Tag Archive for: rare disease

Dr. Megan Haymart: Why Is It Important for You to Empower Patients?

Dr. Megan Haymart: Why Is It Important for You to Empower Patients? from Patient Empowerment Network on Vimeo.

Why is it important to empower patients? Expert Dr. Megan Haymart from the University of Michigan discusses the role of shared decision-making, how educating patients changes their approach to treatment options, and the benefits of taking more control in their care decisions.

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Dr. Radhika Gogoi: Why Is It Important for You to Empower Patients?

Dr. Jeanne Palmer: Why Is It Important for You to Empower Patients?Dr. Jeanne Palmer: Why Is It Important for You to Empower Patients? Dr. Nicole Rochester: Why Is It Important for You to Empower Patients?

Dr. Nicole Rochester: Why Is It Important for You to Empower Patients?

Transcript:

Dr. Megan Haymart:

So for thyroid cancer, I think it’s important that most patients recognize that there’s a role for shared decision-making. So many times there’s preference-sensitive decisions, meaning there’s no right or wrong answer. And so a patient can think about the risks and benefits and what their priorities are and be involved in the decision-making process. And so I think it’s important to empower patients with knowing, one, you have a choice, so it’s not just me telling you what you need to do, I’m trying to like lay out all of the options, risks, benefits of all the different paths.

And then you have a choice in regards to your management, a choice in regards to your surveillance, and then within that, you should also feel that you have freedom to ask the questions that you want either during the clinic visit or by a patient portal afterwards, by, you know, or do you use reliable websites to find the information that you need. And so I think letting patients know that it’s a shared decision-making process, that they’re involved really empowers them to make a choice that they’re satisfied with and that they don’t have regret with down the road.

Dr. Jeanne Palmer: Why Is It Important for You to Empower Patients?

Dr. Jeanne Palmer: Why Is It Important for You to Empower Patients? from Patient Empowerment Network on Vimeo.

Why is it important to empower patients? Expert Dr. Jeanne Palmer from Mayo Clinic discusses how patient empowerment benefits patients, the importance of understanding a rare disease, and empowerment methods she finds especially helpful for her patients.

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Related Resources:

Dr. Radhika Gogoi: Why Is It Important for You to Empower Patients?

Dr. Michael Kelley: Why Is It Important for You to Empower Patients?

Dr. Michael Kelley: Why Is It Important for You to Empower Patients?

Dr. Nicole Rochester: Why Is It Important for You to Empower Patients?

Dr. Nicole Rochester: Why Is It Important for You to Empower Patients?

Transcript:

Dr. Jeanne M. Palmer:

So I think one of the most important things that I can provide is to make sure I provide good education so they have a good understanding of the pathophysiology of their disease, they have a good understanding of what they’re going to expect with regards to symptoms as well as what benefits they may or may not get from different therapies. It’s a very anxiety-provoking thing to have a rare disease that is generally something that we can’t always offer a cure for and something that they will have to live with for a very long period of time.

So I think understanding that and understanding what the expectations may be is really important. And I really can’t stress enough the importance of some of these patient advocacy groups that really help provide excellent education programs. I tell my patients to go to them whenever possible, just because then they don’t just have to hear me talking about something, they can hear multiple other people. Because sometimes just a difference in a nuance in the way you say something, it’ll all of a sudden click with the patient. And fully recognizing that as much as I try…sometimes I’m not able to convey that. When they hear it in a different way, it can really help.

Also encouraging second opinions. I always encourage patients. I say, “If you have any questions, get another opinion, I will help facilitate it,” to really make sure that they get the information that they need and they feel comfortable with their diagnosis and their plan of care. I think that goes a long way in helping alleviate some of their concerns, especially when you say, “Okay, well, why don’t you see this other person? They’re great. I know this person.” Then they know that, “Hey, we’re all on the same page. We’re all on the same team, working together to make sure that we can treat this patient as best as we can.”

How a Gastrointestinal Symptom Led to My DLBCL Diagnosis



How a Gastrointestinal Symptom Led to My DLBCL Diagnosis from Patient Empowerment Network on Vimeo.

Charles Clawson shares how experiencing some heartburn after eating a spicy wonton led him to being diagnosed with Diffuse Large B-Cell Lymphoma (DLBCL).

