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by Stefanie Plum, Gather Partner Team
Member since:
February 19, 2008

Transcript of the live chat with Dr. Julie Silver of Harvard Medical School - A Breast Cancer Survivor and Author of “What Helped Get Me Through”

October 28, 2008 11:01 AM EDT (Updated: October 29, 2008 09:13 AM EDT)
views: 364 | rating: 10/10 (5 votes) | comments: 120

Join us on TONIGHT at 8pm ET in the Health Essential for a LIVE CHAT with Harvard Medical School’s Dr. Julie Silver. Julie is a well-known and trusted Gather member and also the author of What Helped Get Me Through. Armed with both her medical and personal experiences, she’ll provide helpful, reassuring guidance for anyone touched by this awful disease.

Can’t make the chat tonight? Leave a question or a comment for Julie in thecomment field below. She’ll make sure to answer asmany questions as possible duringthe chat. Take this time to talk live with a Harvard doctor about one of this horrific disease. We all have a good chance of being affected by cancer – learn how you can deal with it for yourself or for your friends and family. (Note: You'll need to refresh your browser to see new comments.) Read the questions already left by members in the announcement article.

See you tonight at 8pm ET!

Join the conversation in health.gather.com. Click here to join. >>

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Expand Tags: live chat, breast cancer, cancer, julie silver, harvard medical school, health
Expand To Groups: Gather Health Essential, Gather News Essential, Harvard Med: Talking About Health, Healthy Living
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Comments: 120

Bridget ♥ Oct 28, 2008, 11:41am EDT
I just received my copy of this book yesterday. I won't be abler to make it tonight, wish I could!
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Karen G. Oct 28, 2008, 12:48pm EDT
It sounds like this will be an interesting and useful chat.
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April H. Oct 28, 2008, 3:34pm EDT
My book arrived today I will be at the Live Chat toniught
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Mark R. Oct 28, 2008, 4:23pm EDT
Dr. Silver:

I plan on purchasing your book, but in the interim, what advice do you give someone with a chronic cancer. It is not immediately life threatening, but there is no cure. It is hard to get beyond the sense of the dangling anvil.

Mark
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barbara white Oct 28, 2008, 7:45pm EDT
My book arrived in Monday's mail(Thank you, Gather!) and I am looking forward to tonight's chat. I recently read Dr. Silver's AARP magazine article: Super Healing which is full of great advice.
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Priscilla (wishing I was in Costa Rica) ~. Oct 28, 2008, 8:01pm EDT
Hello everyone~
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Connie C. Oct 28, 2008, 8:02pm EDT
Hello Everyone!
I am here.
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Mary S. Oct 28, 2008, 8:02pm EDT
Please comment on food/lifestyle best practices. Thanks, Mary
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:02pm EDT
Hi everyone, thanks for coming to this chat. I'm looking forward to hearing what's on your mind!
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Connie C. Oct 28, 2008, 8:03pm EDT
I have been reading the book"What Helped Get Me Through" and it is wonderful. I think the advice and comments in this book could be applied to all serious health problems.
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:04pm EDT
Mark--while there may not be a cure for your cancer now, many scientists are certainly working on one. I call this the "all of a sudden phenomenon" when all of a sudden a cure becomes available but really it's been in the works for many, many years. Even if there is no cure, there certainly will be better and better treatments in the future.
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barbara white Oct 28, 2008, 8:05pm EDT
I agree with Connie. I wish I had this book during my cancer treatments. I plan to bring it along to my oncologist's office to tell him about it.
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Priscilla (wishing I was in Costa Rica) ~. Oct 28, 2008, 8:05pm EDT
I recently lost my Mom to lung cancer
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:05pm EDT
Connie, thanks so much! I agree that the 300 or so cancer survivors who contributed to the book What Helped Get Me Through have so much to offer in terms of advice for anyone who's going through an illness.
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:06pm EDT
Barbara, thanks so much for sharing What Helped Get Me Through with your oncologist!
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:07pm EDT
Priscilla, I'm so sorry to hear about your mom. Cancer is still a very devastating diagnosis and it hurts not only the person diagnosed but the entire family.
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Ellie * Oct 28, 2008, 8:08pm EDT
I will have to pick up the book. I am reading "I am Not My Breast Cancer" but I like to read and see how different people deal with this journey I am on.
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Priscilla (wishing I was in Costa Rica) ~. Oct 28, 2008, 8:08pm EDT
It sure does Julie. It happened so fast too.
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Connie C. Oct 28, 2008, 8:09pm EDT
The 5 Things to do for a friend who lives near you on page 60
& The 5 Things to do for a Long distance friend are all so very appropiate for anyone who is suffering fron cancer or any other serious illness for that matter.

