Cancer As a Turning Point: A Handbook for People with Cancer, Their Families, and Health Professionals – PDF/EPUB

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Free download Æ PDF, eBook or Kindle ePUB ç Lawrence LeShan Lawrence LeShan ç 6 characters characters Cancer As a Turning Point: A Handbook for People with Cancer, Their Families, and Health Professionals ò PDF, eBook or Kindle ePUB Adness and despair moved me deeply and for a few minutes we both just sat thereI then said that I could see no reason for her body to work hard to save her life no reason for it to mobilize her immune system and bring its resources to the aid of the chemotherapy By her actions she was telling her body that it was always someone elses turn and never hers Everyone else would be taken care of except her Clearly she was telling herself that she was not worth fighting for She listened thought a bit and then said Its sort of as if I keep telling myself that for me its always jam yesterday and jam tomorrow but never jam today We agreed about this message and sat in sad and companionable silence for a whileIt was clearly an emergency situation She was in very bad shape both physically and emotionally and clearly going downhill on both levels There was little to lose I would be leaving London in a few days and I have never been very good working over the telephone or by mail The philosopher and spiritual leader Edgar Jackson has pointed out that in some situations the careful man is only a short step away from the paltry man I told Maria the story of the woman who was sunbathing nude A lovely chickadee flew down and perched on her ankle She smiled lovingly at it Then a great orange and black butterfly alighted on her knee Again she smiled warmly A magnificent dragonfly with its iridescent wings settled on her shoulder It also received her welcoming smile as did a beautiful goldfinch that came down and perched on her toes Then a mosuito came down settled on her breast and bit her She looked at it and said All right Everybody off At the punchline Maria laughed much harder than the joke deserved Then she sat apparently thinking very intently for several minutes Finally she looked at me and an impish and devilish grin spread across her face Do you think I really could she askedShe was as ready for action as a tomcat with its tail up She had only needed a direction and a trigger I had provided the direction in my lecture and our discussion was the trigger It was a pleasure to watch her move I had heard of the fiery tempestuous Brazilian personality before but had never expected to see the stereotype in full bloomThat night Maria called a family conference and announced apparently in no uncertain terms that it was her turn now Changes would have to be made as she could no longer afford to support her entire family If she died they were all on their own anyway so they might as well all take a desperate and final chance to help her immune system come to the aid of the chemotherapy She had she told them been an oncologist long enough to know that with a cancer like hers this was the only chance In order to help this happen there needed to be some major changes in her and their life stylesFirst she said her husband uite a number of successful poets had supported themselves by working at regular jobs If he wanted to follow the example of his particular idol Edwin Arlington Robinson and work as a ticket seller in the Underground this was fine with her but she felt he would do better as a draftsman or something like that even though hed been away from engineering for eight years Then the children they were going to leave the special private schools they had been going to and go to regular public schools They could continue some of their private acting lessons but would also have to get part time jobs if this were at all possible and even if it werent Certainly they could work as salesgirls waitresses or whatever during summer and Christmas vacations unless they had professional employment The maid would go and all of them would pitch in with the housework She herself was going to give up her job take a residency in pediatrics in order to catch up with the latest techniues and then take it from there Moving back to Brazil when the twins were established and on their own was left as a possibility for the futureIt must have been uite a family meeting By the end of it everyone had agreed to the new agenda and Maria told me with a lot less upset and resistance than I expected I found that they cared for me loved me even if I couldnt support them any Im surprised to find out that this surprised me In the next six months her husband obtained a fairly low level job in an engineering firm He said it demanded little of him and left him with a good deal of energy for his poetry He had over the years been reasonably successful at thished published two volumes of his poems and also poems in a number of magazines These books paid him the very small amount that books of poetry generally do The daughters did get part time jobs and expressed a good deal of resentment about having to do so They complained in typically adolescent fashion and constantly had to be reminded about their household chores Both paid for their acting lessons and also obtained a number of small jobs making television commercials and in obscure avant garde theaters Maria resigned from her oncology position and took a residency in pediatrics After a year she began working full time in this field She was paid far less than she had earned in oncology but enjoyed it farAt my suggestion she had also consulted a nutritionist in order to upgrade her diet and to help both to potentiate the chemotherapy treatment and to avoid the worst negative side effectsI kept in touch with her The chemotherapy program worked far beyond expectations The tumor masses shrank but did not disappear At present four years later the medical situation seems at least temporarily stabilized and is on a watch and wait basis She feels that her life is rich and exciting Summer vacations have been spent in Rio de Janeiro Since money is so short she has gone by herself most of the time They have not yet decided whether or not to move back there in the next few yearsThe work that led to this book began in when a psychologist friend of mine Dr Richard Worthington told me that he had been looking at personality tests of several people with cancer He felt that their emotional life history somehow played a part in the development of their illness and that this should be investigated Dick is the best person with these kinds of personality tests I have ever knownhe has a brilliant and profound understanding of themand I had learned never to ignore anything of this sort that he said I tucked the idea away in the back of my mind for future explorationTwo years later I was back in the army Working in a very depressing job in an army mental hygiene clinic in Arkansas I needed something interesting to fill my mind I went back to Dicks idea and began to examine itThe County Medical Society had a library that had been started in the early s Since then all the local physicians had willed their books to it I began to go there evenings Looking at the data with a psychologists eye it seemed clear that psychological factors might very well have played some part in at least a good percentage of the cancer statisticsThe higher cancer mortality rates for widows and widowers that were not related to age occupation reproductive accomplishment diet or any other obvious factor were only one example of the evidence that there was something here worth looking intoWhen I again left the army two years later I talked to Dick about what I had found He was impressed He called a group of businessmen together we both made a pitch formed a foundation and raised enough money to support me half time for a year I stayed on the project full time for fourteen years and part time for another twenty two This book is the result of that workAs I began to work intensively the first thing I found was that up to the relationship between cancer and psychological factors had been commonly accepted in medical circles I went through the major cancer textbooks of the nineteenth century using the old rule of thumb that if it went through three editions it ualified as a major textbook All but one of the nineteen I found said the same thing Of course the emotional life history they used a lot of different phrases for this but the meaning was the same plays a major role in the tendency of the person to get cancer and in the progress of the cancer In my review of this literature for the Journal of the National Cancer Institute my problem was not to find statements of this kind but rather to select which of the many ones to uoteWhat had happened was plain Dedicated nineteenth century physicians working with cancer patients had none of the sophisticated instruments and devices we have today Without biochemical tests and without X rays to say nothing of CAT scans computerized axial tomography and the like they had to listen to their patients in order to learn what was going on And in this listening they heard about the patients feelings and history The factors of great emotional loss and of hopelessness occurring before the