A trusted and essential companion for everyone dealing with a diagnosis of cancer.
"If you're reading this book, you're probably reeling... This book is going to do one specific thing for you: it's going to help you get your balance back."
-from the introduction
Cancer is a Word, Not a Sentence is a practical guide written for people who have just been diagnosed with cancer. It aims to help them -- and their loved ones -- make sense of what happens next and to plan a course of action. Dr. Robert Buckman describes everything that comes after the diagnosis, including tests, the stages of the disease, treatment options and follow-up.
Having treated patients and interacted with their families for years, Dr. Buckman presents a six-step plan that provides information needed to make important choices in seeking the best treatment:
Dr. Buckman also focuses on daily life: how to talk to your spouse or children, how to break the news to friends, and how to obtain the information you need. There's also a section addressed to family and friends who "just don't know what to say."
In simple and straightforward language, this practical book provides a guide for use in the real world.
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Dr. Robert Buckman, the author of 16 books, is a medical oncologist at the Princess Margaret Hospital in Toronto, a professor of medicine at the University of Toronto, and an adjunct professor at the M.D. Anderson Cancer Center at the University of Texas in Houston. His techniques in communicating difficult messages are taught at medical schools around the world. Dr. Buckman is a popular guest on television programs. He is also the author of What You Really Need to Know About Cancer.
This book consists of this introductory chapter, six Parts, a section of Tables, and an appendix.
Part One, "What's Going to Happen to Me Next?" is the equivalent of the large-scale map of the main highways. It gives you the broad overview of how things are arranged, and how they happen.
In Part One I start by explaining the basics: what cancer actually is (or rather, what the cancer process actually is), and how the cancer process is a feature common to the two hundred or more different diseases that we call the cancers. I also explain that most of those different diseases have little in common with each other, apart from sharing the basic cancer process.
After that, I set out the six basic steps of planning and coping, from the moment of diagnosis onward. This part is basically the map of how cancers are diagnosed, assessed, and then treated, with explanations of why follow-up is so important and how to cope with the anxiety it often produces.
What you will find there are clear and straightforward explanations of the various (often mystifying and bewildering) tests, results, discussions, treatment plans, and so on; and also a detailed strategy for asking the right questions to get a real understanding of your situation.
Part Two, "What's Treatment Like?" explains the four main types of treatment used in treating the cancers -- surgery, radiotherapy, chemotherapy and biologic agents -- and explains how treatment is constantly being improved by research studies called clinical trials. This part concludes with some practical tips about communicating with your medical team: who the various members are, and some guidelines for discussing potentially awkward situations, such as your feelings and requests for a second opinion.
Part Three, "Isn't There an Easier Way?" deals with complementary medicine. It will help you weigh and assess the many alluring claims made for remedies that are said to be active in treating cancers while not producing side effects. I believe that it is very important to think clearly about why you want to try complementary remedies and what you might expect from them.
Part Four, the all-important "How Do I Get Back on Track?" is all about recovering: getting back to normal, or nearly, after and during treatment. Here you will find some general guidelines to help you restore some order and balance to your life, plus a section on how to talk with other people, including your friends and relatives. I have also included a section specifically for your family and friends, setting out some guidelines on how to talk to you.
Part Four continues with discussions of spirituality and religion, and then sexuality and dealing with sexual problems that are quite common after cancer diagnosis and treatment. It concludes with a section on hope: what it means and the many different forms it can take.
Part Five, "Do I Always Have to Have a Positive Attitude?" deals with a widely debated topic: cancer and the mind. Here you will find a discussion of the many claims and statements made about the effect of the mind on the cancer process itself, including a review of several major studies which have been done on this subject.
Part Six is called "What Can I Do to Help Myself?" and you will be glad to know that the first section of this part is called "You've Already Started." Here, I summarize the process of regaining control over what seems at first an arbitrary and uncontrollable situation, and I conclude this part with the most important statement about the value of support: you are not alone.
Then, the section of Tables provides detailed descriptions of various drugs, tests, and procedures.
Finally, in Appendix B on page 269 you will find a list of national organizations and their phone numbers and Web sites, plus some other Internet sources that are trustworthy and credible.
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