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UP FRONT Pulling Back the Curtain Clara Bloomfield, MD In this edition, Clara Bloomfield, MD, talks about being on the right project at the right time and having academia in her blood. Dr. Bloomfield is a Distinguished University Professor, the William G. Pace III Endowed Chair in Cancer Research, and cancer scholar and senior advisor at The Ohio State University Comprehensive Cancer Center. Dr. Bloomfield at her office in Ohio. Where did you grow up? I grew up in Washington, D.C., during World War II. My father was on the National War Labor Board, and after the war ended, he took a faculty position at the University of Illinois, so we moved to Champaign-Urbana. My father was a professor of labor and industrial relations, and my mother stayed at home with my brother and me until I was in the first grade, when she decided to go to law school. When I graduated from high school, she graduated from law school. When you were growing up, what career did you see yourself in? It’s really simple: Nothing other than academia. Why was that such a clear path for you? From the beginning, there was a focus on academia in our house- hold. Nearly every weekend, our parents hosted University of Illinois faculty or visiting fac- ulty from around the country for dinner. So, I was exposed to academia and was always learn- ing about how to succeed in aca- demia. Also, when I was 4 years old, my mother put me in elocu- tion lessons to learn how to give talks, so that tells you something about how important academia was to our family. My brother and I took that message to heart: I remember once, when I was about 9 years old, she told us that she was go- ing to stop going to law school because she felt like she wasn’t spending enough time with us. Well, my brother and I both start- ed to scream and cry. We didn’t want her to leave school because then we wouldn’t be able to boast about it to our friends! I grew up in a time when the concept of formal mentorship simply did not exist. So, I looked ASHClinicalNews.org to my parents, and they certainly had a substantial impact on what I ended up doing. When did medicine enter the equation? It’s difficult to pinpoint the exact moment. I went to medical school in 1964, after all. Neither of my parents had anything to do with medicine, so I’m not sure where the idea came from. But this is what I do remember: When I was probably 5 years old, I liked to play nurse and pretend to give shots, like most kids do. Of course, I liked to be the one giv- ing shots, not the one receiving them. One day, I came home and told my mother, “I know what I’m gonna be when I grow up.” She said, “That’s nice, dear. What are you going to be?” I said proudly, “I’m gonna be a nurse.” She looked at me and said, matter-of-factly, “You’re gonna be a nurse? You might as well be a doctor.” That’s how it happened! Certainly, I don’t want to give the impression that there was something wrong about becom- ing a nurse, but my mother had high ambitions for me. At the time, nursing and teaching were the conventional professions for women; as a mother who went to law school in the 1950s, I think she wanted me to know I could choose my own path – just as she had. Once I decided to pursue a career in medicine, I initially wanted to focus on public health, but eventually, my interests turned toward cancer. Honestly, I’m not entirely sure why; it’s just been part of my life for so long now, I can’t remember when it wasn’t. Looking back on your career, what are your proudest accomplishments? That’s a difficult question, perhaps because of the way I was brought up. In academia, you publish your research and you do things that matter. You don’t necessarily think about being “proud” of them. There are important accom- plishments in my career, though. The first was in 1973, when I published that older patients with acute myeloid leukemia (AML) should be treated. That was the first time it had been proposed; in those days, if a patient was older than 65, the view was that the patient wouldn’t be able to tolerate chemotherapy and there- fore shouldn’t be treated inten- sively. The average age of AML diagnosis is 67, so this left a large portion of the AML population going untreated. I published an article in JAMA saying that these patients should be intensively treated like other patients with AML. That paper was important for my career, which was still in its early stages, and for the treatment of older adults with AML. In 1973, no one believed in treating them. Immediately after I published my results, I was invited all over the country to give talks about this topic, and usually by very senior people in the field who vehement- ly disagreed with my findings. Later, they would come back to me and say I was right. So, that’s a good thing to have ASH Clinical News 15