Evolution of the term "Cancer Survivor"

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BrownBagger
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Evolution of the term "Cancer Survivor"

Postby BrownBagger » Tue Oct 05, 2010 1:24 pm

Here's an interesting article in Slate magazine about how the term "survivor" originated and how it's changed over the years. The author is a breast cancer survivor who also happens to be an oncologist.

http://www.slate.com/id/2268104/

Also, just out of curiosity, when do we start counting to figure out our survival status? I've read at dx and I've also read that the clock starts ticking after the first scan indicating NED.

In my case, I'm 19 months post dx, but still carrying around a lung met that precedes my original dx. I'm obviously not NED, but I haven't had an actual recurrence in the past 19 months. If this met hadn't been missed on my original CTS, then presumably it would have been removed around the time my rectal tumor was, and I'd have been NED for about the past year and a half.

It's all academic, I know, but gets into the whole stat thing that we've been talking about recently. I'm curious.
Eric, 58
Dx: 3/09, Stage 4 RC
Recurrences: (ongoing, lung, bronchial cavity, ribs)
Major Ops: 6/ RFA: 3 /bronchoscopies: 8
Pelvic radiation: 5 wks. Bronchial radiation—brachytheray: 3 treatments
Chemo Rounds (career):136
Current Chemo Cocktail: Xeloda & Erbitux & Irinotecan biweekly
Current Cocktail; On the Wagon (mostly)
Bicycle miles post-dx 10,477
Motto: Live your life like it's going to be a long one, because it just might, and then you'll be glad you did.

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cptmac
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Re: Evolution of the term "Cancer Survivor"

Postby cptmac » Tue Oct 05, 2010 2:47 pm

You are a cancer survivor when you find out that you have cancer.
cptmac
As long as you're alive, there is hope.
dx 7/04 stage IV
colon resection 8/04
liver resection 9/04 with HAI pump installed
Stage II trial w irinotecan as systemic and FUDR for direct chemo to liver via HAI pump
Cured since 9/04

Rick7
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Re: Evolution of the term "Cancer Survivor"

Postby Rick7 » Tue Oct 05, 2010 3:02 pm

I had someone say to me the other day - "So you are a cancer survivor!?"
I had not been faced with that phrase and didn't know what to say.
I just laughed and said "I guess so, we'll see".

It just seems weird to me for it to be used to describe ME.
I have talked about others being cancer survivors in the past, but never really thought deeply about the term.

Rick
CC DX 1-7-09 at age 40 - Stage IV, T4-N1-M1
Surgery 1-16-09 - Folfox6 Feb-Aug 2009
Clear scans - PET/CT 9-09, CT 3-10, CT 9-10
Head MRI 3-11, CT 9-11
Head CT 2-12, PET/CT 9-12

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KellyBelle
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Re: Evolution of the term "Cancer Survivor"

Postby KellyBelle » Tue Oct 05, 2010 3:20 pm

I don't like the term "survivor"... there seems to be some finality and closure with it (at least in regard to how friends and relatives interpret survivorship). As someone who's yet to have a clean scan, I won't consider myself a survivor until my oncologist says "your cured and you don't need to come see me anymore!" or until something else kills me.

Kelly
Diagnosed March, 2008
Stage IIIC
Colo-Anal Reconstructive Surgery April, 2008
Finished Folfox treatment November, 2008
NED! December 2008
NED! December 2011

Life is what we make it, always has been, always will be.
~Grandma Moses

SkiFletch
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Re: Evolution of the term "Cancer Survivor"

Postby SkiFletch » Tue Oct 05, 2010 3:21 pm

I think about this a lot, and am realizing that with this term, I'm probably as superstitious as a Hockey goalie. I don't like to be called a cancer survivor, and typically correct anyone that says it. I prefer the term cancer patient even if I'm not in active treatment right now. Even though my current treatment is infrequent blood tests and scans, I'm still a patient, I have to see my oncologist regularly. Only once has someone tried to call me a survivor in-person, but I kindly informed them that I'm a patient who happens to be doing well with his cancer journey so-far. I might ease off on correcting people after I get to two years post-chemo, but I'm just not comfortable with that tag yet. There's a long road full of good and bad, (scanxiety, worry, tension, weddings, honeymoons, holidays, etc) to travel still. I feel the "patient" is travelling the jorney; the "survivor" comes out the other side smilling, and hopefully guiding others still on the journey.

