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POGO > Blog > Survivor Care
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Tag: Survivor Care


Childhood Cancer is a Lifelong Journey

Posted on September 17, 2024 by admin

Appearing in Metroland publications, September 17, 2024

While more kids are being diagnosed with cancer, more are surviving. Ontario’s childhood cancer survival rate is now 85 per cent — up from about 70 per cent in the mid-1980s. And while surviving cancer is certainly the goal, the impacts of childhood cancer can last a lifetime.

Richard Lautens Toronto Star file photo


By Lauren Ettin and Dr. David Hodgson

Lauren Ettin is the chief executive officer of the Pediatric Oncology Group of Ontario. Dr. David Hodgson  is the medical director and chair in childhood cancer control for the Pediatric Oncology Group of Ontario, a radiation oncologist and clinician scientist at the Princess Margaret Cancer Centre, and associate staff at The Hospital for Sick Children.

Life for the Pugliese family changed forever when six-year-old Giacomo was diagnosed with acute lymphoblastic leukemia. For three years, they made countless trips to McMaster Children’s Hospital, watching their once-energetic little boy endure the challenges of cancer treatment, with interruptions to school and play dates.

Now 17, Giacomo’s treatment is behind him, but he is monitored regularly at the Pediatric Oncology Group of Ontario (POGO) AfterCare Clinic at McMaster Children’s Hospital for secondary cancers and heart issues — risks from his cancer and treatment. The clinic staff also emphasize the importance of a healthy, active lifestyle. His family is reassured that Giacomo will receive this crucial care for the rest of his life.

POGO’s network of clinics across Ontario play a vital role in the ongoing care of childhood cancer survivors, becoming an essential part of their lifelong health journey.

September is Childhood Cancer Awareness Month, a time to spotlight stories like Giacomo’s, which are increasingly common in Ontario.

While more kids are being diagnosed with cancer, more are surviving. Ontario’s childhood cancer survival rate is now 85 per cent — up from about 70 per cent in the mid-1980s. This is thanks to decades of clinical innovation, improvements in diagnostics and treatments, and approaches to addressing some of the related side effects.

While surviving cancer is certainly the goal, it is not where the journey ends. The impacts of childhood cancer can last a lifetime.

Childhood cancers are distinct from adult cancers in significant ways. For one thing, these cancers don’t result from lifestyle or diet. They come suddenly — and some are more likely to strike at a specific age. Typically, childhood cancers require intensive treatments, at major teaching hospitals, with highly specialized protocols. Consequently, care teams may be larger and include parents and caregivers as key decision makers.

A childhood cancer diagnosis impacts the whole family. One parent is often forced to give up work to manage the daily practicalities of their child’s care. Often, extensive travel or temporary relocation is required, uprooting families for months or sometimes years. This disruption reverberates, impacting extended family members, friends, teachers, classmates, work colleagues and communities.

Childhood cancers strike during a critical phase of development, when children and adolescents are marking key physical, mental and social milestones. As a result, two of every three survivors are at increased risk of at least one long-term side effect resulting from their cancer or its treatment, including heart disease, second cancers and cognitive challenges.

To address the unique complexities, ripple effects and long-term impacts of childhood cancer, POGO and its partners have built a system that provides wraparound care and support for children and families at every stage of the journey. Considered among the best in the world, Ontario’s childhood cancer system goes beyond diagnosis and treatment. Families are paired with nurses who help navigate the transition from hospital to home, and they can also access mental health services, financial supports, and programs that help survivors thrive into adulthood.

During Childhood Cancer Awareness Month, it’s important to recognize the tremendous progress made in childhood cancer care. But there is more we can do to ensure kids not only survive, but thrive.

It is vital that children with cancer and their families have access to the best evidence-based treatments and supports, closer to home. This requires strong, ongoing collaboration between care teams, hospitals, nonprofits, government, regulatory bodies, industry and others.

Over the past decade, we have also seen an increasing need for mental health services, a need that is urgently felt among the many who are impacted by a childhood cancer diagnosis. These priorities and others will be key components of Ontario’s Childhood Cancer Care Plan 2024-2029, a road map developed by POGO and its partners to be published later this month.

Ontario must continue strengthening its world-class childhood cancer system so that survivors like Giacomo can count on having the treatments, resources and supports they need today — and for life.

Posted in In the News | Tagged CCAM, CEO, Chief Executive Officer, childhood cancer awareness month, Childhood Cancer Survivor, Medical Director, patient care, Survivor Care, survivorship

A Search for Health Care beyond Survival: Rabi’s Story

Posted on June 24, 2021 by Claire Slaughter

My name is Rabi Qureshi. I am 33 years old and I am a three-time cancer survivor who feels as though I’ve fallen through the cracks.

