Archive for February, 2012

Why Lung Cancer is MY Fight

February 21st, 2012 - by admin

By Sue Bersh

I wrote about losing a best friend to lung cancer about a year ago for LUNGevity’s blog.  As I have become more and more active with LUNGevity, I have met many, many people whose lives have been touched by lung cancer. They are people who know lung cancer’s M.O.:  going undetected until it is in its late stages; having few options for treatment; being associated with the unfair stigma/blame that shadows this disease; taking lives quickly; and leaving people shocked that their options are few.  Lung cancer is ruthless.

I lost two people I love to lung cancer. I lost my Grandma Harriet when I was 16, and I lost my dear friend, Elyse (Bernstein) Keefe, 3-1/2 years ago when she was only 45. Both were huge losses in my life, but losing Elyse was what motivated me to take action.

Like a best friend should, I lived Elyse’s lung cancer with her. My heart broke when she was first diagnosed; when her cancer returned; on the day she asked her doctor how much time she had left; when she talked about all of the things she still wanted to do in her life; and countless times in between.  And there are no words to describe what I felt when I was holding her hand when she took her last breath. It was the single saddest moment of my life. Lung cancer showed no mercy to my sweet, loving and brave friend. Lung cancer took a second person that I loved — and changed me forever.

Elyse and I had volunteered once for LUNGevity.  We promised each other that when she got better we’d volunteer regularly. I have followed through on that for us both. I feel her with me in all that I do for LUNGevity. It’s the most meaningful way I can think of to honor her memory and keep her close. It’s also the only way I can think of to help ensure that others don’t suffer the way she did.

Viktor Frankl, a psychiatrist who spent many years in a concentration camp during World War II, wrote in Man’s Search for Meaning (a book Rabbi Paul Cohen recommend to me when Elyse was sick) that everything in life can be taken from you except one thing: your freedom to choose how you will respond to a situation. What determines our quality of life is how we relate to the realities of life: what kind of meaning we assign them and what kind of attitude we cling to about them.

I lost one of my closest friends to lung cancer. I stared lung cancer in the face with her and it was terrifying. But instead of being angry and sad (and I do have a few of those moments), I have chosen to honor her journey and her memory with a legacy of love and hope. This is the meaning I have found in the loss of someone I love. This is what I have chosen to cling to.

I am honored to be a LUNGevity Board member, and I am proud to be Event Coordinator of Breathe Deep Deerfield.  Through my work with LUNGevity, I now have many friends with lung cancer. For my Grandma Harriet & Elyse; for Jill Feldman, Jerry Sorkin and my other friends with lung cancer; and for the almost one quarter of a million people diagnosed with lung cancer last year — this is MY fight now.

I hope that most of you will never know lung cancer. But the odds are not in your favor. It is the number one cancer killer, and 1 in 14 people will be diagnosed with it in our lifetime. It is likely to touch your life in some way. Anyone can get lung cancer.

Please help LUNGevity fund research into the early detection and successful treatment of lung cancer. If you live in the Chicago area, join us for a day of meaning and hope on May 6th at Deerfield High School.  Walk, run, volunteer, launch a balloon — register or donate today for Breathe Deep Deerfield.

WE can make a difference in the fight against lung cancer.

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Oddball Beating the Odds

February 15th, 2012 - by admin

By Nikki Campo

In March, 2011, my mom was diagnosed with pleurisy.  Except it wasn’t pleurisy.

After a couple rounds of antibiotics, the pain in her chest was still there when she sneezed, and her energy level was low.  I like to think I know my mom better than anyone else (maybe my dad would beg to differ), and she just didn’t seem like herself to me in the months that followed.  When May rolled around, my now-husband and I had one month remaining until our wedding, and I had decided to spend one week of that at home with my mom to finalize wedding plans, relax, and have some mother-daughter time.  That week, during a no holds barred wedding week fashion show for my mom (I trust her twenty-plus-years-in-clothing-retail fashion sense to my not-so-keen one), she had to excuse herself to take a nap.  And I will never forget that moment for as long as I live.  I knew something was wrong, and there was no escaping that knowing.  I stood in my rehearsal dinner dress and heels at the dining room table and became aware of my heart beating.  That day, I asked her to get a chest x-ray, and I asked my dad to make sure she did.

She had the chest x-ray the week before our wedding.  The results showed spots covering both lungs, but since she was 57, a never-smoker, and healthy, the doctors repeatedly assured her it wasn’t cancer.  They thought it was more likely a fungus, tuberculosis, or scarring from a past case of pneumonia.  Another round of tests for those came up negative, and so she was given the OK to head off to Mexico for our wedding, knowing there would be more tests to come upon her return.  The wedding was perfect.  One week in Mexico with our immediate families, and everyone had a blast.  We have memories to last us forever.  Back then, in that week, everything was ‘normal’ everything was perfect, everyone important in my life, as far as I knew, was well.

