Health
Florida doctor reveals his own cancer journey to help others handle the emotions a diagnosis brings
With more than two million new cases of cancer expected in 2024, a Florida physician who survived the disease wants to help others navigate the terrain of a life-changing diagnosis.
Dr. Chris Scuderi, who practices at Millennium Physician Group in Jacksonville, was diagnosed with bladder cancer in Nov. 2020 — at the end of a challenging year amid the COVID pandemic.
“My diagnosis came as a great surprise because I was in my mid-40s, had no family history, worked out almost every day and overall ate a very healthy diet,” Scuderi told Fox News Digital in an interview.
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Scuderi had none of the risk factors or typical symptoms normally associated with bladder cancer.
“I thought I had food poisoning,” he said.
A cancer diagnosis can come with a wide range of overwhelming emotions, survivors shared with Fox News Digital. (iStock)
He underwent surgery a week after the diagnosis and then completed a year’s worth of chemotherapy specifically targeted for bladder cancer.
Today, Scuderi is healthy and cancer-free. He’s made some lifestyle changes, including putting a greater emphasis on eating more plant-based foods and getting regular exercise.
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“Stress, overwork and irregular sleep were areas of my life I had to address as a physician, husband and father,” he said.
“Over the past two years, I have been using a fitness tracker to closely monitor my sleep, stress levels and recovery each day, and use this objective data to prioritize my rest.”
Emotional roller-coaster
Each patient’s emotional reaction will be different, Scuderi noted.
“The first few weeks can bring up a lot of emotions, and the unknown is extremely scary,” he said.
“You don’t know what treatment options you will have or how this will affect your life or your family members’ lives. You don’t know how this will affect your work or future plans.”
Dr. Chris Scuderi (left), who practices at Millennium Physician Group in Jacksonville, Florida, was diagnosed with bladder cancer in Nov. 2020. “Stress, overwork and irregular sleep were areas of my life I had to address as a physician, husband and father,” he said. (Dr. Chris Scuderi)
“There’s a lot to process, and it feels like your life is stopping while the rest of the world is moving forward.”
Some patients may feel grief over the loss of their health, and the abandonment of plans that must be put on hold, the doctor noted. This can also cause feelings of anger.
Denial is also a common response, as many patients resist the reality of their lives changing.
“The first few weeks can bring up a lot of emotions, and the unknown is extremely scary.”
Anxiety and fear are also typical emotions, Scuderi said, as any cancer diagnosis sparks feelings of uncertainty and unease.
“Talking with your health care team about the diagnosis, including how you feel about it and the plan for treatment and any next steps, is helpful in relieving some of that anxiety,” he said.
“It’s also common to wonder, ‘Why is this happening to me?’ or ‘Did I do something to cause this?’” the doctor added.
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“Patients may have conflicting emotions — like shock, sadness, peace, hope and fear — all at the same time. Knowing you have people on your side and a plan in place makes all the difference.”
Erin Gratsch, an Ohio mother and fitness instructor who received two breast cancer diagnoses — first in 2016, then again in 2022 — also experienced a wide range of emotions, she told Fox News Digital.
The first was shock. “How did this happen to me?”
Two-time cancer survivor Erin Gratsch, shown here, has completed nine Boston Marathons. (Erin Gratsch)
Next was guilt. “What did I do? Could I have done something to cause or prevent this?”
Anger was another prevalent emotion, especially when Gratsch’s second diagnosis arrived.
“I remember throwing my end table across the family room and it broke into pieces,” she said.
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Gratsch also experienced worry and depression, thinking things like, “Will I die? I don’t want to go through radiation or chemo. How will I pay my bills and work? I don’t want to be a burden to my family. I want to live to become a grandparent.”
Then came survival mode and hope — when Gratsch shifted her outlook to, “OK, what do I have to do to beat this?”
A big shift in perspective
Gratitude plays a big role in Scuderi’s daily routine, he said.
“Before I fall asleep, I identify three things I am grateful for specifically from that day, as I have realized now more than ever that each day is a gift,” he said.
“Many studies show how powerful gratitude is for our health, and it is easy at our current pace to miss many of the great moments and connections we had during our day if we don’t take time to reflect on them.”
It’s important to have a support team who can help you along the path from diagnosis to treatment and recovery, a doctor said. (iStock)
Scuderi has spent more time with his family and friends since his diagnosis, prioritizing travel and experiences.
To celebrate the end of his cancer treatments, he hiked the last 100 miles of the Camino de Santiago with a group of good friends.
“I identify three things I am grateful for specifically from that day.”
