Thursday, March 28, 2024

5 STARS - Rebel Health ... A Book Review

I first met Susannah Fox at MedX in 2012 and have followed her career and blog ever since. Susannah learned from patients and online communities as she directed the PEW Research Center's Internet Project health portfolio, was  entrepreneur-in-residence at the Robert Wood Johnson Foundation and as former Chief Technology Officer for the Department of Health and Human Services under the Obama Administration.  When I heard the she was writing a book I couldn't wait to read it. Rebel Health is not just about advancements in health care but rather as it states on the cover it is A Field Guide to the Patient-led Revolution in Medical Care. How have patients when given a health challenge can lead a revolution?  They ask "how might I improve my device?" ... "Get the support I need?"... "Find others with my rare disease" etc  and then go do it!

I placed a hold on the book at my local library when it was published in February of this year.  I picked up the book and read it. Then I went on Amazon and bought my own copy so I could highlight portions I found most interested. There are a lot of highlighted sections, by the way.

Some sections of the book dealt with patient-led developments in cancer care such as the cancer hashtag communities on X/Twitter. But I also found interesting sections on other health issues. One condition highlighted was insulin dependent diabetes. The book describes how Dana Lewis (who I also met at MedX) wanted her glucose monitor to have a louder alarm. She needed access to her monitor's data but the device companies said no. So she networked with others and built a custom solution.  The book also includes examples of caregivers and rare disease survivors who made a difference in their lives or the lives of their loved ones by being leaders in the patient-led revolution

Like Lewis and Liz Salmi, a brain cancer survivor and founder of the #btsm community, others are leading the revolution and becoming experts. Fox classifies these expert patient advocates as four arche-types:

Seeker  - Go on the hunt when things are not right

Networker - "Connection is the antidote" 

Solver - attack the problem, identifies the problem, tests and develops a solution

Champion - takes ideas and scales up the innovation

I describe myself as both a Seeker and as a Networker. I consider myself a cancer research "hound"(Seeker)  and along with Christina Lizaso we bring people diagnosed with gyn cancers together with researchers and clinicians in the #gyncsm community on X (networker). Which archetype are you?

If you are a patient, caregiver or advocate don't shy away from a challenge rather read this book be inspired and guided to lead your own revolution, solve problems, give hope and make a difference in your life or the lives of others. 

Dee

Every day is a Blessing! 

Tuesday, March 19, 2024

2024 Annual SGO Meeting Monday March 18, 2024


This was the final day of the 2024 SGO meeting.

I caught the tail end of the SGO Business meeting which included the passing of the gavel from this years President , Dr Angeles Alvarez-Secord to Dr Amanda Fader.

 

The next session, Doctor as Patient:Michael Frumovitz, MD,MPH,MS,CPXP was a moving presentation. Dr Frumovitz shared with his medical colleagues what his experience was as physician and  stage 3 pancreatic cancer patient. He mentioned how cancer patients run the gamut from those who are private to those who are public about their experiences.  


 
 
 
The Rapid Fire Poster Optimizing Surgery, Recovery and Survivorship followed.
 
Endometrial Cancer Assessment

 

 

 Heated IP chemotherapy (HIPEC)  during interval cytoreductive survery was associated with imporved survival.

 Criteria to determine need for ileostomy. 

Comparison of 2 drugs used to prevent venous thrombosis. 

Using Text messaging to measure PRO. 

Barriers to fertility preservation

Memory Impairment in post menopausal women was associated with increased age and comorbidity not chemotherapy. 

Another advocate presentation on peer support for Black women with endometrial cancer.  

 

The Fireside Chat: Critical Issues in Gyn Cancers and the Power of Shared Purpose panel included representatives from other gynecologic cancer organizations. They see the need to work together in many areas including improving recruitment of underrepresented peoples to clinical trials. I was pleased to see Annie Ellis, Patient Advocate and Survivor approach the mic at the end and share her thoughts. 

There was a moving tribute to former SGO President , Dr Wendy Brewster who passed away from pancreatic cancer. 

