Preface to the second edition, xiii, 
Preface to the first edition, xvii, 
SECTION I: At first, 1, 
The lump, 5, 
I did not know that men., 10, 
What did I do wrong?, 13, 
Where the answers?, 18, 
Numbers, 20, 
Will I lose my hair?, 24, 
All these medications, 35, 
What about sex?, 41, 
Reconstruction, 43, 
I paid my dues, 47, 
He left me, 49, 
A voice on the telephone, 52, 
The photograph, 56, 
To share or not to share, 58, 
SECTION II: weathering the storm, 60, 
What if it were your wife?., 64, 
Dandelion, 66, 
More hormonal treatment? For me?, 71, 
Don't tell her, 76, 
I tell everyone, 82, 
Trust, 84, 
The message, 88, 
This is it, 92, 
Here I can cry can't I?, 99, 
Twenty years and still here, 101, 
Please no heroics, 105, 
Come to my wedding, 109, 
No borgia methods, 112, 
SECTION III: Living, 116, 
Baby?, 118, 
Hormones for health and beauty, 122, 
What have you done ..., 129, 
Time, 133, 
Words, 135, 
I wish, 138, 
The choice, 139, 
This is new york, 143, 
Plans, 145, 
Looking forward., 147, 
To live, to love, 149, 
SECTION IV: Attitudes and reactions, 151, 
Anger, 154, 
Timing, 157, 
Is it dangerous?, 160, 
Fortune cookie, 163, 
Jolly oncologist, 165, 
The smile, 170, 
My turn, my boost, 172, 
Roses, 173, 
Section V: Beyond the wall, 174, 
Hope, 177, 
I am too young, 182, 
My will be done?, 184, 
Is it worth it?, 187, 
Let me die, 189, 
Was it a dream?, 193, 
EPILOGUE: The crystal ball and the time: machine, 195,

CHAPTER 1

SECTION I

AT FIRST

***

In this day and age, with the high degree of emphasis placed on physical beauty, health, and sexuality, particularly in the Western world, the finding of a breast lump is one of the most dreaded events a woman can experience at any age but particularly in the prime of her life, and worse even at a young age.

The thoughts first engendered by this finding are reflections of the traditional fear of cancer compounded by the stories heard, the news and books read, the movies or video programs seen, frequently depicting the worst possible scenarios associated with the diagnosis of breast cancer. These media never dwell upon the many who, having been diagnosed and treated for breast cancer, are cured and go on with the rest of their life. We are given scenarios of the fear and suffering, not the successes.

While not minimizing the potential seriousness, with emphasis on "potential," of the finding of a breast lump, I must immediately qualify such a finding by reminding the reader of the fact that the breast is frequently, to a greater or lesser extent, a "lumpy" organ and that fortunately many of its lumps are benign and physiological. That does not mean that such a lump may be safely overlooked but that immediate panic is not necessarily justified. It is also a fact that with the present and constantly improving diagnostic technology it has become possible to detect breast cancers of minuscule size and at a stage of development at which immediate and appropriate treatment is associated with a very high rate of permanent CURE. Indeed, over the past several years the mortality from breast cancer finally stabilized and then declined while it had been rising for a long time in the past. At present questions are even raised about the true significance of the very tiny cancerous or pre- cancerous lesions detected by the ever increasing improvement of the mammographic images obtained by the ever increasing technological precision of the diagnostic equipment: should every single one of these increasingly smaller lesions be followed by biopsy and / or excision?

Surgery for breast cancer has become progressively less extensive and even in circumstances under which the breast has to be removed by mastectomy, the surgical technique of breast reconstruction has evolved to the point where physical appearance can be restored to a degree that also restores the self-image of the woman who has had to undergo that type of cancer surgery. On the other hand, a growing proportion of the women with breast cancer do not have to lose the affected breast because the increasingly early detection of cancers generally smaller than in the past, makes it possible to preserve it, thus avoiding the disfigurement of mastectomy. Furthermore, while the addition of radiation therapy to breast-conserving surgery, as an integral part of the initial treatment, has resulted in long-term outcomes identical to those of the previous standard mastectomy, it is not without certain long delayed after-effects including the rare development of other malignancies related to the radiation.

