As we move into what many who have been through breast cancer would call the dreaded sea of pink, also known as "breast cancer awareness month," or "pink-tober," it is important to acknowledge that we are all well aware. While the focus of these awareness campaigns was once crucially important, it is now outdated. What we need to do is raise awareness of the reality of metastatic breast cancer, which occurs when the cancer leaves the breast and spreads throughout the body. This is the ONLY type of breast cancer that claims lives- approximately 114 lives per day in the US alone.