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Your message to us will be held in strict confidence. All requests for information by mesothelioma patients and their family members will be answered within 24 hours. Mesothelioma Treatment and Care Guides are sent to mesothelioma patients and families by overnight delivery.

Why We Created the Mesothelioma Clinical Trial Digest

Mesothelioma Clinical Trial DigestThe patient’s son was clearly distraught. His previously healthy, active father had been diagnosed with malignant pleural mesothelioma. He had done what most people did in 2016, he began his research with a Google search. He had found the resources he thought he needed. With his fathers blessing he was continuing to research for all options. They were attending a mesothelioma conference together. He raised his hand and asked a question. His voice had a hint of desperation in it. “Where do I go to research current Clinical Trials for patients with mesothelioma?” The expert giving the talk explained that the clinical trials were listed on www.clinicaltrials.gov, under malignant mesothelioma. Sensing the desperation in his voice, the speaker continued to offer a phone number to contact for more information.

There was something about the question and the answer that we couldn’t let go of.   After that part of the conference it struck us how difficult it is to navigate the medical system when you are healthy, let alone when you are diagnosed with a rare aggressive cancer. Progress is made through clinical trials, but the language and the terms are more than confusing. The Mesothelioma Applied Research Foundation is an excellent resource for patients and families. Anything that will start the conversation to increase participation in these trials is worth the effort. In order to progress we need patients to enroll in clinical trials. How do we get the word out about the available clinical trials? Many patients and significant others, family and friends are overwhelmed trying to navigate the system, a foreign world, they have suddenly been thrust into.

The Mesothelioma Clinical Trial Digest was started to help increase knowledge of what clinical trials are available in hopes of increasing participation. Our goal is to make patients and families aware of what clinical trials they might be qualified to enroll in. Often times patients are asked at the beginning of their journey with mesothelioma, whether it be chemotherapy, surgery, radiation, what do they want and how much do they want to fight. Digging into clinical trials information to navigate to hope is not an easy task. The Mesothelioma Clinical Trial Digest has been started to make part of this journey easier. Not everyone is a candidate for every clinical trial. This is a testament to the progress that has been made by patients participating in clinical trials. A new treatment option, an addition to the current standard of care, all must be proven in a formalized clinical trial setting. Each patient and family deserves to be aware of the clinical trials available, having a chance to participate in these trials and hopefully improving their chances for a longer life with good quality.

The hope of the Mesothelioma Clinical Trial Digest is to publicize the options for unique and different treatments which are being explored in many research facilities.

– Ellie

Palliative Care and Mesothelioma

mesotheliomaMesothelioma is a serious illness. There is no cure currently but, research has extended the time and maintained the quality of life for many people diagnosed with mesothelioma.   Managing the disease and its effect on patients and families takes a team. The only way that malignant mesothelioma will be cured is through collaboration and research- we know these facts, they are well known. From diagnosis through your journey with mesothelioma a vital member of that team should be from palliative care.

What is palliative care? The National Hospice and Palliative Care Organization, www.nhpco.org uses the National Consensus Project’s definition to explain what palliative care is. “Palliative care is patient and family-centered care that optimizes quality of life by anticipating, preventing, and treating suffering. Palliative care throughout the continuum of illness involves addressing physical, intellectual, emotional, social, and spiritual needs and to facilitate patient autonomy, access to information and choice.”

In order for a team to function effectively everyone has to have their roles and responsibilities known to them and their other team members. Working together for the best possible benefit of what the patient wants is the ultimate goal. The palliative care specialist is a member of the multi-disciplinary team. The care is given in coordination with other team members.

Palliative care is offered throughout a patient’s journey with mesothelioma, from diagnosis to death and grieving for both the patient and their family members. Hospice has the same principles as palliative care, but is administered when cancer treatments are no longer working or desired by the patient. The focus of hospice is caring not curing.   Palliative care can start with any serious illness and does not always progress to hospice.

