3. Seek a second, and even, a third opinion. Certainly, start with your internist's recommended oncologists but take it a step further. Give special consideration to physicians who are part of an "integrative breast cancer center" which incorporates a multidisciplinary team of medical, radiation and surgical oncologists. Also be aware that physicians who are involved in clinical trials and research are often the most up-to-date on cutting edge medical science.

4. Consider complementary, alternative care. In conjunction with conventional treatment, these practices can substantially aid recovery. For example, acupuncture can assist with chemotherapy side effects. Contact a reputable cancer nutritionist who can work with your conventional doctor. Always consult with your physician prior to using any alternative products as some may have a negative effect or counteract your other medical treatment.

5. Pursue the earliest appointments. Be a polite squeaky wheel. Persist to get the earliest possible appointments. Ask to be put on a waiting list for an earlier appointment, get help from any contacts you may have, and call frequently to see if an opening has occurred.

6. Confirm and confirm again. Confirm your appointments in writing, and confirm again by phone the week before the appointment. If a misunderstanding occurs, the best specialists seldom have wiggle room to squeeze you in, even if it is the mistake of their own office staff.

7. Prepare for the appointment. Bring a notebook, an extra copy of your medical records and an advocate. If a service like PinnacleCare is not an option, choose a friend not on the basis of closeness but whose judgment you respect.

8. Recap your discussion in writing. Recap your notes, in writing, and send them to your advocate for review and then to each physician. At the time of the appointment, your doctor may speak in medical shorthand you misunderstand. It is crucial to understand what you have heard and to ensure that your priorities and concerns are equally understood.

9. Decide and conquer. Review each recommendation with your closest family member and your chosen advocate. Consider asking these "allies" to communicate your decision and convey your progress with interested family members. After all, your job is focusing on getting well.

10. Proceed with confidence. Once treatment has begun, it is common for breast cancer patients to second-guess their decisions. If you have conducted due diligence, as explained above, to select your doctor, discuss treatment options, learn expected progress points and anticipate potential adjustments during the course of treatment, then put your mind at rest. Stick with your team, follow your plan and speak up as concerns arise.

About the Author

For more information on healthcare advocacy, consult www.PinnacleCare.com to learn about PinnacleCare Membership, recommended literature, or how to obtain the Guide to Getting the Best Healthcare.