Let’s say you have
three patients who are battling cancer.
One is devastated by
the diagnosis. She is overwhelmed by fear and dread. Convinced her situation is
hopeless, she resists starting chemo. She just wants to die. Her doctor suggests
an anti-depressant.
"Once you choose hope,
anything is possible."
~Christopher Reeve~~
One is a man of deep
faith. He is convinced that God has the power to cure him even though his
prognosis is unfavorable. He devotes himself to prayer and sacrifice because he
believes that will earn him God’s mercy. Even when his cancer spreads, he
clings to his faith. It gives him hope and a sense of optimism right up until
he is forced to surrender to the disease. His doctor tries to be respectful of
his faith, but he can’t shake off his own doubts about it.
"Cancer didn't bring me
to my knees.
It brought me to my feet."
~Michael Douglas~
The other patient is
f***ing pissed off about it. She is not about to lose this battle. After all,
she has a husband and children at home. It isn’t fair to them. She agrees to an
aggressive plan of treatment that includes surgery, radiation and chemotherapy.
She begins a program of exercise, diet, and meditation, and she adopts a
practice of loving self-care. She is determined to beat this thing. Her doctor
encourages her even though he doesn't indulge in self-care, himself.
"You never know how strong you are
until being strong is
the only choice you have."
~Bob Marley~
Three different
patients with the same disease, and three different stories. What difference
does it make? There is an abundance of literature concerning the factors that
affect a patient’s quality of life during treatment for cancer and how this
correlates with his likelihood of recovery. Some factors are immutable: age,
gender, and family history, for example. Others are modifiable: emotional and
attitudinal factors, dietary factors, level of fitness, faith, and social
support.
Given their stories, the
physician will approach each of these patients differently, even though each of
them has the same fundamental needs: education, encouragement, and support.
When is the last time
you had to convince a patient to enter treatment? When is the last time you
offered to pray for--or with--a patient?
When is the last time
you practiced self-care?
"Self-care is a
divine responsibility."
~Danielle La Porte~
jan