first signs of the cancer were so repetitive and freuent that they could not be ignoredHere is not the place to review that extensive literature A few uotations from my article are in order however to give some of its flavorAs early as Gendron stressed the importance in cancer of Disasters in Life as occasion much trouble and grief He presented a long series of cases typical of which are the followingMrs Emerson upon the Death of her Daughter underwent Great Affliction and perceived her Breast to swell which soon after grew Painful at last broke out in a most inveterate Cancer which consumed a great Part of it in a short Time She had always enjoyed a perfect state of Health The Wife of Mate of a Ship who was taken some Time ago by the French and put in Prison was thereby so much affected that her Breast began to swell and soon after broke out in a desperate Cancer which had proceeded so far that I could not undertake her case She never before had any complaint in her BreastIn a group of the leading physicians in England and Wales formed an organization with the optimistic and cheerful name of The Society for the Prevention and Cure of Cancer They published a list of eleven uestions each describing an area in which they felt the need for further research One of the uestions was Is there a predisposing temperament In Walter Hoyle Walshe published his treatise The Nature and Treatment of Cancer This became the definitive work of the period He covered all that was then known about the subject Walshe was a highly trained and respected man and apparently was conversant with all that had been written and said about cancer to his time Walshe posed his viewpoint clearly and forcefullyMuch has been written on the influence of mental misery sudden reverses of fortune and habitual gloominess of temper on the deposion of carcinomatous matter If systematic writers can be credited these constitute the most powerful cause of the disease although the alleged influence of mental disuietude has never been made a matter of demonstration it would be vain to deny that facts of a very convincing character in respect to the agency of the mind in the production of this disease are freuently observed I have myself met with cases in which the connection appeared so clear that I have decided uestioning its reality would have seemed a struggle against reasonWalshe made certain recommendations to members of families with a history of cancer which illustrate the strength of his belief in this viewpoint He advised them to use great care in their choice of professions avoiding those the active and serious exercise of which entails aor less constant care and anxiety The importance of this consideration appears from what I have said on the influence of mental suffering in generating the disease For this reason the professions of the Bar Medicine and Diplomacy should be avoided All things considered the professions of the Army Navy and the Church unless there be some special objection offer the best chance of escape from the diseases to individuals predisposed to cancerBy implication Walshe was clearly stating that a genetic readiness plus a long term psychological stress results in cancerIn this country Willard Parker summed up in his fifty three years of surgical experience with cancer It is a fact that grief is especially associated with the disease If cancer patients were as a rule cheerful before the malignant development made its appearance the psychological theory no matter how logical must fail but it is otherwise The fact substantiates what reason points outLong before this Sir James Paget in his classic Surgical Pathology had writtenThe cases are so freuent in which deep anxiety deferred hope and disappointment are uickly followed by the growth and increase of cancer that we can hardly doubt that mental depression is a weighty additive to the other influences favoring the development of the cancerous constitutionSir Thomas Watson in phrased his conclusion as followsGreat mental stress has been assigned as influential in hastening the development of cancerous disease in persons already predisposed In my long life of experience I have so often noticed this seuence that I cannot but think the imputation is trueHerbert Snow working at the London Cancer Hospital was deeply impressed by Pagets view as well as the reports of other predecessors In three books written in and he presented in detail his research findings and his concepts In his last book he wroteWe are logically impelled to inuire if the great majority of cases may not own a neurotic origin We find that the number of instances in which malignant disease of the breast and uterus follows immediately antecedent emotion of a depressing character is too large to be set down to chance or to that general liability to the buffets of ill fortune which the cancer patients in their passage through. Pharmacological Calculations for Nurses: A Worktext 3E up She had only needed a direction and a trigger I had provided the direction in my lecture and our discussion was the trigger It was a pleasure to watch her move I had heard of the fiery tempestuous Brazilian personality before but had never expected to see the stereotype in full bloomThat night Maria called a family conference and announced apparently in no Aide-Memoire de Pharmacie Galenique uncertain terms that it was her turn now Changes would have to be made as she could no longer afford to support her entire family If she died they were all on their own anyway so they might as well all take a desperate and final chance to help her immune system come to the aid of the chemotherapy She had she told them been an oncologist long enough to know that with a cancer like hers this was the only chance In order to help this happen there needed to be some major changes in her and their life stylesFirst she said her husband 300 exercices et corrigés de chimie : à l'usage des élèves préparateurs en pharmacie (Porphyre) uite a number of successful poets had supported themselves by working at regular jobs If he wanted to follow the example of his particular idol Edwin Arlington Robinson and work as a ticket seller in the Underground this was fine with her but she felt he would do better as a draftsman or something like that even though hed been away from engineering for eight years Then the children they were going to leave the special private schools they had been going to and go to regular public schools They could continue some of their private acting lessons but would also have to get part time jobs if this were at all possible and even if it werent Certainly they could work as salesgirls waitresses or whatever during summer and Christmas vacations Pharmacologie : Cahiers du Préparateur unless they had professional employment The maid would go and all of them would pitch in with the housework She herself was going to give Guide pratique du préparateur en pharmacie : Par D.-Charles Bordier,... 3e édition, revue et augmentée up her job take a residency in pediatrics in order to catch Einführung in die pharmazeutische instrumentelle Analytik (German Edition) up with the latest techniues and then take it from there Moving back to Brazil when the twins were established and on their own was left as a possibility for the futureIt must have been 300 exercices et corrigés de chimie : à l'usage des élèves préparateurs en pharmacie (Porphyre) uite a family meeting By the end of it everyone had agreed to the new agenda and Maria told me with a lot less Chimie generale et organique, a l'usage des candidats au brevet professionnel de preparateur en pharmacie upset and resistance than I expected I found that they cared for me loved me even if I couldnt support them any Im surprised to find out that this surprised me In the next six months her husband obtained a fairly low level job in an engineering firm He said it demanded little of him and left him with a good deal of energy for his poetry He had over the years been reasonably successful at thished published two volumes of his poems and also poems in a number of magazines These books paid him the very small amount that books of poetry generally do The daughters did get part time jobs and expressed a good deal of resentment about having to do so They complained in typically adolescent fashion and constantly had to be reminded about their household chores Both paid for their acting lessons and also obtained a number of small jobs making television commercials and in obscure avant garde theaters Maria resigned from her oncology position and took a residency in pediatrics After a year she began working full time in this field She was paid far less than she had earned in oncology but enjoyed it farAt my suggestion she had also consulted a nutritionist in order to La préparation : mode d'emploi (officine, sous-traitance et BP) upgrade her diet and to help both to potentiate the chemotherapy treatment and to avoid the worst negative side effectsI kept in touch with her The chemotherapy program worked far beyond expectations The tumor masses shrank but did not disappear At present four years later the medical situation seems at least temporarily stabilized and is on a watch and wait basis She feels that her life is rich and exciting Summer vacations have been