Shattered Illusions

 
“When you realize that the pity, the sorrow, is directed at you, it hurts. It's just another sign that you've crossed the line into another world. I was always used to feeling the pity, not receiving it.”
 
 

We're not victims. I might have used that word before, but reading all of your e-mails, it's clear that we — and by "we," I mean people with cancer and our loved ones — we are much more than that. I've talked before about how strange it is to have cancer, but not show it. One woman wrote in with something that stuck with me. She, too, said she doesn't look like a cancer patient. She wrote, "In this world, I can pretend to be normal and healthy. In the world of hospitals, those illusions are shattered."

I know exactly what she means. When I sit in the chemo waiting area, I wonder what people think when they pass by. "Is he a patient? Family member? He doesn't look sick." But then I realize that there are subtle clues, or not so subtle ones, that I now recognize in an instant in other patients. If you've had blood taken, somewhere — an arm, a hand — you'll have a little bit of cotton covered by tape. If you're having scans or some sort of procedure, you'll have a wristband with a bar code on it. Makes you feel a little like an item in a grocery store checkout. Those are all reminders to us, and to others, of just why we're there. I can spot a cancer patient across a room now. I wonder if they see the same thing when they look at me.

There's a very subtle contest that goes on in hospitals. I'm not sure that "contest" is the right word, but I don't know how else to describe it. Who's worse off? Or, if you're a cup half-full kind of person, who's better off? You can see it in the eyes of other patients and their families. They size up other patients pretty quickly, and then look away just as quickly. Is that person better, or worse off, than my patient?

Now, if you're a visitor to the hospital, you've probably done the same thing. Maybe you feel pity, maybe relief, maybe sorrow. But until you've been a contestant, it doesn't really mean much. When you see that pity, that relief, that sorrow, in the eyes of people looking at you, then it becomes painful.

You want to scream, "I'm OK!" "I'm not that sick!" "I'll get better!" I got pretty good at the game myself. As you are wheeled around the corridors of the hospital, on your way to this test or that one, you pass a lot of people. There's a lot of waiting in hospitals — it's called "hospital time." That MRI scheduled for noon? You'll be lucky to be in there by 4:00. And a lot of the time, you're just parked in the hallways to wait.

Shortly after my brain surgery, I was on a gurney on my way to some sort of test. My bandage was off, and the scar and the line of staples were there in plain sight. As I was wheeled down a corridor, I passed two women sitting together, clearly waiting for a patient.

As I rolled past these two women, I saw their eyes. They saw my head, reacted, their eyes wider for an instant, and then they looked away. I could almost feel their relief. "Thank God he's not ours" is what I saw in their faces. And I probably do the same thing, too, although with a little more understanding of what I'm seeing. But almost everyone looks away quickly, like they have been caught looking at a dirty magazine. You don't want to stare.

But when you realize that the pity, the sorrow, is directed at you, it hurts. It's just another sign that you've crossed the line into another world.

I was always used to feeling the pity, not receiving it.

 

Comments (Send a comment)

Hello Mr. Sievers, I have listened to you on NPR and I have agonized about reaching out to you at the risk of coming off self serving, but I feel I must tell you about Tahitian Noni Juice because it saved my life and the life of countless others who were afflicted with this scourge called cancer. I am a gynecologist who has been using this juice for years to treat my own prostate cancer very successfully and would urge you to give it a try. I am also a Noni distributor in the last year. I urge you to check out the website at www.tni.com. Check the testimonials. I hope you will find a reason to try this juice, it can't hurt and it may cure you. I recommend that you drink 8 ounces three times a day for the state you're in now.

Sent by Eric Buffong | 12:02 PM ET | 07-07-2006

As a recent breast cancer patient I have been drawn to your blog. I found that, like having children or losing a parent, being treated for cancer is an experience we all think we know something about but when you go through it yourself you realize that you never truly had a clue what it is like.

This sizing up thing, for example, is a pervasive aspect of the whole experience. It happened to me constantly with healthy people, especially women. I got used to the fact that the first question out of their mouths was often "do you have a family history?" I could see their minds working, trying to establish that they were not like that poor sucker with cancer. Since I was that poor sucker with cancer, this was no fun. (No family history, I would tell them, sorry.)

The sizing up within cancer world is a different dynamic because on the one hand there is a sense of shared community but on the other hand we do comfort ourselves with the distinctions. I was generally the youngest person receiving chemo at my oncologists, often the youngest by a mile. Perhaps this is paranoia but I felt in the looks a sense of "she's so young, the poor thing." But of course I was thinking how much sicker some of the other folks looked, so it works both ways.

