Podcasts about conquer cancer

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  • 240EPISODES
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  • Nov 11, 2025LATEST

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Best podcasts about conquer cancer

Latest podcast episodes about conquer cancer

CBN.com - Health - Video Podcast
Healthy Living - November 11, 2025

CBN.com - Health - Video Podcast

Play Episode Listen Later Nov 11, 2025 28:30


Dr. Josh Axe and Jordan Rubin, authors of The Biblio Diet: Live Long, Master Metabolism, Reduce Pain, Fight Depression, and Conquer Cancer with Healing Secrets from the Bible discuss the importance of eating right for overall health.

CBN.com - Health - Video Podcast
Healthy Living - November 11, 2025

CBN.com - Health - Video Podcast

Play Episode Listen Later Nov 11, 2025 28:30


Dr. Josh Axe and Jordan Rubin, authors of The Biblio Diet: Live Long, Master Metabolism, Reduce Pain, Fight Depression, and Conquer Cancer with Healing Secrets from the Bible discuss the importance of eating right for overall health.

CBN.com - Health - Video Podcast
Healthy Living - November 11, 2025

CBN.com - Health - Video Podcast

Play Episode Listen Later Nov 11, 2025 28:30


Dr. Josh Axe and Jordan Rubin, authors of The Biblio Diet: Live Long, Master Metabolism, Reduce Pain, Fight Depression, and Conquer Cancer with Healing Secrets from the Bible discuss the importance of eating right for overall health.

CBN.com - Health - Video Podcast
Healthy Living - November 11, 2025

CBN.com - Health - Video Podcast

Play Episode Listen Later Nov 11, 2025 28:30


Dr. Josh Axe and Jordan Rubin, authors of The Biblio Diet: Live Long, Master Metabolism, Reduce Pain, Fight Depression, and Conquer Cancer with Healing Secrets from the Bible discuss the importance of eating right for overall health.

CBN.com - Health - Video Podcast
Healthy Living - November 11, 2025

CBN.com - Health - Video Podcast

Play Episode Listen Later Nov 11, 2025 28:30


Dr. Josh Axe and Jordan Rubin, authors of The Biblio Diet: Live Long, Master Metabolism, Reduce Pain, Fight Depression, and Conquer Cancer with Healing Secrets from the Bible discuss the importance of eating right for overall health.

CBN.com - Health - Video Podcast
Healthy Living - November 11, 2025

CBN.com - Health - Video Podcast

Play Episode Listen Later Nov 11, 2025 28:30


Dr. Josh Axe and Jordan Rubin, authors of The Biblio Diet: Live Long, Master Metabolism, Reduce Pain, Fight Depression, and Conquer Cancer with Healing Secrets from the Bible discuss the importance of eating right for overall health.

CBN.com - Health - Video Podcast
Healthy Living - November 11, 2025

CBN.com - Health - Video Podcast

Play Episode Listen Later Nov 11, 2025 28:30


Dr. Josh Axe and Jordan Rubin, authors of The Biblio Diet: Live Long, Master Metabolism, Reduce Pain, Fight Depression, and Conquer Cancer with Healing Secrets from the Bible discuss the importance of eating right for overall health.

CBN.com - Health - Video Podcast
Healthy Living - November 11, 2025

CBN.com - Health - Video Podcast

Play Episode Listen Later Nov 11, 2025 28:30


Dr. Josh Axe and Jordan Rubin, authors of The Biblio Diet: Live Long, Master Metabolism, Reduce Pain, Fight Depression, and Conquer Cancer with Healing Secrets from the Bible discuss the importance of eating right for overall health.

CBN.com - Health - Video Podcast
Healthy Living - November 11, 2025

CBN.com - Health - Video Podcast

Play Episode Listen Later Nov 11, 2025 28:30


Dr. Josh Axe and Jordan Rubin, authors of The Biblio Diet: Live Long, Master Metabolism, Reduce Pain, Fight Depression, and Conquer Cancer with Healing Secrets from the Bible discuss the importance of eating right for overall health.

CBN.com - Health - Video Podcast
Healthy Living - November 11, 2025

CBN.com - Health - Video Podcast

Play Episode Listen Later Nov 11, 2025 28:30


Dr. Josh Axe and Jordan Rubin, authors of The Biblio Diet: Live Long, Master Metabolism, Reduce Pain, Fight Depression, and Conquer Cancer with Healing Secrets from the Bible discuss the importance of eating right for overall health.

CBN.com - Health - Video Podcast
Healthy Living - November 11, 2025

CBN.com - Health - Video Podcast

Play Episode Listen Later Nov 11, 2025 28:30


Dr. Josh Axe and Jordan Rubin, authors of The Biblio Diet: Live Long, Master Metabolism, Reduce Pain, Fight Depression, and Conquer Cancer with Healing Secrets from the Bible discuss the importance of eating right for overall health.

CBN.com - Health - Video Podcast
Healthy Living - November 11, 2025

CBN.com - Health - Video Podcast

Play Episode Listen Later Nov 11, 2025 28:30


Dr. Josh Axe and Jordan Rubin, authors of The Biblio Diet: Live Long, Master Metabolism, Reduce Pain, Fight Depression, and Conquer Cancer with Healing Secrets from the Bible discuss the importance of eating right for overall health.

CBN.com - Health - Video Podcast
Healthy Living - November 11, 2025

CBN.com - Health - Video Podcast

Play Episode Listen Later Nov 11, 2025 28:30


Dr. Josh Axe and Jordan Rubin, authors of The Biblio Diet: Live Long, Master Metabolism, Reduce Pain, Fight Depression, and Conquer Cancer with Healing Secrets from the Bible discuss the importance of eating right for overall health.

The Daily Brief
Indian pharma wants to conquer cancer

The Daily Brief

Play Episode Listen Later Sep 29, 2025 22:02


In today's episode of The Daily Brief, we cover 2 major stories shaping the Indian economy and global markets:00:04    Intro00:27    Breaking barriers in cancer care12:47    RBI pulls the plug on Simpl20:49    TidbitsWe also send out a crisp and short daily newsletter for The Daily Brief. Put your email here and we'll make you smart every day: https://thedailybriefing.substack.com/Note: This content is for informational purposes only. None of the stocks, brands, or products mentioned are recommendations or endorsements.

The Fight for Female
The Spiritual Battle Hiding on Your Plate

The Fight for Female

Play Episode Listen Later Sep 25, 2025 57:35


Does the Bible really hold answers for cancer, chronic illness, and today's biggest health challenges? In this episode, Lisa Bevere sits down with Jordan Rubin—author of The Biblio Diet—to uncover the surprising ways food and faith intersect. From Solomon's “wisest meal on earth” to his own miraculous recovery, Jordan reveals how what we eat can be part of a much bigger spiritual story. Discover how biblical principles, combined with modern science, can bring healing, strength, and lasting wellness to your life.___________________________________________FREE Show Notes Here: https://page.church.tech/f545d635  ___________________________________________Click here to grab your copy of Jordan Rubin's new book, The Biblio Diet: Live Long, Master Metabolism, Reduce Pain, Fight Depression, and Conquer Cancer with Healing Secrets from the Bible: BiblioDiet.com or grab your copy on Amazon:  https://a.co/d/8wLZrTX___________________________________________Our generous listeners who faithfully support this content monthly make the Lisa Bevere Podcast possible. Support this podcast by becoming a Patron here (tax-deductible): https://3szn.short.gy/FFF 

Your Stories: Behind the Breakthroughs
Life is a Reason to Celebrate

Your Stories: Behind the Breakthroughs

Play Episode Listen Later Sep 16, 2025 31:11


When Molly Hones was diagnosed with fibrolamellar cancer for the second time in less than two years, she made two critical decisions. First: She wouldn't focus on the unknowns of her condition and would focus on the positives instead.  Second, she would give back by participating in research. And so, in June 2023, Molly traveled to the Johns Hopkins Hospital, where oncologist and Conquer Cancer grant recipient Marina Baretti, MD, was running a clinical trial for people with fibrolamellar cancer. “I like to say I'm donating my body to science while I'm still alive,” Molly says. “And how cool is it to see my legacy when I'm still around?”  Which is how she found herself in Baltimore, Maryland, on the day she received an unthinkable phone call: Her husband Grant had passed away at age 45 from a brain aneurysm.   Even faced with such devastating news, Molly remained committed to moving forward with her treatment, connecting with other fibrolamellar patients, and celebrating life whenever she could. Being brave and facing challenges with a smile on her face, she says, is her way of honoring the people she's lost and the people she's met through her cancer journey.   In this episode of Your Stories, Molly speaks with host Dr. Mark Lewis about her experience with fibrolamellar cancer, the importance of community when facing a rare cancer, and her hopes of contributing to a world where every person with cancer can live life to the fullest. 

POPlitics
Milk, Red Meat, and Real Bread: Are Biblical Foods the Missing Key to Wellness? | Jordan Rubin

POPlitics

Play Episode Listen Later Aug 19, 2025 98:20


What if everything we needed to know about what to eat was already written in the Bible?Jordan Rubin—bestselling author, health rebel, and co-founder of Ancient Nutrition—almost didn't make it past 19 thanks to Crohn's disease and a cancer diagnosis. But he discovered biblical health, an easy diet change that saved his life and is now changing millions of others. We're breaking down raw milk, the “war on bread,” A1 dairy vs. gluten, and yes… whether Jesus would even survive a trip to your local grocery store.

Your Stories: Behind the Breakthroughs
From a Life Saved to Saving Lives

Your Stories: Behind the Breakthroughs

Play Episode Listen Later Aug 19, 2025 26:44


  As a young person starting over in a new country—one where she didn't even yet know the language—young Yelena faced no shortage of challenges. But she also found opportunity she believes might not have existed in her native country.  “As an Armenian individual growing up in Azerbaijan, going by my parents' and my family's experience, I don't think I would have had an opportunity to be a physician there,” Dr. Janjigian says. “There was a clear limitation on who got to be a physician, and it's a prestigious position anywhere in the world. As a relative minority, I wouldn't have been able to do that. My parents certainly had the courage it took to leave and to come to a foreign country.”  That same brand of courage led Dr. Janjigian to her current work as a gastrointestinal medical oncologist at Memorial Sloan Kettering Cancer Center. A specialist in esophageal and stomach cancer, she presented the results of her gastric cancer clinical trial during the plenary session of this year's ASCO Annual Meeting in Chicago. The presentation was the culmination of more than eight years of work involving nearly 1,000 patients and collaborators. Much of that work, she says, started when she received her first grant from Conquer Cancer, a Young Investigator Award. Receiving that funding, she recalls, was a career-defining moment.      In this episode of Your Stories, Dr. Janjigian speaks with host Dr. Mark Lewis about her journey to become an oncologist, along with her vision for a world where a cancer diagnosis isn't nearly as frightening as it is today. 

Conversations
A Dad's mission to save his daughter, and conquer cancer

Conversations

Play Episode Listen Later Jul 23, 2025 50:16


Matt Dun left school at 17 to join the Australian navy as a submariner and later finished his high school certificate as an adult attending TAFE at night.He then trained in biomedical science and was researching childhood leukaemia when his family received some devastating news, their little daughter Josie was diagnosed with terminal brain cancer.Matt turned all his energy and expertise into searching for treatments to help Josie and other children like her.He found running was one thing that helped him cope with the stress and pain of his daughter's illness, and with his wife founded the charity, RUN DIPGFurther informationThe charity founded by Matt and Phoebe Dun is RUN DIPGFind out more about the Conversations Live National Tour on the ABC website.This episode of Conversations was produced by Jen Leake, executive producer is Nicola Harrison.It explores childhood brain cancer, biomedical science, grief, family, DIPG, drug trials, research, submarines, the Australian Navy, running.

Jocks in Jills
IS THIS REAL LIFE?! EXPANSION DRAFT REACTION!

