40 Burst results for "Cancer"
Fresh update on "cancer" discussed on Rutgers
"And this is a woman who wants only our treatment. No surgery, no chemo. And we asked her to get staged up. Got a pet scan? I saw her. This is someone by the way, saw untreated, too. Three years ago. Two years ago, she came to me wanting radiosurgery on ly for the breast. She didn't want someone to slice up right breast like they sliced up her left breast. Shouldn't want chemotherapy. She's had that all before. And then developed this right breast cancer two years ago. She came to me in two years ago. We treated her in two years. She's been cancer fringe. He's got memorize pet scans and blood tests. She came to me. She's our doctors and her doctors were taken aback. The student says. All we have to cut and the woman said, Well, what you going to cut? The cancer is gone. And the surgeon scratched his head and the chemo doctor saw her and Was shocked. Not knowing that is possible. Tohave this treatment here with Dr Liederman for the breast with no cutting and no bleeding and no chemo and two years be cancer free. And now her pet scans. Negative cancer markers. Negative. Enter, pressed his beautiful She has two breasts. One has a slice through it, where surgeons 10 years ago. Opened up her breast. Breast cancer. It's on the left side and on the right side. Her breast is normal and perfect. And not one incision. She came here was treated with radio surgery on Ly No cutting, No bleeding. No lump back to me. No mastectomy. No chemo two years later. Cancer free with a normal physical exam. If you feel repressed, it's totally intact. Perfect breasts soft and symmetric with those scars, normal color of the rest of her body. This is the work that we do here at 34 Broadway. If you call for a book that you'll see some examples of Breast cancers that we treat every day here at 13 84 Broadway, Broadway and 38 Street, where this woman and her doctors, even her doctors never knew about all the options. They just want The cutting of chemo. No. A patient came and many women With press cancer and other diseases. Other cancers come here for a fresh second opinion. My name's Dr Liederman. Give us a call. You're welcome to do so we'll be right back. Numbers mean much to me because of prostate cancer. I'm Johnny brags the number two from my stepfather who died of prostate.
Targeted lung cancer treatments help reduce death rates: study
"Officials say improved treatments have helped lower lung cancer death rates as NPR's Richard Harris reports, The trends are also driven by a decline in cigarette smoking. Death rates from lung cancer have been falling for decades. But it's been tricky to tease out how much of that is because fewer people are smoking and how much is due to improve treatment. A study in the New England Journal of Medicine shows that new drugs introduced in 2013 are playing a role. Scientists at the National Cancer Institute found that only about 20% of people who take these drugs have a long term response and the majority of people who are diagnosed with lung cancer still die within two years. But the drugs help enough people that it shows up in the death trends. Another class of drugs called checkpoint inhibitors, introduced in 2015 also appears to be beneficial.
Fresh update on "cancer" discussed on Special WMCA Programming
"We are back and we're every night every night. We're at midnight W o r. We're on the radio every day for learning. I won't talk about a woman who's 70 years old has a long history of cancer. I've known her for many years in 1995 when I didn't know her. She had a breast cancer, and she went to one of the super duper hospitals in New York City. And she was told she had to have a mastectomy. Well, we went back and seeing the check she had a small cancer. Which if you came to us in 1995 she would still most likely have her breast. Well, she went to a super duper hospital on we know that in super duper hospitals that they were Doing messed activities are up to 97% of women. Where is it? In my practice, 90% of women with breast cancer were keeping their breast for breast cancer treatment exact opposite. And since that time, she's been angry. She's been upset that she went to the Super duper hospital, and they told her she had to have mistake, Torri. And she nearly died. She nearly died during that surgery from the anesthesia, And then they gave her two years of chemotherapy, and she's upset about the surgery and the anesthesia and the years of chemotherapy, which she knows or is not necessary. And then a few years later, in 2000 she was found of a kidney cancer. That same hospital and they told her she had the Haver kid the removed Well, by then she understood that they kept on talent or shadow of our parts of her body removed. And she heard about Dr Liederman me from a radio listener and she came and I met with her. So many years ago two decades ago for her kidney cancer. And she learned that we had an extraordinary experience with Radiosurgery first in America, first to the Western atmosphere, with thousands of patients treated even back then. And she chose tohave noninvasive dreamin of her kidney cancer 20 years ago. Wow. And for 20 years I've been seeing her. I've been seeing her on routine. Follow up check that She's fine. And after we treated her kidney cancer, the cancer never ever came back. And she learned the power of radiosurgery. She learned that truly indeed it works, and she's always upset about losing her breast to the big hospital. She's always upset about the years of chemo. They gave her the big hospital. And now This past year, she was found to have 1/3 cancer cancer of the colon. And again, the surgeons told her all you have to remove your coal and you need to remove your colon need to have radical surgery. Maybe even a colostomy. And she said. No, I'm going to see Dr Liederman. I want radio surgery, and in fact we treated this mass retreat This mass in the colon. Just a few treatments pinpoint treatments, which under she lays in a table, we send invisible beams to attack cancer there precisely directed Something a little like Star Wars. Remember Star Wars? That program that was going to send laser beams to hit rockets are coming in to attack our country Wells. That's something what radio surgery's about pinpoint treatment, but we attack cancer. Not invasively with invisible beams, and we attacked her colon cancer last year, and she came back for follow up in the cancer that we attacked is now shrunken up and gone in remission. And stop bleeding. And that cancer that we treated is in remission where we attack the cancer. This is the work that we do every day. And so, yes, she's still upset about losing her breast 25 years ago, but she's very happy about saving her kidney and avoiding radical surgery for her colon cancer. This is the special work that we do. Don't talk about a man who comes to be The 71 years old. He's widowed. He's have he lost his wife to cancer years ago, but he heard about our work, and he knows our work and over these years as per se was elevated. He was sent to a urologist years ago but never had a biopsy. 10 years ago is P Ece was nine when I was 17. It was 17 8 years ago in last year went up to 43. Wow. So why am I talking about this? Well, him like the doctor avoided the biopsy. What? It should have been done. He waited 10 years to have a biopsy of his prostate. Now the biopsy shows cancer, an aggressive cancer When neurologists do a biopsy, prostate commonly the have a little gun like a spring loaded gun with 12 tiny needles. And the 12 needles went into his prostate in 10 of the 12 showed cancer and aggressive cancer, including Gleason, seven, He had a bone scan and he had a cat scan and he had no metastatic disease. So it was lucky that the cancer right now appears to be on ly in the prostate. But he has a high risk situation with a PSA 43. Normal. Pierce is considered force. It's more than 10 times elevated. And multiple cores 10 of 12 positive for Gleason seven cancer. And he's just going through a treatment. He's tolerating treatment. Well, in fact, tomorrow is going to have prostate seed implantation because we know it can increase the success rate dramatically by putting radioactive seeds into the prostate. In short in the course of treatment. We can elevate the success of treatment and you could look at our prostate cancer books. You'll see our data compared to major centres across the country and of course across New York. That's why so many men come to us to get better..
It's Hot Out West: Interview with Seattle Storm's Jordin Canada
"What's going on WB Fans Meg mcpeek I am so happy to be joined by our guest Jordan Canada. She is one of the up and coming superstars in the WMBA. She obviously plays for the Seattle storm coming off a win and you know without introducing her I've got to talk about some of the accolades because you can't mention Jordan Canada and not talk about defense in this league. Here's a two, thousand, nine, hundred, wnba. All defensive first team one, she's a WNBA champion with the Seattle Storm Two thousand eighteen sweeping the Washington mystics open. Guess what she was drafted number five overall by Seattle and I think my favorite fun fact about Jordan is the fact that you are the first. Woman. First Woman in PAC twelve conference history to score eighteen hundred points. Record seven hundred assists in you joined one of the best to ever do it in Gary Payton. In I. I. think that is probably the coolest thing as well. I don't know about you. I'm so excited to have you on the show first off. Happy Belated Twenty Fifth Birthday. How was it? In the bubble. Thank. You obviously, it was quite different. I didn't really get to do much. So I had practice and then I came back and I kinda just chilled That's pretty much I can do is I've been inside the bubble but I've. Sydney gifts my parents sent me a little birthday cake and some edible arrangements. So I got to celebrate just That's amazing. I'm a big fan of the edible arrangements myself. So I am super jealous about that and you mention you know being limited on what you can do in the bubble how is life going in the bubble and? To that point what has been your favorite thing to do not hoops related. The honest we come and don't have much here. We have a pool at the legacy hotel, which is right right up. The street you can save because we're all in villa. So we have a pool that we can go to I. Know they have like early morning golf lessons. and that's pretty much it. That's all we have So for the most part I mean, if you're with your teammates hanger with team You. Aims walking by because we're all in the same areas. Say hello to each other and speak to you know speech our friends and that's pretty much a practice and you come back to your villa. You'd relax and chill we go to games I'm. Really all that we have are you try to make the most of it I? Mean I'm very simple. So it doesn't bother me as much I'm such an introvert. I'm a homebody. So mostly in my room, some of most time just watching TV and stuff. So it's been fine in the beginning of a little bit rough I know something. Terrible living conditions would it where they were saying and stuff but I never had a problem with it but it's been much better You know we've only been here a little over a month. So it's getting better and I think we're just getting used to the conditions of the environment. I'm so happy I actually have something in common with Jordan Canada I am very introverted as well and homebody. So it's good to know if I was in the bubble I would be able to survive with like you said the Gulf I'd be able to hit up. So that'd be pretty cool and it's always fun to relax outside at the pool when you have an off day. So I, know when things being in the bubble and the season being much different than what you're accustomed to. Of course, the news before heading down to a Bradenton geared kloppenburg would be filling in again for coached in Hughes just because of the health concerns with his previous health and cove nineteen how has the team been in contact with coach hugues while being in the bubble? How have you all and coach Kloppenburg still managed to integrate coach us into the day to day of the season. I mean, well, we kind of had a little bit of of that last year when our coaches out when need. Your cancer in remission stuff so. We kinda had. A few games in the season without him and we kinda had to, you know do without him and adjust, but he's always been very active and engaged with us. He I know he talked to the coaching staff allow he does takes me call me from time to time just to talk and catch up I. Don't know about the other players but yet he's just been very engaging in still keeping contact i. know the coaches do a good job of You know talk to him and him incorporating things that he sees while he's. Just, something that he wants us to do Argos very that in. So having a coach Klopp no, be the interim goes like he's had experienced last year being you know in position than he's done a great job and you know we also have like sue bird who's technically light a coach he knows that they're helping. US as well. So we have a lot of help but I know that you know we we really do Miss Dan and I know he's cheering us on from home and you know work continuing to pray for him after thought. So it's it's been a good experience at amazing and it's as if you have done this media before because we me Perfectly with mentioning sue bird and for fans that may not be aware two, thousand nineteen with sue being out with her injury. You were basically thrust in your second season into the starting role and leading this team from the point guard position and being a vocal leader at such a young age in your career. Can you tell us just how that adjustment was? Last season and dealing with that, and even if you know as you mentioned is basically an extra coach with the team on the floor now that you've got her back in the lineup, how how was that transition for you and what advice did she give you throughout last season? It was it was It was tough. I would say there was a lot of ups and downs during that season. It's very hard coming from and you're you know one of the star players on the team you're playing a lot of minutes and you come into a team that's fully stagnant at the see. Find Yourself and my rookie year I had a hard time finding my role I was very up and down I, kind of lost a little bit of my confidence. So it was it was a hard adjustment and then going overseas having to be thrust back into a starting position than have to you know get that leadership back in that confidence bag. So I think that really helped a lot going into two thousand, nineteen season I mean obviously, I didn't expect to be out but because. I was prepared and I gained a little bit my confidence back. I was able to just we know set Ryan in. Obviously there have been subscription ups and downs during that season and trying to learn as I go but sue was a big help. I mean the the best advice that she gave me was don't worry about trying to fill my shoes in in trying to be like me just play your game I know once I came into the league, everyone was talking about Oh. Jordan and ensue in is Jordan going to be able to about up to sue in an expectations and so she told me not to worry about that lying just go out inches player game two point guards, two different types of styles. But what I bring to the table is very important to the team, and so I keep that in mind last year and just trying to play my game and not. The. You know the outside noise and just Do What my team needed to do and I kinda, you know gained a lot of confidence in that and incoming in this season and having Birdie back. I mean like I? Say We're two different point guards in two different styles and if you've watched this play the season, you can kinda tell the difference of when I committed in when she's in. So it's just great to see that you know we're able to play together and you know still Kinda or me keep up the pace with the team when I'm coming in and not have a a low or did. when sue comes out so it's just been awesome experience so far she's been a tremendous help and in my growth all around. How important was that advice that she gave you of reminding you don't try to be me be yourself like how how integral was that inner growth especially, you mentioned now having her back. was very helpful I mean coming into it team like I said I was fully back in playing behind one of the. Honestly. The best point guards ever played the game I mean, that's kind of like nerve wracking and still you have your own expectations like I don't want to screw I don't. WanNa. Come in to a team as police tag playing behind the best point guard ever and you know fail I. Mean there's some of the things I not to think about my rookie year in having her tell me that especially a veteran who's been as game for so long you know she didn't have to tell me that she didn't have to step aside and say, Hey, like don't worry player game don't worry about outside noise expectations just just play your game in big about the team and you which you need to do to to get us to where we are and so to have that advice as such. Early stage in my career was is extremely helpful and it has helped me at times. I think about those times she says that it just calmed down because I know there's been times in the season last year this year where I get super rattle and try to do too much in that think about. That, like calmed down, relaxing, get back to who I am as a player. So to have that to have that advice as A. Data Mark Career is a blessing in Zomba's very thing for her.
Fresh update on "cancer" discussed on Rutgers
"This man with prostate cancer had choices. He could have had radical surgery. If he had radical surgery, most likely his sexual life would have been kaput and most likely, he would have been leaking urine. That's the day that will show the data from Harvard Medical School and you come in. Call for the book with This van is cancer free is zero. Sexual life works is urinary Life works and he's happy. He's very happy about the treatment. That was terrible of 76 year old man is also happy. He's married. He's got two kids, and they had a skin cancer, the basal cell cancer on the face. It was growing and growing, growing. His dermatologist who's a surgeon, dermatologist, dermatologist, terming skin and I'll just means study someone who studies a skin. What's actually a dermatologist is surgeon who cuts on the skin usually well, This is a man who's 76 they had a big cancer on his cheek. And his dermatologist wanted do most, which is like an excavation surgery on his cheek, often with patches or graphs, or pulling the skin together after large amounts of Skinner. Removed while this man had three skin cancers in five years ago, and they were never treated and this cancer keeps on, growing and growing and growing and still forming. He did have some most surgery on his ears. And he's worried about how it looks in the part of his ear, which is no longer with him. When most surgeries done, Usually part of the patient's body is thrown into a bucket. Well, this man likes the idea about radiosurgery the fact that we're able to treat skin cancers. With no cutting and no bleeding, And that's in fact what we did. Almost two years ago, he came to us with a basal cell cancer of the left cheek and temple. He was diagnosed three years ago. He let it grow. Why did he let it grow? Let it grow. Because it had most radical surgery and he just did not want to have more radical surgery. He knows with most radical surgery that the surgery could be deforming. And painful and model steps and procedures and excavating the tumor, removing the skin and taking a patch from somewhere else. He didn't want that, and he came here for non invasive treatment and retreat. Thousands of people of skin cancers over decades. This is the work we do, and we do treat people over the most critical, delicate parts of the face by the eyes and ears and nose and mouth and also The hands and feet, legs and arms and trunk neck. This's the work we do every day here at 30 for Broadway. And if you call our office now or come in, you'll get a booklet and you'll see a special section about skin cancers, and we have a new booklet forthcoming about skin cancers. Exclusively devoted to skin cancers before and after. Work both our work and most you could understand what Moses and our works..