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A Diffuse Large B-Cell Lymphoma Diagnosis: One Patient’s Journey

A Diffuse Large B-Cell Lymphoma Diagnosis: One Patient’s Journey 

How Can Patients Overcome Noted Diffuse Large B-Cell Lymphoma Disparities

How Can Patients Overcome Noted Diffuse Large B-Cell Lymphoma Disparities

Will Newer Therapies Be Curative for Diffuse Large B Cell Lymphoma Patients

Will Newer Therapies Be Curative for Diffuse Large B Cell Lymphoma Patients


Transcript:

My name is Charles Clawson, and I was diagnosed with diffuse large B-cell lymphoma after my diagnosis with non-Hodgkin follicular lymphoma transformed into DLBCL. Strangely, my initial diagnosis came after the lone symptom of experiencing heartburn after eating a spicy wonton. After seeing a gastrointestinal doctor, my lymphoma was discovered at the same time my wife and I were asked to serve a mission in Norway.

My treatment journey began with three rounds of chemotherapy, which brought on horrible nausea. I was feeling so unwell that my oncologist ordered another scan for my lymphoma. Shockingly, my lymphoma had actually worsened during the chemotherapy, so my doctor sent me to Huntsman Cancer Institute for an emergency evaluation. They gave me a prognosis that I had three days to live, and my wife couldn’t even visit me due to COVID-19 restrictions.

Fortunately, my doctors decided to do another biopsy from a different location and then discovered that my lymphoma was actually DLBCL. I had to be fitted with a feeding tube for several months while a hole in my esophagus healed, and I had three rounds of E-POCH followed by three rounds of R-CHOP. I completed treatment in June 2021 and have been in remission ever since then. I’m so grateful that I’m here and plan to serve on an upcoming mission trip in Denver, Colorado.

Some of the things I’ve learned on my path to empowerment include:

  • Don’t be afraid to get a second opinion. It could change your diagnosis and ultimately save your life.
  • Make sure you get enough biopsies to accurately diagnose your lymphoma subtype.
  • I thank God, my incredible angel wife, and amazing medical providers at Huntsman for saving my life.

For me, these actions are key to staying on my path to empowerment.


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Un diagnóstico de linfoma difuso de células B grandes: el viaje de un paciente

Un diagnóstico de linfoma difuso de células B grandes: el viaje de un paciente from Patient Empowerment Network on Vimeo.

Después de que los síntomas comenzaron con sudores nocturnos y dolor de estómago, a Tina se le diagnosticó linfoma difuso de células B grandes (DLBCL). Ella comparte algunas de las cosas que ha aprendido en su viaje DLBCL, que incluyen: “Tenga cuidado donde busca información sobre el cáncer” y la importancia de contarle a un círculo de seres queridos de confianza sobre su diagnóstico. Vea la historia de DLBCL de Tina.

See More from [ACT]IVATED DLBCL

Download Resource Guide

Download Resource Guide en español

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What Promising Treatments Are Available for Diffuse Large B-Cell Lymphoma Patients

What Promising Treatments Are Available for Diffuse Large B-Cell Lymphoma Patients

How Can Patients Overcome Noted Diffuse Large B-Cell Lymphoma Disparities

How Can Patients Overcome Noted Diffuse Large B-Cell Lymphoma Disparities

Will Newer Therapies Be Curative for Diffuse Large B Cell Lymphoma Patients

Will Newer Therapies Be Curative for Diffuse Large B Cell Lymphoma Patients


Transcript:

Mi nombre es Tina y me diagnosticaron linfoma difuso de células B grandes a finales de los cuarenta. Por desgracia, me diagnosticaron erróneamente dos veces antes de que me hicieran suficientes pruebas para diagnosticarme de DLBCL y nunca había conocido a nadie con cáncer cuando recibí el diagnóstico.

Mis síntomas empezaron con sudores nocturnos y dolor de estómago. Pensé que mis sudores nocturnos podían ser el inicio de la perimenopausia, así que mi médico me recetó un medicamento contra el reflujo ácido para el dolor de estómago.

Luego, el dolor se trasladó a uno de mis costados, en mi cintura. El médico de urgencias me diagnosticó gases y, un par de semanas más tarde, otro médico de una clínica me volvió a diagnosticar gases. Cuando insistí en que no tenía gases, el médico simplemente lo descartó como una distensión muscular.

Un par de meses más tarde, vi a otra doctora por mis dolores y decidió hacerme un análisis de sangre que arrojó resultados preocupantes. También me hizo otras pruebas por vía rápida, incluyendo una tomografía computarizada y una biopsia. Aunque me sorprendió el diagnóstico, también me sentí aliviada de saber por fin qué me estaba pasando. También tuve la suerte de contar con una oncóloga excelente que fue la combinación perfecta de apoyo y claridad sobre el tratamiento y las perspectivas del linfoma B difuso de células grandes.

