Dr. Andre Williams seated during a breast cancer consultation at Teshuva Wellness, Montego Bay
BREAST CANCER CONSULTATION · TESHUVA WELLNESS

Breast Cancer Consultation in Montego Bay, Jamaica

Get physician-led guidance on your diagnosis, treatment recommendations, second opinions, supportive care and the questions you still need answered.

Dr. Andre Williams · Physician · Integrative OncologyIn-person in Montego Bay & Virtual by Zoom
When the questions start

A breast cancer diagnosis can make every decision feel urgent at once.

You may already have a pathology report, scan results or a proposed treatment plan — and still be trying to understand what the findings mean or why a particular treatment has been recommended.

What type of breast cancer is it?

What stage is it?

What do ER, PR and HER2 mean?

Do I need surgery first?

Will I need chemotherapy or radiation?

Should I get another opinion?

Could treatment affect fertility or menopause?

Can nutrition or complementary care fit safely alongside treatment?

You do not need to understand all of this before you book. That is what the consultation is for.

Start with what is already known

Your pathology report tells an important part of the story.

Dr. Andre Williams reviewing a breast pathology report with a patient at Teshuva Wellness

The consultation starts with the information you already have — not with a pre-selected treatment. Dr. Andre may review:

  • Tumour type
  • Tumour grade
  • Stage
  • ER status
  • PR status
  • HER2 status
  • Lymph-node findings
  • Imaging & margins
  • Genomic testing where relevant
  • Current treatment recommendations

Understand the report. Then talk about the options.

Where clarity helps

What decisions are you trying to make?

01

Your diagnosis

What the pathology and imaging suggest — and what information may still be missing.

Understand what the tumour type, grade and stage actually describe, and whether any further testing or information is needed before a clear decision can be made.

02

Surgery

Questions around breast-conserving surgery, mastectomy, lymph-node surgery and reconstruction where relevant.

Walk through what each surgical option is meant to do, how it fits your individual case, and what questions are worth asking your surgeon before deciding.

03

Systemic treatment

Why chemotherapy, endocrine therapy, targeted therapy or other systemic treatments may be recommended depending on the cancer.

Explore the reasoning behind a systemic treatment recommendation — what it is meant to address, and how it fits with the rest of your plan.

04

Radiation

Why radiation may or may not form part of the treatment plan depending on the situation.

Understand when radiation tends to be recommended, when it may not be, and what the decision depends on in your individual case.

Dr. Andre Williams reviewing reports during a breast cancer consultation at Teshuva Wellness

Still trying to make sense of the treatment plan?

Bring the reports you have. You do not need to organise everything perfectly before the consultation.

A common source of confusion

What do ER, PR and HER2 actually mean?

Diagram explaining ER, PR and HER2 receptor status in breast cancer

These markers help describe how the cancer behaves and may influence treatment choices. ER and PR show whether the cancer is driven by oestrogen or progesterone receptors — which can open the door to hormone-blocking (endocrine) therapy. HER2 describes a protein that some breast cancers produce in excess, which shapes whether a targeted treatment is relevant.

A “triple-negative” result means none of these three markers are present — not that the cancer is worse, just that the treatment path is different. Understanding your own receptor profile is one of the clearest ways to make sense of why a particular treatment was recommended.

These markers are read alongside stage, grade and your full picture — never in isolation.

More than medical

Some treatment decisions are medical. Others are deeply personal too.

Dr. Andre Williams discussing treatment and personal decisions during a breast cancer consultation at Teshuva Wellness

Decisions around breast-conserving surgery, mastectomy, reconstruction, body image and wellbeing carry both medical and personal considerations. There is rarely a single “right” answer — only the answer that fits you, your situation and what matters most to you.

A consultation is space to understand the medical side clearly, ask the personal questions that are hard to ask in a rushed appointment, and feel more settled about the direction you choose — whatever that direction is.

Ask before treatment where possible

If fertility or early menopause matters to you, ask before treatment where possible.

Dr. Andre Williams discussing treatment and supportive care during a breast cancer consultation at Teshuva Wellness

Some breast cancer treatments can affect fertility, ovarian function, menstrual cycles and menopause symptoms — and how much depends on age and the treatment involved. These are reasonable things to want to understand before starting.

