On Friday, Walgreen Co. was ordered by a jury to pay $25.8 million to the family of a cancer patient given a medication that caused a stroke and then several years later, death.

Beth Hippely was prescribed Warfarin, a blood thinner, in 2002 while being treated for breast cancer. According to court documents, the prescription she received at a Walgreen's pharmacy was 10 times what it should have been. The overdose caused a cerebral hemorrhage which led to permanent bodily injury, disability, pain, and then death. Hippely, a mother of three, died at the age of 46. Apparently, the error occurred when a 19-year-old pharmacy technician misfiled the prescription.

Hippely's family has been seeking justice for five years.

I'm an organizer, a plan-maker, a woman of many lists. It's all part of my Type A personality -- the one that contributes to a bit of stress but also helps me stay on top of things. I like staying on top of things.

Lists have become more important to me than ever, thanks to cancer and chemo and my forgetful brain. If I want to remember something, I must write it down. If I let just a moment pass without recording the thought I want to keep, it's gone. So I have ongoing grocery lists, household to-do lists, task lists, even lists of questions I want to ask my doctor. Since I see my doctors just once every few months, I keep a running list. Sometimes the list is quite long when I arrive for my appointment. Sometimes I don't have time to cover each topic. Sometimes I transfer questions onto future lists.

It would be nice if I could get all my medical questions answered at each visit. I once read that the typical amount of time a doctor spends with a patient is eight minutes -- so it makes sense I never cross off all my list items. But in the future, I may do better at covering my bases, thanks to this advice I found in the in the July 2007 issue of Good Housekeeping.

There's been much press lately about the cervical cancer vaccine, its merits, its implications, and the debate surrounding the issue of vaccinating young girls against the sexually transmitted virus HPV.

Enter a new vaccine -- the ovarian cancer vaccine.

Early clinical trial results are promising for this vaccine, intended to fight off ovarian cancer tumors with patients' own cells -- but without the toxicity of traditional chemotherapy.

Says Dr. Ed Staren of Cancer Treatment Centers of America, "We're able to identify the specific components of the tumor and target it for individual therapy for the patient."

Doctors would surgically remove a patient's tumor and then send it to a lab where tumor cells would be used to create a vaccine specifically for the patient.

A second round of clinical trials to study the effectiveness of this vaccine will begin this summer.

It's been one year since Dana Reeve, wife of the late Christopher Reeve, died of lung cancer at the age of 44. And the grace of this woman, who came to represent the non-smoking population of lung cancer victims, is being honored by the Lung Cancer Alliance.

"Lung Cancer Alliance extends its most heartfelt thoughts to the family
and friends of Dana Reeve," says Laurie Fenton, president of the alliance.

"Dana's beauty, grace and valiant struggle against lung cancer will remain indelibly etched in our hearts and minds. In her memory -- and in the memory of loved ones lost to this disease, smoker or not -- let us come together to replace decades of stigma and neglect with hope, greater compassion and support for those living with or at risk for this disease. It is the right thing to do."

The Lung Cancer Alliance is the only national non-profit organization dedicated to patient support and advocacy for those living with lung cancer, the number one cancer killer.

Lung cancer takes more lives -- about 160,000 Americans this year -- than breast, prostate, colon, liver, kidney cancers and melanoma combined.

International pharmaceutical company AstraZeneca is donating $10 million to the American Cancer Society (ACS). The donation is one of the largest gifts ever received by the ACS and will help provide support for patients in United States hospitals.

Support will come in the form of specially-trained ACS employees who will work in 60 different hospitals and cancer centers and will offer social, emotional, financial, and transportation assistance in medically underserved Atlanta areas.

London-based AstraZeneca, maker of breast cancer drug tamoxifen and other breast and prostate cancer drugs, made $26 billion in sales last year, the same year the company gave $7 million to a Boston Cancer Society for the development of a Hope Lodge.

