How To Deal With Cancer Patients – Elizabeth Sidway, who has cancer, said she was asked to leave a flight Monday from Lihue Airport in Kauai, Hawaii, to San Jose, California, after an Alaska Airlines employee said she would The doctor will need a note to make sure it is safe for her. take off. (Screengrab/KTLA)
Kevin Redwyn and wife Shannon in 2012. Visited Sunlight Hospital in Las Vegas on September 10. Shannon Redwin has stage 4 breast cancer. (Jessica Ebelher/Las Vegas Review-Journal)
How To Deal With Cancer Patients
Kevin Redwin, left, and wife Shannon pray during a visit to Sunrise Hospital in Las Vegas in 2012. September 10 Shannon Redwin has stage 4 breast cancer. (Jessica Ebelher/Las Vegas Review-Journal)
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Rhonda Churchill / Review Magazine 40 years. Shannon West, Clark County Regional Homeless Services Coordinator, sits at home with her cat, Cat, Tuesday, 2008. on April 1. West, who is battling breast cancer, underwent a double mastectomy last month.
Linda Lester Cason, director of health care operations for MGM Resorts, speaks with Cynthia Keyser Murphy, president and COO of New York and New York in 2012, in Murphy’s office at the hotel-casino in Las Vegas, Nevada. Thursday, September 13th. In May 2008 Casson discovered her breast cancer when Hope Coach’s mobile mammography unit stopped at Murphy’s Hotel-Casino. Casson had a mastectomy later that year and has been cancer-free ever since. (Chase Stevens/Las Vegas Review-Journal)
Dr. Karen Jacks, a medical oncologist at the Nevada Cancer Institute, patient Renee Hill and RN. Karen Watnam, director of clinical operations at the Nevada Cancer Institute, left or right, poses for a photo in front of the institute, Friday, 2012, in Las Vegas. September 21 (Jerry Hinkle/Las Vegas Review-Journal)
Cindy Aguilar sits in her Southeast Las Vegas home in 2012. On Friday, August 24. She went to the American Cancer Center in Phoenix because she didn’t care how breast cancer was treated in Las Vegas (Jeff Shedd/Las Vegas). review – magazine)
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John Craig Carell poses for a photo at his home in Henderson, Nev. Monday, September 17, 2012 (David Cleveland/Las Vegas Review-Journal)
Wednesday, June 13, 2012 Sharon Fuller is being treated for TDM-1 breast cancer at Nevada Comprehensive Cancer Centers in Henderson. Breast cancer patients may be living longer thanks to a new drug, and a clinical trial was conducted here. Vegas Valley. (Jessica Ebelher/Las Vegas Review-Journal)
October is Breastfeeding Awareness Month, and the Review Journal profiles several Southern Nevadans who are fighting the disease. Unless you’re a friend or relative or know them from work, their names don’t come to mind: Shannon West Redwin, Linda Casson, Renee Hill, Cindy Aguilar, Sharon Fuller, John Craig Carell. It’s not the headline names, just the hard-working, caring people who make Southern Nevada a great place to live. They also suffer from breast cancer.
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Former Chancellor of the Exchequer Rishi Sunak will become Britain’s next prime minister after winning the Conservative leadership contest on Monday.
The first 24/7 replacement of the Las Vegas Valley’s high-occupancy lines since the completion of Project Neon began Monday.
Control of the US Senate could have a major impact on President Joe Biden’s judicial nominees in the final two years of his term.
Both Democratic and Republican campaigns are holding get-out-the-vote events to encourage people to participate in the midterm elections.
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A fire alarm installed by the American Red Cross alerted the family of seven to the fire, and they escaped unharmed.
Arrivals at the airport were delayed for more than two hours, and 50 mph winds and dust clouds shut down the Las Vegas Valley for more than a dozen hours Saturday.
If elected, Lisa Kino Burkhead will be able to introduce her own bill. Otherwise, it will be called an “orphan account”.
