Jerri Nielsen
Encyclopedia
Dr. Jerri Lin Nielsen was an American
United States
The United States of America is a federal constitutional republic comprising fifty states and a federal district...

 physician
Physician
A physician is a health care provider who practices the profession of medicine, which is concerned with promoting, maintaining or restoring human health through the study, diagnosis, and treatment of disease, injury and other physical and mental impairments...

 with extensive ER experience, who in 1998 was hired to spend a year at the Amundsen–Scott South Pole Station, as the station's only doctor.

During the southern winter
Winter
Winter is the coldest season of the year in temperate climates, between autumn and spring. At the winter solstice, the days are shortest and the nights are longest, with days lengthening as the season progresses after the solstice.-Meteorology:...

, at a time when the station is physically cut off from the rest of the world, she developed breast cancer
Breast cancer
Breast cancer is cancer originating from breast tissue, most commonly from the inner lining of milk ducts or the lobules that supply the ducts with milk. Cancers originating from ducts are known as ductal carcinomas; those originating from lobules are known as lobular carcinomas...

. Nielsen teleconferenced with medical personnel in the United States, and had to operate on herself
Self-surgery
Self-surgery is the act of performing a surgical procedure on oneself. It can be a rare manifestation of a psychological disorder, an attempt to avoid embarrassment or legal action, or an act taken in extreme circumstances out of necessity.- Genital :...

 in order to extract tissue samples for analysis. A military plane was later dispatched to the pole to airdrop equipment and medications. Her condition remained life-threatening, and the first plane to land at the station in the spring was sent several weeks earlier than planned, despite adverse weather conditions, to bring her to the U.S. as soon as possible. Her ordeal attracted a great amount of attention from the media, and Nielsen later wrote an autobiographical book recounting her story.

Despite the extraordinary efforts of Nielsen and supporting crew and rescue team, her cancer was not cured by the available treatments. It recurred seven years later, eventually causing her death in 2009 from brain metastatic disease, eleven years after initial diagnosis.

Story

Nielsen's saga began in 1998, when she was hired for a one-year contract to serve as the medical doctor at the Amundsen-Scott South Pole
South Pole
The South Pole, also known as the Geographic South Pole or Terrestrial South Pole, is one of the two points where the Earth's axis of rotation intersects its surface. It is the southernmost point on the surface of the Earth and lies on the opposite side of the Earth from the North Pole...

 Station on Antarctica. This isolated region experiences almost total darkness for the six months of winter, during which the temperature remains steady at around −60 °C (−76 °F). During this period, the station is also completely cut off from the world, as no planes fly there between mid-February and late October. The "winterover" crew is thus stranded and must be entirely autonomous.

In the course of her work at the research station, Nielsen discovered a lump in her breast. After consulting US physicians via e-mail and video conference, she performed a biopsy
Biopsy
A biopsy is a medical test involving sampling of cells or tissues for examination. It is the medical removal of tissue from a living subject to determine the presence or extent of a disease. The tissue is generally examined under a microscope by a pathologist, and can also be analyzed chemically...

 upon herself. The results were however inconclusive, because the material used on site was too outdated to allow for a precise diagnosis.

The National Science Foundation
National Science Foundation
The National Science Foundation is a United States government agency that supports fundamental research and education in all the non-medical fields of science and engineering. Its medical counterpart is the National Institutes of Health...

 decided to send a military plane to airdrop supplies and medication for her treatment. Such airdrops had been a yearly event several years earlier, when the station was run by the US Navy, but had later been stopped. The plane didn't attempt a landing because its skis would risk sticking to the ice, and its fuel and hydraulic lines would rapidly freeze, dooming the craft. South Pole workers lit fires in barrels in the Antarctic night to mark out a drop zone. An Air Force C-141 cargo plane, staged out of Christchurch
Christchurch
Christchurch is the largest city in the South Island of New Zealand, and the country's second-largest urban area after Auckland. It lies one third of the way down the South Island's east coast, just north of Banks Peninsula which itself, since 2006, lies within the formal limits of...

, overflew the Pole in the darkness of mid-July, and sent six bundles of supplies and medical equipment parachuting toward the station.

Using the parachuted supplies, Nielsen began her treatment, following the advice of her doctors over the satellite link. She first began a hormone treatment. She trained her South Pole colleagues, to form a small team that could assist her in the procedures. A new biopsy performed with the airdropped equipment allowed better scans to be sent to the US, where it was confirmed that the cells were indeed cancerous. With the help of her makeshift medical team, Nielsen then began self-administering chemotherapy
Chemotherapy
Chemotherapy is the treatment of cancer with an antineoplastic drug or with a combination of such drugs into a standardized treatment regimen....

.

In October, a LC-130 Hercules was sent several weeks ahead of schedule, despite the risks inherent to flying in such cold weather, to bring her back home as soon as possible. Another crew member, who had suffered a hip injury during the winter, was also evacuated.

After returning to the United States

Once back in the United States, after multiple surgeries, complications and a mastectomy
Mastectomy
Mastectomy is the medical term for the surgical removal of one or both breasts, partially or completely. Mastectomy is usually done to treat breast cancer; in some cases, women and some men believed to be at high risk of breast cancer have the operation prophylactically, that is, to prevent cancer...

, Nielsen went into remission. She became a motivational speaker and a scholarship was created in her honour; she also remarried, to Tom Fitzgerald. In 2001, Nielsen was named Irish American of the Year by Irish America magazine
Irish America magazine
Irish America magazine is a bi-monthly periodical that aims to cover topics relevant to the Irish in North America including a range of political, economic, social, and cultural themes. The magazine’s inaugural issue was published in October 1985...