Aunque el DLBCL es un cáncer agresivo, la doctora señaló que es muy curable. Recibí seis ciclos de quimioterapia junto con epoetina alfa (Procrit) para prevenir la anemia. Desde que terminé el tratamiento, me encuentro bien y me he sometido a exploraciones periódicas que han salido bien. Me siento afortunada y me complace compartir mi experiencia con el cáncer para ayudar a otros pacientes y a sus seres queridos.

Algunas de las cosas que he aprendido en mi viaje por el linfoma B difuso de células grandes son:

  • Empodérate haciendo preguntas a sus médicos sobre las opciones de tratamiento y lo que puede esperar antes, durante y después del mismo.
  • Ten cuidado con dónde buscas información sobre el cáncer, ya que algunas fuentes pueden ser demasiado negativas sobre tus posibilidades de supervivencia. Utiliza recursos fiables como Patient Empowerment Network, The Lymphoma Research Foundation y The Leukemia & Lymphoma Society. 
  • Infórmate sobre las opciones de ensayos clínicos. Puede haber programas que te ayuden con los gastos de viaje, alojamiento y otros gastos no cubiertos.
  • No sientas que tienes que contarle a todo el mundo sobre tu cáncer. Puede contárselo sólo a aquellas personas con las que se sienta cómodo, aunque sean pocas.
  • Escucha a tu intuición y a tu cuerpo. Yo sabía que algo iba muy mal, pero los médicos me ignoraron durante meses antes del diagnóstico.

Estas acciones fueron clave para mantenerme en mi camino hacia el empoderamiento.


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A Diffuse Large B-Cell Lymphoma Diagnosis: One Patient’s Journey

A Diffuse Large B-Cell Lymphoma Diagnosis: One Patient’s Journey from Patient Empowerment Network on Vimeo.

After symptoms began with night sweats and pain in her stomach, Tina was diagnosed with diffuse large B-cell lymphoma (DLBCL). She shares some of the things she has learned on her DLBCL journey that include:” Be careful about where you search for cancer information” and the importance of telling a trusted circle of loved ones about your diagnosis. Watch Tina’s DLBCL story.

See More from [ACT]IVATED DLBCL

Download Resource Guide

Download Resource Guide en español

Related Resources:

What Promising Treatments Are Available for Diffuse Large B-Cell Lymphoma Patients

What Promising Treatments Are Available for Diffuse Large B-Cell Lymphoma Patients

How Can Patients Overcome Noted Diffuse Large B-Cell Lymphoma Disparities

How Can Patients Overcome Noted Diffuse Large B-Cell Lymphoma Disparities

Will Newer Therapies Be Curative for Diffuse Large B Cell Lymphoma Patients

Will Newer Therapies Be Curative for Diffuse Large B Cell Lymphoma Patients


Transcript:

My name is Tina, and I was diagnosed in my late-40s with diffuse large B-cell lymphoma. Unfortunately, I was misdiagnosed twice before I received enough testing to be diagnosed with DLBCL and I’d never known anyone with cancer when I received my diagnosis.

My symptoms began with night sweats and pain in my stomach. I thought my night sweats could be the start of perimenopause, so my doctor prescribed an acid reflux medication for the stomach pain. 

Next, the pain moved to one of my sides at my waist. The doctor at urgent care diagnosed the pain as gas, and then a different doctor at a clinic diagnosed me with gas again a couple weeks later. When I insisted that I wasn’t experiencing gas, the doctor simply dismissed it as a muscle strain.

A couple months later, I saw another doctor about my pain, and she decided to run a blood test that came back with concerning results. She also fast-tracked some other tests for me including CT scans and then a biopsy. Even though I was shocked with my diagnosis, I also felt relieved to finally know what was wrong. I was also fortunate to get an excellent oncologist who was the perfect combination of supportiveness while also being clear about my diffuse large B-cell lymphoma treatment and outlook. 

Even though DLBCL is an aggressive cancer, she pointed out that DLBCL is highly curable. I received six rounds of chemo along with epoetin alpha (Procrit) that prevented anemia. Since I finished treatment, I’ve been feeling good and have received regular scans that have all been clear. I feel fortunate and am happy to share my cancer journey to help other patients and their loved ones.