spent in Rio de Janeiro Since money is so short she has gone by herself most of the time They have not yet decided whether or not to move back there in the next few yearsThe work that led to this book began in when a psychologist friend of mine Dr Richard Worthington told me that he had been looking at personality tests of several people with cancer He felt that their emotional life history somehow played a part in the development of their illness and that this should be investigated Dick is the best person with these kinds of personality tests I have ever knownhe has a brilliant and profound Medication Errors: The Nursing Experience (Real Nursing) understanding of themand I had learned never to ignore anything of this sort that he said I tucked the idea away in the back of my mind for future explorationTwo years later I was back in the army Working in a very depressing job in an army mental hygiene clinic in Arkansas I needed something interesting to fill my mind I went back to Dicks idea and began to examine itThe County Medical Society had a library that had been started in the early s Since then all the local physicians had willed their books to it I began to go there evenings Looking at the data with a psychologists eye it seemed clear that psychological factors might very well have played some part in at least a good percentage of the cancer statisticsThe higher cancer mortality rates for widows and widowers that were not related to age occupation reproductive accomplishment diet or any other obvious factor were only one example of the evidence that there was something here worth looking intoWhen I again left the army two years later I talked to Dick about what I had found He was impressed He called a group of businessmen together we both made a pitch formed a foundation and raised enough money to support me half time for a year I stayed on the project full time for fourteen years and part time for another twenty two This book is the result of that workAs I began to work intensively the first thing I found was that Travaux Pratiques : Préparations galénique. Préparations magistrales up to the relationship between cancer and psychological factors had been commonly accepted in medical circles I went through the major cancer textbooks of the nineteenth century Medicines management for nursing practice: Pharmacology, Patient Safety, And Procedures using the old rule of thumb that if it went through three editions it Dosage Calculations, 9th edition ualified as a major textbook All but one of the nineteen I found said the same thing Of course the emotional life history they Pharmacie galénique, BP (Cahiers du préparateur en pharmacie) used a lot of different phrases for this but the meaning was the same plays a major role in the tendency of the person to get cancer and in the progress of the cancer In my review of this literature for the Journal of the National Cancer Institute my problem was not to find statements of this kind but rather to select which of the many ones to Manuel du preparateur en pharmacie : a l'usage des eleves-preparateurs, preparateurs, étudiants en p uoteWhat had happened was plain Dedicated nineteenth century physicians working with cancer patients had none of the sophisticated instruments and devices we have today Without biochemical tests and without X rays to say nothing of CAT scans computerized axial tomography and the like they had to listen to their patients in order to learn what was going on And in this listening they heard about the patients feelings and history The factors of great emotional loss and of hopelessness occurring before the first signs of the cancer were so repetitive and freuent that they could not be ignoredHere is not the place to review that extensive literature A few Pharmacologie générale : Mécanismes d'action : Cahiers du Préparateur uotations from my article are in order however to give some of its flavorAs early as Gendron stressed the importance in cancer of Disasters in Life as occasion much trouble and grief He presented a long series of cases typical of which are the followingMrs Emerson Infusion Nursing: An Evidence-Based Approach (Alexander, Infusion Nursing) upon the Death of her Daughter Pharmacie chimique avec les preparations industrielles des medicaments. a l'usage des pharmaciens, des étudiants en pharmacie et des ingénieurs-chimistes. préface de michel polonovski. underwent Great Affliction and perceived her Breast to swell which soon after grew Painful at last broke out in a most inveterate Cancer which consumed a great Part of it in a short Time She had always enjoyed a perfect state of Health The Wife of Mate of a Ship who was taken some Time ago by the French and put in Prison was thereby so much affected that her Breast began to swell and soon after broke out in a desperate Cancer which had proceeded so far that I could not Mosby's 2012 Nursing Drug Reference, 25th Edition undertake her case She never before had any complaint in her BreastIn a group of the leading physicians in England and Wales formed an organization with the optimistic and cheerful name of The Society for the Prevention and Cure of Cancer They published a list of eleven Le Préparateur en pharmacie, 8 volumes uestions each describing an area in which they felt the need for further research One of the Davis's Drug Guide for Nurses uestions was Is there a predisposing temperament In Walter Hoyle Walshe published his treatise The Nature and Treatment of Cancer This became the definitive work of the period He covered all that was then known about the subject Walshe was a highly trained and respected man and apparently was conversant with all that had been written and said about cancer to his time Walshe posed his viewpoint clearly and forcefullyMuch has been written on the influence of mental misery sudden reverses of fortune and habitual gloominess of temper on the deposion of carcinomatous matter If systematic writers can be credited these constitute the most powerful cause of the disease although the alleged influence of mental disuietude has never been made a matter of demonstration it would be vain to deny that facts of a very convincing character in respect to the agency of the mind in the production of this disease are freuently observed I have myself met with cases in which the connection appeared so clear that I have decided Intravenous Therapy in Nursing Practice uestioning its reality would have seemed a struggle against reasonWalshe made certain recommendations to members of families with a history of cancer which illustrate the strength of his belief in this viewpoint He advised them to Mémento de la sage-femme use great care in their choice of professions avoiding those the active and serious exercise of which entails aor less constant care and anxiety The importance of this consideration appears from what I have said on the influence of mental suffering in generating the disease For this reason the professions of the Bar Medicine and Diplomacy should be avoided All things considered the professions of the Army Navy and the Church Pharmacologie pour les sages-femmes unless there be some special objection offer the best chance of escape from the diseases to individuals predisposed to cancerBy implication Walshe was clearly stating that a genetic readiness plus a long term psychological stress results in cancerIn this country Willard Parker summed Histoires de sage-femme (Parenting) (French Edition) up in his fifty three years of surgical experience with cancer It is a fact that grief is especially associated with the disease If cancer patients were as a rule cheerful before the malignant development made its appearance the psychological theory no matter how logical must fail but it is otherwise The fact substantiates what reason points outLong before this Sir James Paget in his classic Surgical Pathology had writtenThe cases are so freuent in which deep anxiety deferred hope and disappointment are HypnoBirthing, Fourth Edition: The natural approach to safer, easier, more comfortable birthing - The Mongan Method, 4th Edition uickly followed by the growth and increase of cancer that we can hardly doubt that mental depression is a weighty additive to the other influences favoring the development of the cancerous constitutionSir Thomas Watson in phrased his conclusion as followsGreat mental stress has been assigned as influential in hastening the development of cancerous disease in persons already predisposed In my long life of experience I have so often noticed this seuence that I cannot but think the imputation is trueHerbert Snow working at the London Cancer Hospital was deeply impressed by Pagets view as well as the reports of other predecessors In three books written in and he presented in detail his research findings and his concepts In his last book he wroteWe are logically impelled to inuire if the great majority of cases may not own a neurotic origin We find that the number of instances in which malignant disease of the breast and Guide de la sage-femme : Suivi pré & post-natal uterus follows immediately antecedent emotion of a depressing character is too large to be set down to chance or to that general liability to the buffets of ill fortune which the cancer patients in their passage through.