Finally, chemotherapy and/or hormonal therapy administered as part of the initial management (adjuvant systemic therapy) of breast cancer, when indicated, have improved both the survival and the cure rate for this malignancy. For the women for whom it is indicated the contemplation of having to undergo months of administration of these medications after the initial more or less extensive surgery and radiation therapy for some, is certainly disruptive and many of the media depictions and publicized personal stories have emphasized the frightening and uncomfortable aspects of this category of treatments. It is therefore not unexpected that its application is contemplated with dread. Yet, just as progress in the techniques of surgery, radiation, plastic reconstruction and chemotherapy has improved the quality of their results, new developments have improved the supportive measures designed not only to relieve but also to prevent the uncomfortable side effects of this chemotherapy, to the point that they seldom cause any serious disruption of the life and wellbeing of its recipients. Again, as with radiation therapy, certain long delayed complications are increasingly being recognized.

I have also found that the most devastating side effect of chemotherapy is not the nausea, the fatigue, the metabolic or hormonal changes, but it is the difficult-to-hide loss of hair. While that is the least medically important one and while it is temporary, it is, for a woman, other than the loss of a breast, the side effect that is associated with the greatest emotional impact, one that cannot be minimized and that has to be acknowledged and dealt with: the further disruption of the self-image.

In this section the story titled "This is New York" depicts one person's way of dealing with that feature of her disrupted physical appearance. Her story is unique and personal and only serves to illustrate the fact that each individual finds his or her way of dealing with that problem. It is frequently the attitude of those surrounding and interacting with the main character of this personal drama, that requires correction, guidance, and help, help that often comes from the patient herself.

The effects of the entire complex system including the diagnosis, the treatment, the profound and invisible physiological changes it produces as well as the emotional impact of it all on the woman herself, on those closest to her and on her sexuality, are frequently unmentioned and overlooked in her day-to-day care because they either are not physically obvious to the observing physician, because the patient feels uncomfortable complaining about these problems or because the physician is not prepared to deal with them. This complex after-shock associated with the treatment and course of this illness impacts on the lives on many of the involved couples because it has to do in good part with sexuality and because the problems of one member of these couples also impact the other. They should be addressed as an integral part of the patient's medical management. The recipient of the treatment should be made to feel that these problems can be addressed comfortably and candidly in the physician's office. While some may have to be referred for care by another specialist the existence of this profound impact on their life should at least be recognized and must be addressed.

Guilt, unexplained, undeserved and frequently self-imposed, is a burden many women carry once diagnosed. Such guilt can be relieved by reassurance and explanations lest it becomes an additional source of unnecessary emotional anguish.

Some of these feelings and questions brought up by women recently diagnosed with breast cancer are illustrated in the conversations related in this section. No one can convey them better than those immediately involved, the woman herself, her closest ones, spouse, family, friend or lover, and her physician.

THE LUMP

The journey through breast cancer often starts with the "lump."

Alice was forty-eight and, because of her family history of breast cancer, she had come for her yearly breast examination and mammograms since the age of forty. She had called for an appointment one month ahead of her scheduled yearly visit because she had found a lump in her left breast that morning.

Now she sat in my small consultation room in the only available armchair not yet overtaken by the mounting stacks of mail and medical journals. The two glass cabinets hanging on the wall behind her were the only truly neat havens in that space. They contain various small gifts presented to me over the years by people I have cared for. My favorite is the ivory Chinese "medicine doll" in the cabinet on my left as I look at that wall. The story I was told is that in the high social circles of ancient China women did not leave their homes, not even to visit their physician. They would send instead one of their ladies-in- waiting carrying a carved ivory representation of a reclining woman. The messenger would indicate to the physician the part of the body that was the source of her mistress' distress. Based on that information, the physician would then prescribe the remedy, potion or poultice he deemed appropriate to treat the illness. I frequently wondered as I would sometimes stop in the course of the day and gaze at that elegant reclining white shape of a woman with her eternal and mysterious smile, how the female patients with breast lumps fared under that system of health care delivery. The practice of medicine has certainly become more complex since then.

"So, Doctor ... what do you think of this lump?" asked Alice.