.

Metastasis

After being in remission, the cancer returned in 2005 and metastasized
Metastasis
Metastasis, or metastatic disease , is the spread of a disease from one organ or part to another non-adjacent organ or part. It was previously thought that only malignant tumor cells and infections have the capacity to metastasize; however, this is being reconsidered due to new research...

 to Nielsen's liver and bones, but she continued to give speeches and traveled extensively including to Hong Kong, Vietnam, Australia, Ireland, Alaska, Poland, and she returned to Antarctica several times. In October 2008, Dr. Nielsen announced that her cancer had returned in the form of a brain tumour. She was active and giving talks until March 2009, three months before her death.

She died on June 23, 2009, aged 57 at her home in Southwick, Massachusetts
Southwick, Massachusetts
Southwick is a town in Hampden County, Massachusetts, United States. The population was 9,502 at the 2010 census. It is part of the Springfield, Massachusetts Metropolitan Statistical Area.- History :...

. She was survived by her second husband, Tom Fitzgerald; her parents, Lorine and Phil Cahill; her brothers, Scott Cahill and Eric Cahill; and her children from a previous marriage: Julia, Ben and Alex.

Popular references/books

With ghostwriter
Ghostwriter
A ghostwriter is a professional writer who is paid to write books, articles, stories, reports, or other texts that are officially credited to another person. Celebrities, executives, and political leaders often hire ghostwriters to draft or edit autobiographies, magazine articles, or other written...

 Maryanne Vollers
Maryanne Vollers
Maryanne Vollers is an author, journalist and well known ghostwriter. Her first book, Ghosts of Mississippi, was a finalist in non-fiction for the 1995 National Book Award. She has been the "journalistic facilitator" of two prominent books for famous people including Hillary Clinton and Jerri...

, Nielsen's story was told in the autobiographical Ice Bound: A Doctor's Incredible Story of Survival at the South Pole, which became a New York Times bestseller. The book was later adapted into Ice Bound: A Woman's Survival at the South Pole
Ice Bound: A Woman's Survival at the South Pole
Ice Bound: A Woman's Survival at the South Pole is a 2003 CBS-TV movie starring Susan Sarandon as Dr. Jerri Nielsen in this harrowing true story of the cancer-stricken physician stranded at a South Pole research station who, under dangerous circumstances, and with the help of co-workers, treats her...

, a 2003 CBS
CBS
CBS Broadcasting Inc. is a major US commercial broadcasting television network, which started as a radio network. The name is derived from the initials of the network's former name, Columbia Broadcasting System. The network is sometimes referred to as the "Eye Network" in reference to the shape of...

-TV movie starring Susan Sarandon
Susan Sarandon
Susan Sarandon is an American actress. She has worked in films and television since 1969, and won an Academy Award for Best Actress for her performance in the 1995 film Dead Man Walking. She had also been nominated for the award for four films before that and has received other recognition for her...

, and in 2008 became the inspiration for an episode of Fox Network
Fox Broadcasting Company
Fox Broadcasting Company, commonly referred to as Fox Network or simply Fox , is an American commercial broadcasting television network owned by Fox Entertainment Group, part of Rupert Murdoch's News Corporation. Launched on October 9, 1986, Fox was the highest-rated broadcast network in the...

 show House
House (TV series)
House is an American television medical drama that debuted on the Fox network on November 16, 2004. The show's central character is Dr. Gregory House , an unconventional and misanthropic medical genius who heads a team of diagnosticians at the fictional Princeton-Plainsboro Teaching Hospital in...

, "Frozen", in which the team must somehow, via teleconference, diagnose and treat a stricken psychiatrist at the South Pole. Her story of her rescue would be featured on The Weather Channel
The Weather Channel
The Weather Channel is a US cable and satellite television network since May 2, 1982, that broadcasts weather forecasts and weather-related news, along with entertainment programming related to weather 24 hours a day...

's When Weather Changed History
When Weather Changed History
When Weather Changed History is a high-definition television series from The Weather Channel. It chronicles major events in history and the effect weather had on them.-Program History:...

in the "Rescue from the South Pole" in January 2008.

See also

Nielsen's case shares some similarities with that of Dr. Leonid Rogozov
Leonid Rogozov
Leonid Ivanovich Rogozov was a Russian general practitioner who took part in the sixth Soviet Antarctic Expedition in 1960-1961. He was the only doctor stationed at the Novolazarevskaya Station and, while there, developed peritonitis, which meant he had to perform an appendectomy on himself, a...

, who had to remove his own appendix
Vermiform appendix
The appendix is a blind-ended tube connected to the cecum , from which it develops embryologically. The cecum is a pouchlike structure of the colon...

 while spending the winter at Novolazarevskaya research station
Novolazarevskaya Station
Novolazarevskaya Station is a Russian, formerly Soviet, Antarctic research station. The station is located at Schirmacher Oasis, Queen Maud Land, 75 km from the Antarctic coast, from which it is separated by Lazarev Ice Shelf. It was opened on January 18, 1961 by the 6th Soviet Antarctic...

 in 1961. Since this incident, that station is always staffed with two doctors.

External links

  • AP Obituary in the Boston Herald
    Boston Herald
    The Boston Herald is a daily newspaper that serves Boston, Massachusetts, United States, and its surrounding area. It was started in 1846 and is one of the oldest daily newspapers in the United States...

  • RIP Dr Jerri Nielsen
  • Jerri Nielsen Daily Telegraph obituary
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