Cancer Conversations

Alcohol’s Cancer Risk — What Every Kentuckian Should Know

Host: Mindy McCulley, MS Family and Consumer Sciences Extension Specialist for Instructional Support, University of Kentucky 
Guest: Dr. Leah Winer, MD Assistant Professor of Surgery, University of Kentucky Markey Cancer Center
Cancer Conversations Episode 70
In this episode of Cancer Conversations on Talking FACS, host Mindy McCulley welcomes Dr. Leah Winer, Assistant Professor of Surgery in the Division of Surgical Oncology at the University of Kentucky Markey Cancer Center, to unpack the Surgeon General's advisory linking alcohol consumption to increased cancer risk.
They discuss why public awareness of the alcohol–cancer connection is low, how alcohol causes harm at the cellular level, and why even small amounts may raise risk. Dr. Winer explains which cancers are most strongly connected to alcohol—mouth and throat cancers, larynx, breast, liver, esophageal, and colorectal cancers—and how alcohol may compound other risks like smoking or obesity.
The conversation covers implications of the advisory, including potential warning labels on alcoholic beverages, reassessment of drinking guidelines, and gaps in research (patterns of drinking, age of initiation, and whether risk falls after stopping). Practical advice includes: don’t start drinking if you don’t already, consider reducing or stopping intake, know your family history and screening recommendations, and seek support for dependence when needed.
Tune in for clear, research-based guidance on reducing cancer risk and how to translate the Surgeon General’s advisory into day-to-day choices for better health.

Hope in Tailored Care: Personalized Vaccines for Pancreatic Cancer

Host: Mindy McCulley, MS Family and Consumer Sciences Extension Specialist for Instructional Support, University of Kentucky 
Guest: Dr. Joseph Kim, MD Professor and Chief of Surgical Oncology, University of Kentucky Markey Cancer Center
Cancer Conversations Episode 69
Cancer Conversations on Talking FACS welcomes Dr. Joseph Kim, Professor and Chief of Surgical Oncology at the University of Kentucky, to discuss pancreatic cancer — a rising and deadly disease. They cover why pancreatic cancer is often detected late, common symptoms such as jaundice, the role of family history, and the single most important modifiable risk factor: smoking.
The episode highlights an exciting individualized vaccine approach using tumor sequencing to create patient-specific vaccines sent from Europe after surgical removal of resectable tumors — intended to prevent or delay recurrence rather than prevent the initial disease. Eligibility, limitations (must be surgically removable), and the broader potential for vaccine technology in other cancers are explained.
Listeners will learn practical takeaways:
seek medical attention for persistent or new symptoms,
discuss family history and risk with providers, and
learn about ongoing clinical trials and resources at UK Markey Cancer Center for patients in Kentucky and surrounding areas.
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Catching Ovarian Cancer Early: Inside UK's Research Screening Program

Host: Mindy McCulley, MS Family and Consumer Sciences Extension Specialist for Instructional Support, University of Kentucky 
Guest: Dr. Charles Dietrich, MD Associate Professor, Gynecologic Oncology, UK Markey Cancer Center and Medical Co-Director, Ovarian Cancer Research Screening Program
Cancer Conversations Episode 68
During this episode of Cancer Conversations on Talking FACS, host Mindy McCulley sits down with Dr. Charles Dietrich, Associate Professor of Gynecologic Oncology and Medical Co‑Director of the Ovarian Cancer Research Screening Program at UK Markey Cancer Center.  They discuss the long‑running, free ovarian cancer research screening effort across Kentucky.
When discussing the Ovarian Cancer Research Screening program, a long-term research program, they address:
who is eligible
where screenings are offered
how abnormal findings are managed, and
barriers to participation.
Dr. Dietrich reviews program outcomes — more than 50,000 women screened since 1988 with ~130 cancers detected, many at earlier stages with markedly better cure rates — and outlines future plans to refine screening with additional biochemical tests and expanded sites.
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Liver Cancer Explained: Risks, Treatments, and Hope