Jocks in Jills

Play Episode Listen Later Jun 11, 2025 73:43


Jocks in Jills Merch is HERE!!!CAN is live here: https://ca.shop.thepwhl.com/collections/jocks-in-jillsUS is live here: https://shop.thepwhl.com/collections/jocks-in-jillsThe Princess Margaret Road Hockey to Conquer Cancer, fueled by Longo's, is the world's largest street hockey fundraiser! Use the PWHL promo code for 50% off the team registration fee. Head to https://roadhockeytoconquercancer.ca/ and use promo code PWHL It's Buckles' birthday, but somehow, she's the one giving out gifts...and PWHL fans were the lucky recipients after a wild night of hockey news! We're breaking down all the chaos following the expansion draft, including massive picks, surprise signings during the exclusive window, and the emotional rollercoaster of player movement. Fans might be feeling all the feels, but this league is only getting bigger, stronger, and more exciting. We're joined by the two newest general managers in the PWHL, Megan Turner (Seattle) and Cara Gardner Morey (Vancouver), who walk us through their strategy, team identities, and how they're setting the tone in year one. Plus, Toronto captain Blayre Turnbull stops by to talk about the Princess Margaret Road Hockey to Conquer Cancer event. Fans can sign up at roadhockeytoconquorcancer.com with code PWHL for 50% off team registration.00:00:00 - INTRO00:01:40 - Happy Birthday Buckles!00:08:33 - HEADLINES00:16:50 - BUCKLES in on Expansion00:39:26 - Vancouver GM, Cara Gardner Morey Interview00:48:09 - Seattle GM, Meghan Turner Interview00:57:27 - Signing Period01:05:43 - Blayre Turnbull & Princess Margaret Road Hockey to Conquer Cancer01:13:09 - End of Show!

Unconventional Wisdom
Journey to Conquer Cancer Walk for Princess Margaret Research in Honour of Ann Hetram

Unconventional Wisdom

Play Episode Listen Later Jun 5, 2025 4:20


This is a personal post and my first post with a request. My wife, life partner and business partner, Ann Hetram, passed away unexpectedly from cancer 2 months ago.  She received excellent care at Princess Margaret Hospital, which is the best cancer hospital in Canada. In her honour, I am co-captain of a team in the Journey to Conquer Cancer walk to support research at Princess Margaret Hospital.  My team is the Harbour Square Team for my condo building. The walk is on Sunday, June 15 at 9 AM. It starts at the University of Toronto, Varsity Stadium, 299 Bloor Street West, Toronto. Donations support breakthrough research, supporting over 1,600 researchers and scientists working on innovative projects, such as early detection methods, personalized cancer treatments, and immunotherapy advancements. Ann's cancer was classified as an “unknown tumor”. She received a personalized cancer treatment including immunotherapy. I'm hopeful that with your support, research will advance to help others facing rare cancers like hers. Whether you walk with us, join virtually, or donate — every step and every dollar counts. Thank you, Ed  

Jocks in Jills
MINNESOTA WINS THE WALTER CUP + A REVOLVING DOOR OF EPIC GUESTS

Jocks in Jills

Play Episode Listen Later May 28, 2025 75:52


Jocks in Jills Merch is HERE!!!CAN is live here: https://ca.shop.thepwhl.com/collections/jocks-in-jillsUS is live here: https://shop.thepwhl.com/collections/jocks-in-jillsSharkNinja is a proud Founding Partner of the PWHL. Visit ⁠https://sharkclean.ca⁠⁠ https:// sharkbeauty.ca⁠⁠ https://ninjakitchen.ca⁠ to learn more.FACTOR _Heat. Eat. Compete. Canada's #1 Ready-to-Eat Meal Delivery ServiceUse code PWHLPOD25 for $75 off your first 4 boxes http://factormeals.ca/pwhlpod25The Princess Margaret Road Hockey to Conquer Cancer, fueled by Longo's, is the world's largest street hockey fundraiser! Use the PWHL promo code for 50% off the team registration fee. Head to https://roadhockeytoconquercancer.ca/ and use promo code PWHL Back to back championships for The Frost, and a little bit sweeter the second time around with the win at home! Tessa, Julia and Buckles go live after the game in Minnesota with a never ending amount of guests. Straight from the Champaigne celebration – Grace Zumwinkle and Taylor Heise keep everyone laughing. Ken Klee and Liz Schepers talk about Game 4 from their POV and Molly Pannek makes her debut on the pod alongside Kelly!What a game, what a season. Find all the action here on Jocks in Jills!00:00:00 - INTRO w SharkNinja00:02:32 - Kelly and Molly Pannek!00:15:03 - Buckles & Becky Kellar00:17:33 - Ken Klee visits the pod!00:23:45 - Liz Schepers joins the party!00:35:01 - Factor of the Game00:40:34 - Pizza Pizza XXL Moment of the Series00:47:44 - Jocelyne Larocque - so classy00:54:44 - Grace Zumwinkle & Taylor Heise are hilarious!01:10:57 - Princess Margaret Road Hockey to Conquer Cancer01:14:07 - That's a wrap!

Jocks in Jills
ONE WIN FROM WALTER! KNOLL CALLS 3OT

Jocks in Jills

Play Episode Listen Later May 25, 2025 62:08


Jocks in Jills Merch is HERE!!!CAN is live here: https://ca.shop.thepwhl.com/collections/jocks-in-jillsUS is live here: https://shop.thepwhl.com/collections/jocks-in-jillsSharkNinja is a proud Founding Partner of the PWHL. Visit ⁠https://sharkclean.ca⁠⁠ https:// sharkbeauty.ca⁠⁠ https://ninjakitchen.ca⁠ to learn more.FACTOR _Heat. Eat. Compete. Canada's #1 Ready-to-Eat Meal Delivery ServiceUse code PWHLPOD25 for $75 off your first 4 boxes http://factormeals.ca/pwhlpod25The Princess Margaret Road Hockey to Conquer Cancer, fueled by Longo's, is the world's largest street hockey fundraiser! Use the PWHL promo code for 50% off the team registration fee. Head to https://roadhockeytoconquercancer.ca/ and use promo code PWHL What a night! Minnesota takes Game 3 of the series in an unforgettable triple overtime thriller. We basically got two games in one—and we're breaking it all down for you.First, we're joined by Becky Kellar, who shares her insights on the gameplay and turning points of the night. Then, the OT hero herself, Katy Knoll, stops by to give us her post-game reaction and what it felt like to score the game-winner.With the stakes sky-high heading into Game 4, we're asking: Will Ottawa force a Game 5 or will Minnesota raise their second Walter Cup? Everything you need to know before puck drop is right here.00:00:00 - Start of Show!00:04:06 - Becky Kellar up for the party!00:18:50 - Buckles!00:25:27 - Katy Knoll Postgame00:35:14 - Pizza Pizza Free Delivery PWHLDEL00:36:38 - FACTOR OF THE GAME00:39:09 - Break it down w Buckles00:46:50 - PWHL NEWS00:52:29 - Princess Margaret Road Hockey to Conquer Cancer00:54:32 - PREDICTIONS00:57:58 - Merch Shop!01:01:37 - End of Show - Thank You!

Jocks in Jills
THE PWHL FINALS ARE GOING TO MINNESOTA TIED! FULL POSTGAME REACTION

Jocks in Jills

Play Episode Listen Later May 23, 2025 56:00


Jocks in Jills Merch is HERE!!!CAN is live here: https://ca.shop.thepwhl.com/collections/jocks-in-jillsUS is live here: https://shop.thepwhl.com/collections/jocks-in-jillsSharkNinja is a proud Founding Partner of the PWHL. Visit ⁠https://sharkclean.ca⁠⁠ https:// sharkbeauty.ca⁠⁠ https://ninjakitchen.ca⁠ to learn more.FACTOR _Heat. Eat. Compete. Canada's #1 Ready-to-Eat Meal Delivery ServiceUse code PWHLPOD25 for $75 off your first 4 boxes http://factormeals.ca/pwhlpod25The Princess Margaret Road Hockey to Conquer Cancer, fueled by Longo's, is the world's largest street hockey fundraiser! Use the PWHL promo code for 50% off the team registration fee. Head to https://roadhockeytoconquercancer.ca/ and use promo code PWHL This game had everything. Tension, late drama, and an OT finish that kept us all on the edge of our seats. Minnesota grinds out a clutch win on the road to even the series—and we're breaking down every key moment.It was a defensive battle until the final three minutes of regulation, when both teams finally broke through with a goal apiece. Then came overtime—and that's where things got wild.We are joined by Becky Kellar who shares her analysis on this heated game while she drinks an Emily Clark beer. Get all caught up on this series with us!00:00:00 - INTRO w SharkNinja00:02:02 - EP 54 - Let's get into it!00:17:07 - FACTOR of the Game00:21:18 - Break It Down w Buckles00:26:55 - PWHL NEWS00:38:08 - Becky Kellar at the Bar!00:45:37 - Princess Margaret Road Hockey to Conquer Cancer00:48:08 - PREDICTIONS00:54:00 - Pizza Pizza Free Delivery PWHLDEL00:54:43 - End of Show - Happy Friday!

Jocks in Jills
OTT COMES OUT HOT! EMILY CLARK ON HER OT WINNER + FULL GAME 1 REACTION

Jocks in Jills

Play Episode Listen Later May 21, 2025 78:35


Jocks in Jills Merch is HERE!!!CAN is live here: https://ca.shop.thepwhl.com/collections/jocks-in-jillsUS is live here: https://shop.thepwhl.com/collections/jocks-in-jillsSharkNinja is a proud Founding Partner of the PWHL. Visit ⁠https://sharkclean.ca⁠⁠ https:// sharkbeauty.ca⁠⁠ https://ninjakitchen.ca⁠ to learn more.FACTOR _Heat. Eat. Compete. Canada's #1 Ready-to-Eat Meal Delivery ServiceUse code PWHLPOD25 for $75 off your first 4 boxes http://factormeals.ca/pwhlpod25The Princess Margaret Road Hockey to Conquer Cancer, fueled by Longo's, is the world's largest street hockey fundraiser! Use the PWHL promo code for 50% off the team registration fee. Head to https://roadhockeytoconquercancer.ca/ and use promo code PWHL OTTAWA TAKES CHARGE OF GAME 1. Ottawa edges out Minnesota in a nail-biting OT finish to take a 1-0 lead in the PWHL Finals—thanks to a clutch goal by Emily Clark! Tessa and Julia are joined once again by the legendary Becky Kellar to break down all the action, and what to expect moving forward in the series.Plus, we dive into PWHL expansion talk—who's safe, who might be exposed, and who we'd protect in the upcoming draft. It's a jam-packed episode you don't want to miss.00:00:00 - INTRO w SharkNinja00:01:09 - GAME 1 - let's get into it!00:06:21 - Becky Kellar joins the fun!00:27:55 - Emily Clark Postgame00:34:20 - Buckles Merch Shop00:39:12 - FACTOR OF THE GAME00:45:39 - PWHL NEWS00:51:33 - EXPANSION RULES01:10:45 - Road Hockey to Conquer Cancer00:52:49 – MTL/OTT PREDICTIONS01:18:08 - End of Show - Thank You Sponsors!

Jocks in Jills
“YOU CHOSE US!” OTTAWA IS GOING TO THE WALTER CUP! GABBIE HUGHES + MORE POSTGAME REACTIONS

Jocks in Jills

Play Episode Listen Later May 17, 2025 77:02


Jocks in Jills Merch is HERE!!!CAN is live here: https://ca.shop.thepwhl.com/collections/jocks-in-jillsUS is live here: https://shop.thepwhl.com/collections/jocks-in-jillsSharkNinja is a proud Founding Partner of the PWHL. Visit ⁠https://sharkclean.ca⁠⁠ https:// sharkbeauty.ca⁠⁠ https://ninjakitchen.ca⁠ to learn more.FACTOR _Heat. Eat. Compete. Canada's #1 Ready-to-Eat Meal Delivery ServiceUse code PWHLPOD25 for $75 off your first 4 boxes http://factormeals.ca/pwhlpod25The Princess Margaret Road Hockey to Conquer Cancer, fueled by Longo's, is the world's largest street hockey fundraiser! Use the PWHL promo code for 50% off the team registration fee. Head to https://roadhockeytoconquercancer.ca/ and use promo code PWHL Ottawa takes game 4 – peaking at the perfect time, and heading to the Walter Cup Finals! Tessa, Julia and Buckles continue their postgame live show with Gabbie Hughes, Cheryl Pounder and Kenzie Lalonde. You don't want to miss it! 00:00:00 - INTRO w SharkNinja00:03:24 – XXL Moment Of The Series PRESENTED by Pizza Pizza00:20:23 - Buckles Kazoo playing00:21:14 - Gabbie Hughes post-game00:31:34 - Cheryl Pounder & Kenzie Lalonde00:48:26 - Break it down w Buckles00:55:58 - FACTOR of the Game00:59:14 - PWHL News!01:05:32 - Road Hockey to Conquer Cancer00:52:49 - MTL/OTT PREDICTIONS01:16:22 - End of Show!

