The Cancering Show: Recent Episodes

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In this episode of The Cancering Show, Dr. JYP sits down with menopause specialist Dr. Constance Dabezies for a candid conversation about where cancer care and menopause meet. They talk about why menopause deserves real attention in survivorship, how cancer treatments can trigger or intensify symptoms, and what women can do to feel better. From hormone therapy to non-hormonal options and everyday lifestyle shifts, they walk through practical ways to manage symptoms.

The episode highlights the importance of personalized care, the latest evidence-based guidance from the Menopause Society, and the crucial role gynecologists play in supporting long-term wellness after cancer. Listeners also get tips on finding reliable information from trusted sources such as menopause.org.

3 Key Takeaways 1. Menopause and cancer are deeply connected, especially for survivors. Dr. Dabezies points out that many cancer survivors are now living long, full lives after treatment, and spending a big part of that time in menopause. While menopause itself doesn't raise cancer risk (that's really about age), cancer therapies like chemotherapy or surgery can bring on menopause early and suddenly. That abrupt drop in estrogen can make symptoms more intense and raise long-term risks for heart disease and osteoporosis. It's a big reason midlife survivors need thoughtful, whole-person care.

1. Hormone therapy is safer and more Personalized than ever. The conversation clears up a lot of confusion around hormone therapy. Today's FDA-approved bioidentical hormones, which are covered by most insurance, are very different from older synthetic versions. For women without hormone-sensitive cancers, hormone replacement therapy can be a safe, effective way to ease significant menopausal symptoms. Even for women with hormone-sensitive cancers, there are newer non-hormonal treatments and localized estrogen options that can make a huge difference, especially for vaginal and urinary symptoms.

2. Gynecologists are key partners in survivorship and long-term wellness. Dr. Dabezies and Dr. JYP emphasize that gynecologists aren't just menopause experts; they're central partners in survivorship care. From cancer screenings and sexual health to bone strength, heart health, mental well-being, and lifestyle support, they help women navigate the full picture of post-cancer life. They encourage listeners to lean on expert guidance and use trusted resources like the Menopause Society for solid, evidence-based information.

Show Overview 00:00 Menopause Insights with Dr. Dabezies

05:08 Estrogen Loss and Menopause Effects

09:30 Vaginal Estrogen and Systemic Therapy

10:41 Non-Hormonal Menopause Treatment Options

14:59 Memory Issues and Estrogen Loss

16:30 Holistic Approach to Wellness

22:27 Osteoporosis Treatment Strategies

24:26 Gynecologist: Key to Women's Health

26:45 Women's Health Holistic Approach

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In this episode, Dr. JYP talks with Mary Lucy Mattei, a nurse practitioner specializing in gynecologic oncology, all about chemotherapy basics: "Chemo 101." They explain what chemotherapy is, why it's used, and what patients can expect during treatment. Mary Lucy shares practical advice on what to wear and what to bring on the first infusion day. She covers common side effects such as fatigue, nausea, constipation, hair loss, and nerve problems, and provides guidance on how to manage them.They discuss the emotional impact of losing hair and explore options such as wigs, scarves, and even eyebrow tattooing. Mary Lucy also talks about ways to prevent and treat neuropathy and stresses the importance of staying hydrated and keeping a normal routine as much as possible. Both encourage patients to ask questions and reach out for support.

3 Key Takeaways 1. Chemo education and patient support are essential

Mary Lucy Mattei, a nurse practitioner in gynecologic oncology at theUSA Health Mitchell Cancer Institute, emphasizes the importance of thorough chemotherapy education tailored to each patient's needs. She provides a compassionate environment where patients and their families can ask questions, clarify details about their diagnosis and treatment plan, and get practical advice. This approach helps demystify the treatment process, reduce anxiety, and prepare patients both mentally and physically for what's ahead.

1. Manage side effects through proactive care The episode highlights common chemotherapy side effects, such as fatigue, nausea, constipation, hair loss, and neuropathy. Mary Lucy and Dr. JYP discuss strategies for minimizing side effects, including using pre-medication to reduce or prevent nausea or allergic reactions, over-the-counter remedies for constipation, and employing supportive measures such as ice packs to help prevent neuropathy. They remind patients to report concerning symptoms so that care teams can intervene right away.

2. Emotional support and lifestyle continuity matter

Beyond the medical aspects, the episode addresses the emotional challenges of chemotherapy, including how to prepare for what many patients fear most: hair loss. Resources such as wig fittings, support volunteers, and even tattoo artists for brow or nipple restoration are shared as ways to help cancer patients maintain their sense of self. Importantly, they encourage patients to continue living their lives, maintaining their work, daily routines, and social engagement as much as possible to foster a sense of normalcy and emotional resilience during treatment. As Mary Lucy says, “This is a bump in the road.”

Show Overview 00:00 Comforting Patient Consultations

04:32 Patient Chemotherapy Start Guide

08:02 Chemotherapy and Pre-Medication Overview

10:36 Chemo Effects: Fatigue and More

15:30 Patient Communication and Treatment Scheduling

18:45 Wig Resources for Cancer Patients

22:03 Planning for Chemo Cycles

25:17 Cold Capping in Chemotherapy

26:59 Preventing Neuropathy

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In this episode of The Cancering Show, host Dr. Jennifer Young Pierce talks with Dr. Rebecca Perkins, a nationally recognized expert in cervical cancer prevention, about the latest updates in HPV testing and cervical cancer screening. They emphasize that HPV (human papillomavirus) is linked to virtually all cervical cancers (and several other cancers in men and women), and that testing for high-risk HPV is better at catching problems early compared with the traditional Pap test. The episode highlights new self-collection kits, in which patients can collect their own sample, usually at a doctor’s office, to make screening easier without a pelvic exam. However, if the test result is positive, the patient will need to follow up with a doctor for further tests. Home testing kits are also being introduced, but they’re not widely available yet. The main takeaway is that knowing your HPV status is crucial for preventing cervical cancer, and self-collection options will make screening more accessible for many people in the future. Listeners are encouraged to talk to their doctor about the best screening option for them and to always follow up after a positive test. Resources such as the American Cancer Society’s “Screening Tests for Cervical Cancer” and cervicalrisk.com are recommended for more information.

3 Key Takeaways 1. HPV testing is more effective than the Pap test alone.
The conversation emphasizes that HPV causes the vast majority of cervical cancers (99.7%), making HPV testing a critical component of early detection. Dr. Perkins explains that HPV testing can detect about 90% of pre-cancers and cancers, compared to roughly 70% with Pap tests. Because of its higher sensitivity, HPV testing can be done less frequently while still providing strong protection.


1. Self-collection for HPV testing expands access to screening.
Self-collection kits for HPV testing, which allow patients to collect their own samples in a clinic setting without a pelvic exam, are becoming more available.This approach encourages cervical cancer screening for individuals who may avoid or delay pelvic exams and helps integrate screening into primary care, family medicine, and even mobile clinics. While at-home kits are still not widely available, in-clinic self-collection is currently a promising step toward improving screening rates.


2. Follow-up after a positive HPV test is essential.
If a patient tests positive for high-risk HPV, especially types 16 or 18, it is important to follow up with additional testing or procedures, such as colposcopy, to check for pre-cancerous changes.The episode stresses that no one who tests positive for high-risk HPV should wait longer than one year for further evaluation, underlining the importance of timely follow-up to prevent cervical cancer.


Show Overview 02:17 Meet Rebecca Perkins, MD, MSc

03:11 HPV test vs. Pap test

04:55 Know your status

05:19 What to know if your HPV test is positive

08:39 HPV self-collection

10:48 Who should see a doctor for an exam?

14:00 Types of self-collection

18:50 HPV vaccine has reduced cervical cancer rates

20:28 Importance of follow-up after positive test results

21:15 When will home self-collection be available?

24:12 Where to find out more

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In this episode of The Cancering Show, Dr. JYP welcomes certified oncology yoga instructor Michelle Ryan-Day to discuss the transformative impact of yoga for cancer patients and survivors. Michelle shares her journey into oncology yoga, emphasizing its evidence-based benefits, including reducing recurrence risk, managing treatment side effects such as fatigue and neuropathy, and supporting emotional health. The conversation highlights the accessibility of chair-based yoga tailored for all fitness levels, the power of the breath, and the importance of self-compassion in healing. Listeners also get a bonus: a 60-second guided breath exercise to try out yoga’s self-care benefits. Check out yoga4cancer.com for more yoga info!

3 Key Listener Takeaways 1. Yoga is accessible and beneficial for cancer patients and survivors

Michelle Ryan-Day emphasizes that yoga — especially oncology-specific, chair-based yoga — is accessible for everyone, regardless of physical limitations or where they are in their cancer journey. Oncology yoga classes are designed to be safe and effective, taking into account common cancer treatment side effects such as fatigue, lymphedema, neuropathy, and low bone density. The focus is not on advanced poses, but on gentle movement, community, and adapting practices to individual needs so that anyone can participate and experience the benefits. 2. Evidence supports yoga's role in recovery and survivorship

Dr. JYP notes that yoga is a well-studied intervention, supported by hundreds of studies and recommended by reputable organizations such as the American Cancer Society. Practicing yoga regularly can help treat symptoms including fatigue, emotional distress, and physical limitations. It may also reduce the risk of cancer recurrence and enhance long-term health and survivorship, making it a valuable, low-cost addition to cancer care.

1. Mindfulness and breathwork play a vital role in healing

They discuss the transformative power of awareness, especially through breathwork and mindfulness. Learning to control and be mindful of one's breath can regulate the nervous system, reduce anxiety, and promote feelings of well-being and self-compassion. Michelle walks listeners through a simple breathing exercise, demonstrating how breath can be an immediate tool for physical and emotional balance. This focus on mindfulness promotes not only physical recovery but also the emotional healing and self-acceptance crucial to cancer survivorship.

Show Overview 02:05 Meet Michelle Ryan-Day

03:28 “When the student is ready, the teacher will appear.”

05:30 A different kind of yoga

09:30 Who can benefit from oncology yoga?

13:30 Special considerations for cancer patients and survivors

15:08 Learn to love yourself and your body

19:50 60-second breath exercise for listeners

23:00 What cancer patients say about oncology yoga

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In this episode, Dr. JYP talks with Dr. Natalie Bath, M.D., a USA Health surgical oncologist, about a new groundbreaking cancer treatment for liver tumors called histotripsy. Histotripsy is a non-invasive technology that uses high-intensity sound waves to break up liver tumors without surgery, incisions or long recovery times. Patients go under general anesthesia, and the machine delivers sound waves to the cancer cells while the physician uses imaging to monitor the treatment. Most people go home the same day and recover quickly, needing only over-the-counter pain medication. This treatment works for different types of liver tumors, including those that have spread from other cancers, and it doesn’t require people to stop blood thinners. Histotripsy is FDA-approved for liver tumors and offers hope for patients who might not have other options. This episode encourages patients to ask their doctors about all possible treatments and to keep learning more about their choices.

3 Key Listener Takeaways

Groundbreaking, Non-Invasive Liver Cancer Treatment

The episode introduces histotripsy, an exciting new technology that uses focused ultrasound waves from outside the body to destroy liver tumors in a non-invasive manner. This innovative approach preserves surrounding liver tissue and offers an option for patients who might not be candidates for surgery.

Eligibility and Patient Benefits

Histotripsy can be used to treat both primary liver cancer and metastatic cancers from other sites. It's especially promising for patients who are not surgical candidates or who are on medications like blood thinners that would otherwise complicate surgery. With minimal recovery — often just a same-day or next-day discharge — patients experience less downtime and can continue other therapies, such as chemotherapy or immunotherapy, without interruption.

Expansion of Treatment Options and Ongoing Research

The episode highlights how histotripsy adds to the arsenal of cancer care, offering hope and additional options, especially for those who previously had few. It is FDA-approved for liver tumors, with ongoing research exploring its use for kidney, prostate, and pancreatic cancers. Patients are encouraged to advocate for themselves, ask about new technologies, and seek out multimodal therapies that combine traditional and emerging treatments for the best possible outcomes.

Show Overview

00:45 Introduction to histotripsy, a groundbreaking, non-invasive treatment for liver tumors

01:26 Meet Dr. Natalie Bath

02:20 First adopter in Alabama

03:15 What patients can expect

04:55 Who is a candidate?