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The Eighth Circuit Court of Appeals issued a stay while it considers bids by six Republican states to block the debt cancellation program. The impeachment ordered the Biden administration not to act on the program pending an appeal. Despite efforts by professional oncology associations to encourage doctors to treat cancer patients less aggressively at the end of their lives, that’s not happening, researchers report. Monday
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The study, presented at the annual meeting of the American Society of Clinical Oncology in Chicago, is the first to look at care in cancer patients younger than 65.
This is the first study on end-of-life cancer treatment since 2012. ASCO warned doctors that such treatments could do more harm than good. The professional body has recommended that chemotherapy or radiation or invasive procedures such as biopsies not be given when cancer patients are in such poor health that there is no real possibility of benefiting from these interventions.
That sounds like pretty bad news, researchers led by Dr. Ronald Chen, a radiation oncologist at North Carolina’s Linberger Comprehensive Cancer Center, found.
Chen and his colleagues looked at insurance claims for people enrolled in Blue Cross or Blue Shield plans in 14 states, including pictures of patients age 65 or younger who died between 2007 and 2014. and those with lung, colon, breast, pancreatic, or prostate cancer. Of those 28,731 patients, about three-quarters received intensive care in the last 30 days of life.
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The percentage of patients with incurable colorectal cancer or breast cancer who received intensive care in the past month (71 percent and 74 percent, respectively) was largely unchanged from ASCO 2012. Recommended than before. It actually increased from 72 percent to 76 percent among those with lung, pancreatic, or prostate cancer.
Aggressive care includes chemotherapy when most previous treatments have failed and admission to the intensive care unit is required. Such end-of-life interventions are “widely recognized as harmful,” Chen said.
This is because many cancer drugs have serious side effects (vomiting, nausea, vomiting, fatigue, mouth ulcers, constipation, etc.) becomes , there is almost no way to get more benefits.
For example, a study cited in ASCO’s Best Practices Guidelines found that only 2 percent of non-small cell lung cancer patients responded to third-line chemotherapy, and doctors did not try fourth-line drugs. .
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‘Th-line chemotherapy’ is usually tried after the cancer has spread to distant organs, despite previous rounds of chemotherapy. And while cynics might speculate that doctors give expensive drugs to the dying for profit, the practice is also common in countries where doctors are paid a percentage of the cost of cancer drugs, as in the United States. is the case in In the States.
Because this study has not yet been published in a peer-reviewed journal, it has not been peer-reviewed. One concern is that ASCO wisely chose not to use the phrase “end-of-life” in the guidelines, intensively treated patients do not meet the guidelines’ criteria, and it is only in retrospect that it is clear that they are at the end of life. was in the month the life
According to a study published last month in the Journal of Clinical Oncology, many cancer patients do not even know they are dying.
In this study, researchers in New York interviewed 178 patients with advanced cancer and recorded their conversations with doctors before and after scans to see if their tumors were growing and spreading. 5% before scanning. Patients were told they only had months to live. Even after that, only 7 percent did.
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“These were people whose cancer had already metastasized, it was anywhere, and had progressed after at least one chemotherapy,” said Holly Pregerson, director of the Weill Cornell Medical Research Center. led the investigation. “But what the patients didn’t know was that it was incurable” and that they were close to death.
The interview tapes indicated why. Doctors said things like “Your tumor has only grown 0.2 cm”, which sounds small but can be a significant fraction of the actual tumor size and therefore a sign of rapid growth. They said “some of your tumors are growing, some aren’t” that’s all, if even one tumor is growing it’s bad news because it means the chemo isn’t working.
None of the patients pressured their doctors about their options. As a result, they’re “essentially making treatment decisions in the dark,” Pregerson said.
So it’s not surprising that they or their families encourage doctors to try another drug. “There’s a very, very reluctance to put a number on how long patients live,” Pregerson said.
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She added that they are achieving very little with this work. “They will be accused of giving up or being too frustrated.”
According to Pregerson, this approach, rather than the pursuit of benefit, likely explains why, as the Chinese ASCO study found, three-quarters of patients with advanced, malignant cancers receive aggressive treatment.
“How can you make an informed decision about your treatment and how your last days will be?”
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