The After Cancer Blog

Hot flashes are a common side effect for men undergoing androgen deprivation therapy (ADT)  for prostate cancer.According to the Golden Gate Cancer Center , approximately 75–80% of men receiving ADT experience these sudden feelings of warmth, often accompanied by sweating and facial flushing. What causes hot flashes in prostate cancer patients? Hot flashes in prostate cancer patients are primarily due to reduced testosterone levels resulting from ADT. This hormonal change affects the hypothalamus, the brain's temperature regulation center, leading to sudden sensations of heat. Testosterone Reduction and Hormonal Imbalance Testosterone's Role : Testosterone, produced mainly in the testicles, plays a crucial role in various bodily functions, including the regulation of body temperature. Impact of ADT : ADT aims to lower testosterone levels to inhibit prostate cancer cell growth. This reduction can disrupt the balance of other hormones and neurotransmitters involved in temperature regulation. Hypothalamic Dysfunction Hypothalamus Overview : The hypothalamus is a region in the brain responsible for maintaining homeostasis, including body temperature regulation. Effect of Hormonal Changes : Reduced testosterone levels can affect the hypothalamus's ability to regulate body temperature effectively, leading to the onset of hot flashes. Neurotransmitter Involvement Role of Neurotransmitters : Neurotransmitters such as serotonin, norepinephrine, and GABA are involved in the regulation of body temperature. Impact of Hormonal Changes : The hormonal fluctuations caused by ADT can alter the levels and activity of these neurotransmitters, contributing to the occurrence of hot flashes. Endorphin Reduction Endorphins and Temperature Regulation : Endorphins are neurotransmitters that can influence the body's response to temperature changes. Consequences of Reduced Endorphins : A decrease in endorphin levels, resulting from hormonal changes due to ADT, may impair the body's ability to regulate temperature, leading to hot flashes. Managing hot flashes 1. Pharmacological Treatments Antidepressants : Selective serotonin reuptake inhibitors (SSRIs) like paroxetine and venlafaxine have shown efficacy in reducing hot flashes. The Oncology Nursing Society (ONS) guidelines recommend SSRIs like paroxetine and SNRIs such as venlafaxine as first-line treatments for hot flashes in men with prostate cancer, based on available evidence. Clonidine : An alpha-2 adrenergic agonist that can alleviate hot flashes. However, the ONS guidelines classify clonidine as a second-line treatment for hot flashes in men with prostate cancer, suggesting its use when first-line agents are ineffective or not tolerated. Gabapentinoids : Gabapentin has been evaluated for hot flash management, though its use is not universally recommended due to potential side effects. The American Cancer Society notes that gabapentin is commonly used off-label to treat hot flashes, including those related to cancer treatments. 2. Non-Pharmacological Approaches Mindfulness and Cognitive Behavioral Therapy (CBT) : These therapies can help patients manage stress and the emotional impact of hot flashes. Cooling Devices : Innovative solutions like wrist-worn cooling devices have been explored for their feasibility in managing hot flashes. Lifestyle Modifications : Adjustments such as wearing breathable clothing, maintaining a cool environment, and avoiding triggers like spicy foods and alcohol can help. 3. Alternative Therapies Acupuncture : Some studies suggest that acupuncture may reduce the frequency and severity of hot flashes. Herbal Supplements : While commonly used, the efficacy and safety of herbal remedies for hot flashes are not well-established, and they should be used cautiously. Conclusion Hot flashes are a significant concern for many men undergoing hormone therapy for prostate cancer. A combination of pharmacological treatments, non-pharmacological strategies, and lifestyle adjustments can effectively manage this side effect. It's important for patients to discuss these options with their healthcare providers to tailor a management plan that suits their individual needs.

