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480 pages, Paperback
First published October 15, 1991
"Should I prepare to live? Or should I prepare to die? I do not know. No one can tell me. They can give me figures, but no one can tell me." (p. 39)Also, she often returns to the theme of the myriad meanings that we give to illness, and how we often subconsciously blame the patient for his or her own disease, even when that patient is ourselves. One lesson I hope to remember from Treya's story is this:
"Pain is not punishment, death is not a failure, life is not a reward." (p. 279)
"Aside from surgery, the main forms of Western medicine's attack on cancer -- chemotherapy and radiation -- are based on a single principle: cancer cells are extremely fast-growing. They divide much more rapidly than any of the body's normal cells. Therefore, if you administer an agent to the body that kills cells when they divide, then you will kill some normal cells but many more cancer cells. That is what both radiation and chemotherapy do. Of course the normal cells in the body that grow more rapidly than others -- such as hair, stomach lining, and mouth tissue -- will also be killed more rapidly, hence accounting for frequent hair loss, stomach nausea, and so on. But the overall idea is simple: Since cancer cells grow twice as fast as normal cells, then at the end of a successful course of chemotherapy, the tumor is totally dead and the patient is only half-dead." [emphasis in original:]Also, even though at 20 years out, the book is quite dated, you can still get a good feel for some alternative cancer treatments, as well as the difference between approaches to cancer treatment between cultures, especially with respect to the treatment Treya undergoes in Germany. For example, this description of conversations with Treya's doctor in Germany when asked about particular treatments used in the US:
" 'We don't do it because the quality of life is so much lower. You must never forget,' he said, 'around the tumor is a human being.' [. . . :] We asked him about another treatment that was popular in the States. 'No, we don't do that.' 'Why?' 'Because,' he said directly, 'it poisons the soul.' Here was the man famous for the most aggressive chemotherapy in the world, but there were things he simply would not do because they damaged the soul." (p. 288)