Wednesday, December 31, 2008

last post of 2008!

My nephew, obviously. Adorable.



Starbucks, possibly my most favorite thing ever.

Confession: I watch "The Hills" on MTV. It's a guilty pleasure, much like my love of reading young adult novels like Gossip Girl. It's brain candy - I don't have to think, I just chill out. So when Whitney moved to NY and they created a spin-off show, "The City", I was pretty excited, being that, HELLO, I love Manhattan. Sadly, I could only watch the first 10 minutes or so. SO boring. And I had to laugh - they described Whitney's "uptown" and "downtown" friends - and her "downtown" friend, Erin, lives in Gramercy. Um, Gramercy is NOT downtown. And a socialite is not exactly the best representation of uptown. But I digress. 

My week up North was a nice break. I got to see my nephew, celebrated Chanukkah and Christmas, saw family, and did lots of reading. I saw old co-workers, which was fun, and visited a family I used to nanny for. It was really nice to see everyone again. But the funniest thing was when my mother and I went to Starbucks the night before I left, and we've been to this Starbucks a million times before, but for some reason, as she was backing out of her parking space, she forgot there was an island there and as she pulled away, my mother totally ran over the island. hahaha! It's a good thing she has a big SUV, b/c she would have totally ruined the undercarriage of a car. She was all, "where did that come from? that came out of nowhere!", as I'm laughing hysterically in the passenger seat. And I'm sure everyone in Starbucks saw her, too, which just adds to the hilarity. (She's going to kill me for blogging this!)

Anyone always see those Calphalon cookingware commercials? Everytime I see the convection oven one (which is quite a lot, since it's ALWAYS on), I'm reminded about the fact that until very recently -- say, a year ago -- I thought it was CONFECTION oven, not CONVECTION oven. I simply thought it was an oven where one bakes sweets. I don't know, I don't cook, it sounded like it. Now I know. But I still don't cook. 

I came back to NC early so I could do some research and reading in preparation for the upcoming semester, since I'm taking a sports medicine class and a pharmacy class, both of which are new for me. It's pretty low-key here, since most people aren't back yet. But I like it that way - it's quiet, and I can get work done and go to the gym, and sleep in, which is something I rarely get to do once the semester starts. I also am re-thinking my topic for my Master's Paper.....I don't know. I wanted to do something about pediatric cancer survivors and late effects, but sometimes - and I know this is bad - I reach saturation point about cancer. I can't even explain it. But I'm debating switching my topic, which is bad, since I really don't have that much time to figure it out, really. 

Reading: Girl Meets God, by Lauren Winner
Listening: Paramore

Wednesday, December 17, 2008

to the customers at the B&N in Durham:



The people who are wrapping gifts for donations do NOT mean that they will wrap your whole 3 big shopping bags of B&N goodies for your lousy donation of a dollar or two. And the people behind you do not appreciate it when you have a stack - yes, a STACK - of books and DVDs awaiting wrapping, with bags of unwrapped things on the floor, while a line forms behind you. Buy your own wrapping paper, you cheapskate. 

Also, when you go to wait in line for the cashier - yes, there is a sign that says "line up here" with an arrow. But that does NOT mean the line goes straight into the aisles of the bookstore. There is an aisle that is cleared parallel to the registers explicitly for this reason. There is no good reason why people should think that the link would snake around aisles of the bookstore while the aisle near the registers is free and clear. 

and don't think I'm letting you customers at Starbucks off so easy, either - if you don't know what you want, don't get in line and stand up at the register endlessly debating drinks! There are people behind you who need their caffeine fix and are getting more annoyed by the minute at you. step out of line, figure out what you want, and get back in line. 

thank you. 

Sunday, December 14, 2008

confessions.

sometimes, I eat peanut butter right out of the jar. i drink way too much caffeine. i obsess over the pottery barn kids catalog, planning future nurseries for my kids as i read. i love catalogs. every morning, as i eat my breakfast, i read nytimes.com. i want to go to medical school but am terrified i would never get in. i also want to be a writer, and sometimes i don't see how these mix. i like to eat Cool Whip by the spoonful. i'm very picky about my starbucks drinks and will send it back if it's not skim or if it has whipped cream. sometimes i think i'm too serious. i sometimes wonder what the hell i'm doing with my life. i miss the boys i used to babysit for. a lot. i love my nephew so much it physically hurts - this is that primal, instinctual love that i think parents have. i obsess about bugaboo strollers. i don't like that i'm getting older and getting wrinkles. i have angel wings tattooed on my back and though they will probably show in whatever dress i wear for my wedding, i don't care because i love them so much. i put my M&Ms in the refrigerator before i eat them. i voted Republican (for the first time ever) in this election for the presidency but then voted straight Democrat for everything else. i miss playing rugby. i like when i have laryngitis and have a hoarse voice, because then my voice doesn't sound so prissy and like i'm 10 years old. i could finish off a large pizza by myself. no lie. i used to be able to run 2 - 3 miles at a time in college. i wish i could do that again. i hate mixing nike and adidas - like if i'm wearing a nike shirt, i have to wear nike shoes. no mixing. i probably straighten my hair too much, although i'm working on that. if i got into the PhD programs at UNC, Yale, and Columbia, I honestly don't know which one i would choose right now. people tend to tell me i'm an overachiever, but i mostly feel like a big slacker and like everyone is doing more than me. libraries and bookstores are some of my most favorite places. i miss Manhattan more than i probably should. i also love Chapel Hill, though, which is confusing. i seriously adore the robins' egg blue Tiffany boxes. i miss my job at MSKCC nearly every day, and i wasn't even getting paid for it. even if they all taste the same, if given a choice, i will choose the cupcake with the pink frosting. 

Saturday, December 13, 2008

To Write Love on Her Arms



Logo by To Write Love on Her Arms..


I found this organization last year after a friend of mine had joined their group on Facebook. It originated from this Christian rock band, but they formed an organization to help teens and other people struggling with depression, self-harm, suicidal thoughts, addiction, etc. It is an amazing organization, and one that truly believes in their mission. They believe that beyond treatment, the support of community is crucial, because we aren't meant to live life alone. Please go to their website and read about them. Two out of three people who are suffering from depression never seek the help that they need. Suicide is the third-leading cause of death among those 18-24 years old. No one talks about this - and maybe if more people did, we'd see those numbers change. This is a great organization, and this holiday season, it's something to think about. 

Thursday, December 11, 2008

holiday cheer from my nephew!

who needs mistletoe when you have this cutie??

monster.

I just finished watching the movie Monster, which is the story of Aileen Wuornos, the prostitute who was a serial killer. She was executed in FL in October 2002. I remember this because I was actually living in South Florida at the time, and knew of Wuornos from my Women's Studies classes, and when I read that she was being executed, it caught my eye. If you've ever seen the movie, it is a very tricky thing, because not only is it excellently done, but it also actually portrays her as not exactly the monster you'd expect her to be. And I know she's a serial killer, but it also makes you think. It makes you put the case in the larger societal context. It's interesting, because numerous police officers involved had to resign because they sold details of her case for movies and tv shows, and here's the even bigger kicker - Ted Bundy was even offered life in prison instead of execution - but Aileen was never given that option. I am not saying she was a good person. I know she was mentally ill. But I don't think it occurred in a vaccuum.  I just think it would be interesting to view her story from the lens of society - she was sexually and physically abused and raped from a young age, worked as a prostitute, first killed in self-defense.......She had a baby at age 13, who was given up for adoption, she lived in the woods at the end of her street for 2 years during that time, she was prostituting by 13 because she had no place to live and no money....that all has to take a toll on someone. I think female aggression is viewed in a much, much different way than male aggression - female aggression is much more hated than male aggression. It is seen as much more abnormal, much more dangerous. There seems to be a hatred toward violence committed by women that is not there when men do it - look at how society viewed Susan Smith, Andrea Yates - even today, look at how we see Casey Anthony. Believe me, I cannot fathom how anyone could ever hurt, much less kill, their children. But I do think that female aggression and violence carries much more derision than male violence, and that Wuornos's case is illustrative of this. I think because we see women as inherent nurturers, and when that goes awry, we're left with this thing that doesn't quite fit into our schema of how things are supposed to be. 