Colon cancer is one of the most common cancers, and while it can be physically debilitating, the emotional toll it takes on patients is often underestimated. Depression is a frequent companion for those diagnosed with colon cancer, as they navigate the physical, psychological, and emotional challenges of the disease and its treatments. This article explores the reasons why depression is common in colon cancer patients, its impact, and strategies for managing it. Disclaimer: The content on this article does not mean in any scenario that it will happen to every patient diagnosed with specific cancer types. Use is to understand when you might start feeling different, and ask for help! Why colon cancer and depression are linked Colon cancer is not only a physical battle; it also impacts a patient's mental health. Several factors contribute to the development of depression during colon cancer treatment: Physical symptoms and treatment side effects: Colon cancer and its treatments - surgery, chemotherapy, radiation, and targeted therapy - can cause significant physical symptoms like chronic pain , fatigue , digestive issues , and weight changes . These symptoms often disrupt daily life and can lead to feelings of frustration, helplessness, and sadness, contributing to depression. Fear of recurrence: As with many cancer patients, those diagnosed with colon cancer often experience a fear of recurrence, which can be a major source of anxiety and depression. The emotional strain of dealing with this fear, especially during recovery, can weigh heavily on mental well-being. Impact of surgery and body image changes: Surgery for colon cancer often involves removing part of the colon or rectum, which can lead to significant changes in bowel function, body image, and self-esteem. These changes, coupled with the recovery process, can create emotional distress and trigger depression in many patients. Lifestyle changes and uncertainty: The diagnosis and treatment of colon cancer require significant lifestyle adjustments, including changes in diet, activity level, and daily routines. The uncertainty of the future, combined with the challenges of managing new health issues, often exacerbates feelings of sadness or hopelessness, leading to depression. How to manage depression during colon cancer treatment Managing depression in colon cancer patients is crucial for both mental and physical well-being. Here are several strategies to help cope with the emotional impact of the disease: 1. Psychological Counseling and Therapy Therapy plays an essential role in managing depression during cancer treatment. Cognitive Behavioral Therapy (CBT) is particularly effective for colon cancer patients, helping them reframe negative thoughts and focus on more positive, realistic outcomes. Counseling can also address anxiety about the future, helping patients manage the fear of recurrence. 2. Support Groups Joining a support group allows colon cancer patients to connect with others who understand their journey . Whether in-person or online, support groups provide a space to share experiences, gain advice, and find emotional support. For many, these groups help reduce feelings of isolation and foster a sense of belonging. 3. Mindfulness and Relaxation Techniques Mindfulness practices, such as meditation , deep breathing exercises , and yoga , can help alleviate stress, anxiety, and depression. These practices promote relaxation and help patients stay present in the moment, reducing the tendency to ruminate on negative thoughts. Mindfulness can also help manage physical symptoms, like fatigue or pain, by fostering a mind-body connection that improves overall well-being. 4. Medication In some cases, antidepressant medications may be necessary to help manage depression. SSRIs (Selective Serotonin Reuptake Inhibitors) are often prescribed to help restore the balance of neurotransmitters that regulate mood. It’s important to work with a healthcare provider to determine the best course of treatment, ensuring there are no negative interactions with cancer treatments. 5. Family and Caregiver Support Having a strong support system is critical in managing depression. Family members and caregivers can provide emotional and physical support, helping patients feel less isolated and more connected. Open communication and empathy are key in helping patients cope with the emotional challenges of cancer treatment. Conclusion Colon cancer, with its physical and emotional challenges, can lead to depression, affecting many patients during treatment and recovery. While depression is common, it’s important to understand that it’s treatable. Seeking professional support through therapy, joining support groups, engaging in mindfulness practices, and using medication when necessary can all help manage depression effectively. By addressing the emotional aspects of cancer treatment, patients can improve their mental well-being and enhance their quality of life during and after treatment.

A pancreatic cancer diagnosis can be a challenging and emotional journey. Alongside the physical challenges of treatment, many patients also face emotional hurdles. Depression is common in people with pancreatic cancer, and its effects can sometimes feel as overwhelming as the physical symptoms. While the fear of the unknown and the changes brought by the disease are natural, it’s important to recognize that help is available. Addressing emotional health during treatment can greatly improve both well-being and quality of life. Why pancreatic cancer and depression are linked? Pancreatic cancer affects not only the body but also a person’s emotional health. The emotional impact of the disease is often intensified by the physical challenges that accompany it. Here are some reasons why depression is more common in pancreatic cancer patients: The emotional toll of diagnosis: A diagnosis of pancreatic cancer can bring uncertainty and fear of the future. The stress of not knowing what to expect can lead to emotional struggles. This anxiety, combined with the need to focus on physical health, can make it difficult to manage emotions. The physical challenges of pancreatic cancer: The physical symptoms of pancreatic cancer, such as fatigue, weight loss, and digestive issues, can significantly affect a person’s daily life. These physical changes can lead to feelings of frustration or helplessness, which, if left unaddressed, can contribute to depression. Treatment side effects: Pancreatic cancer treatments, such as chemotherapy and radiation, can cause side effects like nausea, hair loss, and fatigue. These side effects can be physically draining and emotionally taxing, leaving patients feeling overwhelmed. Additionally, the recovery process may leave patients feeling distant from their former sense of self. The uncertainty of the future: The prognosis for pancreatic cancer can be uncertain, which can bring about feelings of sadness and fear. Worries about the future and the potential progression of the disease can contribute to emotional distress. It's important to acknowledge these feelings while also remembering that support is available. How to manage depression during pancreatic cancer treatment Managing depression during pancreatic cancer treatment is crucial to maintaining overall well-being. Fortunately, there are many ways to address these emotional challenges: 1. Psychological counseling and therapy Speaking with a counselor or therapist can provide emotional support and practical strategies for coping with depression. Cognitive Behavioral Therapy (CBT)  is a helpful tool in identifying and addressing negative thought patterns. Therapy can help patients cope with the emotional impact of cancer treatment and manage feelings of sadness or hopelessness. 