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43. Back to Work as a Breast Cancer Survivor: Reflecting on 3 Months in the Job

Breast Cancer Life

Release Date: 10/04/2024

How Breast Cancer Robs me of my Future show art How Breast Cancer Robs me of my Future

Breast Cancer Life

After having a history of breast cancer, it makes you think about future dates differently. It may be that before I had cancer I thought about the next year‘s Christmas or birthday and hoped that everything would be the same as it is now.  Definitely after the breast cancer diagnosis, when a holiday or in my case, planning a trip for next summer, comes to mind, I think to myself, and sometimes out loud to my family, “ I hope everything’s OK and the cancer is never back at that tome.”.  I also think about how I better just get things done that I really want to do because...

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58. Natalie Ditri Breast Cancer Survivor: Uncovering Fun in the Everyday Grind show art 58. Natalie Ditri Breast Cancer Survivor: Uncovering Fun in the Everyday Grind

Breast Cancer Life

Checking in after 2 years since I was diagnosed with invasive breast cancer to share that recovery from the trauma of a diagnosis is possible.  In the last episode I talked about inner strength that I use in managing my mindset as a survivor. The outlook of knowing I will be ok and controlling the things I am allowed to control does not restrict me from looking back at my recovery. This podcast is about sharing my story and advocating. The milestones of recovery from what makes up a diagnosis are important to reflect on, in my opinion.  Since it is summer, I am going to my pool...

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57. Natalie D'Itri Embracing Inner Strength Unveiled: Navigating Mindset and Hope After Breast Cancer show art 57. Natalie D'Itri Embracing Inner Strength Unveiled: Navigating Mindset and Hope After Breast Cancer

Breast Cancer Life

The title says it all in this episode. It is really necessary to navigate my mindset on a regularl basis.  Most days are busy with what needs to be done in the now or present (work, exercise, the daily tasks that fill our time). There is still always an opportunity for doubt or fear or loss of hope to creep into the forefront of my thoughts.  I share what is helpful to stay on the positive track in this episode. I also talk about my awareness of what is not helpful and how I steer clear of the unhelpful thoughts.  At first, when the MRI showed non-mass enhancements, prior to...

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56. Natalie Ditri's Reflection on Limb Restrictions After Breast Cancer Surgery show art 56. Natalie Ditri's Reflection on Limb Restrictions After Breast Cancer Surgery

Breast Cancer Life

There are new realizations all the time in this breast cancer life experience. I recently realized I need to preserve the veins in my arm not affected by breast cancer surgery. I have been mindful about not getting any injections, blood draws or bug bites on my left arm since I had my mastectomy and sentinel lymph node dissection 2 years ago. Recently I realized that preserving the veins in my right arm is something to be mindful about.  I have had a few blood draws over the past year. These are generally drawn from the same place in my right arm, at the bend of the elbow. The...

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55. The Breast Cancer Battle: Two Years After Mastectomy with the Plastic Surgeon show art 55. The Breast Cancer Battle: Two Years After Mastectomy with the Plastic Surgeon

Breast Cancer Life

It has been 2 years since my mastectomy and immediate reconstruction with an implant.  I am about to go to my annual plastic surgery follow up appointment right after recording this episode.  I always say that the plastic surgeon put me back together after the breast surgeon took me apart to remove the cancer (and the left breast in my case). So you will hear me say that the plastic surgery appointment is easy compared to the medical oncology or breast surgery follow up appointments. The plastic surgeon did her work and I recovered. It is essentially a “well-visit” and she does...

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54. A Day of Breast Cancer Life show art 54. A Day of Breast Cancer Life

Breast Cancer Life

Two things happened on the day I am recording this episode that make me think about how my life is different because of breast cancer.  I was doing so well not thinking about breast cancer today that I forgot to implement the usual precautions for avoiding any bug bites on my left arm. I was bitten by an ant on my left hand at the end of my walk today. Tiny ants biting seems like no big deal, but the general strategy for lymphedema prevention is to avoid impairing the integrity of the skin on the side where a lymph node dissection has been done. This includes avoiding bug bites! I know...

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53. Natalie Ditri: No fear of a cancer in my other breast show art 53. Natalie Ditri: No fear of a cancer in my other breast

Breast Cancer Life

Once I got my diagnosis of invasive ductal carcinoma, I was immensely scared of dying. I was shocked and sad about the diagnosis. I was sure I needed a double mastectomy, because I never wanted to get diagnosed with another breast cancer. My doctors did not recommend a double mastectomy. I only had the left mastectomy. I started tamoxifen a few weeks after surgery. Now, two years since the diagnosis, I am confident that I will not be diagnosed with a cancer in my remaining (right) breast. There are two strategies in place for me at this time that lower my fear of another breast cancer...

