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Stage 4 Stomach Cancer: Lisa Balances Cancer and Being a Mom

Living With Stage 4 Stomach Cancer: How Lisa Balances Cancer and Life as a Mother

When Lisa had trouble swallowing a hamburger on her 35th birthday, she had no idea it would be the beginning of a stage 4 stomach cancer experience that would touch every part of her life. What started as difficulty swallowing and severe acid reflux quickly escalated to an endoscopy that revealed two tumors and a biopsy report labeled malignant. In January 2021, at age 35, Lisa was told she had stage 4 stomach cancer, with disease in distant lymph nodes, and suddenly the milestones she imagined, like visits to children’s museums, kindergarten drop-offs, and 10th‑anniversary trips, felt painfully out of reach.

Interviewed by: Taylor Scheib
Edited by: Chris Sanchez

From the start, Lisa trusted her intuition and insisted that something was wrong. With the support of a proactive primary care clinician, a responsive GI specialist, and an oncology team willing to think outside the box, she pursued aggressive stomach cancer treatment: chemotherapy, immunotherapy, radiation, and, eventually, a total gastrectomy. She describes trying to prepare mentally for losing her stomach as “a crazy thing,” especially the moment surgery was initially cancelled just three days before it was supposed to happen, because imaging showed progression. Still, she and her husband weighed the pros and cons and fought to reach the point where stomach removal became possible.

Lisa B. stomach cancer

For Lisa, living without a stomach has meant relearning how to eat: tiny, frequent meals and careful pacing, knowing that overeating or too much sugar can bring her to the point that she needs to lie down. Her first year after surgery was especially hard, yet she emphasizes that it is possible to live without a stomach and that she now eats and drinks almost anything in moderation. Maintenance immunotherapy every five weeks, ongoing scans, and Signatera blood tests are part of her “new normal” as she focuses on staying stable rather than chasing the word “cured.”

Five years into her stage 4 stomach cancer experience, Lisa has transformed from a terrified young mom who doubted she’d see her son start kindergarten into a powerful advocate. She co‑founded the Strides Against Stomach Cancer Walk in Wisconsin, travels to Capitol Hill for Advocacy Day, and proudly wears periwinkle, the stomach cancer awareness color, with her family. She urges others to trust your body, find your support system, ask for second opinions when needed, and keep living: one milestone, one walk, one day at a time.

Lisa’s video and the transcript of her interview below provide more details about her story.

  • Trusting your own body and speaking up when something feels “off” can be lifesaving, especially when early stomach cancer symptoms look like common reflux or indigestion
  • Patients deserve to ask questions, get second opinions, and seek care teams that truly listen. No one should feel guilty for advocating for their own health
  • Aggressive treatment plans, including total gastrectomy, can sometimes open options even in stage 4 stomach cancer, but they require weighing risks and benefits based on each person’s goals
  • Life without a stomach is challenging but possible; with time, support, and trial and error, many people, like Lisa, learn to enjoy food again in smaller portions and more mindful ways
  • Lisa’s transformation from “just trying to survive” to leading fundraising walks and traveling to Advocacy Day shows how living with stage 4 stomach cancer can evolve into purpose‑driven advocacy

  • Name: Lisa B.
  • Age at Diagnosis:
    • 35
  • Diagnosis:
    • Stomach Cancer
  • Staging:
    • Stage 4
  • Symptoms:
    • Trouble swallowing
    • Acid reflux
  • Treatments:
    • Chemotherapy
    • Immunotherapy
    • Surgery: total gastrectomy
    • Radiation therapy
Lisa B. stomach cancer
Lisa B. stomach cancer
Lisa B. stomach cancer
Lisa B. stomach cancer
Lisa B. stomach cancer
Lisa B. stomach cancer
Lisa B. stomach cancer

This interview has been edited for clarity and length. This is not medical advice. Please consult with your healthcare provider to make informed treatment decisions.

The views and opinions expressed in this interview do not necessarily reflect those of The Patient Story.



I’m Lisa

I was diagnosed in January 2021 with stage 4 stomach cancer, and I am from Milwaukee, Wisconsin.

A few of my passions: Our family really likes to stay really busy. We really like to travel. We like to see a lot of different new states. We have a state map that we scratch off when we go to a state together, which is really fun, just to help us go to new and exciting places.

We definitely like to travel. We’re the type of people who, when we’re on vacation, we are running. We’re seeing all the sights because we don’t know if we’re going to get back there. We really try to cram in as much stuff as possible. We’re not a huge lounging-around-vacation type of family.

In everyday life, it’s kind of the same thing. My son is seven right now, and we stay very busy with that. He’s really into sports. Then we each have extracurricular activities as well, so just managing all of that. I’m really into reading books and my book club, and just doing a lot of stuff together as a family and with friends.

Parenting with stage 4 stomach cancer

My son was two when I was originally diagnosed, so he’s kind of not known anything else. From the get‑go, a two‑year‑old doesn’t really understand what’s happening, but we really try to be as open as possible with him.

We’ve now done two fundraising walks, and I feel like that’s kind of a nice reminder. Even if I look okay all the time, it’s a reminder that we’re doing this because Mama still has stomach cancer. He knows when I go to the doctor — I go to the doctor about every five weeks at this point. So it’s just kind of a constant reminder of, nope, I still have stomach cancer. I am still sick. I’m still fighting this.

It’s something he’s just grown up with. To him, it’s very common. Also, just funny things: he’ll tell people, “Oh, yeah, my mom doesn’t have a stomach.” People are like, “Wait, what are you talking about?” They think he’s just saying crazy kid stuff, but he knows. He knows a lot of different things about stomach cancer that a seven‑year‑old really shouldn’t have to know.

I think when I was originally diagnosed with stage 4, it was really shocking and not what we expected. We have always been open with our son because we didn’t think we would be here at this point. We thought we’d only have a few years together.

January will be five years since I was diagnosed. We never thought I’d make it there, so I think it was really important from the start that we had to be open with him. We had to share that, just to be realistic.

Every once in a while, he gets really nervous. He’ll just say, “Well, I don’t want to die.” And I’m like, “Oh, honey, you don’t have to worry about that.” I think it has really forced him, as a young child, to have to think about those things.

He’s been really sweet, even through treatment. Every treatment has been kind of different in how it affects me, but there are some days I really can’t get out of bed. I’m just lying there, and he’ll be really sweet and come in. He’ll be like, “Good night, Mama,” and he just knows he needs to be quiet, and I’m not able to help with things and stuff.

So for him to pick up on that is awesome.

My first symptoms

In 2020, I was trying to get healthy, lose weight. I was working out a lot. I was eating healthier. Then it was on my 35th birthday in October 2020. I was eating a hamburger, and I had trouble swallowing it, which I had never experienced before. It got really stuck in my throat, and I was like, “Oh, that’s very weird.”

After that, I had about a week of really bad acid reflux, and I went to the doctor right away because, again, that’s not something I had ever had before. My primary care doctor really jumped on it right away, which was awesome. She got a lot of testing done. I started on Prilosec to try and see if that would help. It did help a little bit, but after two weeks, it still wasn’t back to normal.

I knew what my body normally was, and it wasn’t back to that yet. So we kept pushing for more testing. I did a swallow test. They thought I might have an ulcer. Ultimately, it was New Year’s Eve 2020. I had an endoscopy done.

The endoscopy changed everything

My husband didn’t come in with me or anything because this was in the height of COVID, but they called him and said, “We actually do need you to come in.” Then they told us they found two tumors in my stomach and that they had biopsied those.

It was not the news we were expecting to hear. It was not a routine endoscopy but something way worse than what we thought it would be.

After that, it felt like so long — it felt like weeks — but it was truly, I think, four days. We waited to get a call, and I received a call from the GI doctor that said the biopsies came back and they were malignant, which just kind of shattered us.

We were lucky enough to be working from home at that time because it was during COVID. That was one benefit — that we were there, my husband and I, to get the news together, process it together, have time to step away, which was helpful. 

Everything moved really quickly after that: additional testing, meeting with doctors and oncologists, and setting me up for what the next steps were.

The importance of advocating for yourself

I feel like I’ve been really lucky along the way that all of my doctors have really taken anything I’ve said seriously. But I think it comes back to, you know your body the best. I knew this was something that was not right, because they easily could have brushed this off and just said, “Oh, that’s just getting older. That’s just being a woman.”

I knew it wasn’t that because I had never experienced it before. I was very lucky to have doctors who really did support me along the way. My primary care doctor and even my GI doctor really got me hooked up with an oncologist right away because it’s a scary thing, getting a cancer diagnosis. We wanted to jump on it.

He suggested one person. It really wasn’t a right fit for me. I did find a different oncologist. But even his saying, “I know someone who can get you in right away,” was very helpful from the start, and I’ve been really blessed with my care team at the cancer center I go to.

They have been so forward‑thinking the entire time because I was young. I was 35 when I was diagnosed. Basically, they were like, “You’re young and otherwise healthy. What can we do that’s maybe outside the box and give you the greatest chance?”

Processing the diagnosis as a mom

That’s definitely the toughest part — thinking back to the beginning and looking through old pictures. It reminds you because it becomes your new norm, just living with cancer. Looking back at pictures, I’m like, “Oh, wow, he was so young.”

The biggest thing we always laugh about is that I always said, “I’m never even going to be able to take my son to a children’s museum.” This was January 2021. Things were starting to open back up, but very slowly. Then we got hit with this diagnosis, and we didn’t want to put me at risk either. So I was like, “I’m never going to experience going to a children’s museum, going on vacation, seeing him get into kindergarten” — things like that.

So it was really tough from the start.

What we were told about my prognosis

They actually didn’t put a number on it. On the back end, my husband and I were definitely looking at statistics. Back in the day, five years ago, for stage 4, it was only about 4%. That has changed since then, but seeing that number, we could read that ourselves: okay, this is not a good chance.

Basically, they said, “You need to be prepared, but also don’t stop living either. There are a lot of different treatments out there and different things we can try.” 

Research is always changing, which I feel I’ve really benefited from in the last five years. Things have advanced so much that I’ve been lucky to be able to do some of those treatments.

How we kept living

We did it in all the ways that we could, for sure. We try to — even now, whenever I’m feeling good, which is more often than not now compared to when I started. Whenever I’d be feeling up to it, we were always trying to do things together as a family, going to different things.

It’s nice that COVID kind of went away, and we could go and do more things. I was able to go to the children’s museum with my son. One of the big things when my husband and I got married was that we always wanted to go to Hawaii for our 10th anniversary. That was almost three years ago now, two and a half years ago, and we were able to do that.

When I was diagnosed, we never thought there was any way we’d be able to do that. We’ve gone on a family Disney trip. We’ve traveled all over and gotten to see a lot of great milestones with friends and family that we never thought would be possible.

We don’t stop, for sure. We are living it up as much as we possibly can because we truly don’t know. Things can change in an instant. A treatment can stop working, and I might be running out of options. We take that wholeheartedly, and we try and make the most of it.

How I balance everything

I rarely sleep. I feel like we were always a couple that burned it at both ends. Especially when we had our son, we wanted time after he went to bed to do things together or watch TV, play video games — things like that. That really has not changed.

We push it at both ends to get the most out of the time we have together, for sure. It’s still not enough time in the day. It’s very hard to balance. 

I work full-time. My husband works full-time. Our son is in every sport imaginable, so we’re always running between something. Somehow, we just make it work, and we prioritize the things that are really important to us.

What my treatment looked like

When I was first diagnosed, they found out that I also had a pulmonary embolism, and I was anemic right from the start. To start my treatment journey, I got my port placed really quickly. I received a blood transfusion. I received an iron transfusion. Then I started on a three‑drug chemo.

I did nine rounds of that. Our ultimate goal, even though I was stage 4, was to get a total gastrectomy, because my oncologist thought it would give me the best chance. After nine rounds, I had a great response. Everything was going well.

Then I did a CT scan or PET scan right before, and it showed that the cancer had progressed because we had to take a break from chemo. It was three days before my total gastrectomy surgery, and they had to cancel it, which was honestly one of the most difficult things.

Trying to prepare yourself to get a total gastrectomy is a crazy thing, because I didn’t know you could live without a stomach. I was getting excited, like, “This is going to be really good for me to survive.” Then, for that to be taken off the table was really tough. That was about July 2021. They said, “Okay, we’re taking that off the table for now.”

We started back on a two‑drug chemo with immunotherapy as well. They saw really great success with that. I did eight additional rounds. In November 2021, I was able to get my stomach removed because I had a really good response. That was in November.

After that, I started just immunotherapy, which I was on for about a year and a half. That treatment was keeping me stable. I was never cancer‑free, but I was always looking to stay stable. That worked for a long time.

I had to get off of that and took a little break. I did a full course of radiation to the abdominal area because they saw a few things they didn’t like cancer‑wise. I did a full course of radiation. Then I think it was the current treatment I’m on now. 

Just before Thanksgiving, I received my 19th round of a new immunotherapy. It’s different from the one I was originally on, and that has been keeping me stable for almost two years now, which has been going really well.

Why we decided on an aggressive treatment

Yeah, it’s kind of funny because I feel like sometimes I can just name off, “Oh, yeah, I did chemo and immunotherapy and radiation,” and it kind of loses how actually crazy that is and how many rounds I did. It has become common knowledge to me now. It is crazy when I name off all the things I’ve been through.

It was really important to me from the start to have an oncology team that was in my corner and really wanted me to get the best results possible. A lot of stage 4 stomach cancer patients are not able to get their stomach removed because it has already spread, and it’s just not possible.

I’m stage 4 because it spread to my distant lymph nodes. Their thought process was: let’s get the majority of the cancer out that’s in that stomach/abdomen region, and then work on treating those distant lymph nodes. You can’t really go in and hunt and peck and take out all of the lymph nodes because, one, they’re all over your body, and lymph nodes fluctuate even for normal people when they’re sick. That’s not possible either.

So the plan from the start was to keep those in check. My husband and I were all for it. We wanted to give me the best chance possible.

I think the hardest thing to come to terms with was the total gastrectomy. It’s such a shocking thing. You don’t know: is this going to work for me? It’s a huge surgery, a big recovery. Maybe it knocks me down too much, and I’m not able to recover enough to receive treatment after that.

But the pros outweighed the cons when we were looking at it, and that’s why we really were trying to push for that as well.

Preparing for my stomach removal surgery

The biggest way I prepared for my total gastrectomy was connecting with other people who had gone through this. I’ve been lucky enough to connect with a lot of people through a few advocacy groups. I needed to know: What did you bring to the hospital? What do I need to bring? What do I need to prepare for? How is this going to go while I’m in the hospital? What tactical things are going to happen?

I’m such a planner, and I needed that. I talked with a lot of different people and got great feedback. They were like, “Here’s a list of things to try,” like slowly eating afterward and what worked for them.

Right afterward, I received a feeding tube when I got my total gastrectomy done. Some patients do, some don’t. While I hated having it every single minute, it was a really nice safety net, just in case I wasn’t eating enough. The sheer volume of calories I could consume was so much less.

I had to constantly be eating, like every hour — “Okay, I’ve got to take two bites of yogurt, and I’ve got to drink my protein water,” things like that. So again, while I hated my feeding tube because it was such an annoyance, it was a really nice safety net to ease me back into it and not have me push it and maybe have complications.

Living without a stomach

The easiest way is that they cut out your stomach, and your esophagus is basically attached to your intestines. I really just don’t have that pouch where your food digests and sits for a bit. Things move more quickly through me, and I don’t absorb nutrients the same way. There are additional supplements you have to take when you don’t have a stomach.

Honestly, for me, the first year was really tough — learning to eat again and the amount. For me, going out and having food with friends has always been a big part of my life. I’ll go out and start eating and talking and forget about it, and then I overeat. It was something I probably did before, too, but now it’s even worse when I don’t have room for that. I know right away: “Oh, I really did push it.” Then I kind of have to go take a break or lie down a little bit, which is difficult.

It is possible to live without a stomach, which, again, I didn’t know before this whole experience. That first year was really tough, but now I’m really back to, I can eat and drink anything I want in moderation, I would say. Sugar is probably the number one thing that’s really hard on a lot of people. I love sweets, so I try and push it sometimes, but I know sometimes I’m going to have to pay the price for that.

Everything in moderation, just like everyone else, but just a little bit smaller.

Why this surgery mattered even at Stage 4

It was really big because, as I said, a lot of stage 4 stomach cancer patients are not able to get their stomachs removed. For me to have this opportunity felt like something I really needed to try and get to. 

We didn’t know if it was going to work, if there would be complications, or if the recovery would be too hard and my body would be too weak to receive treatment after that.

We didn’t know those things, but we took an educated chance and weighed our pros and cons to determine that this was really the right decision.

Helping people understand my diagnosis

I think at the beginning, there was so much support around my diagnosis and helping with things. After a while, people kind of forget. They just assume that you look great and you’re doing well, and they assume you’re cancer‑free, which is something I deal with all the time.

Especially in my job, new people will start, and you never know the right time to drop that bomb on people because it’s not the first thing I want them to know. There were people I had worked with for quite some time, and this past November, I stood up in front of everyone to let them know I had this walk happening and that I was a stage 4 stomach cancer patient. Some people were shocked. They were like, “I had no clue, and I work with you daily. I don’t understand.”

I think it’s encouraging and good that people don’t notice it, but also, you want people to understand that it is still a hardship, and going through treatment is really tough. I’m lucky I don’t have a ton of side effects, but I honestly probably have more side effects from not having a stomach — overeating, not eating enough, eating too fast — things that will put me down for the count.

It’s hard when people don’t realize it’s a daily thing. There’s not one day that goes by that I don’t remember I have stage 4 stomach cancer because of some random symptom or pain that rears its ugly head.

What I’m currently doing

I’m on immunotherapy right now, and I go every five weeks to receive that, which is nice. It’s not very disruptive to my schedule. It’s just one Wednesday every five weeks, and then I’m back to work the next day, which is great. I’m pretty lucky that I don’t have a lot of side effects at this point, and the ones I do have are really manageable.

It’s a full day that I spend at the cancer center. I go in, I get labs. They check all of my levels to make sure it’s okay for me to receive this treatment. It’s a good double check to see where things are. I go to that, I meet with the doctor, and he reviews everything. If there’s a CT scan — I get those every three months — we talk through anything new that popped up.

I also get a Signatera test, just to see where my levels are. A lot of people get Signatera, and they want their number to be zero. Mine has never been zero because I’ve always had cancer in my body, but we make sure it’s still a lower number. If that number starts to spike, we want to jump on it.

