Insomnia

The Huffington Post--whose living section I often find suspect, filled as it is with pretty quack-y medical articles (let me just say, I think Suzanne Somers' approach to cancer prevention is a giant duck)--has a GOOD article today on cancer and insomnia.

When I was going through chemo, my acupuncturist would ask me, at every appointment, how I was sleeping. Disrupted sleep is a common correlate of chemo, at least in part due to hormonal disruptions mimicking menopause (or, inducing menopause in many cases).

Further, I've found that my sleep post-cancer-treatment is much less reliable than it was before. I have times when it's hard to fall asleep or hard to stay asleep. The study described in the article seems like a valuable step in helping deal with this problem.

The Case of the Disappearing Cancer

I've been sent articles several times already about this Norwegian study that concluded that some breast (and other) cancers may spontaneously disappear, without treatment. I don't really have much comment of my own, because before I could really think deeply about the study, I read this fantastic response by a "skeptical OB-GYN," who writes a terrific, point-by-point analysis. Some highlights:

The study only looks at incidence of cancer. It does not look at outcome and life expectancy. If it turns out that the women in the study group have a much lower incidence of death from breast cancer, because they are treated early and aggressively, it will justify the apparent over diagnosis of breast cancer.

And,

there is no way to tell the difference on mammography, or by any other technique, between the cancers that will disappear and the ones that will go on and kill the woman.

To me, these two quotes really say everything we need to know at this point. However, as winter comes and my summer tan fades, and I note in the mirror greater evidence of the premature aging effects of chemo; as I read on the web that a close family member's kind of lung cancer is often treated with Taxol, and I think back on the bone pain and the horrible allergic reactions; as I think about the months of my life "lost" to sitting miserably on the couch; as I think of the awfulness that is cancer treatment, I certainly hope that researchers follow up on this study and find a way to make the important distinctions. Let's get rid of chemo for anyone for whom we can!