Jan. 5, 2023

Day 246: Here, Have Another Biopsy

Day 246: Here, Have Another Biopsy

After a scan shows a 1.2 cm nodule on her thyroid, Natasha goes for a biopsy which comes back with complicated results. Not wanting any more surgery or radiation right now means there’s a difficult decision to make.

After a scan shows a 1.2 cm nodule on her thyroid, Natasha goes for a biopsy which comes back with complicated results. Not wanting any more surgery or radiation right now means there’s a difficult decision to make.  

 

Three and a half weeks of radiation end without any terrible burns or skin issues, but celebrating feels phony because it’s never really over. Transitioning back into work is feeling good, and she finds the experience of having gone through cancer is immediately useful to her patients and fellow nurses. 

 

 

Transcript

Kristen
00:00
I am Kristen Vengler and our mission with this podcast is to help you and the people who love you through the shock of diagnosis and treatment.

Eva
00:11
I am Eva Sheie and be incredible woman, whose story you're about to hear is a nurse practitioner in San Francisco. Who has dedicated her life to caring for patients, more vulnerable than you can imagine.

Kristen
00:23
Her name is Natasha This is a story about what happens when you have breast cancer told in real time.

Kristen
00:34
How are you feeling? You look great.

Natasha
36
Yeah, I mean I feel almost normal-ish. I mean I may be at like 85% maybe a little more 88%. Let us give it that.

Kristen
49
That's, pretty impressive. Pretty impressive. To go back, there's a part in one of the last two episodes of my story, season one, where I was talking about how I went back and listened to my podcast. And we were talking about sweet little naive Kristen, and I was like, "Yeah wasn't she annoying, like she was going to walk, and she was gonna do this, and she was gonna do this. But as you're hearing the episodes unfold, how are you feeling about that? Like about sweet little naive gangbusters Natasha?

Natasha
01:25
I mean, first of all, I really, this might sound narcissistic, and probably it is, but I really enjoy listening to them because there are things that I have forgotten which is kind of frightening, actually. I don't know if that's a chemo brain or no idea, forgotten by choice. But yeah, it's been interesting. I don't know. I don't think I was naive for very long because once reality hit I was having a hard time even just getting food in my mouth, let alone going for a walk. And it's something I have been thinking about today. So actually, just about 20 minutes before we started talking, came in from having had a massage, which is maybe why I seem a little like, and I am not a huge person for getting massages but it was just, you know, I hurt my back doing something, and I was just like I think I will spoil myself.

Kristen
02:17
Sure.

Natasha
02:18
And they give you a vinyl sheet where you have to check in like various surgeries and pains and this, that and the other. And mine looked like a shopping list. It was like, right-sided breast cancer, please, be careful of, you know, the lymph nodes on the right. The left side, I have a port, so be careful of that. you know, I have also had right knee surgery. I mean it just kind of went on and on. I was like you know, that felt a little strange, like that's something that I will carry with me from that forever. Some that I will always have to write that on something.

Kristen
02:51
Was that the first time you had to write it?

Natasha
02:54
I think so. Yeah. And then I felt drawn that I had to show my port and say, "You know, it's fine, you can touch it, it doesn't hurt". But I was having these thoughts about whether being a cancer survivor, which I guess I am now is like, how big a part of my identity will this be moving forward? 

Kristen
03:14
Right.

Natasha
03:16
It's been the only thing, and the everything for since January. 

Kristen
03:16
Right.

Natasha
03:21
As you know, I am still going in every three weeks. I am still getting the hormone blockers but I don't have any symptoms. I am back at work. It's not really something that's, not interesting to talk about, but it just it feels so far away already.
 
Kristen
03:28
Right.

Natasha
03:37
And Kristen, you and I follow, uh, some pretty good Facebook groups, California breast cancer support groups. And today, I was thinking, I wonder if it's time to leave that group.

Kristen
03:49
Interesting.