I’m lucky that I have a port, thank goodness, because my veins are so tired and small from being poked so many times. I got a port right away when I was diagnosed. This is actually my second port; I had to get it changed out. I go to the hospital and receive immunotherapy for over an hour. It’s pretty short, the treatment itself. Then I’m pretty much back to normal after that. You would never know that I received treatment that day.

I’m currently on maintenance immunotherapy. Our goal is really just to keep me stable for as long as possible. I’ll continue to do that until either the side effects don’t work for me or the cancer progresses and we need to look at other options.

Balancing a “normal” life

There’s not a lot of balance when you’re a mom, for sure. I’ve got to jump back in, and I need to parent right away — picking up my son, doing bedtime, doing laundry, doing the dishes, doing all those things. It never stops.

It gets exhausting, for sure. My husband and I would agree: our house is never in the state that we once would want it to be and have always wanted it to be. But it’s the trade‑offs. You do have to have balance, and the dishes can wait till tomorrow, and my house can look messy for a day, and it’s fine.

Sometimes it gets a little too overwhelming. Between treatment and family life and work and everything, sometimes it’s too much. We’ve kind of —  as much as we don’t like it — said, “You know what? The house can wait, or that other thing can wait, and it’s fine.”

How much I’ve learned in these last five years

Oh, I’ve learned so much over the last five years. It’s crazy. So much about cancer in general — just all the jargon and language you need to learn when you’re in the cancer world — has been a lot.

Also, I had so many mentors when I first started this experience, looking to them as inspirational stories because I thought there was no way I was going to get through this. Talking to some of those people, who have become some of my closest friends, was so inspiring. I was like, “Well, they can do it. They live without a stomach. It can be done.”

Now I’ve shifted to really wanting to give back and pay it forward.

Starting the Strides Against Stomach Cancer Walk in Wisconsin

I plan events in my job. So in 2024, one of my friends — she’s always wanted to do some kind of walk to raise money for stomach cancer because there’s really not anything local in the area. It’s a lesser-talked-about form of cancer, so we don’t have anything already set up. She said, “Let’s just start a walk,” and I was like, “I don’t think you know exactly what that means, but sure, let’s do it.”

In 2024, we started the Strides Against Stomach Cancer walk in Wisconsin. We had a pretty minimal goal. We wanted to get 100 people — everyone bring your friends and family — and raise $10,000 to support stomach cancer patients. We were blown away. We had 200 people come that first year and raised over $20,000.

We learned so much along the way, even with that. While I do events at a university, this is very different from doing a big fundraising walk, which I had never really done. We learned a lot along the way.

This past year, in 2025, we had our second year, and again, I was blown away. We had over 300 people and raised over $30,000. The support and awareness we’re bringing to stomach cancer in the local area has been so important to me.

One exciting thing this year: last year, five stomach cancer survivors came to the walk, and I knew every single one. I had talked to them all before. This year, we actually had three new‑to‑me stomach cancer patients register, which was awesome.

It’s really important to me. I want to connect with people and share my story and help them along the way if I can — just to share that not every treatment will work for everyone, but maybe there’s another option someone hasn’t thought about. I’m looking to connect with other stomach cancer patients locally and across the country.

It’s been really special to start some of those relationships and find the weird coincidences of, “Oh, yeah, my aunt passed away from stomach cancer.” Finding those little connections has been really special. When someone says they know someone with stomach cancer, I’m like, “Tell me everything.” I don’t know many people who have it.

I feel like I’ve switched gears now, and I really want to pay it forward and keep advocating, obviously for myself, but for the full stomach cancer community as well.

Why raising awareness matters to me

It’s really important to me, especially for current patients — sharing my story with them — but also bringing awareness to stomach cancer. It’s one of the most deadly cancers and definitely one of the most underfunded.

We go to Advocacy Day with an organization. We go to the Hill every year to ask for more funding for research, just to keep pushing that. I feel like treatment options are getting better and better, but they really need those research funds.

I don’t think people know about that because stomach cancer is a less talked‑about cancer. Just bringing awareness to it is definitely something that I’m looking to do.

It’s definitely a family effort, for sure. This past year, my husband was lucky enough to get a media spot to talk about the walk, and he’s so passionate about it and being such a champion for me as well.

It has become our personality, I would say. Every single day, you’ll probably catch one of us in a periwinkle color, because that’s the color for stomach cancer. One of us is wearing a walk shirt or periwinkle, or we’re talking about it. It is our lives, for sure, and we’re very passionate about it because it is so personal.

I truly never thought when I was diagnosed that I would be where I am right now. Honestly, from the beginning, my husband found an organization online and was like, “Hey, you can get a mentor through them.” At the beginning, I was not interested. I was just trying to survive. That was really what I was trying to do.

It was a slow process for me — reaching out to people and connecting with them. Then it was, okay, I’m going to participate in an online forum or an online support group. Then we decided we were going to go to D.C. and participate in Advocacy Day. It has been a slow build. I was really hesitant at first.

Now, as I said, it has become our personality. That is just what we are always talking about or doing because we are so passionate about it. I never once would have thought I would be where I am right now, five years later.

What I want others to know

I think a message I would leave with people is that cancer is a tough, tough experience. You need to find your support system, whether that be family, friends, or online. I’ve found some really deep, amazing connections with friends online. We’re always like, this is the best group to be in, but the worst group to be in because we all are affected by cancer.

Find your support system. Reach out. Make sure you’re talking to people. Make sure you’re advocating for yourself — that’s probably the biggest one. If you don’t like what your oncologist is saying or you don’t agree with them, get a second opinion. No one’s going to be offended if you get a second opinion on this because it is a rare cancer.

So definitely push for some of those things and find your support system.

I think the biggest thing for me — there were so many milestones I never thought I would reach. I uploaded a lot of photos that reflect it as well.

I talked about it at the walk this year. I never thought I would see my son going to kindergarten. He’s in first grade now. My sister told me, I think it was a year after I was diagnosed, she got engaged. They were going to have a long engagement, and I was like, “That is not good for me. I want to see you get married.” I was able to see her get married last year, which was super special.

This past October, I celebrated my 40th birthday with a bunch of friends in Las Vegas, which was so much fun. In January, it will be five years since I was diagnosed. All those big milestones are very meaningful for our family, for sure.


Lisa B. stomach cancer
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From Nursing Student to Hodgkin Lymphoma Patient

From Nursing Student to Hodgkin Lymphoma Patient: How Sarah Rebuilt Her Life

When Sarah first noticed a lump in her neck during nursing school, she had her suspicions it was cancer. She was 29, working night shifts, preparing for finals, and doing everything “right” — waking up at 4 a.m. to go to the gym, pouring herself into her accelerated nursing program, and building the life she’d envisioned for herself. The swelling in her neck, initially dismissed as a possible infection, slowly became impossible to ignore. As test results came back mentioning “abnormal lymph nodes” and her questions went unanswered, she pushed harder for clarity and learned firsthand how exhausting it can be to advocate for yourself in the health care system.

Interviewed by: Taylor Scheib
Edited by: Chris Sanchez

When a biopsy finally confirmed that she had Hodgkin lymphoma, Sarah read the word “malignant” in her patient portal before any phone call came. The diagnosis collided with her dreams: if it were lymphoma, she would have to leave nursing school because treatment would make her immunocompromised. She describes this season as a grieving process; mourning the life she thought she’d have, the graduation date she’d targeted, and the sense of control she realized she’d never truly held in the first place.

Sarah K Hodgkin lymphoma

Chemotherapy for her Hodgkin lymphoma brought on nausea, sleepless nights from steroids, and unexpected abdominal pain. Sarah had to take a harsh anti-nausea medication that made her feel worse than the chemo itself. Her treatment also came with deep emotional impacts: hair loss that felt like losing a shield and part of her femininity, weight gain that would not budge, and survivor’s guilt that still surfaces when she thinks about others facing terminal outcomes. Through it all, she leaned on online support groups, telehealth therapy, her parents, her “soul dog” Willow, and the stories she found on The Patient Story to feel less alone.

Today, Sarah is a registered nurse, a profession she has always believed she was meant for. Her Hodgkin lymphoma experience continues to shape how she shows up for patients: validating their feelings, rejecting toxic positivity, and reminding them it’s okay to say that something simply “sucks.” She lives by a simple but hard-earned motto: take it one day at a time.

Watch Sarah’s video and read the edited transcript of her interview to find out more:

  • It matters to listen to your body and continue to advocate for yourself
  • A cancer diagnosis can trigger real grief for the life you expected, including school plans, career timelines, and body image — and that grief deserves validation, not minimization
  • It’s not the patients’ fault that they’re sick; the disease and its treatments drive so much of what happens, and blame has no place in healing
  • Support from family, pets, peer communities, and mental health care can transform an isolating experience into one that still holds connection, perspective, and meaning
  • Sarah’s transformation from overwhelmed nursing student to registered nurse illustrates how lived experience with Hodgkin lymphoma can deepen empathy, advocacy, and a commitment to telling patients, “It’s okay to say this is hard.”

  • Name: Sarah K.
  • Age at Diagnosis:
    • 29
  • Diagnosis:
    • Hodgkin Lymphoma
  • Staging:
    • Stage 2
  • Symptom:
    • Swollen lymph node in the neck and collarbone
  • Treatment:
    • Chemotherapy
Sarah K Hodgkin lymphoma
Sarah K Hodgkin lymphoma
Sarah K Hodgkin lymphoma
Sarah K Hodgkin lymphoma
Sarah K Hodgkin lymphoma
Sarah K Hodgkin lymphoma
Sarah K Hodgkin lymphoma
Sarah K Hodgkin lymphoma

This interview has been edited for clarity and length. This is not medical advice. Please consult with your healthcare provider to make informed treatment decisions.

The views and opinions expressed in this interview do not necessarily reflect those of The Patient Story.



My name is Sarah

My name is Sarah. I’m from Michigan, born and raised. I was diagnosed in September 2020 with stage 2 Hodgkin’s lymphoma.

I’m very family-oriented. I’ve been in the healthcare field for more than ten years. I’m a registered nurse now. I love dogs. I’m obsessed with dogs. It’s an issue, but it’s also a coping mechanism. I love not taking life too seriously. I like to laugh.

I’ve always kind of said that I was an old soul, but cancer changes you in ways that you just take it a little bit more seriously, because you know how short life is. So I feel like it changed me in a lot of ways, but also I’ve kind of always been like that.

This probably sounds so stupid, but when I was young, I had my grandma. We called her Nanny, and she always told me that I had this very calming spirit to be around. So I always thought in the back of my mind, and I don’t think I’ve ever actually told anybody this, that a big reason why I’m part of the healthcare field is because of that calming spirit. Now, do I believe it in myself? Not necessarily, but I’ve been told that again and again since then, and it just kind of reaffirms that it’s a gift to be in the healthcare field. It’s a challenging gift, but it’s also a really big blessing. I get a lot from it.

My first symptoms

I was working night shift. It was just about to be finals for my second semester of nursing school. I woke up in the middle of the night, and I heard this sound. It sounded so disturbing, but it really was like a spring, like something bounced. I was so tired from working nights that I just went back to sleep.

Then I woke up the next morning, and I started feeling around, and I was like, “There’s a lump there.” I kind of blew it off. I had a little bug bite on my arm, and I took a thousand pictures because I’m so overdramatic that I was like, “It’s cancer.” But I thought maybe it was an infection, and that’s why that lymph node was swollen, even though it wasn’t even that lymph node that would have popped up. It would have been my armpit lymph node. So I kind of let it roll for a little bit, and then after finals, I went to the doctor for the first time.

Super dramatic. My heart rate was so high, my blood pressure was so high, because I just had a feeling. I remember at clinicals a couple of weeks prior, I was walking down the hallway, and I kind of felt odd, but I blew it off because I thought, “My body is not my own right now.” Then I sat down, and I was like, “Sarah, you’re so dramatic. Stop it.” And then two weeks later, that’s when it popped up.

That was my only real symptom. I didn’t have night sweats. I didn’t have unexplained fevers. I didn’t have unexplained weight loss, which I was dramatic about, not because that would have been a good one, but at the time, I was working really hard to lose weight, and there was nothing. I was still getting up at 4 a.m., going to the gym before clinicals. I had my energy. It just threw me for a loop for sure.

Balancing school while trying to find answers

There’s this saying that busy hands make an absent mind, or something like that. I’m probably butchering it. I tried to throw myself into work and school and tried not to think about it. But of course, the more you try not to think about something, the second that you have a quiet moment, you’re spiraling.

I remember having that swollen lymph node and Googling and finding The Patient Story and just binging on it. By the time I was actually diagnosed, I knew what my treatment would be. I knew it all. When she was telling me about the chemotherapy that I would be on, I was already familiar with it because I was already binging and spiraling. I was spiraling a little bit.

At my first doctor’s appointment, they prescribed me an antibiotic just in case, because I had that weird bug bite. Nothing happened. It kept growing. Then I went back because we had gone on vacation up north in Michigan. I was putting ice on it because it was uncomfortable. It was uncomfortably swollen, and I don’t know if that was because I was aware of it at that point or if it was growing.

So I went back to my doctor, and she was like, “Oh, that is a little bit bigger,” but she was never concerned. I had to really push for it. She ordered an ultrasound. I think I got the ultrasound done on a Saturday. The results were posted, and it said abnormal lymph nodes. They didn’t scan my thyroid, and I wanted my thyroid scanned too because I didn’t know. I knew it was cancer; I had a feeling. I just didn’t know what kind.

I was being proactive. I went to my professors and said, “Hey, this is what’s going on.” They told me that if it were a thyroid cancer, I could stay in my nursing school program, but if it was anything else, if it was lymphoma, which it was, spoiler alert, I would have to drop out of the program because I would be immunocompromised.

I remember praying, and it sounds so disturbing, that it was thyroid cancer, so I could stay in the program. I was doing really well. I felt like I was finding my niche. I was getting really good grades. I was in such a good flow that it felt like I was going from 0 to 100. It was so heartbreaking even thinking about dropping out of the program.

That was the beginning. That was the first phase. I was in an accelerated nursing program, so that all happened in about a three‑week time span. After my abnormal lymph node ultrasound came back, they recommended either a fine needle aspiration or a surgical removal.

How I pushed for answers

I don’t recommend this, but I was the patient who was looking in her chart and seeing some of those messages you can clearly tell weren’t for the patient. I was freaking out, and I needed to know because I was either going to drop out of the program or stay in the program. They kind of took their sweet time getting back to me.

I sent a lot of messages, like, a lot, trying to get them to schedule something, because I wanted the lymph node removed. It was uncomfortable. I had to book an appointment, and of course, the surgeon is a week out. Everything is hurry up and wait.

I showed up, and my heart rate was so high. They were like, “Are you okay?” and I said, “Yeah, I’m just freaking out.” They were very gracious in that office. For a surgeon to tell me this (it meant a lot because she wouldn’t cut; she said, “I don’t know what it is.”

I remember the medical assistant who brought me back. He hugged me, and I’m going to tear up, and this is another thing that has carried me through as a nurse, too. He just said, “I’ve got you. We’ve got you.” That felt so good because I felt like I was spiraling and nobody would believe me, which I think is really common for women in healthcare, unfortunately.

She scheduled a thyroid ultrasound. I think it was the next day. I went after school because I just wanted it done. I ended up having nodules on my thyroid. Of course. I had like six. So I was like, okay, for sure, this is thyroid cancer. I can stay in the program.

I remember being so relieved. I remember where I was. I was at a lab at school and thinking, this sounds so disturbing: “Oh, thank God I can stay in the program.”

We did the excisional biopsy, fine needle aspiration, on a Friday. My mom took me, and we were getting everything ready because, of course, you’re scared. You’re having a needle in your neck. The radiologist scanned beforehand, and he just said, “Oh, yeah,” and I was like, “Okay, cancer for sure.”

I was trying not to freak out. The needle biopsy ended up not being as terrible as I thought it would be. It wasn’t painful. They numb it pretty well. But everyone just kind of looked at me with sympathy in their eyes, and I already kind of knew it was something malignant. I knew for sure after that.

The week after was completely agonizing, waiting for those pathology results. Everyone was like, “It’s probably nothing. Everything’s great. It’s going to be nothing. You’re going to be fine.” I remember where I was when I read it in my chart again. It’s a blessing and a curse. It’s a good thing and a bad thing. Anything you can take to the nth degree can be harmful in a way, but in another way, I’m…

It was hard reading that because it said malignant. Malignant in all caps. But I already kind of knew. Patient portals really give you power in your hands. My doctor didn’t call me until the following Monday, after I had already called to transfer my care to an oncologist. All she said was, “I know you know. I got a referral request. If you need anything in the future, let me know.” And what was she supposed to say? It is what it is. But it was hard getting “malignant” and not knowing anything about it at that time.

They got my samples from the fine needle and confirmed lymphoma: Hodgkin’s lymphoma.

The moment everything changed

That Monday, I called my oncologist, and the appointment wasn’t for another month. Hurry up and wait. I scheduled a PET scan and had all of my samples transferred so they could review them.

The day of my PET scan, I was getting ready, and my oncologist called. My phone was dead, charging in my room. She called me, nobody answered, and then she called my mom. My mom answered, and the oncologist said, “Hey, we have a cancellation. Do you want to come in today?” That was unheard of. She didn’t even have anybody else call; it was literally her calling. That was such a blessing.

We went that day before my PET scan, and she already knew everything we were dealing with. The first thing you go through, and it’s not talked about enough, is the guilt you feel about having cancer. Society doesn’t help that because there’s so much of “Oh, sugar causes this,” and the reality is that so much in our environment and culture has the potential to cause cancer. That’s an unfortunate truth. But you would never say that to a kid who got diagnosed with cancer, so why would you say that to yourself?

The first thing she said to me (she got down on eye level) was, “I just want you to know this is not your fault.” I was instantly tearing up. Another thing that has carried me through: “It’s just bad luck.” That’s what she said to me. It was really affirming to hear, and you need to hear that, especially at that time.

She went through everything to expect: hair loss. They can be kind of careless about hair loss, but it’s a big hit for women, especially. I was 29 when I was diagnosed, so at that time, it was devastating to lose my hair. I’m still dealing with it. That’s my biggest thing right now. Two years later, my hair is still not where I want it to be. I’m still not confident in it. And these are extensions. Spoiler alert.

