In the episode, Dr. JYP delves into the heart of living with, and beyond, brain cancer with Michelle Matthews. Michelle shares her husband Matt's journey with glioblastoma and how they remained hopeful throughout the diagnosis and treatment. Despite the challenges, they cherished every moment together and found solace in support from their loved ones and community. Michelle also stresses the importance of self-care and the role of caregivers in cancer treatment and survivorship. Dr. JYP emphasizes the significance of shared experiences and compassionate care in the cancer journey. Ultimately, the episode celebrates the tenacity of the human spirit in the face of cancer's challenges and offers support and guidance to those who are navigating the difficult terrain of cancer caregiving and grief.

3 Episode Key Takeaways


1. Cherish Every Moment and Seek Support:

Michelle Matthews emphasizes the importance of valuing the time spent with loved ones, appreciating every shared experience, whether big or small, and the significance of leaning on support systems while cancering. She shares her personal story, highlighting how focusing on quality of life and support, including from strangers, helped her and Matt navigate his terminal glioblastoma diagnosis. It's a poignant reminder of the power of community and the strength found in togetherness.

2. Navigating Grief with Self-Care and Connection:

The episode underscores the need for caregivers to take time for personal grief and recovery. Michelle reflects on her own coping mechanisms, such as dining with friends and journaling, and advises caregivers to watch out for negativity online. She found solace in connecting with others who faced similar losses, reinforcing that finding relatable support can be crucial for emotional well-being.

3. Advocacy and Informed Treatment Choices:

Michelle's story conveys a powerful message about patient advocacy and informed decision-making. Faced with a terminal diagnosis and limited treatment options, Michelle and Matt consulted with their beloved oncologist, who encouraged them to explore treatment at Duke University. The narrative encourages second opinions and clinical trials, highlighting the importance of staying informed and being proactive.

Show Overview

02:15 Unexpected love story blossoms from a workplace friendship.

03:39 Matt's lifelong connection to newspapering

07:28 Devastating news: brain tumor, possible glioblastoma

11:39 Michelle admires Matt's courage during his illness.

16:14 His oncologist encourages seeking second opinions.

19:53 Indulging in the little things improves quality of life.

24:12 Weekly dinners with a friend helps during tough times.

29:26 Avoid taking on others' emotional burdens.

32:17 Michelle felt lucky to work from home during Matt's treatment.

34:33 Michelle shares her reflections on grief.

37:30 Michelle and Matt's love story, and advice for others.

In this episode, Dr. JYP talks with licensed clinical social worker Stephanie Broussard about the importance of patients sharing their wishes regarding palliative and end-of-life care. Broussard stresses the need to include a social worker as part of the cancer care team from the point of diagnosis to address emotional distress. She explains that palliative care, which focuses on relief from the symptoms and stress of a serious illness, is different from hospice care, which is a Medicare benefit and service for those with a terminal diagnosis.

Broussard shares why it's vital for everyone, even young adults, to have a plan for the person who will make medical decisions on their behalf. She stresses the importance of having conversations about what matters most to us in our care, especially when we are faced with a serious illness. Dr. JYP shares her own wishes to encourage listeners to think and talk about their end-of-life care goals and intentions. They conclude the episode with the agreement that advance care planning is “an act of love.”

3 Episode Key Takeaways


1. The Crucial Role of Advanced Care Planning:

Stephanie Broussard underscores the importance of advanced care planning as a necessary step to empower both patients and their families in making informed decisions regarding end-of-life care. This is an ongoing conversation that centers around identifying personal goals, values, and priorities, ensuring that one's wishes are respected and that these discussions are recognized as acts of love that unite families during challenging times.

2. Distinguishing Palliative Care and Hospice:

Broussard clarifies that while hospice care is a form of palliative care designed for individuals with a terminal prognosis of six months or less, palliative care in itself is broader and can benefit anyone with a serious illness, regardless of their stage of disease or age. The conversation with Dr. Jennifer Young Pierce delves into how palliative care encompasses the management of emotional, physical, and spiritual distress, aiming not just to alleviate symptoms but to improve overall quality of life for patients and their families.

