Friday, April 24, 2009

"Forty Years' War"

When I first typed the title of this blog (I'm a lousy typist), I mistyped it, "Forty Tears' War."

Starting with an article on the front page, and another article on page A17, of today's New York Times, both by Gina Kolata, the New York Times will publish a series of articles about "the struggle to defeat cancer." Today's articles are at 

     http://www.nytimes.com/2009/04/24/health/policy/24cancer.html?_r=1&ref=health

(To access this article, you will need to copy this address and paste it into your browser, as I do not have the ability to create a link.)

In today's articles, Ms. Kolata documents that the death rate from cancer has barely declined since 1950. She states that patients with colorectal cancer that has metastasized-- and mine has metastasized significantly-- have a five-year survival rate of less than 10 percent. (Elsewhere, I have read that patients with my diagnosis have a mean survival rate of one to two years, with a two percent chance of surviving for five years if they are 55 years old.) The first article also quotes Dr. Leonard Saltz, the colon cancer specialist at Memorial Sloan-Kettering Cancer Center (MSK), who is treating me. 

Dr. Saltz does not get drawn into statistical discussions with me about how long I may live, pointing out that no patient is a statistical average, that the data are not very good, and that the bell-shaped curve that would apply is very flat. (I might already be a data point if my cracked tooth and abscessed gum of last week had coincided with my chemotherapy-depressed white blood cell count of 1.9 of a few days earlier.)