Archive for June, 2012

A Little Change of Perspective

June 27th, 2012 - by Kathy Smith

This Damn Cape keeps getting in my way.

Ever felt like you had to save the world or at the very least carry it around on your shoulders? That is how I feel most days. It is not because I have super powers or because other people ask me to jump tall buildings. It is because everyone tells me “I must still be here for a reason.” Or “God sure has big plans for you”. I get it. I am very very blessed to be alive and I don’t want to take that for granted. But instead of “Carpe Diem” I seem to relate better to “Oh Captain, My Captain”.

I want to enjoy every minute and live life to its fullest but sometimes I am afraid I am missing the big reason God saved me. What if I am supposed to be saving the world but instead I am watching “Revenge” on Wednesday night? Should I be training harder for my triathlons so people will see that lung cancer is an obstacle not a barrier? Or can I just float in the pool and practice my cannonballs? What if all that science and research and prayer was in vain? What if I don’t save the world? Seriously this really is what runs through my head some nights.

In fact it was running through my head when we were in DC at the LUNGevity Hope Summit. What is the right thing say? What will help vs. what will hurt? I couldn’t get out of my own way. I couldn’t figure out why I was 6 years out and so many others were still in the weeds.

Then on Saturday evening something changed. I laughed with a (now very dear) friend about snot running out of our noses because of the O2 tubes. I didn’t cure her cancer that night and I didn’t come anywhere near saving the world but we laughed at snot jokes. Letting her know that the road may seem long and that it may seem lonely- but we are team and in this together- seemed to make my drippy nosed friend relax.

I found that sitting in a room full of survivors helped me feel normal again and that maybe sitting with me was serving the same purpose to those I was with. Turns out trying to save the world may actually be distracting me from trying to help my friends.

It is amazing what a little change of perspective and some fancy bowling shoes can teach ya….

Thank you Hope Summit for reminding me that my damn cape can sometimes get in the way.

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Celebrate and Hope

June 18th, 2012 - by admin

Eva was 46 when she heard the words, “stage IV lung cancer” last year.  She wasn’t a smoker and lived an athletic and healthy lifestyle, so the diagnosis came as a shock.

After not feeling well and experiencing shortness of breath while biking, Eva went to see her primary care provider.  A chest x-ray revealed fluid around her lung and she was referred to a pulmonologist to have the fluid drained.

Because symptoms of the disease often don’t present until the later stages and because there is no early detection test for lung cancer, Eva’s cancer was stage IV. Thankfully her primary doctors’ swift actions sent the ball rolling immediately.

“I have been receiving state of the art care since the beginning, “Eva says.  She gets treated at Seattle Cancer Care Alliance.

Eva also believes in the importance of support and a caring network of supporters.  She is fortunate to have had friends accompany her to treatments and coworkers donate their leave time so that she didn’t have to face more financial hardships, but she knows that’s not the case for everyone.

For those who don’t have access to local support, organizations like LUNGevity provide online support for anyone globally.  LUNGevity is the largest private funder of lung cancer research and also offers the largest online support network for those affected by lung cancer.  LUNGevity also understands the importance of education and survivorship and hosts the only lung cancer specific national summit for lung cancer survivors, called the HOPE Summit.

This year Eva was able to attend Hope Summit May 4-6, 2012 in Washington DC.  It was a weekend of educational sessions and celebration of survivorship.  The participants ranged in age from 26-71 and travelled as far as Scotland to attend.  Since the summit, empowered lung cancer survivors have given interviews, raised awareness at survivor events and participated in raising funds for lung cancer research.

Recently Eva participated in a 5K mud run with 14 obstacles.  She completed the entire event!

Eva is also involved in Breathe Deep Seattle, a LUNGevity event that raises support and funds for lung cancer research.

“My greatest hopes for lung cancer, besides a cure, are to decrease the stigma surrounding it and to increase funding for lung cancer research.  I wish people wouldn’t ask me if I smoked.  The stigma and under-funding are discouraging.”

Eva loves to spend time with her children, her friends, her dog and participating in outdoor activities and events.

She hopes you will join her August 11, 2012 at Lincoln Park for Breathe Deep Seattle to celebrate survivorship and hope.