Jocks in Jills
MINNESOTA IS MOVING ON! W/ NICOLE HENSLEY AND BECKY KELLAR

Jocks in Jills

Play Episode Listen Later May 15, 2025 62:38


Jocks in Jills Merch is HERE!!!CAN is live here: https://ca.shop.thepwhl.com/collections/jocks-in-jillsUS is live here: https://shop.thepwhl.com/collections/jocks-in-jillsSharkNinja is a proud Founding Partner of the PWHL. Visit ⁠https://sharkclean.ca⁠⁠ https://sharkbeauty.ca⁠⁠ https://ninjakitchen.ca⁠ to learn more.FACTOR _Heat. Eat. Compete. Canada's #1 Ready-to-Eat Meal Delivery ServiceUse code PWHLPOD25 for $75 off your first 4 boxes http://factormeals.ca/pwhlpod25The Princess Margaret Road Hockey to Conquer Cancer, fueled by Longo's, is the world's largest street hockey fundraiser! Use the PWHL promo code for 50% off the team registration fee. Head to https://roadhockeytoconquercancer.ca/ and use promo code PWHL For the second straight season, Minnesota eliminates Toronto in an unforgettable playoff series. Join Tessa, Julia & Buckles as they break down the intense action from Game 4 and the entire series with Becky Kellar. You don't want to miss post-game with Minnesota goaltender Nicole Hensley after the Frost's big win to hear her thoughts heading into the Walter Cup Final.00:00:00 - INTRO w SharkNinja00:01:25 - Start of Show!00:02:41 - XXL Moment of the Series presented by PIZZA PIZZA00:14:36 - Becky Kellar is awesome!00:28:27 - Break it Down w Buckles00:33:01 - FACTOR of the Game00:35:05 - Nicole Hensley post-game interview00:46:33 - Defender of the Year00:49:50 - Road Hockey to Conquer Cancer00:52:49 - MTL/OTT PREDICTIONS01:02:14 - End of Show!

Your Stories: Behind the Breakthroughs
The Comeback: How Emma Learned to Love Life Again

Your Stories: Behind the Breakthroughs

Play Episode Listen Later Mar 18, 2025 29:33


 The first cancer diagnosis was scary enough.   “I feel like Hollywood actually gets this moment pretty darn right,” Emma says, recalling the day—not long before her 18th birthday—that she learned she had cancer. “The world around you kind of slows down, you get tunnel vision, maybe a little dizzy. The only thing you can really hear is your breathing and your heart rate.”    Eventually—following multiple rounds of chemotherapy—Emma was declared cancer-free. But then came the second diagnosis.    “The key difference between the first and second time is that the first time, you have fear of the unknown. You don't know what's coming for you, and you don't know what you don't know,” Emma says. This time, however, she knew all too well. “I did know what was coming for me. I know what I'm going to be facing. And I would argue that that is almost worse. But, if you're gonna relapse, there's only one positive: You know how to do it better this time.”   In this episode of Your Stories, Emma joins her oncologist, Conquer Cancer-funded researcher Dr. Molly Taylor, for a candid discussion about resilience, recovery, and what helped her make a major comeback after facing cancer twice.

The Worn & Wound Podcast
WW Bonus - Unwinding - Matt Smith Johnson

The Worn & Wound Podcast

Play Episode Listen Later Mar 14, 2025 67:19


This week on the Undwinding Podcast, Blake takes on hosting duties to discuss all things watch design with Zach and Matt Smith-Johnson, a designer whose work you've likely seen on the pages of Worn & Wound and the halls of the Windup Watch Fair. Matt has designed watches for brands including Vero, Laco, Prevail, and more. Blake interviews Zach and Matt to discuss what goes into designing a great watch, how they got into the design industry, and their unique perspectives on watches.But that's not all. Matt and Blake are gearing up for the 2025 Ride to Conquer Cancer, a cycling event raising funds for cancer research. They discuss why the cause of cancer research is so personally important, and Matt shares stories from his 10 years of participating in the Ride. Please see this link for more details if you'd like to support Matt and Blake's ride with a charitable donation. To stay on top of all new episodes, you can subscribe to The Worn & Wound Podcast on all major platforms, including Apple Podcasts, Stitcher, Spotify, and more. You can also find our RSS feed here.And if you like what you hear, don't forget to leave us a review.If there's a question you want us to answer, you can hit us up at info@wornandwound.com, and we'll put your question in the queue.

Consummate Athlete Podcast
Live Women's Talk with Molly Hurford

Consummate Athlete Podcast

Play Episode Listen Later Mar 8, 2025 68:09


In this talk for the women participating in The Princess Margaret Cancer Foundation's The Ride to Conquer Cancer and Northern Pass to Conquer Cancer, Molly covered: apparel and gear choice, saddle sores, chafing , pad vs. tampon, doing a bike check , training basics , nutrition 101 and event day checklists. Molly is joined by accomplished endurance athlete Karen Duff in this fun discussion of women's cycling and taking on a charity ride, fondo or similar endurance event.   This Episode is Brought to  You By: PAYABLE APPS - Use our link Payableapps.com/ATHLETE – to pay no app fees for 6 months plus for a limited time new users , who use Square , can save on $200 of square App Fees!  Payableapps.com/ATHLETE – Try it out for your next Event, Pizza day, jersey order or clinic/camp!     Consummate Athlete Event and Goal Based Training Plans, available in the Training Peaks Store. This ready to go plans are available to start whenever you are and provide a valuable and proven workouts to guide you to your goal or event. Use Code ‘CAPOD' to get 25% of any of the plans . bit.ly/PGPLANS   Shop Amazon - Use this link to support the show (for free!) while you shop: https://amzn.to/3Aej4jl   Curious about becoming a Consummate Athlete Podcast Sponsor? Please Connect with us HERE Listen to the Consummate Athlete Podcast  Find links to your favorite Podcast App (remember to rate and review!) https://pod.link/1100471297 List to the Consummate Athlete Podcast on Spotify Watch The Consummate Athlete Podcast on Youtube Show Notes For Consummate Athlete Consummate Athlete Phone Consultation Our CA Best Gran Fondo Training Plan on Training Peaks  A post on Consummate Athlete about Gran Fondo Preparation    The Princess Margaret Cancer Foundation's The Ride to Conquer Cancer and Northern Pass to Conquer Cancer,  Saddle sores, chafing, etc. (remember Molly's book, Saddle, Sore?) Connect with Molly & Peter Subscribe to our Newsletter Books By Molly Hurford https://amzn.to/3bOztkN Follow The Consummate Athlete on Instagram and Facebook Follow Molly Hurford on Instagram Follow @PeterGlassford on Instagram Consummate Athlete Links for Coaching and other services Past Consummate Athlete Guests: Steve Magness, Dr. Stacy Sims, Dr. Stephen Seiler, Simon Marshall,Frank Overton, Dean Golich, Joe Friel,Marco Altini, Katerina Nash, Kelly Starrett, Geoff Kabush, Ellen Noble, Phil Gaimon, Dr. Stephen Cheung, David Roche, Matt Fitzgerald, Dr. Marc Bubbs, Christopher McDougall, Rebecca Rusch, Kate Courtney, David Epstein ,Kelly Starrett, Juliet Starrett, and many more

Your Stories: Behind the Breakthroughs
Misinformed: The Online Rise and Real-Life Risk of Medical Misinformation

Your Stories: Behind the Breakthroughs

Play Episode Listen Later Feb 18, 2025 22:05


Whether you find it on social media, via search engine, or on a popular news website, it often seems like medical misinformation is everywhere, including in the cancer space.   Maybe it's the claim that sugar causes cancer to spread faster. Maybe it's someone saying that people with dark skin don't get skin cancer. Or maybe it's the conspiracy theory that drug companies and government agencies are withholding the cure for cancer so they can continue to profit from expensive oncology care.   These are just a few examples of purported cancer facts you might encounter online—and none of them are true.  From misinterpreted oncology research to race-related stigmas and myths, the spread of cancer-related misinformation runs rampant, taking an increasing toll on global health and often hampering our efforts at early detection and prevention. In one 2022 study, researchers found harmful misinformation in approximately 32.5 percent of the cancer-related English-language publications they analyzed.  “Unfortunately, what we're frequently seeing in online networks is that the worst-quality information actually receives more engagement than the high-quality information,” says one of the study's lead authors, Dr. Stacy Loeb, a Conquer Cancer recipient whose spent years researching the consequences of misinformation for patient health. “The structure of online networks can lead to much more rapid and widespread misinformation than we ever would have seen in the past.”  In this episode of Your Stories, Dr. Loeb joins ASCO's Sybil Green to discuss the rise of misinformation online, its impact on the cancer landscape, and how people across the cancer community can help to turn the tide. 

Your Stories: Behind the Breakthroughs
Strength She Never Knew

Your Stories: Behind the Breakthroughs

Play Episode Listen Later Oct 15, 2024 32:40


Every 14 seconds, someone is diagnosed with breast cancer, making it one of the most frequently diagnosed cancers in the world, second only to lung cancer, and the leading cause of cancer-related death among women globally. And, while a cancer diagnosis can be devastating for anyone of any age or gender, one group faces a particularly unique and complex set of challenges: young working mothers. It's a reality that Irish patient Aisling O'Brien knows all too well. Aisling spent most of 2023 undergoing numerous rounds of treatment—including breast-conserving surgery right before the winter holidays—all while parenting three young children. “I'm slowly getting back to what is now my new normal,” says Aisling, now that she's through treatment and cancer-free. “It's given me a lot of perspective. I don't sweat the small stuff. I don't get nervous about things anymore, because what's the worst that could happen?  It's shown me that I have a strength that I never knew I had.” It helped that Aisling had a medical oncologist who was there to support her and her family every step of the way: Dr. Michaela Higgins. A two-time Conquer Cancer grant recipient based at St. Vincent's University Hospital in Dublin, Ireland, Dr. Higgins has led numerous clinical trials for patients with breast cancer, helping to advance new treatments and cures. In this Your Stories episode, Aisling and Dr. Higgins join host Dr. Mark Lewis for a conversation about the many challenges that come with balancing motherhood and breast cancer, along with the promising future of breast cancer research and care.

