The Cancering Show

In this episode, we have longtime sports broadcaster Mike Raita and his surgeon, Dr. Marty Heslin. Mike Raita is a 35-year veteran of TV sports broadcasting, winning multiple awards over his 27 years spent in Birmingham, Alabama. His career as a sportscaster broke several big Alabama stories, including the Alabama Crimson Tide Coach Gene Stalling's decision to retire, Coach Denise Francione's departure, and Coach Mike Shula's firing. After leaving broadcasting, Mike spent several years in advertising agencies and teaching before being tapped by Sen. Tommy Tuberville to communicate with his constituents over twelve counties. We're excited to welcome Mike and his surgeon, Dr. Marty Heslin, to give us a play-by-play on his cancer journey, his survivorship, maximizing the patient-doctor relationship, and what's next for Mike in his career and life.

{Host Notes: A message from Dr. JYP and the Cancering Show Production Team}

We are so excited to be back in the studio and to be bringing to you more cancering stories, inspirational patients, amazing doctors, and the info on the newest advancements and innovations in cancer treatment. There have been so many changes since the last time we were in the podcast studio. And this season, in particular, we are focusing on the community of cancering. We know that everybody experiences cancer and therefore is cancering in some way, whether you are the patient, a family member, a caregiver, a support person, or a volunteer. And we want you to have as much information as you need to make the cancering journey not just a moment in time but a transformative process that creates good in your life and in the lives of those around you. So we are bringing you not just the same wonderful stories and inspirational moments, but we also have a special treat for you. Enjoy the show, and please get in touch with us to tell us what you like about the show and what you want us to discuss in the upcoming episodes and seasons.

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Never Miss an Episode
Please subscribe to The Cancering Show

Want us to deliver The Cancering Show to your email inbox?
Let us know by contacting Dr. JYP at cancering.com.

Thanks for listening to The Cancering Show, brought to you by USA Health Mitchell Cancer Institute.

Please subscribe, rate and review The Cancering Show wherever you listen to your favorite podcasts.

Until next time, be healthy, happy and always thriving.

USA Health Mitchell Cancer Institute

The Cancering Show is brought to you by USA Health Mitchell Cancer Institute. MCI is a cutting-edge cancer research and treatment center built to fight cancer smarter in Mobile and Baldwin counties in Alabama. Our researchers and clinicians focus daily on the struggle against cancer, serving a potential catchment population of more than 4.1 million people, with a singular focus of advancing cancer diagnosis, treatment, and prevention throughout the Gulf Coast and beyond with science, technology and hope.

Want to know more about the Mitchell Cancer Institute?

Visit us at usamci.com or search for us on Facebook, Twitter and Instagram.

Mitchell Cancer Institute is a member of USA Health.

To learn more about all of USA Health hospitals, clinics and services, visit usahealthsystem.com.

On this episode, Dr. Jennifer Young Pierce talks with teacher, lymphoma survivor and author Glen Mutchnick about his book "Everybody's Got Tzuris," which documents his and others' cancer journeys. "Tzuris" is a Yiddish word that means difficulties, pain or troubles, and Glen says that having cancer definitely fits that bill and that everyone has some sort of difficulty in their lives. A lot of positive things came out of Glen's diagnosis, treatment and recovery. He used his cancer troubles as a lesson in his classroom, and he says his experience has taught him to "stop sweating the small stuff," and have more compassion and empathy for others.

Buy Everybody's Got Tzuris by Glen Mutchnick

Key Takeaways

- Everyone is affected by cancer.

- Don't Google your cancer diagnosis without also speaking to your cancer team and physician.

- Patience, positive thinking and leaning in to hope is essential for the cancer patient, physician and the caregiver.

- Appreciate every day and make each one count.

Glen Mutchnick Said:

Teaching my students about my condition was very important to me. The kids kept me alive and were my bright spot.

I wanted to be my students' example of how cancer works.

Every person has problems and difficulties. It's purely subjective.

A lot of good came out of my cancer. I became a better person. I stopped sweating the small stuff.

I tell people to take one day at a time. Try to appreciate every single day.

The lesson is to put everything in perspective and try to be as compassionate and empathetic with others as you can.

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Never Miss an Episode
Please subscribe to The Cancering Show

Want us to deliver The Cancering Show to your email inbox?
Let us know by contacting Dr. JYP at cancering.com.

Thanks for listening to The Cancering Show, brought to you by USA Health Mitchell Cancer Institute.

Please subscribe, rate and review The Cancering Show wherever you listen to your favorite podcasts.

Until next time, be healthy, happy and always thriving.

USA Health Mitchell Cancer Institute

The Cancering Show is brought to you by USA Health Mitchell Cancer Institute. MCI is a cutting-edge cancer research and treatment center built to fight cancer smarter in Mobile and Baldwin counties in Alabama. Our researchers and clinicians focus daily on the struggle against cancer, serving a potential catchment population of more than 4.1 million people, with a singular focus of advancing cancer diagnosis, treatment, and prevention throughout the Gulf Coast and beyond with science, technology and hope.

On this episode, Dr. Jennifer Young Pierce has a very important conversation about cancer risk and prevention with cancer researcher Natalie Gassman, Ph.D. Gassman explains how long-term exposure to the sun, e-cigarettes, common chemicals and BPAs can transform our DNA at the cellular level, possibly causing cancer. Plus, they discuss the small and practical everyday decisions that can minimize our risk of getting cancer.

Key Takeaways

- Exposure to the sun, BPAs and other environmental elements can alter our DNA at the cellular level.

- When our DNA is altered enough to lose its integrity and function, it transforms our cells into a pre-cancerous or cancerous state.

- Age is a crucial component for cancer risk because of the compounding effect of DNA damage.

- Awareness and limited exposure to toxic chemicals and environmental factors can minimize and control your cancer risk.

- Moderation and introducing small healthy behavioral changes are your best defense for cancer prevention and a long-term healthy lifestyle.

Natalie Gassman Said:

We are exposed to the environment through the air we breathe, through the foods we ingest and through the water we drink. We also are passively exposed through our skin, which is our largest organ. Those are things that can impact our health and well-being.

You can balance having the lifestyle you want using convenience products as long as you balance it with other things in your life that create a healthy lifestyle like exercise and antioxidants in your diet.

