I’d be taking one pill (tamoxifen) a day for the next ten years to try and keep me cancer-free, which is fine. I can deal with a pill a day, as long as I’m back to normal, right

I never got my “before normal” back, which for me was actually one of the hardest things about my cancer experience. I had gone into all this thinking that it would end; if I just get through this part, I’ll be back to how I was before. 

At home, I’m usually pretty comfortable with my “new normal.” I have a routine, my family is there, my dogs are there, I’m in my own space, and if I forget something, my husband knows where it’s at or knows the word in the sentence that I can’t think of and helps me out. I have my moments where I get upset or a little mopey at home, but for the most part, I’ve become happy, even a little more confident at home than I was before. 

Once I get to work, though, I usually struggle a little more. I’m lucky enough to work with some of the military’s smartest, fittest, and dedicated people. I used to be one of them; I could tackle tons of problems and fix things, keep up with most of them during workouts, and I felt accepted. Now I almost avoid those situations entirely, and I feel like my once good friends avoid me too. Most of the people that know what I went through don’t talk to me much anymore unless it’s specifically work-related, and those that don’t know what I went through give me a puzzled look when I pause in the middle of a sentence or tell me I shouldn’t have my hair that short because it’s not in “navy regs.” 

 

 

On one hand, I completely understand why they say or look at me funny. Before I went through this, I probably would’ve done the same things. Now I either politely try to explain myself or just get angry in silence and keep it all bottled up. There are understanding and helpful people, but most don’t know how to help, and I feel like a lot of people are surprised that I still have issues a year after my treatments ended. It seems like many people, military or not, think once treatment is done, you should be functioning as you were before.

 

What never failed to make your day during treatment?

Three days after my first surgery, I ended up adopting my sweet pup, Cypress. I lived alone at the time, so it was wonderful to have him around. He was from a rescue, a little over a year old, and I remember right after my mom dropped me off at home following my first chemo session, he knew something was wrong. Throughout all my treatments, he was so calm and patient with me when normally he would be jumping and running all over the place, being a normal, energetic German Shepherd/Husky mix. He followed me around and would lay his big ol’ head on my lap to keep me company. Aren’t animals just amazing?

 

 

If you could tell new supporters one thing not to do, what would it be?

Don’t talk to them any differently than you would have before, and definitely don’t completely avoid them. If you don’t know what to say, just let them lead the conversation or bring up something you can enjoy talking about that has nothing to do with the cancer subject.

 

If you could tell new supporters one thing to do, what would it be?

Offering help is great, in my opinion. It doesn’t have to be something huge, maybe just a ride to the hospital if you know they don’t feel well enough to drive themselves. If you miss them and want to hang out, let them know that, and offer to come over and watch a movie or go for a short walk.

 

Cancer Support for Military Members

When I was first diagnosed, I looked for a military-related cancer support group, and I couldn’t find one, and I felt a little out of place in regular young adult groups. They were always very accepting, but they just didn’t understand some of my military-related frustrations. I started SMAC (Service Members Affected by Cancer) recently to try and give service members a place to feel more comfortable to talk, share their issues, or get some support from other service members. I have some military therapists willing to help out if anyone needs assistance. You can visit our website at smacancer.org, email us at [email protected], or follow us on Instagram @servicemembersaffectedbycancer

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Cancer Humor: Coping Through Laughter

I’ll never forget the first time I told a cancer joke around people who haven’t experienced cancer firsthand. I was chatting with friends about the COVID vaccines in late 2020, just before they were approved. I had said that I was excited to be able to get the vaccine early since I’m immune-compromised from my cancer treatment, and a friend asked me if I was scared to be one of the first to get a vaccine that was so new. “What’s it going to do?” I replied, “Give me incurable cancer? Oh, wait…”

I thought this was funny, but when I looked at the other little squares on Zoom staring back at me, wide-eyed with jaws dropped, I realized this joke didn’t land with any of the people I was talking to. It was in that moment that I realized the dark sense of humor that came with my cancer diagnosis might not be appreciated outside of the cancer community.

Impact of Cancer Humor

Cancer jokes remain taboo in our society, and that’s a real shame. The world we’re thrust into when we are diagnosed with cancer is incredibly dark, and it can be hard to fight that darkness as it tries to consume us. One important coping mechanism for cancer patients is joking about what we’re going through to make it feel less dark. In fact, the impact of humor during cancer treatment has been studied in a variety of scientific studies, and it has been proven to lessen anxiety and discomfort, have a positive effect on the patient’s immune system, and improve pain thresholds.

When the people around us show us that humor surrounding cancer makes them uncomfortable, though, it can make us feel more lonely and isolated, an already overwhelming emotion we often feel during and after treatment. One of the first things you can do to support your friend with cancer is learn about the landscape of this new world that they’ve been thrust into, and try your best to understand what they’re now dealing with while keeping in mind that you will never truly get it unless you experience it firsthand. Learning about this cancer world can help them not feel so alone and take the pressure off of them to explain every new medical term that is important for their treatment. 

Familiarize Yourself with Cancer Humor

As you’re learning about the cancer landscape, I suggest also familiarizing yourself with cancer humor. Check out which cancer accounts your friend is following on Instagram and Twitter – are any of them meme accounts? If so, it might be helpful to follow these accounts yourself to get familiar with the things that your friend might find funny during cancer treatment. While nobody is expecting you to be comfortable telling cancer jokes (and, in fact, I would suggest following your friends’ lead when it comes to cancer humor), seeing more humor surrounding cancer in your feeds can help normalize it for you. 