Read Cancer As a Turning Point: A Handbook for People with Cancer, Their Families, and Health ProfessionalsCancer As a Turning Point: A Handbook for People with Cancer, Their Families, and Health Professionals

Free download Æ PDF, eBook or Kindle ePUB ç Lawrence LeShan Lawrence LeShan ç 6 characters characters Cancer As a Turning Point: A Handbook for People with Cancer, Their Families, and Health Professionals ò PDF, eBook or Kindle ePUB Life share with most other people not so afflictedThe physicians who wrote these statements were the leading specialists of the time Their names are even today well known in medical circlesThus the fact that cancer and the patients emotional life history were linked was commonly accepted in medical circles up to At that point this viewpoint began to disappear very rapidly from the textbooks and journals There are a number of reasons for this The psychosomatic viewpoint had been goingandout of fashion for fifty years Further surgery that was both painless and antiseptic had been developed in the preceding fifteen years and was now making its big bid as the way to deal with cancer Surgery focuses our attention on cancer as a local disease of a specific part of the body and not as one aspect of a total human beings functioning which is the essence of the psychosomatic view Radiation coming along shortly thereafter as a therapy method reinforced this concept of cancer as a local body problemAnother reason for the change was that a psychosomatic theory was useless at this time Psychiatry was barely into the descriptive phase and there were no tools with which to explore the matter further or to use to try to intervene in the processes involved There was simply nothing to do with the information on the mind body relationship in cancerno techniues available to use to make it usefulSo gradually the idea that cancer was related to the total life history of the person disappeared from the literature and from the currently accepted concepts in medicine A few physicians tried to keep it alive but to no avail For half a century it was almost unknownThe situation has now changed completely Since literally dozens of studies have shown conclusively that the emotional life history often does play an important part in determining an individuals resistance to getting cancer and in how a cancer develops after it appears It is certainly not the only factor and does not play a part for every person with cancer by a long shot but every cancer patients emotional life history should be considered Further we now have the techniues and tools to explore the matter muchdeeply and many such studies have been undertaken These studies are both retrospective exploring patients emotional life history after the cancer appeared and prospective predicting the future from psychological factors in nature A good example of the predictive studies is the work of Ronald Greer and his group Greer interviewed a number of women who had had mastectomies On the basis of the interview three months after the operation he divided them into classes according to their attitudes He then simply observed what happened to the women for over fifteen years He found out that as he had predicted some classes showed a statistically significantly higher survival rate than others For example the feisty Im going to lick this thing and no one is going to stop me group showed a far higher survival rate than the apathetic My life is over and nothing is worthwhile any longer groupA great many studies are now available A list of some of the most significant and of some reviews of this literature is presented in the Resource Directory A recent study by David Spiegel and others reported in The Lancet shows that psychological treatment had a definite positive effect on women with metastasized breast cancerHowever at the time I started the research that led to this book the present day literature was skimpy indeed There were no guidelines that could be depended on All I knew was that there were enough strong clues to make the subject really worth investigationIn with a research grant and enough clinical and research training to do legitimate work I applied to the leading hospitals in New York City I fully expected to have no difficulty in finding a place to work since the purpose of the grant was simply to investigate the fruitfulness of looking at cancer as a disease whose presence and development were influenced by personality factors To my surprise the first fifteen hospitals I applied to turned me down sometimes with shocking rapidity One chief surgeon of a large hospital told me Even if you prove it that there is a relationship in ten years I wont believe it There seemed no particular reply I could make to that statement Soon however I developed an excellent working relationship with Dr Emanuel Revici and his Institute of Applied Biology and for the next twelve years I worked full time with his patientsI started with psychological interviews of two to eight hours in length and various kinds of personality tests As I progressed I reported my work in psychological and psychiatric journals After a number of years I moved very gradually into psychotherapy work with the patients of the Institute and of Trafalgar Hospital It seemed to me then and it still does that the best way a professional can get to know people their history and the world in which they live is to be involved in a psychotherapy process with them The stories of people with cancer that I present throughout this book are typical of the people I worked with for over thirty five yearsThe single thing that emerged most clearly during my work was the context in which the cancer developed In a large majority of the people I saw certainly not all there had been previous to the first noted signs of the cancer a loss of hope in ever achieving a way of life that would give real and deep satisfaction that would provide a solid raison dtre the kind of meaning that makes us glad to get out of bed in the morning and glad to go to bed at nightthe kind of life that makes us look forward zestfully to each day and to the futureOften this lack of hope had been brought into being by the loss of the persons major way of relating and expressing himself or herself and the inability to find a meaningful substitute Now the meaning of the statistics showing the higher likelihood of cancer in widows and widowers regardless of age began to be clear Among the widowed were many who had made the spouse the marriage the central focus of their lives it was what gave meaning to their existence and after the spouse died they could find no other way to express themselves Similar was the explanation for the fact that for men the highest peak of cancer came shortly after retirement age whether that age was sixty sixty five seventy or any other In married couples the cancer mortality rate for both men and women was higher among those who had had no children than it was among those who did I am certain the explanation of this is that when the relationship between the spouses was lost but they stayed together for religious or other reasons the children provided a good way of relating for many It was also lower among those married couples who made the spouse the beneficiary of their insurance policies than those who did not I was able to make over thirty predictions on statistically reliable differences in cancer mortality rates in various groups I could predict which groups would have a higher rate of loss of a major way of relating according to my predictions this group would also have a higher mortality rate Whenever these predictions could be checked against published statistics they were proved correct The professional publications on these findings are given in the Resource Directory With many other individuals I saw and worked with there had been no objective loss of a relationship but there had been a loss of hope that the way that they used to express themselves and the relationships they had would ever give the deep satisfaction they wanted so much No matter how successful they were no matter how high they climbed in their profession they found that it did not provide fulfillment They could not find lasting zest and pleasure in their success and eventually had given up hope of ever finding it The profound hopelessness was in many of the people I saw followed by the appearance of cancer Over and over again I found that the person I was working with reminded me of the poet W H Audens definition of cancer He called it a foiled creative fireAs this pattern became clearer I also began to work with control groups people without cancer to whom I gave the same personality tests and worked with in the same way in