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'Persistence and resilience are everything': The scientist behind a promising prostate cancer treatment

'Persistence and resilience are everything': The scientist behind a promising prostate cancer treatment

SBS Australia11-07-2025
When Vanessa Penna left Brazil in 2015 to pursue a PhD in neuroscience, she was driven by a desire to help more people through science. What she didn't expect was that the journey would also lead to a new life.
Awarded a scholarship by the Australian government, she later gained permanent residency in 2021 through the prestigious Global Talent Visa (now called the National Innovation Visa), granted in recognition of her contributions to clinical research.
Vanessa Penna with her Australian Citizenship certificate. Credit: Vanessa Penna Today, the 43-year-old scientist manages human trials for innovative cancer treatments. Her journey hasn't been without challenges. During this time, Penna was diagnosed with a rare condition and has used a wheelchair for the past seven years.
Despite the challenges of being a migrant in a new country, a woman in a male-dominated field, and living with a rare health condition, nothing has stopped her from making her mark in science and advocating for a more inclusive society.
Scientist Vanessa Penna has started a new life in Australia. Credit: Vanessa Penna After six years as a dentist in Brazil, Penna chose a new direction. She completed a degree in biotechnology and a masters degree in tissue engineering, while exploring options for scholarships abroad. "I spent about a year researching how to get an international scholarship and what the application criteria were," she said. To maximise her chances, she reached out to 60 laboratories worldwide. "Each email was personalised, hence I read their articles carefully and made sure to understand how my background (could) fit into their work before reaching out," she said.
She ended up choosing the University of Melbourne, where she completed her PhD in neuroscience in 2019.
Credit: Vanessa Penna Penna began applying for jobs even before finishing her PhD. A year later, she landed her first role in clinical research: "It was a very basic role, almost like an assistant, handling documentation. I learned that a bit of humility goes a long way, especially when you're starting over in a new country," she said. Today, she manages clinical trials for a new treatment for prostate cancer. She is also responsible for selecting the hospitals that will conduct the studies and for monitoring the final results. The study, currently in the testing phase, has the potential to revolutionise the approach to treating prostate cancer with target radiation. "It is a relatively new technology. It uses antibodies to direct radiation directly to cancer cells, sparing healthy cells," she said. "The antibodies, engineered to bind to a protein highly expressed in prostate cancer, known as PSMA, deliver radiation directly to the tumour. Even tiny tumours, still invisible in imaging tests, can be reached." According to her research, many patients in these trials have exhausted all other treatment options.
If successful, it could be life-changing for patients with prostate cancer.
Penna says her approach allows radiation to hit tumours with great precision — even those too small to show up on imaging scans. Credit: Vanessa Penna Penna first noticed signs of mobility issues while still living in Brazil, but it was during her PhD in Australia that she gradually began to lose function in her legs. "At 23, I started having trouble running ... I saw several neurologists, but it took 14 years to get a proper diagnosis," she said. She eventually had her genome sequenced to uncover the cause: a rare condition called Pure HSP (Hereditary Spastic Paraplegia) 5A.
"According to scientific papers, I'm one of the few people in the world diagnosed with this specific condition. It got worse over time — from (using) a cane to two crutches, and now I've used a wheelchair for seven years," she said.
Penna says the stigma towards a woman in a wheelchair is more visible and obvious in Brazil. Source: Moment RF /Living in both Brazil and Australia — and experiencing life with and without a disability — gives her a unique perspective on inclusion. "Discrimination exists in both countries. It's something I continue to face and also navigate," she said. The stigma is more visible and obvious in Brazil. "When I go shopping (there), people speak to me in a baby voice, as if I am a child, or ignore me entirely, talking to the person accompanying me instead," she said. By contrast, Australia offers a more supportive system — though not without its own issues.
"In Australia, discrimination is more subtle — like looks or comments — but it's still there. However, the system focuses on rehabilitation and supporting people to be productive members of society," she said.
Lessons from a 10-year journey Penna hopes to inspire others to pursue new paths and follow their dreams. "My job doesn't require me to run a marathon. So why shouldn't I be able to do my job like anyone else? You need a long-term plan and a backup plan. Things rarely go exactly as expected," she said. "Focus on taking small steps and celebrating small wins. For me, it took 10 years to go from dentistry to becoming a scientist and gaining permanent residency here. Persistence and resilience are everything." Follow SBS Portuguese on Facebook , Twitter, Instagram e You Tube.
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Former patients of neurosurgeon Greg Malham describe 'arrogant' and 'dehumanising' behaviour
Former patients of neurosurgeon Greg Malham describe 'arrogant' and 'dehumanising' behaviour

