Boston, You're My Home
Those who read my regular blog know that my sister-in-law has breast cancer. At 37, she has an aggressive type which, had it not been for the skilled hands of her OB/GYN, could still be growing rapidly in her body. In the past two weeks, she has canceled her formal wedding plans, her planned honeymoon to Europe, and undergone two surgeries.
She is also getting on a plane to visit us soon, flying across ten states to see our family before she starts her chemo treatments (her visit has long been planned, and she is determined to make the trip).
When I found out that she was still going to be able to visit, one of the first things I told her was that she should call Dana-Farber and get in to see a breast cancer specialist. I was careful to tell her that while I thought her doctors at home were likely very competent, and I didn't question their decisions thus far, "when in Rome. . ."
More specifically, when in Boston, avail yourself of some of the top medical minds in the world.
This can be tricky territory. I know that some people may have interpreted what I said to her as meddling or showing a distrust of the doctors she has back home. But, that is not the case. I have some history here.
Several years ago, my father was diagnosed with advanced colorectal cancer. It had spread to several lymph nodes, he had a large portion of his colon removed and "cure" was not an option. Survival, for however long possible, was the only option.
My sister and I went to him and offered to drive him to and from Boston for treatments. He refused, saying that it was too much to ask, Boston was too far (44 miles from his home), and he had good doctors nearby. The doctors he had seemed quite competent, but it drove me crazy that he wouldn't take advantage of the technology, expertise and opinions less than an hour from his doorstep.
Quite a while after his diagnosis, we finally got him to see a specialist at Dana-Farber. I know that my dad appreciated our commitment to him, and he liked this doctor very much. The doctor reviewed my father's medical plan and agreed with his oncologist's proposal. He also made plans to speak with my dad's oncologist regularly to review the plan for care.
But, there was little anyone could do. My dad died in December '04, a few months after our meeting at Dana-Farber. I will never stop believing that perhaps things would have been different if he had gone into Boston earlier.
(and let it be said that I birthed all my children and had a few medical procedures done at a small, independent local hospital---I am not questioning the competency of such places, but questioning why someone, who is facing choices that can mean life or death, would not try to find the "creme de la creme", especially when "la creme" is so close).
Yesterday, my sister-in-law made an appointment to see a specialist during her visit. My hope is that they agree with her own doctors' proposal in full, and she can feel confident in her care at home.
However, if after this appointment she says, "boy, I wish I lived in the area so that I could finish treatment up here", I will begin making a bed for her.









