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Support for a Loved One With Metastatic Breast Cancer

Annie Bond, 37, was diagnosed with metastatic breast cancer in August 2015. Shortly after sharing her diagnosis, some of her friends sent miracle cures and wigs in the mail. 

“That was weird because I didn’t even know if I was going to lose my hair,” Bond says.

Bond has lived with metastatic breast cancer for over a decade and has lost friends who were not comfortable with the way her life has changed.

“The best thing anyone ever did was just stick around and stay open-minded. Just remember everything that’s true about your friend or your loved one is still true after they’re diagnosed,” she says.

When someone you love is diagnosed with metastatic or stage 4 breast cancer, you may struggle to find the right words or wonder what kind of support will actually help.

A stage 4 diagnosis will drastically change your loved one’s life. Before you try to help, remember that they are still a full, complete person, not just a cancer patient. Continuing to show up can make a meaningful difference as they navigate their life with metastatic disease. Focus on what you can do to help, rather than retreating from the relationship out of fear.

Do: Respect Boundaries

Every person with metastatic breast cancer is different; some people want to share updates, while others prefer to keep their journeys private.

Frances Malinis, 42, who was diagnosed with triple-negative metastatic breast cancer, says she was very selective about who to share information with initially. She knew some people would not handle it well, and others would try to make themselves part of the “drama.”

“Don’t try to get information out of [your loved one] that they’re not already wanting to give. Because what are your intentions? Are you just looking for entertainment?” Malinis says.

Try not to get offended if your loved one seems distant because they may not have the energy or emotional bandwidth to respond to every message you send. 

“One of the main things families can do is to be incredibly patient and understanding with the level of anxiety and fear that patients live with,” says Ian Sadler, PhD, an assistant professor of medical psychology at Columbia University Vagelos College of Physicians and Surgeons.

Do: Try to Educate Yourself About Breast Cancer

Metastatic breast cancer means the cancer has spread to the bones, lungs, liver, or other parts of the body. While it is not yet curable, it is manageable for many people.

“Modern developments in cancer treatment have turned metastatic breast cancer into a chronic disease for many patients,” says Swati Sikaria, MD, an oncologist at a Cedars-Sinai affiliate in Torrance, CA.

Prognosis varies person to person, but new treatments have significantly extended survival rates and quality of life for many people with metastatic breast cancer.

Malinis says some friends would ask how much time she had left, and others would send messages that felt like a eulogy. “I get that they wanted to express their care and love for me, but don’t write me off yet,” she says. 

Do: Provide Practical Support

People living with metastatic breast cancer have to fit frequent healthcare appointments into their schedules. Sometimes, it’s best to offer to help with specific chores or errands rather than saying, “Reach out if you need anything.” 

“As a patient, I don’t really know what I could ask for from people,” Malinis says.

Some useful things to suggest might be rides to and from the doctor’s office, pet or babysitting, house cleaning, meal prepping or grabbing groceries or other household items while running your errands.

Malinis says sending flowers, comfort food, or food delivery gift cards also shows you are thinking of your loved one. If you want to drop gifts off, leave them on the doorstop. Don’t expect to socialize if your loved one does not feel ready to welcome guests. 

Do: Honor Your Loved One’s Independence

If your friend or family member asks you to join them at a doctor’s appointment, show up in a way that honors their independence.

“The support of family and friends is pivotal in the life of someone with metastatic breast cancer, but it’s important to come in with the goal of supporting that individual and not trying to assume control or take over the situation,” Sikaria says. 

If you want to support your loved one, Sikaria says you can:

  • Help them write down their questions prior to the appointment.
  • Talk to them before the appointment to learn if they even want to ask the oncologist about their prognosis.
  • Provide an extra set of ears and take notes during the appointment.
  • Trust that the oncologist is developing the best care plan for the patient, rather than offering your own ideas on supplements or treatments.

Don’t: Offer Diet Advice 

You may be inclined to investigate whether diet or other lifestyle factors contributed to your loved one’s diagnosis, but this is not helpful. 

Breast cancer development is complex, and as many as 10% of breast cancer cases are hereditary. Age, being born female, dense breast tissue, and genetic factors all increase risk. While certain lifestyle factors also contribute to breast cancer risk, having a poor diet does not automatically mean someone will develop cancer. 

“All of us will blame ourselves first, so please do not do anything to help us blame ourselves,” Bond says.

