Medical Reportingafter the trial began.Pat, too, used denial to good ends.Jetta and I were with Pat a lot in the lastfew weeks of her life. Whenever I visited,if there wasn’t a crowd of othersaround, she wanted me to interviewher. She was relentless. “Ask me anotherquestion, Jenni. Ask me anotherquestion. Ask me anything. I don’t care.Anything,” she’d say. And I did. But I’dheld back on one question until now. Itwas the thing I was having the hardesttime accepting. Pat and I were almostthe same age. (I was 48.) I’m makingplans, millions of plans, for the future.How did Pat feel about it all ending sosoon, so early, too early?“Does it ever make you mad, that atyour age, when you should still have somuch time, that it’s all coming to aclose now?”She sucked in her breath. “Oh, thatwas one thing I don’t want to thinkabout.” She hesitated and teared up abit, fanning her hands in front of her.“But I said ask anything. So okay, here’smy answer,” she said. “I just don’tthink about that. I don’t think about it.And I’m not going to think about itagain. I’m going to forget the question.See, I’ve already forgotten it.”She wasn’t kidding. Maybe the continuousmorphine drip helped her forget,but she’d offered me a glimpse athow she managed the last seven years,by not focusing on what she couldn’tchange.A few days later, she was still beggingme to ask her questions, but shecouldn’t stay awake for her own answers.She’d fall asleep mid-sentence,then suddenly wake up and say somethingentirely unrelated. “Do you wantwhite meat?” she asked me once. Thenshe’d realize what she said and laughuntil she passed out again. Once shewoke up singing the “Cracker Jack”song. Again, she laughed herself tosleep. Those were almost her last wordsto me, “buy me some peanuts andCracker Jacks.” She died two days later,death number nine among the 12 whotook part in the trial. Three patients arestill a<strong>live</strong> and active, two years aftertheir experimental therapy.Supposedly, the molecule that seducedus all, H11, is going into Phase IIKrzeminski and her daughter Keri in the kitchen of their St. Petersburg, Michigan home.Krzeminski has an EKG done at the cancer center.Photos by Jetta Fraser/The (Toledo) Blade.trials for breast cancer. But I’ve beentold this for more than a year now, soI’m not certain it will actually happen.I started out so seduced by thismolecule. I ended up seduced by hope,by human effort and human frailty. AsI wrote in the last installment of theseries, after I’d explained to readershow cancer mutations offer cells a sortof eternal life: “If humans had the persistenceof cancer, we’d chisel statuesto them. Such creative determinationis the stuff of heroes. Few of us measureup to the indomitable developmentof cells run amok. The cruel ironyis, cancer requires people of such resolution.”■Jenni Laidman is a science writer atThe (Toledo) Blade.Jenni@theblade.com40 <strong>Nieman</strong> Reports / Summer <strong>2003</strong>
Medical Reporting‘Living With Cancer’A newspaper links forces with TV and radio to inform the community about thecauses and consequences of this disease.By Lois WilsonIn 2001, the Star-Gazette in Elmira,New York, embarked on publicationof a yearlong project examininghow cancer affects our communityand its residents. The idea for thisproject emerged out of an event thathappened in early 2000, when a smallbut vocal group of parents sent a letterto the Elmira school board to demandan investigation into a seemingly highnumber of cancer cases among currentand former students and faculty atSouthside High School.Southside High, built in 1978, is ona site that was home to industries sincethe late 1880’s. The parents’ letter toldof 13 cancer cases among students since1997—including six students who werethen at the 1,100-student school. Bymid-<strong>summer</strong>, the number of reportedcases had risen to 40.These parents sent a similar letter tostate and local health departments,sparking a New York State Departmentof Health investigation. But as the probewent on, few clear answers were beingfound, and the community’s frustrationwas growing. As we reported onthis investigation, members of our staffwere learning more about cancer. ByAugust 2000, with stories about theschool cancer probe appearing nearlyevery week but with no clear link established,we decided to launch a projectexamining the impact cancer was havingon families and on our communityand, in turn, become a vehicle for givingresidents more information abouthow this disease can be caused.<strong>Nieman</strong> Reports / Summer <strong>2003</strong> 41