Your Longevity Blueprint
Greatest Hits: Conquer Cancer Now with Nathan Crane

Your Longevity Blueprint

Play Episode Listen Later Oct 9, 2024 69:25


With rates of cancer on the rise, how can you increase your odds of staying healthy? Today's guest shares his insight into how to detoxify your life to stay healthy for the long run.  The six core causes of cancer are Chronic inflammation Elevated blood glucose Environmental toxins Stress  Unhealthy diet Lifestyle behaviors   About Nathan Crane Nathan Crane is an award-winning author, inspirational speaker, plant-based athlete, event producer, and 20x award-winning documentary filmmaker. Nathan is the Founder of The Panacea Community, Creator of the Global Cancer Symposium, Host of the Conquering Cancer Summit, and Director and Producer of the documentary film, “Cancer; The Integrative Perspective”. In 2005, at only 18 years old, Nathan began his health, healing, and spiritual journey, eventually overcoming a decade of brutal teenage addiction, house arrest, jail, and challenging times of homelessness to become an international author, filmmaker, and speaker dedicated to health, healing and conscious awakening. Nathan received numerous awards for his contribution to health, healing, and personal development including the Accolade Film Competition 2020's Outstanding Achievement Humanitarian Award and the Outstanding Community Service Award from the California Senate for his work in education and empowerment with natural and integrative methods for healing cancer. With more than 15 years in the health and wellness field, Nathan has reached millions of people around the world with his inspiring messages of hope, healing, and transformation.   In This Episode How Nathan learned to live a loving spiritual life [2:04] Why cancer rates are on the rise [11:15] Methods for detoxing your home and body [30:30] Reducing your exposure to electromagnetic fields (EMFs) [41:55] Avoiding mycotoxins in pet food [47:55] The best supplements to support the immune system [54:15]   Links & Resources Use Code VITAMIND to get 10% off VITAMIN K2 Use code COQ10 to get 10% off COQ10 Use code Immune Support to get 10% off Immune Support Why Antioxidants Are Important Wisdom of the Body Masterclass D3 5000 120 count D3 5000 60 count D3 + K2 D3 1000 Liquid D3 + K2 Liquid D3 D3 50,000 Find Nathan Crane online  “Cancer; The Integrative Perspective” EMF Pollution Solutions   Find Your Longevity Blueprint Online Follow Your Longevity Blueprint on Instagram | Facebook | Twitter | YouTube | LinkedIn Get your copy of the Your Longevity Blueprint book and claim your bonuses here Find Dr. Stephanie Gray and Your Longevity Blueprint online   Follow Dr. Stephanie Gray on Facebook | Instagram | Youtube | Twitter | LinkedIn Integrative Health and Hormone Clinic Podcast Production by the team at Counterweight Creative    Related Episodes  Episode 5: From Hodgkins to Healthmaker with Kylene Terhune

Your Stories: Behind the Breakthroughs
Picking Up the Pieces After Childhood Cancer

Your Stories: Behind the Breakthroughs

Play Episode Listen Later Sep 17, 2024 25:41


Prom. Graduation. College. These are just a few rites of passage that high school seniors everywhere look forward to. But for Auburn, a devastating turn of events tilted her entire world off its axis and put all her senior year plans on hold. At just 18 years old, she was diagnosed with Hodgkin lymphoma, a type of blood cancer. Instead of graduating with her classmates and going to senior prom, Auburn endured numerous rounds of lymphoma treatment, which is notorious for being incredibly taxing, especially for younger patients. Fortunately, one of Auburn's providers, Dr. Raymond Mailhot, is uniquely qualified to help patients find the best and least traumatic course of care. A two-time Conquer Cancer-funded award recipient, Dr. Mailhot focuses on improving radiation oncology for younger patients in the U.S. and in Latin American countries. With his Conquer Cancer funding, he's determined to improve radiation treatment options for pediatric patients—research that has helped inform his approach to Auburn's care. In this Your Stories episode, Auburn and Dr. Mailhot have a heartfelt exchange about the many difficulties that cancer brings, especially for younger patients. Together, they reflect on Dr. Mailhot's thoughtful approach to providing care for Auburn and the ways that Auburn has persevered to carve a promising path for her life.

The Voice of Retail
Meet Bobby Sahni, Co-Founder and Partner at Ethnicity Matters with a preview of his RCC Retail Marketing Conference session "Crafting Compelling Campaigns for Canada's Multicultural Market "

The Voice of Retail

Play Episode Listen Later Aug 23, 2024 17:06


In this episode, meet Bobby Sahni, a veteran of multicultural marketing with over 20 years of experience. Bobby discusses his journey from corporate roles in banking and telecommunications to his current role as a leader at Ethnicity Matters, a Toronto-based multicultural marketing agency. He emphasizes the importance of understanding Canada's demographic shifts and integrating multicultural strategies into mainstream business practices.Bobby highlights that multiculturalism is now mainstream and should be central to growth strategies, and is the growth strategy in Canada. He also shares insights into the diverse needs of newcomers and the critical role of first impressions in retail marketing. Bobby is set to speak at the upcoming Retail Council of Canada's Retail Marketing Conference, and he will preview what he will be discussing on the main stage. he will cover data-driven strategies and share examples of successful multicultural marketing campaigns. About BobbyBobby Sahni is a veteran and thought-leader in the multicultural marketing and advertising industry. Bobby was the Head of Multicultural Marketing at Rogers Communications and has been a pioneer in developing, executing and managing diversity and multicultural marketing initiatives for a number of best-in-class organizations. He is Co-Founder and Partner at Ethnicity Matters – a multicultural marketing & advertising agency dedicated to helping companies drive new growth and sales by engaging North America's fast growing, big spending ethnic and new immigrant communities. He is also Partner in Tulsea Sports Marketing, a US-based marketing consultancy focussed on the intersection of multicultural marketing and sports & entertainment. Bobby has earned national and international recognition for his work and thought leadership in multicultural marketing. Bobby also loves teaching, having guest-lectured at many universities/colleges and regularly speaks at industry events and conferences across North America. Bobby has also been on a variety of advisory boards and committees including Hockey Canada, Imagine Canada, Seva Food Bank, Road Hockey to Conquer Cancer, Cricket to Conquer Cancer, Indo Canada Chamber of Commerce, Reel Asian Film Festival and Credit Valley Conservation Foundation. Bobby earned his MBA from the global Kellogg Schulich Executive MBA program with cross-cultural studies in Hong Kong, Germany, Miami, Chicago and Toronto. He also holds a Bachelor of Science & Business degree from the University of Waterloo. About MichaelMichael is the president and founder of M.E. LeBlanc & Company Inc, a senior retail advisor, keynote speaker and media entrepreneur. He has been on the front lines of retail industry change for his entire career. He has delivered keynotes, hosted fire-side discussions and participated worldwide in thought leadership panels, most recently on the main stage in Toronto at Retail Council of Canada's Retail Secure conference with leaders from The Gap and Kroger talking about violence in retail stores, keynotes on the state & future of retail in Orlando and Halifax, and at the 2023 Canadian GroceryConnex conference, hosting the CEOs of Walmart Canada, Longo's and Save-On-Foods Canada. Michael brings 25+ years of brand/retail/marketing & eCommerce leadership experience with Levi's, Black & Decker, Hudson's Bay, Pandora Jewellery, The Shopping Channel and Retail Council of Canada to his advisory, speaking and media practice.Michael also produces and hosts a network of leading retail trade podcasts, including the award-winning No.1 independent retail industry podcast in North America, Remarkable Retail, Canada's top retail industry podcast; the Voice of Retail; Canada's top food industry and the top Canadian-produced management independent podcasts in the country, The Food Professor, with Dr. Sylvain Charlebois. Rethink Retail has recognized Michael as one of the top global retail influencers for the fourth year in a row, Coresight Research has named Michael a Retail AI Influencer, and you can tune into Michael's cooking show, Last Request BBQ, on YouTube, Instagram, X and yes, TikTok.Available for keynote presentations helping retailers, brands and retail industry insiders explaining the current state of the retail industry in Canada and the U.S., and the future of retail.

Your Stories: Behind the Breakthroughs
Bringing Better Cancer Care Back Home

Your Stories: Behind the Breakthroughs

Play Episode Listen Later Jun 18, 2024 38:37


For Dr. Kekoa Taparra, cancer is deeply personal. Growing up in a remote area of Oahu, Hawaii, Dr. Taparra witnessed his younger cousin's struggles with neuroblastoma. He watched his mother lift and carry his aunt, too weak to walk because of breast cancer. He heard the sharp cries of another aunt suffering with endometrial cancer. These early experiences drove Dr. Taparra to not only dedicate his career to oncology and cancer research, but to focus on addressing the various inequities that face Native Hawaiian and Other Pacific Islander (NHPI) communities—from low rates of inclusion in clinical trials to geographic barriers to cancer care. In 2023, Dr. Taparra received the inaugural Dr. Judith and Alan Kaur Endowed Young Investigator Award through Conquer Cancer, the ASCO Foundation. With this support, he launched a research project that uses machine learning to explore the various drivers of NHPI cancer disparities and helps categorize NHPI cancer data more effectively. He joins Your Stories host Dr. Don Dizon to share more about this important work and how his upbringing fueled his dedication to conquering cancer for every patient.

Your Stories: Behind the Breakthroughs
Why Hasn't Cancer Been Cured?

Your Stories: Behind the Breakthroughs

Play Episode Listen Later May 21, 2024 38:40


Not only does cancer predate the practice of medicine, but it may also predate the human species entirely. In 2016, archeologists in South Africa unearthed a large 1.7 million years-old bone fragment, ultimately revealed to be the toe bone of an ancient but unknown species of human dating back millennia. On that piece of bone, they discovered something else: a malignant tumor. It's a stark reminder that, for as long as their profession has existed, oncologists have been studying and treating cancer. For many, it raises a frustrating question: After so many centuries of studying cancer, why haven't we cured it yet? The answer is complicated. Dr. Otis Brawley joins the Your Stories podcast to help us better understand what makes cancer such a complex and persistent adversary. In addition to being a professor of oncology at the Johns Hopkins University and a former chief medical and scientific officer of the American Cancer Society, Dr. Brawley is a member of Conquer Cancer's Board of Directors and editor of The Cancer History Project, a free online resource dedicated to documenting the history of cancer in medicine. He talks with host Dr. Mark Lewis about why cancer has not yet been “cured” and about how our study and understanding of it has evolved over time.

WICC 600
Melissa in the Morning: Team Conquer Cancer

WICC 600

Play Episode Listen Later May 3, 2024 9:36


According to The leukemia and lymphoma Society, approximately every three minutes, one person is diagnosed with blood cancer. The organization has been focusing for years on raising money for research and better supporting blood cancer patients and their families. We spoke with Michele Terra, who continues to partner with the organization after caring for her mom who battled and miraculously survived blood cancer. Learn how she is raising money and why her mission matters. The link to her donation page: Michele's Leukemia & Lymphoma Website - v2 (canva.site) Image Credit: Getty Images

society leukemia conquer cancer image credit getty images
Real Talk for the Non-Profit Event Pro
Easy as 1, 2, 3! How to Steward and Support Your Community so They Fundraise More for Your Organization

Real Talk for the Non-Profit Event Pro

Play Episode Listen Later May 2, 2024 43:43


In this episode, your host Amy Milne gets real with Keith Clarke, Director, Corporate & Community Partnerships at The Princess Margaret Cancer Foundation. Keith started his career at PMCF as a Coordinator, and his passion for fundraising to eradicate cancer in his lifetime is what has kept him going strong 14 years later. You will often hear Keith mention the word "lucky" throughout this episode and while luck may be in the stew, we also know that a lot of hard work, belief and willingness to be bold has helped his organization get to where they are today. Keith talks about the importance of always innovating and reminds us that failing fast, learning from it and trying something new is something to be celebrated. Keith's passion really shines through when he shares about his community events team. Rather than overcomplicate, his team works closely with corporations/companies/families to find out how they want to give back and provides first-class support to make it happen. The bottom line: let's make it as easy as possible for people to fundraise for our organizations!If you're curious to see what an epic DIY program looks like, make sure you check out D.I.Y. to Conquer Cancer.”Every partnership and group we steward or support is unique and different.” – Keith Clarke Connect with us:Beyond Fundraising Inc: https://www.startingbeyond.com/LinkedIn: https://www.linkedin.com/in/amy-milne-8946791/Instagram: https://www.instagram.com/milneamyr/https://www.instagram.com/startbeyond/Finding yourself stuck on an event, marketing or communication problem and you wish you had someone you could talk it through with? Well look no further, fill out the form below and sign up for our hot seat coaching. Amy and the team are here to move the pylons out of your way!Sign Up here for more information on how YOU can get on the hot seat!

Your Stories: Behind the Breakthroughs
A Collaborative Approach to an Uncommon Cancer

Your Stories: Behind the Breakthroughs

Play Episode Listen Later Mar 19, 2024 34:39


Imagine receiving a cancer diagnosis, only to immediately learn that not only has it spread to other parts of your body, but it's also incredibly rare for it do so—so rare, in fact, that little to no research exists to inform your treatment. Katie Coleman doesn't need to imagine this: She's lived it. In December 2020, at just 29 years old, Katie was diagnosed with metastatic oncocytoma, a type of kidney cancer so rare that fewer than 10 cases have been recorded in history. Consequently, it's also remained largely understudied, underfunded, and overlooked in cancer research. Luckily, Katie found Dr. Pavlos Msaouel, an oncologist and a three-time Conquer Cancer grant and award recipient with an incredibly niche research focus: targeting rare kidney tumors. Despite a lack of research about Katie's specific type of tumor, Dr. Msaouel's experience with targeting rare kidney tumors—informed by his Conquer Cancer-funded research—enabled her care team to hone in on an approach that ultimately left her cancer-free. Now a cancer survivor and patient advocate, Katie has made it her mission to share her story and help others learn to more effectively navigate cancer care. In this episode of Your Stories, Katie speaks with podcast host and fellow survivor Brenda Brody about what she found most helpful during her cancer experience and the empowering impact of shared decision-making between providers and patients.

