I just wanted to tell you that I had a wonderful patient as a consult today. She had a pretty bad prognosis and was a recently diagnosed hepatobiliary cancer patient. Pretty aggressive disease with wild metastasis. From her time of diagnosis to my consult was less than two weeks. But her cancer was advancing at a remarkable pace, and the oncologist was recommending no further chemotherapy if she remained this …
Life can feel full of uncertainty when battling cancer, with few guarantees. “Is there still cancer in my body?” and “Will it come back?” are common questions that have long been difficult to answer confidently until recently. Advances in next-generation sequencing — and a growing understanding of how our bodies respond to illness and treatment — have brought us closer than ever to predicting our individual futures, at least when …
Over 12 months, I rebuilt my practice workflow to solve the problem of inefficient knowledge transfer between me and my patients. Now with a new system incorporating a library of leveraged digital assets I’m saving time and improving patient experience. Here’s how it happened:
“Hey, Picasso! That patient wants to keep your drawing to show her family!”
My secretary shouted down the hall to my office. An elderly patient asked to keep …
It is a seasonally cold fall evening in Long Island, NY, and I am standing in a field in the middle of what should be a darkened park. Still, I am truly amazed by how bright it is lit up by lanterns with different colors demarcating patients, families, and remembrances.
As an oncologist who treats blood cancers, this event, called Light the Night, sponsored by the Leukemia and Lymphoma Society, was …
My older sister, Joy, will soon die from metastatic breast cancer. She will pass away at age 50. She will leave behind a husband of 21 years and the three children they nurtured to young adulthood. Our elderly parents will lament the unnatural timing of their firstborn’s death. And, I will mourn this loss, wondering whether my support of my sister’s spiritual beliefs makes me, as a physician-scientist, an accomplice in her death.
For the …
I understand that the biggest fear you have about going through chemotherapy is losing your hair. I just want to tell you. You will be fine. Trust me.
I know it’s barbaric. Why don’t we have medicines to treat cancer that will not make you lose your hair in this day and age? Strange, right? But science has its limits. Work is being done on finding such …
When I first met her, I perceived she was nervous. I could sense the doctor skepticism. She simply had a negative aura about her. An Eeyore, if you will. A “no” person. A drag.
To my absolute non-surprise, she declined all screenings that a woman of her age is recommended to get. No labs. No pap. No mammogram. No flu shot.
I wondered why she had even come to the doctor.
I think …
I truly believe we’re at the beginning of something great in terms of fundamentally changing how we approach pancreatic cancer, the third leading cause of cancer death in the United States. With a mortality rate of roughly 80 percent, it’s been referred to as a medical emergency, yet minimal progress has been made in its treatment over the past few decades.
In the world of radiation oncology, …
There is an urgent need for innovation in cancer treatments. Although we’ve seen significant progress in indications for drugs treating particular diseases, cancer research data shows that 10-year survival statistics for cancers such as esophageal and lung cancer, for instance, have shown only a 10 percent increase, while pancreatic cancer has shown no significant improvement since the 1970s. The implementation of targeted therapies in cancer treatment is an …
At 84, Emma Shuford found a lump in her breast. After a lumpectomy, she was diagnosed with locally aggressive breast cancer. Her doctors said it was treatable but she needed radiation to help stop it from growing.
At first, she refused. Because of her age and a chronic leg injury, she didn’t feel safe driving to the cancer center. The bus would take 90 minutes each way, and she couldn’t walk …
In many ways, this woman was similar to other patients I have seen after a diagnosis and treatment of breast cancer. Her hair was growing back, and I immediately noticed that she was comfortable enough to not be wearing a wig or head covering for our Zoom visit. I keep my hair very short by choice and I find this …
There are many reasons why you should seek a second opinion. A second opinion can help you:
One study conducted by …
Amidst beeping monitors, I sat holding my mother’s frail hand in mine with tears rolling down my face and an eerie silence within my soul. I was trying to make sense of the last 24 hours.
My mother had migrated to Houston after an early retirement at 55 to spend time with her granddaughter and me. But life had other plans, as she was diagnosed with breast cancer a year into …
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It sounds like a long time, but it really wasn’t. It was actually a very short period of time. My perspective of time changed with this number. I was close to my 9th birthday when my dad passed. He was only 48, and he had been diagnosed with lymphoma only a few years earlier. He passed after losing his battle to cancer. I remember saying my goodbyes in the hospital …
An excerpt from Love Is the Strongest Medicine: Notes from a Cancer Doctor on Connection, Creativity, and Compassion.
For nearly two decades, I’ve been telling my oncology patients, with only a little irony, Welcome to your new normal. There’s no getting around the fact that a cancer diagnosis—for you or someone you love—is life-changing. Sometimes those changes are temporary (even …
There are endless life lessons to learn from people around us. Our friends’ opinions on what they think about a product, a certain cuisine, or how they view life not only gives us a glimpse of who they are, but also can impact our own views. As a doctor, it is always fascinating to me how two patients with the same oncologic diagnosis can have such different views of life: …
We first met about two years ago when she came to see me in my clinic as a new patient. I glanced through her chart and reviewed her scans and pathology reports. She had one of the worst possible kinds of lung cancers, called small cell lung cancer, that had spread to both of her lungs. Her disease was incurable, but I could give her chemotherapy to improve her symptoms …
Before COVID-19, I left the practice of medicine for what would turn out to become an entire year. While away, I found a new way of seeing our hearts and bodies as humans in the medical profession, allowing me to return.
Here are five lessons I learned in the hope they might help others.
1. Perfectionism doesn’t make you perfect
If perfectionism isn’t an unwritten rule in our profession, it’s, at minimum, a …
Being an internist, the day is filled with problem-solving. The problems are often not straightforward and require thinking, rethinking, reevaluating, and reading up and researching before the problem can be solved. However, when a sixth sense, an intuition kicks in that warns us that something needs to be addressed urgently even when we cannot specify or articulate why.
Once I had a patient come in for shortness of breath that is …
It was only my first week in the hospital as a third-year medical student when we met. I entered your room early Tuesday morning. Only knowing your chief concern, I knocked on your door and entered the room. You didn’t complain when I awakened you. You didn’t complain when I asked many questions about a story you had already relayed multiple times to others. You didn’t complain when …
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