Natasha
03:50
Yeah. And I have been I haven't really made any changes and I haven't left the group and but just sort of curious, how your sort of journey has been over for a while, and I am wondering, if you didn't do these podcasts, how much of being a breast cancer patient and then survivor do you think would be part of your everyday life?

Kristen
04:10
That's a really good question, because I am a completely different person from before. And the thing is, you're living in the same house as you know, you've been there for a long time and I had just moved to San Diego, was just getting my footing and covid happened, and then eight months after covid, I found my tumor. I am still in those groups, but I have found myself seeing these women who are so afraid and I found myself having so much empathy that I stay in those groups. But I guess my question is, did being a nurse give you a sense of more, peace or more worry?

Natasha
04:56
It was way more worry. And I think I'll take that worry with me, probably for the next, who knows how many years until you get your magic pill, and we're all cured. And that's partly having too much information. It's partly the working in palliative care. We don't see people whose cancer hasn't recurred.

Kristen
05:12
Right.

Natasha
05:21
So I mean, I definitely see some of my patients are what we would call a primary cancer. So it's their first, you know, they have just been diagnosed, they're coming in for their first treatment. You know, and we see people on the third, fourth, fifth, sixth regimen, really, really holding out hope.

Kristen
05:36
I would love to hear about your radiation journey, because I think it is much more typical.

Natasha
05:43
Yes. So, one of the great things that the team did for me and with me is really given me the perfect time for my appointments. So I would have it towards the end of the work day. It was 3:15 or 3:30. I would go from work on the scooter, park it there, go in, get, go through the covid screening. They knew me so well by then and I had all the stickers stuck all over my jacket. It was kind of funny and stupid. It was interesting. I assumed, I mean it's so highly technical that I assumed that the three young women who were helping me were maybe physicians, nurses, I wasn't, I wasn't sure it was a very specific and very precise job to do. So, basically I would, you know they would come and get me. I would go in, I would lie down on the bed, they would ask again, what  Pandora station I would want, I would lie down. It's often cold, so they would put a blanket on me. And the first two sessions are different because they're putting on the tattoos, and they're taking a lot of images and making sure that the, when, when you get on the table which is what they call that sort of the bed that you lie on is absolutely 100% in the right place. And I think there were always two people in doing the table check, it's a lot like when you get chemo where two nurses will do the chemo check. They don't want to, you know, radiate the wrong place and some people's tumors are pretty small. If you have got a centimeter, you don't want to miss it.

Kristen
07:09
They would roll you just a teensy bit, right? And they, you couldn't help, right?

Natasha
07:13
Right. You absolutely couldn't help. They would roll. And then I would feel like all I would do is just roll back because they rolled me, such a tiny amount. But then would come the calculations with the table. It's like, okay. Okay so 11.3 okay, I am at 11 point and I don't, I mean I am guessing they were measuring height and tilt and everything. But that was pretty fascinating. And then they go away to protect themselves from the radiation. I mean, it's not even that noisy. There's a little bit of sound but it's nothing like an MRI and nothing comes across you.You're not in a tube, you're just sort of lying there in this multi-billion dollar looking machine is moving around. It's very, it's very hard to describe. And also you're not supposed to move, so we're not supposed to like be following it with your eyes, you know. And then within 15, or 20 minutes, it's not even that long, it's over. And yeah, you just sort of skip out and go home. But I did lose it one day on the table which was really surprising. I did not expect to. It's interesting, when you asked did I feel like it sort of interfered with my life and I thought you were going to say it interfered with my body and I started to feel really on display just tired of not having any say, over, what's being done to myself. And they, at this point, you'll know the song that George Harrison song My Sweet Lord. 

Kristen
08:19
Yes, yes. I love that.
 
Natasha
08:44
That came on the Pandora and I just lost it. So it turns out that these three amazing women who run it, they're specialists in giving radiotherapy, but they didn't go to nursing school. They didn't, it's like they're just kind of genius young women. It was really nice to see them. 

