Guest Article
Khatrina Swarup, MSN, MBA, RN
Nurse, healthcare operator & Co-Founder of OncoNexus
Helping patients, families, and care teams make complex cancer visits easier to understand, track, and follow.
In This Article
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A cancer visit can change everything. It can also leave a person with more information than anyone could reasonably remember.
You may hear a diagnosis, a treatment plan, new medical words, possible side effects, test names, referrals, and next steps. You may be trying to stay calm while also trying to remember every detail. Families often feel the same pressure. They want to help, but they may not know what to write down, what to ask, or what matters most. That confusion is a normal response to a hard moment.
Research has shown that people often forget a large amount of what they hear during medical visits, and some of what they remember may be incorrect. That is why cancer care should not depend on memory alone. Patients and families need a clear plan they can return to after they leave the clinic.
This article is educational. If you or someone you love is facing cancer, the goal is simple: You do not need to remember everything. You need to know what happens next, who owns it, when it should happen, and who to call if it does not.
Start with one question: “What happens next?”
Before the visit ends, ask the care team to explain the next steps in plain language.
You can say: “Can we go over what happens next before I leave?”
The answer should include:
- What tests, scans, labs, medications, or referrals are needed
- Whether treatment is starting, changing, or still being discussed
- What must happen before the next visit
- Who will call whom
- When each step should happen
Try to get a real timeframe. “Soon” can mean different things to different people. “This week,” “within two weeks,” or “before the next appointment” is easier to follow.
If you only have energy or time for one thing, ask this: “What are the next two or three things I should focus on right now?” That question helps reduce the noise and turns a long visit into a short plan.
Write the plan down before you leave
Spoken instructions are easy to lose, especially when the visit is emotional or overwhelming. Written information gives you something to review at home and share with family.
Ask for an after-visit summary, written care plan, or printed instructions. If the clinic uses a patient portal, ask where the plan will appear.
Before you leave, check that the plan includes:
- Diagnosis or working diagnosis
- Tests or scans ordered
- Medication changes
- Referrals
- Follow-up appointment
- Symptoms that should prompt a call
- Daytime and after-hours contact information
If something looks wrong or unclear, ask the team to fix it. A care plan should not only be medically correct but also be understandable.
If small print is hard to read, ask whether the summary can be printed larger or sent in a format that is easier to use.
Use teach-back so everyone is clear
Teach-back is a simple way to check understanding. It’s used to make sure the explanation worked.
You can say: “I want to make sure I understood. Can I repeat the plan back to you?”
Then say, in your own words:
- What you understand the main concern or diagnosis to be
- What happens next
- What you need to do
- What the clinic will do
- When to call
This gives the care team a chance to correct anything that was missed. It can also help family members hear the plan more clearly.
Bring support if you can
A trusted person can help listen, take notes, ask questions, and remember details later.
If no one can attend in person, ask if someone can join by phone or video. You can also ask whether recording the visit is allowed. Some clinics allow it, and some have rules about it.
If you are the caregiver, ask the patient what kind of help they want. Some people want you to take notes. Others want you to ask questions. Others may want quiet support. Let the patient lead when possible.
Know who to call
Cancer care often involves many people: oncologists, nurses, surgeons, radiology teams, labs, pharmacies, insurance staff, social workers, and other specialists. That means a step can be “ordered” but still not be understood by the patient.
Ask who to contact for:
- Symptoms or side effects
- Scheduling
- Test results
- Medication questions
- Insurance or cost concerns
- Urgent issues after hours
- Patient portal questions
For each next step, ask four questions:
- What needs to happen?
Name the scan, lab, referral, medication, or appointment. - Who is responsible for starting it?
Will the oncology office schedule it? Will another office call you? Do you need to call? - When should it happen?
Ask for a date or timeframe. - Who do I contact if it does not happen?
Write down the phone number, portal contact, or department name.
This is especially important for referrals, scans, insurance approvals, and results. These are common places where plans can stall.
Ask about support early
Support is part of getting through cancer care.
Ask whether the clinic offers:
- Nurse navigation or patient navigation
- Social work
- Financial counseling
- Emotional health support
- Transportation or lodging help
- Nutrition support
- Support groups
- Caregiver resources
Many cancer centers also screen patients for distress. This means the team asks about emotional, practical, family, financial, and physical concerns. If you feel overwhelmed, anxious, depressed, or unsure how to manage life around treatment, say so. You do not have to wait until things become unmanageable.
You can ask: “Is there a navigator, social worker, or main contact who can help me keep track of next steps?”
Not every clinic has the same resources. If there is no navigator, ask who your main contact should be when something is unclear.
Ask what should not wait
Some topics are easier to address early. They may not apply to every person, but they are worth asking about.
Depending on your diagnosis and treatment plan, ask whether you should discuss:
- Clinical trials
- Fertility preservation
- Genetic testing or family risk
- Advance care planning
- Work, leave, or disability paperwork
- Financial counseling
- Palliative care for symptom and quality-of-life support
Palliative care does not mean “giving up.” It is support for symptoms, stress, and quality of life during serious illness. It can be used along with cancer treatment.
Also ask what symptoms should prompt a same-day call, an after-hours call, urgent care, the emergency room, or 911. The answer depends on the diagnosis and treatment. Always follow your own care team’s instructions.
Keep urgent numbers somewhere easy to find. A caregiver or support should know where they are too.
Keep one simple list
You need one place where the next steps live. This list can be on paper, in a notebook, in your phone, or in a shared document. The best system is the one you will actually use.
Bring the list to each visit. Ask the team to help update it.
A simple list can look like this:
| Next step | Who owns it | When | Contact | Done? |
|---|---|---|---|---|
| CT scan | Imaging office will call | This week | Phone number | No |
| Lab work | Patient goes to lab | Monday | Lab address | No |
| Follow-up visit | Oncology clinic | Aug 20 | Portal message | Scheduled |
Follow up when something is unclear
Questions often come up after you get home. That is normal.
If something does not make sense, contact the care team. If you were told someone would call and no one has, follow up. If a symptom changes, do not wait because you are worried about bothering the clinic.
A good follow-up message can be simple: “At my visit, I understood that the next step was _______. I have not heard back yet. Who should I contact, and when should this be scheduled?”
Clear, specific questions are easier for the team to answer.
Be careful with online searching
It is normal to search online after a cancer visit. The problem is that search results can be scary, outdated, or not specific to your situation.
Ask your care team: “What words should I search for if I want to learn more?”
Also ask which websites they recommend. Trusted sources may include the National Cancer Institute, American Cancer Society, Cancer.Net, major academic cancer centers, and disease-specific nonprofits.
If something online worries you, write it down and bring it to the care team. Do not assume it applies to you.
The bigger issue
Patients and families can do a lot to stay organized. But they should not be expected to carry the whole system alone.
A good cancer visit should end with a plan that is clear, written, and shared. The patient should know what happens next. The family should know how to help. The care team should know who owns each step.
In my work with OncoNexus, this is the gap I think about often: after a complex cancer visit, how do we make sure the plan does not get lost between the clinic room and the patient’s real life?
Technology can help, but the principle is simple. People need clear next steps, clear ownership, and a way to know when something has not happened.
Cancer care is hard enough. Understanding the plan should not be another burden.
The bottom line
After a cancer visit, try to leave with five things:
- A written plan
- The next two or three steps
- Who is responsible for each step
- When each step should happen
- Who to call if something changes or does not happen
You do not need to remember everything. You need a plan you can return to.