Simple Health Habits for Smart People with John Patton
"Back to the outcomes rocket saw Marquez's here and today I have the privilege of hosting John Patent. He's a career communicator and marketer, and after twenty years of private industry work. One of his nonprofit public health clients asked him to lead their communications. Department John became fascinated with the organizations worked to prevent chronic diseases ten years. Later, he is still working for that organization and helping the CDC reach Americans at risk. For chronic disease is new book, brainless health was born out of his desire to shoot straight with the general public about what they could do to reduce their risk for diabetes cancer heart disease, as well as steer clear of wheelchairs and oxygen tanks by applying simple habits to their daily life. He speaks in plain English and draws on real life stories and examples that make the science public health relatable, practical and. Possible and so who wouldn't want that in their lives I know I definitely do and so it's my pleasure to welcome you to the podcast John. I'm so privileged to have you here with US imagine I, do appreciate that last comment that who wouldn't want that they're like I believe that when you have health, you have real well being and when you have a being that's well, you have success in life. I mean it conversely, if you don't have health, it's GonNa, be hard to achieve much in life and relationship or professionally certainly, not physically. So it is something that everybody should want and I think they do, and so my hope is to help them get their in simple ways I love it, and you know John had a guest on the podcast several years ago say our nation's wealth is it's health and. You're going to help us dive into that further and how important it is today especially with Kobe and everything that's happening even more important than ever tell us before we you know obviously dive into brainless health your book in the work that you do that and things that we could to our daily lives. What inspires your work in healthcare you know like you said in the election i. Really came into the field of public health and health care by accident working with a client and as I learn more about them, I just caught the passion for what they were doing. The fact that we can actually do lifestyle interventions in lifestyle change lifestyle behavior can really impact the health of ourselves in our country, and so I've worked with physicians I worked with Public Health folks state. Health, departments, county health department and the general public, and so what really lights my fire get out of bed in the morning are the stories of people who actually take control their health it's not all bootstrapping and and just you know personal responsibility of making a new resolution. It's actually using the resources that are available in public health, a lot of programs and projects out there that they. Can Use as resources, but also each other and their communities but ultimately it is there will to change their life and change really rations fine them. Yeah. It's inspiring work and say you've taken a personal approach to it. You know just simple habits that we can use to improve our health. Tell us a little bit about the book and your work and how it's adding value to the ecosystem. brainless help with something that the title of the book came about because I kept coming back to the fact that there were really brainless things meaning not dumb things things that you don't have to think about to put into practice long before Kovin people have not been washing their hands. Now that's brainless. Our mothers and Fathers Autism Wash your hands we can avoid myriad diseases joss by doing that alone people will say all the time that they they're sick. And they caught something or the other, and that's true and it could have just come from some real simple germs they were carrying around and transmitting. So his things like that the the government doesn't like to use the word exercise they liked say physical activity will typically activity is Canada. It's not an intuitive kind of more choice and it can mean a lot of things vacuuming your house to be physical activity, but it's not gonNA help you pre diabetic state it's. Not GonNA reverse your numbers you need to exercise wall know what that means whether we like it or not need elevator heart rate and exercise and sweat, and so those are the kinds of things that I put it in plain. English tell fun stories about my own life because I made a transformation inspired by many other people in my life and I really I really think it's time that we should straight with people stop giving each other and out and. District. Of the Salad Mike cost more than a couple of cheeseburgers doesn't mean we have an excuse to to order the choose business. You know all the time at least
Fresh update on "cancer" discussed on Special WMCA Programming
"And apparently they were not able to talk logically to him, or he couldn't understand what they were talking about. And so for 10 years, he's been wandering through the medical system. He's a doctor. You think you know better? Well, this is a sign that even doctors get Lost in the medical system, especially when it's not their domain. This is not his areas gynecologist and I was getting lost about prostate cancer. Like so many men do and we went over the data. We went over the data for a man who's got a P ece 18 prostate cancer and he saw the data. I opened up our book, and we have a book. I believe we're the only center the only office that offers you a book about the data for prostate cancer. And I opened up the book in the But the best surgeon the best cutting doctor and he saw that with never say 10 to 20. This is page for figure for our book. And you can call our office even in car office day or night to get our book to see the book. If you're interested in any kind of cancer, brain tumors or prostate cancers or breast cancers or lung cancers, you name it. This's the prostate book figure for page for The best surgery for him if you were to choose surgery, don't recommend, sir, because surgery is devastating. But this man's a surgeon gynecologist is, by definition, a surgeon is only 30% Most likely this cancer will come rip roaring back if God forbid he chose to have surgery. Rip roaring lousy results. Lousy results with radical prostatectomy lousy results with robotic prostitute activity number one. Why, Because most likely the cancer would come back and number two. If you look at Figured 12 page 10 of our book that you'll see that men who go through open surgery for the prostate to remove the prostitute prostitute ectomy open prostatectomy or fancy Dancy Robotic cross detective me. 97% of the men lose their sexual function, and 86% are losing control the urine leaking and peeing in their pants. And no man wants to lose the sexual functions. I'm aware of no man Once we pee in the pants. No man wants tohave, recurrent prostate cancer, and this is a day that I showed him that I opened up our books and show them our results for Pia say. 10 to 20 cancer. Which is 90% success. It's the exact opposite of surgery and with us most men keep their sexual function mostly keep their urinary function with us. We're avoiding radical prostitute Active me with us were avoiding the hospitals say that cutting and bleeding of hospitals, Dave removing the prostate. And yet with better results, and that's why men come to us, and I told him that for me, the best result for would be to do it. A small biopsies. He had a P ECE going for 10 years. He's never had a biopsy is afraid of a biopsy is afraid of a physical exam. He's afraid of the things that can help. Ty knows him to get him on the road to recovery to be cured. And it made him understand that his best friend would be to get a biopsy now for the suspicious cancer, then get a staging to check out and make sure the cancer has travelled. He's given the cancer a 10 year head start. How logical is that is a logical, intelligent doctor. He's given his own cancer 10 year head start. Wow. So this is the work we do. We see men and women with cancer and suspected cancer. This man has suspected cancer, but it's highly suspected. Why? Because he has a big nodule on the prostate. He has a rapidly growing PSA head. Specialized has to show prognostic Lee most likely has a very aggressive cancer and the purpose of diagnosing and treating prostate cancers to cure the cancer before it spreads. Of course, retreat men with prostate cancer that has spread Of course, we treat stage for cancer every day, and many people ask me Dr Liederman do treat stage for cancer. And the answer is, yes. Why? Because we want to eliminate side effects and symptoms of the cancer. Often cancer travels to the bone and causes pain often eats through blood vessels and cause bleeding, often at each through the nerves caused terrible Pain and suffering often obstructs the airway. So there's so many reasons to treat cancer are number..
Biden VP Pick: Kamala Harris to Join Biden in Delaware
"The campaign trail today with his newly announced running mates. He in California Senator Kamala Harris, appearing together in Biden's home state of Delaware, ahead of Ah, virtual fundraiser tonight, The Biden campaign has released a video of what you might call their political proposal moment. First of all is the answer. Yes. The answer's work. I am ready to do this with you for you. I just I'm just deeply honored and very excited. Never, too were once rivals, of course, and Harris made headlines with some sharp criticism of Biden during the Democratic primaries. But she later became a vocal supporter of the former vice president correspondent are Let Sainz explains something else that apparently help bring the two together. Harris shared a special relationship with job Eden's son, Beau Biden. They both served alongside each other is as attorneys general in their home states and developed a close relationship from that. Biden, in making his announcement, actually noted the fact that he valued those opinions and that that was a factor that played into his decision making process. Beau Biden died of brain cancer five years ago at age 46. Ah Harris makes history is the first African American woman and the first American of Indian descent to be nominated on a major party's presidential ticket. Pundits say her mixed race heritage has allowed her to connect with multiple audiences. Harris was elected to the U. S Senate in 2016 after serving his California's attorney general, and Delaware Senator Chris Kun says he was impressed with her when first running for his Senate says she was compelling. She was engaging. She's funny, and she's warm. She is capable of being both a very tough questioner in the Judiciary Committee, going after Attorney general Bar or Attorney general sessions on then she's equally capable of being warm and engaging, an upbeat She's someone who will be terrific to campaign with and to govern with. Harris ran for the Democratic nomination herself but left the race before voting began as she struggled to raise money. Perhaps the most notable moment of her campaign was when she criticized Biden during a debate for his past opposition to school busing. Biden Harris expected to make remarks
Fresh update on "cancer" discussed on Special WMCA Programming
"Unique show the only show in the world where you go behind the doors of the big hospitals into lives of people with cancer, suspected cans or learn what's happened to them and what they do and what's Ah, what calamities could be far What beautiful Outcomes can result by making the right decisions. So I want to jump right in and I want to talk about a doctor who came to me just yesterday came to me. He's a Gynecologist. He's 80 years old. He's very meticulous man came with his wife is a very beautiful woman is 80. He's gotta colleges. He's Merete as a child and has been in pretty good health all his life. But now he's coming with a new issue issue of the question of his prostate. I had prostate cancer. Is this the man? He brought his records with him? He came gave me always sous for the last 10 years of, say, 10 years ago, it was 1.6 pizzas. Prostatic specific Auntie gin. Normal. P ECE is considered. Up to four. But yes, you can have cancer in your pizza is two or three of the absolute So the span's had followed for 10 years and over 10 years His P ECE has been pretty much constantly rising 10 years ago was 1.6 and then three years ago was 5.5 and then last year it was Well. Two years ago, it was 6.7 and then a year ago, it was 10.2 and now it's 18. So it's gone up by 10 fold over these years tenfold. And he's being seen by urologist. It's not that he's ignored. It has been seen by urologist and he got an Emory and memories of magnetic residents test of his prostate. This was a year ago in a memory a year ago because the sea was rising and the Emery showed a bulging of the cap. So a mass in the prostate It said. It was a pi read five now another teaching point. So when you get an Emery for the prostate for prostate cancer, there's a scale from 1 to 5 of how suspicious the The images are one means it's most likely benign. Five means it's most likely cancer. Well, a year ago, this doctor why was PSA was going up 10 fold. His memory showed up. I read five most likely cancer. And the radiologist recommended a biopsy. And then this urologist who's taking care of a gynecologist has two doctors, both specialists in the pelvic area. One for women, the gynecologist of the urologist specialist of the urinary system, They ordered a specialized prognostic test to look and see what the likelihood of him having cancer. Isn't it? What's called a fork a test in a four K test, and that came back 95% that this man has a high risk. He s a high risk, lease and score cancer. So everything's pointing to Ah high risk cancer. And yet, this doctor who obviously wants to live and keep his lifestyle and keep his beautiful wife and keep his beautiful life. Never got a biopsy. He never. He went to super duper Big hospital,.
The First Dog With COVID-19 Has Died, And There's A Lot We Still Don't Know
"April when buddies family I started to notice that something was a bright buddy started breathing really heavily, any hadn't mucus knows, and this was the first thing is family notice that you know the first sign that he was not himself. That's Natasha daily a wildlife reporter with National Geographic. Buddy was a German shepherd who Natasha says by his family's account was a very, very good boy. He loved running through sprinklers, Keitel's love like running and diving right into the lake. His family loved address them up for Halloween, is also photos of him in a bunny costume and you know he's just it looks like he's just grinning at the camera and so when buddies started getting sick this spring, just before his seventh birthday, his family, Robert Allison Mahoney and their daughter Juliana. While, they were worried I mean he'd be completely healthy, and then all of a sudden in the sprain he. started. Struggling to breathe and the first thing. I thought was he has the virus. Meaning the corona virus in the reason they thought that. They had also been sick. So specifically, Robert Mahoney, the husband had tested positive Alison Mahoney. Robert's wife had not been tested, but she was showing symptoms. So she had it to. The daughter Juliana who's thirteen tested negative. But when it came to getting buddy attest, that was a lot harder. But he's regular vet wasn't seeing patients. The Vet significantly said, there's no, he has like just you know there's no way and he prescribed the antibiotics over the phone. Another vets gave buddy ultrasound and x rays. But also didn't think he could have the krona virus remember no dog had yet tested positive in the US. And many vets didn't have the tests for animals anyway. But one day. Robert, Mahoney sister saw facebook post about a vet where they lived on. Staten. Island that had just gotten some test kits. Robert. was like great like let me call right now. Get down there, make an appointment, and so he was able to make an appointment for ten PM on a Friday. So it was a very strange time, but it was the clinic was really busy, and so it was the the first law they had available. That was Friday. May Fifteenth a full month after he started showing symptoms a few days later, but he finally got test that revealed. He was positive. This was a huge deal. Buddy was the first dog in the US known to have the virus and the USDA announced the news in a press release on June second. Buddy wasn't named in that press release. The government only identified his breed. In fact, we only know the details of his story because of Natasha's reporting. The USDA said in. June, that quote the dog is expected to make a full recovery. But Buddy didn't get better. He got more and more sick in June. It. All came to a head one weekend in July. And a warning that the details coming up are pretty tough to hear. So Allison. Came downstairs the morning of July eleventh and found buddy in the kitchen in a pool of modeled flood He was throwing up blood. It was coming from his nose. It was just horrific and devastating for the family, and at that point, they brought him into the vet and the decision was made to euthanize him which was obviously really really difficult on top of two and a half months of stress and confusion that the family had already been through thirteen dogs and eleven cats have tested positive in the US for cove nineteen according to public. Records and while those numbers sound small, they raise big questions about how virus can affect people and their pets. Today's episode. Natasha. Daily on why. Some of those questions are still so hard to answer. Allison Mooney said to me that you tell someone that your dog tested positive for Cova. Did they'd look at you like you had ten heads. You know there's no rubric for navigating covert in your pet. I'm Emily Quang and you're listening to shortwave the daily science podcast from NPR. First off the current CDC guidance that there is no evidence that pets can transmit the coronavirus to humans, and that's partially why testing for animals isn't more widespread. We do need to say to that test for animals are different than the test used to detect the virus in humans. All animal tests are processed in different labs are processed in veterinary labs. Not, there's no overlap between human testing and animal testing. So. While some of the mechanics of the tests may be the same. It's not at all taking resources away from humans. But because a covid positive animal isn't seen as a danger to humans, there's been very little scientific study of how the virus can affect those pets or even how it can interact with other diseases are pets may have. That's where we're going to pick up buddy story with an Tasha daily. Yes. So new blood work was taken on July tenth the day before a buddy died, and it was on July eleventh when the Mahoney's brought buddy in. To essentially be euthanized that they found the results of that blood work on and the blood work indicated that he very very likely had lymphoma, which is kind of cancer, right? Yes. Lymphoma is a type of cancer So I I asked a couple of veterinarians who were not involved in buddies case at all to review his full records and they said that, yes, every single one of the symptoms he had could be explained by lymphoma, you know A. A big open question is deity SARS Yovany to present clinically in buddies body, and what that means is did the virus cause any symptoms? For example, the trouble breathing was, and so I think it's it's tough and we'll never have an answer to this was every single. One of his symptoms are the lymph, Oma? Or was some of it, the COVID and the breakdown of fat isn't something that we have an answer to, and you also pose the question. Will. We won't know whether the cancer made them more susceptible to contracting the coronavirus exactly, and that's sort of a big takeaway from his case You know our dogs or cats with underlying conditions like cancer as it turns out. More likely to contract the virus because we know humans are humans It's thought that humans that have suppressed immune systems maybe more likely to contract the virus, but not only that maybe the virus may be more likely to present in ways that are more significant in their bodies if if they're already immuno-compromised. So the same question remains for animals and we just have so little data to investigate it.
Dr. J. Mario Molina Discusses Medicaid Program Financing in Light of the On-Going COVID-19 Pandemic
"On background, the ongoing Kobe nineteen pandemic has caused the worst unemployment rates since the Great Depression. Since Medicaid and the economy are negatively correlated when one's up the others down. Recent Kaiser family. Foundation study concluded that by January, seventeen million people could be newly eligible for the Medicaid. Program that would represent a twenty four percent increase in current program participation. As state. Which Medicaid funding is typically the second largest state expense after education they've cratered largely since two thirds of state income is generated via income and sales taxes. One month ago, the C. P. P. estimated states that are required to bounce their budgets. Each year are looking at revenue shortfalls totally accumulative five, hundred, fifty, five, billion dollars over fiscal years twenty through twenty two. In an effort to short state Medicaid programs and mitigate the economic fall back fall out in mid-march. The congress increased the federal government's Medicaid match termed eth- map by six point two percent in late. May The house further up the match to fourteen percent under the Heroes Act. The here act would also provide more than one train to state and local governments including nine, hundred, fifty, billion flexible aid. The Senate Majority leader however failed to refuse to take the house bill. As of today, it appears the presence executive steps taken Saturday to address four non healthcare. Related issues has caused Congress to journey until September seventeenth that is another code relief package will at best not be considered until late that month. With Megan and discussed the pandemics effects on the Medicaid. Program is Dr. Mario. Molina. So that document as a somewhat lengthy background introduction, let me begin by asking you generally what's your assessment? Of the Kobe nineteen pandemic effect on the Medicaid population I asked particularly in context of the fact that Medicaid is largely responsible for covering long term care facility a healthcare, and we've seen of course disproportion effect on long-term facility residents. I think that Medicaid patients are going to be disproportionately affected for a couple of reasons as Medicaid, the biggest pair of long-term care in the country. and clearly those patients have been hard hit. But we're also seeing that it disproportionately affects people who are lower income who are working as essential workers in essential businesses. Most Medicaid patients work, but they're working in low income jobs often without. Health Insurance paid for by the employer. So they are probably greater risk and we've certainly seen that black and Latino. Are More affected by. Colbert Dan. Caucasian population. Okay. Thank you. Yes. Definitely the case. Before. I ask about the Congress and state responses. Let me ask you this question. There's a lot of discussion and speculation regarding healthcare utilization. meaning that covid nineteen will will cause comparatively an increase in utilization. Interestingly enough I looked at some statistics that showed because of elective surgeries being canceled or postponed. Data showing then April. Healthcare expenditures were down almost forty percent and were still down ten percent or ten percent lower your year this past June. So this question obviously very much relates who pressure on state budget. What's your understanding of what will see relative arm balanced utilization in the Medicaid program? This year and going into next year. Well it's going to have different effects in different areas clearly, hospitalization and physician visits are down. in part because people are afraid to go to the doctor or the hospital. In. Part because Kobe has crowded patience out of elective surgeries. So those things are all down. Testing is going to be up testing expenses are up. and I think that overall you're going to see that utilization is lower in the second quarter and probably the third quarter and expected and from previous years. and I think that it's going to remain that way for a while people are still afraid to go to the doctor for many things and there is concerned that as a result, things like cancer screenings and treatments will be deferred. So we could see some pent-up demand perhaps next year but I do think that for the remainder of this year. Overall Service utilization will be lower than expected. Some areas, it'll be higher. But overall it'll be. It'll be down from previous years.
