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What topics/experts would you like to see on The Breastcancer.org Podcast?

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Hello, I'm Jamie, senior editor at Breastcancer.org and host of The Breastcancer.org Podcast. I'd like to make sure the podcast is answering questions that Community members have. Are there topics you'd like to see covered? Experts you think I should talk to? Do you want to share your story? Questions you want answered? Let me know and I'll do my best. Thank you!

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  • nutrition after breast cancer treatment

  • snm
    snm Posts: 256

    The value of blood test looking for breast cancer in very early stage or high grade dcis

  • working while in chemo

  • jamie_bco_senioreditor
    edited September 2025

    Thanks, all!

    @ann5631 I have done these two podcasts on nutrition, one specifically during treatment:

    https://www.breastcancer.org/podcast/nutrition-breast-cancer

    https://www.breastcancer.org/podcast/healthy-eating-during-breast-cancer-treatment

    @snm I did this podcast on biomarkers, which includes blood tests: https://www.breastcancer.org/podcast/biomarkers Unfortunately, blood diagnostic tests aren't really used to detect early-stage disease yet.

    @texassurvivorThat's a great idea. I'll start looking for a good guest.

  • I just scheduled a podcast with Jake Messier, a man living with metastatic breast cancer. If anyone has questions for him. Let me know by Sept. 10. Thanks!

  • Spread the word about FES Pet Scans for estrogen positive cancers. They show what normal PET scans miss, like lymph nodes, as in my case.

    FES PET (Fluorodeoxyglucose-Estradiol Positron Emission Tomography) scan is a nuclear medicine imaging technique that uses a radioactive tracer to detect estrogen receptor (ER)-positive breast cancer. 

  • Thanks, crossh! We have info on FES PET scans on this page on the site: https://www.breastcancer.org/screening-testing/pet-scans But it is important to know that FES PET scans do have limitations. Tamoxifen, Orserdu, Evista, and Faslodex can interfere with the ability of FES to attach to hormone receptors. So in many cases, a person has to stop hormonal therapy for a certain amount of time before getting a FES PET scan.

  • Yes, but for people like me, who are 8 years out and are not on hormone therapy, this test could have changed the outcome for the better. Honestly, I can't understand why it wouldn't automatically be ordered after a confirmation of EST+ cancer.

  • Thanks again! I definitely get your point. But if people are taking hormonal therapy, they and their doctors may not want to stop treatment for six weeks (in the case of tamoxifen). There is also the issue of liver mets. FES can't detect cancer in the liver, even if it's hormone receptor-positive. So while it may be a good test for a number of people, it's not the best test for everyone.

    I know that scientists are working on testing new tracers that can better detect cancer. I'm hoping to do a podcast with a PET expert when some of the results are final. Again, thanks for your input!

  • goldenbutterfly
    goldenbutterfly Posts: 14
    edited January 20

    I might be missing it in the line-up, but I'd appreciate some information on how others who are triple positive are approaching life after active treatment when they can't take AIs or Tamoxifen. What I was first diagnosed with was aggressive at 90% ER+. I've been given nothing by my providers and am having to design my own plan. Tks.

  • Thanks, Goldenbutterfly! I appreciate your comments. I will see if I can find some advocates to discuss. I'm assuming the cancer was stage I-III?

    Jamie

  • july31
    july31 Posts: 32

    I'd like to see additional advice on how to talk to doctors and other medical professionals so they actually pay attention to your concerns. It seems like way too often they just tell you what you that it is normal or act like you are being whiny or paranoid especially if you don't automatically go along with the medications and other treatments that are what they describe as "the standard of care." The other thing I'd like to see more information on is what to do if your "team" doesn't include social workers or mental health professionals to help with the emotional and mental aspects of breast cancer.

  • july31
    july31 Posts: 32

    @jamie_bco_senioreditor Thanks for the links. All of this is good advice and I think most of us have tried all of it but part of the problem is it seems like you get bounced to PAs pretty quickly and, although you usually get more time and they are nice, they seem to have a sort of script that they just keep repeating, this is normal, the SE's rarely happen so don't worry, standard of care, etc. If you try and ask too many questions or balk at some of their suggestions it seems to just shut the whole conversation down, at least that is what it has been like for me.

  • @july31 I see. Would it be helpful to have a doctor-patient communications expert on the podcast to offer solutions to some of these issues?

  • Jamie - Yes, the cancer was II-A, triple positive. Kind of flying without a net right now since I can't take AIs or Tam. Any supportive discussions that wrap around how to manage and protect my life without the standard of care meds would be helpful. :)

    Also, just my 2 cents of experience…..

