Anniversary Tree Poem

Open letter to media Dr. Normand Blais

This little video, combining a piece of the album Tutu , Miles Davis, and a set of graphics programs, is especially dedicated to my lovely hemato-oncologist, Dr. Normand Blais, executive

service of Hemato-Oncology Chum Notre-Dame in Montreal.

a tribute to Norman, and (Bad) memories of the research protocol

Pfizer Canada, which literally made me take out the eyes of the head.

Dr. Blais is the first doctor has me allowed in this service, it is not forgotten. Several weeks after having sent this video via email, I heard through the loudspeaker in the waiting room

service voice calling me: "Caspar Miles , cab 15, Miles Caspar . I had a three-second hesitation.

Whoever was the first to welcome me as one who will tell me the last to say:

"For treatments, it's been too much damage, you're d agree that we stop this? "

Yes, thank you, Dr. Blais

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Normand Blais, with Dr. Mary Florescu, followed me hang over three years. I am extremely grateful for the patience and perseverance, for all humanity, empathy, humor that have shown to me.

It to them, and treatments targeted therapies Sutent and Tarceva they offered me I must be still alive today is absolutely certain.

I feel concerned by this open letter for these reasons but also because I am one of those privileged witnesses, sick privileged few who could live and not survive

with these high-tech drugs.

Thank

Open letter to media from D Dr. Normand Blais

Following Items Patrick Lagacé ; on Cancer (La Presse), D r Normand Blais, hematologist oncologist at CHUM Hôpital Notre-Dame, has complained in an open letter media, the immobility of the Council of drugs in the acceptance of new molecules to treat cancer. Read here the full letter sent to the media ...

Many of you have recently read in the pages of this newspaper's excellent series of articles on cancer signed by Patrick Lagacé. Besides being a touching humanity, these articles have also lifted the veil on issues such as disruption of cancer care in Quebec, the inequalities of the system and the system of drug coverage. As a medical oncologist who has his practice here in Quebec, I would seize the opportunity offered by this series on cancer to highlight other taboos surrounding cancer. Lung cancer, which affects a significant number of my patients, is the deadliest form of the disease and is the leading cause of cancer death in Quebec. Paradoxically, the fact is that very little mention when talking about cancer. One of the main reasons for this state of affairs is that people associate lung cancer with the consumption of tobacco products. However, smoking is not the only element in question: the secondary or tertiary smoke, radon exposure to asbestos are all factors associated with the development of lung cancer. Moreover, it is now recognized that almost a quarter of lung cancers are smoking related, requiring a refinement in the evaluation and specific treatments. But the stigma associated with smoking contributes to people with lung cancer victims who have somehow "chosen their fate."
Many support groups have a better visibility of certain types of cancers. One need only think of breast or prostate, for example. Mobilization of patients achieved and the community has helped educate a large proportion of the population to the human value of medical interventions to improve patient survival and patient suffering and improve their quality of life. The positive side of breast and prostate cancer prognosis is less severe than lung cancer, allowing many "survivors" and "survivors" to defend the rights and support of associations of patients. The harsh reality is that lung cancer makes this disease very ill with little warning period and the prognosis of the disease is severe. Very few survivors are able to participate in associations support and defend the value of new therapies specific to lung cancer.
In this regard, an example is needed: access to new drugs has become in just a few years a major issue which in turn affects the quality of care at home. In the recent past, Quebec was one of the provinces that differed in terms of access to new medicines. Since late 2005, our status is far less rosy. By considering the only cancer drug, the situation is even worse: the entity responsible for approving the reimbursement of drugs - the Council of the drug - now almost routinely refuses requests for new treatments in oncology. Unlike many other provinces in Canada where decisions on funding of drugs against cancer are taken by an agency to fight against cancer involving several members involved in the treatment of patients, no Board member has training and active practice in oncology. Clearly it is difficult to recognize the therapeutic value of a drug only prolongs survival than "few months" when the patient is not facing you. Do not forget that these drugs work very differently from one individual to another so that some patients do not benefit, but only against other patients benefit long. Articles by Lagacé showed many examples in this regard.
In my daily life, this to me raises serious ethical problems: we know there are more drugs effective and easier to tolerate for patients, but we can use them. Do we hide this fact to the patient or rather explain that another drug is more effective, but in Quebec, we can not prescribe it? While we doctors think about ethics, our patients have to fight the disease under conditions that are far from optimal. If life has a price in Quebec, let them say so openly and publicly. Otherwise, we must review the current system of access to new medicines because it no longer meets the needs of those who suffer. Also disturbing they are, it is essential to discuss these issues and discussing them publicly. The solutions are certainly not simple decisions may be heartbreaking. But this is the necessary path for improving our ways, and ultimately provide better care to Quebecers living with cancer. When treating patients with lung cancer and that they are not able to defend themselves publicly, to be their spokespersons?
Normand Blais, MD, MSc, FRCPC
hematologist and medical oncologist
Clinical Associate Professor - University of Montreal
Director, Interdisciplinary Thoracic Oncology team CHUM - Hôpital Notre-Dame

Normand Blais
Hematologist and medical oncologist, director of the interdisciplinary team of Thoracic Oncology, Laboratory Director of hemostasis-thrombosis CHUM Hospital Notre-Dame.