Cancer.Net Podcasts
What People With Cancer Should Know About Cannabis and Cannabinoids

Cancer.Net Podcasts

Play Episode Listen Later Mar 13, 2024 28:33


 [music] ASCO: You're listening to a podcast from Cancer.Net. This cancer information website is produced by the American Society of Clinical Oncology, known as ASCO, the voice of the world's oncology professionals. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guests' statements on this podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Cancer research discussed in this podcast is ongoing, so data described here may change as research progresses. Greg Guthrie: Hi everyone, I'm Greg Guthrie, a member of ASCO's patient education content team, and I'll be your host for today's podcast. ASCO is the American Society of Clinical Oncology, and we're the world's leading professional organization for physicians and oncology professionals caring for people with cancer. Today we're going to be talking about what patients should know about cannabis, cannabinoids, and cancer. ASCO recently published a clinical practice guideline on cannabis and cannabinoids for adults with cancer. I'm happy to have 2 of the co-chairs from the committee that developed this guideline as our guests today. Dr. Ilana Braun is an associate professor at Harvard Medical School. Thanks for joining us, Dr. Braun. Dr. Ilana Braun: Thanks so much for having me. Greg Guthrie: It's a pleasure to have you here today. And Dr. Eric Roeland is an associate professor of medicine at Oregon Health and Science University. Welcome Dr. Roeland. Dr. Eric Roeland: Thanks, Greg. Greg Guthrie Great. So before we begin, I want to note that neither Dr. Braun nor Dr. Roeland have any relationships to disclose related to this podcast, but you can find their full disclosures in this podcast's show notes. So let's start with the fundamental question about this discussion, and that is what is a clinical practice guideline and how does it help guide cancer care? Dr. Roeland, can you start with this? Dr. Eric Roeland: Of course, yeah. A clinical practice guideline describes the best practices or what clinicians call the “standard of care” with regard to a specific topic. So this is kind of the blueprint that clinicians use to guide their practice when taking care of people with cancer. And the American Society of Clinical Oncology clinical practice guideline on the use of cannabis and/or cannabinoids summarizes the best available data collected specifically from humans in clinical trials, and we combined that with a multi-disciplinary panel of expert opinion. Greg Guthrie: Yeah, I think it's really important to always remember that best evidence comes from research in humans as well as from clinical expertise. So it's the best recommendations that we can have to support cancer care.   Dr. Eric Roeland: Greg, I also think it's very important to understand that there are different places that we gain knowledge in research. One is specifically when we are trying to figure out how a drug works, and we will test that in what we call “preclinical models,” which is usually within animals. And then, once we've determined safety and efficacy, then we start taking that information and approach studies in humans. And so when our listeners are learning about new data in the use of cannabis or cannabinoids, I encourage everyone to always stop and ask, is this data coming from the animals or is this from humans? Greg Guthrie: That's such an important point. And I think it's so essential to always look for that piece of evidence whenever you're reading about scientific advances. Alright, so let's take a moment to talk about what it means when we say cannabis and cannabinoids. Dr. Braun? Dr. Ilana Braun: Cannabis, which is better known as marijuana, is a plant that humans have turned to for thousands of years as a medicine, in manufacturing—for instance, in the making of rope­—and for enjoyment. It's often mistakenly viewed as having one main ingredient, tetrahydrocannabinol, or THC, but it actually has more than 300 ingredients that act in the body. Some of those ingredients are referred to as cannabinoids. There are 2 cannabinoids of greatest interest, THC, which I just mentioned, and CBD, cannabidiol. THC is responsible for the high feeling some people experience with cannabis. CBD is not. Currently in the U.S., some cannabis products containing these cannabinoids can be sourced at the pharmacy, others at cannabis dispensaries, and some through more informal means. Greg Guthrie: That's great. Thank you for that definition here as we continue this discussion. So what do people with cancer typically think cannabis and cannabinoids will do to help them? Dr. Roeland? Dr. Eric Roeland: Well, it's a great question, Greg, because in clinic, when patients and their loved ones express interest in either starting cannabis or cannabinoids or are currently using them, I always want to explore what their goal of use is. And interestingly, the goals of use are far-reaching. And I have heard everything from, to help with everything, to cure my cancer. And so it's incredibly important to understand why people are reaching towards these products, to understand what their goals are. If they're focused on using this to treat the underlying cancer, or instead of standard cancer therapies, we have grave concerns about this approach. And it may lead to worse outcomes of your cancer. However, if cannabis or cannabinoids are being used to help with controlling some symptoms during their cancer treatment, it may be helpful. And especially in one particular case where people have really bad nausea and vomiting that persists despite our best medicines to prevent it. Greg Guthrie: Thank you for that, Dr. Roeland. Dr. Braun, did you have anything to add? Dr. Ilana Braun: Maybe I will just point out that decisions on what to target with cannabis are often made through trial and error or in consultation with dispensaries, but not as much as I would prefer in consultation with clinical teams. Dr. Eric Roeland: So I would also add that it's incredibly important to bring these topics up with your clinical team because although cannabis and cannabinoids are considered safe by many because they're quote “natural,” it's important to recognize that they actually can interact with many of the other medications that you're already taking. For example, patients with cancer might be experiencing really bad pain or anxiety and taking things like opioids or benzodiazepines. And when you combine that with cannabis, it can prolong some of the effects of sedation or confusion. I'd also like to point out that this is not a time where people want to try cannabis for the first time, when they are weak and/or experiencing poor appetite and higher risk of falls. This is not the best time to be trying cannabis or cannabinoids without clear guidance from the clinical care team. Greg Guthrie: Do you find in writing this guideline and through your clinical experience that most people who are asking about cannabis and cannabinoids, that they already have been trying to use it or are considering it? Because there's a difference there, right? What goal are they looking for, and do they already have a predetermined assumption about what's going to happen with these? Dr. Eric Roeland: You know, Greg, as clinicians, we talk about a lot of hard stuff. We talk about challenges in terms of health care, access to care, cultural differences, financial toxicity. And it's so fascinating to me that we don't talk about something as simple as whether or not patients are using cannabis. And the reality is that when patients actually bring it up in clinic, I would say that most times they're already using it and are just simply asking for some advice on how to use it safely and effectively. So once I decided to lean in on this topic and create a space for patients and their loved ones to bring it up in clinic, I have found that it's brought up during most clinical encounters. Greg Guthrie: Fascinating. And so that's likely why the first recommendation of this guideline addresses the importance of communication between doctors and patients on this topic, correct? Dr. Eric Roeland: Yes, absolutely. I think that doctors are reticent to talk about this topic because of concerns around legal issues, which can be highly varied across the country. And Dr. Braun can speak to this more. Dr. Ilana Braun: Yeah, so in order to offer the very best care possible, I think that medical teams should know about all the medicines and supplements a person is taking. And this includes cannabis and cannabinoid products. Why? Well, because, as Dr. Roeland mentioned, cannabis and cannabinoids can sometimes decrease the effectiveness of some therapies that a person is on, likely including some cancer treatments, and they can also worsen side effects of other therapies. And then at the same time, cannabis and cannabinoids can be helpful in managing some symptoms of cancer and side effects of cancer treatment. So using them involves a careful weighing of risks and benefits. So for these reasons, oncology teams really do want to be part of the conversation as someone thinks through decisions around cannabis and cannabinoids. The ASCO guidelines encourage clinicians to be open and non-judgmental and welcome transparent discussions with patients about cannabis and cannabinoids. From there, clinicians should either assist personally if they feel qualified to do so, or refer a patient to high-quality information or an advisor with greater expertise. As for the types of information that might be helpful to share with the clinical team, a person with cancer who consumes cannabis or cannabinoids might wish to share why they're turning to cannabis, where they get their products, the active ingredients in them—so is it mainly THC or is it mainly CBD­—how they consume them, are they smoking, are they vaporizing, are they taking them by mouth, how often they consume them, what do they experience as the benefits and risks of using cannabis and cannabinoid products? Their clinicians may wish to know whether or not the cannabis products are being used as an add-on to standard treatments or whether they're being used in the place of standard treatments. And as Dr. Roeland suggested, they probably will want to know how much this practice is costing the patient each month and whether it is affordable. I think it's especially important to speak with your clinical team if you are considering using high-potency cannabis paste in an attempt to treat cancer itself. So not just manage symptoms, but actually treat cancer itself. The reason I think it's so important to share with your cancer team is that these cannabis pastes tend to have very, very high concentrations of THC and sometimes even CBD. And I think your cancer team can be helpful in thinking through the risks and benefits of that, helping to monitor side effects that might arise. It is commonly the case that people feel a little bit of confusion with very high doses of oral THC. Dr. Eric Roeland: I absolutely agree. And I think these high doses of cannabis products, they're often a tincture and delivered in a syringe. And it might look like black tar. And people are told to start off with the dosing of a grain of rice. But then they're told that the dose to treat their underlying cancer can be higher than a gram of cannabis a day. In some places it's a gram and a half. This is very high dosing, and it's going to cause people to feel extremely fatigued and increase the risk of falls and being sent to the emergency department. So I want to warn people about this practice in particular, because it can cause harm. We have no evidence that it actually works. Greg Guthrie: Thanks for that information there. I was wondering, is there a certain person on the health care team that patients should consider talking to, or anyone? Dr. Ilana Braun: I think anyone. Health care teams keep in close contact with each other. And so this kind of information would be shared amongst the team. So lots of cancer patients begin by sharing with their infusion nurse or their nurse practitioner. They don't even need to share necessarily with their oncologist as a first step. And