Content Overview 
- Learn About The Tests Your Doctor May Suggest.
- Summary
- Breast Cancer Is Not What It Used To Be.
- Take Time Making A Treatment Decision
- Commit Yourself To Doing Everything You Can To Beat Your Disease.
- Think About Your Goals
- A General Overview Of What Happens After A Breast Cancer Diagnosis
- Learn About Your Specific Diagnosis.
- Choose The Best Available Cancer Doctor (An Oncologist).
- Decide Who You Want To Make Medical Decisions.
- Consider Available Treatments.
- Ask All Your Questions Before Agreeing To A Treatment Plan.
- Lumpectomy, a Partial Mastectomy or a Mastectomy.
- If A Mastectomy Is Recommended.
- When A Drug Is Recommended.
- If Radiation Is Recommended.
- If Chemotherapy Is Recommended.
- Get A Second Opinion
- Non-traditional Treatments Should Be Complementary - Not Instead Of
- Learn How To Maximize Your Limited Time With A Doctor.
- Drugs And Treatments Do Not Work In A Vacuum.
- Tools That Will Make The Process Easier
- Take Someone With You To Doctors' Appointments
- IF YOUR DIAGNOSIS IS OF METASTATIC BREAST CANCER OR AN UNUSUAL OR A RARE CANCER.
Advanced Breast Cancer: Managing Your Medical Care: Diagnosis To Treatment Decision
Learn How To Maximize Your Limited Time With A Doctor.
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Learn breast cancer basics.
It helps make your limited time with a doctor faster and more precise if you understand the basics of your disease, potential treatments and side effects, and the words that are likely to be used to describe them. See the previous section of this document.
Learn how to communicate with your doctor on an equal footing.
If you think that you are a partner with your doctor you are less likely to feel intimidated even when he or she may be wearing a white coat towering over you while you are lying on an examining table with your butt (or breast) hanging out. A person who feels like a partner will be more likely to bring up all questions and concerns (no matter how embarrassing) and to be open to absorbing information.
If you run into difficulties working with a doctor, there are techniques for working through them. If it ultimately doesn't work out, you can change doctors. If you take the time to choose a doctor as noted in the next section, it will make the need for a change less likely.
Take a patient advocate with you.
It is helpful to take a trusted person (a "Patient Advocate") with you to important doctor visits to help ask questions and listen. Sometimes emotions can impair our ability to hear everything that is said. Explain to the person what you do or do not want him or her to do.
Prepare ahead of time for each appointment.
- Write down all of your questions as you think of them. Prioritize them before the meeting. (Survivorship A to Z provides a Prioritizer that lets you keep track of your questions. A push of a button reorders the questions to your priority before the meeting. See "To Learn More.")
- Start keeping a Symptoms Diary. (Survivorship A to Z provides an easy-to-use diary. With the push of a button, you change symptoms into an easy-to-read chart you can print and take to your appointment. See "To Learn More.")
- Write a list of all medications to take to every medical appointment. Include over-the-counter drugs, vitamins etc. Keep the list up-to-date. Survivorship A to Z provides a chart that allows you to store your list and print it whenever you need it..
Buy:
- An inexpensive tape or digital recorder so you can record your sessions and replay them later. (Be sure to get the doctor's consent before recording any session).
- A fax machine or other inexpensive mechanism which allows you to receive and send reports.