07:49 Benefits of non-invasive treatment

10:45 FDA approved for liver tumors

15:05 Potential uses for histotripsy

16:45 Where to learn more

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In this episode, Dr. JYP welcomes back Dr. Thomas Butler, a seasoned oncologist who specializes in supportive oncology. Dr. Butler shares his journey from humble beginnings and a fascination with science to a career in cancer care, emphasizing the importance of addressing both the physical and emotional needs of patients. He discusses the distinction between palliative and supportive care, advocating for an approach that supports patients throughout their cancer journey — not just at the end of life. Dr. Butler also offers personal insights from his own cancer diagnosis, reflecting on what he has learned regarding trust, honesty, spirituality, and quality of life. Listeners will hear practical advice for navigating cancer care and the value of a compassionate, team-based approach.

3 Key Listener Takeaways 1. Supportive care in oncology is essential and distinct from palliative care


Dr. Butler emphasizes the importance of supportive care, which focuses on alleviating the complications and side effects of cancer and its treatments. Unlike palliative care, which is often associated with end-of-life scenarios, supportive care is meant for patients at any stage of their cancer journey. Its goal is to address not just physical symptoms like pain and fatigue, but also emotional needs, ensuring patients don't have to suffer unnecessarily while undergoing treatment.

1. The value of listening and building trust between doctor and patient


A recurring theme throughout the conversation is the critical role trust and honest communication play in cancer care. Dr. Butler encourages patients to be open about their symptoms and concerns, highlighting that withholding information for fear of losing treatment options can hinder proper care. The relationship between oncologists and patients should be built on mutual respect and understanding, with doctors aiming to know the person and not just the disease.


1. Personal experience deepens provider empathy and influences care


Dr. Butler shares his journey from being an oncologist to becoming a cancer patient, which has profoundly impacted his outlook and practice. Experiencing cancer firsthand gave him a new perspective on the reality of side effects, the emotional burden of a diagnosis, and the importance of quality of life. This dual perspective has made him even more empathetic toward his patients and has reinforced his commitment to providing compassionate, holistic care where comfort and patient wishes are the top priorities.

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In this episode, Dr. JYP talks with Dr. J. Harrison Howard, a surgical oncologist who specializes in melanoma. Dr. Howard explains that not all skin cancers are the same, emphasizing that melanoma is more dangerous compared with basal cell and squamous cell carcinomas. He highlights the importance of detecting melanoma early, as it is the most dangerous form of skin cancer.

They discuss surgical and systemic treatment advancements, including the practice of sentinel lymph node biopsy and the game-changing benefits of immunotherapy. Dr. Howard says clinical trials are essential in improving treatment methods and increasing survival rates. He stresses the necessity of regular follow-ups for melanoma patients to catch any recurrence early. Lastly, Dr. Howard and Dr. JYP discuss skin cancer prevention, recommending sunscreen, protective clothing, and annual dermatologist visits to reduce the risk.

3 Key Takeaways 1. Diversity in skin cancer types: Not all skin cancers are created equal. Dr. Howard emphasizes the differences among various types of skin cancer, with a specific focus on melanoma. While basal cell carcinoma and squamous cell carcinoma are often treatable with surgery and have high cure rates, melanoma can quickly become life-threatening if not caught early. The depth of melanoma in the skin is critical, and it can spread and become fatal.

1. Advancements in melanoma treatment: There are exciting developments in both surgical and systemic treatments for melanoma. Dr. Howard talks about the trend toward less invasive surgery and the success of sentinel lymph node biopsy – developed by his late mentor, Dr. Donald Morton – as a significant advancement in minimizing side effects. Furthermore, systemic treatments such as immunotherapy are proving to be game-changing as they drastically improve survival rates for stage 4 melanoma.

2. Prevention and follow-up: The importance of prevention and regular monitoring is heavily emphasized. Sunscreen, protective clothing, and regular skin check-ups are crucial in reducing the risk of skin cancer. Dr. Howard also underscores that once someone has had melanoma, the risk of another melanoma greatly increases, necessitating lifelong vigilance and regular dermatologist visits to detect any cancers or pre-cancers early.

Show Overview

00:00 Basal cell and squamous cell carcinomas

05:08 Melanoma increases future risk tenfold

07:43 Development of sentinel lymph node biopsy

12:17 Redefining melanoma surgery

15:49 Clinical trials explained

17:43 To clinical trial participants: “You’re a hero.”

22:34 SPF-infused clothing for sun protection, and more

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In this episode, Dr. JYP welcomes Margaret Wielbut, a trained art therapist who works with patients at the USA Health Mitchell Cancer Institute. Margaret delves into her personal journey, from discovering art therapy to implementing it in cancer care in Mobile, Alabama. She describes art therapy as a marriage between art and psychology, emphasizing its benefits for cancer patients in creating hope, reducing anxiety, and bringing purpose to the cancer journey.

She shares stories about how art can turn clinical spaces into environments of light and creativity. Sponsored by the Zoe Foundation, the MCI’s art therapy program is free to patients. Margaret highlights the therapeutic power of creativity and her aspirations for expanding art therapy, including group projects and involving families. For those without access to art therapy, she recommends engaging in personal creative activities to enrich the healing journey.

3 Key Takeaways 1. Healing power of art therapy: Art therapy is described as a fusion between art and psychology, offering emotional healing and a creative outlet, which can be particularly beneficial for those on a cancer journey. Margaret highlights how art therapy has brought joy, reduced anxiety, and helped patients create meaning and enjoyment during their treatment.

1. Impact on cancer patients: The episode emphasizes the positive impact of art therapy on cancer patients, even those who may initially seem closed off or disinterested in the projects. Through creative sessions, patients can experience emotional breakthroughs, improve their mood and find a sense of community, as witnessed in the interactions facilitated by Margaret at the MCI.

2. Expanding art therapy in cancer care: Margaret discusses the value of expanding art therapy programs, including initiatives for children, and ideas to enhance patient engagement with group projects and art displays. The art created by patients not only serves as a personal therapeutic process but also contributes to a positive atmosphere within the clinical cancer space for all to enjoy.

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In this episode, Dr. JYP welcomes medical oncologist and hematologist Dr. Daisy Escobar to discuss her background and her expertise in cancer diagnosis and treatment. Dr. Escobar shares her journey to the Mitchell Cancer Institute and talks about her family. The conversation focuses on cell-free DNA technology, also known as liquid biopsy, which is used primarily for cancer surveillance and monitoring. Dr. Escobar explains the benefits and limitations of this technology, including how it compares with traditional biopsies and its potential in early cancer detection. The conversation also covers the emotional aspects of cancer surveillance and the importance of patient autonomy in treatment decisions. Dr. Escobar emphasizes the importance of continual research and advancements in cancer diagnostics to improve patient outcomes.

3 Key Listener Takeaways 1. Introduction and implementation of liquid biopsy: Dr. Daisy Escobar explains that liquid biopsy, or cell-free DNA (cfDNA) technology, involves a simple blood draw used primarily to monitor treatment response and detect relapse or recurrence in cancer patients. Unlike traditional biopsies that require tissue samples, liquid biopsy offers a less invasive alternative for surveillance. The ease of monitoring is particularly beneficial for cancer patients who are frequently undergoing lab tests for other reasons. Dr. Escobar details the conditional nature of liquid biopsy’s current use, emphasizing its role in patient monitoring rather than initial cancer diagnosis.

1. Challenges and limitations: Despite its advantages, liquid biopsy is not without its challenges. Dr. Escobar mentions the necessity of comparing ctDNA with DNA from a previous biopsy. Additionally, certain conditions, such as a previous bone marrow transplant, may limit ctDNA effectiveness. Another significant challenge is the potential for emotional impact on patients due to "watchful worrying," knowing that while their markers may be rising, visible signs of cancer may not immediately appear on scans.

2. Potential and future of liquid biopsy: Dr. Escobar discusses the hopeful future of cfDNA technology, particularly for the early detection of ovarian and pancreatic cancers, which currently lack effective screening methods. Advancements in identifying specific ctDNA signatures for various cancers could revolutionize early detection and management, reducing the necessity for more invasive procedures. However, she underscores that while promising, the science has yet to fully catch up to the technology, and ongoing research is crucial.

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In this episode, Dr. JYP and State Health Officer Dr. Scott Harris discuss the intersection of infectious disease and cancer in Alabama. Dr. Harris shares insights into the state's cancer trends, including the impact of delayed screenings during the pandemic, and disparities in cancer outcomes based on geography and race. They discuss the collaborative efforts among state agencies, nonprofits, and medical communities to combat cancer. They also delve into Alabama's strategic initiative, Operation Wipe Out, aimed at eliminating cervical cancer through vaccination, screening, and treatment. Additionally, they emphasize the importance of lifestyle changes, regular screenings, and knowing one’s family medical history in preventing cancer. Dr. Harris encourages community involvement and awareness to improve cancer outcomes across Alabama. 3 Key Listener Takeaways 1. Impact of COVID-19 on cancer screenings: Dr. Scott Harris expresses concern over the interruptions in routine cancer screenings due to COVID-19. During the pandemic, many people postponed elective medical procedures, including crucial cancer screenings such as colonoscopies, mammograms, and pap tests. This delay has led to more advanced cancer diagnoses and poorer outcomes. 2. Disparities in cancer outcomes: Dr. Harris highlights significant disparities in cancer outcomes based on geographic location, race, and socioeconomic status. Black residents and those who live in rural areas face a higher risk of developing cancer and dying from the disease. This suggests that social determinants such as access to healthcare, economic opportunity, and education play a significant role in cancer outcomes. 3. Operation Wipe Out and cancer prevention: Operation Wipe Out is a strategic plan to eliminate cervical cancer through vaccination, screening, and timely treatment. The initiative underscores the importance of the HPV vaccine, which can drastically reduce the risk of cervical cancer in women and several other cancers in both men and women. Public health efforts also focus on educating healthcare providers and the public about cancer prevention and available screening programs, particularly in underserved rural areas.

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In this heartfelt episode of The Cancering Show, Dr. JYP welcomes back Chaplain Kim Crawford Meeks to discuss the complexities of celebrating the holidays while dealing with cancer. They explore the bittersweet nature of the season, emphasizing the importance of modifying expectations, planning ahead, and cherishing moments with loved ones. Chaplain Kim shares practical advice on managing emotions, supporting family members, and including children in celebrations. They also discuss commemorating a loved one who is no longer present, and ensuring everyone feels valued and included. Whether it's about adjusting holiday plans or creating meaningful memories, this episode offers valuable insights for cancer patients and their families navigating the festive season. Happy holidays from The Cancering Show team.

3 Key Episode Takeaways

Adjust expectations: The holidays may not be the same as they always have been, and that’s OK. Modify your expectations and find new traditions that bring joy.

Plan ahead: Create multiple plans (A, B, C) to accommodate fluctuating energy levels and unexpected changes. This helps to reduce stress and ensures you have fallback options.

Embrace emotions: Allow yourself and your loved ones to feel and express emotions freely. Whether it's sadness, anger, or joy, acknowledging these feelings can lead to more meaningful holiday experiences. Also, don't forget to take photos and videos to capture these precious moments!

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In this episode, Dr. JYP speaks with Leah Phillips, a nonsmoker diagnosed with stage 4 non-small cell lung cancer in 2019. Leah emphasizes the importance of self-awareness and self-advocacy in health, sharing her journey from initial misdiagnosis to targeted therapy success. Despite an initial prognosis of six to 12 months to live, Leah has surpassed expectations with a targeted drug that led to significant tumor reduction and stability for over four years. Leah discusses her participation in clinical trials, the benefits of multimodal therapy, and her role in the Young Lung Cancer Initiative. For more about Leah, see her blog, "Unfiltered Life: A Mother’s Stage IV Lung Cancer Journey."

3 Key Episode Takeaways

Trust your instincts: Leah's insistence on further testing, even when initial medical opinions downplayed her symptoms, led to a crucial diagnosis. Her advocacy for her health underscores the importance of listening to your body and pushing for answers when something just feels wrong.

Value of targeted therapies: Leah's treatment journey with a targeted therapy has been remarkable. Her primary tumor shrank by 70%, and she has maintained stability for more than four and a half years. Her journey highlights the transformative impact of advancements in cancer treatment.

Advocacy and positivity: Maintaining a hopeful outlook and actively participating in cancer research and communities such as the Young Lung Cancer Initiative have been vital for Leah. They've empowered her to fight her battle, and provide solidarity and support to others facing similar challenges.

Show Overview

03:11 Leah's husband survived cancer; then she develops symptoms.

06:44 Her symptoms persist, despite treatment for various conditions.

