“No; uterine operations are easy and simple. It is simply because the
sore on the face is obvious, plain, unmistakable evidence of something
wrong; and the patient ordinarily gets into the surgeon’s hands early;
that is, before the roots of the growth have spread and involved life
itself. The difference in mortality between carcinoma of the lip and
carcinoma of the womb is the difference between early operation and
delayed operation. If uterine cancer or breast cancer were discovered
as early as lip cancer, we’d save practically as many of the internal
as we do of the external cases. And if all the lip cancer cases were
noticed at the first development, we’d save ninety-five per cent of
them.”
“Isn’t it the business of the physician to find out about the internal
forms?” asked Mrs. Sharpless.
“Often the physician hasn’t the chance. The woman ought to do the first
diagnosing herself. That is, she must be taught to recognize suspicious
symptoms. In Germany there has been a campaign of education among women
on cancer of the womb. The result is that more than twice as many
Germans come to the operating table, in time to give a fair chance of
permanent recovery in this class of cases, as do Americans.”
“How is the American woman, who knows nothing about such matters, to
find out?” queried the minister’s wife.
“There is a campaign of education now under way here. Publications
giving the basic facts about cancer, its prevention and cure, in simple
and popular form, can be had from the American Society for the Control
of Cancer,—Thomas M. Debevoise, secretary, 62 Cedar Street, New York
City; or more detailed advice can be had from the Cancer Campaign
Committee of the Congress of Surgeons of North America, Dr. Thomas S.
Cullen, chairman, 3 West Preston Street, Baltimore; or from Dr. F. R.
Green, 535 Dearborn Avenue, Chicago, Illinois, secretary of the Council
of Health and Public Instruction of the American Medical Association.”
“Why not more easily and readily one’s own physician?” asked Mrs.
Clyde.
“Women don’t go to their own physicians early enough. It is necessary
that they be trained to understand symptoms which do not at first seem
serious enough for medical attention. Besides, I regret to confess, in
this matter of cancer our physicians need educating, too. They are too
prone to say, if they are not sure of the diagnosis, ‘Wait and see.’
Waiting to see is what kills three fourths of the women who succumb to
cancer. Let me illustrate this peril by two cases which have come under
my observation: The wife of a lawyer in a Western city had a severe
attack of stomach trouble. Her doctor, a young and open-minded man, had
the courage to say, ‘I don’t know. But I’m afraid it’s cancer. You’d
better go to such-and-such a hospital and let them see.’ The woman
went. An exploratory incision was made and carcinoma found in the early
stage. It was cut out and to-day she is as good as new.
Public-domain text, read in full here on John Shaqi.
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