She wrote down on a piece of paper: if I were stage 1 or stage 2, I would have X; if I were stage 3 or stage 4, I would have Y. I went to do my PET scan. I had that lovely drink, and they put a little umbrella in it for me, which I thought was really sweet.

I ended up having stage 2. It was like a cluster of grapes in my left neck, and then I had one spot in my chest, which made me stage 2. All of my labs were normal; well, normal‑ish. My sed rate, which is an inflammation marker, was high but not crazy high. It was just elevated.

I had to drop out of nursing school

I was immediately angry; angry that I would have to drop out, and I didn’t feel like I needed to at that time. I felt like I could have kept going, and that would have been good for me in a way, because it would have distracted me from chemo. Chemo was every other week. I would have chemo treatment day, then two weeks off. I did that for eight rounds.

Towards the very end, the last two months, it’s a cumulative effect. It really took me out. I look back at those pictures, and I looked and felt ill. It was really isolating because, of course, you’re immunocompromised, so you’re isolating from the world. I didn’t want my treatment delayed, so I took that to the nth degree. I didn’t want to risk it.

It was really hard, especially watching people move on and keep going with the program, because I had formed such a bond with those people. They had my back, and I didn’t want to lose that. But it was out of my hands, and I just had to trust God that it would, for whatever reason, make sense in some aspect. I’m never going to understand it this side of heaven, but I tried to trust in that.

I was in online therapy for most of my treatments. I would do telehealth visits on the off weeks when I felt not good, but decent. That helped me a lot, because it’s a grieving process. You’re grieving. I was 29 at the time, and I really wanted to have my degree by the time I was 30. Did a year make a difference? No. But I really wanted to. That was my goal. To have that taken away from me, out of my hands, because you’re just at everybody else’s whim and it’s completely out of your control; that’s hard.

So yeah, I was angry at first, but in the end, I was thankful. I lost my dad in January, very suddenly. I remember, I think it was Alexandra B.’s or something on YouTube. I was watching her videos, and she asked, “What about this time am I most thankful for?” Sort of checking your perspective.

I was with my parents at the time. I’m still living with my mom, but I’m so thankful I had that time with my dad. My mom and dad were there for me, just providers. I would watch sports with my dad to feel that life was still happening outside my little bubble. It was hard, but I’m thankful for it in the end because I got that time with my dad, and I don’t know what I would have done without that.

Dealing with chemotherapy & survivorship mode

I didn’t think treatment would be easy. In some ways, it was easier than I thought it would be, and in other ways, it was harder. When you’re going through treatment, you have this survivor mentality; you’re just in it. You’re in war mode. After treatment is when it all really hit me personally.

I joined a support group online on Facebook, and that really helped me. I know it’s a common trend: after treatment, you’re like, “What did I just go through?” In my first couple of rounds, I did decently physically. The first couple of days were nausea, no appetite, and no energy. I slept a lot.

After those first couple, when I started losing my hair, that was really hard. It was a slow trickle. I didn’t actually shave my head until a couple of weeks after I was done with treatment because I felt like I needed a new start.

The first couple of days of each cycle were hard physically: sleeping, nausea, discomfort. The steroids they give you mean you can’t sleep. You need sleep, but you can’t sleep, so you’re jittery. During treatments, they gave me Cinvanti, a long‑acting anti‑nausea medication. That made me so sick. It made me sicker than the chemo. It was like having cement poured in the back of your throat, that gross feeling.

I complained about it from the first infusion on. They tried tips like sucking on a mint, sucking on a Jolly Rancher, pushing it really slow, and diluting it a lot. Nothing worked. I was dry heaving every time they pushed it. It was horrible, and then I would be super nauseous the rest of the time. Infusions were three hours.

I made it through all of my infusions. I remember my second‑to‑last infusion was really bad. I was dry heaving the whole time. I had a nurse, an angel from heaven, who advocated heavily for me, saying, “She can barely tolerate her treatment. Can we do anything else?” They ended up switching my drugs to Emend, and my last infusion was better. I didn’t have that Cinvanti pushing. Cinvanti was not my friend, which is weird because that wasn’t even the chemo.

Then there was the chemotherapy. After the chemo, it was almost like a heat in your chest that progressed into nausea as time went on. My mom was always with me at my infusions — another angel from heaven. It was hard to watch her watch me. You try to be strong because it’s heartbreaking to watch your kid go through chemo.

I remember when I was diagnosed, my dad never cried, but he had tears in his eyes, and he said, “It should be me.” I said, “I’m thankful it’s me because I know I can handle it.” That memory has stuck with me, especially living with me; I knew it was hard for them to watch.

Treatment was tough. You go into survivor mode and tell yourself it’s not that bad when you’re going through it. Even now, I say, it was what it was. I’m not going to say it was impossible to get through, because you get through it. You lean on people, and you take it day by day. Even now, my motto is one day at a time.

I had a friend from the support group who also had Hodgkin’s and had just gone into remission. Her motto was “Faithful God, strong body, powerful mind,” and she would say, “You’re one day closer.” I had that posted on my mirror. It was my go‑to for everything, and I still find myself living day to day.

How my physical appearance impacted me

I’m an introvert, and I find myself — I didn’t know this at the time — hiding behind my hair. Losing my hair almost felt like losing a shield, losing my femininity. At the time it happened, I felt kind of numb because I was losing my hair anyway. It’s uncomfortable to lose your hair. Your scalp is sore. You can’t do anything with it. Even washing it, you lose heaps. I could put it in a half pony, and the next day, when I took out the pony, half my hair would be gone because it was dry and brittle and dead.

I felt like I was ready to shave it after treatment because I was still losing my hair, but I was supposed to be done with treatment. It felt like the next step to regrow from the start. I didn’t fully know how long it would take, and that really hits you. I still think, what if I had kept the dead hair and just let it grow — would I be better off now? Would I have longer hair?

It’s awkward growing out. The hair grows at the same rate, but it shows up differently on your head, so it’s a bunch of choppy layers. I’m never getting layers after this.

It took a lot, and I still feel like part of my confidence and femininity was stripped from me, and I still struggle to get that back. I also gained weight during and after treatment, and it’s been really hard to get off. In fact, it’s not coming off.

When I was younger, I lost 60 pounds and kept it off for almost six or seven years. Then I got diagnosed and gained 20 back during treatment, and then 10 after. I didn’t fully understand why, and I still don’t. I don’t know if it was steroids or my body being in shock, but it will not come off. I’m really struggling with that.

Two parts of my confidence were taken away from me against my will. When I spiral about it now, which still happens, I get really mad because it was completely out of my hands. It still feels out of my hands. I’m just at the whim of time. I try not to dwell on it. I tell myself, you can be angry for a minute or two, but it is what it is, and you’re just going to move forward. But it’s hard, especially as a young female.

I decided to go back to nursing school

I always knew I was going to go back. I had to reapply to get back into the program, wait for a spot, and then restart from there. Even going through treatment, I kept saying, “This is going to make me a better nurse. This is going to change my mentality. I’m going to learn from this. It’s all going to be great.”

It did change me in a lot of ways. I had nurses advocate heavily for me. I didn’t start with a port. I have really crappy veins. I don’t understand why more people don’t go straight for the port because a lot of those chemotherapy drugs are heavy-duty. If they leak into your skin, it’s not a fun time. I saw nurses advocate. I saw how they handled things, and I thought, “Okay, I’m going to use this and move forward in how I care for my patients.” Advocating is something I really learned going through it.

I went back to school after reapplying to the program. I also had my dog. Her name was Willow. She actually got diagnosed with osteosarcoma right before I got diagnosed with Hodgkin’s lymphoma. She was my what I call my soul dog. Ruthie’s okay, but she’s still learning. I love Ruthie too, but Willow was my soul dog.

That was really hard. Willow was limping on one leg. She was only supposed to make it a couple of months, and she made it another year before we went in. The day we went to the vet to put her down, because it was time and she was clearly in too much pain, I got back into the program with her snuggled into my lap. That was hard, but it almost felt like she was an angel in another way. She carried me through. She got me through that year, and then it was her time.

It was difficult to reset because I had dropped out halfway through the program, so all those friendships were already formed. I’m an introvert and take a while to warm up to people. It was hard to start in the middle of someone else’s program.

Starting my life again

Restarting was hard, but everyone I started with was super nice. They kind of gravitated toward me and got me through. They were really there for me when my dad died, too. I got to meet people I would have never met in another world, and I try to keep that perspective.

When I was supposed to graduate, which was May of that year, my best friend from nursing school asked me to pin her. I went and did that. It was so hard. I remember getting through it and then going home and sobbing. I felt like I was grieving the life I should have had.

I remember hugging my dad, and he gave me a big hug and wouldn’t let go. I let myself be sad and then reminded myself, it is what it is. You can’t change it. Being sad or mad doesn’t change the outcome. Then I tried to move forward.

That was the peak of it. I started angry, then I got sad. You get through the program, and in a lot of ways, my treatment helped me through the program. The cancer units were a breeze for me.

Now that I’m out of it, I don’t really feel any emotion toward it, because I’m done with it. It’s over. But going through it is hard. You hype it up in your mind, like most things.

The survivor’s guilt I feel

It feels almost surreal. I talk about it all the time, but it almost feels like it happened to someone else because I’m so disconnected from it. I remember reading that in my support group while I was going through treatment and thinking, “That’s never going to happen to me,” because when you’re so in it, you don’t see anything outside of it.

Now that I’m two years out and life has happened — I lost my dad; someone close to me was diagnosed with melanoma — that was harder for me to watch than going through it myself. I wanted to be the one to take it. Survivor’s guilt is very real. I still struggle with that: why am I okay now, and someone else is terminal?

Even with nursing, being exposed to it so often and having to check yourself, you really have to get good at compartmentalizing while trying to be gracious. That’s been hard. Two years out, it feels like it happened to someone else. I try not to dwell on it. It always creeps up when I’m trying to get dressed or dress up and feel pretty again. I haven’t felt pretty in three years. That’s when the anger creeps up.

I spin out about it, and then I’m okay. That’s when it hits. Other than that, I try to think about how I felt in all those phases, especially during the diagnostic phase, which is grueling. Of all phases, that’s the one I would never relive. The anxiety ate me alive, not knowing what was wrong and having to really fight, which you shouldn’t have to do, but it is what it is.

That carries through to how I handle my patients. I try to keep that in mind. I never take anything too personally because I know what that was like. It’s not personal; it’s people coping however they cope, and there’s no right or wrong way.

I was reading on a cancer site about how to empathize with patients through hard stuff. One line I screenshotted and wanted to keep in my back pocket was: this isn’t an easy thing, you’re handling it with grace, but it’s okay if you don’t. I try to tell that to my patients when they say, “I’m sorry for complaining.” I tell them, this isn’t complaining. You can complain to me all you want. I’m not going to tell you that you have to be positive. Toxic positivity is a real thing. You can say something sucks. You don’t have to dwell on it, but if something sucks, say it sucks.

It’s changed me in a lot of ways; mostly good, some bad, but mostly good.

How The Patient Story helped me feel less alone

I found The Patient Story right after everything started happening. Google is your friend, but also your foe. I found The Patient Story and started binging videos. I remember I was still in school at that point, and our first unit, ironically, was on cancer, so I felt like in a way I was still kind of studying.

I was reading about it, watching a lot of videos, not reading my book at all, just watching videos. Seeing everybody go through it and knowing they were okay made me think, okay, maybe it’s not the end of the world. You do feel less alone because it’s so isolating. People can’t really understand it until they go through it themselves, and it’s not something you’d wish on someone.

That’s another thing with survivorship. You feel alone because no one truly understands you, other than other survivors. I found The Patient Story for that, and even going through treatment, I watched videos because I feel less alone. The steroids kept me up doomscrolling. I also had abdominal pain a lot through chemo, and I wasn’t prepared for that. It would creep up at night, so I was up a lot, watching videos and feeling less alone.

Even now, I still watch the videos. There’s such a community behind it, and you really don’t get it until you’ve gone through it, especially as a young adult. It is what it is.

I have a friend who was diagnosed a year before me. We went to high school together. She had Hodgkin’s, too, stage 2, so we were like twinsies. We message each other all the time, usually going off about our hair. It’s curly, different than what we’re used to, so we complain about our hair. It’s nice to have someone who understands, instead of someone trying to say, “Oh, it’s okay, it’s not that bad.” You can acknowledge it sucks. You don’t have to dwell on it.

That’s my mentality a lot with cancer: you don’t have to say “yay,” but you can be honest. It took a while for us to reach out after I was diagnosed and build that camaraderie, but in the meantime, The Patient Story was like having a friend.

What I want others to know

My biggest advice is to take it one day at a time. It seems so cliché, and I probably rolled my eyes at it in a past life, but when you’re in it, it really is one day at a time. Don’t skip ahead. So much of it is out of your control.

It deepened my faith a lot — leaning into others, leaning into God, knowing it’s out of my hands. Part of the grief you feel is that you think you’re losing control of your life, and realistically, you never had control. That was big for me: one day at a time, leaning into my faith and others.

Another thing: acknowledge it sucks. Don’t dwell on it. I’ve said that a thousand times, but I really harp on it. People can take that and only think about it — “My life sucks” — but then you’re doing yourself a disservice by dwelling. If you dig deep, there are lessons, perspective shifts, a lot in it.

I remember reading that people moved on from cancer and thinking in my support group, “That’s never going to be me,” because when you’re in it, you’re so in it. But it really does start to drift off, which is beautiful.

I still go for blood work every six months now that I’m almost at the two‑year mark, and I go for visits. It’s never gone; it’s always in the back of my head, but it’s less prominent, which is awesome. Right after treatment, I remember being at a family wedding. I started having a panic attack because I had a rash on my hand. When I got diagnosed, I had a rash and unexplained itching with Hodgkin’s, so I spiraled. The rash came back; it turns out I just had psoriasis, and it was irritated, but I spiraled. There’s a picture of me mid‑cry. It could be a meme. It’s objectively funny now. It wasn’t funny at the moment.

Those emotions creep up. Acknowledge that it’s okay. Cancer is always going to be in the back of your mind, but it doesn’t have to take over. Compartmentalizing is a big thing, and that’s something I learned in therapy. I recommend telehealth. It helped me say, “Okay, this is what I’m thinking, these are the facts, and what else might be true?” That framework, especially with cancer, has helped me a lot.


Sarah K Hodgkin lymphoma
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Symptom: Recurring red lump on the leg (painful, swollen, hot to touch)

Treatment: Chemotherapy
Rylie G. feature profile

Riley G., Hodgkin’s Lymphoma, Stage 4



Symptoms: • Severe back pain, night sweats, difficulty breathing after alcohol consumption, low energy, intense itching

Treatment: Chemotherapy (ABVD)

Amanda P. Hodgkin lymphoma

Amanda P., Hodgkin’s Lymphoma, Stage 4



Symptoms: Intense itching (no rash), bruising from scratching, fever, swollen lymph node near the hip, severe fatigue, back pain, pallor
Treatments: Chemotherapy (A+AVD), Neulasta


Brescia D., Hodgkin's Lymphoma



Symptom: Swelling in the side of her neck

Treatment: Chemotherapy: 6 rounds of ABVD

Stepheni shares her Hodgkin lymphoma cancer story
Stephenie P., Classical Hodgkin's Lymphoma Diagnosis: Classical Hodgkin's Lymphoma Symptoms: Bumps along the neck, Night sweats, 25-pound weight lossTreatment: Chemo, ABVD, ICE, Brentuximab, Radiation, Stem Cell Transplants
Danielle shares her stage 1 Hodgkin lymphoma story
Danielle D., Classical Hodgkin's Lymphoma, Stage 1 Diagnosis: Stage 1 Classical Hodgkin's Lymphoma Symptoms: NoneTreatment: Chemo, ABVD, Immunotherapy, Nivolumab, Brentuximab, Bone Marrow Transplant

Categories
BTK inhibitor Chronic Lymphocytic Leukemia (CLL) Leukemia Patient Stories Targeted Therapy Treatments

Diagnosed with CLL, Lynn’s Experience as An Oncology Nurse Lead to Patient Advocacy in Congress

Diagnosed with CLL, Lynn’s Experience as An Oncology Nurse Lead to Patient Advocacy in Congress

The phrase “chronic lymphocytic leukemia” or CLL can conjure images of fear and uncertainty, but Lynn’s CLL experience is rooted in perspective as a retired oncology nurse navigator. Originally from Brooklyn and now living in rural Central New York state, Lynn discovered that she had CLL by accident in 2012. Coworkers in the infusion room all had low white blood cell counts and so she was asked to get her bloodwork for comparison. That simple draw revealed elevated white blood cells, and her oncologist later told her she had likely lived with undetected CLL for more than a decade.

Interviewed by: Keshia Rice
Edited by: Chris Sanchez

As someone who spent years caring for people with life-threatening cancers, Lynn understood that CLL, one of the most common types of leukemia in adults, is a chronic illness without a cure but with many effective therapies. She felt grateful rather than devastated by the diagnosis. Her initial IV chemotherapy session landed her in the hospital, but a shift in treatment standards for older adults opened the door to targeted therapy through a BTK inhibitor, which she has taken continuously since 2018. Along the way, lung cancer discovered during hospitalization led to surgery and a year-long delay, reinforcing for her how complex modern cancer care can be.

Lynn S. chronic lymphocytic leukemia

Lynn’s experience is also deeply shaped by support and community. Her significant other, Bob, drives her to appointments now that she no longer drives, and close friends in pharmacy and nursing understand both the science and the emotions behind a cancer diagnosis. She stays engaged in her small town, enjoying cooking, puzzles, photographing flowers, and free outdoor concerts at the park. These everyday joys keep her grounded and remind her that life is bigger than labs and scans.

Perhaps most importantly, Lynn has transformed her CLL experience into advocacy. She testified in front of Congress about the high cost of her BTK inhibitor, and now educates others about Medicare, drug coverage, grants, and the importance of getting information from reliable sources. For Lynn, teaching and supporting others with CLL is “the ultimate anti-anxiety medication,” and she hopes people take away strength, maturity, and a commitment to living life fully, no matter what their health looks like today.

