Season 3 Episode 1: Your Journey with Gynecologic Cancers

To start off Season 3 of the GOSH Podcast, we are excited to share the story of a new educational resource for gynecologic cancer patients entitled "Gynecologic Cancers: Your Journey". This resource was developed in partnership between the Gynecologic Cancer Initiative and BC Cancer to help support gynecologic cancer patients in finding easy-to-understand information and resources after being diagnosed with gynecologic cancer. 

The resource presents the entire gynecologic cancer journey to them upon diagnosis and points them to relevant information and resources. Through a series of working group meetings and interviews, the resource was developed in collaboration with multidisciplinary teams at BC Cancer and GCI patient partners. This resource was built by gynecologic cancer patients for gynecologic cancer patients but at every step of the way, we received a lot of important insight from Gynecologic Oncology Specialists, Palliative Medicine Specialists, BC Cancer Supportive Care Manager, Plain Language Specialists, Library Services and many others.  

The resource is now available on the BC Cancer website:
http://www.bccancer.bc.ca/library-site/Documents/Gynecologic-Cancer-Your-Journey.pdf

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Welcome the three patient partners Nancy Cleveland, Siv Klausen, and Nicole Keay, who played a really important role in making this resource a reality. 

Nicole Keay is an experienced communications professional and a patient partner with the Gynecologic Cancer Initiative (GCI). She also co-hosts the Gynecologic Oncology Sharing Hub (GOSH) podcast alongside Stephanie Lam. In her early 30s, Nicole was diagnosed with cervical cancer and underwent intense treatment including surgery, radiation, and chemotherapy resulting in the loss of her fertility. Nicole now uses her experiences to help guide, support, and be a voice for women who have been diagnosed with gynecological cancers. 

Nancy Cleveland has lived in Vancouver for her entire life and is married and the mom to two beautiful adult children. In her professional life, she spent 35 years as a teacher with the Vancouver School Board. In May 2019, Nancy was diagnosed with Stage 3C Primary Peritoneal Serous Ovarian Cancer after going through what she thought of as a routine laparoscopic surgery for a gallstone. Her journey has had its ups and downs, but she continues to believe that there is a lot of hope for gynecologic cancer patients and survivors. Nancy has had some great experiences with clinical drug trials and research that continues to improve outcomes for patients across BC. 

Siv Klausen is a Patient Partner with the Gynecological  Cancer Initiative.  After experiencing vulvar cancer in 2018, she underwent surgery, chemotherapy, and radiation at the BC Cancer Agency in Vancouver. Siv lives in Tsawwassen with her husband and son, and JoJo the poodle.  

Stephanie Lam is the Research Coordinator for the Gynecologic Cancer Initiative (GCI), a province-wide initiative aimed to accelerate transformative research on the prevention, detection, treatment, and survivorship of gynecologic cancers. Currently, Stephanie supports a broad range of research activities within the GCI including clinical trials, knowledge translation, and educational programs. An important part of her role is in the area of patient engagement and patient-oriented research. 
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For more information on the Gynecologic Cancer Initiative, please visit https://gynecancerinitiative.ca/ or email us

For more information on the Gynecologic Cancer Initiative, please visit https://gynecancerinitiative.ca/ or email us at info@gynecancerinitiative.ca 

Where to learn more about us:  
Twitter – @GCI_Cluster 
Instagram – @gynecancerinitiative 
Facebook – facebook.com/gynecancerinitiative
TikTok – @gci_gosh

Transcript

SPEAKERS 

Siv, Nancy, Nicole, Stephanie 

SUMMARY KEYWORDS 

Cancer patient, survivorship, cancer survivor, gynecological cancers, oncology, British Columbia, podcast, cancer treatment, chemotherapy, side effects, mental health, support, fertility, cancer advocacy, awareness, cancer patient journey, resources 

00:00:01 Introduction 

Thanks for listening to the GOSH podcast. GOSH stands for the Gynecologic Oncology Sharing Hub, an open space for real and evidence-based discussions on gynecologic cancers. We'll share the stories of gyne cancer patients and survivors and hear from researchers and clinicians who are working behind the scenes to improve the lives of people with gynecologic cancers. Our podcast is produced and recorded on traditional unceded territories of the Musqueam, Squamish, and Tsleil-Waututh Nations. It is produced by the Gynecologic Cancer Initiative, a province-wide initiative in British Columbia with a mission to accelerate transformative research and translational practice on the prevention, detection, treatment, and survivorship of gynecologic cancers. 