Research has shown that palliative care is beneficial to patients and families. It has been demonstrated that patients whose symptoms are controlled, for example pain, are better able to communicate their needs and have a better experience with their medical care. More research is needed into integrating this vital role across the spectrum to all that have serious illnesses. Currently less than 1% of the NIH budget is allocated for research into the role of palliative care

Amy Berman is a nurse and a senior program officer at the John A. Hartford Foundation, her job is to lead efforts to develop, test, and spread evidenced-based models of care that improve the care of older adults. Five and a half years ago she was diagnosed with a type of breast cancer that is very aggressive, with only an 11-20 percent chance of survival to 5 years. In June of 2016, she testified before the Senate Special Committee on Aging, “The Right Care at the Right Time: Ensuring Person – Centered Care for Individuals with Serious Illness.”   To see the testimony and her comments, go to: http://www.jhartfound.org/blog/amy-berman-tells-senate-committee-palliative-care-is-best-friend-of-the-seriously-ill/

The following paragraph of her testimony shows how important palliative care is.

“But perhaps the most important aspect of my care, the reason I am doing so well despite being seriously ill, is palliative care. Palliative care is the best friend of the seriously ill. It is an extra layer of support that goes along with the care provided by my oncologist. Studies have shown that when palliative care is added at the beginning of a serious illness that people feel better and live longer. My palliative care provider has helped me determine what care to opt for and addressed my pain and symptoms. The team-based care also addresses the needs of the family, care coordination, and even spiritual needs.”

For more information on palliative care, go to: www.cancer.gov, www.CAPC.org, www.nhpco.org

Let us know if you have any questions.

– Ellie

Nutrition: An Important Part of Fighting Mesothelioma and Other Cancers

nutrition and mesotheliomaIn a study published in 2011 of pleural mesothelioma patients, 30% presented with unexplained weight loss. Losing weight for no reason can be a presenting symptom for different cancers. During a patient’s journey with cancer most all patients lose weight at some point. Some lose before and during treatment.

We know how difficult it is to balance having cancer and maintaining good nutrition. Often when one does not feel well the last think they may want to do is eat. Cancer treatments can affect the ability to taste and smell, thus limiting one’s appetite and their ability to eat enough calories and nutrients. Anorexia, the loss of appetite or desire to eat, is the most common symptom patients have. Cachexia is the term used to describe a metabolic disorder that affects as many as 80% of patients with advanced cancer. It involves extreme weight and muscle loss. The addition of more calories does not reverse cachexia. It affects patients in the late stages of many chronic illnesses such as heart failure, COPD, and kidney disease. Cachexia is being studied and different drug trials are being used in the hopes of reversing this condition. Cachexia is devastating to the patient and their loved ones as it is a constant reminder of how sick they are.

Eating healthy and including vegetables and fruits in a diet is not always the most appetizing when one is undergoing cancer treatment. Sometimes any calories are good calories during cancer treatments. If one is striving to maintain a healthy weight, high calorie foods can be your best defense.

Today while speaking with a patient, Mrs. P. who is undergoing radiation, she explained that she gets weighed once a week and to her surprise, she had lost 2 pounds. She knew in the past she had not been the healthiest eater, but thought she had been doing a good job with her nutrition as of late. Mrs. P. felt disappointed in herself, but she is 3 weeks into radiation and “not giving up.” The side effects of weight loss can include feeling physically weak and having the inability to keep up with daily activities. If you are already underweight this can be dangerous territory, especially psychologically. Therefore it is important that you are maintaining a healthy weight because you will feel good about yourself and in turn, better about your treatments.

Everyone’s diet will be unique depending on their diagnosis and individual needs. If you are currently in the middle of treatment, it is best to seek out a dietician. There are resources for patients seeking help. Consult your doctor for a recommendation.

