How DPC Can Help Manage Your Breast Cancer

Direct Primary Care (DPC) for Breast Cancer: Personalized, Proactive Care from Diagnosis to Survivorship

Breast cancer, affecting 1 in 8 women, demands a continuum of care spanning early detection, treatment, and lifelong survivorship. Direct Primary Care (DPC) bridges gaps in traditional oncology by offering timely diagnostics, seamless specialist collaboration, and holistic survivorship plans aligned with ASCO guidelines. Through accessible, patient-centered support, DPC transforms breast cancer journeys into coordinated, empowering experiences.


Early Risk Management and Detection

  • Quick Symptom Review:

    • Address lumps, nipple changes, or abnormal mammogram findings immediately.
    • Fast-track diagnostic imaging (mammograms, ultrasounds, MRIs) for high-risk patients (BRCA+, family history).
  • Genetic Risk Evaluation:

    • Test for BRCA1/2, PALB2, or CHEK2 mutations to guide screening and prevention (e.g., prophylactic mastectomy).
    • Advocate baseline imaging and genetic testing for at-risk relatives.
  • Professional Collaboration:

    • Streamline referrals to tumor boards, surgeons, and oncologists for biopsies and treatment plans (surgery, chemo, radiation).
    • Partner with dietitians and physical therapists to reduce treatment side effects.
  • Preventive Strategies:

    • Align screenings with NCCN timelines for early intervention.
    • Manage comorbidities (diabetes, hypertension) that impact cancer outcomes.

Personalized Breast Cancer Management

  • Tailored Treatment Support:

    • Mitigate chemo-induced neuropathy, fatigue, or nausea with medications, acupuncture, or CBD oil.
    • Simplify hormone therapy regimens (tamoxifen, aromatase inhibitors) and address bone density loss or mood changes.
  • Survivorship Monitoring:

    • Track recurrence via regular mammograms, tumor markers (e.g., CA 15-3), and surveillance imaging.
    • Monitor long-term complications:
      • Heart health with echocardiograms (post-doxorubicin chemo).
      • Cognitive rehabilitation for "chemo brain."
      • Lymphedema prevention with compression garments and self-massage.
  • Recovery and Rehabilitation:

    • Connect patients with physical therapists for post-surgical mobility.
    • Address emotional health through therapy referrals and support groups for anxiety, depression, or body image concerns.

Family and Genetic Advocacy

  • Counsel families on inherited risks and encourage genetic testing for relatives.
  • Promote early screenings for high-risk family members using DPC-negotiated imaging rates.

Why DPC Shines in Breast Cancer Treatment

  • Accessibility Saves Time:

    • Same-day consultations for abnormal findings or treatment side effects.
    • Direct communication with providers via text/phone for urgent needs (e.g., infection management).
  • Cost Transparency & Continuity:

    • Membership covers care coordination, survivorship plans, and follow-ups at predictable rates.
    • Negotiate discounted imaging (MRIs), genetic tests, and specialist consultations.
  • Comprehensive Risk Reduction:

    • Lifestyle coaching for weight management, smoking cessation, and alcohol moderation.
    • Integrative therapies (yoga, meditation, oncology massage) to complement conventional treatment.

The DPC Advantage for Breast Cancer Patients

  • Guideline-Aligned Care:

    • Apply ASCO survivorship protocols for recurrence monitoring and long-term complication management.
    • Coordinate with oncologists to align treatment with NCCN timelines.
  • Patient Education:

    • Train patients in symptom tracking, clinical trial access, and self-advocacy.
    • Provide resources for emotional resilience and community support.
  • Seamless Coordination:

    • Ensure smooth transitions between surgeons, oncologists, and rehab teams.
    • Proactively address survivorship needs (e.g., cognitive changes, cardiac health).

Final Thoughts

Breast cancer care extends far beyond active treatment, requiring lifelong vigilance and compassion. DPC’s model eliminates traditional barriers through same-day access, affordable monitoring, and personalized survivorship plans. By uniting early detection, multidisciplinary collaboration, and holistic support, DPC empowers patients to navigate their diagnosis with confidence—turning a daunting journey into a managed, hopeful path forward.

Published on: August 14, 2023
Doctors that manage breast cancer
  • Daniel Silvershein, Concierge Internal Medicine in New York
    Daniel Silvershein, MD
    Concierge Internal Medicine
    New York, New York
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    A wonderful internist who brings a skill set to the patient often not seen in doctors these days. Dr. Silvershein is exceptional because he is sensitive and has excellent listening skills. He stands out!!
  • Ellen Wexler, Concierge Internal Medicine in New York
    Ellen Wexler, MD
    Concierge Internal Medicine
    New York, New York
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    Telehealth - Pending
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    I'm the best version of myself, both physically and mentally. She takes the time to learn about your condition and explain how to overcome it.
  • Shanna Levine, Concierge Internal Medicine in New York
    Shanna Levine, MD
    Concierge Internal Medicine
    New York, New York
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    I was able to get direct answers to all of my questions. She was extremely patient with me. She gave me all the time I needed with her and was always available to address all my concerns.
  • Michele Martinho, Concierge Internal Medicine in New York
    Michele Martinho, MD
    Concierge Internal Medicine
    New York, New York
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    Telehealth - Pending
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    She's brilliant, empathetic and forward thinking.
  • Flavia A. Golden, Concierge Internal Medicine in New York
    Flavia A. Golden, MD
    Concierge Internal Medicine
    New York, New York
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    Telehealth - Pending
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    No review currently!
  • Peter J. Zeale, Concierge Internal Medicine in New York
    Peter J. Zeale, MD
    Concierge Internal Medicine
    New York, New York
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    Telehealth - Pending
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    Holistic/Lifestyle Med - Pending
    No review currently!
  • Herbert Insel, Concierge Internal Medicine in New York
    Herbert Insel, MD, FACC
    Concierge Internal Medicine
    New York, New York
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    Telehealth - Pending
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    Holistic/Lifestyle Med - Pending
    Caring, proactive, best doctor I've ever had.
  • Jeffrey Aronoff, Concierge General Surgeon in New York
    Jeffrey Aronoff, MD
    Concierge General Surgeon
    New York, New York
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    Telehealth - Pending
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    Holistic/Lifestyle Med - Pending