MbShea@PWP@English@UMCP

Beginning: Use narrative to show the reader a story where someone finds out they have breast cancer. Then I will use some statistics to show survival rates and cancer rates. I will then pose my thesis, which is basically, “so what is the next step?” How can we fight cancer? I would then mention that cancer, radiotherapies, or immunotherapies have been common responses, but each has their own uses and benefits. I also plan to revert back to the original situation and say that cancer is a very serious and prevalent issue, we should all have an idea of what we can do to fight back.

Middle: I will break my middle into two parts. The first part is teaching the reader how each treatment works, why they are commonly used, and when is the proper time for use of that method. I have sources found for each of these treatments involved in breast cancer. I would then use the second part to compare and contrast the three methods. I have various sources to accomplish this comparison in full detail.

End: I would first acknowledge the biggest limitation of this paper. Although there are general benefits and cons to each treatment, the truth is that each person has an individual case that is specific to the patient. Additionally, each treatment is also subject to age. In other words, age could also play a factor in these decisions, a concept I glossed over in the middle of my paper. I can also bring two cases about patients using various treatments. I do have several papers that a reader could read that could incorporate age into the issue as well.

Logos: Around 3.1 million women in the US in 2014 were diagnosed with invasive breast cancer. About 90 percent choose to do surgery, but ten percent choose radiation or chemotherapy if the cancer is in stage I, but those numbers flip if the cancer reaches stage III. Additionally, most patients overlap with treatments, as 56% of breast cancer patients use radiation therapy. The median age at diagnosis is 61, which is the age I will use in my paper when discussing each treatment generally. The overall 5-year survival rates using all treatments have shot up in recent years. There was a 75 percent survival rate from 1975 to 1977, which then rose to 90 percent from 2003 to 2009.

Pathos: My paper is about decisions made when finding out someone near you has cancer. Due to that, I can use examples like Angelina Jolie, who chose surgery, to get quotes about which treatment is favorable in certain instances.

Ethos: For ethos I have trial research from the National Institutes of Health and the American Cancer Society. I also have work done from University Medical Centers, such as Nebraska, Maryland, and South Carolina Schools of Medicine. Additionally, I even have a source from the Wolfson Institute of Preventative Medicine in London.

Structure: I will use two structures: 1) review of three treatment types 2) Comparison of three treatment types

Goal: To guide the reader about what kind of response one should have if they unfortunately find out someone close to them has cancer, or breast cancer to be specific here. This way, I hope to increase response time for an impossible decision that could hopefully allow the patient a better chance to fully recover.

M,
I think I see this goal now. Are you proposing a document for patients because they will need to be more active in deciding these courses of combination treatments?

Would you say this a new approach, with shared decision making?