{"id":38377,"date":"2025-10-06T09:00:37","date_gmt":"2025-10-06T09:00:37","guid":{"rendered":"https:\/\/updates-www.mccdn.io\/vitals\/?p=38377"},"modified":"2025-10-06T16:39:41","modified_gmt":"2025-10-06T16:39:41","slug":"how-an-oncology-nurse-navigated-her-own-breast-cancer-diagnosis","status":"publish","type":"post","link":"https:\/\/updates-www.mccdn.io\/vitals\/how-an-oncology-nurse-navigated-her-own-breast-cancer-diagnosis\/","title":{"rendered":"How an oncology nurse navigated her own breast cancer diagnosis","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

In April 2024, oncology nurse practitioner Karen Gabler, 38, felt a small lump in her left breast as she was changing her clothes.<\/p>\n

\u201cI had lots of changes in my breasts with pregnancy and breastfeeding, but they were mostly back to normal, so I thought this was weird,\u201d she says.<\/p>\n

She, her husband and her young daughter were about to leave on an international trip, so she figured she’d monitor the lump while they were away. If it was still there when she got back, her plan was to go to primary care, then get imaging.<\/p>\n

When she returned home, nothing had changed, so Gabler messaged her primary care provider,\u00a0Scott Agee, DO<\/a>.<\/p>\n

\u201cI have a really good relationship with Dr. Agee,\u201d she says. \u201cI know how difficult it can be to get established with primary care, so it\u2019s important for me to always have a primary care doctor and a good relationship with them.\u201d<\/p>\n

Dr. Agee agreed the next step was imaging.<\/p>\n

After a mammogram and ultrasound, the radiologist said Gabler needed a biopsy.<\/p>\n

A surprising diagnosis<\/h2>\n

Within 24 hours of the biopsy, Gabler\u2019s results revealed she had invasive ductal cancer in her left breast. It was estrogen and progesterone positive.<\/p>\n

A follow-up PET scan showed the cancer had not spread; it was confined to her left breast.<\/p>\n

She discussed her treatment options with oncology breast surgeon\u00a0Bobby Stevens, DO<\/a>, and radiation oncologist\u00a0Christopher Premo, MD,<\/a>\u00a0both with\u00a0MultiCare Cancer Institute – Tacoma General Hospital<\/a>.<\/p>\n

\u201cDr. Stevens felt pretty confident I could have a lumpectomy,\u201d she explains. \u201cAnd Dr. Premo said I\u2019d likely need radiation if I went that route, but it would depend on the final pathology of the tumor.\u201d<\/p>\n

Gabler, who has no family history of breast cancer, underwent genetic testing and expected the results to be normal.<\/p>\n

\u201cIt turns out, I\u2019m a carrier of the BRCA2 gene mutation,\u201d she says. \u201cThis was a huge surprise to me.\u201d<\/p>\n

Both her grandfather and great-grandfather died of prostate cancer and were of Jewish descent.<\/p>\n

The genetic counselor explained it\u2019s common that Jewish people from Romania are Ashkenazi Jews, who are more likely to carry the BRCA mutation. People with a BRCA gene mutation have an increased risk of developing cancer at a younger age, according to the\u00a0National Breast Cancer Foundation<\/a>.<\/p>\n

Genetic link reshapes treatment path<\/h2>\n

This news altered Gabler’s treatment plan.<\/p>\n

\u201cBecause being a carrier of BRCA increases my chance of recurrence to 25 percent, I decided I wanted a bilateral mastectomy,\u201d she explains. \u201cOf course, people can choose to do a single-side mastectomy or do the lumpectomy first and a mastectomy if the cancer comes back. There\u2019s no right or wrong decision. But for me, that was the way to go.\u201d<\/p>\n

Due to her age, the BRCA mutation and some characteristics of the tumor\u2019s pathology, she would need chemotherapy after surgery, but not radiation.<\/p>\n

\u201cI was thinking to myself, \u2018I can do surgery and deal with physical pain,\u2019\u201d she explains. \u201cIf we could cut it out that\u2019s one thing, but needing chemo made it very real that I have cancer.\u201d<\/p>\n

Because she has seen scores of patients undergo chemo, Gabler knew what to expect from it.<\/p>\n

\u201cSome are OK; some have a really hard time,\u201d she says. \u201cAnd I was worried about what every woman worries about: \u2018Am I going to lose my hair? Will I be able to function like I did before?\u2019 I had a lot of trepidation.\u201d<\/p>\n