I was 15 when I was diagnosed and treated for thyroid cancer.  By all accounts, my life should have returned to normal. Instead, I gained 40 pounds in just two months, developed cystic acne and my grades plummeted.

At 21, I finally lost the weight but was still struggling with depression when the thyroid cancer came back. It had spread to my lymph nodes. The surgeries that followed left me with chronic pain in my head and neck that had me stuck in bed for the better part of three years, contemplating suicide daily. I promise that is not an exaggeration.

Rewiring my Brain Came Years after Treatment

By 2012, at 24 years old, I was feeling better. Nearly all the weight was gone. I had found a new passion and returned to college to pursue my dream of becoming an events specialist. And though everything seemed to take triple the effort or more than it used to, life seemed livable again. So I ignored the small bump under my skin that was slowly getting harder and bigger, and delayed the biopsy until the summer of 2013. What caught me off guard was that this time it was breast cancer. After five surgeries and some aggressive chemotherapy, I felt like a fraction of the person I once was. Mostly, I was living in a haze of foggy thoughts and fractured logic. It took several years out of treatment for me to rewire my brain so that I could articulate my thoughts and speak my mind confidently.

I can’t summarize all that cancer took from me, but I can tell you peace of mind was definitely among the body count. Turns out PTSD among cancer survivors is a more common issue than it is common knowledge.

It’s 2021 and I have a very limited number of functional hours in the week. I am still struggling to take care of my body and brain. I have been ping-ponged from one doctor to another who seem not to know what programs, resources and next steps are available. I work hard every day to teach myself ways of healing on my own but I can’t help but feel that the system is fractured and I am the collateral damage; I don’t believe I should have had to face this alone.

Up to this point, I experienced a severe disconnect between programs and services and my healthcare specialists. I believe the result is an unassembled Mr. Potato Head model and that interdisciplinary coordination and cooperation among fields of medicine should be at the centre of a more efficient patient care model.

Discovering POGO AfterCare

I recently spoke about my health struggles and lack of support from the healthcare system at the 2021 POGO AfterCare Education Day. I was encouraged by how receptive the doctors, nurses and psychologists were to what I had to say and how supportive everyone was. A friend of mine, another survivor who also spoke at the POGO event, convinced me to make an appointment at the POGO AfterCare Clinic in Toronto, something I had only recently become aware of and had yet to explore. It has only been a couple of weeks since that first intake call, but already there seems to be a plan in place for an integrated approach to treating the variety of issues that my cancers have left me with; I will have to keep you posted. I am cautiously optimistic, in spite of myself.

Modern Health Care Should Aim for Quality of Life 

Class, ability, gender, a safe home, pre-existing conditions and race/culture can all contribute to unique challenges in survivorship. My story, only one of many, is evidence that it is more important than ever to create holistic systems designed with compassion at their roots, as a complete and comprehensive patient care model, systems that take the whole person into account—mind, body and circumstance. Modern health care, after all, shouldn’t stop at quantity of life; it’s well past time to prioritize quality of life.

Access to primary care in a shared-care model with AfterCare is critical for survivors


Rabi Qureshi childhood cancer survivor
Rabi Qureshi is an author, advocate and three-time cancer survivor. She is also a special events manager and an artist who is outspoken in matters of mental health care and holistic and preventative medicine. 


POGO AfterCare Clinics promote health and health education, and monitor survivors regularly for late effects of cancer treatment, identifying these effects as early as possible. Ultimately, POGO AfterCare Clinics contribute to advances in cancer care; if a particular form of treatment is found to cause a certain long-term effect in cancer survivors, current treatment practices can be modified, ultimately improving outcomes of future survivors.

Posted in This is My Story | Tagged childhood cancer survivors, depression, holistic cancer care, POGO AfterCare Clinics, Survivor Care

Creative Corner with Kathleen – eNews

Posted on February 26, 2021 by Kirsten Efremov

Kathleen Landayto is a graduate of George Brown College’s Graphic Design program. She loves being a freelance graphic designer, and has recently started illustrating custom pieces for clients. She enjoys the work and loves that it brings her clients joy every time they look at it. 

This piece is one of her latest digital drawings. She created it using the Procreate app and applied a watercolour art style. Kathleen says, “With digital art, you can use layers to achieve the final look. I started by defining the body shape, added light and shadow values for depth and finished it off on the 30th layer. This final layer adds minor but important details such as whiskers and fur lines, making the subject come to life.”

Follow Kathleen on Instagram @_kal.art, or email her at k.landayto@gmail.com

Kathleen is an ALL survivor.