Monday, December 8, 2008

What does it mean to give 100%???

I don't know if anyone else has seen the LAF's new contest - they are asking people to nominate those in their lives that give 100% and embody strength, courage, and commitment. The prize is for the nominee to spend a day with one of the 13 people who are in the advertisement - including Susan Sarandon, Lisa Leslie, Hilary Duff, and of course, Lance Armstrong. (No secret about who I'd want to spend the day with!). 
If you know someone in your life who embodies these three characteristics and gives 100%, you can nominate them here. The deadline is 12/31/08, so you have less than a month! Get to it! 

Sunday, December 7, 2008

lessons in love

How could you not think he is supercute, with this picture? 
(and check out his camo hoodie! how badass is THAT?) 

I miss my nephew. A lot. I was looking at the pic of he and I with Santa. He wears a keychain, one of those lanyards, around his neck, with a few keys, a fluffy white dog keychain, and my mom and I got him an Elmo keychain that laughs when you press his belly. Trey loves that keychain. It's like a security blanket for him or something. It's so cute, because it's almost as tall as he is. I cannot imagine my life without this little boy now. At not even two years old, he can teach everyone about simple things like love. He is so loving, and so unconditional with his love. His innocence at everything he sees is so refreshing. When do we lose that? When do we start to put conditions on our love, or build walls around our hearts, instead of loving everyone in our lives so openly? We stop vocalizing it. But not Trey. And I hope he never does. 

Friday, December 5, 2008

residents and sleep



photo courtesy of the New York Times 

The other day, I mentioned the new report about decreasing residents' fatigue. Today, in the NYTimes, there is a very interesting piece on this as well. In fact, I love this. It really illustrates that nothing comes without strings attached, and sometimes we're not sure which is better. I wonder what the dialogue is in medical schools about this. 

Wednesday, December 3, 2008

cupcakes cupcakes rah rah rah!



I am super excited for tomorrow. My roommate and some friends of mine are going out to dinner to this Asian restuarant, and then to Sugarland for cupcakes/dessert!! Not Magnolia, Buttercup, or Crumbs, but still excellent! I am so psyched for sugary cupcake goodness. 

'tis the season....

This is my last post as a 27-year old.....wow, I feel old. Tomorrow is my birthday, smack in the middle of my finals and final projects. Good times. I got my Vineyard Vines promotion package in the mail yesterday, and I love it. Vineyard Vines is a company that sells clothes, accessories, etc, that are reminiscient of what they call "the Good Life". It's very vacation-y, cheerful, preppy....the clothes never really go out of style. I became a Whale Rep (their mascot is the Vineyard Whale), which means I get to promote the brand and visit retailers in the area, and I even get a small clothing allowance! I am very excited to work with the other Whale Reps here at UNC and at Meredith to do something next semester. 
I can't believe the year is winding down. And then we start all over again. Where does the time go? It seems like just yesterday I took my driving test on my birthday and got my license....I can't believe I've been driving for 11 years. That's crazy. 
I read an interesting article in the NY Times today. It talked about how a panel wants to change residency training again. Years ago, it was made mandatory that residents were capped at an 80-hour workweek, to help prevent fatigue and medical errors. Now they want to cut that back even further. I have mixed feelings - and by no means do I even pretend to know what I'm talking about, since I'm not a doctor. I mean, it's good that they want to prevent fatigue, and yes, I agree that fatigue interferes with good doctoring. But what happens when these physicians are done residency and are on service for weeks, and find themselves unable to handle the hours? I'd be interested to see what seasoned physicians think of this - especially ones that completed residency before the 80-hour workweek cap. 

Tuesday, December 2, 2008

my future husband

If you could just take one minute (well, about 3) to click this link and watch the video, I'd really appreciate it.....it's Lance, how bad could it be?

Monday, December 1, 2008

be somebody, do something

Such a thug. 

He cracks me up.

how could you ever possibly resist a face like this???

I just downloaded a new cd - Kaleidoscope Machine, by Katie Costello. Excellent. She's from Hermosa Beach, CA, and she's only 17. Her songs convey a much older soul, and her voice is richly layered beyond her years. One song in particular, "Congratulations", struck me - here's a snippet of lyrics: 
why does there exist a need, to be somebody, do something,
whose origins are from the box we all know too well
what i need  is to be okay
being nobody, knowing it'd be alright, alright
what made us think that being happy 
came from a piece of paper that said congratulations?

I was up in NJ for the holiday, and the highlight of my trip was definitely seeing my sweet, sweet nephew. He is almost 20 months old, and - although I am highly biased - one of the cutest kids ever. He loves music, and "dances" whenever he hears it. His dancing consists of swaying back and forth and bending his knees so he bounces up and down....it is so adorable. Sometimes he gets his hands into it and goes all out. He absolutely loves to dance - even to my mother's cell phone ring! (Although in all honesty, her ring is "Sweet Child O'Mine", which has been a favorite of Trey's since he was a baby!). We were watching the movie Hairspray one night, and he absolutely LOVED it. He was enthralled, dancing along with it. He is such a good kid - you can take him to any restaurant and he'll behave. He is getting mischievious - he likes to pull hair and sometimes he hits, but then when you go to reprimand him, he'll open his mouth (his sign for giving you "kisses") and rest his head on you. So he definitely knows his cuteness factor is skyhigh. I miss him already so much. 

This is the last week of classes, so things are getting crazy with work, and I am finishing up my Columbia application to their Sociomedical Sciences program. I really like their program, but I don't want to get my hopes up. Why would I get in now, after being rejected 2 years ago? *sigh*. I miss NY. I do love it here in Chapel Hill, and it does feel like home, but I also really miss Manhattan. I miss beers at Dorrians, Pinkberry runs, even the crowdedness of the city sidewalks. I miss good cupcakes. And good falafel. Anyway, at this point, I will be happy if I get into ANY program. I can't even think about what happens if I don't get in. I can't believe, though, that this is the end of the semester. It has absolutely flown by. Next semester I will be taking: my Master's Paper (like a dissertation, we have to register for it), Reproductive Health Policy, Pediatric Pharmacotherapy, and Neurotrauma in Sports. I'm really looking forward to my classes, the big dork that I am! 

Wednesday, November 26, 2008

giving thanks



So here I am, in NJ for Thanksgiving, and thinking about all the things I am grateful for in the past year. Oddly, I'm also thinking about Eve Carson. It was her birthday last Wednesday, and I just keep thinking, what are her parents doing? How are they surviving, day to day? What are the holidays like for them this year? How do they wake up every day? It strikes me as incredibly heart-wrenching. This is a young woman who should not have had her life taken from her at such a young age - especially not in the brutal way that she did. I often wonder what she was doing last year, and whether she would have ever thought she wouldn't live to the next Thanksgiving. In my Research Methods class, one group did a project on students' perceptions of safety, and one of my friends mentioned the "Eve Carson effect" on our perceptions of how safe we are in Chapel Hill. Without even having to discuss it, we all knew what she meant by that. And that made me very sad. So much can change in a year, a month, a day, an hour. As Joan Didion wrote in The Year of Magical Thinking, life changes in the instant, the ordinary instant. Which is why I am grateful and thankful for so much this year, especially all the little things. 

I am thankful for: my blood family. my "chosen" family. the health of people I love. friends. mentors. my wonderful baby nephew (who will always be a baby to me, no matter how old he gets!). sunshine. warm sheets and cold pillows. smiles. phone calls from long distance friends. gingerbread lattes on cold days. the warm golden amber of autumn leaves. serendipity. synchronicity. good books. breakfasts with Morgan. faith. hope. courage. the wonderful kids I babysit for and have babysat for - Luke, MJ, Rachel, Bryce, Chase, Harrison, Pilar. gummy toothless smiles and incoherent phone calls from these kids. hugs. kindness. prayer. life. the wonderful summer full of opportunities I had at MSKCC. the amazing people I met at Memorial, including my supervisor. all the bloggers and people I've met through blogspot. 

