Thursday, October 18, 2007

regret

there’s a lot to be said for being your own best advocate. for knowing as much as you can know. for standing up for yourself. for educating yourself. for questioning.

sometimes there’s even more to be said for listening to the experts. for knowing that all the googling in the world can’t take the place of the thousands of patients this doctor has treated over 3 decades and the experience she has gained doing so. a physician that has devoted her career, if not her life, to one disease. a physician that is looked at as a resource by her colleagues across the country. it’s not that she can’t be wrong, it’s just that she’s worth listening to.

i knew when i met her that her disease was bad. it was the thinning in her hair, the skin color that was indescribably off , the splitting nails, the sunken eyes, the body that looked like it had been fighting a demon for quite some time, despite just being diagnosed. she was an avid life-long athlete, a textbook go-getter, a type A googler who would arrive with printouts and abstracts and pie charts and demands. but over and over i saw her back this doctor into a corner. with her stack of abstracts and an ever subtle whiff of litigation in the air, she would dictate what she wanted, and because it was all within the realm of reasonable, it was all done. over and over i heard this doctor say, ‘there are no right answers, but this is what i recommend’, and she would invariably do something differently, all backed up with evidence of her own.

i’m not surprised her body isn’t winning this one. it almost looked defeated from the start. but i can hear the regret in her voice, and it breaks my heart. she’s doubting choices she made, wishing she had listened more, wishing she had let herself be led.

we’ll never know how, if at all, things could have been different. and quite possibly we are witnessing the best possible outcome for her. but she is regretting sitting in the director’s chair. that is a burden all its own.
that is a cross i wish she didn’t have to bear.

6 comments:

Scott said...

That is sad. But then when the good-intentioned doctor is wrong, there is the phase of the patient wishing (s)he had been given more say in the treatments.

I still regret, every single day, some of the medicine I let them do on me--specifically the radiation. I wish I had been better informed and had more say. But there is nothing I can do about it now. The damage has been done.

Cancer is tough. Thank you for having the courage and the strength to nurse us!

oncRN said...

hi scott. i hear you and i agree that the reverse scenario can be even worse. thanks for bringing it up.

Anonymous said...

Very interesting and moving post.

Do you think there would have been any difference in outcome if this patient had followed all of the doctor's recommendations?

Your essay has created a lot of discussion here:
http://youngsurvival.org/blocks/Forum/index.php?showtopic=17866

I thought you might be interested in the responses. Should you choose, we'd love to hear your thoughts on our board.

oncRN said...

anon,
thanks so much for the link. i was not able to comment, but what a touching, thought provoking discussion. and for the record, i doubt her outcome would have been different - not that any of us can actually know. thank you.

Barbara said...

So very and sadly true - in the arena of life threatening illness and in many other arenas, too. The road less travelled that makes all the difference, perhaps. But what of the road well travelled? It may be best sometimes.

Life has taught me to make the best choices I can at the time and to forgive myself the rest. There should be no self-imposed guilt. We are just people who are trying and I think it's the trying that makes the difference.

Grace and peace to all - Barb

decouture said...

I'm a new oncology. New to nursing, new to oncology. I know it is where I was mean to be.

What a well written blog. Pensive, caring, intuitive.

I know exactly how you feel.

Thanks so much for posting.