- Cancer is not rare. Technically, childhood cancer is rare compared to adult cancer, but it’s not as rare as you think. Outside of my work, I can think of 3 people who I knew personally that had a childhood cancer. A teammate on my high school basketball team, my sister-in-law, and a high school debate teammate. My guess is that you know someone from church, a coworker’s kid, or one of your kids’ classmates who has been affected by this disease.
- Curing cancer and preventing cancer are not the same thing. We DO have a cure for the majority of childhood cancers. Nearly 90% of children diagnosed with cancer will survive. WE ARE NOT DONE. The treatments stink. We can do better. 10% still die from cancer or the effects of their treatment. This is why we advocate. For better and more effective cures. We will not rest until we have it perfect.
- I know my drugs have side effects. Trust me. I know. See above.
- With the above #2 statement in mind, put sunscreen on yourself and your children. Teach them about the dangers of tobacco and lifestyles of excess (i.e. food, alcohol, stress). Take care of yourself and teach them how to take care of themselves. These are preventative measures.
- Vaccines save lives. Some of my patients lose the immunity that they once had from their vaccines. Until they are strong enough to receive vaccines again, they are at risk from dying due to vaccine preventable illnesses. You picking up what I’m putting down? It is a fact that for some patients,vaccines can be dangerous. This includes cancer patients. The vaccines can be dangerous for them and the vaccine preventable diseases are definitely dangerous to them. We rely on the immunity of the community to protect our most vulnerable. P.S. HPV vaccine prevents against cervical and head and neck cancers later in life.
- In spite of what you see on the news, good people abound. Come to the cancer clinic. Meet the nurses. Meet the doctors, the social workers, the kids, their families–heck meet everyone. Come to the medical school – it’s brimming with young bright minds that will be the leaders of the next generation. Everyone you meet will inspire you.
- I believe in miracles. I don’t believe they come with a cash price tag. Be wary of “miracle cures.” We aren’t hiding anything. If I think it will help you, I will tell you. If I think it will hurt you, I will tell you. If I think I can cure you, I will tell you. If I think I can’t cure you, I will also tell you that.
- I am not against all things natural. However, natural does not imply safe. Tell your doctor what you are taking. I just want you to be safe.
- Healing and curing can be mutually exclusive. It depends on the situation. I became a doctor to heal and sometimes that doesn’t include a cure.
- I know it’s uncomfortable to see children in the midst of cancer therapy. Sometimes I feel it too. It hits me at the most unexpected moments. The moments when my children are sleeping peacefully and I’m stroking their soft hair, when they dash out into the rain to taste the sky with upturned faces, or when they nuzzle up against me and tell me I’m their favorite mama. I think, “what if cancer happens to my child?” It’s a nauseating gut punch, followed by the feeling of your heart being drug to the ground and shredded until it is no longer recognizable. You realize ‘that could be my kid‘ when you see one of my bald headed patients. I get it. It’s uncomfortable. It’s terrifying. Turning a blind eye will not decrease the chance that someone you love will be diagnosed with cancer. 1 in 3 people will develop cancer in their lifetime. 1 in 285 children will develop cancer before the age of 18. Ignoring the facts will not make them go away. Help us advocate for our children.
Dr. Rhoades I am a grandfather of a Pediatric cancer survivor/thriver. Thank you for your compassion, willingness to come to work each day and your straight talk in particular … your comment “We rely on the immunity of the community.” Bless you and yours. John Black
I am so glad to hear you have a thriver! I am going to definitely steal that phrase, I love it so much. Thank you for reading! I love to hear stories like yours!
Dr. Rhoades, I enjoyed your article and was surprised that I totally agreed with it. I practiced Peds Hem/Onc from 1962 when I finished my fellowship at U of P and Children’s Hosp of Phila. At that time, leukemia (even ALL) was a death sentence, and most solid tumors were also unless the surgeon could completely resect them. Mostly we offered hope and compassion and the personnel in this field were absolutely outstanding. God bless them. The progress that has been made in this field has been my greatest joy. I had similar reactions with my family and children that you describe.
I retired from oncology at age 75 and dabbled in a little general peds here in FL until I retired completely last year Now at 89, would I do it again? Probably.
Dr. Braun, This is the best note I have ever received. Thank you so much for writing and for all your years of service to our children. Caring for them has been the biggest privilege of my life.