It is amazing how good a foot rub can feel when you are going throuh Chemo. My mother in law died of cancer and everyone was afraid to touch her for fear of hurting her. She cried and said she still needed love and touch
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Connie C. Oct 28, 2008, 8:10pm EDT
Having a good support system of friends and family can make all the difference in the world to someone with cancer.

It is very stressful
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Priscilla (wishing I was in Costa Rica) ~. Oct 28, 2008, 8:11pm EDT
Connie, that makes me tear up. I know what you mean. My Mom always loved a shoulder rub & I still gave them to her when she was going through her cancer.
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barbara white Oct 28, 2008, 8:11pm EDT
After my treatments were completed I felt a bit 'lost'. I had been used to receiving treatments and recovering from them plus surgery and recovery and suddenly all of that was over.
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:11pm EDT
Mary, there are so many things I could comment on in terms of food/lifestyle and best practices. Barbara mentioned the article I wrote for this issue of AARP Magazine on how to "super heal." In this article, and in my book titled Super Healing, I focus on 3 main things:
1. diet
2. exercise
3. sleep

Though there is much to say about all of these, here are 3 simple things to consider:

1. Diet--try to eat at least 5 servings of fruits and vegetables a day (more if you can!). Literally count them each day and see how you are doing.
2. Exercise--get a pedometer and count your steps. I bought mine at Amazon.com for $5. You want to aim to take 10,000 steps a day (for most people). Track your steps and then see how many you are taking. Try to increase this number.
3. If you aren't sleeping well, talk to your doctor about why. Are you worried? Have hot flashes? Get up to go to the bathroom? Whatever it is, talk to your doctor about getting a good night's sleep.

I could write all night about this, but I'll leave it at that for now!
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April H. Oct 28, 2008, 8:12pm EDT
Sorry , I am late I'm now catching upo with the comments
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Stefanie Plum, Gather Partner Team Oct 28, 2008, 8:12pm EDT
Hi everyone! Welcome Julie! I apologize that I'm late. I was experiencing some computer difficulties but it seems like everything's working now. Good to see everyone's already enjoying the chat!
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Connie C. Oct 28, 2008, 8:12pm EDT
Dr. Silver

Do people who do not have a good support system of family and friends have a harder time with depression and anxiety than those who do?
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:12pm EDT
Ellie--I love to read, too! I hope you'll enjoy it...I thoroughly enjoyed putting this book together because I loved to hear what others had to share.
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barbara white Oct 28, 2008, 8:14pm EDT
Priscilla, my sympathies to you. What a sad time for you.
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Karin Karhem Oct 28, 2008, 8:14pm EDT
Hi Dr. Silver, I'm in my twenties and women in my family have a history of breast cancer. I have heard that mid to late thirties is the time to start getting mammograms. I'm wondering if people with a family history should get one sooner?
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April H. Oct 28, 2008, 8:14pm EDT
I just received the book today so I have not had time to read it but i CAN NOT WAIT TO GET STARTED. i LOST MY gRANMOM TO cANCER AND NOW MY dAD HAS AN INOPERABLE bRAIN tUMOR AND WE HAD TO PLACE HIM IN A HOME AS WE ARE NOT EQUIPPED TO TAKE CARE OF HIM i THINK YOUR BOOK WILL HELP.
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:15pm EDT
Connie, love and support certainly matter. However, you can find support in lots of ways. One concept is called "social capital" and this is essentially how "rich" you are in social connections. This can be as simple as walking your dog and saying hi to your mailman, or it can be joining a support group, a church or synagogue or something else. What I tell people is to reach out to others in any way they can that makes them feel good and supported.
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Ellie * Oct 28, 2008, 8:15pm EDT
I would like to see what others did about the stuff I am going through like the horrible hot flashes after chemo you never know if you find a solution. So far in the other book I haven't found that.
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Ang, inspired by good, G. Oct 28, 2008, 8:16pm EDT
Just getting here. Reading over all the comments so far.
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:16pm EDT
Ellie, I wrote a lot about dealing with the after effects of cancer in my book, After Cancer Treatment: Heal Faster, Better, Stronger. There are so many lingering effects, but many of them can be dealt with effectively--including hot flashes. Talk to your doctor about your particular symptoms and ask, "What more can I do to help myself?"
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Connie C. Oct 28, 2008, 8:17pm EDT
Dr. Silver,
I know there are many survival stories of those with cancer but there are also many stories of those who lost the battle. I have many family members as does my husband who lost the battle with cancer.

