The world's largest drug maker -- Pfizer Inc. -- announced Monday it will cut 10,000 jobs and close at least five facilities due to fierce competition from generic drug makers. The goal, says Pfizer spokespeople, is to whittle away annual costs by $2 billion by the end of the year -- to combat the prediction that the company will lose 41 percent of its sales to generic drugs between 2010 and 2012.

Pfizer's other obstacles include expiring drug patents -- costing Pfizer about $14 billion in revenues between 2005 and 2007 -- as well as demands for lower prices by insurers and large purchasers, and repeated requests for evidence of products' worth.

The 10,000 layoffs amount to 10 percent of the company's global workforce and will take jobs from 2,200 United States employees. The company will cut 20 percent of its European sales force, will close three research sites in Michigan and two manufacturing plants in New York and Nebraska, and is considering selling a manufacturing site in Germany and closing two research sites in Japan and France. In the midst of all of this, the company will focus its efforts on transforming the way they do business.

"I believe we must transform the way we've done business in the past in order to be more successful in the future," said Jeffrey Kindler, CEO and chairman of Pfizer. " Incremental evolution is not enough. Fundamental change is imperative -- and it must happen now."

Pfizer's Monday announcement is the second declaration of budget cuts. A previous announcement has the company -- the maker of cancer drugs Aromasin, Ellence, Camptosar, and Sutent -- slashing costs by $4 billion a year until 2008.

I really like the book I've recently been writing about -- The Journey Through Cancer: Healing and Transforming the Whole Person. And I plan to read more. And I plan to write more. But I'm at a standstill.

I haven't been reading lately. And I haven't been writing lately. Because life is getting in the way. And in my book, that's a good thing.

There was a time when it would have caused me great stress to have committed myself to something -- like reading a book and writing about it -- and to have somehow fallen short on completing the task. Stress would have caused me to make time for my commitment, to push other important tasks aside, to fulfill my self-imposed deadlines.

But ever since cancer arrived in my life and jolted me into the realization that I only have the pleasure of one day at a time, I am better at capitalizing on what's most important in my world -- my family.

I have been busy playing beauty shop with my son. The boy who once shaved my head prior to my chemotherapy fallout is now twisting my dark brown curls into one-of-a-kind styles. I have been hanging Christmas lights with my sister who really has done all the work for me. I have been watching my two boys play in the yard and skateboard down the driveway and create concoctions of dirt, water, and weeds on the front porch. I have been shopping for holiday gifts and finding all sorts of great buys for myself too. I have been playing with my niece and dining out with my husband and writing posts and sitting by a fire at night. I have not been reading.

I am perfectly content with my hiatus from reading and writing. Because enjoying my moments, on my preferred terms, is surely part of recovering from a illness that threatened to take all my moments away.

I'm not sure when I'll get back to Dr. Jeremy Geffen's book, when I will continue reading about his Seven Levels of Healing. Because at the moment, I am too busy healing myself.

To read previous posts on the same topic, visit:
The Journey Through Cancer: State-Of-The-Art-Medical Care
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 an eventual post about:
The Journey Through Cancer: Level One -- Education and Information

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

Beverly called Dr. Jeremy Geffen in a state of panic. She had just been diagnosed with breast cancer that had spread to her lymph nodes, just had her breasts removed, and was terrified of her recent diagnosis -- high grade infiltrating ductal carcinoma.

Beverly, age 44, was told by her doctor that she would need chemotherapy and radiation. She had heard horrible stories about chemotherapy. And having never been sick a day in her life, she was scared. So when a friend told her about a caring doctor she heard speak at a conference, Beverly knew she had to locate him. She tracked down his phone number, picked up the phone, dialed, got Dr. Geffen on the phone, and asked him to help. He did.

Beverly was a complete stranger to Dr. Geffen, author of The Journey Through Cancer: Healing and Transforming the Whole Person. Yet she was like so many people he knew -- people with cancer, confronted with the greatest challenges of their lives, seeking more than just physical remedies, grasping for someone who really cares.

Dr. Geffen received calls like Beverly's every day. And the number of calls seemed to increase with time. It's no wonder really. Cancer is a growing presence -- and more and more people like Beverly are confronting the disease. More and more people like Beverly are seeking more than just science to cure their ailments. And in an effort to harness a little compassion in their lives, patients are reaching for alternative methods of healing -- for their minds and hearts and spirits. Yet few disclose to their doctors their secret missions for fear they will be dismissed.

Beverly knew of Dr. Geffen's belief in holistic healing, his desire to treat the whole person and not just the organs and tissues and cells. So when she asked for his guidance on what treatment protocol to follow -- conventional, alternative, or complementary -- she was a bit surprised at his response.

