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Why Patient Advocate Voices  are Important to the Multiple Myeloma Community - by Gary Petersen and Suzierose

6/22/2014

2 Comments

 
Why have myeloma patient advocates been so important to the success of  the fight to improve outcomes for multiple myeloma? We advocates are motivated by the most basic human need, survival.  There also is a belief that we can use our experience and knowledge of myeloma to provide help to others who find themselves in the same situation. 

Unlike many diseases, myeloma is not just a rare cancer but it is also a cancer where the experts have divergent views.  For many of us, this factor alone creates lots of anxiety when diagnosed. Not only have we not heard of the disease, but we also learn our doctors do not have definite answers for how to proceed. We find ourselves seeking out multiple voices and resources to learn not just about what the disease is, but also what therapy we should select.  We become stakeholders in the process.  Patient advocacy is one way we do so. We may not always agree, but we respect each other's educated views, and are unafraid to debate them rigorously.   From this we all learn.  Maybe this is why we have such a visceral response to censorship, and to those who try to manage the message. 


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The Patient Advocates usually conduct extensive research, find the best sources of information, but still feel  there is an unfulfilled need, and are determined to make a contribution.  Some of these contributions include: 

The International Myeloma Foundation (IMF) is a non-profit organization dedicated to the education, research, and treatment of multiple myeloma. It was  founded in 1990 by Brian and Susie Novis, along with hematologist/oncologist Dr. Brian G.M. Durie, directly following Brian Novis' myeloma diagnosis at the age  of 33. Kathy Giusti  saw a need to bring together researchers and industry to prioritize clinical research and drive the pipeline for new & effective therapies, so  she initiated the MMRF. 

When Pat Killingsworth was diagnosed, he became a support group leader and wrote several books to help patients  understand what it is like to live with Myeloma. Then there is Nick Van Dyk, who was diagnosed as a young man and  decided to share his myeloma journey on a blog describing his choice for very aggressive therapy.  If you talk to Pat Killingsworth or Nick Van Dyk, you discover that their patient advocacy views on therapy are similar in some  regards, but differ when it comes to conservative or aggressive therapy and the institutions they selected for therapy.  Then there is Jenny Alstrom and Dana Holmes, who looked over the myeloma landscape and discovered a different area that was  missing. Jenny Alstrom believed that patients needed a professional dialogue platform with access to the brilliant minds in  research to share the evolving clinical choices on the cutting edge,  thus  we have  mRadio.  Dana Holmes couldn't find a source that focused solely on  asymptomatic (smoldering) myeloma patients, and she initiated a Facebook forum where patients can exchange information and keep abreast of the rapidly changing therapy guidelines for a group of myeloma patients being designated today as pre-myeloma. In addition  there are our stories. Gary Petersen identified the need for myeloma patients to be  able to learn what the survival statistics were for myeloma patients at different treatment institutions and academic centers.  Suzierose started a blog that focused on the science  behind the therapies as they move from the bench to the bedside and she shares the latest published clinical literature with trial outcomes. Others include Matt, Cindy, Lizzy, Nancy, Danny, Mike, and more.  And we can not forget those like Barb and Sandy that are no longer with us.

All of these patient advocates have one thing in common, they understood the need to share and empower those who were diagnosed with myeloma so as to derive the best possible care.  More  importantly they felt the need to become part of the solution. Which brings us to the focus of this post. As patients there is no group for whom it matters more, and so editing out critical information is detrimental to the overall goal of educating as many patients as possible to save lives.

When we are confronted with an illness many feel is incurable and life ending, it feels like the future has been snatched away from us and not by personal choice. Such that when those who have far less urgency seek to take away our voice, we push back on any censorship to control communication from the true stakeholders in all of the research, data and choices that are being made daily  to ensure that we not only survive but thrive with myeloma.    The internet, advocate web sites, IMF, and MMRF allow the advocate forums to provide their frank, independent, educated, and  uncensored contributions to the myeloma patient survival effort.  