psychotherapy Over a period of many years I found this pattern of loss of hope in between and percent of my cancer patients and in only percent or so of the control groupSydney was a successful businessman whose high drive and a wide ranging and uick intelligence had helped him achieve a very high position in his field He had always believed in keeping the channels of promotion open in his company for new blood and new ideas so at sixty five when he had been chief executive officer and chairman of the board for five years he retired When I asked him several years later what he had expected to do with his still high energy level he looked a little blank and said that he had thought tennis and golf would be wonderful and that now he would have had a chance to play as much as he wanted toIndeed for a year he did play both of these a good deal He was a natural athlete and before World War II had played Class A baseball with a good chance of going to the major leagues the draft and a stint in the paratroops ended this option Sydney still played well and was much in demand from the members of a number of country clubs to play golf and tennis with them Although he had looked forward to this life it still left him unsatisfied and feeling increasingly empty and drifting He couldnt understand it all his life he had loved sports and looked forward to the time when he would have enough leisure to spend all his time at them Now it was somehow not enough He was hungry for something but did not know thatThen Sydney went to Scotland with a group to play at one of the great golf courses there At a luxurious hotel he played golf with a very congenial group every morning and tennis most afternoons The weather was pure gold and wonderful After five days he woke up one morning and found to his shock and surprise that he was wishing it would rain so that he would not have to continue his scheduleAt around this time he began to develop some digestive symptoms and after a medical workup was diagnosed as having cancer of the small intestineAfter finishing with both surgery and the course of chemotherapy that followed it Sydney sat around the house a good deal watching television and reading newspapers He felt vaguely depressed and lost Nothing interested him very much He felt tired and run down all the time A year after the chemotherapy was completed a new metastasis was found and a second course was institutedDuring this period we began to work together A friend of Sydneys had suggested a consultation with me and he agreed We liked each other and began to work in ninety minute sessions three or four times a month That seemed to both of us the most useful and meaningful pace for himSydneys main problem was his constant tiredness Rest did not seem to help him We discussed the fact that there are two separate kinds of exhaustion For acute exhaustion one needs rest and sleep For chronic exhaustionsuch as he was suffering froman entirely different prescription is needed What is reuired here is a change in the persons complete ecologya change in energy intake and outflow Chronic exhaustion is muchlikely to be mostly caused by a blocked energy flow than it is by a lack of energy The tiredness is generally a result of a lack of available energy due to blocked expression channels rather than a result of a lack of energy in the organism At one point in our talks Sydney said to me Its true that taking it easy does not restore my energy even after months of it I just gettired I guess one trouble with doing nothing is that you cant stop and rest As we worked on and explored this area it became increasingly plain that he had lost the context and meaning of his life Starting out in the heart of the Depression and coming from a poor family he had focused his whole being on business He had loved it and brought to it a high drive and a high ethical standard It had been the center of his existence and gave him purpose a sense of himself and a reason to get up in the morning Without this nothing had any real meaning for him He felt that he could have borne any other loss and still after a time at any rate gone on with his usual zest and enthusiasm I gave him the great speech of Shakespeares Othello to read Othello has just come to the conclusion that the most meaningful thing in his life his relationship with Desdemona was lost and that she had been unfaithful to him He says that if he had been wounded unjustly accused of crimes imprisoned lost his position as general or any other thingYet I could bear that too well wellBut there where I have garnerd up my heart Where either I must live or bear no lifeThe fountain from the which my current runs Or else dries up To be disgarded thence Sydney read it over once line by line getting the meaning Then he read it again with deep feeling When you lose what is real for you he said nothing else matters very much You might as well be deadPsychotherapist Lawrence LeShan has worked with cancer patients forthan thirty five years and his research has led people with cancer to find new effective ways to fight for their lives He has put his findings full of meaning and purpose into this revised edition that shows how psychological change along with medical treatment mobilizes a compromised immune system for healing Included is a life transforming workbook of hands on exercises designed to help readers evaluate their inner selves and teach them how to get the most out of their immune systems by leading fuller richer lives. Pathologie (BP préparateur en pharmacie) up to At that point this viewpoint began to disappear very rapidly from the textbooks and journals There are a number of reasons for this The psychosomatic viewpoint had been goingandout of fashion for fifty years Further surgery that was both painless and antiseptic had been developed in the preceding fifteen years and was now making its big bid as the way to deal with cancer Surgery focuses our attention on cancer as a local disease of a specific part of the body and not as one aspect of a total human beings functioning which is the essence of the psychosomatic view Radiation coming along shortly thereafter as a therapy method reinforced this concept of cancer as a local body problemAnother reason for the change was that a psychosomatic theory was Abrégé de pharmacie galénique : Formes pharmaceutiques (Abrégés de pharmacie) useless at this time Psychiatry was barely into the descriptive phase and there were no tools with which to explore the matter further or to Manuel du préparateur en pharmacie : à l'usage des élèves-préparateurs, préparateurs, étudiants en pharmacie et maîtres d'apprentissage use to try to intervene in the processes involved There was simply nothing to do with the information on the mind body relationship in cancerno techniues available to Drug Interaction Facts 2014: The Authority on Drug Interactions use to make it Pediatric Primary Care: Well-Child Care (Revised) (Core Handbook Pediatrics) usefulSo gradually the idea that cancer was related to the total life history of the person disappeared from the literature and from the currently accepted concepts in medicine A few physicians tried to keep it alive but to no avail For half a century it was almost Psychopharmacology Demystified unknownThe situation has now changed completely Since literally dozens of studies have shown conclusively that the emotional life history often does play an important part in determining an individuals resistance to getting cancer and in how a cancer develops after it appears It is certainly not the only factor and does not play a part for every person with cancer by a long shot but every cancer patients emotional life history should be considered Further we now have the techniues and tools to explore the matter muchdeeply and many such studies have been Lehne's Pharmacology for Nursing Care undertaken These studies are both retrospective exploring patients emotional life history after the cancer appeared and prospective predicting the future from psychological factors in nature A good example of the predictive studies is the work of Ronald Greer and his group Greer interviewed a number of women who had had mastectomies On the basis of the interview three months after the operation he divided them into classes according to their attitudes He then simply observed what happened to the women for over fifteen years He found out that as he had predicted some classes showed a statistically significantly higher survival rate than others For example the feisty Im going to lick this thing and no one is going to stop me group showed a far higher survival rate than the apathetic My life is over and nothing is worthwhile any longer groupA great many studies are now