What is adjuvant therapy? One of the most common questions I hear at an initial visit, as a medical oncologist, is: “My surgeon told me she got all the cancer. So why am I here?” One of the jobs of the medical oncologist is teaching our patients that cancer is a systemic disease. That means … Read moreWhy you might need chemotherapy after surgery: the basics of adjuvant chemotherapy
Greetings Readers. I thought I would try something new and start somewhat of a series. If you didn’t see my original post on prior authorizations, this link will take you right to it. Last week I found myself on the phone, yet again arguing on behalf of a patient, to overturn the denial of the … Read moreEpisode 2: The Prior Authorization Games: Where the Odds are Never in Your Favor
I am not the first physician blogger to write about the difficulties of prior authorizations, denials, and appeals, but recent occurrences in my own practice have been so convoluted that I feel they must be shared. The nonsensical denials would almost cause one to laugh, if not for the reality that each denial represents potential … Read moreThe Prior Authorization Games: Where the Odds are Never in Your Favor
The following post is an edited transcript of my speech given on 7/8/17 at the Relay for Life 2017, Clatsop County, OR. I am very excited by this year’s Relay for Life theme, “Who is your superhero?” I am excited because I get to work with real-life superheroes every day. And this morning I get … Read moreRelay for Life 2017: Who is your superhero?
I recently read a post by oncologist Dr. Stephanie Graff on the experience of blame, from self and others, that people with cancer are subjected to. The talk about risk factors and early detection makes us think we can achieve perfection, and that cancer is somehow a personal fault…let us stop making accusations and blaming persons … Read moreIn cancer, there is no place for blame.
Recently I found myself sitting in my car in the parking lot of my clinic, unable to will myself to open the door. I didn’t want to head in to the clinic that morning. Instead I was filled with despair; overwhelmed with the events of the world. How can I do it? I thought. How … Read moreA sense of purpose in a broken world.
In recognition of National Nurses Week: Thank you to nurses for: staying behind in the room with patients and families after we deliver difficult news, not letting us shirk the tough questions, professionalism in the most difficult of circumstances, being partners in care, remembering what size gloves we wear, the phrase, “Doctor, I think you … Read more20 things I am thankful to nurses for as an oncologist
(A facetious piece. Inspired my my kids’ love of Mad Libs) Directions (in case you’ve never played Mad Libs): Play with a friend or colleague. Ask them to say a word for each type of word specified. Read the story using their words to fill in the blanks. Or play on your own, skip down … Read moreWhy your doctor is running late: A Mad Libs
(published also online on 4/10/17 in The ASCO Post, under the title The Mystery of Grace. re-published here with permission of the editor). The day after I told Nell she had seven metastases to her brain, she sent me flowers. She was my patient; I was her oncologist. I had met her 1 year prior, … Read moreFinding grace: an oncology patient’s impact on her doctor.