Some of the things I’ve learned on my diffuse large B-cell lymphoma journey include:

  • Empower yourself by asking your doctors questions about treatment options and what to expect before, during, and after treatment.
  • Be careful about where you search for cancer information, since some sources may be overly negative about your chance of survival. Use credible sources like Patient Empowerment Network, The Lymphoma Research Foundation and The Leukemia & Lymphoma Society. 
  • Learn about clinical trial options. There may be programs that will help you with travel, lodging, and other uncovered expenses.
  • Don’t feel like you need to tell everyone about your cancer. You can tell only those you feel comfortable sharing with even if that’s only a small number of people.
  • Listen to your intuition and body. I knew something was seriously wrong but was dismissed by my doctors for months before my diagnosis.

These actions were key for staying on my path to empowerment.


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Is Laughter Really the Best Medicine? One Woman’s Mission to Help Others with MPNs

Is Laughter Really the Best Medicine? One Woman’s Mission to Help Others with MPNs from Patient Empowerment Network on Vimeo.

Could laugher really be the best medicine? Patient advocate Summer Golden explains how she uses comedy to cope with her myelofibrosis (MF) diagnosis and shares her mission to inspire others.

Summer Golden and Jeff Bushnell have been married for over 20 years. When Summer was diagnosed with myelofibrosis (MF), Jeff took on the role of care partner and advocate. Summer uses her years of theatre training and comedy to cope with her condition and help others, while maintaining positivity about the future.

See More From the The Path to MPN Empowerment

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Transcript:

Summer:

When I was initially diagnosed after some other false starts with an MPN, I was kind of shocked because I’ve never really been sick, and I don’t take medications, but I didn’t think about it – that sounds crazy; I can’t explain it. I just figured I’d be okay, and the main thing – I didn’t wanna give up this theater.

You know how when you’re my age, people talk about nothing but their illness sometimes? I just never been into that, so it wasn’t part of my personality.

I started doing comedy two years ago because a friend of mine was taking a comedy class, and I went to her showcase, and I thought, “I should try that, even though I’ll never be funny, I have no jokes, and I don’t know what I would say.” But, I went, and I did comedy in clubs for a while, and then I didn’t – I don’t really like drinking and dirty jokes, so I kind of got away from it off and on, and then, when I got into doing it about my myelofibrosis, then I saw a purpose in it, so I went back to it.

I was thinking about whether my life was gonna be changed, how this was gonna change me, so I emailed my comedy teacher in the middle of the night, and I said, “Do comedians ever talk about cancer, having it?” And, he said, “Only if they have it.” So, I emailed him back and I said, “I’m coming back to your class,” so I did. He assigned everyone to be in a showcase. I was gonna do mine about cancer. It was six weeks, so I had to find humor. I don’t know how I find it. I just kind of see things.

I was shocked because I thought people were gonna hate it, and I was gonna quit, and then I’d invited my doctor and two friends, so I thought I’d better not just not show up. But, people came up and said they were inspired. I was just amazed because I mainly –I don’t go out of my way to think of – I do think of things that are funny, but it’s just – it’s a real thing. I try to keep my comedy real.

It’s helped me by being in control. I don’t pay much attention to the symptoms because I’m kind of over them.

Just helped me feel like I’m doing what I can do, and so far, it seems to be working, as long as I get enough sleep.

How do I think comedy could help other people who have health problems? I can tell you one way I thought to help somebody. I wanna start a class for people, but so far, there hasn’t been a lot of interest, but I think I could really help people doing that because I know how to write comedy.

If they really wanna do that, they would be a type of person that has humor, and they could do it, but you’ve gotta realize sometimes, people get a lot out of being sick. There are a lot of rewards, and so, they might prefer to have those rewards. For my way of thinking, if they wanna do humor, it’ll make a big difference, and if somebody wants to do it, they could call me, and I’ll help them.

A Journey of Resilience

Nothing in life can ever prepare you for the news of a life changing illness of any type. This was the case in 2006 when I was diagnosed with Complex Regional Pain Syndrome or CRPS for short. A rare neuro-autoimmune disease that causes constant chronic pain and can also affect the immune system, skin, muscle, joints, and bones it is known as the most painful chronic pain condition there is. The other name of which people refer to CRPS is “the suicide disease”, for which no explanation is really needed.