Six days later, on June 22, 2011, a bronchoscopy revealed our worst nightmare: adenocarcinoma of the lung.  I still can’t shake the horror of the ‘finding out’ conversation.  My husband and I were back in the states, but in a hotel in Chicago.  I knew the test results were coming back, and so I had called my parents at least 5 times each, but got no answer.  I was sick to my stomach.  Finally, my dad answered and gave me the news.  In a daze, a breathless and alternating mix of tears and silence, my husband and I rented a car and drove 90 miles home to Rockton, Illinois where my parents live.  From that day forward, our lives were changed.

Further testing at Mayo Clinic the following week revealed a spread to a mediastinal lymph node, indicating her cancer was stage IV.  The cancer covered both lungs in a so-called miliary pattern that my parents described back then as something akin to snowflakes.  A quick peak online at prognosis statistics was plenty to send me straight back into a personal nightmare so devastating I can’t put words to it.  But after a few days of misery and not doing much other than crying, blankly staring at a wall, or hugging my ever-strong, ever-comforting, and always-smiling at everyone, mom, I threw myself into research.  There is a LOT to learn when it comes to lung cancer!  Per the suggestion of a survivor and now friend, I ordered a 500-page report from Dr. Ralph Moss on lung cancer, accumulated and read books and articles galore, and scoured the earth for legitimate resources that could help me understand the disease and also provided something that allowed me to feel hope.  It was in this time that I first came to know LUNGevity, and have leaned heavily on its research and resources ever since.

In the end, we decided, prognoses aside there was hope.  Adenocarcinoma of the lung is on the rise among never-smokers, and no one quite knows why just yet.  But there is a population of people for whom the relatively new targeted therapy called Tarceva, an oral pill taken once daily with minimal side effects, works well in both reducing tumors and prolonging life.  One of the traits of that population is possession of the genetic mutation known as the EGFR mutation.  Long story short, my mom has it.  We rejoiced.  We had hope that she would beat the odds.

In the two months that elapsed while we fought with insurance about why they should cover Tarceva, my mom did not take any prescription medications.  She had decided that intravenous chemotherapy was not for her.  Instead, we drastically overhauled our diets to be whole food and plant-based with few processed and refined foods and she started on a supplement regime prescribed by the wonderful integrative cancer care physicians at the Block Center in Skokie, Illinois.  (Sidebar: my gracious employer, Bain & Company, granted me a leave of absence to stay with my mom and my wonderful husband, who currently lives in California, did the same.)  By the time Tarceva was approved in August, my mom’s chest pain was lessened, the slight cough she had at night was gone, and she wasn’t napping anymore.  I’ll never forget when her oncologist, upon listening to her lungs with a stethoscope for an unusually long time said with a furrowed brow, “Dena, I’m listening for bad, but I don’t hear bad.  Your lungs sound great.”  She’s an oddball, and we like it that way.  After all, doesn’t it hold that an oddball would be more likely to beat the odds?

On November 29, she had her first CT scan since starting Tarceva in mid-August.  To our surprise, the cancer was reduced by 50%!  We were absolutely thrilled.  I had read in a few places of patients who were happy with 10-20% reduction over the course of many months, so to get 50% in just three months felt absolutely miraculous.  There was simply no better way to head into the joyous Christmas season.  Most importantly, my mom felt better than ever.

In fact, she will tell you that she feels better now than she has in a very long time.  Maybe that has something to do with the fact that she decided to retire from her job in retail which could carry with it some stress, and instead is focused on living life to the fullest.  My mom and I love to practice yoga together.  We take a cooking class sponsored by the Cancer Project held at Healing Pathways in Rockford, Illinois on Tuesdays.  Recently, she started with a 12-week program at the YMCA sponsored by Livestrong, and is also fulfilling a long-time dream of earning her Master Gardener Certification.  She’s a busy woman!  But I think what she most loves is getting to spend more time with her two grandbabies and the rest of her extended family and wonderful husband, and all of her many friends.  We continue to thank God for His mercy and grace in her life.

To everyone affected by lung cancer, know that there is hope.  Know that you can advocate for your health, and that there are wonderful resources available to help you do that if you want to!  My advice would be to talk to your doctor, ask every question you have, look online, read books, find support groups, and talk to those who’ve gone before you.  My mom and I also love talking to others afflicted by this disease, whether you’re feeling hopeful or not.