ABC News

time14 minutes ago

  • ABC News

Former patients of neurosurgeon Greg Malham describe 'arrogant' and 'dehumanising' behaviour

The controversial Melbourne neurosurgeon at the centre of a Four Corners investigation will be referred to the medical regulator by his former hospital over complaints by a patient about his care. The patient said surgeon Greg Malham's behaviour went beyond "simply poor bedside manner". "It is a sustained display of arrogance [and] neglect," she wrote to the hospital. She is one of many former patients and colleagues of Mr Malham who have contacted Four Corners, following the program God Complex, to describe their own dealings with the neurosurgeon and what they say was inappropriate care and follow-up. Melbourne's Warringal Private Hospital, owned by Australia's largest private hospital provider Ramsay Health Care, terminated Greg Malham's temporary credentialing to operate at the facility after the program went to air. Warringal CEO Maree Mendola told staff in an email that the allegations raised in the Four Corners story about Mr Malham's workplace conduct "are serious and do not align with Ramsay's values". This was the second hospital to part company with Greg Malham. Mr Malham resigned from Melbourne's Epworth Private Hospital in May after a video emerged of him tearing down an election corflute for independent MP Monique Ryan and referring to "burying the body under concrete". The video was described by Epworth CEO Andrew Stripp in a statement as "abhorrent". Greg Malham was recommended to Emma Pursey as a "spinal wizard", but she said his treatment of her extreme pain after an operation in 2013 was "not only dismissive but dehumanising". Ms Pursey wrote to Epworth Hospital's CEO, Andrew Stripp, when the corflute story broke, telling him "women deserve better". "I sincerely hope Epworth's leadership will commit to real cultural and systemic change," she wrote. Ms Pursey, an actor, producer and writer from Melbourne, underwent major fusion surgery to address the ongoing effects of childhood scoliosis. But she said that after the operation, she was beside herself with pain and unable to sleep the entire duration of her rehabilitation stay. "Despite repeatedly reporting my symptoms and spiralling into sleep-deprived distress, I was discharged without appropriate pain management," Ms Pursey wrote to the Epworth CEO. "For weeks I pleaded for help. It wasn't until I broke down on the phone in tears that Malham finally took my call and prescribed Lyrica, which brought immediate relief. "The delay was entirely avoidable." Four Corners is not suggesting that the operation itself was negligent. Ms Pursey's complaint is about Mr Malham's response to her pain. Ms Pursey wrote to the CEO that at a six-week follow-up appointment, she was dismayed when she asked Mr Malham if she could resume activities such as dancing. She said he responded by saying: "You already know the answer to this question, so I'm not going to sit here and answer stupid questions." "When I sought further clarity, he instead went to show me YouTube videos of his own dancing (which I declined to watch) and spoke at length about his black belt in karate," Ms Pursey wrote. "My questions were disregarded, and I was made to feel humiliated and irrelevant in the conversation about my own body. "His behaviour toward me — an experienced, informed patient with complex chronic health issues — was not only dismissive but dehumanising. "The power imbalance was palpable, and I have carried the trauma of that post-operative period for years." Ms Pursey said in her letter that she was writing to Professor Stripp because it was clear from the corflute video that "I will not be alone". "What has come to light is clearly not an isolated incident — it is part of a deeply troubling pattern of behaviour that deserves thorough scrutiny," she wrote. Ms Pursey did not hear back from Professor Stripp until he was contacted by Four Corners. In his reply to her on Tuesday — which she provided to Four Corners — he apologised and said that he would, with her consent, refer her complaint to the medical regulator, the Australian Health Practitioner Regulation Agency (AHPRA). "The way you described your experience with clarity and courage was powerful," Professor Stripp wrote to Ms Pursey. "Your disappointment, frustration and the impact it had on you came through clearly, and I am sorry that your experience of care was not what we aspire to provide." Ms Pursey's letter was passed on to an external investigator employed by the hospital when the corflute video went public. Greg Malham resigned from Epworth before the external investigation commissioned