Strength for the Journey Virtual Retreat: Discovering the Joy of Gathering Together
You’re invited to join our next Strength for the Journey retreat, led by internationally recognized therapist, speaker and author Dr. Sharon May, Ph.D., LMFT.
This month’s focus, Discovering the Joy of Gathering Together, is about how community itself can become a source of strength. Beyond teaching and reflection, each retreat includes time in small groups—safe spaces to share, listen, and connect with others who truly understand.
In just 90 minutes, you’ll:
- Learn practical tools for coping with a late-stage diagnosis
- Break into small groups for guided sharing and connection
- Experience the healing power of community and discover joy in the act of gathering
This is more than a class—and more than a support group. It’s a therapist-led space to pause, breathe, and renew hope together.
📅 Date: Friday, November 7, 2025
🕛 Time: 12:00 – 1:30 PM EST (9:00 – 10:30 AM PT)
💻 Virtual session via Zoom
🎟️ Free to attend
Yoga, Meditation, and More Bring Relief
Yoga, Meditation, and Integrative Medicine Ease Cancer Treatment Side Effects
A new clinical trial shows that live, online classes in yoga, meditation, tai chi, and fitness can do more than just help patients feel calmer — they can actually reduce the side effects of cancer treatment. Patients who joined these virtual integrative medicine sessions during chemotherapy, radiation, immunotherapy, or targeted therapy reported less fatigue, anxiety, depression, and trouble sleeping. Remarkably, they also needed fewer hospital stays, and when they were admitted, their time in the hospital was much shorter.
This approach, offered through Memorial Sloan Kettering’s Integrative Medicine at Home program, costs $25 per month and is available to patients anywhere — not just those treated at MSK. Many patients find the classes give them both physical strength and emotional support by connecting with others going through cancer. Other services like acupuncture and music therapy can also play a role in making treatment more tolerable. Research continues to grow, with hopes of expanding access nationwide. For patients and caregivers, these integrative therapies provide a safe, evidence-based way to feel stronger and more supported throughout cancer treatment. (Source: Memorial Sloan Kettering)
Thriving Through the Storm
Thriving Through the Storm: The Beethoven Factor
Hearing the words “You have cancer,” and then, “You have Stage 4 cancer,” can feel like the ground has given way beneath you. It’s a shattering, disorienting moment—one that changes everything. The question becomes: how do you find your footing again? How do you not only get through this cancer journey, but truly live in the midst of it, flourish along the way, and—dare I say—become a deeper, stronger, more wholehearted version of yourself?
Let me share with you a story I return to often—one I find both grounding and inspiring.
Beethoven, the great composer, slowly lost his hearing. At one point, the weight of his deafness drove him to deep despair. He became withdrawn and depressed. But years later, something shifted. He didn’t just endure his suffering—he rose above it. He composed and conducted his breathtaking 9th Symphony, Ode to Joy, while completely deaf.
Yes, deaf.
And yet that music was bursting with joy. Because of the adversity he faced—and because of how he faced it—Beethoven discovered a deeper strength and a richer life. He wrote of finding no more room for self-pity, regret, or fear. He learned to embrace his life as it was and chose to find meaning, purpose, and even joy in the present moment.
This is what Dr. Paul Pearsall, a cancer survivor himself, called The Beethoven Factor. He believed that it’s not the pain, fear, or loss in life that defines us—it’s how we respond. It’s how we allow our adversity to shape us.
And that’s the key:
How do we let our pain refine us, grow us, and awaken us to live more intentionally?
What if, through the cancer journey, you could become more grounded, more compassionate, more alive to the beauty of the everyday? What if your life—as it is—could still be full of love, laughter, peace, and meaning?
You are not just surviving cancer. You are discovering who you are becoming because of it.
So take a deep breath. Feel your strength rise. Lean on others. Let joy and gratitude slip into your day, even in small moments. And keep showing up—as your truest, bravest, most resilient self.
This is how you thrive. This is the Beethoven Factor
Author- Dr. Sharon May
Pearsall, P. (2003). The Beethoven Factor: The New Positive Psychology of Hardiness, Healing, and Hope. Hampton Roads Publishing.
The Connection Between Cancer and Mental Health
When you hear the words “you have cancer,” your world is turned upside down. Everything changes—your body, your daily rhythm, your relationships, your responsibilities—and with that, your emotional and mental health can take a powerful blow. As a therapist and someone walking alongside many people facing life-impacting circumstances, I want to gently remind you: Your mental and emotional well-being matter. Greatly.
We often focus on the physical toll cancer takes—surgeries, treatments, fatigue—but cancer doesn’t just affect the body. It impacts your mind, your heart, your mood, your ability to cope, and your sense of identity. And that’s where we need to pause and pay attention.
In fact, the American Cancer Society reported that while the risk of dying from cancer has decreased over the past 30 years, the number of people diagnosed with cancer continues to rise. In 2024, over 2 million people in the U.S. were expected to be diagnosed with cancer—nearly 5,000 new diagnoses every day. So yes, cancer is more than just a medical issue. It’s a human experience, and it stirs everything inside of us.