 

 

About Breathe Deep Seattle:

Breathe Deep Seattle was started to honor Sara Ratzenberger and others who have fought or are fighting lung cancer. In 2010, at 31 years old, Sara was diagnosed with stage lV lung cancer after living for six months with a misdiagnoses of pneumonia. Because Sara has never smoked and has always been healthy and active, even her own medical team did not consider lung cancer a possibility when screening tests came back inconclusive. Only after undergoing intensive lung surgery was her lung cancer finally discovered. Sara is currently in treatment. We want others to know that lung cancer is not a smoker’s disease, and that lung cancer has no boundaries. Please join us to raise awareness of Sara’s situation and that of many others. We want to make sure that the next person and the next generation are diagnosed early and accurately.

Register to participate.

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Juhi Kunde

From Scientific Idea to Life-Saving Pill

June 15th, 2012 - by Juhi Kunde

by Juhi Kunde

Every so often, a scientific experiment triggers an idea with the potential to save lives.

But it requires many critical steps to convert a scientific idea into a pill that cures disease. These steps are called “translational research” projects – and they are time-consuming, expensive and do not guarantee a successful outcome. They are also very underfunded.

People are starting getting interested in translational research. I recently read a magazine article noting that scientists conducting translational research face a major hurdle. It is, of course, money.

Like an inventor who has a good idea, a scientist with a potential breakthrough has to find funding to develop and then test his ideas. And when you are trying to develop new diagnosis or treatment techniques and then run clinical trials that meet FDA-standards, you are running multi-million dollar projects that will likely take decades to complete and have a high probability of failure. Not an easy investment to sell to biotech and pharmaceutical companies.

Without other funding sources, these breakthrough ideas will end up in (what the industry has dubbed) “the Valley of Death” – i.e. the place where innovative ideas go to languish and die because they don’t have enough funding to be developed and tested.

While for-profit companies cannot swallow the price of failed science, smart non-profits, universities and government agencies understand that failed experiments are the price we pay for major breakthroughs in the field. That is why LUNGevity, the National Institutes of Health and others have policies in place to boost translational research.

With every risk of failed science, there is also a hope of innovative life-saving success.

And if we want to see big improvements in patient care, we should foster that hope with all our might. But fostering hope does not mean just throwing money at scientists.

Each promising translational research project should be vetted by experts in the field, guided by milestones, and discussed with colleagues to give it the best possible chance of success. That is what LUNGevity does.

By funding translational research, encouraging multi-disciplinary communication and shepherding ideas through “the Valley of Death”, LUNGevity bolsters the chance of successful translational research in the treatment and early detection of lung cancer.

Because, at the end of the day, successfully converting a scientist’s idea into a new lung cancer therapy is worth the risk of a few failed attempts.

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Susan C. Mantel

Ways We’re Making Progress in Approaching Lung Cancer

June 13th, 2012 - by Susan C. Mantel

With a week’s distance to reflect on my sixth American Society of Clinical Oncology (ASCO) meeting, I am struck by three major areas of change from the first one I attended back in 2005.

First of all, there are a LOT more people attending lung cancer-relevant sessions, and there is a LOT more lung cancer research progress being presented and discussed. For someone working in what was once the neglected stepchild of the cancer world, this is hugely exciting—we need as many brilliant minds working on solutions for this challenging disease as possible.

Second, there has been real progress in understanding the range of cancers that originate in the lung. We talk about them as “lung cancer” for convenient short-hand, but it’s really a pretty broad range. We have known for years that the cells of the major histological subtypes look different under a microscope and that they differ in how well or poorly they respond to therapy—I’m thinking adenocarcinoma vs. small cell, for example. Now we know that even within those subtypes, there are different changes to the DNA of the cells that cause the development of a cancer in the lung, like EGFR or ALK mutations for adenocarcinoma. A couple of particularly exciting presentations in this area were on the molecular characterization of squamous cell lung cancer, which has had few advances in the past couple of decades.

Importantly, some of the squamous cell mutations that were identified are “druggable”, so we can hope to DO something with that new knowledge. In fact, numerous drugs are being developed through clinical trials to target the specific changes in cancer cells, hopefully adding to existing advances like Tarceva and Xalkori. Since lung cancer is such a wily foe, follow-on or combination treatment with those is often needed, and that too is being studied and developed. One of the notable areas with a surge of activity is immunotherapy, with some exciting early results in NSCLC patients who had previously been treated with other therapies. Research is vital for moving all of these areas forward.

That increase in understanding seems to apply to how we treat specific patient populations too, like the elderly or those with early stage lung cancer. Both of these groups have potentially been “undertreated” in the past, with therapies scaled back due to age, instead of health status, and some early stage patients who theoretically were cured relapsing repeatedly. Based on the studies presented last week, it looks like personalized medicine may be practiced in more and more ways.