Nutrition is a very important component in fighting cancers, including mesothelioma. As stated before, high calorie foods, along with protein nutritional supplements like Ensure or Boost can add calories to your diet. If you choose Ensure or Boost think about adding ice cream to it. If pain is an issue, take your prescribed medicine and then try to eat. If nausea is the culprit, medicate yourself before it becomes a major issue. Maintaining a healthy weight is going to require work. The goal is to not let the weight loss get ahead of you.

– Lisa

Steve McQueen and the Will to Fight Mesothelioma

steve-mcqueenI recently read an article that was written about a man named Steve McQueen who had Mesothelioma. Steve McQueen was a famous movie actor in the 1960’s and 1970’s. This article was published in The New York Times almost 25 years since his passing. When reading the article, many things stood out to me. However, what stood out to me in particular was his path. When someone told him he had no more options in regard to his illness, he still moved forward.

The article briefly stated that Steve McQueen was diagnosed in December of 1979 with mesothelioma. His symptoms included a cough and shortness of breath.  His prognosis was poor and his treatment included chemotherapy and radiation. Unfortunately, by the time press had gotten hold of his diagnosis in the 1980s, his doctors had already run out of options to treat his disease. Faced with this challenge, he set off for Mexico in July with hope of finding a treatment to a rare incurable disease. In Mexico, his treatment plan included vitamins, minerals, massages, injections of cell preparation just to name a few. He also had to undergo surgery in November of 1980 to remove some of the tumors that were in his abdomen and neck. The next day Steve McQueen passed.

What caught my attention most was the length that someone will go to beat this disease. Yes, not everyone has the same options as Mr. McQueen but the drive to get better cannot be bought or provided for someone. I recently met a man through work who came to a mesothelioma center with nine dollars in his pocket, no place to stay, just an appointment. Maybe this was not the most well thought out plan but the idea that one will do anything to get better is inspiring. This article and many other stories make me reflect on different situations in which people find strength and are willing to do anything to fight this disease.

Another situation also occurred where I met a patient whose son was a physician. The son had suggested to his dad a holistic approach and enemas. While this was not what the doctors had prescribed, they were willing to try anything to beat this disease, or at least lessen the pain. People are willing to do anything. That is what a mesothelioma center is about. Here, people are willing to fight the fight with a patient. A specialized center has more to offer than just standard care. As I reflect back, this drive was present in so many patients who passed through a center. Sometimes that was not enough but knowing that one did everything must bring peace.  I have often heard doctors say to patients “what do you want? Do you want to fight” These are very simple questions but the answer is even more powerful.

– Lisa

Thoughts From An Eight-Year Mesothelioma Survivor

Well here I am in the summer of 2016, alive and well.   After being diagnosed with peritoneal mesothelioma in 2008, I had abdominal surgery and heated chemo in New York. I also received intraperitoneal chemo via my ports.

First let me begin, yes I am well, working, teaching classes and exercising, all with completely negative Cat Scans.  I must tell you that yes there are some bumps in my 8 year journey.  For me, my major issue after abdominal surgery and that heated chemo is small bowel obstructions.  Ok, now I must be honest I have had my share, but now I think I am a pro at early recognition.  In 2008, I had no idea what to do with a distended abdomen and abdominal pain but go to the E.R.  The treatment is always the same, pain med, cat scan, nasal gastric tube and NPO. (Nothing per oral).  The only problem with the treatment is the placement of that unruly tube.  Down your nose and yes into your stomach to drain everything that can’t pass through the blockage in the small intestines. Why the blockage you might ask??? Well your body after having abdominal surgery and heated chemo forms scar tissue which can pull on the intestines. If it pulls in such a way, the bowel will become narrow. When this happens, it makes it difficult for solid foods to pass, hence the dreaded bowel obstruction.  Well after having 4 obstructions I finally learned that raw vegetables just can’t pass into my narrow small bowel. I can still see the orange drainage in my tube, Carrots, the dreaded vegetable!!!!!!!!! For me they are on my list of Never Eat Raw.  I can proudly say I have learned that by modifying my diet I no longer visit the E.R. with an obstruction. Now, I cook my vegetables and thus they can pass through this narrow intestine. The ups and downs of surgery for this disease can be tiring BUT you will never see me back in any ER with an obstruction. It’s been 3 years for me without any abdominal issues.  It takes time to understand your body but in doing so you too will ease your journey to recovery.


About Julie Russell R.N.

julie-russellJulie Russell is an experienced Registered Nurse who is also a mesothelioma cancer survivor. Julie’s clinical expertise in nursing is in the area of the Cardiac Intervention. She has also been an instructor of Advanced Cardiac Life Support (ACLS) and Basic Life Support (BLS) for many years. Her varied nursing background includes roles as a nursing supervisor, educator and staff nurse.

Diagnosed with peritoneal mesothelioma in 2008, Julie has undergone surgery, chemotherapy, and become an advocate for herself and others. A mesothelioma diagnosis effects the whole family. Her two sons became active in the mesothelioma community as well. She is a passionate advocate for all patients, but peritoneal mesothelioma is a personal cause of hers. She will be a guest blogger for us. Julie will be sharing her personal experiences with peritoneal mesothelioma as she continues to live and work a full life. Since diagnosis, Julie has also become a grandmother. We invite you to follow Julie’s journey and feel free to contact her for any questions or support.

Putting Mesothelioma in Perspective: 5 Questions Plus

At the Harvard School of Education Dean James Ryan gave a speech at graduation that has made the rounds on the internet. He said there are 5 questions plus a bonus question that we should ask ourselves every day. They are:

  1. Wait? What?
  2. I wonder? Why? Or What?
  3. Couldn’t we at least?
  4. How can I help?
  5. What truly matters to me?
  • And the bonus question: Did you get what you wanted out of life – even so?

Thinking about the patients and families that have been diagnosed with mesothelioma these questions asked about their lives, seems to put mesothelioma into perspective. Mesothelioma is an aggressive cancer. The diagnosis throws patients and families into a world that they never planned on being involved in. How can they make sense of this diagnosis and go forward? These questions can prepare us for anything life throws our way, including a cancer diagnosis.

Imagine you have just been diagnosed with malignant mesothelioma. You and your families first response is wait? What? By asking this question you are looking for clarification. You are looking for answers, but asking for time to process what you have been told. You want time to slow down get the facts, make sure you understand.

Then you wonder why? Or if? – the second question. With the diagnosis of mesothelioma, you might think- when was I exposed to asbestos? Or what if we seek expert opinions- where and how? How might you improve the situation?

The third question – Couldn’t we at least? – can help you to get moving. Maybe get an opinion at a mesothelioma center, investigate a clinical trial, explore your options. This question enables a patient and family to move forward. Maybe there is fear in travelling or leaving your comfort zone, but by recognizing these things you can then make progress toward some action.

The fourth question, How can I help? – this can be a time for families to respect what the patient wants. The patient is the expert in their lives- you recognize that and help with what they want to do.

The fifth question is what really matters to me? How do you want to spend the time you have left- what relationships are important?

The bonus question is- Did you get what you wanted out of life- even so? This question is the one that sums it all up. Have you lived your life how you wanted? Despite being diagnosed with cancer has your life been fulfilling? Are you happy with how you have lived? Your relationships? Before, and during your cancer diagnosis. Even so- in spite of the ups and downs of life are you happy with your life?

By reviewing these questions in the context of your everyday life it could help us all prepare for the time when life gives us an unpleasant unexpected surprise and be happy for all the good things in your life.