2. Support groups Connecting with others who understand the experience can be very beneficial. Support groups for pancreatic cancer patients offer a safe space for sharing stories , gaining advice, and finding emotional relief. These groups help reduce feelings of isolation, creating a community of individuals who can relate to each other’s struggles. 3. Mindfulness and relaxation techniques Mindfulness practices like meditation, deep breathing exercises, and yoga  can help patients manage stress and anxiety. These practices can promote relaxation, reduce feelings of anxiety, and help patients stay connected to their bodies. Simple mindfulness techniques can also provide relief from physical symptoms, like fatigue, which are common during cancer treatment. 4. Medication In some cases, antidepressants can help manage symptoms of depression, especially when feelings of sadness or hopelessness persist. SSRIs (Selective Serotonin Reuptake Inhibitors) are commonly prescribed for cancer patients experiencing depression. It’s essential to work with a healthcare provider to ensure the medications don’t interfere with cancer treatments . 5. Family and caregiver support The support of family and caregivers plays a significant role in managing depression. Open communication with loved ones, emotional reassurance, and practical support can make a big difference in how patients cope with their diagnosis . Encouraging involvement in therapy, support groups, or relaxation practices can also help the whole family feel more connected and supported. Conclusion While pancreatic cancer presents significant physical and emotional challenges, it is possible to manage depression with the right strategies. Therapy, support groups, mindfulness, and medication are all effective ways to cope with the emotional toll of the disease. It’s important for patients and their families to recognize the signs of depression and seek support early. With the right care, patients can improve their emotional well-being, making their cancer journey more manageable and fulfilling.

A brain cancer diagnosis can bring a unique set of emotional challenges. Not only do patients face the fear of the disease and its potential progression, but the tumor itself can have a direct impact on mood, cognition, and overall mental health. Feelings of depression are a common and significant concern for patients with brain cancer, often worsened by the physical and psychological effects of the disease and its treatment. Understanding the causes of depression in brain cancer patients and offering strategies for managing it is critical for supporting both mental and physical well-being. Disclaimer: The content on this article does not mean in any scenario that it will happen to every patient diagnosed with specific cancer types. Use is to understand when you might start feeling different, and ask for help! Why brain cancer and depression are linked Brain cancer’s direct effects on the brain are one of the primary contributors to depression. Tumors in certain regions of the brain can alter cognitive function, mood, and behavior. Here are the key reasons brain cancer often leads to depression: Location of the tumor : Tumors in the brain can affect areas responsible for mood regulation, memory, and cognitive function. For example, the frontal lobe, which governs emotions and decision-making, can cause emotional disturbances, irritability, and depression when impacted by a tumor. Cognitive and personality changes : As the tumor grows, patients may experience cognitive decline  (e.g., trouble concentrating, memory loss) or changes in personality, which can be confusing and distressing. This can lead to feelings of frustration, helplessness, and sadness, all of which contribute to depression. Treatment side effects : Brain cancer treatments, including surgery , radiation , and chemotherapy , can affect cognitive function and mood. Radiation therapy , especially when used to target the brain, can lead to symptoms like fatigue, memory issues, and changes in mental clarity. Chemotherapy  can also cause "chemo brain," a condition that affects concentration, memory, and emotional stability, which may trigger or worsen depression. Fear of disability and mortality : The uncertainty and potential for permanent neurological impairment associated with brain cancer can lead to feelings of hopelessness and despair. The fear of recurrence, disability, and the possible progression of the disease often contribute to depression. How to manage feelings of depression during brain cancer treatment Managing depression during brain cancer treatment is essential to improving both mental health and the overall quality of life. Here are several strategies that can help: 1. Psychological Counseling and Therapy Therapy is crucial for helping patients cope with the emotional toll of brain cancer. Cognitive Behavioral Therapy (CBT)  has proven effective in helping patients manage depression by changing negative thought patterns and improving emotional regulation. CBT can also help patients deal with the anxiety and fear of recurrence that often accompanies brain cancer. 2. Support Groups Support groups provide patients with a space to connect with others who understand the challenges they face. Sharing experiences with others who are undergoing or have undergone similar treatments can provide emotional relief and reduce the isolation often felt during brain cancer treatment. Support groups for brain cancer patients can also offer practical advice for managing depression and anxiety. 3. Mindfulness and Relaxation Techniques Mindfulness-based practices, such as meditation , deep breathing , and yoga , can significantly reduce anxiety and depression. These techniques promote relaxation and focus on being present, helping patients stay grounded during stressful moments. Studies have shown that mindfulness can reduce the severity of symptoms like fatigue and cognitive impairment, which are common in brain cancer patients. 4. Medication Antidepressants such as SSRIs (Selective Serotonin Reuptake Inhibitors)  can be effective in treating depression for patients with brain cancer. Medication is often used when the emotional distress is severe and interfering with day-to-day life. It’s important to consult a healthcare provider to ensure that the prescribed medication does not interact with cancer treatments. 5. Family and Caregiver Support Emotional support from family and caregivers plays a significant role in managing depression in brain cancer patients. Open communication, empathy, and practical assistance can help alleviate feelings of loneliness and provide comfort during treatment. Caregivers can also support patients in attending therapy sessions, participating in support groups, or engaging in mindfulness practices. Conclusion Brain cancer is a devastating diagnosis, and the emotional toll it takes on patients is profound. Depression is common, but it is treatable. Through a combination of psychotherapy , support groups , mindfulness practices , medication , and caregiver support , brain cancer patients can manage depression and improve their overall quality of life. It’s crucial to acknowledge the psychological effects of the disease and its treatment, and seek help early to ensure the best possible emotional and mental well-being.

