Tag Archives: cancer

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N_JoshiNikhil Joshi is a Fellow in Clinical Immunology at the University of Manitoba. He wrote a blog for CBC about his experience with cancer

I was reading about Allergic Bronchopulmonary aspergillosis (ABPA) when it hit me.

Modern Medicine is taking a beating.

A day goes by in clinic. I’ve told three people today that the medications they are taking are keeping them from having uncontrolled asthma or an attack of angioedema and please not to stop them. I’m explaining that the disease is worse than the medications, which we give to children as young as 2. I sigh. I hate this. I scan the news headlines after my dictations are finished. I read about the NDP and Liberal party stances on physician corporations, which will probably lead to financial hardship on new physicians starting practice with entirely crippling levels of debt amid a background of rising overhead and reduced fee schedules. I’m further disheartened.

When did the world care so little about medicine? When did being a physician become so difficult and unrewarding? ...continue reading

Graeme RockerGraeme Rocker is a professor at Dalhousie University in Halifax

Editor’s note: Part I of this series appeared as a Humanities article in CMAJ; parts II , III and IV appeared on CMAJ Blogs.

 

At six months and counting, life has mostly returned to normal, although persistent heaviness in dependent parts still creates intermittent discomfort. A long bicycle ride with insufficient padding had me worrying about Fournier’s gangrene for days. Wearing old lycra with my new contours, I did a brutal number on one upper thigh and side of scrotum. ...continue reading

Kelsall_Diane_01 croppedDiane Kelsall is Deputy Editor at CMAJ, and Editor of CMAJ Open. She's currently attending the 2015 Cancer and Primary Care Research International Network (Ca-PRI) conference, in Aarhus, Denmark.

 

Primary care researchers from around the world have gathered in the Danish city of Aarhus, May 20-22, 2015, to discuss the latest primary care research on cancer. In the context of the rising incidence of cancer, the big question of the conference is: where does primary care fit into this picture? At this conference, the question includes the roles of primary care clinicians, policy makers designing health care systems and primary care researchers.

Dr. Frede Olesen from the host university, Aarhus University, took participants through the complete trajectory of cancer: from prevention, screening, early diagnosis, treatment and care after treatment, and for those patients in which the disease progresses, through palliative care and care of grieving relations. ...continue reading

Walji_Moneeza_01Moneeza Walji is the CMAJ Editorial Fellow 2014–2015

In 2012, there were 14.1 million new cancer cases and 8.2 million cancer deaths. Of those, 65% were in the developing world. Yet despite this large toll, the world still does not have a global body to coordinate cancer prevention and management efforts.

On Wednesday, March 25, the National Cancer Institute’s Center for Global Health hosted the Symposium on Global Cancer Research, bringing together leaders to speak about issues at the intersection of global health and cancer. ...continue reading

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Peggy_newPeggy Cumming, is a wife, mother, grandmother of 6, sister, niece, cousin and friend, as well as a teacher - retired after 34 years in the classroom - and an athlete.  She is now recovering from thoracic surgery and undergoing chemotherapy.

 

In the decade of my 60s I had fantastic opportunities for adventurous challenges. I climbed mountains, bicycled in Europe, swam lakes and seas, and enjoyed week-long hikes. Doors also opened for Masters’ competitions: local summer and winter triathlons, 10 k road races, National Swim Meets and International Dragon Boat races.

All of these challenges demanded physical training and power from my body. During that decade, my athletic participation, and hours in the gym, enabled me to increase my strength and stamina. Through determination and dedication to improve my fitness, my body never let me down. Every year I was curious to see how far I could push my coaches’ training demands, and every year I was thrilled to feel increased strength and to be injury-free. My fitness enhanced my sense of well-being and empowerment.

As a Master’s Athlete, I learned about driving my exhausted body ...continue reading

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Peggy_newPeggy Cumming, is a wife, mother, grandmother of 6, sister, niece, cousin and friend, as well as a teacher - retired after 34 years in the classroom - and an athlete.  She is now recovering from thoracic surgery and undergoing chemotherapy.

 

My kind and generous friend, Gary, lives on the bank of the Gatineau River, looking half a kilometre across the water to the rolling Gatineau Hills on the other side. All summer he welcomes me to paddle his boats, especially his Outrigger Canoe (OC). On land, this boat looks cumbersome and awkward, but once launched, its pencil-like hull makes it a sleek and responsive craft. Last July, on the day that I was diagnosed with ‘highly suspicious tumours’, Gary helped me put the OC in the river and I paddled downstream to where the river widens even more, and in the vast solitude of open water and endless sky I wailed and raged at the universe, seeking guidance, grace and the courage to begin the next cancer detour in my life.