Her tone was both casual and concerned. It was the tone of someone truly worried but not wanting to make much of something that, while it might not deserve that much concern in the long run, was nevertheless a source of considerable anxiety reflected in her eyes and her entire body attitude at that particular time.

I had tried to be reassuring without being casual although a woman who comes to consult me about a lump in her breast is always a cause for concern. I tried to keep my face from showing any worry but this is a difficult task. A blank face is not a reassuring one because I do not ordinarily keep a blank face. A smile was not appropriate. I decided simply to express what I felt.

"It is there all right," I told her. "I can feel it easily but I cannot tell for sure whether it is truly a tumor or a bunch of cysts since your breast contains many smaller lumps that feel almost the same as this one and have always been there. I did not make any mention of this one in the notes of your last examination and therefore I think it is new although not necessarily serious. By the way, when do you expect to have your next period?"

She relaxed a little.

"In about two weeks. My breasts are starting to feel a little swollen but this ... thing feels different to me."

I knew what she meant. It felt different to me too, not out-and-out sinister, as I put it sometimes, but prominent enough to be worrisome and reason enough to be sure to check further into its nature.

I told her that he best would be for her to have a set of mammograms and then decide what else to do. "You would be due for it next month anyway," I added.

"So you think it is cancerous," she persisted.

"That is not what I said. Cancer is of course the thing I have to think of first but the diagnosis has to be obtained in the appropriate way. Sometimes it is immediately obvious. In your case it is not. Let me take the time to check it fully as soon as possible before jumping to a conclusion."

"When should I have the mammogram done?" she asked.

Her heart rate during the examination had told me how scared she had truly been. I picked up the telephone.

"I already called to find out if they will take you now or later today. This way I will be able to tell you more without having you sitting on hot coals over the weekend."

Now while she was worried she had at least the feeling that no time was being lost. She knew that although I had tried to reassure her I was concerned enough myself to try to speed up the process of determining the nature of that lump.

"Tell me ... should I worry?"

"Can I tell you not to?" I replied. "That is why I am trying to resolve this today. What can I say? Don't worry too much now. Let us deal with facts and not build sinister fancies until these facts are available. Go to Dr. Gordon now, you know his office. They are expecting you."

"Yes, but I must call my husband to have him meet me there when I have the mammogram. I don't feel I can face this alone. Oh my God! I am so scared doctor!"

"I know and I think it is a good idea to call your husband. You may then both come back here with your mammograms after Dr. Gordon has seen them and talked to me. We will then discuss the findings and what to do about them if anything."

"I am terribly scared."

Her older sister and one of her maternal aunts had died of breast cancer and that is how she had come to my office several years earlier when she would accompany them for their treatment and follow up. That is also why she eventually decided to come at regular intervals for breast examinations in addition to her yearly mammograms and breast self-examination which she had been instructed to perform monthly. It was already known that breast cancer could be frequent in certain families but the genetic* abnormalities associated with such "familial" breast cancer had not yet been discovered at that time.

"I know. Go and come back."

I could not help being anxious myself about this. Over the years, a various times, I have taken care of several members of a family for treatment breast cancer. It was either a sister or a daughter or a mother of the one who had originally come to me. Each time this happens my inner reaction is the feeling that I am experiencing the relapse of a serious illness that I am unable to shake completely. It is as if I have to undergo treatment all over again. On one occasion several years ago, seeing my reaction to the call of another member of such a family my wife tried to dissuade me from taking on her case.

Two hours later Alice returned with her husband.

"Hello Mr. Filipides, Mrs. Filipides. Please sit down." I had cleared the other chair of all the paper stuff, which had covered it, letters, publications, notices of new regulations, advertisements, and professional journals ... "Show me the films. I spoke with Dr. Gordon already."

I placed the films on the X-ray viewing box and examined them. "As you already know he not only did the regular mammograms but he also took magnified views of the spot we are all concerned about as well as an ultrasound examination. He finds nothing suspicious on these studies. Yet you do have this somewhat thickened area in the breast on examination. Having looked at all the films myself I am satisfied of the fact that I also find nothing corresponding to the area of thickening that is causing all of us to worry."

"So, where do we go from here?"