It could be the cure for the common hospital gown -- you know, the faded, ultra-thin gowns with the revealing and drafty designs. If only hospital buyers could fork over a few extra bucks, we could all lounge in our hospital beds in The Original Healing Threads -- a stylish alternative to standard-issue hospital attire.

Cancer patient Peg Feodoroff was thinking of the traditional humiliating hospital gown in the spring of 2003 while she was undergoing treatment for stage 3 melanoma and her sister, Claire, was undergoing chemotherapy for stage 4 metastatic colon cancer.

Feodoroff's thoughts led to an idea. And so she recruited Claire and another sister, Patty, and together the three sisters crafted a machine-washable, wrinkle-resistant, StainSmart garment with an Asian-inspired look and special features -- long, wide sleeves that roll up for tests, hidden panels easily accessed for bandage changing, inner pockets to hold treatment and drainage bags, and easy-to-use buttons, fasteners, and ties. Breakaway pants and robes and also part of the The Original Healing Threads collection.

A portion of The Original Healing Threads profits go to creating Claire's Foundation, a group supporting single mothers fighting terminal illnesses, in honor of Claire, who lost her battle with cancer just one year ago.

Don't wait for your local hospitals to buy into this novel idea. Buy one on-line for yourself or a loved one. Prices range from $44 to $120.

A poodle named Lucy refuses to leave her owners side and has become very popular with the nurses and visitors. The patient Maggie Bellamy is staying at the hospice while she is undergoing cancer treatments.

Lucy likes to snuggle up on the rug near Maggie's bed and goes for short walks around the grounds. Ms. Bellamy said "I thought it was incredible when I was told that Lucy could come and stay with me in the hospice. She frets over me, but is very well behaved and everyone fell in love with her. She is good therapy for other patients too."

Lucy is the only dog you will see at this hospice. Dogs belonging to Pets as Therapy also pop in with their owners to visit patients.

Fraser Meek, manager of the hospice in-patient unit, said "We are happy to welcome a patient's pet to be bought along either for a visit, or to stay in the room where possible. Visits from gentle pets help the patients relax and add to the homely atmosphere of the hospice".

What a nice story!

Leroy Sievers has many titles. He's a journalist and a commentator and even a blogger. He's a cancer patient too. And while he accepts cancer patient as one of his working titles, he never would have said this title dominates all others in his life. He is, after all, more than cancer.

On his December 4 NPR podcast and My Cancer blog entry, Sievers reports about a host on a radio call-in show who recently asked him if cancer overshadows everything else in his life.

"No," he answered, recalling the first time he had cancer. He was treated with surgery and moved on. Cancer didn't overshadow anything. But that cancer was different than the cancer now invading his lungs, spine, and brain. And after a bit of thought, Sievers thinks he may have been too quick with his radio response.

This cancer is not a drive-by-disease, he says. It's grabbed him -- and is holding on. It has changed his entire life. He can no longer do everything he once did. And not a day goes by without a reminder of cancer. The treatment, the nausea, the tingling in his hands. Cancer is with him all the time, lurking in the shadows.

Whether he gets the pleasure of remission or the disappointment of a set-back, Sievers realizes he will always be a cancer patient. He realizes that cancer does in fact overshadow everything else in his life.

Previous posts about the cancer journey of Leroy Sievers are as follows:

Journalist Leroy Sievers adjusts to newfound hope
War journalist now witnessing his own cancer death
NPR Leroy Sievers blogs My Cancer

The doctor who recently read my mammogram films and maneuvered her ultrasound wand over every inch of my breasts could not find one darn thing wrong with anything in her view. I wasn't worried that she would -- but it's still a relief to know that for now, I am fine.

It was two years ago, November 19, when this exact doctor sent me for a biopsy of a mass her same ultrasound wand detected. She did not know at the time the mass was a cancerous tumor, but she did know it was suspicious enough for further investigation. And so she sent me on my worried way, and the result of my biopsy -- cancer -- cemented our life-long relationship as doctor and patient.