I am thankful for the medical community and the great strives that are being made to find a cure for this disease.

Are you active in the research part of this disease since your diagnosis of cancer?
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April H. Oct 28, 2008, 8:17pm EDT
I am finding it really hard to visit my dad in the Nursing home, as I hate seeing him like he is, and because of the tumor hon his Ear canal he can not hear even with a hearing aide and he has stopped talking
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Ellie * Oct 28, 2008, 8:17pm EDT
Thank you I will
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:17pm EDT
April, I'm sorry to hear how much your family has struggled! I do hope that the survivors who contributed to the book will offer you wisdom and comfort.
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Ang, inspired by good, G. Oct 28, 2008, 8:18pm EDT
My grandmother died from breast cancer. She couldn't beat it.
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Stefanie Plum, Gather Partner Team Oct 28, 2008, 8:18pm EDT
Dr. Silver - in your experience, what is the hardest part about telling a patient and his/her family that their loved one has cancer?
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Ang, inspired by good, G. Oct 28, 2008, 8:19pm EDT
Good question Stefanie.
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:19pm EDT
Karin, you ask a VERY important question. One that is not easily answered online. When you should get your first mammogram is something that you will want to specifically talk to your doctor about. Be your own advocate and make sure that you are satisfied with the response and the plan for you.
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April H. Oct 28, 2008, 8:21pm EDT
I have a question . Do youlways el the patient. When my grandmother had cancer my mom told us not to talk to her about her cancer as my grandpop forbif the Drs to tell her. I was very sad about this and believed she should have been told.
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:21pm EDT
Stefanie--I think the word "cancer" is so devastating to hear. Even though many cancers are highly treatable and the prognosis is excellent in many cases. It's still so hard to hear, because it is associated with such terrible loss and consequences as we can see from the folks in this chat. Some doctors don't like to use the word "cancer" because it's so hard for people to hear. I told my kids right away and used the word "cancer", because I knew they'd hear it from others. And they did! I was so glad I used the word and prepared them to hear it.
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Connie C. Oct 28, 2008, 8:22pm EDT
April,
I know how hard it is but just your touch can make a world of difference to your Father. I actually climbed in bed with my mother in law when she was in a coma. I took the night shift sitting with her in the hospital. I still read to her and touched her a lot so she never felt alone.
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Linda H. Oct 28, 2008, 8:23pm EDT
Dr. Silver, I am looking forward to reading your book and you probably address my question within it. I'm wondering what you, as a doctor, took away from your experience as a patient of cancer. Did you feel embraced or frustrated by the care you received?
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Ang, inspired by good, G. Oct 28, 2008, 8:24pm EDT
That was so nice of you Connie. Someone else I know is doing that with his wife since she just had 6 brain surgeries in a row. Someone is with her day and night and reads to her. She's coherent now but she still doesn't remember much.
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:24pm EDT
April, I just was at a medical conference in Puerto Rico this past weekend where I discussed this very thing. In fact, the research surveys that have been done show that doctors often don't tell their patients the truth about their diagnosis and prognosis (this is throughout the world, not just the U.S.). Patients who have been surveyed have indicated that they don't always want to know the truth. And, there is the question of what is the truth? Many people who contributed to the book What Helped Get Me Through explained that their doctors told them they had say 6 months to live and that was many years ago!!
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April H. Oct 28, 2008, 8:25pm EDT
Don't get me wrong I go once a week but I a dread it. I actually pray for his peaceful pasing and then hate myself for thinking that way.
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:26pm EDT
Linda--I felt both embraced and frustrated at different times. Like anyone else, I had some wonderful healthcare providers and some who weren't as sensitive as they could have been. I ultimately went with the doctors I trusted and the ones who I thought cared about me as a person--a young mother with little kids.
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Stefanie Plum, Gather Partner Team Oct 28, 2008, 8:27pm EDT
Dr. Silver - I haven't had time to read the book yet, but which story (or stories) touched you the most when you were researching it?
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Stefanie Plum, Gather Partner Team Oct 28, 2008, 8:28pm EDT
Without giving too much away of course. =)
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Connie C. Oct 28, 2008, 8:28pm EDT
Dr Silver,
We found that each oncologist had a differing opinion on what the patient was to kno. For instance, my Mother In Law was dying. Some of the Dr's would take us out in the hall to talk about her cancer while others talked freely in the room.