Dr. Geffen told Beverly that conventional medicine was her best line of defense. Science tells us these methods work -- and abandoning them could be tragic. Dr. Geffen told Beverly that chemotherapy and radiation, when used skillfully and sensibly, can be truly beneficial. But he also suggested she pursue complementary therapies related to diet, nutrition, exercise, and stress relief.

Dr. Geffen believes in balance. And he teaches through his Seven Levels of Healing how we all can achieve balance when considering how to scientifically and emotionally heal our bodies.

Dr. Geffen will detail throughout the chapters of his book how Beverly represents all the strengths and vulnerabilities of the contemporary cancer patient, how Beverly is every one of us.

To read previous posts on the same topic, visit:
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: State-Of-The-Art Medical Care

It was his father's death from stomach cancer -- and the cold, impersonal, clinical manner in which his father was treated leading up to his death -- that inspired Dr. Jeremy Geffen to become the kind of oncologist he wished had been available for his father -- "someone who could look into the mind, heart, and spirit of a human being as intently as he could gaze at an MRI scan or pathology report; someone who provided love, support, wisdom, and hope."

For the 20 years that have followed his father's death, Geffen's inspiration has led him in exactly this direction. He credits education and a strong network of mentors for preparing him for the path less traveled, for allowing him to achieve his vision for comprehensive, integrative medical care.

Geffen founded the Geffen Cancer Center and Research Institute in 1994, and directed it until 2003. It was one of the first cancer centers in the United States created specifically to provide complete, holistic care for people with cancer and their loved ones.

After working closely with cancer patients over the years, Geffen observed that every single question and concern encountered on the journey through cancer falls precisely into one of seven different yet interrelated domains.

Geffen wrote down these domains -- he calls them the Seven Levels of Healing -- and began sharing them with his patients and staff who remarked that the levels perfectly mirrored their own experiences. And so Geffen kept them fresh in his mind and over the course of time developed them into a formal program that became the foundation for the standard of care offered to his patients and their loved ones.

Geffen's book -- that brings life to the Seven Levels of Healing -- is called The Journey Through Cancer: Healing and Transforming the Whole Person. It is a result of his own personal journey that began the day his father left a dreaded string of words on his answering machine. "Oh, Jeremy. I think I've got a little problem. I had an endoscopy today and the doctor said I have a tumor in my stomach. Unfortunately, it's malignant. Maybe you could give me a call."

Geffen was in medical school when his father recorded these words. Now he is an accomplished oncologist, author, public speaker. He is the father of the Seven Levels of Healing -- soon to be revealed right here on The Cancer Blog.

To read previous post on the same topic, visit:
Sunday Seven: Seven Levels of Healing on Cancer Journey

Stay tuned for:
The Journey Through Cancer: What Is The Purpose of Medicine?

I love it when seven of something lands before me, offering me potential material for the Sunday Seven series. In fact, it just happened. And I can't wait to start writing about the Seven Levels of Healing common to cancer patients and those who love them.

I have a new book. It's called The Journey Through Cancer: Healing and Transforming the Whole Person by Jeremy Geffen, MD.

Dr. Geffen knows cancer. He lost his father just three months after a stomach cancer diagnosis. He became an oncologist. He founded a cancer research center. He travels and speaks and writes about health and wellness. And inside the pages of his newly revised and updated paperback, he details the Seven Levels of Healing -- a blend of conventional and complementary principles-- and the true stories of cancer patients who have directly experienced them.

It occurred to me while first flipping through this book that I might read it in its entirety and then write a review of the material. Then I determined it would take much too long for this approach. With two small children, a few jobs, an exercise routine I must revisit, and all the other bits and pieces of life that keep me occupied, this would be quite an undertaking -- the actual reading, the remembering, the writing. Somehow, this would be too much to manage. But small steps. I think I can handle small steps. So this is how it's going to work.

I will present to you in this post the Seven Levels of Healing. I don't know much about them yet -- although by title alone, I am sure I have lived most of them in my own cancer journey. So I will simply lay the groundwork. And then I will start reading. And as I read, I will write. This will be my own one-woman book club -- with an open invitation for new members. Read my posts and reflect on them. Agree. Disagree. Leave comments. Buy your own book. Read with me. Apply what you learn to your own life. Share what you learn with others. The possibilities are endless as I journey my way through this new book in search of peace, clarity, and comfort -- all of which flow from these seven levels.

Level One: Education & Information
Level Two: Connection with Others
Level Three: The Body as Garden
Level Four: Emotional Healing
Level Five: The Nature of Mind
Level Six: Life Assessment
Level Seven: The Nature of Spirit

And so that's what I have to offer for now. I'm sorry to keep you hanging. But rest assured, I am hanging right along with you, eager to find a moment to dive into this book. To sink my teeth into the words, sentences, paragraphs, chapters. To relay it all to you. I can't wait -- to really understand the Seven Levels of Healing.

Stay tuned for:
The Journey Through Cancer: Introduction