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Old 06-24-2009, 01:01 PM   #1
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Doctor in dramatic South Pole rescue dies at 57

Doctor in dramatic South Pole rescue dies at 57
By MARK PRATT – 18 minutes ago

BOSTON (AP) — Dr. Jerri Nielsen FitzGerald, who diagnosed and treated her own breast cancer before a dramatic rescue from the South Pole, has died.

She was 57. Her husband, Thomas FitzGerald, said she died Tuesday at their home in Southwick, Mass. Her cancer had been in remission until it returned in August 2005, he said Wednesday.

She was the only doctor among 41 staff at the National Science Foundation's Amundsen-Scott South Pole Station in winter 1999 when she discovered a lump in her breast. At first, she didn't tell anyone, but the burden became too much to bear.

"I got really sick," she told The Associated Press in a 2003 interview. "I had great big lymph nodes under my arm. I thought I would die."

Rescue was out of the question. Because of the extreme weather conditions, the station is closed to the outside world for the winter. She had no choice but to treat the disease herself, with help from colleagues she trained to care for her and U.S.-based doctors she stayed in touch with via satellite e-mail.

She performed a biopsy on herself with the help of staff.
A machinist helped her with her IV and test slides, and a welder helped with chemotherapy.

She treated herself with anti-cancer drugs delivered during a gripping mid-July airdrop by a U.S. Air Force plane in blackout, freezing conditions.

In a headline grabbing rescue, she was lifted by the Air National Guard in October, one of the earliest flights ever into the station when it became warm enough — 58 degrees below zero — to make the risky flight.

After multiple surgeries in the U.S., including a mastectomy, the cancer went into remission until 2005.

"More and more as I am here and see what life really is, I understand that it is not when or how you die but how and if you truly were ever alive," she wrote in an e-mail to her parents in June, 1999 from the South Pole.

Nielsen FitzGerald never lost her adventurous spirit and even returned to desolate Antarctica several more times.
"She had incredible zest and enthusiasm for life," said her husband, whom she first met 23 years ago when they were both on vacation in the Amazon. "She was the kindest soul I ever met, she was intelligent, with a great sense of humor, and she lived each day to the fullest."

She documented her ordeal in the best-selling book "Ice Bound: A Doctor's Incredible Battle for Survival at the South Pole." It was later made into a TV movie.
The disease made her stronger, she said in November 2001.

"I would rather not have it. But the cancer is part of me. It's given my life color and texture. Everyone has to get something. Some people are ugly, some people are stupid. I get cancer," she said at lecture in Denver.

Nielsen FitzGerald spent the last decade speaking around the world about the cancer and how it changed her life, and also worked as roving ER doctor in hospitals all over the Northeast.

"She fought bravely, she was able to make the best of what life and circumstance gave her, and she had the most resilience I have ever seen in anyone," said her husband. "She fought hard and she fought valiantly." The couple would have celebrated their third anniversary next week.

Nielsen FitzGerald's passion for life shone through during a visit to the University of Toledo medical school last October, even though her cancer had metastasized to the brain and she knew she did not have much time left, said vice provost Patricia Metting.
"You couldn't help but be moved by this woman and her profound words, and just the optimism that she had," Metting said.

In addition to her husband, the Ohio native and graduate of the University of Toledo medical school is survived by parents Lorine and Phil, brothers Scott and Eric, and three children from a previous marriage, Julia, Ben and Alex.

Memorial and funeral arrangements are pending.

Associated Press Writer Doug Whiteman in Columbus, Ohio contributed to this report.
DX: 11/08 Age: 53
Surgery: 1/09
Bilat Mastectomy, no reconstruction
ILC-4 tumors-1.7 cm,1.5 cm (2).8 cm
DCIS-11 cm
All tumors Grade 3
All tumors ER-0%/PR-0%
All tumors HER2+
IHC-all tumors Overexpression/borderline
FISH 2 tumors Her2-Negative
FISH 2 tumors Her2+ Equivocal
Stage I, 0/1 nodes
LVI-Indeterminate(treated as positive)
SPR Score 8/9
Ki-67 20%
BRCA genetic test 1/2=negative
Chemo: 6 rounds TAC Feb-June 2009 w/Neulasta
Herceptin: 6/12/09-6/4/10 52weeks
HNPCC genetic test: negative
Port Placement-9/23/09 Port Removal 6/25/10
Echo's every 3 months-All normal
2/09 Staging PET/CT showed 0.2 micronodule upper R lobe-lung-Onc does not think this is mets--
6/5/09 AND 10/09 CT scan 0.2 micronodule unchanged
1/10-PET/CT-uptake in nasopharynx-
1/10-MRI All normal
6/10-Bone Scan-clear
12/10-PET/CT-All Clear-NED
12/11-PET-All Clear-NED

12/12-PET-All Clear-NED
12/13-CT w/contrast Head, Torso-All Clear
12/14-CT w/contrast Head-All Clear
2/15-Core needle biopsy-R scar line

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