10/25/2014 02:43 pm ET Updated Dec 25, 2014

Navigating Your Career Through Breast Cancer


I was recently having a conversation with a friend about how much the world has changed since the global financial crisis of 2008. The ways in which we spend have changed. We have different attitudes about debt, and even though the job market has improved, millions continue to struggle as wages have not caught up.

Somehow, we began to talk about the dissolution of the financial giant Lehman Brothers. Some argue that was the moment that signaled life as we know it had changed. My friend, like many people, lamented how 'corporate greed' has destroyed the world.

I didn't take on that discussion, but I did share with her a story about a woman I know who worked at Lehman Brothers. I felt the story was a good illustration of why we should not cast anything as 'all good' or 'all bad.'

The story comes to mind as we turn an important spotlight on breast cancer this month.

Meet Hannah

In June of 2005, Hannah Burns was Managing Director of Corporate Communications at Lehman Brothers, and fulfilling one of her major responsibilities: Getting the company's quarterly earnings results out to the public. As the numbers were being released, Hannah set-up a meeting with her boss -- he believed she was going to update him on the media's coverage of the data. Instead, she had to deliver a far more difficult story.

"I've got good news, and bad news," she told him. "The good news is that it's early and very treatable, the bad news is that I have breast cancer."

Burns describes herself as a private person, but she went straight to her bosses' office when her doctor delivered the news over the phone. "Being in my function I can't just disappear and not tell anybody. I just wanted to get it off of my chest and move on. It was an easy conversation. He was incredibly sympathetic, and shocked."

The fact that this Mother of two daughters had her disease detected early had her believing that she would be able to 'get it off of her chest and move on.' The next few months, however, would prove to be a physical and emotional challenge that she could not have imagined.

Three weeks later, there was the surgery, which was followed by a rigorous four month period of chemotherapy, and bone marrow shots, and then seven weeks of radiation.

In a feat that can be described as nothing short of heroic, aside from a one week recovery period after surgery, Hannah only missed one day of work throughout her entire four months of treatments.

"In addition to wanting to teach my daughters a lesson on how to work through adversity, the firm was so supportive that I wanted to do my absolute best to show my gratitude," says Burns. "The firm said do whatever you need to do to get well. Knowing you've got that support is half the battle."

Not only did Lehman provide Burns with inspiration, but the firm also gave her the flexibility to work through her challenge. She had her treatments on Wednesdays, did not have to return to work, and she was able to come in late on Thursday's. Burns says her worst side effects set in on Friday afternoons, and Lehman allowed her to leave in the afternoon. The company also provided her with car service to and from the office throughout the entire ordeal.

If This Happens to You
One of the many things Hannah taught me was that not everyone -- not even corporate giants like Lehman Brothers -- has all the answers. Hannah simply had to tap into her courage and give the company a blueprint to help her best navigate this challenge. Otherwise, her boss may not have known what to do and there may have been a different result.

If you find yourself trying to work through this situation, here are some tips that may help:

Talk to your doctor before your employer: You need to know what you can expect physically and psychologically, so that you can be clear about your needs to your employer. That way you can come to your boss with a clear plan of action. Hannah, for example, purposely scheduled her treatments on Wednesday's. That way she would have the weekend to recover when the worst of the side effects hit about 48 hours later. She knew she would need Friday afternoons off.

"Work is a very important part of a women's life, and if she can continue to work, she's going to do better, " says Dr. Ruth Oratz, reknowned oncologist and associate professor of clinical medicine at New York University School of Medicine. "But they need to be flexible, and realize that they may have to make some changes." Oratz adds that work is not going to be an option for all women.

Be true to yourself when it comes to talking to your boss: "How much you tell your boss depends on your own personal style," according to Kate Sweeney at Cancer and Careers. "If you have an open relationship, be open. If not, just present the situation, and tell them what you will need." Also, if you have an open relationship with your co-workers, you will likely want to share details of your recovery. If you're more private you may just want to say "I'm doing fine," and don't be afraid to leave it at that."

Find out what your company has done with employees in this situation in the past: This is particularly true when it comes to leave and benefits. You are trying to determine if former policies will work for you. Supposed, for example, you want to work from home, yet you find out this has not been allowed. You want to be able to bring that up to your boss, as something you will need. Maybe your company has never been in this situation before. You need to find out if it is going to be up to you to guide them, when it comes to helping you remain as productive as possible.

Know your legal rights: In the U.S., for example, people with cancer are protected under the Americans with Disabilities Act which gives you rights in the workplace. In addition, protection is provided under the Family Medical Leave Act, which provides 12 weeks of unpaid leave a year. The weeks do not have to be taken consecutively. Human resource departments can be a great resource when it comes to knowing your legal rights. They can also be of great help with your insurer. A company calling on your behalf will likely have a lot more leverage with an insurance firm than you calling as an individual.

Pay attention to how you feel: If you take time off for treatments, you can expect to have a lot of mixed emotions as you transition from patient back to employee. If you don't feel psychologically up to speed, you may want to seek out some counseling, or attend workshops and seminars to refresh your work skills. Physically, take a look at your workspace. Tell your employer if it needs to be redesigned with something like back support.

Organizations like Women at Risk, and Cancer and Careers, have great information on their web sites.