His entry in the Faculty of Medicine is a chance of life. Normand Blais is the son of a farmer. , Almost no long studies in the family. He never felt the family pressure regarding its future. He himself never thought he had the qualifications to become specialist. "I do not intend at all to a career in medicine. I do not think being smart enough to practice this profession, I never thought of otherwise. I was passionate about science, yes, but I turned instead to a career in engineering. "After college, people crossed his path and made him understand that he had everything to succeed in medicine. On a whim, he filled out the registration form the Faculty of Medicine. "My application was accepted. A month after I started my training, I knew I belonged and that I am passionate about medicine and the human being. "

He was the doctor of Little Richard and he became friends with him. It is on a personal basis that Dr. Blais has participated in lip dub Richard Petit. It was an interesting idea, in addition to wanting to get involved with the Company Leukemia & Lymphoma Canada. On a personal level, Norman has become the challenges it makes getting involved in this company. He said yes to virtually anything that can help the hospital or the Leukemia and Lymphoma Canada.

www.leukemia-lymphoma.org

It runs 60 kilometers a week. Currently, he trains for the New York Marathon, which takes place on November 7. In this marathon, he runs to raise money for the hospital-CHUM.

www.twitter.com / DefiRespire

On a piece of the trio guitarist Al di Meola, Johm McLaughlin and Paco di Lucia, the slow evolution of a collage of colored tissue paper, colored and decorated with lacquer made during the research protocol of Pfizer, Sutent + pemetrexed for lung cancer nitrate . This video is also dedicated to Dr. Normand Blais, hematologist-oncologist of Chum Notre Dame in Montreal, which made me suffer a lot with cursed Sutent, which will eventually successful

Sutent + Pemetrexed

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mourn is not appropriate ...

The woman reader of the blog tells me his story:

disease and we took everything we had already proven so ...

Last spring, his mother is diagnosed: lung cancer with vena cava syndrome. Little hope left by doctors, but for her, so far, the chemistry works. Not a recession, but it feels better, she is active again, doing things she loves ...

But at the end of winter, his father was diagnosed with a tumor trachea, and despite a tracheotomy, he died in March.

His mother, obviously afraid of offending.

In May 2010, is his companion with whom she has two young children, which is touché.Grosse tumor in the abdomen. Diagnosis: adenocarcinoma with metastases.

A tidal wave!

How have hope?

Do not be "tying knots in the brain" .....

Do not sink into depression ......

Hello C

My readers are often relatives of people with lung cancer. I am pleased to say that this can give hope and courage sometimes. I must confess tail 've never had a match too heavy, a series of misfortunes in chain as intense. I feel lost to the tragedy that you are describing and I confess I have no idea how réagir.Seul a professional, a psychologist might help you find the resources within you to deal with such tsunami events.

Your kids are they already know about the illness of their father? and its severity?

The doctors have mentioned the Tarceva? This drug, taken orally, far from being a panacea, no cure for cancer, but the advantage in some cases seriously delay the progress of metastatic tumors and for a longer or shorter. Unfortunately, everyone does not support it because of its side effects.

I took Tarceva as a last resort, in January 2009 and for fourteen months. Last May, the doctors stopped the treatment on the grounds that I did more harm than good. Subsequently, I still had two radiotherapy, more for the pain to heal. And since then, no further treatment, just pain control. I do not scan over an image catastrophic disappointment, I prefer not to know and imagine stability. And for now, nothing special seems to evolve. largely attribute this stability to Tarceva.

But I am not a doctor, just a patient who feels completely powerless against the magnitude of the tragedy of what you are experiencing now.

Depression watching you, and you can not leave your children also become victims chain of these woes. This is why you need to find a trusted third party can hear you and channel your energy towards safeguarding and protection for them, and your mom is better. They may guess your only lifeline, because their way of adapting and accepting what happens to them must be for us an example and a link to protect fragile. Your depression would probably still much more damage.

That, C., Can I answer your mail. I feel totally helpless about it all, I am sorry for not being able to do anything other than to meditate for you, and listen to you if you feel the need. Feel free to contact me again if you think it can advance if you need to scream, cry. Speaking ... It is unfortunately everything in my power

I am aware that this is completely ridiculous, but we must try to save what can be.