If you can introduce moderate changes such as slow food a couple of days a week, sunscreen on your face every single morning, and then remember to reapply as your motto, then you’re going to build a healthy lifestyle and healthy habits.

Moderation is your best defense for cancer prevention and long-term well-being.

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Never Miss an Episode
Please subscribe to The Cancering Show

Want us to deliver The Cancering Show to your email inbox?
Let us know by contacting Dr. JYP at cancering.com.

Thanks for listening to The Cancering Show, brought to you by USA Health Mitchell Cancer Institute.

Please subscribe, rate and review The Cancering Show wherever you listen to your favorite podcasts.

Until next time, be healthy, happy and always thriving.

USA Health Mitchell Cancer Institute

The Cancering Show is brought to you by USA Health Mitchell Cancer Institute. MCI is a cutting-edge cancer research and treatment center built to fight cancer smarter in Mobile and Baldwin counties in Alabama. Our researchers and clinicians focus daily on the struggle against cancer, serving a potential catchment population of more than 4.1 million people, with a singular focus of advancing cancer diagnosis, treatment, and prevention throughout the Gulf Coast and beyond with science, technology and hope.

Want to know more about the Mitchell Cancer Institute?

Visit us at usamci.com or search for us on Facebook, Twitter and Instagram.

Mitchell Cancer Institute is a member of USA Health.

To learn more about all of USA Health hospitals, clinics and services, visit usahealthsystem.com.

On this inspiring episode, Dr. Jennifer Young Pierce talks with Dr. Phillip Fields, professor of anatomy at the University of South Alabama College of Medicine. In 2007, Dr. Fields was diagnosed with chronic lymphocytic leukemia (CLL) and told to give up his passion - running. Refusing to let leukemia dictate his life, he has run more than 100 marathons, including one in every state and Canadian Province, since 2009. Hear how Dr. Fields' love of running keeps him ahead of cancer. Plus, he shares his cancer and running journey in his book "The Long Road Back To Boston: Marathon Running with Leukemia."

Get Dr. Fields' Book >>>
“The Long Road Back to Boston” is available here.
All royalties from the sale of this book go to pediatric oncology.


Key Takeaways

- Keep or find a passion that help you through your treatment and the hard times.

- Consult with your physician and cancer treatment team to see what exercise, hobbies and passions are OK with your cancer care and treatment plan.

- A cancer diagnosis is not the end of life, it's a beginning.

- Don't attempt the cancer journey by yourself.

- Be knowledgeable about your cancer.


Dr. Fields Said:
We’re all going to die, so we may as well die doing what we love.

As long as you have a goal, you’ve got something to look forward to. Once you reach that goal, you want to establish another goal.

Mentorship has been a chance to share my story and get the word out to cancer patients that diagnosis is not the end of life; it’s the beginning.

Don’t attempt the cancer journey by yourself. Always have somebody you can turn to that will share experiences with you.

Be knowledgeable about the cancer.

You constantly feel the fatigue associated with the leukemia. Because of the effects of chemotherapy, my marathon times got slower and slower. But I can’t imagine not being able to run.

I’m about six states shy of running marathons in all the states a second time.

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Never Miss an Episode
Please subscribe to The Cancering Show

Want us to deliver The Cancering Show to your email inbox?
Let us know by contacting Dr. JYP at cancering.com.

Thanks for listening to The Cancering Show, brought to you by USA Health Mitchell Cancer Institute.

Please subscribe, rate and review The Cancering Show wherever you listen to your favorite podcasts.

Until next time, be healthy, happy and always thriving.

USA Health Mitchell Cancer Institute

The Cancering Show is brought to you by USA Health Mitchell Cancer Institute. MCI is a cutting-edge cancer research and treatment center built to fight cancer smarter in Mobile and Baldwin counties in Alabama. Our researchers and clinicians focus daily on the struggle against cancer, serving a potential catchment population of more than 4.1 million people, with a singular focus of advancing cancer diagnosis, treatment, and prevention throughout the Gulf Coast and beyond with science, technology and hope.

Want to know more about the Mitchell Cancer Institute?

Visit us at usamci.com or search for us on Facebook, Twitter and Instagram.

Mitchell Cancer Institute is a member of USA Health.

To learn more about all of USA Health hospitals, clinics and services, visit usahealthsystem.com.

On this episode, Dr. Jennifer Young Pierce talks with Dr. Martin Heslin, a surgical oncologist and the director of the USA Health Mitchell Cancer Institute, about the future of cancer treatment, what it means to cure cancer, the advancements in genetics and the importance of building personal relationships throughout the cancer journey.

Key Takeaways

- Your physician needs to be more than biology, science and facts; physicians need to build a relationship with their patients and support team. 

- One of the hardest conversations for a physician is to explain to a patient and the family that surgery is not the best option.

- For every different type of cell in your body, there is a different type of cancer.

- People fail to recognize that cancer is a part of yourself. Your body takes care of cancer cells every single day of your life.

- The future of cancer treatment may be understanding all the details of the mechanism of cancer and how we can alter those mechanisms in real time.

- To say to cure cancer as a single swipe of the sword won't happen because different cells have different reasons (for why) they go haywire. 

- A cancer cure means you die of something else.

- Cancer for every patient means 100 percent coming back, or it's a zero percent chance of coming back.

Dr. Martin Heslin Said:

I want to be the patient and family's greatest advocate to put your cape on, go in and save the day, do the big operation, and cure some people from a challenging disease, but it's also about the relationship.

Patients should ask three questions: Are you going to cure me? Are you going to make me live longer? Are you going to make me live better?

As we understand "the biology," I think our ability to define and personalize cancer therapy will be much greater.

A cancer cure means you die of something else. Some cancers you die with, and some cancers you die from. It's our job as cancer physicians and cancer coaches, if you will, to guide patients and their families through that process.

Dr. JYP Said:

When I describe a cancer cure to patients, I usually say that your labs are normal, your CT scans are normal, you have no evidence of cancer in your body, and that is over some time frame. If the cancer hasn't come back after that specified period of time, you are most likely cured.

There's so much that we don't know now that we're operating blind to say we think you have a certain percentage risk that this will come back. But as one of my professors said to me, that's all 1's and 0's. It's either 100 percent coming back, or it's a zero percent chance of coming back. It's just that we can't tell with our current and limited knowledge.

