35 Burst results for "leukemia"
"leukemia" Discussed on BiggerPockets Real Estate Podcast
"If you guys ever in maui. Coffee kept playing them on anyway. Right well we gotta start getting out of here in a few minutes. But i want to say you're an inspiration. I love hearing your story. Everything you've done everything you're doing you've got so much to teach the hope people follow you and we'll ask you in a minute where they can but anyway i just want to give you a thank you good job man thank you. You're awesome david any questions before we had to the famous for. I want to clarify the point. You made that if it isn't scaring you. Maybe you shouldn't do it. There's that's a common thing a lot of actors or saying that now and it's it became kind of cheesy but there is an element. I think of really insightful. Truth in there. When i gave that ted talk i was talking about the way you build skills and part of the talk. Was this idea they talk about in the one thing in chapter two that a one inch domino can knock down another domino. That's one and a half times bigger and one of the ways we cheat ourselves in life. Is we stopped going for bigger. Domino's we get comfortable. Doing the same thing brandon talks about just quit buying a single family house every time. Use the stack. You can get one house and then a duplex and a four plex and the fact that you're trying to knock down something bigger than you did. Last time will absolutely create fear that maybe this is something you can't do and that stops a lot of people moving forward but really if you ever want to be growing if you want to get the best out of yourself. There has to be a point where you put enough weight on the bar that you don't know if you can lift it or maybe you fail. You can't lift it without a spotter. But i would say that. Probably the times right spotter to help me lift the wait times. I'm getting the strongest right like pushing myself. Pass what i do leaning on someone else and is always gonna feel scary. But that's why you should do. You made that point jeff. And i just i don't want to gloss over that because i think that's right. I mean there's something wrong with doing deals that you're comfortable with just just to be clear that's took okay but for somebody like me. I want to be growing in grow. Have to push myself. Like the scariest deal i did is still the thirty thousand dollar condo that i would like be able to do without even hesitating right now because that'd be like well whatever but it was really scary because it was the first one and so it does get.
"leukemia" Discussed on BiggerPockets Real Estate Podcast
"Reason i had low expenses because of falling into this bankruptcy trap. Otherwise i went in. I might never have been able to do what i did. I have this thing. Where when i was seventeen. I said i'm never having another bad day right. And i got diagnosed with the kenyan thirty and people come into the office and they'd say they came into the hospital and say oh you must be having a bad day today and i was like now like an find out until ten o'clock at night like my ace going pretty well but i even have like my coffee mug bad day all the time like constantly talking about not having bad days but the thing is like somewhere in the world right now. Someone is having the best day of their life right similar in the world. Someone's having the worst thing that life so objectively. The day is neither good nor bad. It's just how you perceive it. So when i say that day was a good day for me. Felt that way at the time. And then. In retrospect honestly if i hadn't gotten leukemia i'm still been playing someday. I'll invest in real estate game. And i wanna be able to do all the amazing stuff. I've done the last few years like right before covert. I climbed kilimanjaro. I took a month off into africa in february twenty twenty and this year i went to puerto rico a month. I mean people don't get to do that unless they develop financial freedom and pain rails tastes great way to do it and i would have never done that as a lawyer so i would say to answer questions around about way take advantage of the situation or in and recognize that you have to take responsibility for everything that came before it and just sort of move forward. Well i think if you're asking yourself is a good day by day. It's very funny. You say that. Because i literally just committed a week ago to never having a bad day from now on if i catch myself thinking that i will do something to either see good in it or make good happen and so. I'm new on that journey. But i liked that. You brought that up twenty five years man. It's so possible to do it but it doesn't happen right away. I'm you i wasn't going to go onto the tangent but i need to tell you this because it's really important for you is the first day that i said i was gonna have bad days. I mean i was in a dark spot like you know my parents. We're going through divorce. I broke up with my girlfriend. But i was seventeen so it seemed worse than it was actually went into the bathroom of the knife and i. I don't know what i was thinking. But i put this knife on my wrist and i was like out the kind of hurts. I don't want to tell you that i go. You know. i live in america and a middle class family in the suburbs. Like my life can't be that bad. I'm young and healthy right so i'm like today. I'm just going to decide. It's a good day and this is like pre youtube..
"leukemia" Discussed on BiggerPockets Real Estate Podcast
"Podcast here with my co host. Mr david no bad days green. How're you doing there you go. I'm good. I'm actually in denver at bigger pockets headquarters right now recording the podcast from ground zero fancy and i'm actually not in denver which is weird that you're there and not but i came back home but you and i were hanging out this past few days. It was amazing. I love hanging out with you. It's like i dunno whenever we hang out. I just walk away so refresh so you're good soul. I appreciate that 'cause i was about. Stay the same stuff about you. But now i will look like a d. bag. If i do that so i will just accept the nice things you said about me and tell everybody that you ever get an opportunity to hear brandon. Speak and you don't do it. You will regret it for the rest of your life. You'll admiration society. Thank you know really. It's it's fun hanging on yourself. And that's what i want to get in today's quick tip to this. Quick tip is really. I'm gonna keep kind of I would say light. But i'm gonna keep it non-tangible and that is adopt the attitude that our guest today has almost say emily on the show but adopt this attitude in your life will be changed speaking today. Show we have jeffrey holes. Jeffrey a real investor in the chattanooga tennessee who went from being bankrupt getting leukemia all the way to having hundreds of rental units and killing it. And i would say it's largely because if not entirely because of his attitude that you're going to hear more about later so listen for that you'll learn a little about medium multifamily kinda like the inbetween between large and small funeral about these crazy cool strategy that we actually name right on the show where he utilizes a combination of three different creative strategies to pull off a lot of no money down stuff that you can start using it right now. If you're got no credit like he did had no credit when he started. He couldn't buy stuff or no income. No money like this thing is phenomenon that you're gonna like. It uses partners a lot. This no bad day attitude. Which is you could adopt today. I hope you.