Don’t: Pretend Like They Don’t Have Cancer

Metastatic breast cancer is a permanent part of your loved one’s life. You will have to balance acknowledging their disease while also respecting their boundaries.  

“We didn’t ask to have this disease,” Bond says. “It doesn’t mean that we did something wrong, but the truth is the truth, which is that we have this disease forever.”

Even if your loved one is in remission or has no evidence of disease, like Bond, cancer still touches every aspect of their life. 

“I just wish that people would stop expecting us to forget about the cancer and be done with it when we’re metastatic,” Bond says. “Sorry, we don’t get that option.”

PEOPLE

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Breastfeeding: The First Gift That Lasts a Lifetime By Dr. Mamata Bothra
Specislist Pediatrician & Pediatric Neurologist at International Modern Hospital Dubai

WORLD BREASTFEEDING WEEK (1st–7th August)

Breastfeeding: The First Gift That Lasts a Lifetime By Dr. Mamata Bothra
Specislist Pediatrician & Pediatric Neurologist at International Modern Hospital Dubai

It’s 2 a.m. Your newborn has just fed… again. Grandma thinks the baby is still hungry. Google says one thing. Instagram says another. A well-meaning aunt suggests formula. Dad is trying to make tea while wondering if babies actually sleep. And you’re asking yourself… “Doctor… am I doing something wrong?” If this sounds familiar, welcome to parenthood! Every year, from 1st to 7th August, the world celebrates World Breastfeeding Week, a global campaign coordinated by the World Alliance for Breastfeeding Action (WABA) in partnership with the World Health Organization (WHO)and UNICEF. It is a reminder that while breastfeeding is the most natural way to nourish a baby, it is not always easy—and no mother should have to do it alone. This year’s World Breastfeeding Week theme is “Breastfeeding for a Sustainable Start in Life: Strengthen What Works”. announced by WABA reinforcing the global commitment to protect, promote and support breastfeeding through families, healthcare systems, workplaces and communities. The WHO recommends exclusive breastfeeding for the first six months of life, followed by appropriate complementary foods while continuing breastfeeding up to two years of age or beyond, as long as mother and child wish. Here in the UAE, where families come from every corner of the world, I meet new parents every day who bring different traditions, beliefs and advice from home. Yet despite our diverse cultures, the questions are surprisingly similar—and so are the worries. The Golden Hour… One Hour That Can Change a Lifetime One of the most beautiful moments in medicine happens quietly. A newborn is placed on the mother’s chest immediately after birth. The baby slowly lifts the head, searches, and instinctively finds the breast. No instructions. No YouTube videos. No parenting apps. Just nature doing what it has perfected over millions of years. This precious first hour, known as the Golden Hour, helps regulate the baby’s temperature, breathing and blood sugar while strengthening the bond between mother and baby. It also encourages successful breastfeeding and improves long-term health outcomes. Then come those precious first drops of milk—colostrum. Often called Nature’s First Vaccine, colostrum is rich in antibodies, immune cells and growth factors that protect babies from infections and help build a healthy immune system from the very first day of life. More Than Food… Breastfeeding is Love in Its Purest Form Breastfeeding isn’t simply about filling a tiny stomach. It comforts a frightened baby. Calms pain after a vaccination. Provides warmth during illness. Strengthens emotional security. And quietly builds the baby’s brain and immune system with every single feed. Research continues to show that breastfed babies have lower rates of diarrhea, pneumonia, ear infections, allergies, obesity, diabetes and several chronic diseases later in life. Breastfeeding has also been linked with improved cognitive development and emotional wellbeing. The benefits don’t stop with babies. For mothers, breastfeeding helps the uterus recover after delivery, reduces postpartum bleeding, supports recovery, and lowers the long-term risk of breast cancer, ovarian cancer, type 2 diabetes and heart disease. Simply put… Breastfeeding is one of the few interventions that improves the health of two people at the same time. Confessions from a Pediatrician’s Clinic… After years of caring for newborns, I’ve noticed something rather amusing. The babies are usually quite relaxed. It’s the parents who look like they’ve just sat for an exam they never prepared for! Every clinic day begins with questions like… “Doctor, my baby wants milk every hour.” “Doctor, my milk looks watery.” “Doctor, my breasts suddenly feel soft… has my milk dried up?” “Doctor, it’s so hot in Dubai. Should I give water?” “Doctor… everyone at home has a different opinion!” My answer usually starts with a smile. “Congratulations! Your baby is behaving exactly like… a baby.” Let’s Clear Up Some Common Confusion Newborns have tiny stomachs,Breast milk is digested quickly, so feeding every one to three hours is completely normal. Frequent feeding does not mean your milk is inadequate; it