Host: Mindy McCulley, MS Family and Consumer Sciences Extension Specialist for Instructional Support, University of Kentucky 
Guest: Dr. Mautin Barry-Hundeyin, MD Assistant Professor, Surgical Oncology, UK Markey Cancer Center 
Cancer Conversations Episode 67
Cancer Conversations on Talking FACS Host Mindy McCulley speaks with Dr. Mautin Barry-Hundeyin, Assistant Professor of Surgical Oncology at UK Markey Cancer Center, about liver cancer—what it is, how it spreads, and why Kentucky sees higher rates. They cover primary and secondary liver cancers, including hepatocellular carcinoma and intrahepatic cholangiocarcinoma, and major risk factors such as hepatitis B and C, alcohol, obesity/nonalcoholic steatohepatitis, and smoking.
The episode reviews diagnosis and multidisciplinary care at UK Markey, plus current treatments: surgical resection and liver transplant, interventional radiology options (embolization, TACE, Y90), stereotactic body radiation, and emerging systemic therapies like targeted drugs and checkpoint immunotherapy. Listeners will learn what to expect, prevention considerations, and how to access UK Markey resources for questions and care.
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Cancer Conversations: Early-Onset Colorectal Cancer

Host: Mindy McCulley, MS Family and Consumer Sciences Extension Specialist for Instructional Support, University of Kentucky 
Guest: Dr. Erin Wolf-Horrell, MD Assistant Professor, Colorectal Surgery, UK Markey Cancer Center 
Cancer Conversations Episode 66
Join us on Cancer Conversations as Dr. Erin Wolf-Horrell, Assistant Professor of Colorectal Surgery at the University of Kentucky Markey Cancer Center shares about the pressing issues of early-onset colorectal cancer affecting younger patients in Kentucky.
Dr. Wolf-Horrell discusses the trends and potential environmental factors contributing to the rise of colorectal cancer in individuals under 50. Gain understanding on how these cancers differ from those in older adults and learn about the unique symptoms, diagnostic challenges, and the importance of timely screening.
Explore why awareness and self-advocacy are crucial for early detection, especially given Kentucky's high incidence and mortality rates for colorectal cancer. This episode equips listeners with knowledge to better advocate for their health and highlights the need for increased vigilance and screening in younger populations.
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Unraveling Thyroid Mysteries on Cancer Conversations

Host: Mindy McCulley, MS Family and Consumer Sciences Extension Specialist for Instructional Support, University of Kentucky 
Guest: Dr. Joseph Valentino, MD Professor of Otolaryngology (Ear, Nose and Throat Surgery), UK Markey Cancer Center 
Cancer Conversations Episode 65
Welcome to another engaging episode of Cancer Conversations on Talking FACS where science meets community outreach. In this insightful session, host Mindy McCulley, Extension Specialist chats with Dr. Joseph Valentino, a distinguished professor of Otolaryngology, to explore an organ often overlooked until trouble arises—the thyroid.
The episode dives deep into the thyroid gland's role as the body's metabolic regulator, likening its function to a car's throttle. Dr. Valentino elaborates on how thyroid cancer, surprisingly, often does not affect hormone production despite tumor presence within the gland. The conversation unveils how modern imaging techniques have increased discovery rates, shifting medical approaches towards more nuanced, personalized treatments.
Listeners will gain valuable insights into differentiating malignant growths from benign nodules, the genetic advancements driving diagnostic precision, and the judicious balance doctors and patients must strike when contemplating treatment paths. The discussion also highlights the interdisciplinary teamwork at the Markey Cancer Center in addressing advanced and recurrent thyroid cancers.
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Exploring Opportunities in Oncology Nursing

