Working In Oncology Quotes

Things changed after that between me and Mark. I stopped being mortified that people might mistake me for one of his acolytes. I was his Boswell, don’t you know. I interviewed him about his childhood—his father was a psychiarist in Beverly Hills. I cataloged the contents of his van. I followed him around at work, sitting in while he examined patients. He had been a bit of a prodigy when we were in college. After his father developed a tumor, Mark, who was pre-med, started studying cancer with an intensity that convinced many of his friends that his goal was to find a cure in time to save his father. As it turned out, his father didn’t have cancer. But Mark kept on with his cancer studies. His interest was not in fact in oncology—in finding a cure—but in cancer education and prevention. By the time he entered medical school, he had created, with another student, a series of college courses on cancer and coauthored The Biology of Cancer Sourcebook, the text for a course that was eventually offered to tens of thousands of students. He cowrote a second book, Understanding Cancer, that became a bestselling university text, and he continued to lecture throughout the United States on cancer research, education, and prevention. “The funny thing is, I’m not really interested in cancer,” Mark told me. “I’m interested in people’s response to it. A lot of cancer patients and suvivors report that they never really lived till they got cancer, that it forced them to face things, to experience life more intensely. What you see in family practice is that families just can’t afford to be superficial with each other anymore once someone has cancer. Corny as it sounds, what I’m really interested in is the human spirit—in how people react to stress and adversity. I’m fascinated by the way people fight back, by how they keep fighting their way to the surface.” Mark clawed at the air with his arms. What he was miming was the struggle to reach the surface through the turbulence of a large wave.

I considered it an important step forward. Just the fact that the stem cells didn’t produce any bad side effects was a big deal. That they worked as predicted was, to me, impressive. And that they showed a hint of prolonging survival was amazing. We were treating a disease that has become the Mount Everest of challenges for oncologists. Every step upward gets us closer to our goal of better treatments for our patients. And the lessons learned along the way are relevant to the field of oncology as a whole.

One day, sitting at the dining table, I opened one and started reading. It talked about Michael’s contributions to research into childhood leukemia. His position as head of hematology at the Montreal Children’s Hospital. His work as a lead investigator with the international pediatric oncology group. The writer talked about loss and grief and offered heartfelt condolence. It was from Hillary Rodham Clinton. Secretary Clinton, in the last stages of a bruising brutal campaign for the most powerful job in the world, took time out to write to me. A woman she’d never met. About a man she’d never met. A Canadian who couldn’t even vote for her. It was a private note, not meant to help her in any way, but offering comfort to a stranger in profound grief.

Where do I see and recognize God’s presence? Where do I see the imprint of God’s hand? God is present in the oncology ward where I work. Patients arrive for treatment, tired and apprehensive. They are newly vulnerable, and their expensively acquired market skills are gone for now. Yet their eyes fill with tentative hope of the beginning of healing. This is a different place to any they have known. With the help of a caring staff, they learn to relax in the presence of their fellow patients. They remove wigs, hairpieces, and jewelry and expose poor, hurting bodies. For the time they are here, they allow themselves simply to be who they are. As the medicine enters their bodies, the feelings of trust, hope, and love are tangible all around. No marketplace here—simply pure and humble dependence on God, on science, and on the loving kindness of others. The trappings of the commercial world are no help when people are at their most vulnerable. The patients need not camouflage their poverty in the ways of the world. But they can trust—simply trust—that in the oncology ward they are in our Father’s house. There they are welcomed simply as they are. There they are in the hands of good people, escorts of healing and grace, whom God has sent to them. It is all right to be poor here.

Dr Elsa de Menezes Fernandes is a UK trained Obstetrician and Gynaecologist. She completed her basic training in Goa, India, graduating from Goa University in 1993. After Residency, she moved to the UK, where she worked as a Senior House Officer in London at the Homerton, Southend General, Royal London and St. Bartholomew’s Hospitals in Obstetrics and Gynaecology. She completed five years of Registrar and Senior Registrar training in Obstetrics and Gynaecology in London at The Whittington, University College, Hammersmith, Ealing and Lister Hospitals and Gynaecological Oncology at the Hammersmith and The Royal Marsden Hospitals. During her post-graduate training in London she completed Membership from the Royal College of Obstetricians and Gynaecologists. In 2008 Dr Elsa moved to Dubai where she worked as a Consultant Obstetrician and Gynaecologist at Mediclinic City Hospital until establishing her own clinic in Dubai Healthcare City in March 2015. She has over 20 years specialist experience.