Unsure About the COVID-19 Vaccine? Talk to Your Doctor
"I've had heart to heart conversations with a lot of people in my life who choose to be unvaccinated. One of them is afraid of needles. Thinks he's healthy. Doesn't think it's going to be a big problem. So he'd rather not now. You can't really get them to answer what he's resistant to other than the i think it's overall the uncertainty of what the vaccine could do to. You long-term i've got a friend who's very overweight. Seen can knock on senior citizen status is very vulnerable. He and his wife absolutely will not budge. They're not gonna get it. They've got a friend of a friend who had leukemia after the the the shot. They say somebody told it's all anecdotal and it's all we've got comparing stories. I've got another friend. Very vulnerable concerns about maybe arrhythmia. You know and again. It's a risk reward thing we all make calculations about what risk were willing to take and there many people were saying. I'm not going to get this vaccine. Because i don't know what the risks are and we should respect. We should respect that. And by the same token. I think we should respect people who believe in the science of the vaccine and not not turn each other against each other. But that's what the left is doing. They're they're pitting the vaccinated against the unvaccinated they wanna shame people who are unvaccinated and for millions of americans are not going to be shamed. You're not gonna make learn. Not gonna let rachel maddow make you get a vaccine
Rep. Lee Zeldin Announces Leukemia Diagnosis, Is in Remission
"To the resume of Congressman Lee Zeldin, The New York Republican revealed yesterday that back in November he was diagnosed with early stage chronic myeloid leukemia. Elton's doctor says he responded well to treatment. And has achieved full remission. Shampoo. So
9/11 First Responders Have Higher Cancer Risks but Better Survival Rates
"I grew up in the new york city area. And i remember this period so clearly. Many first responders spent weeks doing rescue and recovery work at ground zero site in the aftermath of september eleventh. What were they exposed to. Well you know just. After the towers collapsed the air was filled with smoke with debris basically all that had collapsed on the concrete glass pipes. I mean everything. Kind of pulverized and burning into this ash. It was laden with all kinds of heavy metals including lead and other toxins. I mean many of us. Remember that plume of smoke and debris that could be seen from space on that day and dr michael crane. Who's an environmental medicine. Expert at mount sinai told me that there has never been anything quite like it be exposure was really dramatic the dust. I mean there was all kinds of carcinogens and combustion products in fibers glass fibers in festus fibers and it was really a witch's brew and given what was in the air. There was definitely a concern early on that it might increase the risk of certain cancers and we have research about that now so how much of an increased risk of cancer is there among first responders. Well some of the most recent data suggests that the total number of cancers is only slightly elevated compared to the general population but scientists have documented like significant increases in certain cancer is a twenty five percent increase in prostate cancer. A doubling in the risk of thyroid cancer and about a forty percent increased risk and leukemia. And there are also a number of rare cancers that are linked to the
There Is No Evidence To Support Children Wearing Masks
"As many of you know. There is a craze to try to abuse our children by putting masks on them now. There's no evidence to show that. Children are at a significant risk of catching or dying from the chinese dying from the chinese corona virus or even super spreading it. A study done by dr maccari in conjunction with johns hopkins university published in the wall street journal studied forty thousand students who contracted the chinese corona virus. He found zero deaths zero deaths. The only children that are dying are ones that had pre existing health conditions comb abilities. That had leukemia or significant breathing. Issues we do know the effect that asks have on communication and being able to empathize with one another arizona. The state of arizona governor doug ducey signed a good bill into law recently. He signed a bill into law. That made it illegal. For school boards to mask. Children scottsdale unified school district. Made a promise that this would be a mask. Optional year scottsdale scottsdale unified school. District is a microcosm. What's happening across the country. Your leaders don't care about you. These people in charge were mask list at an indoor event called westworld and scottsdale two days after the cbc gathering so they can go mask list to restaurants but children that they oversee. They must wear masks at the scottsdale unified school
Over 170 Children Hospitalized With COVID in Florida
"Wanna talk about misinformation. How about the lady the weepy doctors say we're overwhelmed around her neck. She's a florida doctor. Although the children are just grows cancer in the hospital hundred seventy two kids in a state with over four million children under eighteen hundred seventy two kids have tested positive for co or in the hospital and i. I'd love to know they'll never tell us i'd love to know of that. One hundred seventy two children who were hospitalized and we pray for each and every one of them. How many of them have leukemia. How many of them have other co morbidity that landed in the landed them in the hospital with covert. They're drying to scare us.
Georgia Fire Department Grants 4-Year-Old's Firefighter Wish
"Has sworn in a four year old boy as a recruit. Little Bubba Dietrich is a leukemia patient who wants to be a firefighter. His father says. He loves everything they do. I'm Rita Foley.
Paula Brennan Conversion and Nurturing Trumps Photography Lead Generation Numbers
"When you hear the term and when i say digital marketing online mocking what does that mean to you. Well this is back going to go back because it was around two thousand nine hundred ten when i started leukemia said if like facebook marketing and things like that you know back in dies you could pretty much like p- pasta shape and you'd have sixty me follow as the next day. Do you know that. Respect when i had the wedding studio Look into how could hotness that a little bit better figured out some systems that worked but then very quickly recognized that the algorithms were introduced in you know. The organic reach wasn't as easy. So i had to start learning about high traffic. Sorry it was probably around two thousand twelve. I would say that. I really started kind of educating myself around and doing looks online courses and things to figure out how to you know many people like these so i was doing things creating landing pages and silence pages. I looked at Creates very crude rudimentary funnel spec in the early days and then obviously learning to drive traffic to that using facebook ads so there was quite a good period of education for myself. Maybe about threes. Where i was you know. I was already a good shooter so i didn't have to learn about photography angle of things what i really worked on with Marketing side. and how do i drive traffic. And how do i take the numbers to increase the the the results of h campaign. I guess i love. I'm so excited to keep going with this conversation because you are talking my language so when you have all this experience you you're a successful she'll like you say you grown up a photographer like us success. When they know how to run a business talk me through that change or that transition. Interpersonal brandy photography. Why you did it and you did sorry. I guess when. I was running the portrait business. What i found was a lot of my clients are coming to the guy all. Can i just get a headshot doing the headshots so lack all not to say to fight of me doing excited as well. Maybe a little bit of behind the scenes and of course any say not really messy Why pay kind you know the instagram laugh. That instagram version. If you're working in sorry. I started then looking following a lot of the big online entrepreneurs who coincidentally the people who will leaning Signed time so. You're looking at like the lex. Murray fully as the antiporda fields. They sort of big huge entrepreneurs out day. You've got a. I mean you down a liberal going down to the lexi. The tiny robbins fit most of the people. That were of out spatting personal branding. At the time. I was watching what they were doing. In their fade and let's face paper were employing photography's but a lot of the young upstart so we're talking like the twenty and thirty. Somethings in the demographic in the same area of entrepreneurship with doing it themselves. And they'll find really creative ways of utilizing day i
Chemical Linked to Cancer Detected in Dozens of Popular Sunscreens
"School kids, because right now the workforce desperately needs them. What's in your son's grain test by Val ashore in online pharmacy and lab show dozens of popular sunscreens and after Sun products contain a chemical tied to blood cancers. Benzene, a known carcinogen was found in 27% of this phrase and lotions. Test it That includes products sold by Neutrogena, Banana Boat and CVS. The problem with benzene is it can cause leukemia, anemia, things like this, CBS chief medical correspondent John Luke Luke says. One of the things the FDA will look into is how the chemical is getting into the
"leukemia" Discussed on ResearchPod
"And the latte ten minu- jesus is a micro environment has unique qualities just like the solomos is a different micro environment to the cortex all to the sarah on the brain is not a single organ. It's many many organs genetically controlled with completely different mechanisms in one part of the brain compared to the other and i think the lecture jeez the covering of the brain they have their own environment is not a bright is actually the coverings and it's the vascular space at the junction between the ceus have spaces. The fibrous material contains the sf that has this particular quality on so thinking about how you committed plate. The microwave from sa- chima strategy absolutely useful hub of information that they could get in touch with you through off their hubs for local trials and clinical centers any patient advocacy any patient support groups. Anything that you'd like to plug now for them for leukemia. Yes we have a lot of support for parents families in ways that they can access information at bat research. That's going on so probably one of the best sources of information is there the cca g.'s website. So the children's cancer leukemia group are at professional organization. Run for all. Healthcare professionals looking after children with leukemia and cancer both have excellent parents resources and support law for research into this area so they were very good source of information. I'm sure david has to plug for brayden. Sheamus this very patient support groups. They're so drug. Delivery consortium is collection of specialists interested in developing research for drug delivery. They have patient involvement. We have representations from research councils and the funding bodies who listened to what we're saying on we're getting on message across in a progressive way on this. Podcast is part of that process. Sharing this debate in the broader community from different perspectives is kind of important academic process. What using chris. Tate leeann buzzing with ideas at david emu after probably not recording this thing but yes i think There's so much that we can do together. And i think we do tend to civil bitten. Alright free towers Working known coast called colleagues and recurrent thing net. Not really made the breakthroughs but you cross boundaries and cross disciplines and bring people together who have very different perspectives on the same problem. If he likes so. I think this is really being fascinating them. Yeah we're trying. to set. drug delivery group was the idc city You've just convinced me that we should be including hematologists on yet definitely.