Prostate cancer is one of the most common cancers affecting men worldwide. While treatment can save lives, it can also cause significant emotional and psychological challenges. Feelings of depression and anxiety are a common issue for prostate cancer patients and survivors, often arising from the diagnosis itself, the side effects of treatment, and the long-term changes to one’s physical and emotional well-being. Understanding the emotional toll of prostate cancer and learning how to manage it can greatly improve quality of life during and after treatment. Disclaimer: The content on this article does not mean in any scenario that it will happen to every patient diagnosed with specific cancer types. Use is to understand when you might start feeling different, and ask for help! Why these feelings might arise in prostate cancer patients The emotional impact of a prostate cancer diagnosis can be profound. For many men, the diagnosis triggers fear, anxiety, and feelings of vulnerability. These emotions are normal, but they can evolve into depression if not addressed. The causes of depression in prostate cancer patients are multi-faceted and can include: Fear of recurrence : Men diagnosed with prostate cancer often experience a constant fear of cancer returning, which can lead to feelings of anxiety and depression. The ongoing worry can make it difficult to focus on anything else, adding to feelings of despair. Physical side effects of treatment : Prostate cancer treatments such as surgery (radical prostatectomy), radiation therapy, and hormone therapy can result in physical changes that affect a man’s body image and self-esteem. Side effects like erectile dysfunction (ED), incontinence, and fatigue can significantly impact self-worth and lead to feelings of depression. Hormonal changes : Hormone therapy, commonly used to treat prostate cancer, lowers testosterone levels, which can have a direct effect on mood. Low testosterone is associated with fatigue, irritability, and a diminished sense of well-being. This can exacerbate feelings of depression. Body image and sexual health : Prostate cancer treatment can cause changes that affect a man’s sexual health, including erectile dysfunction and changes in sexual desire. This can be particularly distressing as it often affects how men view themselves and their relationships with their partners. Managing feelings of depression during prostate cancer treatment Managing depression and anxiety during and after prostate cancer treatment is crucial for overall well-being. Here are several strategies to help cope with the emotional toll of prostate cancer: 1. Seek professional help: Therapy is one of the most effective ways to manage depression related to prostate cancer. Cognitive Behavioral Therapy (CBT) is particularly helpful in reframing negative thoughts and reducing feelings of helplessness. Talking to a psychologist or counselor can provide a safe space to process emotions and develop coping strategies. 2. Support groups: Joining a support group can reduce feelings of isolation and provide comfort in knowing that others understand the struggles of living with prostate cancer. Many prostate cancer survivors benefit from hearing others’ stories, which can help them feel supported and less alone. Support groups often offer advice and emotional comfort during difficult times. 3. Mindfulness and relaxation techniques: Mindfulness practices like meditation and deep breathing exercises can help reduce stress and anxiety. These techniques allow patients to stay present, reduce rumination on negative thoughts, and increase emotional resilience. Regular mindfulness practice has been shown to decrease the severity of depression and anxiety. 4. Physical activity: Exercise is not only important for physical health but also for mental health. Studies have shown that regular physical activity can boost mood, reduce symptoms of depression, and increase energy levels. Light activities like walking, swimming, or yoga can help combat fatigue and improve emotional well-being. 5. Medication: In some cases, medication may be necessary to help manage depression, particularly when symptoms are severe. Antidepressants are commonly prescribed to help balance mood and improve emotional stability. It's essential to consult with a healthcare provider before starting any medication, as some antidepressants can interact with cancer treatments. The importance of sexual health and body image in managing feelings of depression Sexual dysfunction and body image concerns are common issues for men undergoing prostate cancer treatment. These factors often contribute to depression and anxiety, as men may feel a loss of identity or experience challenges in their relationships. Open communication with partners, education about the physical and emotional changes, and seeking professional help for sexual health issues can help men regain confidence and improve their emotional health. Prostate cancer and its treatments can significantly impact mental health, with depression being a common challenge faced by many patients. However, with the right support, treatment options, and coping strategies, depression can be managed, and overall quality of life can be improved. Whether through therapy, support groups, physical activity, or mindfulness practices, addressing mental health is a critical part of cancer recovery. Remember, you don’t have to navigate this journey alone. Reach out to support groups, healthcare professionals, and trusted sources to help manage both the emotional and physical aspects of prostate cancer.