Hi, I'm Nicole Keay, and I'm Stephanie Lam and you're listening to the GOSH, podcast.  

00:00:57 Stephanie 

Welcome back to the first episode of Season 3 of the GOSH podcast. We're very excited to be launching our third season of sharing patient stories, research, and advocacy efforts. And on this first episode, we thought that it would be a perfect opportunity to share a project the GCI's Patient and Family Advisory Council has been working on over the last year.  

Last year, some of our patient partners identified that they've experienced a lot of difficulty in accessing easy to understand information and resources after being diagnosed with a gynecologic cancer. After comparing experiences with different patient partners, they found that the information and resources given to patients was really dependent on their healthcare providers. Patient partners were hoping to have a document that presented the entire gynecologic cancer journey to them upon diagnosis and pointed them to relevant information and resources that they can check out when they feel that they are ready for that information. Our group approached BC Cancer who agreed to partner with us on building this educational resource.   

So, we worked with a team of gynecologic cancer patient partners through a series of working group meetings and interviews to build this resource. We dived into the diagnosis phase, different treatment options including side effects, life after treatment and what it is like to live with cancer, and also various resources locally as well as nationally that patients can check out. This resource was built by gynecologic cancer patients for gynecologic cancer patients but at every step of the way, we received a lot of important insight from a really diverse and multidisciplinary team, including Gynecologic Oncologists, Medical Oncologists, Radiation Oncologists, Palliative Medicine Specialists, Supportive Care folks as well as Plain Language Experts, Library Services, who provided a lot of important insights into this project. 

This resource is now available on the BC Cancer website so we thought that this would be a great opportunity to invite the three patient partners who played a really important role in making this resource a reality. 

So today we have Nancy Cleveland, Siv Klausen and Nicole Keay who are joining us today. Welcome to all three of you and thank you so much for coming on and sharing your experience with this project. So, let us start first by just trying to learn more about what was the status quo, you know, coming into this project and what was the inspiration behind this project.  

So, Nicole, can you share a little bit about, in your opinion, what you think was lacking in terms of educational resources for gyne cancer patients when you started going through your cancer journey?  And what was the inspiration behind this project that you folks have been working on? 

00:02:46 Nicole 

Yeah, I would say. For me when I started my journey there was the BC Cancer website that had some really basic information around what cervical cancer was, the cancer that I had. But there wasn't a lot that talked about that journey that you would go on through treatment, you know you could do chemotherapy, you could do radiation combo. But when you're going through it you don't know what you don't know. So, the first time you have a journey like this you're not sure what questions to ask or what is normal, or what resources should I have access to. So, you are just feeling it out as you go. I would say post-treatment and connecting with other people who had various cancers and who'd gone through their own treatment, we all seem to get access to different things, and it depended on your doctor.  Even you know people have connected with where we had same cancer, but we had different doctors [and different resources were available]. You know the resources that were made available or things you learned along the way. And so, for me, that was really the inspiration of you know, how do you be better prepared or have support as you go along the journey. 

Because like I said, when you don't know what you don't know, you don't know what questions to ask and so you know it becomes do you miss out or fail to get resources that might be really beneficial to you going through the journeys. So, you know, for me that would be one of the things that I would say inspired like there has to be something more. But then you know, having gone through some other things afterward, one being taken a look at how we were going to start our family now that I wasn't able to have children and we looked at egg donation and surrogacy, but we also looked at adoption. And then that was one that the adoption process had a really good road map in what you would go through and every step and links to all the different resources and where to go for support. That kind of inspired me to think like why couldn't we have something similar for gynecological cancers? To help people even if it wasn't super specific. I mean all of our treatment plans are going to be different, and we're going to need different resources and support, but just to have general direction that you know, where do you get support for mental health or nutrition or reaching out to other patients? Whatever it might be. 

For me, fertility and hormone placement therapy were big ones that I really had no resources and took a long time to get set-up and find the right resources for support. So yeah, yeah, I would say you know just feeling like I didn't have what I needed. And seeing other journeys that really gave people some sort of like structure or map to guide their path really inspired me wanting to have a resource like this for gynecological cancer patients. 

