Off Our Chests - by John Marshall & Liza Marshall (Hardcover)

Book Synopsis

Featured In The Washington Post's "10 Books To Read In May 2021"

A surprisingly open memoir co-authored by the married duo of a world class oncologist and a cancer survivor about love, pain, hope, strength and resilience while navigating the overwhelming breast cancer advocacy movement.

Off Our Chests recounts the story of Liza and John's experience with her diagnosis and treatment. Written in alternating voices, Liza details her treatment, the complex decisions she had to make throughout her course of chemotherapy and radiation, including clinical trial participation and an elective double mastectomy, the added complexity of being treated at the cancer center of which John was the chief of hematology and oncology, and the emotional impact of knowing she may die as a young woman with young children.

John, who lost his own mother to cancer at the age of 13, provides an inside look into the world of cancer care and research, but also the perspective of someone who understands the medicine but who was unprepared for assuming the role of caregiver and worried husband. John adds insights into his world of running the clinical operations of the cancer center where Liza would receive her care, commentary on the breast cancer machine, the need for clinical research, the high cost of cancer care, and an easy to understand explanation of the clinical and scientific background of oncology.

While they both felt that they were already expert commentators on their own "Cancer Channel" during the course of Liza's illness, they both came to realize how little understanding they truly had of what a cancer diagnosis does to the patient, caregivers, children, family members, and friends. Liza and John share their most intimate thoughts, including many that were previously unsaid--even between the two of them. Both gain an understanding of the other's life, a deeper appreciation of what it means to be a cancer patient, and of the emotional strains of being an oncologist where so many of the patients die on their watch.

Review Quotes

A couple share their up-close and personal story of trouncing cancer.

In this memoir, the Marshalls take readers to the front lines of their triumphant battle against a cancer that invaded not only the wife's body, but also their 22-year marriage. Liza was 43 years old when she was diagnosed with triple negative breast cancer, one of the most virulent and deadly forms of the disease. Ironically, her husband, John, was a world-renowned oncologist who had witnessed more than 1,700 of his 2,500 patients die. He voices strong opinions about the state of medical care in America in these pages. The book stands out among other first-person accounts about surviving cancer because of the authors' striking frankness throughout the 340 pages. That's not to say that the story is a downer. Although the account is flat-out honest and holds back nothing, the Marshalls inject lighter touches that balance the gravity of the situation. ("A brief history of my breasts. There were two of them.") The couple's emotional experiences at times diverge. A telling moment was their shopping trip to choose a wig for Liza. She and the couple's children embraced the excursion as a fun family adventure. But John was roiling inside because the trip made Liza's disease more real than he could handle. He notes that cancer is an entire family experience and that "whatever skeletons are hiding in the closet rattle louder." A rare blowup happened when Liza wanted an expensive medication for her unrelenting nausea. John retorted: "Do you know how much that drug costs?" The Marshalls' book is exceptional because it is multifaceted, deeply insightful, and brings readers right into the room. Liza delivers extensive details, including that her diagnosis came a few days before Thanksgiving at 2 p.m. Monday, Nov. 20, 2006. After months of agonizing tests, she opted for surgery, chemotherapy, and radiation and participated in a clinical trial, with John largely supporting her selections. He was against or had mixed feelings about other choices but stayed silent because he felt they should be her decisions. Ultimately, the treatments were successful and Liza remains cancer-free.

An astute and valuable resource for both cancer physicians and patients.

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About the Author

John Marshall is a medical oncologist and a professor at Georgetown University, and he is an internationally recognized expert in gastrointestinal cancers and the development of new treatments for cancer. He has been outspoken on controversial issues in cancer research, including his criticism of the dominance and success of breast cancer advocacy and research at the unfortunate expense of other specialties.

Liza Marshall is an attorney, who retired from the practice of law in 2005 to manage her family. She then became involved in the establishment of a cancer support organization in the Washington, DC area, and she remains deeply involved in their work. In 2006, when she was 43 years old, Liza was diagnosed with a high-risk Stage 3 triple negative breast cancer.