The EngagED Midwife

Cancer Survivorship Without A Finish Line


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“Survivor” sounds like a finish line. For many people, it feels more like a label you’re handed while you’re still trying to process what just happened. Cara and Missi get personal about cancer survivorship, using Missi’s breast cancer journey to talk about the part nobody can fully prepare you for: living in the in-between, where every new ache can trigger scanxiety and “life after” doesn’t come with a clear map.

We walk through what survivorship means clinically and emotionally, including the three phases often described in the literature and why the extended phase can feel like a muddy mess. We also unpack the real-world logistics of post-cancer care: how your team can grow from a PCP and OB-GYN to a surgical oncologist, medical oncologist, breast navigator, physical therapy, lymphatic therapy, and mental health support. If you’ve ever felt overwhelmed by appointments, paperwork, and the mental load of decision-making, you’ll feel seen.

We dig into high-interest survivorship topics for breast cancer patients and the clinicians who care for them: endocrine therapy (aromatase inhibitors like anastrozole and SERMs like tamoxifen), fatigue and brain fog, bone density loss and DEXA scans, osteoporosis treatment options such as bisphosphonates, Zometa, and Prolia, and the evolving guidance on topical vaginal estrogen for genitourinary syndrome of menopause. Cara also shares what she’s learned about lymphatics, lymphedema, compression sleeves for travel, and why protecting an arm after lymph node removal can be a forever habit.

If this conversation helps, subscribe, share it with someone who needs it, and leave a review. Send us the topics you want next, and come see us in Kansas City in October for the annual meeting.

#CancerSurvivorship #BreastCancer #BoneHealth #Lymphedema #LifeAfterCancer #BodyMindSpirit #TheNewNormal 

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The EngagED MidwifeBy Cara Busenhart and Missi Stec

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