Health
After a breast cancer diagnosis, here are 10 important things you should do, experts say
One in eight women in the U.S. will be diagnosed with breast cancer at some point in their lifetime, statistics show.
The diagnosis can be shocking, scary and overwhelming, leaving the patient with a long list of questions — perhaps the first of which is, “What should I do next?”
“Hearing the words ‘you have cancer’ is life-changing and brings with it many emotions,” Tingting Tan, MD, PhD, a medical oncologist and hematologist at City of Hope Newport Beach in California, told Fox News Digital.
“Know that your feelings are perfectly normal and give yourself some time.”
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Fox News Digital spoke with breast cancer experts who have helped other women navigate this tough journey, gathering their guidance about what to do in the days and weeks after the diagnosis.
“Hearing the words ‘you have cancer’ is life-changing and brings with it many emotions,” a doctor said. (iStock)
1. Take a beat — and breathe
Experts agree that it’s important to give yourself time to process the news.
“It’s natural to want to rush into action, but taking some time and letting the news sink in is important,” Dr. Alyssa Middleton, a psychosocial oncologist in Louisville, Kentucky, and founder of MyCancerResources.com, told Fox News Digital.
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“Allow yourself to feel the range of emotions that come with this life-altering news.”
In most cases, Middleton said, oncologists will wait several weeks to begin treatment to allow time for further testing — “so there’s no need to feel panicked about making decisions today.”
2. Write down questions and gather information
Once you’ve allowed yourself some time to process the diagnosis, it’s time to learn as much as you can from reliable sources.
“Read the information the doctor provided about the type of breast cancer you have and the stage — a number from 0-4 that describes how big the tumor is, where it is located, and how far it may have spread from the breast,” Middleton advised.
Experts recommend writing down a list of questions to ask your doctor in the days following a diagnosis. (iStock)
Next, it’s important to understand the typical treatments for your type and stage, which may include surgery, chemotherapy, radiation and/or hormone therapy.
Write down all of your questions and bring them to every doctor’s appointment, Tan advised.
“Those first appointments can be extremely emotional, and there may still be shock or disbelief,” she told Fox News Digital. “Writing your questions down will ensure you don’t forget them.”
3. Notify — and lean on — your support team
“You aren’t obligated to inform the whole world about your diagnosis,” Middleton said. “Share the news with those who you feel need to know and who will be most supportive.”
You can share as much or as little information as you like, she added. “This is your health, and you control what and how much information is shared.”
“Allow yourself to feel the range of emotions that come with this life-altering news.”
Once you’ve notified your loved ones, it can be helpful to bring a friend or family member to your appointments, Tan said.
“This time can be overwhelming, and you want to be sure you understand everything your doctor is explaining,” she said.
One in eight women in the U.S. will be diagnosed with breast cancer at some point in their lifetime. (iStock)
“Having your support system with you for an extra set of ears can be helpful if you don’t understand something or miss something.”
In your day-to-day life, it’s OK to ask for help, Tan emphasized.
“Loved ones are often ready and happy to help with preparing meals, taking kids to school, or anything and everything in between,” she said.
4. Consider a second opinion
Studies have shown that getting a second opinion after a breast cancer diagnosis can be beneficial for the patient.
“Second opinions can save lives,” Tan said.
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“Cancer is unique, and if you are diagnosed with breast cancer, you want to see an expert who specializes in your exact type. Don’t be afraid to ask your doctor for a second opinion.”
Even if you don’t switch oncologists, seeking a second opinion can provide reassurance that you have chosen the right care team and treatment plan, Tan noted.
Studies have shown that getting a second opinion after a breast cancer diagnosis can be beneficial for the patient. (iStock)
“It is essential to do this before starting treatment, as there may be additional options that you should consider,” she said.
Another breast oncologist may have different recommendations on how to treat your breast cancer, Middleton agreed.
“If the treatment recommendation is the same, you can decide which oncologist you feel most comfortable with and move forward with them,” she said.
“If the treatment recommendation differs, you can decide which approach you prefer.”
5. Build your care team
When it comes to seeking care, it’s vital to seek experts who specialize in breast cancer, Tan said.
She recommends choosing an oncologist who practices at a cancer center that’s designated by the National Cancer Institute (NCI).
“When breast cancer is localized – meaning it hasn’t spread outside the breast – the five-year survival rate is 99%.”
