Alanna Mitchell

Award-winning Canadian science journalist.

Malignant Metaphor: Confronting Cancer Myths: A Memoir

The reaction to this book since it came out in the fall of 2015 has surprised me. I’ve had comments from people who have cancer as well as from those whose loved ones have died. They say they gave a big sigh of relief as they read it. It seems to give them permission to shed some of the guilt that cancer carries with it. That’s the best reaction I could have wished for. I think it means that the malignancy of the cancer metaphor is losing its grip. At least for some.

Not only that, but it’s gotten critical praise and it won the Lane Anderson Award for best science book written in Canada in 2015 for an adult audience. Such an honour!!

It began as a piece of research a few years ago to help my beloved brother-in-law, John Patterson, when he was diagnosed with untreatable melanoma, the most deadly form of skin cancer. His doctors told him that he had only a 60 per cent chance of being alive five years after they diagnosed him. They had nothing to offer. In fact, they told him nothing he did would make a scrap of difference.

He asked me to be his cancer broker, I agreed.

I ran smack up against a raft of myths our society has created around cancer – how we get it, how much there is, what we can do to forestall it. I realized that we hold three impossible beliefs at the same time: cancer is inevitable, preventable and deserved.

So I set about parsing those beliefs, testing them to see if they’re true. Short story: They’re not. There’s actually less cancer now that there was a few decades ago; it’s more treatable and more survivable; and we know precious little more about how our own actions affect whether or not we get it. In fact, cancer is common, random and unlucky. But that’s not the story we tell about it.

Just as I was figuring all this out, my 21-year-old daughter, Calista Michel, learned she had thyroid cancer. I spun out of control with grief and guilt, certain that I had done something wrong, that I had failed to forestall her disease.

The book is a chronicle of all that. It’s deeply personal. I wrote it in a great, ceaseless torrent while I was on a six-week writing grant from the Lannan Foundation in Marfa, Texas.

I came to believe that we must open a frank conversation about this malignant metaphor we’ve created, shine the light of information on it, hold some of the marketers of cancer breakthroughs to higher standards of truth when they try to prise more money out of our pockets.

I think it’s time to have a new conversation about what cancer really is instead of what we tell ourselves it is.


The Theatre Centre’s crack team of artists — Franco Boni, Aislinn Rose and Melissa Joakim — and I are headed to Australia to put Sea Sick on the stages of the Antipodes. And not just anywhere in Australia, but Darwin, the city of the northern coast, named after the gentleman naturalist who travelled around the world in the 1830s and gave us the theories of evolution and natural selection. My first book, Dancing at the Dead Sea, tracked Darwin’s adventures.

While I’m there, I’m taking a detour to Kakadu National Park, home to one of the largest stashes in the world of Indigenous rock art. It’s been a lifelong dream to go there.

So this is all feeling pretty exciting. Updates to come.

Whenever I give talks about Malignant Metaphor, people ask me how its two main characters are doing. My brother-in-law, John Patterson, was diagnosed in 2010 with melanoma. My daughter, Calista Michel, in 2012.

The update: John’s cancer returned with a vengeance in late 2015. He developed a large melanoma tumor in his back, deeply embedded in his muscle. It was inoperable. But by then, researchers had come up new immunotherapy drugs to treat advanced melanoma and John launched into a medical trial of two of the drugs in early 2016. They had serious, near-lethal side effects. But he prevailed. Today, he’s healthy and there’s no sign that the cancer is returning.

Just this week, Calista got the results of a battery of tests designed to figure out how she was doing at five years after her diagnosis. When the endocrinologist at the hospital told her she is in remission, with no signs of disease, both my daughter and I cried. Calista said to me: “All I’ve wanted for five years is to be medically normal.” Now she is.



HowlRound is an influential website devoted to fostering conversations about theatre. It calls itself a commons. It’s feisty and smart and it pushes a whole bunch of boundaries. Yippee.

So when Chantal Bilodeau, who wrote the extraordinary play Sila — it’s won several major awards, including the Woodward International Playwriting Prize, 2014 — asked me to contribute a post about making my play Sea Sick, I felt incredibly honoured. And when I saw the company she had put me with in the series of posts she had curated, I felt like maybe this was the beginning of something, a new aesthetic, as Chantal says. A shift from the despairing to the hopeful, as Tanja Beer notes.

I hope you read the whole HowlRound series. It’s called Theatre in the Age of Climate Change. Chantal kicks it off here.

Mine is here.

TRES 2013 130For the last several months, I’ve been working on a huge series for Environmental Health News, an online publication, about effects of man-made chemicals and climate change on birds. It’s been a riot – the perfect combination of new findings, sleuthing scientists, puzzles and, of course, gorgeous creatures. Some of the pieces, including this opening essay and this one on how mercury affects birds’ songs, have also run on National Geographic’s site. So a huge honour.

Today, it’s my final piece in the series, on whether the newest class of insecticides, neonicotinoids, is affecting the populations of birds that need bugs for food. Fun times, travelling to Saskatchewan to take a look at some hungry baby tree swallows.

Alanna’s acclaimed play, Sea Sick, is coming to stages across Canada.

So, I’m a science journalist and the most exciting thing I had done until this year was research a book on how we’re altering the chemistry of the global ocean. Sounds a bit dull, right? But it was a tale of grand adventure and marvelous discovery with a good dollop of humour, peopled with some of the most fascinating scientists in the world.

So I started giving talks about it and that – to my surprise and ultimately horror – ended up in my being commissioned to create a play, with the help of Franco Boni and Ravi Jain of The Theatre Centre in Toronto, and perform it. Live. In person. In front of people. In a theatre. The results were interesting. This thing was nominated for a Dora. And now, we’re back on stage in Toronto and taking it on the road.

It’s a non-fiction play performed by a non-actor. And it’s all about what I found out about the ocean over 13 journeys in three years. Go figure.

We’ve performed at Montreal’s Usine C, Calgary’s High-Performance Rodeo and Vancouver’s PuSH festival. Now we’re heading for the National Arts Centre’s Ontario Scene festival in Ottawa in May. Details here. Then it’s off to the Uno Festival in Victoria for two shows. Details here.  We’ve got more exciting dates and places coming up. This show is going international! Wow.
Here’s how critics described my play: “Shockingly honest”. “Passionate”. “Unconventional theatre”. “A thrilling, yet highly disturbing cautionary tale”. “Riveting and mentally stimulating”. “Unsettling information aimed at provoking change”. “Life-changing”.

Interviews about Sea Sick, the book

ABC-100pxInterview with Alanna on ABC (Australian Broadcast Corp.) show The National Interest. Transcript is downloadable.

radio-NZ-100pxInterview with Alanna on Radio New Zealand National.

CBC-100pxInterview with Alanna on CBC’s Quirks and Quarks.

greenInterview-logo100pxThe Ocean in Peril. To purchase the full, hour long video ($3.99) click here.

sea sick“It is often said that our oceans are less understood than the surface of the moon. Alanna Mitchell’s informative and deeply moving book gives a wonderful portrait of a global marine ecosystem that desperately needs both greater popular understanding and international protection against looming catastrophe.” —-Mark Lynas, Environmentalist and author of ‘Six Degrees’.”