Trained Obstetrician and Gynaecologist in Dubai Dr Elsa de Menezes Fernandes is a UK trained Obstetrician and Gynaecologist. She completed her basic training in Goa, India, graduating from Goa University in 1993. After Residency, she moved to the UK, where she worked as a Senior House Officer in London at the Homerton, Southend General, Royal London and St. Bartholomew’s Hospitals in Obstetrics and Gynaecology. She completed five years of Registrar and Senior Registrar training in Obstetrics and Gynaecology in London at The Whittington, University College, Hammersmith, Ealing and Lister Hospitals and Gynaecological Oncology at the Hammersmith and The Royal Marsden Hospitals. During her post-graduate training in London she completed Membership from the Royal College of Obstetricians and Gynaecologists. In 2008 Dr Elsa moved to Dubai where she worked as a Consultant Obstetrician and Gynaecologist at Mediclinic City Hospital until establishing her own clinic in Dubai Healthcare City in March 2015. She has over 20 years specialist experience. Dr Elsa has focused her clinical work on maternal medicine and successfully achieved the RCOG Maternal Medicine Special Skills Module. She has acquired a vast amount of experience working with high risk obstetric patients and has worked jointly with other specialists to treat patients who have complex medical problems during pregnancy. During her training she gained experience in Gynaecological Oncology from her time working at St Bartholomew’s, Hammersmith and The Royal Marsden Hospitals in London. Dr Elsa is experienced in both open and laparoscopic surgery and has considerable clinical and operative experience in performing abdominal and vaginal hysterectomies and myomectomies. She is also proficient in the technique of hysteroscopy, both diagnostic and operative for resection of fibroids and the endometrium. The birth of your baby, whether it is your first or a happy addition to your family, is always a very personal experience and Dr Elsa has built a reputation on providing an experience that is positive and warmly remembered. She supports women’s choices surrounding birth and defines her role in the management of labour and delivery as the clinician who endeavours to achieve safe motherhood. She is a great supporter of vaginal delivery. Dr Elsa’s work has been published in medical journals and she is a member of the British Maternal and Fetal Medicine Society. She was awarded CCT (on the Specialist Register) in the UK. Dr Elsa strives to continue her professional development and has participated in a wide variety of courses in specialist areas, including renal diseases in pregnancy and medical complications in pregnancy.

It could have easily been a formula for disaster-but it worked. Right from the start, the two Emils found that they shared a deep intellectual divide that ran through the front lines of oncology: the rift between overmoderated causation and bold experimentation. Each time Freireich pushed too hard on one end of the experimental fulcrum-often bringing himself and his patients to the brink of disaster-Frei pushed back to ensure that the novel, quixotic, and often deeply toxic therapies were mitigated by causation. Frei and Freireich's battles soon became emblematic of the tussles within the NCI. "Frei's job," one researcher recalled, "in those days was to keep Freireich from getting in trouble.

Books can be sources of inspiration for anyone, anywhere. In 2011, I went to Madurai to inaugurate the Paediatric Oncology unit of the Meenakshi Mission Hospital. After the programme, a person who looked very familiar approached me. When he came closer, I realized that he has been my driver when I was working with DRDL in Hyderabad. His name is V. Kathiresan, and he worked with me day and night for nine years. During that time, I had noticed that he was always reading in his spare time, be it a book, magazine or a newspaper. That dedication attracted me. One day, I asked him what made him read so much during his leisure time. He replied that he had a son and daughter and both asked him lots of questions. In order to give them correct answers, he read and studied whenever he got the time. The spirit of learning in him impressed me and I told him to study formally through a distance education course. I also gave him some free time to attend the course and complete his +2 and then to apply for higher education. He took that as a challenge and kept on studying. He did B.A. (History), then M.A. (History) and then he did M.A. (Political Science). He also completed his B.Ed and then M.Ed. Then he registered for his Ph.D in Manonmaniam Sundaranar University and got his Ph.D in 2001. He joined the education department of Tamil Nadu government and served for a number of years. In 2011, when I met him, he was an assistant professor in the Government Arts College at Mellur near Madurai. What extraordinary commitment and dedication had helped him to acquire the right skills in his leisure time and changed the course of his life.

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