09:55 Leah is admitted to the hospital with pneumonia but improves with steroids.

15:14 Leah is diagnosed with stage 4 non-small cell lung cancer.

15:56 How can a nonsmoker develop lung cancer?

21:36 Multimodal therapy includes chemo, radiation, and surgery.

28:26 Targeted therapies offer promise of a longer life.

30:04 Leah embraces acceptance and lives life fully.

35:05 A blogger, Leah also founded the Young Lung Cancer Initiative.

36:37 Leah's resilience should inspire us all.

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In this episode, Dr. JYP and guest Susan Crutchfield discuss the complexities of tobacco addiction and strategies for quitting smoking. They highlight the importance of nonjudgmental support, individual motivations ("your why"), and the availability of various medications and therapies. The dangers of vaping, especially among youth, are also covered, emphasizing nicotine's addictive nature and health risks. The Great American Smokeout is promoted as an event that encourages smoking cessation through peer-to-peer engagement. The significance of early lung cancer detection, particularly through low-dose CT scans, is discussed, alongside lifestyle changes to reduce cancer risk. The episode underscores the need for continued research, prevention, and early detection in the fight against lung cancer.

3 Key Episode Takeaways

1. Compassionate approach: Encourage tobacco users to quit with a nonjudgmental approach, perhaps with personalized medications and therapies.

2. Youth and vaping concerns: Vaping is not only harmful, but it is also a gateway to traditional smoking, with significant health risks. Early interventions and targeted messaging can help curb this trend.

3. Great American Smokeout: Engage in the Great American Smokeout event to support smoking cessation. Sign a pledge to quit smoking or motivate someone else to take the first step.

Show Overview

01:23 Everyone knows someone who has had lung cancer.

09:00 Quitting smoking is hard, but resources can help.

11:02 One woman’s “why” was to live to enjoy her grandchildren.

14:47 Many people don’t realize that nicotine itself is a carcinogen.

17:19 The Great American Smokeout is coming to the University of South Alabama. 21:30 Who should get screened for lung cancer, and how? 25:24 Screenings and small behavior changes can make all the difference. 26:55 New drugs bring hope for many lung cancer patients.

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Dr. JYP concludes a three-part series focused on understanding the most common medical reports received by Cancering patients. This episode delves into pathology reports and how patients can use them to better understand their condition. Dr. JYP describes the key elements of pathology reports and defines terms such as "benign," "malignant," “carcinoma,” and “sarcoma.” She discusses how detailed reports from biopsies aid in staging cancer and the implications for treatment options. She reminds listeners that pathology reports should always be discussed with a doctor, and that reviewing a report ahead of time can help a patient decide what questions to ask.

Key Episode Takeaways

• How to identify the location and type of tissue biopsied

• Key vocabulary terms: benign, malignant, carcinoma, and sarcoma

• Understanding the difference between grades of cancer cells

• The critical role of lymph or vascular space invasion

• Factors considered in TNM staging

Show Overview

02:20 Pathology reports can be distressing, but don’t starting Googling just yet.

05:17 Metastatic cancer is cancer that has spread from somewhere else.

06:22 Grade refers to how the cells look under a microscope.

07:45 Comments section may provide insight into the cancer’s origin.

10:28 The pathologist details cancer staging factors and criteria.

12:30 Regardless of stage, there’s always a treatment option.

14:08 Use your report to craft questions for your physician.

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Dr. JYP continues a three-part series focused on understanding the most common medical reports received by Cancering patients. In this second episode, she discusses blood chemistry panels. She explains common abbreviations suck as BNP (basic metabolic panel) and CNP (comprehensive metabolic panel), guiding listeners through key components including sodium (NA), potassium (K), magnesium (MAG), kidney function tests (BUN and creatinine), and glucose levels. She discusses the importance of understanding normal ranges, the potential causes for abnormalities and the most common questions patients ask their doctors.

3 Key Episode Takeaways

1. The basics of metabolic panels: Learn the abbreviations and symbols for NA (sodium), K (potassium), and MAG (magnesium), and how they relate to your overall health.

2. Kidney function explained: Understand the importance of BUN and creatinine levels, and what they can indicate about your hydration status and kidney health.

3. Liver function and more: Get insights into ALT, AST, and bilirubin levels, and learn about the significance of albumin and glucose in your metabolic panel.

Show Overview:

02:15 What to know about results within the normal range and outside the range.

4:40 How could I be dehydrated from drinking too much “free water?”

06:15 How your kidneys manage sodium, potassium and magnesium.

09:18 Numbers that indicate pre-diabetes or result in an immediate diagnosis of diabetes.

12:01 Liver function tests and what they mean.

15:59 Hemoglobin A1C measures blood glucose levels over the past three months.

19:00 Check out the previous episode of reviewing CBC results. Next up, pathology reports.

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Dr. JYP kicks off a three-part series focused on understanding the most common medical reports received by Cancering patients. In the first episode, she discusses the basics of the Complete Blood Count, or CBC, which shows levels of white blood cells, red blood cells and platelets, highlighting the implications for high or low counts, especially for cancer patients. She also addresses treatments and precautions for those with low blood counts, urging listeners to feel empowered to understand their lab reports and to ask questions of their healthcare providers. 3 Key Episode Takeaways

1. Understanding your CBC: Dr. JYP breaks down the importance of the white blood cell count (WBC), red blood cell count (RBC), and platelets (PLT) — what these numbers mean and why they matter in the context of cancer treatment.

2. Patient portals matter: Learn why signing up for a patient portal is important for managing your health records, ensuring effective communication with your healthcare team, and staying informed about your test results.

3. Empower yourself with knowledge: From recognizing signs of infection to understanding anemia and its treatments, Dr. JYP arms you with the information you need to confidently discuss your lab results and their ramifications with your doctor.

Show Overview:

01:23 Welcome to the series: How to Read Your Lab Results. 04:32 Communicating with your care team on a patient portal. 10:16 When your numbers say wear a mask and avoid crowds. 11:35 What critically low neutrophils can mean. 16:58 Everything you wanted to know about anemia. 19:39 Platelets and chemotherapy and time. 22:27 Cutting-edge cancer research at the Mitchell Cancer Institute.

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In this episode, Dr. JYP talks with USA Health urologist Dr. Christopher Keel, D.O about prostate cancer and men's health. They start by weighing the reasons for why some men avoid seeing a physician and discuss how the advent of Viagra for erectile dysfunction helped motivate many men to go to a doctor’s office. Dr. Keel highlights the importance of screening for prostate cancer starting at age 40 or 45 depending on family history. He explains how robotic surgery has improved treatment outcomes and reduced side effects.

Dr. Keel also explores the usefulness of genetic testing for high-risk patients and how new drugs are revolutionizing cancer treatment. He and Dr. JYP stress the importance of maintaining a healthy weight to reduce cancer risk. Dr. Keel discusses the option of active surveillance for managing low-grade prostate cancer, pointing out that not every diagnosis requires immediate treatment. They wrap up by emphasizing the importance of getting checked during September, Prostate Cancer Awareness Month. The key message: Get those check-ups, because early detection saves lives.

3 Key Episode Takeaways 1. Changing attitudes about screening: PSA (Prostate-Specific Antigen) testing is crucial for early detection of prostate cancer; yet many men avoid screening due to fear or misconceptions about the test and potential diagnosis. This episode encourages men to use football season in September as a reminder to take care of their health and make an appointment to get tested.

1. Advancements in prostate cancer treatment: Technological advancements such as the use of robotics in prostatectomies and the development of targeted therapies like PARP inhibitors and PSMA PET scans have revolutionized prostate cancer treatment. These innovations have made treatments less invasive and significantly reduced side effects such as erectile dysfunction and urinary incontinence. The use of genetic testing for personalized treatment plans is also a key point, showcasing a shift toward more individualized care. 3. Lifestyle factors affect prostate cancer risk: Obesity is linked to a higher incidence of prostate cancer – as well as other types of cancer. Healthier lifestyle choices such as following a Mediterranean diet and incorporating regular exercise is suggested not only for reducing cancer risk but also for improving overall health, including erectile function.

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In this episode of the Cancering podcast, Dr. JYP discusses how to avoid illnesses such colds, flu, and COVID while undergoing cancer treatment. She offers practical tips such as handwashing, using up-to-date hand sanitizer, and avoiding others who are ill. Dr. JYP gives advice on when to wear a medical mask and when to use an N95 to reduce the risk of infection. She also talks about the importance of home testing for COVID and flu, as well as when to call the doctor's office for certain symptoms.

This episode covers the usefulness of supplements such as vitamin D and zinc, which can help boost immunity, but warns against high doses of vitamin C during cancer treatment. Dr. JYP also mentions the potential benefits of chicken soup, which can help alleviate respiratory symptoms. Finally, she emphasizes the importance of self-care and staying hydrated.

3 Key Takeaways

1. Hygiene and Avoidance: Dr. JYP emphasizes the importance of basic hygiene practices such as washing hands thoroughly with antibacterial soap or using hand sanitizer. She stresses the necessity of avoiding close contact with people who are sick, even if that means declining invitations.

2. Effective Mask Usage: Dr. JYP stresses the need to wear a medical mask or N95 during periods of low immunity related to chemotherapy cycles – particularly in higher-risk environments such as airplanes. She comments on the effectiveness of cloth masks, medical masks and N95s for preventing the spread and contraction of viral illnesses.

3. Supplements and Nutrition during Cancer Treatment: Dr. JYP provides clear guidance on the use of dietary supplements and nutrition. While vitamin D and zinc can be beneficial in boosting the immune system and aiding recovery, she cautions against high doses of vitamin C during active cancer treatment as it can interfere with cancer medication. She also recommends chicken soup, which has been shown to have mucus-thinning properties and other health benefits during respiratory illnesses.

Show Overview

02:00 Key rules: Wash hands and avoid people who are sick.

03:21 Limit large group exposures and wear a mask.

06:48 Home testing and preventive medication to stay out of the hospital.

11:03 Why high doses of vitamin C can interfere with cancer treatment.

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In this episode, Dr. Jennifer Young Pierce interviews Rev. Christopher Williams Sr., pastor of Yorktown Missionary Baptist Church, about the struggles and resilience of Africatown, Alabama. Rev. Williams highlights the powerful impact of community support and the opening of the Africatown Heritage House Museum. He discusses high rates of cancer in his congregation and the area, and environmental concerns related to a now-closed industrial plant. Despite frustrations, local advocacy has led to positive changes, including new community resources to improve the lives of residents.

Rev. Williams shares personal stories about the impact of cancer on families and the role of faith in healing. He also describes how his community, founded by formerly enslaved people, built a thriving society that flourished for years. The episode concludes with a call for continued support, research and restoration for Africatown.

3 Key Takeaways 1. Community Advocacy and Empowerment: Rev. Christopher Williams emphasizes the empowering impact of having support and advocacy for the Africatown community. He also describes successful efforts to add new resources, such as a business center and food bank.

1. Cancer and Environmental Justice: There is a significant focus on the high rates of cancer and other health issues observed in Africatown. Rev. Williams' personal anecdotes about church members affected by cancer highlight the toll that serious illness takes on a congregation and a community, and the need to learn more about the root causes of these health problems.

2. Africatown’s Historical and Cultural Significance: Africatown's rich history, founded by enslaved people who built a thriving community, is prominently featured. Despite this, the community has struggled with population loss and economic decline over the years. Recently, Africatown has gained prominence as an important heritage site featured in books and the documentary “Descendant.”

Show Overview

02:00 Meet Rev. Christopher Williams, Africatown pastor and advocate.

03:16 After conducting funerals, Rev. Williams surveys the community about cancer.

05:40 Africatown represents world and American history.

08:08 Recollections of life near a busy paper mill.

10:29 New resources and new homes in Africatown.

15:05 Families affected by cancer and a preacher's responsibility.

22:20 Rev. Williams asks us to support each other in prayer, faith, love.

24:57 Resources to learn more about Africatown.

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In this episode, Dr. JYP talks with Ashley McCrary, a mother of four and survivor of ocular melanoma. Diagnosed in 2012, Ashley recalls that two of her college friends from Auburn University had also suffered from this rare eye cancer. She tells the story of having her right eye removed and how she later learned that the cancer had spread to her liver. Despite her devastating diagnosis, Ashley shares how she stays positive and finds purpose through her faith and intentional interactions with fellow eye cancer survivors and others. She talks about her foundation, Eye On Grace, which helps fund travel for cancer patients needing treatment. Ashley has participated in a clinical trial in Philadelphia for three years, significantly reducing the number and size of her tumors. She also introduces the Eye Patch Challenge to raise awareness and funds for research. Ashley's heartwarming relationships with her doctors, nurses and an Uber driver highlight the importance of community support. Dr. JYP highlights Ashley's resilience and dedication to making the most of every day, proving that even in the face of a tough diagnosis, maintaining a positive outlook and helping others can make a big difference.

