TABLE OF CONTENTS

TABLE OF CONTENTS
FOREWORD
 Maurie Markman MD FACP
 ENDORSEMENT PK CARLTON FORMER SURGEON GENERAL
DEDICATION
ACKNOWLEDGEMENTS
INTRODUCTION
READ THE DIRECTIONS FIRST
Keys to “La Dolce Vita” (The sweet life)
AUTONOMY
ANXIETY VERSUS FEAR
THE ENEMY
BROAD OVERVIEW OF NUTS AND BOLTS ABOUT ONCOLOGY
Training Requirements and Overview Of Specialty
Specific And Related Fields
The Scope Of The Problem of Cancer
Scope Of Chemotherapy
Scope Of Lay Knowledge Of Malignancy
Scope Of Adult Oncology Practice
Treatment Setting
Brief Comments on Prevention
Brief Comments on Screening
Causes Of Cancer
Pathophysiology of Cancer
Life Cycle Of Cancer
Tumor Growth Characteristics
Rational Naming of Cancers
Pathological Diagnosis
Signs and Symptoms
Stage Of The Cancer And Prognosis
Broad Concepts of Goals and Timing of Treatment
Vocabulary Of Survival
THE ONCOLOGIST
Why Oncology
MD – What Is In a Name?
What About Oncologists?
WHEN YOU SUSPECT THE DIAGNOSIS
THE DIAGNOSIS
The Opening Pitch
How You Say It
Lies, Damn Lies, And Statistics
Listening for Those Whispering in the Patient’s Ear
Preconceived Ideas
Assess Patient Goals
Psychological Issues
Sex and Significant Others
Spirituality
The Role of the Family
Teach Your Children Well
Cultural Differences
Focus On Symptomatic Relief
Introducing Clinical Trials
Introduction to Complementary and Alternative Medicine
Media Matters
Antidotes For Anecdotes
Prognosis and the Future
Take the Time and Avoid Timelines
Remember Statistics Can Be Your Friends
Second Opinions
The Contract
Remember Autonomy – It Begins And Ends There
A Final Few Words
TREATMENT OVERVIEWS
Example of Finding Just One Cancer Cell
Staging
Chemotherapy
Radiation Therapy
Principles of Surgical Oncology
Therapeutic Monoclonal Antibodies
Other biological therapies
Angiogenesis Inhibitors
Bone Marrow and Stem Cell Transplantation
Targeted cancer therapies
Gene therapy for cancer
Hyperthermia
Laser
Photodynamic therapy
CLINICAL TRIALS
Statistics
SYMPTOM CONTROL AND SIDE EFFECTS
Alopecia (Balding)
Anorexia and Cachexia (Loss of appetite and uncontrolled weight loss)
Bleeding and Thrombocytopenia (Low platelet count)
Constipation
Dental problems
Depression
Diarrhea
Edema (Fluid Retention)
Fatigue
Flu like Symptoms
Infection and Neutropenia (Low white blood cell count)
Infertility and Sterility
Insomnia
Lymphedema (Swollen lymph glands and vessels)
Menopausal Symptoms
Mucositis (Inflamed mucous membranes)
Nauseas and Vomiting
Neurological Symptoms
Palmar-Plantar Erythrodysesthesia (Painful soles and palms)
Photosensitivity Reactions
Sexual dysfunction
Xerostomia (Dry mouth)
THE PROBLEM OF PAIN
ALTERNATIVE AND UNPROVEN METHODS OF CANCER TREATMENT
Introduction
Types of CAM
What Is Really Going On
Why
Sacred Cow Killing
Complementary Exercises for People With Cancer
Physician Patient Communication
Patient Communication
BIOLOGICAL THERAPY AND THE FUTURE
Understanding Cutting Edge Therapies
New Diagnostic Tools
SPIRITUALITY
SELF TALK
Why Me
Laughter and Beauty
Baby Steps
Daily affirmations
Toxic Stress
Live the Moment
Honor Your Thoughts
Conspire Against Your Emotions
Set Goals
Support Groups
Forgiveness, Gratitude and Unconditional Love
BUT WHAT DO I SAY?
When visiting those diagnosed
FRONT OFFICE STAFF
THE NURSING STAFF
THE INPATIENT EXPERIENCE
PSYCHOSOCIAL-HOSPICE-END OF LIFE
ETHICAL PRINCIPLES
Principles
Managed Care
Truth Telling
Living Wills
Discontinuing Care
Sedation and Symptom Control
SOME MEDICO-LEGAL ASPECTS OF ONCOLOGY
Legal Aspects of Cancer
INTERNET
PROGNOSIS
HEROES *
The Telling
Hitting Home
Snow Job
The Lioness
The Flood
The Gift
A Leprechauns’ Laser Light Of Life
The Connection
Mercy
We
*Although the stories are true and all patients granted authority to tell their story,
all names and minor details have been changed to protect anonymity.
EPILOGUE
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