Sydney Barned, MD, was 33 years old and in her medical residency when she was diagnosed with stage 4 ALK-positive lung cancer. A year prior to diagnosis, she woke up with severe shortness of breath and decided she needed a chest X-ray. She was misdiagnosed with pneumonia and put on antibiotics. It would take almost a year of symptoms such as spasmodic coughing and intermittent wheezing before she received a CT scan which initiated the quest for her diagnosis. Twice daily medications have kept her health in check for the last few years.

Barned, a hospitalist at Anne Arundel Medical Center in Annapolis, MD, has spent the last 18 months working on the oncology ward (an assignment designed to keep her as protected at work from COVID-19 as possible). We talked to Barned about her diagnosis, what she tells her patients, and what people should know about lung cancer.

Did being a physician help you process your diagnosis?

I remember trying to wrap my head around the whole thing because I was young, healthy, and never smoked. Being a patient and a doctor is both good and bad. It was a lot of trying to balance what you’ve learned and also learning from what you’re going through. As a doctor, I knew that lung cancer has a poor prognosis. But, of course, that’s flawed because those studies had a lot to do with patients on old treatments—which did not apply to me.

How does your experience help you connect with your patients?

It has helped me become a better doctor because I’m able to identify with my patients more because I know what it is to be a patient myself. I can identify and call out their emotions. If I think they need to hear it, I tell them about my diagnosis.

I tell patients that I understand this may seem devastating, but getting a cancer diagnosis is not the end of the world. There are a lot of things that are being put in place. Listen to your doctors, keep positive, try to live healthy, and do your treatments. I also tell my lung cancer patients that whichever oncologist they’re going to they should ask about comprehensive biomarker testing.

Finally, what do you wish the public knew about lung cancer?

This stigma with lung cancer needs to go. Even if someone smokes and they get lung cancer it does not mean that they did this to themselves. People also need to know that not everyone gets lung cancer from smoking. Up to 20 percent of people who get lung cancer did not smoke.

We also need to change the narrative that lung cancer is an old person’s or a smoker’s disease. A lot of young never-smokers are getting lung cancer, and we need to get that narrative out there. Lung cancer deserves a lot more funding than it’s getting now. When you have lung cancer being the number one cancer killer but getting less funding than breast cancer by a lot then something’s wrong with that picture.

 

You can make a difference in breaking the stigma around lung cancer. Become an advocate and make your voice heard!