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Somecancer doctors may build up emotional walls -- distancing themselves from thepatients they can't save -- to avoid grief, sadness and even despair, thoughthere are drugs intended for these emotional troubles. However, dependence on such drugs may bring generic Celexa side effects. "Ina profession where death and dying are part and parcel of the work," studyauthor Leeat Granek said "grieving is mixed with feelings of self-doubt,failure and powerlessness that come from the idea that doctors are responsiblefor their patients' lives and for making their treatment decisions." "Theissue with doing oncology is that you walk a very fine line," one doctorsaid. "If you get too involved with your patients you can't functionbecause it's too much emotional load to bear, and if you get too distant fromyour patients then I don't think you're being a very good physician, becausepeople pick up on that." "Sometimesthe grief comes home with the oncologist," said Granek, a postdoctoralfellow at the Hospital for Sick Children in Toronto. Although some doctorscompartmentalized in order to function, others had difficulty sleeping orenjoying time with their family. Thats the time they buy Celexa online to ease the feeling of depression and anxiety. "SometimesI'll take a chart and I'll look at the imaging, and everything's worse and thenumbers are worse," a doctor said, "and I have to drag myself intothe patient's room and figure out what can I offer them that's hopeful andpositive. It's tough." "Losingany patient is difficult," said Dr. Len Lichtenfeld, deputy chief medicalofficer at the American Cancer Society. "But there is no time to grieve.You have a moment or two to reflect and then you're on to the next patient whoneeds your help." Graneksaid that "even just acknowledging that grief over patient loss exists andthat it's part of the profession would be healthier than what is happening now.There is no acknowledgement at all, and there's denial." "MaybeI got that case after someone had just died and I was in a more aggressivemode," one physician said. "Or, maybe I undertreated someone becauseI just saw a patient with terrible toxicity." Caringprofessionals "would spend time with him, talk to him, look at him, holdhis hand, ask how he was feeling," Lichtenfeld said. But others"would not engage in those behaviors -- they would look the other way,they would not look him in the eye, they would rely on 'the data, the data, thedata,'" in conversations. "Ifyou're troubled about the way the physician or members of that team arerelating to you," Lichtenfeld recommended "bringing it up as part ofthe conversation." "Feelingsof frustration, anger, loss, isolation and insecurity often emerge in a settingthat is nonjudgmental and supportive," wrote oncologists Dr. MichelleShayne and Dr. Timothy Quill. "At the end of each one-hour session, amoment of silence is observed in remembrance of patients who have recentlydied, and the opportunity to remember and honor a patient who has died bysaying his or her first name is offered." "Oncologistsare working very hard and doing this phenomenal job with very large numbers ofpatients," Granek said, "and they could use a little bit of supportwith this piece." Canada pharmacydrugstore takes a big role in giving support to oncologists by providingmedications to save the lives of their patients.
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