The Children Of Smithfield
"In. March of Twenty Twenty might amend is was living in Lincoln, Nebraska she was working as an administrator at a public school. And then she got a call from her mom it was about their upcoming vacation she called in and asked me to call in and cancel the flights and see what their options were and I. think that's when it kind of hit me that corona virus was in Nebraska they had planned to visit family in Mexico but they decided with the virus it was a bad idea for her mom to travel. Might as mom had recently lost a kidney to cancer and was undergoing chemotherapy again, this time for lung cancer. It's been about a year and a half since she's been on last the latest treatment and that one seems to work while the spock's in her lung they're not necessarily getting bigger and they're slowly shrinking. But the doctor did say about it's it's a long process slow process and then the family made a decision, my parents both have jobs at a meat packing plant in Nebraska because their mom could be exposed to the corona virus at work they decided that mom should not go back to work. I think I just always worry. About not having her. Her Dad. He returned to the plant for financial reasons but might have was worried if her dad brought the virus home, it could be deadly for her mom. And I started asking him like you know what kind of protection are they giving you? Do you have face masks? He said they're giving us masks and I said, what does the mass look? He said it's like the beard net, but it's a full faced one and so then that's as like that's not gonNA protect you. You're still breathing in air through those holes like that does nothing. For my this was the first red flag and then on April sixteenth the meat packing plant where he worked a place called Smithfield confirmed its first case of Covid nineteen. That's when. My Dad started to. Kind of get scared to get I is kind of like it's not it's not here yet. And so when we heard about those first cases. It was very like it's here. It's real. From footer media, it's leading USA I Medina Hoarser and today the children of Smithfield speak. Throughout the early days of the covid nineteen pandemic, there was a lot of concern about the nations food supply specifically, the meat industry's supply chain. But last spring is cases of the virus surged in meatpacking plants across the country. It became clear that conditions in these plans were often unsafe. And that many of these now deemed is central workers worked speaking up because of their status or fear of retaliation around a fourth of all meatpacking workers are undocumented. and. So instead now it's the adult children and other family members of these meatpacking workers who have started to band together to advocate for their relatives. Might menaces parents work at a plant owned by Smithfield that's one of the largest meatpacking companies in the world. In April she joined with other quote children of Smithfield in the town of Crete Nebraska to begin demanding safer working conditions for their parents and relatives. reporters. Marianne Andrey and Esther. Honi have been reporting and following, Midas? Story Esther. Is going to pick up the story now. Myra is a woman in her late twenties with an athletic build an intense Brown eyes. And she's warm but she wouldn't say she's the social one in her family. I definitely consider myself as shy this whole time we've been in quarantine. I've been okay because I enjoy my time alone at home she says it's her dodd that's always been the extrovert he doesn't like to be quite. he's always talking, but he wants to jump into every conversation super affectionate and he's always like grabbing us and hugging and kissing those in like messing up our hair like that's his thing he wants to. Miss a bar hair and kisses at the same time in her family says always more of the caretaker. She has two younger brothers and she's always looked out for them when my second brother was born. I was babysitting him all summer and so he was a six month old than I was fifteen. I was the one in charge of taking care of him and I think a lot of. My character was built from being the oldest sibling just around the House I. Always was told like you have to be the example for your brothers kind of pave the way as a family always spent a lot of time together partially because they moved around a lot when she was little Mara's parents used to work as migrant farm workers. I was born in Washington stay in my parents picked fruits and other crops like potatoes we would move between Washington state and Idaho back and forth she was in third grade her parents emigrated from Mexico and later became US citizens heard they could get better and more stable work in Nebraska in meatpacking. It we need to move around anymore. But as a little kid, she was nervous about leaving her school where there are lots of other bilingual students. I just remembered in Washington stay they taught me in Spanish and English half day English half-day Spanish and so here I remember like my biggest fear I wasn't sure if I knew English said, do I really know English? Obviously I knew English but it was just not the atmosphere I was used to
"All, right we back. Welcome to yeah. We said it Ronas report part one. We still hear you know. Don. L.. How're you doing? On well, I can't complain not sick and tired of being in the house but you know it is what it is. relatable relatable for everybody. Florida also today you heard from him last year for our Wimbledon episode. Welcome back and thanks for joining us to talk some myths today. I'm always here to talk Thank said. For letting me letting me comeback art. Right So there's a lot of news. It's been seven months. So With a lot of stuff. Okay. Right at the end of January, that's right January. Former world number-one player estimates year announced that she had been diagnosed with breast cancer. So that was very sad I checked her social media when I was writing this down because like I said, this is in January to see if she had anything else. About. How things are going I didn't see anything on twitter. But. I saw some other stuff that she was like promoting and everything. So I'm I'm hoping that he's Okay I haven't heard anything since January either. the bad news just kept coming as a few days after that one Martina Poacher underwent yet another knee surgery after the previous procedure was unsuccessful. Just recently stated that he's begun slowly re acclimating himself to the tennis court. Once again. This is just the last couple of weeks. Yeah. That's to hear about Walmart being but esther is an absolute lack of the sport. I don't really think she gets the the the amount than do that she should be. Layers. By like five hundred state matches without almost. Like years. Absolute legend She deserves all this lowers possibly get. and also conversely I feel like Walmart game. She he his almost underachieve like e e should he also did a lot of flowers but Injuries. Yeah every time he really starts to get on a roll and starts plans to get back into the top ten like here comes into the freak injury. So yeah, really unfortunate. It's crazy but he he always manages to find his way back into the top ten and back you know making deep runs in the slams in in in winning title. So it's kind of amazing to see him being able to bounce back similar times I mean he obviously was supported the sport because we seem people who have gone through last Mike give it up and he just keeps doing his best to come back again it's gotta be super. duper difficult frustrating. Definitely. We discussed on our pre Australian Open episode that Robert Farah had been provisionally suspended on a doping charge. Short. Time later, he saw that suspension lifted as it was determined that he bears no fault or negligence would be allowed to compete again immediately. Of, course competition ended soon after but he's been very active actively thirst trapping on instagram der Rona for which I am. Very thankful. We. All Know Cedric Cubans trying all of those instagrams Lissette, a meal blast like that Yes i. Yeah, I mean I'm sure he knows they. Let me move on? Roger Federer also had yet another knee operation. This past spring he planned to be up to the French Open, but it turns out. This might have been the best time for him to have such a procedure. So yeah. He's I. I saw some stuff where he since stated data like he doesn't really know. What's going to happen next as far as is concerned right now. Yeah I was I. was that he picked the exact right time disappear. Yeah. He did for sure you know he had not coming bed. Yeah. This is a great time. So if he does come back, it's you know it's not like you superior behind what everybody else is dying but. Get his ranking and stuff will still be pretty secure. So. Obviously. Back in his thirty ninth birthday the other day. So you know happy belated or whatever. Yeah, I guess up. Have you heard about him being like more more injured than what he lets us know. I didn't really it was. It was like some sort of a quote where he said something to the effect of he wasn't sure if he would be back like he was he just wasn't sure right now. Like. He wasn't sure if he's coming back at all that's that's what I read. I. Don't know was voted the way I would. Scream. Scream but I I mean I could buy it because you know spending all this time at home with his family and his wife and kids and everything. And to have achieved everything that he's achieved, I don't know if I'd come back either.
Officials resign in Lebanon in wake of deadly blast
"A growing fury in Lebanon as the country deals with the aftermath of a huge explosion in Beirut that has left 300,000 people homeless. And at least 160 people dead. Protests have erupted yesterday, Demonstrators staged mock hangings of top officials demanding they resigned. A few members of parliament have Meanwhile, the political elite point fingers at each other for the failure to secure the huge cache of ammonium nitrate that caused the blast. Nadim Curie is Thie, executive director of the Arab Reform Initiative team and the former head of Lebanon's human rights Watch office and his watch. Lebanon have to rebuild calamity after calamity and he joins us now to discuss what's happening. Welcome to the program. Thank you for having me. Your grandmother lives near the port. Can you tell me how she and your other family members are doing? No, they survived. Almost miraculously, when you see the damage that happened to their building and how close they were to the explosion, they survived with minor scratches. Most of my friends and neighbors from that area everyone has a survival story. It was often a question of seconds of luck of a door that protected them from a flying glass and so forth. Most Lebanese have stories of survival over the last 23 decades, escaping bombs escaping now this explosion, But this time it really that the scale of it is shocking for listeners with don't know Beirut, it happened. Very close to the major entry point of the city. This was also the area where most of the restaurants, cafes and bars were so really, it's an attack that sort of at the heart of the city. The Lebanese have started to protest again. Government corruption They had been doing that for most of last year. What makes this kind of endemic corruption different in Lebanon? Than in other places where it might exist in Lebanon. The corruption has now become part of the A of the political system of the country. The so called you know, Secretary in Cassock Schimmel system You cannot appoint A single official. Whatever the rank is without going through the client, illest IQ sectarian networks off what we call the Sarma, the sectarian leaders. Now, why is this corrupt Because that means you cannot hold a single official responsible without going through these traditional sectarian client ballistic networks, so we should say here. Of course, Ever since the Civil war in Lebanon. What has been put in place? Is that a sort of government that is set up Tio Cater to different sectarian interests in the country. Yes, This is how it officially gets described. But in practice, what we've discovered is that it's really a system that caters to six oligarchs who are corrupt. They are of different confessions. And they pretend to speak in the name ofthe their sectarian group by saying we defend this confessional group. All services for the group have to flow through us. But in practice what the Lebanese have been discovering over the years is They're not protecting anyone but their own pockets and their cronies, pockets and the system in a way, it's a bit like a cancer. It started initially, supposedly for the High level positions to ensure that all communities are represented, but almost like a cancer that is spreading through the body politick. It has now circulated down to every single layer of administration of our government's so even when you go to the port of Beirut You know, the porters that are getting named, depend on a political leader, appointing them And why did they do that? Because this is how they keep them in line and this is how they get their political loyalty. It's a system of patronage, essentially. So what needs to happen then? In your view to move the country forward. The main Demand today is tohave a salvation government off people that are outside off the existing political class. This would be a government that has a clear mandate to steer the ship through the economic crisis that would have the trust of the people. It would be an exceptional situation for two or three years just to stabilize the ship. And adopt affair addict oral law and have elections in two or three years, which hopefully we'll see the emergence of new political parties. I must ask you a someone who watches Lebanon A someone who is Lebanese. Are you concerned that this might be a tipping point? It is a tipping point if we do not get rid of this political class All of Lebanon's talents. Those who can leave will leave in the coming 12 months. They no longer want to live in that country because they see a state that is killing them slowly and they're not just killing them with these explosions there, killing them with the corruption, which makes the environment unlivable. Lebanon now has one of the highest cancer rates. It's killing them with the economy, the country can be rebuilt. Unfair er better basis, but it's clear now that this cannot happen While the current political class remains in place. I realize what we're talking about is really a fight as to who's going to stay in Lebanon. It's day or us
Nagasaki urges nuke ban on 75th anniversary of US A-bombing
"City of Nagasaki, marking the 75th anniversary of the U. S atomic bombing on August 9th, the city's mayor and a dwindling number of survivors Calling on world leaders to doom or to bring a nuclear weapons ban. It was at 11 02 AM Nagasaki survivors stood in silence, marking the moment in American B 29 dropped a £10,000 a plutonium bomb. Dubbed Fat Man. More than 70,000 were killed three days earlier. On August 6th, the US dropped a bomb on Hiroshima in the first ever nuclear attack, killing 140,000 people. Japan surrendered on August 15th marking the end of World War two. Many survivors of the two bombings developed cancer and other illnesses from exposure. To radiation.
Tibetan Yoga for Health and Wellbeing
"Hi, Allie welcome to the PODCAST. I'm Madeo. Thank you very much for having me. I'm really excited to talk about we haven't had anybody on the podcast that is speaking directly to yoga and breath work in the way that you teach install very excited to have you today. Thank you I. You know excited and I, Love Hey House and. That last book of Tibet. The newer for health and wellbeing. This is my passion. So yes, excellent. Excellent. There's a there's a number of things I'd like to talk about with you today including your. Your advice on integrating meditation and Yoga into our everyday life and are busy schedule as well as your work with Yoga and breath work in a clinical medical sending including with your with cancer patients. But I, I like to ask you about how you got here how we got here with you, and maybe we can start with your own yoga and meditation training under your revered teachers in Nepal and India. So can you give us a brief version of of how you began your studies to help us situate where you're learning has is coming from Sure sure. Emmy see how brief I can. So really when with the Tibetan tradition, it really started when I in my first trip to India in nineteen, eighty nine. And I was really looking for teacher. I wasn't sure if it was going to be an Indian teacher Tibetan teacher I was more familiar with the teachers I did get to meet with Yuji Christian motifs of not the famous one JD. Wonderful Yuji Chris for more and more. And then some g my analogy, and then actually when I met the two BETTON SAT in La. It really started inspiring me and particularly the way that. They had this devotion to the picture of its own is a Lama and I have to admit I didn't know too much about His Holiness yet. But then doing the trip. It was when he was. Awarded the Nobel Peace Prize I was actually cashier at that time I remember reading that in the US favor now it's like Wow so happy a give my mom. My Dad had been awarded the prize and and and I said, I need to meet this man. In fact that evening they showed on the Indian TV. Heart of Tibet. That I la that was actually the forward or was by pressing Carter. And I. So I went from touch me to down silos where the Delilah was. It was. During that time, he was the fortieth anniversary of the children village. That's the first time I saw him talk. Then I went for you know a public interview and I kind of. was trying to be there as much as I could and at the same time I got my first. Personal teacher, which was you should origin. Bodies, Yogi. And he was particularly into the tradition of true and. Whether he was the Weatherman for the Dalai Lama. and. I started training with them I. Did my longer with him or started the non right ended up seventy slater finishing That really led me to come back towards t Tina where I'm originally from. And really start devoting a lot of time to practice and then was in ninety one that. I, I met a number no group chain that he came to Argentina I nine, hundred ninety and I am Alejandra can I can I just mention here that that sort of what you're talking about a little bit is that when the Tibet you mentioned that you met the Delami in in in northern India in Dharamsala. And this is after for our listeners who don't know the when the Dalai Lama a came into exile when he left Bet in one, thousand, nine, hundred, eighty, nine, he and about two, hundred thousand. Refugees settled in the northern regions of India and where the Dalai Lama lived was Dharmsala, and so that was one of the first places that you went to in. That is sort of this hub of the Tibetan diaspora that is sort of surrounds the Dalai Lama, and then eventually Tibetans have gone of course throughout the world and there's two. Betton. Buddhist. Centers throughout the world and so you were kind of a beneficiary. You came along in nineteen, eighty, nine, nineteen ninety and started studying with some of these teachers who weren't only in India around the dilemma. But who had gone elsewhere you mentioned non-pwi Norbu Rhumba Jay who had gone to to Italy, and then there were other centers where you were living in Argentina. Yes, and so I. I did consider you know for for some time Don, Sala my second home I spend many months there. And that's where actually ish adorned pitches monastery wall. So. As, you said Dharamsala was this hub and I really considered my second home. I spent many months there intermittently going from there to other places and back, and that is really were you had his monastery and and. So meeting the Dalai Lama and trying to be as much as possible with them. But also really having a personal teacher like you should was really important to me so that when I came back to Argentina that I felt there was no one there in luckily I was wrong was a small. Karma Kagyu Center. And also kind of a unique center the first teacher I met when when I go towards. Metering And then Nunca Norman as I mentioned the Nunca over pitcher was a big change for me. In the way he taught. So the Tony Brooke he brought the teachings. Into everyday
Dealing with Cancer, Anxiety & Fear During Coronavirus
"Marley Keel says the level of anxiety among cancer patients is staggering. She's an oncology social worker for cancer care, a support group all of the structures that have already existed for cancer patients and now Her managing everything all at once on triple the scale
Man is on a mission to save old dogs who need a home
"Of mine was on the show. Actually, during the protests and riots going on in ST Louis, you might know Mike Duke from Missouri Gold buyers. He has another mission in his life. And I want to share that with you because it really moves my heart and I think it'll move yours as well. But Mike is ah has recovered from throat cancer. So you might hear a little strain in his voice. But actually, this is about the best. It's been a long time. So welcome to KMOX. Mike Duke. How are you, sir? I'm doing rather well, How are you? I'm good. Did you get your store back Open the one that was broken, too way had to clean up the mess and replace all the windows. But we opened back up. And what the price of gold and silver right now we are extremely good for you. Good for me because it allows me to work on my rescue and let's talk about that's we are officially a five, a 13 C organization with Max's second Chance Express and Rescue And this is something that you've been doing. Ah, for a while now, but I want to go back to the the original thought you have in your head You shared with me a couple of weeks back of why you started this. Tell me the conversation you had with God. Well, I went I was sick. I was diagnosed with stage four cancer. I am a gentleman who never used a tobacco product in my life. I had a drink in 20 something years. I went to the doctor thinking I had strep throughout. And I had stage four Tillman's well cancer. I spent over 42 days and the ice who I was actually dying about Trish because a cooking it nutrients because of my damage to my tongue. But by that time that I was in there as I tell people you don't You don't you're not sick. As long as I was as bad I was without having a couple conversations with Jesus. But in one of those conversations I thought to myself that you know, I've been pretty plus that business. I'm very blessed with my sham. They have a wonderful family. And the one thing I realized I was slacking was giving back and I made about a God that if I got through this if you help me do it because I only added 20% chance to live. And if you help me get through it. I promised him that I would give it back. But I made do it, You know, help. I was looking for stuff to help the community and what I did was, I went down to chair ST Louis, which is pretty much the same Polis animal control and I started volunteering there walking the dogs taking care of the dogs in the cages and like that. To give back and Bo I swear you God showed me what my true calling is. I've never had anything Make me still is because I do. When I take a stray dog who's been abused. Oh, who's been neglected and show it love and training, and by the time we're finished? They are a pack that that is a would be adopted and have you up in that community. Capture that had problems with the number one problem for rescues his transportation. You know what I mean by that? If you go to southern Missouri, and you go to these dog pounds like popular Bluff and Sykes and Daphne, they have Children that are 65. 70% you said, kill rates. That means that if they can't find a home or getting adopted, they've gotta put it down. Yet. So for a while you've been running Max is second chance Express and rescue and you physically you're personally running around and picking up these dogs to the tune of how many a week so far. Somewhere between 30 and 40. And what I'm doing is taking up these dogs from these actual shelters, and I'm bringing him back to ST Louis to the know Choe Rescue's out in a 60 rescues and samples. I probably deal with 25 to 30 of them, right. I bring them the dogs. That we're going to be Children and southern Missouri. And I bring him up here so they can get him adopted. And they have they have a knack to do that. They have a way to find out people that are looking for dogs. So you're doing that. And now Max is second chance Express and Rescue is legitimate. You're a 513 C organization so people can now financially help you in this progress. Yes, at this moment for the last year. I have been driving my own personal and I'm putting probably $2500 a week on it or something of that sort. And I pay for the gas. I paid for everything. When I'm looking at doing is getting a I would love to be able to get a Yeah, absolutely it up with metal changes, and you know it, then that small bus You know, one of those like they use at the airport? Yeah, the cell boss's yet and I pulled all the sheets out and I put Medicaid jizz. It allows me to do a couple things that way. So what I need is a bus with chicks with those cages, And I could say more because at this point I'm limited Mommy Dog in my Escalade. Dragon, $18. Where can people get ahold of you? At this moment, you can use my email. My personally Amy looks upsetting on my website. I'm setting up my Facebook page. It should be done by this weekend. But at this point, I just have my email, which is M W as in Michael William. Underscored Duke at Yahoo dot Perfect, Okay. MW underscore Duke at yahoo dot com Reach out to Michael Duke. If you have a love for animals like this man does. He's on a mission, and he's doing great things. Michael, I'm so proud. I'm glad you're doing good. You're your company's back Rouran right now, and I'm glad your health is strong enough to keep Keep that promise that you that you gave with God and had with God to keep on doing your mission. I think it's admirable to say the least. Thank you very much, sir. And and I said it. Most rewarding thing I've ever done in my life. It's Max's second Chance Express and rescue.
COVID-19 in Cancer Patients: What Do We Know?