“Cancer changes your perspective,” he said. “Getting through a diagnosis and treatment really helps you see what is truly important. It also helped to renew the power of choice in my life.”
Scuderi’s triumph over cancer has also strengthened his belief in the importance of encouragement.
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“There were many people who kept me up during my diagnosis, surgery and treatments,” he told Fox News Digital. “It has since become a mission of mine to encourage others.”
He also emphasized that growth even post-cancer is not linear. “It is sometimes two steps forward and one step back.”
Tips for dealing with post-diagnosis emotions
For those who have just received a diagnosis, Scuderi and Gratsch offer tips for navigating those first days and weeks.
Communicate with your care team
“Talking with your family physician, oncologist and other members of your treatment team will be helpful in managing any anxiety and uncertainty around the diagnosis and fear of what’s next,” said Scuderi.
“Many patients notice their stress lessens when they know what they need to do, and how to take back control of their health.”
“Cancer takes a lot from you — but running and exercising was one thing I could do to feel good about myself,” said Gratsch. (Denise F Photography/Denise Haney)
In Scuderi’s case, the urologist who led his care has been “a huge part” of this journey.
“It is important to have a team that you can communicate well with and trust,” he added.
Getting a professional second opinion can also help patients feel they’re making the most informed decisions in their care, Gratsch said.
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“This gives the patient confidence that they are making the right decisions knowing both doctors are recommending the same plan,” she said. “Also, you may get additional advice or information from the second doctor that you didn’t get from the first.”
Build a non-medical support team
In addition to talking with your treatment team, Scuderi said it’s essential to have a support team of loved ones who can help you along the path from diagnosis to treatment and recovery.
“Don’t be afraid to lean on them when you need extra support,” he said. “It’s OK to be honest — a cancer diagnosis is overwhelming no matter what, and sharing your fears with others can lighten the mental toll so you can put all your energy toward your recovery.”
Getting a professional second opinion can also help patients feel they’re making the most informed decisions in their care, a survivor shared with Fox News Digital. (iStock)
Gratsch echoed the advice to allow others to take care of you.
“Take advantage of local resources,” she said. “Social workers, hospitals and oncology offices can refer patients for help with financial support, emotional support groups, rides to treatment and meals.”
Keep up with physical exercise as much as possible
“You may not be able to exercise as intensely as you did previously, but a 20- to 30-minute walk is a great way to relieve stress and feel better,” Scuderi said.
“Being outside when possible may also have benefits to improve our immune systems. Talk with your team about which exercises are best for you.”
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Over the course of her cancer journey — through multiple surgeries, chemotherapy and radiation — Gratsch, an avid runner, maintained about five marathons per year.
“Cancer takes a lot from you — but running and exercising was one thing I could do to feel good about myself,” she said.
Continue doing things you enjoy
Pursuing enjoyable hobbies and activities will help to maintain a sense of routine and keep your spirits up, Scuderi said.
To maintain a sense of routine and keep your spirits up, pursuing enjoyable hobbies and activities will help, a doctor said. (iStock)
“Sometimes patients with serious illnesses can become depressed due to the emotional toll of cancer, chemotherapy and being in hospital settings, so staying close to your hobbies and loved ones will help reduce these feelings of sadness or hopelessness,” he said.
Focus on the present day
“It’s so important to stay in each day and not get caught up in worrying too much about tomorrow or living in the regret of yesterday,” Scuderi said.
“Cancer recovery takes a lot of energy — and my patients who do their best to be present in each day seem to do better.”
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Health
Lurking dementia risk exposed by breakthrough test 25 years before symptoms
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A new blood test could determine a woman’s dementia risk as early as 25 years before symptoms emerge.
That’s according to new research from the University of California San Diego, which found that a specific biomarker protein associated with early pathological processes of Alzheimer’s disease was “strongly linked” to future dementia risk.
The researchers analyzed blood samples from 2,766 participants in the Women’s Health Initiative Memory Study in the late 1990s, according to the study’s press release.
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The women ranged from 65 to 79 years of age and showed no signs of cognitive decline at the start of the study.
After tracking the participants for up to 25 years, the researchers concluded that the biomarker phosphorylated tau 217 (p-tau217) was “strongly associated” with future mild cognitive impairment and dementia.
A new blood test could determine a woman’s dementia risk as early as 25 years before symptoms emerge. (iStock)
Women who had higher levels of p-tau217 at the beginning of the study were “much more likely” to develop the disease. The findings were published today in JAMA Network Open.
“The key takeaway is that our study suggests it may be possible to detect risk of dementia two decades in advance using a simple blood test in older women,” first author Aladdin H. Shadyab, a UC San Diego associate professor of public health and medicine, told Fox News Digital.