On a lighter note, everyone should pick up the December issue of Elle magazine. I am in it! I reviewed books for them and my book review got printed! So go out now, and buy it, please. Also, if you want to donate to my Avon Breast Cancer 2-Day Walk, please let me know - in less than a month, I have raised $250, but I need to raise at least $1800 -- my goal is to raise as much as I possibly can, though. 

I wish everyone a very happy and healthy thanksgiving! 

Tuesday, November 25, 2008

miraculous disappearing cancer?

Here is an article in today's NYTimes about how some cancers "might go away on their own". Call me a cynic, but I'm not buying it. They do bring up rare cases of melanoma and neuroblastoma, but those are the exceptions, not the rule. They bring up the issue of breast cancer - and how this might, upon further research, let women with invasive breast cancer "watch and wait" on a lump. But what if the cancer doesn't go away on its own? What if it gets bigger and then the cancer is at a more advanced stage by the time one decides to treat it? I don't know. I have mixed feelings about this. There will be people who read the article and are ill-informed and not ask their doctors about it and might have completely different conclusions that are harmful. I've grown increasingly wary of articles like this.....

Thursday, November 20, 2008

figuring it all out....sort of

A week from today is Thanksgiving. 2 weeks from today is my birthday, and also the last day of my semester. I cannot believe the semester is coming to a close. It feels like just yesterday I moved down here again. It's actually been pretty cold down here the past week or so, which is good and bad. Good because I love sweater weather and I have a much better winter wardrobe, bad because it SUCKS walking in the cold or waiting for the bus in the cold. But it definitely feels like winter. I even got my flu shot yesterday. But now I'm feeling all blah and in the mood for a weekend full of laying on the couch under my fleece blanket, drinking soup and watching What Not to Wear. But I can't exactly do that when I have a final secondary analysis research paper due 12/2, another paper due 12/1, a final on 12/2, and a final paper due 12/4 (my birthday, great). Oh yeah - and a possible grant proposal due 12/4 and a lit review to somehow come up with. 

I went to go have my mini-practicum paper signed today by the former chief of pediatric heme/onc, and as I was walking through the hospital, I realized I love hospitals. I know that probably sounds really weird. But I do. I am comfortable in them. They feel familiar; natural. And I know this is crazy. I keep whining about this and not doing anything about it. But I'm not sure there's anything to do. But let's face reality - the financial part would be undoable, and what if I didn't even get in to med school? I'm getting too old for this. I don't want to have regrets. I need to reconcile that I am NOT going to be a physician. I'm almost 28. I am too old to be still debating what to be when I grow up. 

Tuesday, November 18, 2008

playing God

I'm sitting here in the Health Sciences Library, trying to do work and killing time before my class at 2. I've been really bad with concentrating lately, so I went on cnn.com, and found this really interesting article about how med students aren't choosing family medicine and there will be an expected shortage of over 30,000 primary care doctors by the year 2025, as the AMA calculated. That is craziness. And while it all made sense - doctors are frustrated by all the red tape, etc, - it made me sad, too. Because I'd love to be a doctor. But then I remember my own family physician telling me that if his kids told him they wanted to be a doctor, he would discourage them from doing so. 

I've been thinking a lot about genetic testing. I have mixed feelings about it. On one hand, I am wary of it because it almost feels like we're playing G-d. But on the other hand, if you could know if you had a high predisposition to something like cancer, wouldn't you want to know so you could take preventive/protective measures? Once you know, you can't not know. Once you get those results, your life is changed forever - either way. Is it worth it? 

Sunday, November 16, 2008

Let's Raise Money!!!



I know it's the holiday season, and the economy is going down the tubes for the most part, but I just signed up for the Avon 2-Day Walk for Breast Cancer, in Charlotte, NC. It's not until October 2009, but I have to raise $1800 to walk. My goal is to surpass that and raise as much  money as I possibly can. I like this better than Komen, because it's more hands-on and the goals of the Avon Foundation seem to be much more action and community oriented, rather than self-serving, like Komen. 
So....why am I posting this? I wanted to post a link to my personal page. You can donate if you'd like, and anything is appreciated. I'd really appreciate it as well if you could send the link to anyone you know who might be interested in donating. Cancer affects everyone, and until there's a 2-Day walk for general cancer awareness, I have to be satisfied with this. 

Please go to my page!

Thank you so much!!! Help me raise money!

Saturday, November 15, 2008

saturday afternoon....

Trey and Aunt Jaime

Trey, hitting the bottle

Maybe I'm biased, but is this not the cutest picture EVER? 

I just wanted to thank everyone who wished my grandmother and my family good luck, and kept us in their thoughts and prayers - she did wonderfully with the surgery. She hasn't even taken any pain medicine since the day of! She is quite the fighter. She was discharged Wednesday, is glad to be home, and is doing well. We got the wonderful news yesterday that her lymph nodes were free of cancer, and we should know the full pathology report on Tuesday, when she gets the drains out. Needless to say, we are all relieved and pleased with the outcome so far. 

In a little while I will be heading out to a birthday party.....at Gymboree. For 17 three year olds. Yeah. I love kids, but if I ever want to have kids after a birthday party like this, it will be a miracle! I went to Babies R Us and Baby Gap earlier, for a present for my old roommate's baby, and for gift wrap for L's bday. You know it's bad when you DON'T have kids and yet you STILL have a Babies R Us rewards card on your key ring. I managed to get my nephew a really cute rugby shirt on sale at Baby Gap. It's only been a week, but I miss him so much. It's still a novel thing, having this little kid in my family. I love being an aunt. And to think that one day, he will be a cousin to my kids....that blows my mind.  

Tuesday, November 11, 2008

white coat envy

So.....yesterday at the hospital, when we were in the cafeteria, I kept looking around at all the med students and residents and doctors, and I admit, I was jealous as hell. Jealous because I want to be one of them. I want it so bad I can taste it. And it must have showed on my face, because my mother asked me what was wrong, and I told her. She replied with, "We've been through this - by the time you'd be done your residency, you'd be in your 40s...." And she's right. She reminded me about the conversation Jonel and I had that solidified my choice to go into public health. But daily, I wish I had gone ahead and pursued medicine. I wish that I had never given up my interest in science and oncology 10 years ago. I applied to college pre-med -- who knows where I would be if I had continued on that path? But, things happen for a reason, and I am on this path now for many many reasons. Compared to psychology, this is much more true to who I am. And I guess I just have to realize that I will still be in oncology, just not how I maybe originally imagined. 

faith and hope

Love her or hate her, Sarah Palin does make some good points. I was watching a clip of her this morning talking with Greta Van Susteren, and she said something about faith, in response to Greta asking her about whether she's running in 2012. And she said that faith is important to her, and when she prays, she asks G-d to help her see open doors, even if they're open just a crack. She said that she might plow through the door, or go through it prematurely, but she just doesn't want to miss the door. That really resonated with me. She might make mistakes, but she doesn't want to miss any opportunities. That makes a ton of sense. 

In other news, my grandmother is recovering very well from her mastectomy. The surgeon did find some hard lymph nodes, which he removed, but we won't know the pathology until friday. Overall, I am pretty satisfied with the surgeon. At first, I thought he was a pompous ass, but after the surgery, when he sat down with us and spoke with us, I liked him. You'd be surprised at how differently doctors treat you when they know you've worked at MSKCC. And that you actually know something about cancer. 
Thank you everyone for your thoughts and prayers, my family and I really appreciate it. 

Monday, November 3, 2008

I miss NY.

I miss New York. I miss it in that way that you can only miss something you simultaneously love and hate. I miss walking to Pinkberry on a muggy summer night. I miss the surprise of little kids selling lemonade on the sidewalks of the Upper East Side. I miss the cupcake selection. I miss my morning Dunkin' Donuts - wheat bagel with light cream cheese, iced coconut coffee. I miss the chaotic energy of the city. I miss being inspired everyday at work, and having my oncology idols be mere feet from me. I miss waking up and loving my job. I miss overpriced candy at Dylan's Candy Bar, and pizza at Patsy's, and Jamba Juice. I miss walking along Fifth Ave on  my lunch break. 
Some days I can't wait until I get back there in December. 

