what to say to someone who is getting a mastectomy

Some examples of what not to say when a friend tells you, "I have breast cancer." (Illustration: Nathalie Gonzalez for Yahoo Lifestyle)

Some phrases to avoid when a friend tells you, "I have breast cancer." (Illustration: Nathalie Gonzalez for Yahoo Lifestyle)

October is Chest Cancer Sensation Month. In an attempt to bring awareness to people impacted by the disease, Yahoo Life is republishing this story. Information technology was originally published on Oct. 7, 2019.

The worst reaction I got when sharing news of my breast cancer diagnosis and impending double mastectomy last year was from a neighbor, who texted me this awkward but well-meaning flub: "Well, at least you'll look even skinnier now!"

Information technology'southward since go just an agreeable chestnut — faint background noise through which the many supportive, loving reactions that I prefer to focus on are filtered.

Some of the best: The friend who called or texted me every day to check in, even if it was with but a heart emoji; the 1 who said, "that sucks and makes me so angry"; the one who left homemade hummus with warm bread on my doorstep the mean solar day I returned domicile from surgery, ravenous; the one who promptly organized an online meal railroad train, without e'er being asked, and the many who signed upward and delivered to our family unit such thoughtful, delicious dinners that the memory of them even so makes me tear upwardly with gratitude.

And and so at that place was the friend who lived a few states away and who, simply a couple years out of her own double mastectomy, came to town without being asked and spent the day with our then-ix-yr-sometime girl — to distract her, to spoil her and to treat her while I went to my first, very nervus-wracking, postal service-surgery appointment.

So how did everyone know what to do? Sometimes it came naturally; sometimes the knowledge was hard-won. Other times, information technology'south because they asked, "What can I exercise?" and I somehow figured out what to tell them.

But it's not always so easy for people in the midst of a crisis to say what they demand — or to even know, for that matter.

"Probably every woman talks about this at some point over the course of her cancer treatment," says Mary Jane Massie, Thousand.D., a psychiatrist with Memorial Sloan Kettering Cancer Center in New York City, where her focus is women with breast cancer. "I think the offering to help is a statement of love and affection — and then accept the affection — and know it's OK to say, 'this is kind of manner besides much,' and 'I don't even know what I demand.'"

Massie adds that going through a crisis such equally breast cancer is how many people learn what their friends are actually made of. "Sometimes the people who we thought were peripheral to us turn out to exist the kindest, most helpful and nearly thoughtful — and our and so-called friends turn out to exist the people who say, 'if you need anything, I am totally in that location for yous, call me day or night,'" but are so never actually bachelor when push button comes to shove.

Some women so dread that disappearing act that they opt to go along news of their diagnosis to themselves. "They say, 'I realize if I don't tell people I won't get support — but if I practise, then I have to risk existence very disappointed in them,'" Massie says.

According to the book How to Be a Friend to a Friend Who's Sick , which longtime author and activist (and founding editor of Ms. mag) Letty Cottin Pogrebin wrote following her ain struggle with breast cancer, knowing how to exist a good friend in tough times isn't always instinctual.

"I'm sure you already know how to 'be friends' when it ways communicable upward over tiffin, sitting side by side at a ball game, or texting each other most a movie," she wrote. "Only when a pal or loved i falters physically or mentally — when they're hobbled or pain, when your role in the relationship is no longer easy or obvious, when your interests and exchanges are not entirely reciprocal, and your once-piece of cake conversation tips jarringly toward matters of crisis and pain — you lot may have to find new ways of existence together, new ways for y'all to exist helpful, and new words to continue things real."

To get together more specifics, in honor of Chest Cancer Sensation Month, I decided to take a page from Pogrebin'southward book, by crowdsourcing for some advice from women who have gone through information technology — both friends and acquaintances, equally well as women in private Facebook support groups I belong to, almost what to say and practice (or not) when a friend tells you she has breast cancer.