Watch Lynn’s video and read her story below to learn more about how:

  • A CLL diagnosis can arrive unexpectedly and long after the disease first appears in bloodwork, but effective treatments can help people live well for years with it
  • Treatment plans can evolve, moving from traditional chemotherapy to targeted therapies like BTK inhibitors when side effects or age make older regimens less appropriate
  • A strong support system, composed of partners, friends, and healthcare colleagues, can make medical appointments, treatment decisions, and day-to-day life with CLL more manageable and less isolating
  • Becoming an informed, empowered patient through asking questions, learning about medications, and understanding insurance can reduce anxiety and improve care
  • Lynn’s transformation from oncology nurse navigator to CLL patient advocate shows how lived experience with disease can fuel meaningful advocacy around drug costs, Medicare, and access to care for others

  • Name: Lynn S.
  • Age at Diagnosis:
    • 62
  • Diagnosis:
    • Chronic lymphocytic leukemia (CLL)
  • Symptom:
    • Elevated white blood cell count
  • Treatments:
    • Chemotherapy
    • Targeted therapy: BTK inhibitor
Lynn S. chronic lymphocytic leukemia

AbbVie

Thank you to AbbVie for supporting our patient education program. The Patient Story retains full editorial control over all content.

This interview has been edited for clarity and length. This is not medical advice. Please consult with your healthcare provider to make treatment decisions.



“Every day, you have to live life to its fullest, no matter what your health issues are.”

Lynn S. – CLL patient

About Me

My name is Lynn. I am originally from Brooklyn, New York, and I moved upstate to Central New York in the year 2000. 

I am a retired R.N. with experience in the operating room and oncology. I was the very first oncology nurse navigator in my cancer center. And I love to photograph flowers.

I have a daughter who works in healthcare as well, with a school for at-risk children. She has diabetes and is in control of her own health. She’s on an insulin pump and has a continuous glucose monitor. She’s upfront with me about health issues, and we discuss them all the time.

My significant other, Bob, has his own son, who lives in Vermont, and his granddaughter just turned 13. I have a grandson who just turned 34 and who does not have diabetes. He’s very healthy and lives independently.

Do we get to spend as much time with them as we like? No. Driving is a big issue for us now that we’re older. But we do speak with them a lot. It’s good to stay in touch and yet maintain a level of independence. We don’t hover over our kids.

Lynn S. chronic lymphocytic leukemia
Lynn S. chronic lymphocytic leukemia

How I Found Out I Had CLL

Back in 2012, the nurses in our treatment room, in our oncology infusion room, had low white blood cell counts. We don’t know why. So they asked me to go have my blood drawn, which my primary care doctor agreed to do, just as a comparison. My white blood cell count and everything else was very high. 

So I made an appointment to see my oncologist, and he said, “Lynn, you’ve likely had CLL for more than ten years, and nobody picked up on it.” That is how I was diagnosed.

When I look back, I realize that I never really paid attention to my white blood cell count. Although as a teenager, I had several instances where I had very high, elevated white blood counts. My primary care doctor at one point thought I had gallbladder issues, and he sent me for all these scans, and whatever happened, it resolved. 

At one point, I had an abscess in my tooth that had an off-the-charts white blood cell count, and my primary care physician had to give me a million units of penicillin via intramuscular injection. 

So I never paid much attention. The doctor said it was fine; I never looked. I never looked at my platelets, my red blood cell counts, my hemoglobin, hematocrit, anything. Now I look all the time.

I have not had the sequencing and testing that some people have had.

How I Reacted to My CLL Diagnosis

Well, having been a nurse for many years, I realized that it was a chronic illness and that there was no cure. I was not upset at all. 

It was much better for me than being diagnosed with acute leukemia as an adult. Many who are diagnosed often succumb to the disease. People with other solid tumor cancers also ended up succumbing to their disease. So I was grateful at that point, when I knew that I would likely have to take medication for the rest of my life. 

I said, “Well, I’m on Synthroid. I have coronary artery disease. I take blood pressure medication. So why not? It doesn’t matter.”

My CLL Diagnosis and Treatment Timeline

I started with watch and wait, and ultimately progressed to the point where my lymph nodes were all getting large and I needed treatment.

My treatment was a little complex. I started treatment, I believe, in 2015 or late in 2016, when I had one round of IV chemo, which put me in the hospital.

Luckily, the oncologist said at the last American Society of Hematology (ASH) conference that they were no longer treating people over 65 with traditional cytotoxic chemotherapy. Another drug had just been approved, and he put me on that. But that was also interrupted because when I was in the hospital, they found a very small lung cancer, and I had to stop for surgery. So I had almost a year’s delay. 

I have been on continuous therapy since 2018 with that new drug, and I’ve never been off it.

My Support System: Family, Friends, and Finances

I have a significant other, Bob, who’s extremely supportive. Because I can no longer drive, he takes me to all my many appointments. 

I just saw my oncologist as well, so he has been very supportive. 

My very best friends, one was the oncology pharmacist and my other is also an R.N., are both very, very supportive. 

Thankfully, I do not need financial support. There are grants available for the medication.

I Advocate for Drug Cost and Insurance Coverage

I had the opportunity to speak before Congress at one point to Speaker Nancy Pelosi. I testified that my BTK inhibitor at that time was about maybe $12,000 a year. It’s now $17,000 a year. And who could afford it? Nobody, not even a retired R.N. 

Medicare, fortunately, had the provision in it to hit an out-of-pocket max this past year of $2,000. This upcoming year, it’s $2,100. Being a nurse navigator, I was fortunate enough to navigate myself into a grant with the Patient Access Network Foundation. A lot of people go through the Leukemia and Lymphoma Society, which has now changed its name to Blood Cancer United. They are also very generous with grants. 

Because I’ve been on a grant for these years, it’s almost automatically renewed, so I don’t have to worry about that yet.

Lynn S. chronic lymphocytic leukemia

I realized that it was a chronic illness and that there was no cure. I was not upset at all

Lynn S. – CLL patient
Lynn S. chronic lymphocytic leukemia

How I Live With CLL

Every day, you have to live life to its fullest, no matter what your health issues are.

I continue to enjoy cooking, watching game shows on TV, going out in nature, and taking car rides. We live in a very rural area. Thankfully, it is now the 200th anniversary of the Erie Canal, which we are a good part of, and I take pride in that. In a smaller community, other than Brooklyn, New York, which has millions of people, there’s a big connection to the community here. We have a series of arts in the park every Monday night starting in May. We have musicians who come to the local public park, and they do performances. We have food trucks, and we get to meet all these people. We have become very friendly with some of the band members. There’s a mobile fruit and vegetable truck that comes around. There are daily events all over the place. Now, for leaf peeping on Columbus Day weekend, which has just passed, there’s going to be a trunk or treat at a neighboring farm. So, it’s dairy country. It’s beautiful.

Genetically, we are predisposed to neither blood cancers nor very many solid tumor cancers. But I truly believe that God doesn’t give us anything that we cannot handle. 

I like to educate people about leukemia and bone marrow cancers, and that basically, the only so-called cure would be a stem cell transplant. Those have additional problems and complications, and at 75 years old, I’m not willing to go through any of those. So I’m staying where I am. 

My oncologist has told me I’m going to stay on my current drug until it no longer works, and then there are other options. There are so many options. 

When it first came out, my oncologist told me it needed to be in a doublet, a combination of two BTK inhibitors. Now there are so many choices. There are triplets, doublets. There are infusions with BTK inhibitors, and there’s another one as well. So there are a lot more different programs in the air right now that I could ultimately get if I needed to.

My Thoughts on Clinical Trials and Who They Are Best For

My doctor was head of the research department at our hospital, so I would be open to joining a clinical trial. But because I’m stable, I’m not willing to give it a chance. I have so many comorbidities: coronary artery disease, for one. That’s a big issue. So I’m just going to stay with the program. 

But I do support clinical research. I do support people getting involved in trials. I think those are for people with much fewer comorbidities or other medical issues, and those who are younger. 

Actually, CLL used to be a disease of the elderly. If you live long enough, you’re going to get it. But now it’s a disease that is being diagnosed in the 30s, 40s, and 50s. So it’s different. I don’t know if it’s because of our environment or spontaneous mutations. It’s very complicated.

My CLL Story Continues Below

Program Highlight: Building a CLL Game Plan: Strategies for Treatment, Trials, and Team Building

Lynn S. chronic lymphocytic leukemia

Chronic lymphocytic leukemia (CLL) care is getting more personalized than ever.

CLL patient advocate Jeff Folloder and expert hematologist-oncologist Dr. Nicole Lamanna (Columbia University Irving Medical Center) explain how today’s innovative targeted therapies, time-limited treatment options, and emerging clinical trials can help patients craft a care strategy that truly fits their needs. The conversation dives into how to assemble a strong, collaborative medical team, at both local hospitals and major centers, so patients and families feel empowered at every step.

Program Topics
  • Set Your Treatment Strategy: Understand targeted therapies (BTK and BCL-2 inhibitors), their benefits, and when time-limited options fit your journey
  • Explore Clinical Trials: Discover how and where clinical trials fit in the CLL landscape, plus how to find the right match — whether at a major center or community clinic
  • Build an Empowered Team: Learn how to connect with local doctors and specialists from top centers for a coordinated plan, and what roles nurses, advocates, and social workers play
  • Get Organized: Practical tips for tracking labs, sharing results, and communicating with your care team
  • Prioritize Quality of Life: Find resources to manage daily challenges like fatigue, infection risk, and stress, while keeping your goals central to treatment talks
  • Join Your CLL Community: How support groups and partnerships can boost health literacy, advocacy, and your decision-making power

Dr. Nicole Lamanna: “I love taking care of this disease and patients with this disease, and trying to figure out therapies that will improve your life and the quality of your life.

“Now we have really good options for patients. Some patients, if they want, can take a chronic continuous therapy. And we’ll talk about that. Or some people could take a time-limited therapy.

“And this really does become a discussion between the provider, your provider and you. Because the good news is these are really great treatment options, both of them.”

Dr. Lamanna recommends that CLL patients find specialists.

Dr. Lamanna: “I think it’s always good to touch base with the CLL specialist and have them part of your team because they can be helpful. They can… bring up treatment ideas that maybe the local physician hasn’t thought of or can partner with the local physician.

“This is a rare disease. I am not knocking the community docs. They work really hard, but they might see a variety of different diseases, and… they may not know the most up-to-date information about CLL per se if they’re treating many, many diseases.”

She wants patients to be open-minded about clinical trials.

Dr. Lamanna: “I think that there’s a big misconception out there about clinical trials… we can only move the field forward through clinical trials.”

Dr. Lamanna wants all patients to feel empowered and prepared.

Dr. Lamanna: “It’s always important to write a list down because you don’t always remember when you go to the office. And then… maybe you’re a little scared. You just had your blood drawn. You forget things… you’re anxious, totally normal during a visit.”

For the rest of this interview, watch our program replay ON DEMAND.

Learn what’s changing, how it impacts treatment decisions, and what it all means for patients today.

Back to My CLL Story

I’m Seeing Cancer in Younger People

I’m seeing more young people with colon, breast, and pancreatic cancer. I have friends who have been nurses and worked at cancer centers and have ultimately gotten some type of cancer. Thankfully, we know what to do. We don’t freak out about it as much as some individuals. 

I belong to a CLL support group on Facebook, and some people who are diagnosed in their 30s are often very freaked out to think that they could be on medication for the rest of their lives. I compare this with insulin-dependent type 1 diabetes. My daughter has type 1 diabetes. She’s had it since she was 12. She’s 55, thank God, and she is very well controlled. She can’t live without that medication, just as I can’t live without mine. It’s better to take medication for the rest of your life than to succumb to something that is perfectly treatable in this day and age. 

Doctors are promising other combinations for five or even more years of remission from CLL, but that wouldn’t be good enough for me. Remission for life is the ultimate goal.

The Side Effects of BTK Inhibitor Therapy That I Experienced

I’ve had the usual bruising and bleeding that comes with BTK inhibitors. When I was initially taught, I was told, “Don’t use a razor. Be careful in the kitchen with knives.” I’m old, and the skin on my hands is very thin, so I easily cut myself. I have Band-Aids all over. My hands are very bruised.

I’m grateful now for the winter because I can wear long sleeves. People don’t say, “Are you on a blood thinner?” and I go, “Yes, I am.” It’s quite consistent with being on a blood thinner, like when I was taking Plavix after a cardiac event. So, I bruise very easily. I bump into things. I wake up, and I have black and blue marks, but my platelets are good. I always check them.

My Family History, Other Conditions, and Vaccinations

I have a small family, and I made sure I told my cousins about my situation. My sister has a different hematologic disorder. It’s TTP, thrombotic thrombocytopenic purpura. She had zero platelets, so that was very, very serious. I’m grateful I don’t have that. 

Diabetes and cardiac issues do run in our family. So we’re very upfront with each other as to health and maintaining our health, trying to eat a healthy lifestyle. 

No diet can reduce my risk of CLL or make it go away. Some people in our support group say, “Oh, I can’t eat blue cheese,” and I say, “Well, blue cheese is made with bacteria, so maybe there’s a reason. I don’t know. I’m sure you could eat a little bit of blue cheese.” 

Some people are worried about yogurt with lactobacillus. I know that we cannot get any live vaccines like measles. Of course, I’m immune; I had it as a child. 

I’m very proactive, and I am pro-vaccination. I know that we’re under-responsive in terms of vaccinations. Because we’re immunocompromised, we don’t get 100% coverage. I’ve had Covid three times. I just got my COVID-19 booster. I got RSV. I’ve had shingles. I’ve just had the flu, so I get them all.

Lynn S. chronic lymphocytic leukemia

It’s better to take medication for the rest of your life than to succumb to something that is perfectly treatable in this day and age.

Lynn S. – CLL patient
Lynn S. chronic lymphocytic leukemia

Staying Mentally Grounded and Finding Peace

I take anxiety medication. Does it help me? I guess it does. 

I like to do puzzles, word puzzles, New York Times puzzles, and mini crosswords. I like to appreciate the beauty and the uniqueness that surrounds us. 

I’ve said that I love taking pictures of flowers. I call the center of the flower the heart, the heart of the matter, and in its uniqueness, it often has patterns, like the sunflower: it’s concentric, like the bearded iris that has its tongue sticking out. I love hummingbirds as well. I enjoy them, even from May through September. I feed them. I have such wonderment about God’s tiniest creation, a bird that can hover as well as sit still. 

I appreciate the beauty of life and the fact that I am alive.

How Advocacy and Educating Others Help Me Cope

They help me a lot. Most recently, I gave a public service announcement, a PSA, on my CLL Facebook group about Medicare open enrollment, which is now open from October 15th through December 7th. I am a healthcare expert, so I advise people and try to teach them about the A, B, C’s of Medicare. It’s actually A, B, C, D, E, F, so it’s quite complex, but I try to simplify it for people. You have to look, especially when you’re going for insurance, especially at 65, where you may or may not be able to change your original decision depending on where you live, your family, and your lifestyle. 

Are you a smoker? Are you a drinker? Are you morbidly obese? I’m overweight; I know that. I still try every day to get out and do some walking, but I think teaching and educating people is the ultimate anti-anxiety medication for me.

What I Hope Others Take from My Story

I hope other people can get strength and encouragement from my story.

I could walk across the parking lot and get run over by a delivery truck. So every day, you have to live life to its fullest, no matter what your health issues are. You have to take the best care of your health to the best of your ability and with what we know in medical science. 

I hope that other people are upbeat and can gain some level of maturity, knowing about their illness and what to expect down the line.

Once you have support from even one person, they can make all the difference in the world. Kindness goes very far.

Lynn S. – CLL patient

Why It’s Important to Be Informed and Empowered as a Patient

I think with education and information, you can make a difference in the world. You can make a difference to others. You can certainly make a difference to yourself.

I truly believe that there’s a reason why we cross paths with the people that we meet in life. What that reason is, I don’t know. But, for example, you might need help getting insurance one day, and you might say, “Hey, I remember Lynn. She has a lot of experience with insurance.” 

As long as you’re an educated consumer, I think you have the best chance of surviving in today’s world with so much foolishness and mismanagement of health sciences and medicine. I think it’s very important to be well-informed about vaccinations, about medications, about contraception, about other issues, like political issues, which I won’t get into. It’s a tough world that we are all living in now. 

Once you have support from even one person, they can make all the difference in the world. Kindness goes very far.

Resources I Trust and My Final Thoughts

Go to the best sources available. When I’m doing a search online, I’m always looking for information from Cleveland Clinic or Mayo Clinic. For CLL, CLL Society has the most up-to-date information, as well as the National Comprehensive Cancer Network (NCCN) guidelines for patients. They have the latest and the best up-to-date information, what’s new and what’s fascinating. We like to share all that information in our group. 

I am grateful to be helpful to the group. Some people don’t like me being so forward, I guess. I’m from Brooklyn. You can leave Brooklyn, but you can’t take Brooklyn out of me. New York City is a tough place to grow up in, and I am street smart, and I’m quite smart as well.

Lynn S. chronic lymphocytic leukemia
Lynn S. chronic lymphocytic leukemia

AbbVie

Special thanks again to AbbVie for its support of our independent patient education content. The Patient Story retains full editorial control.


Lynn S. chronic lymphocytic leukemia
Thank you for sharing your story, Lynn!

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More Chronic Lymphocytic Leukemia (CLL) Stories

Lynn S. chronic lymphocytic leukemia

Lynn S., Chronic Lymphocytic Leukemia (CLL)



Symptom: Elevated white blood cell count

Treatments: Chemotherapy, targeted therapy (BTK inhibitor)
Serena V.

Serena V., Chronic Lymphocytic Leukemia (CLL)



Symptoms: Night sweats, extreme fatigue, severe leg cramps, ovarian cramps, appearance of knots on body, hormonal acne

Treatment: Surgery (lymphadenectomy)

Margie H.

Margie H., Chronic Lymphocytic Leukemia



Symptoms: Large lymph node in her neck, fatigue as the disease progressed

Treatment: Targeted therapy

Nicole B., Chronic Lymphocytic Leukemia



Symptoms: Extreme fatigue, night sweats, lumps on neck, rash, shortness of breath


Treatments: BCL-2 inhibitor, monoclonal antibody

 

 
 

Categories
Chemotherapy Lobectomy Patient Stories Sarcoma Soft Tissue Sarcoma Surgery Synovial Sarcoma Treatments

Finding Light Through Advocacy in Stage 3 Synovial Sarcoma: Sorcha’s Experience

Finding Light Through Advocacy in Stage 3 Synovial Sarcoma: Sorcha’s Experience

Before cancer entered her world, Sorcha’s life in El Paso, Texas, was full of family, engineering work, and hands-on creativity. She spent her days as a mechanical engineer in the oil and gas industry and her evenings quilting, crocheting, or making friendship bracelets with her young daughter. Their bond showed up in bright, memorable moments, like planning a Taylor Swift concert trip together and crafting bracelets in anticipation. It was within this full and grounded life that Sorcha first began navigating what would become a diagnosis of stage 3 synovial sarcoma.