 Dr Secord gave her Presidential address. She certainly helped to grow SGO with now over 3000 members. 

 

Poster session 2 included the abstract that survivor/advocates Annie Ellis, Lynda Ryan, Adrienne Moore and I , submitted.   It was so exciting to have our abstract accepted for this poster session.


The final session I attended was Scientific Plenary V Late Breaking Abstract Session 2 .

Endometrial Cancer  

Another Patient presenting her experience in the DUO trial.

Ovarian Cancer Duo trial using Durvalumab , Bev and Olaparib

Chinese study of Niraparib maintenance and Individualized Dosing

The use of a P-53 reactivator in a PH 1 trial. 

 

Thanks SGO,  especially Dr Pothuri, Dr Powell and the entire planning committee for such a well run and informative meeting. Thanks again for going our of your way to including so many survivor-advocates in  important meeting presentations, on panels and presenting their posters.

Hope to see you next year in Seattle. 

Dee

Every Day is a Blessing! 

2024 SGO Annual Meeting Sunday March 17th Session Review

 

I started the day off attending an ISS ( Industry Sponsored Symposium) which reviewed the use of ADC's ( antibody drug conjugates ) in gynecologic cancers. The session included patient case reviews where the audience and speakers were asked what treatment they would choose for a patient with a specific treatment experience and co-morbidities. It was very interesting to "listen in" on the discussion. 

The next session was a review by the editors of Gynecologic Oncology and Gyn Oncology Reports of their magazines in terms of readership, reviews and future expansion of clinical guidelines. 

The Presidential Invited Speaker was Erin Diehl who presented on  "F" Words at Work. With a bit of improv she talked about failure, #failfluence and the importance of reframing the failure to improve ourselves.


Focused Plenary IV on ctDNA was an interesting group of abstracts all dealing with using circulating DNA for prediction of disease.

 

This study included a new term for me - Fragmentomics -  the investigation of fragmentation patterns of cell-free DNA (cfDNA). 

This was an interesting proof of concept study

 I also attended the Late Breaking Abstract Session.  

This was an interesting study of using Avutometinib plus defactinib ( Kinase inhibitors)  for Low Grade Serous Ovarian Cancer.

This study did not reach the endpoint expected so the study was ended. We may want all the studies to be successful but we can always learn from studies that are not working. 

Focusing on ARID1A in ovarian clear cell and endometriod endometrial cancers. 

This study compared different diagnostic tests for ovarian cancer in post-menopausal women. 

 

I was pleased to see the rarer ovarian cancers being discussed.

Thanks to Dr.Monica Avila (@MAvilaMD) and CrozrX (@CrozrX) for sharing their insights into the studies presented. 

 

Next post will be what I learned on Monday the last day of the meeting.

Dee

Every Day is a Blessing!

 

Monday, March 18, 2024

2024 SGO Annual Meeting Saturday March 16th Session Review


 

I virtually attended five sessions on day one of the SGO Annual Meeting -  the Opening Ceremony, News We Can All use (Plenary), Moving the Needle (Plenary), Science to Drive Purpose(Plenary)  and Together We Tackle Cancer Rapid Fire Poster Sessions. (Saturday March 16,2024.)

Please be patient while reading this post since it may take some time for all the X posts and photos to download. 

I'm going to start this post by giving a shout out to the patients and advocates involved in presenting on Saturday.  Check out Susan, Linda, Shawn and Jennifer!

Here are just a few of the 60 tweets & retweets I shared during the Saturday meeting.  

Endometrial Cancer

Ovarian Cancer 

HER -2 Expressing Tumors 

Cervical Cancer

Ovarian Cancer 

Endometrial Cancer

Ovarian Cancer

 Recurrent Endometrial, Ovarian, Fallopian Tube, or Primary Peritoneal Cancer

Ovarian Cancer

Endometrial Cancer

Together We Tackle Cancer Session:

I'll keep you updated on what I learned on Sunday and Monday in the next few days.   