is simply how babies stimulate the body to produce more milk. One of the conversations I have almost every day with new mothers begins with the same worry: “Doctor, I don’t think I have enough milk.” I gently reassure them, “No mother starts with bottles full of milk on the first day.” Nature doesn’t work that way. In the first few days after birth, your body produces small amounts of colostrum—those precious golden drops often called nature’s first vaccine. Although the quantity seems tiny, it is exactly what your newborn needs because a baby’s stomach is small initially. As your baby suckles more frequently, your body receives the signal to produce more milk. It’s a beautiful demand-and-supply system—the more effectively the baby feeds, the more milk is produced. Over the next few days, your milk gradually increases to meet your baby’s growing needs. One of the most fascinating aspects of breastfeeding is that breast milk is uniquely designed for your own baby. It changes not only from one month to another, but from one feed to the next, and even during the course of the day. It provides the perfect balance of water, nutrients, healthy fats, proteins, antibodies, hormones and immune factors that your baby needs at that particular stage of growth. Nature truly has no better nutritionist than a mother’s own body. Living in the UAE, another concern I hear almost daily is whether babies need water during our intense summer heat. The answer is reassuring. Healthy babies who are exclusively breastfed do not need additional water during the first six months of life—even during the UAE summer. Breast milk is nearly 88% water and provides all the hydration a healthy infant requires. Many mothers also worry when their breasts begin to feel softer after a few weeks. That is actually good news. It usually means your body has become more efficient at making milk—not that the milk has disappeared. And then there are grandparents… Bless them! Their advice comes from love. Sometimes… not from science. “Your milk looks thin.” “The baby cried once—give formula.” “The baby isn’t sleeping for four hours.” Fortunately, babies don’t judge milk by its appearance. Breast milk naturally changes throughout a feed. The early milk ( foremilk)satisfies thirst, while the richer hindmilk provides energy and healthy fats. Nature got it right long before social media arrived. Seven Practical Tips Every New Parent Should Know 1. Watch your baby—not the clock.
Feed when your baby shows hunger cues such as rooting, sucking on hands or lip smacking.Check for activity, cry and hydration. 2. Count wet diapers—not opinions.
Six or more urine wet diapers each day after first few days usually indicate good feeding. 3. Every baby is different.
Please don’t compare your baby’s feeding with your neighbour’s baby. 4. Ask for help early.
A painful latch can usually be corrected quickly if addressed early. 5. Stay hydrated and nourished.
A healthy mother is better equipped to care for a healthy baby. 6. Rest whenever you can.
Laundry will wait. Babies won’t. 7. Trust yourself.
Mothers often know their babies better than they realise. Dear Fathers… This Part Is Especially for You You may not be able to breastfeed. But you can become the greatest breastfeeding supporter in the house. Bring her water. Prepare a meal. Change nappies. Rock the baby after feeds. Protect her rest. Tell her she’s doing an incredible job. Sometimes the best breastfeeding support doesn’t come from milk. It comes from love. When Should You Call Your Pediatrician? Seek medical advice if your baby is unusually sleepy, refusing feeds, passing fewer than six wet diapers after the first week, developing fever, persistent jaundice or poor weight gain. Mothers should also seek help if breastfeeding is persistently painful, if there is breast redness, fever or concerns regarding milk supply. Remember… Most breastfeeding challenges are temporary. Most can be solved. And most mothers simply need reassurance rather than replacement feeding. A Message to Every Mother Dear Mum, If you’ve ever cried because breastfeeding felt difficult… If you’ve doubted yourself… If you’ve searched Google at 3 a.m.… If you’ve wondered whether you’re enough… Please know this. You are learning. So is your baby. Give yourselves grace. Because breastfeeding isn’t about perfection. It’s about patience, practice and love. As pediatricians, we prescribe antibiotics, inhalers and medicines every day. But perhaps the most powerful prescription we can ever write for a new mother is confidence. To simply look at her and say… “You’re doing better than you think.” This World Breastfeeding Week, let us replace myths with science, criticism with encouragement, and pressure with compassion. Because breastfeeding is not merely the baby’s first meal. It is the first vaccine. The first cuddle. The first comfort. The first promise of lifelong health. “When we support breastfeeding, we don’t just nourish one baby—we build a healthier generation, one family at a time.” Happy World Breastfeeding Week! “A mother’s confidence is often the best medicine a newborn can receive. Support her, encourage her, and together we give every child the healthiest possible beginning.” — Dr. Mamata Bothra, Specialist Pediatrician & Neonatologist