"leukemia" Discussed on ResearchPod
"Three effective therapies for cns. Kimia we show that you can kill deke that spread to the brain by giving chemotherapy. But what we don't have is known toxic therapies and given our enormous cure rates for charlton. Vicky which is a great thing to be celebrated. We do need to think very carefully about whether we can achieve the same curates with kinder and gentler therapies. If you like. And i think that's a really important focus for us and we mustn't be complacent by saying curing the key meal. We have to think about the quality of the treatment that we're giving and new drug discovery of less toxic drugs. Something give effectively to the brain with really really important in the charter leukemia field. And it's difficult to get enough pharma company interested and that's if you like because of Of rare and relapse brain. Leukemia is even rarer. We just need to keep emphasizing. How important is that. We get really effective drugs. That nontoxic in this area. And i think one of the key steps that will allow us to realize that in chartered key is actually being able to measure the leukemia and the brain. I think because we can't see it treating these children blinds. It's very difficult than to bring in a new therapy and say is it better than the current therapy whereas if we were actually able to have what we call biomarkers so things that we can measure that tells how much brain leukemia there is and how quickly it's responding to treatment and whether there's early signs of a growing back again then i think we're in completely different research space where we can start comparing a current treatment. That's relatively effective of very toxic against treatments where we know that we hope they're going to be much less toxic but not so sure about whether they're gonna clear the brain to key miras effectively so that would really revolutionize how we treat break man and that's something that we're exploring in the next childhood to kenya trial as a natural scientific study which is being led from us in glasgow but has collaboration across fourteen different countries to collect samples of cerebral spinal fluids and to measure for sub microscopic amounts of leukemia in that fluid by a variety.
"leukemia" Discussed on ResearchPod
"Center in my professional lifetime on so in terms of percentage chance of being alive. Then that's really give them. There is a small chance disastrous. What happen so if you're going to be a life for a long time on the same strewn brains you mentioned gladstone. This h seven chomps being alive in ten years time the number of children who don all. I'm not child. Dawn yelp ratings in the last four years of my life unless come in acute young well and with dime before we got to. The uprisings is but the ratings is in control. Then they don't die and so what you do in the operating theatre that may affect future. Long-term intelligence is really important. You can't get people to save on that 'cause appearances get so. I think there's something to be lead. That together is how do we communicate with families. We've got treatment the big questions. The treatment here is the quality of your child's brain. Untrendy is time we wanna do a study to try and make sure as good as we can make on this how we get that message across to worry. People is actually a specific such problem. What using that chris. That is absolutely fascinating. David and i think you'll be pleased to know that. We're thinking about that. Very deeply in leukemia. now. And i think that's because we are in the fortunate position that worldwide we couldn't cure nineteen ninety-five percent of children with childhood to kimia. And so we've recognized in our community that we can't measure new drugs about by whether they increase our survival rates. What we're looking for is whether they can produce the same level of cure but with better quality of life and so we're just literally in the middle of a of an international effort to 'em reconfigure how we assess the success of honor kimia treatments. The other reason victim foreign successes that we are because we cure ninety center children and do kenya's fortunately relatively rare that she not that many children weather. Leukemia comes back and it comes back in the brain and things so if you want to measure whether a new treatments effective needs an awful of patients to get enough patients. Who actually have the kimia coming back in the brain to see whether you're treat your new treatment is effective or not so this to kind of problems with that which means that when we're looking at testing new drugs new approaches. We probably can't go straight to the majority of children with leukemia. I'm we probably need to focus on net children that don't have other curative options so the kind of areas that we might want to explore for testing new drugs would be children whether leukemia has come back where maybe even the treatment that we have for. Recurrently key has failed and they're left with essentially incurable leukemia. And at that point we can say you know. Is this a time where we might be able to test these new drugs to see whether it makes any..
"leukemia" Discussed on ResearchPod
"Have there been any indications of patients or any diseases that patients have that make them more suited to this for the children who very young who presents the brain tumor under the age of three or five years of age whose brain is still in various stages of development have already been subjected to the use drugs into the spinal fluid because to try to delay the time when you might use radiotherapy to the brain trying to replicate the remaining chuma for the reason that the chris outlined as being a problem in the came years. If you radiate young brains they don't work as well when you're old either 'cause your memory and your concentrations your cognitive capacities impediment also putting the child or visit getting another brain schumer as a result of the radiation damage. So in the very young children we have been using interests. The sf therapy has never been subjected to randomized trial..
"leukemia" Discussed on ResearchPod
"They don't show up a brain scans and we can take a little bit of the fluid from around the brain and look under the microscope. But that's really quite a crude way of looking kimia cells and probably misses most children who might have cells the dow in that area but on necessary free floating in the fluids and so they might be stuck to the surface of the brain and so we did pick them up. If we just take a teaspoon say of the fluid and have a look at that. We established a paradigm. If you like the old kimia need. Cnn direct therapy. They need this therapy. That specifically gets around the problem of this of the drugs not getting into the brain and initially. We found that a solution to this was to use. Radiotherapy is really struck in early work with the brain damage associated with cns. Radiotherapy is really struck with tronto. Understand the nature of the brain injury however although it's very effective radiotherapy is david already alluded to controls quite of damage to the child's normal brain particularly in children of course his brain than their brain still developing this. They'll making lots of neural connections. So if you shine. Radiotherapy kills dipping cells. If you like onto the brain it's gonna kill. Not just the leukemia cells but potentially some of the normal brain cells as well and we found that children treated with radiotherapy particularly younger children. The infants children to with left with really quite significant learning difficulties of radiotherapy. And also even more in the way shockingly. I think to us when these children grew up and ten to twenty years of this therapy a lot of them develop secondary brain tumors because of the damage that was done to the normal brain tissue and so he killed these children of leukemia. But we've given them a longer term problem of the risk of developing brain tumor and it was up to twenty percents or one in five children. Who often this cranial way to therapy as a young child due to the leukemia ended up with a secondary brain. Chuma some of those for what we call benign brain jesus glioma etcetera and others were melih britain's humor's but irrespective of whether it's benign and malignant. Both of them could cause problems to.