"Patients who are undergoing chemotherapy cancer patients undergoing chemotherapy, radiation therapy. Whatever the treatments are, are they at higher risk for bad outcomes is covered 19. That seems like an obvious question. But is there science? Really the early studies. Um, that came from Europe. We felt that patients were quite high risk, particularly those patients with one cancer had a high mortality. It's fake Cove. It Now we're seeing, I think, uh, different severity. We are seeing some patients who have covet and need to get back to cancer treatment. Um, I would say, but it is a it's a wide spectrum. I think conversations that happened all the time. Mark. If you have cove, it is your treatment allayed. Are there drugs that you are on that could heighten serve your immune response that we talked about him enough therapies. Those might make covert infection even more difficult. If you're having side effects from the, um you know, therapies, and so I think the jury is out because patients get so many different treatments for their cancer, everything from stem cell transplants to oral drugs. But that we think that that your risk is certainly heightened. And it's definitely heightened. If you're on drugs that diminish your immune
6 Ways to Survive Survivor Guilt
"Have. You ever made it through something awful or survived a disaster and instead of feeling good, you felt this heaviness in the pit of your stomach. When. Tragedy befalls those around us. But leaves US unscathed. Some of US feel really guilty. Welcome back to savvy psychologist I'm your host Dr J. Woo. Every week will help you meet life's challenges with evidence based research, a sympathetic ear and zero judgment. Today we talk about how to understand and cope with survivor guilt. Survivor. Guilt happens when a person perceives themselves to have done something wrong by surviving catastrophe or injustice while others died or suffered. Its intensity can. Shoot from bittersweet to all out despair. Survivor guilt is conventionally associated with large scale catastrophes like the battlefield or a plane crash, but it can actually pop up in more common situations to. For example, one study found that about sixty, five percent of cancer patient caretakers, experience survivor guilt. Anyone who has participated in a cancer support group will recognize the many layers of grief after the group loses one of its members, the survivors ask each other. You know, why did she die while we're still here? She was so kind and giving in behind to kids and grandkids. Why are we the lucky ones? In Two Thousand Twenty, survivor guilt might be even more salient than usual. For example of CO, Grad student from Florida despairing over the fate of his family and country while he studies physics and Germany watching the coronavirus number. Sore at home. He, says, I didn't do anything to deserve being safe. How can I sit here and play with equations all day when my community back home suffering? And what about survivors of economic devastation? A employees who keeps her job while her equally qualified co workers laid off in a large scale. Corporate rightsizing might feel uneasy about her unjustified privilege. Why not me? She asks, do I really deserve to have this job more than my co workers did? Finally and tragically. Survivor, guilt has been a well-known experience among war veterans for whom this experience can be Ashley a significant risk factor for PTSD and even suicidal thoughts and attempts. In a research study interview, one veteran recounts. The only thing I've really had issued dealing with was when I got wounded how I came away. Relatively Scott free. If you will, whereas the guy on my right died and the guy, my left can't lift his arm higher than this anymore. and. There are scores of examples, but in general survivors have some of these themes in their experience either alone or in combination. Theme, Number One is guilt about surviving. This is what we classically think of ask survivor guilt. If you remain safe while other suffered in an accident in a war and the covid nineteen pandemic by being granted asylum, you may feel you don't deserve your safety believe that you should have succumb to. Question, the wisdom and fairness of the world. And theme, number? Two is guilt over what you should have done. You might feel guilty that you didn't do enough. You should've known. You should've tried harder. You should've worn them, maybe try to rescue someone from addiction, for example, but failed, there's an over exaggerated sense of failure or responsibility. If only I had done something differently. Another theme number three is guilt over what you did. You may feel guilty for things. You did instead of feeling guilty about things you should have done. You may feel guilty for things you Ashley, did do for example from running without looking back for your friends while escaping the burning building or escaping poverty by leaving your family to go to college. Or. You may feel intense guilt for things that you did. That were mere coincidence. On the day, the music died in one, thousand, nine, hundred, thousand, nine, country music star Waylon. Jennings. was supposed to be on the plane that killed musicians buddy holly, the big bopper and Ritchie. Valens. When Jennings told Buddy, holly, he given up his seat as a fever to the flu stricken big bopper and was going to take the unheeded tour bus instead holly joked that he hoped Jennings, froze on the bus. Then twenty year old Jennings joke back while I, hope you're all plane crashes. In an interview decades. Later, he said God Almighty for years. I thought I caused it.
Carnivore Diet Myths Debunked
"Is up guys welcome to this solo cast episode think you'd have been Greenfield for the questions which I will be answering in Solo casts episode. As many of you may know I've written the book, the Cardboard Code Rushing the video. You can see there behind me, this podcast will be released the first week of August twenty twenty one the second edition of my book is now live. So if you enjoy information check out the book dot, Carnivore Code Dot Com if you guys are new to this you. Haven't heard me talk to Ben. About the Carnivore Diet to previous podcasts on the Carnivore Diet you may WanNa check out in addition to this. So I was on Ben's podcast in March of Twenty nineteen and then last year or earlier this year when the first edition of the came out, I did the first solo cast on Ben's episode on Ben's show in which I answered some reader questions, not the Carnivore Code and after Ben read the book, He me a list of questions that he had about. The were code and that is what I will be diving into more specifically today on this solo casts episode. As many of you know Ben is a student of this stuff about chemistry. So some of these questions are pretty detailed try and break them down as clearly as I can. There's a lot of good nuance here that I think bring guys a lot of value. If you are more interested in ain't virata your Ordina, I'll give you three minutes summary Now for dive into some of these finer points the. Carnivore Diet is is an idea of an animal based I in contradistinction to plant based sides of today, the feces that I advance in my book the Carnivore Code are twofold in broad terms. The first is the animal foods specifically red meat and ruminant animals have been incorrectly vilified the last seventy years mostly at the by the result or as a result of incorrectly done science based on observational epidemiology. We have answer keys to thank for that. In many ways I've done a great podcast on my show with Natasha. Wrote Big Fat surprise in which we breakdown many of the myths surrounding saturated fat. So I probably will not get into saturated fat in this episode today. But if you want to know why we have such a bad misunderstanding, saturated fat listened to that episode on my podcast, we go into the details of saturated fat why it's actually very healthy for humans approach to get into it a little bit. Today with steering acid later but that is a big big misconception. There are many other misconceptions regarding read me that will cause cancer that will cause heart disease that it was shorten your life. Some of those will address today they are all addressed in my book, but they are all false none of them are supported by real interventional science actual experiments. They are false claims made based on observation deeming allergy. That has been widely misinterpreted and is inherently flawed Ben and I have talked about this in the past on previous shows. So referred of those. So the first of the book, a Carnivore Co is that Red Meat Animal Foods knows detail organ meets, which I want to talk about a lot today are critically important in the human diet. The part of every humans diet if we wish to be healthy and optimal and they should not be shunned based on incorrect science embrace the red meat especially. And know that you need those meeting Oregon's in order to thrive Ben I know is becoming more and more a fan of organ meats. He many nose to tail meals in the past together with the great. Great. Enjoyment in there are many amazing stories of that and let him tell you at some point in the future. The second thesis of the book is the plant foods exist on a toxin spectrum plants are rooted in the ground. They have no defenses other than the toxins they have evolved. This is not really conjecture botanical science. In the Condor Code I discussed multiple studies showing there are thousands and thousands of plant toxins that are present in plants and these can be harming. It's my golden writing. This book is not commit everyone to stop eating all plants. It's to empower you to realize to fold as saying here now that red meat and animal foods are the most nutritious foods on the planet that I mean containing the most bioavailable sources of all the nutrients humans need to thrive and number two that if you're not kicking as much fun as you want, you may be you may be well served by considering the plan foods you're eating on A. Spectrum which also outlined in the book and eliminating the plants that are most toxic that may be harming you in a variety of ways plans make defense chemicals. This is undeniable and again again all out in the book, it's a very comprehensive book over six hundred fifty references, and that is a broad strokes outlook on the way that I think humans really should be eating the first part. Of the book is about evolution we talk about the human brain is talking about the human brain in book at that point, and I talk about how it's gotten very big very quickly over the last two, million years primarily as a result of humans eating meat hunting I'm going to answer some questions been had in regard to this that in this podcast in secondarily I, talk about the fact. that. When we began agriculture are health when south very quickly and there's very good evidence that this is the really the massive change in the nutritional density of our foods accompanied that as we were hunting less and I will talk about that specifically in this podcast because Ben asked a question about that second part of the book is mostly about plant toxins I breakdown individual types of land toxins. I about polyphenyls why I think we've got this all wrong Benon I may respectfully disagree here but I I do make out what I believe is a very strong case for the book and I would love more discussion with this in the future I talk about oxalate electons solicits and I talk about all kinds of things like that. That are harming US isothiocyanates, which I will talk about today. which are things like fourteen in goal trian. and. How these plant compounds can affect for Mona balance that can affect nutrient absorption. They can affect our gut and really wreak havoc in lot of us if we are not aware of how present in our diet they are, how we might detoxify them in house. Some of US might be more specifically sensitive to them than and they can be causing us great harm and suffering the third part of the book is about to bunking. MITTS in the book. I. Talk About. I. Bunk. With me at that assurance, your life that causes cancer that causes heart disease and that you need fiber to poops all that is in the book I won't get into all of that today I could never do that would be a six hour podcast restaurants in there and in the fourth and final part of the book I outline very clear perspective very clear a model for how to eat a diet outlined five tiers. Of the Carnivore Diet, which gives the reader a sense of how to do this that works best for you and they some of them include plants a tier one for Diet includes plants I call it carnivore ish, but it gives you a toxicology spectrum and the foods that I believe are least toxic are included. They are able to be included on a carnivore ish type diet. Ben Himself has often said that he's eating carnivores. Words in his mouth I think that he would agree with this that he's thinking about making the majority of his Diet Animal Foods and organ meats, and then eating the foods, the plant foods that agree with him the most and thinking about the toxicity spectrum of those plants.
My Rare Disease Does Not Define Me
"I'm joined today by singer, songwriter and patient advocate, Gracie van brunt formerly based in Los Angeles. Gracie moved back to the Boston area before the Kovic pandemic. She's the recipient of the two thousand thirteen rare champions of hope patient advocacy. Award. From the nonprofit advocacy group global jeans at age two, she was diagnosed with a rare disease that I'm going to let her pronounce, and even before the pandemic, she was an expert at social distancing. She is here to share her story and her art welcome Gracie Hey. Thank you so much for having me what an amazing introduction. Thank you so much for being here. We're I'm really excited. This is gonNA. Be Fun. Yes, I'm so. Yeah you too. All right. So can you tell me about your disease and how is it pronounced? Yes. So it's called Schwartzman. Diamond. Syndrome. Like a Walkman, but just with an ass and then I'm in just like a like a diamond gem and then syndrome and it is a very rare disease that only affects I think around like five thousand people in the whole world how and I was diagnosed when I was two and now I'm twenty five. So it's a genetic chronic disease that is currently incurable. We are working on a cure for it, which hopefully can be developed soon, it is also life threatening. So the main aspect of the disease is your bone marrow and a lot. Lot of patients with SDS as we like to abbreviate, it have bone marrow issues where their bone marrow fails and We don't have enough blood counts really like we don't have enough platelets, not enough white cells and not enough red cells, which basically makes up your immune system So we get sick a lot quicker than a normal person would and we also a lot more prone to getting leukemia, which is a blood related cancer, and so the point of getting a bone marrow transplant would be to eliminate that risk. Let's start to talk about this and dig in Can you tell me about your song run ron run because I'm kind of obsessed. It's pretty great. Thank you. Run run run is a song that I wrote about my disease and having to live with it and confronted every day and The first line is my disease does not define me, but recently it's all I. can see and that is because three years ago in twenty seventeen, I got like a huge Epstein Barr virus. I just got really sick from having the Epstein Barr virus, which kind of like was the catalyst to me getting my heart transplant to use later, and so it's kind of just about having to actually confront my disease head on. which is something I haven't had to do for a long time because you know growing up after all of my hospital stints. I got gradually better and I was able to kind of dislike, put my disease into a little box and leave it there and On. A kind of live my life as a normal person. A. and. So when I got this Epstein, Barr in two, thousand, seventeen, it was a huge huge hit to my system. I was extremely sick for a few months and that ultimately led to me having to get a transplant but. Up, until then, I. You know I could be a normal teenager like do normal activities and. not really have to put a lot of emphasis on my body or my health. But because of this catalyst I'll say Really really. Forced me to take my disease out of that little box. I had it in and really really face it. So the chorus goes. To run run run just like I've always done and I leave it alone. But I, have nowhere else to go which is me really just like having to confront the fact that you know I'm still sick I will never be a normal bio typical person and I have to do this transplant for like to better my own quality of life and Just. Focus on. My health more than anything. So that's pretty much what it's about, and then like a little fun fact is. I had already written it before I got the news about my bone marrow transplant. So I had my doctor's appointment on December twenty, fourth two, thousand eighteen, which is like Yay, Christmas, time such great news. But so I had my doctor's appointment, and I already had like a little demo of this song done because Louis is my boyfriend and he's a wonderful producer and we had already been working on Um songs for my upcoming EP and then we'd already done this one. So the first thing I did when I came home was I actually just listened to this song to make me feel better. Because, it's just like it was just the best remedy for me because it is exactly how I felt in this. Little compact. Song.
HereAfter with James Vlahos
"Hereafter is uses conversational ai to help people save and share their life stories interactive way if this is something we've been doing in older technologies for. Since time began practically I by oral history than recording in books than photos, videos, audio this anyway, we can sort of capture the essence of people and passed along to the next generation. As the idea of hereafter is, will we have haven't new canvas have a new medium we have boys computing. That's a way to. Get People's voice and then share their stories memories, dreams, songs, jokes, wisdom all of that in a back-and-forth manner. So it's non new longer just you a nerd experience of reading somebody's biography or memoir. It's even talked to Avatar of somebody a legacy Avatar. Hear their voice talking back. So. That's the the essence of the company as the inspiration was very personal. It was back a few years ago. My father had been diagnosed with terminal lung cancer. And we knew right away that he had a matter of months to live, and the first thing that happened was I did a district conventional oral history project with him, recording him talking all about his life and. Had these hours and hours recordings got them. All professionally transcribed had a binder full printed out as his words at great resource for this inert resource and that was right at the time that I was getting more involved with conversational AI and researching the book and realizing, Hey, you know there's a new way to. Share this information, and for me, there's a new way to sort of you know I was I was desperate like had Michael Hold on I'm losing my dad do I hold onto him in this? Admittedly, a very incomplete way compared to having the real person, but but some way to capture some part of his essence and keep it around. So I did that I created this conversational agent that you could access on Facebook Messenger. Messages with it, and you could get little videos and audio clips as well and I called Bath The dad bought, and that's really the. Basis that for everything discounts sense. and. So while I mean. Obviously. It's a very personal story. I'm just I'm just trying to think all the questions that come to my mind about this. What did you think about this? When you when you shared this idea with or did you share this with them? I did. It was very important for me to get his permission for some foremost but also the permission of other people in the family because I knew right away like I think this is a cool idea. I can see that it's a little bit of a weird idea. So I wanted to talk to everybody about it. and his own feeling about it like this was a man who was staring down data in some ways didn't care either way. Because you had bigger concerns. But he and he didn't get it either I was like a chat wechat by I don't get it But when he finally kind of came around to it, and when I finally demonstrated an early version to him. He really got it and he said I while like. Sounds like me those are things that actually would say or have said. And I like this idea that it could be shared with kids and grandkids in the future.
"cancer" Discussed on Talking Cancer
"My mom came with me to every single appointment. She's driven me to hospital. She's hey with me today in. London says dishes so she's got involved. She wanted me to move in with them. I've got a dog who sometimes I can't walk because of the chemotherapy the Amazon and the side effects got the looked after the dog. So they've got involved wholeheartedly. Really did you feel as well? I mean it's something that's kind of coming through. It's quite common taking somebody with you. Indifferent pair of ears really helps to to properly understand what's being said exactly some of whom turns up. She's got little notepad that she writes. She writes down in the Middle Pad and then with the departments that have had you have the appointment with the doctor and also you McMillan. Nason there as well. The the doctors doctor talk she kind of understand but not everything. Then go to another room with Melanin. Andy McMillan nist gives to in Layman's terms makes it more digestible already. Bite size and then minimum our notebook and says this in Comanche about Mason. What could this mean another last year? It's good to have somebody else there. I mean you know this. This is the thing though. Isn't it a New York you know you're used to these environments your the new vocabulary that comes pouring out when you had your first meeting with your oncologist? That was to confirm your diagnosis and to start talking about how they wanted to treat it. Yes so what was said at that first meeting about how they hoped to treat it so by that point at. Hutt my foam diagnosis. So I knew there are definitely cancer and the meteorologist. He basically just explained the type of Kmart. Beyond and what that chemotherapy medication consisted of. And what side effects had probably encounter is just a barrage of information. And it's it's funny until you either have. Cancer are some media? Family has cancer. Are you work in an environment or company that million the involved in cancer? You don't really realize how many chemotherapies the out there you just presume. It's like that's a mall. Everybody has chemotherapy. How did you find out that there were different forms chemotherapy? We told or was it something that you observed found out a thing. Yeah just research online really and also when you go and chemotherapy you in obey with a number of the of the people and above them is a whiteboard with their name and what chemotherapy that on and you look around and nobody is on the same thing and he was like. Oh my gosh. There were so many different types obviously because it needs to be specific to the person and specific to the cancer. You just don't realize it is so I open is yeah. I didn't know that either I did. You know you just wouldn't know exactly so is so eye opening and is partly consideration of the treatment. The you know the kind of person that you are obviously age. What you do you know can we? Can You keep working? Can you know keep working? Are you moving around because tell me tell us then about the treatment that that you eventually agreed on view? The chemotherapy that I'm on is called Flt L. O. F. Teams Ninety for that type of sorry and basically it's an acronym. Epilepsy is mid perform different medications. And I get every two weeks for two days and I have a four times. So it's a period of eight weeks 'em and basically going to hospital on day one and have three medications and then because the chemotherapy that I'm on I come home with off which is in a pump. Which is we expect it to be full of cogs and battery operated or plugged in. But he's just looks like a baby's bottle okay. There's a balloon inside of it yet fully medication and basically the balloon slowly. I guess deflate and push easy medication now. So how was it administered to you? So I've got a pick line in which is basically a Catheter. Straightens in my vein. Okay which is there the whole time. Okay and I'm just so it's just above my elbow a bit. Different to be higher than you would hubbard taken from. And yes. He basically carrying around this baby's bottle full of chemotherapy for twenty four hours and then a district..
"cancer" Discussed on Talking Cancer
"We're talking cancer with Ben. There was a nurse that came over to me introduce expecting along things on a look down a name Badge and seven Macmillan on it without my God things to start really really real really quickly. Two days after his fortieth birthday benzedrine was told he had cancer of the esophagus. The tube that connects your mouth to your stomach and for someone who loved his food like Ben. It was a devastating blow. We all eat together and I was suddenly taken away from not everybody else would be finishing and it would really highlight to me. I'm not well and I'm not normal anymore. Physically Ben who is a nurse himself is now on Chemo. At the end of which he's going to have surgery to rebuild part of his esophagus. You don't really realize how many chemotherapies the row out there. You just presume. It's like a Paracetemol. We talked about the INS and outs of his treatment. The information he received beforehand and we talked about living with cancer and all the things that keep him going like cooking and baking and later Dany one million professionals is joining me to talk about the treatments available when cancer is diagnosed is mind boggling but they are fairly standard treatment regimes for different types of cancer. Women Millan and we're talking cancer Ben Welcome..
