Category: Oncology/Hematology

A nurse comes face to face with her son’s serious illness

Prior to my 10-year-old son being diagnosed with leukemia, I worked as a diabetes nurse educator at a local hospital. I had been an RN for over 15 years and was able to balance home life with work; I loved educating patients on how to deal with their d…

When Medicare stops covering a test without warning

There are two versions of “the conversation” we have with men: One is for teenage boys, and it is about wet dreams, sexually transmitted disease, unwanted pregnancy and at one point also about testicular self-examinations. Those have now been edited ou…

Convincing patients to stop cancer screening isn’t always easy

During my training to become a primary care physician, the importance of preventive cancer screening was ingrained in me. The idea of catching cancer at an early stage so we can better treat it made intuitive sense. But as I’ve learned over the years, …

What is low-value care, and why does it matter?

Doctors and policy wonks hear a lot these days about “low-value care.” What exactly is that, and should you care? The term refers to tests, medications, and procedures that add little to a patient’s health or well-being but which cost them or the syste…

A letter before the yearly checkup

Hey there, Dr. Brown. Just wanted to send a little note to warn you that I’m coming to see you soon for my yearly “checkup.” You and I both know that this is my annual opportunity to spew all of my worries on you and for you to reassure me that I’m not…

To first-generation college pre-medical students: Your future patients need you

Being a first-generation college student is hard. Being a first-generation college student and being pre-med is even harder. And since education and income are closely linked in the U.S., it’s no surprise that many first-generation college studen…

Alternative cancer therapies and the promise of false hope

How do you respond when patients with a good prognosis want to delay chemotherapy to try an anticancer diet for a few months or visit an unregulated clinic for unproven therapies? I’m asking because of an alarming finding of ASCO’s 2018 National Cancer…

A fatal diagnosis doesn’t mean life is finished

An excerpt from What Does It Feel Like to Die?: Inspiring New Insights into the Experience of Dying. People who are diagnosed with a fatal disease sometimes do more than cope. They grow. They repair or strengthen relationships. They find a deeper spiri…

A hidden cancer success story: declining deaths from melanoma

Here is some news about cancer that isn’t widely known and is hiding in plain sight: Deaths from melanoma — a skin cancer that has lethal potential — have declined dramatically over the past several years. And while that fact alone is surpr…

When colon cancer is diagnosed, it’s also a difficult day for the gastroenterologist

Exercising good judgment can mean the difference between life or death. Life can be unforgiving of the choices we make. As we all know, many life events are beyond our control and understanding. But, there is much we can do to shape our paths to a brig…