Patient from Hell

Episode 21 : Conversation with a 22-year indolent cancer patient on the power of lifestyle changes and the combination of distraction + mindfulness to surpass median survival stats


Listen Later

Our guest this week has lived with a slow growing, incurable cancer for the past two decades. She tells us about how she has modified her lifestyle using nutrition as well as a combination of distraction and mindfulness to grapple with the mental challenges of uncertainty. She talks about the idea of “median survival statistics” and how a powerful essay by Stephen J. Gould helped her see those stats in a different light. She also discusses the evolution of treatment and imaging over her 22 years as a patient, and the powerful scientific progress that has been made during that time.

Key highlights:

  1. The unique nature of indolent (slow growing) cancer and living as a patient for +20 years
  2. Examining median survival stats and Stephen Gould’s paper “The Median Isn’t the Message”
  3. Nutrition modifications and the shift to a plant-based diet
  4. Grappling with uncertainty using Distraction + Mindfulness
  5. The evolution of treatment and imaging in her cancer over the past 21 years
  6. About our guest:

    Rowan Carlson is an aquatic ecologist who was diagnosed in 2001 with an incurable form of Non-Hodgkin’s lymphoma that requires repeated treatment. Thanks to her doctors who carefully timed her treatments and family and friends who supported her in a myriad of different ways, she continued teaching at the college level and conducting research abroad through 2019. Now retired from teaching, she gardens episodically, hikes daily, demonstrates monthly for climate action, and habitually writes scientific papers.

    Key Moments:

    7 minutes 50 seconds: I heard a nutritionist speaking to a group of cancer patients at a local wellness center. And I found that what she was recommending was so different from the way I ate that I thought it was radical. So I made appointments with two other nutritionists specializing in cancer patients, and all three of them were advocating the same healthful diet. They were advocating a plant-based diet avoiding red meat and processed meat and filling your plate with vegetables.

    15 minutes 35 seconds: There’s a very powerful essay written by a famous biologist, Stephen J. Gould, and the title of that essay is “The Median Isn’t the Message.” He was prompted to write this essay because he had just been diagnosed with a very rare form of GI cancer, and he quickly dug up a medical paper and learned that the median survivorship of this cancer was 8 months. The essay describes how he dealt with this. He convinced himself  that he would live longer than that, and most people do live longer than the median. He lived for another 20 years and died from a different type of cancer.

    17 minutes 24 seconds: What has really helped me since that first year after my diagnosis are two things. One is distraction. I distract myself by keeping very busy on projects that are larger than myself, for instance writing scientific papers and more recently working with three climate action groups. I find this work very fulfilling, and it does distract me, but you can keep yourself too busy and that can rob you of time with family and friends, which is also important, so I try to balance distraction with something called mindfulness. Mindfulness is the idea of living in the moment, and it’s been very helpful for me.

    Visit the Manta Cares website

    Disclaimer: This podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their health care professionals for any such conditions.

    ...more
    View all episodesView all episodes
    Download on the App Store

    Patient from HellBy Manta Cares

    • 5
    • 5
    • 5
    • 5
    • 5

    5

    8 ratings


    More shows like Patient from Hell

    View all
    Travel with Rick Steves by Rick Steves

    Travel with Rick Steves

    2,414 Listeners

    Planet Money by NPR

    Planet Money

    30,880 Listeners

    JAMA Network by The JAMA Network

    JAMA Network

    12 Listeners

    The Rich Roll Podcast by Rich Roll

    The Rich Roll Podcast

    11,836 Listeners

    Investigating Breast Cancer by BCRF

    Investigating Breast Cancer

    100 Listeners

    The Daily by The New York Times

    The Daily

    111,438 Listeners

    Johns Hopkins Medicine A Womans Journey: Health Insights that Matter by Johns Hopkins Medicine A Womans Journey

    Johns Hopkins Medicine A Womans Journey: Health Insights that Matter

    14 Listeners

    Behind the Bra by Barbells for Boobs

    Behind the Bra

    46 Listeners

    Best Life After Cancer by Deborah Butzbach, MD

    Best Life After Cancer

    51 Listeners

    The Ezra Klein Show by New York Times Opinion

    The Ezra Klein Show

    15,358 Listeners

    We Can Do Hard Things by Glennon Doyle and Audacy

    We Can Do Hard Things

    41,085 Listeners

    MedStar Health DocTalk by MedStar Health Physicians

    MedStar Health DocTalk

    5 Listeners

    Search Engine by PJ Vogt

    Search Engine

    4,027 Listeners

    The Mel Robbins Podcast by Mel Robbins

    The Mel Robbins Podcast

    20,790 Listeners

    Keeping Abreast with Dr. Jenn by Dr. Jenn Simmons

    Keeping Abreast with Dr. Jenn

    100 Listeners