00:06:26 Stephanie 

Yeah, thank you. I think that's such an interesting point that you brought up and something that I was really struck with when you mentioned every patient receiving different types of information or different types of resources. And sometimes it even just depends on the day and what is available or like what is top front of mind for that particular nurse or clerk or a doctor who is offering those types of resources, right? I think this resource that we've been able to create does a really good job of bringing together some of the more common resources that every gynecological cancer patient should really be aware of, or at least been made available to. So that they can then decide whether or not it's something that they want to pursue or look into further. I think that's a really important point that you mention. 

00:07:21 Nicole 

And I think what it does too is it's hard not to want to know more. So, if you go to Google and start searching, you can go down some really dark paths. So, to have a resource that's reputable that you know is provided to you from your treatment team I think helps you give a little bit more credibility. Like feeling like you're getting the right type of information or the right resources. Because I did a lot of Googling, it wasn't always the smartest way to go. 

00:08:03 Stephanie 

Yes, absolutely. Nancy and Steve does what Nicole mentioned resonate with both of you or how was your experience like navigating kind of the resources available to you during your journey. 

00:08:17 Nancy 

Yeah, absolutely. I second what everything that Nicole has said. 

Because really, I went to doctor Google and as you said Nicole it can often paint a dark picture that may not necessarily be so dark, and I think just having a resource that is available. Because I think it's a good point is that when you're just having chemo or whatever treatment you're on, you're really just putting one foot in front of the other to get to the other side. I love how the resource has got different aspects. You can just clicking on something to be going down a different path. And it's all reputable which I think I struggled with because I wasn't sure what was reputable and what wasn't. 

00:09:02 Stephanie 

Yeah, I remember you also asking me about different resources and like where they're coming from and what seems to be a good source of information and stuff. So, I think respectableness is definitely very important as well. Siv how about yourself? As someone with a rare form of gynecological cancer, it can sometimes be very challenging to get, you know, good information on your type of cancer. What was your experience like when you went through your journey? 

00:09:40 Siv 

Well, I will say having a rare cancer even Google doesn't give you very good answers. You don't get a lot of support in any direction, so I thought the resource was particularly important to make the rare cancers feel like you're part of a group in the same team that is helping you. Even though your numbers might be small. The team is used to dealing with other types of cancers, and you're part of that group of support which I thought was important. I do think that we do receive different care depending on who you happen to be meeting with on a certain day or seeing. I was surprised when I heard about resources that I had never heard of during my treatment path, and I felt wow if I'd only known about that three months ago when I really could have used it and I still tried to use. 

00:10:38 Siv 

But I do feel that it's sort of serendipitous how we fall into finding these resources. So that's why I was hoping to get something that put everything, at least in a format that we could get started on the journey with. 

00:10:55 Stephanie 

Huh, yeah, absolutely. I think what you mentioned about being part of the family of gynecological cancers is really important. Because I think a lot of the folks who are treating these different types of cancers have the skill set and have the knowledge or are working on these types of cancers for their livelihoods. So, I think just knowing that it's part of a group of cancers that is broader than just the rare numbers that you see all over “doctor Google” is quite important. 

OK, so let's talk a little bit about what the process was like going through this resource. So, you know, we worked with BC Cancer provincial programs to develop this resource and went through a series of different working group meetings and a bunch of different iterations getting feedback from patient partners, clinicians, staff members and administration at BC cancer. But I'm very curious to learn more about patient partner experience. So, Nancy, as a patient partner how was this process like for you to develop this resource? 

00:12:11 Nancy 

Well Stephanie it was really empowering I think would be the word that I use right away. And it also was really educational for me to be involved with a group of women from all various ages, ethnicities and different stages in their cancer journey too, which was really powerful. Bringing you back to what it's like to be right on the frontline and fighting that fight. 

And doing it over zoom was a really easy way to do it. It made you think too, like when you go back to what it was like at the beginning when you're fighting cancer and you had an opportunity in that first meeting. 

Well, we talked about our journeys and then we wrote about our journeys, and I think that was really empowering for me to hear other stories of the different types of cancer. I have been fighting ovarian cancer, but I really knew very little about the other cancers. So, It was really very educational, and it was easy. I mean we had five meetings. 

We met you. You had a very easy format for us to go through as well organized. And yeah, it was really good. The guiding questions really promoted discussion, just the way that you all led the whole meeting. It was very compassionate, and it really led to really vulnerable discussions and a lot of sharing that I don't know you would have ever got. So yeah, just that the vision really became clear right from the start and just empowering everybody to be having a voice in that. I thought it was powerful. 