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Never Miss an Episode
Please subscribe to The Cancering Show

Want us to deliver The Cancering Show to your email inbox?
Let us know by contacting Dr. JYP at cancering.com.

Thanks for listening to The Cancering Show, brought to you by USA Health Mitchell Cancer Institute.

Please subscribe, rate and review The Cancering Show wherever you listen to your favorite podcasts.

Until next time, be healthy, happy and always thriving.

USA Health Mitchell Cancer Institute

The Cancering Show is brought to you by USA Health Mitchell Cancer Institute. MCI is a cutting-edge cancer research and treatment center built to fight cancer smarter in Mobile and Baldwin counties in Alabama. Our researchers and clinicians focus daily on the struggle against cancer, serving a potential catchment population of more than 4.1 million people, with a singular focus of advancing cancer diagnosis, treatment, and prevention throughout the Gulf Coast and beyond with science, technology and hope.

Want to know more about the Mitchell Cancer Institute?

Visit us at usamci.com or search for us on Facebook, Twitter and Instagram.

Mitchell Cancer Institute is a member of USA Health.

To learn more about all of USA Health hospitals, clinics and services, visit usahealthsystem.com.

Did you know that there is a blood test that can tell you whether you are at higher risk to develop cancer during your lifetime? Today, we have Cassie Gurganus, a Certified Genetic Counselor at the USA Health Mitchell Cancer Institute, and she explains the inherited cancer risks that are passed from parent to child and the testing options that are available. Plus, she shares the latest breakthroughs and the importance of using our DNA to help diagnose, treat and further understand cancer.

Key Takeaways

Genetic counseling helps patients or their relatives who are at a high risk for disease to learn about their condition and possible treatments.

Genetic testing can be a powerful preventative cancer tool.

While all cancer involves genetic mutations, not all of those mutations are inherited.

Not all genetic testing is the same. Consumer genetic testing kits like 23andMe are popular but have many limitations compared to the tests available with a Certified Genetic Counselor at USA Health.

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Never Miss an Episode
Please subscribe to The Cancering Show

Want us to deliver The Cancering Show to your email inbox?
Let us know by contacting Dr. JYP at cancering.com.

Thanks for listening to The Cancering Show, brought to you by USA Health Mitchell Cancer Institute.

Please subscribe, rate and review The Cancering Show wherever you listen to your favorite podcasts.

Until next time, be healthy, happy and always thriving.

USA Health Mitchell Cancer Institute

The Cancering Show is brought to you by USA Health Mitchell Cancer Institute. MCI is a cutting-edge cancer research and treatment center built to fight cancer smarter in Mobile and Baldwin counties in Alabama. Our researchers and clinicians focus daily on the struggle against cancer, serving a potential catchment population of more than 4.1 million people, with a singular focus of advancing cancer diagnosis, treatment, and prevention throughout the Gulf Coast and beyond with science, technology and hope.

Want to know more about the Mitchell Cancer Institute?

Visit us at usamci.com or search for us on Facebook, Twitter and Instagram.

Mitchell Cancer Institute is a member of USA Health.

To learn more about all of USA Health hospitals, clinics and services, visit usahealthsystem.com.

On this episode, Dr. Jennifer Young Pierce talks with Blair Pringle, CRNP, a supportive care nurse practitioner at the USA Health Mitchell Cancer Institute, and she shares her insights on palliative care and how it is often misunderstood. With a focus on the comfort level of patients and their quality of life, supportive care is more than end-of-life care. It asks, "How can you live with cancer?"

Key Takeaways

Supportive and palliative care teams are essential for helping to relieve the symptoms and stress of cancer and cancer treatment.

Living with cancer and cancer treatment is challenging. Supportive and palliative care teams focus on improving the quality of life for the patient, family and caregiver.

Supportive care is much more than just hospice care. It also focuses on providing the right medical resources and meeting the needs of cancer patients and their caregivers.

If you are uncomfortable, in pain or need help, speak up and ask your supportive and palliative team for help with any issue. These providers are there to assist you in your care and help improve your quality of life.

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Never Miss an Episode
Please subscribe to The Cancering Show

Want us to deliver The Cancering Show to your email inbox?
Let us know by contacting Dr. JYP at cancering.com.

Thanks for listening to The Cancering Show, brought to you by USA Health Mitchell Cancer Institute.

Please subscribe, rate and review The Cancering Show wherever you listen to your favorite podcasts.

Until next time, be healthy, happy and always thriving.

USA Health Mitchell Cancer Institute

The Cancering Show is brought to you by USA Health Mitchell Cancer Institute. MCI is a cutting-edge cancer research and treatment center built to fight cancer smarter in Mobile and Baldwin counties in Alabama. Our researchers and clinicians focus daily on the struggle against cancer, serving a potential catchment population of more than 4.1 million people, with a singular focus of advancing cancer diagnosis, treatment, and prevention throughout the Gulf Coast and beyond with science, technology and hope.

Want to know more about the Mitchell Cancer Institute?

Visit us at usamci.com or search for us on Facebook, Twitter and Instagram.

Mitchell Cancer Institute is a member of USA Health.

To learn more about all of USA Health hospitals, clinics and services, visit usahealthsystem.com.

For many cancer survivors, a support group can be a lifeline. This is the case with a local Mobile, Alabama, cancer support group called BFF, Breast Friends Forever, which meets monthly at the USA Health Mitchell Cancer Institute. Today, Dr. Jennifer Young Pierce talks with Darlene Chavers, the founder of the BFF group, about how important it is for survivors and caregivers to have a support group in their lives. Plus, Darlene shares her advice on how you can start a support group in your area or one that targets your specific cancer.

Key Takeaways:

- You are not alone. Cancer patients and caregivers need to find a support group or connection to help them throughout their cancer journey.

- Sharing your feelings and concerns helps you feel better and more hopeful.

- Start your own support group if you cannot find one locally or in your specific cancer.

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Never Miss an Episode
Please subscribe to The Cancering Show

Want us to deliver The Cancering Show to your email inbox?
Let us know by contacting Dr. JYP at cancering.com.

Thanks for listening to The Cancering Show, brought to you by USA Health Mitchell Cancer Institute.

Please subscribe, rate and review The Cancering Show wherever you listen to your favorite podcasts.

