Progress Notes-By System

This post outlines my medical history organised by system, since being diagnosed with advanced melanoma in October 2013. To see my medical history organised chronologically, see this post here. It remains a work in progress as new issues arise, and as I go back through my records and find things I’d overlooked.

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The Problem with Miracle Cancer Cures

Having just started my fifth antibody based medication, this one to try and get on top of my auto-immune colitis, I’m acutely aware of the various tensions, conflicts and ethical dilemmas raised in this article. My melanoma, while not completely gone, has been well controlled by the immunotherapy I received. The main story for me in recent years has been managing the side-effects of the immunotherapy as well as the multiude of medical appointments, blood-tests, scans and so on. But it has taken me from seriously considering palliative care having been given a median survival of 3-4 months, to being back at work part-time some 5 years later. Fortunately, as I am part of clincial trial, combined with Medicare and private health insurance, my out of pocket costs have been manageable. But as these expensive interventions become mainstream, and cancer is increasingly converted from a death sentence into a chronic disease, there will be serious challenges ahead for the health budget, of both governments and individuals.

Opinion | The Problem With Miracle Cancer Cures

Opinion | The Problem With Miracle Cancer Cures

If immunotherapy worked most of the time, this would be an unambiguously happy story. But it doesn’t.

Source: www.nytimes.com/2018/04/19/opinion/sunday/problem-miracle-cancer-cures.html

Cancer and work: A compatible duo?

The question “Cancer and work: A compatible duo?” was posed by the headline of an SMH article. My current answer is “Just barely!”

I can certainly relate to a lot of the issues discussed in the article about the pros and cons of working following a life changing medical diagnosis. But it should be obvious that there is no clear cut answer to the question, and it will inevitably change over time for any given individual as a result of disease progression/regression, as well as the duration, impact, and side-effect of any treatments. Following my diagnosis, the presence of brain mets meant that working (and many other things!) was immediately off the cards due to patient safety concerns. Not that i could’ve worked anyway due to my emotional state and the torrent of further investigations and medical appointments that came my way. and the prognosis was so bad that i gave up any hope of a return to work. However, following my dramatic response to treatment, and a gradual improvement in my symptoms, the theoretical possibility of returning to work arose. I was still in two minds though, trying to weigh up the benefits of working mentioned by the author, but has he also points out, working was now less of a priority for me, and i didn’t know how long my improved health would last. In the end, i did make to gradual transition back into the work force, but even now i still feel the tension of that question, as being sick is still essentially a part-time job in and of itself for me, with all the ongoing medical appointments, scans and blood tests. There is also the new and unusual side-effects that crop up from time to time from the immunotherapy, as well as the side-effects from the drugs used the treat the side-effects! So while i am managing to combine cancer and work at the moment, it is a question i will need to keep asking myself from time to time.