Working together "WE WILL SAVE LIFE"!
2 Comments

Myeloma Beacon's - "Choosing a Mutiple Myeloma Specialist" My two cents!

6/7/2014

3 Comments

 
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The Myeloma Beacon recently ran an article on how to "Choose a Multiple Myeloma Specialist", and although well written, it seems to minimize the one absolutely key requirement. Other than in the title it did not emphasize the  necessity to make sure the person is a skilled multiple myeloma specialist.


You can read the article if you CLICK HERE.  It says you can find the one specialist  who is right for you if you answer the following questions.

1. Is the doctor a Teller or an Asker?
2. Is the doctor well established?
3. Does the doctor have ties to the area?
4. Is the doctor certified in hematology?
5. Is the doctor covered by your insurance?
6. How much are you willing to do to get the doctor you want?



All good questions, but only after you are satisfied that the doctor is one of the 100 or so SKILLED multiple myeloma specialists in the USA and maybe double that worldwide.  I left the following two comments, which I hoped would help to make this point, however for some reason my comments are considered spam, or they chose to leave them in limbo awaiting moderation.  I obviously irritate someone at the Beacon.  It is for this reason I have chosen to write this article because I feel my two comments are worth airing.  And for all of those who feel their comments have been censored about this subject, please feel free to provide them in my comments section.  My comments were as follows:

Comment 1 -

I think the most important part of this article is the title, "Choosing A Multiple Myeloma Specialist". Based on the National Cancer Institute's data, the average life expectancy is just 4 years, whereas many Myeloma Specialist's provide survival data of 8 to 12 years on average.  If you find one who is more compatible with your needs, all the better.  But with maybe 100 really good ones in the US, availability, supply and demand may play a major role.  Best to all on your myeloma journey.

Comment 2 -

Paul, your main point is right on, “find a multiple myeloma specialist which fits your requirements” if possible. However, there is no degree called Multiple Myeloma Cancer Specialist that I am aware of. I will provide you with what I believe is the definition of a Multiple Myeloma specialist.
Characteristics of Multiple Myeloma Specialists
1. First, they are usually hematologist-oncologists.
2. They practice at hospitals that have a defined MM treatment program or department.
3. They attend the big MM seminars, ASH (the American Society of Hematology) and ASCO (American Society of Clinical Oncology).
4. They have MM publications and have most likely given presentation at ASH and ASCO.
5. They participate in clinical trials for MM.
6. They usually are located at larger, more prestigious hospitals like Mayo Clinic in Rochester, Dana-Farber Cancer Institute, MIRT (Myeloma Institute for Research and Therapy) at UAMS, Moffitt Cancer Center, M.D. Anderson Cancer Center et al.
7. The facility or department where they are located has myeloma in the name, like UAMS-MIRT or IMBCR( Institute for Myeloma & Bone Cancer Research).
Another step in finding a specialist near you is to search the web using the key phrase “(insert your state) Multiple Myeloma Treatment Centers”, or “(insert your state) Multiple Myeloma Treatment Programs". If you find a Multiple Myeloma specialist, or you want to get more information on one of the doctors listed here, you can search his name as follows: “Dr.(insert the name) Multiple Myeloma Specialist”. If you get a lot of great multiple myeloma information, chances are you have someone who is 95% more qualified than your average local oncologist. Just try this with a google search of Dr. Rajkumar, Dr. Barlogie, Dr. Berenson, Dr. Durie, or Dr. Palumbo.


I hope that this helps you to find a multiple myeloma specialist, and I have found some patients will get a consult with one of the best MM specialists and have the treatment in their local area using one of the 500 CIBMTR (Center for International Blood and Marrow Transplant Research) facilities. Not all hematologist/oncologists are skilled multiple myeloma specialists.



Just wanted to have a chance to put my two cents into the conversation.  Good luck and may God Bless your Cancer Journey.   For more information on multiple myeloma survival rates and treatments CLICK HERE and you can follow me on twitter at: https://twitter.com/grpetersen1


3 Comments

    Author

    Gary R. Petersen
    [email protected]
    CLICK HERE for my myeloma journey

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