"cancer" Discussed on Talking Cancer
"Being so honest with us. It's hugely appreciated. Thank you Bob Dany Fabulous McMillan. Professional is back with me. First of all Dina Max. What a what a story what do you make of how him and his family have dealt with it I mean so many practical tips in there from things that they've done that feel like their original that you could put different slot tone but absolutely amazing How how they dealt with as a family and again experiences very different for different individuals for different families. What are the most common questions that you get About end of life so I think A common question people often ask themselves And family members often debate is how long how long have I got left to live? When they know their time is limited and and that's very difficult because some people ask the question on perhaps they don't really want to know the answer and I think it's always very difficult to give a very specific time And I worked with Palliative care consultant. Who was very good at doing this? And she always used to double check that they actually wanted the answer but then she would say whether she thought they had weeks or months and she So she didn't say you have two weeks or you know she just say. I think it's going to be very few weeks. And I think that gives a good indication without being specific so people are taking the days off on the calendar and getting very upset anxious in those days as well. Max described very eloquently This pre grieving process that I completely related to Give some explanation of what that is. What what he meant by that. I mean he really articulated it. Really well Will you know you're going to lose someone but you don't know when and so you you start the grieving process in in essence and that's different for for everyone in terms of shock. Fear Anger acceptance. There's very good literature around the grieving process. And some people experience all of that some people only one of those things but in essence. It's about you coming to terms with the fact that you're gonNA lose your loved one owner on a practical level. I think because we've mentioned you know when you're in this huge emotional turmoil. Structure is is helpful. What if somebody's just received an end of life diagnosis? What sort of kicks in? How what what steps should people expect? on what would happen. Generally to kind of help them through that I think the most important thing. And that's why Max story is just so important is is being able to talk and I know they were a close family. And some people don't feel that they can talk to friends or family Up about it but understanding what what you want. If you're in the situation where you're facing end of life. When do you want to consider having no treatment? If you're still having treatment where where do you want to be? Who Do you want to support you? Support is out there and you can have those conversations with your gp or even your clinical team that you can have them. You can have them and you can actually undertake something called an advanced care plan where you can document those things so that all those people caring for you like the GP will understand what your wishes are and you can share that with family members. I mean obviously including family members in those conversations is really helpful to talking about including people in the conversations maxes story about how his family filmed conversations with his mom. And just you know they just put the camera on so they've got a lot of normal That they've that they've recorded as well stuff that they've they didn't even realize they were recording quite a unique approach but served as a great example. About how you might approach those final weeks or months I just. I thought that was such an amazing idea. I think one of the things when you're going to lose someone that feels really important. Most people is making memories So reflecting on past memories and often you know you talk about things that happened historically that you remember what Happy Times but also creating memories that you can keep hold off once The the person's no longer around and that's was such such a good idea and Unfortunately because often people don't talk about things openly an half those open discussions they lose that opportunity to make those choices make memories which does seem such a shame. If you've never been in the situation. Contemplating death is a huge psychological Minefield it's how do you? What what? What is your advice if you are? Really Johnnie worried about the physicality of it about the the you know the psychological effects about how you're dealing with it links back to your first question about what people expect There's lots of things of the things they sometimes ask is. What will it be like? What can I expect Named reality some some people Active and doing things right up until the last few days whereas other people are much weaker. I'm perhaps the last couple of weeks are very tired and and in bed and I think that they're very individual things will say based on what's causing you to So so what type of cancer you have. What type of treatment? You've had generally how you've coped through. That might be an indication an and actually if people worried about symptoms you can just talk through some of the common symptoms that that that people can have when they're approaching end of life and what you can do to actually alleviate those so people don't have to be in pain they don't have to feel sick and sometimes people get very worried about people eating and drinking yes And there's this need to try and feed their relative or the left one and make sure they they drink to keep them alive and in reality. It's a natural process. I'm people won't suffer through that. So if they're hungry and they want to enjoy something let them half it if they're not hungry I it doesn't matter We'LL IS IMPORTANT. Is that obviously? You keep their Their mouth comfortable and moist You know because obviously if they're not drinking their mouth will dry. It knows Final few days Max and his family planned His mom's funeral meticulously is quite an undertaking. It sounded like a A really special day. How would you recommend people approach funeral planning because it's not easy? It's not an actually doing. After the event is is can be quite traumatic. I mean I I think that's a fabulous example where they had time where they were able to talk and they were able to planets and actually there are lots of schemes. Now where you can do that while you're well and Y which feels much healthier And in a way Takes the burden of you know sort of how many families though taught tweet other about you know what would you do? It isn't and that would be a really good thing to do. You know if you've got the opportunity as a family and you've gone out. Only relative is to try and help those sorts of conversations but but people don't say you know. I think they are a good example of how they approached it. You can still do it. That way. even after somebody has died so think about the person and the essence of the person and what they would have wanted because in reality you probably know anyway. So I think there's lots of ways that you can approach and there's lots of websites out there that give advice I'm we will have on our website. Marie Curie have advice on their website. There's lots of places people can go to think about how you plan a funeral when you do it. Words of advice for people who have lost a loved one resuming their lives. It's a very strange period. After somebody has passed away the friends and family want is your advice in that period afterwards. How do you get back to any semblance of a normal life? I mean yes. Life does have to go on. But actually the the pain of losing someone can be quite physical as well as emotional And talking talking is a really important thing and if you can't talk amongst people that you care about you know talk to your gp about how you feel. Potentially I loved a maximum sample about texting. Mind and and looking online. If you can't kind of pick up the phone All of that applies are after the event. You need just to be very aware of your feelings and know that it's okay to be sad and if you're struggling to pick up the pieces and carry on without that person around then there is lots of support out there. I think I slept for a month. I was exhausted. I think those are you because you you don't realize how much you're coping And the the energy the emotional energy physical energy that that takes up. I slept for a month. It was. It was incredible. And it's okay to cry. When a particular song comes on the radio you know oil in a place you think. Oh they say would have loved to be here I. It's okay to cry. It's a normal reaction. It totally I used to go into. Mum used to perfume. And every time I go into like DEM's or more like that and I'd get a whiff of it for a long time. I just so and it does take you by surprise abated. And it's good to know that that's okay you know. I've still got the bottle of aftershave that my dad was using before he died and now and again I have and it just reminds me of him. It's just so nice. Oh Dany I could talk to you all day. Thank you so very much again and my thanks. Our thanks to Max for coming in to tell a story if you've been affected by the very sensitive topics we've discussed in this episode. Please contact on McMillan support line on. Oh Eight oh eight. Eight eight double zero w zero open seven days a week. Eight till eight next time. We're talking work and cancer with Helen. The night before I went in to have surgery my boss said to me. I think we'll get somebody else in. I ended up two days after my surgery between payroll from my hospital bed in hospital. They actually confiscate my laptop. I should think so. Subscribe if you'd like to hear that in every new episode whenever it's ready have you enjoying the series why not give it a rating or a review? It helps others on the podcast more easily. I'm a maybe talking. Cancer is cancer. Support podcast.
"cancer" Discussed on Talking Cancer
"I'm hostile bed. Coventry are then one of the star to cry immediately. Do the same thing that those. I'm sorry and it straight away. I think there's no it's gonna be rubbish is so we'll cry together just over a year ago. Matt lost his mom Nand Breast Sarcoma Cancer. She'd successfully overcome it two years before a Max was initially optimistic. We've done once we can do it again. But I didn't actually last too long because I'm just having some trouble breathing and your database told it's it's too late on this time. Nothing's GonNa work. Max Talks about going. Through a period of pre grieving mourning the loss of a loved one before they pass away but it was a period where they could all talk and plan as a family. I suppose lucky in a way that we could on mum's funeral with her. We don't need you like five or ten minutes at a time could get too much for all of us but it was so nice that we knew that the day when exactly how she wanted to go if you'll having to contemplate the end of someone's life perhaps your own then. I think you'll find Max's story very inspiring and later a lovely Mellon Professional. Dany will be here to talk about how to deal with the end of someone's life you need to be very aware of your feelings and know that it's okay to be sad and if you're struggling to pick up the pieces then there is lots of support out there women. Millan and we're talking cancer Max Welcome along. Thank you very much for coming. It's lovely to me e I'm I think we should start by you telling us about your lovely Nand. What was she like? She was full of life as she had bright pink care so everyone says her favorite phrases pink and fluffy so she says to everyone. Yeah so she loved drama say she ran a youth theatre she lived in Cypress. Yeah she was over in England for a couple of months. I think Coventry as where we're from originally and she was one of those like live action actors in Warwick Castle for free just for a few months. 'cause WAY WOW okay. So she was Mary. Queen of Scots. Saw someone lying if you look with bright pink hair yet very much? I get the impression that you quite close family. How many brothers and sisters do you have? Were you around each other the whole time? We already co still. It's my dad and my mom and my sister Ruby and me just as for so and we all live lived apart. My Mom and dad lived in verse. My sister lives in Coventry. At the time I lived down in Eastbourne we lived all over the place but we all met up at least once a month so it was really good. Yeah Okay Now. You got diagnosed not once but twice. Tell us about the first time. Initially it was just breast cancer and it was well while still in the army and I was just about to go to the Falklands to six months so yeah they came visit me down to Southampton as far I was at the time. And that yeah. They broke the news to us and devastating. But we didn't really get down. I I really face anything like this before. And we're really really positive family light if I came back from work or school or something and was negative or saying I didn't like him. Adobe like name enough of that home repulsive family so we were like that straight away. The first glance assay although it was sad for honesty about half an hour. We're like right. We're going to beat this. We're going to really do it. So didn't really feel that real. If you know what I mean. I'm Am for you at that point. Did they come to the radio armed with lots of information and answers to questions that you might have what the treatment might be and and that helps you kind of say. No no no okay. This is going to be okay. I think they did it but I think that. Sort of blind positively hadn't even ask I think it was a bit of a shock of. I didn't really go into much detail really. I was just outright. So how are we going to beat it? And and she did get better yes. It made a full recovery. I think it was nine months to a year she was. She was meant for a checkup and the doctors know they couldn't believe it. They're all. The team has gone started with breast cancer. But then she went ashore. Had OSTEO sarcoma cancer as well and yeah I think she had ten tumors at the time and they'd all gone which was crazy. We were so happy. So this leaves you as a family so shaken but resolute. I'm ready to carry-on And how old is is Nan. How hold is your mom at this point So when she beat the I would have been about fifty two and wish she would be affected by the treatment. What she did she seem to be a self looked with any sort of lasting symptoms. That made life different four. Join get she was. Yeah toad in ourselves sleeping all the time but afterwards no she was back to normal which was right and there was no reason for you to think that this was going to come back now. We didn't think so. Now it's you and I do have something in common because my mom died at sixty two with first time breast cancer and then the cancer came came back and I know exactly where I was when we had the news. It come back. How did the second bit of news come to you then so it? My mom was just had some back pain. She was complaining of back pain so she left it for a bunch of cancer. Say It doesn't say she like no don't need to get that checked and eventually she was is quite need to take some painkillers. And my dad I think then took her in hospital and then that's when they did some scans they found out it come back. Yes Sarcoma Cancer. The second time I mean that must have been so horrendously disappointing for your mom for you and just worked so hard. How was it? How was it for you all at that point being given that news the Yes for a second time? The cancer had come back. Initially it was the same as the first time we well go. We've done at once. We can do it again. Right didn't actually last too long because I'm shocked. She was having some trouble breathing and she had to go into the database. He told us it's too late on this time. Nothing nothing's GonNa work. We then had to stop this positively because as I said before it worked once we. It was sort of blind positive. We can do it that we actually couldn't this time emotionally coming to that conclusion especially if this is your mom especially come to that conclusion as a child must have been really hard. Yeah it was really tough are remember clear as they were sitting Rhonda hostile bed in Coventry. Then I think one me and my sister even my dad's one of the start to cry and immediately do the same thing lows Dr. Sorry and a straight way I think as my daddy said no and then he started crying. He's like no. Let's stop this now with is not strong to be to hold your emotional stiff upper lip or anything like that. That's just have a cry. Then he's GonNa be rubbish is there's no say in it's going to be good for. Let's just if you're GONNA cry cry. It's not apologize for it. Let's just say we will have to cry together For and then yeah she was in for about a day then and we were always just having these conversations talk in and so we don't have very long left until it was. It was widely nice. It was horrible but then it was nice to be that vulnerable with each other. We'll talk about your blog because you've you've written a blog it's it's amazing and and I'm sure has been a great help too. Many people have read it that bit that you are describing Which enabled you to have those really a great quality time with the remaining time that your mom had you describe as pre grieving. What what do you mean by that? Yes I think I don't know if I made up. Maybe I did. I think Max. Yes a weird thing to vote yes. I thought it was really strange because you knew we knew mom was going to die. We given three to six months and so we knew it was going to happen. So you're already kind of sad about that so you know you're GonNa Grieve. Once she eventually goes. Then you're already sat about assault preagreed and at the same time. It's a really really weird transition and I'm sure you were the same when you were in that stage and many people listening to wherever. It's so so strange because if you want to be normal in have the best last few months but at the same time your stupidly sad about it. I think thing is as well is the. It's such a an unfathomable idea that some of these going to die because I don't we don't know what that means. You don't know what life is going to be life when you know when the no here so difficult to pin that down and work out. Our isn't at this time. What did that enable you to do with your mom so we allowed us to have an actual great last few months and we saw so much of our friends and family who came to visit because we are so open with. What's going to happen? But then it's also really helpful for a lot of the actual grim stuffed organized the funeral and stuff like that and you use some of that time to plan. That didn't yes. Oh we we saw. I read somewhere on line and video camera up in the corner of the room. Totally about this is such a great idea. Honesty so happy I read and I said to anyone who's going through anything like this. Just do it. Because I'm not saying let's sit there like act in front of the Cameras. Usually on what you're doing the normal daily life. It was really good. 'cause you watch it back and you just see normal conversations and chats and I made I was really make an effort to get mom to talk about all the stuff like twenty years ago that we didn't really know about even really boring stuff like buying a house and stuff because my dad's memory is all full of oats guy talking and laughing and stuff like that also like that. Yeah they're really hard conversations. I suppose sort of lucky in a way that we could plan mum's funeral with her into so strange and because it's horrible compensate. We don't need you like five or ten minutes at a time because it would get too much for all of us especially in my mom but it was. It was sort nice that we knew that the day when exactly how she wanted to go which is weird. Nice feeling but Having a few if you have the capacity to during final months in a few the capacity to talk about you know dying well Then yes you should and and I think it's amazing that you manage to do that all this time. I'm sure you really should've hung down as a family And use each other is huge support. Did you get help support from anywhere else because emotionally for you even though you've got this framework now which is super helpful. I mean all this time you're still going to work still having to be Max as day-to-day maximum your responsibilities to your other half in your friends. How how did you manage to to cope through this time? So initially I was actually a look back and think I was quite stupid at the start of it so we are really close family And I had the best network around a wider family as well as all my aunties uncles cousins and everything who will live really close to our house and call them anyway..
"cancer" Discussed on Talking Cancer
"Absolute pleasure to speak to you. I will thank you so very much. Thank you Dany Bell McMillan Professional. Hello Lovely Lady. It is great to have you back again. What an inspiration errol is. Would you make of his story? Oh absolutely an inspiration. I think For men they're not great at talking of a now. We talked to him about life after cancer. Can you please explain remission versus cancer free? Okay so they are very different things But unfortunately sometimes professionals or public perception intertwine them so when somebody is in remission and you can be impartial remission or complete remission And it's really that remission is really that the Kansas not active partial remission is where maybe you've still got some cancer cells but they're not causing you any problems and complete obviously is the Kansas being held at bay or clear. Tends to come when you've been in remission for period of five years with no active cancer and then your condition may be enough to say you are all clear at that point so it's really important to understand that during this remission period from the moment that you'll cancer treatment stops through those partial remission to clear what are the kind of what does recovery look like You've had this incredible trauma the treatment. Whatever that has looked like for you individually What can period then begin to look like so? It is very different for different people. And we've talked about this. Before different types of cancer and different treatments have different impacts so that makes it very individual but there are common things that people struggle with energy I'm fatigue is a is a big one And that can take some while to actually recede but some people struggle with it long-term anyway. Some people have problems with pain as a result of treatment and unfortunately some people will have long term problems With pain just because of the impact of the type of treatment. They've had on their body. And and pain fatigue can be quite intertwined and then unfortunately have a knock-on effect on your emotional wellbeing. Well I was I was GONNA say because they will talk quite quite openly about the effect that his cancer had On his sex life. How do you maintain your emotional health as well through this other places to go? Is it an again something that you should you should talk about when you go back to see your? Gp OVER YOUR CHECKUPS. I think GPA is a really good starting point. Sometimes people aren't necessarily comfortable with talking openly about things that they find embarrassing would prefer to talk to the GP about two and GP's are Used to talking to people and helping people that have like arrowhead erectile dysfunction after Treatment so certain types of cancer treatment have a physical impact on how your kind of sexual activity happens but also some people have has psychological impact on their body image and so there are lots of different reasons. Why my impact on your sexual health and your sex life which actually has a massive emotional impact and there's there's all the people say that GP can refer counseling you join groups where people who've experienced the same thing and learn how they've overcome some people find that very helpful to once you're in remission you own sort of send out into the big world and let go there will be checkups. What does what what do they look like is that is that a visit to the GP say how you feeling a return to the oncologist for Something a little bit more invasive so that's a really good question because historically people always went back to the hospital for a clinic appointment and then they would have their surveillance tests but things have changed and we recognize that actually for some cancers particularly Kansas that very low risk. Gp's manage and monitor them and so you may just go and have a blood test regularly and the GP let you know the result of that and actually we even have electronic systems now where I can actually look up their own blood results. And there's lots of information that goes alongside that so they know how to interpret them so PSA which is our talks about is one of those where they're in some areas. They have a remote surveillance system that patients themselves have access to for other people is going back to see the specialist on every sort of You'll find it will be three to six monthly the first year and then actually wants your kind of two years with stable disease. You'll have an annual check. So you know the the longer you're in remission so to speak that the less frequently you go but you will always have an annual surveillance tests and that can be a scan a blood test or both whatever is needed all just absolutely overflowing with positively such great guy to be around but he he he has worries that it might come back at so. There are emotional scars that it leaves as well. I think that's what we highlighted is a very common problem and you'll often hear people say once you've had you always have cancer even when you don't have active disease because it's always in the back of your mind and You know when a scan or an appointment coming up people will get more anxious than normal and and that's understandable in reality. You know that fear of the cancer coming back is very genuine and people need to find their own ways of of dealing with that for some people it might leave hypersensitive to any ailment. That might be you know a around Wendy you. When do you know whether it's something serious that you know? It's not just it's not just a cold. It's something you need to go and get checked out as a hard question. No no no but actually There are indications when you've had a particular cancer what the likely recurrent symptoms will be I'm people should be informed of those by their specialists team and the GP should be aware of those as well so You can be more vigilant about those and of course obviously if you have something persists for three to six weeks then you shouldn't hang around really it's always best to get it. Checked out was most. Mina almonds will recede within that time. And it's just you know so if you have a back ache because you've heard you back it shouldn't last for a protracted period Unless you've done some damage but then you would need to seek help anyway but so You know so if you have a back ache and you have had cancer where Secondary Bone cancer risk. Then you should know that if if that back pain persists you should go and seek help. So he should be given information so that you could monitor but equally put get very anxious about every ache or pain A maurienne someday. There are lots of telephone support services now so even the specialist teams the cancer nurse specialists would much prefer somebody just ringing and checking and mortar. Not they can relieve anxiety over the phone. Finally Dany if you're a friend or a relative of someone who was recently in Remission. They can still offer support if there's somebody listening. What's your advice to friends and family? I think I think the biggest advice as to carry on Life with that person you might need to make some adjustments if they're fatigued but tight make big delivered be understanding and still do the things that you enjoy doing together equally some people with cancer CEO. No one more talk about it. You know and I'm struggling with all this. I look okay. It's okay to ask people if they're all you. Okay today you know. Is Everything all right so An most of is normal behavior. So don't be afraid to have the normal conversations that you would you would have and do do the normal things that you like doing with your friend or your family member. Danie thank you so very much and my thanks to Arrow for coming in to tell a story to get more information about what we've talked about in this episode go to our website. Mcmillan DOT ORG dot. Uk forward slash talking cancer. Next time we're talking about dealing with the end of someone's life with Max we're sitting Rhonda hostile bed in Coventry are then one of the start cry and immediately do the same thing that lows Boudin. Sorry Straightway I think as my daddy said no it's gonna be rubbish is so we cry together. Subscribe if he'd like to hear that and every new episode whenever it's ready and if you enjoy the series why not give it a rating or a review? It helps other spun the podcast more easily. I'm an obey talking. Cancer is a cancer support podcast..
