Returning to work is a big decision and one that cannot be made lightly. The following section can help you make the decision of when and how to return to work, if you so choose. 

Your doctor may recommend waiting until after your 100-day follow-up tests before returning. Blood counts, fatigue levels, and immune function should be discussed with your care team. If needed, discuss strategies for reducing infection risks while at work.

Speak with Your Employer

If returning to a previous job, notify your employer in advance to allow time for reintegration planning.

• Discuss potential adjustments to workload and schedule, including part-time work initially.
• Explain any reintegration challenges such as fatigue, infection risks, or treatment schedules.

Consider These Workplace Factors

FMLA & Job Protection

Check if your position was held under the Family and Medical Leave Act (FMLA) or if you'll return to a comparable role. If the FMLA paperwork was not completed at diagnosis, check with HR about available options.

Treatment Schedule

Many patients begin maintenance therapy after ASCT, which may require IV infusions or regular clinic visits. Determine how treatment may affect your work schedule.

Job Demands & Accommodations

Assess whether you can handle all previous job responsibilities. You may need accommodations like modified duties, a flexible schedule, or remote work. Your oncologist can provide a letter outlining recommended accommodations.

Chemo Brain (Cognitive Fog)

Some patients experience memory issues, trouble concentrating, or mental fog after chemotherapy. This can last up to two years post-ASCT, especially if you are on maintenance therapy. Consider strategies such as task lists, reminders, or adjusted work expectations.

Work Schedule Adjustments

If your previous schedule is too demanding, discuss alternatives with your employer. Consider a phased return, starting part-time and gradually increasing hours.

Disclosure of Medical History

You are not required to disclose your cancer history to an employer.

If applying for a new job, you do not have to mention your diagnosis in applications, interviews, or cover letters. Weigh the pros and cons of disclosing your history based on your workplace environment and support system.

Short-Term Disability

If your immune system remains compromised, you may qualify for seasonal disability leave during high-risk infection periods (e.g., flu season). Work with your care team to determine if this is necessary.

Social Security’s Ticket to Work Program

If you receive Social Security Disability Benefits (SSDI), this program allows for a gradual return to the workforce while maintaining benefits during the transition.

Considering a Career Change?

If you’re looking for a new job, career shift, or self-employment, keep these points in mind:

• Career Counselors can help with job searching, networking, resume updates, and interview coaching.
• Networking is key—reach out to former colleagues, industry groups, and professional associations.
• LinkedIn is a valuable tool for showcasing your experience and making new connections.
• Be cautious about job disclosure—you are not required to mention your cancer history in applications or interviews.

Managing Your Online Reputation

Your digital footprint may include social media posts about your cancer journey, treatment, or fundraising efforts. While these may have provided support during treatment, they could be visible to potential employers.

• Review Privacy Settings – Adjust who can see your social media content.
• Google Yourself – Check what information is publicly available.
• Consider Cleaning Up – Delete or limit access to old posts that you no longer want public.
• Monitor Employer Perception – Consider what hiring managers might find during background checks.

If you believe your medical history has negatively impacted job opportunities, document changes and consult an employment attorney or HR professional if needed.

Returning to work is a major milestone in your post-ASCT journey. Whether you return to a previous job, explore a new career, or transition into part-time work, listen to your body and mind—do not rush the process.

• Prioritize your health over work demands.
• Partner with your employer to create a sustainable work plan.
• Seek guidance from career services, networking groups, or professional associations.
• Explore resources like Cancer and Careers for additional support.

When the time is right, returning to work can be a powerful step forward in rebuilding your life.