Now, nearing the end of February, I am half way through my chemo. The Chemotherapy Treatment Centre at ...continue reading

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Peggy_newPeggy Cumming, is a wife, mother, grandmother of 6, sister, niece, cousin and friend, as well as a teacher - retired after 34 years in the classroom - and an athlete.  She is now recovering from thoracic surgery and undergoing chemotherapy.

 

For years, I have proudly worn my swim club team T-shirt. The slogan on the front reads:

You don’t stop swimming because you get old,

You get old because you stop swimming!

In early January, as I was pulling into the Ottawa Y parking lot for swim practice, the radio announcer said, “For your morning commute, the time is 6:15, and the temperature is -27.”

I wasn’t alone in the pool that morning – there were 15 of us, and another twenty at the later practice. As usual, we moaned to our coach about a kick-set that is too long, and groaned about too many 100 IMs. But the brief bantering is part of the culture, part of the fun, and the coach takes it with a smile. Four mornings a week, for 22 years, I have been going to the National Capital Region Y Masters Swim Practice to start my day. Some of the swimmers who founded the club 34 years ago are still swimming; others devotees have joined more recently. One is an octogenarian. ...continue reading

Peggy_newPeggy Cumming, is a wife, mother, grandmother of 6, sister, niece, cousin and friend, as well as a teacher - retired after 34 years in the classroom - and an athlete.  She is now recovering from thoracic surgery.

 

Several years ago I was at a café on Bank Street in Ottawa with two friends - Sarah, my long-time neighbour, and Amy, a breast cancer survivor, a ‘Pink Friend’. Our conversation drifted to memories of New Year’s Eve at the Millennium. Sarah reminisced about her New Year’s wedding, at which I was a guest. She remembered glowing candles in the church, twinkling fairy lights, her husband’s tuxedo, and her ball gown. Amy paused for a moment, and then contributed, “I remember that night; that’s the night my hair fell out!” Amy stated the bare fact, leaving the emotional content for me to paint for myself.

The re-telling of this story always produces laughter, although I only tell it in sensitive circumstances. But I remember that conversation for many reasons. I am not a philosopher, and thousands before me have poured their energy into the question of random universal events. But I do wonder if the Universe has a Poker Dealer who randomly flips down cards for the day: today – joy for you, and despair for you! ...continue reading

Peggy_newPeggy Cumming, is a wife, mother, grandmother of 6, sister, niece, cousin and friend, as well as a teacher - retired after 34 years in the classroom - and an athlete.
 

I soon discovered that, "You have highly suspicious nodules”, also means, “You will have many appointments!”

"Don’t make any travel plans for the next 3 – 6 months," said my GP as he put my name into The System. The phone began to ring - MRI, PET scan, Nuclear Medicine, biopsy - to a total of ten schedules for scans, biopsies and doctors. My calendar became peppered with appointments.

One appointment was to see a Respiratory Specialist at the Cancer Assessment Centre at the General Campus of the Ottawa Hospital. I often walk or bike past the hospital, and have visited patients from time-to-time. But it has been nearly 22 years since I was a patient there, with a broken leg. Since then, I have grown to have confidence in my health. But, there I was, on the elevator, approaching the Cancer Assessment Centre.

I was trying to be very casual and nonchalant, pretending that I was going for a coffee at Bridgehead. After all, I didn’t really have cancer; I only had a ‘suspicion’, and Denial was a very comfortable place to be! But when I exited the elevator and saw the Big Lettering, CANCER ASSESSMENT CENTRE, some confidence slipped and my nonchalant attitude wobbled. ...continue reading

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Peggy Cumming, is a wife, mother, grandmother of 6, sister, niece, cousin and friend, as well as a teacher - retired after 34 years in the classroom - and an athlete.
 

In 1985, when I was diagnosed with breast cancer, the disease was private and hushed. Other than a campaign for SBE (Self Breast Exam) there was no publicity or awareness. Feeling ashamed and embarrassed, and thinking that I had somehow caused this, I kept my diagnosis secret and silent from all but a very few close friends. After my treatment, my fears and feelings were repressed and locked, and I got on with my life, my family, my career and my health.

Twelve years later, I was one of the founding members of the Busting Out dragon boat program, and suddenly I was surrounded by other survivors and the steadily growing ‘Pink Ribbon Culture’! I found kindred sisters in these women, and my deeply secreted feelings found an outlet and an expression. My silence was broken, and relief came flooding in.

This year, when I finally accepted the ‘highly suspicious for Lung Cancer' report, I realized that I would not, and could not, be secret and silent about my disease. Learning from experience, I was concerned for my mental health as much as for my physical health ...continue reading