"cancer" Discussed on Talking Cancer
"But he said you need to read this letter. When I looked at the letter that he had he had twenty five percent cancer. And he's prostate. Oh my you are kidding me. But he was the first of forty eight guys that walked into my Garrett was diagnosed with prostate cancer of which two are no longer here. I am so journey. My journey for me you know and dealing with prostate cancer is by talking about every day. Yeah and I decided to set up the mckellar foundation to get mental can and the reason why did that was you know by one hundred of my lady customers in mcgarry and said goals. When when's the last time you went to see a doctor in a year and eighty nine out of the hundred doctors I also same question to my male customers and one and what was frightening about him is not only wind because his wife was moaning. Amy Said and she's decided she's not going to give him any more sex until he gets himself. Checked out Larry's smart journey now to raise this awareness and that's how I've had to deal with the bits and pieces that goes on with it and that and this is I suppose. Lots of people talk about their new normal. Your Journey Newell. The projects that you have in the foundation. The talking that you do is is that the new normal for us this errol now. I think it's just amplifying the stuff of done before but it has to be very direct because not helping people to pursue a career. I'm hopefully helping to save lives and you know and and I can't do that on my own. It's great people like yourselves. The fantastic support I get from my wife Sharon and also family and friends because I found out about prostate cancer by accident while I say to people now is is reading lots and lots of reading to find that because so many different different conflicting things that people talk about. But the most important thing I've learned from the reading I've done is. The numbers are very very high and getting higher one. In eight European men get prostate cancer. One in four effort cabin men get prostate cancer. It's important to talk. This is important to talk it out also as well. Can you explain what? Psa stands right. Psa stands for prostate specific antigen. So that is what is produced inside the prostate in order for you to help with your reproduction and exciting things that men have and dream about so yes so the. Psa We know. And that's the count and that's how they measure whether or not there is something going wrong. This is a simple blood tests and it's important that all men make a point of getting himself tested whether the doctors happy to do or no insist on getting it done because this is something if you try and catch early. You're more likely to stay alive with it. Do you think that what's the work that you're doing in and around prostate cancer in Bringing bringing the discussion to the table getting people to talk more about it has been helpful to you in dealing with the experience that you went through personally often. I think the help has been absolutely massive and I didn't realize how big an issue this was until I started to be involved in and you know and why it's important to talk is because I'm what I've learned from talking. Is that if it's in your family. Then it's very important that the generations know about issues because my dad. When I had the conversation with my dad when I was diagnosed a turnaround to mainly suggests on. I had that issue five years ago. Oh my goodness mainly reaction. Oh my goodness May. That was angry. Upset couldn't speak to him for nearly six months. I'm sure that. What have you come to any conclusions throughout this about why men aren't very good seeking help or being aware of their bodies? Yeah Yeah I have two issues with that. The problem with men as opposed to women is that we suffer with two things ignorance and silence. You know so if we have this issue. We go into denial. We find every excuse to accept that it's not happening and then on top of that we completely shut down. We just go into silence. Women I mean you know. Women are very very good at snagging. Whatever time or do you WANNA put it. You know when they have something wrong for me as a mechanic. If they got problem with their cars they come in straightaway with men we wait. The car breaks down but it is interesting. Isn't it nothing women as well? We can. Because we whether that's to do with puberty and starting periods right through to pregnancy. I think we're much more used to our bodies changing. There's a lot more. We talk about a lot more I am more proactive. But but this is. What you've been doing is made such a huge and significant difference. This is not gone unnoticed. Has IT I hope you hope our can make a difference but I always used the word we because one person's not going to make this change. I know you say way. There was only one and h s hero. Would do I rec- when I when. I told me that they were GonNa give me this award. As I said to them. I will only accepts award. On behalf of all the people at the going through the battles with prostate cancer older people that we've lost fruit issue and for me really. I wouldn't have accepted of the not because I felt that I was taking it on behalf of all the people that are involved in this campaign as well so it's People's award for me more than his personal. I'M GONNA come back to you personally just for a second. Because there's this this is amazing. Work that you do this fantastic foundation. Clearly this work is helping you. Arrow and looking forward into the future. When you were going through that who did you look to for Support? Was THAT FAMILY FRIENDS. Was there any outside? Organizations will else's out there for for for young men in your situation fortunate people at the melon prostate cancer UK but it's forums forums more and more foreign online forums. Yeah see that's a really common thread that we're to WIG IT and you know. Actually there's a lot of very valuable support you get from other people in the same situation. Your in House mustering came from my wife and family. They realized a long time ago that they were happy to share me with everyone so I wouldn't couldn't and wouldn't have got fru. I've got to now without that help and that network and the treatment that you had has there been any lasting impact on you and your health. Yes there has been lasting impact. My situation is that You know I have probably less than twenty percent. Feeling BELOW MY BELLY BUTTON. Erectile function is probably non existent. Okay right but what? I've learned through modern with this. Is that some people will get a lot more than that. It's how you manage what you have. I mean and housed on a day to day basis. I mean you know. That's you love. Your wife is that that's complicated and difficult. If it only difficult if you sit down and and decide to do nothing about it I may not be. What call you same boat. I can still be Mo Farah because that makes sense so you have to you have to improvise the best way possible. But you can't beat you. You know what you have to do is and that's comes to. Why South the charity I say is because by talking drought? You realize that you're not the only one going through this challenge you know and somebody you know a lot of times. People say things to me that our massive help you know so. I'm learning every day to do and I think he's well particularly with with prostate cancer. An with men and they're reticent to talk about talk about things that there are. I'm sure all lots of lots of medicine. Lots of concerns about. What makes you a man that may be gets in the way of of of of going to the doctor and do does that make sense a great great question and I'm glad to have asked the question because a lot of men told me that raw not go through this because if it means they're gonNA lose erection then more issues with continents? And what would you say to those because it is real? That's a real concern. I've had the question and what I have said very frequently is look if you have a chance of being alive and maybe helping somebody. It could be your children. Your grandchildren isn't that more important. Do you ever worry about it coming back. I do worry about coming back. I don't have a prostate now. So you know if the cancer comes back it would be probably more aggressive somewhere else but my challenges is to save somebody from having to go through the battles the ave to go for every day. That's more challenge so I try to be positive and give give the love to other people. You're a magnificent human being. It's been an.
"cancer" Discussed on Talking Cancer
"Hello I'm Annabi and welcome to talking cancer a podcast for Macmillan where I'll be meeting real people to have honest conversations about living with cancer in this episode. We're talking cancer with Adam. Let that if I decide in your brain but we turn away is going to have to operate need some and then the Black Sonya I knowledge is looking at Solomon Lipset. And when we're talking potential BRAINTREE RATIOS WENT. Yeah potentially thirty one. Adam Carroll was enjoying life and enjoying a job that allowed him to work in New York.
"cancer" Discussed on Talking Cancer
"We're talking cancer with Khloe. Once you hear the word she thinks. This isn't good in twenty seventeen. Khloe Dixon was extremely tired. After the birth of her baby girl I she thought nothing of it but it kept getting worse than I start having these headaches and that was like an elastic band around my head. So then I thought right I better go to the GP blood test revealed. Khloe had chronic myeloid leukemia or C. L. Which is a type of cancer that affects her white blood cells? I'm talking to Khloe about her cancer but particularly her diagnosis. What does it feel like waiting for the news? How do you tell your family? And how does having cancer affect your daily life was horrific? I mean holding my girl and thinking I'm not saying thanks year. Awful plus later in the podcast. I'll be having coffee with Dany. One of Macmillan's fantastic professionals to give her thoughts on what to do when someone says those three fateful words you've got cancer you could actually have a conversation with someone and even if they seem silly questions to you. The professionals at the end of the line will not mind in the least women melon and we're talking cancer lowy. Hello.
"cancer" Discussed on Mayo Clinic Radio on Cancer
"I can say that twenty nine years ago when I was diagnosed. This was not part of our discussion. So that must be something that we've learned over the years Decker Lindbergh. Yeah well thanks for the opportunity to talk about this important topic. I do think that it is something that we are paying more attention to these days. You know as our cancer therapies hopefully have gotten better. They're more effective. There hopefully more tolerable to our patients than we can focus on some of these other equally important areas to try to improve not only their quality of life but their overall health as well so focusing on nutrition making sure that people can be healthy while they're undergoing these necessary treatments is really the goal of all of the things that we do in that nutrition space and also with activities stress resilience. Different area What is it? What are the issues when you're undergoing either chemotherapy or radiation? What makes it difficult for a patient to eat what I hear from my patients? Tom Is that even foods that they previously might have enjoyed different during the time of chemotherapy. Or radiation therapy so foods may not smell. The same foods may not taste. The same foods may not be Appetizing like they were prior to this life changing event and the treatments that go along with it so what we wanted to learn with. Terry's help and with the wonderful organizations we had a chance to partner with is. How can we actually ask the right questions for these patients? Who need a different approach to nutrition so that we can meet their needs in in a better way. It seems like that this is obviously been a problem ever since. Chemotherapy came on the scene. Some what's been fifty years ago. Probably Pretty close to fifty years ago but I think in some ways the problem has gotten a little bit better because you're better able to control the the nausea and vomiting. I can remember back in the early days when methotrexate was the treatment for kids with us. Just her coma bone cancer. They were in the hospital. They never do this as an outpatient and they vomited continuously extremely difficult. Problems still have the same problem but not to the same scale right it. It's in some ways it's better. I think. Definitely the drugs have changed the tolerance and the effectiveness have changed and again back to now we can focus on these things that otherwise. Maybe just didn't pay enough attention to prior days. How important do you think good nutrition is to help the patient actually fight the cancer? I think there are benefits to nutrition that we're only beginning to understand and I think particularly in this population where not only are we trying to control or eliminate the cancer but also make sure that people can maximize their ability to experience? Effective life saving drugs. It just makes the issue so much more important. Which is the bigger culprit In general the chemotherapy or the radiation I. I'm not sure that anybody would have the same answer. From from my standpoint I would like to look at the person more holistically so the disease process and the treatments. And how can we individualize? The nutrition needs for that person. Well what does it? Did you learn that you need to change or address when it comes to cancer patients? What is the consortium figured out? So I'll let Terry ad in her comments as well but I do think that understanding that people who are receiving chemotherapy. Radiation therapy cancer treatment have different needs than the general population that that is something that maybe we just don't give enough recognition to so. How can we make sure that we've got the right texture the right odor or or lack of You know so that somebody doesn't smell of food and not want to even he. Does you know. Coffee is very powerful. Has a very strong sent to it and some people may like that some people might be totally turned off from that so we want to make sure that we can individualize for that person. Whatever it is that they want food and beverages that can help them maintain their nutrition status. I remember well for myself. It was a long time ago but I remember the mouth sores being a huge problem but probably a bigger problem for me was the list of foods that I could not eat because they would have an effect on the medication that I was taking. That has to be something that plays into what the consortium will end up recommending. What the consortium Found through the study is that about eighty four percent of the patients experience fatigue and then mentioning mouth sores. We know that over twelve percent experienced that so it really affects. What you put into. Your body are what you choose not to eat at all. What we found is that people that Experience Fatigue Were making their own meals. And so they didn't have the energy to wait for a meal to be cooked in so they went without so further inducing the fatigue. So then what happens? They don't have the energy to attend an event or a family function and they become isolated. So what we hope is that improving nutrition will improve Their experience their life Quality so that they can stay engaged in family events in the community. Art Suspected that there are different levels of nutritional inadequacy based on the kind of treatment and the cancer involved. Right I mean are so. Let's say you had cancer the pancreas and you're getting chemotherapy. And you're getting radiation to your abdominal wall. Nutritional issues would be greater for someone like that as opposed to a a Limpopo patient. Where the the Chemotherapy is much more benign. That's right and I think we have the pleasure of working with our expert colleagues across Mayoclinic to understand the medical side of the nutritional needs of the patient as well as the social elements. That Terry was mentioning in terms of just. Don't feel good enough to make any kind of meal. Whatever it is that I should be eating. Is there a way that you can objectively measure whether or not the patient's nutrition is adequate? There are there are equations that I probably learned in medical school. But don't have at my fingertips. Please don't ask me to think through what are the. What'S THE BASE BASAL METABOLIC RATE? What are the nutritional needs for somebody? That's undergoing the stress of disease and also a treatment and our dieticians our nutrition experts can figure out you know based on all of those different parameters. Not only how many calories should an individual take in? But what should those calories beacon composed of? Excuse me with respect to sugars and proteins and fats and all of those different elements. We are talking about cancer. Nutrition with a member of the board of directors of the cancer. Nutrition consortium Ms Terry MC joint and also gastroenterologist Dr Paul Limburg dime for matter of fact all right here we go myth or matter of fact all patients undergoing cancer treatments should be taking vitamins and supplements Dr Limburg. You're going to be happy Tracy so I do think that there are advantages to some vitamin supplements. But I. I don't think all patients necessarily need to follow that approach. The the best advice we give our patients is to make sure that your clinicians your physician and Care Team are aware what you're taking so please don't be afraid to tell us about what supplements you may or may not be using because they couldn't have positive effects but they may also interact with some of the other medications that we're prescribing. Do you ever remember recommending to a patient that they take a multivitamin or take a specific supplement absolutely And I spent a lot of my career Trying to prevent cancer as well. Tom In that context. There are some very powerful potent Supplements vitamins that seem to have cancer preventive effect so I think in the right context there may be different uses for vitamins and supplements than there may be in the chemotherapy. Radiation therapy patients. I WANNA follow up on that. He said that maybe there was something that we could take to prevent cancer. Is that what you're saying? So there's a field of science called chemo-prevention which deals with how can we prevent the disease before it becomes invasive cells in the body become abnormal sometimes for triggers that we can understand like cigarette smoking sometimes for reasons that we we haven't figured out yet but there are things like vitamin D Cellini calcium in some studies have been shown to reduce the incidence of various types of cancers at least in animal models? And there are some human data to support those preventive potential effects. Anyway at this point there's not a blanket recommendation to take vitamins and supplements to prevent cancer. But we're working. Oh that's what I needed to know because you don't take any. I don't take vitamin supplements to prevent. Okay got it Terry. Tell us who is involved in. The cancer and nutrition consortium because that's what we want to learn more about. Thanks Tracy This was actually An Initiative by Dr Bruce Moskowitz. He's a founder of the effort and he really struggled with his patients that were undergoing chemotherapy and radiation therapy with nutrition and so he reached out to seven of the world's leading cancer centers to see if we could come together To conduct a research study to develop some measures to help these patients. What did the research find the research included over twelve hundred people We understand that the The largest factor of Cancer treatment is significant fatigue. Next is Constipation poor appetite Reflux indigestion just a myriad of Symptoms that really affect.
"cancer" Discussed on Mayo Clinic Radio on Cancer
"That's true for any screening test for colorectal cancer. Alright so use easy you Put a sample into a box have the ups guy come. Come pick it up and you're done it. And how long does it take to get the result Once it the sample gets to the lab. The turnaround is less than a week Several days. Yeah You. You put the sample in in collecting device. That's that's well said Tom. Yeah yeah no it's. It's it's from a patient standpoint. The the kit has a very simple collection device. That mounts to toilet sample is is put into the container. The LID is screwed on and it's shipped in the same container to the lab. I would imagine. Though as the case incidences of colon cancer continued to rise that their family members that say. I'm I'm all in testing where we're going to start in. They don't even care if it's color guard or colonoscopy that has to help with people's willingness to go through testing or is that not happening. Well we we looked at the first one hundred thousand color guard tests that were offered post-approval forty two percent of those patients had never been screened before and that was across all ages. That was exactly what we're hoping for And so we. We hope that having access to to attest that does not disrupt work. That doesn't require. Change in daily activities will make a difference in compliance and at the end of the day. It's participation rates that. Let's say you do a thousand tests. How many are going to end up being a positive? Yeah that's That's the positivity rate is about thirteen percent wow But many of those patients have real disease mostly polyps are common and the test detects the large polyps out of thousand patients five to seven. We'll have curable stage colon cancer without symptoms trouble stage pre-symptomatic let's say that Unfortunately it is diagnosed as being cancerous whether it's through color guard testing or a colonoscopy what Howard patients patients treated. Yeah well if it's detected at the earliest stage before symptoms some of those cancers are actually in polyps and they can be treated and discuss publicly without congressional so you read through the Columbus through the connoisseur. Yes conventional surgery. There are many approaches. They're depending on where the tumors located It doesn't in. In most cases it does not require a colostomy fewer than ten percent of patients with colorectal. Cancer require a colostomy. That's that's a myth. That's out there in. Most patients ball function is the same after surgery before and if the cancer has spread is they're usually there are other modalities involved. Chemotherapy may aviation but chemotherapy the mainstay of of of metastatic or colon cancer. That has yes. Yes and there's a lot of progress along those lines in even with metastatic cancer if if it if the spread is early and localized that can be cured also by surgery for example a solitary metastases to the liver or the lung Va. If that's all there is that can be cured with additional reception outside of the Colin boy. There's so much reason for hope but obviously the key is defined at early times it's our. It's our goal. It's our hope to see colorectalcancer. Become one of the least common cancer killers in this country and I think with accurate tools. Broadly in widely used. That's an achievable goal. Dr David Aqueous gastroenterologist colon cancer expert at the Mayo Clinic. Thanks for being with us. Thank you for the latest in health and medical news go to news network DOT Mayoclinic Dot Org..
