Need a cancer to fit a fictional plot

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Discussion Overview

The discussion revolves around identifying a type of cancer with a very low survival rate that could be used in a fictional play. Participants explore various cancers that fit the criteria of being detected late while allowing for a narrative where a patient might fight the disease for 1-2 years.

Discussion Character

  • Exploratory
  • Conceptual clarification
  • Debate/contested

Main Points Raised

  • One participant suggests pancreatic cancer, citing a very low survival rate, but acknowledges that this was initially a made-up example.
  • Another participant mentions stomach, esophageal, and pancreatic cancers as suitable options based on their survival rates.
  • A later reply emphasizes the importance of character development in the play, suggesting that the narrative can dictate whether the character survives or succumbs to the disease.
  • One participant provides statistics from the National Cancer Institute, noting that the 5-year survival rate for pancreatic cancer is approximately 9%, with stage IV having a rate of about 2.9%.
  • Discussion includes considerations of how lifestyle choices might influence audience perceptions of the character's illness.
  • Another participant warns against common cancer clichés in storytelling, suggesting that unique narrative choices can enhance emotional impact.

Areas of Agreement / Disagreement

Participants express various viewpoints on suitable cancers for the narrative, with no consensus on a single type. There is agreement on the emotional and narrative implications of the disease choice, but differing opinions on how to approach the subject matter in the play.

Contextual Notes

Participants highlight the need for careful consideration of the character's journey and the potential implications of the disease on the narrative, without resolving the specifics of which cancer would be most appropriate.

Who May Find This Useful

Writers, playwrights, and those interested in the portrayal of illness in fiction may find this discussion relevant.

RPinPA
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Summary: For fictional purposes, looking for a cancer which has a very low survival rate but which a patient might be fighting for 1-2 years

I'm sure that this is actually a fairly common sub-genre of medical questions, authors asking for a disease to fit a story.

I have a lot of side interests, and one of them right now involves writing a play (don't ask me why, I couldn't tell you. Just something inside me that wanted to come out).

A character in the play was a caretaker of a loved one who recently died, and the length of the period since the caretaking began was about two years. Though that could be longer, I don't think I'd want it to be much shorter. So I wrote the line "[profanity] pancreatic Stage IV 5% survival rate cancer is [profanity]!" but that was basically made up on the spot. I have no idea of the survival rate of any cancer. What word could I put in place of "pancreatic" to fit my character's rant? (Very low survival rate, detected late, but patient managed to fight it for over a year).
 
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RPinPA said:
Summary: For fictional purposes, looking for a cancer which has a very low survival rate but which a patient might be fighting for 1-2 years

I'm sure that this is actually a fairly common sub-genre of medical questions, authors asking for a disease to fit a story.

I have a lot of side interests, and one of them right now involves writing a play (don't ask me why, I couldn't tell you. Just something inside me that wanted to come out).

A character in the play was a caretaker of a loved one who recently died, and the length of the period since the caretaking began was about two years. Though that could be longer, I don't think I'd want it to be much shorter. So I wrote the line "[profanity] pancreatic Stage IV 5% survival rate cancer is [profanity]!" but that was basically made up on the spot. I have no idea of the survival rate of any cancer. What word could I put in place of "pancreatic" to fit my character's rant? (Very low survival rate, detected late, but patient managed to fight it for over a year).
Probably should be in sci / fantasy or general section but anyway..
A morbid search will get you some typical survival rate.
Stomach, osophageal and pancreatic should all do the job. Speaking from experience edit: not me obviously, friends / family
 
Thank you and I apologize for hitting too close to a painful reality. I'm not planning on treating it lightly.
 
RPinPA said:
Thank you and I apologize for hitting too close to a painful reality. I'm not planning on treating it lightly.
No need to apologize, getting older simply means you know a lot more dead people.
I am interested in the subject too so it's no issue.
Good luck with the book!
 
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A good source of cancer statistics for the US is the National Cancer Institute's SEER program: https://seer.cancer.gov/statfacts/

For example, according to site, the overall 5-year survival for pancreatic cancer is ~ 9% and for stage IV (metastatic/distant) pancreatic cancer it is 2.9%.
 
My initial response would also be pancreas, familiar to fans of medical dramas. For a play consider more than just estimated morbidity. Plays concern the individual; so your character can survive or succumb to fit your narrative.

Consider causes. As the author do you want the audience to blame the disease on the lifestyle of the afflicted? Could the afflicted character have avoided their fate by different life choices? Confusion about culpability -- lung disease caused by tobacco use or from the environment or industrial exposure -- can turn the audience for or against a character as you desire.

Consider effects. A verbose character slowly loosing ability to communicate as the play progresses truly impacts the audience and other players. Esophageal or lung cancer where a main character slowly becomes mute and/or wheezing also allows quiet secondary characters to eventually dominate the narrative.

Other than as satire I suggest avoiding the usual cancer cliches although the plot twist where a 'cured' patient rejoices in regained life only to be struck down by unseen metastasis never ceases to 'jerk a tear' and warn the audience against hubris.
 
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