anyone on the team should, after these guidelines, be able to access high-quality information through their institutions. Dr. Eric Roeland: And for those patients who might be in a location where they don't have access to an expert or don't have access to educational resources, I think one of the strengths of this current guideline is that we include an appendix, which clinicians can actually use as a 1-page handout for patients and caregivers to answer some of these most basic questions. For example, I think there's a lot of misunderstanding about how to take cannabis or cannabinoids. And what we do see is there's a big difference between ingesting orally an edible versus smoking or inhaling cannabis. And so, for example, cannabis when eaten by mouth can take up to 2 hours to have its peak effect. And unfortunately, what happens is that patients won't feel anything after several minutes to a half hour and then stack doses to the point that they get a much higher dose than they really need. And so we really encourage people to be aware of, if it's an edible, that it can take up to 2 hours. Whereas with your breathing it in or vaping, the effects can happen almost right away. But again, it's important to recognize that cannabis, whether it's smoked, vaped, or ingested, can be in your body for up to 12 hours and may even impact your ability to drive. So it's important that if you are going to use these tools in combination with the rest of your medicines, it's important to do it in a safe way. Another product that is now available, even over the counter at many grocery stores, is cannabidiol, or CBD. CBD in its pure form doesn't have the euphoria associated with products that contain more THC. Most people are using this as an anti-inflammatory, or targeting sleep. I would like to recognize that in our review of the literature, we discovered that high doses, meaning more than 300 milligrams of cannabidiol a day, actually changed the measurable enzyme levels of the liver. These enzyme levels in the liver are the same levels that we use to determine whether or not you can get your chemotherapy. So you want to make sure that you're not taking excessive doses of cannabidiol, meaning more than 300 milligrams a day, because you don't want your chemotherapy delayed because your liver enzymes might be elevated falsely from the use of high doses of cannabidiol. Greg Guthrie: That's great, Dr. Roeland. Thanks for adding that. As an additive or part of the cancer care plan, like with all medications, we need to be aware of what we're taking and report to our health care team so we can watch for interactions and potential side effects, right? So what are the rest of ASCO's guideline recommendations when it comes to this guideline for cannabis and cannabinoids? Dr. Ilana Braun: So as a committee, we submitted cannabis and cannabinoids to the same level of rigorous scrutiny that we would any other aspect of oncologic care. I can think of few other ways to validate this area of oncology science than to do so. And after an in-depth evaluation, the ASCO committee concluded that of all the reasons that a cancer patient might medicate with cannabis, the best scientific evidence supports using cannabis or cannabinoids to help with nausea and vomiting caused by cancer drugs when standard medications for nausea and vomiting don't work well enough. Of note, ASCO guidelines make clear that there isn't evidence to hang our hats on that cannabis and cannabinoids can treat cancer itself. What's more, early evidence suggests that cannabis and cannabinoids may actually worsen outcomes for people taking a cancer treatment called “immunotherapy.” Gold-standard clinical trials are necessary to confirm these worrisome findings, but for the time being, people on immunotherapy should probably best avoid cannabis and cannabinoids. I think Dr. Roeland and I and the rest of the committee have hope that more scientifically proven indications will emerge as cannabis research progresses. Dr. Eric Roeland: Dr. Braun has also pointed out to me that there's literature and evidence supporting the use of cannabis and/or cannabinoids for the management of chronic pain not related to cancer. And this has been actually described in other guidelines, and we need to recognize that our patients living with cancer often have chronic pain that may even predate their cancer experience. However, we do not have strong evidence to support that the use of cannabis and/or cannabinoids helps with cancer pain, which is a common reason that people are reaching for these medicines. Greg Guthrie: Great, thank you, Dr. Roeland. Thank you, Dr. Braun. So this guideline also recommends the use of cannabis or cannabinoids mainly within the setting of a clinical trial, and why is that? Dr. Eric Roeland: Well, Greg, I think it's incredibly important for people living with cancer and their loved ones to recognize that access to cannabis has far outpaced our ability to validate and study the best methods of using cannabis and cannabinoids in people living with cancer. Meaning access has far outpaced the science that supports its use. We also recognize that just because something is quote, “natural,” doesn't necessarily mean it is also safe, especially in combination with many of the drugs and cancer therapies that patients must receive while they're on treatment. Therefore, for those of you very frustrated by the lack of evidence to support the use of these medicines in people living with cancer, you should be the first in line to volunteer for any studies that help us collect prospective evidence to demonstrate not only safety but efficacy. I would also like to recognize how challenging it can be to perform these types of clinical trials based off of the formal designation by the federal government classifying this—cannabis and/or cannabinoids—as a Schedule 1 medicine, which creates multiple barriers for those clinical researchers who want to fully describe the safety and efficacy of these drugs. Therefore, if there is someone near you who is doing clinical research in this space, we greatly would appreciate your involvement in those clinical trials. Dr. Ilana Braun: I agree with Eric. By participating in clinical trials, a person is doing a very kind thing for others, helping to advance the science behind cannabis and cannabinoids. Only through this controlled, systematic testing will the medical community understand whether cannabis and cannabinoids can be helpful for indications beyond the chemotherapy-related nausea and vomiting. And we as a society need to understand whether cannabis or cannabinoids can be helpful for cancer pain, for cancer-related poor appetite, to name just a few. These clinical trials will help us move the field forward. And in terms of personal benefit, I could imagine that clinical trials might offer someone more quality-assured cannabis products, more scientifically based dosing guidelines, careful clinical observation should side effects present, and potentially efficacy. But of course there are no guarantees. That's why we're doing the trial. Greg Guthrie: Thanks, Dr. Braun. Yeah, clinical trials are a safe way to grow our knowledge in cancer care and treatment. And definitely, as Dr. Roeland said, if we don't have evidence, the evidence in this current guideline to support recommendations, then the only way we can truly find that is by participating in clinical trials. And so I would just note that if you're interested in participating in a clinical trial, talk to a member of your health care team. And there are a number of online resources, such as ClinicalTrials.gov, where people can look for research. That's how we advance the science. So is there anything else people with cancer should know about using cannabis or cannabinoids during cancer treatment? Dr. Eric Roeland: One key message I think for our listeners is to recognize that people have varying tolerances to this class of medicines. And what I frequently observe is that an older patient is offered an edible by their well-intentioned children who want their mom or dad to start eating more in the setting of their cancer. Unfortunately, I've experienced taking care of people that have had side effects associated with the use of cannabis or cannabinoids leading to even emergency department visits and hospitalizations. And although these products are overall very safe and you cannot quote “overdose” on them or stop breathing because you're taking too much cannabis, it can be very uncomfortable to feel very confused and unable to stand or walk. That can be prolonged for many people, especially those who feel especially weak during their cancer therapy. And our loved ones mean well, but sometimes the advice that they're providing could actually cause harm. And sadly, I've had many children of patients who have felt incredibly awful after their loved one had a side effect from these medicines, which actually delayed their cancer care. Greg Guthrie: Excellent point, Dr. Roeland, thank you for that. Dr. Braun, any final notes? Dr. Ilana Braun: Yeah, so following on Dr. Roeland's thoughts, I would also add that it's important to think about safe storage for such products, particularly if there are children or pets in the home. Cannabis products sometimes look like medicine and sometimes look like candy or baked goods. And so it's important to store them out of the reach of minors and pets. And the last thing I'll emphasize is this: if you are living with cancer and medicating or thinking of medicating with cannabis or cannabinoids, please consider sharing this information with your clinicians so that they can help you strategize about an optimal course. Dr. Eric Roeland: I would like to take a moment to thank the American Society of Clinical Oncology for recognizing that we need to address this important need for people living with cancer. And rather than ignore something that's happening every day in the clinic, ASCO chose to convene a panel of experts and coalesce the data and try to figure out what best practices are in this space. And to that, I am very proud to be a member of ASCO who chooses to lean into these difficult topics rather than run away. I would also say this is a keen opportunity for everyone to advocate for more research in this space. Because talented folks like Dr. Braun, who want to do research in this space, need advocates, need participants, and need funding to fund this type of research. So again, kudos to ASCO, the members of the panel, and, of course, our patients. Dr. Ilana Braun: Thank you, Eric, for saying that. I am so grateful to have been a part of this really cutting-edge process. And I think that clinical guidelines will help to de-stigmatize cannabis care in a meaningful way in the oncology clinic. Greg Guthrie: This has been great. Thanks, Dr. Braun. Thanks, Dr. Roeland. If I can interject, I think one of my biggest takeaways here is every patient, caregiver, if they are or are considering cannabis or cannabinoids, the biggest question is to ask, why am I choosing this? And then to find a member of their health care team and talk to them about that. And that's how we protect each other's health and we ensure the best results possible for everyone. So I want to thank you both so much for this engaging discussion. Dr. Braun, Dr. Roeland, thanks for joining us today. And our listeners, if you'd like to learn more about this guideline, please visit www.asco.org/guidelines. Thanks so much for joining us today, and be well. ASCO: Cancer.Net Podcasts feature trusted, timely, and compassionate information for people with cancer, survivors, and their families and loved ones. Subscribe wherever you listen to podcasts for expert information and tips on coping with cancer, recaps of the latest research advances, and thoughtful discussions on cancer care. And check out other ASCO Podcasts to hear the latest interviews and insights from thought leaders, innovators, experts, and pioneers in oncology. Cancer.Net is supported by Conquer Cancer, the ASCO Foundation, which funds lifesaving research for every type of cancer, helping people with cancer everywhere. To help fund Cancer.Net and programs like it, donate at CONQUER.ORG/Donate. [music]