Sent by Deborah | 12:31 PM ET | 07-07-2006

I tried never to feel like a victim, but became quickly aware of the pity and surprise in other people's eyes when they learned of my diagnosis. It was like I'd been touched by death and they were afraid they would catch it too. The pity didn't just extend to me, but also to my family. They all reacted in different ways. My 11-year old son chose not to tell anyone at his school, he didn't want people to feel sorry for him or to define him as the boy whose mom has cancer. We respected his wishes, but made the school administration aware of the problem at home. My other children at another school chose to share the news. My husband shared very little with the people around him. Who was right in sharing? Who was wrong in sharing? It was whatever was right for them. A certain number of folks were hurt to be excluded, but most were respectful. Some people are gifted with a natural inclination to offer support without intruding. I envy them their ability to uplift others and to be able to help with mere words.

I have to rant on "hospital time," there is nothing as frustrating as when your life has been taken over by the disease to have to wait for hours for tests or simple procedures that take only minutes. It contributes to the out-of-control feeling your life assumes. Surely, they can plan and schedule better. It's assumed by all that since you have cancer you'll wait gratefully and you do, like submissive cattle in a chute.

Sent by Chris | 12:34 PM ET | 07-07-2006

Leroy, Thank you for posting some of my comments, you made me feel special, seriously. I read your blog everyday, I missed yesterday, I was in the hospital, believe me, not a planned visit either, but I caught up today. I was supposed to have outpatient surgery, a porta cath inserted, but due to a screw-up by my surgeon he poked my lung, I had to stay overnight. I get very angry lately, I can't help it, I can't deal with incompetence. This was supposed to be a simple deal, I had one 10 years ago, no problem, but what made it worse, the surgeon acted like he did nothing wrong, it just happened. Well, I let him have it. I told him how can I trust you to do my major surgery down the road, if you can't even do this simple procedure? He didn't even come to talk to me until the next day; he sent all his flunkies to see me. He finally talked to me and he tried to reassure me that he was very capable of doing the major surgery. Eventually I told him that I forgave him, but he shouldn't have hid from me. I know that being angry at all the stupidity and incompetence I witness in the hospital and doctor staff is not helping me but how do I deal with this in a calm manner? I'm 61 years old, is it my age? I never used to be so angry? How do you deal with it? I'm sure you've seen your share of it? I'm waiting now to go to the radiation doctor to get mapped out for my future treatments with radiation as well as upcoming chemo. You are my inspiration Leroy, as well as a lot of other readers out there. Keep up your wonderful, positive attitude, and I will try to do so too.

Sent by Ruth White | 12:43 PM ET | 07-07-2006

(I am new to this web site and column, so bear with me.)

I am going through so many emotions as I have read the columns. I am 43 years old, and have just been diagnosed with advanced breast cancer. My surgery is scheduled in 2 weeks, and if the surgeon called me tonight, I'd run to the hospital for the surgery. I don't know what my tumor staging is or if this ugly disease has reared its tentacled web to other parts of my body until the tumor is surgically removed. All I know is the tumor is fairly large and it is cancer.

I am happily married and I am falling more in love with him every day, as he has stated that he is my emotional bodyguard. y heart breaks for my two children, ages 13 and 10. I will fight like a tiger and pray like a soldier going off to war, because this is a war that is fought personally and affects everyone who loves me.

I am also a hospice nurse.

During my twenty plus years of nursing, I experienced and witnessed so much courage, love, fear and sheer awe about the ravages of disease on the human body and spirit.

As I have worked these last two years in hospice, a theme would emerge weekly. For example, similar diagnoses or similar questions by families, or sometimes, my questions about life, disease, human fraility or the human condition would emerge, and I would contemplate these great questions of this life. I learned many things about myself and, of course, about the human spirit.

I remember one theme was,"Why me?" I concluded that if I did become seriously ill, what makes me think I'm so special that I am above the human condition?! (Gee, I'm glad I worked through that prior to my cancer diagnosis!) I love being a nurse—-working to help patients and their families to be comfortable, safe, educated re: their disease, and nurtured in spirit, able to laugh, teaching them how to communicate with their physicians and navigate the health care system, to name a few things. Now I am at the mercy of my fellow nurses,and physcians, and I am proud and confident of the love and knowledge that they give in their daily fight against the disease and in providing great care.

I have always realized that life can be fleeting and every moment [needs to be] treasured, but know that it also tastes sweeter.

Thank you for allowing me this outlet.

