Laura, a breast cancer survivor, developed a serious cough She had other symptoms including chest pain, weight loss and loss of her voice Her doctors discovered small lung nodules, malignant cells consistent with breast cancer Laura was already taking tamoxifen, so her doctors recommended chemotherapy, which Laura had experienced side effects from during her breast cancer treatment Challenge “ Knowing that chemo wasn’t recommended, at least not right away, was a huge relief. She chose an online medical second opinion from Cleveland Clinic Her Health Advocate clinical team guided her through the process and coordinated the transfer of her medical records to an expert oncologist at Cleveland Clinic for review The second opinion agreed with her current diagnosis and treatment, adding that chemotherapy was not recommended now, unless the tamoxifen and hormone treatments failed Solution ”