I have to wonder...... If I was the patient, I think I would want to know everything that was going on" do you find that most patients do or do not want to know???
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April H. Oct 28, 2008, 8:29pm EDT
Julie, I appreciate that Drs are torn about not telling but for me I think it was not fair to my grandmom who died shortly after the diagnosis and I think she would have put her things in order like my dad did with his cancer. HE did put his house in order, when he was diagnodssed but I am aware that we aRE NEAR THE END OF HIS STRUGGLE.
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Ang, inspired by good, G. Oct 28, 2008, 8:29pm EDT
I know that cancer runs in our family but I can't bring myself to do self breast exams, is that bad?
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:29pm EDT
April, it's impossible to control exactly how you feel. Lots of cancer survivors stress about being stressed. That's not very worthwhile. Of course if you are ill you will feel a lot of stress, but taking steps to control this (through exercise or meditation or whatever) is much better than worrying about worrying. In the same sense, hating yourself for wishing for someone to have peace is simply being too hard on yourself. Treat yourself the way that you would treat others--how would you tell a dear friend to feel in this case?
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Linda H. Oct 28, 2008, 8:29pm EDT
Yes. April is right. There is wanting your loved one to have their suffering pass, but there is also the survivor's guilt. I guess the only thing we can hope for is that we made them feel as comfortable as possible in the end.
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April H. Oct 28, 2008, 8:31pm EDT
i LOVE THE RESOURCES AT THE END OF THE BOOK , WHEN I get a chance to peruse them I will sure they will help.
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:31pm EDT
Ang--there is actually a lot of controversy about this in the medical community with some scientific evidence that breast exams don't really make a big difference overall. However, since I went to the doctor based on my self-exam, I must say that I am of the mind that you should do them. I hope that you do get your mammograms when it's time.
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Connie C. Oct 28, 2008, 8:31pm EDT
April,
We too prayed for death to ease her pain. I think - Sometimes it is the right thing to do.
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:33pm EDT
April, I like the idea of being honest with patients. I've had many difficult conversations with patients, but I think it's my job to be honest as well as kind. I try to do both simultaneously when I have difficult conversations. I'm always trying to improve how I talk to patients and how I break bad news. It's not easy!
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April H. Oct 28, 2008, 8:33pm EDT
Connie, Julie, Linda your words help
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barbara white Oct 28, 2008, 8:33pm EDT
My surgeon and oncologist were pretty open with me...giving me information regarding treatment options. My surgeon actually took notes of all that she was telling me and sent them home with me.
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Ang, inspired by good, G. Oct 28, 2008, 8:33pm EDT
Dr. Silver, at what age should I be getting mammograms? I know when I get my yearly done, my dr does breast exams.
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Connie C. Oct 28, 2008, 8:34pm EDT
I would love to see a copy of this book in every Doctors office in the US. I felt that it was that comforting.
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:35pm EDT
Connie, I think most patients want to know. However, this seems to be a tad skewed...the better the prognosis the more they want to know. When the prognosis is grim, they often don't want to know as much. Doctors should always ask their patients how much they want to know and if they have further questions.
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:35pm EDT
Connie, so would I!!
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Ellie * Oct 28, 2008, 8:35pm EDT
A copy should at least be in the Oncologists Office by the sounds of it (I have not read it yet)
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joseph duckworth Oct 28, 2008, 8:36pm EDT
my grandmother died of brain cancer. I was so little then I remember thinking for the next week that people were just joking with me
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:37pm EDT
Stefanie--there were so many stories in the book that I just loved! I adored the husband who told his wife every day how beautiful she is and he thanked her for fighting breast cancer for another day so their family could be together again that day.