You are not weak if you feel overwhelmed.
It’s completely understandable to feel fear, sadness, panic, confusion, or even anger. Life as you knew it has changed. You may grieve the life you had, feel uncertain about your future, and wonder how to keep going. The shock of the diagnosis, the fatigue from treatment, and the weight of loss—these things are real and valid.
That’s why it’s so important to care for your emotional and mental health. Your mind and body are connected, and what you feel emotionally will absolutely influence how you respond physically. If you’ve already struggled with anxiety or depression before your diagnosis, you may find those feelings amplified now. You’re not alone in this—and it’s okay to ask for support.
So what can help?
Let me share 8 meaningful practices recommended by Dr. Daniel Amen, a trusted voice in brain health, along with a few of my own additions:
- Challenge Your Negative Thoughts
Don’t believe every scary, negative thought about what might happen that runs through your mind. Ask yourself: Is this true? Is this helpful? Gently interrupt your doomsday spirals and look for a new perspective. Your thoughts shape how you feel—so let’s train them to be kind and wise.
- Tame Your Inner Dragons
Those fearful inner voices—the ones that tell you “you’re not enough” or “you won’t make it”—can roar loud. But you are allowed to speak back to them with truth, compassion, and courage. Name them. Face them. Then gently hush them. Replace them with beliefs and words of hope, courage and the love that can affirm your strength to get you through.
- Surround Yourself with Support
Having safe people around you—whether it’s a few close friends, a support group, or a community like Stage4Hope—makes a difference. We were created for connection. Don’t walk this road alone. Join us in one of our retreats or women’s groups where you can be encouraged and known.
- Keep Doing What Brings You Joy
Maybe it looks different now, but you can still write, paint, sing, bake, help someone else, or enjoy the simple beauty of a good book or warm tea. Purpose and joy are healing—keep reaching for them.
- Nourish Your Body Kindly
Eat well. Choose anti-inflammatory, life-giving foods. Stay hydrated. Limit sugar and alcohol. And—just as important—treat yourself now and then to something yummy that makes your heart smile. That’s nourishment too.
- Create Calming Rituals
Routines can ground us. Whether it’s a morning walk, a moment of prayer, deep breathing, reading Scripture, journaling, or putting sticky notes of hope around your room—these small acts can anchor you.
- Nurture Your Spiritual Life
This is a sacred time to reconnect with your Creator. Many people facing cancer find themselves longing for something deeper. Talk to God, ask your questions, reconnect with your sense of a higher power, let yourself be held by His love. He’s not afraid of your tears or doubts—He’s with you in it all.
- Keep Moving Forward
Even if it’s slow or small—keep going. Get out of bed. Stretch. Take a short walk. Movement lifts the fog. It releases feel-good chemicals. It reminds your body that you’re still here, still fighting, still living. Don’t underestimate its power.
Your mental health is not secondary. It’s essential.
It’s okay to feel broken at times. It’s okay to cry, to ask for help, to rest when the world feels too heavy. But I want you to also know: You can feel joy again. You can find beauty again. You can rise again.
Your quality of life is not just about how your body feels—it’s about how your heart is holding up. So give your mental health the care and space it deserves. Let your emotional well-being be part of your healing.
And remember, you are not alone. We’re here for you at Stage4Hope, ready to walk this journey with you.
Author- Dr. Sharon May
Stage4Hope
American Cancer Society. (2024). Cancer Facts & Figures.
Amen, D.G. (n.d.). Amen Clinics. https://www.amenclinics.com/
A New Cancer Therapy: Exercise
How Exercise and Cancer Treatment Outcomes
New Cancer patients may be surprised to learn they share something in common with astronauts in outer space.
It turns out that lying in bed and floating in zero gravity take a similar toll on the body, says Jessica Scott, PhD. She knows because she was a NASA scientist before joining the Exercise Oncology Program at Memorial Sloan Kettering Cancer Center (MSK).
“Astronauts have a lot of the same symptoms as cancer patients — being inactive and weightless can hurt fitness in a way similar to receiving a cancer treatment like chemotherapy,” Dr. Scott says. “Astronauts even get something called ‘space fog,’ which is similar to what people with cancer call ‘chemo brain.'”
When Dr. Scott saw how exercise can counteract the damage in space to the heart, brain, and muscles, she wanted to apply those lessons to benefit the millions of people with cancer.
Reducing the Toll of Cancer and Its Treatment
Contrary to popular belief, the best way for patients feeling depleted to recover is not necessarily to stay in bed.
“It’s now clear that exercise has major benefits for people being treated for cancer as well as for cancer survivors,” says MSK exercise physiologist Kylie Rowed. “In addition to improving physical and mental health, it can help minimize the long-term effects of cancer treatments such as chemotherapy and radiation.”
The benefits can be dramatic. For example, MSK research showed that people who endure three months of chemotherapy had a 15% decline in fitness levels within three to six months of treatment — equal to a decade of aging. But exercising just three times a week significantly reduced that steep decline.