Until next time, be healthy, happy and always thriving.

USA Health Mitchell Cancer Institute

The Cancering Show is brought to you by USA Health Mitchell Cancer Institute. MCI is a cutting-edge cancer research and treatment center built to fight cancer smarter in Mobile and Baldwin counties in Alabama. Our researchers and clinicians focus daily on the struggle against cancer, serving a potential catchment population of more than 4.1 million people, with a singular focus of advancing cancer diagnosis, treatment, and prevention throughout the Gulf Coast and beyond with science, technology and hope.

Want to know more about the Mitchell Cancer Institute?

Visit us at usamci.com or search for us on Facebook, Twitter and Instagram.

Mitchell Cancer Institute is a member of USA Health.

To learn more about all of USA Health hospitals, clinics and services, visit usahealthsystem.com.

In this episode, Dr. JYP talks with USA Health cardiologist Dr. Christopher Malozzi, who treats all types of patients (not just cancer patients) with heart problems. Dr. Malozzi explains his role in the field of oncology and how there can be a connection between heart problems and some chemotherapy and radiation treatments. Plus, he shares his unique perspective and concerns as both a doctor and as a parent of a child who has undergone cancer treatment.

Key Takeaways:

- Cardiologists are trained in heart disease, and they diagnose and treat people who can be at risk of heart disease before, during, and after their cancer treatments.

- Cardiologists work with oncologists to maximize the effectiveness of chemotherapy and radiation treatments while minimizing the risks of heart complications in a patient's future.

- Cardio-oncology is a newer and growing field of interest in cardiology and is a vital part of the team approach to cancer treatment at the USA Health Mitchell Cancer Institute.

- Consulting with a cardiologist early in your cancer journey is a smart and proactive approach to your cancer treatment.

Meet Miranda Stewart Williams. Miranda is an experienced and talented nurse who has spent most of her career on the oncology floor at USA Health University Hospital. On this episode, she takes Dr. JYP behind the scenes to see what it's really like to be a frontline worker on a cancer ward. Plus, she shares her daily routines, the hardest and most rewarding parts of her job, how her life is nothing like those TV hospital dramas, and how she felt called to her profession.

Key Takeaways:

- Oncology nursing is a very unique profession, even compared to nursing positions on other hospital floors and departments.

- COVID-19 restrictions have made in-patient cancer care more difficult for patients and their families. Many oncology nurses have become the main link between patients and their families.

- Oncology nurses are excellent resources for patients and caregivers for their latest medical results, information and doctor instructions.

- Oncology nurses spend many hours with their patients and create strong connections and close relationships.

Interesting In A Nursing Career at USA Health?
See more information here >>>

Resources:

University of South Alabama School of Nursing

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Never Miss an Episode
Please subscribe to The Cancering Show

Want us to deliver The Cancering Show to your email inbox?
Let us know by contacting Dr. JYP at cancering.com.

Thanks for listening to The Cancering Show, brought to you by USA Health Mitchell Cancer Institute.

Please subscribe, rate and review The Cancering Show wherever you listen to your favorite podcasts.

Until next time, be healthy, happy and always thriving.

USA Health Mitchell Cancer Institute

The Cancering Show is brought to you by USA Health Mitchell Cancer Institute. MCI is a cutting-edge cancer research and treatment center built to fight cancer smarter in Mobile and Baldwin counties in Alabama. Our researchers and clinicians focus daily on the struggle against cancer, serving a potential catchment population of more than 4.1 million people, with a singular focus of advancing cancer diagnosis, treatment, and prevention throughout the Gulf Coast and beyond with science, technology and hope.

Want to know more about the Mitchell Cancer Institute?

Visit us at usamci.com or search for us on Facebook, Twitter and Instagram.

Mitchell Cancer Institute is a member of USA Health.

To learn more about all of USA Health hospitals, clinics and services, visit usahealthsystem.com.

Statistically, Black women are more likely to develop aggressive forms of breast cancer and die from the disease than white women. And, unfortunately, for too many of our patients, this isn't a statistic; it's their lives. On this episode, Dr. JYP does a deep dive on health equity with Lori Pierce, M.D., a radiation oncologist and the new president of the American Society of Clinical Oncology, the preeminent association for cancer doctors. Health equity in cancer care is Dr. Lori Pierce's focus for her term as president of ASCO, and she shares her unique insights, perspectives and hopes for how the latest cancer treatments, clinical trials and breakthroughs are available to everyone in need.

Key Takeaways:

- No one should be denied care, or access to the best cancer care and treatment, regardless of race, economic status, religion, geography or gender.

- Physicians and medical leaders like Dr. Lori Pierce and ASCO are at the forefront of leveling the field for healthcare equity.

- Cancer does not discriminate. It affects all people regardless of race, religion or economic status.

- Physicians should avoid any preconceived patient biases and always offer the best cancer care and treatment options on a patient-by-patient basis.

Resources:

Dr. Lori Pierce

American Society of Clinical Oncology

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Never Miss an Episode
Please subscribe to The Cancering Show

Want us to deliver The Cancering Show to your email inbox?
Let us know by contacting Dr. JYP at cancering.com.

Thanks for listening to The Cancering Show, brought to you by USA Health Mitchell Cancer Institute.

Please subscribe, rate and review The Cancering Show wherever you listen to your favorite podcasts.

Until next time, be healthy, happy and always thriving.

USA Health Mitchell Cancer Institute

The Cancering Show is brought to you by USA Health Mitchell Cancer Institute. MCI is a cutting-edge cancer research and treatment center built to fight cancer smarter in Mobile and Baldwin counties in Alabama. Our researchers and clinicians focus daily on the struggle against cancer, serving a potential catchment population of more than 4.1 million people, with a singular focus of advancing cancer diagnosis, treatment, and prevention throughout the Gulf Coast and beyond with science, technology and hope.

Want to know more about the Mitchell Cancer Institute?

Visit us at usamci.com or search for us on Facebook, Twitter and Instagram.

Mitchell Cancer Institute is a member of USA Health.

To learn more about all of USA Health hospitals, clinics and services, visit usahealthsystem.com.

