Friday, May 31, 2019

Wednesday, May 29, 2019

OVERVIEW


Linda as a working girl
Probably early 60s

Every so often it is useful to embrace a summary review of your subject.  If you agree, you might try this:


For those of you who seriously engage with my blogs, little here will be genuinely new, but this article may help put it all together.  It (the article) is somewhat tough going.  My way of dealing with similar material is to read through quickly first, making a list of all the terms and concepts I don’t entirely understand.  Then, using Google, I look for definitions/explanations that might help.  However, often this leads me back to Google to confront other bio-medical mysteries and code words; at times I am lead so far from my original inquiry that I forget what it was!  But sometimes, it helps.  So give this little essay a try. 

Sunday, May 26, 2019

NEW RESEARCH


Delicious, but don't eat too many of them

Well, I’m back from my brief visit to Linda and Paul’s beautiful farm in western Wisconsin, and ready to resume tormenting you with news from the research front in the war on cancer.  But first:  while on the farm I participated in an important discovery.  It transpires that certain fields in that farm are the breeding ground of an unbelievable profusion of delicious morel mushrooms.  Morels grow around here (NW Washington), but collecting them requires much walking through dense woods, and an eagle eye.  Here, you are lucky to find a half-dozen per hour.  On the Kelly farm they pop their little heads up every few feet, and beg to be tossed in the sack.  Truth be told, I ate so many I got a wee bit sick.

Anyway, science went on in my absence.  I particularly want to call your attention to an article in the Daily Bruin – presumably the UCLA student newspaper – about some research recently published in the prestigious journal Nature Genetics.  The gist:

There are 25 known regions in the genome, glitches in which can contribute to the probability of contracting ovarian cancer.

Every woman, especially women known to suffer from OVCA, should have her genome sequenced.  For one thing, modern cancer treatment schemes are influenced to a considerable extent by whichever genetic mistake is responsible.

You can inherit your genetic errors as readily from your father as from your mother.  You don’t have to have ovaries to pass on OVCA.

We are making progress: the death rate from OVCA currently is about six per 100,000 women, whereas about 2000 it was more like nine.  Of course, that’s still six too many.

So, read this brief, clear and valuable article:

Monday, May 13, 2019

MAY 22, 2019


Happy Times

On May 22nd my beloved wife, Linda Joyce Beck, will have been gone for eight years, taken away by one of the most terrible disease a woman can face – ovarian cancer.  As you almost certainly know, the general purpose of this blog is to help combat that dreadful disease.  I will be away from my computer on May 22, so I will post my usual blog on that anniversary a few days early.

What I want to do is to share with you something written by C.S. Lewis shortly after his young wife died.  Lewis, as you may know, was an important Oxford intellectual about the middle of the last century. Among other things, he was recognized as an expert on theological subjects.   I have been reading Lewis a bit lately, trying to get squared away about what you might call “last and final things.”  He hasn’t been of much use, partly, I am afraid, because I am badly put off by his writing style.  Lewis is famous for having created the Narnia saga.  He wrote a good many other books, very serious books, for which (in my opinion) he is justly not famous.

But, anyway, shortly after his wife, the writer Joy Davidman, died, Lewis undertook an analysis of grief.  To paraphrase, he decided that his grief was selfish: he grieved, not because of what had happened to Joy, but because he didn’t have her any more.

Well, that does not apply to me.  Certainly part of my grief is selfish; I want Linda here, with me, now.  But by far the greater part of my grief concerns the pain I feel at having witnessed her suffering, physical and emotional – and having been totally unable to save her. And I am bitter because she was denied the last few decades of life.   I stand in awe of her courage.  Often I have a hard time not being angry with God for what He put her through; to the extent that I sometime  hope He really  doesn’t exist.  And out of my grief has grown a compulsion to fight back against whatever it was that took Linda away – I hope it was just a bit of very bad luck, only a biological process gone badly astray.  I do not want to regard it as part of any Plan.

But, anyway, Lewis wrote something about his bereavement which I would like to pass on.  He likened his marriage to a ship driven by two engines.  He writes “…. The storms were over, but they had taken their toll.  The starboard engine was gone …. And the port engine had to toil on alone to bring the ship to safe harbor.”  That’s a paraphrase on my part, and not a skillful one, but it is how I feel.

Sunday, May 12, 2019

STATINS, AND MY MOM


Linda and my Mom, 1982

It apparently has been established that OVCA patients who also take statins have a significantly better overall prognosis:


This is important, for sure, but my real reason for posting it is to show you a picture of my Mom, Hazel Beck, on this Mothers’ Day, 2019.  She put up with a lot from me; I wish I had appreciated her, and told her so, while she still was alive.

Friday, May 10, 2019

HOW IT IS


Probably 2008

As always, I hope this will prove to be useless information for all of you, but,, ,,

The link below was written by a woman who is battling recurrent ovarian cancer.  One purpose of Myrl'sBlog is to suggest questions to put to your oncologist, if you are unlucky enough to need one.  This little essay hits the high spots, more effectively than I could ever hope to do.

Wednesday, May 8, 2019

PROGRESS, BY GOLLY!


Evelyn, at a Cordovan, AK,  mud party

The human genome was completely sequenced for the first time in 2003.  It cost $400 million and had taken 13 years.  This first reading of the “blueprint for life” was heralded as opening a new and promising era in medicine.  Of course,  the blueprint – more an instruction manual – consisted of nearly five billion “letters”, so initially it was all but impossible to “read”, let alone used to mend imperfections.

Well, according to Dt. Collin’s latest NIH blog


sequencing now can be completed in under 24 hrs and, moreover, scanned and analyzed for trouble-spots in a few more hours, using AI (artificial intelligence).  This technique is being used on newborn babies who show signs of serious genetic disorders.  In some cases, cures can be affected.  Progress, for sure.

Of course, expense must be considered.  Dr. Collins implies that it isn’t prohibitive, but doesn’t toss out a number.  For my part, saving even one baby is worth an awful lot.

Tuesday, May 7, 2019

Saturday, May 4, 2019

SEVERAL THINGS


Evelyn, the Alaskan ice maiden!

New research involving tens of thousands of women pinpoint 34 genes which, if disabled by mutation, contribute to the probability of contracting ovarian cancer.  While the discovery that there are so many potential bad actors lurking in the genome may be discouraging, at least knowing which they are facilitates concocting a personalized counterattack in the event that cancer actually arises, as well as informing effective screening procedures.  One thing seems certain: eradicating OVCA is going to require lots of data combined with computer smarts – and it ain’t going to be cheap!


I hope none of you ever need to know this stuff, but in the spirit of “better safe than sorry”, Survivornet offers you a summary of the treatment you probably will undergo in the event that OVCA makes its unwelcome advent in your life.  Note that much of this was precisely what Linda underwent, minus the “maintenance” (during remission) part.  I would add that one should also pester one’s oncologist about ongoing clinical trials; the pace of improvement in OVCA care is improving rapidly, and you don’t want to miss out. 


Finally, Dr. Collins of NIH provides us with a comprehensible summary of how genome studies are being used to underlie efforts to create individualized therapies for various cancers.  Dr. Collins uses our language uncommonly well, so in general anything he writes will be worth reading.  This little essay is unusually useful.  In a way, however, it is a bit discouraging; despite heroic and, certainly, extraordinarily costly curative protocols, “success” appears to be measured in prolonged remission.  The word I am looking for – cure – still is nowhere to be found.