Showing posts with label stages of melanoma. Show all posts
Showing posts with label stages of melanoma. Show all posts

Wednesday, October 15, 2014

The Staging Debate: An Analogy

Note: This post is not intended to reflect my views on gun control or gun owner rights…it is to merely serve as an analogy to make my point.

A gun was pointed right at you.  The eyes of the gunman were wild and stared into your soul.  You glanced at the gun and saw his trigger finger curl.  Then there was the deafening sound.  There was no way you could completely dodge the bullet. 

There are a few scenarios that could have played out from this scene.  Let’s count them down from worst to best.

4. The bullet inflicted a severe wound and you had an 85% chance of dying.  The internal damage was extensive and you likely suffered a painful death.

3. The bullet inflicted significant damage to a major organ and you were in intensive care and watched closely.  You still had a 60% chance of dying.  If you didn’t die, the recovery process was slow, painful and expensive. 

2. The bullet hit no vital organs but you were still hurt quite significantly.  You may have gone through rehabilitation and suffered permanent scarring.  Chances are that you lived, but you may have limitations later in life…not only physical, but mental and emotional.  The image of your experience will never go away.

1. The bullet hit your arm or leg, but didn’t cause major damage.  You required some minor surgery and ended up with scarring, but there was no danger at loss of life.  You will, however remain emotionally scarred.

0. The bullet barely grazed you.  You had no physical evidence of being hurt except for maybe a scratch, but you may wake up from your sleep with nightmares of your experience.

Of these five results, would you claim that any is not a victim of an armed assault?  My guess is no.  Whether you died or you were barely touched by the bullet, the morning headline would still most likely read, “One Person Shot.”  You would indeed be a victim.

So why is it that someone with Stage IV melanoma (who has only a 15% chance of surviving) is deemed as a melanoma warrior or survivor, but those diagnosed Stage 0 or Stage I are told they can’t be considered the same?

Sure, the higher stage diagnosis involves a LOT more heartache, pain, treatment and money spent.  No one would ever dispute that a Stage 4 warrior suffers far more than a Stage I patient.  But anyone…ANYONE…who is told “you have cancer” has seen that gun barrel pointed right at their chest.  They’ve seen the wild eyes of a killer face-to-face.  They’ve realized that they have a very real chance of something going very bad.  Perhaps hearing those words…”you have cancer”…is what defines a warrior.  It’s what defines a survivor.


There is one difference between the analogy comparing an armed assault victim to a melanoma patient.  The gun victim may never have to experience such an encounter again.  The melanoma warrior has a 1 in 3 chance of the melanoma coming back.  And in the case of my low-stage diagnosed brother, it came back to kill him 6 years later.