"Some cancers, fortunately few, do not show up on the mammogram and more so in younger women because the breast tissue is dense and relatively opaque to x-ray. Since you have a family history of breast cancer, I feel that I should be particularly careful in your situation. I think it is a good idea for you to return here for a recheck of the breast shortly after your next period. If I can still feel the same thickened area at that time, I think a biopsy will be indicated to start with. What follows will depend upon the findings. If the biopsy is negative, I would still repeat the mammogram in four to five months just to make sure everything is OK."

"What if the biopsy shows it is cancer Doctor?"

I have had to deal with "what if" all my professional life. "What if(s)" cannot be brushed off.

"We shall cross this bridge if or when we meet it and hope we don't. Since we have not met it yet there is no point in creating an entire scenario about something that does not exists and live in fear prematurely and unnecessarily. I know this is not easy and I wish there were a better way to handle it but there is not."

(Continues...)

Excerpted from Conversations with Breast Cancer Patients by Ernest Greenberg. Copyright © 2002 Ernest Greenberg. Excerpted by permission of iUniverse.
All rights reserved. No part of this excerpt may be reproduced or reprinted without permission in writing from the publisher.
Excerpts are provided by Dial-A-Book Inc. solely for the personal use of visitors to this web site.

“Acerca de” puede pertenecer a otra edición de este título.

PBShop.store US

Wood Dale, IL, Estados Unidos de America

Vendedor de 5 estrellas

Vendedor de IberLibro desde 7 de abril de 2005

Tarifas de envío en Estados Unidos de America

Artículo	De 7 a 14 días hábiles	De 7 a 14 días hábiles
Primer artículo	EUR 0,00	EUR 0,00

Los plazos de entrega los establecen los vendedores y varían según el transportista y la ubicación. Los pedidos que pasan por la aduana pueden sufrir retrasos y los compradores son responsables de los aranceles o tarifas asociadas. Los vendedores pueden ponerse en contacto con usted en relación con cargos adicionales para cubrir cualquier aumento en los costes de envío de los artículos.

Métodos de pago

Descripción de la tienda

We first started out as “The Paperback Exchange,” a chain of physical bookstores where we would part exchange your beloved books for new stories to transport you to faraway places. However, as shopping started to evolve to online shops and marketplaces, we bid our stores goodbye to become “PBShop.” This transition has only allowed us to blossom as we now ship thousands of titles to book lovers across the globe. We pride ourselves in being a community of local book lovers which allows our passion and devotion to shine in everything we do. In 2020 we not only celebrated our 20th birthday but our 1st birthday as being completely employee owned after becoming an E.O.T in September 2019. We are proud to be different and embrace standing apart on a book mountain by working from a virtual inventory which allows us to provide thousands of books that may be difficult to get for your bookshelf or your studies. Working with a number of different suppliers allows us to explore other avenues such as puzzles, sheet music and even stationery so we really do have something for everyone. Life is about being versatile in all realms of existence. If this is your first visit or you are a returning customer, we would like to welcome you to the PBShop family, for there is no friend as loyal as a book. We are a company who put our customers at the centre of everything we do as we understand the importance of reading because once you learn to read, you will forever be free. There are a whole lot of things in this world of ours that we are yet to explore, which is why we will forever inspire curious minds.…

Especialidad

Hardbacks, Paperbacks

Información empresarial del vendedor

Pbshop.co.uk Ltd

Unit 22 Horcott Industrial Estate, Horcott Road
Fairford, Reino Unido GL7 4BX

Contactar con el vendedorVer los artículos de este vendedorVer la página principal del vendedor

Condiciones de venta

Returns Policy
We ask all customers to contact us for authorisation should they wish to return their order. Orders returned without authorisation may not be credited.
If you wish to return, please contact us within 14 days of receiving your order to obtain authorisation.

Returns requested beyond this time will not be authorised.

Our team will provide full instructions on how to return your order and once received our returns department will process your refund.
Please note the cost to return any unwanted order to us is borne by the buyer.

Should your order arrive damaged, not as advertised or faulty, we must be advised of this within 14 days of delivery. Please contact us so we can find the best solution for you.

