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Cancer Diary: The Toilet Can Talk about Cancer and More, But Do We Listen?

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As with Carl, many people have "signs" of cancer that can be interpreted either as something else quite mild or dismissed entirely as just a bad day or maybe I ate something bad yesterday. Otherwise quite healthy people simply ignore them as an annoyance. (Before cancer, Carl was sick just one day in his life -- 50 years earlier he threw up, once, on the lawn, from unsuspectingly drinking stagnant water the day while carrying out his Forest Service employee duties, Seriously. Never again did he ever throw up even after three rounds of chemotherapy, but he died, healthy, from cancer!)  This is the insidious nature of cancer. Often, you just do not know you have it because the signs are so innocuous until it has taken over your body and is in the winner's circle -- and you have an incredibly difficult battle to get your body back -- and many people lose that battle every single day. This is especially true of "toilet information." Change in bowel movement is prett...

Cancer Diary: National Colorectal Cancer Awareness Month

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  March is National Colorectal Cancer Awareness Month. Being aware of the dangers of colon cancer, how widespread it is, and how fairly easily it can be identified and treated at early states is important to everyone's long-term health because colorectal cancer can attack anyone. Here is a guide that can help: Guide to Colorectal Cancer Carl Leaver for whom the CCC is named and maintained died of cancer of unknown primary. How oncologist believed (no evidence when it comes to CUP) that the cancer started in the colon.  I, his wife and MSI Press LLC managing editor, was found cancerous polyps through a home colon cancer test, ordered because of an observed change in bowel behavior, that led to a much-earlier-than-planned follow-up colonoscopy (5 years instead of 7-10 years after the first colonoscopy that had yielded no concerns). That led to several siblings revealing the same state and that they were on short-term follow-up colonoscopy schedules. Carl blew off his scheduled c...

Cancer Diary: 5 Months or 5 Years? The Importance of Recognizing Early Signs

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  Colorectal cancer has a life expectancy of 4-6 months if discovered in stage 4. If discovered in stage 1-2, life expectancy is 5 years. (Note: Carl's Cancer Compendium provides longevity statistics for a wide range of cancers.) So many people die from colon cancer and colorectal cancer after brief periods of chemotherapy, if that, a imperative exists for watching for early signs of cancer is not heeded (or in some cases, they are simply missed or misinterpreted). I speak from personal experience because although Carl died from cancer of unknown primary ( CUP ), his oncologist was convinced that the original cancer was gastro-intestinal in nature although the colon was clear of the cancer by the time the cancer had reached stage 4 (which can happen in cases of CUP). So, assuming the oncologist was right about the original cancer, did Carl actually survive the 5 years without knowing it? Discovery at late stage does not mean the cancer arrived late stage -- it may have taken mon...

Cancer Diary: Colonoscopies and Aging—When to Start, When to Stop?

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  Aging brings many questions about medical care, and colonoscopies are no exception. When should you start them? When should you stop? The answers aren’t as straightforward as you might think, especially when family history, anesthesia risks, and individual health concerns come into play. When to Start and Why? For most people, the recommended age to begin screening for colorectal cancer is 45 (lowered from 50 in recent years due to increasing cases in younger adults). However, if you have a strong family history—like my siblings and I, who all have had pre-cancerous polyps found at each colonoscopy—you may need to start even earlier. Doctors recommend earlier and more frequent screenings if you have: A family history of colorectal cancer or pre-cancerous polyps Certain genetic conditions like Lynch Syndrome A history of inflammatory bowel disease (Crohn’s or ulcerative colitis) When to Stop and Why? Many doctors advise stopping colonoscopies at 75 —but is that t...

Cancer Diary: Another Delayed Diagnosis, Another Frightening Edict -- and More on the Signs of (Colorectal) Cancer

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   54-year old Jason Maman put off checking out the reasons for his stomach pain for a year. It turned out to be stage 3 colon cancer. Read the article here .  This is a bit different from the delayed diagnosis described in last week's (May 13) Cancer Diary blog post. In that case, the patient knew something was wrong; it took too long for doctors to take her seriously and to get an accurate diagnosis. Carl , too, put off getting a diagnosis for something he thought was just stomach pain . He consulted "wisely" (right?) with our daughter who had had her gall bladder removed years earlier when he thought it might be his gall bladder. He decided to just monitor it for a while and see if it got worse. He adapted his food intake for gall bladder management. It did not work. To his defense, this occurred as covid was winding down, and doctors in our area were not seeing patients in their offices, just telehealth -- and his long-term doctor had left when the pandemic started to...

Cancer Diary: So, how about that great weight loss?

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Carl always fought obesity. He was at the very limit for body donation (his desire) when he died. A few months before being diagnosed with five kinds of cancer (aggregately known as cancer of unknown primary), Carl lost 50 pounds. As can be seen in the photo above, he was pretty proud of that. He always wished he could weigh less but was never willing to put in the effort to lose weight. Our daughter-in-law's antennae went up when she asked him what he had done to lose the weight, and he responded, "Nothing." That indeed should have tipped us off to a massive problem. But it was covid, and celebrating small things, like losing weight (even without effort) seemed a good thing, not a bad thing. Two months after that picture was taken, Carl fell, was taken to the hospital, and got the cancer diagnosis -- way too late to do anything about it. It is no surprise, then, that my doctor (Carl's former doctor) was concerned when between two visits (four months apart), I had los...

Cancer Diary: High Heat/Charred Meat, a Surreptitious Potential (Likely?) Cause of Some Kinds of Cancer

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We love grilling. Carl had quite a reputation for grilling hamburgers, hot dogs, salmon, and more, a tradition carried on by his children (son Shawn in the picture) and grandchildren (granddaughter Neela in the picture). Friends, family, and neighbors always loved coming by for Carl's BBQs.  Then, Carl fell and was diagnosed with stage 4 Cancer of Unknown Primary , which is an aggressive cancer, leaving little time to cope with rapid changes , let alone grilling or any kind of final fun. His oncologist thought that the primary probably was in the GI tract. Carl had skipped his colonoscopy (no one should ever do that). He was treated with a generic mix of chemicals as well as a mixture for colorectal cancer. It was too late! What we never realized during all those years of grilling was the potential connection between grilling and cancer. Had we known that, maybe Carl would have grilled less or differently. Perhaps he would have been more diligent about getting his colonoscopy. By ...