Thursday, October 30, 2008

playing dress-up

Has anyone else read about Elizabeth Edwards not wearing her wedding ring and the rumors that John has moved out and they're separated? My thought is, good for her!! You go, girl. 
October is coming to a close, and just in time, because I don't think I can take much more pink. I can honestly say I am over all the pink-ness and hollow promises of funding breast cancer research......and then when the month is over, it's all forgotten. Or not, but most other cancers are ignored. 
I was going to be a Stepford Wife for Halloween, dressed in tennis whites, a headband, tennis shoes, and an obnoxious engagement/wedding band combo. But tonight, I was like, do I really want to be in a tennis skirt in the cold weather? And now I'm contemplating being.........a doctor. Original, right? I have Carolina blue scrubs, and I can wear my MSKCC shirt, my stethoscope from work, and my MSKCC ID chain with my old HUP ID card. At least I'd be comfortable! 
But this brings me to another thought.....and I know I should really stop thinking about this. I made a choice, and I can't go back. In many ways, I'm sick of playing dress-up with medicine. I just want to be a damn doctor. An oncologist. A pediatric oncologist. This drive doesn't ever seem to go away, no matter how unrealistic it might be. I know it's not a reality - the cost would be prohibitive and I'd be nearly 40 - if not in my early 40s - by the time I'd be done residency/fellowship. But I made a choice 2 years ago to go into public health instead of medicine, and I did so for a reason, after a discussion with Jonel while preparing dinner together. It's just really hard to keep quieting that little voice, especially now, with my grandmother - yeah, it knocked me on my butt and stunned the heck out of me, but one of the first things I did was go to the library and get books on breast cancer, to hopefully learn more info, and help my family in the ways that I could. And if I were up North, I'd be talking to her surgeon myself. I feel useful when I do stuff like that - my instinct is to fix things, make everything okay - and while I know I can make a difference in oncology through public health, there's that background noise that wonders about being an oncologist. 

Wednesday, October 29, 2008

Nalgenes and Nordstrom

Walking through the School of Public Health's atrium this morning, I remembered one of the things I loved about UNC - everyone was so different from up North in the sense that they just seemed more relaxed, more....outdoorsy. And for the most part, that's true. In undergrad, no one wore sweats to class unless they were Abercrombie - and even then, it was usually on a friday, after a night of partying at the frats. It wasn't unusual for people to get dressed for class. And I mean, DRESSED. I never really thought anything of it. But here, it's Patagonia instead of Prada, North Face instead of Neiman Marcus, and Chacos instead of Jimmy Choos. And it's so refreshing. I'm aware that many people's undergrad experiences aren't like mine. I went to a very small, private, homogenous Northeastern college.....but I loved every minute of it. So while I love wearing jeans, a hoodie, and sneakers to class, I do sometimes wish my classmates loved fashion and shopping as much as I do. I get excited about sales at Nordstrom, they get excited about sales at REI. And I love REI, don't get me wrong - but I wish people knew who I was talking about when I mention Luella Bartley and Marc Jacobs. 
I'm usually a casual girl - I never wear heels, and my usual uniform involves jeans. But I do love my bags and shoes. I love reading fashion magazines and getting ideas for outfits, etc. So it's interesting that sometimes I wish NC were more like NY in that way. 

Saturday, October 25, 2008

close to home

I haven't blogged in the past week partly from shock, exhaustion, and general malaise and busyness. My grandmother was nice enough to allow me to write about this, so here goes. On Tuesday, my grandmother was diagnosed with breast cancer. She had gone for a fine needle aspiration on Friday, and from how she described it, I pretty much knew then that the results wouldn't be so good. But it's a whole other experience actually hearing the words, "It's cancerous." And as someone who works in the field, whose life centers around cancer, I didn't think I'd have the stunned reaction that I did, but life is funny like that. It still doesn't seem quite real to me, but she's handling it very well, as is my grandfather. (In fact, they even read this blog!). She's going for a metastatic workup on Tuesday to see if it's spread anywhere else, and then meeting with her doctor tuesday afternoon to go from there. Right now we're in that grey area of not really knowing anything definitive that will guide treatment or give a prognosis. Funny, though I know all the statistics, for some reason I never actually thought they'd apply to my family - as if working in oncology gave me a certain protection or something.  

Sunday, October 19, 2008

my NC state fair experience

Free tobacco samples at the NC state fair. Good times. 

So, I went to the NC state fair today with the family I nanny for, and had a pretty fun (if not amusing) time. I didn't go last year, so I wasn't sure what to expect. Chapel Hill is definitely not representative of the rest of the state. I went on a kid's ride with L, the little boy, which was fun. He was so excited - it made me remember when my family used to go to Hershey Park, King's Dominion, etc - kids find pleasure in the simplest of things, it's so refreshing. I saw some real live bears (behind glass). Some kids came in behind us, all dressed up in their hunting camoflage jackets, they couldn't have been more than 9 or 10, maybe 11. And one goes, "Look at the bears! I'm gonna get me some good eatin' right there!" And then proceeded to walk down the line, talking about how he wants to hunt the bears and eat them. Most little kids wave to the bears or say hi to them - this kid was telling them he wanted to eat them because they taste so good. Needless to say, I was horrified. Bears? To eat? ummm....I'm definitely not in Manhattan anymore. And then, of course, the tobacco stand, where people could get free tobacco samples to pack in their mouths. I wanted to get a fried twinkie, but the line was unbelievable. Yes, you read that right - there are things at the fair that are fried that should NEVER be fried. Like fried snickers bars and fried peanut butter cups. Fried Oreos. Fried apples. Fried dough. So I had a soft pretzel and a vanilla milkshake. Yum. And, of course, there was my brother's favorite, chicken on a stick (that huge turkey/chicken drumstick thing that people carry around like they're barbarians). The twins had a good time, L had a good time, and overall it was a really good day. I'm exhausted, though.

Saturday, October 18, 2008

You don't know Jack.

When I went to the LiveStrong Summit this past summer, one of my facilitators was a woman who had a child with cancer, and she told us about this YouTube video they had made of her son Jack. They had shirts made that said "I know Jack", and so forth. I just watched the video today....and thought I'd post it. He is adorable, and this message is so important to hear. 




Thursday, October 16, 2008

aiming high

http://www.indiana.edu/~kines/graduate/marketing_doctoral-alumni.shtml

These logos have been part of my life for months now. I wanted to be finished with the applications by now, but no such luck. It gets expensive, getting official copies of GRE scores, transcripts, application fees......the programs are all funded programs, which is great....but that also makes them that much more competitive. I know which programs are my top programs, but I also don't want to jinx this. All of them have amazing programs that I love....which makes it hard. Hopefully I will get in somewhere. 

Wednesday, October 15, 2008

fall break

It is Fall Break (yes, we actually get a fall break) thursday and friday, which means I have ample time to finally do all my work. And go food shopping. And buy overpriced gas. 
So I got this book the other day, titled Confessions of a Counterfeit Farm Girl, by Susan McCorkindale. Oh. My. Lord. Funniest book ever. It's a memoir of her moving from NY/NJ to the country, and though I'm in Chapel Hill, I can SO relate. Like, I get how saying "ma'am" is that Southern politeness, but I'm only 27! I am NOT a ma'am! And would it kill you to drive more than 30 miles an hour? Thankfully, in my neighborhood, it retains more of a Northern feel. There are more BMWs, Mini Coopers and SUV's in my neighborhood than there are broken-down pickup trucks, and no one's flying a Confederate flag or pasting NASCAR stickers on their cars. Although I cringe everytime I pass the organic co-op in my neighborhood and see the Land Rover with the back windshield and back windows plastered with stickers - of bands, Patagonia, "go organic", and the omnipresent "Coexist" sticker. I see all those stickers on such a nice car, and wonder why they did it. 
A few of my friends are going camping this weekend - like, hard-core camping, and I just could not do it. I mean, I used my North Face hiking pack to bring my clothes to the wilds of Manhattan for the summer. Ever see the movie "Troop Beverly Hills"? Yeah. 

