Why can’t doctors tell cancer patients the truth?

Source: SALON.com By: Mary Elizabeth Williams     Medical journals and physicians underplay what treatment is really like. And it hurts patients (Credit: Henk Vrieselaar via Shutterstock) Everyone appreciates a bright perspective, especially in grim circumstances. But you know what’s a really poor arena for downplaying the bad news? Medicine. A new report in the Annals of Oncology this week reveals that in two thirds of breast cancer studies, side effects were downplayed – including serious ones. And, as Reuters reports, it’s a field-wide problem in the health care industry: Last fall, cardiology journal editors warned authors to “watch their language” in reporting, and pediatrics researchers warned of “spin and boasting” in their journals. Aside from the ethical issues of publishing misleading information, the habit of rushing to make it all seem better has serious consequences. Because the sunnyside talk doesn’t stop at the journals. It trickles over to doctors, who then minimize what a patient’s real experience is going to be like. And even without overly optimistic literature to inspire them, doctors and their lack of understanding can be an issue. A 2007 study in the journal Drug Safety found that over 60 percent of patients who complained of side effects to a particular drug said “their doctors did not appreciate the impact the symptoms had on their quality of life.” At the time, health policy professor Albert W. Wu told American Medical News that doctors “have the bad habit of discounting patients’ complaints. In our desire not to worry [...]

2013-01-11T15:03:36-07:00January, 2013|Oral Cancer News|

Another Side Effect Of Chemotherapy: ‘Chemo Brain’

Source: NPR Date: December 28, 2012 Author:  Patti Neighmond   It's well-known that chemotherapy often comes with side effects like fatigue, hair loss and extreme nausea. What's less well-known is how the cancer treatment affects crucial brain functions, like speech and cognition. For Yolanda Hunter, a 41-year-old hospice nurse, mother of three and breast cancer patient, these cognitive side effects of chemotherapy were hard to miss. "I could think of words I wanted to say," Hunter says. "I knew what I wanted to say. ... There was a disconnect from my brain to my mouth." Before getting treated for cancer, Hunter led a busy, active lifestyle. But the effects of chemotherapy on her brain made it difficult for her to do even the most basic things. "I couldn't even formulate a smile. I had no expression," she says. "I might feel things on the inside, but it didn't translate to the outside. ... It literally felt like you were trying to fight your way through fog." Some cancer patients call this mental fog "chemo brain." And now researchers are trying to quantify exactly what chemo brain really is. Oncologist Jame Abraham, a professor at West Virginia University, says about a quarter of patients undergoing chemotherapy have trouble processing numbers, using short-term memory and focusing their attention. Using positron emission tomography, or PET, scans to measure blood flow and brain activity, Abraham looked at the brains of 128 breast cancer patients before they started chemotherapy and then again, six months later. On [...]

2013-01-10T13:00:01-07:00January, 2013|Oral Cancer News|

Australian research grant targets oral cancer

Source: www.drbicuspid.com Author: staff Hans Zoellner, BDS, PhD, an associate professor and head of oral pathology at the University of Sydney, has been awarded the 2012 Australian Dental Industry Association (ADIA) Research Grant. The grant supports research into the relationship of malignant cancer cells and those of healthy gingival structural tissue (fibroblasts). The findings of this research originated from earlier work studying aspects of oral cancer and have shed light on other forms of cancer. The grant, funded by ADIA, is awarded each year to the primary applicant for the highest-ranked research project of those considered by the Australian Dental Research Foundation (ADRF). Dr. Zoellner's project, "Characterization of protein and mRNA exchange between malignant cells and fibroblasts," was considered by the ADRF Grant Committee to be ground-breaking research into how cancer cells behave and potentially evade treatment. "We have recently observed that cancer cells exchange cellular material with fibroblasts, and the resulting cancer cell diversity may help cancer cells evade chemotherapy. Separately, from an immune standpoint, it seems likely that the cancer cells receive enough components of fibroblasts so that they are less recognized as foreign, while the fibroblasts now bearing cancer cell components would act as immune decoys," Dr. Zoellner explained in a press release. "In understanding this process, we hope to eventually inhibit the mechanisms through which it occurs and therefore increase the effectiveness of treatments." The Australian Dental Research Foundation is jointly supported by ADIA and the Australian Dental Association for the purpose of sponsoring dental research [...]

