What should l be doing.

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Hi, I have stage 3 breast cancer. Had my first chemo 2 weeks ago.

I'm finding it hard to know what I should be doing on a day to day life.

I hear some people work through chemo. I feel I should be doing things but I'm very tired, weak and shaky. Should I be pushing myself? 

  •  Hi  ,

    Welcome to our online community and thanks for reaching out to us. My name is Amy and I am one of the Cancer Information Nurse Specialists on the Macmillan Support Line.

    Managing expectations on how you think you should feel can be difficult, especially if you compare yourself to others.

    You are right, many people can continue working or make some adjustments to allow them to continue working, but many feel the way you do –  tired, weak, and shaky and unable to work. Both can be normal and there is no right or wrong way to cope. 

    Many find their concentration levels can be affected too and describe it as “chemo brain”. This can make even simple day to day tasks tricky at times. You can also read more about the possible side effects of chemotherapy here.

    It might be worth speaking to your breast cancer nurse to talk about how you are feeling and the symptoms you are experiencing. Your GP could also give you a fit note/sick line if you are finding work difficult.

    All we would encourage you to do is keep active and moving when you can, and make sure you listen to your body and rest when you need to. You may find energy levels are higher one day then lower the next few. We have lots of hints and tips on coping with fatigue.

    We recognise that cancer can have a huge impact of finances, and at a time when you are worrying about health, treatment and side effects, money worries can be a huge additional burden. We have a wide range of benefits and financial support available and I would recommend getting in touch to find out what may be useful for you.

    We often find we can help more by exploring these questions over the phone. This would give us the opportunity to tailor our advice and give you a chance to ask more questions. If this is something you think would help, then please don’t hesitate to get in touch via our support line on 0808 808 0000. We are available 7 days a week, 8am-8pm.

    I hope this helps.

    Best wishes, 

    Amy C, Cancer Information Nurse Specialist. 

    You can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm) or send us an email

    Ref: AC/FS