Monday, October 13, 2008

Chapel Hill, or Stepford?

It's nights like this that I realize how much of a Northerner I really am, and how different my summer experience was in Manhattan. I went to the Chapel Hill library to return some books (the community library, not the school one), and first of all, while a decent size, it's small. I must have waited in the checkout line for a good ten or eleven minutes because there was ONE worker behind the counter. And no one was complaining or acting like they had places to be. No one tried to cut in line, nothing. Meanwhile, I was DYING inside because all I wanted to do was check out my 3 books and go home! But it's kind of nice....I mean, looking around the library tonight, there were your crunchy families with moms who wear long skirts and Crocs (with no irony), your academic-looking types who were scatterbrained, kids paying back library fines all in coins - and then riding their bikes home. It never fails to strike me as somewhat surreal. It's nice, don't get me wrong. It's just odd. 

Thursday, October 9, 2008

not so fast, LabCorp

Back in September, I had blogged about a blood test called OvaSure, that claimed to detect ovarian cancer at its earliest stages - today, in the NYTimes, there's an article that talks about how LabCorp actually marketed this test WITHOUT FDA approval, and that the FDA actually wrote a letter to LabCorp, saying "it may harm the public's health". The Society of Gynecologic Oncologists did not approve of the test, either, saying it wasn't accurate. Interesting. 

Wednesday, October 8, 2008

the cutest kid EVER

what a stud

woooooooo!!!

kickin' back and relaxing


I am really missing my nephew - he will be 18 months in a week or so, and I cannot believe he's that old already. 18 months ago, I had no idea what to expect - and now, I can't imagine life without him. I look at pictures, and he is starting to look like my brother A LOT more. 
Here's some pics. 

cancer costs

This morning there is an article in the Wall Street Journal about the economy and cancer care/cancer groups battling it out for money, since there's just not enough of it. This year, cancer will cost America at least 89 billion dollars - and the overall budget for research at the NCI is only about 5 million. hmmmm. Does that seem right to anyone else? Plus, the Dept of Defense's breast cancer research project will get 150 million dollars next year. Don't get me wrong - breast cancer is a horrible disease - but from a research/survival standpoint, five year survival rates for both breast and colon cancer have risen to more than 90% because of early-detection, etc. But only about 15% of people with lung cancer will be alive more than 5 years after diagnosis. Breast cancer has gotten so much funding because they mobilized forces in the 1990s - they lobbied Washington, they demanded more money and research and attention - it's time for other cancers to do the same. And not just the sexy, "media-friendly" cancers. Let's talk about thyroid cancer, and stomach cancer, and mouth cancer. Let's talk about sarcomas and brain tumors and multiple myeloma. Enough with the ribbons - let's kick some butt. 

Tuesday, October 7, 2008

anti-cancer?

The NYTimes has a great article this morning about that new book that's out, Anti-Cancer:A New Way of Life. They bring up excellent points - about how he talks about all these foods that work minimally in the lab in destroying cancer cells, but really, once they're in the human body, we don't know what they do - if anything. But unlike a lot of people, he actually does acknowledge this. More interesting (at least to me) is that he is of what I call "the old school" - the whole "cancer personality" thing. Personally, I don't buy that. Do I think a positive attitude helps the immune system? Of course. But do I think some people's personalities helped feed their cancer? Not a chance in hell. Of course behavioral factors play a role, and emotions and personality affects behavior, but I do not believe in the "Type C" personality, as this was once known as. Do I think someone can have the whole "anti-cancer" personality and healthy lifestyle and still get slammed with pancreatic cancer or lung cancer? Of course. I think it's a very fine line, when you start talking about that kind of stuff. Sometimes it smacks of blaming the victim - and I think many patients already feel a kind of pressure to be positive 24/7, to not show their fear, and to be "strong", and this just adds added stress and pressure to "perform".

Monday, October 6, 2008

song i'm obsessed with right now

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I am obsessed with this new song by Superchick. Listen to it; it's really good. Betcha can't tell they're actually a Christian band. But really, their music seems to be so interdenominational, because it's more just a positive message. 


Sunday, October 5, 2008

the unpopularity of oncology

I got an article sent to me in the mail from my grandparents, and the title was: Wanted: Cancer doctors - stat. By the year 2020, it's estimated that we will be at least 4,000 oncologists short of what we need. I knew this already, and it was one of the reasons why I seriously considered a post-bac right before I came down here for the MPH. I mean, seriously. This is when I wonder what I'm doing. 

Thursday, October 2, 2008

live for sugar

Was that a black tafetta skirt suit that Sarah Palin was wearing? I really liked it. I thought the VP debate went really well, and was pretty congenial. I'm not sure if Palin knew her mic was on, though, when they came out and shook hands and asked if she could call him "Joe". 

Given that I feel like my blog's been pretty serious lately, I feel the need to be superficial for a night. I'm really, really liking my new perfume - Gucci by Gucci. It's musky and woodsy and spicy, and it's definitely replaced Gucci Rush - although definitely not my Marc Jacobs. And today, I found Petit Bateau shirts at this random store here in Chapel Hill! So great. I've also been using the (Malin + Goetz) products I had bought in nyc back in July. The face wash is awesome. I may have to order more soon. 

I'm also really liking the candy corn I bought that - get this - is pink and purple. It's even differently flavored! 

Wednesday, October 1, 2008

Jenny McCarthy, MD?

So.....I think this entry is venturing into controversial territory, but I'm writing it anyway. Has anyone seen the Jenny McCarthy interview where she says that vaccines are hurting our children and causing autism? Oh yeah, and she says her son is "recovered" from autism. News flash, Jenny: Find my a reputable psychologist who says someone is "recovered" from autism, and I'll show you Santa Claus. She talks about biomedical science and parents taking their children's health into their own hands, and this strikes me as incredibly dangerous and irresponsible. She is not a doctor, her background is not in biology or chemistry or science - the CDC, AAP, NIH, have all stood by the fact that vaccines do not cause autism. In fact, it is much more likely that the vaccine schedule that children are on coincides with developmental trajectories that relate to autism spectrum disorders. Jenny McCarthy's rage in this interview is well-controlled (to a point), but you can plainly see it and hear it. I don't know. When asked about putting kids in jeopardy by not vaccinating, she mentions that any parent with a child living with autism would rather have their child have the flu - well, what about polio? hmmm, Jenny? We have come this far because of medical science. It may seem like autism is on the rise, but more likely, it's merely the diagnoses that are more accurate. It's even been said that Albert Einstein most likely had a form of Asperger's. 
It's like the crazysexycancer thing - when you have an emotionally and possibly physically vulnerable population who desperately want an explanation or a cure, you have to be very careful of claims and easy fixes. Sometimes people want something so badly that they'll convince themselves it exists. 

Sunday, September 28, 2008

next year in Jerusalem



An Israeli soldier at the Western Wall.



Tomorrow night starts Rosh Hashanah, or the Jewish New Year. Although not one of my favorite holidays, I like it for its significance and all that it brings to my mind. I love dipping apples into honey (to symbolize a "sweet" New Year), and it's customary to say "Next year in Jerusalem!", meaning, hopefully, you'll be in Israel next year. I remember my first Rosh Hashanah after my Israel trip, never before had those words meant so much to me. I desperately wanted to go back - and still do. It's beautiful there, and in a multitude of ways, is home. 
I was just browsing iTunes for "Jewish songs" and was surprised at how many songs brought a smile to my face because of memories I have from day school - doing Israeli dancing in a circle, leading Passover seder practices, favorite Shabbat songs - songs I took for granted when I was in day school because I sang them weekly, if not every day during morning services. And after not hearing them for so long, they sounded so welcoming and familiar. 

Saturday, September 27, 2008

weekend update

I just read that Paul Newman died yesterday from cancer. Depending on what article you read, the type of cancer is either unnamed, or described as lung cancer. Many people know Newman as the actor, but he also had an organic food line, Newman's Own, which gave all its profits to charity. It has been estimated that Newman's Own has given $200 million to charity, including a camp for terminally ill children. Dealing with cancer is hard for any family, and even if you know death is imminent, it's still a sort of stunned shock when it actually happens. 