Every six months I see this doctor for a mammogram and ultrasound. And when I find myself freaking out about something breast-related, I call her and she fits me into her busy schedule. I know she is there for me when I need her. And she knows I will always be there for her -- every six months and sometimes in between.

While I really like my doctor, I do hope I don't see her until May 15 when I report for my next mammogram appointment -- because with our kind of relationship, less is truly more.

Every cancer patient should receive state-of-the-art medical care, says Dr. Jeremy Geffen in his book The Journey Through Cancer: Healing and Transforming the Whole Person. This medical care -- the foundation of every cancer treatment program -- should be administered by highly trained and qualified caregivers, under the meticulous supervision of an experienced oncologist.

Some don't believe this is the necessary foundation and consider the triad of surgery, chemotherapy, and radiation both poisonous and barbaric. There is no doubt that people encounter pain, frustration, and toxicity with these therapies, according to Dr. Geffen. But he believes it's almost always a serious mistake to forgo these remedies in exchange for unproven alternative therapies.

There are demonstrated benefits of conventional medicine. And it is clear that with each day, treatments become safer, less toxic, and more effective than ever before. Some cancers -- like Hodgkin's disease, testicular cancer, and childhood leukemia -- were once considered deadly. Now, they can be cured. The anatomy and function of the eye, breast, larynx, esophagus, anus, rectum, and prostate can now be preserved, despite surgery and treatment. Advances in pain control have delivered considerable relief to patients experiencing discomfort with treatment. And there is reason to believe future progress against cancer will be even more dramatic -- with the advent of molecular and genetic technology, immunotherapy, targeted therapies, better diagnostic technologies, and more effective control of side effects.

Dr. Geffen stresses this -- conventional medicine is a must in the fight against cancer. But alternative and complementary therapies also have a place. And throughout his book, he details the Seven Levels of Healing that encompass both approaches.

He begins with Level One -- Education and Information. The starting place. The place common to all of us who receive diagnoses that are troubling and confusing and require a little investigation, a little research, a little explanation. The place I will describe in my next Journey Through Cancer post.

To read previous posts on the same topic, visit:
The Journey Through Cancer: Beverly Is Every One of Us
The Journey Through Cancer: What Is The Purpose Of Medicine
The Journey Through Cancer: Introduction
Sunday Seven: Seven Levels of Healing on Cancer Journey

Stay tuned for:
The Journey Through Cancer: Level One -- Education and Information

Sometimes all it takes is a small gesture to warm the heart of a cancer patient. It doesn't take anything huge. It shouldn't cause any stress or discomfort. And it shouldn't require a whole lot of thought. It should be simple. Simply simple.

A whole lot of small gestures spread a whole lot of cheer my way when I was knee-deep in cancer treatment and needed a lift. Cozy socks kept my feet and my spirits toasty. A package of brownies sweetened my sour days. Flowers brightened my dining room and my state of mind. Books left on my doorstep delivered knowledge and wisdom and a bit of humor to my world.

The options for spreading sunshine are endless. The list of possibilities could go on and on. Here is just a start -- a small list of small gestures that can make a dreary day downright delightful.

Give a hug
Send a handwritten letter
Make a homemade card
Write a poem
Give a journal
Deliver a candle
Make a home-cooked meal
Arrange for food delivery
Babysit children
Play with children
Drive to appointments
Go wig or hat shopping
Visit during chemotherapy sessions
Give something comfy -- socks, pajamas, hat
Do grocery shopping
Accompany to lunch, dinner, movie
Take a walk
Attend church
Have a picnic
Go fishing
Make a donation to favorite charity
Walk, run, volunteer, raise funds in honor of your special someone

Be specific in your gesturing. Trade a comment like "let me know if I can do anything" for "I'm going to come over and wash and clean your car on Saturday." Vague offers are rarely successful -- cancer patients are not likely to recall every general offer they receive and then manage them all into a schedule. It's just too much to consider in the midst of turmoil. But an offer that comes to life right before them is easy. It's effortless. It is truly a gift. A simple, priceless gift.