I also thought there were lots of wonderful tips like putting a basket on the porch so people can drop things by for the kids without ringing the bell and interrupting the family.
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Connie C. Oct 28, 2008, 8:38pm EDT
We live in the boonies and it is a two - three hour drive to the nearest oncologist or cancer center. Needless to say our local hostpital does not have the up todate equipment. MY first lump that they found- I was told to follow up with another mamagram in 6 months. This went on for a year and a half. It was scarier not knowing than it was when I found out.
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Jennifer Hodge Oct 28, 2008, 8:38pm EDT
Dr. Silver, I have had a few friends pass over the years from cancer. And I also throw this out to those members in this chat who have been through it or have members of their family who have. I never know what to do. Do I visit? Will they appreciate it? Do they want me to see them that way? Should I just send a card? I have done all of those things and I just don't feel like I did the right thing. Did I overdo it or underdo it? Is it best to approach a member of the family about the situation?
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April H. Oct 28, 2008, 8:39pm EDT
I have a question. Were all the people and their experiences you included in your book your patients.
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April H. Oct 28, 2008, 8:40pm EDT
Jennifer you said it all!!!
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:40pm EDT
Joseph, you make an important point about how children don't always understand things the way that adults do. A few important things to tell kids include:

1. The name of the disease.
2. That they won't catch it.
3. That they didn't cause it (wishful thinking and super powers are things kids believe in).
4. That you didn't cause it.
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Ang, inspired by good, G. Oct 28, 2008, 8:40pm EDT
I hate cancer! It's such an evil disease.
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Ang, inspired by good, G. Oct 28, 2008, 8:41pm EDT
Thats a good question Jennifer. Its hard to know what to do or what I can do.
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:43pm EDT
Jennifer, great questions...how do we know when we've done just the right things? The truth is that we all second guess ourselves. What I would say is that if your heart is in the right place and if you are not overly curious (people who are ill may not appreciate others who just want information and aren't really there to help) and if you do something specific to help--that's the best anyone can do!
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barbara white Oct 28, 2008, 8:43pm EDT
Jennifer:
all those things you have done are helpful and appreciated even tho you may think you aren't doing much.
I enjoyed receiving cards,emails,visits, meals, small gifts, just knowing that others were thinking and praying for me.
sometimes it is the simple thing that really makes a difference to a patient.
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:44pm EDT
One thing I learned from interviewing cancer survivors for the book What Helped Get Me Through is that people really wanted others to offer them specific help. Offers such as "let me know if I can help" were not very useful. Whereas, offers such as "I can pick your kids up from soccer today" or "I noticed your lawn is a little long, do you mind if I mow it this afternoon?" were really helpful. Be specific!
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Stefanie Plum, Gather Partner Team Oct 28, 2008, 8:45pm EDT
I agree! Jennifer, it sounds like you're doing everything right and just the fact that you're worrying a lot about your actions means to me that you're right on!
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:46pm EDT
April, no the people I included weren't my patients. They were survivors who volunteered when we posted the surveys through different organizations. I wanted a large cross section of people--from all over the U.S. and even in other countries.
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Ang, inspired by good, G. Oct 28, 2008, 8:46pm EDT
Thank You Dr. Silver for letting us know what we can do.
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Connie C. Oct 28, 2008, 8:47pm EDT
Dr Silver,
I need to go now but want to thank you for all your advice and I love the book. I will share mine with our local Doctor. I know that knowledge is power and by chatting like this we are all sharing our knowledge to help others. Thanks so much for that.