Have you ever wondered who would play you in a movie? On this episode, our guest Matthew Teague no longer has to wonder (It's Casey Affleck, by the way.) Matt's wife, Nicole, was diagnosed with ovarian cancer at the age of 34 while they were raising two daughters in Fairhope, Alabama. Following her death, Matt wrote about their cancer journey and about their close friend Dane, who upended his own life for more than a year to help them cope with Nicole's care. Published in Esquire magazine in 2015, Matt's story has become a star-studded movie, "Our Friend," which was released in January 2021. Have your Kleenex out and ready for this touching, beautiful and honest story of friendship and courage.

Key Takeaways:

- Caretakers can suffer and sacrifice with their loved ones on their cancer journeys.

- Hospice care needs to be discussed more as an option for all cancer patients and caregivers.

- You are not alone. Whether you are a cancer patient or a caregiver, there are services, support groups and advocates that can help with your recovery, hospice and mental health needs.

- Artistic expressions like writing, painting and music can be helpful ways for cancer survivors and grieving family members to sort out their feelings and grief.

Resources:

The Friend by Matthew Teague - Esquire 

Our Friend - Trailer 

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Never Miss an Episode
Please subscribe to The Cancering Show

Want us to deliver The Cancering Show to your email inbox?
Let us know by contacting Dr. JYP at cancering.com.

Thanks for listening to The Cancering Show, brought to you by USA Health Mitchell Cancer Institute.

Please subscribe, rate and review The Cancering Show wherever you listen to your favorite podcasts.

Until next time, be healthy, happy and always thriving.

USA Health Mitchell Cancer Institute

The Cancering Show is brought to you by USA Health Mitchell Cancer Institute. MCI is a cutting-edge cancer research and treatment center built to fight cancer smarter in Mobile and Baldwin counties in Alabama. Our researchers and clinicians focus daily on the struggle against cancer, serving a potential catchment population of more than 4.1 million people, with a singular focus of advancing cancer diagnosis, treatment, and prevention throughout the Gulf Coast and beyond with science, technology and hope.

Want to know more about the Mitchell Cancer Institute?

Visit us at usamci.com or search for us on Facebook, Twitter and Instagram.

Mitchell Cancer Institute is a member of USA Health.

To learn more about all of USA Health hospitals, clinics and services, visit usahealthsystem.com.

Who would have believed when we launched The Cancering Show over a year ago that we'd be talking about a real-life pandemic during Season 2? For cancer patients, either in treatment or after treatment, it's a really scary time. And social distancing sure makes all of our lives even more complicated. On this episode, Dr. JYP talks with Dr. Michael Chang, the chief medical officer for USA Health. He gives us his unique perspective on COVID-19, where we are with the vaccine, and his thoughts on preventative screenings for those with cancer and other chronic conditions.

Key Takeaways:

- Hospitals have been highly effective in ensuring that they are safe from spreading COVID-19 infections to their patients and staff.

- Make sure you are getting your cancer screening tests, making all physician and follow-up visits and going to the hospital for any immediate health issues and complications.

- Preventing health issues is much easier than dealing with a problem once it has run its course.

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Never Miss an Episode
Please subscribe to The Cancering Show

Want us to deliver The Cancering Show to your email inbox?
Let us know by contacting Dr. JYP at cancering.com.

Thanks for listening to The Cancering Show, brought to you by USA Health Mitchell Cancer Institute.

Please subscribe, rate and review The Cancering Show wherever you listen to your favorite podcasts.

Until next time, be healthy, happy and always thriving.

USA Health Mitchell Cancer Institute

The Cancering Show is brought to you by USA Health Mitchell Cancer Institute. MCI is a cutting-edge cancer research and treatment center built to fight cancer smarter in Mobile and Baldwin counties in Alabama. Our researchers and clinicians focus daily on the struggle against cancer, serving a potential catchment population of more than 4.1 million people, with a singular focus of advancing cancer diagnosis, treatment, and prevention throughout the Gulf Coast and beyond with science, technology and hope.

Want to know more about the Mitchell Cancer Institute?

Visit us at usamci.com or search for us on Facebook, Twitter and Instagram.

Mitchell Cancer Institute is a member of USA Health.

To learn more about all of USA Health hospitals, clinics and services, visit usahealthsystem.com.

On this special episode, Dr. J.Y.P. has a candid discussion with her friend and U.S.A. Health Mitchell Cancer Institute colleague Dr. Casey Daniel. Dr. Daniel's unique perspective from being a cancer survivor, researcher and now a supportive and concerned aunt of a cancer patient makes her the best guest to end the first season of the Cancering Show. Hear her amazing and inspirational personal history and experiences with cancer that led her to work with Dr. J.Y.P. and their research in cancer prevention at the Mitchell Cancer Institute. Enjoy the show and thanks for listening to the first season of the Cancering Show.

Key Takeaways:

> Dr. Casey Daniel is passionate and focused on never giving up her fight personally and professionally with cancer.

> Cancer affects everyone and touches every person. We are all in this fight together.

> Cancer survivorship has its own set of challenges to manage and live with.

Dr. Daniel Says:

Cancering is a verb. It's a journey. It's become a passion; it's become our lives. And it's something that I will spend the rest of my life focused on, impassioned about, and I'm never going to give up the cancer fight. - Dr. Casey Daniel 

Research shows that patient experiences are getting better from better treatments, more targeted treatments, more specific treatments. - Dr. Casey Daniel 

During treatment, I used to look forward to getting mail every day because I got something - a card or a package or something - and it just made me feel so loved. - Dr. Casey Daniel 

Never Miss an Episode

Please subscribe to the Cancering Show.

Like us on Facebook

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Thanks for listening to the Cancering Show, brought to you by USA Health Mitchell Cancer Institute.

Please subscribe, rate and review the Cancering Show wherever you listen to your favorite podcasts.

Until next time, be healthy, happy and always thriving.

Sponsor

The Cancering Show is brought to you by USA Health Mitchell Cancer Institute at the University of South Alabama. MCI is a cutting-edge cancer research and treatment center built to fight cancer smarter in Mobile and Baldwin counties in Alabama. Our researchers and clinicians focus daily on the struggle against cancer, serving a potential catchment population of more than 4.1 million people, with a singular focus of advancing cancer diagnosis, treatment, and prevention throughout the Gulf Coast and beyond with science, technology and hope.

Want to know more about the Mitchell Cancer Institute?

Visit us at usamci.com or search for us on Facebook, Twitter and Instagram.