"leukemia" Discussed on V103
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Why Only Engineering ? Is there world outside it? - burst 3
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Sasha Sloan Talks About Her New Song, Until It Happens To You
"Sasha's sloan is a singer and songwriter originally from boston but now based in nashville she put out her debut album only child last year before that she'd written songs for artists like katy. Perry john legend and charlie exc- x and she's been a featured guest vocalist on songs by electronic artists. Edessa and kyko. Sasha made her album with her boyfriend producer. Henry allen aka king henry who's other production credits include songs by beyond say and diplo so they're kind of music power couple in this episode. Sasha along with henry tells the story of making her song until it happens to you till you like similar in no how to my name. Is sasha sloan. When it comes to writing. I always start with a title. My boyfriend and i have a close friend and he had a cousin who was like a sister to him and we hung out with her a lot. She was in her early thirty s and one day. She was diagnosed with leukemia. And a couple of months later she passed away. Henry and i were very shaken up by it and just sitting and talking and you know we were like you'll never really know what it's like until it happens to you because my boyfriend and i had never lost someone that close to us. We've both been funerals but it was kind of you know at a distance and it was just one of those things where i wanted to say. Hey i know what you're going through right now. But i couldn't i could only say i can only imagine what that feels like and it didn't feel like enough that's kind of what inspired the title. That's my friend danny. Celebrate danny came over to hang out and we were talking about song. Titles and i was like i had the song title called until it happens to you and you know when i explained the concept to him really struck a chord with him and we went to the studio and danny had this guitar part. That was really beautiful. I love writing with danny and henry because of craig guitar players. I play piano. But i'm always usually more inspired by like a great guitar riff so i felt super inspired by that. And the title until it happens to you. Felt like it really fit with qatar part for me. Titles have to find their partner. I in order for me to write them. It's so much easier for me to write melody when i have a concept that i'm starting with. It's much harder for me to work off of melodies and then villain lyrics afterwards.
Managing care During COVID
"What's an average day like for you. Caretaking on a typical day to feel like you have things under control while. I'm going to answer the second question i do. I have things under control. Never never ever ever. It's like. I'm on this constant roller coaster of ups and downs Just one. I think i've got it under control. The rug gets pulled out from underneath me. So what is an average day like my kids are early birds and for the record i hard roll my eyes that anyone who says their kids are early birds and then proceeds to tell me that they're little angels wake up at seven. Am shut up. try waking up every single day at five. Am for six years to just energetic screaming. Demanding kids. I don't know why i was blessed with early birds but here it's not as if the universe looks at us. Ms like a handful. Move onto somebody else quite often the terrible things. Just keep happening. They just keep piling up and for so many of us were not just caregiving in a traditional sense. Were caring for the people in our lives. In different ways. We are blurring the lines of our relationships between being caregiver and being a mother being a daughter being a sister being a wife being husband. I don't know. I said all all female roles except that i mean we got a lot of women's voices in here. I am a caregiver to my son. Boden he is eight years old and has acute lymphoblastic leukemia. I think one of the interesting things about being a caregiver to your own son or child is it's hard to distinguish what is just being a mom from what is being a caretaker. I ended up spending a lot of thought cycles and kind of emotional energy taking of him in a way. That is different than the way i take care of my other children. I then have to work through and process. The guilt of that discrepancy knowing both that biden has kind of different story or a different journey than the other kids that i have. But also that i'm all of their moms and so how do you kind of identified the difference between where caregiving stops and where mothering takes back up. When i was reading through your questions when you said caregiver like Or what is a normal day of caregiving. Look like. I kind of laughed. Because i thought man i think from the moment i opened my eyes to the moment i closed them giving Once pediatric cancer is kind of rock. Your world. I'm not sure there's really a space outside of it. I'm thinking about things. Like why is he not hungry for breakfast. Why is he craving meat. Why does he not wear a jacket. Is it because of a side effect of chemotherapy. Why is he sitting on the outside. When i pick them up from school wise. He's sitting on the outside of the soccer game Is it because his legs hurt is it because of the neuropathy whenever he has trouble with his homework is at a side effect from the chemotherapy. Is it affecting his cognitive function. Is it just him. Being eight I think when your role as a caregiver is so interwoven with your role as another relation like for me. His mother is just hard to kind of tease out. What part is caregiving. And what part is just living with a person with cancer so the average day for me really changed a lot during the various stages of my mom's illness she had end stage breast cancer and in the beginning when the cancer i came back it caused a lot of fluid to build up around her lung and then her lungs to collapse so at that point. We really didn't know that it was her cancer that was back and we were dealing with a medical emergency so my mom had to undergo invasive tests and surgery and there were just days with a lot of uncertainty about the diagnosis and the prognosis. And i was travelling back and forth from durham to charlotte while also taking care of my own family Here in durham and and working fulltime
Writing About Illness Without Platitudes
"Silica. Juha joins us now from rural new jersey. Her first book is called between two kingdoms. A memoir of a life interrupted salako. Thanks for being here. Thanks so much for having me camera. So this book came out originally. I believe from a blog that you did for the new york times. Called life interrupted key. Start with how that blogger came about and what it was about through. I received a diagnosis of leukemia. Was twenty two and in those early weeks of being in the hospital and going q. I had all kinds of grand ambitions about whatever's going to do with the strange time on bedrest. I had packed a suitcase. Full of books including were and peace was on my bedside table but you know as the treatment can and and the side effects started to set an i had so little energy i never read a single one of those books and a kind of despair began to sink in as i realized that my life had bifurcated the resist before a diagnosis. This after and i really struggled to figure out what i could possibly do from the confines of a hospital room and so i returned to something. I've always leaned on in difficult times. Just keeping a journal. And i wrote every day. I had made this commitment to myself. An didn't matter how good the quality of the writing was or how long it was sometimes over a couple of sentences. Sometimes just a word occasional rain the f. word but i think i was trying to make sense of the circumstances i'd found myself an and over the course of keeping that journal turned a kind of reporters notebook. I'd had aspirations of becoming a foreign correspondent the for my diagnosis and blah. I couldn't travel or interview. Anyone really leave my hospital room bubble. I began to report from the frontlines of my hospital bed on a very different kind of conflict zone and that journal and became the source material for the life. Intrepid calm and i was interested not just in kind of excavating the experience of us but thinking through the way in which age impacts how we experienced major relation tractions for you at the time. Of course it was the before diagnosis. And the after diagnosis. Obviously from this vantage you've been healthy for about six years. It feels more like a between period. Thus perhaps the title of your book between two kingdoms. This idea of interruption was hopeful one. I had this belief that i needed to endure the treatments than once i was well i get to return to my life into the person that i'd been that that didn't happen. I very quickly realized. After nearly four years and treatment that i couldn't return to the person. I'd ben bc before cancer and that in fact the hard work of killing did not end with the cure. It was really where healing began. And i found myself in this strange of in between place. The title of my memoir between two kingdoms is a reference to the berlin susan song tag. Who wrote about how we all have dual citizenship and the kingdom of the sick and then Bell but even though i wasn't sick on paper anymore i felt as far as i possibly could her from being the healthy happy twenty seven year old woman that i had hoped to end the other side of this. And so you know. The book is an examination of this year's of and the impact that it had not just on me but on my family my entire community but really it's about aftermaths and why we do when our life is ended and we have to learn how to love again. Describe a little bit what you mean by the difference between moving on and moving forward so when i finished treatment i has a solution that i needed to move on from illness and i very quickly realized that moving on is the kind of meth and as much as i tried to do. Just it wasn't possible. And so i really needed to learn how to move forward with my illness and its imprint on my life on my body on my mind and to carry thought wreckage with me as i try to find my way forward.