Breast cancer is a life-changing diagnosis, and for many women, the emotional impact of the disease can be just as overwhelming as the physical effects. Feelings of depression are one of the most common psychological struggles for breast cancer patients, affecting them at various stages of treatment and recovery. Understanding the emotional journey, from diagnosis to post-treatment, is crucial for supporting women through this challenging time. Disclaimer: The content on this article does not mean in any scenario that it will happen to every patient diagnosed with specific cancer types. Use is to understand when you might start feeling different, and ask for help! Why these feelings might arise A breast cancer diagnosis brings a flood of emotions, and feelings of sadness, fear, and anxiety are all normal responses. However, when these feelings persist and interfere with daily functioning, they can develop into clinical depression. Several factors contribute to depression in breast cancer patients, including: The Shock of Diagnosis : Learning that you have breast cancer can cause overwhelming feelings of fear, uncertainty, and disbelief. The unknowns about treatment, the future, and the prognosis can weigh heavily on a patient’s mind. Body Image Changes : Many women experience significant changes in their body, especially after surgery such as a mastectomy or lumpectomy . These physical changes can trigger deep feelings of loss, anger, and diminished self-worth. A woman’s sense of identity and femininity may feel disrupted, contributing to body image issues and emotional distress. Treatment Side Effects : Chemotherapy, radiation, and hormone therapy can cause various side effects, including fatigue, nausea, hair loss, and changes in skin or breast tissue. These side effects can lead to a diminished sense of well-being and increased emotional vulnerability. Fear of Recurrence : The fear that cancer may return can create ongoing anxiety, leaving patients feeling uncertain and fearful about their future. This worry can be compounded by physical symptoms from treatment, making it difficult to find emotional peace. Hormonal Changes : Treatments like hormone therapy (e.g., tamoxifen or aromatase inhibitors) can lead to hormonal imbalances that exacerbate feelings of depression. The side effects of these treatments, such as hot flashes and mood swings, further contribute to emotional instability. Recognizing the Signs of Depression in Breast Cancer Survivors Depression is not just about feeling sad; it affects how you think, feel, and behave. Recognizing the signs of depression early can help in seeking appropriate care and support. Symptoms include: Persistent feelings of sadness, hopelessness, or emptiness Loss of interest in activities that used to bring joy Difficulty concentrating or making decisions Changes in appetite, sleep patterns, or energy levels Feeling disconnected from others or experiencing isolation Thoughts of self-harm or suicide (seek help immediately) If you or a loved one is experiencing any of these symptoms, it’s important to seek professional help from a therapist, counselor, or healthcare provider. Coping with Depression During Breast Cancer Treatment While it’s natural to experience emotional ups and downs during cancer treatment, there are steps that can be taken to manage depression and improve emotional well-being. The best way to manage emotional health during treatment is through a combination of physical care, emotional support, and professional guidance. Support groups, therapy, and mindfulness practices can all make a significant difference. Therapy and Counseling : Speaking with a mental health professional, such as a psychologist or therapist, can provide emotional support and coping strategies. Cognitive Behavioral Therapy (CBT) is particularly effective in helping cancer patients reframe negative thought patterns and improve mood. Support Groups : Connecting with others who understand your struggles can be incredibly comforting. Support groups for breast cancer survivors offer a safe space to share experiences, gain advice, and find emotional support. These groups can reduce feelings of isolation and offer practical tips for coping with depression. Mindfulness and Relaxation : Techniques such as mindfulness meditation , deep breathing exercises , and yoga can help reduce anxiety and stress, fostering a stronger mind-body connection. These practices can be powerful tools in managing the emotional challenges of breast cancer treatment. Physical Activity : Regular exercise, even light activities like walking or stretching, can improve mood and energy levels. Exercise boosts the release of endorphins , which can help lift your spirits and reduce feelings of depression. Medication : In some cases, antidepressant medication may be necessary to help manage depression. It’s important to consult with a healthcare provider to discuss the risks and benefits, especially when taking other medications for cancer treatment. The Importance of Support for Breast Cancer Survivors Having a support system is essential for managing depression during breast cancer treatment. Social support plays a crucial role in the mental and emotional well-being of breast cancer survivors. Having loved ones to talk to, or joining a support group, can help mitigate feelings of loneliness and provide a sense of community. Whether it’s a partner, family member, friend, or healthcare professional, emotional support can make a significant difference in how a patient copes with their illness. Encourage open communication about feelings and concerns, as this can help alleviate the burden of depression. Conclusion Breast cancer is a journey that affects every aspect of a woman’s life, physically, emotionally, and mentally. Feelings of depression are a common and challenging side effect that many women face during and after treatment. By acknowledging the emotional toll that cancer treatment can take, and seeking appropriate support and care, women can begin to rebuild their sense of self and regain control of their emotional well-being. Remember, it’s okay to ask for help. You don’t have to face this challenge alone.

