By CHADI NAVHAN
She became a successful corporate lawyer, professional volunteer and housewife.
He was a charismatic, successful, and world-renowned researcher in gastrointestinal oncology. She was jealous of the Breast Cancer Research Fund and declared the disease her nemesis.
They were married; Life was going to be a routine, and the boundaries were predictable. They both deal with their confidence as they choose to embark on their play activities.
Then, she saw a lump, and was diagnosed with breast cancer. No breast cancer, but triple negative breast cancer. This type is aggressive and potentially deadly. The year was 2006, and their lives were about to change forever.
This is the story of Lisa and John Marshall, who decided to reveal their secrets, reveal all their secrets and “put them on their chests” after 1 year of diagnosis. He wrote that I read the cover to cover and could not put down.
The authors decided not only to share the cancer journey as patients and caregivers, but also to share their personal and intimate details. She wanted to know who the people were, apart from the patient and the oncologist husband. We know how we met them, how they met, and how they fell in love from their first love. We got to know some Kirk personal details and as a reader I felt like I was part of their home. John says that he lost his mother to lymphoma at an early age, which affects him personally and professionally. We know that they attend church every Sunday. Both are people of faith and they let us know how their faith helped them in this challenging time. Breast cancer caused the loss of a dear friend, which made it certain that Lisa’s fate would be different.
They are alternate writing chapters so that we can learn different events and stories from their sometimes opposing perspectives. We can understand how Cancer Diagnosis affects Career, who has been a busy educational oncologist for a short time between clinical practice and the journey to work. At one point, John was furious that his entire attention was turned to his wife – the patient – and that he was the only person who cared about his feelings and how he struggled.
Lisa talks about her diagnosis, tests, chemotherapy, side effects, seeing a psychiatrist, and the impact it all has on her and her family. She takes us through her wig selection and how she sheds light on the emotional process. We know how it affects children and their playdates. We learn how to differentiate between managing side effects and what is important to the patient and which physician considers important. She also reveals that when she injected her arm with Neulasta when John did a horrible thing – a growth factor shot – that caused her pain. John admits that he reached some point in his arrogance when he thought he could insert his wife’s needle, but soon after, Lisa’s chemotherapy infusion nurse lectures on the best injection technique. The two authors briefly discuss the cost of cancer care when Lisa needs an endom, an expensive drug for anesthesia, and John tries to advise against it because of the cost and tells his wife that he has to endure a little bit of whimpering. Lisa doesn’t appreciate her duty approach to a distracting symptom; She needs to reduce her nausea and now she needs medicine. This encounter strengthened what I had always believed; When a patient is in distress and receiving treatment for life-threatening cancer, the cost of care in the system and society is less of a concern.
Throughout the book, the authors share some of the pearls and challenges in clinical medicine and oncology. They both deal with their confidence as they choose to embark on their play activities. Lisa is amazed at how she can make important decisions with so much information. John admits that he makes decisions on behalf of patients, once he understands their value and care goals. I share John’s feelings. My patient can decide between two chemotherapy regimens based on the side effect profile, but in the end I have to decide if the chemotherapy indicated.
Lisa and John tell us the importance of the “second thought”; We travel with her to her second opinion doctor’s office as Lisa describes the difference between a chemotherapy suite in Georgetown and a private practice office. While she eventually decides to take care of her in Georgetown as this zone works, we both guess from the importance of finding other ideas when diagnosing a life-threatening illness.
We learn that making decisions in clinical trials is challenging. Lisa expresses her dissatisfaction with how trial agreements are written and I would like to once again share her concerns. A team of doctors gathered in her examination room to discuss her case but she was not disappointed, but left her behind if she was not there. I suspect that many patients may be involved in such visits.
John boldly advertises Direct-to-Consumer (DTC) and declares that these DTCs should not be allowed, but he participates in some of these DTCs on behalf of his employer. He made me feel like he wasn’t very happy to be in those ads. It worries me whether this revelation will get him in trouble. I hope not, but to get to know John, he will have no problem. He finds his way out of any problematic encounter that fascinates him.
While Lisa is able to capture our empathy and love, Jon describes his busy schedule and how painful it must be for him to use so many forces to be present for his wife. He clearly had no idea how to pay the bills, switch on the TV or handle the remote control. Lisa takes him through home management tutorials if he can no longer do these household chores, and John is left alone. The writers laughed and shouted at me, depicting what was happening.
Both writers have a sense of humor, and I can understand the human nature of their personalities. John admits that it was “karma” that his wife was diagnosed with cancer, which he spent the rest of his life attacking. “This is revenge for my long disregard for breast cancer machinery,” she says. Lisa, on the other hand, admits that John was not George Jaloni, but he was more accessible.
I laughed, I laughed, I laughed, and I cried. Very few books do this to you, but Jon and Lisa were able to capture me in all sorts of emotions as I portrayed Lisa comforting them, with them in chemo suits and trying to calm Jon down that he was attacking breast cancer research. And after Liza’s diagnosis during his first Christmas with him, John gives his wife a hug, assuring her that she is OK.
It’s not easy to share your personal story with the world. It’s really hard and daring. John knows that many patients and colleagues will read this book; But he didn’t mean it. He needed to remove everything from his chest. Seeing John’s smile and charming personality made me look at him a second time every time I read about his burnout, occasional anger and depression. It is not easy to share with the world. Doctors should be strict and flexible, not weak and not go into middle life crisis. But the honesty, the painful reality, the ability to explain what led to the cause, and how the pair came after the winners made this book so special.
John and Lisa got it all out of their chests. Their sincerity was clear and crude. They were not willing to share the universe. My part felt that it was a way for them to be close and connected to each other. Maybe it’s a cathartic experience, because they got to know each other by reading each other’s articles. I was happy to connect them like never before and they did.
Chaddi Nabhan (chadinabhan) There are hematologists and oncologists in Chicago whose interests include lymphoma, healthcare delivery, strategy, and the healthcare business.