Mitchell Cancer Institute is a member of USA Health.

To learn more about all of USA Health hospitals, clinics and services, visit usahealthsystem.com.

On this episode, Dr. JYP talks with Dr. Ron Franks, professor and chair of psychiatry at the USA College of Medicine, about dealing with the fear and anxiety that can be a side effect of a cancer diagnosis. Plus, he shares some common tactics patients can use to help get through this phase of their cancer journey. A cancer diagnosis can produce the same effects as PTSD, and if these feelings are not managed, they can have detrimental results in treatment success and quality of life.

Patients and their physicians need to recognize any abnormal
behavioral changes and determine if any excessive anxiety and
depression are a physiological reaction to their treatment, or
something more. To curtail the psychological issues of a cancer
diagnosis, patients need to surround themselves with a positive and caring team of family and friends who will help them in their cancer fight. If there is a more significant problem, their physician can look into pharmaceutical treatment options or schedule an appointment with a counselor or other mental health professional.

Key Takeaways:

Fear is a natural response to a real threat. Anxiety is an exaggerated fear that doesn't fit with what the facts tell you.

Chemotherapy changes the brain chemistry of a patient and can increase the chance of depression, anxiety, and other mental health conditions.

Post-Traumatic Stress Disorder (PTSD) is a common phenomenon with the diagnosis of cancer.

A patient needs to feel a sense of some control as opposed to being controlled by the cancer.

Whether a patient uses fight or control, they don't need to feel like a passive victim.

A cancer patient needs to have a supportive team of optimistic family, friends, physicians, medical staff, and possibly cancer survivor support groups.

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Thanks for listening to the Cancering Show, brought to you by USA Health Mitchell Cancer Institute.

Please subscribe, rate and review the Cancering Show wherever you listen to your favorite podcasts.

Until next time, be healthy, happy and always thriving.

The Docs Said:

To a patient, living with cancer can be similar to the concept of having a tiger behind them.

I try to help my patients to see cancer as a nuisance, not something that's going to control their lives, but something they just have to put up with as they go about living their lives.

Fatigue comes as much from the psychological as the physical - chemotherapy and radiation - that takes a toll on the patient.

Cancer patients don't have a guarantee. Unfortunately, life doesn't give us guarantees.

Sponsor

The Cancering Show is brought to you by USA Health Mitchell Cancer Institute at the University of South Alabama. MCI is a cutting-edge cancer research and treatment center built to fight cancer smarter in Mobile and Baldwin counties in Alabama. Our researchers and clinicians focus daily on the struggle against cancer, serving a potential catchment population of more than 4.1 million people, with a singular focus of advancing cancer diagnosis, treatment, and prevention throughout the Gulf Coast and beyond with science, technology and hope.

Want to know more about the Mitchell Cancer Institute?

Visit us at usamci.com or search for us on Facebook, Twitter and Instagram.

Mitchell Cancer Institute is a member of USA Health.

To learn more about all of USA Health hospitals, clinics and services, visit usahealthsystem.com.

This is a special edition of The Cancering Show. Dr. Jennifer Young Pierce and guest Dr. Jennifer Scalici discuss some of the most critical and unique information concerning the novel coronavirus (COVID-19) outbreak and how it relates explicitly to cancer patients and their cancer treatment. The pandemic is a serious health situation, especially for anyone with any pre-existing medical conditions, including patients currently diagnosed with cancer and undergoing chemotherapy, radiation and immunotherapy. While this is an anxious time for the medical profession and patients, knowing the vital information, following the prescribed hygiene guidelines, maintaining social distancing and being vigilant about our overall health, will help us get through this time together. Stay healthy, be kind to others and stay strong.

Key Takeaways




> Consult your physician about any upcoming cancer treatments, surgeries and routine appointments.



> MCI wants to reduce COVID-19 exposure for cancer patients when the urgency of a surgical procedure is not imperative.



> Overall outcomes and survival rates depend on maintaining and finishing your cancer treatments.



> If you are having COVID-19 symptoms, our recommendation is to stay home, stay indoors, self-quarantine and call your doctor for further instructions.



> If you are feeling well and your treatments are going well, consult your physician and consider rescheduling your appointments one to three months out.



> MCI patients can come to the Mitchell Cancer Institute safely and expect that they will not encounter any symptomatic employees or patients in our facilities.


The Docs Said:




MCI buildings are secure and symptom-free. A patient can come to the cancer center safely and expect that they will not encounter any symptomatic employees or patients at the cancer center. - Dr. JYP



We have a visitor policy, one visitor per patient; those visitors are also screened in person at the door. It's an effort to protect both our patients and our staff. - Dr. Scalici



If you are having symptoms, the recommendation is to stay home, stay indoors, self-quarantine and call your doctor for further instructions because most instructions after that will depend on your health and medical history. - Dr. Scalici



There are some cases where we don't have the option to postpone surgery. If so, we're going to continue at that point to do those time-sensitive surgeries in more urgent cases. - Dr. Scalici



It becomes tough to start new immunotherapy in the face of a potential pandemic like COVID-19. - Dr. Scalici



Once you start radiation treatment, you want to finish radiation. Overall outcomes and survivals really depend on that. - Dr. Scalici



There are no plans to halt radiation, so from start to finish, we want to stay within the prescribed period because people do better. - Dr. Scalici



I think it's very reasonable for patients to stay home and socially distance themselves. We're asking those patients to stay home and can keep in close contact with us to let us know how they're doing. - Dr. JYP



We know that if you've had any medical problems before, the COVID-19 risk is probably a little bit higher. This risk is not truly specific to cancer. - Dr. Scalici



Grandparents, maybe it's time to visit the grandkids via Facetime. - Dr. Scalici



Limit your exposure to others, and if you have to be out, maintain a six-foot space away from other people. - Dr. JYP



Take advantage of the technology to connect with your friends and family, but please take the social distancing guidelines and warnings seriously. - Dr. Scalici

Never Miss an Episode

Please subscribe to the Cancering Show.

Like us on Facebook

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Let us know by contacting Dr. JYP at cancering.com.

//////

Thanks for listening to the Cancering Show, brought to you by USA Health Mitchell Cancer Institute.

Please subscribe, rate and review the Cancering Show wherever you listen to your favorite podcasts.

Until next time, be healthy, happy and always thriving.