And I'm considering my "5year" clock starting at the end of my "chemoverssary", so we're 4 months and counting :). That's just my oppinion
11/13/09 5cm Stage IV 9/25 lymph nodes w/2cm peritoneal met at 29 YoA
12/15/09 LA right hemi-colectomy
6/16/10 Folfox FINISHED
8/10/10 Prophylactic HIPEC
10/9/10 got Married :D
Still NED and living life to the fullest

"Can any one of you by worrying add a single hour to your life."

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jmarie
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Re: Evolution of the term "Cancer Survivor"

Postby jmarie » Tue Oct 05, 2010 3:25 pm

I have wondered this. I have never been NED, or even close but 22 mos later and I am still alive. I don't think of myself as a survivor, I think of myself as a fighter. Whether I live another day or another 20 yrs I will always be fighting cancer, the chances of me being NED ever are very slim but the chances of me living quite a few years with cancer are decent(by my considerations).
DX Stage IV 11/25/08
mets liver lung, kras mutant
Baby 2yrs old! I am 32yrs
Too many chemo txs to count
trying to find a clinical trial
"You can't stop the waves, but you can learn to surf"

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BrownBagger
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Re: Evolution of the term "Cancer Survivor"

Postby BrownBagger » Tue Oct 05, 2010 3:31 pm

I want my epithet to read: "He had rectal cancer, but that's not what ultimately killed him."
Eric, 58
Dx: 3/09, Stage 4 RC
Recurrences: (ongoing, lung, bronchial cavity, ribs)
Major Ops: 6/ RFA: 3 /bronchoscopies: 8
Pelvic radiation: 5 wks. Bronchial radiation—brachytheray: 3 treatments
Chemo Rounds (career):136
Current Chemo Cocktail: Xeloda & Erbitux & Irinotecan biweekly
Current Cocktail; On the Wagon (mostly)
Bicycle miles post-dx 10,477
Motto: Live your life like it's going to be a long one, because it just might, and then you'll be glad you did.

NWgirl
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Re: Evolution of the term "Cancer Survivor"

Postby NWgirl » Tue Oct 05, 2010 3:43 pm

Good article. Thanks for posting - it covers a lot of what I think about the word "survivor"; a word I'm personally very uncomfortable with.
Belle - "Don't Retreat - Reload"DX 10/07 Stage III Rectal
Surgery 11/07; 27 of 38 nodes
Perm Colostomy 8/11
12/10 recurrence lungs & LN's
VATS Jan 2011
Radiation Oct 2013
Chemo for Life
2012 Colondar Model

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Ivona
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Re: Evolution of the term "Cancer Survivor"

Postby Ivona » Tue Oct 05, 2010 3:56 pm

Well so it seems I'm not the only one who's not comfy with the term. I avoid using it...why? Mostly out of superstition I guess...I am so scared of jinxing myself. I remember the first time I tentatively used the term in my husband's presence and his eyes just went wide open. Later in private he told me how proud he was of me to use that term. Well..I didn't feel proud...I just didn't know what other word to use! I think I prefer 'patient' to 'survivor'. And of course, most folks don't know what NED means........so that's not useful! :roll:
dx'd Oct '08 (age 48)
T3bN2Mx
9/23 LN's
resection Nov '08
Folfox Jan '09 - March '09
Xeloda March 24/09 - July 6/09

"Yesterday is history, tomorrow is a mystery, but today is a gift. That is why it's called 'the present'. "

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joeyooser
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Re: Evolution of the term "Cancer Survivor"

Postby joeyooser » Tue Oct 05, 2010 4:03 pm

BrownBagger wrote:I want my epithet to read: "He had rectal cancer, but that's not what ultimately killed him."


Hehehe, well let's hope they don't use epithets to describe you ;-)
Tim
Stage IIIc - 9/23 lymph nodes, poorly diff, 35yo father of 2.
Lap resection Jul 28 09 resulted in near-deadly leak
Finished chemo Feb '10; Takedown March '10;
Nov 2010 - carcinomatosis
May 2011 - Clinical Trial, failed out of trial, in hospice care

disco nap
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Re: Evolution of the term "Cancer Survivor"

Postby disco nap » Tue Oct 05, 2010 4:44 pm

BrownBagger wrote:
Also, just out of curiosity, when do we start counting to figure out our survival status? I've read at dx and I've also read that the clock starts ticking after the first scan indicating NED.



