Life is Healthy

"Herceptin, the wonder drug, has a flaw: it does not cross the blood-brain barrier. The blood-brain barrier was erected designed by nature to protect our brains from dangerous substances, such as bad viagra jokes, but what it means for cancer patients is that certain drugs can't get through to kill swollen bad cells. Herceptin cannot treat HER2+ breast cancer that has engorged spread invaded the brain. Apparently, if you add a big large generous dose of Viagra to Herceptin, it adds enough thrust power to break through that blood-brain barrier and bathe the brain in its heaving healing properties."

TopOnlineColleges.com as included Not Just About Cancer in their list of "15 Inspiring Breast Cancer Blogs."

Get inspired by this breast cancer survivor, who turned her unfortunate situation into a book about defying the odds and beating cancer.

Yesterday, CBC Radio's Q featured an interview with Samantha King, author of Pink Ribbons Inc.

At the end of the interview, listeners asked the following questions (they were also posted to the Q blog): What are your impressions of cancer fundraising and awareness efforts? Are they working? Do you find any aspect of them troubling?

My sister-in-law, B. alerted me to the interview (she listens on the east coast schedule) and encouraged me to write a letter in response. This morning, a slightly edited version of this letter was read on the air (I was the "Letter of the Day"):

In January 2006, when I was 38 years old an the mother of two young children, I was diagnosed with very aggressive breast cancer. I underwent a brutal treatment regimen only to learn in November of that same year that the cancer had spread to my liver. I was told that I had “years, not decades” to live.

I resumed treatment and, this time, my response was immediate and dramatic – by June 2007, there was no longer any sign of cancer in my body. As I write this, I am still in remission. I'm also still in treatment, as we don't know enough about what happens when metastatic breast cancer disappears to make an informed decision about stopping.

I know without a doubt that I am alive today because of the kind of cutting edge research funded by breast cancer organizations. I also know that thousands of women who've been through breast cancer live better lives because of the kind of advocacy and outreach work that is undertaken by non-profit organizations.

But I do cringe, seethe and yes, even rant every time October comes around and we are deluged with pink products from fried chicken to face cream to key chains.

In theory, I'm not opposed to corporate sponsorship. But in the same way that I think cigarette companies should not be permitted to sponsor children's festivals, I'm offended when companies that sell products that are unhealthy, bad for the environment and laden with carcinogens jump on the “pinxploitation” bandwagon. At best, these campaigns do little to eradicate breast cancer and worst, they are a cynical attempt to grab some good PR and increase profit margins at the expense of anyone who's life has been affected by cancer.

Don't get me wrong. I don't judge anyone who's drawn to all the pink stuff. I own a lovely pink cowboy hat. I would just ask folks to think before they get swept up in the “Pinktober” frenzy. Put that pink soup back on the shelf. Step away from the pink sweater with the pink ribbon buttons (for so many reasons). Unless you really want the pink sunglasses, save your money. Most companies only give a tiny percentage of sales to breast cancer research. Why not make a donation instead to an organization that is demonstrably contributing to research, advocacy and especially prevention of all cancers? Then you'll know that you really are making a difference.

All the letters that the host, Jian Ghomeshi, read were on this subject and all of them opposed pinkwashing. Perhaps tomorrow will bring a deluge of letters taking an opposing opinion but it's good to see that more of us are speaking out on this issue that has driven me wild since my own diagnosis of breast cancer.

Cross-posted to Mothers With Cancer.

A wonderful book was published this week. Women Who Care features stories of women's health care experiences - as providers and as patients. The book was the brain-child of Dr. Nili Kaplan Myrth:

In her third year of medical training - discouraged by how little focus there was on caring - a young woman was faced with a decision: she could throw her hands up and quit or she could risk speaking up and work toward change. She decided to send out a call asking women to share their experiences with health care and caring. Her e-mail inbox immediately overflowed with stories from women across Canada Together, this amazing group of women wrote Women Who Care.

1. According to an article in the Globe andMail, women and men respond very differently when they are on the recieving end of an apology:

“Women who are starved of an apology for rude or hurtful behaviour suffer an increase in blood pressure which can raise the risk of a heart attack or stroke, a study found,” The Daily Telegraph reports. “But those who hear a well-timed ‘sorry’ calm down more quickly, with their blood pressure returning to normal 20 per cent faster, the research showed. Conversely, a man’s blood pressure takes 20 per cent longer to recover after an apology – suggesting men become more worked up after hearing an admission of guilt.”

"The finalists, representing 360 publishers, were selected from 1,400 entries in 60 categories. These books are examples of independent publishing at its best...

...ForeWord's Book of the Year Awards program was designed to discover distinctive books from independent publishers across a number of genres."

"CT scan radiation may cause cancers"

but on the other hand

"Study: Coffee and tea may lower diabetes risk"

As someone in ongoing chemotherapy, I have a compromised immune system. This puts me at increased risk for contracting H1N1.

