Dionna Koval had a family history of breast cancer, so she was diligent about getting regular mammograms. But at age 42, only months after her most recent normal mammogram, severe rib pain led her to the doctor. There, she received a shocking diagnosis: metastatic breast cancer. While cancer changed Dionna’s life dramatically, her positive attitude has helped her move forward despite her uncertain future. Here are some of her top pieces of advice for others facing metastatic breast cancer.