But try to think of the nuggets of wisdom below as suggestions — not as edicts or threats designed to freak you into silence. Everyone is dissimilar, later on all, and most people just want to know that y'all're at that place, and that yous care. As one survivor told me, "Personally, I worry that the more than 'instructions' nosotros give people about what non to say volition scare them from saying anything. And THAT is the worst affair you could exercise."

Which brings us to our No. i bit of advice…

Don't disappear

It seems bones. But perchance the nigh common request from women I spoke with was to please not vanish — something many people seem to have experienced upon sharing their diagnoses with others (myself included). Sometimes it's because they don't know what to say. Sometimes information technology'due south because a friend's cancer is hard for them — whether they've been through it before with a relative or only don't have the constitution required to be a support system.

"I can excuse saying the incorrect thing — my situation sucks, and I wouldn't even know what to say to me, either," i adult female noted. "What I cannot excuse is the disappearing act that many friends do when you get a cancer diagnosis."

1 of the best things you can exercise every bit a friend goes through handling, and so, is to simply stay in touch. "Just a quick checking in on text message, on a regular ground — 'Hi how are y'all?' and 'Just thinking most yous' — tin can do so much," noted one woman. "If you want to answer you tin can. If you don't, you all the same know they cared enough to check in." Added another survivor, "Transport notes and texts of encouragement merely to let me know that I am non forgotten. It is a lonely battle."

Every bit for the one who has breast cancer, Massie suggests trying to exist understanding, as hard as it may exist, even towards ill-behaved friends.

"Plato said, 'be kind, everyone is fighting a hard battle.' So it's pretty piece of cake to say, 'that darn friend, she just walked away, I don't know why she walked away, I thought I knew her but I guess I don't.' Nosotros mere mortals have reasons for what nosotros do and what nosotros don't do," she explains, "and sometimes we but tin can't do it." So try to expect at it as a lesson, she suggests, nearly who y'all tin can count on and who y'all tin't.

Don't say, "At to the lowest degree you'll become a bang-up puppet job!"

Other despised variations: "Oooh free boob job!" "Well, at least you lot'll have awesome new boobs!" "You'll exist able to become topless on the embankment with your new breasts!"

As 1 friend told me, "Although I laughed over some boobs jokes and made a few myself to take off some of the pressure, a mastectomy is not a puppet task." She stressed that it's a "way more painful procedure with very different end results," such every bit a major loss of sensation. "Moreover," she said, "it's not something I chose to practice, as with people who elect to undergo plastic surgery."

Noted another woman, "I'd gladly go along my saggy breasts that fed my children and helped in other ways than to go a boob job. I never wanted one. I was happy with my breasts."

Others resent questions like, "What size will your new ones exist?" which come with the supposition that they will be getting reconstruction, when many women, in fact, opt to become flat. And when they do, there's a whole new prepare of unwelcome comments that tin can follow, like, "Don't they make imitation ones?" or "But how does your hubby experience about it?" or "Of course yous want reconstruction — you're not old and you can still feel like a adult female!" As that woman replied — to her breast surgeon — "I'm 58, and I still do experience like a adult female."

Be mindful of not implying mistake: "What practice yous think caused information technology?" or of bashing treatment choices

"Wow, guess that vegan thing didn't work out so well, did it?" was another notable comment I received. It unsaid I was a fool, and maybe even somehow at fault for getting breast cancer despite my good for you lifestyle.

Equally another survivor said well-nigh these sorts of comments, "I was very agreement of the fact that people need to notice a crusade, to feel reassured information technology won't happen to them. I also did some cause research, trying to effigy out if I had brought this on myself, and in the end found information technology a sterile and self-shaming process." Plus, she said, "in the stop, what caused my cancer might not be what will crusade someone else'due south."

Too not helpful, Massie says, referring to what she often hears from her therapy patients, is to be told — after yous've chosen a medico or a course of treatment — that in that location is a much better way. "Someone who says, 'Why would you go there? Yous must go to my doc, in fact I've called and made an appointment for you,' doesn't work. If your friend calls afterward a diagnosis and says, 'I'm clueless, can you delight give me the name of your doctor?' that'south a very dissimilar story."