Interviewed by: Nikki Murphy
Edited by: Katrina Villareal

Before her stage 3 synovial sarcoma diagnosis, Sorcha’s days were defined by work, parenting her daughter and son, and finding joy in movement and learning. She went to New Orleans for a Taylor Swift concert, which she remembers as a safe, joy-filled space, especially for girls, women, and families. She, her daughter, and her sister immersed themselves in the music, traded hundreds of handmade bracelets, and created memories that would later stand out as a “protected, beautiful time” just before everything changed.

Sorcha B. synovial sarcoma

Soon after, Sorcha began noticing symptoms: right-sided abdominal pain, changes in her breast, and a frightening episode of vision loss in her right eye. Despite seeing multiple doctors and being told the symptoms were likely stress or migraine-related, she continued to push for answers. Her stage 3 synovial sarcoma experience quickly became one of self‑advocacy as she tracked patterns, returned to primary care, and insisted that seemingly “unrelated” symptoms might, in fact, be connected. Eventually, severe pain, nausea, and vomiting led her to the emergency room, where a chest CT revealed a large mass.

From there, Sorcha moved into an intense treatment path that included chemotherapy and protective medications to shield her kidneys and bladder. She describes the shock of sudden hair loss, shaving her head with her kids at a local salon, and the mounting fatigue and cognitive effects that linger even now. Yet she also highlights support from friends who flew in before surgery, an employer who offered housing during treatment, and a tight “village” of long‑time friends who celebrated “No Mo’ Chemo” with a beach photo shoot. Through it all, her stage 3 synovial sarcoma experience is defined not just by medicine, but by motherhood, community, and a fierce commitment to self‑advocacy.

Watch Sorcha’s video or read her interview transcript to find out more about her story:

  • Strong self‑advocacy helped Sorcha push past initial “it’s probably stress” responses and eventually get imaging that revealed her synovial sarcoma
  • How small, joy‑filled experiences became powerful emotional anchors once symptoms and treatment began
  • Maintaining a “village” of long‑time friends across multiple moves created a support system that showed up in tangible ways
  • Learning that patients often need to trust their own sense that “something is wrong” and keep asking questions until their concerns are fully addressed
  • How Sorcha’s perspective shifted from simply enduring treatment to intentionally using her time and health to be present with her children and to share her experience to help others

  • Name: Sorcha B.
  • Age at Diagnosis:
    • 36
  • Diagnosis:
    • Synovial Sarcoma
  • Staging:
    • Stage 3
  • Symptoms:
    • Right upper quadrant pain
    • Changes in the right breast
    • Temporary vision loss in the right eye
    • Nausea
    • Vomiting
  • Treatments:
    • Chemotherapy
    • Cytoprotective therapy: mesna
    • Surgery: lobectomy of the middle lobe of the right lung and associated ribs and soft tissue
Sorcha B. stage 3 synovial sarcoma
Sorcha B. stage 3 synovial sarcoma
Sorcha B. stage 3 synovial sarcoma
Sorcha B. stage 3 synovial sarcoma
Sorcha B. stage 3 synovial sarcoma
Sorcha B. stage 3 synovial sarcoma
Sorcha B. stage 3 synovial sarcoma

This interview has been edited for clarity and length. This is not medical advice. Please consult with your healthcare provider to make informed treatment decisions.

The views and opinions expressed in this interview do not necessarily reflect those of The Patient Story.



My Name is Sorcha

My name is Sorcha. I was diagnosed with stage 3 synovial sarcoma at the beginning of 2025, and I live in Texas, in El Paso.

I am a mechanical engineer by degree, and I work in oil and gas. I have worked at the same company my whole career. I’m passionate about learning. I’m curious about the world and the people around me. I think the stereotype of mechanical engineers is that they do stuff with cars. I don’t do anything with cars. I like to make stuff with my hands, though, so I enjoy crafting, arts and crafts. I quilt, crochet, knit, and make friendship bracelets. I’m a big Taylor Swift fan and so is my daughter. I am married with two kids. I have a daughter who is six and a son who is four. I also like to read and lift weights. 

Taylor Swift Trip to New Orleans

That trip was on Halloween weekend, which, if you’ve ever been to New Orleans around that time of year, it’s like festival season but spooky. There are a lot of locals, music, and artistic expression. It’s such a cool city for a ton of reasons, but also very cool to be there the week of Halloween, and the concert was that weekend. I went with my daughter and we got the tickets a year beforehand, so we had made our costumes. It took about a year for me to make my costume. It was very intricate, and my daughter went from knowing the songs to knowing all the lyrics to all the songs because she’s developing and growing up, so it was so cool. It was a fun mother-daughter time.

We handmade hundreds of bracelets together, and then we got to hand them out and trade them with people in New Orleans. We have a little memory box with all of our bracelets. She has a whole bunch in her room, but those are the ones that I have little memories about.

My sister came down. It was a cool experience. That whole concert vibe is very girlhood. It’s safe. Everyone’s so positive and kind, and it was a great experience for my daughter. It was a whole bunch of moms and sisters and kids and women of all ages, also some men, too, but just a very safe place for her to experience the city for the first time. It was a beautiful experience.

I went to the emergency room for the first time a little less than a month later, so it stands out for me as this gem of this protected, beautiful time before I became ill. 

Girls’ Beach Trip and No Mo’ Chemo

As part of my career that I’ve chosen, I’ve moved a lot. I’ve probably moved, I want to say, seven times. It becomes important not to rely on an external village. You need to make your village. I think part of that is making sure you maintain strong, connected, intimate friendships even as you move. That takes work and effort, and it has to be reciprocated.

This group of girls, not all of them are there in that picture, but that group represents that village of adult friends I’ve had now for, I mean, a couple of the girls since I was two or three, and I think the newest friend I have is maybe 12 years ago. They’ve been extremely supportive through this whole experience. We wanted to celebrate the end of chemo, so we did a “No Mo’ Chemo” photo shoot and had my family come in right after. We actually had a photographer take pictures and memorialize that experience of being done with being sick and turning the page towards surgery and recovery. 

Wigs and Hair Choices

Everyone thought I would wear wigs, I think, so it was a little bit like, hey, wigs are cool, wigs are in. But I never did. No shade or hate to anybody; I just found them a little bit itchy. So it was kind of fun to wear them for the first time and then be neon, you know. 

Early Sarcoma Symptoms and Dismissed Concerns

I would say in the summertime, maybe July, I had some right-quadrant pain. It was dull, aching pain over the course of a few days, with some sharp stabbing pains. It lasted for a couple of days and I thought, “That’s kind of weird. Maybe I hurt myself. Maybe something happened.”

A few weeks later, I had the pain again, except it was bad enough that I couldn’t sleep. It affected my sleep, and the sharp pains were really sharp. I was on Google asking what it could possibly be and came up with it’s probably gallstones. I had lost weight. I’d finished nursing my kids and was coming back to my normal weight, so maybe that’s what it was. That was around July, and then I had the pain again. 

Along with that, I had had a couple of other symptoms and I thought they were unrelated. I thought I felt something in my right breast. Something seemed different. Something seemed off. I went and saw a gynecologist to check me. He said he didn’t feel anything. Everything felt normal. I was like, “Well, one of these feels different. My right one feels like something’s off with it. I can’t really explain why; it feels higher or something.”

Around then, within those weeks, I lost vision in my right eye while I was getting ready for work. It was as if you stared into a light and you can’t see for a while, except it didn’t recover and my eye looked normal. My pupils were equal and reactive. I saw several doctors. I saw the gynecologist, an optometrist, and an ophthalmologist about my eye. They said I was probably having a migraine. I didn’t have a headache, but they said an aura around a migraine can result in that vision loss. After seeing a few doctors with all these unconnected things, it came down to I was probably stressed out. 

Primary Care, Tests, and ER Referral

Then I had the pain again in August, and I went to a primary care doctor and said, “Hey, look, I’m having A, B, C, X, Y, Z. I know I’ve been told by other doctors that [they] are unrelated. I think they’re related. I think there’s something wrong.” She took me very seriously. She ordered a whole bunch of tests. She ordered a head CT. She ordered an ultrasound of my gallbladder area, just checking on that. I also saw a gastroenterologist.

All my tests came back normal. All my blood work was normal. My head CT looked normal. Although my doctor was very supportive and said, “I agree, if you say there’s something wrong, there’s something wrong, maybe it’s something hormonal. Let’s meet back again in six months and see if anything has changed. But in the interim, if you experience this pain again, immediately go to the emergency room because they may be able to image and see if there’s some intermittent thing happening. They may be able to see it while it’s happening.”

Emergency Room Visit and Mass Discovery

That was in August. September, October: Taylor Swift concert. Towards the end of November was the next time I had the pain. I had discomfort, pain, and nausea at work after eating a meal, which again sounded consistent with gallstones. I went to see our LPN, and whenever he was probing around to see if everything was okay, I started vomiting and I couldn’t stop. Concerned that this might be something cardiac or more complex or serious, I went to the emergency room. At the emergency room, I was triaged and waited several hours to be seen. 

Once I was seen, again, scans were showing nothing. I said, “Hey, I really think something’s wrong over here. Can you please look over here, see if you see anything?” They went back and consulted and said, “Okay, we might see something. If you’re saying you’re having pain there, we see a little, it might be a blood clot. We can’t really tell. We’ll do a chest CT.”

Once the chest CT was done, everyone’s mood changed. I wasn’t given the results immediately. I have an idea of how long the results should take. They said, “We’re going to wait. We’re going to put you in a room.” I had just been behind a curtain before then, so I thought a room opened up. They put me in the room. I think they were trying to be very considerate of my feelings and my experience, but they put me in the room privately so that they could tell me that they found a large mass and it didn’t look good. 

Timeline to Official Diagnosis

I had an emergency room visit where they found the mass, and then we drained the fluid, re-inflated my lung, biopsied the mass, and then they tested the biopsied tissue. I was diagnosed on January 2nd. My ER visit was around Thanksgiving, and my diagnosis was in New Year’s.

Hearing the Diagnosis and Treatment Plan

What’s crazy is I knew what it possibly could be, and I had self-referred to the sarcoma group at MD Anderson before even having the FISH result that confirms sarcoma. So I knew that this was a significant chance, but I hadn’t done any research into what the treatment protocol would be because it’s so different based on your individual case. It basically went, “Hey, yes, we have this result, you have synovial sarcoma, you have this high-grade malignant mass that makes you stage 3, we need to start chemo immediately, it’s going to be really bad, you’re going to get really sick, and you’re going to be rendered infertile. So, are you done having kids?”

In their defense, they’re not saying this stuff boom, boom, boom, but the experience of it is like, “Oh, that’s a lot of information,” trying to take it in. She said, “If you want to have more kids, we need to freeze these eggs now, and we need to get you in here next week to start chemo. You’re going to be out of work for six months, and then you’re going to have surgery, and it’s going to be this significant surgery.”

I was clinical in my response. I was like, “Yep, I’m done having kids, that’s perfect. I’m young, I can handle difficult chemo, but I’m old enough that I already have my children. Okay, perfect. We live close to MD Anderson.” I was responding in a very unemotional way, but I think that I just wasn’t able to experience the emotions in the moment. 

Telling My Husband, Parents, and Friends

My husband was with me in the room the first time. At first, we were amongst ourselves, like, “It has to be benign, it has to be benign. I’ve never smoked. I work out. I eat healthy. I’m a healthy person. Of course, I don’t have cancer.”

When I found out that they had ruled out a benign mass, I came in and woke him up and told him it was cancer. I think we were both surprised, asking the same questions over and over again, like, “Well, why? You don’t do any of this stuff that makes a risk factor.” But that was his biggest shift, realizing that it was cancer.

The actual diagnosis of the sarcoma and the treatment protocols were more intense than I expected, but we didn’t know that much about what cancer patients go through. Most of my friends who had had cancer had had skin or breast cancer that was mild enough not to affect their life or their appearance significantly during the treatment, just because of the type of cancer they had. 

I called my boss on the way home and said, “Hey, I have to be out of work for six months. I need to leave immediately.” He said yes and even offered his home to me. They had an apartment that his wife and daughter were using while she was in her last year of high school, and they offered to let me stay there while I was going through treatment. That was generous and helped support me a lot. 

Then I called my dad. He was distracted and packing and said, “Hey, can you call your mom? I’ve got to get this done.” I said, “No, it’s serious. Can you sit down for a second?” I told him, and I asked him to call my mom first so that she could have a reaction to it and not feel like she had to not react to protect me or something.

My dad’s an engineer. My mom’s more like a biologist-artist type. That just felt like the right way to do it. Then, everybody else, I sent a text message that said, “Hey, I have cancer, and here’s this three-paragraph-long thing of all your questions answered. I pre-wrote it with everything and put it in my notes.” Everyone got the same message. This is what I’m comfortable with you sharing with others and this is what I’d like you to wait to share. So I guess being my friend is kind of a wild ride. You might get that text one day, I don’t know. 

Researching Care Teams and Protocols

I reached out to a few places. One place in the Northeast, I’m blanking on what it’s called, and I self-referred to Mayo Clinic and MD Anderson. I called a few people I knew and trusted. I reached out to my family and said, “Who do you know that works in oncology? Who do you know that knows about clinical trials or knows about this type of cancer that I believe I have?”

I wanted to understand who is most respected. I did a lot of research going into it before I had that January 2nd meeting, not so much about what protocol they would prescribe, but which care teams are respected and have the most options and the most robust systems for support.

The care team came in and said, “This is what it is. In general, sarcoma is resistant to chemo; you’re going to have to have an intense chemo regimen. Our goal is to prevent or reduce the chance of recurrence.” They were transparent that this is not going to solve my cancer. This is going to make it less likely to recur. It probably will come back, but this is going to hopefully make that further away or less likely. 

They were direct with me and clear about the chances and the intent behind each portion of the protocol and the surgery. They recommended that I reach out to other people. They said, “Here are your scans. Here’s your information. You can send it to these people or whoever you choose and see what they recommend.”

I had also seen a local oncology team in El Paso, and they said, “Full disclosure: we see certain types of cancer, and this is a really rare one. This is really aggressive. You need to go to the best in the country, and we’re not them. But here are different people to talk to.”

Everybody recommended pretty much the same protocol. All of what the best people in the industry recommended was consistent, so I didn’t have concerns around that. I felt like all my questions were answered. When it came to deciding whether or not to do portions of treatment, I decided to do every step that would increase my chance of success and decrease recurrence, and I had the benefit of having no risk factors that would preclude me from doing those things. 

Chemo Before Surgery

I got my PICC line put in on January 13th, which was great, and started chemo around January 15th. I was on a pretty heavy dose. I think it’s called doxorubicin; it’s called Red Devil as a slang term. I had that on Mondays. Then I had four days of what’s called AIM treatment, basically a chemo that’s formulated for your size, spread out over however many days they need to give you your dose.

Then I had a Mesna bag, which is a continuously pumping bag that provides protection for my kidneys and bladder. The Red Devil is cardiotoxic and can be, I guess, brain toxic, so there’s medicine for that, and then I had the bag the rest of the time to continually flush my kidneys and bladder to help protect those. That would be a week of that, a week of feeling like crap, having all my levels go down — my red blood cells, white blood cells, and platelets — and then a week of trying to get back up into a range where I would qualify for chemo again. 

It was that three-week cycle. I think I had six of those for 18 weeks. It ended up taking around 20 weeks because I wasn’t always able to qualify back towards the end of my treatment.

Hair Loss and Shaving My Head

It was crazy how fast my hair fell out. I thought weeks in, I was going to start having hair fall out, and it was not like that. I think it’s that Red Devil; I think that’s what most people experience. It came out in clumps. I had long, thick hair, so I’m used to being able to play with my hair, pull on it, braid it, and it keeps on ticking. But I would run my hands through my hair and hair would be falling out everywhere, even my body hair falling out, which was weird. 

When I was having all the clumps fall out, I was getting big bald spots and my part was super wide. There were big sections with no hair. I’d already cut my hair short coming into this, and I decided that the next time I was home — because I was trying to see my kids on my recovery week for the two days before I went back to restart chemo — I would like to shave my head since it looked like it was all going to fall out. That was after my first cycle.

I had my kids shave my head at a chain place that does free haircuts for cancer patients who are transitioning, so that was free of charge. They let my kids hold the clippers. My son didn’t want to, but he watched. I just wanted it to feel not scary, not for me to come back and look completely different. The hair was the first thing. I didn’t feel so bad at first, but each successive chemo cycle, each time I did chemo for a week and then recovered, it got worse. 

Chemo Side Effects and Lasting Impacts

I was more sick. I had cognitive impacts from the Red Devil, like I didn’t know where I was or couldn’t think. I still have that. I have memory issues now, short-term memory problems, and it feels like a lot of my memory during that time was wiped. Almost all the stuff they list — fatigue, nausea, weight loss, weight gain, bloating, sensitive skin, hair falling out — you have at least some of it. 

The thing that I didn’t experience, which I’m grateful for, is pain from the shot to stimulate T cell growth from my bone marrow. Bone marrow reproduces rapidly and is disproportionately impacted by chemo, hence your white blood cell, red blood cell, and platelet counts go down. You get this shot to stimulate T cells to get you some white blood cells. A lot of people have a lot of pain with that — acute pain — but I didn’t have any, so I was grateful for that.

Anticipation and Strategy for Surgery

I was excited; I was so excited for surgery. I knew there was potential for a negative outcome, but it felt like no matter what, it was probably going to be better after surgery in some way. Two of my best friends came in town — one I’ve known since I was two, and one I’ve known since sixth grade — and they stayed with me before surgery so I could say whatever I was feeling, just be honest, just experience it and not be performative.

On the day of surgery, I felt like I was informed about what the doctors were going to do. I felt supported by the care team. I asked a lot of questions and all my questions were answered beforehand. I was concerned they could go in and decide they needed to remove my whole right lung, which would have reduced my lung capacity and put strain on my heart, which was already affected by my chemo. That affects how you move around through the world and what other illnesses down the road may do to you. I knew there was this domino effect of how bad it was going to be when they got in there.

They were going to remove it en bloc, basically take everything out that it touches, plus a range around it. I knew it could affect my pec muscle and my breast — my pec muscle is function, and my breast is form, aesthetics, ego, and self-image. I knew I’d be waking up bald with no lashes, so I was like, “Okay, hopefully it’s the least scope possible.”

