Topic of Cancer

I’ve got you under my scan: CT scans and X-rays confirmed a tumor growing on the left side of my neck.
This past holiday season brought an unexpected return of a gift I received five years ago, a gift only nature in her caprice could bestow: The gift of cancer. Cancer isn’t a gift anyone wants of course; but once you have it, you either deal with it or you die. Or, in the case of many terminal cancers, you deal with it and you die.
When my cancer first appeared many years ago, I was reassured by statistics that my cancer was not only treatable but curable. I had surgery and subsequent radiation treatments. I had regular CT scans for five years, after which I was expected to be pronounced forever cured. In fact, I was days away from getting my final CT scan when I noticed a lump on my neck. It was not to be my “blessing year” after all.
This time I chose to take more people into my confidence. Several friends already knew of my previous experience, so it made sense to update them. And I had a new partner, who understandably needed to process the issue with his friends.
The reactions were interesting. I received messages of sympathy, of course. Support, sure. But some went beyond either offering some almost metaphysical advice. “Fighting is important,” wrote one acquaintance. “Fighting doesn’t just mean medically. It means emotionally. It means lifestyle-wise. It means altering everything you do to fight the cancer. Everything. This is total war. Everything you do is going to be focused on fighting it.” Nor was this an isolated case; others reacted in a similar vein.
I’d heard this rhetoric before, mainly on television dramas and from friends coming to terms with AIDS. Fight, fight, fight!
Some people go beyond metaphor, advocating meditations in which you visualize the cancer as an enemy and your medicine or immune system as an army battling back the foe.Me, I’m not convinced.
I’m aware, of course, of the research showing that a patient’s attitude has a clear effect on disease. For example, scientists think stress can have a deleterious effect not just on one’s emotions and sense of well being but also on the immune system and may even be an important factor in “coronary artery disease, high blood pressure, chest pains or even irregular heart beats” (WebMD.com, October 2005).
But evidence of a mind-body connection and the importance of attitude hardly validate the all-out war approach advocated by some. For starters, it seems rooted in the Western male psyche, with its obsession on power, control, and aggression. I’m not sure how stirring myself up to thoughts of battle is going to reduce the anxiety of my cancer experience. Wouldn’t a more Buddha-like acceptance of the inevitable be just as likely (if not more so) to bring inner peace and reduce unhealthy stress for many cancer patients?
No doubt the emphasis on fighting one’s disease is intended to be empowering for those who may feel particularly helpless in the face of such an awful illness. Unfortunately, this approach can also have the opposite effect. Believing that an individual can cure her or his own cancer or prolong his life lays a heavy burden of responsibility and even guilt on the patient who doesn’t see the cancer responding as hoped. Such guilt and shame can quickly turn into stress that further demoralizes the cancer patient.
This downside is not lost on Dr. Jimmie Holland, physician and psychiatrist who has counseled cancer patients for well over two decades at Memorial Sloan-Kettering Cancer Center in New York City.
Holland is co-author (with Sheldon Lewis) of The Human Side of Cancer, Living with Hope, Coping with Uncertainty (HarperCollins, 2001). In a chapter titled “The Tyranny of Positive Thinking,” she dismisses as simplistic pop-psychology the notion that stress causes cancer. She also contends that “It is unrealistic that as you cope with nausea, fatigue, and worry and sadness, that you can be positive all the time. Yet, zealous believers in positive thinking may make you feel guilty when you find yourself crying sometimes.”Moreover, science does not support the view of what Holland calls “positive attitude police.” “While stress does affect the immune system, there is no evidence that the blips produced are in the range of those that would affect tumor growth,” she writes. “We will know more in the future, but for now, the studies do not support the myths about psychological causes of cancer and the role of emotions in tumor growth.”
Since the publication of Holland’s book, other studies have made a similar point. In the November 2002 issue of the British Medical Journal, Mark Petticrew, PhD, and others reviewed 26 studies to see whether a particular psychological coping style had any effect on cancer. Some 11 of these studies specifically investigated the role of a “fighting spirit.” Their conclusion? “There is little consistent evidence that psychological coping styles play an important part in survival from or recurrence of cancer.”
Petticrew, a health researcher with the MRC Social and Public Health Sciences in Glasgow, Scotland, was of course not disparaging upbeat thinking. “We certainly aren't saying that a positive mental attitude is not beneficial,” he is quoted as saying to WebMD.com (November 2002).
