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    When Tumor Is the Rumor and Cancer Is the Answer: A Comprehensive Text for Newly Diagnosed Cancer Patients and their Families

    When Tumor Is the Rumor and Cancer Is the Answer: A Comprehensive Text for Newly Diagnosed Cancer Patients and their Families

    by Kevin P. Ryan, MD FACP COL USAF (ret)


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      ISBN-13: 9781481708807
    • Publisher: AuthorHouse
    • Publication date: 03/14/2013
    • Sold by: Barnes & Noble
    • Format: eBook
    • Pages: 428
    • Sales rank: 342,651
    • File size: 508 KB

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    WHEN TUMOR IS THE RUMOR AND CANCER IS THE ANSWER

    A comprehensive text for newly diagnosed cancer patients and their families


    By Kevin P Ryan

    AuthorHouse

    Copyright © 2013Kevin P Ryan MD FACP
    All rights reserved.
    ISBN: 978-1-4817-0878-4


    Excerpt

    CHAPTER 1

    READ THE DIRECTIONS FIRST


    La Dolce Vita (A Recipe) for the Sweet Life

    Over our lives, we develop quite a palette for the bountiful buffet of personalities out there. We learn what seems to taste good and pretty much agree on what or who seems to leave a bad taste in our mouths. We learn that in the kitchen of life, where we concoct recipes for how to deal with everyday reality, no true surprises are produced.

    This is as it should be, as the ingredients for life's sweetest and most nourishing and sustaining meals are not that mysterious. We all have access to them. If there is any magic, it is in remembering the tried-and-true recipes. As is so often the case with us mere mortals, we forget them fastest when we need them most, such as when tumor is the rumor and cancer is the answer.

    Certainly, when we suspect or are diagnosed with cancer, all hell can break loose emotionally and in other ways. Granted, it is tough to start thinking about poetic notions like recipes for the sweet life. It may seem like whimsical pabulum or the stuff of nice-sounding adolescent romance novels.

    Fair enough. Most cancer patients are not adolescents, and cancer is not a romantic novel. We all know that if ever there is a time to get it right, put on your game face, follow the rules, and pay attention to what Momma taught you and "get religion," it is when you are in one of the foxholes handed out randomly by fate.

    Equally true is that the mindset, the lifestyle with which you embrace the disease, has immense impact. Repeatedly, I have seen families and Equally true is that the mindset, the lifestyle with which you embrace that occur from rumor of tumor to cancer as the answer when they affect a simple yet profound attitude. Namely, they remember what works best in frightening times. In my thirty years of watching this transition from fear to fortune, the remembering of the recipe for a sweet, fulfilling, and enriching life is a practical part of the battle gear when putting on armor and engaging the beast.

    There is good news. The best recipes always taste better when you are famished or when tough times hit the cupboard of our lives. Similarly, there is nothing quite like good ole home cooking. Remember times when Gramps had a little GI indiscretion, Dad quipped about stepping on a frog, and your little brother shot peas through his nose from laughing so hard while Mom acted utterly disgusted, muttering, "When in God's name can we ever have a nice family dinner?" Of course you do, in some manner or another. Being with those you love and loving every moment when the main thing on the menu was not pretentious made it easy to digest heaping helpings of love. There is nothing more nutritious.

    Therefore, as regards recipes for living when first hit with the diagnosis, the more you can nourish and sustain yourself in the company and care of those who love you and whom you love, the better the meal.

    Now let us look at how God made us to be nourished and how to sustain ourselves with calories that can build more than just courage. Let us read the directions we came with for a sweet life in the midst of not-so-sweet news.

    Beware, pretenders and offenders to common sense, when it comes to nutritious lifestyles, just as you would beware of magical promises of cancer cures. Mothers are rarely wrong. So, for starters, do just like Momma said and pay attention when better judgment tells you, "Don't eat that; it's not good for you!" Stay away from the too-pretty packaging. Be wary of the have-I-got-a-deal-for-you, empty-calorie garbage that will seem to pop out of everywhere from the Internet to the airwaves to late-night TV, as well as the trendy quick-fix self-help books with titles that seductively seem to talk just to you—yes, only you! Of course, there are many well-intentioned and indeed very helpful things out there in the world. However, if it seems too good to be true, if it goes against common sense, or if it does not pass the mommy test ("where did you hear that nonsense?"), go back to the basics that have been there since man first sought to alleviate suffering and live the good life.

    The best recipes come from seasoned chefs who have tossed quite a lot of salad in their lives. These are folks, as you and I, who have made many meals in tough times. They have burnt some and undercooked others, but they know what really works. Here is what seems to top the list of appetizing aptitudes and attitudes that make a great recipe for a sweet life during tough times.

    We said in the dedication and introduction, and it will echo repeatedly throughout the book, that you are not alone and there is a shared nature to humanity. Nothing makes you incomprehensible or unlovable. The same is true for recipes for life; they nourish all.