available A list of some of the most significant and of some reviews of this literature is presented in the Resource Directory A recent study by David Spiegel and others reported in The Lancet shows that psychological treatment had a definite positive effect on women with metastasized breast cancerHowever at the time I started the research that led to this book the present day literature was skimpy indeed There were no guidelines that could be depended on All I knew was that there were enough strong clues to make the subject really worth investigationIn with a research grant and enough clinical and research training to do legitimate work I applied to the leading hospitals in New York City I fully expected to have no difficulty in finding a place to work since the purpose of the grant was simply to investigate the fruitfulness of looking at cancer as a disease whose presence and development were influenced by personality factors To my surprise the first fifteen hospitals I applied to turned me down sometimes with shocking rapidity One chief surgeon of a large hospital told me Even if you prove it that there is a relationship in ten years I wont believe it There seemed no particular reply I could make to that statement Soon however I developed an excellent working relationship with Dr Emanuel Revici and his Institute of Applied Biology and for the next twelve years I worked full time with his patientsI started with psychological interviews of two to eight hours in length and various kinds of personality tests As I progressed I reported my work in psychological and psychiatric journals After a number of years I moved very gradually into psychotherapy work with the patients of the Institute and of Trafalgar Hospital It seemed to me then and it still does that the best way a professional can get to know people their history and the world in which they live is to be involved in a psychotherapy process with them The stories of people with cancer that I present throughout this book are typical of the people I worked with for over thirty five yearsThe single thing that emerged most clearly during my work was the context in which the cancer developed In a large majority of the people I saw certainly not all there had been previous to the first noted signs of the cancer a loss of hope in ever achieving a way of life that would give real and deep satisfaction that would provide a solid raison dtre the kind of meaning that makes Manuel du preparateur en pharmacie à l'usage des élèves préparateurs préparateurs étudiants en pharmacie et maitres de stage us glad to get out of bed in the morning and glad to go to bed at nightthe kind of life that makes Pharmacological Calculations for Nurses: A Worktext 3E us look forward zestfully to each day and to the futureOften this lack of hope had been brought into being by the loss of the persons major way of relating and expressing himself or herself and the inability to find a meaningful substitute Now the meaning of the statistics showing the higher likelihood of cancer in widows and widowers regardless of age began to be clear Among the widowed were many who had made the spouse the marriage the central focus of their lives it was what gave meaning to their existence and after the spouse died they could find no other way to express themselves Similar was the explanation for the fact that for men the highest peak of cancer came shortly after retirement age whether that age was sixty sixty five seventy or any other In married couples the cancer mortality rate for both men and women was higher among those who had had no children than it was among those who did I am certain the explanation of this is that when the relationship between the spouses was lost but they stayed together for religious or other reasons the children provided a good way of relating for many It was also lower among those married couples who made the spouse the beneficiary of their insurance policies than those who did not I was able to make over thirty predictions on statistically reliable differences in cancer mortality rates in various groups I could predict which groups would have a higher rate of loss of a major way of relating according to my predictions this group would also have a higher mortality rate Whenever these predictions could be checked against published statistics they were proved correct The professional publications on these findings are given in the Resource Directory With many other individuals I saw and worked with there had been no objective loss of a relationship but there had been a loss of hope that the way that they Aide-Memoire de Pharmacie Galenique used to express themselves and the relationships they had would ever give the deep satisfaction they wanted so much No matter how successful they were no matter how high they climbed in their profession they found that it did not provide fulfillment They could not find lasting zest and pleasure in their success and eventually had given 300 exercices et corrigés de chimie : à l'usage des élèves préparateurs en pharmacie (Porphyre) up hope of ever finding it The profound hopelessness was in many of the people I saw followed by the appearance of cancer Over and over again I found that the person I was working with reminded me of the poet W H Audens definition of cancer He called it a foiled creative fireAs this pattern became clearer I also began to work with control groups people without cancer to whom I gave the same personality tests and worked with in the same way in psychotherapy Over a period of many years I found this pattern of loss of hope in between and percent of my cancer patients and in only percent or so of the control groupSydney was a successful businessman whose high drive and a wide ranging and Pharmacologie : Cahiers du Préparateur uick intelligence had helped him achieve a very high position in his field He had always believed in keeping the channels of promotion open in his company for new blood and new ideas so at sixty five when he had been chief executive officer and chairman of the board for five years he retired When I asked him several years later what he had expected to do with his still high energy level he looked a little blank and said that he had thought tennis and golf would be wonderful and that now he would have had a chance to play as much as he wanted toIndeed for a year he did play both of these a good deal He was a natural athlete and before World War II had played Class A baseball with a good chance of going to the major leagues the draft and a stint in the paratroops ended this option Sydney still played well and was much in demand from the members of a number of country clubs to play golf and tennis with them Although he had looked forward to this life it still left him Guide pratique du préparateur en pharmacie : Par D.-Charles Bordier,... 3e édition, revue et augmentée unsatisfied and feeling increasingly empty and drifting He couldnt Einführung in die pharmazeutische instrumentelle Analytik (German Edition) understand it all his life he had loved sports and looked forward to the time when he would have enough leisure to spend all his time at them Now it was somehow not enough He was hungry for something but did not know thatThen Sydney went to Scotland with a group to play at one of the great golf courses there At a luxurious hotel he played golf with a very congenial group every morning and tennis most afternoons The weather was pure gold and wonderful After five days he woke 300 exercices et corrigés de chimie : à l'usage des élèves préparateurs en pharmacie (Porphyre) up one morning and found to his shock and surprise that he was wishing it would rain so that he would not have to continue his scheduleAt around this time he began to develop some digestive symptoms and after a medical workup was diagnosed as having cancer of the small intestineAfter finishing with both surgery and the course of chemotherapy that followed it Sydney sat around the house a good deal watching television and reading newspapers He felt vaguely depressed and lost Nothing interested him very much He felt tired and run down all the time A year after the chemotherapy was completed a new metastasis was found and a second course was institutedDuring this period we began to work together A friend of Sydneys had suggested a consultation with me and he agreed We liked each other and began to work in ninety minute sessions three or four times a month That seemed to both of Chimie generale et organique, a l'usage des candidats au brevet professionnel de preparateur en pharmacie us the most La préparation : mode d'emploi (officine, sous-traitance et BP) useful and meaningful pace for himSydneys main problem was his constant tiredness