What's going on in Melbourne's quarantine hotels?
"So we'll let start today with a chat about melvin quarantine hotel situation because they've had a few cases that have. They're all sort of clustered around this one hotel there year the holiday inn at melbourne airport. It's been several cases that have come from it now. And it's clearly wired the victorian government enough for them to close it down. Move everyone from it. For a deep clean as the premier daniel andrews explained yesterday. They were several cases. I suppose we can refer to them. One was the the authorized officer. The other one was a food and beverage attendant and then the third case was a hotel resident and all of them they think are linked back to the theory that that going and calling it the moment. Cold the nebulizer theory. So that sounds intriguing. And we'll unpack that in a little bit but to save vilnai from speculating for completely unqualified physicians. We brought in an actual expert today. Dr kirsty short. Who's a just from the university of queensland. Welcome kisdi high so kirsty. This theory the nebulizer theories based on this idea that someone in the hotel was using and as in one of those medical devices that can help deliver a medicine to someone that can also create aerosols. Does this add more to our knowledge. About how corona virus does doesn't transmit through the air while look. I think there's been a lot of debate about this throughout the pandemic and other role gist. You know i've never seen this as a black and white issue because you never going to have a virus that is hundred percent aircel and you never going to have a mars. That's hundred percent droplet. You're just going to have in some circumstances it's arizo transmission and in some circumstances it's droplet transmission so we've always sort of suspected in high risk procedures like integration of patients with curved That that could be an aerosol generating procedure. And i suspect probably what's happening in these toe quarantine situations is. We are getting rather unfortunate string or unlucky string of events whereby you on maybe having aerosols generated in the room for whatever reason be nebulizer others. And then what you've got to remember. Is that in facilities way. You where. I work in the laboratory where you work with the actual vars. It's all negative pressure. So that means that when you open daw- the epcot come out and it stays in the room but these hotels onto signed as quarantine facilities. Sorry theoretically what could happen is an individual. There could be lots of ours. Air sliced in the room and individual could open the door. And then somebody who is walking past or the virus could stay in the f. x. amount of time as the was drawn into the corridor with the door being arpan. Sorry these all sound. Like very pedantic risks i guess but when when leukaemia detect every single case of infection they are really really
Bruce Kirby, veteran character actor and father of Bruno Kirby, dies at 95
"Of a kind. Unoriginal. He will be missed. You would recognize him if you saw him. But if I say that Veteran character actor Bruce Kirby has died. You would? Probably a year ago. Who wan? Um, but we You saw his face. You'd know who he was. He's been on comes of TV shows on guy. I didn't know he was the father of Bruno Kirby. Really? Yeah. Who's dead? Also Bruce Cara Kirby, the veteran character actor, probably best known for playing. The gullible Sergeant George Kramer on the long running NBC series. Columbo has died. He was 95. Kirby excelled at playing authority figures during his more than five decades and show business. Died Sunday, according to his Son who isn't Bruno Kirby. John Kirby reported his death his older son after Bruno Kirby died in August from leukemia. At the age of 57. Theo. Elder Kirby also portrayed District attorney Bruce rode off on NBC's L. A law early in his career. He was one of the goofy cops from the Fictional 53rd precinct in the Bronx. Known as car. 54. Where are you starring the guy
"leukemia" Discussed on Mayo Clinic Q&A
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But i know that's <Speech_Telephony_Male> months away so i think <Speech_Telephony_Male> it's been a <Speech_Telephony_Male> difficult <Speech_Male> and the problem <Speech_Telephony_Male> is leukemia does <Silence> need treatment. 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"leukemia" Discussed on Mayo Clinic Q&A
"Yeah as you said. The health care is critical. And you know we're here at mayo clinic. We're trying to address health disparities. Have you seen that in terms of Patients with leukemia and how various disparities can affect access to calf. Yeah that's a real issue and it's a national issue. And i think we've we've always kind of known it but really i've come to appreciate it in the last few years that we need to extend to get better outcomes for people. We really have to extend therapies those. Who can't who in the past could not easily get them. So you're absolutely right. There are some recent Studies that show for instance In the african american population that they're worse outcomes with the leukemia. We think some of that might be because of the way that People access care We're committed to trying to address those disparities. We think that are built to reach people. Virtually true a virtual concept or consult on zoom for instance may help give advice in that situation and we're looking for ways to impact on that We haven't appreciated any true disparities and who gets what type of leukemia Cll chronic lymphocytic leukemia. And maybe more common in a caucasian populations in an african american population but there aren't really major disparities otherwise in terms of who gets it but who gets care for it they're definitely disparities and that's something that we really are committed to try to address into to reaching out to more patients now. That's wonderful thank you for that in your your teams hot work at f. So we talked about the different treatments. What's the what's the prognosis like When patients get treatment now It's variable and on the person and the actual strain of leukemia. They have as i said already. If somebody has chronic myeloid leukemia We can do a lot. We can We think get them on. Track to live alone jetty there would have had otherwise for. Cll we have taken a disease. We're in the past. Somebody might have only lived nine or ten years and we've about double that and sometimes much more for. All in children we know See that about ninety percent of children are in some studies over ninety percent in adults they allow. Were about half of that. We've made some impacts. We've improved that by ten or fifteen percents in the last decade. We have some new avenues with immune based treatments to try to augment that and so it's not as high as we'd like it to be but it's still real number and we're now pushing to a point where about half the people Half of adults with acute leukemia can be cured under the age of sixty or sixty leukemia's leukemia. Little more difficult and sometimes people who have what we call a co morbid disease. They may have Advanced diabetes or they may have heart disease or something else that makes it hard to go through treatment and then you have to individualize the goals and individualized that there be. We've learned from some studies done over ten years ago that it's better to treat the not treat even if you can't cure somebody you can help them feel better. You can help them live longer. You can improve their quality of life and so the first goal is to get somebody better in the second goal is to see is there. Is there an opportunity to ensure that person when the time is right and so we can impact on the disease for all patients but the prognosis is still variable and depends on the person the actual strain of you when you look at the the covid nineteen pandemic and how that's affected healthcare in general acid. Would you say your practice in treating patients with leukemia. It's been hard it's It's been really hard for my patients. I had four clinic patients tests positive for covid last week on wednesday and almost every other day. Somebody's gonna testing positive for covid. Nineteen where you are in the country..
