Category: Oncology/Hematology

Is cancer truly the enemy? 

Cancer is the enemy.   So, our immediate desire is to get rid of it, throw it away, and never hear from it again.  Current therapies that require living tissue are proving that false.   We know that your living tumor tissue is like your fingerprint, unique to each individual patient.  It contains information specific to you, […]

There’s no textbook for when your father is dying

On my first day of medical school, my father, a dentist, told me he’d just been diagnosed with stage four pancreatic cancer. Cancer had crept back into my life — except this time not into my body. At age 12, I was diagnosed with brain cancer. After an aggressive surgery, I was tumor-free for 10 […]

When breast cancer screening guidelines conflict: Some patients face real consequences

Are my breast cancer and I on the wrong side of statistics, or just caught in the confusing and potentially devastating conflict between medical societies about when women should start breast-cancer screening? One morning more than a year ago, it didn’t seem like either. As both of my kids cuddled in bed with my husband […]

Prostate cancer screening campaigns are giving men the finger

Fifty years ago, in a golden moment of television comedy shows, Rowan & Martin’s Laugh-In program regularly featured “The Flying Fickle Finger of Fate” award.  Wikipedia says it “recognized actual dubious achievements by public individuals or institutions.” Do a Google search.  You’ll quickly see how popular this award became. Yes, I’m dating myself by going […]

The key to this patient? Horseshoes.

“Those who suffer illness learn by hearing themselves tell their stories, absorbing others’ reactions, and experiencing their stories being shared.” – Arthur Frank We stand together at the clinic room door, preparing to enter. “Tongue cancer. This is a 78-year-old man with an oral cavity mass and some memory loss. He had an ulcer on […]

What my mother needs is a daughter, not a doctor

My mom was recently diagnosed with cancer. I can’t even begin to describe the shock I felt or how my heart just sank. In an otherwise healthy person with no family history, this is not something you ever expect to happen. My mind immediately jumped to so many different conclusions, and I immediately wanted answers. […]

Dealing with prejudice as a cancer patient

I sat in seat 23F next to the window, took out my leftover dinner from my backpack, and furiously started eating. A few minutes later, a man wearing an Astros baseball cap sat next to me with a puzzled look. “You sure look hungry.” “I am, can’t beat fried noodles with chicken. My name’s T.J. […]

MKSAP: 56-year-old man with painless intermittent bloody urine

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 56-year-old man is evaluated for painless intermittent bloody urine of 6 weeks’ duration. History is significant for granulomatosis with polyangiitis (formerly known as Wegener granulomatosis) diagnosed 10 years ago, which is now in remission; he was treated with prednisone for […]

MKSAP: 56-year-old man with painless intermittent bloody urine

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 56-year-old man is evaluated for painless intermittent bloody urine of 6 weeks’ duration. History is significant for granulomatosis with polyangiitis (formerly known as Wegener granulomatosis) diagnosed 10 years ago, which is now in remission; he was treated with prednisone for […]

A breakdown of your pathology report

I’m a pathologist and the main way I communicate to the outside world — to your doctor and ultimately to you, the patient is via the pathology report. But the short missives I send from behind the microscope lack any excitement and can fall short of full communication. Here’s the usual story: Skin left scapula, […]