Our Customer Care Team can be contacted via emailing paperback-us@paperbackshop.co.uk, or by calling our UK Office on +441285 712 917. We are available 9:00am till 5:30pm GMT weekdays and 9:00am till 1:00pm GMT on Saturdays.

Derecho al desistimiento

Si es un consumidor, puede rescindir el contrato de acuerdo con lo siguiente. Por consumidor se entiende cualquier persona física que actúe con fines ajenos a su actividad comercial, empresarial, oficio o profesión.

Información sobre el derecho de desistimiento

Derecho legal de desistimiento

Tiene derecho a rescindir este contrato en un plazo de 14 días sin dar ningún motivo.

El periodo de desistimiento vencerá a los 14 días desde que usted, o un tercero que no sea el transportista e indicado por usted, adquiera la posesión física del último bien o del último lote o pieza.

Para ejercer el derecho de desistimiento, complete de forma electrónica y envíe una declaración clara en nuestro sitio web, desde "Mis compras" en "Mi cuenta". Le enviaremos sin demora un acuse de recibo de dicho desistimiento a través de un soporte duradero (por ejemplo, por correo electrónico).

Para cumplir con el plazo de desistimiento, basta con que envíe su comunicación relativa al ejercicio del derecho de desistimiento antes de que venza el periodo de desistimiento.

Efectos del desistimiento

Si rescinde este contrato, le reembolsaremos todos los pagos que hayamos recibido de usted, incluidos los gastos de envío (excepto los gastos adicionales que surjan si elige un tipo de envío que no sea el tipo de envío estándar más económico que ofrecemos).

Podemos hacer una deducción del reembolso por la pérdida de valor de cualquier bien suministrado, si la pérdida es el resultado de una manipulación innecesaria por su parte.

Efectuaremos el reembolso sin demoras indebidas y, a más tardar, 14 días después de que se nos informe de su decisión de rescindir este contrato.

Efectuaremos el reembolso utilizando el mismo medio de pago que utilizó para la transacción inicial, a menos que haya acordado expresamente lo contrario; en cualquier caso, no incurrirá en ningún cargo como resultado de dicho reembolso.

Podremos retener el reembolso hasta que hayamos recibido los bienes o hasta que nos haya presentado una prueba de que los ha devuelto, lo que ocurra primero.

Deberá devolver los bienes o entregarlos a PBShop.store US, Springfield Gardens, New York, U.S.A., +44 1285 712917, sin demoras indebidas y, en cualquier caso, en un plazo máximo de 14 días a partir del día en que nos comunique su desistimiento del presente contrato. El plazo se cumple si devuelve la mercancía antes de que venza el periodo de 14 días. Tendrá que asumir los gastos directos de devolución de los bienes. Usted solo es responsable de la disminución del valor de los bienes como resultado de una manipulación distinta a la necesaria para establecer la naturaleza, las características y el funcionamiento de los bienes.

Excepciones al derecho de desistimiento

El derecho de desistimiento no se aplica a lo siguiente:

La entrega de periódicos, diarios o revistas, con la excepción de los contratos de suscripción; y
El suministro de contenido digital que no se proporcione en un soporte tangible (por ejemplo, en un CD o DVD) si, al hacer el pedido, aceptó que podíamos empezar a entregarlo y que no podría desistir una vez iniciada la entrega.

Condiciones de envío

Books are shipped from our US or UK warehouses. Delivery estimates allow for delivery from either location.

Privacidad y seguridad

We are committed to protecting the privacy and security of personal data. This policy tells you how we will collect and use your personal data, and what you should expect in respect of the personal information about you that we have collected.

We are PBShop.co.uk Limited (registered in England & Wales with Company No: 9366362). Our registered office is at Swatton Barn, Badbury, Swindon, SN4 0EU, United Kingdom.

The person with responsibility for our data protection compliance is the Managing Director and they can be contacted via email at help@pbshop.store.

We are the data controller of the personal data that we keep and use, and we are therefore responsible for making sure that our systems, processes and people comply with the relevant data protection laws in respect of that personal data.