"leukemia" Discussed on Mayo Clinic Q&A
"Chemotherapy the mainstay of treatment fully kimia or the other treatments that you use as well. Yeah it is my my hope in my career that we stop giving chemotherapy one day and But it's still essential for leukemia especially in younger dogs. Chronic leukemia is almost completely moved away from therapy. We learned a little over twenty years ago. That for chronic myeloid leukemia. Cml that there's a targeted therapy we can use all patients with c. m. l. We'll have an abnormal chromosome. Did they acquire. They're not born with it. We call it the philadelphia chromosome because it was discovered in philadelphia. And there's a their medications pills that can actually specifically target that philadelphia chromosome to put people into long term remissions and we've learned for cml in the nineteen nineties. The average person lived for years in two thousand and twenty. Somebody was c. L. has the same long term survival as another person their age. Who doesn't have stand now as long as they're under therapy and under observation so that's been also remarkable success story for c. l. l. which is a little more common than adults. We used to give chemotherapy. We learned in some random studies published in the last two three years one of which was published by one of our colleagues teach. Nfl when he was at mayo clinic. The targeted oral therapies which are much easier to take are more effective than chemotherapy. Give better long term survival. So in the chronic leukemia is it's less and less common for us to talk about human therapy and acute leukemia. We still rely on chemotherapy to get remissions. We're looking at antibody. Based treatments we're looking at immune based treatments. We have some solid leads there and we can do bone marrow. Transplants in certain situations Secure them. But we're looking for more targeted treatments. And i hope that they will come in my career. When i don't have to use the word of chemotherapy just extend that thought for one second. I'm sorry to jump in. Lee's i'd say the problem with that works and so it's a scary concept and people have a notion of mental notion from tv movies or from somebody in their family from you know ten or twenty years ago. How difficult it is. But we're better giving it we get people through it. Were very good at the side effects. Now and the only reason to do it because it works and when the day comes we have something better. Will you know we. We will rush to move to that but but right now they work and so we use them so given the different forms of treatment that either currently available on the horizon. What does mayo clinic doing. In terms of clinical trials. That patients may be able to access. No i think that's really critical question. You know to to to get better treatments. We need clinical trials and we are believers. And then we're innovators and at the front of the field and yeah My colleague mark lasalle. Who's acute leukemia. Dr rochester leaves one of the national study groups and killed leukemia We've had leadership in. Chronic leukemia is as well We are looking at multiple avenues for patients who are newly diagnosed and also for those who've been through treatment and didn't go into remission or relapse for that where we're using innovative sometimes chemotherapy but more likely innovative targeted treatments or innovative. Immune treatments so we have a series of clinical trials depending on the exact situation That we're looking to try to get better outcomes for patients trying to get more emissions second time around or even upfront and your people more often and so. That's that's really a critical Avenue for us one of the great innovations in acute leukemia so far applied only children but being developed in adults or children in adolescence. I'll say is the use of something called kartini therapy. And i'm not sure if you've heard of that but it stands for america. Antigen receptor t..
"leukemia" Discussed on Mayo Clinic Q&A
"To that But even that is not something you can control not something you can screen before and we're still learning about what the risk factors are for people in which gets the yellow. When that happens. I say okay. And so we talked about the The signs symptoms and then in terms of diagnosis. You mentioned it could be up on a on. A blood test is that. Is that the main way. That chemo is diagnosed. It is leukemia. You know is an old greek word for white blood is what it really means and classically somebody would have a very high white cell counts and their blood would take on a whitish tinge Back in the eighteen hundreds early nineteen late. Eighteen hundreds early nineteen hundreds was recognized so we think of it as a disease. The high white cell count and that's typically the case in children young adults even into middle age older adults. It presents a little differently with a bug counts can draw because the leukemia. We'll overthrow the bone marrow where your blood is produced and she can. Paradoxically have a low blood count and need to have a evaluation of bill with a bone marrow biopsy to find it but in all cases there's virtually all cases. There's an abnormal blood count. It is the clue and so. That's the tricky part is that you often don't know until you have some symptoms that you put up with for a while. You're feeling rundown have fevers. Or somebody knows his blood count then they have to actually go and chase it and make make the correct diagnosis. But that's a point that you mentioned. I mean we're in the winter season now now thankfully hasn't been a tremendous amount of flu because of of masking but some of these symptoms to me so to suggest a it could be like flu like symptoms. How would you ferenci eight if you experience the these types of symptoms know. Ironically somebody will come in with the flu or chest infection or cold feeling more rundown than they thought they should and then find that had blood count and realize in retrospect they've been feeling rundown for longer. There were some studies. Oh gosh almost twenty years ago. That suggested leukemia was more likely to be diagnosed than follow winter. And there was a seasonal variation to it and Not that that's definitive That happens but i think it's more that's the time of year when we get other things like cough or cold or flu and we then seek medical care and somebody realizes the blood cancer and then you think back then yes i guess i really been unwell longer than i thought i was There are situations where somebody has a routine blood count especially the chronic leukemia's and find the white so count is very high. Didn't know they had something..
"leukemia" Discussed on Mayo Clinic Q&A
"Welcome to clinic. I'm not sange caca. Leukemia is a cancer of the blood forming tissues including the bone. Marrow and the lymphatic system. There are many types of leukemia. Some affecting children while other forms most a current adults indeed approximately one and a half percent of men and women will be diagnosed with leukemia at some point during their lifetime. Joining us to discuss. Today is dr james foreign chair of the acute leukemia. Myeloid neoplasms disease group at the american cancer center. Welcome to the program to foreign. Thanks very much good morning. Thank you for speaking with me so you know. We hear about leukemia. and sort of cancer. the blood-forming tissues. Can you actually explain what happens. Yeah simplistically we break. Key down into acute leukemia and chronic virginia and in acute leukemia. It's it. I'm glad you use the word cancer. That can be confusing for people. It is a blood cancer. And it's the early bone marrow cells that are growing throughout your life. Other than my lloyd ones that we call acute myeloid leukemia or the lymphoid one that typically would turn into antibody producing cells or t. cells Some cases that for some reason become just regulated and behave as a cancer. Overgrowth the bone marrow. Still into the blood and doesn't really behaved like other cancers. It's not something where there's a stage necessarily you have it or you don't have it and increasingly common as a matter of fact the The chronic leukemia is our little bit different They're more process of accumulation of cells. That should be turning over dying. Normally they begin to accumulate lymphoid. Ones that we call. Cll or my loved ones. We call cml and the chronic ones take a different path. A usually Developer years as opposed to the ones that developed over months or sometimes shorter. So you mentioned About leukemia. Being a blood cancer when we think of cancer we think of growth and lumps and bumps does. Leukemia presented a similar.