I have to admit, I fell prey to the pinkwashing of October today (and it's not even October yet). I was at OfficeMax and I caved and got pink file folders (I needed folders anyway), which helped support the Breast Cancer Research Foundation. And if I'm being honest here, I will also admit that I bought a breast cancer shirt by Under Armour at Dick's Sporting Goods. *sigh*. But I draw the line at buying ANYTHING that supports Komen.  

Thursday, September 25, 2008

finally, autumn.




Today it felt like fall in North Carolina. Supposedly, the high was only 61 degrees, which sent many people here running for their winter clothes. Seriously, on the bus this morning, I overheard someone saying she wanted to put on leggings and wool socks. Seriously? Not that cold, people. I can't believe September is almost over, though. 
Speaking of NC, I was in the food store today and decided to buy some Diet Cheerwine. Now, Cheerwine is neither cheerful nor wine. Discuss. It's a Carolina thing, apparently, and it's soda. It sort of tastes like cough syrup but not as sickeningly sweet, and more cherry-ish. I can see how it can become addicting. Does this make me a "real" Carolinian now? 
I got my new issue of New York magazine in the mail today, and there's an article on what you'd get if you traded in your NY life - what the same amount of money could get you somewhere else. But really, why would you want to leave NY if you could really live there? I miss it a lot recently. Of course, I am craving Pinkberry. And H&H bagels. *sigh*. 

For my Patient Advocacy class, we have to interview a patient or a caregiver, give a presentation on the interview, and write a paper. What do you do when your knowledge of the disease threatens to crowd out hope? What do you do when your worst fears are confirmed? How do you find those tiny seeds of faith and hope, and plant them so they grow and cover all the fear and doubt? Like I've said before, we go into oncology, maybe intrinsically, because of hope - you can't NOT have hope and go into oncology - but how do we hold onto that? Is there even any other option?

Listening: Eisley, Saving Jane, The Veronicas

Tuesday, September 23, 2008

enough pink


With October right around the corner, I'm getting sick of pink already. October is Breast Cancer Awareness month, and I'm sure we all see "pinkwashing" going on. Pink M&Ms, pink tweezers, pink Britta filters, etc, with some proceeds being donated to some breast cancer charity. But really, how much is really given? And are these products contributing to breast cancer risk themselves? 
Breast Cancer Action is an organization that bills itself as the "bad girls of breast cancer". They have a wonderful, wonderful campaign entitled "think before you pink".

Sunday, September 14, 2008

pink ribbons, inc

I have a bone to pick with Christina Applegate. She's made some comments that I find really, really misleading, and are certainly not true. She told "Good Morning America" that "I'm clear. Absolutely 100 percent clear and clean....It did not spread - they got everything out, so I'm definitely not going to die from breast cancer." News flash, Christina - unfortunately, you might. I think this was sort of irresponsible of her to say.....I don't know, maybe it's my own Issues with this, but I really, really hated her comments. 
With October (Breast Cancer Awareness Month), no doubt we will get lots of news interviews like this, lots of magazine covers, and have pink shoved down our throats for 31 days. Can't wait.

Oh, and FYI, September is Childhood Cancer Awareness Month and Gynecologic Cancer Awareness Month.  

Friday, September 12, 2008

palintology

So, somehow, I guess this blog lately has been a little political.....and this entry will be, as well. To be honest, I'm not sure who I will vote for this year. My pro-choice views are extremely strong, which leans me toward Obama, but his campaign annoys the hell out of me, and I find him smug and naive. Fiscally, I am more Republican, I guess - and on the death penalty view, I am Republican, as well. I was reading cnn.com and stumbled upon an article written by Glenn Beck about Sarah Palin, basically just refuting various claims that have been made against her. Initially, I too thought she was anti-contraception - but here is what she has said: "I'm pro-contraception, and I think kids who may not hear about it at home should hear about it in other avenues. So I am not anti-contraception. But yeah, abstinence is another alternative that should be discussed wtih kids. I don't have a problem with that." As I get older, I find myself being more agreeable to this - I think kids today are growing up incredibly fast, and sex is seen as something that's not a big deal, which is sad. Girls - young girls - are dressing sexy, wearing makeup at 11, and are bombarded with sexual images 24/7, and so I think this is a refreshing break. And she tripled funding for special needs children in Alaska from $26,900 to $73, 840. 

Anyway, just things to think about. I'm not too fond of either camp right now. 

Thursday, September 11, 2008

seven years later.......

In the mail today I got my New Yorker, New York Magazine, Bergdorf Goodman magazine, and a Bergdorf Goodman catalog. It was a very New York-centric mail day, to say the least. Funny it should happen to be September 11. Today is one of those days my generation invokes like our parents do the assassination of JFK. Or how many of us Gen Xers invoke the day the Challenger blew up. Seven years ago today I was wearing a white tank top and blue Abercrombie sweatpants, with my pink Air Max Tailwind sneakers. I had a morning class, and our fellow sorority sister Stacy would come by the house and pick my roommate and I up and we'd walk over to the psych building. My roommate and I would usually watch the news while we got dressed and got ready, but for some reason, that day, we didn't. So we had no idea what Stacy was talking about when she told us that a plane hit the WTC. My first thought was, omg, my cousin works there. I pulled out his business card and tried to call him, but the line wouldn't connect - for reasons none of us knew at the time. We walked over to class - and like so many people feel the need to mention, it was an absolutely beautiful fall day that day. Warm, clear blue skies, the sun was shining on our picturesque Northeast campus an hour and a half from NYC, and it seemed like the ideal fall day. We entered the building where class was, and I don't remember who I got on the phone, but I either spoke to my dad or my cousin, who told me that they didn't know much, but they think it was a hijacked plane. Mind you, this hadn't hit the news yet, about the hijacking possibility. It was still unknown chaos at this point. But we knew my cousin was alive at this point, and he was going to be part of whoever was helping these people in the towers. I went to class, we watched tv for about 5 more minutes, and then my teacher turned off the tv and we had our full 2 hour class. It wasn't until after I got out of class that I was told the towers had fallen. I remember this dread washing over me and thinking, naaahhh....how could the towers fall? Impossible. Cousin Michael is there. But it was true. Again and again we watched the twin towers crumple like cardboard into the ground of Manhattan, taking thousands of lives and stories and hopes. It was like watching a movie with the neatest special effects but underlying horror. I kept trying to call my cousin, my grandmother, my parents - but since we were so close to the city, nobody's phone was working. The school had a room with lines that actually got out, and it was mobbed with students calling their families to see if everyone was okay (lots of people had family who lived in the city or worked there) and to assure their families we were fine. I spoke to my dad, who said no one had heard from my cousin since before the buildings fell. 
I went back to the sorority house and was able to call my mother, and I think the horror was finally sinking in - I just remember screaming, "Michael is at the WTC and no one has heard from him since this morning! He's there! I can't get a hold of him!" And her response - "Oh, shit." It was a very scary morning. The campus called everyone to the front lawn for a prayer service and to basically calm everybody down, and also to read a list of the alumni who were working in the towers - and there were a decent amount. 
I remember going to lunch with some of my sisters and barely being able to eat a bagel. Perrie was trying to call her family, who lived in Tribeca, and all of us were still in that hazy, half-shell-shocked daze of did what happen this morning REALLY happen? I finally got a phone call that my cousin was alive and fine, much to my relief. He had been pulling into an underground garage for work when the first plane hit, and he backed out, parked somewhere, and ran to work. He was part of the recovery mission and was at Ground Zero all day that day. He has pieces of the building. I still have a business card of his from the towers. 
My friend Alex and I drove to the nearest Red Cross and tried to donate blood - but we were turned away because they said there was no use for it.
For days, our tv was on almost all the time, with the endless ticker at the bottom of the screen, naming all the victims on the planes, all the families pleading for their loved ones who were "missing" to come home. 