I share your curiosity here, I wonder if there is an official answer
DX July 2 '10 CC Stage IIIC, 11/18 nodes+
Right Hemi July 6 '10
Folfox: Aug 17'10 - Feb 17'11
Mar 2012: Lynch Syndrome MLH1
"Declared well" and been well ever since.
Update: Jan 2023 - still NED.

mm66ny
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Re: Evolution of the term "Cancer Survivor"

Postby mm66ny » Tue Oct 05, 2010 5:20 pm

My wife and I were talking about this the other day; I'm not sure when you start counting. I was at my surgeon's office a few weeks ago for the sigmo and he said "let's see, it's been almost two years?" But it's almost two years since dx, so I'm not sure what the significance of his statement was. I should've asked.

As to the term survivor, I won't use it. A survivor is someone who's been through something traumatic and is on the other side of it now, and to a degree it indicates that whatever I went through is over, not to be faced anymore. But even if I'm NED, there's no letting my guard down; at best I keep it at bay, right? No matter what, I just have issues with calling myself a "survivor" of anything. I think it makes me sound like I think of myself as victimized, and I don't want to let cancer do that mental trip to me.

And when I talk to people I meet who are going through treatment or just ask me about it, I never know whether I'm supposed to say "I had cancer" or "I have cancer but it's in remission." I usually just say "as far as I know I don't have cancer" or "right now there's no evidence of it."
Dx RC, T3N1M0, Feb. 2009
LAR, Ileostomy June 2009
12 Folfox tx
Ileostomy takedown Jan. 2010
June 2014 five years NED
Age 48
married w/7 children
Generally irresponsible

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BrownBagger
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Re: Evolution of the term "Cancer Survivor"

Postby BrownBagger » Tue Oct 05, 2010 5:32 pm

joeyooser wrote:
BrownBagger wrote:I want my epithet to read: "He had rectal cancer, but that's not what ultimately killed him."


Hehehe, well let's hope they don't use epithets to describe you ;-)


Hehehe--you'd think I'd learn how to use the language, considering what I do for a living. "Hyperbolic chamber;" "Epithet." Sheesh.
Eric, 58
Dx: 3/09, Stage 4 RC
Recurrences: (ongoing, lung, bronchial cavity, ribs)
Major Ops: 6/ RFA: 3 /bronchoscopies: 8
Pelvic radiation: 5 wks. Bronchial radiation—brachytheray: 3 treatments
Chemo Rounds (career):136
Current Chemo Cocktail: Xeloda & Erbitux & Irinotecan biweekly
Current Cocktail; On the Wagon (mostly)
Bicycle miles post-dx 10,477
Motto: Live your life like it's going to be a long one, because it just might, and then you'll be glad you did.

James65
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Re: Evolution of the term "Cancer Survivor"

Postby James65 » Tue Oct 05, 2010 7:11 pm

I don't really like the term survivor either because it simply feels to dramatic. Maybe it's my Quaker roots popping up, but omething a bit more understated would be nice.

It also kind of feels like dating after age 40 in that can the woman you are with really be a "girlfriend." I suppose there are more than a few inaptly named conditions of being.
Diagnosed with stage III rectal tumor (though probably late stage II) January 2006.
Chemo/Radiation
Full APR Surgery
Folfox Chemo
So far NED.
Oops. Liver tumor diagnosed 10/13 after elevated CEA. Liver resection for 5cm tumor 12/6/13. So far so good.
Oops again, one tumor in each lung diagnosed 8/8/16. One too small to deal with and the other resected in late September. Wait and watch for now.
Oops, another lung Met in upper left lobe on edge of previous resection scar 11/11/19.

Lillian
Posts: 49
Joined: Fri Jan 02, 2009 11:57 pm

Re: Evolution of the term "Cancer Survivor"

Postby Lillian » Tue Oct 05, 2010 7:14 pm

My aunt who had cancer at age 45 and is now 92, is a cancer survior. I hope to follow in her footsteps.
49 years old
diagnosed 9/08 - stage 3 rectal cancer
radiation and Xeloda - 5 weeks
surgery 1/5/09 - 22 cm of colon removed and temp ileostomy
chemo to start 2/09 - 7/09 - 12 cycles of Oxaliplatin and Flourouracil w/ pump
ileostomy reversed Oct 09


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