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Fakeeh Health Achieves National Institute for Health Specialties (NIHS) Institutional Accreditation for Residency Training

Fakeeh Health Achieves Institutional Accreditation from the National Institute for Health Specialties (NIHS) for Residency Training

Dubai, UAE – 13 July 2026

Fakeeh Health has been awarded the Institutional Accreditation by the National Institute for Health Specialties (NIHS), reinforcing its position as one of the UAE’s academic healthcare providers and marking another important milestone in its commitment to postgraduate medical education and the development of future specialist physicians. Dr. Mohammed Al Houqani, Secretary General of NIHS, presented the Institutional Accreditation certificate to Fakeeh University Hospital (FUH), noting that this accreditation demonstrates FUH’s compliance with rigorous national standards in postgraduate medical education (PGME). He said he was delighted to see a private hospital actively contributing to healthcare workforce development, adding that academic hospitals play an important role in improving healthcare by integrating clinical care, education, research and continuous quality improvement. The accreditation has been awarded to Fakeeh Health, encompassing FUH together with its network of Fakeeh Medical Centers, recognizing the organization as an approved institution for PGME training in the United Arab Emirates. This achievement follows the successful accreditation of Fakeeh University Hospital’s Medical Internship Program.

The National Institute for Health Specialties (NIHS) is the UAE’s national authority responsible for regulating and accrediting postgraduate medical education and residency training. Institutions awarded NIHS Institutional Accreditation are recognized for meeting rigorous national standards in educational governance, faculty development, resident support, patient safety, clinical learning environments, quality improvement and competency-based medical education.

For Fakeeh Health, the accreditation represents far more than regulatory recognition. It reflects the strength of an integrated academic ecosystem designed to prepare the next generation of physicians through structured residency programs, multidisciplinary clinical exposure and a culture of continuous learning across its healthcare network.

The comprehensive accreditation process assessed multiple aspects of the organization’s educational framework, including institutional leadership and governance, faculty engagement, resident wellbeing, assessment systems, research opportunities, simulation-based education, patient safety, quality improvement initiatives and the overall clinical learning environment.

Since launching its postgraduate medical education programs in collaboration with Dubai Health Authority in 2021, Fakeeh Health has steadily expanded its academic portfolio. Through structured residency and internship programs, competency-based education, faculty development initiatives and simulation-enhanced learning, the organization continues to invest in preparing highly skilled physicians capable of meeting the evolving healthcare needs of the UAE.

Residents training within Fakeeh Health benefit from diverse clinical experiences across Fakeeh University Hospital and its network of Fakeeh Medical Centers, allowing them to gain exposure to primary, secondary and tertiary care while learning within a patient-centered environment that promotes teamwork, innovation and evidence-based practice.

The accreditation also supports the UAE’s long-term vision of developing a sustainable national healthcare workforce and further strengthens Dubai’s position as a regional centre for advanced medical education and specialist training.

Dr. Mazen Fakeeh, Chairman Fakeeh Health, said:

“At Fakeeh Health, we believe that shaping the future of healthcare begins with investing in people. Educating and mentoring the next generation of physicians is one of our greatest responsibilities, and this accreditation reflects years of commitment to building an academic environment where education, clinical excellence and innovation work together. We are proud to contribute to the UAE’s vision of developing a highly skilled healthcare workforce while continuing to raise the standards of medical education across the region.”

Dr. Mohaymen Abdelghany, Group CEO & Board Member Fakeeh Health, and CEO Fakeeh University Hospital, said::

“This accreditation is an achievement for every member of the Fakeeh Health family. It reflects the dedication of our physicians, educators, faculty members and support teams who have worked together to create an outstanding learning environment for future specialists. By investing in high-quality medical education today, we are helping shape the physicians who will care for the communities of tomorrow. We will continue expanding our academic programs, strengthening clinical training and creating opportunities that enable future healthcare professionals to thrive.”

