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 Cancer etiquette!
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Tricia Keegan

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Cancer etiquette! - Thursday, November 03, 2011 3:45 PM
From the Cancer Treatment Centers of America Newsletter:

Finding the Right Words

It can be difficult to know what to say to someone with cancer. Unless you’ve been there yourself, you can’t possibly understand how it feels, although most of us appreciate you trying to!! 
Many people say inappropriate things, with warm hearts. We often do the best we can but our efforts still fall short. How do we find the right words to talk to someone with cancer?

No Longer a Silent Disease

Years ago, people spoke in whispers about cancer. Today, despite its prevalence, advances in treatment, and increasing survival rates, the disease still carries with it a stigma.

People with cancer continue to face negative attitudes and stereotypes. The truth is, at some point, someone you know will likely get cancer. When it happens, you should be prepared to communicate appropriately about the disease.

Do's and Don'ts of Talking to Someone With Cancer

Many cancer survivors share similar stories of awkward encounters and upsetting comments made by well-meaning individuals. Their collective observations help us define “cancer etiquette,” or rules of conduct for communicating with the cancer community.

Since each person experiences cancer differently, one approach does not necessarily work for everyone. This information serves as a starting point for talking to someone with cancer. There is no single right way. Just keep trying.

12 Tips for Talking to Someone With Cancer

1. Don't ignore them. Some people disappear when someone they know gets cancer. The worst thing you can do is avoid the person because you don’t know how to handle it. Cancer can be lonely and isolating as it is. Tell them “I’m here for you,” or “I love you and we’ll get through this together.” It’s even okay to say “I don’t know what to say” or send a note that says “I’m thinking of you." Just stay connected.

2. Think before you speak. Your words and actions can be powerful. One comment can instantly undo someone’s positive mood. Don’t be overly grave and mournful. Avoid clichés, like “hero” and “battle.” If the person gets worse, does it mean they didn’t fight hard enough? Try to imagine if you were in their shoes. What you would want someone to say to you?

3. Follow their lead. Let the person with cancer set the tone about what they want to talk about. It doesn’t always have to be about cancer. Chances are they want to feel as normal as possible. Tell them about something funny that happened. When they want to talk about cancer, let them. And save the pity eyes and voice.

4. Keep it about them, not you. Don’t lose your focus on the person with cancer. Avoid talking about your headache, backache, etc. This isn’t about you. And as bad as you feel, they feel worse. They aren’t interested in hearing about how hard this has been on your life. Don’t put them in the position of having to comfort you. Only ask questions if you truly want to hear the response.

5. Just listen. Sometimes just being there to listen—really listen— is the best thing you can do. Let the person with cancer talk without interrupting them. You don’t always have to have all the answers, just a sympathetic ear. They may not want to talk at all, and would rather sit quietly. It’s okay to sit in silence.

6. Don’t minimize their experience. Try not to say “Don’t worry, you’ll be fine.” You don’t know that. Instead say “I’m really sorry” or “I hope it will be okay.” And don’t refer to their cancer as “the good cancer.” These statements downplay what they’re going through. Leave the door to communication open so they can talk about their fears and concerns.

7. Don’t be intrusive. Don’t ask the person with cancer questions about their numbers or tumor markers. If they want to talk about their blood results, they will. Give them the freedom to offer this information or not. Also, don’t ask personal questions that you wouldn't have asked before, especially when it comes to subjects like sex and religion.

8. Don’t preach to them. Don’t try to tell the person with cancer what to think, feel or how to act. You don’t know what they’re going through, so don’t act like you do. Instead of saying “I know how you feel,” try saying “I care about you and want to help.” Don't suggest alternative forms of treatment, a healthier lifestyle, etc. And don’t tell them to “stay positive,” it will only cause frustration and guilt.

9. Refrain from physical assessments. Refrain from comments about how the person with cancer looks, particularly if it’s negative. They don’t need their weight loss or hair loss pointed out to them. And if they just started treatment, don’t ask them about potential side effects. If you say anything at all, tell them they look stronger or more beautiful, but mean what you say.

