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The First Cell And the Human Costs of Pursuing Cancer to The Last

Author: Azra Raza, MD

Dr. Azra Raza’s The First Cell is a compelling call to rethink how we approach cancer care. Drawing from her extensive expertise as an oncologist and researcher, Raza critiques the prevailing focus on treating advanced disease rather than preventing it. Her compelling argument—to target the “first cell,” the inception of cancer—challenges healthcare professionals to transition from reactive to proactive care. For young minds entering medicine, this perspective offers a profound opportunity to reshape their purpose, urging them to advocate for transformative changes in healthcare systems.

As someone committed to prevention and advocacy, especially in gastric cancer, Raza’s vision strikes a personal chord. Prevention lies at the core of equitable healthcare but remains overshadowed by the focus on treatment. My own experiences in early detection and addressing disparities in underserved populations reflect similar systemic shortcomings. Raza’s critique of the current funding landscape, which prioritizes incremental progress in late-stage treatments over preventive efforts, highlights the urgent need to redirect resources toward earlier interventions.

What elevates The First Cell is Raza’s deeply human approach. Through poignant patient stories, she reminds us that medicine is fundamentally about people—not just protocols or statistics. These narratives challenge us to confront the social and systemic factors influencing health outcomes, offering lessons that extend well beyond oncology.

Reading The First Cell reaffirms the vital role of prevention as both a strategy and a moral imperative. For young medical professionals, the book serves as both a source of inspiration and a call to action, urging them to envision healthcare that is prevention-focused, equitable, and deeply rooted in humanity—an indispensable read for those shaping the future of medicine.

Chul S. Hyun, MD, PhD, MPH  

Author: Azra Raza, MD

Dr. Azra Raza is the Chan Soon-Shiong Professor of Medicine and Director of the MDS Center at Columbia University, specializing in myelodysplastic syndromes and cancer biology. An International Medical Graduate (IMG) from Pakistan and a graduate of Dow Medical College, she is an internationally recognized oncologist with over 300 publications. Dr. Raza is a passionate advocate for early detection, prevention, and patient-centered care in oncology.