The third area that struck me was the proactive approach to managing costs and quality that ASCO members were discussing. We all know the environment has changed, and while politicians posture and battle over legislating change, those on the front lines seem to be coming up with their own solutions. This includes everything from integrating non-physician healthcare providers more heavily into collaborative teams, to more rigorous assessment of evidence-based care.

I find all of these changes visible at ASCO encouraging. The medical community is actively engaged in transforming care for our lung cancer community on multiple levels. I didn’t see any home runs this year, but there seemed to be a lot of base hits.  As any baseball fan knows, you can score that way too.

Join our Ask the Experts webinar on June 28th to learn more about the advances in lung cancer treatment presented at ASCO 2012 or download the podcast later if you can’t join live.

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Jerry Sorkin

Father’s Day thoughts, inspired by Jackie Kennedy

June 12th, 2012 - by Jerry Sorkin

I have to confess I had a thing for Jackie Kennedy.

Style, grace.  Just something about her that has always attracted me.

And one of the many things that impressed me about her was her level-headedness.   Despite being one of the most famous women in the world, she had a sense of what was truly important.

For example, she was once asked about being a mother, and she said, “If you bungle raising your children, I don’t think whatever else you do well matters very much”.

I love the quote.  I love it because it really does help clarify your priorities – it gives you a north star – for what matters most in your life.  As a parent – as a father — it is so difficult to balance competing priorities like work, community and family.  How do you have a successful career and raise great kids?  These priorities often seem like they are in conflict.

But Jackie Kennedy was clear on what mattered most:  “If you bungle raising your children, I don’t think whatever else you do well matters very much.”   (I am also amused by the use of the word “bungle” — I am not sure that I know anyone who uses that word.  But it certainly has helped the quote stick with me for years.)

Now if you are looking for a surefire way to BUNGLE raising your children….getting cancer when they are 5 and 7 provides an excellent opportunity.

I was diagnosed with stage IV lung cancer in the summer of 2007.  It was a shock and it was terrifying.  And as my wife Lisa and I processed what was going on – we had two major concerns: 1) how do I get the best treatment possible and 2) what is the best thing we can do for our daughters?

When I was first diagnosed we spent a lot of time on both these questions.  And I think — I hope – how we have addressed question 2 is one of the few things I have done well in life.

From the beginning, we had great assistance from Lisa’s sister, Barbara, who is a child life therapist.  She knew what questions the girls were likely to ask (“Can I catch it?”) and what their concerns would likely be (“who will pick me up at the bus stop if Daddy is at the hospital?”).  Barbara helped us predict how the girls might react, and she has always had great suggestions of what we could do to help them along the way.

Lisa and I have had two simple principles that govern how we approach our girls and my cancer: 1) we are open and honest and 2) we keep their lives as normal as possible.

Being open and honest means always telling the truth — even if we don’t share every detail.  If they have questions, we answer honestly.  Usually we share a subset of what we know – the kids tend to lose interest after a while.

I think there is nothing more likely to screw your kid up than lying to them.  So when I talk with newly diagnosed cancer patients, I always tell them to tell their children the truth.  They will find out anyway – do you want to be the one who tells them – or do you want to leave it to chance?

To be transparent and supportive, we have taken the kids to the hospital to see where I get my chemo treatments; we sought support groups for kids. We found a great overnight camp – Camp Kesem – that serves children who have a parent who has cancer or who has died of cancer.  Camp Kesem has been a magical experience for our girls – a week each summer when everyone understands what they are experiencing.

We have tried hard to keep the kids lives as normal as possible.  School always comes first.   And they have done more than their share of after school activities – soccer, lacrosse, swimming, basketball, religious school, musical instruments, summer camp, Brownies, and more.

We schedule my doctor’s appointments, scans, treatments to avoid conflicts for the girls.  We are fortunate to have family and friends to cover for us when we can’t.

Being a father has given me a great opportunity to focus my energies since my diagnosis.   Spending time with my family has always been important – having cancer has made it an even higher priority.   I have been very fortunate to have had a great quality of life over the last few years — and that has allowed me to experience so much with my daughters.  I have attended their school assemblies, presentations and concerts, we have traveled together, and we have watched several seasons of American Idol and Amazing Race and so much more.

Any father cherishes these moments. Perhaps I cherish them a little more than I would have if I didn’t have cancer. It forces me to step back and think – and be grateful for the time together.

I have tried very hard to follow Jackie Kennedy’s advice. I hope I haven’t bungled my kids.

Only time will tell.

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