Enjoy this inspirational show!

3 Key Takeaways - The power of sweet friendships: Ashley values meeting new people and making connections on the cancer journey. Her acquaintances, such as Uber drivers, nurses and restaurant regulars, became fast friends and supporters over time. We all benefit by being intentional in our interactions and by taking the opportunity to positively impact the lives of others.

• Investigating ocular melanoma cases: The unique grouping of ocular melanoma cases in Auburn, Alabama, and elsewhere garnered national attention, which has led to ongoing research to identify potential environmental factors and advance global research collaborations.

• Supporting the fight against cancer: Focusing on the needs of others can be very beneficial for cancer survivors. Ashley raises funds to support fellow cancer patients through her Eye On Grace Foundation. Hear about her plans for the Eye Patch Challenge and her drive to aid others in their cancer battles.

Show Overview

02:15 Ashley's delayed response to a black spot on her eye

09:26 Unusual case attracts national attention, prompts research

10:26 49 Ocular melanoma cases linked to Auburn, Alabama

14:19 Diagnosed with metastatic disease

20:01 Participating in clinical trial and finding a silver lining

22:49 Getting access to crucial medical treatment

26:03 Eye Patch Challenge for cancer awareness

28:33 Support and friendships on the way to the airport

33:27 Inspiration and Eye on Grace project

Never Miss an EpisodePlease 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.

USA Health Mitchell Cancer InstituteThe 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.

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In this episode, Dr. Jennifer Young Pierce focuses on the importance of building a strong cancer care team. She explains the roles of various medical team members, including medical oncologists, radiation oncologists, surgical oncologists, and different types of nurses and nurse practitioners. She also highlights nonmedical support staff like social workers, nutritionists, and counselors. Dr. JYP emphasizes the value of relying on your caregivers and fellow patients for support, and the need to inform primary care doctors and other specialists about your cancer diagnosis. She briefly discusses alternative therapies, advising caution and open communication with oncologists about any such treatments. The goal of the cancer team is to provide comprehensive support to help patients feel like themselves and achieve the best possible outcomes in their cancer journey.

Enjoy this information-packed episode.

3 Key Takeaways 1. Comprehensive Cancer Team: Learn about the different types of oncologists (medical, radiation, and surgical), and their distinct roles in your cancer care journey. Understanding these roles can help you better navigate and utilize your care team.

1. Essential Support Services: Discover the crucial nonclinical team members who can provide significant support, such as nurse navigators, financial counselors, nutritionists, social workers, and more. These professionals can help ease the burden of non-medical concerns.

2. Inclusivity of Care: Remember your existing healthcare providers, and keep them in the loop so that everyone is on the same page for your cancer treatment and beyond.

Show Overview 02:39 Introduction of the types of doctors and their roles on your cancer team.

05:39 Nurses and nurse practitioners are integral to your care.

08:13 Cancer center services include navigators and medical support.

13:42 Support groups provide helpful advice and mentorship for cancer patients.

17:47 If needed, ask the team for help with anxiety and depression. Some alternative therapies, such as acupuncture, can relieve discomfort in cancer patients.

19:48 JYP cautions against using herbal supplements for cancer treatment.These should always be cleared by the cancer team.

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In this episode of The Cancering Show, Dr. JYP discusses the importance of cancer patients taking extra precautions during summer activities. She explains the sensitivity of chemotherapy patients' skin to sunburns and advises using mineral sunscreen and protective clothing. Dr. JYP also highlights the risks of swimming in certain types of water, the importance of proper head and hair care, and the need for hydration and avoiding strenuous activities in the heat. She offers other practical tips for those who are traveling, gardening, fishing and picnicking. Don’t worry; cancer patients can still enjoy most summer activities as long as they follow a few simple guidelines.

3 Key Takeaways 1. Sun Protection for Cancer Patients: Chemotherapy can make the skin more sensitive, increasing the risk of sunburn. Cancer patients should use a sensitive-skin, nontoxic sunscreen and wear SPF-protective clothing and hats to avoid sun damage, especially on areas such as the scalp and the tops of feet.

1. Hydration and Heat Protection: Cancer patients undergoing treatment are at a higher risk for dehydration and heat stroke. It's crucial to stay hydrated by consuming water and electrolyte replacement drinks, taking breaks in the shade, and watching for signs of fatigue. To prevent complications, avoid strenuous activities in extreme heat.

2. Food Safety for Cancer Patients: Chemotherapy can weaken the immune system, making cancer patients more susceptible to foodborne illnesses. Patients should avoid raw oysters and uncooked seafood, and other foods like cold cuts or mayonnaise-based salads that could harbor harmful bacteria, especially in a picnic setting. Prioritize fresh, well-cooked foods to reduce the risk of infections and illness.

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.

USA Health Mitchell Cancer InstituteThe 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.

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In this episode, Fred Neubauer, a stage 4 cholangiocarcinoma survivor, shares his inspiring journey with Dr. JYP. Fred’s rare bile duct cancer was discovered during imaging for a kidney stone. Facing a challenging diagnosis, he explored advanced treatments, including chemotherapy, radiation, and innovative clinical trials, which helped shrink his tumors. Despite the difficulties, Fred remains hopeful and proactive in managing his cancer. Dr. JYP emphasizes the significance of biomarker testing, which helped Fred access treatments tailored specifically to his cancer's characteristics. Fred discusses his advocacy work, highlighting how helpful it is for patients to access their medical records easily and participate in clinical trials to find the best possible care and advance the science for others.

Throughout the episode, Fred talks about maintaining a positive outlook and staying active in his hobbies, such as DIY projects and car restoration. The episode highlights how personal determination, along with medical advancements, can transform cancer treatment, providing hope and improving the quality of life for those diagnosed with rare cancers.

3 Episode Key Takeaways 1. Importance of Biomarker Testing: Fred Neubauer's conversation with Dr. JYP highlights the crucial role of biomarker testing in accessing targeted therapies that have significantly impacted his treatment for cholangiocarcinoma, a rare bile duct cancer. He emphasizes the need for cancer patients to pursue such testing to tailor treatments specifically to their genetic cancer profiles, which can lead to more effective disease management and better outcomes.

1. Value of Clinical Trials: The episode underscores the value of participating in clinical trials, especially for patients with rare and advanced stage cancers. Clinical trials offer access to the latest treatments and technologies, such as histotripsy and other targeted therapies that are not yet widely available but can be life-saving.

2. Support and Advocacy: Fred Neubauer's journey from receiving a dire prognosis to becoming an expert in his own care and a patient advocate serves as a powerful testament to the importance of support, education, and advocacy. His story inspires those who are Cancering to be proactive in their healthcare, seek out resources like the Cholangiocarcinoma Foundation, and engage in community and mentorship programs to improve their health and quality of life.

Fred's Resources

https://www.ciitizen.com/https://www.genomicfocus.com/ https://cholangiocarcinoma.org/

fredneub@bellsouth.net

Show Overview 02:00 Fred, a five-year bile duct cancer survivor, shares his journey.

06:13 Stage 4 cancer, but tumors shrink.

08:02 Fred insists on biomarker testing for targeted treatment.

15:41 Genomic Focus helps find cancer clinical trials.

22:25 Fred values relationships with doctors and staff.

29:27 Fred's shares his hobbies as a DIYer, and celebrates his wife's birthday.

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In the episode, Dr. JYP delves into the heart of living with, and beyond, brain cancer with Michelle Matthews. Michelle shares her husband Matt's journey with glioblastoma and how they remained hopeful throughout the diagnosis and treatment. Despite the challenges, they cherished every moment together and found solace in support from their loved ones and community. Michelle also stresses the importance of self-care and the role of caregivers in cancer treatment and survivorship. Dr. JYP emphasizes the significance of shared experiences and compassionate care in the cancer journey. Ultimately, the episode celebrates the tenacity of the human spirit in the face of cancer's challenges and offers support and guidance to those who are navigating the difficult terrain of cancer caregiving and grief.

3 Episode Key Takeaways 1. Cherish Every Moment and Seek Support:

Michelle Matthews emphasizes the importance of valuing the time spent with loved ones, appreciating every shared experience, whether big or small, and the significance of leaning on support systems while cancering. She shares her personal story, highlighting how focusing on quality of life and support, including from strangers, helped her and Matt navigate his terminal glioblastoma diagnosis. It's a poignant reminder of the power of community and the strength found in togetherness.

1. Navigating Grief with Self-Care and Connection:

The episode underscores the need for caregivers to take time for personal grief and recovery. Michelle reflects on her own coping mechanisms, such as dining with friends and journaling, and advises caregivers to watch out for negativity online. She found solace in connecting with others who faced similar losses, reinforcing that finding relatable support can be crucial for emotional well-being.

1. Advocacy and Informed Treatment Choices:

Michelle's story conveys a powerful message about patient advocacy and informed decision-making. Faced with a terminal diagnosis and limited treatment options, Michelle and Matt consulted with their beloved oncologist, who encouraged them to explore treatment at Duke University. The narrative encourages second opinions and clinical trials, highlighting the importance of staying informed and being proactive.

Show Overview 02:15 Unexpected love story blossoms from a workplace friendship.

03:39 Matt's lifelong connection to newspapering

07:28 Devastating news: brain tumor, possible glioblastoma

11:39 Michelle admires Matt's courage during his illness.

16:14 His oncologist encourages seeking second opinions.

19:53 Indulging in the little things improves quality of life.

24:12 Weekly dinners with a friend helps during tough times.

29:26 Avoid taking on others' emotional burdens.

32:17 Michelle felt lucky to work from home during Matt's treatment.

34:33 Michelle shares her reflections on grief.

37:30 Michelle and Matt's love story, and advice for others.

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In this episode, Dr. JYP talks with licensed clinical social worker Stephanie Broussard about the importance of patients sharing their wishes regarding palliative and end-of-life care. Broussard stresses the need to include a social worker as part of the cancer care team from the point of diagnosis to address emotional distress. She explains that palliative care, which focuses on relief from the symptoms and stress of a serious illness, is different from hospice care, which is a Medicare benefit and service for those with a terminal diagnosis.

Broussard shares why it's vital for everyone, even young adults, to have a plan for the person who will make medical decisions on their behalf. She stresses the importance of having conversations about what matters most to us in our care, especially when we are faced with a serious illness. Dr. JYP shares her own wishes to encourage listeners to think and talk about their end-of-life care goals and intentions. They conclude the episode with the agreement that advance care planning is “an act of love.”

3 Episode Key Takeaways 1. The Crucial Role of Advanced Care Planning:

Stephanie Broussard underscores the importance of advanced care planning as a necessary step to empower both patients and their families in making informed decisions regarding end-of-life care. This is an ongoing conversation that centers around identifying personal goals, values, and priorities, ensuring that one's wishes are respected and that these discussions are recognized as acts of love that unite families during challenging times.

1. Distinguishing Palliative Care and Hospice:

Broussard clarifies that while hospice care is a form of palliative care designed for individuals with a terminal prognosis of six months or less, palliative care in itself is broader and can benefit anyone with a serious illness, regardless of their stage of disease or age. The conversation with Dr. Jennifer Young Pierce delves into how palliative care encompasses the management of emotional, physical, and spiritual distress, aiming not just to alleviate symptoms but to improve overall quality of life for patients and their families.

1. The Role of Social Workers and the Need for Comprehensive Palliative Care:

The episode explores the specialized role and training required for social workers within the domain of palliative care, with an emphasis on the necessity for a more comprehensive palliative care intervention. There's a discussion about how reactive versus proactive integration of social work can affect outcomes, advocating for a holistic approach where every team member, including social workers, is involved from the beginning to manage symptoms, provide support to caregivers, and address psychosocial needs.