by Epworth had completed. "I'm also grateful for your willingness to assist us in the work we're doing to improve how we respond to concerns raised by patients," Professor Stripp wrote to Ms Pursey. Professor Stripp said in a statement that he could not discuss individual cases, but Epworth recognised "the serious concerns raised with ABC Four Corners" and understood "how distressing such experiences can be". "When things don't go as they should, we want to listen, learn and act," Professor Stripp said. He encouraged any patients who wanted to raise similar matters to contact the hospital through its patient feedback service. Orthopaedic foot surgeon Andrew Kingsford was troubled by Greg Malham's lack of explanation when he emerged from an operation with the neurosurgeon with a paralysed arm. He had been admitted to Epworth in 2019 with a strained back from years of bending over in an operating theatre. Mr Malham told him that he needed to have his neck fused because his arthritis was placing pressure on his spinal cord. Mr Kingsford woke from the operation unable to move one of his arms. "I said, 'why can't I move my left arm?' And [Greg Malham] said 'it should be temporary ― have some physio and you'll be fine.'" But after many months of therapy, it did not improve significantly — Mr Kingsford was not able to perform his own surgery, nor to fly his plane to Albury on the NSW border, where he did monthly operations. Eventually, Greg Malham offered to operate again and did multiple procedures to open up and relieve pressure on the nerves, but Mr Kingsford said that paralysis worsened. Mr Kingsford said Mr Malham never told him why the surgery left him the way it did, and when he pushed him for a reason, he did not give one. "At my last review consultation with Greg Malham, he said there was nothing more he could do and he asked me to leave," Mr Kingsford said. Mr Kingsford acknowledged that all surgeons have complications in their surgery, and Four Corners does not suggest that Mr Malham was negligent. "Compassion and empathy expressed to the patients and their families [is vital] when these events occur. "I was very emotional when I watched your story as it rekindled my emotional distress that I had been experiencing and coming to terms with over several years," he said. He was forced to retire early, had to sell his farm and abandoned his post-retirement plan to pilot Angel Flights, flying sick country children and their families to city hospitals. "I was only 62 when he operated," he said. "My retirement looks very different than it would have otherwise been." Alexandra Clemens, who had back surgery with Greg Malham in 2006, also found the surgeon's behaviour after her operations extremely troubling. Ms Clemens kept contemporaneous notes (which she has provided to Four Corners) and subsequently wrote a letter of complaint. In them, she detailed how Mr Malham called her "sweets", minimised the pain she was experiencing after surgery, and blamed her for being unfit and slow to heal. Kristy, a nurse working in recovery at the time of Ms Clemens's operation, told Four Corners she was always on high alert when she heard Mr Malham speaking to patients because "he had very little sympathy for anyone". She said "arrogant surgeons" often did not want to know about the pain patients were in after operations because "they think they've done such a great job". Ms Clemens's notes describe the surgeon as "very offhand, aggressive, rude, patronising, dismissive and generally unprofessional". "On one of his ward visits following the first surgery, he did kiss me on the forehead, which I thought was a tad odd," Ms Clemens said. And in her letter dated June 4, 2006 and addressed to Mr Malham, she told the surgeon: "Greg, in 2006 fifty-one-year-old women are not little girls who should be patronised and growled at because they are asking their surgeon questions. "I am your patient and my concerns deserve to be acknowledged. "Also and perhaps more importantly, I am a human being and I have a right to be treated with dignity and respect." Ms Clemens said she did not receive a reply from Greg Malham. All three of these patients said they were speaking out in the hopes of broader institutional change in the surgical culture. "I hope that the Epworth begins, through this case, a change of culture that will then extend across the nation," Ms Pursey told Four Corners. "It will take a long time, but bringing light to such darkness is where we can hopefully begin to change the world of medical misogyny." Greg Malham has not responded to any of the many questions Four Corners has sent him, including those about these three patients.