2 years later, I stood on the steps of St. Vincent's hospital in Manhattan and looked at the original scores of Missing posters that were now under glass, attached to the building's wall. It was eerie, seeing these people's lives suspended in time but knowing the outcome. Down the block, on a wire fence, there were dozens and dozens of ceramic ornaments commemorating 9/11. Two years after the fact, the Village was still populated with the ghosts of Ground Zero. NY still is haunted. The images of the buildings still show up in pictures of the skyline, albeit in our mind's eye. When we think of NYC, the towers involuntarily come to mind. Old movies that have shots of the WTC in them bring us, for a second, back to a much different time. Going to Ground Zero in 2003, what struck me was that I was looking, essentially, at a huge graveyard. In the middle of a large, booming, vibrantly alive city, was a mass grave that we all still felt a need to look at. on 9/11/03, living in Manhattan, at the time the first plane hit, bells rang out around the city and everything stopped for one minute. And again at the time the second plane hit. It was a surreal moment. 

So seven years later, here we are. This morning, around 8:30, I was on the bus going to school, and it hit me that today was 9/11 and I looked at my watch, and for the millionth time, thought about what hundreds of lives must have been like in the calm before the storm. It seems like such a long time ago, but at the same time, like just yesterday. 

Wednesday, September 10, 2008

fighting cancer....and losing

Okay, what could possibly prompt me to post a second time within an hour? The new issue of Newsweek, that's what. It's the one with Sarah Palin on the cover (although what magazine DOESN'T have Palin on the cover this week? you go, girl). But it also has an article entitled We Fought Cancer......And Cancer Won inside. And as I read that, something akin to relief flooded my veins. Because I thought, finally - an honest article that isn't sugarcoated and whitewashed and falsely optimistic. There is a quote in the article by Boston oncologist and cancer survivor Therese Mulvey - "The metaphor of fighting cancer implies the possibility of winning. But some people are just not going to be cured. We've made tremendous strides against some cancers, but on others we're stuck, and even our successes buy some people only a little more time before they die of cancer anyway......With cancer, sometimes death is not optional." And though some might call her pessimistic, I agree with her that the stories of how breast cancer rates have fallen and colonoscopy and fecal occult blood testing have reduced colon cancer allow a false sense of optimism or safety to occur. Cancer still will kill 565, 650 people in the United States this year. That's more than 1,500 people a day. When you read stuff like that, we're still nowhere where we need to be. But, like Otis Brawley of the ACS has said, "One tumor is smarter than 100 brilliant cancer scientists." Harold Varmus, the president of MSKCC, has even said that cancer "...is commonly viewed, as, at best, minimally controlled by modern medicine, especially when compared with other major diseases." Progress among cancers is uneven, and mortality rates vary widely. The old thinking that 5 years of remission means cure is just not true. Breast cancer is known to recur 10, 15, 20 years later. Childhood cancer treatments can cause later malignancies. Micrometastases can show up years later. 

This is what we fight every day. When I dwell on it, the task to figure anything out seems insurmountable. It's kind of depressing. But then I think about my summer at MSKCC, and how NO ONE seemed beaten down or discouraged there. The brainpower and the passion there were invigorating. And it reminds me that this is my goal, this is my chosen field. I can do this. We can do this. 

The only thing that annoys me in the magazine is that Stand Up 2 Cancer has taken out ads on like, every other page practically. In the middle of the article is a 5-6 page advertisement for it. I'm sick of hearing about this. Yeah, it's great, you're raising money, thanks. But I just find it overproduced and glossy and -- dare I say -- misguided. At this point, it's NOT ABOUT THE CURE. It's about survival, and living with cancer. This is a much more realistic way of looking at it. By focusing on cure I feel like you're leaving out a huge chunk of the population. 

Anyway, I'll step down off my soapbox now. 

no such thing as a bad day

It's pouring rain outside and I just woke up, because of a fortuitously canceled research team meeting. It's a good day to stay in bed under the covers. Unfortunately, as a graduate student, I don't really have that option today. And considering I stayed in bed until 11:30, that's way more than enough. I do like the sound of rain, though. 
Today is the 4 year cancer anniversary of someone important in my life, and I just wanted to acknowledge that, because she is doing wonderfully today, and I feel like we need more attention paid to these stories. It's also important to me because it was her breast cancer that propelled me back into studying oncology and, though no one could have imagined at the time, given my life its ultimate focus and goal. When I look back, I was terrified at the time, but eventually that fear gave way to action and learning, which fed into becoming an advocate and activist in the cancer community. 
I was reading the NY Times this morning online and looking back in the archives, and there is a book by Hamilton Jordan, Jimmy Carter's former Chief of Staff, who struggled with four different types of cancer. He wrote a book, "No Such Thing as a Bad Day", and in it, he had "Top 10 Tips for Cancer Patients". I'd like to write them here.

#1: Be an active partner in the medical decisions that are made about your life.
#2: Seek and know the truth about your illness, and prognosis.
#3: Get a second opinion. 
#4: Determine upfront how broad or narrow your physician's experience is. 
#5: If you have a poor prognosis, or rare form of cancer, try to get to a center of excellence. 
#6: Do not allow your caregivers to project their values, goals, and expectations onto you.
#7: Understand the economics of cancer care. 
#8: Ultimately, find a doctor that you trust and believe in. 
#9: Treat your mind as well as your body.
#10: Your attitude and beliefs are your most powerful weapon against cancer. 

Tuesday, September 9, 2008

Lance, Lance, Lance.....




is this perfection, or what?

Oh, Lance....how I love you. I don't know if you've heard, but Lance is returning to professional cycling with the mission to raise awareness of the "global burden of cancer". Which is admirable. He is going to discuss the whole thing on September 24th. *sigh*. 

Sunday, September 7, 2008

Manhattan, I just can't shake you


                                  New York, New York, Manhattan Skyline Art Print by Henri Silberman


So, I was talking to my grandmother tonight, and she was telling me about her day in NY seeing a show and going for dinner, and she mentioned how she passed Bergdorf Goodman, and that "that part of the city is much nicer than the Times Sq area." I was like, um, that's because it's the Upper East Side! And it made me miss MSKCC, because if you go just a few blocks east and south of Bergdorf's, that's where I worked. Good times indeed. It made me miss the chaotic-ness of the city, the feeling that even at 2am, there's life going on outside. It made me miss 10pm walks to Pinkberry with Jessi, and sitting on the steps of the 92nd st Y, and obsessing about maybe one day owning a place in the Yorkville Towers, and walking to the best falafel place EVER. And what made me miss NY even more was that my research TA gave me an article on adolescent cancer survivors and health behavior, and in the article they wrote, "As Ford and Ostroff have mentioned...."!!! Um, HELLO, I worked with them!!! It was so neat to see that and be like, yup, I know them. Needless to say, that REALLY made me miss MSKCC. It's been a really difficult adjustment getting used to school again. I thought it would be done by now, but I'm definitely still reconciling that. So for now, at least until I can get back to Manhattan over winter break, I have to be content with wearing lots of black, daydreaming of Dylan's Candy Bar and Pinkberry, and eating lots of bagels. (Although, again, doesn't compare to H&H bagels). Such a love/hate relationship I have with the city. 

Wednesday, September 3, 2008

this is what my degree in women's studies taught me.

So.....where to begin.....I was working out at the gym  - yes, I joined a gym, and I actually GO - and I was watching CNN on one of the tvs while on the treadmill, and saw the whole story of how Sarah Palin is under fire for various parenting choices she's made, and people are upset that she's running even though her teenage daughter is pregnant and her son has Down Syndrome....though I am no a fan of Palin, and am definitely not voting for her, I find it interesting that she - the sole WOMAN now in the running - is the only one whose parenting choices and actions are being scrutinized. Did anyone question Bush's parenting choices about his twins?? What difference does it make if her child has special healthcare needs? And last time I checked, how many OTHER 16 year old girls are having sex? The difference is that Bristol Palin got caught. And how many parents can actually control their children's behavior, let alone sexual behavior? Do I find it gleefully ironic that an abstinence-only sex education, anti-choice politician has a knocked-up daughter? Of course. Do I think that the mom should be held responsible? No. And I think we all need to remember just how YOUNG Bristol is. She's 16 or 17. That is really young to be in the national spotlight, being torn apart and scrutinized. We need to leave her out of the media feeding frenzy. If Sarah Palin were a man, would her parenting skills and choices be called into question? I highly doubt it. It is sad that in the year 2008 I even have to blog about this. It's sad that women still don't earn the same as men, dollar-to-dollar. It's sad that women have to plan their careers with an eye toward childbearing and the "mommy track". We are damned if we do, damned if we don't. If we stay at home to raise children, we're "not REALLY working"; if we go back to work, we're "bad" mothers or "unnatural". If we hire a nanny, we're snobs, if we don't, we're martyrs. Enough is enough already. Let's stop tearing down other women to avoid getting ripped apart ourselves. Why don't we acknowledge that none of our choices are easy - but they're our choices, and should be respected as such. 