Child cancer cluster located in Houston's Fifth Ward
"Another story. We're following in the newsroom. Health officials have identified another cancer cluster in the fifth ward and kashmir gardens area of houston our health reporter. Sara will ernst tells us the cluster isn't just affecting adults but also children the texas department of state health services looked at the rate of certain cancers from two thousand two thousand sixteen across twenty one. Cents is tracks. These areas are all within a two mile radius of a former railyard site now owned by union pacific. The report found that the rate of acute lymphoblastic leukemia a childhood cancer nearly five times more than projections estimated in a statement mayor sylvester turner is requesting that union pacific relocate affected residents in the historically black neighborhood and that state and federal agencies declare the area a superfund site a group of subject matter experts and community members determined a study on the association of the cluster and environmental factors would not be feasible.
Houston's Fifth Ward and Kashmere Gardens cancer cluster report released
"Health officials have identified another cancer cluster in the fifth ward and kashmir gardens area of houston a health reporter. Several will ernst tells us the cluster isn't just affecting adults but also children. The texas department of state health services looked at the rate of certain cancers from two thousand two thousand sixteen across twenty one. Cents is tracks. These areas are all within a two mile radius of a former railyard site now owned by union pacific. The report found that the rate of acute lymphoblastic leukemia a childhood cancer nearly five times more than projections estimated in a statement mayor sylvester turner is requesting that union pacific relocate affected residents in the historically black neighborhood and that state and federal agencies declare the area superfund site a group of subject matter experts and community members determined a study on the association of the cluster and environmental factors would not be feasible.
Seattle Seahawks fire offensive coordinator Brian Schottenheimer
"All season began over the weekend when they were knocked out of the playoffs by the Rams and as they set off, it's that off season. Looking for a new offensive coordinator Brian Schottenheimer has been fired. Former Colts head coach Chuck began. Oh, stepped down as the defensive coordinator in Chicago. He's 8 60, a leukemia survivor, so He will retire. Gus Bradley is the new defensive coordinator of the Raiders in the 40 Niners defensive coordinator Robert Saleh has emerged as one of the finalists for the Jets head coaching job. I re er
Mega deal: Indians trade star Lindor, Carrasco to Mets
"The Mets have landed shortstop Francisco Lindor and pitcher Carlos Carrasco from Cleveland the next part with infielders Andres Jimenez said Ahmed Rosario right hander Josh Wolff an outfielder idea green a two time gold glove winner Lindores a career to eighty five hitter and his average twenty nine homers eighty six RBIs in twenty one steals the six major league seasons Carrasco was one of the game's best comeback stories overcoming leukemia to re emerge as one of the A. L. steady starters Rosario was the Mets mainstay the last two seasons and Jimenez should majorly ability following his recall last year I'm Dave Ferrie
"leukemia" Discussed on The Big 98
"Patients and patient advocacy organizations on bits. Really, Maybe it's in handsome and it's made them. Incredibly useful. And you have mentioned to you that the, um the We have a bunch of books that are not cancer specific. So we've mentioned a little bit about immunotherapy. We have a brand new series of immunotherapy Side effect management, patient guideline books as well. And they are really helpful to this new is new area of treatment. That is not. We don't know all of the details of side effects at this point, but, um, having a book to guide patients on side effect management and identifying the side effects from immunotherapy. Is really, really helpful as well. And those books will be enhanced every time they're updated as well. So it's just a great set of information for patients on git can utilize it in so many different ways. How often do you update the books? Yeah. So we update them as often as we are able. I, um we my job is to find support for the patient guidelines. So they are funding dependent. So I need to raise all the money to update the patient version of the guidelines. We accept individual donations and donations. We write a lot of grants and get Funding in that seat publications as much as possible, So the more funny I could get in the more often we update them. We do try to update them every year. 18 months is kind of the special we're on at this point, but could update the more often if we had funding, Unlike the entity and guidance themselves, the clinical practice guidelines are actually On fire world against getting outside funding Tonto update and maintain the clinical practice guidelines. They're funded by our member institutions dues that they paid to N. C. C N every year so that money goes to all of the effort to keep the clinical guidelines updated, so it's a little bit of a difference. Ending stream s O. The clinical practice guidelines are updated constantly all the time. No matter what the patient guidelines are updated. Not quite as often, but again, we would seek support for that all the time. Dr Brown. We talked a lot about a L l on guy should also ask you to talk a little bit more detail about that and what it is. Sure, so it's had leukemia is in general is cancer. That that involves the blood making cells in our bone marrow. And so it's one of the one of the blood related cancer, leukemia and then leukemia itself is has two major. Classifications. One is acute versus chronic and one is limp. Allayed versus my Lloyd and acute versus chronic just has to do with how mature the cells that become Latinos. Are they less mature? They are the the less mature routine use are called acute leukemia is the more mature Cells developing the chronically confused and then lymphoid versus my lawyer just has to do with the two types of blood cells we have. We have lymphocytes, which are one toy, these imbeciles and T cells and then we have my Lloyd cells from the blood. And so acute lymphoblastic Leukemia is one of those four major types of leukemia. A L L is a predominantly a disease of Children, so it is the most common cancer and Children. And it is one of the least common cancers and adults. And so it is. It's got the average age of diagnosis of a loyal is around 15 years old. And that's very different than most cancers as we know. And so that's why it's really kind of in a Ah, well is kind of ah disease that we have pediatric colleges treats and face very often, whereas Our adult psychology colleagues. This is a relatively rare disease. And so that's why the experience of pediatricians over the decades and treating this disease have be have been very useful for helping our adult colleagues treat treat their patients as well, Right so Sounds like we're making progress. And I'm so glad to hear that. Certainly. And Marcy, where can people find out more information about the work you're doing at the national Comprehensive Cancer Network and working people maybe provide support for you. Sure, Express King. The NC stand up work is our parent website. That's where he would find all of the clinical practice guideline. It does require each person to create a user name and.