Sponsor

The Cancering Show is brought to you by USA Health Mitchell Cancer Institute at the University of South Alabama. MCI is a cutting-edge cancer research and treatment center built to fight cancer smarter in Mobile and Baldwin counties in Alabama. Our researchers and clinicians focus daily on the struggle against cancer, serving a potential catchment population of more than 4.1 million people, with a singular focus of advancing cancer diagnosis, treatment, and prevention throughout the Gulf Coast and beyond with science, technology and hope.

Want to know more about the Mitchell Cancer Institute?

Visit us at usamci.com or search for us on Facebook, Twitter and Instagram.

Mitchell Cancer Institute is a member of USA Health.

To learn more about all of USA Health hospitals, clinics and services, visit usahealthsystem.com.

On this episode, Dr. JYP talks hormone therapy with Dr. Teja Poosarla, a medical oncologist at USA Health Mitchell Cancer Institute. Hormones can aid the growth of cancer cells; so adding, blocking or removing a patient's hormones can help cure or prevent the spread and the recurrence of certain cancers, especially breast and prostate cancers. Dr. Poosarla explains how this use of systemic drugs delivered to the body instead of the cancer cells directly, can be a powerful and effective cancer treatment option. Plus, listeners can learn about the tests needed to determine treatment, the drugs frequently used, and the most common side effects of this cancer treatment option.

Key Takeaways:

> Hormone therapy is an important tool used to treat patients who have cancer, especially breast and prostate cancers.

> Hormone therapy is not just reactive to cancer; it can also be proactive for patients who know that they are at an increased risk.

> Have an educated discussion with your physicians even before the development of breast cancer to know if you are eligible for hormone therapy.

The Docs Said:

If you are at a high risk of breast cancer, or have a strong family history of breast cancer, talk with your doctor to see if you're eligible for hormone therapy to help prevent breast cancer. - Dr. Teja Poosarla
 
Most people believe that hormone therapy is not a real cancer therapy because it seems to be so benign, and it doesn't have the side effects that you would think of with chemotherapy. - Dr. Teja Poosarla
 
Taking birth control pills can decrease your risk for ovarian cancer by up to 50 percent. - Dr. Jennifer Young Pierce
 
Hormone therapy is an excellent weapon in our arsenal, and it's a great tool that we have to fight cancer. - Dr. Teja Poosarla

Never Miss an Episode

Please subscribe to the Cancering Show.

Like us on Facebook

Want us to deliver the Cancering Show to your email inbox?
Let us know by contacting Dr. JYP at cancering.com.

//////

Thanks for listening to the Cancering Show, brought to you by USA Health Mitchell Cancer Institute.

Please subscribe, rate and review the Cancering Show wherever you listen to your favorite podcasts.

Until next time, be healthy, happy and always thriving.

Sponsor

The Cancering Show is brought to you by USA Health Mitchell Cancer Institute at the University of South Alabama. MCI is a cutting-edge cancer research and treatment center built to fight cancer smarter in Mobile and Baldwin counties in Alabama. Our researchers and clinicians focus daily on the struggle against cancer, serving a potential catchment population of more than 4.1 million people, with a singular focus of advancing cancer diagnosis, treatment, and prevention throughout the Gulf Coast and beyond with science, technology and hope.

Want to know more about the Mitchell Cancer Institute?

Visit us at usamci.com or search for us on Facebook, Twitter and Instagram.

Mitchell Cancer Institute is a member of USA Health.

To learn more about all of USA Health hospitals, clinics and services, visit usahealthsystem.com.

Studies have shown that if you're on a clinical trial, your survival and cancer outcome are actually better than just having standard care.- Dr. Rod Rocconi

Every significant cancer discovery has come from a clinical trial and the patients who have paid it forward to participate. On this episode, Dr. JYP and Dr. Rodney Rocconi, interim director of USA Health Mitchell Cancer Institute, discuss the process, purpose, benefits and misunderstandings about cancer clinical trials. Dr. Rocconi explains this critical therapeutic and research tool that is essential to understanding and battling cancer on a personal and systemic level. A clinical trial involves testing new treatments, whether it is a new drug or a new combination of older therapies.

It's the patients themselves who hold the greatest benefit when we hit those singles and doubles, and hopefully home runs in our clinical trials. - Dr. Rod Rocconi

Find out why Dr. Rocconi and Dr. JYP are proponents and fans of clinical trials and how clinical trials can provide the best care for patients in accordance with MCI's research mission.

Key Takeaways

– Clinical trials/studies are a standard of care, plus something extra that we hope will give an additional benefit to the patient.

– The first consideration of any clinical trial is always: first, do no harm.

– Every major discovery we've had in cancer has come on the shoulders of a clinical trial.

– Clinical trials improve care and treatment options for other current patients and those down the road.

– Patients are actually receiving treatment; we're trying to determine which regimen is better for that patient.

– Be in charge of your health care, and be an advocate for yourself.

The Docs Said:

The advantage of being at Mitchell Cancer Institute and other academic cancer centers is that you may be invited to participate in a clinical trial. - Dr. Rod Rocconi

We classify any type of patient research in two categories, one of which is what we call clinical research. The second is clinical trials. - Dr. Rod Rocconi

A clinical trial doesn't always mean something new. It could be an older medication that we are trying in a new way. - Dr. Rod Rocconi

Every major discovery we've had in cancer has come on the shoulders of a clinical trial. And that's a testament to the patients who are actually participating in them. - Dr. Rod Rocconi

The patient benefit is getting something new and different that we think might work better than our current treatment strategy. - Dr. Rod Rocconi

We're here to listen to our patients, listen to their concerns, talk about clinical trials -- which ones are good for them, which ones might not be good for them -- and help them through their cancer journey. - Dr. Rod Rocconi

Never Miss an Episode

Please subscribe to the Cancering Show.

Like us on Facebook

Want us to deliver the Cancering Show to your email inbox?
Let us know by contacting Dr. JYP at cancering.com.

//////

Thanks for listening to the Cancering Show, brought to you by USA Health Mitchell Cancer Institute.

Please subscribe, rate and review the Cancering Show wherever you listen to your favorite podcasts.

Until next time, be healthy, happy and always thriving.