Cancer.Net Podcasts
Understanding Hospice Care, with Karan Jatwani, MBBS, and Amy Case, MD, FAAHPM

Cancer.Net Podcasts

Play Episode Listen Later Feb 28, 2024 21:18


ASCO: You're listening to a podcast from Cancer.Net. This cancer information website is produced by the American Society of Clinical Oncology, known as ASCO, the voice of the world's oncology professionals. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guests' statements on this podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Cancer research discussed in this podcast is ongoing, so data described here may change as research progresses. In this Meaningful Conversations podcast, Dr. Karan Jatwani talks to Dr. Amy Case about what people with cancer should know about hospice care, including the difference between palliative and supportive care and hospice care, who is eligible to enroll in hospice care, and the types of support available for people receiving hospice care and their family and caregivers. Meaningful Conversations is a Cancer.Net blog and podcast series that describes the important discussions people may need to have with their providers, caregivers, and loved ones during cancer and offers ways to help navigate these conversations. Dr. Jatwani is a Medical Oncology Fellow at Roswell Park Comprehensive Cancer Center. Dr. Case is the Lee Foundation Endowed Chair of the Department of Palliative and Supportive Care at Roswell Park Comprehensive Cancer Center, and Professor of Medicine at the Jacobs School of Medicine and Biomedical Sciences of the University at Buffalo. View disclosures for Dr. Jatwani and Dr. Case at Cancer.Net. Dr. Jatwani: Hi, everyone. My name is Karan Jatwani. I'm one of the 3-year fellows at Roswell Park Comprehensive Cancer Center. I have finished my palliative care fellowship from Memorial Sloan Kettering Cancer Center. And I am interested in the integration of oncology as well as palliative care, and that is where I envision my future career to be. And it's my pleasure to be involved in a podcast with Cancer.Net and looking forward to it. Dr. Case: Hello. My name is Amy Case, and I'm the chair of the Department of Supportive and Palliative Care here at Roswell Park Comprehensive Cancer Center, and we're in Buffalo, New York. So I appreciate being invited to speak today. And we also have a fellowship that we run here and a pretty comprehensive department with 8 divisions that include palliative, social work, psychiatry, psychology, spiritual care, bioethics, and geriatrics, and also employee resilience. So we have a lot of kind of passion projects we work on in our supportive care department. Dr. Jatwani: Thank you so much, Dr. Case, for joining us today. I think I've always admired your work. And just to start off, just for our listeners and our audience, if you can just give us a brief idea of what palliative care is, I think that would be the best segue to enhance the discussion. Dr. Jatwani: So “to palliate” means to make feel better. And when I talk to patients about what it is that we do, I talk about how we take care of the whole person, which includes the physical symptom management, the emotional support, which could include psychiatry, psychology, or social work support of the emotional piece. And then also the spiritual support, which often we work as a team. In order to be palliative care, you actually need to be a team. It can't just be one physician, for example, doing palliative. You need to work as a team. So generally, a core team consists of a physician, a nurse, a chaplain, a spiritual care professional, and a social worker at its core. But sometimes it can be a nurse practitioner providing that or other specialists helping on that team. Dr. Jatwani: I think one of the key questions that always arise with the patients is, as soon as you talk about palliative care, patients start equating it to death. How do you make sure that the patients you're interacting with, how do you differentiate it with them, and how do you relieve that anxiety whenever the patient hears “palliative care”? Dr. Case: So no matter what you call the work that we do, there will always be a stigma. So if we change the name to yellow banana, people would be afraid of yellow bananas, right? So I think that the word hospice has-- I joke that it's kind of like a 4-letter word type of situation. We call it “the H word.” Sometimes patients are really fearful to hear that word. And even now, palliative has adopted this stigma. So generally, what I do is I kind of say that it's focused on quality of life. The main goal is to help people feel better, live a better quality of life, to get through their cancer treatments. And I also educate them that people who receive palliative care tend to have better outcomes. Patient-reported outcome metrics are better. So patients often have a prolonged survival. They may be able to tolerate their cancer treatment better and get through those treatments. And that generally, I would say, is something that they're happy to hear. That's something that they're usually, "Yeah, sign me up for that." When we start with somebody-- we spend an hour with every patient for a new visit. When I start with them, they're really skeptical. Oftentimes, they're looking at me mistrustfully, like, "What is this?" And by the end of the visit, they say, "Where has this been from the beginning of my cancer journey? And why am I only getting this now? This was the best interaction I've had at this organization." And it's because we give them kind of what we call a “wrap-around care,” which is almost like a big hug. We use a lot of skills that include empathy. And with our communication, we often spend a lot of time listening. And I think people really walk out feeling heard. Even if you can't solve it or cure it, you can discuss things that can just make them feel that you were there for them and you listened. And that is very powerful. Dr. Jatwani: I 100% agree. I mean, that has been my sort of experience as well during my fellowship. I took a lot of those learnings with me when I see my patients. But also, I think coming from an oncology standpoint, I can definitely now understand that I have been at fault when I have not given that palliative blanket that you were talking about at different times. And so my question is, when can patients ask for palliative care? And we'll discuss “the H word,” as you mentioned at the beginning. So we'll discuss with that as well. But when should patients undergoing cancer treatment, when should they ask for involvement of palliative care, or they should advocate for themselves or even the caregivers should advocate? Dr. Case: Yeah. So I think that generally, palliative care, the beauty of palliative care is that it doesn't really have a time limit. Someone can ask for it anytime. And often, we encourage people right from the beginning. So there's people who may be looking for that extra added support right from the beginning. And so we usually encourage oncologists and the oncology teams to start those discussions themselves. Dr. Jatwani: And I think at this point of time, I would like to definitely ask you. I think you mentioned “the H word” in the beginning. So can we discuss a little bit more about what is hospice care? Dr. Case: So palliative care is provided on a trajectory. So it can be provided anytime, even for survivors, for people who are earlier in their diagnosis. But hospice has a timeline on it because it's actually a Medicare benefit that it's like almost like an insurance benefit that kicks in, but the government pays for the patient's care. And so in order to enroll or sign up for hospice, a patient has to have certain criteria in order to meet that. In order to get those things paid for. And so hospices have to—generally, it's when a patient has a life expectancy of 6 months or less, and they have decided that the cancer treatment, meaning chemotherapy, radiation in most cases, immunotherapy, the burden of that is higher than the benefit. Most of the patients who see us in palliative are still getting their cancer treatment, and we're helping them walk the journey with them through their treatment, helping them feel better, starting those conversations. And then we do something called a transition to hospice. So many of the patients we see in palliative end up transitioning to hospice. How is palliative care different than hospice? How is hospice different than palliative care? They're very similar. The philosophy of care and the way it's provided is almost exact, meaning that it's a team-based approach made up of physical, emotional, and spiritual support for the patient provided by a team. Although in palliative care, many times that's done in a clinic or an inpatient setting. There are home palliative programs that exist. We have one here at Roswell as well. But hospice, 80% of the time, is done at home. Because generally, when people prefer to pass away and we talk to them, where do they want to be at the end of their life? I'd say 95% of people do want to be at home if that's feasible. The biggest barrier that they are worried about dying at home is that they worry about being a burden on their loved ones. And so that's the way I frame those discussions, is that I ask them about what are the things that they're hoping for. What are the things that they're worried about? And when I find out, inevitably, like I said, it's probably the number 1 fear of people to be a burden on their loved ones. It's this wonderful thing that can reduce burden on family to help care for you and have you be at peace in the place that you wish to be. Dr. Jatwani: I 100% agree. I think you framed it perfectly that if the discussions-- I think, as you said, they should happen at the right time point. And the other thing is I think they should happen often. They should not happen only once. They should happen at every juncture of time when the cancer care has sort of transitioned into going into the more risk and less benefit window. And that's a spectrum, as you mentioned. It does not have to happen only once, and the provider feels, “OK, I've done that discussion. Now I don't have to do it again.” Dr. Case: It's a journey. Dr. Jatwani: It's a journey, yes. Dr. Case: I think we always talk about a journey and that advanced care planning does not happen, excuse me, just once in the trajectory. It happens over multiple time points. And I call it “loosening the lid,” where the lid is often on really tight. There's maybe often mistrust of the health care system. People are really scared. And you really need to give them that emotional support. And that's why palliative is so beautiful because we provide them that wrap-around hug when they're feeling at their most vulnerable. And then when they have comfort with us, then it's much easier to discuss these really tough topics. And I think establishing rapport, getting to know them as a human being and who they are is extremely important. So, for example, my style is to start any medical visit with a social interaction and asking them about themselves socially. I say, “Let's put the cancer aside. I want you to tell me about you. Tell me about your family. Tell me about the things that you enjoy doing for fun.” And they often laugh because they want to talk just about the cancer, right? They say, “I don't have fun anymore.” And then I try to ask them about the things they did before they had cancer. And you see them light up, and you see the rapport being built, and you see the trust. And once you have those types of relationships, these discussions become much easier. Dr. Jatwani: I agree. So just to transition a little bit more about hospice care, I think you talked about that this hospice care is a Medicare benefit. Can you tell our audience, is it only at home or is it available inpatient as well? And can you speak a little bit about that? Dr. Case:  Sure. So I mentioned before that generally, the majority of hospice care is preferred to be in the home, and really taking care of someone at the end of life actually can be less scary when you have the support of hospice. And so anyone who's in the hospital where a discussion is had and then advanced care planning is done, and they say, “You know what? I don't want to end up being on a ventilator. I'm going to elect to be a, “do not resuscitate or allow natural death.'" If that happens, I actually think it's almost imperative for hospice to also be consulted and offered. Because if you send someone home that is a “do not resuscitate” without those family support in place, the family will struggle. And so I think that it goes hand in hand. So dying at home goes hand in hand with having hospice in place. End of story. You need to have those supports in place. I do not think it will work out well for the family if you do not. And so there are rare circumstances where some physicians provide that support or home palliative can provide that support. But hospice really is the gold standard. So I'd say most of it is in the home. But once someone enrolls in hospice, there is caveats where if a patient is having uncontrolled symptoms that are not managed by the nurses in the home and the physicians by phone or by home visit, that the patient may be able to be brought in to an inpatient hospice unit or a hospital. They can unelect—to come off of, or unenroll—in hospice. For example, they change their mind. They decide, oh, they fall they break a hip, OK? And hospice is not going to fund a non-cancer-related hip fracture repair. So they would have to unenroll from that Medicare benefit, hospice Medicare benefit, and enroll in a different part of their insurance. And it's very easy to enroll and unenroll. And so there are different parts of that Medicare benefit that pay for different things. And so if somebody gets a hip fracture, it doesn't mean they have to not have it repaired. I mean, so you adjust and unenroll them from hospice, get the hip repaired, and then enroll them back in the hospice. And so those types of things can totally be done. It doesn't mean the patient can never come back to the hospital. It doesn't mean they can't change their mind. It doesn't mean that if, say, they get pneumonia, that they can't have their pneumonia treated. So simple infections, like Clostridium difficile (C. diff), pneumonia, the hospice actually gives antibiotics. They manage a lot of medical treatments like anticoagulation and things like that. So there are, depending on the hospice, leeway with some of those medical treatments. For example, total parenteral nutrition (TPN), percutaneous endoscopic gastrostomy (PEG) tubes, some of those things can be managed in hospice. However, if a PEG tube or a TPN is causing more burden, they will continue to have those discussions about, is this treatment in the best interest of comfort and quality of life? And so that's generally the philosophy of care. And so, yes, they can be inpatient. There can be coming back to the hospital. And there are hospice inpatient units kind of all over the country. Some cities may not have hospice inpatient units, and they have other things like something called a “comfort home,” where comfort homes are depending on the area, the region that you live. Comfort homes exist in some cities where they're run by volunteers, and a patient may not be able to be at home, but they can go to a comfort home. Sometimes hospice can be provided in an assisted living where a patient's home is actually not home, it's in a facility or it can be provided in a nursing home. However, I think there's a misperception that hospice pays for the room and board of those places, and that is actually not true. So if someone needs a facility to live, then the family or the patient is on the hook, unfortunately, for the room and board. And so a lot of times, that delays discharge. So, for example, family does not want to take that patient home. They are not able to do that. The patient then needs a facility with hospice. The assumption is the hospice will pick up the bill of the facility. So that does not happen. But hospice covers all of the costs related to the care of the patient that's related to their hospice diagnosis. Dr. Jatwani: For patients who are living alone, who are in the elderly population, who are undergoing cancer-directed treatments, for those patients, is hospice an option? If it is, because that is always a challenging area that we face, how do you deal with those patients? Dr. Case: That's very challenging. Generally, we would call on social work and some of those specialties to help us figure out a support care network for that patient. And so often, you can actually recruit folks to take shifts coming in and checking on that patient. And so, yes, you can have hospice care for a patient who has a care-- generally, you need to have a caregiver who is around for that patient. Ideally, in an ideal world, there's somebody with that patient 24/7 when the patient is really ill. If the patient is pretty functional and they're on hospice, walking around, there may be some hours out of the day where they may not need someone with them. And really, we kind of determine that on a case-by-case basis. I would say it's not a door-shut situation that if someone lives alone, they could never have hospice. I would not say that. But in an ideal world, we do need to recruit someone to be there with the patient. If someone has absolutely no one to be there with them during hours during the day, which I think is pretty rare, then generally, if the person is too ill to stay home alone, it'll be a conversation that you have with that patient that they may be moved to a higher level of care, meaning that they may need a skilled nursing facility with hospice on board coming in and checking on them. That's their new home, or they may need an assisted living. And there are some facilities that provide their own hospice, meaning that if you go to that facility, they have a team that's built into that facility that provides them the end-of-life care at the facility, and they don't allow in external hospices. So it kind of depends on your area where you're practicing and asking those questions as, "Do you have an external hospice or do you provide hospice services internally?" And those are questions I often steer patients to ask. Dr. Jatwani: Just some parting thoughts on in terms of, as you said, hospice has a very selective criteria. And some patients might say, "How can you prognosticate me for living less than 6 months?" That's a challenging question that we often get. And I think you have answered it partly, that it's enroll “on and off switch” kind of situation. But what if a patient starts feeling much, much better on hospice and they feel that they want to come back and get cancer-directed treatment, how does palliative care and hospice care come into that domain? Dr. Case: Prognostication, when a physician is asked to prognosticate a patient, we call it “the art of prognostication” because you can't always look it up in a textbook and get the right answer. And what one physician may determine is a prognosis for a patient, another one may give a different one. Because we look at the same things, but a lot of times, there's a clinician estimate that comes into it that is really one of those, you put a bunch of facts together and you come up with what we call an estimate. And so sometimes, we may be correct. Sometimes, we may underestimate or we may overestimate. If a patient enrolls in hospice and they, for example, are doing a lot better, they're outliving the 6 months, the hospice programs often reevaluate those patients, and they do allow folks to stay enrolled with hospice care sometimes quite longer than the 6 months. Sometimes, people are on hospice a year or even longer. What they need to document is that the patient has an ongoing need where they need the multi-disciplinary team supportive care. And so as long as you meet certain criteria, and generally, the criteria are often that they have the continuing progression of the cancer or whatever the other medical illness is, the disease itself, and advancing illness, whether that be chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF). It doesn't have to just be cancer. And you need to also have often a documentation of potentially continued functional decline or functional impairment. So prognosis is tied hand in hand with functional status. And so we don't just look at the computed tomography (CT) scan when we're determining prognosis. We look at nutritional. We look at weight loss. We look at appetite. We look at functional status and comorbidities. And there's a lot of other things that go into that, not just, “Is the tumor growing on the scan, yes or no?” So it's really important to look at a wide array of things when we're determining prognosis. Dr. Jatwani: Yes. And I think that sort of I just wanted to give our patients some idea of how we determine. I know there are a lot, many things that we have not covered, and we haven't even touched the expertise of Dr. Case, which we hope to do that in the future. And from my end, these are the questions that I had. And we hope to reconnect soon Dr. Case, and get some more insights into other aspects of palliative care, which you have done a lot of wonderful work in. Dr. Case: Thanks, Dr. Jatwani. ASCO: Thank you, Dr. Jatwani and Dr. Case. Find more podcasts and blog posts in the Meaningful Conversations series at www.cancer.net/meaningfulconversations. Cancer.Net Podcasts feature trusted, timely, and compassionate information for people with cancer, survivors, and their families and loved ones. Subscribe wherever you listen to podcasts for expert information and tips on coping with cancer, recaps of the latest research advances, and thoughtful discussions on cancer care. And check out other ASCO Podcasts to hear the latest interviews and insights from thought leaders, innovators, experts, and pioneers in oncology. Cancer.Net is supported by Conquer Cancer, the ASCO Foundation, which funds lifesaving research for every type of cancer, helping people with cancer everywhere. To help fund Cancer.Net and programs like it, donate at CONQUER.ORG/Donate.

