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Correspondence: Ms. Maureen Gilbert, 7 Avoca Place, Blackrock, Co Dublin, Ireland. Telephone: 353-1-288-1504; e-mail: maureengilbert{at}ireland.com
Maureen Gilbert was diagnosed at age 45 with breast cancer in Dublin, Ireland in 2000. She had a mastectomy with immediate breast reconstruction, chemotherapy, and a second prophylactic mastectomy with reconstruction. Soon after diagnosis, she began to experience fatigue that intensified to incapacitating levels with chemotherapy and stayed with her for 18 months. This experience is described in compelling terms. Fatigue was not mentioned by any of her caregivers when they spoke of symptoms and side effects. She is convinced that if the condition of fatigue had been described and validated as a symptom from the beginning, it would have helped her considerably to manage and live through it. There were some very positive outcomes from the whole experience of having cancer, but the journey would have been easier, had someone told her about fatigue.
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