I am among the priority groups established by the City of Ottawa, as is my family, and were it not for the hours long lineups (several centres closed the lineups by late afternoon), I would have had my shot yesterday.

I did call the oncologist yesterday to ask about interactions between Neupogen (the drug I take after chemo to boost my white blood cell count and fight infection). When I didn't hear back immediately I checked with the cancer centre receptionist who, told me (after checking with someone) that I should go ahead and get the shot.

Today, the nurse who works with my oncologist called and told me to wait.

The reasoning goes as follows:

Chemotherapy suppresses the immune system.

The flu shot is meant to boost it.

Having the H1N1 shot (or any other flu vaccine) too close to chemotherapy lessens the effectiveness of the shot.

Those of us getting chemo are instructed to wait to the end of the chemo cycle, get our bloodwork done (to ensure that our counts are high enough) and then get the shot the day before the next round of chemo.

This means that I will be waiting until November 10 for my H1N1 vaccine.

And washing my hands. A lot.

Last week, the Centretown Buzz (an Ottawa community paper) asked me to write the article that "I wish I could have read when I was first diagnosed."



It's on the front page of this week's issue, and begins like this:

On December 1^st, 2005, I found a lump in my breast, as I was getting undressed. One month later, I was diagnosed with breast cancer. I was 38 years old, with two young kids and a very hectic life. I felt completely blind-sided.

Almost four years later, and with the benefit of hindsight, I share some advice for others who find themselves in my situation.

Bring someone with you to appointments, especially in the beginning.

Be your own advocate.

Be nice to the admin staff and nurses.

Don’t compare yourself to anyone else.

Let others help you.

Never give up hope.

"It's good news!" said the voice on the other end of the phone. She sounded ecstatic. When you are nurse working in oncology, relaying good news must come as a welcome change.

"You're kidding!" I exclaim. Then, "I don't know why I always say that."

She laughs. "Well, there is no change. It's stable."

Seriously, she sounded giddy. We giggled some more.

She said, "You have a wonderful week end." She really sounded like she meant it.

Suddenly, I'm in the mood to celebrate. I already have dinner plans. And I probably would have had a beer anyway (they have Beau's. How could I resist?).

Now, I may have two. But I doubt it. I will just enjoy the beer, the food and the company (six people I love), even more.

And yes, that's 'book.' Singular. As in, Not Done Yet: Living Through Breast Cancer. I haven't talked about it in a while (I burned myself out and I'm sure that you all were pretty bored with all the self-promotion) but fall brings fresh starts, renewed energy and a willingness to get back to work (or something like that).

Are you like me, in that you still find the return to school feels like the beginning of a new year (whether or not you have kids) and brings with it the impulse to make resolutions (or re-commit to those made in January that have long since been abandoned)? And to buy school related things? And read more?

How about buying a book?

I have been informed that Chapters/Indigo now has a bunch of copies in stock, so that you don't have to wait weeks when you order online. This also means that, if your local Chapters/Indigo does not carry the book, you can ask them to get it in for you. And if the books they have ordered sell well, they'll order in more.

However, I continue to have a deep and abiding love for independent bookstores. This feeling has only deepened since become an author with a small Canadian publishing company. The indies have been the most supportive and by far the easiest to deal with. Octopus Books, here in Ottawa, hosted my book launch. Collected Works also carries the book. Please support your local independent book store.

If you know of a local, independent book store that is carrying my book let me know. I'll contact them and see if they want their logo (with a link) added to the sidebar of my blog.

And of course, you can still by the book through Women's Press.

Finally, I have about a dozen copies of the book that I will happily sell. I charge the price of the book plus the exact amount of postage that it costs me. You can order via my nifty pay pal button or by sending me an email (notdoneyet at kingston-wayne dot ca).

Ottawa's mayor, Larry O'Brien, was just acquitted of attempting to bribe (in the form of a political appointment) a rival candidate during the election. While the allegations still seem to me to be entirely plausible (my opinion and no, I emphatically did not vote for the man and the whole election process is a bit of a "don't get me started."), I was not surprised by the results. My spouse and I heard the news on the radio as we were in the Maritimes, grunted, sighed and went back to mediating the squabbling in the back seat of the car.

Then, today, I heard about this (via Miss Vicky):

"Lisa MacLeod is a young female politician who commutes to her job at Queen's Park from Ottawa and leaves her husband, Joe, and four-year-old daughter, Victoria, at home. Mr. Justice Douglas Cunningham of Ontario Superior Court said this is a big distraction for the 34-year-old woman and as a result he felt he could not accept her evidence as corroboration of the Crown's key witness in the recent high-profile, influence-peddling trial of Ottawa Mayor Larry O'Brien.

Judge Cunningham is 69; he was appointed to the bench in 1991.

His comments, delivered last week in his ruling dismissing the charges against Mr. O'Brien, are now drawing criticism from political strategists and activists who are shaking their heads, wondering when women will be treated as equals in politics."