"leukemia" Discussed on Mayo Clinic Radio
"Lymphatic system, usually white blood cells are potent infection fighters, but in people with leukemia, the bone marrow produces abnormal white blood cells which don't function properly. Many types of leukemia exist in some forms of leukemia are more common in children on Today's program will discuss childhood leukemia with a male clinic expert also on the program. What is chronic cough? And how can it be treated and the important role of patient navigators at the Mayo Clinic Cancer Center helping patients and their families deal with a cancer diagnosis. You're listening to Mayo Clinic Radio on the Mayo Clinic News Network. Back, your male clinic radio I'm Dr Tom Shy and I'm tracy. mccray leukemia is the most common childhood cancer. It makes up about one third of all cancers in the pediatric population in the United States about thirty five hundred children are diagnosed with leukemia each year. Leukemia is a cancer of the blood forming tissues of the body, including the bone marrow and lymphatic system that's correct and leukemia starts in the soft inner part of the bones, called the bone marrow, and any of the cells inside your bone marrow, concern into cancer and once that. That happens. The cell reproduces to form lots of new cancer cells, and the bone marrow ultimately gets overwhelmed, and the cancer cells can spill out into the bloodstream and spread to other organs, unfortunately well, joining us in studio to talk about leukemia in children is Mayo Clinic Pediatric Oncologist Dr Shaquille conduct contact so much for being with US thank you for inviting me. You know it's a bit upsetting when any child gets cancer, but I think a lot of us didn't realize that leukemia is more common than any other cancer in children. Yes, actually it's the most common followed by brain tumors. Those are the two most common causes of cancer in children. And off the leukemia. What we call acute lymphoblastic leukemia. LYMPHOCYTIC LEUKEMIA is. More common than the other types of leukemia. Do we have any idea how this starts are? A CHILD GETS A. That is a lot of research ongoing about the cost. Basically what happens is as you pointed out it starts in the bone marrow. It says defect in your stem cell. which differentiates into the different? Blood types. And these cells when they become abnormal than the divide, multiply and cause and abnormal clone our population, so sell gone bad now stem cells, produces white blood cells, red blood cells platelets. Yes, so and you can get leukemia involving any of those types of stem cells there a couple of types of stem cells. That's one type the basic stem cell, but differentiates into the different. Types of blood cells. To give an example, there is something with the red cells called. Retro Leukemia. And there are some disorders of platelets which are separate in the white cells. When they become abnormal, the either. Are lymphoblastic, which is a type of white cells. Are Milo blasts, which are the other types of white cells, and those are the two main types of leukemia, so if it's lymphoblastic, it involves the production of white cells, and if that's Milo blasting, those are the cells that produce platelets and the red blood cells no. Another type of white cells or another type. So That's how you classify it. lymphoblastic or my lineup plastic, and then you also class sub classified an acute or chronic pain so acutely cumia is something which happens betty suddenly. And ready rapidly. And that's the one B C mostly in children that chronic types of leukemia's. To give you an example, there is a chronic myeloid leukemia and call chronic lymphocytic leukemia. We never see cll in children. It's an adult disorder and it goes on for years, so it's really very chronic. is a little more aggressive than cll, but now with The advent of I don't know if you've heard of leave. AC Matin average at Ti. Tyson kinds impetus. People can new kinds of chemo gap. People can live for years on that. So the most common type to affect children is a L. acute lymphocytic leukemia. Yes, and then the second most common is a. m., l., another acute form, but this time Milo plastic or Milo Siddiq leukemia absolutely when it comes to leukemia so often you hear people especially when it comes to leukemia in children say well. It's the good kind to have or in it's. It's the really bad kind to have as the pediatric oncologist. You look at any kind of leukemia as the good kind of the bad kind. Yes, we go in and tell the parents that we have bad news. Your child has leukemia, but the good news is that dismayed curable and we'd have come a long way in stratified being the risk factors for alleyoop Kimia. So. We now have low risk standard risk, high risk, very high risk leukemia. Stratification in all and the treatment is tailored accordingly. What's the average age of child you see? You can see any age from? Infants to actually young adults, but the average age is between two and ten years. What are the symptoms of minority? Small. Yeah well. How do you? Why do the Perez bring them in? Mostly fevers. Sometimes pain in the bones that refused to walk. Bleeding or bruising, because the platelets are low. So, what happens, is the leukemia cells you know, expand into the bone marrow said they get rid of the normal cells, so that's why you have anemia. Hemoglobin can be very low. And your platelets can be very low, so all those symptoms come in. They have liver and kidney issues, too. Because of the high leukemia burden because their kids and they don't know to pay attention. How do you have any idea of how long the child is likely had leukemia before they get sick enough that their parents bring them in not very long because the parents usually are feeling very guilty about it, and we try to tell them that it's not their fault. And it was something that happened, but it is progress pretty rapidly so I wouldn't say six months ago that the child had UPN is that the same in adults resent more in children that at progresses that quickly. And I think in adults, also acute leukemia as at the same. You didn't used to be able to say to the parents, did you the prognosis is good and this is almost certainly curable I mean. How long has it that you've been able to say that? I think about. Maybe twenty years, plus because I had a great nurse practitioner here. Who Actually said that we used to have a diagnosis of leukemia and prepared the kids parents for the funeral of child. And we have come a long way. I, mean we. Will Standard Risk Ninety five percent. Loris Ninety five percents a Bible Standard is about ninety high risk is still be have to work on that, and but still it's about seventy. That's what I was going to say. In the seventies and eighties, it was if a child had leukemia. But that, so what has changed the parents who had children with leukemia participated in a lot of clinical trials and helped us get to where we are at. Amazing, so you said a little bit earlier that you're learning more about the risk factors for new Kimia. What are those when we gave the treatment? which are so treatment is very variable. It's six months of very intense chemotherapy and the first part is called induction. May you try to bring them in remission? We used to do a bone marrow at the end of treatment. And look for just the leukemia cells in the bone marrow. Now we have something called MED, which is minimum residual disease based on molecular testing. So if you have positive might be you become high risk. But if you have negative mit end of induction, that's a very good sign so I think we have be making a lot of progress in treating leukemia's. It sounds like it and it sounds like it's become quite sophisticated to. Our guest, an expert on childhood leukemia Dr Shaquille. Short break when we come back, we'll talk more about how they actually make the diagnosis in their child and more about treatment. You're listening to Mayo. Clinic Radio on the Mayo Clinic. We'll be back with more Mayo Clinic Radio Right after this..
"leukemia" Discussed on 710 WOR
"The fight against leukemia cancer and aids your support helps facilitate cutting edge research that will lead to more effective treatments and save more lives is a TJ Martel dot org to learn about music's promise for a cure partly cloudy skies this afternoon about sixty five degrees it's going to rain tonight and the low down to about fifty our next news at one o'clock breaking news at one starter David Len Berman Michael real in the morning six to ten tomorrow on seven ten W. O. R. I'm Jeff McKinney sixty degrees down the time is twelve thirty one what's the easiest way to eat a lot of fruits and vegetables balance of nature by simply removing the water and air balance of nature can take thirty one whole fruits and vegetables and put them into a quick and easy to eat capsules with just three fruit capsules and three veggie capsules you get the equivalent of over ten servings of fruits and vegetables every day that's a lot of stored energy that your body will love so if you're looking for an easier way to get clean energy go to balance of nature dot com in order your bottles of sunshine today don't wait to see what getting over ten servings of whole fruits and vegetables every day can do for you right now balance of nature is offering free shipping and thirty five percent off on any new preferred order of fruits and veggies start your journey to better health today by calling one eight hundred two four six eight seven five one or by going to balance of nature dot com and make sure to receive this special radio offer by using discount code W. O. R. an important message from my heart automotive if you need to have your car serviced but prefer not to walk into a dealership called dealership is offering pick up and delivery we know you need your car will make it easy dealerships will keep you safe.