'Cancer Surgery' posts
The question caught me off guard for a moment, then its meaning sunk in. She was really saying, “Cancer is serious stuff, my breast has been cut on and radiated, and you’ve given me cancer fighting poisons in my veins. My hair has fallen out, food tastes funny, and I’m on a first name basis with the muzak at my insurance company. I’ve done my crying, but is it appropriate to laugh at it all?”
I remembered back to an intimidating nurse critiquing a tape of my very first patient interview during my second month of medical school. Her eyes were sharp and piercing and her brow furrowed as she watched the tape. Half way through she stopped it, turned it off, and said, “You are flippant…. I don’t much care for it.” My heart sank, and then she continued without a smile, but with a twinkle in her eyes, “but it works for you, so don’t mind me and keep on doing it.”
I believe that humor is therapeutic. Of course, that is not a new idea. The saying, “laughter is the best medicine” did not originate with Readers Digest. The biblical record states, “A merry heart does good like medicine, but a broken spirit drieth bones” (Proverbs 17:22). I don’t know that a merry heart will add time to a cancer patient’s life, but I know that it will add life to the time that they have.
We don’t know a lot about the physiological effects of humor. It does ....
In these eight-week groups you will have the opportunity to:
- Make peace with the impact of cancer treatment
- Reduce the stress cancer places on relationships
- Overcome the fear of recurrence
- Renew hope and increase resilience
A diagnosis of breast cancer sets into motion a whirlwind of appointments, tests, surgeries and possibly chemotherapy and radiation treatment. A new study reviewed the timeline between surgery and initiating chemotherapy for different subtypes of breast cancer and found a survival advantage when chemotherapy was initiated within 30 days of surgery. Although treating within the 30-60 post-surgical window did not show a statistically significant survival advantage, there is a trend towards better outcomes. Exceeding 60 days post treatment had a negative impact on survival. The clinical impact of timing is most relevant for patients with stage II and III breast cancer, triple negative breast cancer and HER2-positive tumors.
Treatment for breast cancer can be exhausting and take a toll on the physical health of patients as treatment ends and they begin post-treatment life. Cancer survivors are at an increased risk of poor health, depression and physical disability. Approximately one third ...
I recently attended the Southwest Oncology Group (SWOG) meeting, a consortium of research institutions doing clinical trials on cancer. The conference highlighted how new research will remarkably affect cancer survivorship, quality of life (QOL), integrative care and our ability to predict and provide needed services more accurately and with greater cost effectiveness for cancer survivors. The tools for implementing cancer control are evolving quickly.
Here are some highlights from the meeting:
- Biomarkers, which are any human characteristics that are measurable including everything from gene expression (or over-expression) to pain surveys, can potentially predict long term survival as well as the specific services that will most benefit patients.
- Symptoms that are increasingly predictable by biomarker assays include fatigue, insomnia, pain, anorexia, nausea, depression and others. This means that we will soon be able to better predict the patients who will be affected by these problems and deliver interventions much earlier and more effectively.
- Patient satisfaction is frequently not related to treatment outcome. Factors such as QOL and survivorship are important.
- Lung cancer patients suffer inordinately high, long-term QOL deficits. Many of these respond well to interventions but interventions are frequently not provided to patients with lung cancer.
- Symptom clusters ...
In the fall of 2011, Swedish opened the largest, most advanced endoscopy center in the Pacific Northwest. This state-of-the-art unit serves as the procedural space for a broad range of minimally invasive cases performed by gastroenterologists, colorectal specialists, thoracic and bariatric surgeons and pulmonologists on patients with a broad range of digestive and respiratory diseases. As we celebrated this accomplishment, we were reminded of the complexity of digestive disease and that many times, patients and possibly even referring physicians aren’t sure of what type of specialist is best suited to a particular digestive problem.
There is nothing more distressing as a health care professional than hearing patient horror stories about trying to access care. A chronic illness can cause depression and discouragement; an acute illness or a cancer diagnosis can overwhelm the patient and the patient’s family with plenty of unknowns.
To address these challenges, a group of 50+ specialists came together and created the Swedish Digestive Health Network.
The Swedish Digestive Health Network focuses on collaboration to ease the way for ...
“What happens if my insurance won’t pay for all of this treatment?”
“How do I tell my young daughter about my cancer?”
“My spouse is really struggling, but I don’t know how to help him.”
“How will I get to radiation every day if I can’t drive?”
“My friends and family call a lot, but I don’t feel like talking to them”
“I’m scared.” “I’m angry” “I’m sad” “I’m confused”
“What’s a power of attorney…and do I need one?”
“Where can I find out about a support group? ”
“I wish I knew where to turn.”
If you are faced with a diagnosis of cancer, you may be asking similar questions and wondering where to turn for answers. A good place to start is with an oncology social worker. Oncology social workers assist with the non-medical issues that often arise when someone is diagnosed with cancer. We have master’s degrees in social work, and are specially trained to provide counseling and assistance with services that can reduce stress for you and your family through all phases of your cancer diagnosis and treatment. Social work services are available at the Swedish Cancer Institute at our First Hill, Edmonds, and Issaquah campuses, and are provided at no cost to our patients.
We can help you:
Thrive Through Cancer is a non-profit organization that helps young adults with cancer and their caregivers find hope and thrive. Through support groups, social events and community forums, Thrive Through Cancer aims to engage young adult community members by providing support and resources during their fight against cancer.
On June 20, 2013 Thrive Through Cancer will host a social event for young adults, their families, friends and caregivers at the Swedish Cancer Institute: Chemo-Con!
Come meet Rose Egge, founder of Thrive Through Cancer, and join us for two educational and interactive workshops focused on issues commonly experienced by young adults affected by cancer.
- Join Registered Dietician Julie Herbst for a conversation about healthy eating, maximizing nutritional intake and managing symptoms with foods. Recipe and sampling provided.
- Jacci Thompson-Dodd, MA, MSSS will host a discussion about intimacy and cancer, and can help answer any questions you may have.
You will also have the opportunity to learn more about community partners, resources and services available in areas near you from the following organizations: