A difficult conversation with her family led to a better death for my patient | Ranjana Srivastava

Helping grieving relatives reach a difficult decision without hectoring or judging is a fine art

“What kind of God would do this?” she sobs and rocks. I am sinking in my chair and the nurse is perched on the side table. To focus on something other than her palpable despair, I regard the worn sofa and imagine a public hospital meeting room with comfort and sunlight. When a daughter arrives, she squeezes in beside her grieving mother.

She is a woman plainly devoted to God and her children, especially the unmarried daughter who is now my patient. The second daughter strikes me as thoughtful and educated, and as becomes evident, helpless to stem the tide of her mother’s sorrow. I fret at this, not because I am rushed, rather the patient needs an urgent outcome.

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Cancer treatment during the pandemic is bringing back traumatic memories

I am about to go through an invasive therapy for my cervical cancer. The process has brought me closer to my seven-year-old self

In a large black planner that I keep next to my bed, I mark off each round of chemotherapy and radiation. And after each one, I feel a growing sense of dread.

That’s because every mark means I’m one step closer to brachytherapy, a process that involves doctors sticking radioactive materials into my cervix – or what’s left of it anyway. It’s a way for them to aim high doses of radiation at my tumor, without risking the other nearby organs.

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Cancer Research UK to cut funding for research by £44m

UK’s biggest cancer charity expects income to fall by up to 25% as a result of the coronavirus crisis

The UK’s biggest cancer charity is cutting research funding by £44m because of a sharp fall in income and has acknowledged that the move could set back the fight against the disease for many years.

Cancer Research UK (CRUK), which funds nearly half of the cancer research in the country, said it was the most difficult decision it had ever taken but explained that it believed limiting spending now would enable it to continue to support life-saving research in the long-run.

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AI program could check blood for signs of lung cancer

Scientists hope that if software passes trials it could boost screening rates

Scientists have developed an artificial intelligence program that can screen people for lung cancer by analysing their blood for DNA mutations that drive the disease.

The software is experimental and needs to be verified in a clinical trial, but doctors are hopeful that if it proves its worth at scale, it will boost lung cancer screening rates by making the procedure as simple as a routine blood test.

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We are old and in love, but she left me after my cancer diagnosis | Dear Mariella

We might assume better treatment from maturing adults but at least she was decisive, says Mariella Frostrup

The dilemma In the summer I met a wonderful woman online. She is kind, clever, good looking and many other positive things. We clicked from the outset and became lovers after a couple of months. We have a combined age of 127, but we both said the sex was the best we’ve ever enjoyed. She told me she loved me – and it was reciprocated. We live 100 miles apart, but that suited our busy lifestyles.

Everything was wonderful and we seemed to be very much on the same wavelength until November, when I was diagnosed with bladder cancer. The treatment is extensive, but hasn’t yet started. She broke up with me over Christmas. She still professes love for me (though we haven’t been in contact for a few weeks), but says she is too busy with work, family and friends to commit to me, and that I would become too needy of her and her time. I don’t agree that I would, but I can see why she might say that. I have recently retired. I miss her terribly and don’t know how to deal with it.

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Second person ever to be cleared of HIV reveals identity

Adam Castillejo, known as the London patient, goes public to give hope to others with illness

The second person ever to be cleared of HIV has revealed his identity, saying he wants to be an “ambassador of hope” to others with the condition.

Adam Castillejo, the so-called London patient, was declared free of HIV last year, 18 months after stopping antiretroviral therapy following a stem cell – or bone marrow – transplant to treat blood cancer.

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‘Electronic nose’ could smell breath to warn about higher risk of oesophageal cancer

Current diagnostic method for Barrett’s oesophagus relies on invasive and costly endoscopy

An electronic device that “sniffs” breath may offer a new way to identify people with a condition that can lead to cancer of the oesophagus, researchers have revealed.

Recent figures suggest there are about 9,000 new cases of oesophageal cancer, or cancer of the food pipe, every year in the UK.

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My mum only had a few months to live. So we rented a van and took a road trip

We’d been incredibly close when I was a child. Then, in 1994 she went away and never came back. Now here we were, taking to the road with no real plan after her cancer diagnosis

I had been sitting in the cafeteria of a hospital in Perth, Australia, for seven hours waiting for the phone to ring.

Seven hours of drained coffee cups, watching families cry and cling to each other, wondering if they were tears of grief or relief, seven hours of slowly feeling the panic rise up through my body.

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Mass cervical cancer vaccine rollout could save 62 million lives in next 100 years

Studies project rapidly deploying HPV vaccine in 78 of the world’s poorest countries could help prevent more than 74 million cases

More than 74m cervical cancer cases and 62m deaths could be averted in the next 100 years if 78 of the world’s poorest countries rapidly deploy HPV vaccinations, cervical screening and cancer treatment, two new studies have projected.

The predictive modelling is published on Friday in Lancet by Université Laval, Harvard University and Cancer Council New South Wales working with the World Health Organisation. All three teams independently developed their models based on the biological understanding of cervical cancer, and multiple data sources from multiple countries located in east Asia and Pacific, Europe and central Asia, Latin America and Caribbean, the Middle East and North Africa, South Asia, and sub-Saharan Africa.

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New boiler, £0? The plumber, hairdresser and beautician who work for free

Haircuts for rough sleepers. Beauty treatments for cancer patients. Boilers for disabled people. A wave of specialists are providing skills – and hope – for those in need

Goodwill, it appears, is in high demand. One thing all the altruists I met while researching this article have in common is that they’re on the phone the whole time. Perhaps if mobiles had been around in Robin Hood’s day he would have had one pressed constantly to his lughole. “Marion … yes, love. I’m just having a fight on a bridge with Little John … sorry, you’re breaking up, terrible reception in here, all the oaks... What, the Sheriff’s abducted you? OK, I’m coming!”

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They’re the pants that I want: buyer pays $405,700 for Olivia Newton-John’s Grease outfit

Actor’s famous black trousers and leather jacket sold at auction along with other memorabilia, raising $2.4m

Olivia Newton-John’s tight black trousers and leather jacket from the movie Grease have sold for $405,700 at a Beverly Hills auction, more than double the expected price.

The outfit that marked the transition of Newton-John’s character in the 1978 musical from demure high schooler to sexy Sandy was among 500 items for sale at Julien’s Auctions to help raise money for the performer’s cancer treatment centre in Australia.

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Cancer-causing chemical found in WeWork phone booths

In latest headache for cash-strapped company, WeWork says it has closed about 2,300 phone booths amid formaldehyde scare

WeWork, the cash-strapped office-sharing company, has a new problem that may prove costly. It has closed about 2,300 phone booths at some of its 223 sites in the United States and Canada after it says it discovered elevated levels of formaldehyde.

The company said in an email to its tenants on Monday that the chemical could pose a cancer-risk if there is long-term exposure.

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Zantac in global recall over ‘unacceptable’ levels of potential carcinogen

Heartburn medicine pulled by GlaxoSmithKline while it investigates source of impurity

GlaxoSmithKline is recalling the popular heartburn medicine Zantac in all markets, days after the US Food and Drug Administration (FDA) found “unacceptable” levels of probable cancer-causing impurity in the drug.

Zantac, also sold generically as ranitidine, is the latest drug in which cancer-causing impurities have been found. Regulators have been recalling some blood pressure and heart failure medicines since last year.

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‘War on cancer’ metaphors may do harm, research shows

Use of military terminology can make people more fearful and fatalistic, say psychologists

The ubiquitous use of war metaphors when referring to cancer may do more harm than good, according to research into the psychological impact the phrases have on people’s views of the disease.

Framing cancer in military terms made treatment seem more difficult and left people feeling more fatalistic about the illness, believing there was little they could do to reduce their risk, researchers found.

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What’s wrong with Angela Merkel? As a doctor, I will sit out the pop quiz | Ranjana Srivastava

When someone is confronted by illness, we can’t resist being intrusive and speculative

This month my dear friend died from cancer, leaving behind a young family. A continent apart, we talked about her illness and what it meant. She told me that she wasn’t afraid of dying and I believed her because she knew the rich legacy she had created. But in the aftermath of her death a post her daughter released tore me asunder. In it, my friend recalls the reaction of strangers to her illness.

“How could you contract this disgusting illness?” one wailed. “You could easily have another five years,” shrugged another. (She just made it past one.) An acquaintance was angry at not having been told sooner. Another was perplexed by her equanimity, leading to an ambush at the elevator: “You know this is terminal, right?” Someone wanted to know the exact site of cancer. Another recalled the relative of a relative who died of exactly that kind of cancer not so long ago.

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Rich nations could end cervical cancer within decades, say experts

Study shows HPV vaccine has greatly reduced infections among girls and young women

Elimination of cervical cancer in wealthy countries such as the UK may be possible within decades, say experts, following a major study showing the success of the HPV jab in protecting women.

Human papilloma virus, which is sexually transmitted, can cause cervical cancer as well as anogenital warts. Data from high-income countries shows vaccination has led to an 83% reduction in HPV infections in 15- to 19-year-old girls over five to eight years. Among women aged 20 to 24, infections are down 66%.

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‘I can change it for others’: the woman who exposed Irish smear tests scandal

If a test in 2011 had been accurate, Vicky Phelan might have avoided cancer. Now she is trying to give some hope to terminal patients

When Vicky Phelan was told in January 2018 to get her affairs in order because she had less than a year to live, she crumpled. “The legs went from under me,” she recalled.

Emerging from the doctor’s office she avoided the gazes of her daughter and mother waiting outside and sought refuge in a bathroom. “I was in there for about 20 minutes. I bawled my eyes out.”

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‘People are dying horrible deaths’: the Louisiana town where cancer haunts the streets – video

Residents of the town on the banks of the Mississippi River have watched as family members and neighbors have been lost to cancer. Official figures show the risk of cancer from toxic air is 50 times higher in Reserve than the national average. Feeling neglected by politicians, they are fighting back against the chemical plant has been emitting chloroprene into the air for half a century

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Even moderate intake of red meat raises cancer risk, study finds

People more or less keeping to NHS guidelines at higher risk than those who eat little

Eating even the moderate amounts of red and processed meat sanctioned by government guidelines increases the likelihood of developing bowel cancer, according to the largest UK study of the risks ever conducted.

The Department of Health and Social Care (DHSC) suggests anyone who eats more than 90g of red or processed meat per day should try to cut down to 70g or less, because of the known link with bowel cancer. The NHS describes 90g of red meat as “equivalent to around three thinly cut slices of beef, lamb or pork, where each slice is about the size of half a piece of sliced bread”.

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Children’s chances of surviving cancer less than 30% in poor nations – study

Stark differences revealed in five-year survival rates between rich and low- and middle-income countries

Figures reveal a striking disparity in five-year cancer survival rates for children in developing nations compared with those from rich countries.

More than 80% of children diagnosed with the disease in high-income states will live for more than five years, yet fewer than 30% of young people with cancer in low- and middle-income nations have the same chance of survival, research has shown.

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