Keegan Morin: The Importance of Follow-Up Care: Preventing and Managing Late Effects

Cancer treatment may end, but its effects can last for years, which is why follow-up care is essential.

It’s not just about checking for relapse, but it’s also about monitoring, preventing, and managing the

long-term effects of treatment. These appointments help survivors stay informed, catch potential

complications early, and take proactive steps to maintain their health.

For me, follow-ups have always been a priority. They are more than routine check-ins; they are a

continuation of the care that saved my life. My oncology team isn’t just there to monitor my health;

they genuinely care about my well-being and future. Seeing patients thrive after treatment is

meaningful to them, and I wouldn’t be where I am without their guidance. My

oncologist/hematologist, Dr. Andrew Aw, MD, as seen in the picture, has been my biggest inspiration.

During my treatment, we’d talk about the science behind lymphomas all the way down to the cellular

level which made me so curious and genuinely interested. He showed me what real patient care looks

like, and I hope to one day use my own experience in medicine to help others the way he helped me.

One of the main reasons follow-ups matter is to prevent and manage late effects and long-term

complications from cancer treatment that can affect different systems in the body. For example, chemo

brain is a well-documented condition affecting memory, concentration, and cognitive function.

Research suggests that chemotherapy may cause neuroinflammation and changes in brain structure,

leading to difficulties in processing information. Follow-up care allows doctors to track cognitive

changes and provide strategies to manage them, such as cognitive exercises and organization

techniques.

Another common issue is peripheral neuropathy, which occurs when chemotherapy damages the

nerves, causing tingling, numbness, or weakness in the hands and feet. While I no longer experience

it, I know how disruptive it can be. Follow-ups help assess nerve function and offer treatments or

lifestyle changes to manage symptoms and prevent long-term damage.

Additionally, cardiovascular and metabolic health can be impacted by treatment, increasing the risk of

heart disease or metabolic disorders. Regular follow-ups allow doctors to monitor heart function and

overall health, providing early interventions when necessary.

Survivorship isn’t just about finishing treatment, it’s also about maintaining long-term health and

quality of life. If you’re a survivor, don’t skip your follow-ups. They provide essential medical care,

support, and reassurance that you’re not alone in this journey. Taking charge of your health now will

help ensure a healthier future.