Kristen
09:00
That's really cool.

Natasha
09:03
And they were great, you know, they stopped the machine, you know, they're like, "Do you need a minute?".  And I was like, "No, I just, I just kind of, you know, I need this to be over". It's cute. They had the bell that you can go and ring after radiation. So we gave UCSF a hard time for not having a chemo bell, but they do have a radiation bell. And, you know, my best friend Joyce came with me and she was going to video, and it's the most lackluster ringing of the bell because I was just like, and we have talked about this, they're all sort of fake celebrations and I love the certificate. "Yay, you got through this". But you know, it's like, yeah, I got through it, but I am still going for the hormone blocker and then I will be getting terrifying scans every three to six months and it's, yeah.

Kristen
09:54
So, did your skin changed much?

Natasha
09:58
I was lucky enough. I didn't have any really bad skin issues.

Kristen
10:00
That's amazing.

Natasha
10:05
Yeah, I was definitely sunburned. I mean, I am so white that  I have never really tanned in my life. So I was definitely sunburned. I have maybe three or four days of itchiness and was really warned by the techs, not to scratch because you scratch and then you end up with an infection, then everything gets put back on, on hold again. And an interesting thing that one of the techs told me is that it actually can do a lot of, a lot to help break down scar tissue in your scar. Oh, so they were like, "Oh one of the beams is going to come very close, like basically go through the end of the scar", on my under boob scar. So she's like, "That's a really good thing that might help". Because I don't know about you, about some of your scars, but it was kind of knobbly and knotty, and it definitely wasn't flat. And I didn't understand why it wasn't flat because the one under my armpit from the lymph nodes is flat. But I mean I am sure there's a reason. I am not questioning their surgery.

Kristen
11:01
Well, it's probably because it wasn't a plastic, did the plastic surgeon do it?

Natasha
11:08
He did actually yeah, but we're a teaching hospital. So who knows? It could have been a toddler.

Kristen
11:13
Yeah. Right exactly.

Natasha
11:15
So I was pretty diligent with the creams that they gave me and what at one point UCSF has this It's like a sticky thing that they put on after your very first treatment on day one. And it I think it was called mepilex. So it turned out, I was kind of allergic to it, not really. But it was reddened and I just couldn't keep it on. It was just peeling off constantly. So we said forget about it but, 

Kristen
11:40
Yeah well I didn't have that until I started having really bad blisters and burns in the center because I didn't want anything touching it. And so, they gave me some that were kind of thick that I could wear on their to just kind of protect it.

Natasha
11:53
Right. So I have got the name wrong. Yeah, they gave me some of those mepilex, but there was something else, and I am sorry world out there, I can't remember what it's called. Very thin plastic that you put on and you leave on for the whole week you're having the radiation. And then the weekend, you take it off. And the idea is that it holds in moisture, but I just got like a little bit of a red rash. And because I was trying to put It seemed like a silly thing to be doing because I was putting cream all around this sticky thing. The sticky thing's losing its stickiness and it's kind of coming off, and so yeah. I gave up on it. And what was interesting is that also what they found was that when they, the nursed stuck this thing on my boob, it would move my boob very slightly. And so when I went to the therapists, the radiotherapist they were like, "Why is your breast moving?" You know, it's like the nipple will be in one position, then another position. It's so precise. And then they're like, "Oh I bet it's that sticky thing. Can we do without the sticky thing?"
Kristen
13:03
Yeah, yeah, yeah. Well that's good. Yeah, I remember having a conversation with somebody about feeling and this is just, it wasn't for lack of compassion, just I felt like a piece of meat.

Natasha
13:14
Yeah.

Kristen
13:15
And it was because it was an important job, and they had to be very precise. So there wasn't small talk. They made sure you're comfortable and made sure that you were warm. And then once they had that handled, they're like all right, down to business.