Written by

Khatrina Swarup, MSN, MBA, RN
Nurse, Healthcare Operator & Co-Founder, OncoNexus
Oncology care coordination
•
Patient education
•
Healthcare operations
Khatrina Swarup, MSN, MBA, RN, is a nurse and healthcare operator whose work focuses on making complex healthcare easier to understand and follow. Her professional work spans healthcare consulting, oncology care coordination through OncoNexus, and community service through Reap Goodness.
Through OncoNexus, Khatrina focuses on a simple but important gap in cancer care: helping make sure nothing from a cancer visit gets lost. Her work centers on clearer next steps, better care coordination, and practical support for patients and families navigating overwhelming healthcare moments.
Connect with Khatrina Swarup and OncoNexus
Website: khatrina.com
OncoNexus: OncoNexus.ai
Reap Goodness: reapgoodness.org
FAQs
What should I ask after a cancer visit?
Ask one clear question before you leave: “What happens next?” The answer should include what tests, scans, medications, referrals, or follow-ups are needed, who is responsible, and when each step should happen.
Why should I write the plan down?
Cancer visits can be emotional and overwhelming. A written plan gives patients and families something to review later and helps prevent important details from getting lost.
What is teach-back?
Teach-back is when you repeat the plan back to the care team in your own words to make sure everyone understood the same thing.
Who should I contact if a scan, referral, or result does not happen?
Ask the care team who owns each next step, when it should happen, and who to contact if it does not happen. This is especially important for referrals, scans, insurance approvals, and results.
What kind of support should cancer patients ask about?
Patients can ask about nurse navigation, social work, financial counseling, emotional health support, transportation help, nutrition support, support groups, and caregiver resources.
Sources and References
American Cancer Society. “Questions to Ask About Your Treatment.” American Cancer Society, n.d., https://www.cancer.org/cancer/making-treatment-decisions/questions-to-ask-about-treatment.html.
Henderson, J. “7 Tips to Navigate Your First Oncology Appointment.” Living Beyond Breast Cancer, 12 May 2023, https://www.lbbc.org/news/7-tips-to-navigate-your-first-oncology-appointment.
National Cancer Institute. “Questions to Ask Your Doctor About Treatment.” National Cancer Institute, 14 February 2012, https://www.cancer.gov/about-cancer/treatment/questions.
National Cancer Institute. “Support for Caregivers of Cancer Patients.” National Cancer Institute, 3 February 2025, https://www.cancer.gov/about-cancer/coping/caregiver-support.
National Comprehensive Cancer Network. “NCCN Guidelines for Patients: Distress During Cancer Care.” NCCN, 2026, https://www.nccn.org/patients/guidelines/content/PDF/distress-patient.pdf.





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