Show Overview 01:21 Palliative care explained 04:12 Social worker Stephanie Broussard addresses emotional suffering in patients. 11:34 Different roles for social workers involved in palliative care 15:13 Hospice focuses on a person’s quality of life. 20:18 Advance care planning is an ongoing process. 21:16 Importance of advance directives and conversations with family 25:21 Discussing end-of-life care and medical power of attorney 28:45 Broussard shares insights on palliative care and planning

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In this episode, Dr. JYP talks with Gina Gregory, a breast cancer survivor and a second-time Cancering Show guest. Gina shares her journey five years after her initial diagnosis, discussing the difficulties of living with cancer and the side effects from treatment, such as receding gums and ringing ears. She is open about the challenges, as well as the strength and faith she gained along the way.

Gina offers advice on how survivors can manage their health after cancer, including eating a balanced diet (and finding a middle ground with organic foods), and making time for regular workouts. Having celebrated five years of survivorship, she continues to take her medication and stay healthy. She also highlights the importance of finding support, maintaining humor and connecting with others.

Hear More From Gina GregoryCancering Show EP5: Warrior Princess Gina Gregory

3 Episode Key Takeaways 1. Embracing Survivorship with a Balanced Approach:

Gina Gregory shares her journey as a five-year cancer survivor, emphasizing the long-term nature of Cancering. She touches on the importance of a balanced diet that isn’t solely focused on “natural” foods, and the need for regular workouts. Survivorship is a process, she says, involving a combination of medical follow-ups, maintaining a positive mindset, and making wise lifestyle choices.

1. The Power of Community and Openness:

Gina openly discusses the challenges she faced during and after her treatment, including unexpected side effects, such as receding gums and tinnitus, and her coping strategies, such as weightlifting to build strength and humorous storytelling for emotional resilience. She also underscores the value of having shared her experiences on Facebook Live, which provided catharsis and engaged her community. Gina and Dr. JYP also discuss the necessity of staying connected with healthcare professionals and support networks to fend off online misinformation about cancer and survivorship.

1. Advancements in Cancer Care and Long-Term Impact:

The latest advancements in cancer treatments, such as immunotherapy, have significantly improved the outlook for patients and the quality of survivorship. Gina expresses gratitude for the care she received at the USA Health Mitchell Cancer Institute and speaks about her current activities, including her role on the Mobile City Council. This episode underscores how cancer survivors can find strength and a new perspective on life during the journey.

Show Overview

02:23 Adjusting and forgetting: The new normal emerges

05:05 Surviving cancer treatment, dealing with side effects

06:33 Sharing the Cancering journey publicly

11:40 Post-diagnosis focus on healthy eating and exercise

15:04 Experiencing side effects, but managing well

16:43 Diagnosis and treatment, facing the whirlwind and moving forward

19:27 Immunotherapy and new medications

24:36 Staying vigilant, remaining positive and trusting the professionals

27:30 Supportive colleagues during the illness

29:24 Valuable advice for cancer patients

Never Miss an EpisodePlease 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.

USA Health Mitchell Cancer InstituteThe 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.

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In this Cancering episode, Dr. JYP is joined by oncologist Dr. Ayesha Munir as they tackle the complex and crucial topic of breast cancer and health disparities. Together, they explore the impact of socioeconomic status on health inequalities, the challenges faced by different racial groups in accessing breast cancer screening, and the concerning prevalence of triple-negative breast cancer among African American women.

They discuss the research into the biological underpinnings of triple negative breast cancer and the promising developments in immunotherapy. This is an episode you won't want to miss as we unravel the layers of breast cancer, health disparities, and the path forward toward equitable healthcare access and improved outcomes.

3 Episode Key Takeaways

1. Health disparities significantly impact breast cancer outcomes and require national-level solutions and equitable healthcare access. African American women have a higher risk of triple negative breast cancer, highlighting potential biological differences and the impact of systemic racism.

2. Immunotherapy shows promising results in improving outcomes for aggressive triple negative breast cancer.

3. Stress and cortisol levels may impact disease biology, particularly in the Black population.

Show Overview

01:00 Focus on immunotherapy breakthroughs.

04:35 Interest in health disparities, focusing on breast cancer.

07:53 Health disparities awareness and support for communities.

13:02 Improving outcomes amid breast cancer disparities.

16:36 Research suggests biological differences, with impact from systemic racism.

20:01 Progress in breast cancer treatment includes immunotherapy.

21:08 Immunotherapy improves outcomes for triple negative breast cancer patients.

32:15 Importance of providing financial relief for patients.

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In this episode, Dr. Jennifer Young Pierce talks with guest Barbara Boone, who shares her journey with endometrial cancer and how gardening has helped her through the tough times. Barbara emphasizes the benefits of gardening, such as stress relief, a sense of achievement and being part of a nurturing gardening community. Even during her cancer treatment, Barbara stayed positive by focusing on daily achievements and supporting others.

Dr. JYP points out the need for cancer patients to take safety precautions in the garden, such as wearing a mask to protect against harmful microbes. They also discuss the value of enjoying nature and the impact of wildlife in gardens. Barbara learned to ask for help during her cancer battle and stresses the significance of support groups like the Sisterhood of Survivorship, which was created especially for GYN cancer survivors. The conversation concludes by recognizing the importance of emotional healing and the positive changes that can emerge during a cancer journey.

Enjoy the show!

3 Key Takeaways

1. Therapeutic Benefits of Gardening:

Barbara Boone shares her firsthand experience of the therapeutic effects of gardening during her cancer treatment, highlighting how daily activities such as weeding and caring for her vegetable garden provided a sense of accomplishment and normalcy. Gardening has been shown to boost mood, promote immunity, and provide a healthy distraction for cancer survivors. Dr. JYP adds the importance of safe gardening tactics, especially for those with compromised immune systems.

1. The Importance of Community and Support:

Barbara’s journey underscores the significance of community involvement and support groups for emotional healing for those who are cancering. She discusses the importance of the Master Gardener program and the Sisterhood of Survivorship (SOS) support group, revealing how connecting with these communities helped her cope with her endometrial cancer diagnosis and treatment. Both Barbara and Dr. JYP emphasize the need for patients to seek out resources that can be helpful and supportive.

1. Adapting and Giving Back:

Throughout the episode, Barbara emphasizes how her cancer diagnosis changed her, leading to an increased desire to give back to the community. Even during her most challenging times, she found ways to contribute, whether through the Master Gardener program, compiling a newsletter or mentoring other patients. Barbara and Dr. JYP discuss how such efforts to contribute and support others can aid in a patient's own healing process and foster a sense of purpose and positivity.

Never Miss an EpisodePlease 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.

USA Health Mitchell Cancer InstituteThe 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.

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In the latest episode of The Cancering Show, Dr. Jennifer Young Pierce delves into the topic of cancer as a chronic disease. It's a thought-provoking discussion that challenges our understanding of cancer and survivorship.

Dr. Pierce emphasizes that cancering is not just a phase or a battle to be won, but an ongoing journey that requires long-term management and adaptation. She shares insights on the concept of cancer as a chronic disease and its implications for patients, survivors and caregivers.

3 Key Episode Takeaways

1. Chronic Disease: Dr. Pierce emphasizes that cancer is an ongoing activity, and for most patients, it is a chronic disease even after the initial treatment. This highlights the need for long-term follow-up, potential maintenance medications, and ongoing management.

2. Lifestyle Impact: For cancer patients, lifestyle changes like getting more sleep, reducing stress, stopping smoking, changing eating habits, and adding more exercise can positively impact the outcome of cancer treatment and decrease the chances of recurrence.

3. New Normal and Survivorship: Dr. Pierce encourages patients to embrace the concept of a "new normal" after cancer treatment, acknowledging that there may be chronic changes but also the opportunity to see life in a brighter, more joyful way. It's about thriving in the new normal and living the best life possible.

Never Miss an EpisodePlease 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.

USA Health Mitchell Cancer InstituteThe 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.

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In today's episode, Dr. Jennifer Young Pierce is joined by the brave and resilient Haley Orillion, who shares her powerful story of undergoing risk-reducing surgeries after learning she carries a BRCA gene mutation. From the societal pressures she faced to the emotional aftermath of her surgeries, Haley opens up about her experiences and ongoing challenges. Dr. Pierce guides us through Haley's journey, emphasizing the importance of support and advocacy, and breaking down complex information for listeners. Join us as we delve into the emotional and practical aspects of genetic mutations, survivorship, "previvorship," and their impact on individuals and families. This episode is brought to you by the USA Health Mitchell Cancer Institute, the only academic cancer research and treatment facility on the upper Gulf Coast.

3 Key Takeaways

1. Genetic testing: Haley's decision to undergo genetic testing for a BRCA gene mutation underscores the importance of considering family history and seeking medical advice. Individuals with a family history of certain cancers can seek genetic testing and counseling to assess their risk and make informed decisions about their health.

2. Societal pressures and beauty standards: The societal pressures Haley faced when making decisions about her surgeries highlight the need for support and understanding. It's essential to foster a culture that embraces diverse experiences and empowers individuals to make choices that align with their health and well-being.

3. Empowerment through sharing: Haley's journey illustrates the transformative power of sharing personal stories to support others facing similar challenges. By breaking down complex information and presenting options, she aims to make a difference and provides guidance for family members and individuals in similar positions.

Show Overview

01:31 Haley diagnosed with BRCA1 gene mutation.

05:21 Genetic testing guidelines for young adults explained.

09:09 BRCA gene mutations increase risk for certain cancers.

10:40 Genetic testing and recommended cancer screenings.

16:50 'Previvor' description resonates despite feelings of uncertainty.

22:18 Approaching family with empathy, information and support.

25:25 Sharing personal stories to help others heal.

27:40 Encouraging genetic testing for those who may be at risk.

Never Miss an EpisodePlease 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.

USA Health Mitchell Cancer InstituteThe 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.

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In this inspiring episode, we meet Hannah Adams, a 13-year cancer survivor and an extraordinary advocate for childhood cancer research. Hannah shares her story of overcoming cancer at a young age, her journey to becoming Miss Mobile Bay and her relentless pursuit of her dreams. Hannah's resilience and dedication are truly remarkable, from her experience lobbying in Washington, D.C., to founding the nonprofit H.U.G.S. 4 Childhood Cancer. Prepare to be moved by her inspiring journey and her message of hope and empowerment. Join us as we delve into Hannah's incredible story and her impactful work in the fight against childhood cancer. 3 Key Episode Takeaways 1. Relentless pursuit: Despite facing childhood cancer at age 5, Hannah relentlessly pursued her dreams. From lobbying for childhood cancer legislation to founding H.U.G.S. 4 Childhood Cancer, she has dedicated her life to making a difference. 2. Advocating for change: Hannah's advocacy work focuses on policy change and legislation for childhood cancer research funding. Her efforts have resulted in the approval of eight bills in eight state legislatures, securing $98.8 million in funding for this important cause. 3. Empowering future leaders: Through her involvement in the Miss America organization, Hannah demonstrates her passion for inspiring young women to pursue their dreams fearlessly. She serves as a shining example of leadership and resilience. Follow and Keep Up With Hannah Adams Instagram LinkedIn hannahleeadams.com

Show Overview

00:00 Meet Hannah Adams.

03:21 Hannah diagnosed with rare cancer, treated, now survivor.

08:58 Cancer diagnosis affects family unit, sibling included.

12:48 Advocating for childhood cancer policy change and funding.

16:58 Inspiring hospital visit with children battling cancer.

19:21 Received grant, raised awareness.

22:06 Women supporting women, inspiring next generation of leaders.

25:43 Supporting cancer research and treatment in Alabama.

Never Miss an EpisodePlease 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.

USA Health Mitchell Cancer InstituteThe 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.

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In this holiday special episode of The Cancering Show, Dr. Jennifer Young Pierce discusses the unique challenges that cancer patients face during the holiday season. Drawing on classic Christmas and holiday movies, she offers guidance on managing mixed emotions, navigating events, adapting to food restrictions, and providing support as a caregiver. Additionally, she addresses the financial hardships many cancer patients experience and emphasizes the gift of presence as the most meaningful present during the holidays. Throughout the episode, Dr. JYP extends support and encouragement to cancer patients, reminding them that they are not alone in their struggles. This episode is brought to you by the USA Health Mitchell Cancer Institute, dedicated to advancing cancer diagnosis, treatment, and prevention throughout the Gulf Coast and beyond. Happy holidays and enjoy this special episode. Happy Holidays and have a Happy New Year! Dr. JYP says: "Remember that your gift is your presence. You do not need to expend your energy on a single present for any person. Your friends and family just want you to be there and to be present fully, to really be in the moment and to enjoy your family members. Get your rest, conserve your energy, and then show up for those family events because they really just want you to be there with them." 3 Key Episode Takeaways - It's OK to have mixed emotions during the holidays. Seek joy in the little moments, and don't hesitate to ask for extra support from those who understand what you're going through. - Prioritize your safety and well-being. Whether it's attending events, dealing with food restrictions or experiencing financial hardships, know that it's OK to ask for help and make adjustments to accommodate your needs. - For caregivers, simplicity and being present are the most valuable gifts you can give. Children remember the moments, not the material things. Focus on spreading love and joy with lower stress this holiday season. Never Miss an EpisodePlease 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.