Added later, while watching Palin's speech at the RNC:
You know, she is a tough cookie. She really is a good speaker.....and she's proving she's smart and tough and, indeed, making another crack in that glass ceiling. I'm not a fan of hers as of right now, but I have to give her props. 

And doesn't she look like Tina Fey, from SNL? I half expect her to call up Amy Poehler on stage and do Weekend Update. Her hair is amazing. 

Monday, September 1, 2008

another chapter in the romantic saga of my relationship with Manhattan

 
So. The new season of Gossip Girl started tonight, and it made me miss New York a lot. Most of it was in the Hamptons, but the whole spirit of summer in the city was there, and it made me nostalgic for the summer.....something I've been a lot lately. In a strange way, I miss the frenetic abruptness of the morning rush, the brusque people at Dunkin' Donuts who came to know my breakfast order, and the muggy steaminess of mid-summer mornings. I miss careening cab rides up Madison and pizza at 2am at the bar and late-night walks to Barnes & Noble with my roommate and even the shady people at the bodega on 90th. I miss Jessica telling me about Fit Flops, and commisserating about lack of space for shoes, and texting about self-imposed shopping limits and our crazy neighbor Amy and the giant cockroaches in the bathroom. *sigh*. Good times. 

But then I have to slap some reality into myself and remind myself that, hello? Every morning I would grumble under my breath about rude people who pushed me out of the way on the subway, waiting for trains in the godawful heat while my hair turned into a giant Jew-fro, I'd never have enough money, and got annoyed at incompetent cab drivers. But is it a small price to pay for living in the city? 

I think the jury's still out on this.....again. In last week's issue of New York magazine there's a great article about people who moved out of NY, and this excerpt sums it up....."...New York requires of these dreamers that they pursue two simultaneous lives:the romantic, invigorating, spectacular life you imagine for yourself, and the expensive, often dispiriting, intermittently grueling day-to-day life you have to lead in order to keep that dream alive. This is exhilarating. This is exhausting. This is what New York is all about.....But the problem is, you can't simply leave New York - you have to QUIT New York. You have to admit to yourself and the world that you're packing it in, calling it a day, turning out the lights...." 

Tuesday, August 26, 2008

Why should you watch the DNC

So....I normally shy away from posting political stuff. I used to be quite a spitfire, never shying away from a good debate. And sometimes, I still get into the political scuffle with my dad and cousin, but at school, in class, I tend to shy away from it. I'm not here to change their opinions, I think we can agree to disagree on things. But I have to post about tonight's events at the DNC. Honestly, as I get older (and I shudder to admit this), I find myself leaning toward Republican ideals re:fiscal things, and things like malpractice. But damn, I love Hillary Clinton. I voted for her for President, and wish with all my heart that Obama had chosen her for VP. Years ago, I read her autobiography, Living History. And tonight, watching her speak, the hair on my arms stood on end. I got chills. She is one tough woman. And I mean that with the highest respect and admiration. 
To run for president - to simply be a woman in the man's world of politics - is stunning. It's admirable. Just thinking about speaking in front of millions of people like she has, terrifies me. And she has persevered, she has faced criticism from the press, from her peers, her opponents.....in a time when it is still somehow "acceptable" for even members of the press to call Hillary a "bitch", and for people to make disparaging remarks about her body to try and tear her down, she has stood tall and unapologetic. She is smart and sassy, ambitious, and tenacious. Little girls watching this election process see this, and that makes me proud. Running for President is so risky - the possibility of failure is so real - and she lost the nomination this time around, but she handled it with grace and dignity. She didn't shrink back in defeat - she stepped up to the plate and has truly proven herself to be an amazing individual. There is a strength in her that comes from a fighting spirit, and we can all learn from that. 

Plus, George Stephanopolous is hot. Even if he IS short. 

So I read about this over breakfast.....

In today's New York Times, there's an article about a new test for women and ovarian cancer. It's a blood test that aims to catch ovarian cancer in an early, treatable stage - which is great, because only about 20% of ovarian cancers are caught at an early stage, when it's still confined to the ovaries and has a high survival rate. After it has spread, only about 30% of patients survive 5 years. The test is called OvaSure, was developed at Yale, and has been available through LabCorp since June. Good news, right? Not so much. The Society for Gynecologic Oncologists issued a statement almost immediately saying that in their opinion, it has not been validated enough. Many gyn-oncologists believe this is being used to capitalize on women's fears, and may lead to unnecessary operations, more tests, and stress. 
Most people have heard of the CA-125 blood test, which is a tumor marker blood test - but this is better used in women who already have ovarian cancer, to track the disease's progression, rather than as a screening tool, because of unreliable results. 
So where does this leave us? Essentially, right where we are. The symptoms of ovarian cancer are so generalized that many women don't really think anything of it - bloating, feelings of fullness, pelvic pain/pressure, urinary urgency/frequency, changes in appetite - see what I mean? This is why, by the time it is often diagnosed, ovarian cancer is in its later stages and notoriously hard to cure. (I hate that word, "cure", but that's a different story). 

Thursday, August 21, 2008

alternative thinking

I'm not sure where to start with this post. About a year ago I stumbled upon this book called crazysexycancer tips. You may have seen Kris (the author) on Oprah - she also did a documentary on TLC (I think) entitled crazysexycancer. It was basically her story about having an incurable, indolent cancer and learning how to make herself as healthy as she could, and live WITH cancer. Though I don't always agree with everything she writes (she's a big advocate of raw foods, juicing, complementary/alternative meds, etc), I like her attitude and think she's a positive person. She has a website, sort of like a web community, and I've been part of it for probably about 6 months now, or something like that....and it's getting harder for me to digest much of what is written. Many of these people have cancer, or have a family member with cancer, and are big proponents of CAM (complementary/alternative medicine). Don't get me wrong, CAM has its place - in conjunction with Western medicine. But when a chemo patient is posting that their oncologist told them to stay away from raw food and other people are telling this patient "no, it's fine, don't listen to him", I feel the need to step in and say, there's a reason he told you that - your immune system is decimated by the chemo and you need to minimize your chance of infection. PLEASE talk to your oncologist about it. Needless to say, much of the time, this is either ignored or debated. I feel like many of these patients aren't talking to their oncologists, and it's worrisome to me. One woman posted about having a mastectomy last week and she is trying to decide whether or not to do chemo. Cancer was also found in her lymph nodes. She was exploring "alternative" treatments. It took all my willpower not to post anything, and just to close the screen. Of course, it's an individual choice about whether to do chemo. But one of her reasons was watching her mom go through it decades ago for Hodgkins. Things are much, much different now - yes, I will fully admit that it's still a toxic experience and we need more body-friendly treatments, but for now, it's the best we have. I just worry about patients like this because, like I saw at the breast cancer conference back in Feb, when someone is really, really sick, they'll grab onto anything that provides a kernel of hope. Anything. And when someone posts about how they "cured" cervical dysplasia with their diet, or how vaccines are bad, or how they won't even eat fruit because of the sugar and so forth, it's really hard for me to read this with an open mind. 
As I progress further and further in my academic career and down the path of my journey in oncology, I'm beginning to want more empirically-based information, more info backed up by hard facts. I don't know........I guess maybe I'm torn between being cynical and being hopeful.