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Woman to Watch: Dr. Juanita Crook

Dr. Crook says advancing the brachytherapy treatment in the west involved overcoming considerable challenges.
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Dr. Juanita Crook

Juanita Crookѻýs lifelong love of learning has propelled her to become one of the provinceѻýs foremost experts on breast cancer, but her passion for medicine wasnѻýt immediately obvious in her early life.

ѻýGrowing up, I was interested in science and biology, but also literature and languages. I didnѻýt know Iѻýd pursue medicine until the end of my second year at the University of Torontoѻýthatѻýs when I decided that the most interesting aspect of biology involved human beings.ѻý

Now a professor of radiation oncology at UBC and an oncologist with the B.C. Cancer Agency, Crookѻýs career path came about as much by fate as by choice.

ѻýI enjoyed a lot of different specialties and I originally trained to be a general practitioner,ѻý she said. ѻýBut due to social circumstances, I had to stay in Toronto for a year after graduating.

ѻýSo for that year I worked as a medical assistant at Princess Margaret Hospital and thatѻýs where I first became interested in oncology.ѻý

Through some act of fate, Crook met Dr. Jean-Philippe Pignol at Sunnybrook Hospital in Toronto, where she first learned of brachytherapy.

A common treatment for prostate cancer, brachytherapy involves the surgical insertion of radioactive time-release capsules that directly irradiate cancerous cells without harming healthy tissues.

Dr. Pignol had adapted the technique for use in breast cancer cases and together, Pignol and Crook worked on several early treatments.

ѻýWhen I moved to British Columbia, Dr. Pignol approached me and asked if Iѻýd be interested in establishing that program here. Itѻýs quite a different skill-set. Itѻýs ultrasound-guided and the needle insertion is fairly basic, but the breast is very different from the prostate, so there was a learning curve,ѻý she said.

Crook, who is now well known in the medical community for bringing the treatment west, says that advancing the treatment also involved challenges such as obtaining ethics approval and funding the procedure. The treatment isnѻýt yet considered a standard approach in breast cancer cases and as a result, itѻýs typically funded through donations rather than through insurance coverage.But, despite the difficulties, Crook has stayed committed to making the treatment available to the women under her care. An avid runner, she participated in the 2013 BMO Okanagan Marathon and raised $77,000 in donations to fund brachytherapy for breast cancer patientsѻýsomething that she says is improving patientsѻý quality of life.

ѻýI was actually somewhat surprised at how successful the fundraising was. As a result, Iѻýve been able to keep offering women this treatment for early-stage localized breast cancer. The first step (in a standard breast cancer treatment) is to remove the lump and assess the lymph nodes and then radiate the whole breast. But the technique Iѻýve invented makes it easy to target the tumor.ѻý

Crook says that thanks to brachytherapy, itѻýs possible to administer a full course of radiation therapy in a single, one-hour outpatient procedure. In contrast, standard radiation procedures typically require a series of daily appointments over the course of three to five weeks.

Crook is also passionate about teaching this new procedure to British Columbiaѻýs next generation of oncologists. As an oncology professor with UBCѻýs Faculty of Medicine, she is in a prime position to show medical students not only the many benefits of brachytherapy, but also  the many procedures and precautions involved in performing brachytherapy safely and well.

While her work in medicine may be demanding, Crook is committed to living a balanced life and she places a high priority on her physical and mental health. Aside from hiking, canoeing, snowboarding and cross-country skiing, sheѻýs also an avid marathon runner. Crook notes that running marathons is a great way to stay in shape and take time to relax.

In addition to practicing and teaching medicine, Crook works hard to make health knowledge available to the general public. She regularly speaks at information sessions for those looking to learn more about cancer and oncology and sheѻýs a frequent guest speaker at prostate and breast cancer support groups in Kelowna and Vernon.

Throughout her years in practice, one central life lesson has guided her to make successful treatments available to patients and to help her become one of the most respected physicians in her field: Constant analysis.

ѻýAlways evaluate the results of what youѻýre doing in an ongoing way ѻý thatѻýs how you find out where you can improve. Thatѻýs how you make a lot of progress.ѻý

Crookѻýs focus on analysis is what is driving her to start new programs and protocols in cancer research and treatmentѻýand thatѻýs what keeps her interested in her work.

ѻýResearch is a big part of what I do and itѻýs clinical researchѻýitѻýs not lab-based. Itѻýs keeping track of what the problems are and how to improve them.ѻý

And while her passion for her work is obvious, she says that having a personal life is essential to staying productive and happy. For Dr. Juanita Crook, that looks like hiking, canoeing, painting and snowboarding.

ѻýItѻýs important to not be too consumed by the work aspect of your life, even if you love it. Itѻýs a huge part of you, yes, but itѻýs not the only part.ѻý

 

Crowe MacKayѻýs Women to Watch program is a weekly feature that profiles remarkable women in our community. This feature series is a joint initiative between Crowe MacKay, the Kelowna Chamber of Commerce and the ѻý. To nominate the exceptional woman in your life, email womentowatch@kelownachamber.org.



Barry Gerding

About the Author: Barry Gerding

Senior regional reporter for Black Press Media in the Okanagan. I have been a journalist in the B.C. community newspaper field for 37 years...
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