Surgical Outcome and Sharing Tumor Photos

When I woke up and they said they’d only taken one lobe of my lung and we thought they had clear margins, I was so thrilled. I was so excited. I felt so happy. The first thing I told my mom was, “Okay, now I can sign up for a marathon next year and do that. We’ll see.” It might be a walking marathon because I’m actually not that into running; I don’t know why I said that.

The reason I chose to share [tumor photos] is that I’d be super curious if someone said, “I had this tumor removed and it was this big.” I’d be like, “How big? How vascular was it? Where was it?” I have those questions, so I felt comfortable showing someone. I also thought it was cool that two ribs were involved. I thought it was cool that we have technology to still help me be fine with that.

Sharing on TikTok and Helping Others

After sharing my story on TikTok, I had a couple of people reach out and say, “What you’re describing, I experienced that, and I went to a doctor, they said it was fine. They ran my blood tests and they said it was fine. What should I do? What do you think?” I said, “I’m not a medical professional. I don’t have any medical training at all. But if you feel like your questions aren’t being answered by the doctor you saw, I think you should go see someone else and write down what you’re going to say and the questions you’re going to ask before you go in, so you feel less confused and more confident. This is what I asked for in your situation, but, obviously, yours might be different.”

Two people got back to me, saying that they had found out they had cancer. I’m sure thousands of people saw that video, but that was moving to me. It felt like even if there is a little bit of discomfort, I’d rather share my experience and hopefully one person gets a diagnosis a little bit earlier, so they have more options and treatment. That first video was before surgery, and that was part of what drove me to do my video after.

NED Status and Upcoming Surgery

I don’t think I’m in remission yet. Maybe I don’t know the right words, but I was allowed to go back to work. I went back four weeks after my surgery. I had scans after three months and my scans were all clear. I’m NED, or no evidence of disease. I have surgery scheduled next weekend on November 1st. I think after five years of being NED, I’m considered in remission, but I think that’s how the words work.

The surgery I’m having is a reconstruction. Not cancer-related. Just repairing and helping, hopefully, maybe some scar tissue adjustments.

My Biggest Emotional Challenge

I think the biggest challenge is the mortality aspect of it, the knowledge that no matter how this goes, I’m less likely to survive as long. I’m more likely to have a more complex health outcome if I live to an older age and have something else that’s just normal that happens to older people. It’s going to be more complicated because of my history.

There’s a chance it comes back and next time, it’s not something that can be surgically removed. I’ve already had the lifetime maximum dose of the Red Devil chemo, so I can’t have that again, and that’s one of the more effective treatments.

The thing that I struggle with is that my children didn’t do anything. They didn’t do anything to deserve to have a mom with cancer. I hate that they’ll be negatively impacted by my diagnosis. I don’t want them to wonder if their mom will be at their wedding, their high school graduation, or hold their first child. It’s not as much about me and what I may or may not experience, because I don’t worry about that. I just don’t want them to miss out on something or not have the support that they deserve. 

Parenting Through Treatment

To a pretty significant extent, it’s been a huge blessing to have children because it made all of this so easy, all the decisions so easy. I was going to do the hardest chemo. I was going to do the surgery. I was going to do all of it because there was no other option. After all, I needed to be there for my kids.

Maybe if I didn’t have those motivators, I would have thought longer or taken a little bit of time, or maybe I wouldn’t have gone back and asked for answers as many times as I did. But my health was more than just myself; it was for my kids. They responded in different ways to the stress of my being gone and being sick, but I don’t think they ever worried that I would be there. They were just sad at how long it was between seeing me. In that way, I was successful as a parent in protecting them from a lot of the worst parts, the uncertainty. I don’t think they felt that much. They were a very important part of my ability to move through the treatment.

Meaning of Survivorship

I guess technically it means living, right? I think it means using the time that I have and the health that I have in the best ways that I can, and never forgetting or letting go of that sense of vulnerability that allows me to appreciate my life and my kids as much as I do now. I think I took a lot for granted. I was hard on myself in ways I didn’t need to be. So I think, it sounds perverse, but I desperately want to hold on to some of the realizations that this experience has given me.

Hopes, Dreams, and Everyday Goals

I don’t think I have huge new dreams. I want to be a better friend. I want to be a better mom. I’m starting to think about giving myself a year from the date of my surgery to push myself in certain ways. I do want to do a marathon; I think I want to do it walking. I want to travel. I want to do an international trip. I have it planned a little bit. Between work and kids and everything, I want to do that. I want to be more in the moment and less in my own head, thinking about what the next thing is. I think I robbed myself of a lot of joy in fellowship with other people or being with my kids by thinking about the next thing I needed to do. That’s what I want to hold on to.

My Advice and Message to Others

My biggest message I would want people to take away is that of advocacy, self-advocacy, and trusting yourself. If you think something is wrong, you don’t think you’re getting the answers you need, or you don’t understand what you’re being told, ask again. Advocacy is not about being a pain. There’s nothing inconvenient about needing answers when you have something suspicious going on in your body.

I think that’s so important, especially in women’s health, because there are so many things going on between hormones and changes in life stages that can affect the way that you experience your own body. Those things don’t have to be mysteries. There could be something else going on. In my case, several of the doctors I saw were looking for horses. I joked with my mom: they were looking for horses, but it was a zebra. You have to keep asking questions and keep advocating for yourself.

My Thoughts on Mental Health and Hope

I don’t know that this is part of my story necessarily. It feels like it’s part of everybody’s story. Just the importance of mental health hand in hand with physical health, and not toxically positive, but a positively-oriented attitude. Visualizing success, making sure that you’re using resources that are available to you, and setting goals that are external and outside of your cancer treatment and diagnosis. Choose a concert you want to go to eight months after your diagnosis and start making plans and outfits. Whenever you feel bad, don’t feel like you have to hide it. Make sure you’re asking for help.


Sorcha B. synovial sarcoma
Thank you for sharing your story, Sorcha!

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More Synovial Sarcoma Stories


Kara L., Synovial Sarcoma, Stage 1B



Symptoms: Pain behind left knee, needle-like sensation in left foot
Treatments: Surgery to remove what was thought to be benign tumor, chemotherapy, final surgery, radiation (36 sessions)
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Jillian J., Synovial Sarcoma, Stage 3



Symptom: Pain in leg for over 15 years
Treatments: Surgeries (tumor resection, thoracotomy)
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Marisa C. feature profile

Marisa C., Synovial Sarcoma, Stage 4



Symptom: Small bump on the foot (stable for years, then grew during pregnancy), pain when pressed

Treatments: Surgeries (below-knee amputation, pulmonary wedge resections, segmentectomy), chemotherapy, radiation (lungs & hip)
...
Julie K. stage 4 synovial sarcoma

Julie K., High-Grade Poorly Differentiated Spindle Cell Synovial Sarcoma, Stage 4



Symptoms: Chest and back pain after car accident, trouble breathing

Treatments: Chemotherapy, surgeries (lung resection, video-assisted thoracoscopic surgery or VATS, neurectomy, rib removal), radiation therapy (CyberKnife)

...
McKenna A. synovial sarcoma

McKenna A., Synovial Sarcoma, Stage 3 Grade 3B



Symptoms: Insomnia, weak immune system resulting in persistent illnesses such as UTIs and strep throat, severe swelling in left leg

Treatments: Surgery (tumor excision), chemotherapy, radiation therapy (proton radiation), integrative therapies
...

Categories
Chemotherapy Immunotherapy Lung Cancer Metastatic Patient Stories Radiation Therapy Treatments

Living with Metastatic Lung Cancer: Clara’s Honest Take on Life and Treatment

Living with Metastatic Lung Cancer: Clara’s Honest Take on Life and Treatment

Clara’s story is one of change, resilience, and real talk about life with metastatic lung cancer. Diagnosed at just 30, Clara was an avid runner, living independently, and working full-time as a graphic designer. Throughout most of 2024, she chalked up her growing discomfort and hip pain to running-related injuries. After an MRI revealed a herniated disc, it seemed like a clear explanation for her pain, but it turned out that the discomfort was also linked to metastatic lung cancer that had already spread to her bones and joints.

Interviewed by: Nikki Murphy
Edited by: Katrina Villareal

What made things especially confusing was that Clara didn’t experience the classic symptoms of lung cancer. There was no coughing or shortness of breath; none of the usual warning signs associated with it. Instead, she felt dizzy, lightheaded, lost weight, and had swollen lymph nodes, neuropathy, and unexplained headaches.

For months, Clara pushed through it all, thinking it might be a blood disorder or an autoimmune disease. The breast lump she noticed in October raised red flags, but she set it aside until things escalated. Eventually, she landed in the emergency room after throwing up nonstop. That’s when doctors found the metastases.

Clara C. metastatic lung cancer

When Clara was diagnosed with stage 4 lung cancer, she was stunned. Her cancer had spread not just to her bones, but to her liver and brain. It felt surreal, like it was happening to someone else. Once she returned to Iowa for treatment, things moved fast.

Clara started brain radiation immediately and underwent genetic testing that revealed the MSH6 mutation, something she had never heard of before. This biomarker guided her treatment plan: a combination of two chemotherapies and immunotherapy. She is still on immunotherapy now and will be for life.

Becoming disabled has been one of the most difficult parts of this experience. Clara went from running half marathons to relying on a walker or a cane. Losing that level of independence hurts, but she’s working through it with honesty and strength. She also stresses the importance of self-advocacy, listening to your body, asking questions, and making your needs known, whether in the doctor’s office or around loved ones.

Now, Clara’s mission is to advocate and educate others through her TikTok and beyond. From breaking down scary medical procedures like brain radiation to showing how a chemo port works, she’s demystifying the parts of cancer that are often misunderstood or feared. She’s open about the emotions, the identity shift, and the practical realities of living with metastatic lung cancer, while reminding others that life doesn’t stop — it just changes, and that’s okay.

Watch Clara’s video to find out more about her story:

  • How a running injury masked the signs of metastatic lung cancer
  • Why Clara didn’t have any typical lung cancer symptoms and what she felt instead
  • What it’s like to become disabled after a stage 4 cancer diagnosis
  • How Clara uses creativity and TikTok to educate and advocate for others with cancer
  • What surprised her most about brain radiation and why it’s not as scary as it sounds

  • Name: Clara C.
  • Age at Diagnosis:
    • 30
  • Diagnosis:
    • Lung Cancer
  • Mutation:
    • MSH6
  • Staging:
    • Stage 4
  • Symptoms:
    • Pelvic pain
    • Joint and bone pain
    • Breast lump
    • Extreme lightheadedness and dizziness
    • Vomiting
    • Fainting spells
    • Swollen lymph node in the neck
    • Neuropathy
    • Headaches
    • Unexplained weight loss
    • Severe anemia
  • Treatments:
    • Radiation therapy to the brain
    • Chemotherapy
    • Immunotherapy
Clara C. metastatic lung cancer
Clara C. metastatic lung cancer
Clara C. metastatic lung cancer
Clara C. metastatic lung cancer
Clara C. metastatic lung cancer
Clara C. metastatic lung cancer
Clara C. metastatic lung cancer

This interview has been edited for clarity and length. This is not medical advice. Please consult with your healthcare provider to make informed treatment decisions.

The views and opinions expressed in this interview do not necessarily reflect those of The Patient Story.


Clara C. metastatic lung cancer
Thank you for sharing your story, Clara!

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More Metastatic Lung Cancer Stories

Jennifer M. EGFR-positive lung cancer

Jennifer M., Lung Cancer, EGFR+, Stage 4 (Metastatic)



Symptoms: None per se; discovered during physical checkup for what seemed to be a sinus infection

Treatments: Radiation therapy (stereotactic body radiation therapy or SBRT), targeted therapy
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Laura R. ALK+ lung cancer

Laura R., Non-Small Cell Lung Cancer, ALK+, Stage 4 (Metastatic)



Symptoms: Persistent cough, fatigue, bone pain

Treatments: Targeted therapies (tyrosine kinase inhibitors or TKIs, including through a clinical trial)
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Ashley C. stage 4 HER2+ lung cancer

Ashley C., Non-Small Cell Lung Cancer, HER2+, Stage 4 (Metastatic)



Symptoms: Fatigue, breathlessness, persistent back pain, multiple rounds of bronchitis

Treatments: Chemotherapy, targeted therapy
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Loryn F. stage 4 HER2 lung cancer

Loryn F., Non-Small Cell Lung Cancer, HER2+, Stage 4 (Metastatic)



Symptoms: Extreme fatigue, persistent back pain, chest pain, joint pain in the feet, hips, legs, shoulders, and elbows

Treatments: Chemotherapy, radiation therapy (foot and elbow to help with mobility), antibody-drug conjugate
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Clara C. metastatic lung cancer

Clara C., Lung Cancer, MSH6, Stage 4 (Metastatic)



Symptoms: Pelvic pain, joint and bone pain, breast lump, extreme lightheadedness and dizziness, vomiting, fainting spells, swollen lymph node in the neck, neuropathy, headaches, unexplained weight loss, severe anemia
Treatments: Radiation therapy to the brain, chemotherapy, immunotherapy
...
Wyatt D. stage 4 non-small cell lung cancer with KRAS G12D mutation

Wyatt D., Non-Small Cell Lung Cancer, KRAS+, Stage 4 (Metastatic)



Symptoms: Intense migraines, vision loss, muscle cramping in the hands, fainting
Treatments: Chemotherapy, immunotherapy
...

Categories
Breast Cancer Chemotherapy Lumpectomy Patient Stories self-advocacy Surgery Treatments Triple Positive

Fiorella’s Role in Cancer Advocacy Started After Her Own Breast Cancer Diagnosis

Fiorella’s Role in Cancer Advocacy Started After Her Own Breast Cancer Diagnosis

Fiorella proudly champions cancer advocacy for patients in her country, Argentina. She was once a patient herself. In 2019, she discovered a lump in her breast during a routine self-exam. Trusting her instincts, she consulted doctors, leading to a biopsy that confirmed her diagnosis of triple positive stage 2 breast cancer. The diagnosis was shocking, but she leaned on her family and found solace and strength in their love and support.

Fiorella proactively sought a second opinion from a doctor at the Alexander Fleming Institute. In contrast with other doctors who recommended that she first have a mastectomy and then chemotherapy, the doctor recommended that she start with chemotherapy to shrink her tumor, sparing her from a mastectomy. It was sound advice. After just two chemotherapy sessions, the tumor vanished, and she underwent a lumpectomy.

Fiorella G. stage 2 breast cancer

Empowered by her stage 2 breast cancer experience, Fiorella emphasizes the importance of self-advocacy and informed decision-making. She believes that patients should take the initiative to research their conditions, seek second opinions, and participate in discussions about their treatment options. 

Fiorella’s experience made her realize that there was a gap in patient support. She first helped out and then took the lead at VICARE GU, Argentina’s first genitourinary cancer advocacy association that focuses on kidney cancer and bladder cancer, prostate cancer, testicular cancer, and penile cancer. VICARE GU offers resources, legal support, and assistance, and also organizes community events to help patients and families get to know their conditions better and navigate their diagnoses with dignity.

Fiorella’s passionate about shattering the stigma around cancer and supporting others through shared experiences. Read her story and watch her video to learn about:

  • How her self-exam changed her life
  • The second opinion that redefined Fiorella’s treatment plan
  • Overcoming fear and stigma after a stage 2 breast cancer diagnosis
  • From patient to cancer advocate: Fiorella’s mission in Argentina
  • The role of family support in navigating cancer and living with dignity

  • Name: 
    • Fiorella G.
  • Diagnosis:
    • Breast Cancer (Triple Positive)
  • Staging:
    • Stage 2
  • Symptom:
    • Lump in breast
  • Treatments:
    • Chemotherapy
    • Surgery: lumpectomy
Fiorella G. stage 2 breast cancer

Johnson & Johnson - J&J

Thank you to Johnson & Johnson for supporting our patient education program. The Patient Story retains full editorial control over all content.

This interview has been edited for clarity and length. This is not medical advice. Please consult with your healthcare provider for treatment decisions.



Interviewed by: Stephanie Chuang
Edited by: Chris Sanchez

… I [need to] give back, to help others gain a second chance at life.

About Me

Hello, I’m Fiorella. I’m from Argentina. I was diagnosed with triple positive stage 2 breast cancer in 2019.

I’m very passionate about everything I do. I never give up on anything. When I do something, I try and try again, until I get it perfect.

I’m quite passionate about my family as well. I’m married and I have a son. Family for me is one of the most important things in my life. I think of my family in everything I do. 

Fiorella G. stage 2 breast cancer
Fiorella G. stage 2 breast cancer

How I Found Out I Had Stage 2 Breast Cancer

I don’t remember all that much from the time I was diagnosed. I clearly recall, though, that I was quite frightened to have discovered my cancer. 

I was working then, and my son was five years old at the time. One day, I did a breast self-examination like I always do. I found what felt like a little ball in my breast. It was alarming.

I went to see my gynecologist. He palpated me and told me it felt suspicious. He then referred me to a breast surgeon, who said the same thing. And then he sent me to have a biopsy done, which uncovered my triple positive stage 2 breast cancer.

I don’t remember all that much from the time I was diagnosed. I clearly recall, though, that I was quite frightened to have discovered my cancer.

Telling My Friends and Family About My Diagnosis

The phrase “stage 2 breast cancer” was very new for me and my family. It wasn’t something we had encountered before. That made my diagnosis and subsequent treatment very difficult for everyone. I also ended up losing my job later on, in the middle of the treatment, which made things even tougher.

But my family — my mother and father, my husband and son — had my back. They rallied around me. Even though my son was little then, he was always with me. And my close friends supported me, too.

I also had plenty of support from my doctors and medical team  — the oncologist and hematologist, of course, but I had also begun to see a psycho-oncologist to provide emotional support to counter the difficulties I was starting to experience due to my breast cancer. 

Fiorella G. stage 2 breast cancer
Fiorella G. stage 2 breast cancer

I Looked for a Second Opinion

As I said, stage 2 breast cancer was new to me. No one close to me had cancer or anything like that. I had to find out more about it before I committed to my treatments. I couldn’t stick with the first thing they told me back then.

One of my cousins told me, “Why don’t you look at this doctor?” And then they recommended this place called the Alexander Fleming Institute, right here in Argentina. It’s dedicated solely to cancer. Other places, even though they’ve got oncologists or other doctors on staff, might not be as focused. So I said, “Well, this has to be the place.”

