A patient with advanced lung cancer asked his oncologist about how many years he could expect to live. The doctor replied, “How would you feel about 10 years?” The patient confessed he would be pleased with that prediction even though he had a hunch that it was too optimistic.
In 2002, around the time that the Writing is Good Medicine® program was launched at the cancer center in Bennington, the Center for Communication in Medicine was also offering the Doctors Conversation Hour to hospital physicians.
I am struck by the similarity between anxieties precipitated by the current COVID-19 crisis and facing cancer. In each, there’s a feeling of not being in control and an uncertainty about the future. These emotions often linger and can be difficult to manage.
I recall a patient telling me that she played “peekaboo” with her cancer diagnosis. She described how hard it was to think about an uncertain future and the prospect of dying. She needed time to look away and catch her breath. How can any of us keep our eyes wide open without a reprieve when […]
“When I completed medical school and residency in the Northeast, I rarely thought about the intersection of religion and medicine. But when I moved to the South for a combined fellowship in pediatric hematology-oncology and hospice and palliative medicine, I found myself enrolled in a crash course at the bedside,”
We expect doctors to provide state of the art care and help us get better from whatever ails us. By nature, patients are self-centered and believe that doctors should only be concerned about our problems.
In my previous blog “Waiting for Test Results” I shared a conversation from the early 2000’s that I had with a receptionist at the cancer center about responding to inquiries for test results.
It’s a new year but I find myself reflecting on times past. So much for the lyrics of Auld Lang Syne, “Should old acquaintance be forgot and never brought to mind.”
What catapulted me back in time was a recent article in the Journal of The American Medical Association (JAMA) that highlighted the patient’s perspective of illness.
Adrienne Barnes, a nurse diagnosed with pancreatic cancer, was featured in “Voices From The Lived World of Illness,” a video produced by the Center for Communication in Medicine. During the interview she shared her frustrations when her doctor tells her “there’s really nothing I can do for you.”
The Center for Communication in Medicine, which I am a founder, decided that our next SpeakSooner Community Education Program on October 26 in Bennington would focus on the theme of transforming a medical crisis into an opportunity to find meaning and joy in one’s life. Planning this event brought to mind a woman whom I had known from time passed.