Jonathan Waxman (physician)
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Jonathan Hugh Waxman (born 1951), founder and president of
Prostate Cancer UK Prostate Cancer UK is a prostate cancer research, awareness and support organisation which is a registered charity in England and Wales, as well as in Scotland Scotland (, ) is a country that is part of the United Kingdom. Covering the no ...
, is emeritus Professor of
Oncology Oncology is a branch of medicine that deals with the study, treatment, diagnosis and prevention of cancer. A medical professional who practices oncology is an ''oncologist''. The name's etymological origin is the Greek word ὄγκος (''à ...
at Imperial College, London, and author of four novels including ''The Elephant in the Room''. He is a clinician who has helped develop new treatments for cancer, which are now part of standard practice.Phillips, Caroline
"A brush with mortality"
''
The Sunday Times ''The Sunday Times'' is a British newspaper whose circulation makes it the largest in Britain's quality press market category. It was founded in 1821 as ''The New Observer''. It is published by Times Newspapers Ltd, a subsidiary of News UK, w ...
'', London, 6 November 2011.


Early life

Jonathan Waxman was born in 1951 in Hampstead, London. His father was a psychiatrist who worked at the
Central Middlesex Hospital Central Middlesex Hospital is in the centre of the Park Royal business estate, on the border of two London boroughs, Brent and Ealing. It is managed by the London North West University Healthcare NHS Trust. History The hospital was establish ...
. He was educated at Haberdashers' Aske's, Elstree, and at age of 17 he went to
University College London Medical School UCL Medical School is the medical school of University College London (UCL) and is located in London, United Kingdom. The School provides a wide range of undergraduate and postgraduate medical education programmes and also has a medical educatio ...
, winning a scholarship and two prizes. After qualification as a doctor he worked briefly in
Cambridge Cambridge ( ) is a College town, university city and the county town in Cambridgeshire, England. It is located on the River Cam approximately north of London. As of the 2021 United Kingdom census, the population of Cambridge was 145,700. Cam ...
before returning to the capital and finding employment in North London Teaching hospitals.


Initial professional career

In 1981 Waxman embarked upon post-graduate research at
St Bartholomew's Hospital St Bartholomew's Hospital, commonly known as Barts, is a teaching hospital located in the City of London. It was founded in 1123 and is currently run by Barts Health NHS Trust. History Early history Barts was founded in 1123 by Rahere (die ...
, London, beginning by studying the effects of
chemotherapy Chemotherapy (often abbreviated to chemo and sometimes CTX or CTx) is a type of cancer treatment that uses one or more anti-cancer drugs ( chemotherapeutic agents or alkylating agents) as part of a standardized chemotherapy regimen. Chemothe ...
on fertility in cancer patients. He found that patients with
lymphoma Lymphoma is a group of blood and lymph tumors that develop from lymphocytes (a type of white blood cell). In current usage the name usually refers to just the cancerous versions rather than all such tumours. Signs and symptoms may include enla ...
were sterilised by treatment; they were cured of the cancer but rendered infertile. By coincidence, a new drug had been under development that was intended to stimulate puberty. When tested in animals however it was found to have the opposite effect and further development had been stopped. Waxman used the drug to switch off the activity of testes and ovaries in patients about to have chemotherapy, in the hope that it would prevent its sterilising effect. Recognizing its potential, he then used the drug in cancers where tumour growth depended upon the hormones made by the testes and ovaries. He found the drug – a
Gonadotropin-releasing hormone agonist A gonadotropin-releasing hormone agonist (GnRH agonist) is a type of medication which affects gonadotropins and sex hormones. They are used for a variety of indications including in fertility medicine and to lower sex hormone levels in the treatm ...
– to be active in prostate cancer. He was the first clinician in Europe to report the clinical effects of this new medicine which, 30 years on, is still the drug of first choice in the treatment of patients with prostate cancer. The drug replaced castration which was the treatment at the time, providing a humane alternative to surgery.


Research

In 1986, Waxman became a consultant at the
Hammersmith Hospital Hammersmith Hospital, formerly the Military Orthopaedic Hospital, and later the Special Surgical Hospital, is a major teaching hospital in White City, West London. It is part of Imperial College Healthcare NHS Trust in the London Borough of ...
, moving to Imperial College in 2011 where he became the Flow Foundation Professor of Oncology. He established a clinical and laboratory research program, leading a laboratory research team with the goal to understand the mechanisms underlying the growth of prostate cancer, whilst continuing to carry out duties in the clinical environment. Active in the care of patients and running numerous clinical trials, Waxman has published around 400 research papers and book chapters, and 16 books on cancer.


Life outside medicine

In 1996 Waxman established The Prostate Cancer Charity, the first United Kingdom national organisation promoting research and patient support for prostate cancer. The organisation has since merged with Prostate Action, becoming Prostate Cancer UK, the biggest organisation of its kind in the UK. In 2014 the organisation employed 170 people and had an annual income of £32 million. Prostate Cancer UK lobbies for change in the environment for prostate cancer patients, funds research and provides a national and regional patient support and information service. Prostate Cancer UK is a beneficiary of the Movember Appeal, a multinational organisation dedicated to improving men's health. Jonathan helped establish the All-party Parliamentary Group on Cancer, the organisation behind the Britain Against Cancer movement. He has also written a medical law book, a novel and a book of short stories entitled ''The Elephant in the Room'', published in October 2011. ''The Elephant in the Room'' was inspired by
J. G. Ballard James Graham Ballard (15 November 193019 April 2009) was an English novelist, short story writer, satirist, and essayist known for provocative works of fiction which explored the relations between human psychology, technology, sex, and mass med ...
, author of
Empire of the Sun ''Empire of the Sun'' is a 1984 novel by English writer J. G. Ballard; it was awarded the James Tait Black Memorial Prize and was shortlisted for the Booker Prize. Like Ballard's earlier short story "The Dead Time" (published in the anthology ...
and
Crash Crash or CRASH may refer to: Common meanings * Collision, an impact between two or more objects * Crash (computing), a condition where a program ceases to respond * Cardiac arrest, a medical condition in which the heart stops beating * Couch su ...
. Waxman treated Ballard for prostate cancer until his death in 2009, and their treatment room conversations led to the proposal of a co-written book to be titled ''Conversations with my Physician: the Meaning, if any, of Life''. When Ballard became too ill to complete the book, Waxman decided to finish it in tribute to his friend. Waxman has written for a number of national newspapers and frequently appears on TV and radio to comment on health matters. Waxman was appointed Officer of the Order of the British Empire (OBE) in the
2023 New Year Honours The 2023 New Year Honours are appointments by some of the 15 Commonwealth realms to various orders and honours to recognise and reward good works by citizens of those countries. The New Year Honours are awarded as part of the New Year celebratio ...
for services to prostate cancer awareness and treatment.


References


External links

*
'The Elephant in the Room'
Springerlink.com
The Prostate Cancer Charity
{{DEFAULTSORT:Waxman, Jonathan 1951 births Living people British oncologists Cancer researchers English writers 20th-century English medical doctors 21st-century English medical doctors English male writers Academics of Imperial College London Officers of the Order of the British Empire