Dr. Mazen Abou Chaaban, Designated Institutional Official (DIO), said:

“Institutional Accreditation is an important validation of the strength of our educational governance, faculty engagement and learning culture. More importantly, it confirms that we have created an environment where residents are supported academically, professionally and personally throughout their training. Our goal is not only to develop competent specialists, but also compassionate physicians who embrace lifelong learning, professionalism and patient-centered care.”

Fakeeh Health expressed its appreciation to the National Institute for Health Specialties for its guidance throughout the accreditation process and acknowledged the dedication of its physicians, faculty members, educators, administrators and support teams whose collective efforts made this achievement possible.

Looking ahead, Fakeeh Health will continue expanding its residency and postgraduate medical education programs while strengthening academic collaborations, research and innovation across its healthcare network. The organization remains committed to preparing the next generation of healthcare professionals and supporting the UAE’s ambition to become a global leader in healthcare, medical education and clinical excellence.

About Fakeeh Health

Fakeeh Health is an integrated academic healthcare network comprising Fakeeh University Hospital and a growing network of Fakeeh Medical Centers across the UAE. By combining world-class patient care with medical education, research and innovation, Fakeeh Health is committed to developing future healthcare professionals while delivering exceptional, patient-centered care across every stage of the healthcare journey.

Academic Excellence at a Glance

NIHS Institutional Accreditation for Residency Training

NIHS-accredited Medical Internship Program

More than 600 undergraduate healthcare students trained annually

Structured residency, internship and clinical training programmes

Strong partnerships with leading national and international universities and healthcare institutions

Ongoing commitment to developing the UAE’s future healthcare workforce

For more information please visit our website:

https://www.fakeeh.health
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NMC Royal Hospital, Mohammed Bin Zayed City, Successfully Treats Lifelong Complications from Childhood Surgery

Advanced Reconstructive Surgery Helps Patient Regain Normal Urinary Function After Years of Complications

Abu Dhabi, UAE – A specialist urology team at NMC Royal Hospital, Mohammed Bin Zayed City, led by Dr. Rami Labib, Urologist, has successfully helped a 30-year-old patient regain normal urinary function after years of complications linked to a surgery he underwent as a child.

For many years, the patient experienced difficulty urinating and persistent urine leakage through small openings along the penis. The condition significantly affected his daily life, causing discomfort, embarrassment and a loss of confidence.

The complications were related to hypospadias, a condition present at birth in which the opening of the urethra is not located at the tip of the penis. While hypospadias is commonly corrected during childhood and most patients achieve excellent long-term results, a small number may develop complications later in life that require further treatment.

After a detailed assessment, Dr. Labib identified narrowing of the urethra, known as a urethral stricture, along with abnormal passages that were causing urinary leakage. Imaging tests confirmed the diagnosis and helped the team plan the most appropriate treatment.

To restore normal function, Dr. Labib performed a highly specialised reconstructive procedure known as a buccal mucosal graft urethroplasty. The surgery used a small piece of tissue taken from the inside of the patient’s cheek to rebuild the damaged section of the urethra and close the abnormal openings responsible for the leakage.

Commenting on the case, Dr. Rami Labib said:

“Patients who experience complications years after hypospadias repair often face significant physical and emotional challenges. Every case is different and requires careful planning to achieve the best outcome. Modern reconstructive techniques allow us to restore normal urinary function and help patients return to their daily lives with greater comfort and confidence.”

The operation was completed successfully, and the patient made a good recovery. During follow-up visits, he reported being able to urinate normally without any leakage and described a substantial improvement in his overall quality of life.

Expressing his gratitude, the patient said:

“After years of struggling with urinary problems following multiple surgeries, I can finally urinate normally again without any leakage. I am extremely grateful to Dr. Rami and the entire medical team for restoring my confidence and giving me my life back.”

Dr. Labib noted that advances in reconstructive urology continue to improve outcomes for patients with even the most complex conditions. With expert assessment, personalised treatment plans, and modern surgical techniques, many patients can achieve long-lasting relief and return to everyday activities with confidence.

About NMC Royal Hospital

NMC Royal Hospital is one of Abu Dhabi’s leading tertiary healthcare institutions, providing comprehensive medical and surgical services through highly specialised clinical teams and advanced technology. The hospital offers expertise across a wide range of specialties, including reconstructive urology, with a commitment to delivering safe, high-quality, patient-centred care.

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