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The Two-Week Rule

You know about the two-week rule, right? No? Then I'm going to tell you about something that has spared me hours of stress.

Like many women who've had breast cancer, I became a hypochondriac after completing treatment. Without chemo and radiation to protect me from my disease, I felt vulnerable to its return. And every sore muscle and virus signaled a relapse to me. I couldn't find the balance between healthy vigilance and debilitating anxiety. Then someone told me about the two-week rule.
 
When you first notice a symptom, write it down, along with the date of onset and anything that might explain it (overexerting at the gym, a fall, eating an unfamiliar food). Then forget about it. You don't need to worry. You've got it covered. In two weeks, if you still have the symptom, you'll make an appointment with your doctor.
 
There's something reassuring about writing it down and knowing you're going to follow up in two weeks. And most symptoms disappear or improve within that time. Those that don't are a legitimate reason to check with your doctor – without embarrassment.
 
Of course, the two-week rule applies only to symptoms that make you anxious but do not constitute severe pain or clear evidence of disease. If you've got either of those, dial your doctor immediately.

Please share your tips for reducing post-treatment stress. 

Posted March 30, 2011.

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Excellent strategy - thank you!

— Danielle

 
Thank you Megan. What a wonderful rule to live with. And to think about all the stress and worry I lived with for such a long time! Unless it is something acute, we should all trust and adopt the two week rule for everything in our lives!

— Gladys U.

 
Megan, this is exactly the advice we give to women when we are raising awareness about ovarian cancer. If your have abdominal symptoms that persist for two weeks, schedule an appointment with a gynecologist to rule out ovarian cancer. A full list of symptoms [http://www.sharecancersupport.org/information/about_ovarian_cancer/] is available on our website.

— Ilene Winkler

 
Two-week rule is a great idea ! Thanks !

— Tina

 
Yes, this is excellent, and so true. When I was done with my hard core txs, I was definitely a hypochondriac, noticing every little thing. Of course, when done with tx, you will have strange aches and pains for some time. However, when I noticed a swollen lymph node, I jumped right on it-it turned out to be a local reccurrence. And, this finding led to a PET scan, which led to the dx of hip bone mets. Overall, I agree with the two week rule, but, like the author said, don't hesitate if the symptom is really obvious, like excruciating pain that won't go away, or a swollen lymph node right above your cancer site.

— Debra D

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 clear!