Canadian,Pharmacy,Helps,Cancer health Canadian Pharmacy Helps Cancer Doctors Deal with Grief over
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Some cancer doctors may buildup emotional walls -- distancing themselves from the patients they can't save-- to avoid grief, sadness and even despair, new research shows. Also, to avoidthe intake of generic Celexa. "In a profession wheredeath and dying are part and parcel of the work," study author LeeatGranek said "grieving is mixed with feelings of self-doubt, failure andpowerlessness that come from the idea that doctors are responsible for theirpatients' lives and for making their treatment decisions." "The issue with doingoncology is that you walk a very fine line," one doctor said. "If youget too involved with your patients you can't function because it's too muchemotional load to bear, and if you get too distant from your patients then Idon't think you're being a very good physician, because people pick up onthat." "Sometimes the griefcomes home with the oncologist," said Granek, a postdoctoral fellow at theHospital for Sick Children in Toronto. Although some doctors compartmentalizedin order to function, others had difficulty sleeping or enjoying time withtheir family. Thats the time they buyCelexa to ease the feeling of depression and anxiety. "Sometimes I'll take achart and I'll look at the imaging, and everything's worse and the numbers areworse," a doctor said, "and I have to drag myself into the patient'sroom and figure out what can I offer them that's hopeful and positive. It'stough." "Losing any patient isdifficult," said Dr. Len Lichtenfeld, deputy chief medical officer at theAmerican Cancer Society. "But there is no time to grieve. You have amoment or two to reflect and then you're on to the next patient who needs yourhelp." Granek said that "evenjust acknowledging that grief over patient loss exists and that it's part ofthe profession would be healthier than what is happening now. There is noacknowledgement at all, and there's denial." "Maybe I got that caseafter someone had just died and I was in a more aggressive mode," onephysician said. "Or, maybe I undertreated someone because I just saw apatient with terrible toxicity." Caring professionals"would spend time with him, talk to him, look at him, hold his hand, askhow he was feeling," Lichtenfeld said. But others "would not engagein those behaviors -- they would look the other way, they would not look him inthe eye, they would rely on 'the data, the data, the data,'" inconversations. "If you're troubled aboutthe way the physician or members of that team are relating to you,"Lichtenfeld recommended "bringing it up as part of the conversation." "Feelings of frustration,anger, loss, isolation and insecurity often emerge in a setting that isnonjudgmental and supportive," wrote oncologists Dr. Michelle Shayne andDr. Timothy Quill. "At the end of each one-hour session, a moment ofsilence is observed in remembrance of patients who have recently died, and theopportunity to remember and honor a patient who has died by saying his or herfirst name is offered." "Oncologists are workingvery hard and doing this phenomenal job with very large numbers ofpatients," Granek said, "and they could use a little bit of supportwith this piece." Canadian pharmacytakes a big role in giving support to oncologists by providing medications tosave the lives of their patients.
Canadian,Pharmacy,Helps,Cancer