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52. Tamoxifen vs aromatase inhibitor to prevent recurrence of my breast cancer show art 52. Tamoxifen vs aromatase inhibitor to prevent recurrence of my breast cancer

Breast Cancer Life

Because of breast cancer, fear of cancer recurrence is a permanent part of my life. I continue taking tamoxifen to reduce my risk of the cancer coming back. In this episode I share my thoughts on the good quality of life I have while taking tamoxifen. I value my strong body and theimited side-effects I have now. I also value a life with the lowest possible risk of breast cancer recurrence. I look forward to discussing what it might mean to switch to an aromatase inhibitor, in terms of further lowering the risk of recurrence and potentially experiencing more serious side-effects, with my...

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51. Healing After Mastectomy: Natalie Ditri’s Story of Breast Cancer and Recovery show art 51. Healing After Mastectomy: Natalie Ditri’s Story of Breast Cancer and Recovery

Breast Cancer Life

Preparing for breast cancer surgery was all-consuming once I found out I had an invasive ductal carcinoma in my left breast. I never stopped to think about what might be part of recovery from the nipple-sparing and skin-sparing mastectomy until I was in the recovery room. Then I learned the skin on my left breast was potentially going to be at risk for impaired healing or tissue death. My plastic surgeon had a solution for mitigating this at-risk situation.  In this episode, I am sharing how I spent the hours and days after the mastectomy, leading up to hyperbaric oxygen therapy. This is...

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50. Natalie Ditri Mastectomy vs Lumpectomy to Remove my Breast Cancer show art 50. Natalie Ditri Mastectomy vs Lumpectomy to Remove my Breast Cancer

Breast Cancer Life

I had a choice in terms of what would be the best option to remove the invasive ductal carcinoma that I had just learned was in my left breast.  I had recently had a biopsy in a different part of my left breast. Given that there were 2 places that had the potential or were actually problematic, I opted for a mastectomy. I thought that if there were 2 problem areas, there were likely to be more problem areas in that breast. I did not want to take any chances on having more cancer. I also wanted to avoid needing radiation. By removing my left breast via a mastectomy, I was not likely to...

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More Episodes

Life has evolved since last year, when I was in my breast cancer screening and diagnosis journey. Not long after I recovered from the mastectomy and reconstruction, I learned how hard it is to be a breast cancer survivor. The psychological aspects of being a survivor, particularly the fear of cancer recurrence, prevailed after the incisions healed. To get a sense of control over survivorship, I realized I had to prioritize sleep, exercise, and nutrition to care for myself. Survivorship takes more energy (mentally for certain) than the screening, diagnosis or surgery ever did. 

Early in survivorship, I spent time trying to care for myself. I sought out cancer support resources to get the help I needed to adjust to life as a survivor. Then, earlier this year, I reached a point where I felt like something was missing (not referring to my left breast, which was removed during the mastectomy). I decided it was time to go back to work as a nurse.  

In this episode, I look back at three months on the job and talk about how I managed to keep myself from falling apart. I did not perfectly fit in exercise. I lost track of how close I was to the recommended 150 minutes of exercise per week. I prioritized walking to the subway as a primary source of movement in the workdays. I found places in my work day to fit in “exercise snacks”, those small bursts of activity to exert myself and raise my heart rate. I even found places at work where I can stand and work at a computer. 

I managed to accept disrupted sleep as part of my life and used some of those early morning moments for an early start at the gym. Some days I allowed myself to wake up a little later, even if it meant skipping the gym before work.  I tried to be kind to my body and take the cue that more sleep is needed. 

I love food and found that although I had the best intentions of packing health snacks for work, I was not bringing enough to keep me from feeling low on energy and very hungry at the end of the day. 

The silver lining I share in this episode is that, after 3 months in the job, I now have additional flexibility to work remotely some days and get an extra day off some weeks. So after three months of getting by and being gone every week day all day, I get some time back in my week to restore the balance in my self-care priorities.  

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The content of this podcast is not intended to substitute professional medical advice, diagnosis, or treatment. Always consult a healthcare professional regarding your healthcare questions and concerns. This podcast contains opinions of the host. 

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