Natasha
13:27
Yeah, I don't know what the layout of your radiation clin, the treatment room, not clinic, looked like, but for me to get to the bed I had to walk past all the technology.

Kristen
13:39
Yes. Yes.

Natasha
13:41
And because, again, because we're a teaching hospital there would sometimes be many people back there. Like, you know, I am a, yeah, and I get it. It was just, and I in a way, I wouldn't want it any other way, because I learned by watching at the same time. But it just adds to the like, please give me my body back. You know, it's sort of almost going full circle from when we started talking. It's like having the massage today. There was the, you know, we talked about the fact of having to list, yes, I am a cancer patient, please be careful of my lymph nodes etc, etc. But having somebody touch me from head to toe with, and through my choice.

Kristen
14:20
Right.

Natasha
14:20
It was kind of remarkable. 

Kristen
14:20
Right. So something else happened, kind of in the middle of that. I think you were finished with radiation when everybody remembered that there was a nodule in your thyroid.

Natasha
14:35
Yes. So this is something that got noticed, let's say, not diagnosed, but noticed back in January when I started all the work up for the breast cancer. And it interestingly enough it showed up on the PET scan, which is where they can see from, like, head to toe, where any cancer might be brewing. It was then confirmed with an ultrasound, yes, you have got this nodule on your thyroid. And then I think I forgot about it or I just assumed nobody seemed that fussed. So I wasn't that fussed. And anyway there was something bigger that we did need to deal with. 

Kristen
15:07
Right.
 
Natasha
15:12
So the last time I saw my oncologist, I mentioned, "You know, is it may be time to start doing this?"  And she's like, "Oh yeah, sorry, we forgot that". And I was like, well. 

Kristen
15:22
Um. 

Natasha
15:22
Yeah, um. But I also forgot it too. I mean, I know that they

Kristen
15:28
Well, I am just gonna go out on a limb and say that's not your job.

Natasha
15:28
Right.

Kristen
15:31
Okay, go ahead.

Natasha
15:33
So, they sent me for a thyroid biopsy...Which is, for those people who may not be sure, the thyroid is exactly in the middle of your throat, near that notch where your, sort of your head, meets your neck, if that makes any sense. No where your neck meets your torso. And I have had really no side effects from this. So, oh back up. So the ultrasound showed about a 1.2 centimeter nodule on the right-hand side. So come forward nine months. Now they did the biopsy which was a very unpleasant experience, having a sharp needle stuck in your throat, basically. 

Kristen
16:12
Yeah, I imagine. 

Natasha
16:12
You know, and yeah, I had a fellow doing it, and he was quite good but was nervous and so after about 10 minutes of digging around the boss stepped in, which meant it was done in about five seconds. But, 

Kristen
16:26
Of course. 

Natasha
16:26
you know, and then you get the,  "Oh and here are the warnings...Like if you stop breathing tonight, go to the emergency room. <laugh> And then yeah, about a week and a half ago, I think, I got the results that it's, it's a complicated result. It's called a follicular lesion which means that its pre-cancerous cells. So some of us may have had like an abnormal pap smear and you go, and they're like pre-cancer and you have your discussion with your OBGYN what you want to do. So from what I can understand, I think 20%-40% of these turn cancerous. So it's that sort of what am I willing to tolerate at this point? I think, you know, more workup needs to be done. I mean, it's a very, very treatable cancer. When I was getting the biopsy, I actually asked the radiologist. I said, "You know, like if this is cancer", which it very well, could be, "you know, what am I looking at?" He's basically said, "You know, ton many, many, many, many people get this". So I think where I stand, I have a meeting with a surgery group, I think in about two weeks. I need to get stronger. I am not in a place where I want anymore surgery. I do not want any more radiation right now if that were indicated. What I want to do is to sort of the watchful waiting. For me, the encouraging thing is that it hadn't grown between January and October. So that was reassuring. And, you know, there was just a very different sense of urgency between how my breast situation was handled as compared to how the thyroid's being handled. So it's interesting, you know, friends of mine are, are going on the freakout train again and I'm like, no, after what I went through I'm like,I'm really not even like, I am more anxious about the fact that the cat vomited than the fact that I might have a second cancer.<laugh> I haven't been given the options from the surgical team, but I can't, imagine, maybe I can, maybe I can. I mean, I was going to say, I can't imagine an urgency, but I've, I know less about thyroid cancer than almost anything else. And there's not much research out there to find because it impacts so few people, mortality wise. I think a lot of people get it because we're looking for it, like we were saying. 