Posted in Transitions | Tagged childhood cancer survivors, Survivor Care, The POGO School and Work Transitions Program

Bruce Power Expresses Support for POGO’s Survivorship Initiatives

Posted on October 31, 2019 by admin
L to R: Dr. Mark Greenberg, Senior Clincal Lead, Strategic Initiatives and Founder, POGO; Mike Rencheck, President & CEO, Bruce Power; Bill Walker, MPP, Associate Minister of Energy; Jill Ross, CEO, POGO; James Scongack, Executive Vice President, Corporate Affairs & Operational Services, Bruce Power; Dr. David Hodgson, Medical Director, POGO; Dirk Noyahr, childhood cancer survivor and client in POGO’s school and work counselling program

Tiverton, ON (October 30, 2019) — Bruce Power announced today that it is fully committed to supporting the Pediatric Oncology Group of Ontario’s initiatives to provide children with cancer, their families, and survivors of childhood cancer, with access to ongoing treatment, care and financial support.

The announcement, made at the MaRS Centre in Toronto, reinforces a $300,000 commitment made by Bruce Power to POGO on February 15 – International Childhood Cancer Day. Bruce Power, a leader in the production of medical isotopes that are used around the world to improve people’s lives, will provide the funding over the next five years as a key element of the company’s Community Investment and Sponsorship Program.

“Our commitment to the people of Ontario crosses many paths,” said Mike Rencheck, Bruce Power President and CEO. “We provide 30 per cent of the province’s electricity at 30 per cent less than the cost to generate residential power. We inject $4 billion into Ontario’s economy every year, and we contribute $2 million annually to grassroots initiatives, events and organizations that improve the lives of children, adults, Indigenous peoples and military veterans.

“The continuing efforts around our production of medical isotopes are heavily focused on working with the medical community and other partners to find new ways for treating cancer. We share the values of POGO in providing state-of-the-art care to those afflicted with cancer in their childhood years, and doing what it can for families dealing with this life-changing diagnosis.”

One program supported by the Bruce Power funding is POGO’s school and work counselling service for childhood cancer survivors (SAVTI). POGO launched this program in 2002 to address a significant gap in survivor care, helping survivors, aged 16 plus, with neurocognitive challenges receive the necessary support to set and attain realistic educational and employment goals. POGO provides one-on-one counselling tailored to a student’s medical past and subsequent cognitive profile to help them bridge the gap between high school and whatever comes next for that student. POGO counsellors, specialists in their field, support clients in London, Hamilton, Toronto, Ottawa, Kingston and the surrounding areas. Together with neuropsychologists, they also help young people identify and access the accommodations they need, connect to resources in the community, and receive guidance to empower them to become self-advocates at school and at work. POGO counsellors provided services to over 400 cancer survivors last year.

“Bruce Power’s multi-year commitment provides stable funding that will allow us to plan long-term for initiatives that support childhood cancer survivors, as well as Ontario families with children in cancer treatment,” said Jill Ross, POGO’s CEO. “Our work with community partners like Bruce Power, who share our commitment to helping people deal with cancer, plays an important role in ensuring a high-quality, safe and coordinated system of care that addresses both their physical and emotional well-being.”

“In addition to being the backbone of our province’s energy system, Bruce Power is now also an important partner in Ontario’s health care system, producing life-saving medical isotopes and providing financial and other supports to help fight childhood cancer,” said Bill Walker, MPP, Bruce-Grey-Owen Sound and Associate Minister of Energy. “I commend your commitment and look forward to the great work from your new partnership with the Pediatric Oncology Group of Ontario.”

About Bruce Power
Formed in 2001, Bruce Power is an electricity company based in Bruce County, Ontario. We are powered by our people. Our 4,100 employees are the foundation of our accomplishments and are proud of the role they play in safely delivering clean, reliable, low-cost nuclear power to families and businesses across the province. Bruce Power is also a significant source of Cobalt-60, a radioisotope used for the sterilization of medical equipment around the world as well as a specialized form of cancer treatment called the Gamma Knife. Learn more at www.brucepower.com and follow us on Facebook, Twitter, LinkedIn, Instagram and YouTube.

About the Pediatric Oncology Group of Ontario
In 1983, a group of passionate and visionary pediatric oncologists founded the Pediatric Oncology Group of Ontario (POGO). Today, inspired by the children and families whose lives we strive to improve, we champion childhood cancer care on behalf of the childhood cancer community. POGO is the official source of advice on childhood cancer to the Ministry of Health; a trusted source of information among colleagues, parents, survivors and the public; and the longstanding leader of a collaboration among the five academic pediatric oncology programs and other stakeholders, which has resulted in a highly integrated childhood cancer system. Learn more at www.pogo.ca and follow us on Facebook, Twitter, LinkedIn, Instagram and YouTube

Posted in Misc | Tagged Bruce Power, Medical Isotopes, Pediatric Oncology Group of Ontario, savti, Survivor Care

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