When your doctor tells you that you have breast cancer, your whole world may feel like it has stopped for a moment. You may feel scared, anxious, and have a million questions like, "What do I do now?" This is normal. It's normal to feel anxious and worried at a time like this. But the most important thing at this time is to understand your condition and treatment as well as you can. Because when you know things clearly, unnecessary fears disappear and you feel empowered. So, today we're going to talk about the most important questions you should ask your doctors during your treatment journey. Making a list of these questions will help you a lot.
First, ask the doctor who diagnosed you.
This is the beginning of your journey. It is very important to listen and clarify everything that is on your mind at this time.
| Question to ask | Why is this important? |
|---|---|
| What type of breast cancer do I have? What is its stage? | There are different types of breast cancer. And the 'stage' is how far the cancer has spread. Both of these will determine what treatment is best for you. |
| Where exactly is the cancer? Has it spread to my lymph nodes? | It is essential to plan treatment to determine whether the cancer is confined to the breast or has spread to the lymph nodes in the armpit. |
| What treatment options do you recommend for me? Why do you think those treatments are the best? | Knowing clearly what your options are (surgery, chemotherapy, radiation therapy) and which one is best for you will help you make decisions. |
| How should I prepare before treatment? | You may be informed in advance about special tests and lifestyle changes you may need to undergo. |
| Is my family also at risk? Should I get a genetic test? | Some breast cancers may be caused by genetic factors that run in families. Knowing this can help you and your family take steps to protect yourself. |
| Will this treatment affect my ability to have children? | If you're planning to have children, this is a very important question. Since some treatments can affect fertility, it's worth talking to your doctor beforehand and learning about your options. |
Ask a Medical Oncologist
This doctor is the one who will give you medical treatments like chemotherapy and hormone therapy. Ask these questions to help you overcome your fears and doubts about these treatments.
Remember, there are no "stupid questions." Don't be afraid to ask anything that comes to your mind. This is your body, your life.
- Why are you recommending this therapy to me?
- What are the side effects and risks of these treatments? What should I do to deal with them?
- Are there any other alternatives to this treatment?
- Will I lose my hair during chemotherapy ? Will it come back? (This is a big question for many people. Ask about it clearly.)
- Can I drive home alone on the day of treatment? Or do I need someone to come with me?
- Are there any foods, drinks, or activities I should specifically avoid during this treatment period?
- Can the treatment cause my menopause to happen sooner? Will it affect my fertility? If so, should I consider something like egg freezing?
- Do I need to change my diet or lifestyle?
Things to know from the surgeon
A surgeon performs the surgery to remove the cancerous tumor. There are many things you need to know before and after the surgery.
| Question to ask | Why is this important? |
|---|---|
| What type of surgery do you recommend? (e.g., lumpectomy, or mastectomy) Are there other options? | It is important to know which surgery is best for your condition and what the reasons are for it. |
| Who should I talk to about breast reconstruction after surgery? | Breast reconstruction may be possible at the time of surgery or later. Knowing your options will give you peace of mind. |
| How long will I have to stay in the hospital after the surgery? | This will help you prepare yourself mentally and physically before going home. |
| When will I be able to go back to work and resume normal activities? | This information is important for planning to get your life back on track. |
| What is lymphedema? Am I at risk for it? | Sometimes, swelling in the hand occurs after surgery. It is very important to be aware of this and know what to do to prevent it. |
Important: If you notice signs of infection after surgery, such as swelling, redness, or pus-like discharge from the wound, call your doctor immediately . In case of an emergency, go to the Emergency Department (ETU) of the nearest hospital.
Ask a Radiation Oncologist
Radiation therapy is given to destroy any cancer cells that may remain after surgery. You may also have questions about this.
- What is the purpose of these radiation treatments?
- Are there any side effects from these treatments? (e.g. skin changes, fatigue)
- How long does one session take? How many weeks does the entire treatment period last?
- Will my body become radioactive during treatment? Will I affect others (especially young children)? (The answer to this is 'no'. External radiation treatments do not make your body radioactive. But ask your doctor about this and be reassured).
- Are there any special things I should avoid during treatment?
- Does radiation treatment affect breast reconstruction?
These questions will help you navigate this difficult journey. You are not alone. Your loved ones, doctors, and healthcare staff are with you.
Take-Home Message
- Don't be afraid to ask questions: ask anything on your mind, no matter how small. This is your right.
- Take notes: Before you go to see the doctor, write down the questions you want to ask on a piece of paper. That way, you won't forget anything.
- Take someone with you: If possible, take a family member or close friend with you to the doctor's appointment. You'll remember things better when two people are listening.
- Understanding is strength: The more you understand about your condition and treatment, the less fear you have and the more strength you will have to face it.
- You are not alone: there are many people to help and support you on this journey. So take heart.
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