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I choose this book because

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What hooked me was how in the beginning Hazel Grace Lancaster (one of the main characters) had said, “Late in the winter of my seventeenth year, my mother decided I was depressed, presumably because I rarely left the house, spent quite a lot of time in bed, read the same book over and over, ate infrequently, and devoted quite a bit of my abundant free time to thinking about death. Whenever you read a cancer booklet or website or whatever, they always list depression among the side effects of cancer. But, in fact, depression is not a side effect of cancer. Depression is a side effect of dying. (Cancer is also a side effect of dying. Almost everything is, really.)” that got me thinking about what cancer really is, and how it affected a cancer patients life, so I continued reading the book (and watching the movie when I saw it first).

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I relate to Hazel Grace Lancaster because I know how it feels to be A. Misunderstood B. Treated like crap C. Depressed and D. Lonely. I know how much it hurts to lose someone you love dearly. I don't know what it is like to have cancer, but I do understand how it feels to lose practically everything.

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John Green's use of imagery made me feel like I was there when Hazel's lungs started filling up with water and when Hazel was at Amsterdam with Agustus Waters.

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When Gus died from his Osteosarcoma cancer after a long hard battle. Gus was a liked young man and you could just fall in love with him for his character and personality. He was just that type of character that is in a lot of novels and you could fall in love with him a couple paragraphs after you meet him. He is quite misunderstood for his metaphor, an unlit cigarette in his mouth which he says, “‘They don't kill you unless you light them,’. . . And I’ve never lit one. It's a metaphor see, You put the thing that does the killing right between your teeth, but you don't give it the power to kill you.” (John Green)

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I am satisfied with the resolution because Hazel was able to accept Gus’s death after she found a letter he wrote to Peter Van Houten about how much he loved her and how he wanted her to be happy. I loved how Hazel and Gus had fallen in love, then Gus dies when you think Hazel would die before he dies. I love how the author puts a scene where Hazel goes to the hospital because water fills her lungs and makes the reader (or watcher) think she will die, but doesn't. Then puts in a scene where Gus goes to the hospital and almost dies, then three months later he does.

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My new perspective is that cancer is a terrible illness, yes, but cancer patients are people too and they want to be treated as a person without cancer. Cancer patients want to find love and happiness in their lives before they die. They want to be normal and live a normal life or at least try to live a normal life. It has me see now how easy it is for cancer to kill someone so young and younger than when Hazel almost died the first time when she was 13.

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Before reading this novel, I knew that battling cancer was hard on many different measures. Battling cancer is the hardest thing to do, especially for kids under teenage years

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New Knowledge of Battling Cancer Gained from the Novel

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New Knowledge of Battling Cancer Gained from the Novel

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While reading The Fault In Our Stars, I learned that when people think they are getting better, they could actually be getting worse.

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Research Question #1: How many teens have cancer?

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Research Question #1: How many teens have cancer?

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This year, an estimated 10,270 children younger than 15 and about 5,000 adolescents aged 15 to 19 will be diagnosed with cancer in the United States.
https://www.cancer.net/cancer-types/childhood-cancer/statistics

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Research Question #2: Which type of cancer do most teens have?

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Research Question #2: Which type of cancer do most teens have?

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Leukemia, lymphoma, testicular cancer, and thyroid cancer are the most common cancers among 15-24-year-olds.
https://www.cancer.gov/types/aya

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Research Question #3: How likely is it for a teen to die from cancer?

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Research Question #3: How likely is it for a teen to die from cancer?

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It is estimated that 1,190 deaths from cancer will occur this year in children in this age group and 600 deaths from cancer in teens aged 15 to 19.
https://www.cancer.net/cancer-types/childhood-cancer/statistics

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Childhood cancer is the number one disease killer of children in the U.S.  It’s the second leading cause of death (following accidents) in children ages 5-14. Every two minutes a child is diagnosed with cancer. That’s 300,000 kids around the world every year. The average age of a child diagnosed with cancer is 6. But you don’t have to be a child to be diagnosed with childhood cancer. Childhood cancer is diagnosed in all ages, from newborn infants to children and young adults.
https://www.stbaldricks.org/blog/post/childhood-cancer-facts-10-things-you-should-know

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https://www.cancer.org/cancer/cancer-in-adolescents/key-statistics.html

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Some basic questions about cancer in teenagers remain unresolved, including where it should be treated - in pediatric medical centers, along with toddlers, or in adult settings that follow protocols tested on significantly older patients?

And teenagers tend to develop a very different set of cancers from older adults. The most common are leukemias, lymphoma, cancers of the reproductive tract, brain tumors and sarcomas - cancers of the muscle and connective tissue that are often misidentified as sports injuries.

"Teenagers fall into a cancer gap - a real no-man's land," said Dr. W. Archie Bleyer of the St. Charles Medical Center in Bend, Ore., an expert on cancer in teenagers who was the keynote speaker at a conference on the subject last month in Phoenix at the Wellness Community-Arizona, an affiliate of the international group Cancer Support Community. "The 14-, 15- or 16-year-olds need psychosocial support, which they're not going to get if they're in an adult hospital."