I wasn’t given a set path. I had spoken with other surgeons who had said that they would need to operate first and then start chemotherapy. But the doctor I spoke with told me differently. 

He said that the tumor was very large, but I was very young — and I didn’t need to have the whole breast removed. He added that it would be better to start with chemo and reduce the size of the tumor, and then operate later.

And this regimen worked. After the second session of chemotherapy, the tumor disappeared. After that, I just needed a breast-conserving surgery, a lumpectomy, to remove any tumor remnants.

I Believe in Empowered Care

“Listen to what the doctor says and do what he tells you.” I’m not very much into doing that blindly.

In all areas of my life, I prefer to find things out and get educated before deciding on something. I guess most people don’t find these things out or ask about them.

I only managed to find out about patients’ associations and patients’ rights after all my treatments were done. They don’t seem to be well-known. I kept discovering a lot of things like this afterwards.

Of course, if a treatment has to be done, it needs to be done just as the doctor says. But I would recommend speaking with others and doing a little more research before making any treatment decision. 

Fiorella G. stage 2 breast cancer

… I would recommend speaking with others and doing a little more research before making any treatment decision. 

Fiorella G. stage 2 breast cancer

Getting Involved in Cancer Advocacy in Argentina

I’m working to help patients in Argentina as part of a realization I had when I was finishing up with the treatment, and even after I was done. I felt I needed to give back, to help others gain a second chance at life.

I took my stage 2 breast cancer experience forward by getting involved in VICARE GU, which is the first association in Argentina for genitourinary cancer patients and their family members and friends.

Initially, I was just helping the president of VICARE GU out. But she passed away, and no one could follow in her footsteps. So I got more involved. I’m now the president.

At VICARE GU, I’ve learned so much about patients and, in general, about dedicating oneself to patients’ concerns. And connected with how I felt, that I needed to support patients getting a second chance at life, is that we provide crucial information that cancer patients, their family members, and their friends can easily access and browse.

We started with kidney cancer, then went into the bladder cancer space next, and then genitourinary cancer. And we’ve also added information on other kinds of cancer: kidney, bladder, prostate, penile, testicular, and urethral cancer.

We’ve started organizing congresses — medical meetings or conferences — for each of the cancers, and specifically aimed at patients. We started with kidney and bladder cancer, and this year, in 2025, we’ve begun to organize congresses for the other kinds of cancers. These congresses provide what patients need to understand and keep up to date about treatments for each of the cancers and learn about cancer advocacy.

We run a psychologist-managed WhatsApp group where patients can join different chats and discussions. We also participate in different international organizations, such as the International Kidney Cancer Coalition.

On the legal side, we help patients in case some kind of treatment isn’t covered. We also help patients access medication. And we also organize other activities like community talks and walks — we do two of these yearly — and mindfulness activities as well.

Fiorella G. stage 2 breast cancer
Fiorella G. stage 2 breast cancer

“Cancer” is Such a Dreaded Word

There’s still so much fear of cancer. The term really does carry some stigma. People might find it uncomfortable to know that someone has cancer.

Many patients and their family members participate in the online events or talks we organize. But when we put up an in-person event, not as many people come. It does take a bit more for people to show up in person, but people may also be a little ashamed to come.

When we speak of empathy and find that this can be missing, it’s because cancer really is stigmatized. Some people can’t even say its name, and when I invite them to events or even just say you’re helping cancer patients, they more or less give me their condolences.

I do understand this fear. I was also quite frightened in the early part of my stage 2 breast cancer experience. I equated cancer with death because I was scared of what I didn’t know. 

But now that I’ve been through my experience, I know so much more about it, such as the fact that cancer isn’t necessarily a death sentence; some kinds can be managed.

Men can have a particularly hard time with cancer, even just the idea of it. They don’t like to speak up and find it hard to see a doctor for check-ups. More than anything, for them, it’s the prostate.

There’s still so much fear of cancer. The term really does carry some stigma.

Fiorella G. stage 2 breast cancer

My Message For Other Cancer Patients in Latin America

Those of us who’ve suffered from cancer should talk about what we went through, because experience is what counts. It’s best to share what they learned with others.

It happened to me when I had stage 2 breast cancer, and I got past it. And here I am, getting on with my life and working in cancer advocacy. It seems to me that the important thing for those who’ve had cancer, as well as those who currently have it, is to talk about it and share their experiences.

Doing so can help those who might be struggling with it, especially those who are so scared that they can’t see their way through and who could really use a little guidance and support.

I would like other patients to participate in the patients’ associations. These associations can provide powerful support that families and friends might not be able to. This is a different sort of support than oncologists and doctors can provide.

Of course, oncologists have a key role to play. They’re the only ones who might understand and with whom we have to work to make cancer better known and to make the stigma surrounding it disappear.

How Spreading Cancer Advocacy Through VICARE GU Can Help People

The most important thing VICARE GU can provide is to capture the knowledge of cancer patients and provide a resource for them and others like them. Not only for patients, but also for their family members and friends.

Speech shares information, and information is knowledge. And knowledge can decrease over time. This can lead to ignorance and fear — fear that supports the stigma of the word “cancer” for the rest of society.

VICARE GU is available to help both patients with whatever they need, to be able to live better with cancer. And it’s also free of charge for patient organizations to participate in as well.

Fiorella G. stage 2 breast cancer
Fiorella G. stage 2 breast cancer

Johnson & Johnson - J&J

Special thanks again to Johnson & Johnson for supporting our patient education program. The Patient Story retains full editorial control over all content.


Fiorella G. stage 2 breast cancer
Thank you for sharing your story, Fiorella!

Inspired by Fiorella's story?

Share your story, too!


More Breast Cancer Stories

Tina C., DCIS & LCIS, Stage 3A, ER+



Symptom: Sunken in nipple of right breast

Treatments: Double mastectomy, chemotherapy (AC-T), radiation, hormone therapy (tamoxifen, Zoladex)
Natalie
Natalie W., DCIS, Stage 0, ER+; Paget’s Disease



Symptom: Lump in right breast

Treatments: Lumpectomy, double subcutaneous mastectomy, hormone therapy (tamoxifen)
Margaret A. feature

Margaret A., IDC & DCIS, Stage 2B



Symptoms: Pain in left breast, left nipple inverting

Treatments: Double mastectomy, chemotherapy (AC-T), radiation
LaShae R.

LaShae R., IDC & DCIS, Stage 2B, ER+



Symptoms: Lump in breast, pain
Treatments: Chemotherapy (Taxotere and cyclophosphamide), proton radiation
Dee D. feature profile

Dee D., Metastatic Breast Cancer, IDC & DCIS, ER+



Symptoms: Inability to produce milk on the left breast while breastfeeding, breast pain (palpable and radiating to the back), lumps in the breast and armpit

Treatments: Chemotherapy (AC-T), surgery (bilateral mastectomy & axillary lymph node clearance), radiotherapy, hormone therapy (Zoladex/goserelin), aromatase inhibitor (letrozole), targeted therapy (Kisqali/ribociclib)

Cat L., IDC & DCIS, Stage 2B, ER+



Symptom: Pain in left breast radiating from lump

Treatments: Bilateral mastectomy, chemotherapy, hormone therapy (tamoxifen)

Categories
Chemotherapy Clinical Trials Lung Cancer Patient Stories Treatments

Hasegawa Kazuo’s Stage 4 Lung Cancer Mission to Help Others

Hasegawa Kazuo Turned His Stage 4 Lung Cancer Diagnosis Into a Mission to Help Others

It started with a cough that just wouldn’t go away. How can you tell if the symptoms are the common cold or something worse? (like stage 4 lung cancer) This was Kazuo Hasegawa’s concern after he continued to cough for weeks. But everything changed when he started to cough up blood.

Kazuo ended up in the emergency room where doctors eventually ordered imaging. A scan revealed a shadow on his lungs. Reality became clear to him even though the doctor hesitated to say anything about cancer. The diagnosis would be stage 4 lung cancer. 

Interviewed by: Stephanie Chuang
Edited by: Chris Sanchez & Jeff Forslund

Editor’s Note: This interview was conducted in Japanese. It has been translated for clarity into English. 

Kazuo H. stage 4 lung cancer

His mind went first to his young children who were just five and seven years old at the time. He struggled to tell them exactly what he was dealing with, so he told them he was “sick.” At the same time, the father of two was also having a hard time figuring out how to navigate the healthcare system in his home country of Japan. He says many people there follow what doctors say, but he decided to advocate for himself, getting multiple “second” opinions.

Now he’s galvanized a group of thousands of other Japanese people who are dealing with cancer by creating the first patient advocacy group of its kind there called “One Step.” Dive into Kazuo’s incredible story of self-advocacy and empowerment, and how he’s trying to help strangers navigate a healthcare system to get the best outcomes for themselves and their loved ones.

Watch Hasegawa Kazuo’s video and read his story to take a deeper dive into:

  • A terrible cough led to a diagnosis of advanced lung cancer
  • The initial prognosis was ten months to live
  • Faced with uncertainty, he became an advocate for patient access to information
  • Kazuo founded One Step to support other patients
  • He now lives with intention, knowing each day is irreplaceable

  • Name: 
    • Hasegawa Kazuo
  • Diagnosis:
    • Lung Cancer (Pulmonary Adenocarcinoma)
  • Staging:
    • Stage 4
  • Symptoms:
    • Persistent cough that lasted two months
    • Coughed up blood on one occasion
    • Worsening headache
  • Treatments:
    • Chemotherapy
    • Clinical trial
Kazuo H. stage 4 lung cancer

Johnson & Johnson - J&J

Thank you to Johnson & Johnson for supporting our patient education program. The Patient Story retains full editorial control over all content.

This interview has been edited for clarity and length. This is not medical advice. Please consult with your healthcare provider for treatment decisions.



I’ve come to really feel the importance of time. Everyone only has one life.

About Me

My name is Hasegawa Kazuo. I’m a father of two. I used to work as a TV director in Japan.

I was diagnosed with stage 4 lung cancer (pulmonary adenocarcinoma) in 2010. And since, I’ve come to really feel the importance of time. Everyone only has one life.

Kazuo H. stage 4 lung cancer
Kazuo H. stage 4 lung cancer

The Cough That Changed Everything

It all started back in 2010, with a terrible cough. At first, I thought it was nothing, just a cold. I ended up having that cough for two months.

One night, it got so bad that I had to be taken to the hospital. There, I coughed up blood. 

I had a terrible headache when the symptoms first appeared. It just kept getting worse. I remember thinking, “Something strange is happening.” 

How I Found Out I Had Stage 4 Lung Cancer

In the examination room, I had a CT scan. It found a big shadow on my lungs.

The doctor was very silent about it, however, and seemed hesitant to tell me if I had pneumonia or something like that. He looked uncomfortable, like he wasn’t sure how to tell me. I kept wondering why he wouldn’t just say what he saw. A simple explanation like, “There might be something suspicious. We should do more tests,” would have helped. But he stayed quiet, and that left me to fill in the blanks myself.

My wife was with me when I found out. Our children were seven and five years old at the time. We struggled with how to tell them. In the end, I didn’t use the word “cancer.” I just said I had a serious illness, but that I was going to try my best to get better. And they supported me, even at that young age.

But even though the word “cancer” scared me, it was better than not knowing at all.

Kazuo H. stage 4 lung cancer

How I Reacted to My Diagnosis

Strangely, once I finally had a name for what was happening to my body, I felt some relief. When I was in the hospital, before I knew it was cancer, I couldn’t look anything up. The fear of the unknown overwhelmed me.

But even though the word “cancer” scared me, it was better than not knowing at all. I still think those few days of not knowing were worse than the diagnosis itself.

I Got Ten Different Second Opinions

A normal hospital visit takes just five to ten minutes. I’ve been told that the median survival time is 12 months, and the doctor told me that I have about ten months left to live if I keep going at this pace. 

Given that, five to ten minutes in the examination room is not enough time to think about how I will face my cancer. What would my next move be?

So I ended up getting ten different second opinions so I could see every treatment option available to me for my stage 4 lung cancer.

Kazuo H. stage 4 lung cancer

Your health data should be in your hands… I wanted to make informed choices about my treatment, and I couldn’t do that without understanding what was going on inside my body.

Kazuo H. stage 4 lung cancer

Owning My Own Data

It shocked me how little time you actually get with a doctor. Five or ten minutes is not enough to make big decisions or understand your options. If you want to talk strategy, you have to pay extra or find time outside the system.

That’s why I decided to take control of my own medical data. I started asking for my records: CT scans, PET scans, everything. I had to buy the reports. The data for one report costs about 3,000 Japanese yen. (a little more than $20 US dollars) The hospital put the files on a CD-ROM, and I kept them. I wanted to be in charge of my care. I didn’t understand why other patients just left their information with the hospital and only asked for it when they needed something.

Your health data should be in your hands. You should decide what to do with it. I wanted to make informed choices about my treatment, and I couldn’t do that without understanding what was going on inside my body.

Shared Treatment Decisions

I’ve learned that modern cancer care, especially lung cancer, isn’t just about doing what the doctor says. It’s about discussing your options together. The latest trend is for patients and doctors to consult and make decisions as a team. We have to understand what quality of life means to us. Treatment isn’t just about surviving, it’s about how we live.

Doctors should be clear and direct. They need to say, “This is what’s happening inside you. Here are your options.” Then patients can decide what matters most to them. That conversation is crucial.

kazuo hairloss from stage 4 lung cancer treatment

I’m taking my stage 4 lung cancer experience forward by helping other patients become empowered.

Kazuo H. stage 4 lung cancer

Stronger Patient Empowerment with ‘One Step’

Right now in Japan, most of the information available to patients comes from textbooks. But that’s not enough. It’s like learning boxing from a book and then being thrown into a match. You’d be terrified. You need practice first. Cancer treatment doesn’t give you that time to prepare. The match starts immediately. That’s why I want to provide better resources in that in-between space.

I’m taking my stage 4 lung cancer experience forward by helping other patients become empowered.

That’s why I helped start a patient group called One Step. The main vision of the group is to help create the courage to live. The group now reaches 12,000 people, mostly lung cancer patients and caregivers throughout Japan.

We try to provide useful information: details about treatment, financial support, and what’s happening in the world of cancer care. We also push for patient involvement in research. Instead of just leaving everything to doctors and scientists, we want patients to be part of the process.

We even helped propose a clinical trial, and it got approved. That showed me what’s possible when patients are involved from the start.

When you find yourself saying, “I’ve never faced such a dilemma before”… It helps to ask yourself: What are my values? What do I truly cherish?

There is Hope in Stage 4 Lung Cancer

When you find yourself saying, “I’ve never faced such a dilemma before,” it’s time to consult with others and make a decision. It helps to ask yourself: What are my values? What do I truly cherish? Or, if you were seeing a doctor, you’d bring in information about your physical condition or scientific evidence, and then you’d discuss it together. That’s the kind of process that’s the latest topic in lung cancer right now.

Treatment has evolved. The doctor’s decision or the patient’s decision is not the only decision, but now it’s the choice.

You are making a completely different choice based on your values. It’s very important that you look at the situation from a bird’s-eye view and let patients know that they have a choice to make right now. Of course, in some situations, you should just accept what the doctor says. If you have a major disease like cancer, you won’t know how to deal with it or treat it. You must learn about these things. 

So patients are going to have an increasing amount of options for treatment, specific information that they can interpret, and choices regarding treatment and so on. And they are going to be able to think of how to make those choices for themselves. And those treatments are going to evolve more and more.

Kazuo H. stage 4 lung cancer

I want to live. And I believe I can. That belief drives my daily life. I keep going, one step at a time. Maybe this is the answer. Maybe it isn’t. But I’m going to try.

Kazuo H. stage 4 lung cancer

How I See the World Now

Motivation is a wonderful thing. I want to live my life with no regrets.

I think about that, and about my stage 4 lung cancer experience, when I wake up today, the first thing I do is to tell myself that I have only one today. I think it’s because it’s obvious to me that my life is shorter than others’ lives. So I want to do something that makes my life more satisfying.

You see scenes in dramas and on TV where people say goodbye to their families with grace, but I don’t feel that everyone gets to have that kind of ending. Some people die angry or confused, asking, “Why me?” I don’t want to live that way.

Even if my life is short, I want to be satisfied with it. I want to live. And I believe I can. That belief drives my daily life. I keep going, one step at a time. Maybe this is the answer. Maybe it isn’t. But I’m going to try.


Johnson & Johnson - J&J

Special thanks again to Johnson & Johnson for supporting our patient education program. The Patient Story retains full editorial control over all content.


Kazuo H. stage 4 lung cancer
Thank you for sharing your story, Hasegawa Kazuo!

Inspired by Hasegawa Kazuo's story?

Share your story, too!


More Metastatic Lung Cancer Stories

Jennifer M. EGFR-positive lung cancer

Jennifer M., Lung Cancer, EGFR+, Stage 4 (Metastatic)



Symptoms: None per se; discovered during physical checkup for what seemed to be a sinus infection

Treatments: Radiation therapy (stereotactic body radiation therapy or SBRT), targeted therapy
...
Laura R. ALK+ lung cancer

Laura R., Non-Small Cell Lung Cancer, ALK+, Stage 4 (Metastatic)



Symptoms: Persistent cough, fatigue, bone pain

Treatments: Targeted therapies (tyrosine kinase inhibitors or TKIs, including through a clinical trial)
...
Ashley C. stage 4 HER2+ lung cancer

Ashley C., Non-Small Cell Lung Cancer, HER2+, Stage 4 (Metastatic)



Symptoms: Fatigue, breathlessness, persistent back pain, multiple rounds of bronchitis

Treatments: Chemotherapy, targeted therapy
...
Loryn F. stage 4 HER2 lung cancer

Loryn F., Non-Small Cell Lung Cancer, HER2+, Stage 4 (Metastatic)



Symptoms: Extreme fatigue, persistent back pain, chest pain, joint pain in the feet, hips, legs, shoulders, and elbows

Treatments: Chemotherapy, radiation therapy (foot and elbow to help with mobility), antibody-drug conjugate
...
Clara C. metastatic lung cancer

Clara C., Lung Cancer, MSH6, Stage 4 (Metastatic)



Symptoms: Pelvic pain, joint and bone pain, breast lump, extreme lightheadedness and dizziness, vomiting, fainting spells, swollen lymph node in the neck, neuropathy, headaches, unexplained weight loss, severe anemia
Treatments: Radiation therapy to the brain, chemotherapy, immunotherapy
...
Wyatt D. stage 4 non-small cell lung cancer with KRAS G12D mutation

Wyatt D., Non-Small Cell Lung Cancer, KRAS+, Stage 4 (Metastatic)



Symptoms: Intense migraines, vision loss, muscle cramping in the hands, fainting
Treatments: Chemotherapy, immunotherapy
...