    July 31 - I'm so sorry for what you're experiencing. I was and still am on the same page in what it sounds like you are experiencing. Just a thought, but it might be helpful to accept that your current providers are not going to change no matter how you "rephrase" your questions or your approach. Often, it seems providers are mired in their protocols and overwhelmed by patient loads, so the set playbook takes precedence over individualized patient care. That has been my experience and it sounds like it has been yours as well. If you are able to do so, it might be helpful to move on to other providers who focus on the patient in the room and her needs. I have moved on many times now with different providers in assembling my own team. I have an appt with a new Onco in a couple of weeks. For Pete's sake! Like we really need this on top of fighting cancer and everything that entails, but our lives are on the line so we do what we need to do for as long as we can. Best to you! GB

  • july31
    july31 Posts: 32

    @goldenbutterfly I have changed Onco once because the first one was really bad. Honestly at this stage I don't feel like I will get much better than what I currently have unless I want to drive about 3 hours away and I don't have the energy for that sort of travel. Unfortunately I never did have the sort of "team" that it seems so many have, no social worker, no mental health professionals, etc. My surgeon was good but 2 weeks after my lumpectomy she moved to another state. Another topic for discussion might be what happens if you live some place where there isn't a number of doctors and you pretty much have to take what you can get.

  • irishlove
    irishlove Posts: 746
    edited February 12

    No response from mods, so I guess I will delete my post.

    Irishlove

  • @goldenbutterfly Thank you for sharing all this. I will use it when looking for a good expert for the topic. And I'm sorry you're going through this. Is it possible that you could get a second or third opinion? Or have you already done that?

  • @jamie_bco_senioreditor - Thank you so much. I'm going to see a new Oncologist tomorrow. She will be my 5th since I started this nightmare in April 2024. If my ride shows up that is. My insurance carrier's transportation service has pulled some stunts this past week, so who knows. I'm keeping the faith for now. :) If I can get there and it isn't a good fit, I'm turning to a regional cancer center that is located a couple of hours away to see if they can offer any support. I'm hoping that I can make it to the appointment tomorrow and that it will be a good fit, however. I'm worn out from all of this. Take care and thank you again. GB

  • @goldenbutterfly I do hope it works out for you! I'm working on scheduling a podcast with an oncologist about what to do if you can't take tamoxifen or an AI. I will post a note here when it's scheduled. Thank you again for all your input.

    Jamie

  • missymoo
    missymoo Posts: 18

    @jamie_bco_senioreditor

    I am so excited to read your response to GB about the podcast for those of us who can't tolerate AIs or tamoxifen. I hope it's posted before I see my new (hopefully better) oncologist in May. The old one didn't even speak to me after my last failed attempt.

  • @missymoo I'm sorry to hear about your old oncologist. That's so unfortunate. I'll definitely post here when I have it scheduled so you all can contribute some questions. Thanks!

  • Hello everyone. On Feb 22, I will now be cancer-free for three years. About 1.5 years out, I learned about secondary erythromialgia. In researching this further, it appears that more women than men are affected by this, specifically having chemotherapy-induced peripheral neuropathy. I would like to find out if others within our network have experienced this condition and how they are managing it. I fortunately caught it early. I treat it topically with castor oil patches wearing compression socks daily. I purchased on Amazon: Secondary Erythromelalgia Survival Guide. And I have started taking Alpha Lipoic Acid. Which collectively seems to be keeping from progressing. Symptmatically, it is similar to the CIPN with bursts of very cold or very hot skin that sometimes lasts for two to three hours, but topical treatments help. Please let me know if this is a topic of interest for others in our network. Thank you.

  • Thanks, @suzannmb63. I will look for an expert on erythromialgia and its relationship to neuropathy to do a podcast.

  • Hello Jamie. One other topic suggestion. I was introduced lymphatic drainage after learning nine lymph nodes had been removed during my lumpectomy. My knowledge is still very narrow and I would love to learn more about lymph node system and the impact of lymph removal and potential long-term care and issues. Thank you.

  • Thanks @suzannmb63 We have many pages on lymphedema on the site: https://www.breastcancer.org/treatment-side-effects/lymphedema which includes info on lymphatic drainage on the lymphedema treatments page. I also did this podcast: https://www.breastcancer.org/podcast/lymphedema-basics with Marcia Beck, a certified lymphedema therapist, that might be helpful for you. We also have this article on the lymphatic system: https://www.breastcancer.org/treatment-side-effects/lymphedema/lymphatic-system I hope these help!

  • @jamie_bco_senioreditor I found all three once I left the post. All very informative and helpful.

    Thank you.

  • cure-ious
    cure-ious Posts: 3,128
    edited February 22

    @jamie_bco_senioreditor

    It would be interesting to hear the different ways of how and when histotripsy treatment of liver mets is used for metastatic breast cancers. Also newer techniques like CT-fusion that overlays a CT scan with ultrasound is being used to allow for more tumors to be targeted. Some discussion about the advantages of histotripsy compared to other tumor ablation techniques. How specific individuals have found success using this treatment, and how long an ablated tumor can be suppressed. And whether there is or is not solid data supporting the idea that histotripsy provides an abscopal effect, which can be used to boost the effects of immunotherapy on liver mets.

  • Thanks, @cure-ious I will look into finding an expert.