For Know Stage IV, Valerie Roybal writes about making the most of the time she has, including embracing her inner artist.

For Know Stage IV, Anise Smith writes about how metastatic breast cancer forced her to stop working and upended her finances and her sense of purpose.

For Know Stage IV, Christine Hodgdon writes about the “messy process” of accepting the many new identities that became part of her life after she was diagnosed with cancer.

For Know Stage IV, Danita Jones writes about detours, facing her family history of breast cancer, correcting preconceived ideas about metastatic breast cancer, and choosing to be happy.

For Know Stage IV, Dorothy Devine writes about living with gratitude and hope.

For Know Stage IV, Janice Cowden writes about how her breast cancer experience changed from her early-stage diagnosis to her metastatic diagnosis, and how her oncologist started treating her differently.

For Know Stage IV, Katherine O'Brien tells us what she's learned during her 8 years of advocacy work.

For Know Stage IV, Kirby Lewis writes about the multiple “birthdays” he celebrates, including the anniversaries of milestones in his breast cancer treatment.

For Know Stage IV, Kristen Kilmer writes about the “world of loss” that those in the metastatic breast cancer community face, and honors members of the 2017 class of Hear My Voice Outreach Volunteer who have died this year.

For Know Stage IV, Martha Carlson writes about life as a sick person who doesn’t look sick.