Kristen
18:43
So, question about that. Is it ruled out that it's metastasis? Not to bring you down, but.

Natasha
18:54
Uh, yeah, it.

Kristen
18:58
Okay. 

Natasha
18:58
So, no that's a great question. So my oncologist reassured me, the radiologist reassured me. They said, "In all the years I have been doing this, I have never seen breast cancer metastasized to the thyroid. It just doesn't go." And also the cell type of my breast cancer is adenocarcinoma, and the cell type of the thyroid is something called follicular.

Kristen
19:22

So, completely different.
Natasha
19:22
Completely different cell type. That's a great question though.

Kristen
19:26
Yeah because we were talking about how things could spread, and if you think about it you know your thyroid is inches from where your tumor was.

Natasha
19:35
Absolutely. Absolutely. Yeah.

Kristen
19:37
Yeah. Thank you for answering that.

Natasha
19:39
Yeah.

Kristen
19:40
Something else that's been going on, you mentioned it a little bit, is work. Can you tell me when it became time for you to go, and think about work again? What happened?

Natasha
19:53
So I'd always felt guilty about taking time away from work when I felt better after chemo. I probably could have gone back a little earlier, but I just, I had no real way of knowing how I would react to radiation. And actually, so, I went back quite a bit before radiation started. I said, I worked through most of it and then I had always planned to take the week after my radiation off as vacation time because everybody had said, "You know, week four can really be the hardest". And, so I spent that at home and in a way it's been great to be back at work just because I have had a year of feeling completely unproductive, kind of useless. I mean, you know, I have talked about this a lot, I feel like I have slept since January to September. So it's really nice to be around other colleagues and it's interesting to have people ask questions. We were rounding on a patient in the ICU unfortunately, who has a recurrence of her cancer. It's what we call a head and neck cancer. So it was, I think tonsil cancer. Yes, that's a thing. And the team was having a really hard time managing her symptoms, and she had a lot of mouth pain and ulceration. And, you know, I was like, you know, "Have any of you guys tried salt and soda?" And they were like, "Huh, What?" I'm like "Oh yeah. You know when I was going through chemo salt and soda, blah, blah, blah". So it's, you know, like it feels useful and it's a positive way of using my experience, And then next week, finally, finally, we have been talking forever. So I am still just doing impatient work, which is intense, but I have much more of a team around me. You know, they have got like a primary team and often a bunch of consultants. Next week, my clinic starts on Tuesday, where it's just me and the Chaplain that I work with and possibly a social worker, but I am not sure meeting for an hour with each patient back-to-back-to-back who is not doing well. So that's going to be, Yeah. Next time we talk. We will see how that's been.

Kristen
22:07
Yeah. Well, and I have to wonder how much, like, what was it you said when they did the MRI, and they couldn't find anything? It was 

Natasha
22:16
Unremarkable.

Kristen
22:19
Unremarkable, unremarkable. Right. Unappreciated, or something like that. Right. And so your chemo basically cured you.

Natasha
22:28
Yes.

Kristen
22:28
In a sense, right?

Natasha
22:29
Yes, it did.

Kristen
22:30
And so, what I wonder is knowing that there's probably a little more confidence that you might have going into it, as opposed to if you may not be back at work if it was a different situation. 

Natasha
22:30
Right. 