Beatriz Costeira at her first dance class dio post cancer diagnosis The cancer diagnosis is life changing, and for a 24-year-old trying to make her way into the job market and create a name for herself, it’s disruptive to say the least. Hi, my name is Beatriz, and I was diagnosed with Hodgkin’s Lymphoma in May 2024. When I was first diagnosed, my priorities shifted completely. Instead of overthinking about how stagnated and lost I felt in life, my focus was on winning the battle ahead. Little did I know that that battle was only the first of a very long war. We are indeed wariors, this is a stone that life only places in the path of those strong enough to overcome it, never forget that. I received the news of being in remission in November, three days before my birthday. Everyone would say that it was the best birthday gift I could get, and that’s no lie. But for some reason, my reaction to the news wasn’t as cheerful as I expected, not as cheerful as my mother’s or everyone else’s. I wanted to, but in the back of my head a lingering thought of “what now?” haunted my little Happiness from pressing the cheer button in the mental control console, just like in Inside Out (great movies by the way). If you’re reading this and find yourself lost in “the after cancer”, know that you are not alone and there is indeed a light at the end of the tunnel! I was very lost and misplaced on the path I was on before cancer, and to certain extent I felt like all of this was a hint from my body that I was not following the right direction, and I listened. The next six months of treatment made me question every decision I made up until that point – studies, careers, relationships, hobbies, and even the way I pushed myself beyond my limits. I had an even harder battle to fight after chemo: finding myself. I’ve struggled deeply with depression and anxiety, even before cancer, and it is not easy to overcome. It takes a lot of strength, and we need to pull ourselves up while reaching for an helping hand. The diagnosis and the chemo made it worse, but what went through my head then could fill an entire trilogy, so let’s focus on the after. I had a mission: to build a future where I felt fulfilled, happy and proud of myself. These were my tactics: 1. Communication. Therapy and opening up with the ones close to me were my first line of attack, and I plan to keep seeing my therapist for a long time. 2. Hobbies . I started hobbies I had been wanting to try forever, ceramics mostly. I found out that I’m actually good at it – take a look! 3. Happiness . I went back to what makes me happy: dance. I don’t think I’ve ever been as heartbroken as I was when I had to stop dancing in 2018. But this was the time, I had to go back. 4. Exercise . Going back to the studio was challenging, because everything I had worked for was gone - muscle strength and flexibility - and I had to start all over again. But I was determined to not just get back to where I was, but to build a new, even stronger version of myself. 5. Nutrition . With the weight fluctuations during and after chemo, I struggled with both my self-esteem and my overall health. What we feed our bodies is crucial for easing chemo effects during and after treatment. For me, I’m on a mission to feel good in my body again. My first ceramic piece Chemotherapy was a setback, but also an experience that made me mentally tougher, I just had to tap into that strength. I could develop way more on each of these strategies, but we would be here for hoooours. My professional life also had to be rethought, but my only rule to myself is to take it slow. And so, it happens that I started working with The After Cancer , where I get to learn more about how to manage my side effects after chemotherapy while contributing my first-hand experience to help improve the approach to different topics. All in all, what I want to emphasize is that the road back from chemotherapy is undeniably challenging, full of ups and downs. There is no way we can avoid that. But we can work around it, with resilience, patience, focus and a handful of troops by our side. Notably, research shows that exercise and healthy nutrition can improve survivors’ quality of life and even reduce risk of cancer recurrence. So I strongly advocate that nourishing and listening to your body will significantly improve post-chemotherapy symptoms. And above all, take care of your mental health. Learn that new skill you’ve always wanted, do what makes you happy, connect with those who bring the best in you, and try that dance class you’ve been hesitant to take (you are never too late for that)! Spread kindness, and kindness will find its way back to you. The present may be shaky, but the future is bright and full of good things to come.