We will act in respect of personal data to comply with the six principles of the General Data Protection Regulation (“GDPR”), which are:

Lawfulness, fairness and transparency;
Purpose limitation;
Data minimisation;
Accuracy;
Storage limitation;
Integrity and confidentiality.
You have rights in respect of how your personal data can be processed; these include the right to request:

a copy of your personal data;
that inaccurate data is rectified; and
that your personal data is, in certain circumstances, erased or restricted.
You have the right to complain to the Information Commissioner, which you can do by contacting the Information Commissioner’s Office (ICO) directly. Full contact details, including a helpline number, can be found on the ICO website (www.ico.org.uk). This website also has useful information on your rights and our obligations. However, please raise any concerns or issues with us first so that we may deal with this as quickly as possible for you.

COLLECTION, USE AND DISCLOSURE OF PERSONAL DATA
We collect and process data for the following reasons:

personal data collected and created in relation to our selling books and other items; and
personal data relating to our people (which means those people working for our company, or providing services to us, or potentially working or providing services to us, including employees, consultants, temporary or casual workers and contractors).
All of our people are required to abide by our Privacy Policy when handling personal data, and are provided with appropriate data protection training. Any breach of data protection will be taken seriously, and may result in disciplinary action.

Selling books and other items
COLLECTION:
We will collect personal information which may include names, addresses and other information for our customers. This will be done for the management of the commercial relationship with our customers.

We may collect this personal data from you directly, and also from third parties, including publicly available third party sources. Additional personal data will be collected as it is created by or supplied to us in the course of anything we do for you.

USE:
We will use the personal data in the course of making sales and to comply with requirements that we are required to undertake.

We will only use your personal data when the law allows us to. Most commonly, we will use your personal data in the following circumstances:

in performance of a contract (the agreement to sell books and other items); and/or
compliance with a legal obligation; and/or
vital interests of the data subject; and/or
where it is necessary for our legitimate interests (or those of a third party) and your interests and fundamental rights do not override those interests.
We may also use your personal data in the following situations, which are likely to be far less common:

where we need to protect your interests (or someone else’s interests);
where it is needed in the public interest or for official purposes.
DISCLOSURE:
We may share personal data with third parties as is necessary in the sale of books and other items, including to third party providers who deliver services to support the operation of our company.

In respect of all disclosures of personal data, we will only share the personal information which is necessary for the particular purpose for which it is provided, or where we have another legitimate interest in doing so, and we will ensure that the personal data is appropriately protected.

RETENTION PERIOD:
We will keep personal data only for as long as is necessary to fulfil the purposes for which we collected it, including for the purposes of satisfying any legal, accounting or reporting requirements. Normally, our retention period for personal data collected for this purpose is a minimum of 6 years after the end of the period that we are selling books and other items.

Our people
COLLECTION:
We will collect names, addresses, contact details, education and employment history, identity and other background checks (which may include appropriate criminal and financial checks and confirmation of the right to work in the UK), marital status and information on next of kin and dependents, financial information (such as bank details and NI numbers), date of birth, gender, a copy of your passport and driving licence, performance information and compensation history, recruitment information (including references), salary, benefits, pension and annual leave information, disciplinary and grievance information, photographs, information about your use of our information and communications systems and CCTV footage or other information obtained through electronic means.

We may collect and use special categories of personal data as required in the carrying out of obligations and exercising specific rights of us or the data subject in the field of employment. This may include information relating to matters such as health, racial origin, religious belief and offences or alleged offences.

Personal data may be collected from you during the selection process (for example via your application form and CV) and during your employment (including holiday forms, expense claims, performance reviews, any disciplinary or grievance processes), or from third parties, including referees, health service providers, background check providers.

USE:
Personal data of our people will be used for HR administration and management, both in respect of the selection of people to work for us (including suitability, eligibility and/or fitness to work), and those who do work for us, to include learning and development, disciplinary and security (of people, offices and data) requirements, providing and liaising with benefits providers, business management and planning (including accounting and auditing), paying you and dealing with tax and NI deductions, assessing and deciding on salary reviews and compensation, conducting performance reviews and managing performance, dealing with legal disputes involving you or others, preventing fraud, monitoring your use of our information and communications systems, ensuring compliance with our policies, and equal opportunities monitoring.