    From Plato to Charles Schultz's Peanuts, thoughtful Thoreau to inane Inspector Clouseau, Gandhi or Christ to whomever your sage best model for life may be, the recipe is unchanged. Certain ingredients just keep popping up. They are all readily available in the cupboards of your heart and the pantry of your minds. They are all essential for a substantial, nourishing life. They will all keep meat on your bones and sizzle in your soul when the tough times, like the diagnosis of cancer, come calling. Best of all, the only criterion to enter the kitchen to cook up your own concoction is a pulse.

    Start with a pound of purpose. Load up on plenty of this. No matter how dark, dismal, or desperate things are, with purpose there is a path and ample provision for your heart and soul.

    Add a pinch of productivity. Just get your hands dirty and make something—anything—more than it was to start with. Dirty hands can clean minds just as fuel treatments blow the carbon out of our engines.

    Then stir in cream of creativity. Remember, this singular gift marks you as the most wondrous of all creations. Only humans have that divine spark, the ability to create. It may be a ship in a bottle, a new whatchamacallit patent, or a smile on someone's face. Your creativity is not about scope and grandeur; it is about keeping the flame alive. It is about the ability to affect the world around you in a manner that, no matter how infinitesimally, leaves it with more and better than how it found you.

    Then simmer. Some folks called this ciphering, chewing it over, or sleeping on it. It never means dwelling or getting ready to boil or blow up. It means having a gentle patience with your endeavors, remembering you already met the only criterion to enter the kitchen in the first place—a pulse. In addition, remember that there is no egg timer for hatching goodness.

    Take time and have faith that your endeavors will bear fruit, and soon the sweet aroma of creative productivity will fill you up. Productivity and creativity are seemingly separate, but they are mutually wonderful and intimately intertwined, and together they make for magic. Sort of like life, eh? The stew of life is always better than the sum of its parts.

    Next, lightly flour this meal with forgiveness. Always have some on hand. Moreover, it only works if you give more of it away than you recently got—darndest thing how that works! Even better, opportunities to use it are never in short supply.

    Add two—no, add three heaping helpings of humor. In the final analysis, you will never laugh so deeply as when your favorite comedian is yourself. Granted, it is a tough gig, and phew, what a hard audience, but when you get the auto-giggle going, look out, it's life-sustaining and infectious.

    Caramelize the entire concoction with kindness. The best way to do that is blindly and almost randoml
    (Continues...)


    Excerpted from WHEN TUMOR IS THE RUMOR AND CANCER IS THE ANSWER by Kevin P Ryan. Copyright © 2013 by Kevin P Ryan MD FACP. Excerpted by permission of AuthorHouse.
    All rights reserved. No part of this excerpt may be reproduced or reprinted without permission in writing from the publisher.
    Excerpts are provided by Dial-A-Book Inc. solely for the personal use of visitors to this web site.

    Table of Contents

    Contents

    Foreword Maurie Markman, MD, FACP....................     xiii     

    Introduction....................     xvii     

    Read the Directions First....................     1     

    Read This Second, but Learn It First....................     7     

    Anxiety and Fear....................     11     

    The Enemy....................     15     

    Broad Overview of the Nuts and Bolts of Oncology....................     19     

    The Oncologist....................     65     

    Suspect the Diagnosis....................     77     

    Diagnosis....................     85     

    Treatments....................     113     

    Clinical Trials in Oncology....................     167     

    Symptom Control and Side Effects....................     181     

    The Problem of Pain....................     211     

    Alternative and Unproven Forms of Cancer Treatment....................     221     

    The Future....................     241     

    Spiritual Care....................     257     

    Self-Talk....................     267     

    But What Do I Say?....................     277     

    Front Office....................     287     

    Nurses....................     291     

    Inpatient Care....................     293     

    Psychosocial/Hospice/End-of-Life Issues....................     309     

    Ethics....................     323     

    The Internet....................     337     

    Prognosis....................     343     

    What Is a Tumor Registry?....................     345     

    Some Final Thoughts....................     347     

    The Heroes....................     349     

    Epilogue....................     381     

    Index/Partial Glossary....................     383     


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    The odds are more than forty percent that cancer will touch your life. Including families, cancer affects almost four million people per year. There are few common medical realities surrounded by as much malefaction, mystique, and misunderstanding as cancer. In When Tumor Is the Rumor and Cancer Is the Answer, author Dr. Kevin P. Ryan helps you see past the macabre mythology. Stressing patient autonomy and the need to build an Oncology team, Dr. Ryan addresses the need for knowledge when receiving the overwhelming news that you may or do have cancer. He covers not just the fear of the diagnosis and certain aspects of the journey of care, but also discusses the entire trek from when the tumor is suspected and cancer is diagnosed. He talks about ethics of cancer care, challenges of managed care, psychosocial issues, ethical and legal components, and end-of-life issues and spirituality. Dr. Ryan also touches on difficult concepts such as physician-assisted suicide, durable power of attorney, living wills, failure to diagnose, treatments and staging, lost opportunities in life, euthanasia, and how death by secondary intent has led to cancer cases being second in frequency of lawsuits. A common-sense, straight-talking guide, When Tumor Is the Rumor and Cancer Is the Answer provides answers to many questions in order to reduce anxiety and help those confronted with this disease to marshal their internal resources, conquer their natural fears, and ultimately learn to become cancer survivors.

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