ABC refuses to update Gaza child photo story as other media backtrack
ABC refuses to update Gaza child photo story as other media backtrack

The Australian

time7 hours ago

  • The Australian

ABC refuses to update Gaza child photo story as other media backtrack

The ABC's Media Watch program has defended its analysis of the widely circulated image of an emaciated Palestinian boy, despite other news outlets in Australia and overseas admitting that their use of the shocking photo lacked 'context'. Last week, numerous mastheads including The New York Times, The Guardian, The Daily Express, Le Monde, The Sydney Morning Herald and The Age, as well as the ABC, published an image of 18-month-old Gazan boy Muhammad Zakariya Ayyoub al-Matouq, who suffers from severe malnutrition. On Monday night's Media Watch episode, presenter Linton Besser said the image of Muhammad had 'stopped the world'. 'There can be little cavilling however that children in Gaza are facing hunger – the disabled and vulnerable among them hardest hit,' Besser said. 'Powerful evidence emerging in the past week courtesy of Palestinian journalists. 'But it was the images of one child which stopped the world. 'These photographs of 18-month-old Muhammad Zakariya Ayyoub al-Matouq whose emaciated body is being denied the baby formula it needs.' But several hours earlier, London-based independent journalist David Collier published a report on his own website in which he cited evidence that in May this year Muhammad had been diagnosed with cerebral palsy and other conditions. Despite being aware of Collier's report before Media Watch went to air, the program made no reference to it – instead observing that Muhammad's skeletal frame was 'powerful evidence' that children in Gaza are facing ­hunger. Collier told The Australian on Wednesday there was evidence that 'some people in some areas are going hungry' in Gaza. 'But it is the basic role of a journalist to verify and check the facts before he writes a story, so the question is, is the image an honest image or a dishonest one?' he said. Collier told The Australian he 'felt sick' when he first saw the photo of Muhammad but quickly grew suspicious about the way it was used to illustrate hunger problems in Gaza. He said Muhammad's mother appeared healthy, as did the boy's older brother who was seen in other photos. Collier subsequently obtained photos of Muhammad's medical history, which stated the boy had been diagnosed with cerebral palsy, and hypoxaemia (low oxygen in the blood), possibly linked to a suspected genetic disorder ­inherited in an 'autosomal recessive pattern'. Collier alleged Muhammad's suffering had been 'hijacked and weaponised', and took aim at ­global media outlets, 'almost all' of which he accused of 'functioning as Hamas's useful idiots, amplifying propaganda with no effort to verify the facts'. In the wake of Collier's revelations, The New York Times admitted an error in publishing the image of Muhammad which ran on the newspaper's front page next to the headline: 'Young, old and sick starve to death in Gaza'. In a post on X, The New York Times said it had added an editors' note to its story after learning 'after publication … that (Muhammad) also had pre-existing health problems'. 'We have since learned new information, including from the hospital that treated him and his medical records, and have updated our story to add context about his pre-existing health problems,' it said in its statement. 'This additional detail gives readers a greater understanding of his situation.' On Wednesday, The Sydney Morning Herald and The Age also updated their online news reports featuring the picture of Muhammad to accurately 'reflect the new information which has come to light'. 'After initial publication of the article, it was later reported that Muhammad's doctor had confirmed he had pre-existing health problems, as well as severe malnutrition,' the update in Nine's online mastheads reads. But the ABC has made no concession that its news reports featuring the photo of Muhammad, and Media Watch's analysis of the image, lacked context. Instead, the online transcript of Monday night's Media Watch episode was amended on Wednesday night to only include reference to the clarification issued by The New York Times. The ABC made no mention of the fact that at the time Media Watch went to air at 9.15pm (AEST) on Monday, Besser and the show's producers were already aware of the claims made by Collier about Muhammad's medical history, but chose not to mention them. In response to questions from The Australian, Media Watch executive producer Mario Christodoulou said the program sought to verify the medical condition of Muhammad by showing the photograph of the toddler to a Sydney-based academic and asking her to provide a 'professional opinion'. 'Not being in a position to verify Collier's reporting, we contacted an authority on the subject of cerebral palsy, University of Sydney Professor Iona Novak, to garner as best an independent and professional opinion as possible in the time frame,' Christodoulou said. 'That opinion assured us that the 'photographs appear to show a child with physical signs consistent with malnutrition' as well as a potential 'neurological condition'. 'In light of this, we were very careful to make plain that it was 'the disabled and vulnerable … hardest hit', as we introduced the photograph of al-Matouq.' 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Chilling warning for Australia in wake of New York City bloodbath
Chilling warning for Australia in wake of New York City bloodbath