Kristen
22:46
But I just I remember your concern of bringing your feelings in, with your patients. And I mean, you're walking around with no cancer now.

Natasha
22:58
Right. You know, and it's sort of making me think back to what we were talking about at the beginning about how I've looked at signing out of some of the Facebook groups and as you were explaining, sort of your reasoning for staying, it was reminding me of how much information I got from other women. And now, you know, even from day one, nobody knew me. I posted "Ah, this just happened". Such an outpouring of support, meant so much to me from this group of women that I absolutely didn't know. And now, if I can maybe take a break and go back with a different mindset of the little things like chipped in on, like anytime I see somebody who's like, "I don't think I should get a port, I don't think it's worth it. I don't know, ports sound terrible, things for infection." I'll pipe up straight away. I'm like, "I love my port. No infection. Like, don't even think twice." And there was somebody the other day who was really, really nervous about getting chemo and was thinking of not doing it, and could anybody offer any of the positives towards doing chemo. And I just wrote two lines... "It saved my life. It cured my cancer.”

Kristen
24:14
There you go. Yeah. Right. 

Natasha
24:14
It's interesting. I say like, I feel like I slept a year, but many nights up until 2:00, 3:00, 4:00 AM I was reading other people's postings because it just made me feel held and like, this, this wasn't just such a, an anomaly that only ever happened to me. 

Kristen
24:21
Right. Because you can't imagine that anyone has felt the same things that you're feeling because we're also individual. And so, we can't possibly imagine that someone else is feeling like that. And I think that's part of how people started listening to this. We had a woman right in, she was from the UK, and she said, "I just had to write because I laughed out loud. And I haven't laughed out loud in six months". She said "It was when you said that, you shook your head, and your hair moved." She's like, "I am not there yet, but it's going to get there". <laugh> And so, whatever it is,

Natasha
25:13
Yeah, 

Kristen
25:13
if something resonates with someone and it makes people not feel alone. I mean, that's kind of like holding their hand through verbiage, right?

Natasha
25:23
Yeah.

Kristen
25:24
And there were times when I actually would direct message people rather than writing something on there. 

Natasha
25:24
Oh, I haven't done that. Yeah.

Kristen
25:30
And I would say, "Hey, my story is very similar and I just want to let you know that I am here with you". And so I think you will get that same, some of that same feeling and continued when you're doing your work.

Natasha
25:45
Yeah, I am not sure we will find out. I think what it gives me is more information that's actually from evidence from an experience rather than what I have read in books. I mean, I know I have brought this up a few times, but I am horrified by the fact that I have told patients each chemo cycle is different. So however number one goes that's how the rest of them will go and that's not true. That is not what I lived. I don't think it's what you lived either, but that's the spiel. And I will never give that freaking spiel again. It's, and I wanted to talk to some of the other nurses where I work and say, "Hey be careful with giving that because that's not true".

Kristen
26:22
Right. I remember getting a text from you, a couple of weeks after radiation, and you said, "I guess it's normal to feel a little down when treatments finally over. It's been a weird day."

Natasha
26:43
Yeah, I do remember that and it's interesting that I am also saying treatment's finally over when it actually isn't. But I think there's something that you have shared with me about the strangeness of having a checkpoint every day with people. Yeah. It's only three and a half weeks, but I knew the people who were taking care of me. They're like, "Hey Natasha, how's the bike running?" What I mean, they would just have little chats at the front desk and then you wake up the next day and nobody's called and nobody's checking in on you. And It was just a little. Yeah, I think like I was saying my sort of lackluster, ringing of the bell, just like I don't know, I am waiting for the fireworks and the big celebration.

Kristen
27:25
Well, I also think that we feel like there's gonna be something inside of us that clicks and all of a sudden, were super relieved, and we feel cured, and we're ready to go. And hormone blockers, whether it's intravenous for several more months or whether it's a pill, that's still going on and a lot of people are still having side effects from the treatments.