Dee 

Every Day is a Blessing!

Tuesday, March 12, 2024

Preparing For This Year's SGO Annual Meeting

I will be attending this year's SGO Annual Meeting virtually. It is being held in San Diego, March 15-March 18, 2024. On Friday, March 15th the 2024 Patient and Advocate Education Forum will also be held, in San Diego. The Forum is sponsored by the Foundation for Women's Cancer. I attended last year's forum and it was informative and allowed time to network with other patients , advocates and caregivers.

 


 

I received the link to the meeting app today so I started making my schedule and looking at sessions I'm interested in listening to. I will be posting on X using the #gyncsm from the sessions that occur in the main hall (F) as they occur live. Other segments of the meeting will be available for me to look at online after they are held and I will catch up on those after the meeting. 

I am happy to see many sessions include patient advocates including my friend Susan Leighton, presenting on Effectiveness of “Survivors Teaching Students®”: A patient-centered experiential educational model of ovarian cancer for rising healthcare professionals.  Thanks SGO and FWC!

I am also pleased to share that an abstract that Annie Ellis, Adrienne Moore, Linda Ryan and I submitted will be presented during the poster session on Monday, March 18th (Hall GH). I'll share more about that poster titled

Do it!': Gynecologic cancer clinical trial participants' advice to others and perspectives

on the day it is presented.

Here are some of the sessions I look forward to listening to:

Saturday

Scientific Plenary I: News We Can All Use 
  • Efficacy and safety of trastuzumab deruxtecan in patients with HER2-expressing solid tumors: biomarker and subgroup analyses from the cervical, endometrial, and ovarian cancer cohorts of the DESTINY-PanTumor02 study
 
Scientific Plenary II: Moving the Needle Together  
  • Patient-Reported Outcome Results from Phase III MIRASOL Trial of mirvetuximab soravtansine vs. Investigator’s Choice of Chemotherapy in FRα Positive Platinum-resistant Ovarian Cancer 
  • Efficacy and safety of alpelisib plus olaparib versus chemotherapy among patients with platinum-resistant or refractory high-grade serous ovarian cancer without BRCA mutation: Primary analysis of the EPIK-O trial 
  •  A phase II/III study of cediranib and olaparib combination compared to cediranib or olaparib alone or standard of care chemotherapy, in platinum-resistant ovarian cancer (NRG-GY005)

Sunday

Presidential Invited Speaker: Erin Diehl: "F" Words at Work Supported by the Wellness Committee and N.E.D. 

Focused Plenary IV: CtDNA: Molecular Mirrors & Markers 

  • The Prognostic Value of Circulating Minimal Residual Disease in First-Line Treatment of Ovarian Cancer 
  • Utility of ctDNA as an early predictive biomarker of response to radiation in gynecologic malignancies 
  • Monitoring Minimal Residual Disease Using Circulating Tumor DNA in Patients Treated Long-Term with PARP Inhibitors for Ovarian Cancer 

Scientific Plenary IV: Late Breaking Abstract Session 1

  • Clinical activity of tazemetostat, an EZH2 inhibitor, among patients with advanced endometrioid endometrial cancer and ovarian clear cell carcinoma with and without ARID1A mutations (NRG-GY014)

Monday 

Doctor as a Patient: Michael M. Frumovitz, MD 

Tribute to Dr. Brewster – Stephanie Blank, MD, Amanda Nickles Fader, MD, S. Diane Yamada, MD, and Angeles Alvarez Secord, MD

Presidential Address: Angeles Alvarez-Secord, MD
 
Scientific Plenary V: Late Breaking Abstract Session 2 - The Turning Point Don't Be Left Out
 
 
Additional sessions I'll view online include those addressing disparities, ADCs( antibody drug conjugates), and clinical trial design. 
 
Now I just have to remember the three hour time difference so I don't miss any live sessions.

For those attending in person, please us #gyncsm in your posts on X so I can hear what you find valuable.  "See" you all next weekend.

Dee
Every Day is a Blessing!