00:14:01 Stephanie 

Yeah, I think it was also as the facilitator of the group, I was really struck by how educational the the meetings ended up being for all of the patients who were involved. I was struck by one of the patients who, when we're talking about survivorship, she mentioned she was like no, I had no idea that what I was going through was a symptom of my cancer treatment. She thought it was just aging or it was other kind of health issues that she was going through. But you know, I thought it was really powerful have that group where patients are able to share their experiences and patients could learn from each other as well. And what that meant for their own journey as they kind of continue to walk through whatever stages of the cancer journey that they're currently at right now. 

00:14:59 Nancy 

For sure, you know, I think we have all different cancers and different walks of where we are in the journey, but we all have that common entity. We are fighting cancer or still in that journey and that common vision. It was really good and very easy with zoom and all good. 

00:15:22 Stephanie 

Yeah, that's awesome! Siv, how about you? How was the process like? Going through these working group meetings and these different iterations and trying to give feedback and building the resource, what was that process like for you? 

00:15:39 Siv 

Well, initially I would say that I didn't expect it to be so emotional. You know that when you do get to hear other people's stories. 

And when you're going back, there's lots of things you probably forgot. Even though my cancer was in 2018 and I felt I spent the whole year doing treatments. You do tend to want, and some of it you want to forget. But there was a lot of revisiting. It is through learning it and sometimes you will gain from that too. It's what I thought. I thought I can now move forward a little more than I thought I had. I'd hidden a lot of pain in other aspects of the disease that you don't really want to talk about. But I found that in the groups that we're using (some women or some people, I guess we're all women there) you become exposed, and you do talk about emotional and private things that you might not otherwise have had a chance to share. So, the group experience was good. I will say with Nancy as well that I was surprised that Zoom worked as well as it did. We all learned that to me from COVID. I would have thought that it wouldn't work, but it was actually pretty effective. 

00:16:55 Stephanie 

Yeah, I agree I was actually very surprised that it worked out as well as it did. Everyone knew how to raise their hands when they wanted to share something. I think, by the end of it we were really leveraging all these different technologies. You know, we even used mural whiteboard to kind of facilitate the environment. I think sometimes it can be very challenging especially when technology can be very difficult to use, but I'm surprised that we were able to leverage those tools so well. 

Nicole, how about you? I don't think you only made it out to a couple of the working group meetings and gave feedback on in other capacities. But what was the process like for you? 

00:17:45 Nicole 

Yeah. I was surprised to what Nancy and Siv are saying, like zoom worked so well, but where I was surprised was just how safe of a space it was. Because sometimes it's harder to get that emotional connection when you're through the computer screen, right whereas in an in-person setting it just comes a little more naturally. But that didn't seem to hinder the group at all that we were using zoom. 

And like people were very open and it felt like a very safe space to share, which I think was really important. I do think that is part of just how well you set-up the meetings and facilitated the sessions. But you know at no time did it feel like it wasn't comfortable or couldn't open up.  I did find it very emotional. I don't know if it was just the deeper level that we went. I mean, we've been doing this podcast for two years and I've talked in other forums. I was surprised by just the level of emotion that I had, especially in the one-on-one individual sessions that we did.  

I got going through more aspects of the journey and the treatment and the feelings and challenges that was a bit surprising for me. I think I felt I'd moved a little bit past that, because it was 2016 and so, wasn't really prepared for all of that to kind of come up. Things that I had forgotten or maybe selectively chosen not to remember that I had to recall. I found it to be a bit validating you. You know to just let it out and feel the emotions. 

And then even where I wasn't sharing, but other people were sharing, and I've had similar experiences or felt similar things and found that very validating you to hear others talk about their experiences. Not feeling like you know that was just me or I wasn't handling it well. So, I really liked that aspect of it. I think just wish I had been able to join all of the sessions. But the ones that I did I think it was very well done. How you touched on people individually, but then everyone kind of shared after each person, it really allowed for us to grow connection-wise. Like I felt  close to people in the group that I'd never met which I thought was really powerful. 

00:21:13 Stephanie 

Yeah, absolutely. 

00:21:15 Nancy 

I think it was important too, Stephanie, the way that you did that with the first meeting. Because, like we've all have said here, the vulnerability was real, and it was heavy to walk back into those times because you do forget about it or put it into a corner of your brain where you just don't go there anymore. And to hear the stories of ladies that are just right in the midst of it. It takes you right back but it also brought us closer as a working group too. And to really have that vision in mind of what we were doing and very clearly setting a path forward. 

00:21:54 Stephanie 

Yeah, yeah, absolutely. 

