When Bernie Lewinsky was a young radiotherapy resident, he studied under some of the most storied names in the field. Now, over fifty years later, he marvels at how much radiation oncology has changed.
“You've gone from a betatron, cobalt and radium needles, and treating AP one day and PA the next, to probably treating on some sort of amazing [technology like a] TrueBeam or Elekta,” said Stacy Wentworth, a radiation oncologist at Duke University School of Medicine, who hosted this episode of the Cancer History Project Podcast.
Lewinsky was one of the co-founders of the Endocurietherapy Society, which now exists as the American Brachytherapy Society. He has also helped develop the first group of freestanding radiation therapy clinics in Los Angeles, CA.
Throughout the years—whether during his rotation at the Royal Marsden Hospital in London during residency or participating in tumor boards at UCLA—he has been part of many fervent debates with radiotherapy legends, arguing over whether Hodgkin's lymphoma spreads up or down the body, and the legitimacy of Intensity-Modulated Radiation Therapy in the early days.
“Now it's so much more accurate, so much different and so precise,” Lewinsky said. “When you start talking about blocking the nodes in the heart to stop arrhythmias, we're very specific.”
Lewinsky brings a treasure trove of artifacts to the interview—written orders of radium needles from 1948, an attachment that connected to an orthovoltage machine, a Mick applicator, and even a Bunsen burner. He plans to send some of these relics to the archives at ASTRO or the American College of Radiology.
Beyond his practice of medicine, Lewinsky has also brought healing to his patients through his landscape photography. Some of his first photos captured an active volcano in El Salvador, where he grew up. Prints of some of his photographs can be found on the covers of academic journals and on the walls of his office.
He distinctly remembers one patient, whose attention drifted off during an office visit. Lewinsky says the patient was struck by a photo of cherry blossoms he took in London.
“I said, ‘Wait a minute, what is it about that picture that's got you mesmerized?’ and he says, ‘I remember when I was a little kid, my dad would take us cherry-picking. I sure wish my dad was here right now,” Lewinsky said. “It became my observation that there is a healing aspect to nature photography and putting it in the office when a patient is under tremendous stress, it not only calms the patient, but it brings back memories that they cherish.”
A transcript of this interview is available at https://cancerhistoryproject.com/article/bernie-lewinsky-podcast/