2012-12-23T08:14:27-07:00December, 2012|Oral Cancer News|

Author tells cancer story in new book

Source: www.charlotteobserver.com Author: Josh Lanier The cover of Barbara Bragg’s book, “Destination Cancer Free,” says it all. It shows a photo of a man and woman walking hand-in-hand along a beach and serves as a powerful metaphor for her husband’s battle to overcome a diagnosis of stage IV oral cancer. Beating cancer is a journey and a team effort. Bragg wrote about that journey in her book, which she hopes will help other cancer patients and their families. “When we got the diagnosis, I immediately tried to learn everything I could,” Barbara Bragg, a Davidson resident, said. “Because we were going to get through this. There was no doubt.” Arthur Bragg, 65, received his diagnosis last year, after he woke up one morning with a lump on his neck. Within a few weeks, the small protrusion had grown to the size of a grape. A check-up with doctors at Lake Norman Ear, Nose and Throat confirmed their fears. “Your heart sinks after you hear the word cancer,” Arthur Bragg said. “You just don’t know how to react.” Bragg is not one to be intimidated by fear. A U.S. Army staff sergeant in the Vietnam War, he was awarded a Bronze Star for valor and a Purple Heart during his service. But a fight against cancer is unrelenting. He received dozens of rounds of chemotherapy and radiation that left him weak, constantly sick, and he had difficulty swallowing for several days. And, along with his misery, he knew his wife was [...]

2012-12-23T08:11:02-07:00December, 2012|Oral Cancer News|

Oral cancer patient fights Medicare for coverage

Source: Dr.Biscuspid.com By Donna Domino, Features Editor November 6, 2012 -- Hank Grass has so far successfully fought his submandibular cancer. But the retired policeman is now facing bankruptcy in his losing battle to get Medicare to cover the oral surgeries, dental treatments, and dentures he needs following radiation treatment. The 77-year-old had his salivary gland removed after doctors found cancer at the base of his tongue three years ago. But the radiation and chemotherapy damaged his teeth and gums so much that he had to have all but three of his bottom teeth extracted. Recently, Grass needed periodontal surgery to treat an infection he developed in his mandible from radiation treatments. After Hank Grass developed submandibular cancer, radiation therapy caused osteoradionecrosis, requiring the extraction of all but three of his bottom teeth. All images courtesy of Hank Grass. So far, Grass has spent $8,000 for the dental treatment and dentures, but Medicare won't reimburse him, saying his dental work was not medically necessary and is cosmetic. And since Medicare has refused payment, Grass' insurance company also has refused to cover the dental procedures. "I've been through a living hell," he told DrBicuspid.com. "We're pinching pennies; we're in bankruptcy." Five doctors -- including his dentist, oncologist, oral surgeon, and the doctor who administered chemotherapy -- submitted letters confirming that Grass' dental procedures were directly related to his cancer treatments. But it was to no avail, he said. "You don't have to be a rocket scientist to look at all the [...]

2012-11-07T12:40:04-07:00November, 2012|Oral Cancer News|

GIVING ORAL CANCER A LOUDER VOICE

BY PATTI DIGANGI, RDH, BS Even with our best efforts, oral cancer continues to have a nearly 50% mortality rate at five years. This equals 40,000 deaths annually in the United States with 370,000 worldwide. It is predicted that there will be a world-wide oral cancer epidemic by mid-21st century. Predictions are based on what has been and current situations. The wonderful part of predictions is they can be wrong. Two people, Alison Stahl and Eric Statler, are leading the way to circumvent that future death rate. They challenge all of us across the country not to be reactive — but rather to be proactive in our approach. Volunteers welcome participants to the oral cancer walk.   Eric Statler is a stage IV oral cancer survivor. As happens far too often, he was initially misdiagnosed and thought to be experiencing pain related to wisdom teeth. An infection that followed his extractions was treated with antibiotics and he was dismissed. With no resolution and increasing pain, he went back to the dentist who immediately referred him to a specialist. Someone You Should Know: (from left to right:) Mike Stahl, Kim Benkert, Denise Snarski, Bonnie Chisholm-Green, Trish DeDios, Patti DiGangi, Donna Grzegorek, Alison Stahl, Amy Frazin, Lois Roewade, Ewa Posorski, Tracy Fritz, Zuzana Buc, Cynthia Pfeiffer, and Eric Stadler.   At the age of 33, Eric was diagnosed with stage IV HPV related oral cancer. Chemotherapy and radiation treatments followed along with multiple disfiguring surgeries and some facial paralysis. Treatments were initially [...]

