In her memoir, Hear Me Out, published this past March, Sarah revealed that due to the coronavirus pandemic, she put off going to the doctor when her symptoms—breast pain—first began. According to an excerpt published by The Times, she wrote that amid her treatment, she contracted sepsis, was put into an induced coma for almost two weeks, and later underwent a mastectomy. Later, an MRI revealed that her cancer had spread. Sarah said that in December 2020, her doctor told her that the upcoming Christmas would probably be her last.
The singer said she initially did not want to speak out about her diagnosis, also hoped that she could help others. "There had been so much reporting on the news about people missing out on check-ups during Covid lockdown," she wrote in her memoir. "People who had left a cancer diagnosis until it might be too late. Maybe if I spoke out, as a public figure, a celebrity, it could help get the message across how important it is to get checked out if you have concerns."
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