From time to time, we will be posting guest commentaries by patients who have become part of our compassionate care community. Our first post is by Nila Webster, a licensed massage therapist and children’s book author who was diagnosed with advanced lung cancer last summer. Below is her story about the impact that compassionate care has had on her life and health. The following excerpt and illustration by George Ulrich are from her children’s book, The Gift of You, The Gift of Me.
Thank you for life
And death
And life again
For the seed of hope
Born of each sad end
The Healing Patient-Caregiver Relationship
Most cancer patients remember vividly the moment of their diagnosis, and this is true for me as well. Yet even in the frenetic surroundings of the emergency room, I felt a surge of interior calm when I met the oncologist on call. His gift was not only his medical knowledge, but also his sense of humanity. He took a difficult moment, and he offered solidarity and hope.
In the year since my diagnosis, I have met many caring nurses and doctors whose acts of kindness have fortified me. I truly believe, as Ken Schwartz did, that a caregiver’s humanity can be more healing than high-dose radiation and chemotherapy.
My first year was one of many meaningful encounters. There was the anesthesiologist whose words “You are really motivated” became a central part of my treatment plan. On difficult days, his words would resound in my mind, encouraging me to move forward. There was the young radiologist who performed by first lung tap, and who later, pro bono, offered to review scans with me on a high resolution monitor because he saw how important this was to the mind-body approach I was taking. There was the pre-op nurse who said with a conviction that went right through me, “Picture your lung re-expanding during your surgical procedure.” When my lung did fully expand, I knew the nurse’s words were part of that recovery.
And too, there was also the surgeon who observed that my tumor had shrunk even before I had started chemotherapy. I was so surprised by this news, and so happy, that I said, almost to myself, “I’ve been talking to the tumor, asking it to get smaller.” Even though this was a direct expression of my belief that meditation is a pathway to good health, I realized how strange my words might sound. Yet the surgeon’s response captured the essence of the patient-doctor relationship. He said, “Whatever you’re doing, you’re doing something right. We need to learn from you.”
Of all the statements made to me during that first year, this remains the most profound. When doctors are open to their patients, the power dynamic shifts to one where both parties acknowledge the wisdom of the other. There is room for true partnership, no matter where the diagnosis might lead. The surgeon’s words have come back to me during this past year, reminding me that far from being a passive bystander, I am an integral part of the treatment plan and all the healing that flows from it.
I have a wish for all of the caregivers whose tireless efforts make a difference in the lives of their patients. My wish is that they take the time to replenish and restore themselves, to experience the relaxation response documented by Dr. Herbert Benson and cardiac coherence (the synchronization of the rhythm of breathing to the rhythm of the heart) advanced by Dr. David Servan-Schrieber, and to find an oasis of serenity. May this time be that of pure healing, that as they fortify others, they too are fortified.





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28 comments:
Very moving. This is a very clear example of how important the patient and care giver relationship is. I am an RN and want to thank you for sharing this story.
What a forceful story of the healing benefits of strong patient and caregiver relationships! And isn't it impressive that this patient, while dealing with her own diagnosis, thinks to encourage caregivers to replenish and restore themselves with the relaxation response and cardiac coherence!
A most inspiring real life story!
Sensitively captures the pain of dispair without direct comment and focuses on the need for a higher order of experience....an awesome teachable moment
It was wonderful to hear from Nila Webster. She is a wonderful friend and has influenced and impacted my life by her courage and humanity. Almost 27 years ago when my son was only 6 months old I was diagnosed with breast caner. those are the moments you never forget. I said "I can't have cancer I have a baby". Anyway he will be 27 week after next. And I am so grateful for the doctors that were in my l ife, treated me and gave me hope and courage whether by a smile or just some simple support that meant the world at the time. I have never forgotten them. Everything is so heightened at a time like that, so every word and smil and bits of encouragement mean the world.
Nila,
Your words are powerful. I am an RN who has cared for those with Cancer for 29 years. It is the patients who touch my life as you have described the care team touching yours. We are all in this together, each one important in ways that we may never know. Thank you for sharing this.
Paula
I attended a medical conference where Nila Webster talked about the importance of doctor-patient relationships, and it was met with a standing ovation. This response showed me that the medical community is embracing the message of compassionate care, and this makes all the difference for patients.
Nila, You are an inspiration and a gift in so many people's lives, including mine. The essence of your message--taking the lead role in our health and healing--is critical and I so appreciate your sharing your experience.