Teenagers treated at pediatric medical centers are far more likely to be enrolled in a clinical trial, Dr. Bleyer said, but he added, "Depending on the cancer, some are better off being treated at the adult center."

The Arizona group started offering year-round social support to teenagers several years ago, after being approached by Heather Bongiolatti, a local high school student with non- Hodgkin's lymphoma.

She had tried support groups both for adults and for children, but neither quite fit the bill, she said in an interview, adding: "Most of the adults were parents of children with cancer. And the groups for kids were doing drawing and making crafts. I was 15, I didn't want to do that."

But she desperately needed a social outlet. Though two close friends stuck with her through her illness, most of her peers "dropped me off the side of the earth," she said, acting as if they did not even know her when she returned to school after missing most of 9th and 10th grades.

Now 22, Miss Bongiolatti says most of her peers are graduating from college and getting on with their lives, while she has had to put hers on hold because of serious bone problems resulting from her cancer medications. She is unable to drive and has had nine operations in the past few years, including three hip replacements.

Gina DeGraw, a clinical social worker who runs a cancer survivors' clinic for teenagers at Phoenix Children's Hospital, said that while there is no good time in life to get cancer, the adolescent years may be among the hardest.

"The typical teen is seeking independence, and all of a sudden gets this diagnosis and guess what: they have to be dependent again," she said. "They have all the angst of teenagers, and they have to deal with issues most adults don't have to deal with, like contemplating the loss of their fertility."

Not to mention their appearance. "Just when they want to look most attractive, they're getting bloated and losing their hair" from radiation, chemotherapy and steroids, Mrs. DeGraw said.

Teenagers can also lose health insurance when they age out of family or government plans at 18 or 19, or if they have to withdraw from college for medical reasons.

They may not be the best patients, either, doctors say, and may have a hard time sticking to long and grueling courses of treatment. Many of these concerns were identified in a report issued jointly in 2006 by the National Cancer Institute and the Lance Armstrong Foundation. That report, which grouped adolescents with adults in their 20s and 30s, noted that this entire population "has seen little or no improvement in cancer survival rates in decades."

That report led to the development of treatment programs focusing on the specific needs of adolescents and young adults. For example, the Knight Cancer Institute in Oregon has a multidisciplinary program that consults with pediatric and adult oncologists about available clinical trials and includes support services for its young patients, said Dr. Brandon Hayes-Lattin, medical director of the institute's adolescent and young adult oncology program.

Clinical trials for this age group have led to some breakthroughs - especially when it comes to acute lymphoblastic leukemia, the form of cancer Simone Weinstein had, said Dr. Crystal L. Mackall, chief of the pediatric oncology branch of the National Cancer Institute.

Teenagers with this type of leukemia, often called A.L.L., do not fare as well as younger children with what appears to be the exact same disease, a discrepancy that has baffled oncologists. But when researchers compared teenagers treated by pediatric oncologists with those treated by adult cancer doctors, they found that the first group did remarkably better.

"When we saw the differences, I was floored," said Dr. Wendy Stock, director of the leukemia program at the University of Chicago Medical Center. "It wasn't a subtle 5-percentage-point difference, but a 30-percentage-point difference in survival."

Now the pediatric protocol is being offered to teenagers through clinical trial sites. Dr. Stock and others are trying to figure out what factors are responsible for the better outcomes, and whether the greater survival is because of the treatment protocol itself or other factors, like the more structured environment of a pediatric center or pediatric oncologists' greater familiarity with A.L.L.

There may even be subtle differences between the type of teenager or young adult who is referred to a pediatric center and the one who goes to an adult oncologist. Many of the drugs for this type of leukemia are oral ones taken at home, and require strict adherence for an extended period. "The adolescent or young adult who comes to a pediatrician probably comes with their mom, and Mommy is going to make them take the drugs."

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Gaps in Dealing With Cancer in Teenagers

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Some basic questions about cancer in teenagers remain unresolved, including where it should be treated - in pediatric medical centers, along with toddlers, or in adult settings that follow protocols tested on significantly older patients? And teenagers tend to develop a very different set of cancers from older adults.

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"There were two things that really stick in my mind: the first was as a medical student in the 1980s. I walked into a pediatric ward and there was a dark corner where a family was gathered around a child in a bed. We were told that we weren’t allowed to go in because the child was dying of a brain tumor. And that just really angered me. How can the only option be to let a child die in peace?"
http://scienceblog.cancerresearchuk.org/2015/11/26/expert-opinion-professor-richard-gilbertson-talks-childrens-cancers/

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Overall Evaluation of Teen Cancer in My Novel

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Overall Evaluation of Teen Cancer in My Novel

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John Green represented the issue of Teen cancer by having Hazel's lungs fill up with water from her thyroid cancer.

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Overall Evaluation of The Fault In Our Stars

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Overall Evaluation of The Fault In Our Stars

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I recommend this book because it shows the trouble of cancer and adds a little love to it. I really recommend this book to people who love, love novels. Warning, this novel contains strong language and sexual themes and actions.