[{"command":"settings","settings":{"basePath":"\/","pathPrefix":"","ajaxPageState":{"theme":"mbctime","theme_token":"jvaeanSjJKr7QLVx6tG-pbL5pdckyFB9wnJVvU7cbmI","jquery_version":"1.10"},"colorbox":{"opacity":"0.85","current":"{current} of {total}","previous":"\u00ab Prev","next":"Next \u00bb","close":"Close","maxWidth":"98%","maxHeight":"98%","fixed":true,"mobiledetect":true,"mobiledevicewidth":"480px"},"CToolsModal":{"modalSize":{"type":"fixed"},"modalOptions":[],"closeText":"close","loadingText":"","animation":"fadeIn","animationSpeed":"fast","modalTheme":"CToolsSampleModal","throbber":""}},"merge":true},{"command":"modal_display","title":"","output":"\u003Cdiv id=\u0022ctools-sample\u0022\u003E\u003Cdiv class=\u0022view view-user-profile-front view-id-user_profile_front view-display-id-page_1 view-dom-id-41c2b25d0021f7faf7cabb79bb983602\u0022\u003E\n \n \n \n \u003Cdiv class=\u0022view-content\u0022\u003E\n \u003Cdiv class=\u0022views-row views-row-1 views-row-odd views-row-first views-row-last\u0022\u003E\n \n \u003Cdiv class=\u0022views-field views-field-nothing\u0022\u003E \u003Cspan class=\u0022field-content\u0022\u003E\u003Cdiv class=\u0027profile-images\u0027\u003E\u003Cdiv class=\u0022image1\u0022\u003E\u003C\/div\u003E\u003Cdiv class=\u0022image2\u0022\u003E\u003Cimg src=\u0022https:\/\/www.mbctime.ca\/sites\/default\/files\/dre-desbiens2.png\u0022 width=\u0022325\u0022 height=\u0022325\u0022 alt=\u0022\u0022 \/\u003E\u003C\/div\u003E\u003Cdiv class=\u0022image3\u0022\u003E\u003C\/div\u003E\u003C\/div\u003E\n\u003Ch2 class=\u0022profile-title\u0022\u003EDr. Desbiens\u003C\/h2\u003E\n\u003Cdiv class=\u0027profile-story\u0027\u003E\u003Cp\u003EWhen I completed my surgical studies, I went to work in a rural area for 7 years. With the team, I developed a small centre for women with breast problems. At that time, I was the only woman on the team and I felt drawn to breast pathologies, for which I had developed a particular interest.\u003C\/p\u003E\n\u003Cp\u003EToday, and since 1999, I have been practising as a surgical oncologist at the Centre des Maladies du Sein which I am Director of. At the Centre, we work as a team to monitor female patients with breast cancer, including metastatic breast cancer.\u003C\/p\u003E\n\u003Cp\u003EWhen we talk about metastatic, or stage 4 breast cancer, we do not realize just how many differences there are. Some progress slowly, while others develop very aggressive metastases. Metastatic disease is not immediately fatal. Some women will go back to work and be metastatic for 20 years! This is because disease progression is so different from one patient to another that care needs to be personalized.\u003C\/p\u003E\n\u003Cp\u003EIn the past, when a patient had stage 4 cancer, it was sometimes decided not to operate, in the belief that it was not worth it. Today however, we know a lot more about the disease. Now we operate on patients with brain metastases, which we did not do before. Their survival has therefore improved greatly, going from \u003Cnobr\u003E3\u20136 months\u003C\/nobr\u003E to several years.\u003C\/p\u003E\n\u003Cp\u003EDue to research and studies, treatments have evolved, medication is much more successful than in the past, patient survival has improved, side effects are better controlled\u2026in short, quality of life is much better. Not only can we offer our patients better quality of life, but we think about it. We try to understand what upheavals the diagnosis causes in their lives and we adapt the choice of treatments and protocols we are going to apply as a result.\u003C\/p\u003E\n\u003Cp\u003EAlthough there have been many advancements in recent years, we still have progress to make. This is true for patients who can still work, but not at 100%. Some would not be able to work full-time hours, but could do 3 days a week. Unfortunately, this is difficult for employers to accept. Society needs to be educated about these women\u2019s reality and solutions which suit them need to be found. We also need to continue researching to develop treatments with the fewest possible side effects to maintain maximum quality of life for patients.\u003C\/p\u003E\n\u003Cp\u003EMy patients are fighting and they fight hard. For them, every small victory counts and they see the positive in their misfortune. That is what helps them keep going. I try to tell them to live in the present, not based on the next treatment. That is why our approach with metastatic patients is not just medical. Our nurses, psychologists, physiotherapists, nutritionists, really, the whole team contributes to support them as well as their families.\u003C\/p\u003E\n\u003C\/div\u003E\u003C\/span\u003E \u003C\/div\u003E \u003C\/div\u003E\n \u003C\/div\u003E\n \n \n \n \n \n \n\u003C\/div\u003E\u003C\/div\u003E\u003Cdiv class=\u0022item-list\u0022\u003E\u003Cul\u003E\u003Cli class=\u0022first\u0022\u003E\u003Ca href=\u0022\/pfe_user_story\/ajax\/8\u0022 class=\u0022use-ajax prev\u0022 title=\u0022\u0022\u003E\u003C\/a\u003E\u003C\/li\u003E\n\u003Cli class=\u0022last\u0022\u003E\u003Ca href=\u0022\/pfe_user_story\/ajax\/101\u0022 class=\u0022use-ajax next\u0022 title=\u0022\u0022\u003E\u003C\/a\u003E\u003C\/li\u003E\n\u003C\/ul\u003E\u003C\/div\u003E"}]