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AFTER /// CHAPTER 82
Survivorship
On the Medical Front
» Medications: You will likely reduce the medications you take regularly but check with your team and don't assume you
can stop them all. For example, if you are on Bactrim as a preventative antibiotic, you will continue this for several
months.
» Port Removal: Ask your team when you can get the port out. As long as you have it in, you need it to be " flushed " monthly
in the clinic and you should continue to call or go to the ER with any fevers.
» Routine Medical care: Since you will not be seeing your oncology team as often, now is a good time to re-establish
with your primary care doctor and update them on your history and current medical condition. You will start calling your
primary care doc for things like allergies, cold/flu symptoms, annual exams, vaccines, birth control, blood pressure
medications, etc. {If you don't have a primary care doc, check with your insurance company for a list of physicians}
» Dental care: Oral care is very important after treatment. Teeth cleaning and exams should be every 6 months.
Prophylactic antibiotics are necessary until your counts have recovered and mediport has been removed.
» Survivorship Care: Once you are done with treatment, there are 3 main parts of your survivorship care plan
* Surveillance: You will continue to see your oncology team for checkups, labs and scans. Ask your team what intervals
to expect these at. The frequency will decrease with time and eventually, when the risk of recurrence is very low, your
oncologist will likely not perform studies any more (but will always see you if you have concerns!)
* Monitoring for late effects: Although some side effects occur during treatment, some can persist, or not even show
up for years. There are guidelines on how to monitor for these and you should take an active role to make sure these
recommendations are followed. They can be done by your oncologist, a cancer survivorship clinic, or even your
primary care provider. The focus on this monitoring will gradually increase as your cancer surveillance decreases.
* Routine Medical care: Having cancer once in your life is one time too many. Paying attention to your general health
and avoiding things known to increase your risk of (a second) cancer is one of the most important things you can do
as a survivor.

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What Do I Do Now?

Table of Contents for the Digital Edition of What Do I Do Now?

Contents
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