Race for a Cure: What if there are no alternative therapies? Subject Advocacy vs. Therapeutic misconception Gigi McMillan gigi@wecan.cc www.wecan.cc Ben Subjects are at a disadvantage They are emotional, medically uninformed, and inexperienced with clinical research. They are confused by a tradition of “doctors cure me”, language usage, and the notion of a “legal contract”. When there are no alternative therapies… Recognize and address the vulnerabilities of the subject/caregiver: What is their emotional state? What information do they need? Is the conversation respectful? Do they understand risks and QOL issues? Would a Peer Mentor be helpful? "If not for my child, then for the next." “There is a sense of obligation. If no one does it, then what?” "At least our journey was not in vain." “There is a struggle for meaning.” Ben McMillan, age 5 Ben McMillan, age 19