Rest did not seem to help him We discussed the fact that there are two separate kinds of exhaustion For acute exhaustion one needs rest and sleep For chronic exhaustionsuch as he was suffering froman entirely different prescription is needed What is reuired here is a change in the persons complete ecologya change in energy intake and outflow Chronic exhaustion is muchlikely to be mostly caused by a blocked energy flow than it is by a lack of energy The tiredness is generally a result of a lack of available energy due to blocked expression channels rather than a result of a lack of energy in the organism At one point in our talks Sydney said to me Its true that taking it easy does not restore my energy even after months of it I just gettired I guess one trouble with doing nothing is that you cant stop and rest As we worked on and explored this area it became increasingly plain that he had lost the context and meaning of his life Starting out in the heart of the Depression and coming from a poor family he had focused his whole being on business He had loved it and brought to it a high drive and a high ethical standard It had been the center of his existence and gave him purpose a sense of himself and a reason to get Medication Errors: The Nursing Experience (Real Nursing) up in the morning Without this nothing had any real meaning for him He felt that he could have borne any other loss and still after a time at any rate gone on with his Travaux Pratiques : Préparations galénique. Préparations magistrales usual zest and enthusiasm I gave him the great speech of Shakespeares Othello to read Othello has just come to the conclusion that the most meaningful thing in his life his relationship with Desdemona was lost and that she had been Medicines management for nursing practice: Pharmacology, Patient Safety, And Procedures unfaithful to him He says that if he had been wounded Dosage Calculations, 9th edition unjustly accused of crimes imprisoned lost his position as general or any other thingYet I could bear that too well wellBut there where I have garnerd Pharmacie galénique, BP (Cahiers du préparateur en pharmacie) up my heart Where either I must live or bear no lifeThe fountain from the which my current runs Or else dries Manuel du preparateur en pharmacie : a l'usage des eleves-preparateurs, preparateurs, étudiants en p up To be disgarded thence Sydney read it over once line by line getting the meaning Then he read it again with deep feeling When you lose what is real for you he said nothing else matters very much You might as well be deadPsychotherapist Lawrence LeShan has worked with cancer patients forthan thirty five years and his research has led people with cancer to find new effective ways to fight for their lives He has put his findings full of meaning and purpose into this revised edition that shows how psychological change along with medical treatment mobilizes a compromised immune system for healing Included is a life transforming workbook of hands on exercises designed to help readers evaluate their inner selves and teach them how to get the most out of their immune systems by leading fuller richer lives.

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Free download Æ PDF, eBook or Kindle ePUB ç Lawrence LeShan Lawrence LeShan ç 6 characters characters Cancer As a Turning Point: A Handbook for People with Cancer, Their Families, and Health Professionals ò PDF, eBook or Kindle ePUB What kind of life would you be living if you adjusted the world to yourself instead ofas most patients generally have doneadjusting yourself to the world What kind of life and lifestyle would make you glad to get up in the morning and glad to go to bed at night These are uestions Dr LeShan asks his patients in order to open their eyes to make a difference in their livesand their cancer treatment His methods get impressive results over the past thirty years approximately half of his patients with poor prognoses have experienced long term remission and are still alive Nearly all dramatically improved their emotional state and uality of life This revised edition of Dr LeShans groundbreaking book shows how you can start to change your life for the betterright nowWRENCE LESHAN PHD has been a research and clinical psychologist forthan half a century A graduate of William and Mary he is the author ofthan a dozen books including You Can Fight for Your Life Emotional Factors in the Treatment of Cancer and The Mechanic and the Gardener How to Use the Holistic Revolution in MedicineSO BY LAWRENCE LESHAN The Psychosomatic Aspects of Neoplastic Disease coedited with David KissenCounseling the Dying with Jackson Bowers and KnightYou Can Fight for Your Life Emotional Factorsin the Treatment of Cancer The Mechanic and the Gardener How to Usethe Holistic Revolution in Medicine How to Meditate The Medium the Mystic and the Physicist Alternate Realities The Science of the Paranormal The Last Frontier Einsteins Space and Van Goghs Sky with Henry MargenauThe Dilemma of Psychology The Psychology of WarLAWRENCE LESHAN PhDNCERAS ATURNINGPOINT A Handbook for Peoplewith Cancer Their Familiesand Health ProfessionalsREVISED EDITIONACKNOWLEDGMENTSI wish to express my deep gratitude to Frederick Ayer II for his long support of this work Without him this book would not have been possible I owe a profound debt to the people with cancer who taught me all that I know over these last thirty five years My appreciation also to the increasing number of therapists all over the world who are using this approachId also like to pay tribute to my wife Eda LeShan who shared the joys and pains of this adventure and whose contributions to this book are very greatEFACE TO THEREVISED EDITIONThe second edition of Cancer as a Turning Point has been revised to include a special section of paper and pencil exercises These are ways to evaluate where you are now in your life and to find new ways in which you might wish to change I suggest you read the first three chapters of the book then the workbook and as you read the rest of the book start doing the workbook exercises according to their instructions This has been a helpful process for many people However if you feel that a different procedure would be better for you such as reading the entire book first by all means follow itLittle new material about research in the field has been added to this new edition The reason for this is that the books primary purposeto help individuals with cancer mobilize their own self healing abilities and bring them to the aid of their medical programis still as much on the cutting edge of our knowledge as it was when the book was first published in I have added a few new case histories that help to make clear that the critical change needed to stimulate the immune system is an inner change There must be a change in ones fundamental attitude toward oneselftoward a strong belief that you are worth fighting for and taking care of as a special uniue person with your own special ways of being relating and creatingThe best of the new research that has appeared in recent years has presented results pointing out that psychological factors do play a part in how and when people become sick and how their immune systems function when they are sick Psychological factors are certainly only one part of the processno one makes themselves sick by how they behave or feel Other factors such as heredity and the physical environment play a major role as well It is important to remember that you are not responsible for becoming ill and you are not responsible for your recovery What you are responsible for once you are ill is to do your best to get better This means getting the best medical treatment possible and changing your life so that your inner healing abilities will be stimulated at the highest level possible I wish you the best in this endeavorEFACEThose closely involved with cancerpatients families friends health professionalsvery rarely have information in one crucial area how to mobilize the patients self healing abilities and bring them to the aid of the medical programThis state of the art handbook gathers for the first time in one place the known information on this subject The book comes out of a thirty five year research project involving several thousand people with cancer It is designed to teach those with the illness and their families friends physicians clergymen and psychotherapists how to use psychological change to help heal the patients compromised immune systemI believe a serious problem has arisen in recent years Despite professional background in associated areas some individuals have a very limited knowledge of the field and have interpreted this approach as one that blames the