Host: Mindy McCulley, MS Family and Consumer Sciences Extension Specialist for Instructional Support, University of Kentucky 
Guest: Susan Yackzan, PhD, APRN, AOCN Enterprise Director of Service Line Performance Management, UK HealthCare
Cancer Conversations Episode 64
Join us on Cancer Conversations for an insightful discussion with Dr. Susan Yackzan, the Enterprise Director for Service Line Performance Management with Markey Cancer Center, as we take a look at the multifaceted world of oncology nursing. Discover the different pathways to becoming an oncology nurse, the various subspecialties such as medical, surgical, and GYN oncology, and the certification processes involved.
Dr. Yackzan shares her extensive career experiences, from academic medical centers to community hospitals, emphasizing her passion for patient relationships and the scientific approach needed in cancer care. If you are considering a nursing career or want to explore oncology, learn about the impact of this specialty and the opportunities available through the Oncology Nursing Society.
Yackzan Article on UKNOW
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Head and Neck Cancer: Unveiling Risks and Prevention

Host: Mindy McCulley, MS Family and Consumer Sciences Extension Specialist for Instructional Support, University of Kentucky 
Guest: Dr. Melina Windon, MD,  Assistant Professor of Otolaryngology, UK Markey Cancer Center
Cancer Conversations Episode 63
In this episode of Cancer Conversations on Talking FACS, Dr. Melina Windon, an Assistant Professor of Ear, Nose and Throat Surgery at the University of Kentucky Markey Cancer Center, discusses head and neck cancers. Dr. Windon provides insights into her specialty, emphasizing the critical aspects of cancer diagnosis, treatment, and reconstructive surgery, which restores patients' ability to speak and swallow.
Listeners will gain valuable knowledge about the primary risk factors for head and neck cancer, including tobacco use, HPV exposure, and heavy alcohol consumption. Dr. Windon highlights the importance of the HPV vaccine as a preventive measure, particularly targeting both boys and girls at a young age. She also explains the significance of routine oral cancer screenings and early detection of symptoms like persistent spots or lumps in the mouth or neck.
The episode underscores the higher incidence and mortality rates of head and neck cancer in Kentucky, stressing the urgency for awareness and timely medical intervention. Tune in to learn more about preventing and managing these formidable cancers and the role of groundbreaking reconstructive surgery in restoring quality of life for affected individuals.
Connect with the UK Markey Center
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Exploring New Frontiers in Blood Cancer Treatment

Host: Mindy McCulley, MS Family and Consumer Sciences Extension Specialist for Instructional Support, University of Kentucky 
Guest: Dr. Gregory Monohan, MD,  Professor, Division of Hematology and Blood Marrow Transplant, UK Markey Cancer Center
Cancer Conversations Episode 62
Dive into the latest episode of Cancer Conversation on Talking FACS, where host Mindy McCulley from the University of Kentucky Family and Consumer Sciences Extension is joined by Dr. Gregory Monohan, a professor of medicine in the Division of Hematology and Blood Marrow Transplant. In this insightful discussion, they explore groundbreaking advancements in the diagnosis and treatment of blood cancers, including leukemias, lymphomas, and multiple myeloma.
Dr. Monohan sheds light on the complexities of blood cancer classifications and the significant progress made in developing targeted therapies tailored to various subtypes. The episode highlights the pivotal role of immunotherapy, introducing CAR-T therapy, bispecific antibodies, and TIL therapy as cutting-edge approaches revolutionizing patient outcomes.
Listeners will gain a deeper understanding of the risk factors, symptoms, and innovative treatment methods that leverage the body's immune system to combat blood cancers. Whether you are a patient, a caregiver or simply curious about the latest cancer treatments, this episode offers valuable insights into the evolving landscape of blood cancer care.
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Kicking the Habit After a Cancer Diagnosis

