"Whenever I read about anyone dying of breast cancer, I take it personally," says Jami Bernard, a New York film critic who battled breast cancer successfully in 1996, then wrote BreastCancer: There and Back to help other women facing the disease.
Tamoxifen is a medication that blocks the action of the female hormone estrogen in the body. For more than 30 years, doctors have prescribed tamoxifen to fight tumor growth in women who have breast cancer with tumors that are fueled by estrogen. Tamoxifen was the first selective estrogen receptor modulator (SERM) to be approved by the FDA for both prevention and treatment of breast cancer in high-risk women.
"I heard that Linda McCartney died of breastcancer, and I immediately thought, 'I'm in trouble.' Whenever I get some sort of ailment, I always think it's related to cancer. I was lying in bed one night two weeks ago, and my throat hurt, and I thought, 'Oh, I have throat cancer.' It goes away quickly, though."
Most women were just walking along, living their lives, when they were blindsided by breast cancer. Unless you had a strong family history of the disease, you' probably said, "I never thought it would happen to me" at least once. But after treatment, now that you've learned in a very painful and immediate way that it can happen to you, you may find yourself overwhelmed by fears that it will happen again.
"Fears of recurrence are very common," says oncologist Marisa Weiss, MD, founder of Breastcancer.org and the author of Living Beyond Breast Cancer. "They're particularly persistent as you're first leaving active treatment, when you go from seeing an oncologist of some kind every week or every other week to checkups every three months, and then every six months. You may expect that you'll want to throw yourself a party on your last day of chemo or radiation, only to find that you're a little melancholy or fearful, thinking, 'Maybe I should be getting more treatments just to be sure?' "
"Treatments keep you busy and occupied and they take a long time," says Bernard. "When you finish treatment you're at loose ends, wondering if it will come back. I was having six-month checkups, and then my oncologist said, ''I'll see you in a year.' I said, 'What? Are you sure you don't want to see me before then?' I told him I'd start camping out in the hall waiting for appointments. You want to think that someone's still watching."