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Princeton Today
By the People, for the People
Oncologist Helps Cancer Patient Heal Mind and Spirit
Pam Fisher struggled with the emotional toll of her breast cancer diagnosis and treatment, until her doctor connected her with a psychologist.
Published on Feb. 3, 2026
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Pam Fisher, a pharmaceutical executive, was determined to get through her breast cancer diagnosis and treatment the same way she tackled any other challenge. But when she returned to work after her medical leave, she felt adrift, overwhelmed, and unsettled. Her oncologist, Dr. Ramy Sedhom, recognized her emotional struggle and recommended she speak with a psychologist at the new Psychosocial Oncology Clinic, which provides counseling at no cost to patients. Though Fisher was initially hesitant, Dr. Sedhom insisted, and the support helped her heal both mentally and physically.
Why it matters
This story highlights the importance of addressing the mental and emotional well-being of cancer patients, in addition to their physical treatment. Many cancer patients struggle with the psychological impact of their diagnosis and treatment, but don't always seek the support they need. By integrating mental health services into cancer care, doctors can help patients like Pam Fisher navigate the emotional challenges and improve their overall recovery.
The details
Pam Fisher, a pharmaceutical executive, was determined to get through her breast cancer diagnosis and treatment the same way she tackled any other challenge. But when she returned to work after her medical leave, she felt adrift, overwhelmed, and unsettled - unsure if it was an existential crisis or the sudden loss of estrogen from her medication. Her oncologist, Dr. Ramy Sedhom, recognized her emotional struggle and recommended she speak with a psychologist at the new Psychosocial Oncology Clinic, which provides counseling at no cost to patients. Though Fisher was initially hesitant, Dr. Sedhom insisted, and the support from psychologist Dr. Kara Buda helped her heal both mentally and physically.
- In the summer of 2024, Pam Fisher returned to work after a medical leave of absence.
- Pam Fisher's breast cancer was diagnosed and treated earlier that year.
The players
Pam Fisher
A pharmaceutical executive who was diagnosed with breast cancer.
Dr. Ramy Sedhom
Pam Fisher's oncologist and the medical director of Oncology and Palliative Care at Penn Medicine Princeton Health.
Dr. Kara Buda
A psychologist on staff at the Psychosocial Oncology Clinic, which provides counseling to cancer patients.
What they’re saying
“How are you doing?”
— Dr. Ramy Sedhom, Oncologist
“It was so powerful for him to ask that question. He was the only person who knew what I had been through.”
— Pam Fisher
“I'm going to get Dr. Buda. Just talk to her.”
— Dr. Ramy Sedhom, Oncologist
What’s next
The Psychosocial Oncology Clinic will continue to provide free counseling and mental health support to cancer patients at Penn Medicine Princeton Health.
The takeaway
This story underscores the importance of integrating mental health services into comprehensive cancer care. By recognizing the emotional toll of a cancer diagnosis and treatment, and connecting patients to specialized support, doctors can help improve the overall well-being and recovery of their patients.