Don't be like, "Oh, my [mom, sister, aunt, etc] died of breast cancer"

It's truly the opposite of comforting to hear, while grappling with the shock of diagnosis, about someone yous knew who was killed by the aforementioned illness.

Avoid platitudes

Examples of well-pregnant just ofttimes maddeningly meaningless clichés: "Everything happens for a reason," "God never gives united states more than than we can handle," "Just be glad it isn't worse," "What doesn't kill you makes you lot stronger." Likewise unnerving to some women is being told, "Y'all'll exist OK" or "Y'all're non going to die," because how can anyone know? Some survivors have specific vitriol for any "warrior" or "boxing" talk, similar, "'Yous're so strong! You lot can fight information technology!' What if I'm not stiff? Yes I tin can fight information technology," noted ane woman. "But what if I demand to feel like I don't take to exist strong, at to the lowest degree for a moment?"

Exist a adept listener

"More important than what they say," one woman told me, "is that they are prepared to mind." And listening, especially to details, tin can sometimes help you offering specific follow-upward help. "The best reaction," another adult female told me, "was my friend who just chosen every so often, asked how the chemo was treating me (meaning she had jotted down when my treatments were and kept track) and who took me for lunch or java and just let me talk, about cancer or anything else."

Noted someone else, "I constitute information technology very therapeutic to talk about the whole process, and friends who patiently diameter with me and listened to the nitty gritty of my lab results and surgical options were the nigh helpful."

Also, if it doesn't feel as well intrusive, ask questions. "I love when people inquire me specific questions virtually my treatment — how many infusions volition you need? What blazon of chemo is information technology? Do you lot accept any side effects? Even if they don't know anything about cancer, it helps to talk about information technology clinically and takes some of the awkwardness and 'I'm so sorry, I'yard so sad for yous' abroad," one survivor shares. "I don't want pity. I similar to talk nigh the productive things we are doing to fight it."

Simply show upwardly

Finally, ane woman suggested, "Don't ask if you can assist, just practise something nice. About people don't know how to enquire for help or don't know what they need. But anything you lot'll exercise volition exist appreciated. Send a pretty institute with a nice note."

Some other specific, favorite examples of how to simply bear witness up:

•"Ask, 'Practice you accept any favorite soup recipes?' And so brand a batch."

•"Say, 'I love you. I'chiliad here for the long haul.'"

•"[One friend] went to the surgeon with me to help me sympathise, and was open up and honest about what was going to happen."

•"Say, 'I back up you and your choices. Can I bring you dinner? Can I take yous to the store? Can I clean your floors? Practice you need anything? How are you? How are the kids and married man? Exercise they need anything?'"

•"I have a friend who at present and then sends a card with $xx or $40. No mandate, only cash and love. It allows me to go to lunch with a friend, take a kid out for a care for without feeling like it is affecting the family budget. It is not waiting for me to ask for help, simply it is not overly intrusive, either."

•"Go with me to pick out a wig and be honest and have fun."

•"'I'm stopping by [whatever] eatery, what do you guys want?' Every bit opposed to, 'let me know if I tin help.'"

•"Somebody who'south a adept admin type steps up and… organizes food delivery."

•"Say, 'I volition pick up your kids and take them to school…' and then practice that."

•"The all-time advice I got was, 'This is a short season.' It helped me to echo it and to know there would be an end. I know not all patients with cancer can say this, only it became a mantra for me. Too, 'Your torso is cute, no matter what'. Anytime a niggling, negative comment about my torso presented itself, this was my mantra."

Read more from Yahoo Lifestyle:

  • Beyoncé's father Mathew Knowles has breast cancer: Hither'southward what y'all need to know nigh the disease in men

  • Male chest cancer survivor on why men fear 'emasculating' diagnosis

  • Why some breast cancer survivors are getting their implants removed

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Source: https://www.yahoo.com/lifestyle/what-to-say-and-not-say-when-a-friend-tells-you-i-have-breast-cancer-143847591.html

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