10. Avoid comparisons. Everyone does cancer their own way. Don’t bring up the private medical problems of other people you know. And don’t talk about your friend with cancer who is running marathons or never missed a day of work. Avoid talking about the odds or making assumptions about their prognosis. Just allow them to be themselves.

11. Show them you care. Show the person with cancer that they’re still needed and loved. Give them a hug. Surprise them with a smoothie, books, magazines, or music. Offer to help, such as cooking, laundry, babysitting, or running errands. Be specific by asking “What day can I bring you dinner?” And, offer to help only if you intend to follow through with it and won’t expect something in return.

12. Share encouraging stories. Offer encouragement through success stories of long-term cancer survivors. Avoid saying “They had the same thing as you.” No two cancers are the same. And never ever tell stories with unhappy endings. If you know someone with the same type of cancer, offer to connect them.
 
I'm sure many of us could add to this list so please feel free to do so and hope it helps our nearest and dearest during what is a difficult time for them too!! :)
<message edited by Tricia Keegan on Thursday, November 03, 2011 4:45 PM>
Tricia Keegan...From Ireland Dx July '05 IDC 3/9 nodes pos..triple positive..a/c x 4..Taxol/herceptin x 12
Herceptin 1yr ..rads x35 oophorectomy Aug '06
Currently taking Arimidex /Zometa 1 x yearly
Carepage- survivortricia
Anna Rae

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Re:Cancer etiquette! - Friday, November 04, 2011 10:24 AM
Perfect! 

Wish that I had given everyone a copy of this, had them read it then said, "Let's talk."

AR
What a long, strange trip it's been...
NERD... July 5, 2012
scootersmom

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Re:Cancer etiquette! - Friday, November 04, 2011 11:32 AM
Where was this when I really needed it?
Tina    
dx 2/1/11 DCIS
Lumpectomy 2/27 results DCIS/LCIS Stage 0 ER+ PR+
Bi-lateral Mastectomy 4/26 with expanders 
6/3 Surgery to remove contaminated expander due to infection.
7/22/11 Surgery to reinsert the expander. 
10/11/2011 Surgery to replace tissue expanders with implants.
 
 



ElaineQW

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Re:Cancer etiquette! - Friday, November 04, 2011 12:21 PM


 The perfect list - the first sentence in each one is enough.  Thanks for posting Tricia :)

Hug
Elaine
 A person's greatness is the power to stand alone;to be able to make her own choice; in action,to write anew her own law; to choose her own sacrifices; run her own dangers; win her own freedom; venture her own destruction; to choose her own happiness 
 





Sharon

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Re:Cancer etiquette! - Friday, November 04, 2011 12:40 PM
Great Post Tricia:)
Non Hodgkins Lymphoma Extra Nodal (Stomach + BM)
Stage IV C. Survivor x 5 years
T/ment: 8 cycles Rituxan CVP x 8 + Rads. x 30
Friends affected by Breast Cancer

Tricia Keegan

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Re:Cancer etiquette! - Friday, November 04, 2011 2:50 PM
Thanks for the positive response ladies, we get so many posts from families and friends of newly dx people asking how best to help them I thought this was worth a mention here!
Tricia Keegan...From Ireland Dx July '05 IDC 3/9 nodes pos..triple positive..a/c x 4..Taxol/herceptin x 12
Herceptin 1yr ..rads x35 oophorectomy Aug '06
Currently taking Arimidex /Zometa 1 x yearly
Carepage- survivortricia
ElizabethB

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Re:Cancer etiquette! - Friday, November 04, 2011 6:32 PM
I love your advice-great stuff! The only thing I would add, based on my personal experience, is to refrain from "funny" comments based on the size of the patient's breasts pre-surgery. Yes, I ad small breasts pre mastectomy but they were mine and I've heard a variety of unwelcome comments, such as "wow, they were so small I'm surprised they found anything in there" and "lucky you, you're going to come out of this with big new breasts".  I've gotten better with my responses, thank goodness!
Tricia Keegan

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Re:Cancer etiquette! - Saturday, November 05, 2011 5:36 AM
Agreed Elizabeth!!!
 