In thought and prayers are with you, we are unable to feel any such amount of fear, anguish and sadness that surrounds you right now

Affectionately

CD

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The duration of initial treatment

My mother had a large treatment this week, a little next week and then they will remove the PICC line and give 3 months without treatment to rest his body. Do you find this normal? Course in early January, she will have a scan but it remains that my brother and I are sad that she has three months without treatment. For, what we as news, it responds well to treatment. The disease stabilizes.
My answer is: YES, I find it quite normal. I do not know how cycles it has received so far, but I can confirm. Do not forget that the products it receives, it's not Tylenol, these are powerful poisons that can do irreversible damage. The body of your mother needs to rest, recuperate and I remain confident in the professionals who know when the body reaches its limits.
During my first round of chemo, I was to receive 8 cycles. My oncologist decided to stop at 6 cycles, which corresponds exactly to 2x 6 weeks. Three months! I too was surprised and disappointed, and worried, but my oncologist, explained well the dangers of continuing, even if the treatment worked. The decision ultimately lasted nine months, in part, without rérmission other chemo for my greatest happiness, until one day the little dragon has decided to move, grow, and there we went to another treatment, then a another, then another .... always different molecules. You can not reuse a drug that worked, because cells that have become resistant to reproduce the information in this resistance in their DNA. The drugs injected
can do damage severe and irreversible liver, kidney, thyroid, and neuropathies may be irreversible selont chemotherapy used. The aggressive treatment is most often the result of the demands of relatives, family members, more than doctors themselves. Each to his own, everyone's knowledge. I think the doctor who treats your mom deserves your trust and without making a long road to medical school, specialization in this field, our neophyte ruling is erroneous. You come there to talk to the doctor or nurse navigator for more information. That's important.
Well, I wanted to respond quickly, because this issue is important. Remember, I'm not a doctor, Medical Advisor or another. But this question is exactly a situation I had. The doctor is a delicate challenge: to attack strong enough to destroy cancer cells, treated gently to preserve the maximum healthy tissue and organs.

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The calm ...

past month, my health, at least apparently, has undoubtedly improved, although I know it's the same as before, that cancer is still there, yet many people thought caring for me, "pros" so have seen a real improvement, measurable: I took a little weight + .2 kg, mobility, agility is better oxygenation of the blood is excellent The stethoscope says it's better in the lungs. And myself, I feel the concrete effects of this lull. Less fatigue, faster pace, stamina between two rest, etc.. It's incredible, The pitfall is that one is tempted to believe a little, even if we argue. What is strange is that when things go wrong, or that it hurts, we do not imagine that this could go back, we are convinced that it can be argued that in a sense, as the clock. Well this is wrong and I've seen several times. It is a respite, of course, that we do not know the duration, and the sores would resurface, but it's so amazing to receive such a period, even if it was only some weeks, it would well worth it. You see, that makes four Christmas my end of the world has announced (J. Mineraud), yet it is still not an appointment. I divided the year into four quarters in early 2010, my first quarter as fixing the lens etc. .. and it is not far from the finish this year. So many people have contacted me, even more recently are this world by now. Our friend flutist who was diagnosed just a year ago with breast cancer in stage 1 is being spirited to end his life in hospital with meta brain and bone. On December 26, 2006, we went home to tell him my maladie.Elle was made in spring, then chemo and radio. Lightning in less than a year. Scary. A few weeks ago, she said, "You know, Denis, I go before you." I could not believe it really. But today, I think for her, there will be more significant decline of his illness. And I think there is something wrong with this logic there.

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Two books to help you accompany a sick relative

Two interesting books on the subject, which guide us through this whole process is often complex.

Living with a relative seriously ill book version. T Raversi serious illness as a person who accompanies Dr. Yves Quenneville, and Dr. Natasha Dufour, Psychiatric Oncology at CHUM
Living with a seriously ill close , in digital would be a good starting point. I feel through my correspondence, meetings waiting rooms, discussions with staff, it could reduce the fear of speech, the law of silence, the difficulty to be exchanged between family members on these topics often unknown.

Together in illness of a close , Dr. Christophe Faure in PDF or in print.

Personally, I would recommend them, they both bring a lot of information and can see a little clearer, organize and perhaps to anticipate a little.

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DEATH, THE BETTER UNDERSTAND THE FEAR AND LESS TO CELEBRATE LIFE BETTER

Death, by Richard Beliveau and Denis Gingras

death is the first book of its kind to appear in QUEBEC.

The book explains the biological processes associated with death, the different causes of death, and describes designs of historical, cultural and spiritual death. He methodically explores the biology and the limits of life, the rituals of death and fears associated with it and describes the events surrounding the loss of life.

The book is lavishly illustrated with photographs of masterpieces of art, paintings and sculptures with various representations of death. Its content is medical and scientific, yet it raises questions of cultural and philosophical. It is liberally sprinkled with funny quotes about death and iconoclastic, favoring a rapprochement with the great thinkers and writers and putting into perspective our visceral fears.

first book to offer such a reflection on the philosophical and scientific understanding (or transcendent) of death, it is to transform us in our deepest humanity, allowing us to better appreciate life.

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