"cancer" Discussed on Mayo Clinic Radio on Cancer
"Welcome back to Mayo Clinic Radio. I'm Dr Tom and I'm Tracy mccray cancer of the Cervix Tracy. There's some actually some good news about this cancer. The number of women dying of cervical cancer has decreased over sixty percent since the introduction of the cancer screening test called the PAP smear which was invented by a Greek physician. By the name of Papanicolau. I said that because my wife is. I know you're very wise points. But according to the CDC there are still twelve thousand new cases of cervical cancer and four thousand deaths due to cervical cancer every year in the United States. Now most of these are women who were either never screened or they weren't screened often enough or as often as they should or they had an abnormal test and didn't have adequate follow up. How in an effort to raise awareness about how women can protect themselves from hp the Human Papillomavirus and cervical cancer. January is cervical health awareness month here to discuss cervical cancer screening. Is Dr Kathy mcglaughlin? Dr McLaughlin is a family medicine physician. Who focuses her research on improving rates of cervical cancer screening? Welcome to the program Dr McLaughlin. Thank you nice to have you on the program so at Tracy said and she talked a as if there was a definite connection between. Hp and cervical cancer. Explain that Sir. This was a really exciting. Finding basically in science world to recognize that the cause of cervical cancer ninety nine plus percent of the time is persistent infection with human papillomavirus or HP there. What do you mean? Persistent infection will use the term. Hp Okay going forward rather than human papillomavirus It's a very common virus of the CDC estimates that about seventy to eighty percent of sexually active adults will have an infection at some time in their life. Most of them won't recognize that there won't be any clinical outcome symptom associated with it. They'll clear and be fine but in a handful of patients that high-risk HP infection persists for years and over a ten to twenty five period of time that can result in precancerous changes of the cervical. Sal Okay Gotcha subsequently cancer or so. It's a it's a virus so even if you knew you had or even if you had symptoms what would the symptoms be a and could you treat it low risk. Hpv is a separate category. That doesn't cause cancer but causes genital warts but the high risk. Hp really doesn't present with symptoms that patients would see your find and after years and years of exposure potentially that would be picked up with some cervical abnormalities on the pap test or on an HP test. It could be picked up that way as well. But they're really wouldn't be symptoms that patients would be watching for and the majority of the time the infection clears without intervention especially in healthy people with normal immune systems. How did you figure out that? Most cases of cervical cancer were were caused by a persistent. Hp infection yeah. I actually don't know how that was figured out. But there was a German virologist who was instrumental in making this discovery a number of years ago and then just through process of studying that virus figuring out that it actually is responsible for a lot of oral head and neck cancers penile anal cancers too. So it's not just women that need to be concerned about hp so what are the symptoms when someone has cervical cancer or HPV. Either one both so if somebody was not getting regular screening and came in and was diagnosis cervical cancer symptoms. They may not be irregular. Menstrual or vaginal bleeding But again most of the time especially if it's a precancerous diagnosis either. Low Greater high-grade cell changes that would not be symptomatic and that would just be picked up through the screening test If you pick this up early on a on a pap test then you can prevent it. From spreading prevent it from getting worse and basically prevent cervical cancer correct. Cervical cancer is preventable through a combination of screening and vaccination the screening itself identifying the changes the prevention pieces following along closely than if a PAP abnormality or. Hp positive test is noted. That person would be put into a surveillance program with some are frequent testing and depending on how that progress potentially have a treatment to prevent the cancer the introduction doctor shoves read a laundry list of some things but the adequate follow up after an abnormal test was surprising to me. How is that falling off of the radar right So in the old days so to speak. The recommendation was annual PAP testing and that has changed significantly in recent years. Recognizing that three or intervals with PAP tests or five year. Intervals with PAP. Hp Biko tests for women thirty over are adequate. Because it's such a slow progressing process but when people haven't come in that's how these situations can happen so screening only works if it's done on a repeat basis and so people who have not engaged regular there is that potential that the infection isn't clearing and just coming back like they're supposed to write and so they had an abnormal pap HIV test. They're giving advice on when to be seen again. And we try to work on not letting that fall through the cracks with You know Online reminders that are patient portals system. Let reminders but it still happens so I heard you say that you can prevent cervical cancer in two ways one. Catch it early before it actually turns into cancer by PAP smear but you also said the word vaccination. Yes that is really exciting so Ten years ago the human papillomavirus or HP vaccine became available in our country. It's been used another country's for longer periods of time it was initially.
"cancer" Discussed on Mayo Clinic Radio on Cancer
"That's damaging the drug that we have the most knowledge about as a drug called doxorubicin or the other name for Adriamycin and the mean risk from a cardiac standpoint with that drug is congestive heart failure. And it's a small risk but it does happen. And we have cardio oncology just here who are specialists in figuring out how to manage that when it does occur and congestive heart. Failure means that the heart just doesn't pump well enough to get the blood flowing throughout the body and one of the symptoms might be swelling of your feet and ankles exactly or difficulty breathing. Are you an exercise program? I just WanNa talk about it anymore. It's very hard for me. It really is hard for me. Actually very emotional at this moment. I. It's psychologically. It is wonderful and terrible to be in this camp so explain a little bit about the psychological ramifications of it absolutely the U. facing a potentially life threatening diagnosis is incredibly difficult. Incredibly stressful causes a lot of Distress in most of our patients and In some patients that evening gets the point of Depression. Are Psychologists and psychiatrists are incredibly helpful And I encourage all my patients. Actually if if they're willing to see someone to talk about what they're going through. Psychologically the fear of recurrence that really lasts for a long time for many. Many patients can be an ongoing problem. So it's not just during the treatment but transitioning into the survivorship fees and then and then thereafter and we need to help patients manage us as as best we can are cancer. Education Center is a fantastic resource. They have phenomenal free educational materials. Also classes So that people can kind of see. What works for them. And whether that's art therapy or music therapy or yoga. Mindfulness Meditation can access those Those resources I really never go away. Tracy mini a year. How many years? They told me to start watching for the heart effects. Eighteen to twenty years after the treatment. So I'm at twenty eight years now and psychologically you never forget it if you want to know more about the cancer survivor program at Mayo Clinic. I am so happy that you're there to help them. And we are on hundreds over one hundred stations across the country. So how can they learn more well and we are working to get more of our resources virtual? Actually we really want to be able to reach more people not just people who actually make it here to Rochester regularly but we want to get our materials online and so that's a that's in process and and working with our it group to do that Certainly anyone who's here in Rochester stopping into the Cancer Education Center is probably the best way to do that. We also have the Dan Abraham healthy living program and they have some great classes. Low cost classes that people can access. And if you're in Rochester that's A. That's a fantastic resource But but I certainly would say cancer education center which is just the lobby level. The GONDA building in Rochester. That's a wonderful place to start in. What a great program the cancer survivorship program Dr Catherine Ready Site. Thanks so much for being with us. Thank you so much for having me for the latest in health and medical news go to news network DOT Mayoclinic Dot Org..
"cancer" Discussed on Mayo Clinic Radio on Cancer
"To the DNA of these malignant melanoma sites that are sort of fighting to protect the rest of the of of the cohorts from ultraviolet radiation in doing so become themselves susceptible once these events take place as they call. So matic mutations take over and the tumor cells become not normal but transform into malignant phenotype. It's those genetic mutations that as of roughly eight years ago we can now therapeutically target. And that's why you and a lot of other college are not big fans of tanning backs. No we're not because Tan is damage. Just like a burn is damaged so there is not a healthy Tan. Not really I hate to say. Probably the best one is one from bottom and from the bottom area. Do you have any idea? How many different agents Modalities have been tried to treat to treat melanoma the past few decades. I can remember interfere on all different sorts of chemotherapy agents. How many do you have any idea? There is there has never. There has never been a uncle. Logic agent a chemical treatment of cancer that that is currently or has ever been in clinical practice that has not been used in the league. Nabil wow demolish I everything everything all right. So nanomedicine yes. What does that mean? So one of the one of the age long problems in cancer therapy when the cancer is disseminated has been how to deliver the right drug to the right sal all the time and you can imagine if you have cancer cells Ten and along one hundred and liver five thousand in the leg four in the brain and you have to deliver a drug that will have to hit all of those and you can only injected into the vein. Whatever amount of drugs you give. Only a small fraction goes to those small enclaves of cancer cells whereas the rest of the based body in the toxication so most of chemotherapy as chemical treatment of cancer has developed. We are able to dose based on maximally tolerated dosing because so much of the drive. Ninety five plus percent of it goes to normal normal organs and only a little of. It actually gets into the tour. And that's why so many side effects from Chemo. Exactly in many ways. That's the Bane of chemotherapy. Chemical therapy of cancer so about five six years ago through a relatively serendipitous Set of events in our lab. Where something that? We thought wasn't working in fact was but we didn't understand why it was. We came to a realization that we could glue to unique molecules together And one of which was a virus like particle That could be loaded with chemical agents and the other was an Immunoglobulin Which is a molecule that could seek out features of cancer and provide a guidance system to that bigger molecule that we've attached to it so many ways we've developed what it looked like five years ago. A smart bomb for cancer. The seeking piece of it was the antibody which is normal immunologic product of life where the body makes antibodies to fight infections. So we simply took an antibody that would recognize a cancer and glued onto it A toxic payload. Wow so toxic payload I like it and it goes where it needs to go. Whether it's the five thousand cells in the Labor the fourth four cells in the brain without going to where. It's not supposed to go theoretically that's the plan We've now made ten agents. Like this ten nanoparticles for various different malignancies. The first one is in clinical trials now in metastatic melanoma and ovarian metastatic varying cancer and. We're very excited by the early data. It's a phase one I man I in human clinical trial and just yesterday we submitted our second of a series of ten agents for the treatment of Hematological malignancies so This is what this is where the word targeted there came from. Please okay. So you've got targeted there for al-anon might you've got immunotherapy now? I assume that targeted therapy is similar to chemotherapy. And intravenous what about immunotherapy honey? Give back so therapy right now. The the most the greatest success has been with intravenous treatments again. The idea of a set of overcoming the barriers that the tumor produces by making the host immune system. Such that allows tumor to grow. And we simply disrupt that signal There's colleagues of ours in in Florida. are have discovered a combinatorial regimen with a topical drug applied to a metastatic melanoma. That has a component of intraocular tumor injection Some of our colleagues here in radiation oncology have figured out that if you radiate the melanoma which by the way you know years ago was considered to be a radiation resistant tumor but if you give enough of the radiation not only will they destroy the tumor but will generate an immune alert throughout the body to cause these immunology treatments to work better. We can modulate immune system in different ways. I would imagine this transfers over to other cancer treatments in coming years all cancers all the time Great Work Markovic. He has cancer specialist melanoma expert and director of the. Mayo Clinic. Melanoma research lab great to have you with us. Thank you for the latest in health and medical news go news network DOT Mayoclinic Dot Org..
"cancer" Discussed on Mayo Clinic Radio on Cancer
"Cancer Therapies is the director of the Melanoma Research Lab Doctors Mira Markovic. Welcome to the program. Dr Markevic thanks better. Very nice to have you Here and always nice to know when you are seeing one of our our patients because you're sort of one of the melanoma Google around here and historically Melanoma has been easily curable. Easy to treat if it's caught early but once it metastasized once it spreads elsewhere. It's been a very difficult problem Forever as as long as I can remember. Yeah you're absolutely right Tom. This is William Ostler. Even defies melanoma cancer gives cancer a bad name to father. Madison wonder reasons has been as the malignant melanoma. The the cell itself is extraordinarily evolutionary resistant to all sorts of noxious stimuli. The cell originates from essentially nerve cell origins and it involves on the skin of the body where it acts as a producer of Melanin to protect the skin from ultraviolet radiation in doing so. The cell is bred to be resistant to various noxious influences like ultraviolet radiation chemical influences from the skin and so forth thus when a cell like this becomes malignant loses its ability to be controlled by the environment for regulated growth. It becomes very difficult to treat and as you well know the last thirty years. We've had very little IF ANYTHING UNTIL FIVE YEARS. I've never heard explained that way. That's that's very interesting why it is so resistant to to treat resisted to so many things. Yes it basically you know. It has the genetic equivalent of an elephant for for inept very small package a lot of genes available to protect itself and it uses very efficient. What's the current standard? How you said until five years ago so until five years ago what was happening. So basically in our field melanoma metastatic malignant melanoma doctor said which is imminently curable disease. When caught very very early when it becomes metastatic it is essentially life ending unfortunately with for most patients up until five years ago All we really had was treatment that could barely control the pace of growth of this tumor. And we've had a treatments that unfortunately could only prolong survival. In a matter of months with average survival times. Being on the order of seven to nine months. Depending on which study really wants it had had metastasized. The survival is very limited extremely limited in what I normally unfortunately within our practice as as time as you know you would see a patient for Thanksgiving odds of seeing that patient again next Thanksgiving would be relatively low and there's been a lot of work in this field because of that the other interesting thing about melanoma metastases anywhere brain liver in ICAN even go to the bone and as you know we've seen it in the bone and the reason that we have had to operate on it sometimes in the past is because it will grow so much that it compromises the integrity of the bone worried about a fracture but the interesting thing about it is when you look at melanoma metastatic to bone. It's black just like the original tumor really. It is oh and looking at the prep for speaking with you. I come across the phrase immuno-genetic tumor saying that right correct correct. You're absolutely right. Yeah I know it's it's Kinda interesting story so back in the eighteen eighties You know when Thomas Edison was still working in his shop and you know I think Albert Einstein was in his teenage years. A guy named William Coley was a physician and hospital in New York City. The predecessor Memorial Sloan Kettering Cancer Center. Who had this ingenious idea to infect a sarcoma which is a different type of cancer with bacteria and he could demonstrate resolution of the tour that idea produced in the late one thousand nine hundred eighty s or eighteen eighties. I Apologize What what was known at the time collies toxin the first treatment by wish the harnessing of immune system could be narrowed and directed towards the cancer. This isn't the days prior to started toxic chemotherapy. Prior to what in the fifties and sixties we would refer to as the dawn of set of toxic chemotherapy. The problem is with the introduction of cytotoxic chemotherapy with the drugs that kill cancer. Melanoma re continued to be resistant and a lot of us that were devoted. A substantial part of their professional lives at joined understand and treat this disease had to really start looking at alternative options to treat That were not chemotherapy but that involved immunologic treatments the tumor as immuno-genetic because for time in Memoriam we've known the D. Museam does recognize the cancer but it cannot do anything about it and I would say the last probably fifteen years have truly been a renaissance in the field of cancer immunotherapy specifically in Melanoma metastatic melanoma management research. So what have we got now? And how does it work well we? I've got a few things I've got a few things. We said. Therapy chemotherapy. Nanomedicine start with immunotherapy so basically you know five years ago twenty eleven is sort of the watershed year. I think in our field. I think everything. In metastatic Melanoma Knowledge Prior to twenty eleven is referred to as the Jurassic period and everything since then is really knowledge new newly generated and Lee Incorporated into practice fundamentally what we have now learned is We've gotten insights as to how to regulate the body's immune system so it can overcome the ways by which the tumor protects itself from immunologic destruction in very creative ways. Some work that was originally done at the Mayo Clinic About seventeen years ago Here by now Dr Han Dong. Who's one of our colleagues so immunologic therapy in today's setting that has led to average survival times now in the two year? Mark Relative to seven to nine. Months is a big step forward. But it's still not cured if so what we're doing right now in the realm of immunotherapy is trying to understand how do the eleven hundred regulators of immune system respond in patients that are treated with a immune drug? X? And how the system the body response to that in those do well versus do poorly. And how do we take advantage of that? A lot of work within our group and others in dissecting the environment of the tumor the battlefield between the immune system into cancer also the systemic circulation blood state autoimmune system that some people lend themselves to more a greater response sooner therapy others and does not and then various Sort of moving knob says to adjust inflammation as her immunity to destroy the tumor. So basically when you talk about an immunotherapy you're you're saying that the body's immune system does recognize the fact that melanoma shouldn't be there and it's cancer and the new moon system wants to get rid of it but it can't so you're jacking up the system in a way pretty more Tom. What's interesting about. It is jacking up alone. Probably helps you with a tire but not with the cure of cancer. So what what we've learned. Is that the so if you can imagine. This is a recipe that has about eleven hundred ingredients in it and we're trying to make it taste well for a unique audience as an analogy and in doing so. Each intervention produces a counter intervention by the body's immune system probably an interestingly What we're learning recently in mechanism. Not all that different than how. The Placenta protects the baby from the mother's immune system so a multitude of different regulators protect the fetus from being rejected from the MOM's immune system. The melanoma is alive organism in many ways a parasite into the body once it becomes metastatic so it is actively co-opting the regulation of the Systemic Immune System in a way that allows it to survive. The task for us is to understand how it's doing that overcome at at the battlefield and also overcome it throughout the body where the immune cells are being made to fight it so you have increased the survival for patients with metastatic melanoma from seven to nine months to what now an average of two years and I can tell you we are Might my fellows those come to train with us. Now are very disappointed. When we don't create a complete remission patients with metastatic melanoma which six seven years ago was an impossibility and on her. So we talked about Immuno therapy chemotherapy. The World of chemotherapy is always changing. I suppose when drug companies are involved correct correct. So what's different in chemotherapy? So it's interesting about melanoma again coming from from a disease in which nothing has worked for very many years there has been a a series of almost generational expansion of people that have tried to sort of practice not And some of them have immunologists from DB -nology background and others have also been pharmacologist people that that have developed in their scientific lives into into understanding according to human genome and what that means and so since the development of the Human Genome Project Days of our awareness of the multitude into Heterogeneity of the genome that led to the Tumor Genome Atlas as as to identify mutations unique to various malignancies one of the early findings in around two thousand two thousand one that was published by the Welcome Fund was that a certain series of genes were necessary for the survival of melon sites. The normal cells and these genes were extensively. Hyperactive in the context of malignant melanoma. Are these considered the genes of the patient or the genes of the tumor. These are the genes of the tumor. The gene's cancer. If you think of cancers disease in general cancer is really a genetic disorder a disorder of mutated genes that allows the cancer cell to live in a different way relative to its normal counterpart. Does it go from me? The patient having cancer genes to the tumor having its own genetics. Absolutely so what what happens. Really so the is. What is the intervention That takes place and malignant melanoma. It is very simple answer. It's ultraviolet light. Ultraviolet light takes These cells that.