Lynn

Sent by Lynn B. | 12:44 PM ET | 07-07-2006

Since I was diagnosed with cancer in August of 2005 (wow, almost a year), life has changed in almost unimaginable ways. I was so naive. On some level I thought I'd never get something like cancer and really that I wouldn't die until I was ready. I'm not ready! Nor is anyone saying I'm going to die today. I'm a glass half-full kind of girl, so I'll start with the idea that having cancer has given me a perspective on life that I believe couldn't have come to me any other way. I simply wouldn't and couldn't have gone there by myself. The other truth is that I was always the "pity giver," NEVER the getter. Although my life has had moments that certainly would have qualified to have a bit of pity or sorrow thrown my way, I would not have any of it. I would not and could not be that person. But really, who did I think I was? So different and separate from all of humanity? The answer to that was "yes," I was different. It has taken getting cancer for me to realize that I'm not any different from anyone else. All the smoke and mirrors around what we look like and who pretend to be really doesn't matter so much. Don't get me wrong, I'm a 40 year old woman who still has issues with vanity. I don't like what treatment does to us physically. I felt fine one day and the next week in order to survive I allowed a treatment that made me feel and look sick. Not easy to take. My favorite "pity" story was about a nurse on the surgical floor. I had surgery for a colostomy. It was about three days after surgery when what actually happened to me began to sink in and I though "how am I ever going to live with this?" The nurse came in to empty the bag. The smell was putrid and I began to cry. This was a teaching hospital, so I had an audience. She looked down at me with her big puppy dog eyes and said "poor girl" and kept staring at me. I then responded with "if you have no further business, could you just leave?" I really wanted to scratch her eyeballs out. I was so angry!!! However, what I've come to realize since then is that I wasn't mad at her. I was her! I was mad at life and the crappy hand I'd been dealt. I was mad that I didn't know how to accept other people's emotions, especially when I didn't like them. But, the most powerful lesson I learned was to forgive. Forgive her for not knowing what to do. Forgive myself for having been just like that at times in my life. still don't like the pity, but it makes me fight even harder. I do like that I know how to love and forgive in a way never revealed to me until now. Leroy, your columns are beautiful and honest and unifying. It's true we are in another world and what I've had to go through to earn the price of admission was pretty high. Today I feel grateful that I can read your entry and really understand. That it isn't just something I gloss over and say to myself "you poor boy." I am honored to know your sadness, vanity, joy and love. Thank you for sharing yourself with the world and me.

Missy

Sent by Missy | 12:48 PM ET | 07-07-2006

Here is a story idea. It involves the impact of words. In my case, following a routine colonoscopy, they found something "of concern." What does that mean? They then called it a "polyp," that sounded innocent enough - especially when the "biopsy" came back "benign." Later they called it a "tumor," which sounded scary. Next came the onerous word when they called it a "mass." None of these words made a whole lot of sense until the next step. Finally, after beating around the bush for weeks, they called it by its rightful and more accurate name: "cancer." Life has never been the same since, documented well by your daily blogs.

Sent by Jim Lewis | 1:40 PM ET | 07-07-2006

I have never written to someone I heard on the radio or replied to a blog. I doubt my ability to express myself coherently and my writing ability. I am one of those behind-the-scenes people — which explains my first statement and my career. I am a cancer registrar, the person who records all of the ins and outs of the cancer patients? diagnosis and treatment at an institution. No, I am not your registrar, but I know who probably keeps tabs on you at JHH. Your writing so moves me. Every day I see the cold hard facts in the records I keep. You are so right, there is nothing very hopeful about them. There are days that I just want to cry. The day that you see someone you know get diagnosed with a terminal cancer when they think nothing is wrong. I got the pathology report with the diagnosis a day before they knew — I held their death sentence in my hands. When I read what you write I feel the emotions of all of the cancer patient?s records that I touch. Thank you for giving them a voice. I write to you on a Monday, the day I check the papers for the obituaries, yes, we have to record that information too. Since we live nearby, I am sure one day I will sadly see yours too, but know that your memory and message will live on, you have touched my life deeply and many other lives as well. Thank you. I am sending this now, without re-reading it because if I do not, I will lose the courage to send it, so forgive any typos.

Sent by Sarah Sherman-VanDeventer | 1:48 PM ET | 07-10-2006

Yes, the pitying looks were really quite unbearable for a while. As a 40-year old single mother of two girls, I'm convinced that they were a combination of "She's so young for that!" and "There but for the grace of God go I."

Although I have been cancer-free for three years now, people still ask me if I'm okay with a wide-eyed look as though they might be the one to glean that something further has gone awry.

I never much liked doctors or hospitals before, but now I really shy away for two reasons: they bring all the bad memories back, and Im really afraid to hear what they might find.

Cancer is a lesson. Hard-learned, but nevertheless, a continuing lesson in concentrating on the positives in life.

Sent by Robin Lilly | 9:41 AM ET | 07-11-2006

Truly a miracle. You are the most optimistis person that I have ever heard. You are not like other people who always spend time saying "Why me."

I have learned a lot from you, too. For example I should take notice of my health, and I also need regular exercise or balanced food. [Furthermore], I will face my problems in a positive way. I will not just look on the bad side. Just as the old saying "As you face the sun, the shadow is behind you."

I will be [in] vigil for your recovery. I really think that will happen. "God will help ones who help themselves." I truly believe so.

Sent by Danny | 11:54 AM ET | 07-16-2006

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My Cancer will be updated Monday through Friday with posts and commentaries from Leroy Sievers. A journalist for more than 25 years, Leroy has worked at CBS News and ABC News, where he was the executive producer at Nightline. You can follow his story through this blog, his weekly podcast and his monthly series on Morning Edition.

 
 

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