I live in Regina, Saskatchewan. If you don’t know where that is that’s in Canada. As a happily married father of two very special girls, family life was everything and more leading up to diagnosis. I held a position in senior management with a large company and my wife had decided to leave nursing to pursue her desire of being a stay at home mom. Life was good! Then our world was suddenly flipped upside down as a simple surgery to remove a cyst in my left wrist went really wrong.  Immediately after the surgery I started experiencing a burning in the arm. Not to mention the severe pain and swelling that was going on. Something was very wrong and the pain getting more unbearable by the day.

This would set off almost an almost two year journey into trying to figure out what was causing such horrific pain. I also began to display numerous other symptoms associated with CRPS. Symptoms like sensitivity to touch and temperature, waxiness of the skin, hair loss, and disfigurement to name a few.  Eventually, I would visit upwards of twenty physicians being tested for every disease you could think of. Yet no physician was able to make any form of a diagnosis. Without answers trying to treat this disease was difficult. Eventually, I was unable to use my hand at all, and the pain left me unable to function on most days. So I would be forced to go on permanent disability.

After virtually exhausting all the resources within Saskatchewan I would have to seek help outside the province. With paperwork already filed with the Mayo Clinic and preparations being made to go, we received a phone call from a friend who is a physician and knew of a specialist who specialized in chronic pain. We flew out to Vancouver, B.C. where the specialist was able to make the diagnosis of CRPS and tell me there was no cure, and that there was very little he could do to treat me.  As I walked out of his office I remember being hit by a wave of emotions!  Suddenly everything was becoming so real. Things like fear and anger were trying to take over my mind. I didn’t know what to feel or where to turn next.

As if this wasn’t enough, after an injury to my ankle CRPS spread into my left ankle and leg. This would eventually mean that I would need to use a cane to walk at all. To say the journey up until this point was frustrating is an understatement! Not wanting to focus on the negative however I remained optimistic in my pursuit to find the help I needed. Through a series of tests that I would have in order to try and manage the pain in my leg, I would finally find a specialist who could help with a treatment plan.

It had been almost two years up until this point but I finally felt as if there was a little bit of hope that something could be done to help me manage this disease. I had finally been referred to a neurologist who works with a small team of professionals who worked with CRPS patients. This is the part of my story that I get so frustrated with because we had gone full circle only to end up right back here in Regina. Had other physicians or specialists been more aware of CRPS then quick diagnosis could have happened.

It was refreshing finally having a team of healthcare professionals who truly understood what I was living with. The goal was to try and help me gain back a quality of life I had lost and maybe more. So over the course of the next several months I would form my treatment plan which was to be a combination of medications and surgically implanted neuro-stimulators.  After ten major surgeries and extensive physiotherapy I started walking short distances. I also started working with a psychologist to try and help with aspects of my mental health that I was struggling with. These were both positive steps and gave me the motivation I needed to keep moving forward.

As I started coming to terms with everything I was going through with this disease I began to see that I didn’t have to let it hold me hostage. Sure, things might be good one day and bad the next but I could chose to be positive and move forward to the best of my abilities. I had to ask myself a really hard question. Was I going to let CRPS define who I am or what I can do with my life? There was still so much about my life that was so good! I was just having trouble seeing that through all the emotions. Once I figured all of that out, it made moving forward so much easier. It was at this point that I decided to start using my story to help others and to advocate and raise awareness.

There are so few resources available to those of us struggling to find diagnosis, treatment, or even support programs with a rare disease like CRPS. So in the middle of the night I wrote a letter to our Premiere outlining my story, similar to the one here asking him to declare Nov 2 CRPS Awareness Day in the Province of Saskatchewan. The goal of this was just to do my little part here in my part of the world. Before long this was in place and I now have a yearly event taking place. Right here in my city we have had Feb 28 declared Rare Disease Day, and I have started a Peer2Peer support group through the Rare Disease Foundation. I speak at, and attend conferences across Canada and the U.S. in order to try and raise awareness and create change. Those efforts are making a difference because here in Saskatchewan with the efforts of CRPS Awareness Day we have managed to see changes in the teaching curriculum for second year med students.

Trying to fit thirteen years into what I’m writing today isn’t easy because it would take a book to try and explain all the different ways that chronic illness affects an individual’s life. My story that I’ve outlined here for you today, really only touches the tip of the iceberg when it comes to what my family and I have had to endure. However, I’m choosing to see only positive and the things that bring me hope in my particular journey. Things like the levels of awareness that have been raised within my community and province. Or the personal friendships and support from different communities that I have gained along the way. I can’t say what will happen down the road but there are a lot of things that are in our control. What choices will you make?