From The Heart - A MOMnation Podcast
A Journey Through Breast Cancer and The Road to Recovery Program

From The Heart - A MOMnation Podcast

Play Episode Listen Later Feb 22, 2024 24:25


Live and Learn with Katie, Learn Something New! In this powerful and inspiring video, Dana Conway opens up about her courageous battle with breast cancer and her incredible journey as a volunteer for the Road to Recovery program with the American Cancer Society. Join Dana as she recounts her personal story of resilience, from the moment of her diagnosis to her triumphant victory over cancer. Through heartfelt anecdotes and candid reflections, she shares the challenges she faced, the support she received, and the invaluable lessons she learned along the way. As a volunteer for the American Cancer Society's Road to Recovery program, Dana has dedicated her time and energy to helping others navigate the difficult road of cancer treatment. She discusses the impact of this volunteer work on her life and the profound sense of fulfillment she experiences by giving back to her community. Throughout the video, Dana's positivity and strength shine through, serving as a beacon of hope for anyone facing a similar journey. Her story is a reminder of the importance of resilience, support, and the power of volunteering in the fight against cancer. Whether you're a survivor, a caregiver, or someone looking to make a difference, Dana's story will inspire you to embrace life's challenges with courage and compassion. Don't miss this incredible testimony of hope, healing, and the enduring human spirit. Join Dana Conway on her journey of survival and service today. • Learn More About Road To Recovery - https://bit.ly/3OKYZei • Volunteer for Road To Recovery in Phoenix - https://bit.ly/3I59tBq • Cancer Screening Recommendations - https://bit.ly/49SX6EP • Climb to Conquer Cancer of Phoenix - https://bit.ly/3SDtc07 (Update to this link in your FB Event) • Online Help - http://www.cancer.org - Chat live or call 800.227.2345 - The American Cancer Society 24/7 cancer helpline provides information and answers for people dealing with cancer. They can connect you with trained cancer information specialists who will answer questions about a cancer diagnosis and provide guidance and a compassionate ear. While the American Cancer Society doesn't provide individual financial support, their specialists can help refer individuals to patient-related programs or resources in your local area. • Breast cancer is the most common cancer diagnosed among women in the United States. It is the 2nd leading cause of death from cancer among women. Only lung cancer kills more women each year. • The American Cancer Society estimates there will be 6,830 new cases of breast cancer in 2024. • Breast cancer screening recommended beginning at age 45, with the option to begin at age 40, for women who are at average risk. Knowing your family health history will help you and your doctor determine your risk profile. • Clinical breast exam (CBE) and breast self-exam (BSE): - Research has not shown a clear benefit of regular physical breast exams done by either a health professional (clinical breast exams) or by women themselves (breast self-exams). There is very little evidence that these tests help find breast cancer early when women also get screening mammograms. - Most often when breast cancer is detected because of symptoms (such as a lump in the breast), a woman discovers the symptom during usual activities such as bathing or dressing. - Women should be familiar with how their breasts normally look and feel and should report any changes to a health care provider right away. Follow and Connect with The American Cancer Society here: https://www.facebook.com/americancancersocietyarizona Brought to you by Team EvoAZ at eXp Realty and MOMnation Connect and Follow us at https://direct.me/momnationaz or http://MOMnationUSA.com

From The Heart - A MOMnation Podcast
Early Detection Saves Lives: Lung Cancer Screening & A Touching Survivor's Story

From The Heart - A MOMnation Podcast

Play Episode Listen Later Feb 16, 2024 17:56


Live and Learn with Katie, Learn Something New! In this impactful video, Katie from MOMnation and Carla from the American Cancer Society come together to raise awareness about the critical importance of early detection and lung cancer screening, especially for individuals who have a history of smoking. Carla courageously shares her personal journey as a lung cancer survivor, shedding light on the challenges she faced and the hope she found through early detection and treatment. As Katie and Carla discuss the sobering statistics surrounding lung cancer, they emphasize the fact that early detection can significantly improve outcomes and save lives. They highlight the American Cancer Society's commitment to providing resources and support for individuals at risk of or affected by lung cancer, including access to screening programs, informational materials, and community networks. - Learn More About the Hope Lodge - https://bit.ly/3uvZwKp - How to Stay Away from Tobacco - https://bit.ly/3HXrlye Carla's firsthand account serves as a powerful reminder of the importance of being proactive about one's health, regardless of past smoking habits. She shares how her decision to undergo a lung cancer screening ultimately led to the detection of the disease at an early stage, enabling her to receive timely treatment and improve her chances of survival. Throughout the video, Katie and Carla underscore the message that no smoker is immune to the risk of lung cancer, and early detection can make all the difference in the fight against this devastating disease. By encouraging viewers to prioritize their health and take advantage of available screening resources, they aim to empower individuals to take control of their well-being and potentially save lives. Don't miss this heartfelt discussion about the importance of early detection and the invaluable support provided by organizations like the American Cancer Society. Join Katie and Carla as they advocate for greater awareness, access to screening, and support for those affected by lung cancer, offering hope and encouragement to viewers everywhere. - Cancer Screening Recommendations - https://bit.ly/49SX6EP - Climb to Conquer Cancer of Phoenix - https://bit.ly/3SDtc07 - Join the MOMnation team for the Climb! - https://fb.me/e/5jfsbzB2y - Online Help - www.cancer.org - Chat live or call 800.227.2345 - The American Cancer Society 24/7 cancer helpline provides information and answers for people dealing with cancer. They can connect you with trained cancer information specialists who will answer questions about a cancer diagnosis and provide guidance and a compassionate ear. While the American Cancer Society doesn't provide individual financial support, their specialists can help refer individuals to patient-related programs or resources in your local area. Follow and connect with the American Cancer Society: Facebook - https://www.facebook.com/americancancersocietyarizona/ Instagram - https://www.instagram.com/acsarizona/ LinkedIn - https://www.linkedin.com/company/acsarizona YouTube - https://www.youtube.com/amercancersociety X - http://www.twitter.com/americancancer Brought to you by Team EvoAZ at eXp Realty and MOMnation Connect and Follow us at https://direct.me/momnationaz or http://MOMnationUSA.com

From The Heart - A MOMnation Podcast
Cancer Prevention 101: Screenings & Lifestyle Tips

From The Heart - A MOMnation Podcast

Play Episode Listen Later Feb 12, 2024 16:37


Live and Learn with Katie, Learn Something New! In this video, we're diving into one of the most important topics concerning our health: cancer prevention. Did you know that early detection through screenings and adopting certain lifestyle habits can significantly reduce your risk of developing cancer? First, we'll discuss the importance of regular cancer screenings. Early detection is key to successful treatment, and many cancers are treatable if caught in their early stages. But screenings are only part of the equation. Lifestyle choices play a crucial role in cancer prevention too. We'll share practical tips and habits that can help lower your risk of developing cancer. From maintaining a healthy diet rich in fruits, vegetables, and whole grains, to staying physically active and avoiding tobacco and excessive alcohol consumption, small changes can make a big difference in your overall health. - Eat Healthy and Get Active - https://www.cancer.org/cancer/risk-prevention/diet-physical-activity.html?utm_source=podcast&utm_medium=influencer&utm_campaign=SORdiet&utm_content=link - Stay Away from Tobacco - https://www.cancer.org/cancer/risk-prevention/tobacco.html?utm_source=podcast&utm_medium=influencer&utm_campaign=SORtobacco&utm_content=link Join us as we empower you with knowledge and actionable steps to take control of your health and reduce your risk of cancer. Together, let's prioritize prevention and live our healthiest lives possible. Cancer Screening Recommendations - www.cancer.org/getscreened?utm_source=podcast&utm_medium=influencer&utm_campaign=SORGetScreened&utm_content=link Climb to Conquer Cancer of Phoenix - https://secure.acsevents.org/site/TR/ACTIVEFundraising/CFPCY24SOR?pg=entry&fr_id=106567&utm_source=podcast&utm_medium=influencer&utm_campaign=SORClimb&utm_content=link Join the MOMnation team for the Climb! - https://fb.me/e/5jfsbzB2y Don't forget to like, share, and subscribe for more informative content on health and wellness. Let's spread awareness and make a positive impact on our health and the health of those around us. Follow and connect with the American Cancer Society: Facebook - https://www.facebook.com/americancancersocietyarizona/ Instagram - https://www.instagram.com/acsarizona/ LinkedIn - https://www.linkedin.com/company/acsarizona YouTube - https://www.youtube.com/amercancersociety X - http://www.twitter.com/americancancer Brought to you by Team EvoAZ at eXp Realty and MOMnation Connect and Follow us at https://direct.me/momnationaz or http://MOMnationUSA.com

Your Stories: Behind the Breakthroughs

Long before he was a world-renowned neurosurgeon, Dr. Alfredo Quiñones-Hinojosa was a 5-year-old boy selling food at gas stations in his native Mexico. But he wanted to dream bigger: At 19, he left his native Mexico in hopes of a better future. Despite speaking little English and having no money, he felt it was his chance at better supporting his loved ones. He was right. After two years of working manual labor, he decided to build a better future for himself, ultimately earning a scholarship to the University of California Berkeley. Next, he applied and was accepted to Harvard Medical School. After earning his medical degree, Dr. Quiñones began his career as a neurosurgeon in 2005 at The Johns Hopkins Hospital. He subsequently received a Conquer Cancer grant to help advance research for patients with brain tumors and other neurological cancers. In this Your Stories episode, Dr. Quiñones tells host Dr. Don Dizon about the challenges he faced on the path to becoming a physician-scientist. He also discusses the inspiration he derives from providing care for patients, how his grandmother influenced his career path, and the role that philanthropy has in building the next generation of cancer researchers.

KAJ Studio Podcast
How To Conquer Cancer And Thrive With Fitz Koehler

KAJ Studio Podcast

Play Episode Listen Later Dec 9, 2023 29:27


In this episode of KAJ Masterclass LIVE, join host Khudania Ajay as he engages in a powerful conversation with Fitz Koehler, a fitness innovator, race announcer, speaker, and cancer survivor. Fitz shares her inspiring journey of overcoming cancer, discussing the importance of resilience, mental fortitude, and taking control of one's health. Discover how Fitz turned challenges into triumphs and find motivation to conquer obstacles in your own life.

Your Stories: Behind the Breakthroughs
Thinking Pink and Beyond

Your Stories: Behind the Breakthroughs

Play Episode Listen Later Oct 17, 2023 24:00


You've seen them: the pink ribbons pinned to your senator's suit jacket. Runners dressed in head-to-toe pink athletic gear, racing for a cure. Football players streaking down the field in pink cleats. It wasn't always like this. Long before people began thinking pink, breast cancer remained fairly stigmatized, a taboo subject only discussed behind the closed doors of a doctor's office. Today, though, the conversation around breast cancer has reached a level of nearly unrivaled ubiquity, thanks in large part to a huge collective of philanthropists, advocates, physicians, scientists and patients around the world who, more than 30 years ago, decided it was time—perhaps even long past time—for a change. In this episode of Your Stories, Conquer Cancer's executive vice chair Dr. Clifford Hudis is joined by Dr. Judy Garber, scientific director of the Breast Cancer Research Foundation, and CNN reporter and two-time breast cancer survivor Athena Jones. Together, they talk about the history behind the advocacy movement for breast cancer, what it is that keeps the conversation going, and what everyone—including those trying to conquer other cancers—can learn from this rise in breast cancer advocacy.

OverDrive
Doug Gilmour on the Road Hockey to Conquer Cancer, the Leafs offseason additions & a look back on 1993.

OverDrive

Play Episode Listen Later Jul 12, 2023 20:04


Toronto Maple Leafs Legend Doug Gilmour joined OverDrive earlier today after taking part in an activation event for the Road Hockey to Conquer Cancer! He touched on that, how media coverage has changed & we take a look back on the 1993 high stick that went uncalled.

OverDrive
OverDrive - July 12, 2023 - Hour 2

OverDrive

Play Episode Listen Later Jul 12, 2023 46:13


Hour 2 as we continue a Wednesday on OverDrive with Brendan Dunlop and Dave Feschuk as the guys are joined by Maple Leafs Legend Doug Gilmour to chat about the Road Hockey to Conquer Cancer and some Leafs talk. Plus TSN Golf Analyst Bob Weeks updates the senate hearing from yesterday and we look ahead to the ESPY's tonight!