USA Health Mitchell Cancer InstituteThe 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.

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In this episode, Dr. Jennifer Young Pierce discusses mental health and its impact on cancer patients. She emphasizes the importance of addressing mental health concerns and seeking help, as they can affect the overall quality of life and even survival. Dr. Pierce explains that mental health encompasses external factors (such as basic needs and purpose) and internal factors (such as anxiety and depression). She advises patients to assess their ability to engage in daily activities and seek help if they cannot. The oncology team is a good starting point for support, as they have expertise in the unique relationship between mental health and cancer. Dr. Pierce also highlights the connection between depression and pain, and the importance of treating both. Red flags to watch out for include missing appointments, excessive tearfulness or anxiety, and isolating oneself Episode Takeaways 1. Mental health underlies every aspect of our lives, including our energy, focus, decision-making and even our ability to get out of bed. It is crucial to address and prioritize mental health when facing a cancer diagnosis. 2. Stress and anxiety are normal reactions to a cancer diagnosis. However, it's important to recognize when these feelings become overwhelming and hinder your ability to live your desired life. Don't hesitate to reach out for support and resources. 3. Your oncology team should be the starting point for addressing mental health concerns. Oncologists and their team are well-versed in the unique challenges of balancing mental health and cancer, and can provide a comprehensive approach to support you through your journey.

Show Overview

00:01:57 Mental health affects cancer survival, experience. 00:04:57 Navigators help cancer patients manage mental health. 00:06:42 Cancer center teams help navigate mental health. 00:11:33 Mental health in cancer treatment: Seek alternatives. 00:14:24 Cancer centers offer support programs for patients. Online groups and caregivers also have resources. 00:17:15 Depression and recurrence in cancer treatment.

Never Miss an EpisodePlease 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.

USA Health Mitchell Cancer InstituteThe 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.

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In this episode of The Cancering Show, Dr. JYP explores the topic of pain and its connection to cancer. She shares a powerful personal story highlighting the importance of addressing and managing pain in cancer patients. She also discusses the types of pain that can arise during the cancer journey, the difference between cancer pain and treatment pain, and when to communicate with your doctor about your pain. Dr. JYP also relates strategies for managing pain at home and the importance of finding the right pain relief methods. Join us as we delve into this crucial aspect of Cancering.

Key Episode Takeaways 1. Pain management is a top priority. Patients with cancer deserve the best possible experience with the least amount of pain and suffering. It is crucial for healthcare providers to prioritize pain management throughout the treatment journey. 2. Communication is key. Open and honest communication between patients and their healthcare team is essential in effectively managing pain. Patients should feel empowered to express their pain levels and concerns so that they receive appropriate treatment. 3. Layering pain medications is an important strategy. Rather than starting with the highest dose of a single medication, a layered approach to pain management can provide maximum relief with minimal side effects. Working closely with your healthcare provider, different pain medications can be combined to effectively manage pain.

Never Miss an EpisodePlease 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.

USA Health Mitchell Cancer InstituteThe 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.

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Welcome to another episode of The Cancering Show, where we demystify cancer and take away the fear surrounding its diagnosis and treatment. In this episode, Dr. JYP delves into the topic of nausea, which can be a side effect of cancer treatment. She addresses the various causes of nausea and explains how cancer treatments can affect the gastrointestinal tract. Dr. JYP also provides valuable advice on managing and treating stomach-related symptoms, including medication use and seeking guidance from healthcare providers. Additionally, she emphasizes the importance of staying in touch with your doctor and seeking help if symptoms persist or worsen. So, grab a cup of tea, sit back, and join us as we explore symptom and side-effects management in cancer treatment. Key Episode Takeaways 1. Nausea can be caused by various factors during cancer treatment, including GI tract slowdown, acid reflux, constipation, diarrhea, radiation treatments and even immunotherapy. Identifying the underlying cause is crucial for effective treatment. 2. Treatment for nausea starts with the medicine your doctor prescribes, usually given through an IV on the day of chemotherapy. If you experience daily nausea, ask your doctor about a nausea prevention patch. Addressing underlying issues such as acid reflux, constipation or diarrhea is also important. 3. Don't suffer in silence! Reach out to your healthcare provider if you're experiencing persistent nausea or vomiting. They can provide IV fluids, IV nausea medicine and alternative medication options such as patches or medication delivered under the tongue or rectally. Keeping in touch with your provider is vital to prevent dehydration and further complications.

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.

USA Health Mitchell Cancer InstituteThe 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.

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Welcome to The Cancering Show, where we demystify cancer and take away the fear surrounding its diagnosis and treatment. In this episode, Dr. JYP is joined by Beth Davis from the Breast Cancer Research Foundation of Alabama to discuss the importance of research in improving outcomes for breast cancer patients. With 1 in 8 women and 1 in 1,000 men being diagnosed with breast cancer in their lifetime, it is crucial to invest in research. The BCRFA is unique in that it funds breast cancer research exclusively in Alabama, with an investment of almost $1.3 million in 24 research projects last fall and $14 million since its inception. Beth shares the foundation's goals for 2023 and highlights the various ways it raises funds, including special events and corporate sponsorships. They also delve into the impact of research on breast cancer outcomes, with 4 out of 5 women now surviving the disease. The episode concludes with important information on early detection and resources available to Alabamians. Join us as we explore the power of research in the fight against breast cancer.

3 Key Episode Takeaways

1. Breast Cancer Research Foundation of Alabama: The BCRFA is a unique organization that funds breast cancer research exclusively in Alabama. It has invested almost $1.3 million in 24 research projects across the state, including at the USA Health Mitchell Cancer Institute and other renowned organizations, and $14 million since its inception.

2. Local Impact, Global Reach: BCRFA's grants stay in Alabama, supporting researchers and institutions working tirelessly to improve outcomes for breast cancer patients. By investing in cutting-edge treatments, prevention tools, and diagnostic techniques, the foundation is making a significant impact on the lives of individuals within our community and beyond.

3. Getting Involved: There are several ways to support BCRFA's mission. You can attend their special events, contribute through corporate sponsorships or individual donations, and even get a breast cancer research specialty license plate. Every action, no matter how small, plays a vital role in furthering breast cancer research efforts.

Show Overview

00:00:41 Cancering Intro: recognizing, coping, fighting, and thriving.

00:06:32 Importance of genetics counseling and early detection

00:08:29 Breast cancer bill aims to eliminate co-pays.

00:11:38 Inequality in Alabama healthcare leads to organization's founding.

00:16:58 Research to improve breast cancer treatment.

00:20:51 Goal: cancer-free state through research funding.

00:25:15 Breast cancer awareness: research, hope, and support.

00:26:21 USA Health fights cancer with science.

Never Miss an EpisodePlease 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.

USA Health Mitchell Cancer InstituteThe 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.

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In this episode, host Dr. Jennifer Young Pierce answers listener questions about cancer. She explains where cancer can travel in the body, how treatments can be tailored to individual patients, how technology has changed cancer diagnosis and treatment, and the importance of psychological and physical support for cancer patients and their caregivers. Plus, Dr. Pierce provides helpful advice on topics ranging from financial support and support groups to home remedies and tips for sex after cancer treatment. Tune in for an informative and candid conversation about the challenges of cancer diagnosis, treatment and survivorship.

Episode Takeaways

• Cancer can spread to any part of the body depending on the type of cancer and how it is growing.

• Cancer treatment is tailored to the individual patient, taking into account all of their risk factors, energy levels, and logistical needs.

• Prevention is the most successful form of cancer treatment, which includes staying up to date with cancer screenings, genetic tests, and recommended vaccines.

• Technology has changed how cancer is diagnosed and treated, making it more precise and less toxic. Additionally, psychological supports are available for cancer patients and their caregivers, including social workers for financial and other real-life stressors.

• It is important to have a holistic approach to cancer treatment, combining Eastern and Western medicine, as well as safe over-the-counter medications, supplements and physical therapy.

• Establishing a connection between partners is important for a healthy sex life after cancer. Activities such as going on dates and holding hands can be helpful.

• Men and women may have different needs when it comes to sex after cancer, and it is important to talk to a doctor and find the right balance for both partners. Impotence can be an issue, and there are options available to help.

Never Miss an EpisodePlease 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.

USA Health Mitchell Cancer InstituteThe 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.

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This episode of the Cancering Show focuses on the importance of caregivers in the cancer journey. Dr. Jennifer Young Pierce talks with Dr. Nick Dione-Odom, associate professor in the School of Nursing at the University of Alabama at Birmingham and co-director of Caregiver and Bereavement Support Services in the UAB Center for Palliative and Supportive Care. They discuss what it means to be a caregiver, how caregiving for someone with a terminal diagnosis is different from caring for those with earlier stage cancers, the physical and mental toll that caregiving can take, and the resources available to help caregivers.

Plus, Dr. Nick Dionne-Odom discusses his research on cancer caregiving. Dr. Dionne-Odom has developed several programs to help family caregivers of cancer patients manage stress and cope with the challenges of caregiving. He discusses his research findings, which show that these programs are beneficial for caregivers, and provides advice on how family and friends can help caregivers. He also talks about the importance of having access to one-on-one support for caregivers, no matter where they live. Lastly, he discusses the grieving process and the types of support available for those who have recently lost a loved one.

"We find that many caregivers that we work with have this feeling that they need to be available 24/7 to this person, be there at all times, and that all activities, all priorities need to be centered around the patient. If one does that and you do not take care of your own health, that is not a sprint; it is a marathon. And being able to take care of yourself is actually a very important way that you can take care of this person." – Dr. Nick Dionne-Odom

Episode Takeaways:

Caregivers are essential in the cancer journey.

Caregiving for someone with a terminal diagnosis is different than caring for those with earlier stage cancers.

Caregiving can have a physical and mental toll on the caregiver.

It is normal to feel anxiety and depression when caring for someone with cancer.

There are resources available to help caregivers.

Dr. Dionne-Odom has developed programs to help family caregivers of cancer patients manage stress and cope with the challenges of caregiving.

Caregivers often experience isolation and may not want to burden their social networks.

Offering specific types of assistance (e.g. cutting the grass, walking the dog, picking up the mail, doing the laundry, making meals etc.) is more likely to be accepted.

There is no one-size-fits-all approach to grieving. Everyone processes loss differently, and it can take months and even years to go through the process.

There is support available for those who have recently lost a loved one, such as the Medicare hospice benefit.

Never Miss an EpisodePlease 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.

USA Health Mitchell Cancer InstituteThe 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.

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On this episode of The Cancering Show, Dr. Jennifer Young Pierce is joined by GYN oncologist Dr. Nathaniel Jones from USA Health Mitchell Cancer Institute to discuss advances in precision medicine for cancer treatment. They will explore what precision medicine is, how it can help inform treatment, and what effect it has on patients. They will also discuss data showing the effects of precision medicine, as well as its future implications, giving us a better understanding of the significant impact that precision medicine has made on oncology. Enjoy the show.

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Never Miss an EpisodePlease 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.

USA Health Mitchell Cancer InstituteThe 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.

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We are so excited for this special episode that addresses our listeners' questions. All of you have been writing to us, and we've got a long list of questions. We'll get through some today and save some for a second show toward the end of Season 3. You all know our season has been about community and the community of Cancering, and we couldn't think of a better way to respond to our community than by answering your questions directly so that you can understand, prevent, and fight cancer. Plus, our mission is to help all those who are Cancering in the best way possible, with the longest life and the highest quality of life. Enjoy this Part 1 of our Listener Questions episode.

Questions Dr. JYP Covers:
1. Does sunscreen really work?
2. Why not have full-body scans for early cancer detection?
3. How does cancer make you lose your hair?
4. Are there specific foods I should avoid during chemotherapy?
5. Given the HPV vaccine, are there other vaccines that protect against other cancers?
6. Other than smoking and eating healthy, what should I do to avoid "random" cancers?
7. Will a plant-based diet help prevent cancer?
8. What is cancer screening?
9. When should I be worried about a cyst?
10. Dr. JYP, how do you cope personally with being a cancer doctor?