patient for the illness They say that in addition to the anxiety and pain of cancer a new guilt has been addedguilt arising from a false idea guilt that is an intolerable load for the patientThese critics talk complete nonsense Thoughts and feelings do not cause cancer and cannot cure cancer But they are one factor and an important one in the total ecology that makes up a human being Feelings affect body chemistry which affects the development or regression of a tumor just as body chemistry affects feelings The emerging science related to the nature of the immune system has merely reinforced the belief that certain kinds of stress lower the ability of the bodys chemistry to withstand disease There is as William James once remarked no clear dividing line between a persons philosophy and physiology between mind and body All the different aspects of a person interact with and influence each otherWhat we have learned is that the immune system is strongly affected by feelings and that taking certain kinds of psychological action can affect the immune system positively Sometimes this makes a crucial difference in how well the medical program works To put it in other words there are certain psychological steps people with cancer can take to increase their self healing and self repair abilities and bring thesestrongly to the aid of the medical program Whether or not this will make a crucial difference in a patients return to health depends on the total situation including such factors as genetic endowment and the life experiences the person has had since birthIn this approach the patient is not blamed in any way for the cancer Anyone who even hints that the person with cancer is responsible for getting it and or for not getting better is not only the rankest amateur and should be completely ignored but is setting in motion confusion anxiety and anger at the self And those who hint that this approach increases the guilt of the patient simply do not know what they are talking aboutWhile there is still much to learn about the subject we do know one additional fact the same psychological approach that leads to the fullest effectiveness of the immune system is the approach that leads to the fullest and richest lifeboth during the time a person has cancer and afterwardThe form of this book has been strongly influenced by my experience in five or six dozen seminars on the subject that I have given over the past twenty years These were from one to three days in length and each included fifty to one hundred participants For the first five years I did two kinds of seminars one for cancer patients and their families and the other for health professionals Then by mistake a seminar notice was poorly worded and the group that showed up was half patients and family members and half health professionals working in the cancer field I found this out ten minutes before the meeting started My anxiety level hit record heights Not knowing what else to do I announced to the group that part of the time I planned to work with them as if they were all people with cancer and the rest of the time as if they were all professionals in the field For all concerned the seminar was the best and most exciting that I had ever givenSince then I have used this format wherever possible and judging by the reactions of the people involved it has been highly successful Because of this rewarding experience in mixed seminars I decided the only way to write this book was for a mixed audience as wellYou will find that in any specific section of this book I may bedirectly addressing the patient the family member or the professional This is deliberate We do not live in a vacuum The heart of the modern holistic approach is that all levels of a persons being their physical psychological spiritual aspects their relationships and their environment are important and none can be ignored without peril It is only by approaching the problem of cancer from the viewpoint of the person who has the illness of the family and of the health professional that we can see how to best mobilize the healing and self healing resources available so that the medical program can be most fully effectiveThis is not mere speculation Over and over again I have seen one of two things happen when the total environment of the person with cancer is mobilized for life and his or her inner ecology is thereby changed in a positive way For some the patients life is prolonged not in an arbitrary way but in order that there may beexperience of the self self recognition and the recognitionand often fulfillmentof dreams And then there were the genuine miraclesnot magic but dedicated devotion and hard work which made the cancer a turning point in the persons life rather than a sign of its ending Thewe learn about human biology and psychology thewe learn about how to change and improve the uality and ambience of life both internal and external thethis second result may become commonplace That surely is the hope of this bookTHIRTY FIVE YEARS OF MIND BODY CANCER RESEARCH let me speak to you regarding the things of which you must most beware To get angry and shout at times pleases me for this will keep up your natural heat but what displeases me is your being grieved and taking all matters to heart For it is this as the whole of physic teaches which destroys our bodythan any other cause Letter written byMAESTRO LORENZO SASSOLI a physicianto a patient in Maria was a Brazilian physician who loved her work as a pediatrician Her husband was an electrical engineer who wanted only to be a poet He hated his field of work at which he was actually uite successful professionally Their twin daughters aged fifteen and a half when I first saw Maria were apparently of very high artistic caliber Both wanted to be actresses and had already had minor parts on the stage in small theatersWhen the daughters were ten their talent was recognized by a well known theatrical director It crystallized Marias decision to leave the Rio de Janeiro she loved so much and emigrate to London where her daughters could receive the best education in the theater and where her husband could devote himself full time to his poetry She told me she had not been back home since her arrival in EnglandMaria could not however find work in London as a pediatrician that would bring in the necessary income for the needs of her family The position she had been promised failed to materialize at the last momentShe was offered a position with an adeuate financial return in an oncology partnership where she would deal chiefly with children and young people suffering from the childhood leukemias Wilms tumors and so on She disliked the work intensely but continued it in order to support her husband and daughters She also hated London and constantly missed Rio where she had grown up She described with enthusiasm and gusto the lovely beaches the gentle climate the easygoing and tolerant attitudes of the people the striking architecture and the friends she had had there I always felt at home wherever I was in the city Every street felt like my own living room She even missed speaking in her own language she told me rather shylyAt the age of forty eight she noticed a lump in her breast She did nothing about this for over a year By the time she had it examined by a professional colleague it had grown several times larger The diagnosis was adenocarcinoma of the breast In her and her colleagues opinion the metastases were too widespread for surgery to be an option A course of chemotherapy was decided on but everyone agreed that the prognosis was very poorI was speaking at her hospital in London during this period and afterward she asked me for a professional appointment We talked for an hour about her history and about her hopes and fears for the future She saw no possibility of work that she would enjoy of living where she would like to or of a life that would make her glad and excited to get out of bed in the morning Her husband and her children were very happy with their lives and she was successful enough to enable them to continue it Rather brutally because I felt I had to shock her into taking some action on her own behalf I asked her how she planned to continue supporting them in the style to which they had grown accustomed after she was in the cemetery as her cancer prognosis was so poor She looked completely defeated After a long pause she said I know I cant do it any I had hoped that you would know a road for me Her s.

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  • Format Kindle
  • 271
  • Cancer As a Turning Point: A Handbook for People with Cancer, Their Families, and Health Professionals
  • Lawrence LeShan
  • Anglais
  • 20 March 2020
  • null