Wendy Harpham on Healthy Survivorship

Relieving Major Depression in Cancer Patients

An Oncology Times article caught my eye: "Relieving Major Depression in Cancer Patients: Specific 'Biopsychosocial' Method Found Useful."  It reviewed a study that addressed the impact of an intervention developed to treat depression, reduce stress and help patients develop coping strategies.

To Survive with Cancer

James C. Salwitz, MD doesn't use the term Healthy Survivor. Still, the story he tells offers a name and face to the idea that patients in difficult circumstances can find Happiness in a Storm.

Grief and Acceptance - Part IX (Time)

A reader commented on my last post, eloquently sharing his hard-won insights about grief. In doing so, he highlighted an important element of grief: time.

Grief and Acceptance - Part V (Promoting Acceptance)

The preceding four posts on grief and acceptance set the stage for a closer look at how patients can be Healthy Survivors at the end-of-life. In other words, how can you both get good care and live as fully as possible after a diagnosis of terminal disease?

Grief and Acceptance

Illness is often associated with loss, even when the medical outcome is excellent.

Since prolonged grief is associated with distress and dysfunction, an understanding of healthy ways to deal with loss may propel patients' pursuit of Healthy Survivorship -- and happiness. Reading a 2008 editorial in the British Journal of Psychiatry might further this understanding.

Ranting and Healing - Part II

In yesterday's post, I shared my reaction to a rant found on a cancer-related listserv. I explained my concerns regarding such expressions of anger, disappointment and frustration.

So what are Healthy Survivors to do if, for example, they learn they had not received important information about aftereffects of treatments they received?

The New Me

During my first remission I began work on After Cancer, a book to help patients understand and respond in healthy ways to the medical, practical and emotional challenges of recovery and long-term survivorship. The subtitle was Your Guide Back to Normal.  

But as I struggled with my own aftereffects and then recurrences, I realized my original approach wasn't going to work well for me.

Managing Communication

An interesting press release from the University of Texas supports my long-standing contention that it is better to ask a patient, "How are things?" than to ask "How are you?"

Easy to Forgive

I'd like to pass along some wise, low-tech advice for dealing with a family health crisis or family member's chronic illness: Be quick to forgive.

Hope or Letting Go - Part II

In my last post, Hope or Letting Go, I shared the story of a physician, Dr. Youn, still troubled by an incident that happened ten years ago. Since reading it, I've been bothered by some of the questions he posed.

For example, Dr. Youn asked if concern for the needs of the patient's loved ones ever take precedence over the patients' needs?

Derek Miller's Posthumous Post

Like Randy Pausch of The-Last-Lecture fame, Derek Miller loved his life and was ready to die. Only 41 years old, Miller prepared his last blog post to be published after he died of stage IV colorectal cancer, leaving behind a beloved wife, two precious daughters and extended family and friends.

The Waiting

In a NYTimes essay titled The Waiting, David Rakoff writes about the waiting patients are forced to endure.

Stigma of Illness (Part III)

My last post offered tips for recognizing stigma. My key message was that Healthy Survivors have a right to choose whether or not they advocate to destigmatize the disease that has become part of their life.

Today I'll tackle the challenge of dealing with this stigma.

Stigma of Illness (Part II)

In my April 11th post, I refer to an article in Women's Day titled, "The Stigma of Illness."

Stigma can keep patients from becoming Healthy Survivors, so let's talk about dealing with stigma in healthy ways.

Diane Rose, Model Healthy Survivor

A picture is worth a thousand words. But what if you can't see the picture? It didn't stop Diane Rose.

A Parable for Healthy Survivors

A short story for Healthy Survivors:

A Fighting Spirit

A NYTimes op-ed piece entitled A Fighting Spirit Won't Save Your Life concludes, "Linking health to personal virtue and vice not only is bad science, it’s bad medicine."

Sacrificing for Healthy Survivorship

In some situations, your best choice is one that still involves some hardship, loss and/or pain. Perceiving such difficulties as a sacrifice can help patients on the road to Healthy Survivorship.

Sharing Laughter

Theresa Brown is a nurse who appreciates the healing power of patients' humor. In a December 1, 2010 article for the NYTimes' Well blog, Brown shares a few anecdotes that illustrate how she is often amused by patients' stories that others might consider offensive.

A Little Empathy, Please

If you're sick, you need people to empathize with you, right? Maybe not.

A Healing "Best"

Healthy Survivors (1) get good care and (2) live as fully as possible. The second criteria can pose quite a challenge in the face of losses, especially if you feel you are no longer at your best. 

Beads of Courage

Jean Baruch is a remarkable nurse who understands how to help children with serious illness become Healthy Survivors.

Healing Walks

An aphorism from the business world may help on the path to Healthy Survivorship: The current system is perfectly designed to deliver the results it does.

So if you don't like the way things are going under the circumstances, change something! Today I am blogging about changing how you walk.

105-Year-Old Healthy Survivor

Esther Mauzy can teach us all a thing or two about how to become a Healthy Survivor.

