Tony Snow's Cancer has returned.

WASHINGTON (AP) - Presidential spokesman Tony Snow's surgery to remove a small growth showed that his cancer has returned, the White House said Tuesday.
Snow, 51, had his colon removed in 2005 and underwent six months of chemotherapy after being diagnosed with colon cancer. A small growth was discovered last year in his lower right pelvic area, and it was removed on Monday. Doctors determined that it was cancerous, and that his cancer had metastized, or spread, to his liver, White House spokeswoman Dana Perino said.

She said Snow is resting comfortably after his surgery and has pledged to aggressively fight the disease with an as-yet-to-be-determined treatment course.

"He said he's going to beat it again," Perino said in an emotional morning briefing with White House reporters. "When I talked to him, he was in very good spirits."

First, enlist as much love and support from friends as you can, and don't be shy. One of the great distinguishing characteristic of Americans is that they always want a chance to do something good. Many are doing good things for you right now, many completely unknown to you. Some people are afraid of admitting to cancer because they worry that others will treat them like freaks. A very few people will; most will rally in wondrous and suprising ways. Give them a chance to help. They'll come through for you.

Second, talk to other cancer patients. They have street cred others don't. For instance, you're probably now noticing twinges and random pains in far-flung parts of your body. This sort of stuff has been going on your entire life, and you have paid no heed. Now, however, the mere threat of cancer has you wondering whether the killer cells have fiendishly relocated to some unusual part of your body -- from your toes to your earlobes, along with every viscera and soft tissue in between. I remember thinking at one point that pressure in my forehead must have been a sure indicator of brain cancer. Instead, I just had sinus congestion. This sort of panic is normal: I don't know a single cancer patient who hasn't experienced it in one way, shape or form. I finally called my internist and informed him that I was going nuts and needed some sort of stuff to calm me down. He prescribed Xanax. I took exactly one -- conversations with doctors and other cancer patients managed to calm my nerves even better than drugs.

Third, learn as much as you can -- ignorance is your enemy -- but don't get too hooked on internet sites. Many of them are idiotic. Better to consult with your MD Anderson trained doc, who can steer you to stuff that might be helpful. Look especially for success stories. You'd be amazed at how far medicine has come in the last 15 years, and how effective the meds are.

Fourth, keep the fighting attitude. A friend of mine -- a survivor of simultaneous lung, breast and armpit lymph cancers -- described sitting in meetings with fellow breast cancer patients. Some just looked defeated, even though each one of them had far less severe cases than she had. Not one of the defeated-looking patients made it. You'll find that it's surprisingly easy to remain combative once you've begun to shuck aside some of the fear. Just think about the people you love and the things you want to do with them in the years ahead. That should be all the inspiration you need. Furthermore, you'll find that your attitude will change (likely for the better) the moment you get into treatment. It's like going from pre-game jitters to the game. Once the game is on, you don't have any choice. You have to play. So play to win.

Fifth: Realize that fear is a complete waste of time, even though it will creep up on you from time to time. Your full-time job now is to get well. Blogs are nice, but living is more fundamental. The most important part of the aforementioned fighting attitude is to set fear aside and get determined about getting well.

Sixth, relish and embrace your faith. I kept a file of what I called "healing verses," many of which had been forwarded through well-wishers. You can find them sprinkled everywhere in the Bible; Psalms and Proverbs are especially rich sources. Prayer is an amazing thing, and the healing power of prayer -- something I always suspected before getting cancer -- is palpable and real. You've seen the responses already on your site: These people are pulling for you, as are hundreds or even thousands who aren't writing. There's no greater honor than having somebody you don't know asking God to help you. Somehow, the word trickles back, and it will make you stronger."

Mr. Snow, as you think of all the thoughts that will have to go into your fighting back, please take time to remember the sage words that you sent me.

Right now, I'm in full remission, in part because I followed your advice to the letter, in part because I had great docs, great nurses and great faith. Please return the favor and remember that there are many, many good folk out there winging prayers to God in your behalf. Fight the good fight, don't give in and don't look back. Fight back, fight hard and Fight On!

UPDATE: Linked by the Instapundit, Glenn Reynolds. Thanks Dr. Reynolds, and people, please, PLEASE, PLEASE consider sending a check to the American Cancer Society, if we all band together we can beat this damned disease. So much has been learned, so much more can be learned through research!

UPDATE 2: Craig Hildreth M.D., who writes The Cheerful Oncologist (and one heck of a nice guy) has some good information on Breast Cancer and Mrs. Edwards. Include her in your prayers as well.
Dr. Hildreth has this on his blog which I think is priceless:

"Courage and cheerfulness will not only carry you over the rough places in life, but will enable you to bring comfort and help to the weak-hearted and will console you in the sad hours." -Sir William Osler

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