And I think you know creating such a safe space is really a testament to all the people who are part of the working group. 

They think it requires everyone to be able to kind of share vulnerably and openly, but also like being able to reciprocate. When someone shares something very challenging and very emotional, how do other people in the group respond to that? And it was amazing to see all of the support and even support from folks who are outside of the Lower mainland and from different areas of the province. You know showing that solidarity. Solidarity, even through zoom, was very powerful. And I think that vulnerability really bleeds into the end result of the resource and all of the different elements that have come with it. 

I really hope that this resource will be powerful for future gynecological cancer patients, which leads me to my next question. Siv, maybe I'll go to you first. Why do you think this resource will be powerful for future gynecological cancer patients? And what is so different about it? 

00:23:15 Siv 

 I think that it's powerful to have a well (we call it a patient journey mapping) but it is the map forward because when you're doing a cancer journey, every time you're surprised, you're sort of stopped in your tracks. You don't know the questions to ask. You sometimes go backwards instead of forwards. Women are planners, or maybe we all are. Just to be prepared just to have some words to ask a question. Even the right words like you say, maybe someone doesn't know what chemo or systemic therapy. But if you have those words and you sort of have an idea what it might entail, you might ask better questions you might be planning more forward. 

I was struck by when you do come to the point in the resource about side effects. A lot of those aren't thought of. A lot of people just think if I can do this treatment, but you know the side effects, they just throw them at me. If you're prepared for them, it's a little easier to take, and it's a little better planning, so I think it helps plan for your future or the person's future. And it makes you think you have one, right? There's a going through and having one. So, I do think it's important that you see that. 

00:24:40 Stephanie 

Huh, yeah, absolutely. I think it's really powerful to be able to see what's to come and just to know what's going to or may happen in the future. Just being able to be like emotionally and mentally prepared for that is also very powerful. When you're going through something that's as complex as cancer. 

Nicole, how about you? What do you think? Why do you think this resource will be important for future gynecological cancer patients? 

00:25:15 Nicole 

Uh, I think that it just gives you more information. 

I think in some aspects there's still on a higher-level side, because like I said, we're all going to have different journeys. But it just helps you prepare and to help you know where to ask questions or try and educate yourself a bit more. That you might not have had access to before, and so you wouldn't have been asking those questions or looking for those resources. 

And I do think that it also gave a lot more post-treatment than I could find previously. That was, I think for me that was the area I was very unprepared for, you know. You could find what kind of symptoms you might get with different chemo or what radiation, and still not prepared for what that is going to be like. But I wasn't prepared for everything that came afterward. The emotional toll that it took. Your body that was having to reconcile that and realize that things are different. And sexual health, you know, there was all kinds of challenges that we talked about, but I just didn't even know about it. I didn't think about it. I didn't have enough education around medically induced menopause or just menopause symptoms in general. And so, to have some more support and some more education there. I think it will help people be better prepared and equipped to get ahead of some of the things that maybe the three of us have struggled with more in our journey. 

00:27:29 Stephanie 

Umm yeah, and I think one of the really great things about the resource that we've been able to build is all of the links and all of the ability to direct people to places where they can find out more information. Like you all have mentioned, it is a very broad and general resource. But the ability to give patients the appropriate links where they can go find the right information instead of having to sift through all of the different links that Google provides is really helpful and useful to someone who is just new to this experience. Right? 

00:28:12 Nicole 

And reputable resources that you don't need to question whether you know that's a good place to go and get information off of. 

00:28:19 Stephanie 

Yes, absolutely yeah. Nancy, why do you think this resource will be important for the future? 

00:28:28 Nancy 

Well, I think a lot has been said but I just love. The way that the links are just easy. I mean anything that is underlined you can click on and there's going to be more information and then we can go from there to someone somewhere else too. 

I think what Nicole brought up about as far as the future goes, I agree 100% with that. I had no idea what it was like after the treatment, and in fact, that was probably the hardest part. The year after thinking “OK. When is this cancer coming back?”.  And dealing with the chemo side effects that I thought were from the clinical trial, when I found out it, I was on the placebo. 

So, you know there is all of that survivorship stuff that really I think everybody is just so busy getting you to that point of time. When you're through your treatment, your numbers are looking good, but that whole emotional. Those kinds of resources, I never really thought about and had no idea they were even available. To have that available, when people need it. Because I think you need resources, different resources at different times through your treatment. And this whole resource really deals with so many different aspects of having gynecological cancer. 