Miners' Lessons from the Eye of the Storm

How the trapped Chilean miners coped with life more than 2,000 feet below the earth's surface offers rich lessons on Healthy Survivorship. When you or a loved one enters the "storm" of illness or injury:

Vacation From Late Stage Cancer

When a parent has late-stage cancer with limited life expectancy, everyone wants to rewrite the expected ending. The doctors and nurses, the parent with cancer, the family's loved ones and especially the children want to make it "all better."

The Jack and Jill Late Stage Cancer Foundation

If fairy godmothers existed, cancer survivors with late-stage disease who are rearing children might ask: "Fairy Godmother, can you give my family a vacation from my illness? Please?"

Now some parents can.

Baby, Do You Remember?

When my three children were young, every night I put them to bed one at a time. We'd talk for a few minutes before beginning our ritual interactive songs, tucking-in, kisses, "Nighty night" and lights out.

One evening as I began the routine with my youngest, he said something that practically stopped my heart: "Mom, do you remember when...."

When Losing a Loved One Leaves a Hole

After losing a loved one, you might feel that you've been left with a huge hole in your life. The "hole" houses your sadness, loneliness and emptiness along with other painful thoughts and feelings.

Naturally, many people try to get rid of the hole, say, by trying to fill in the hole or trying to run away from the hole. Not me.

Judging Others

Rabbi David Wolpe writes a wonderful blog called "Off the Pulpit" that often offers useful messages for patients. This week, Wolpe offers a tool that can help foster healing relationships, an essential element of healing for Healthy Survivors.

Costs and Benefits of Counseling

In Razing and Rising, I mention that Healthy Survivors "seek guidance and support." What if you've never needed professional counseling before?

Emotions After Cancer

When I was first diagnosed, my medical background made me more prepared than most for the physical and emotional challenges of cancer treatment. What blindsided me were the medical and emotional issues that arose after completion of treatment.

Reacting to Post-radiation Risks

How did I go from rattled to relaxed in a matter of hours after learning about my risk of carotid disease due to radiation therapy I received 18 years ago? First, by putting the piece of information in perspective, as outlined in my last post. Second, by making a plan of action.

Last Acts

"Imagine you know you have only a few months to live. What would you do with your remaining time?"

The Gratitude Campaign

A recent post on Jeanne M. Hannah's wonderful Updates in Michigan Family Law blog introduced me to The Gratitude Campaign.  

Letting Go

Illness and injury have a nasty habit of causing losses. Can such loss be good?

The Love Story of a Man Without a Heart

The title is not a trick. Mr. Charles Okeke had been tethered to an artifical pump in a hospital for over two years before a new portable artificial heart made it possible for him to go home to his wife and two young children.

I'm sharing his dramatic story for two reasons:

Memorial

A memorial is something that serves as a focus for remembering a past event or person who died. Monuments such as the Lincoln Memorial in Washington, D.C. and online legacies such as those found on www.legacy.com are examples.

Can a frame of mind be a memorial?

A Work in Progress

When I was a child, I thought people over 40 years of age were very old. I believed they were done growing up and knew everything one needs to know. Wrong.

Now over 50 years old, I often say, "I'm a work in progress." 

Life is Good

What would you say if you got a flat tire on your way to an interview for your dream job? Or if you (or your wife) began bleeding two weeks after in-vitro fertlization? Or if you learned you or a loved one needed more chemo?

Does "Life is good!" come to mind?

Too Many Lessons?

As soon as I learn something that might help someone else, I want to share it and spare as many people as I can from learning lessons the hard way. Can my advice be too much?

What's Your Mission?

Last week in Ithaca, as a member of the Presidents Council of Cornell Women I attended a networking lunch with a group of women undergrads. When it was my turn to offer a nugget of advice, I said:

Letting Go

A prolific blogger on survivorship has decided to pull back from her popular blog. She still has cancer. So why now?

Broken Heart

In Wiesel on Hope, I unintentionally omitted one insight offered by Elie Wiesel. He said, "No heart is as whole as a broken heart." What did he mean? And what does a broken heart have to do with Healthy Survivorship?

Rob Pardi Responds

My April 6th and April 11th posts focused on a  NYTimes story about Dr. Desiree Pardi, a palliative care physician who refused palliative care when dying.

Today let's look at her husband's view of the article. Robert Pardi's comments were posted on Pallimed to enrich -- or shall I say, to straighten out -- the discussion about his wife's decision. Although he doesn't use the term, he's telling us his wife was a Healthy Survivor. 

Surviving Horrible Mistakes

Fatal Distraction is a gripping article that is not about illness, but about surviving the death of a child. Although wrenching to read, this article by Pulitzer Prize-winning journalist Gene Weingarten (2010) illustrates useful lessons for Healthy Survivors and their caregivers.

Palliative Care

In my April 6th post I discuss the case of Dr. Pardi, a palliative care physician who chose to continue aggressive cancer therapy when she was dying. Letters to the editor about the article don't mention what I consider to be a key point.

Palliative Care Doctor Refuses Palliative Care

A NYTimes story of Dr. Pardi's dying illustrates that it is difficult to project what you will think or feel when faced with a grim prognosis.

Hospice and Healing Hopes

How can compassionate physicians suggest hospice without causing the patient to lose all hope?

Flag of Names

I'm sure to some people, my flag of names doesn't look like much. To me, the ribbons tell stories of love and loss, resilience and hope.