Moving on After Treatment
The end of treatment can be both stressful and exciting. You will be relieved to finish treatment, yet it is hard not to worry about cancer coming back. This is very common among people who have had cancer.
For years after treatment ends, you will need to see your doctor for follow-up. These visits may include physical exams and blood tests, which can help to tell if the cancer has come back. Other tests, like chest x-rays, CT scans, or MRIs, may also be needed.
Almost any cancer treatment can have side effects. Some may last for a few weeks to months, but others can last longer. Be sure to tell your doctor about any problems you are having so he can help you with them.
Seeing a new doctor
At some point after cancer, you may find yourself seeing a new doctor. You will want to give your new doctor all the details of your cancer and treatment. Make sure you have this information handy, and keep copies of all your medical records for yourself:
- A copy of your “path report” from any biopsy or surgery
- If you had surgery, a copy of your operative report
- If you were in the hospital, a copy of the discharge summary that every doctor must prepare when patients are sent home
- If you had radiation, a final summary of the dose and field
- If you had chemo, a list of your drugs, drug doses, and when you took them
Lifestyle changes during and after treatment
Having cancer and dealing with treatment can take a lot of your time. But now you may have time to look at your life in new ways. Maybe you are thinking about how to improve your health. Some people even work on this during cancer treatment.
Make healthy choices.
Think about your life before cancer. Were there things you did that might have made you less healthy? Maybe you drank too much, ate more than you needed, smoked, or didn’t exercise very often. Maybe you kept your feelings bottled up, or maybe you let stressful things go on too long.
Now is not the time to feel guilty or to blame yourself. You can start making changes today that can have good effects for the rest of your life. You’ll feel better and be healthier, too.
You can start by working on those things that bother you most. Get help with the changes that are harder for you. For instance, if you are thinking about quitting smoking and need help, call us at 1-800-227-2345.
Eating right can be hard to do during and after cancer treatment. Treatment may change your sense of taste. You may have a sick stomach. You may not feel like eating. You may even lose weight when you don’t want to. On the other hand, some people gain weight even without eating more. This can be upsetting, too.
If you are losing weight or have taste problems, do the best you can with eating and know that these problems will get better. You may want to ask your doctor or nurse to see a dietitian who can give you ideas on how to deal with some of these side effects. You may also find it helps to eat small meals every 2 to 3 hours until you feel better.
One of the best things you can do after treatment is put healthy eating habits into place. Try to eat 5 or more servings of vegetables and fruits each day. Choose whole-grain foods instead of white flour and sugars. Try to limit meats that are high in fat. Cut back on processed meats like hot dogs, deli meats, and bacon. If you drink alcohol, limit yourself to 1 drink a day for women or 2 drinks a day for men – at the most. And don’t forget to get some exercise. A good diet and regular exercise will help you stay at a healthy weight and give you more energy.
Rest, fatigue, work, and exercise
Fatigue is feeling very tired. It is very common in people with cancer. This tired feeling is not the same as the tiredness you might have at the end of a very busy day. It is a “bone-weary” feeling that doesn’t get better with rest. For some, this fatigue lasts a long time after treatment.
It can be hard to be active when you feel tired all the time. But being active can help reduce your fatigue. Studies have shown that patients who follow an exercise program feel better and cope better, too.
If you were sick or on bed rest during treatment, it’s normal to have lost some of your fitness, endurance, and muscle strength. Exercise can help you make your muscles strong, and can help fight fatigue. It can also help the depressed feeling that sometimes comes with being so tired.
Your exercise program should fit your needs. An older person who has never been very active may not be able to do the same amount of exercise as a 20-year-old. If you haven’t been active in a few years but can still get around, you may want to think about starting with short walks.
Talk with your doctor or nurse before starting. Let them know about your plans. And try to find an exercise buddy so that you’re not doing it alone. Having family or friends join you in a new exercise program can give you that extra boost of support to keep you going when the push just isn’t there. If you are very tired, though, you will need to be sure you get some rest. It’s hard for some people to allow themselves to rest when they are used to working all day or taking care of a home and family. It’s OK to rest when you need to.
Exercise can improve your health.
- It improves your heart and circulation.
- It makes your muscles stronger.
- It helps fatigue.
- It lowers anxiety and depression.
- It makes you feel happier.
- It helps you feel better about yourself.
And we know that exercise plays a role in stopping some cancers. The American Cancer Society says adults should take part in some type of physical activity for at least 30 minutes or more on 5 days or more of the week. Children and teens should try for at least 60 minutes a day of physical activity on at least 5 days a week.
What about your emotional health?
Once your treatment ends, you may find yourself filled with emotions. This happens to a lot of people.
You may have been going through so much since diagnosis that you could only focus on getting through your treatment. Now you may find that you think about your own death or the effect of your cancer on your family. You may also begin to think about your relationship with your spouse or partner.
This is a time when you need people you can turn to for strength and comfort. This support can come from family, friends, cancer support groups, church groups, online support groups, or counselors.
Almost everyone who has been through cancer feels better if they get some type of support. What’s best for you depends on you. Some people feel safe in groups, and others would rather talk in an informal setting, such as church. Others may feel more at ease talking with a close friend or counselor. Whatever your source of strength or comfort, make sure you have a place to go with your concerns.
The cancer journey can feel very lonely. You don’t need to go it alone. Your friends and family may feel shut out if you decide not to include them. Let them in – and let in those who you feel may help. If you aren’t sure who can help, call us at 1-800-227-2345 anytime, day or night.
You can’t change the fact that you have had cancer. What you can change is how you live the rest of your life.
Last Revised: 08/30/2011