Kelly Brown, a chondrosarcoma survivor and member of The After Cancer My favorite season is the season of awakening. One that brings bundles of yellow flowers, buds waiting to burst forth and color the branches of southern trees in vibrant hues while pale landscapes turn green seemingly overnight. A season of longing for brighter days and the early morning chirping of birds. But beyond the emerging beauty, this season brings hope for a family of strangers bound together through the rare cancer that is Sarcoma . The Sarcoma Stomp is held every April in Charlotte NC to continue the vision of Paula Takacs. As a young mother, Paula was diagnosed with Liposarcoma soon after birthing her son in 2004. At the time of diagnosis there were no dedicated Sarcoma Centers in Charlotte and funding for Sarcoma research was grossly lacking. She had a vision to make a difference for the Sarcoma community by creating The Paula Takacs Foundation . The initial goal, to raise crucial funds for Sarcoma research.  Sarcomas are rare bone and soft tissue cancers. They account for 1% of all adult cancer diagnoses and 15% of all pediatric cancer diagnoses. Soft tissue sarcomas are more common than bone and there are over 100 Sarcoma subtypes.  When I personally received a cancer diagnosis of Chondrosarcoma , I had never even heard of sarcomas. My world suddenly felt smaller, lonelier. But, after a single surgery I was cancer free and through social media, I discovered The Paula Takacs Foundation and I knew the impact they were making was vital in the fight against sarcoma. I attended my first Sarcoma Stomp in April 2022, a little more than a year after my Chondrosarcoma diagnosis and surgery. I opted to walk the 3k accompanied by a few of my favorite people. For the first time since my surgery, I felt surrounded by people that understood - no uneasy stares at the long scar on my leg, no awkward looks as I walked really slow with a limp. There was a deep sense of unity and a common purpose, to honor loved ones, celebrate progress and uplift the sarcoma community. We were a family that no one would choose, but a family nonetheless.  As I was walked the 3k, I remember feeling overwhelmingly thankful to be able to participate. The 3k walk offered a great alternative to the 5k run, making participation possible for those who couldn’t run. When I received an endoprosthesis in my leg I was told I couldn’t run again. It wasn’t a big deal at the time because running was never really my preferred method of exercise. For those who love running, the 5k is still an option and I hear it can get pretty competitive! Both the walk and run go through a scenic South Charlotte neighborhood, followed by a celebration featuring race awards, team spirit recognition, and fundraising acknowledgments. The after-party shines as an honor to each participant and volunteer. More than just a race, the Sarcoma Stomp has become an annual gathering, an opportunity to raise funds, increase awareness, and rise up in unwavering support of all those affected by sarcoma.  Sarcoma Statistics  https://paulatakacsfoundation.org/what-is-sarcoma/ Paula’s Story https://paulatakacsfoundation.org/paulas-story/

When I was in 6th grade, I started doing gymnastics and by high school I was competing for my high school team. I competed on everything - floor, uneven bars, vault and balance beam. I was pretty good I guess, winning plenty of awards for the meets. One day, Senior year, I fell. I was doing a back flip on the balance beam, like I had done hundreds of times before, but this time, I fell to the floor upside down on my head. That’s a long way to fall off a four- inch plank.  I was ok but my self- confidence was not. My coach let me settle down a bit and then told me to do it again.  Although I was able to do it a couple of times during that season, I never felt self-confidence like I had before. It was stuck in my mind “I might fall”. Lots of us struggle when we fall with a difficult diagnosis, a family challenge, a business problem, addiction - no matter what it is. But what does it mean to get back up?   One of the best examples might be the undoing of Tiger Woods. The world watched the arguably finest golf player ever fall to grace upon a marriage scandal of proportions hard to fathom. In a humiliating public arena, we watched the demise of not only his reputation, his marriage, his wealth but also his storied role as the greatest golfer ever- as he even lost his swing. This story doesn’t end here though. Woods has slowly rebuilt his life, his game, and even his reputation. Although he still gets into top golf competitions, he doesn’t perform nearly close to what he used to. But this is the greatest part of this story for me. He’s out there. He’s trying. He has learned some hard things the hard way but has decided to get up anyway.  And I admire this kind of grit from anyone, digging deep to learn more about oneself and understanding that often the best success doesn’t come from the shiny awards, the new job or the results from the doctor’s office, but for the inner sense that by picking yourself up, you have already won.