Natasha
27:48
Exactly.

Kristen
27:49
But I think that I used to get all butt hurt that my family and friends, and there were some that we're still checking on me. But after I was out of the critical stuff, I didn't hear anything and that's when I really needed somebody.

Natasha
28:04
Yeah. No, I was sharing that with someone the other day how way before treatment just after my diagnosis, the fridge is full, people are bringing stuff, and they the house felt, like we say, like Piccadilly Circus, you know, it's just like people coming and going. And I felt fine because the stage my cancer was caught at, I had no symptoms from it other than a lump under my arm that didn't even hurt. But I didn't need taking care of at that point. But yeah, then when I did, like around cycle 3 and just, for those of you who have may not have listened to the whole season. I actually went through a kind of unexpected divorce right before my diagnosis. So I was not in the best space when I got my diagnosis. And that, you know, I have a couple of friends who were like, "You know, it's been hard to be your friend this past year or so, because it just seems like there was so much going on". And that was hard to hear, but I appreciated that they could actually say that.
 
Kristen
28:48
Right. Yeah.

Natasha
29:05
And yeah, it's interesting. As he was saying that I realized that I need to change my vocabulary. I don't have cancer.

Kristen
29:16
<dog barking>Yeah, Jack agrees, Jack agrees.

Natasha
29:17
Thanks, Jack. I wish you'd told me and I guess, you know, we're both at the point where we had it.

Kristen
29:24
Yeah. And I had to change my vocabulary too.

Natasha
29:24
Yeah.

Kristen
29:24
To, when I had cancer or, you know, now, without cancer blah, blah, blah, you know, whatever. And I don't start my sentences like that, of course.

Natasha
29:36
Oh, you don't? I start every one of them.

Kristen
29:39
Now that I don't have cancer.

Natasha
29:40
Right? When I had cancer, it was, um, it's like a trip. Like, when I was in Portugal.

Kristen
29:44
Yeah. Did you have that feeling like at times? Like you still didn't believe it?

Natasha
29:51
Yeah. Oh, I still don't believe it.

Kristen
29:51
Right? Okay. Thank you.

Natasha
29:53
I actually feel like it was part of nursing school, and it's something that I actually had to go through.

Kristen
30:02
Well, See. Yeah, I know and I still like, you know, I think about it and then I am like, "Oh yeah", because I don't want to dwell on it, like "I am not a professional cancer patient".

Natasha
30:03
I might be a professional thyroid patient. We’ll see how that goes.
 
Kristen
30:03
<laugh> Sorry, sorry.

Eva
30:20
Thank you for listening to Breast Cancer Stories.To continue telling this story and helping others, we need your help. All podcasts require resources and I have a team of people who produce it. There're costs involved and it takes time.

Kristen
30:35
If you believe in what we're doing and have the means to support the show, you can make a one-time donation or you can set up a recurring donation in any amount through the PayPal link on our website at breastcancerstoriespodcast.com/donate.

Eva
30:35
To get the key takeaways from each episode, links to anything we have talked about and promo codes or giveaways from our partners, sign up for our email newsletter. 

Kristen
30:50
You'll get notes and thoughts from me related to each episode and links to the most useful resources for all the breast cancer things. So, if you have chemo brain, you will be able to just go read your email, find anything we talked about on the podcast without having to remember it. 

Eva
31:05
The link to sign up is in your show notes and on the newsletter page of breastcancerstoriespodcast.com.

Kristen
31:15
We promise not to annoy you with too many emails.

Eva
31:24
Thanks for listening to Breast Cancer Stories. If you're facing a breast cancer diagnosis and you want to tell your story on the podcast, send an email to hello@theaxis.io. I'm Eva Sheie, your host and executive producer. Production support for the show comes from Mary Ellen Clarkson and our engineer is Daniel Croeser. Breast Cancer Stories is a production of The Axis.