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Never Miss an EpisodePlease 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.

USA Health Mitchell Cancer InstituteThe 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.

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On this episode, we will introduce you to an amazing young woman and a true inspiration, Helen Bender. Helen, who is only in her mid-20s, learned a few months ago that she has Stage 4 melanoma. But that is not where this story ends. It's actually the beginning of Helen's story. You will hear about how her cancer is responding to immunotherapy, how her family and community have rallied around her, how she is truly living her best life, and how she's planning for her future.

Watch Helen on-stage at Hangout Fest >>>

Hear Zedd's remix of "Alive" >>>

Follow Helen's Cancering Journey here >>>

Instagram >>>

Facebook >>>

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Never Miss an EpisodePlease 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.

USA Health Mitchell Cancer InstituteThe 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.

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Our guest today, Tamika Felder, is practically the definition of a Cancering community. When she was diagnosed with cervical cancer at age 25, she didn't feel like she had found a community of survivors who could help walk her through what was ahead of her. So, she CREATED her own community, Cervivor, a nonprofit organization that brings cervical cancer survivors together and helps to spread awareness, education, and support.

On this episode, Dr. JYP and Tamika will be talking about the origins and mission of Cervivor, and also the terrible stigma that women who have reproductive cancers face in our culture. Plus, Tamika will discuss her role in a very important documentary about cervical cancer, HPV, and GYN cancer prevention.

Learn More About Tamika Felder >>>

Learn More About Cervivor: Nonprofit Cervical Cancer Awareness & Support >>>

Thanks again for listening, and let's all eat better, be healthier, be happier, and remember, Cancering affects us all.

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Never Miss an EpisodePlease 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.

USA Health Mitchell Cancer InstituteThe 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.

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On this episode, Dr. Jennifer Young Pierce talks with Dr. Ahmed Abdalla. Dr. Abdalla is an expert in phase 1 clinical trials, which is how we develop the newest therapies for cancer treatment, and he is an oncologist specializing in gastrointestinal cancers at the USA Health Mitchell Cancer Institute. Dr. JYP and Dr. Abdalla will discuss the best ways to avoid rectal and colon cancers, the importance of clinical trials, the promise of immunotherapy and new guidelines for colonoscopy screenings. Plus, they will explore how colonoscopies are useful both for diagnosing cancer and for preventing it.

Get To Know Dr. Ahmed Abdalla >>>

Thanks again for listening, and let's all eat better, be healthier, be happier, and remember, Cancering affects us all.

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Never Miss an EpisodePlease 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.

USA Health Mitchell Cancer InstituteThe 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.

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On this inspirational Cancering episode, Dr. JYP talks with Chaplain Kim Crawford Meeks, manager of the Spiritual Care Department at USA Health. Chaplain Kim meets her care recipients wherever they are on their journeys, whether with cancer or some other illness. If someone is experiencing sadness, loneliness, helplessness, anxiety, grief, fear or has cause for celebration, they may need a chaplain's services. Chaplain Kim Meeks will discuss what it's like to work with cancer patients and their families. Plus, she will discuss the importance of the word we hear a lot in cancer circles, and that's hope. Enjoy the show.

Get To Know Chaplain Kim Crawford MeeksChaplain Kim Crawford Meeks holds a master of divinity degree from Liberty Theological Seminary. She has served as a board-certified chaplain at St. Vincent's Hospital in Birmingham and holds a certificate in spirituality and mental health through the University of Redlands. Presently she is the manager of the Spiritual Care Department at USA Health.

Thanks again for listening, and let's all eat better, be healthier, be happier, and remember, Cancering affects us all.

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Never Miss an EpisodePlease 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.

USA Health Mitchell Cancer InstituteThe 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.

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We are excited to share this episode with our guest, Dr. John Wesley McWhorter. Dr. McWhorter is one of the nation's leaders and practicing advocates for Culinary Medicine, a growing field of medicine, behavioral science, nutrition, and cooking that sits at the intersection of delicious food creation, modern medicine, and healthy living. So, we are going to focus on the "why" and the "how" we eat and how it directs our overall and our local community's health. Trust us when we say we are all in for a delicious treat listening to Dr. McWhorter explain this philosophy of good food as a medical movement. Lastly, Dr. McWhorter will share some nutritious and sexy recipes for improving our lunch and dinner menus and what we should be eating, especially during medical treatment, chemotherapy, radiation, and everyday healthy eating, with our family and friends.

Get To Know Dr. John Wesley McWhorter

Dr. John Wesley McWhorter is a native of Fairhope, Alabama, a personal trainer, a CIA - Culinary Institute of America-trained chef, and a certified dietician with a doctorate in public health. He is the director of Lifestyle Medicine for Suvida Healthcare, serves as a national spokesperson for the Academy of Nutrition and Dietetics, and is an advisory council member for the Teaching Kitchen Collaborative. A professional chef, Dr. McWhorter focuses on interprofessional nutrition education through hands-on culinary medicine courses. He also is a certified strength and conditioning specialist with experience in fitness and corporate wellness. His research interests include closing the divide between culinary literacy, nutrition education, and policy. In addition to culinary school, Dr. McWhorter graduated from Kansas State University, earned a master's degree from the University of Texas Medical Branch, and a doctorate in Health Promotion and Behavioral Science from UT Health School of Public Health. Thanks again for listening, and let's all eat better, be healthier, be happier, and remember, Cancering affects us all.

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Never Miss an EpisodePlease 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.

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Meet Dr. Gretchen Holmes. Gretchen is a three-time cancer survivor, one of Dr. JYP's patients, and she holds a doctorate in health communications with a graduate certificate in medical behavioral science from the University of Kentucky. Presently, she works as the designated institutional official for graduate medical education programs at a healthcare system in Mississippi. On this episode, Gretchen discusses her cancering journey, kicking cancer's butt three times, not being defined by her disease, and most importantly, she will tell us all how she lost over 100 pounds and how she has kept it off. Enjoy the show.

Dr. JYP's Weight Loss Tips and Resources:

• Consult a registered dietitian nutritionist

• Join a culinary medicine class virtually or in person

• Join Weight Watchers

• Read "The Obesity Code" by Dr. Jason Fung

• Read "How to Lose Weight for the Last Time" by Dr. Katrina Ubell

• Listen to the Weight Loss for Busy Physicians podcast by Dr. Katrina Ubell

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Never Miss an EpisodePlease 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.

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Meet Janel Lowman, a colleague of Dr. JYP and one of her favorite people. On this episode, they will talk about the function and importance of community health workers and outreach. Janel holds a Master of Health Administration and has more than a decade of community outreach experience with the University of South Alabama. Her current role is senior manager of community outreach at the USA Health Mitchell Cancer Institute. This means she is the tip of the spear for engaging and communicating with the local community; plus, she is vital for developing and implementing cancer screening initiatives throughout the region.

Janel will deep dive on how she handled the challenges to patient outreach caused by the COVID pandemic, as well as share some of the lessons she learned by working on the front lines of the 2010 BP oil spill. Plus, she will fill us in on what it takes to become and be a true community health worker hero.

Enjoy the show.

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Never Miss an EpisodePlease 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.

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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 EpisodePlease 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.

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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 EpisodePlease 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.

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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 EpisodePlease 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.

View Details

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 EpisodePlease 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.

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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 EpisodePlease 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.

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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 EpisodePlease 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.

View Details

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 EpisodePlease 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.

View Details

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 EpisodePlease 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.

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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.

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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 EpisodePlease 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.

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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 EpisodePlease 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.

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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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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.

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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 EpisodePlease 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.

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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

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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.

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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.

Never Miss an Episode

Please subscribe to the Cancering Show.

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

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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.

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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

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Please subscribe to the Cancering Show.

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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.

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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

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Please subscribe to the Cancering Show.

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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.

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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

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Please subscribe to the Cancering Show.

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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.

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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

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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.

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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

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In this episode, Dr. JYP has a candid and enlightening chemotherapy conversation with her friend, colleague, and USA Health University Hospital oncologist Dr. Sachin Pai. Dr. Pai shares what chemotherapy really is, and he addresses some of the myths, misconceptions, and fears associated with this incredibly common and effective treatment. Listeners can learn about the many innovative treatment options that are now available and how oncologists and doctors determine a patient's specific cancer treatment. Lastly, Dr. Pai talks about the dreaded chemo side effects, how doctors can control these issues, and some the chemotherapy improvements over the last 30 years.

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Key Takeaways:

• Chemotherapy is a word that comes from "chemical" and "therapy." So, even an antibiotic or a Tylenol that you take is chemotherapy.

• Knowing the patient, their lifestyle, other medical problems, and any previous cancer treatments are all factors when determining treatment.

• Today, oncologists and patients have many more cancer treatment options available compared to 10 years ago.

• Cancer chemotherapy has improved so much over the past decade that even if a patient experiences some of the side effects, it's probably no worse than the fear of getting chemo.

Resources:

Sachin Pai, M.D., M.S.C.I. - Website

The Docs Said:

For cancer treatment, chemotherapy is still a mainstay, and it's probably going to be that way for a while. Right now, I think chemotherapy helps a lot of patients by keeping them away from cancer and curing their cancer. If the other cancer treatment advances and innovations like immunotherapy pick up, someday I hope people will say, "Oh, they used to do chemo at the time." - Dr. Sachin Pai

I am a medical oncologist. I treat cancer patients with chemotherapy and some of the newer medicines like targeted therapy and immunotherapy. - Dr. Sachin Pai

Cancer chemotherapy is basically a drug that's designed to kill the cancer cells. Cancer cells divide very fast, and the chemo is designed to kill those cells that are dividing fast. - Dr. Sachin Pai

Your doctor is testing the tumor to see if it is mutated. Or, you're testing the patient or the patient's family to see if they inherited that mutation. - Dr. Pierce

It's very important to know your patient first and what previous treatment they have received. It does make a difference in what treatment we choose. - Dr. Sachin Pai

In this day and age, not only do we as physicians, certainly in oncology and medical oncology, have many more treatment options available, but the patients now have a lot more options as well. - Dr. Pierce

The odds of beating these cancers are so much higher. Even if we can't guarantee a cure, it's quite possible that you would live out your normal life and pass away from something else other than your cancer. - Dr. Pierce

This science is evolving so quickly. Chemotherapy is so different from what somebody may have experienced from a friend or family member even a few years ago. - Dr. Pierce

There's almost nobody who complains of nausea and vomiting these days because we have so many good drugs that can control the side effects. - Dr. Sachin Pai

I always tell my patients that the first one is the hardest because every chemotherapy treatment after that is totally predictable. You know that their experience will be very similar and you take away that fear of the unknown. - Dr. Pierce

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In this episode, Dr. JYP talks with Facebook Live celebrity and Cancering Warrior Princess Gina Gregory. Gina is a patient at the Mitchell Cancer Institute and has completed two surgeries, lost her hair, finished chemo and radiation treatment for breast cancer, and rang the bell twice. Her experience makes her an expert to give a detailed blueprint preparing physically and mentally for anyone's cancer surgery and journey. Plus, get those pens out and jot down all the Warrior Princess tips for pre-op planning, dealing with post-op recovery, chemotherapy fashion choices, and making the best out of a difficult situation.

Takeaways:

1. Cancer treatment is a marathon, but it can be managed with preparation, knowledge, patience, and a sense of humor.

2. Be proactive in all phases of your cancer treatment.

3. Seek advice from other patients and ask questions.

4. Always get a port.

5.Be open with your doctors and your family on what you need and want for your recovery and well-being.

