October 02, 2014
It's October and that means we are about to see a lot of pink for the next 31 days. And virtually all of the work comes down to one simple -some might say overly simple-message: get a mammogram.
But as National Breast Cancer Awareness Month (NBCAM), begins, I find myself one again asking some difficult questions: Are we really looking at the right side of the equation? Is it all about mammograms? Is there more to the story? The answer is absolutely unequivocal and without a moments hesitation: YES! More...
September 30, 2014
I had an interesting day this past week. Sadly, it left me wondering why the same "hope and hype" directed at cancer patients and their families decades ago when I started my oncology career was still alive and well today. But then, maybe I am the naïve one to think that anything should have really changed.
In the morning I found out that a story I had been interviewed for a story which appeared on the Kaiser Health News website. A discussion about proton beam therapy for cancer (PBT), it basically pointed out that insurers aren't necessarily paying for the treatment and that the information supporting its use is not as definitive as some would hope or claim.
Not long after, I was informed of an online discussion on Twitter (called a "tweet chat" at #protonbeam) being hosted by a major medical institution and a well-known weekly newsmagazine on the very topic of proton beam therapy, or PBT. What I watched unfold over the hour-long discussion was what I call a "scrum" of doctors and public relations people promoting proton beam therapy as the answer to many cancer treatment dilemmas with nary a word about the limitations of our knowledge or potential problems with the treatment. It was all about "we can do it, call us and we will tell you how good we are, and insurers won't pay us." Simply stated, the "conversation" seemed to be glancing by some of the inconvenient facts surrounding what has become another poster story for how we develop and promote new treatments in medicine, let alone cancer care. More...
August 07, 2014
We have lost a hero. A true hero. Not one whose name would be on the tip of everyone's tongue or whose passing would be on nationwide news, but a hero nonetheless. We have lost a man who possibly had more influence on the lives of cancer patients and advances in cancer than most of us will ever realize.
Gordon (Gordy) Klatt, MD died this week. A colorectal surgeon who lived in Tacoma, Washington, Dr. Klatt died from the very disease which he did so much to eradicate. And even while ill, he contributed time and effort tirelessly to the American Cancer Society and the very volunteers-like himself-who do so much to reduce the burden and suffering from cancer for so many.
Dr. Klatt is a hero because almost 30 years ago he had an idea and he acted on it. He decided to walk around a track for 24 hours to raise money for cancer care and cancer research. He was the founder and inspiration of the American Cancer Society's signature "Relay For Life," which has spread not only throughout the United States but now is found throughout the world.
If you ever wake up one day and say, "I have an idea," then become discouraged as you try to enable your dream, please don't ever forget Dr. Klatt. He had an idea, and his idea enabled the Society to raise the funds needed to meet cancer head on through research, education, advocacy, and service. That money has done more to support cancer patients and their families, advance cancer research and treatment, and improve the quality of life of cancer patients than you can ever imagine. More...
July 31, 2014
(Note: This blog was originally published on another American Cancer Society website on July 29 because of technical problems on this site. Those have now been resolved and it is now reposted here. We appreciate your understanding.)
That was the core message that came out of the introduction Tuesday morning of the Surgeon General's Call to Action to Prevent Skin Cancer at a meeting held at the National Press Club in Washington DC.
There were some other messages that now raise skin cancer awareness and prevention high on the public health awareness list, such as the fact that over 5 million people every year have a diagnosis of skin cancer (and many have more than one skin cancer), and that we are spending over $8 billion dollars treating the disease. But most important is the fact that this is one of the most preventable cancers, and if current trends are any indication we are not getting the job done when it comes to decreasing the number of skin cancers and saving lives. More...
June 17, 2014
This past week I had the privilege of participating in a meeting hosted by the President's Cancer Panel on the role of social media in improving cancer control and treatment. The goal was to give advice to the Panel on a planned series of meetings they will be convening to discuss the topic. It was the range and quality of the discussion that day that left me thinking about the broader topic of social media and how it could help improve cancer control going forward. More...
June 04, 2014
It was the picture (see below) that, to me, said it all: a 96 year old woman -- one of the first patients in the world to receive a brand new cancer drug--, and a large tumor on her neck had melted completely away. But it was the smile on her lips that you couldn't avoid noticing. More...
May 31, 2014
At the annual meeting of the American Society of Clinical Oncology (ASCO) here in Chicago, something vitally important is happening: there is an increasing recognition of something no one really wanted to talk about in polite company until now. It is the fact that the costs of many of the new treatments being developed are extraordinary.
The headlines about cost and value of cancer care greeted me when I walked into the McCormick Center in Chicago for the opening sessions of the meeting. This is the leading cancer meeting in the world, and what happens here makes news worldwide, significantly impacting the lives of patients with cancer wherever they may be.
Now there is an increasing recognition of the elephant in the room: the costs of these new treatments are extraordinary. No matter how one chooses to slice and dice the arguments, these drugs are expensive with costs per month of $8000 and upwards getting a lot of attention and increasing concerns, especially at this meeting. More...
May 29, 2014
In what has to be considered a major victory for those concerned about the proliferating use and risks of tanning beds, the Food and Drug Administration this week issued a final rule requiring devices used for indoor tanning to meet very specific requirements before they can be marketed to the public. And in what is probably an even more important part of the rule, they now instruct those who market tanning devices to consumers to warn them clearly about the very real and serious risks of indoor tanning. More...
May 22, 2014
"Don't Fry Day," which we "celebrate" every year on the Friday before Memorial Day is an annual reminder to be good to the skin you're in. It's the only one you get. Wear it out or damage it and you don't get to replace it, like we do with heart valves, knees, hips, and so on.
This year Don't Fry Day is even more personal to me. After hounding all of you to be careful in the sun, I got a very personal reminder this past year of why that's important: two surgeries and two scars from removing skin cancers. One of those scars is pretty visible and a daily reminder of my own past unwise sun behavior. Like many folks, I'm glad the cancer is gone. But I also wish it hadn't been there in the first place.
The reality is that my generation had very little knowledge and very few options when it came to avoiding the dangers of too much sun exposure. We went outdoors, we went to the beach, we didn't have sunscreen, and we just lay there and took it. We thought we looked good. If we worked outdoors--like I did when I was in high school and college--we took our sunburn "lumps" early in the season then "built" a tan over the rest of the summer.
The rewards for our behavior? It certainly wasn't better health. We now have aging skin, with sunspots, wrinkles, and cancers to show for our efforts. And, unfortunately, we have also lost many friends, family, and others to serious skin cancers, such as melanoma. More...
May 11, 2014
My wife and I did something special this past Friday evening. We attended a Relay for Life in our hometown of Thomasville GA. And the memories of the event will not be soon forgotten, for so many reasons. More...