– Ellie

Why it is Important for Mesothelioma Patients to Set Goals

GoalsMany of us plan so much for our lives, however, sickness is usually not included in the equation. We plan our marriages, children, vacations, but illness is not one we plan for or foresee. As a professional in the medical industry, we meet many types of patients.  For instance, some patients want to know everything about their illness and others desire to know nothing at all. Despite what type of person they are, the first step in fighting an illness is a plan. Most people who plan appear to mentally have an easier course. Goals are what make us get up every morning and work hard. Goals become measurable and let us see improvement. That being said, it is important to have measurable goals. This is something people can still stick to even when everything is not going according to plan. In simple terms, when someone is diagnosed with an illness, the ultimate goal is to achieve better health.

According to a study, when one writes down their goals, they often have greater success. Writing down your goals helps to reinforce your commitment to them. It also helps you remember them and makes you accountable to them. Having goals keeps you focused. When some people become sick, they believe that they will just go with the flow, and simply leave the health improvements to the doctor. However, this creates an imbalance and ultimately fails in the long run. You are part of the equation and we need you to participate. This is your health and you are the determining factor of whether or not a treatment plan will work.

When diagnosed with mesothelioma it has been suggested that people who focus on certain goals before, during and after treatment are better off physically and emotionally. Start with taking a walk every day. Focus on your diet: a high protein, low-sugar diet is recommended along with a multivitamin everyday. Attention to sleep is also important. Becoming aware of sleep problems and management of the effects of sleep disturbances will help your overall well-being. Keeping your spirits up and communicating what you are feeling is very important for your health.

Once you start treatment the care team has a plan for you and you should be aware of it. Having a plan helps you have a strategy which will then help you achieve your ultimate goal of better health. When you visualize your goals, you are putting your plan into action. A lot of goals can include physical activity. If you can see yourself walking after surgery on day 1, that is a huge success. In your mind, you must visualize yourself getting out of bed and keep in mind how you will feel when you obtain your goals. Discuss with the nurse and make a plan for yourself and collaborate on ideas. Collaboration is the key when it comes to achieving your goals.

– Lisa

National Cancer Survivors Day: Celebrating Mesothelioma Survivors

cancer survivorAs summer approaches, we are reminded that the first Sunday in June is the official National Cancer Survivor Day. This year the 29th annual day is scheduled for Sunday June 5th. According to the website National Cancer Survivors Day, www.ncsd.org, a “‘survivor’ is anyone living with a history of cancer- from moment of diagnosis through the remainder of life.” The number of people who have had cancer has risen from 3 million in 1971 to 14.5 million today according to the American Cancer Society and National Cancer Society.  In the United States 86% of all cancers are diagnosed in people 50 years of age or older. Approximately 15% all cancers were diagnosed 20 years ago and more than half of cancer survivors are older than 65 years of age. The 5 year survival rate for all cancers diagnosed during 2005-2011 was 69% up from 49% during 1975- 1977, according to www.cancer.org. The great news according to the American Cancer Society is that cancer rates are dropping and survivorship is growing. This statistic is based upon better treatments, along with better and quicker detection.

National Cancer Survivor is designed to be a day to celebrate life. “National Cancer Survivors Day is a celebration for those who have survived, an inspiration for those recently diagnosed, a gathering of support for families, and an outreach to the community.” www.ncsd.org

Surviving mesothelioma is a big challenge. If you have been diagnosed or living with mesothelioma, this is your day to recognize all that you and your family have been through. You have worked hard to get to this point. If you look around you can find people who are living and going on with life after this diagnosis. There will be celebrations throughout communities, hospitals and local medical centers. This is a celebration to let people know how rewarding life can be after battling a cancer diagnosis.

As much as we study the cancer diagnosis we are aware that cancer has its effects on patients physically and mentally. As cancer survivorship increases so does the support and education to obtain a healthy lifestyle. There are many support groups that help with living life after cancer and its treatment.

Celebrate how far mesothelioma research has come and how nice it is to be a survivor on the first Sunday of June!

– Lisa

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Your message to us will be held in strict confidence. All requests for information by mesothelioma patients and their family members will be answered within 24 hours. Mesothelioma Treatment and Care Guides are sent to mesothelioma patients and families by overnight delivery.

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