2012-11-02T14:48:17-07:00October, 2012|OCF In The News|

Smokers are 40 times more likely to develop cancers in head and neck

Source: www.heraldandnews.com Author: Andrew Creasey, Staff Reporter The level of concern you should have for contracting cancer of the head and neck can be gauged by the answer to one simple question: Do you smoke? If the answer is no, chances are your oral cavities and voice box, the places cancers most commonly occur, will be safe from the onerous growth that can cause death if not treated soon enough. If the answer is yes, then you are 40 times more likely to contract head or neck cancer if you have been smoking for 10 years, and you should probably be aware of what to look for, said Dr. Richard DeVore, an otolaryngologist in Klamath Falls. Signs of head and neck cancer include a sore or ulcer that doesn’t heal, unexplained bleeding of the throat and, most importantly, throat or tongue pain that persists beyond several weeks, DeVore said. Such pain could be caused by the cancer, which actually eats into the tissue and can cause significant pain when it starts munching on the local nerves. Swallowing difficulties, hoarseness and lumps in the head and neck that don’t respond to antibiotics should also be examined, DeVore said. At the onset of such symptoms, it is vital to share them with a physician, DeVore said. Caught early, the cure rate of many neck and head cancers is 100 percent and can be solved with a simple operation. “The cure rates are slowly improving to some degree, but it’s a bad disease,” [...]

Interim results from CEL-SCI’s Multikine Phase III study on head and neck cancer

Source: www.news-medical.net CEL-SCI Corporation announced today that an interim review of the safety data from its open label, randomized, controlled, pivotal Phase III study of Multikine (Leukocyte Interleukin, Injection) investigational immunotherapy by an Independent Data Monitoring Committee (IDMC) raised no safety concerns. The IDMC also indicated that no safety signals were found that would call into question the benefit/risk of continuing the study. CEL-SCI considers the results of the IDMC review to be important since studies have shown that up to 30% of Phase III trials fail due to safety considerations and the IDMC's safety findings from this interim review were similar to those reported by investigators during CEL-SCI's Phase I-II trials. Ultimately, the decision as to whether a drug is safe is made by the FDA based on an assessment of all of the data from a trial. IDMCs are committees commonly used by sponsors of clinical trials to protect the interests of the patients in ongoing trials especially when the trials involve patients with life threatening diseases, and when, as in cancer clinical trials, they extend over long periods of time (3-5 years). The committee's membership should include physicians and clinical trial scientists knowledgeable in the appropriate disciplines, including statistics. The CEL-SCI IDMC includes prominent physicians and scientists from major institutions in the USA and abroad who are key opinion leaders in head and neck cancer and who are knowledgeable in all of the disciplines related to CEL-SCI's study, including statistics. The Multikine Phase III study is enrolling [...]

No ref’s return as special as Corrente’s

Source: sportsillustrated.cnn.com Author: Peter King The voice of Tony Corrente was ebullient, as ebullient as a man who stared down his own mortality within the past few months and lived to tell about it. "How are you doing?'' I asked Corrente an hour after he refereed his first game -- Niners-Jets at the Meadowlands Sunday -- since his tongue and throat cancer eradication of last winter. "Wonderful, fantastic, perfect!'' he practically shouted into the phone. "Never been better, and I mean that. I am elated. I have a new lease on life." Corrente checked into the M.D. Anderson Cancer Center in Houston the day after his final game of the 2011 season -- the Detroit-New Orleans Wild Card game -- for treatment of a thumb-sized malignant tumor at the base of his tongue, where it connects with the back of his throat. He had 13 chemotherapy treatments and 33 zaps of radiation in a short period, to attack the tumor aggressively. Doctors told him if the tumor had been discovered as little as three weeks later the news would have been very dark for him. But they began treatment in time, and in the spring, they found that the tumor was under control. He's had two thorough checkups since, and both have given him a clean bill of health. This is why, as the National Anthem played Sunday in New Jersey, Corrente said a long prayer of thanks for his doctors and for those who supported him during the ordeal. [...]

Growing ‘mini tumors’ from patient’s cancer could lead to custom treatments

Source: www.huffingtonpost.com Author: Marilynn Marchione It's a medical nightmare: a 24-year-old man endures 350 surgeries since childhood to remove growths that keep coming back in his throat and have spread to his lungs, threatening his life. Now doctors have found a way to help him by way of a scientific coup that holds promise for millions of cancer patients. The bizarre case is the first use in a patient of a new discovery: how to keep ordinary and cancerous cells alive indefinitely in the lab. The discovery allows doctors to grow "mini tumors" from each patient's cancer in a lab dish, then test various drugs or combinations on them to see which works best. It takes only a few cells from a biopsy and less than two weeks to do, with materials and methods common in most hospitals. Although the approach needs much more testing against many different types of cancer, researchers think it could offer a cheap, simple way to personalize treatment without having to analyze each patient's genes. "We see a lot of potential for it," said one study leader, Dr. Richard Schlegel, pathology chief at Georgetown Lombardi Comprehensive Cancer Center in Washington. "Almost everyone could do it easily." An independent expert agreed. For infections, it's routine to grow bacteria from a patient in lab dishes to see which antibiotics work best, Dr. George Q. Daley of Children's Hospital Boston and the Harvard Stem Cell Institute said in an email. "But this has never been possible with cancer [...]

2012-09-28T07:16:28-07:00September, 2012|Oral Cancer News|
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