Asking early matters even when the answers are uncertain. Depending on your individual case, fertility-preserving options may sometimes be relevant to discuss before treatment begins.

No fertility outcome can be guaranteed. The aim is to ask the right questions at the right time, with honest guidance about what is and isn’t possible.

When you want to review the plan

You can understand the recommendation before you commit to it.

Dr. Andre Williams reviewing a treatment plan and mammogram reports with a patient at Teshuva Wellness

A second medical perspective helps clarify what the recommendation is based upon:

  • What has been recommended
  • Why it was recommended
  • What questions remain
  • Whether additional information is needed
  • What alternatives may be worth discussing
  • How to prepare for your surgeon visit

A second opinion does not mean the original plan is wrong. Most of the time it simply adds confidence and peace of mind to the path you choose.

Dr. Andre Williams, physician and integrative oncologist at Teshuva Wellness
Your physician

Cancer care is where Dr. Andre’s medical career began.

Dr. Andre Williams is a physician with postgraduate training in haematology and an oncology background. After years as a consultant in haematology and oncology, he pursued further international study in nutrition and selected complementary approaches. Today his practice at Teshuva Wellness brings that conventional oncology foundation together with integrative care — so breast cancer decisions are understood in full, not in fragments.

Medicine→
Haematology→
Oncology→
Integrative Oncology
Beyond the cancer

What if you also want to discuss nutrition or complementary care?

Patient and healthcare provider discussing nutrition, supportive care and treatment plan at Teshuva Wellness

Many people want to care for the whole of themselves during treatment. These conversations can be part of your consultation:

Nutrition & gut healthEvidence-based supplementsFatigue & energyTreatment side effectsSymptom supportSafe complementary care

These discussions always consider your current treatment, medication interactions, safety and the evidence behind each approach — never replacing appropriate breast cancer treatment.

The consultation

What happens when you sit down with Dr. Andre?

Dr. Andre Williams during a breast cancer consultation at Teshuva Wellness
1

Listen

Start with the diagnosis, the reports and the questions you are carrying.

2

Review

Pathology, imaging, medications and current treatment recommendations.

3

Clarify

Identify what is still unclear or what decision needs to be made.

4

Discuss

Consider the relevant options, limitations and supportive approaches.

5

Next Step

Agree on what makes sense from here.

You don’t need to know which treatment you need.

Patient seated holding breast cancer reports and mammogram films before consultation at Teshuva Wellness

Start with the diagnosis, the reports and the decisions you are trying to understand.

After treatment begins

The questions do not always stop once treatment begins.

Patient writing notes comfortably during cancer recovery and supportive care at Teshuva Wellness

Once treatment is underway, new questions can surface — around energy, side effects, recovery and what comes after. These are normal, and they can be discussed honestly:

Fatigue & recoveryTreatment side effectsNutrition & gut supportMenopause symptomsSexual wellbeingEmotional adjustmentSurveillance and follow-up

No outcome can be promised. The aim is practical, honest support for where you actually are — during treatment and into recovery.

Inside Teshuva

Care happens in a real place, with real people.

Dr. Andre Williams, Physician
Dr. Andre Williams, Physician
Neisha Williams, RN
Neisha Williams, RN
Inside the consultation room
Inside the consultation room
Teshuva Wellness clinic, Montego Bay
Teshuva Wellness clinic, Montego Bay
Not ready to book yet?

Take the right questions with you.

Questions to Bring to Your Breast Cancer Appointment. A simple checklist to help you organise the questions you may want to discuss with your cancer-care team.

No referral needed. In-person in Montego Bay or by Zoom.

Before you book

Questions people ask before a breast cancer consultation.

Bring any pathology reports, biopsy results, imaging (mammogram, ultrasound, MRI), blood work, a list of current medications, and your written questions. If you have a proposed treatment plan, bring that too. The more complete your records, the more thorough the review.
Visit us

Visit Teshuva Wellness in Montego Bay.

Teshuva Wellness

Shop 7A, Sagicor Commercial Centre
Howard Cooke Boulevard
Montego Bay, Jamaica

(876) 787-8197

Monday – Friday: 9:00 AM – 5:00 PM

Dr. Andre Williams in consultation at Teshuva Wellness

You do not have to understand everything before you ask for help.

Bring the reports, the treatment plan and the questions you are carrying. In person in Montego Bay or virtually by Zoom.

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