News.com.au

time9 hours ago

  • News.com.au

Chilling warning for Australia in wake of New York City bloodbath

The horrific New York City shooting has sparked concerns about the ramifications in Australia, particularly across some of the country's most prolific sporting codes. Details emerging after gunmen Shane Devon Tamura killed four people in an NYC office, before turning the gun on himself, revealed his likely intended target was the offices of the National Football League. The NFL's offices were in the same building but weren't accessible through the elevator Tamura mistakenly used. A note left by the shooter revealed he blamed playing American football (which he played in his youth) for his supposed struggle with chronic traumatic encephalopathy (CTE), a neurological disease plaguing many Australian athletes in contact sports. 'Football gave me CTE and it cause me to drink a gallon of antifreeze. You can't go against the NFL. They'll squash you,' Tamura wrote in a in a three-page note found in his wallet. 'Please study brain for CTE. I'm sorry. The league knowingly concealed the dangers to our brains to maximise profits. 'They failed us.' After his shooting spree, Tamura shot himself in the chest, suspected to be in a bid to avoid his brain in hopes of it being studied. Despite suspecting he had CTE, the condition can only be diagnosed definitively after death. The brain disorder is a form of dementia and occurs typically from repeated concussions and head trauma during a sporting career. Fans of Australian sport will be all too familiar with CTE and the long term impact of athlete concussion, including suicide. Rugby league great and premiership winning coach Paul Green tragically took his own life in 2022, a post mortem analysis revealing he had a severe form of CTE. Across codes, AFL legends Danny Frawley and Shane Tuck had the same diagnosis after their suicides in 2019 and 2020. With the sports bringing in new measures in recent years in hopes of stamping out blunt contact to the head, there are major concerns about the impact of the disease on players given it cannot be diagnosed until it is too late. While yet to be diagnosed, the NYC shooters claims of CTE paint a scary portrait for an affliction Australia's sport is starting to learn much more about. Sports Medicine Australia CEO Jamie Crain warned a lack of understanding around the risks of concussion in professional and community sport in Australia could pose serious long term health issues if not managed properly. But the expert believes this country 'does quite well' dealing with minimising concussion, but after the events in the US, admits people will be on alert to CTE and the possible effects. The priority instead of trying to completely eradicate concussions should be to manage them when they happen. 'Because it will happen, it's just an inherent part of contact sport, certainly with football and rugby and those types of sports,' he said. While Crain believes rules may need to be tweaked, the challenge is striking a balance, not becoming so alarmed that parents take their kids out of playing contact sport, as that poses its own issues. 'We might then indirectly encourage a sedentary lifestyle and that brings itself a lot of potential long term health issues. 'There could inevitably be some rule changes that do need to take place within those particular sports to minimise the risk. I think that we won't be able to eradicate it. 'But we do need to manage it and then when concussion does happen, we look after those players in the best possible way.'

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