Not sure where to start when it comes to finding cancer humor? My personal favorite cancer meme account is @thecancerpatient on Instagram. It’s an account run by an anonymous nurse and 2x cancer survivor, and it’s incredible how close to home many of those memes hit for me. As a Schitt’s Creek superfan with a visceral hatred for the phrase “you don’t look sick,” this is my favorite cancer meme I’ve ever seen:

Support Your Friend with Humor

For some supporters, and even some patients themselves, humor surrounding cancer can simply be too much. That doesn’t mean that you can’t still support your friend with humor and help your friend get all the great benefits of humor during cancer treatment! Try and plan some get-togethers with your friend surrounding things that will make them laugh when they feel up for it. One of my favorite activities to do with friends that always brings on lots of laughs for all of us is virtual trivia nights. It’s a COVID-safe activity that I could do when I didn’t feel like leaving the house, and there are plenty of places that put on themed virtual trivia. We would often do trivia about topics such as Schitt’s Creek, Disney, and even 90-Day Fiancé, which were always especially entertaining.

But it doesn’t have to be as involved as a trivia night – that might be something your friend isn’t feeling up for if they’re experiencing chemo brain or fatigue. If they’re feeling up to having a visitor, though, you could do something as simple as watching a funny movie or bingeing a funny show together. 

The Bottom Line

The bottom line is that humor, whether about cancer or just in general, can feel like a huge sigh of relief for someone going through cancer treatment. While what your friend is going through is very serious, that doesn’t mean that all of your interactions with them need to be. They are still the friend they were before cancer, and they want to laugh with you the way they did before cancer. Help them feel that sigh of relief by bringing humor into your interactions with them!

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Chiara vs Cancer: Adapting to a New Life with Support That Makes Life Better

My Story

My name is Chiara Riga. I am 28 years old, a marketing operations manager, dog mom, lover of exercise and the outdoors, and in September of 2020, I was diagnosed with stage IV metastatic breast cancer. A year before my diagnosis, I had gone to the doctor to have a lump in my breast checked out and was told that I was “too young” for breast cancer and that it was a cyst. A year later, I went in to have the “cyst” drained and walked out with a cancer diagnosis. This came as quite a shock to me and my entire support system as I was in the best shape of my life when I was diagnosed and had no family history, genetic mutations, or any other significant risk factors.

The first few months of my diagnosis were incredibly difficult. Having to come to terms with your own mortality in your 20s is not something that anyone is prepared for, and adjusting to medically-induced menopause along with the other host of side effects has been physically challenging. But over the past year, I’ve learned a lot about my diagnosis. With the help of an amazing support system, I’ve begun to learn what my new life will look like. I’m focusing on advancing my career, being outdoors and exercising as much as possible, spending time with the people I love, and helping others understand that you’re never too young for cancer, as well as sharing how best to support their AYA loved ones who are diagnosed with cancer.

 

Support Tip #1: Be Authentic and Get Creative

I couldn’t have gotten to this place of acceptance of my new life without an incredible group of people around me. When I was first diagnosed, there was an outpouring of support from what felt like everyone I’ve ever met. But as most AYA cancer patients can probably relate to, many of those people slowly started to fade away as the novelty of my diagnosis wore off. Luckily though, most of my favorite people held strong in their support of me. While many people asked what they could do to help, my favorite ways that my friends have supported me were creative ways that they came up with themselves.

The one that sticks out the most was when my best friends, many of whom don’t know each other well, all came together and bought me a beautiful charm bracelet. They each put a charm on the bracelet that they felt represented our friendship, then they each wrote me a little letter explaining the charms and wishing me luck through my treatment. Since I was diagnosed when we were still in lockdown, they weren’t able to come with me to any appointments or be with me much, so the charm bracelet always brought a smile to my face when I looked at it during appointments.

Another really creative way that people supported me was when a group of colleagues created a signup list, and each week, one of them wrote me a beautiful card. They decided that instead of overwhelming me with support at the beginning and then fading away, they wanted to ensure that I felt loved and supported continually. It’s been a year, and the letters are still coming! They somehow always end up arriving during the hardest part of my week and always bring a smile to my face.

 

Support Tip #2: Anticipate and Be Specific

There have also been other times when people wanted to support me, but they came to me to ask how they could help, and I just didn’t have the capacity to let them know what I needed at that time. It often felt easier to just get myself what I needed rather than having to explain to someone else what was necessary. The best kind of supporters are the ones who learn to anticipate your needs and provide help without asking what you need first.

Some friends have come to me and said something like, “I’m bringing you ice cream. Do you prefer mint chocolate chip or Phish Food today?” so that I didn’t have to feel bad asking for what might make me feel better. Once I told my friend that I was having trouble eating because of my mouth sores and she stopped by later that day to drop off homemade bone broth, ice cream, and other treats that I could enjoy without irritating my mouth sores. This made such an impact because I was just struggling through the side effects, and she actively tried to alleviate some of the struggles.

chiara vs cancer

Support Tip #3: Just Try! 

My best advice to someone who wants to support an AYA through cancer treatment is to just try – don’t ask what they need, don’t put the onus on them to help you be supportive, just try something. And don’t be offended if the first thing you try doesn’t land with them at first; this is a whole new world that they’ve been thrust into, and you don’t have any understanding or context into what it’s like to live with a diagnosis like this, so you might get it wrong sometimes. But the important thing is to show that you’re there, you care, and you’re willing to do the work to get it right.

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