It's hard to put into words what you feel when your doctor tells you that you have breast cancer. During such a difficult time, while thinking about treatment on the one hand, you start receiving a mountain of documents on the other. Doctors' reports, prescriptions, hospital bills, insurance papers... It's very common to get overwhelmed with all this. But don't worry, today we'll talk about how to organize everything in a way that you can find quickly when you need it.
The most important thing to get first
Of all the documents you will receive, there is one that is absolutely essential for you to keep . That is your biopsy report, or as we call it, the `Pathology Report.` It is very important to keep a copy of this in your possession.
"Because that's what exactly states what type of cancer you have, what information it contains. It's a huge psychological thing to look at that paper and say, 'Okay, this is my diagnosis, I have this type of cancer,'" say experts who work with cancer patients. Not only that, but even some insurance companies first ask you for the `Pathology Report` that confirms this diagnosis.
What other documents do we need to keep?
Some records you will have to request from the hospital, some you can collect yourself. Think about how helpful these things will be in the future, either for you or for someone who cares for you. Having everything together will make your treatment journey much easier.
To make it easier to understand, let's look at this in a table.
| Document/Report Type | What to keep and why is it important? |
|---|---|
| Scanned images | Keep copies of your mammograms, ultrasounds, MRIs, PET/CAT scans, and X-rays on a CD or flash drive. These are very important if you need to show them to another doctor. |
| Pathology records | Lab reports about the cells or tissue taken from the biopsy. This contains all the information about the type and characteristics of your cancer. |
| Surgery records | Date of surgery, hospital, surgeon's name and phone number, post-surgery summaries. |
| Treatment records | Make notes about the type of treatment you received (e.g., chemotherapy, radiation), the location of the treatment, the doctor's name, dates, dosage, and any side effects. |
| Medicines | The name of the medication, what it is used for, the date it was prescribed, the dosage, the prescribing doctor, and details about side effects. |
| Medical bills | Keep all bills and receipts from every doctor, hospital, and lab you receive, in order. These are essential if you have insurance. |
| Personal information | Write down things like your family doctor, insurance information, the names and numbers of people to contact in case of an emergency, medications you usually take, vitamins, allergies, and blood type on a piece of paper. |
How do you keep these organized? In a file? Digitally?
Everyone has their own way of organizing all of this. Some people like to keep their papers neatly filed away. Others prefer a digital format. If possible, it's best to keep copies of both.
File storage method
The simplest and most effective method is to use a ``three-ring binder,'' which is a large file. Use cardboard-like dividers between the pages to separate sections. For example, you can create separate sections for 'bills,' 'treatment reports,' and ' scan reports.'
On the first page of this file, write down the names of your doctors, their phone numbers, and how to contact them after hours. This will be very helpful to your caregivers in an emergency.
Digital storage
You can take a photo or scan each of these documents and save them in a folder on your computer. Or save them on a `flash drive`, an `external hard drive`, or `cloud storage` (e.g. Google Drive). Then you can view them from anywhere.
There are even mobile apps that make this kind of thing easy. But if you use an app, don't forget to read its privacy policy before downloading it . That is, be aware of whether the company that made the app will sell or share your health information with others without your permission.
Remember, these are your own medical records!
You have the right to access and obtain copies of your health information. Doctors, hospitals, labs, and pharmacies are required by law to provide you with your medical records.
The most important thing is to request copies of these reports at the time of treatment. Don't wait. You can often get them at no charge.
"It's very important that patients take responsibility for their medical records . Hospitals only keep these records for a certain number of years. Imagine, if you need a copy of your pathology report 20 years from now, you might not be able to find it."
Hospital patient records are usually deleted after about 10 years, so it's best to keep a copy of your records with you.
What do you do with this file when the treatment is over?
After all your treatments are successfully completed, take this file that you have been keeping neatly organized for so long and put it away in a neat closet. This is a very symbolic thing. It is like telling yourself, "I have put the burden of cancer treatment on the floor." It gives you the mental strength to end this difficult period of your life and start a new chapter.
Take-Home Message
- As soon as you find out you have cancer, the first thing you should do is request and receive a copy of your biopsy/ pathology report .
- Develop a system that works for you to organize all the documents you receive. It could be a large file or a folder on your computer.
- Request copies of medical records at the time of treatment . If you delay, you may not be able to find them.
- These are your records. You have every right to see them and get copies. Don't be afraid to talk to the doctor about this.
- Keeping everything organized in this way is a great convenience and help not only for you, but also for those who take care of you (caregivers).


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