We’re not physicians, and we certainly don’t have all the answers, but we do have HOPE, and we would love to share that with you.

________________________________

My mom is truly a rock star!  To showcase her awesomeness, we have opted to make Breathe Deep events a family affair.  Our first was the 5th annual Pauline Moraco-Arredondo walk in Chicago in October 2011.  We made matching Campo Family t-shirts for that event that we now sport at other events.

The other two Breathe Deep 5K events for our family in 2011 were in Nashville, Tennessee (my sister’s family and my parents participated) and then in San Jose, California (my husband and I participated).

We look forward to more in 2012!

Thanks LUNGevity for all you do!


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Dr. Jack West

A mistake I’ll never make again

February 10th, 2012 - by Dr. Jack West

   I usually write from the perspective of a lung cancer expert, but for one day and one post, I’d like to step out and speak from a patient advocate perspective.

   Though I spend a lot of time producing online content for patients and caregivers, really to enable patients to know enough to participate actively in their own care, I have confidence in what I know in caring for my patients and in the skills of the colleagues that I happen to work with. Probably because of that, I have had the confidence that other physicians know what they’re doing and will do a good enough job that I myself have often played the role of the historical “good patient” or “good caregiver” — in other words, I’ve assumed that any referrals were to a very good person and that they would do a great job.  Unfortunately, I was reminded in the course of my wife’s medical care that not playing an active role can come back to haunt you, which is something I want to always remind myself of when the time comes that we need medical care and the stakes are very high.  So a bit of background:

   A few years ago, I and my family were having a nice reunion with some of my medical school friends on the east coast, when one who works as an endocrinologist noted that my wife had a visible thyroid nodule (she never quite leaves work, I guess).  After the appropriate workup, it was found to be a thyroid cancer, which is certainly always of some concern but is extremely curable.  She went through the typical channels and saw an ENT surgeon who was supposed to have a lot of experience in doing thyroid surgeries, and I didn’t try to second guess her referrals and didn’t reach out to colleagues to find an expert.  Unfortunately, her surgery was complicated by the loss of not only her thyroid but also her parathyroid function, and the latter is a real pain.  She went from being healthy, energetic, and on no medications to less energetic (though fortunately easier for me to keep up with, I suppose) and on multiple pills throughout the day, requiring doctor visits, and with some real uncertainty about the potential ramifications over what we hope will be decades of follow-up.  And we’ve only heard from friends and colleagues who know more about thyroid surgery that while this complication is known to possibly occur, it almost never does.  And the folks I now talk who care for thyroid cancer patients in my community don’t seem to object to the musing that this particular surgeon might not have been the best one for the job, even if they try to be diplomatic about that.

(more…)

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Katie Brown

Caring for Lung Cancer Patients

February 7th, 2012 - by Katie Brown

Brenda Nachtway once worked in a hospice program.

She has witnessed firsthand the importance of giving care to patients and families who have been directly affected by lung cancer.

Recently LUNGevity held a caregiver contest where people from across the nation nominated incredible lung cancer caregivers during lung cancer awareness month.

We received many nominations of lung cancer caregivers who willingly and selflessly devoted their time to care for their loved ones battling lung cancer, while often neglecting themselves in the process.

Brenda’s employer (Direct Care Alliance) posted about LUNGevity’s caregiver contest in their online publication, “The Direct Care News”, their weekly national e-newsletter.  When Brenda saw the notice about the contest, she knew just who she was going to nominate.

Like Brenda, there are special individuals who choose care giving as their profession.  They willingly accept the responsibility of someone else’s care, and do it with compassion, patience and grace.

While we were only able to award one prize, we wanted to take the time to honor all the lung cancer caregivers who were brought to our attention and with Brenda’s permission we are re-posting her nomination of Leslie Bach.

“I’m nominating Leslie for more reasons than words could even speak.  I was a co-worker of Leslie’s for many years in a hospice program in PA.  I was her mentor.  I watched her grow into her position, and when I left I knew she would lead and give a wonderful gift of care giving.

Leslie has cared for many lung cancer patients over the years, but more importantly has shown compassion, gentleness and love.

Today, Leslie is now showing the same care to a dear friend of mine who is now fighting the battle of lung cancer.  As I speak to my friend and her family they speak very highly of Leslie and the compassion she is showing my friend and the loving support she is providing.  This is why I feel Leslie is deserving of this nomination.  To care for lung cancer patients day in and day out and then return each day with a refreshed and renewed desire to do it again the next day is amazing.  Thank you Leslie!”

We think Leslie is an amazing caregiver too!

Thank you to all the special individuals who choose care giving as a career.

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