“Getting on the right treatment plan at the beginning of your journey is very important,” she said. “Physicians at academic medical centers are the most up to date on the latest treatment breakthroughs and options in the field.”
Dr. Anjeanette Brown, MD, a board-certified breast surgeon at the Premier Surgical Network in New Jersey, emphasized the importance of choosing a health care professional with the proper credentials.
Experts recommend choosing an oncologist who practices at a cancer center that’s designated by the National Cancer Institute (NCI). (iStock)
“This person should be your ‘quarterback,’ directing the essential steps that need to be taken for proper evaluation and imaging prior to going into surgery,” she told Fox News Digital.
It’s essential that the patient feels comfortable with her provider, Brown noted.
“This will be a long, intense relationship, dealing with emotions and physical changes that are about to happen, secondary to surgical intervention, as well as possible medical management,” she added.
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Dr. Lauren Ramsey, a breast cancer surgeon in Ft. Worth, Texas, specifically recommends seeing a breast surgeon (surgical oncologist) in a timely fashion — ideally a provider who has completed a specialized fellowship in breast surgical oncology.
“Other doctors, such as medical oncologists and radiation oncologists, may end up playing a role — however, the breast surgeon will be able to make those referrals for you,” she said.
6. Connect with others
Many women find invaluable support from other breast cancer patients and survivors.
“Online groups can be a great source of support, with others who are further along in treatment sharing their experiences and supporting you in your journey,” said Middleton.
Many women find invaluable support from other breast cancer patients and survivors. (iStock)
“If you’re feeling overwhelmed with all the information that’s been thrown at you, you may want to wait a little while to do this,” she added.
7. Think about fertility
For patients who want to have children in the future, it’s important to consider this before beginning treatment, according to Middleton.
“You’ll want to meet with a fertility specialist to learn about your options and make arrangements for any procedures to be done before any breast cancer treatment starts,” she advised.
8. Focus on the good news
While a breast cancer diagnosis can seem ominous, experts agree that prognoses have improved over the decades.
“Breast cancer mortality rates have dropped by 44% since 1989, thanks to early detection and treatment,” a doctor said. (iStock)
“Breast cancer mortality rates have dropped by 44% since 1989, thanks to early detection and treatment,” Tan said.
“When breast cancer is localized – meaning it hasn’t spread outside the breast – the five-year survival rate is 99%, based on NCI data of women diagnosed with breast cancer between 2013 and 2019.”
“It’s a lot, so there is no shame in reaching out to others.”
There are also more than four million breast cancer survivors in the U.S., Tan added.
9. Maintain an active and healthy lifestyle
Exercise is recommended even with a breast cancer diagnosis, Ramsey said.
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“We recommend any form of physical activity, whether it’s light walking or a more structured exercise,” she advised. “Continue performing your usual daily activities.”
Adopting a balanced and nutrient-dense diet can also help support the body during treatment and recovery, Ramsey added.
Exercise is recommended even with a breast cancer diagnosis. (iStock)
“Focus on lean proteins, fruits, vegetables, whole grains and healthy fats,” she said. “Avoid sugary and highly processed foods.”
10. Take care of yourself
It’s important to pay attention to your emotional, psychological and spiritual needs throughout a breast cancer journey, Tan advised.
Brown echoed the importance of self-care.
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“This could include a discussion with a nutritionist, giving yourself the space to accept and adjust to the diagnosis, and finding a support group or therapist,” she said.
“It’s a lot, so there is no shame in reaching out to others.”
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Doctor reveals what 30 days without alcohol does to the brain and body amid Dry January
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After a season of bingeing and drinking, your body may feel like it needs a break from the party.
Dry January — a modern trend that challenges people to abstain from drinking for the first month of the year — has become a popular way to “detox” from the holidays and start the new year on a healthy note.
Research has linked alcohol to a variety of health conditions, ranging from hangovers to higher cancer risk.
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In a recent podcast episode of “The Dr. Mark Hyman Show,” Dr. Mark Hyman, chief medical officer of Function Health, shared how 30 days of not drinking alcohol can transform health.
Hyman, who is based in Massachusetts, called Dry January a “powerful way to see in real time how alcohol affects nearly every system of your body and how quickly those systems can recover.”
Dry January has become a popular way to “detox” from the holidays and start the new year on a healthy note. (iStock)
Alcohol’s toll on the brain and body
Hyman acknowledged that most people drink to feel happier and more comfortable in social situations. This effect is caused by the main ingredient in alcohol, called ethanol, which can also have toxic effects.
