Gregory Biddulph

For over 30 years, I have worked in the medical device industry, specifically in the area of compression garments for managing lymphedema. Lymphedema is often treated by physical therapists who are specially trained in this area.

In the past 5 to 10 years, I have observed a shift in the physical therapy field from treating lymphedema resulting from breast cancer to treating the cancer patient as a whole. During this time, I have had the opportunity to hear from key opinion leaders in oncology rehabilitation about their role in cancer care.

In fall 2020, this became personal for me when I was diagnosed with renal cell carcinoma. It metastasized in 2021, leading to multiple surgeries and ongoing systemic therapy for over 3 years. At my first appointment with my genitourinary oncologist, I asked what I could do to improve my chances of a positive outcome. He advised me to focus on diet, sleep, stress management, and exercise. However, beyond this brief discussion, I received little additional information.

I took the initiative to start an exercise program on my own. This was challenging due to the ongoing COVID-19 pandemic, which made gym visits impractical. My wife and I decided to purchase a Peloton bike, which has become a crucial tool in my fight against the disease and in managing my health.

Often, cancer patients are advised to rest when they feel tired. For me, when fatigue sets in, I make a point to boost my metabolism by riding my Peloton. I have maintained a streak of over 180 consecutive weeks of exercise on my Peloton, determined not to let my disease keep me from it.

Managing stress with cancer is easier said than done. When my stress levels peak, I turn to exercise to help manage my anxiety.

Throughout this journey, I have become increasingly interested in the role of exercise in cancer care. I have connected with my professional network of lymphedema therapists, some of whom are now oncology rehab therapists, as well as oncology fitness professionals and oncology nutritionists. I have read numerous published articles and studies they have shared, highlighting the benefits of exercise for cancer patients, particularly in managing fatigue, building strength, and reducing stress.

Through these connections, I learned that the American Cancer Society recommends 150 to 300 minutes of exercise per week for cancer patients, including cardio, weight training, and stretching. I have incorporated all of these elements into my exercise routines at various times.

Today, I consider myself not just a cancer survivor, but a cancer thriver. I continue to work full time and engage in all the activities I did before my diagnosis. While I have experienced some side effects from treatment, I have avoided many others, and I believe that exercise and nutrition have played a significant role in this.

I am grateful to have had access to knowledgeable cancer professionals who have provided me with the information I need to thrive, not just survive. However, not all patients have access to these resources, so it is crucial that we find ways to help patients manage their lifestyle to give them the best chance to thrive with their disease.