When your colleagues are your providers<\/h2>\n

Gabler had surgery in August 2024, followed by four cycles of chemo that started that October.<\/p>\n

\u201cI would say it mostly went by uneventfully, and I never had any major infections, but I did experience some side effects,\u201d she recalls. \u201cAfter the first round, I had an intense migraine. My appetite was low and I had major taste changes, which made things difficult.\u201d<\/p>\n

At the time, Gabler was working in medical oncology at MultiCare Cancer Institute at MultiCare Tacoma General Hospital.<\/p>\n

\"woman\u201cBecause I worked with everyone at Tacoma General, I decided to have chemo at the Gig Harbor location, just to have some separation from those I work with day to day,\u201d she says. \u201cI knew I would be in the best of hands no matter where I went within the Cancer Institute.\u201d<\/p>\n

She did, however, have her surgery at Tacoma General, where Gabler\u2019s colleague,\u00a0Morgan Steele, ARNP<\/a>, an oncology nurse practitioner in breast surgery, also became her provider.<\/p>\n

\u201cWhen you\u2019re a patient and provider and it\u2019s overlapping, that\u2019s a unique scenario,\u201d Steele says. \u201cThese are your colleagues, and some of those relationships bleed into friendships. It\u2019s different to navigate those personal and professional boundaries when it hits so close to home.\u201d<\/p>\n

\u201cI can\u2019t say enough good things about Morgan,\u201d Gabler adds. \u201cHer level of professionalism was amazing.\u201d<\/p>\n

Managing recovery<\/strong><\/h2>\n

Since her tumor was sensitive to estrogen and progesterone, Gabler is also on hormone-suppressing medications.<\/p>\n

\u201cI\u2019m in medically induced menopause, as studies have shown that it improves survival and prevents recurrence,\u201d she explains. \u201cThe side effects are largely fatigue, hot flashes and joint pain, but they have gotten better over time.\u201d<\/p>\n

Gabler recently reached the year mark since her mastectomy, and since then, her treatment journey has involved a lot more than she expected.<\/p>\n

\u201cIt wasn\u2019t just surgery one day, chemo for three months, then you\u2019re done,\u201d she says. \u201cBetween the mastectomy, expanders in and out, the procedure to prep my chest for implants, and then the implant surgery, I have had five surgeries, and every time it set me back. Plus, I go to physical therapy regularly, and I see a cardiologist because chemo and hormone therapy can affect your heart.\u201d<\/p>\n

Prioritizing self-care<\/h2>\n

Since she\u2019s BRCA positive, Gabler will need her ovaries removed around age 40. But rather than letting the thought of another surgery deter her, she is prioritizing self-care.<\/p>\n

\u201cI\u2019m a runner and a skier, so it was difficult not being able to do the things I love doing while in treatment and having had so many surgeries,\u201d she says. \u201cBut I\u2019m working with a great PT who knows about my goals. I\u2019m hopeful because of the work I’ve put in, I\u2019ll be able to do those things soon.\u201d<\/p>\n

She and her husband have already bought their passes for ski season and will do what they can.<\/p>\n

\u201cMy next phase is preventing cancer recurrence,\u201d she adds. \u201cIf you can control anything, it\u2019s eating healthfully and exercising, and those are the things I\u2019m focused on.\u201d<\/p>\n

Steele says she was amazed by Gabler\u2019s resilience throughout treatment.<\/p>\n

\u201cWhen you get a cancer diagnosis, especially in your prime years, it\u2019s a little devastating because you\u2019re not expecting it and it\u2019s not what life was supposed to look like,\u201d she adds. \u201cBut Karen has handled every step with composure and confidence.\u201d<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

In April 2024, oncology nurse practitioner Karen Gabler, 38, felt a small lump in her left breast as she was changing her clothes. \u201cI had lots of changes in my breasts with pregnancy and breastfeeding, but they were mostly back to normal, so I thought this was weird,\u201d she says. She, her husband and her […]<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":451,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[43,79,115],"tags":[165],"class_list":["post-38377","post","type-post","status-publish","format-standard","hentry","category-cancer","category-profiles-stories","category-womens-health","tag-breast-cancer"],"acf":[],"yoast_head":"\nHow an oncology nurse navigated her own breast cancer diagnosis - MultiCare Vitals<\/title>\n<meta name=\"description\" content=\"What's it like to be a patient in your own field? 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