"cancer" Discussed on Mayo Clinic Radio on Cancer
"These patients are protect potentially susceptible to developing for example. One of the most active drugs that we use as a drug called Adriamycin in it which belongs to the class of drugs called anthocyanins which can cause significant effects on the heart down the road. Certainly some of the treatments we use can cause impaired fertility. Some of them can cause neuro cognitive effect or a skeletal effects or even propose or even predisposed to other malignancies so these are things that we try to make the patients aware of and monitor for in the both the patients and the physicians caring for them need to be aware of the significant potential for long term effects. You're the principal investigator for the Children's Oncology Group. I didn't even know about this group until we booked you as a guest. So tell me a little bit about that group. What do you do? So that children's oncology group is a cooperative group which seeks to improve curate and lessen the long term side effects as well as understand the causes of and develop better treatment modalities and Basically do everything surrounding improving the curate for children with cancer. The children's oncology group is a group of approximately. Gosh it's over two hundred institutions both in the United States and we have some Members of the C O G in other countries. Australia New Zealand Other countries other countries in the world also but mainly in the United States and Canada. We have randomized trials. We have phase two and phase one on experimental treatment drug treatment trials. We have epidemiology trials those trials looking at the causes of childhood cancer And it's just very exciting. The advances that have been made through cooperative group trials in curing so many children with cancer so given this collaboration has helped in generating funding for these trials so it funding is always an issue. There's never enough. Funding is the bottom line. Is there ways that children or the parents of these children can get the kids involved in clinical trials if they're added hospital where that's not an option? Should THEY TRAVEL? Or should they ask their physicians? Can we do this here? How does that work so in order to be involved in a clinical trial? The patient does need to be seen and treated at an institution where that clinical trial is in fact open and available and is the funding for pediatric cancer. Research hopefully growing is that growing as well. Well unfortunately the funding has been flat for a number of years now and obviously were trying to get philanthropic organizations and at the risk of omitting a few. I won't mention any but there are certainly feeling excellent philanthropic organizations but the money is certainly never enough and the funding has been unfortunately flat. And that's the reason why you have childhood cancer awareness month so we can talk about that. We've been talking about the importance of research and clinical trials in fighting childhood cancer with pediatric hematologist oncologist. Dr Karol Art. Thank you for joining us. Dr Arndt thank you for having me. Thank you for the latest in health and medical news. Go to news network DOT Mayoclinic Dot Org..
"cancer" Discussed on Mayo Clinic Radio on Cancer
"That's a big number. Although pediatric cancer deaths have declined by nearly seventy percent over the past four decades cancer remains the leading cause of death from disease among children. September is Childhood Cancer Awareness Month and here to discuss the topic is Dr Corolla. Aren't Dr Arndt is a pediatric hematologist oncologist and the principal. Investigator for Children's Oncology Group at Mayo Clinic. Welcome to the program. Dr Aren't Nice to meet you. Thank you good to be here. It's just the most terrible topic. The saddest things children getting cancer and luckily the rates seem to be declining or are they accelerating well. The rates are probably approximately the same as they've been we do. Have as part of the children's oncology group research something called Childhood Cancer Research Network which is an attempt by the cooperative. Group Children's Oncology Group to get information and create a database of every child under age twenty one diagnosed with cancer in the United States to be able to determine just that whether in fact the incidence of cancer is increasing or decreasing. You've you'll hear some times that someone was diagnosed with childhood cancer even if they're an adult. Are there specific cancers that are indeed just childhood cancers or are there are king adults diagnosed with those types of cancers? Or what makes it a childhood cancer? I guess so. Certain kinds of childhood cancer are or certain types of cancer in children are most commonly seen in children but can indeed be seen in adults for example neuroblastoma is typically thought of as a childhood cancer however adults can get neuroblastoma. It's much much rarer in adults but they can get it. Similarly there are certain tumors in particular bone tumors like OSTEO Sarcoma or Ewing Sarcoma which are commonly seen in teenagers and young adults but they can also happen when they're in their twenties or thirties so the Toronto as a as a parent of young children cancer is the last thing I'm thinking about when I when I see my kids but parents out there. What are the sort of typical signs and symptoms? That should alert them in the back of their mind that something untoward may be going on. Well there's no one particular sign or symptom that should bring up the diagnosis or thought of cancer. In contrast to adult cancers that for example appear in the breast colon or prostate childhood cancer even certain kinds of cancer can appear in lots of different areas in the body The most common form of childhood cancer is leukemia. Leukemia often presents as persistent. Fevers or power or bruising or swollen lymph nodes but sort of vague nonspecific symptoms and. That's not the first thing pediatrician thinks about. When a pediatrician sees a child with fever but unexplained fever unexplained joint pains? Make you think about that law last for a while make you think about something more serious such as cancer for bone tumors in my area of interest and expertise bone sarcomas and a lot of times? These are considered to be so called. Sports tumors because teenagers are often very active in sports. And it's perfectly normal for normal child to have an injury or a sprain or strain and I would say that if pain from a strain or a strain doesn't go away with conservative management. After a couple of weeks then you need to start thinking about more sinister in serious causes such as cancer. So I would say unexplained symptoms Or for example weight loss. Fevers night sweats lumps bumps. Those kinds of things is there because there's so many different types of cancer that there can be from top to bottom. I guess you know when it comes to children or kidney cancer you know whatever bone sarcomas like you mentioned. Is there a certain cause of cancer in children? Is it more likely to be a genetic issue so most of the time? There's really no explanation as to why a child gets cancer. It's just one of those freak random things and I often when I meet a family one of the first things. I make sure that they understand is that there's nothing they did or didn't do that. Caused their child's cancer which I think is very important in terms of genetic causes there are. There is a particular syndrome called Lee from any syndrome which is a family familial cancer syndrome which the Classic Syndrome is cancer diagnosed in two first degree. Relatives Prior to the age of forty five in those typical cancers. Typical sort of classic case is a child with Rob Demise Sarcoma whose mother might have had breast cancer diagnosed at very early age or Osteo Sarcoma and breast cancer so there are families that do have a predisposition to get cancer there are certain cancers that do show up as I mentioned. Us juicer coma grabbed my breast cancer. There are also other more rare kinds of syndromes that can predispose to childhood cancer but most childhood cancer is not considered to be genetic given the advances that we read about every day in in cancer other any new treatments on the horizon that you can talk to us about well. That's such a broad question Certainly immunotherapy is a hot topic. car T. cells for refractory. Leukemia are things that are being investigated. Probably one of the most striking advances that have been made his been immunotherapy in high. Risk Neuroblastoma So we are exploring new agents. Chemotherapy drugs but also new approaches such as immuno therapies. Why is it that children get neuroblastoma? More than adults. Probably because NEUROBLASTOMA is considered to be one of those tumors that one could call an IM- Brian all tumor which excuse me arises from so-called embryonal rests in the body that are there at the time of birth and something just goes awry and the immunology is something on the horizon. A bright spot on the horizon for children with neuroblastoma correct explained a little bit more so one of the recent studies that actually led to approval of a drug that was specifically developed for treatment of children with Neuroblastoma. There's a drug called dinner toxic map which is an antibody specifically directed against the neuroblastoma cells when given in conjunction with other drugs that stimulate the immune system. We did a randomized trial. In the children's oncology group which demonstrated that those patients treated with very aggressive therapy plus immune therapy specifically including the dente. Cab had a significantly improved survival rate an event for survival rate and better outcome than patients that did not receive dinner Tux Map. So that's very very exciting in that led to approval of that drug by the FDA this year so Dr Arndt myth or matter of fact since nineteen eighty only. Three drugs have been developed specifically for pediatric cancers. That's not very many. Is that a myth or is that a fact. That's actually fact. Wow they're the three drugs have been the dinner toxic. Mab that I mentioned previously. Which is the antibody to treat Neuroblastoma Cofer Bean which was specifically developed for treatment of recurrent childhood lymphoblastic. Leukemia and Irwin as Which is a form of disparage. Ace used to treat children with leukemia. Specifically who are allergic to the standard form. Which is e. Coli Spare Giannis. It doesn't seem like that's that's not a lot of advances in night since nineteen eighty y such a shortage of it or is it a shortage. Well the problem is that as we've mentioned earlier. Childhood cancer is relatively rare compared to cancer in adults and so it's really not on the priority of industry to develop drugs specifically for the indication of pediatric cancers. Most drugs that we use in pediatric oncology are not specifically FDA approved for treatment of a particular childhood cancer. They get approved for adult cancers first and then we use them to treat childhood cancers so we certainly have drugs they were not developed specifically for childhood cancer. Like the three drugs that we mentioned now. The the good part is that Congress passed a law a number of years ago called the best pharmaceuticals for children. Act which was an act that allows drug companies to have six months additional of exclusivity before the drug goes to market and is the the a patent is expiring allowed to be marketed by other drug companies if they do studies and children and so that was that was something that was a glimmer of hope in drug development for children that if the industry or company decides or agrees to develop the drug for children or look for childhood indication they get an additional six months of equis exclusivity so given these medications. Are they freely available or they best administered in for example cancer centers in the country? So it's important it's in the best interest of the child. I think for them to be treated at a cancer center or at a place that has access to randomized clinical trials which is really what have significantly improved the outcome of pediatric cancers over the years and to be a center..
"cancer" Discussed on Mayo Clinic Radio on Cancer
"Mayo Clinic Radio. Presents conversation about gynecologic cancers with gynecologist Doctor Jaime Gomez the show hosts? Are Dr Tom Shives? And Tracy McRae. This podcast was recorded on September thirteenth. Twenty sixteen. Welcome back to Mayo Clinic. Radio. I'm Dr Tom Shy. And I'm Tracy mccray Tracy the PAP test you've heard of that. Probably had fewer near day should have and that was developed by a Greek physician by the name of George Patton Nicolau. My wife is Greek. And she's going to really like me for this. So it came into use around the nineteen forties. But actually he had discovered that you could find malignant cells under the microscope. Actually in the twenties or early thirties but nobody never got credit for it. Nobody believed him. Dull around the nineteen forties when it finally came into use. And of course that test is called the PAP test or the PAP smear and is now used worldwide for the detection and the prevention of cancer of the cervix and other diseases of the female reproductive tract. What he did what he showed. Was that by gathering just a few cells from the vagina inside the vagina vaginal tract and looking at them under the microscope. You could actually tell whether or not a woman had cancer of the cervix pretty amazing breakthrough. Absolutely the PAP test changed the lives of millions of women and now researchers are working on a screening test for endometrial cancer. Also known as uterine cancer research funded by the National Cancer Institute and Mayo Clinic is developing a screening method using DNA from a Tampon for early detection and screening of endometrial cancers now unique is that DNA from Tampa. How so and and we're talking about uterine cancer as opposed to cervical cancer and the two are connected but the cervix is just the opening of the of the uterus with baby-boomer is now in the age risk category for endometrial cancer. The number of women diagnosed each year is increasing here to discuss this new minimally invasive screening method for endometrial. Cancer is the woman leading the research. Director Jamie baucom Gomez. Welcome back to the program. Dr Beckham Gomez thank you. Dr baucom Gomez Pretty Exciting stuff and truly unique tell us about this using a Tampon to diagnose endometrial uterine cancer absolutely. We're very excited about this. We've known for decades that abnormal cells from inside the uterus can be picked on picked up on PAP smears but it's not very commonly picked up that way there are other markers that are not naked That are not necessarily visible under the microscope. Such as molecular markers that we can actually now test for these are changes in DNA so DNA mutations DNA methylation which is where the gene is actually turned off because of a change to. What's kind of hanging onto the DNA called methyl groups And we can pick those Those changes up not only in the actual cells that are the cancer cells but when those cancer cells shed and flow down through the cervix into the vagina they can be picked up Those those signals can be picked up on PAP smear and we're actually taking it to the next level of Trying to pick them up on the fluid in the vaginal canal because it's in that fluid it's in that fluid and And the reason that we're focusing on detecting this using a Tampon is data. Tampon is a common hygiene product that most women use in fact The tampon business in the United States in two thousand fifteen one point five billion dollars so we know using using that as a surrogate that this is a very common while accepted collection prod collection device. It's not a special Tampon by any means the kind you just buy it the convenience store. Well we're doing from from the research standpoint we're just using the common over the counter regular about Tampon As we develop this test further a likely be something a little bit more specialized so tell us how this works a you you tell the woman To use a Tampon put a Tampon in and then take it out when and then bring it to you is that how does it work so right now. We have clinical trial open In which we are collecting Tampon samples from women who are coming in with abnormal uterine bleeding That are paramount of puzzle or postmenopausal. So it's still in the research phases And before they have a biopsy to determine whether or not there is what the cause of that admirable pleading is on. We're asking them to collect a Tampon They're doing that in the clinic. We time how long it's been in the vagina because that's also part of the test need to figure out exactly how long it It needs to be in the. What's the minimum amount of time? And then the then the Woman goes on to have her clinically indicated biopsy in. How's it doing so far Well so far we've enrolled almost a thousand patients to that to this clinical trial And we're working on the combination of markers DNA methylation mutation Markers a table a test in prospectively in those in those samples with this sounds were some somewhat similar to Coa guard where you take a stool specimen and look for abnormal DNA DNA. That will tell you whether or not the patient has colon cancer. Same principle absolutely. So guard is a combination of mutations. One mutation and Three methylated genes. And they're all they also look for fecal called Hemoglobin so much a colt hemoglobin doctor. Yep exactly so fecal a call him Gordon. They're looking for blood as well. So but it's a multi target DNA test that is self collected and exactly. That's exactly what we're trying to To do with this type of a test. is develop something that is highly patient accepted something that provides women with high access meaning. They could collect the sample at home and potentially mail it in. That's our ultimate view or ultimate vision. I should say that would make I would imagine. Make a big difference for anybody could take part in that. I mean it could be that someone notices that they're not feeling writer. They've got some symptoms but they don't end up going to see a physician. This would be a good step to get that ball rolling absolutely. We know that decreased access to healthcare Does worsen survival in certain cancers. So that's that is something that we are hoping that ultimately we impact so uterine cancer itself. What are the symptoms? Who's WHO's at risk for this particular problem? Yes so there are very well known. Risk factors for uterine cancer. Obesity is probably one of the largest risk factors for wearing fur and mutual cancer Also having diabetes hypertension Those are also hyperloop. -demia those are risk factors having a family history of Uterine Cancer Colon. Cancer Stomach Cancer Those symptoms those cancers tend to If there are families where you can actually see high numbers of those cancers and that's consider Lynch Syndrome are some families are diagnosed with Lynch Syndrome? Which is a genetic condition that puts women at higher risk for uterine cancer? You don't hear about very many women. Dying of uterine cancer. I know it happens but it must is not all that common so it must be very treatable if you can. Just make the diagnosis right. It is It is fairly treatable especially in early stages early stages typically the treatment surgery alone Even in advanced stages There are potential cures but usually it requires extensive surgery radiation and chemotherapy and the side effects of those are oftentimes long lasting. And what are some of the symptoms of endometrial cancer? Yes so symptoms. Ninety percent of women with endometrial cancer will present with some sort of abnormal bleeding or abnormal vaginal bleeding Postmenopausal women I About Even though ninety percent of women with cancer will present with abnormal vaginal bleeding. Only ten percent of women who come in with postmenopausal bleeding will actually have a cancer. Well that's a good thing. It is a good thing it is but also all of those women undergo an Mitchell biopsy which is an invasive procedure and. We're looking to try to help void that as well. It's it just as interesting just as an exciting just as incredible caller of art so We wish you all the success in the world. But now we'll expand our discussion to other reproductive system cancers because September is gynecologic cancer awareness month so Dr Gomez why Why is Ovarian Cancer? The the worst of all of these so ovarian cancer has kind of a long standing nickname. And that is that. It's the silent killer The signs and symptoms of ovarian cancer can be very vague. Despite the fact that it's already in its advanced stages the signs and symptoms of ovarian cancer typically fall into four categories or for For symptoms and that as abdominal bloating distension Change in appetite or society basically getting full fast when you eat Bowel changes Whether it's swinging constipation or diarrhea And then bladder changes Frequency a frequency of urination or urgency. So let's go over those. What's more loading Just WanNa make sure that that all of our listeners have. These bloating is one but that everybody has that at one time or another and you sort of write it off yet. We're talking about something that's constant that's persistent for. You know. Probably more like two weeks or so rather than an intermittent type of process But you're right. That's why these scientists. These symptoms are quite vague. All right and then you had bowel changes Bladder problems and a number two and I had to do with eating society full fast. So is ovarian cancer in a sense somewhat. Like cancer of the pancreas in that because the the ovaries are so deep-seated that tumor has to get fairly large before it does cause any symptoms and by that time it has often metastasized or spread elsewhere. Yeah there are different patterns As far as the spread of ovarian cancer but most often the GI type of symptoms the bowel changes and even the early Feeling full early in a meal. are probably related to the Matassa metastatic deposits that are on the surface of the small intestine large intestine and sometimes even the stomach. So what's this a five year survival rate now for women with ovarian cancer and compare that to? Let's say a decade ago. Are we better? We're better yeah. We've definitely made a lot of progress. I think it's it's hard sometimes to go through to actually dissect what the Five Year. Survival is for ovarian cancer in general because most ovarian cancers are diagnosed at an advanced stage One of the most important prognostic aspects is thorough surgery In the beginning of the diagnosis out. Good you can get it all out. That actually improves five year survival And some studies have actually shown that at five years More than fifty percent of women are still alive who were diagnosed with advanced stage disease. Where is it usually go to from the ovary it starts there? Then where does it spread? it likes to go to an organ that's inside. The abdomen called the mental It is an organ that hangs down off of the stomach and large intestine. So it surgery if you can if it's a metal to the surgery hasn't spread to too many places or too far away from the ovaries chemotherapy. And what about radiation is it? Ever part of the regimen radiation used to be part of the regimen for ovarian cancer but it has It has fallen out of favor. Because we've shown that chemotherapy is actually more effective so treatment for ovarian cancer is a combination of surgery and chemotherapy. Sometimes we give chemotherapy first and then surgery in between two courses of chemotherapy. And what's the average age of the woman diagnosed with ovarian cancer most often? The woman that segments with cancer is going to be in her early sixties so it is yes. September being gynecologic cancer awareness month. We've talked about endometrial cancer and ovarian cancer What's up next cervical while cervical cancer? Also one of our specialties. How deadly cervical cancer so cervical cancer actually the mortality in the United States as well as in other developed nations has dramatically decreased with the introduction of the PAP smear Back in the nineteen forties We also now have the vaccine against the Human Papilloma virus which causes most of most cervical cancers That vaccine or those vaccines. I should say because there's actually a series of them that are that are available those vaccines. We don't think we've seen the impact of them yet. because those are vaccines that are currently indicated for For Young Women Ages Eleven and twelve and men too and Manitou. Yup exactly if enough people love of young people get vaccinated weekend pretty much. Wipe out cervical. What percentage of cervical cancers are caused by this virus ATV? Almost all of them are caused by high risk type of virus. Seventy percent are caused by two specific viruses. Hp Sixteen at HP eighteen in the vaccine. Good against both of those. It is all three. Vaccines that are available are include. Hp Sixteen Eighteen. What's hard to believe but women can also get cancer the vagina often. Do you see that so vaginal cancer is much more rare than than cervical cancer but it is also most often caused by those same viruses the HP viruses the key of that HP. It's it really is a cancer vaccine. I think people tried to diminish it a little bit saying Oh it's a sexually transmitted disease thing but it's it really is a cancer vaccine. Yes it is all three of the vaccines that are available are against The include HP sixteen eighteen As.