Journalist, commentator, and cancer patient Leroy Sievers -- the guy we've written about before, the guy who has covered many wars and witnessed countless deaths, the guy who is now observing his own death as cancer in his lungs and spine chip away at his life -- has realized that getting good news takes some getting used to.

Sievers got some good news recently. He learned that the new combination of chemotherapy drugs he's been receiving has shrunk the tumors in his lungs. And scans show the tumor on his spine is healing. It's taken him days to truly understand this concept -- this concept of hope that has miraculously delivered him more time. He didn't expect it.

Sievers fully expected that he would soon be dead. That's why he's been savoring the cold, crisp fall days -- because he was not certain he would ever see such a season. He was sure he would never host another Halloween party either -- a party he canceled this year due to his health. But now, as he takes in this new sensation of hope, he considers the possibility he may be around for another party. And he thinks he'll dress up as a tumor. Halloween is one time when good taste is never important, he says.

Sievers, who offers a weekly personal health update for NPR, available in print or in podcast format on his blog, plans to keep living in the moment. He doesn't want to overdo this hope thing. So right now, he is simply enjoying the colorful leaves -- and the season he calls one of his favorites.

Researchers have identified a damaged gene -- BRIP1 -- that doubles the risk of familial breast cancer in a small percentage of women. BRIP1 is a DNA repair gene that can lead to uncontrollable cell growth if not functioning properly. Researchers have concluded that the damaged gene increases risk for breast cancer from eight to 16 percent by age 70.

These findings won't change patient care but they may offer comfort to women who develop breast cancer and cannot pinpoint the occurrence to the commonly mutated BRCA1 and BRCA2 genes -- mutations that are responsible for the disease 80 percent of the time. And while the study of BRIP1 does add to the pool of research on breast cancer, it does not warrant screening at this time. It's just a small piece of the puzzle that one day may prove significant. For now, the risk of breast cancer resulting from a damaged BRIP1 gene is modest.

Journalist, teacher, mother and eight-year breast cancer survivor Jeanne Sather is a self-described outspoken advocate for the cancer patient's point of view.

A vegetarian since the age of 16 and fairly active, she does not have any of the known risk factors for breast cancer. After an all-clear mammogram at the age of 40, she was diagnosed with breast cancer at the age of 43. In an ironic twist of employment fate, the very job she was hired to do in chronicling her life online as a breast cancer patient, may have led to her firing because of the flexible work schedule breast cancer treatment required.

With a sharp clarity and well-earned perspective, Sather is The Assertive Cancer Patient. To our good fortune here at The Cancer Blog, she has agreed to take part in our Survivor Spotlight series featuring interviews with breast cancer survivors.

The Lung Cancer Alliance -- the only national non-profit organization dedicated entirely to lung cancer patient support and advocacy -- asked pulmonary clinical nurse specialist Donna Wilson to help educate the lung cancer community about healthy breathing. Wilson agreed and her breathing tips, available on podcast, are intended to relieve shortness of breath related to pain or activity. Her three breathing techniques -- detailed here -- are simple, easy-to-understand, and truly relaxing.

Before beginning this series of breathing exercises, stop whatever you are doing and sit down or lean against a wall.

• Place chin to your chest to relax your neck muscles. Breathe 10 short bursts of air in and out of your lips. As you expel air, neck and chest muscles should relax.
• Place chin to your chest. Breathe three times in through your nose and out through your mouth.
• Place chin to your chest. Close your mouth, and breathe four times in and out only through your nose.
  

After completing these exercises, lift your head, breathe normally, and let your shoulders relax. In a few minutes, your entire body should start to relax -- and shortness of breath will resolve.

I don't have lung cancer -- but I do have moments of anxiety and panic. So I plan to save these tips. And I plan to use them. And I plan to share them. Because we all can benefit from a dose of relaxation.