Tips to keep your hands and feet healthy:

1. Avoid cutting your cuticles. Instead, use cuticle cream to help combat dryness, splitting and hangnails.

2. Moisturize with a rich hand cream.

3. Keep nails short.

4. Wear rubber gloves while doing chores as excessive exposure to water can lead to fungal infection of the nail bed.

One question everyone may have as they begin their cancer treatment is ‘what are the side effects of my cancer treatment?’ The truth is, is that, while there are many common side effects from chemo, radiation, immunotherapy and drugs, your treatment experience will be different from anyone else. So, what’s ‘normal’? Your medical team may give you a booklet on what to expect, but the reality is, there is no ‘normal’.

Hair loss, fatigue, constipation, diarrhea, headache, nausea are all common side effects from cancer treatment. But you may also be dealing with loss of balance, strength and coordination. Others experience nerve tingling, “burning” or numbness. It’s also possible that you may not have any of these side effects. Your reaction to your treatment is as individual as your diagnosis itself.

In the past, a good patient was often described as someone who kept questions to a minimum, who followed all the advice that their healthcare professional provided, who didn’t complain or voice their concerns, and didn’t speak out about something they didn’t understand. Over the years, medical professionals have begun to realize that their patients are individuals, with minds of their own and ideas and questions about their own healthcare.

Enter, Dr. Margaret Fitch, a professor at the University of Toronto with a background in nursing and expertise in oncology and the psychosocial and emotional side of cancer. Dr. Fitch identifies the difference between ‘person-centered’ and ‘patient centered’ care. Your care is a partnership. Doctors, nurses and social workers bring knowledge and expertise, but you are the expert on you and your personal experience. Person-centered care calls on medical professionals to listen, work in partnership with you and to better understand what your life is like and to pay close attention to how any suggestions made may impact you.

Dr. Fitch offers some important take aways to help you in your efforts to ensure your care is ‘person-centered’.

Embrace Your Right to Ask Questions: It’s crucial to remember that you have the right to ask questions about your care and treatment. Even if it’s difficult to speak up, your health and well-being are paramount. Take time at home to write down your questions when you’re relaxed, and bring them to your appointments. Don’t hesitate to be firm and confident in asking for the information you need.

Utilize All Available Resources: While your time with your physician is limited, don’t hesitate to ask a nurse or another healthcare professional for additional support. Healthcare teams often work together, and they can help ensure that your concerns are addressed. It’s okay to use multiple strategies to get the information and support you need.

Understand That “Normal” Doesn’t Mean “Okay”: If you’re told that certain side effects or feelings are normal, it’s important to recognize that this doesn’t mean you have to accept them without support. There is help available, and you don’t have to navigate these challenges alone. Speak up about what you’re experiencing and ask about the resources and services that can provide relief.

Recognize the Uniqueness of Your Experience: Cancer is not just one disease, but many, each with its own treatments and side effects. What you go through may be completely different from someone else’s experience, even if the diagnosis sounds similar. Don’t feel pressured to compare your journey to others; instead, focus on what you need and seek out the right support for your specific situation.

Explore Your Options: The treatment and support options available to you are diverse. Whether it’s joining a group, seeking one-on-one counseling, or trying different therapies, it’s essential to find what works best for you. Don’t be afraid to explore different approaches until you find the one that feels right.

Stay Informed About New Treatments: Medical advancements, like targeted therapies, are constantly evolving. These treatments can be more precise and may reduce some of the more challenging side effects associated with traditional chemotherapy. Keep the conversation open with your healthcare team about new options that may be available to you.

Value Your Individuality: Remember, your journey is uniquely yours. While it’s helpful to hear others’ experiences, what works for someone else may not be the best fit for you. Trust in your instincts, ask for the information you need, and choose the path that feels most supportive to your individual needs and circumstances.

In Episode 2 of “Facing Cancer Together,” you will hear from several women undergoing treatment, each with their own unique version of ‘normal.’ Additionally, Dr. Fitch delves into the concept of ‘person-centered care,’ offering deeper insights into this compassionate approach to treatment. Tune in for a compelling discussion that highlights the diverse experiences of these women, the importance of personalized care and how you can advocate for yourself during your own cancer journey.

When I think back to having cancer and going through treatment, a lot of it is a blur. It was almost like a four-month-long out-of-body experience. I was 15 and in grade 10 when I was diagnosed. I was in the culinary arts program at my school in Toronto, which I had wanted to do forever. And so much was already going on in my life. It was a tough year. My dog had recently died, which was really hard for my family, and my grandmother had also had a cancer scare. And, things were hard at school. I’d met someone who turned out to not be a very nice friend, so I stopped hanging out with him and then I found out a few months later that he’d been writing mean stuff about me online. And then he started threatening me and following me around school. He was friends with a lot of my friends and it was hard to get away from him. And I had also just parted ways with my entire friend group, because they were just not nice friends. One of them even told me she had hated me from the moment she met me. That was hard. I’d dealt with a lot that year, and so getting cancer just kind of felt like an extra bonus. It was the cherry on top of some terrible sundae.

Suddenly I was spending pretty much every single day, hours and hours of the day, in doctors’ offices trying to figure everything out. I started failing most of my classes at school because cancer was suddenly taking up most of my time.

I got through it, though. My school supported me with my class work when they heard what was going on. I was able to make some great new friends who were kind and supportive. And I got through my treatment.

Chemo was hard but it wasn’t as bad as movies would make it seem. In some ways it’s true that chemo can be very intense, but it wasn’t as scary as I thought it was going to be. My surgery went really well. Heading into it, my parents were super nervous, but I was just like, “OK cool, I’ll see you guys later!”

My hair did fall out, which was not fun. I had really long curly hair, and I was sad to lose it. And I had a lot of skin problems – sore skin, chemo blisters that turned dark purple on my feet, a lot of sensitivity in my hands, and red marks on my shoulders. Doing a Look Good Feel Better workshop helped me feel a lot better. I loved not just playing with makeup – I love getting to express myself in that way – but also getting to meet other people who had cancer. They told me about their experiences, which was really helpful for me. It made me feel less alone.

That’s all behind me now, and I get to focus on being a teenager and doing what I love. I still enjoy being creative in the kitchen. Baking is my favourite. I’m really good at making chocolate cake – I think I’ve perfected it. I also like to crochet, embroider, sew, and do crafts. I’m glad that this is my life again, and that cancer is in my past.