Instead of stimulating the brain, alcohol slows it down and loosens inhibitions. “You feel more relaxed, more social, more confident, maybe you feel a little euphoric,” Hyman said.
Alcohol’s effect on the brain can also lead to poorer decisions and slower reflexes, the doctor cautioned.
Drinking alcohol can cause cognitive decline and brain fog, experts warn. (iStock)
Drinking also impacts the prefrontal cortex of the brain, which Hyman described as “the adult in the room,” responsible for judgment, planning and restraint. “It goes offline early in drinking, which explains why people feel freer or act impulsively when they drink,” he said.
Even moderate drinking can cause metabolic stress, inflammation, impaired detoxification and hormonal shifts, Hyman said, which can impact nearly every organ system in the body.
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Alcohol consumption has also been linked to an increased risk of cancer, metabolic dysfunction, gut microbiome disturbances and mitochondrial toxins.
It can also prevent the body from falling into REM sleep, which is the deep rest recovery period when the immune system cleans out the day’s toxins, according to Hyman.
Alcohol can impact deep rest and mental health, according to experts. (iStock)
Memory loss, cognitive decline, anxiety, sleep disruption, dementia and cardiovascular disease are all known risks of long-term alcohol use, as well as liver complications like fatty liver disease.
“Bottom line, alcohol taxes every major system in your body, especially your liver, your brain, your gut, your hormones,” Hyman said.
The effects of 30 days with no alcohol
The first week after your last drink, the body begins to detoxify and reset, according to Hyman. Blood sugar and cortisol stress hormones level out, and the liver begins to process a “backlog of toxins.” The body also re-hydrates and re-energizes.
The first 30 days with no alcohol allows the body to balance itself out. (iStock)
The second week, the gut and brain will begin to re-balance, as hormones like serotonin and dopamine stabilize, gut inflammation drops and the microbiome begins to heal. Cravings for sugar and alcohol will wane and mental clarity returns, the doctor said.
Week three is marked by further decreases in inflammation, fatty liver and blood pressure. This can be noticeable in the skin, as puffiness and redness are reduced. Mood also begins to stabilize, with lower anxiety levels.
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In week four, the body experiences additional metabolic and immune benefits, Hyman shared, including more insulin sensitivity, which makes it easier to lose weight.
“You have a stronger immune response. You’re not getting sick as much. You have better deep sleep, balanced hormones, especially cortisol and testosterone,” he said. “And you see a big change in energy, confidence and focus.”
Abstaining from alcohol can help restore energy, according to experts. (iStock)
Dr. Pinchieh Chiang, a clinician at Circle Medical in San Francisco, said that Dry January isn’t a “detox,” but rather provides “feedback” from the body.
“It gives the body time to show people how it feels without alcohol. For many, that insight alone changes their relationship with drinking,” she said. “The biggest surprise isn’t what people give up, it’s how much better they feel.”
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The doctor confirmed that the first few days of not drinking may feel harder than expected, sometimes causing restlessness, cravings or disrupted sleep, but Dry January can ultimately change drinking habits for the remainder of the year.
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After a full year without alcohol, Chiang noted that health improvements are more profound. “We see sustained improvements in blood pressure, liver function and inflammation,” she said. “Those changes directly affect long-term heart disease and stroke risk.”
The risks of ‘all or nothing’
Some experts warn that adopting the Dry January trend could strengthen the urge to drink more in the other months, noting that some drinkers may find more success by slowly consuming fewer drinks per week.
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Thomas Stopka, Ph.D., an epidemiologist and professor in the public health and community medicine department at Tufts University School of Medicine in Massachusetts, shared in a Futurity report that for some people, “damp January” may be more suitable.
One expert warned that not all drinkers should quit “cold turkey,” as it could lead to severe withdrawals. (iStock)
“Dry January is well-intentioned, and it may work really well for the people who can stick to it, maybe even beyond January,” he said. “Other people may be more inclined to cut down on alcohol consumption rather than quit drinking completely for the month.”
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Stopka noted that successful harm-reduction approaches “aim to be judgment free.”
“Substance use disorder is a disease,” he said. “It takes time to treat the disease and to stay connected to the continuum of care — from prevention to treatment initiation to sustained therapy, whether through medication, self-help, or individual therapy or group support.”
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Those struggling with signs of alcohol use disorder should consult a medical professional for personalized guidance.
Fox News Digital reached out to several alcohol industry associations requesting comment.
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