I just saw this on another site and thought it would also fit in well on this thread-
 
I know there are many people we know in our lives who have given thought to saying all the right things to us upon hearing we have cancer. We know they want to say all the appropriate things as to not overlook anything or seem like there at a loss when finding the words. Well below is poem that was written from someone that so genuninely expressed their inner feelings that I will never forget its meaning. While I do not know the author of this poem I think its fair to say he or she has echoed our very own sentiment. The title is called "Hear My Voice"

Don't Tell Me...
Don't tell me that you understand, don't tell me that you know,
Don't tell me that I will survive, how I will surely grow.
Don't tell me this is just a test, that I am truly blessed,
That I am chosen for this task, apart from all the rest.
Don't come at me with answers that can only come from me,
Don't tell me how my grief will pass, that I will soon be free.
Don't stand in pious judgment of the bonds I must untie,
Don't tell me how to suffer, don't tell me how to cry.
My life is filled with selfishness, my pain is all I see,
But I need you, I need your love, unconditionally.
Accept me in my ups and downs, I need someone to share,
Just hold my hand and let me cry, and say,
"My friend, I really do care."

"A Human Being with Cancer"
Tricia Keegan...From Ireland Dx July '05 IDC 3/9 nodes pos..triple positive..a/c x 4..Taxol/herceptin x 12
Herceptin 1yr ..rads x35 oophorectomy Aug '06
Currently taking Arimidex /Zometa 1 x yearly
Carepage- survivortricia
ElaineQW

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Re:Cancer etiquette! - Saturday, November 05, 2011 7:10 AM
Wow!  Another great one Tricia!  

Elizabeth: I disagree about 'funny' comments..... my friends and I have established funny, kind of sarcastic humor in our relationships prior to bc, so it was appropriate and in keeping with our friendship that they make funny comments. If they hadn't, I might have felt like they were starting to treat me 'differently' which would have been much harder to take. I made as many funny comments as they did.  

However, if the funny comments came from people I didn't know very well, I would have found it inappropriate, but I guess that's no different from before bc.

Hug
Elaine
 A person's greatness is the power to stand alone;to be able to make her own choice; in action,to write anew her own law; to choose her own sacrifices; run her own dangers; win her own freedom; venture her own destruction; to choose her own happiness 
 





scootersmom

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Re:Cancer etiquette! - Saturday, November 05, 2011 5:27 PM
Tricia:  Another good posting.

Elaine:  I'm with you.  I had always been a large chested woman and was the first one to "blossom" when I was young.  One day I was flat chested and then straight to a 38C which later turned into 46DD.  The little boys noticed me right away similar to when Annette from the Mickey Mouse club attracted many viewers.  I value my friends and my family as large breasts were among many setups to jokes. When I went back to bowling this season, my brother-in-law joked that he didn't think I would do well since my directional finders were now gone.  When I got done laughing, I realized that I really needed that moment.  Now that I am recovering from the implant surgery, I can't wait to get back to hoisting the ball.  One of my friends keeps trying to think of tattoos that I can have instead of nipples.  Her favorite so far is pink M&Ms.  Mine is "Come play with me".  If we had not been able to joke before about it then we surely wouldn't be able to do so now.  I agree though that it would be "taboo" for a stranger to do so and would not be welcomed.

Please don't get me wrong, losing a breast(s) is difficult and not a joking matter, but making the most out of the experience and trying to get back to "normal"  (wait-was I normal before?) is the best thing that I can do.  If humor helps then so be it as I can only take serious for so long. Reality has slapped me so many times this year that an escape from it is welcome.

Take care ladies!
<message edited by scootersmom on Saturday, November 05, 2011 5:30 PM>
Tina    
dx 2/1/11 DCIS
Lumpectomy 2/27 results DCIS/LCIS Stage 0 ER+ PR+
Bi-lateral Mastectomy 4/26 with expanders 
6/3 Surgery to remove contaminated expander due to infection.
7/22/11 Surgery to reinsert the expander. 
10/11/2011 Surgery to replace tissue expanders with implants.
 
 



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