Vital Statistics |
Name: (required)
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Email: (required)
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Month-Year diagnosed:
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Age at that time:
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Diagnosis - stage, location of tumor, initial
prognosis:
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Chemo - how long; radio how long (details
will be covered later):
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Context of your life - where you live, family
situation, any other related medical:
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Medical Journey - Diagnosis |
What took you to the doctor in the first place:
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How you were told, how you told loved ones:
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When/how you learned "the statistics" :
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Your initial response to diagnosis, and that of your family/friends:
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Medical Journey - Treatment |
What facility; what primary doctors (the helpful
ones!):
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Surgery (if):
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Clinical trials (if):
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Chemo/Radiation details:
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Experience (physical, emotional):
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Medical Journey - Recovery and/or Rediagnosis |
Side effects/complications:
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Dietary/exercise:
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Alternative therapies, if any:
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Rediagnosis (if):
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Experience (physical, emotional):
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Your Care Team Experience |
Medical team:
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Primary caregiver(s):
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Other family - including children:
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Friends/neighbors/perfect strangers! :
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Most Helpful Resources |
People:
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Support groups (physical):
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Websites/listservs/online communities:
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Books:
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Attitudes:
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Why You "Beat the Odds" |
What your doctors would say:
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What you say:
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Special Inquiries |
Importance of hope:
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Importance of humor:
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Importance of spirituality:
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Advice |
To other patients:
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To primary caregivers:
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To well-meaning others (family, friends, neighbors):
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How This Journey Changed Your life, and/or other Last Thoughts
… |
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