Categories
Continuing the Dream Diversity, Equity, & Inclusion

The Importance of Cancer Screening in Communities of Color

The Importance of Cancer Screening in Communities of Color | Dr. Colin Ottey

Dr. Colin Ottey, an internal medicine physician and the Executive Medical Director at Advance Community Health in Raleigh, NC, has a passion for providing care to underserved communities and addressing health disparities.

Interviewed by: Nikki Murphy
Edited by: Katrina Villareal

Dr. Colin Ottey

He discusses the barriers that often prevent people from seeking medical care and offers suggestions on how to improve access to healthcare. He underscores the importance of preventative care, especially crucial for the Black and African American community and people of color. He shares why building trust between healthcare providers and patients of color is vital and how by working together, patients and healthcare professionals can break barriers, improve access, and achieve better health outcomes.

This interview is part of our series Continuing the Dream – honoring Black and African American contributions to healthcare through storytelling and community gatherings


This interview has been edited for clarity and length. This is not medical advice. Please consult with your healthcare provider to make informed treatment decisions.

The views and opinions expressed in this interview do not necessarily reflect those of The Patient Story.



Introduction

I’m an internal medicine physician. I’m the Executive Medical Director of Advance Community Health in Raleigh, North Carolina, which has been around for over 50 years. Advance provides primary care services to individuals in Wake County and Franklin County.

I grew up in Jamaica. I attended college at Brooklyn College and medical school at the University of Illinois at Chicago. I have a special interest in primary care, providing care to the underserved, and working to help reduce health disparities.

What drew me to medicine was the desire to care for people. Growing up, I always liked that doctors were able to prescribe medications that made me feel better afterward. I felt like I would be like those who cared for me as a young child.

As a physician at Advance, I have a great opportunity to serve people, especially those who are underserved or dealing with health disparities, and to influence the care that we can provide as an organization.

Sometimes they feel like they’re better off not knowing if something is wrong with them.

Why People Don’t Want to See a Doctor

Fear is one of the biggest reasons people don’t want to go to a doctor. Sometimes, people don’t want to know they have a medical condition. The lack of knowledge, assumption of what the condition may be, or the outcome of that condition creates a level of fear. Sometimes they feel that they’re better off not knowing if something is wrong with them.

We also have to deal with some social determinants as well. People may not be able to get time off from work to go to the doctor. They have to arrange child care if they have children to take care of. Lack of insurance or financial resources could be a barrier as well. If they live in a rural community, they may have limited specialty services and primary care services as well. If they don’t have transportation, they might not be able to access health care in a center like Raleigh. That’s why we have to make health care more flexible so people can access these services.

One patient who was in his 40s at the time and had a family history of prostate cancer… It turned out that he had prostate cancer, even though he had a normal PSA. Had he not done the digital rectal exam, which a lot of men are afraid to undergo, we would not have discovered his cancer at the time.

Importance of Getting Access to Preventative Care

African Americans or people of color need to get screened because it can help reduce health disparities. Early detection and screening can help people get care much earlier during a disease process than waiting until they start experiencing symptoms, at which time, these conditions could be in terminal stages where very little can be done to treat their conditions.

It’s important to get screening so that we can reduce morbidity and mortality as it relates to those specific conditions. With numerous screening tools available, individuals can access them through their primary care physicians or providers.

I had one patient who was in his 40s at the time and had a family history of prostate cancer, so we always talked about that. He had a normal PSA because we were monitoring. It turned out that he had prostate cancer, even though he had a normal PSA.

The result of one of the exams that I did was concerning to me, so I referred him to a urologist. Had he not done the digital rectal exam, which a lot of men are afraid to undergo, we would not have discovered his cancer at the time. It’s important for men to not be afraid of the digital rectal exam to get screened for prostate cancer. They can always do a PSA test, but the combination is very helpful in terms of screening for prostate cancer. There are a lot of treatments for prostate cancer that could also help reduce morbidity in African-American men.

Providers need to be able to develop relationships with their patients… We have to do is to treat patients the same way we would like to be treated if we were a patient.

How Healthcare Providers Can Build Trust with Patients of Color to Address Health Disparities

We need more healthcare providers of color. People can relate to each other and that will help to build trust. Providers need to be able to develop relationships with their patients. That’s where cultural competency comes into play because sometimes, even though you might identify with the person’s ethnicity if you’re able to develop an understanding of their culture and who they are as a person, you can develop trust with that patient.

Sometimes, patients feel as if providers are delaying care or preventing them from getting certain types of care that they need. What they don’t understand is that we have barriers that we’re dealing with, such as issues with insurance companies that can approve or deny services.

What we have to do is to treat patients the same way we would like to be treated if we were a patient. We have to give patients the level of respect that they need, regardless of their age. See the person as a human being and not as a disease process.

Miss Brown doesn’t just have diabetes. The patient is a diabetic, but she’s a person. She’s a mother and probably a grandmother. She’s probably someone who has been working for X number of years. She could be a person who’s in charge of a department at her job. She’s as important as we are as physicians. We should try to give them that level of respect and allow patients to share their concerns. We should always have room for that in our visits.

Patients should not be afraid to communicate with their providers when they want to ask questions.

How Patients Can Establish Relationships with Their Healthcare Providers

Patients should not be afraid to communicate with their providers when they want to ask questions. They should know their main condition. They should know if there’s something that can be done to treat their medical conditions. They should speak to their providers and say, “I’m X years old now. What things do you think I need as far as my health screening?” They should open that dialogue with their provider and not be afraid to talk to them.

With technology now, we can do a telehealth visit, if they’re uncomfortable with a direct, face-to-face visit with their provider. Telemedicine can help break down some of those barriers. That could be a gateway to get people into the office with a provider directly.


Stories from Raleigh, NC

Dr. Brandon Blue

Dr. Brandon Blue



Dr. Brandon Blue shares key strategies for better health care and saving lives, especially in communities impacted by multiple myeloma.
Dr. Colin Ottey

The Importance of Cancer Screening | Dr. Colin Ottey



An internal medicine physician discusses healthcare access, preventative care, patient trust, and how both doctors and patients can improve relationships for better outcomes.
Lemuel Eley feature profile

The Importance of Cancer Screening | Lemuel Eley



Heart attack survivor at 44 shares his story, advocating for health screenings and proactive care in the African-American community.
Dr. Marjory Charlot

Dr. Marjory Charlot, Oncology



UNC oncologist discusses increasing awareness and access to clinical trials among Black communities

Roshonda C., Rectal Cancer, Stage 4



Symptoms: Blood in stool, blood from rectum after intercourse, sensation of incomplete bowel movements
Treatments: Chemotherapy, surgery, radiation

Categories
Patient Stories Prostate Cancer Prostatectomy Surgery Treatments

Tom’s Stage 2 Prostate Cancer Story

Tom’s Stage 2 Prostate Cancer Story

Tom, a prostate cancer survivor from Dallas, TX, shared his journey since being diagnosed on his birthday in 2015. Initially, the diagnosis devastated him, especially since he prided himself on being fit and healthy and had always taken proactive measures to monitor his health. Despite the absence of symptoms, he maintained regular PSA tests, which eventually showed increasing levels. This led to a biopsy confirming his cancer.

Interviewed by: Nikki Murphy
Edited by: Chris Sanchez

Consequently, Tom experienced a whirlwind of emotions, magnified by having witnessed his best friend succumb to prostate cancer a year prior. But he was determined to face his own battle differently. Faced with treatment options for his prostate cancer, Tom chose a prostatectomy to eliminate the cancer, fearing its potential spread. His surgery was successful because his doctors found that the cancer had remained contained in the prostate.

However, his recovery was not without challenges. Tom had undergone rigorous physical training prior to surgery, believing it would help him recover faster, but despite this preparation, recovery still proved difficult. He discusses the changes and challenges post-recovery, including diminished sexual function and initial incontinence. However, these side effects, part of his new normal, have not deterred him from living an active life. He relied on perseverance, maintaining mobility, and activity.

Tom’s mindset transformation, inspired by his friend’s advice and his own experiences as an Ironman triathlete, played a pivotal role in his recovery. The Ironman motto, “anything is possible,” encouraged him to set goals, like walking his daughter down the aisle and participating in another Ironman event, both of which he achieved.

Tom continued to exercise vigilance and undertake his proactive health practices after his successful treatment. For the first 5 years post-surgery, he had bi-annual PSA tests, transitioning to annual check-ups in the subsequent years. He emphasizes the significance of these tests in reducing cancer recurrence risks.

Tom has also turned to advocacy to help others avoid the isolation he felt during his journey. He joined and contributed to organizations like Zero Prostate Cancer and Mary Crowley Cancer Research, advocating for patient perspectives in treatment options.

Tom reflects on the importance of having a support system, acknowledging the mistake of isolating himself initially. He emphasizes the necessity of open conversations about cancer, advocating for a community and shared experiences. Furthermore, he shares that conquering fears can reveal hidden strength. His journey has enabled him to help others through advocacy and support, fulfilling his life’s purpose.


  • Name: 
    • Tom H.
  • Diagnosis:
    • Prostate cancer
  • Age at Diagnosis:
    • 61
  • Staging:
    • Stage 2
  • Symptoms:
    • None
  • Treatment:
    • Surgery (prostatectomy)

This interview has been edited for clarity and length. This is not medical advice. Please consult with your healthcare provider for treatment decisions.


Thank you for sharing your story, Tom!

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Share your story, too!


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Jamel M. prostate cancer caregiver

Jamel Martin, Son of Prostate Cancer Patient



“Take your time. Be patient with the loved one that you are caregiving for and help them embrace life.”
Joseph M. prostate cancer

Joseph M., Prostate Cancer



When Joseph was diagnosed with prostate cancer, the news came as a shock and forced him to face questions about his health, future, and faith. He shares how he navigated his diagnosis, chose robotic surgery, and learned to open up to his loved ones about his health.
Rob's PSA test for prostate cancer story

Rob M., Prostate Cancer, Stage 4



Symptoms: Burning sensation while urinating, erectile dysfunction

Treatments: Surgeries (radical prostatectomy, artificial urinary sphincter to address incontinence, penile prosthesis), radiation therapy (EBRT), hormone therapy (androgen deprivation therapy or ADT)
John B. stage 4A prostate cancer

John B., Prostate Cancer, Gleason 9, Stage 4A



Symptoms: Nocturia (frequent urination at night), weak stream of urine

Treatments: Surgery (prostatectomy), hormone therapy (androgen deprivation therapy), radiation


Tom H., Prostate Cancer, Stage 2



Symptoms: None

Treatment: Surgery (prostatectomy)
Eve G. feature profile

Eve G., Prostate Cancer, Gleason 9



Symptom: None; elevated PSA levels detected during annual physicals
Treatments: Surgeries (robot-assisted laparoscopic prostatectomy & bilateral orchiectomy), radiation, hormone therapy

Lonnie V., Prostate Cancer, Stage 4



Symptoms: Urination issues, general body pain, severe lower body pain

Treatments: Hormone therapy, targeted therapy (through clinical trial), radiation
Paul G. feature profile

Paul G., Prostate Cancer, Gleason 7



Symptom: None; elevated PSA levels
Treatments: Prostatectomy (surgery), radiation, hormone therapy
Tim J. feature profile

Tim J., Prostate Cancer, Stage 1



Symptom: None; elevated PSA levels
Treatments: Prostatectomy (surgery)

Mark K., Prostate Cancer, Stage 4



Symptom: Inability to walk



Treatments: Chemotherapy, monthly injection for lungs
Mical R. feature profile

Mical R., Prostate Cancer, Stage 2



Symptom: None; elevated PSA level detected at routine physical
Treatment: Radical prostatectomy (surgery)

Jeffrey P., Prostate Cancer, Gleason 7



Symptom: None; routine PSA test, then IsoPSA test
Treatment: Laparoscopic prostatectomy

Theo W., Prostate Cancer, Gleason 7



Symptom: None; elevated PSA level of 72
Treatments: Surgery, radiation
Dennis Golden

Dennis G., Prostate Cancer, Gleason 9 (Contained)



Symptoms: Urinating more frequently middle of night, slower urine flow
Treatments: Radical prostatectomy (surgery), salvage radiation, hormone therapy (Lupron)
Bruce

Bruce M., Prostate Cancer, Stage 4A, Gleason 8/9



Symptom: Urination changes
Treatments: Radical prostatectomy (surgery), salvage radiation, hormone therapy (Casodex & Lupron)

Al Roker, Prostate Cancer, Gleason 7+, Aggressive



Symptom: None; elevated PSA level caught at routine physical
Treatment: Radical prostatectomy (surgery)

Steve R., Prostate Cancer, Stage 4, Gleason 6



Symptom: Rising PSA level
Treatments: IMRT (radiation therapy), brachytherapy, surgery, and lutetium-177

Clarence S., Prostate Cancer, Low Gleason Score



Symptom: None; fluctuating PSA levels
Treatment: Radical prostatectomy (surgery)

Categories
bendamustine (Bendeka) Bexxar CAR T-Cell Therapy Chemotherapy Follicular Lymphoma Gazyva Immunotherapy Metastatic Non-Hodgkin Lymphoma Patient Stories R-CHOP Treatments Vorinostat Zydelig (idelalisib)

Laurie’s Stage 4 Follicular Lymphoma Story

Laurie’s Stage 4 Follicular Lymphoma Story

Laurie, a Los Angeles resident, was diagnosed with stage 4 follicular non-Hodgkin lymphoma in 2006, when she was 46. Her journey to diagnosis began years earlier with vague symptoms—frequent sinus infections, a tendency for her right eye to dry out, fatigue, and a lump in her abdomen. Multiple doctors dismissed her concerns, with one attributing the lump to a hernia. But a diagnostician ordered a CT scan, and it revealed a grapefruit-sized tumor and spots on her lungs.

Interviewed by: Nikki Murphy
Edited by: Chris Sanchez

After undergoing a series of tests, including biopsies, Laurie learned she had follicular non-Hodgkin lymphoma, a type of cancer affecting the lymphatic system. Her initial response to the cancer diagnosis was shock, followed by depression and uncertainty about how to explain the situation to her young son and husband.

Laurie’s treatment regimen started with chemotherapy and a monoclonal antibody, which successfully reduced the tumors after 6 rounds. However, her cancer relapsed, and she explored additional treatment options, including a clinical trial using an HDAC inhibitor (therapy that helps control how cancer cells grow and divide by affecting the cancer cell DNA). It initially stabilized the cancer but ultimately failed after 11 months. Consequently, Laurie turned to alternative therapies, including radioimmunotherapy (delivering high dose radiation directly to the tumor cells) and a more aggressive chemotherapy regimen, but these also proved unsuccessful.

In 2011, Laurie enrolled in a clinical trial for a Pi3 kinase inhibitor (a treatment that works to block a pathway cancer cells use to grow and survive that can slow a cancer’s growth and help keep it under control), which kept her cancer stable for over 5 years, albeit not fully eliminating it. During this time, she learned about CAR T-cell therapy, a cutting-edge treatment using a patient’s own T cells to target cancer cells. While initially not available for follicular lymphoma, CAR T-cell therapy became an option for Laurie in 2018. She consequently underwent the procedure — a remarkable 7th line of cancer treatment. As a result, she achieved remission for the first time in 12 years. As of 2024, Laurie has remained cancer-free. Her oncologist considers her cured, as her CAR T-cells continue to be detectable in her system.

Throughout her treatment journey, Laurie faced numerous challenges, including the side effects of chemotherapy, radiation, and steroids. She developed avascular necrosis, which required hip surgery, a consequence of long-term steroid use. However, despite these struggles, Laurie’s battle with cancer transformed her into a passionate patient advocate. She now works with 3 nonprofits, helping others navigate cancer treatment and advocating for more accessible and less potentially toxic therapies like CAR T-cell therapy. Laurie emphasizes the importance of finding a specialized oncologist, self-advocacy, and the value of second opinions and clinical trials in managing cancer.

Laurie’s story underscores the evolving landscape of cancer treatment, particularly in the context of immunotherapy. She highlights the importance of staying informed and advocating for oneself or having someone advocate on their behalf, especially as new therapies emerge. Through persistence, resilience, and research, Laurie continues to support others facing similar battles. She shares her journey to inspire hope and grow awareness.


  • Name:
    • Laurie A.
  • Age at Diagnosis:
    • 46
  • Diagnosis:
    • Follicular lymphoma
  • Staging:
    • Stage 4
  • Symptoms:
    • Frequent sinus infections
    • Dry right eye
    • Fatigue
    • Lump in abdomen
  • Treatments:
    • Chemotherapy
    • Targeted therapy
    • Radioimmunotherapy

This interview has been edited for clarity and length. This is not medical advice. Please consult with your healthcare provider to make informed treatment decisions.

The views and opinions expressed in this interview do not necessarily reflect those of The Patient Story.


Recent Programs Covering Follicular Lymphoma


Thank you for sharing your story, Laurie!

Inspired by Laurie's story?

Share your story, too!


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Laura C. stage 4 follicular lymphoma

Laura C., Follicular Lymphoma, Stage 4 (Metastatic), Grade 1 to 2; Papillary Thyroid Carcinoma



Symptoms:Incidental finding after hysterectomy (follicular lymphoma), thyroid nodule detected on imaging (papillary thyroid carcinoma)

Treatments: Immunotherapy (rituximab and lenalidomide or R² regimen), surgery (thyroidectomy)

Hayley H., Follicular Lymphoma, Stage 3B



Symptoms: Intermittent feeling of pressure above clavicle, appearance of lumps on the neck, mild wheeze when breathing and seated in a certain position
Treatments: Surgery, chemotherapy

Laurie A., Follicular Lymphoma, Stage 4 (Metastatic)



Symptoms: Frequent sinus infections, dry right eye, fatigue, lump in abdomen

Treatments: Chemotherapy, targeted therapy, radioimmunotherapy

Courtney L., Follicular Lymphoma, Stage 3B



Symptoms: Intermittent back pain, sinus issues, hearing loss, swollen lymph node in neck, difficulty breathing
Treatment: Chemotherapy
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