3. The Role of Social Workers and the Need for Comprehensive Palliative Care:

The episode explores the specialized role and training required for social workers within the domain of palliative care, with an emphasis on the necessity for a more comprehensive palliative care intervention. There's a discussion about how reactive versus proactive integration of social work can affect outcomes, advocating for a holistic approach where every team member, including social workers, is involved from the beginning to manage symptoms, provide support to caregivers, and address psychosocial needs.

Show Overview


01:21 Palliative care explained
04:12 Social worker Stephanie Broussard addresses emotional suffering in patients.
11:34 Different roles for social workers involved in palliative care
15:13 Hospice focuses on a person’s quality of life.
20:18 Advance care planning is an ongoing process.
21:16 Importance of advance directives and conversations with family
25:21 Discussing end-of-life care and medical power of attorney
28:45 Broussard shares insights on palliative care and planning

In this Cancering episode, Dr. JYP is joined by oncologist Dr. Ayesha Munir as they tackle the complex and crucial topic of breast cancer and health disparities. Together, they explore the impact of socioeconomic status on health inequalities, the challenges faced by different racial groups in accessing breast cancer screening, and the concerning prevalence of triple-negative breast cancer among African American women.

They discuss the research into the biological underpinnings of triple negative breast cancer and the promising developments in immunotherapy. This is an episode you won't want to miss as we unravel the layers of breast cancer, health disparities, and the path forward toward equitable healthcare access and improved outcomes.

3 Episode Key Takeaways

1. Health disparities significantly impact breast cancer outcomes and require national-level solutions and equitable healthcare access. African American women have a higher risk of triple negative breast cancer, highlighting potential biological differences and the impact of systemic racism.

2. Immunotherapy shows promising results in improving outcomes for aggressive triple negative breast cancer.

3. Stress and cortisol levels may impact disease biology, particularly in the Black population.

Show Overview

01:00 Focus on immunotherapy breakthroughs.

04:35 Interest in health disparities, focusing on breast cancer.

07:53 Health disparities awareness and support for communities.

13:02 Improving outcomes amid breast cancer disparities.

16:36 Research suggests biological differences, with impact from systemic racism.

20:01 Progress in breast cancer treatment includes immunotherapy.

21:08 Immunotherapy improves outcomes for triple negative breast cancer patients.

32:15 Importance of providing financial relief for patients.

In the latest episode of The Cancering Show, Dr. Jennifer Young Pierce delves into the topic of cancer as a chronic disease. It's a thought-provoking discussion that challenges our understanding of cancer and survivorship.

Dr. Pierce emphasizes that cancering is not just a phase or a battle to be won, but an ongoing journey that requires long-term management and adaptation. She shares insights on the concept of cancer as a chronic disease and its implications for patients, survivors and caregivers.

3 Key Episode Takeaways

1. Chronic Disease: Dr. Pierce emphasizes that cancer is an ongoing activity, and for most patients, it is a chronic disease even after the initial treatment. This highlights the need for long-term follow-up, potential maintenance medications, and ongoing management.

2. Lifestyle Impact: For cancer patients, lifestyle changes like getting more sleep, reducing stress, stopping smoking, changing eating habits, and adding more exercise can positively impact the outcome of cancer treatment and decrease the chances of recurrence.

3. New Normal and Survivorship: Dr. Pierce encourages patients to embrace the concept of a "new normal" after cancer treatment, acknowledging that there may be chronic changes but also the opportunity to see life in a brighter, more joyful way. It's about thriving in the new normal and living the best life possible.

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USA Health Mitchell Cancer Institute
The Cancering Show is brought to you by USA Health Mitchell Cancer Institute. MCI is a cutting-edge cancer research and treatment center built to fight cancer smarter in Mobile and Baldwin counties in Alabama. Our researchers and clinicians focus daily on the struggle against cancer, serving a potential catchment population of more than 4.1 million people, with a singular focus of advancing cancer diagnosis, treatment, and prevention throughout the Gulf Coast and beyond with science, technology and hope.

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