1. Millions of others have cancer. Know you are not alone.

Follow Gina's journey on MCI's Facebook and Instagram at #ginasonajourney

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Quotes and Notes

If you are so serious, concerned, frightened, and all of those things, you just, you just have let go and let the process take its course. - Gina Gregory

It's very important to listen to what other cancer survivors tell you. They've been there, and more than likely what happened to them will happen to you. - Gina Gregory

Warrior is a much better, much stronger, more aggressive word than "survivor." - Gina Gregory

Millions of other women have breast cancer; you're going to be okay, just like they are. - Gina Gregory

I rang the bell twice and spent a year of dealing with being diagnosed with breast cancer. I had two surgeries, and I've gone through two phases of chemotherapy and radiation. - Gina Gregory

Just because I have gotten over this portion of treatment doesn't mean that it's ended. Even in remission, cancer is still with me. So, I have to be more proactive. I have to be this Warrior Princess, who is constantly battling this horrible disease. - Gina Gregory

Always a port. Do not even second guess. - Gina Gregory

A blood port is a place that accesses a vein that's always available, and it goes completely under the skin. - Dr. JYP

A lot of oncologists advise patients to keep a port in for up to six months or a year after treatment. - Dr. JYP

All in all my chemotherapy experience was positive. - Gina Gregory

Cancer gives you a lot of perspective because I think everybody goes through very similar things and I think you have to have a sense of humor about all of this. - Gina Gregory

Work out the things you know you will need. Get the wigs ahead of time. I made sure that I had all of the different medications and supplements and other little goodies that people told me that helped them. - Gina Gregory

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Cancer surgery is more than likely to be a part of everyone's cancer journey. It's a first step of many on the road to survivorship and is still a patient's best chance of cure. In this episode, Dr. JYP has a candid discussion with Dr. J. Harrison Howard, Surgical Oncologist, and Asst. Professor of Surgery at the USA Health Mitchell Cancer Institute. Dr. Howard explains his role as a Surgical Oncologist and how he uses his extensive training, medical knowledge, and surgical skills to offer you the best options for beating your cancer. Plus, they explore the innovations in new surgical approaches, clinical trials, preparing for your surgery, speeding up recovery, and communicating with your cancer team.

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Key Takeaways:

1. Surgical Oncologists treat cancer, just like a medical oncologist or radiation oncologist, but their vehicle treat cancer is surgery.

2. A patients cancer team is patients working for them and the surgical oncologist is just a part of that team.

3. Surgeons offer the best options for treatment and the patient ultimately make the decisions. They are the team captain.

4. People don't die on the operating room table. While rare, they can die from complications after surgery.

5. To speed up your recovery, you need to move around, follow your surgeon's instructions, and keep a positive attitude after your surgery.

6. Being proactive and involved in your recovery can improve healing and help to avoid any medical complications.

7. Chemotherapy and radiation is used in sequence with surgery before and after an operation.

8. Make sure you're comfortable with the physicians that are treating you and be able to have open conversations with them.

9. Clinical trials improve cancer treatments, find new therapies, and give patients a better opportunity to beat their cancer.

10. Cancer treatment is a marathon, not a sprint.

Resources:

Dr. J. Harrison Howard - Website

The Docs Said:

Surgical Oncologists treat cancer, just like a medical oncologist or radiation oncologist, but the vehicle we use to treat cancer is surgery. - Dr. Howard

One of the advancements in cancer surgery is the use of less invasive techniques. - Dr. Howard

The treatment sequence can often change so sometimes we have to do chemotherapy or radiation first and before the surgery. - Dr. Pierce

We've learned that by treating some tumors first with systemic therapy, whether that's chemo or targeted therapy or immunotherapy, we can actually get better outcomes long term. - Dr. Howard

Clinical trials are how we make progress. That is how we improve cancer outcomes, find new therapies and give people a better opportunity to beat their cancer. - Dr. Howard

Clinical trials are how we push the envelope in medicine, and it's critical to oncology, whether you're a surgeon or a medical oncology a radiation oncologist. That's how we improve outcomes. - Dr. Howard

As an oncologist, it's our job to give them the best options in our opinion, and medical knowledge to beat their cancer. - Dr. Howard

People don't die on the operating room table. I don't think people realize that they die from the complications after surgery. - Dr. Howard

After surgery, I'm going to turn into the mean doctor because you need to get up you need to walk. I'm not just trying to be a jerk. I'm trying to help you get out of the hospital and get home and get on your way to recovery. - Dr. Howard

It's very easy for cancer patients to get down in the dumps. Sometimes they'll go home and develop a bad attitude and lay in bed or lay around. All these things can contribute to poor healing and complications. - Dr. Howard

Even if we have performed the perfect operation with a perfect recovery. If the patient's not proactive and involved in their recovery, it can all go downhill quickly. - Dr. Howard

When I'm removing a tumor, number one, we want to get control of the tumor and get it all out. - Dr. Howard

Air doesn't make cancer spread; cancer spreads because it's cancer. That's the way it behaves. - Dr. Howard

Another myth is that cancer once it has grown or spread, you can't operate on it. In the last 10 years, we're operating on more and more cancers that are metastatic. - Dr. Pierce

Every cancer behaves differently. - Dr. Howard

A team approach and really getting input from different perspectives really helps develop the best plan for any given patient. - Dr. Howard

When people look up their cancer online, they're more likely to find the horror stories than they are the successes. - Dr. Howard

We can't beat every cancer, unfortunately. But in the last decade, we have made significant progress. - Dr. Howard

It's important to talk to your doctor and not look up stuff on Google, unless you have a reliable source. - Dr. Howard

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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.

USA Health

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

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So, you've been diagnosed with cancer. What happens next? Can you turn this shocking news into something that's a part of your life but not running your life? Is it even possible for patients to still live their lives with a cancer diagnosis? In this episode, Dr. JYP consults with MCI oncologist and supportive care physician Dr. Thomas Butler about delivering and managing the emotional side of a cancer diagnosis, and how patients can still live their lives with that life-changing reality. Even an "incurable" diagnosis. Dr. Butler candidly shares his thoughts on talking with doctors, building trust, the importance of positivity and spirituality, and the interdisciplinary care processes that affect the cancer patient, family and community.

Key Takeaways

1. Patients can still live their lives and even thrive with a cancer diagnosis.
2. Dr. Butler focuses on looking at the positive things he can do to make his patient lives better.
3. Unless it's going to be harmful, Dr. Butler tends to favor quality of life over strict patients treatment adherence.
4. Talk to your doctors: patients and physicians should build a relationship based on open communication, trust, and honesty.
5. Doctors should strive to be good listeners and strive to understand more than being understood.
6. Speak up and ask questions: patients should feel like they are the center of attention, and there is no such thing as a bad question.
7. Patients with a support network tend to manage their cancer diagnosis, treatment, and survivorship better.
8. Positivity and spirituality can be beneficial for a patient in motivating them to do well during their treatment.
9. The goal of palliative care is to make you feel better and make your life more comfortable.
10. Patients are NOT alone in their cancer diagnosis, treatment, and survivorship.

Resources:

Dr. Thomas Butler - Website

The Doctors Said:

Patients can still live their lives with a cancer diagnosis. - Dr. Pierce (JYP)

If you tell me that you can't cure the cancer, that doesn't mean that it's going to end your life. It means you've just got a different perspective on your life. - Dr. Thomas Butler

I think that we can focus on looking at the positive things we can do to try to make their lives better. - Dr. Thomas Butler

Communicating with honesty is essential, and patients need to be able to trust us doctors that we're going to treat them like we would a family member. - Dr. Thomas Butler

Sometimes the initial diagnosis is so shocking that you may have to revisit the conversation because you don't really know exactly what the patient heard or can recall. - Dr. Thomas Butler

Letting people express their distress is important, and I think for me the best technique is listening. I'm wanting to hear from the patient experience as opposed to what I'm dictating that their experience should be. It's better to understand than to be understood. - Dr. Thomas Butler

I like to listen to patients tell about how their treatment is because it helps me know what to tell other patients. - Dr. Thomas Butler

Make sure the patient understands that they are the center of attention. It's not what I want; it's what they want. - Dr. Thomas Butler

Give the patient the confidence that they can ask what to expect. - Dr. Thomas Butler

Palliative care has kind of a negative connotation because a lot of folks think of it as end-of-life care. But, the word palliate means to make you feel better. I tell folks that that's the goal of palliative care is to make you feel better. - Dr. Thomas Butler

When folks do have family support, they tend to do better as far as the management of their disease. - Dr. Thomas Butler

I encourage patients to realize that they're not alone, and at MCI we have people who can help take care of them. - Dr. Thomas Butler

The cancer diagnosis sometimes makes patients feel isolated, and I think knowing that others are walking through it with them can be helpful. - Dr. Thomas Butler

Having a spiritual focus on the meaning of this disease and their life can be beneficial in motivating patients to do well during their treatment. - Dr. Thomas Butler

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.

USA Health

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

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In most patients’ cancer stories and journeys, cancer didn't start with the diagnosis. First, there are symptoms, pain and probably a visit to the family doctor, Urgent Care or student health center before the diagnosis is made. In this episode, Dr. JYP and studio guest Dr. Robert Israel, an internal medicine physician in Mobile, Alabama, talk about common and uncommon cancer symptoms, early tests, hearing the diagnosis and learning how the trusted family doctor works with a patient's new team of cancer specialists and caregivers. Plus, they discuss the mental distress of a diagnosis, the healthy lifestyle, and how a patient can smoothly transition from treatment back to his or her primary care doctor to live fully in survivorship.

Key Takeaways

1. Cancer starts with symptoms and is usually diagnosed by a patient's primary care physician, not an oncologist.
2. A cancer diagnosis is stressful and shocking for the patient and physician.
3. Know your enemy: A diagnosis is the first step of a treatment plan to address cancer symptoms, discomfort and pain.
4. Family members can have a hard time managing the stress and anxiety of a loved one’s cancer diagnosis.
5. Chemotherapy, surgery, radiation and the use of new support medications have exponentially improved in the last 20 years, making it easier for patients and their recovery.
6. Cancer is a team effort. Patients have a co-captain role in their treatment with their new team made up of oncologists, primary care doctors, caregivers, trusted advisers, family, long-time friends and friends of the family.
7. Primary physicians are an important resource for cancer patients and their new cancer treatment team for all aspects of the cancer journey.
8. A healthy lifestyle, diet and exercise are essential before, during and after a cancer diagnosis and treatment.
9. Most cancers are manageable, which provides hope for patients.
10. Beware of second opinions from a cousin, grandparent or Dr. Google.

Dr. Israel's Healthy Eating Tips

1. Eat your colors: fruits and vegetables.
2. Remember, real food does not arrive through the window of your car.
3. If your breakfast cereal changes the color of your milk, change your cereal.

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.

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Welcome to the Cancering Show. On this first episode, Dr. Mike Finan, a senior gynecologic oncologist and professor of interdisciplinary clinical oncology at USA Health Mitchell Cancer Institute introduces you to the show's host, Dr. Jennifer Young Pierce, or "JYP" to many of her colleagues and friends. Dr. JYP is a GYN oncologist at the Mitchell Cancer Institute and also the program leader for the MCI Division of Cancer Control and Prevention. Dr. JYP shares her journey from medical school to the Mitchell Cancer Institute, what inspired her to become a doctor and oncologist, and what drives her today in cancer research and patient care.

Key Takeaways

1. The Cancering Show is a medical education podcast that delivers more than just science, innovation, treatment and doctor speak.
2. The purpose of the Cancering Show is to help demystify cancer and defeat its grip on our lives.
3. Dr. Jennifer Young Pierce is a talented and well-respected GYN oncologist who is passionate about her research and patient care.
4. The Cancering Show will include the voices of cancer patients, caregivers, researchers, family members, friends, nurses and doctors.
5. We are all in this fight against cancer, and no one is alone.

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.

Quotables and Tweet-ables

GYN oncology is incredibly unique in the cancer realm. We are the only doctors who do both the chemotherapy and the surgery for women's cancers. - Dr. Jennifer Young Pierce

I wanted to care for patients when they were well and when they were very sick or even dying. - Dr. Jennifer Young Pierce

I have always wanted to make sure that I could follow my patients' entire cancer journey from diagnosis to survival or even to passing. - Dr. Jennifer Young Pierce

Cancering is being diagnosed with cancer, being affected by cancer, being a part of a family that is affected by cancer, a community that is affected by cancer, and all of those people are cancering in that moment. - Dr. Jennifer Young Pierce

We're going to discuss every aspect of the cancering journey, from people trying to prevent cancer in their families all the way to families that are coping with an imminent loss. - Dr. Jennifer Young Pierce

We want the listener to think of cancer as not just a moment in time, a moment of being better than you were before, living better, turning cancer from a negative into a positive for not just the patient, but the whole community. - Dr. Jennifer Young Pierce

We will bring in the patient voices, the caretaker voices, the nurses, the researchers, everybody together who is working maybe on one case or every case at MCI at the same time so that the patient knows that they're not alone. - Dr. Jennifer Young Pierce

In previous days, patients thought that they received the edict of what their treatment would be from on high, and in this day and age, it's a partnership. This is a team sport. - Dr. Jennifer Young Pierce

We hope that some of the listeners can understand better how to help and support their family members and how to know how to get access to these amazing cancer and health resources. - Dr. Jennifer Young Pierce

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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.