Neeraj
Born in Bombay India, Neeraj A. was
diagnosed with Non-Hodgkin's Lymphoma on Halloween Day
1994. At 25, he had just begun to pursue a PhD at the
University of Wisconsin-Madison. After going into remission,
he resumed his education in 1996, receiving his PhD
in May 2000. Today Neeraj is happily married and working
as a researcher at the National Cancer Institute. While
he continues to experience health problems related to
his treatment, he approaches life with an energy and
a sense of gratitude that is an inspiration to all around
him.
Tell us about your treatment.
Mine was a very aggressive form of Non-Hodgkin's
Lymphoma, a hybrid of lymphoma and leukemia. My brother-in-law
was visiting me from Houston on the day of my diagnosis,
my sister flew in the next day, my parents flew in
from India a couple of days later and very soon I
had the most crowded and lively room in the hospital.
I received one of the most aggressive induction chemotherapy
protocols I know of. This resulted in me achieving
remission on December 7, 1994. After that, I received
cranial radiation, followed by an outpatient induction
chemotherapy protocol.
My treatment resulted in severe side
effects - I had severe scarring of my skin and I lost
most of the muscles in my neck. As a result, I couldn't
lift my chin for many days. At one point, I weighed
85 lbs. It hurt to walk more than 3-4 steps. During
those 49 days of hospitalization, my parents literally
gave me a second birth. They taught me how to walk,
how to eat. They worked with the physiotherapists
to help me hold my chin up in this world again.
How do you feel about the
care you received?
I was given the diagnosis of my cancer
in one of the worst displays of communication by a
doctor I have seen, but beyond that initial interaction
and another horrible experience with a resident in
the hospital, I was blessed to receive care from the
most caring and sensitive of physicians and nursing
staff at the University of Wisconsin - Hospital and
Clinics.
My experience motivated me to focus
my research at NCI on studying the impact of provider-patient
communication on patients' health outcomes. During
my talks, I often present the good, the bad and the
ugly of doctor-patient communication from my personal
experience as an example of why it is important to
train our providers to communicate empathically with
their patients.
How has your health been
post-treatment?
I do suffer from several long-term effects
that started during treatment and have persisted over
time. These include dry mouth, vertigo and low sperm
count. (However we have been able to successfully
conceive, although unfortunately we lost our baby,
but there is hope for the future.) I do have some
short-term memory problems, although not very pronounced,
so I don't know to what extent this is a facet of
lifestyle/age related factors. Overall, I have been
very lucky to experience minimal long-term or late
effects, most of what I have is fairly manageable.
What sparked you to become
involved with Cancer Survivors Project?
One of the joys of my life today is
the friendships I have made with fellow cancer patients
and survivors on several Association of Cancer Online
Resources (ACOR) listserves. I am very proud to be
associated with a group of resilient people whose
will to survive, help, share, and support each other
thrives despite all the hardships they face. The Cancer
Survivors Project is a wonderful example of how we
are translating our difficult experiences into something
positive and powerful. My hope is that we can help
future generations of survivors and be an important
voice in shaping the delivery of follow-up cancer
care.
What thoughts would you like
to share with people who are just discovering this
website?
For those who do not suffer from many
or any late-effects, it is very easy to feel overwhelmed.
But, being informed about your situation and playing
an active role in your follow-up care is perhaps as
important as any medication or test you receive. Please
realize that not everyone suffers from late effects.
Much depends upon a range of factors: your age at
diagnosis, when you were treated, the kinds of treatments
you received, etc. You may never have more than minimal,
if any, late effects. However, knowledge can help
you identify problems that may be related to your
cancer and play an active role in your current follow-up
care. Read the information on this website at a pace
you are comfortable with; it was created to help.
Have your friends and family
been understanding and supportive or bewildered?
I don't think that this is an either/or question.
Anyone who has to personally face cancer for the first
time is bound to be bewildered. But despite that feeling
of shock, disbelief, bewilderment, my close friends
and family have been very supportive. In fact, understanding
and supportive are gross understatements. I don't
think I would have been the proud cancer survivor
that I am today without their love and caring. Even
among my casual friends and co-workers I have been
lucky to have had very positive interactions. Both
places I have worked since my diagnosis were in the
business of doing research in the area of cancer,
so everyone was very sensitive to my needs and appreciative
of my experience.
What keeps you going?
As I look back I have a lot of be thankful
for; from the relatively disabled young man patiently
fighting his battle in a room at the University of
Wisconsin hospital in 1994 to a relatively healthy
cancer researcher today -- indeed I have come a long
way. However, I am most thankful for the presence
of my lovely wife Daksha in my life. I met her five
years after my cancer diagnosis and proposed to her
at the stroke of midnight on Dec 31, 1999 as the world
moved on to the new millennium.
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