“These biomarkers may help us identify who is at greatest risk and develop strategies to delay or prevent dementia.”
“Our findings show that the blood biomarker p-tau217 could help identify individuals at higher risk for dementia long before symptoms begin,” he added.
This long lead time could open the door to earlier prevention strategies and more targeted monitoring, rather than waiting until memory problems are already affecting daily life, according to Shadyab.
A specific biomarker protein associated with early pathological processes of Alzheimer’s disease was “strongly linked” to future dementia risk. (iStock)
“As the research advances, these biomarkers may help us identify who is at greatest risk and develop strategies to delay or prevent dementia,” he said.
This risk relationship wasn’t the same across the board, however. Women over 70 with higher p-tau217 levels had “poorer cognitive outcomes” compared to those under 70, as did those with the APOE ε4 gene, which is a known risk factor for Alzheimer’s disease.
The study also found that p-tau217 was a stronger predictor of dementia in women who were randomly assigned to receive estrogen and progestin hormone therapy compared to those who received a placebo.
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“Blood-based biomarkers like p-tau217 are especially promising because they are far less invasive and potentially more accessible than brain imaging or spinal fluid tests,” said senior author Linda K. McEvoy, senior investigator at Kaiser Permanente Washington Health Research Institute and professor emeritus at the Herbert Wertheim School of Public Health, in the release.
“Blood-based biomarkers like p-tau217 are especially promising because they are far less invasive and potentially more accessible than brain imaging or spinal fluid tests,” a researcher said. (iStock)
“This is important for accelerating research into the factors that affect the risk of dementia and for evaluating strategies that may reduce risk.”
Blood tests for Alzheimer’s disease are still being studied and are not recommended for routine screening in people without symptoms, Shadyab noted.
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More research is needed before this approach can be considered for clinical use prior to cognitive symptoms.
Future studies should investigate how other factors — like genetics, hormone therapy and age-related medical conditions — might interact with plasma p-tau217, the researchers added.
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“The study examined only older women, so the findings may not necessarily apply to men or younger populations,” Shadyab noted. “We also examined overall dementia outcomes rather than specific subtypes such as Alzheimer’s disease.”
Health
Key fitness measure is strong predictor of longevity after certain age, study finds
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For women over 60, muscle strength plays a critical role in longevity, a new study confirms.
Researchers at the University at Buffalo, New York, followed more than 5,000 women between the ages of 63 and 99, finding that those with greater muscle strength had a significantly lower risk of death over an eight-year period.
The findings were published in JAMA Network Open.
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Muscle function was measured using grip strength and how quickly participants could complete five unassisted sit-to-stand chair raises.
These are two tests commonly used in clinical settings to evaluate muscle function in older adults, the researchers noted.
A recent study shows that stronger muscle strength in women over 60 is linked to a lower risk of death over eight years. (iStock)
“In a community cohort of ambulatory older women, muscular strength was associated with significantly lower mortality rates, even when we accounted for usual physical activity and sedentary time measured using a wearable monitor, gait speed and blood C-reactive protein levels,” study lead author Michael LaMonte, research professor of epidemiology and environmental health at the University at Buffalo, told Fox News Digital.
“Movement is the key — just move more and sit less.”
Many earlier studies did not include those objective measurements, making it difficult to determine whether muscle strength itself was linked to longevity, according to LaMonte. “Our study was able to better isolate the association between strength and death in later life,” he added.
Even for women who don’t get the recommended amount of aerobic physical activity, which is at least 150 minutes per week, muscle strength remained important for longevity, the researchers found.
Women with greater muscle strength were more likely to live longer, even if they did not meet the recommended amount of aerobic exercise. (iStock)
“The findings of lower mortality in those who had higher strength but were not meeting current national guidelines on aerobic activity were somewhat intriguing,” LaMonte said.
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Federal guidelines recommend strengthening activities one to two days per week, targeting major muscle groups.
Resistance training does not have to require a gym membership, LaMonte noted. These exercises can be performed using free weights, resistance bands, bodyweight movements or even household items, such as soup cans.
Experts recommend working major muscle groups one or two days a week using weights, bands or bodyweight exercises. (iStock)
“Movement is the key — just move more and sit less,” he said. “When we can no longer get out of the chair and move around, we are in trouble.”
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LaMonte acknowledged several limitations of the study. The researchers assessed muscle strength in older age but did not explore how earlier levels in adulthood might influence long-term health outcomes.
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“We were not able to understand how strength and mortality relate in younger ages,” he said, noting that future research should explore whether building strength earlier could have an even greater impact on longevity.
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