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The Guardian - AU
The Guardian - AU
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Ranjana Srivastava

Cancer is striking more people in the prime of their lives. What can we do better?

‘The incidence of early onset cancers including breast, colon and pancreas has increased around the rich world since 1990,’
‘The incidence of early onset cancers including breast, colon and pancreas has increased around the rich world since 1990,’ writes Ranjana Srivastava. Photograph: Witthaya Prasongsin/Getty Images

Shortly after turning 40, I experienced an abnormal tiredness that I ignored for as long as I could. When I began pulling over to catch a microsleep before clinic, I was moved to see my GP who diagnosed severe iron deficiency. She suggested that along with replenishing the iron, I have a workup for “less common causes”. I am an oncologist; I knew what she meant.

In corridor consults with my former classmates, I tried to convince myself and them that an iron infusion was all I needed for my presumed nutritional deficit. My gastroenterologist friend, fresh from a “his and her” colonoscopy to celebrate the couple’s 40th birthday, dissuaded me but the cancer surgeon was blunt: “I operate on people like you every week, so I’d get that scope.” The worst thing about the colonoscopy was the trepidation because I was asleep for the procedure and thankfully, it found nothing sinister. Sobered, I resolved not be my own doctor again.

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