Recently, the Exercise Oncology Program has taken the research a step further, conducting studies that shed light on whether exercise can affect cancer survival and recurrence and help new cancer drug therapies work better.
There is even tantalizing evidence that exercise might change the biology of the cancer itself, slowing its growth.
A First-of-Its-Kind Clinical Trial
In July 2024, Dr. Jones’s team published results in JAMA Oncology from a groundbreaking clinical trial suggesting that specific amounts of exercise before surgery among men with early-stage prostate cancer can meaningfully improve two key biomarkers associated with better outcomes.
“To our knowledge, this is the first clinical trial to research the optimal amount of exercise therapy for people with any kind of cancer diagnosis,” Dr. Jones says.
Previous research, including MSK’s, had shown that exercise was associated with a lower risk of prostate cancer progressing, and that men who report exercising regularly have a lower risk of dying from the cancer. But as all scientists know, correlation is not causation.
The true test is “treating” patients with controlled amounts of exercise therapy prescribed in the same way drugs are tested and prescribed — in specific “doses” administered over specific periods.
Researchers wanted to know: What is the most exercise people could reasonably be expected to do? Does the exercise have any biological effect on the tumor itself? And perhaps most important: How much exercise is enough?
To find out, the researchers studied 53 men scheduled to undergo surgery for prostate cancer at MSK. This allowed them to examine the tumor at two different points: when the tumor was biopsied at diagnosis and again at the time of surgery — usually about four weeks later. That provided a four-week window to test the effects of exercise alone, when none of the patients had undergone any treatments such as radiation or chemotherapy.
Participating in Research From Home
To make it as convenient as possible, the team found a way for most parts of the study to be done at home. They delivered a study kit that included a treadmill, an iPad loaded with apps, a smartwatch, a continuous glucose monitor, a blood pressure cuff, and a digital scale.
All exercise sessions consisted of walking on a treadmill while being monitored via Zoom by an exercise physiologist. Each participant was assigned one of the following “doses” of exercise:
- 90 minutes per week
- 150 minutes per week
- 225 minutes per week
- 300 minutes per week
- 375 minutes per week
- 450 minutes per week
The results were eye-opening. After exercise, the biomarkers either decreased or remained stable. Interestingly, there seemed to be a sweet spot: Most of the benefit was achieved with 225 minutes (3 hours and 45 minutes) of exercise a week. More than that amount had no greater impact on biomarkers.
“This was a key finding because it challenges the notion that ‘more is always better’ when it comes to exercise,” Dr. Scott says.
While encouraging, these results don’t prove exercise will improve someone’s cancer prognosis.
The researchers were looking only to see if exercise had an impact on the tumor, in the form of a biological signal over the short term. Determining if exercise leads to longer survival or better outcomes will require longer and larger clinical trials.
There is already a phase 2 clinical trial underway using the 225-minute dose level to better understand how exercise impacts prostate cancer progression. Similar trials are expected for other solid tumor cancers, including lung cancer, particularly those driven by specific mutations responding differently to exercise.
Establishing Exercise as Essential for Cancer Treatment and Prevention
“The hope is that people can be referred to an exercise physiologist who can give them a personalized prescription tailored to their physiology, tumor characteristics, and overall situation — much in the same way cancer drugs are personalized,” Dr. Scott says.
In the meantime, patients say exercising improves their overall well-being.
“I think the sense of control the exercise gave me was very important at a time when I was feeling somewhat helpless,” Robert says. “As a cancer patient, it was something 100% under my power that could help my recovery.” (Source: Memorial Sloan Kettering News- 2025, Issue 1)
Resources for Living With Stage 4 Cancer
Learn more about topics like exercise and cancer treatment, along with other important aspects of living with Stage 4 cancer. Become a member of our community to receive inspiring stories, helpful resources, and updates on how we support individuals and families facing advanced-stage cancer. Stay informed with the latest research and gain early access to educational content.
When a Cough Could Be Lung Cancer
A chronic cough is often just a sign of something like a cold, allergies, or asthma — but in some cases, it may be a warning sign of lung cancer. According to lung cancer experts, including Dr. Fatemeh Ardeshir-Larijani of Emory University, a cough that lasts longer than 8 to 12 weeks, worsens over time, or comes with other symptoms like coughing up blood, chest tightness, or unexplained weight loss should not be ignored. While many types of cough can happen with lung cancer, the most common is a dry, persistent cough that doesn’t go away with typical treatments.
People with lung cancer may also experience pressure in the chest, shortness of breath, or coughing due to fluid buildup around the lungs. Treatments to ease this kind of cough vary. For some, shrinking the tumor with chemotherapy, immunotherapy, or targeted therapy helps reduce coughing. Others may need fluid drained from their lungs or use home remedies like steam, hydration, or honey to manage the symptom. While only a small number of people with a chronic cough actually have lung cancer, it’s especially important for those at high risk — such as longtime smokers — to speak with their doctor and consider annual lung cancer screenings. (Source: Verywell Health)