Host: Mindy McCulley, MS Family and Consumer Sciences Extension Specialist for Instructional Support, University of Kentucky 
Guest: Tia Borger, PhD  Assistant Professor and Clinical Psychologist, Department of Psychiatry, UK College of Medicine & UK Markey Cancer Center Faculty Member
Cancer Conversations Episode 61
In this enlightening episode of Cancer Conversations on Talking FACS, we are joined by Dr. Tia Borger, a clinical psychologist and assistant professor in the UK Department of Psychiatry, as we delve into the significant benefits of quitting smoking after a cancer diagnosis.
Throughout the discussion, Dr. Borger highlights how quitting smoking can reduce early mortality risk, enhance treatment efficacy, and improve overall quality of life for cancer patients. Despite common barriers to quitting, such as stress and habitual behavior, Dr. Borger explains that various supportive resources and cessation medications are available to help individuals succeed. She also emphasizes that similar benefits apply to stopping non-cigarette tobacco products as well.
The episode also explores behavioral strategies and coping mechanisms to combat the challenges of quitting, alongside available resources like the 1-800-QUIT-NOW call line and the UK Markey Cancer Center's tobacco treatment program. Listeners will find encouragement and practical advice on how to start their journey towards a tobacco-free life, that will only enhance their cancer journey.
For more information and assistance for quitting smoking:
1-800-QUIT-NOW (1-800-784-8669)
Smoke Free TEXT App Information
National Cancer Institute - Cigarette Smoking
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Navigating a Cancer Diagnosis: Empowerment and Support

Host: Mindy McCulley, MS Family and Consumer Sciences Extension Specialist for Instructional Support, University of Kentucky 
Guest: Cheri Tolle, MAEd Director, UK Markey Cancer Center Affiliate Network (MCCAN)
Cancer Conversations Episode 60
In this episode of Cancer Conversations on Talking FACS, Cheri Tolle, Director for the University of Kentucky Markey Cancer Center Affiliate Network, shares her extensive experience and personal insights into dealing with a cancer diagnosis. She discusses the emotional challenges faced when diagnosed with cancer and offers empowering strategies to handle the journey.
The conversation covers essential questions to ask your cancer care team, the importance of understanding your diagnosis and treatment options, and effective management strategies for dealing with side effects. Additionally, Cheri addresses the significant role of caregivers and provides practical advice on seeking support and utilizing trusted information sources.
Join us as we explore how to navigate the complexities of cancer care, offering both patients and caregivers the knowledge and resources needed to take control of their health and well-being. Don't miss this informative discussion that aims to demystify cancer treatments and empower individuals with reliable information.
Cancer Conversations on Talking FACS is a partnership project between Family and Consumer Sciences Extension and the Markey Cancer Center.
For more information about MCCAN visit:
Markey Cancer Center Affiliate Network
For more information about cancer diagnoses:
American Institute for Cancer Research
National Cancer Institute
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Oncology Nutrition: Expert Insights on Diet and Cancer

Host: Dr. Jennifer Hunter, Assistant Director for Family and Consumer Sciences Extension, University of Kentucky
Guest: Rachel Miller, MS, RD, CSO, LD, Registered Dietitian Consultant, University of Kentucky Markey Cancer Center
Cancer Conversations Episode 59
In this episode of Cancer Conversations on Talking FACS, Rachel Miller, a certified specialist in oncology nutrition explores the significance of nutrition in cancer prevention and care. With over a decade of experience at the University of Kentucky Markey Cancer Center, Rachel shares her insights on the impact of diet in reducing cancer risks and managing nutritional needs during cancer treatment.
Rachel explains her role as an oncology dietitian and addresses common misconceptions about cancer and diet, emphasizing the benefits of a flexible, plant-based approach. She provides practical advice on how patients can navigate nutritional challenges during various stages of cancer treatment, focusing on maintaining adequate nutrition even when side effects pose difficulties.
The episode also highlights valuable resources for evidence-based information, including the American Institute of Cancer Research and the National Cancer Institute, offering listeners access to recommended dietary guidelines, healthy recipes, and up-to-date research.Listen in to understand how a mindful diet can be a crucial part of cancer prevention and care, and discover reliable sources to support your journey towards a healthier lifestyle.
For more information:
American Institute for Cancer Research
National Cancer Institute
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