Dr. Noelle Loconte, UW Health | Caregiving Under Pressure

Caregiving changes you. Under the pressure of serious diagnoses and relentless decisions, we talk candidly about what keeps caregivers and clinicians going—and where the system falls short. With Dr. Noelle Loconte, a GI medical oncologist and community outreach leader at the UW Carbone Cancer Center, we unpack the skills that protect empathy, the boundaries that prevent collapse, and the uncomfortable truth so many avoid: alcohol is a carcinogen.

We explore why oncologists—already at high risk for burnout—often consume more alcohol and may hesitate to counsel patients about drinking. You’ll hear how an ASCO policy statement turned into a national wake-up call, the seven cancers firmly linked to alcohol (with more likely to come), and why tobacco’s clearer risk made it easier to communicate than alcohol’s nuanced reality. Then we shift from headlines to what actually helps: knowing your family history, understanding real drink sizes, following current guidelines, and staying on schedule with breast and colorectal screening. We also outline symptoms that should never be ignored, from difficulty swallowing to blood in the stool, and how to bring alcohol risk into an honest, judgment-free conversation with your clinician.

Caregiving needs infrastructure, not just inspiration. We make the case for flagging caregivers in health records, building a caregiver registry to track burden and outcomes, and compensating in-home care. On the ground, simple moves can change the day: add caregivers to patient portals with consent, use training apps and one-hour courses to build practical skills, and embrace humor as a powerful coping tool. Dr. Loconte shares a moving story from geriatrics that reframes the physician’s role as hands-on caregiver—proof that small acts of care carry profound weight.

If this resonates, share it with someone who’s caring for a loved one, subscribe for more grounded conversations on cancer care, and leave a review to help others find us. What’s one boundary you’ll set this week to protect your energy?