Saturday, July 25, 2009

Thoughts, doctors and patients

I was encourage by a friend today to blog about my current situation. I was diagnosed on pathology, meaning on examination of the tissue, after my thyroglossal duct cyst removal with papillary carcinoma. Thyroid cancer. I have since had a partial neck dissection and removal of my thyroid. I had 2 lymph nodes with cancer involvement.

People ask me if it is better or worse to be a doctor and go through this; my answer is both. I see a lot of bad things happen to people, it's just the nature of the job. I figure, pessimistically of coarse, that bad things happen to everyone. So when the call came my first thought was "well this is my bad thing", but then my next thought is "wait, that's cancer!". When I went to have an ultrasound of my neck to see if there was anything more involvement then the tissue already removed, the instant I saw the big lymph node on the screen, I started to get scared. When the endocrinologist who did the procedure looked at tissue from the lymph node and declared it thyroid tissue, everyone in the room knew that it was cancer, she didn't have to say it, there is no other reason for thyroid tissue to be in a lymph node other then cancer. My family kept saying "so when you get the results back you'll know" While it's true that we were waiting for official results from the pathologist, I knew it wasn't going to change anything. That's the problem with being a doctor, you can't shield the patient.

The good part is while it still is scary that I have thyroid cancer, it could be a lot worse. Not all cancers are created equal, some are a lllllooooottttt worse then others. Papillary carcinoma, as far as things go, is really on the good side of things. It's hard to explain to those around me that "I'm going to be fine" really means "I'm going to be fine". I say that with all of the medical statistics behind me. Papillary carcinoma has a 99% 20 year survival rate. That is fantastic. I will still have to constantly be checked to see if it is recurring, but really I'm going to be fine. I know that but those around me don't necessarily understand it and look at me like I'm dying.

Still it was very helpful when a college shared his personal experience with a different type of cancer, he didn't offer any advise, just shared. It's hard not to know what I want people to say and I'm sure it's hard to not know what to say.

1 comment:

DrSax said...

I guess I was the friend who encouraged you to blog when we talked at yoga on Saturday. It's so difficult to put yourself in someones elses shoes (or mind) so I won't even try that. Giving advise is sort of dicey, too. I have seen and know so many people go through life traumas since I started doing yoga about ten years ago that I've been able at least to make some observations and conclusions relating to the practice. It seems to be at least one important element in helping people heal whether physically or psychologically. I think there has to be a multiple approach to any healing process and the people I've talked to have counted yoga as one of those important healing elements. I've had a health issue for the past couple of months and I've found that sticking with yoga has helped me stay centered while all these other treatments were taking place. Somehow it just makes you feel better about yourself and more positive about the eventual outcome. Anyhow, those are my thoughts and of course I'm always holding a positive thought for you and a complete recovery. Mike