“I think the message here is that while it is good to think positively, it is also OK to feel bad. It is probably not going to influence your outcome.”In my case, I feel no particular need for a “fighting spirit” or any other aggressive attitude. I am hopeful nonetheless. I’m lucky to have been struck with a cancer that has an impressive cure rate. Although the statistics aren’t quite as reassuring for those whose cancer has spread as far as mine, the five-year survival rate is still quite high.
Of course I would prefer not to have the cancer at all. I still may die from it. But any of us could die from so many causes any day. How sad it would be to get so caught up in fear and coping strategies that don’t fit our personalities that we end up killing our enjoyment of life before the end of life itself.

Gay Games are contests of “inclusion rather than exclusion.” Whatever that means. The master of ceremonies was only slightly clearer on the second night of physique contests. The standard category, he explained, was for those who underwent drug testing while the modified category was designed for those who couldn’t arrive in time for the drug testing or who chose not to be tested.
is potentially harmful to the health of athletes, is an increased safety risk and is, in some cases, unlawful.” But, they add, the “FGG also understands that ... many [athletes] participate under special circumstances (asthma, cancer, diabetes, HIV, etc.). The FGG recognizes that there are medical conditions for which there is the prescribed use of some banned substances and acknowledges a broad range of legitimate medical reasons that would cause an athlete to be on substances banned and often stigmatized.”
Sure, many legal users of these substances would have had to bow out. But our society frequently asks people to make sacrifices for people’s safety and to set a good example. For example, we encourage pregnant women not to drink or ask HIV+ people not to donate blood. Wouldn’t the positive message of fair play and natural bodybuilding outweigh the recognition lost to a segment of the community?
but also categories for the
exhibiting flawless table manners, and drinking copious quantities of cocktails while exchanging the most intimate secrets of other people’s lives.
the same story. Of the many hundreds of men walking the street, only one or two besides ourselves were stripped to the waist. This behavior could not be explained as a concern for skin cancer or sunburn, for the sun had dipped behind the skyline during our Boystown stroll. It didn’t make any sense to us, but at least we stood out and got some desirable attention with our extra display of flesh.
bedroom. That was when I remembered: Damon was born under the sign of Aquarius, the water bearer. Coincidence?
Crystal queer: A couple of
are really alpha souls, and many respond well to this kind of leadership. It was tempting to implement this strategy by dialing up my ex and asking him, for starters, to stop living in the same neighborhood as me.
In his family, one continues talking on the phone in the presence of others so everyone knows you are not gossiping about them behind their backs. Personally, I still find this point of view bizarre: If I choose to gossip about you, just staying in the room for one conversation is hardly going to spare you that ignominy. All it does is force you to listen to unwanted noise. But Buck would rather listen to my conversation (even if he only gets half of it), just so he can keep tabs on me.
In my view, each partner needs to explain the kind of information he feels is important to share (or have shared with him) as well as the kind of information that he feels falls in the realm of personal privacy. For me, hypothetical examples are a good way of probing these areas (“If someone gropes me in the locker room, do you want to know about it?”). And it’s safe to say that it’s easier to deal with hypothetical situations early on when they are truly hypothetical — and not a smokescreen for something that has actually happened.
So much of his life is still in the formative stages: His career; his understanding of mortgages, investments, home ownership, long-term commitments; his ability to balance work and love and art and social activities — all these things are part of an exciting life journey that for him is still on its first leg. To me, they are old news as I struggle with my own issues of retirement planning and relating to the world as a late middle ager.
It wasn't our first conversation on the subject. In the run-up to the dance we had discussed the propriety of taking ED drugs like Viagra, Levitra, or Cialis to help encourage any physical reactions at the dance in the hopes of looking a little more, well, manly.
(Indeed it’s generally accepted that a little covering is far more titillating.) But where do you draw the line between nudism and eroticism? Can such a line be drawn?
I dunno. I don’t want to judge. It was just the juxtaposition that was so strange: A big, welcoming room with tables, chairs, and a fire and lots of windows letting in February sunlight that is so rare in Seattle. But where were the customers? Huddled in the dark corner, walled off with a glass partition as if they weren’t good enough for the main dining room. Are bar stools really that comfortable? It was the exact opposite of behavior you see on a bus or in a movie theatre, in which people spread out, find their own unoccupied place to squat until space limitations force them to huddle closer together in the less desirable sections.