We are still basking in the amazing feels from this past Saturday’s Get Your Rear in Gear  event, hosted by the Colon Cancer Coalition  at First Ward Park in Charlotte. It was one of those days that fills your heart and reminds you exactly why this community is so special. There’s something sacred about arriving in the early morning hours, before the city has even started to stir. That quiet, reflective time has become a ritual for me—this was my 7th year  supporting colon cancer survivors through the GYRG Survivor area, and each year I find myself remembering those we've lost and celebrating those who continue to thrive. It’s a moment to honor every single survivor counting the years since diagnosis, and the strength it takes to do so. As the sun began to rise, casting an orange glow  over the Survivor, Friends & Family tent, it felt like a warm embrace—a promise of hope and healing. The Charlotte GYRG has truly become a homecoming . Survivors, friends, families—so many familiar faces gathered once again to walk, to run, and to celebrate life together. The After Cancer team  was honored to be there, welcoming survivors with open arms and open hearts. We shared stories of hope, resilience, and recovery , and introduced many to our virtual survivorship program . It was exciting to offer integrative care and support to every survivor who registered for the race. Knowing we can continue supporting them beyond this one day means the world to us. One of the most touching additions this year was the debut of “Kids Comfort Bags,”  lovingly created by 12-year-old Alyssa Miller . These bags, filled with items to help children express their emotions, carry the powerful message: “You are not alone.”  It was such an honor to hand these out to the young ones attending GYRG. Alyssa’s compassion and thoughtfulness reminded us all that support comes in many beautiful forms. The weather was perfect , the crowd was record-breaking , and the energy was phenomenal . From the moment the first teams arrived—captured beautifully in the opening photo of the race—you could feel the excitement and love in the air. Charlotte, thank you for showing up with your hearts wide open. Thank you to the Colon Cancer Coalition for organizing such a meaningful event. And to every survivor, caregiver, and supporter: we see you, we honor you, and we are here for you—every step of the way. With gratitude and love, Cheryl Lecroy

March 8th, 2025, was more than just a date on the calendar—it was a radiant celebration of life, love, and legacy. The Go Jen Go Foundation hosted a fabulous breast cancer race that brought our community together in a way that was truly magical. As the sun beamed down on us, we also joined the world in honoring National Women’s Day , making the day even more powerful and meaningful. From the moment we arrived, there was a sense of joy and connection in the air. The DJ didn’t miss a beat, cheering on the incredible women who showed up to walk, run, and rally. It felt like the whole day was wrapped in celebration and empowerment—an affirmation of the strength that lives in each woman who has faced or is facing breast cancer. And yet, amidst the celebration, there was a soft, humble undercurrent of remembrance. The race is named for Jen Pagani , a woman whose spirit continues to touch this community in beautiful ways. Through the heartfelt stories shared by those who knew her best, you could almost feel Jen’s presence. Her light, her strength, her joy—it was all there with us, guiding our steps. One of the most touching parts of the morning was seeing the men in pink tutus  running alongside the women they love. Their presence reminded us that this journey isn’t walked alone—it’s one of community, of support, and of unwavering love. We also had the pleasure of visiting with other incredible non-profits who, like us, are working to serve and support the breast cancer community. It’s always uplifting to connect with others on this path, to share stories, hugs, and hope. Smile. Sun. Warmth. Community. Connection.  That’s what this day was made of. It was a perfect event that reminded us how powerful we are—especially when we come together. I’m so grateful to be part of this beautiful, resilient community. Thank you, Go Jen Go, for letting us walk (and dance!) in Jen’s light. 💖

Marie Theriault, instructor of Tai Chi, Qigong and Yoga at The After Cancer Fatigue is something that everyone experiences.  Cancer-Related Fatigue  (CRF) is much more difficult.  It is a combination of physical, mental, and emotional exhaustion that persists during and sometimes after cancer treatment.  Simple tasks such as taking a shower may require a nap.  At the same time, getting that shower in offers a sense of accomplishment.  It’s a little win that brings hope. The causes of CRF are many.  It could be the cancer itself, the treatments, the anxiety that causes sleeplessness , improper nutrition , digestive disturbances, pain, weakness, or a feeling of overwhelm. When I think of Cancer Related Fatigue, I recall a conversation that I had with my brother who had been diagnosed with non-hodgkins lymphoma.  He had endured many harsh treatments and ultimately needed a stem-cell transplant.  He was talking to me about his extreme level of exhaustion and described it like this:  He said, “It’s like you see a pencil across the room, and you know you need that pencil, but you just don’t have the strength to stand up and get it.  You may look at it for a long time, trying to muster up the energy to get there.  Whether or not you do just depends on the day.”  Perhaps this is an extreme example, but anyone experiencing CRF can certainly relate. The American Cancer Society  has many recommendations for coping with CRF.  Getting moving  is one of them.  Take a walk to the mailbox, throw in a load of laundry, do some gentle stretches in a chair.  Make little neck circles, rotate wrists and ankles, stretch out fingers and toes.  Even tiny micro movements done for a few minutes several times a day can really help.  The effects will be uplifting and cumulative if done over time.   In this 2021 study , patients who participated in yoga showed significantly greater improvements in CRF and a reduction in anxiety, fear and depression. These benefits can also be gained by practicing Tai Chi and Qigong.  The results of Clinical Trials published by the Oncology Nursing Society  also discusses the benefits of Tai Chi for CRF.   A study led by Brown University  researchers found that a low-impact, meditative movement program involving Qigong was as effective as more standard exercise programs in improving cancer-related fatigue.  Other tips for managing CRF are staying hydrated, eating nutrient-dense foods, and practicing mindfulness meditation for stress management, and seeking assistance from an oncology-trained therapist or physician. There is so much evidence supporting the positive effects of mindful movement to improve symptoms of CRF.  The key is to find a style of exercise  that you enjoy and that you will look forward to doing.  The online classes with The After Cancer make it easy to participate.  The idea is to do what you can and rest when you need to.  Even just watching is a good distraction and a learning experience that is uplifting.  Being in a group with others who understand and support you takes away loneliness and offers a safe place to exercise that is appropriate for you.