Sponsor

The Cancering Show is brought to you by USA Health Mitchell Cancer Institute at the University of South Alabama. MCI is a cutting-edge cancer research and treatment center built to fight cancer smarter in Mobile and Baldwin counties in Alabama. Our researchers and clinicians focus daily on the struggle against cancer, serving a potential catchment population of more than 4.1 million people, with a singular focus of advancing cancer diagnosis, treatment, and prevention throughout the Gulf Coast and beyond with science, technology and hope.

Want to know more about the Mitchell Cancer Institute?

Visit us at usamci.com or search for us on Facebook, Twitter and Instagram.

Mitchell Cancer Institute is a member of USA Health.

To learn more about all of USA Health hospitals, clinics and services, visit usahealthsystem.com.

When I think about the future of cancer therapy, I tell medical students that somebody in their generation is going to say how silly we were that we gave chemotherapy and radiation therapy to cancer patients -- treatments that we knew harmed their immune system when what we should have been doing this whole time was immunotherapy. - Dr. Jennifer Young Pierce

Immunotherapy is a 180-degree change in the way physicians are looking at cancer. We are not focused just on the cancer but on the immune system that allowed the cancer to happen in the first place. - Dr. Moh'd Khushman 

In this episode, Dr. Pierce talks immunotherapy and targeted therapy with USA Health medical oncologist and hematologist Dr. Moh'd Khushman. Immunotherapy is a class of drugs that can help a patient's immune system to fight cancer cells much smarter than current chemotherapy. Cancer cells can turn off the immune system, and these new drugs can turn on the immune system to fight cancer. These drugs are full of hope and promise, and they are spreading in terms of usefulness to more and more cancer types and their treatments.

Key Takeaways

Immunotherapy is a class of drugs that help a patient's immune system to fight cancer. 

If your doctor or oncologist did not look at your genetic makeup, you need to discuss this with your doctors.

Sometimes genetic makeup can predict who would respond and who would not respond to therapy for a specific cancer.

Since 2010, we have witnessed an overwhelmingly increasing knowledge about immunotherapy.

Good candidates for immunotherapy have specific DNA mutations that have shown physicians that immunotherapy is going to work.

The biggest challenge and the unmet need of immunology are to figure out why some patients do not respond to immunotherapy.

Targeted therapy takes advantage of the differences between cancer cells and normal cells. It's not 100 percent precision, but for the most part, it's much more precise than chemotherapy.

The Docs Said:

Cancer cells can turn off the immune system. So immunotherapy drugs called immune checkpoint inhibitors modulate the immune system and can turn back on the immune system to fight cancer cells much smarter. - Dr. Moh'd Khushman 

Every cancer is so unique -- within the gastrointestinal cancer types and also with other cancers. Within the GI cancer types, we treat every cancer differently. - Dr. Moh'd Khushman 

Now I really look at the genetic makeup for every patient that I treat, because if they do have any targeted marker, I try to plan the treatment for that targeted biomarker. - Dr. Moh'd Khushman 

Your physician and your cancer doctor should be looking at either a biopsy or a surgery that removes a piece of the tumor and then sends that tumor to be tested with some genetic test. - Dr. Moh'd Khushman 

Never Miss an Episode

Please subscribe to the Cancering Show.

Like us on Facebook

Want us to deliver the Cancering Show to your email inbox?
Let us know by contacting Dr. JYP at cancering.com.

//////

Thanks for listening to the Cancering Show, brought to you by USA Health Mitchell Cancer Institute.

Please subscribe, rate and review the Cancering Show wherever you listen to your favorite podcasts.

Until next time, be healthy, happy and always thriving.

Sponsor

The Cancering Show is brought to you by USA Health Mitchell Cancer Institute at the University of South Alabama. MCI is a cutting-edge cancer research and treatment center built to fight cancer smarter in Mobile and Baldwin counties in Alabama. Our researchers and clinicians focus daily on the struggle against cancer, serving a potential catchment population of more than 4.1 million people, with a singular focus of advancing cancer diagnosis, treatment, and prevention throughout the Gulf Coast and beyond with science, technology and hope.

Want to know more about the Mitchell Cancer Institute?

Visit us at usamci.com or search for us on Facebook, Twitter and Instagram.

Mitchell Cancer Institute is a member of USA Health.

To learn more about all of USA Health hospitals, clinics and services, visit usahealthsystem.com.

In this episode, Dr. JYP talks with radiation oncologist Dr. Bill Hixson about the most mysterious cancer treatment – radiation -- and the role that a radiation oncologist plays. Dr. Hixson shares his views on patient care and explains how he works with an interdisciplinary team. Plus, they discuss the newest innovations in radiation treatment as well as side effects and how to manage them.

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Key Takeaways

- The radiation oncologist is the physician who leads the radiation treatment team.

- Radiation treatment planning determines how much radiation can be allowed for a patient. The radiation oncologist will keep that dosage as low as possible.

- Radiation treatment and chemotherapy can be used concurrently if the patient can tolerate the treatments and the plan fits their cancer treatment needs.

- Radiation therapy generally has fewer short-term side effects than chemotherapy, is painless, and will not make the patient radioactive.

- Communicate with your radiation oncologist and radiation team. Let them know of any side effects or discomfort you might experience after radiation treatment.

Resources:

Dr. William Hixson - Website

The Doc Said:

Radiation oncologists are the physicians who talk with the patients about their cancer, and how radiation can be incorporated into their treatments.  - Dr. Bill Hixson

Radiation oncologists help patients decide what to do; then they give the radiation treatments, and they follow up with the patient after treatment. - Dr. Bill Hixson

I always tell patients, “You won't be sick to your stomach, vomit (unless we’re treating your head) and you won't lose your hair.” - Dr. Bill Hixson

Radiation treatment will not make you radioactive, and you don't feel a thing. - Dr. Bill Hixson

What happens is in between each radiation treatment, the patient's normal cells can repair most of the damage caused by their cancer. - Dr. Bill Hixson

Most of the time, when we're giving radiation therapy and someone might need chemotherapy, that's when radiation therapy is the main treatment. The chemotherapy is going to make the radiation stronger. - Dr. Bill Hixson

We try to let patients know what the side effects might be and how we would approach managing those side effects.  Patients need to communicate how they are feeling with their doctors and radiation team. I want them to know that we're always available to help them. - Dr. Bill Hixson