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Written by Dr. Brian Toyota on Dec 30, 2011 BrainCare BC

It is my tenet, and I use this for my children as well as my students, that one’s objective in any situation is to make it better. To stand back and observe, and then engage in a way that makes it better. It can be a simple game in the schoolyard gone awry or an operating room that has run into catastrophe. Anyone can observe the obvious negatives, and a few can envision positive change, but...

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Written by Dr. Brian Toyota on Dec 29, 2011 BrainCare BC

Clearly I have over-extended my invitation, so this is my last post (and with 2012 just around the corner, the next blogger is already on standby, I’m told).

I note that there are a lot of “I,” “me,” “my” and “mine” in my posts, but it certainly was not my intent to make this a self-serving exposé on Brian Toyota.

In fact, the sum total of all that I have described in terms of...

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Written by Dr. Brian Toyota on Dec 22, 2011 BrainCare BC

In previous posts, I have directly alluded to the future of cancer treatment and the repetitiveness of this topic, I believe, validates its existence and realistic potential. The future of cancer treatment in general has to do with personalized medicine and molecular or genetic analysis, like Dr. Aly Karsan talked...

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Written by Dr. Brian Toyota on Dec 20, 2011 BrainCare BC

I like being a brain surgeon. I like my work. The operating room is my office, and I get to say things like “STAT” and “scalpel.” Although, I have never once said “STAT” except to imitate some character on M.A.S.H., and I have always called a “scalpel” a “knife” for reasons I don’t really remember.

I know I can under-impress people after they find out what I do. I rarely have...

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Written by Dr. Brian Toyota on Dec 19, 2011 BrainCare BC

Now I’d like to focus on brain surgery. You’ve likely heard the phrase “it ain’t brain surgery” used in a casual conversation, but it’s not to me—it IS brain surgery.

Every once in a while there is a situation where surgical removal of a tumour isn’t safe. In truth, I can operate on any tumour in any part of the brain—it is never a technical limitation—but in some situations, I would do...

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Written by Dr. Brian Toyota on Dec 15, 2011 BrainCare BC

There is a lot of information available about current treatment strategies for brain cancers, but I’d like to touch on just a few points here.

First of all, until about five years ago, the outcomes for brain cancer were stagnant for decades and there was very little progress. At that time a new drug, called Temozolamide, was used in combination with surgery and radiation which resulted...

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Written by Dr. Brian Toyota on Dec 14, 2011 BrainCare BC

We have expanded our brain tumour team (in the Neuro-Oncology Group) with the addition of patient and family counsellors, nurses, and occupational therapists. These professionals ensure that all facets of care are attended to, including blood tests, X-ray results, wound healing and beyond. We have decreased the wait times for consultation, treatment, testing, imaging, and even surgery. Less...

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Written by Dr. Brian Toyota on Dec 12, 2011 BrainCare BC

In the Neuro-Oncology Group at the BC Cancer Agency, we are driven to use our experience to improve the flow and breadth of care for patients. It is not sufficient to simply watch hundreds, actually thousands, of reactions to those awful words, “you have brain cancer.”  We have used these observations to answer the question: How can we make this situation better?

Cancer is a diagnosis...

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Written by Dr. Brian Toyota on Dec 09, 2011 BrainCare BC

Though I have spoken those words literally hundreds of times, I don’t really know what it feels like to receive those words. I have, however, seen a stunning emotional range of reactions.

One of my first duties, in the protection and maintenance of humanity (from my last post), is to anticipate how the person in front of me is going to want to hear those words. That anticipation starts...

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Written by Dr. Brian Toyota on Dec 08, 2011 BrainCare BC

By itself, the term brain tumour is monstrous. And to receive it as a diagnosis is paralyzing.

Our humanity is defined by our brains—a brain tumour is therefore a direct attack on it. All those who have endured a brain tumour, and all those who have witnessed a loved one endure a brain tumour, know this too well.

Many brain tumours are very slow growing, which we term benign...

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