Stefanie,
Thanks for hosting this live chat.
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:48pm EDT
Another interesting thing I found when I interviewed people is that they really did appreciate all the cards and simple things. They also appreciated prayers. Even if they weren't religious themselves, most people said that they really appreciated the prayers of others.
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:49pm EDT
Connie, thanks for joining and for sharing this with your doctor!
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April H. Oct 28, 2008, 8:50pm EDT
I can hardly wait to read the book , I am specifically looking for ways that I can cope with my Dads Cancer
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:51pm EDT
I'd love to hear from any of you what really helped you get through a difficult time? Whether it was a divorce or cancer or whatever. What really made a difference? What do you recall to this day that helped?
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Ang, inspired by good, G. Oct 28, 2008, 8:52pm EDT
I always let the people I know that are dealing with cancer that I'm praying for them. Plus I try to send cards as often as I get a chance.
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Carla B. Oct 28, 2008, 8:52pm EDT
I just got here and got caught up on the posts.

My aunt was diagnosed with cancer in 2002. She had just moved back home to take care of my grandma (she had been teaching a few hours away for the past 30 years). She wasn't married and had no children. I took her to nearly all of her chemo treatments, and I learned so much during that time, about the disease, about my aunt, and about people in general.

My aunt survived, and I think it was really a blessing in disguise for my family. There were definitely hard aspects about it, my grandma had to spend her remaining months in the nursing home, and that was really hard on everyone. But it brought my family closer together, and made me grow up in a way I'm not sure I would have grown up at 19 or 20 otherwise.
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:53pm EDT
Ang--that helps! What people told me also helps is if you send more than one card. They really appreciated those folks who sort of hung in there with them as they went through treatment.
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April H. Oct 28, 2008, 8:53pm EDT
You are right my dad appredciated all the little things from his friends when he could, before we had to admit him to the nursing home for his final hospice care. I know he really appreciate the neighbors who drove him and stayed with him at his Masonic Lodge as we his daughters could not go with him to something he really loved.
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Stefanie Plum, Gather Partner Team Oct 28, 2008, 8:53pm EDT
I think having a strong support system helps anyone get through anything tough. I know it helps me. I'm very fortunate to have my friends and family to help me through the hard times I've had.
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Jennifer Hodge Oct 28, 2008, 8:53pm EDT
That's good to know, Barbara. Thanks, everyone. I remember visiting a colleague of mine when she was dying of lung cancer. She was the first female reporter for her newspaper. And I still remember her typing on her computer keyboard (she hated computers) at work with the finesse of someone on a Smith Corona typewriter. Fingers raised and the clackedy clackedy clack. I miss that. I visited her at the hospital right before her passing. She was a very proud woman and sat across from me bald from chemo and radiation. And I thought, "Here is this magnificent, groundbreaking woman. I hope that everyone that has known her remembers how remarkable she is,. And she still held onto all that dignity that I had come to admire her for even though she was so ill."
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Ang, inspired by good, G. Oct 28, 2008, 8:54pm EDT
Dr. Silver, I think the thing that really helps me get through the hard times is knowing that I can lean on my church family and friends.
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:54pm EDT
Carla, every difficult experience is something that we can learn from. It sounds like you really took advantage of the lessons offered. I'm sure it makes you a much kinder person!
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Julie K. Silver, M.D., Harvard Medical School Oct 28, 2008, 8:55pm EDT
Jennifer, it's wonderful that you remember her that way!
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