We will only use your personal data when the law allows us to. Most commonly, we will use your personal data in the following circumstances:

In performance of a contract with you; and/or
compliance with a legal obligation; and/or
vital interests of the data subject; and/or
where it is necessary for our legitimate interests (or those of a third party) and your interests and fundamental rights do not override those interests.
We may also use your personal data in the following situations, which are likely to be less common:

where we need to protect your interests (or someone else’s interests);
where it is needed in the public interest or for official purposes.
In respect of all disclosures of personal data, we will only share the personal information which is necessary for the particular purpose for which it is provided, or where we have another legitimate interest in doing so, and we will ensure that the personal data is appropriately protected.

In respect of special categories of personal data, we may process this in the following circumstances:

in limited circumstances with your explicit written consent; and/or
where we need to carry out our legal obligations and in line with our policies; and/or
where it is needed in the public interest (such as for equal opportunities monitoring or in relation to our occupational pension scheme), and in line with our policies; and/or
where it is needed to assess your working capacity on health grounds, subject to appropriate confidentiality safeguards.
Less commonly, we may process this type of information where it is needed in relation to legal claims or where it is needed to protect your (or someone else’s) interests and you are not capable of giving your consent, or where you have already made the information public. We may also process such information about our people (or former people) in the course of our legitimate business activities with the appropriate safeguards.

The special categories of personal data may be used in the following ways:

in relation to leaves of absence, to comply with employment and other laws;
in relation to your physical or mental health, or disability status, to ensure your health and safety in the workplace and to assess your fitness to work, to monitor, manage and administer benefits and absences;
in relation to your race, national or ethnic origin, religious, philosophical or moral beliefs, or your sexual life or sexual orientation, to ensure meaningful equal opportunity monitoring and reporting.
DISCLOSURE:
Personal data may be transferred to service providers who support the operation of our business (such as payroll service providers), to other third parties reasonably necessary in the conduct of our business (including insurers, professional advisors, regulators). These third parties may be acting as processor, or controller of personal data in their own right.

RETENTION PERIOD:
We will keep personal data only for as long as is necessary to fulfil the purposes for which we collected it, including for the purposes of satisfying any legal, accounting or reporting requirements. We will normally keep personal data of applicants who we do not employ for six months after we receive it.

We will keep personal data of employees throughout your employment and normally for a minimum of six years after your employment ends.

Changes to your personal data
It is very important that the personal information that we hold about you is accurate and current. Please tell us if your personal information changes during your relationship with us.

Data Security
We have put in place measures to prevent your personal data from being accidentally lost, used or accessed in an unauthorised way, altered or disclosed. In addition, we limit access to your personal data to those of our people and other third parties who have a business need to know. They will only process your personal data on our instructions and where they have agreed to treat the information confidentially and to keep it secure. We have put in place procedures to deal with any suspected data security breach and will notify you and the ICO of a suspected breach where we are legally required to do so.

Where we store your personal data
We principally store data, both electronically and on file, at our office.

Personal data may be transferred outside of the EEA by processors acting on our behalf. For transfers to countries not considered adequate by the EC, we will ensure that personal data is adequately protected, as required by the GDPR. This would include by use of the Standard Contractual Clauses adopted by the EC to protect personal data.

Your rights
Under certain circumstances, you have the right by law to request:

access to your personal data. This enables you to ask to receive a copy of the personal data that we hold about you and to check that we are lawfully processing it.
correction of the personal data that we hold about you.
erasure of your personal data.
object to processing of your personal data where we are relying on our legitimate interest and there is something about your particular situation which makes you want to object to processing on this ground. You also have the right to object where we are processing your personal information for direct marketing purposes.
restriction of processing of your personal data.
transfer of your personal data to another party.
Links from our website
Our website may, from time to time, contain links to and from the websites of third parties that we permit to make such links. If you follow a link to any of these websites, please note that these websites have their own privacy policies and that we do not accept any responsibility or liability for these policies. We recommend that you check these policies before you submit any personal data to these websites.

CHANGES TO THIS PRIVACY POLICY
Any changes we may make to our privacy policy in the future will be posted on our website, so please ensure that you are viewing the correct version.

Please contact us if you have any questions, comments or requests regarding this Privacy Policy.

Last amended May 2021.

Conversations with Breast Cancer Patients Revised Edition 2015

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Conversations with Breast Cancer Patients

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