00:29:52 Stephanie 

Mm-hmm, yeah, absolutely. OK, so this will be my last question. We've built out this resource and we hope that this resource will be a starting point for the future. 

But in your ideal world, in the next iteration of this resource, or if we were to build more resources for gyne cancer patients, what would you want to include and what are some of the things that you would want for us to build out even further into this resource or into or something else? 

00:30:35 Stephanie 

So, I'll throw that question out there. I know it's kind of a new one and see which one of you haven't have an idea on the top of your mind that you want to throw out so maybe I'll go to you first. 

00:30:49 Siv 

You know, I know we talk about it not having the depths of stuff. Through all our GCI learning stuff, we've have learned lots about cells and medications and all that, but I actually do think I'd like to have some scientific links. 

To you know, scientifically appropriate discussions of the five types of ovarian cancer or the I think it's five or even to the vulvar cancer. We want it at that level where it's the doctors level written down for the public, but still quite scientific, right? 

And you know, maybe I don't want to read everything about cervical cancer, but, well, you know, unless I have it so. But I want more in depth for the cancer I do have, so I think those are very linkable areas. Even with the chemo, I think it's linkable to suggest which are the most even the common of the drugs, right? Like getting into more scientific areas. 

I know we have some stories, but some people want to read more stories and link to those personal stories, so I could see lots of ways to get this into a big tree. 

00:32:12 Stephanie 

Yeah yeah, yeah, absolutely. It really ties into some of the other projects that we're doing with the GCI and our website and our blogs and everything. And I think ultimately the goal is to be able to write more pieces that are scientifically driven but also geared towards the patients, who maybe want a bit more information about the research and the science behind their cancer. Yep, there's a lot there that we can hopefully build into in the future. 

Nancy, I know you had an idea too. 

00:32:49 Nancy 

Well, I really hope that this resource is sort of a living and breathing document and we'll just continue to go. But I agree with Siv, I think if we went into specific cancers speaking specifically about ovarian for myself, there are the different types, and I've met individuals that have a different type of cancer like clear cell and what does that look like? 

Well, how is the treatment different? I think that if you went down another trail just to be with a specific type of cancer, then you're really starting to really target the audience in a more proactive way? 

00:33:30 Stephanie 

Yeah, absolutely. How about yourself? 

00:33:35 Nicole 

Yeah, I agree with both what Nancy and Siv are saying like I would love to see it continue to grow up. 

I think if you could dive deeper into you know your specific cancer. Or I don't know if that's possible to create different pathways based on the type of cancer or your specific diagnosis, but you know a step by step would have been lovely. And then I would love to see some of the survivorship stuff grow more. 

I love what Siv said about the patient stories. That was one thing that I would have loved to see more of, and I think there's opportunity to grow that because I do find it helpful for personally come to read other stories and even just for reading, being able to connect with other people or learn from them or feel that you know you're not really alone in what you're going through and what you're feeling.  

And what's been important to me was always around fertility and menopause. The one piece that I didn't really talk about much and they would say the first time I really did was when Dr. Lori Brotto came on the podcast and we talked about sexual health. But that was an area that I just wasn't comfortable talking about and I feel like there's so much in there. 

No matter what age you're at, I think we saw some of that come out in the discussions that we had to support people to be more comfortable and upfront with how much of an impact a guided cancer has on your sexual health. 

00:35:34 Stephanie 

Mm-hmm, yeah, absolutely. I really do hope that this will be kind of a growing document and I think it is important that we, the research community and the clinical community, are always trying to update the latest information and provide that information and resources to patients. Because as we continue to grow and make an impact in the care of gynecological cancer patients, and we need to make sure that patients can access all of this and are aware of what's available to them. So, I think all of your ideas are really important and hopefully we can continue to implement them and to create them as we move with these types of projects. So yeah, thank you all so much for coming on and for sharing your experience. I think we'll wrap it up there. I do really hope that this resource will help patients in the future.  

It is available on the BC Cancer website. Links will be put into the bio descriptions of this podcast episode and will be shared more broadly in the future as well. 

So, thank you all for joining! Have a good rest of your day. 

00:36:57 Nancy 

Thank you, Stephanie. 

00:36:58 Nicole 

Thank you. 

00:37:02 Stephanie 

Thanks for joining us on the gosh podcast to learn more about the gynecological cancer initiative and our podcast! Make sure to check out our website at gynecancerinitiative.ca