Randall Broad

Most of us expect to go through an interview before starting a job, but have you ever thought about interviewing your physician before you work together? Randall Broad did — in fact, he interviewed four physicians before deciding to receive his lung cancer treatment at Seattle Cancer Care Alliance (SCCA) and UW Medicine. 

Randall Broad
Randall Broad

Lung cancer patient

  • Diagnosed with stage III non-small cell lung cancer with no known risk factors
  • Interviewed four physicians before selecting Seattle Cancer Care Alliance
  • Treated with radiation and chemotherapy
  • 10 years cancer-free and involved in patient advocacy

Most of us expect to go through an interview before starting a job, but have you ever thought about interviewing your physician before you work together ? Randall Broad did — in fact, he interviewed four physicians before deciding to receive his lung cancer treatment at Seattle Cancer Care Alliance (SCCA) and UW Medicine. 

Now a 10-year lung cancer survivor, Broad’s greatest mission is to advocate for fellow patients. The Kirkland  father of two is actively involved in patient advocacy both locally and nationally: talking with patients one-on-one, partnering with physicians and speaking at events. 

“I’ve noticed that patients, especially ones who are newly diagnosed, don’t know what questions they need answered,” he says. “I want to help break down the barrier on both sides of the stethoscope.” 

Acing the "interview"

Never a smoker, Broad was shocked when he first learned his diagnosis in March 2008. After a bronchoscopy revealed he had a 3-cm tumor in the lower left lobe of his lung, he was diagnosed with stage III non-small cell lung cancer at age 52. He knew he needed to advocate for himself and wanted to meet with several doctors before deciding where he would seek treatment. 

“I’ve shared my story with over a thousand people through my advocacy work, and I can’t tell you how many people have come up and told me, ‘I had no idea I could fire my physician!’” he says. 

Broad wanted to take more control of the decision-making in his treatment plan — and that meant carefully choosing the best physician for him. He brought a friend along each time he went to an “interview” with a new physician. When he first met Renato Martins, MD, at UW Medical Center, Broad says he was impressed with Dr. Martins’ ability to be educational, compassionate and communicative. 

“He gave me the feeling that I would be in the best hands of anyone I had ever met,” Broad says. 

Not only did Dr. Martins clearly explain everything, he also asked Broad at the end of their meeting if he had any questions. Broad realized that Dr. Martins could offer something he hadn’t found anywhere else: the opportunity to be part of the decision-making process for his treatment. 

Partners in treatment

Broad’s original treatment plan included surgery to remove his lower left lobe. However, the surgeon discovered that Broad still had active lymph nodes aggressive enough to require additional treatment. Dr. Martins assured him that there were other options; in August 2008, Broad started a 10-week regimen of radiation and had three chemotherapy treatments. He says he never felt sick, except when going through chemotherapy, but his side effects included nausea, lung infections and muscle cramps. 

After completing treatment in December 2008, Broad started traveling with his then-teenaged children for the next year. 

“My kids and my friends became the most important part of my life,” Broad says. 

Moving forward through advocacy

A decade later, Broad’s children and friends continue to be a big part of his life. And he continues to stay active in helping other patients. Earlier this year, he spoke at a Seattle industry event on the importance of patient-physician communication. Broad is also partnering with Gary H. Lyman, MD, MPH, of Fred Hutchinson Cancer Research Center, to improve the communication process between patients and physicians. During these “CSessions,” Broad interviews Dr. Lyman on the subject; next, he plans to continue the discussions around the web with various audiences.  

But Broad’s work isn’t just with patients and physicians. In fall 2018, he attended a cancer summit in Washington, DC; in December, he will return to the capital to meet with state representatives on behalf of an advocacy group to protect funding for the imaging used in lung cancer screenings. 

And he’s still actively involved in his own care. Each year, Broad returns to SCCA for a checkup, where he gets blood work and a CT scan done. While he has not had a cancer recurrence, he is more susceptible to catching pneumonia; last summer, when the Puget Sound region had heavy smog, he experienced shortness of breath and heavy coughing that brought him to the ER. In partnership with his physicians, Broad looks forward to maintaining an active role in his health care for years to come.

“SCCA is still a pretty big part of my life,” he says, “and I’m grateful for that.” 

Bronchoscopy A procedure to examine the inside of the trachea, bronchi (air passages that lead to the lungs) and lungs. Uses a thin, tube-like instrument called a bronchoscope. A procedure that uses a bronchoscope to examine the inside of the trachea, bronchi (air passages that lead to the lungs) and lungs. A bronchoscope is a thin, tube-like instrument with a light and a lens for viewing. It may also have a tool to remove tissue to be checked under a microscope for signs of disease. The bronchoscope is inserted through the nose or mouth. Bronchoscopy may be used to detect cancer or to perform some treatment procedures. Chemotherapy Treatment that uses drugs to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. It may be given alone or with other treatments. Treatment that uses drugs to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Chemotherapy may be given by mouth, injection, infusion or on the skin, depending on the type and stage of the cancer being treated. It may be given alone or with other treatments, such as surgery, radiation therapy or biologic therapy. Computed tomography A procedure that uses a computer linked to an X-ray machine to make a series of detailed pictures of areas inside the body. The pictures are used to create three-dimensional (3-D) views of tissues and organs. A procedure that uses a computer linked to an X-ray machine to make a series of detailed pictures of areas inside the body. The pictures are taken from different angles and are used to create three-dimensional (3-D) views of tissues and organs. A dye may be injected into a vein or swallowed to help the tissues and organs show up more clearly. This scan may be used to help diagnose disease, plan treatment or find out how well treatment is working. Imaging In medicine, a process that makes pictures of areas inside the body. Imaging uses methods such as X-rays (high-energy radiation), ultrasound (high-energy sound waves) and radio waves. Pneumonia A severe inflammation of the lungs in which the alveoli (tiny air sacs) are filled with fluid. This may reduce the amount of oxygen that blood can absorb from air breathed into the lung. A severe inflammation of the lungs in which the alveoli (tiny air sacs) are filled with fluid. This may reduce the amount of oxygen that blood can absorb from air breathed into the lung. Pneumonia can be caused by infection, radiation therapy, allergy or irritation from inhaled substances. It may involve part or all of the lungs. Recurrence Cancer that has come back, usually after a period during which it could not be detected. It may come back to the same place as the original (primary) tumor or someplace else. Also called recurrent cancer. Side effects A problem that occurs when treatment affects healthy tissues or organs. Some side effects of cancer treatment are nausea, vomiting, fatigue, pain, decreased blood cell counts, hair loss and mouth sores. Stage The extent of a cancer in the body. Staging is usually based on the size of the tumor, whether lymph nodes contain cancer and whether the cancer has spread from the original site to other parts of the body. Treatment plan A detailed plan with information about a patient’s disease, the goal of treatment, the treatment options for the disease and the possible side effects and expected length of treatment. A detailed plan with information about a patient’s disease, the goal of treatment, the treatment options for the disease and the possible side effects and expected length of treatment. A treatment plan may also include information about how much the treatment is likely to cost and about regular follow-up care after treatment ends.