Nila,
Your experience of tapping into the power of the mind-body connection is such a refreshing approach to healing. In my own experience with health care providers, as when I had a C-section and my newborn son needed surgery the next day, I find that what lingers is indeed the moments of personal connection, support, and reassurance-- not false hope, but genuine caring and compassion. I believe these are undervalued elements of the patient-caregiver relationship and treatment. I hope all caregivers will become more attuned to the input of their patients and more focused on the individual needs and interactions that can play an important role in providing medical care. Thank you for sharing a part of your story--your perspective is truly inspiring.
Nila- your gift, not only as a wonderful author and writer, now includes being a true "motivator" and "healer" in your own right, as you are helping so many others with your words of kindness and encouragement, and have clearly helped caregivers see how patients can be a powerful "weapon" in their own treatment.
nila,
you are a true gift to the world. over the past 20 years, i have learned so much from your wisdom and caring. i have also enjoyed your wonderful books and poems. you inspire me to do great things for others and yes, you are my hero!
all my love and of course only the best energy the world has to offer as you give so much to others.
patty
Nila,
Because of your efforts and that of other like-minded people, the world of medicine will be changed profoundly in the future.
Patients will take responsibility for their healing, utilizing every possible form of allowing their minds to help the healing process. And health care professionals will begin to value the relationship of mind/body through healing touch, and true partnership with the patient.
We, as a planet, must continue to embrace and accept the power of the spoken word, as well as the mind, in order to live the fullest, healthiest lives possible.
This eloquently captures the potential for true partnership in healing between provider and patient, and the power that partnership has to facilitate healing on a deep level. It provides help and hope to patients by showing them how they can be an integral part of their healing process. It also provides inspiration to caregivers to nurture their own sense of humanity, by showing them that the words that flow from their mouths and the compassion that flows from their hearts is indeed powerful medicine. Thank you. Nila, for teaching us all through the wisdom gained from your courageous journey.
Nila proves that the despite the curves that life throws our way what a difference possessing a positive outlook and having caring support can make. Thanks, Nila, you made my day!
Nila - For your courage on a thorny road, and your modeling of compassion and generosity to members of a profession whose lives and skills can only be improved from learning from your example.
Very recently, I lost a beloved sister-in-law to cancer and I'm deeply touched by this insightful reflection written by my good friend Nila Webster. Cancer patients are indeed encouraged and uplifted by the well chosen words of oncologists and oncology nurses, as well as by the wide ranging medical community with whom they may come in contact. Active listening skills are equally meaningful, when the patient is treated with respect, as truly an important participant in the healing process. My brother marveled that the nurses were so skilled in knowing just the questions to ask, questions he would never have considered asking,questions that invited my sister-in-law to open up and really share how she was feeling. There is immense power that resides in our words--power to build up tear down.
Sometimes these same conversations are heartbreaking, especially when it comes to treatment decisions. Weighing quality of life versus what medicine is a personal decision quite possibly helped by listening with the heart.
I salute the tenacity of so many loyal and compassionate caregivers, as well as the strength and courage they offer cancer patients. Such open attitudes encourage family members, too.
Nila Webster is truly fortunate to have encountered such compassionate, caring doctors. Would that her experience were more common. But maybe I should be more optimistic. Perhaps the field of medicine is starting to realize that profits, efficiency, and high-tech treatments are not all they are cracked up to be. Let's hope that other healthcare workers will read Ms. Webster's essay and realize that kindness and warmth can go a long way toward healing the patient.
This essay articulates the most important point for caregivers and patients and that is of partnership. Like the surgeon said, there is much to learn from patients. Compassion is among the greatest immune boosters.
These are great examples of how compassionate care helps a patient do better.
I also agree with Nila. Compassionate care should be an integral part of any treatment. It should truly be a partnership between the doctor and patient. I believe there is room for science and faith. Faith need not be an organized religion. It just needs to be the belief that there is another way to health than just popping pills or chemo. The restoration benefit of meditation can be just as powerful. I look forward to the day when complementary treatmeats are utilized side-by-side with conventional medicine, where touch is just as important as any medicine given.
Thank you, Nila, for a beautiful story. I hope you continue on your path to recovery.
This struck a chord in me, causing me to reflect on my own experiences. Caregiving begins in the simplest ways: with eye contact, a head nod, a hand shake. If the initial greeting of a patient is done with kindness, it can make a difference in the quality of care.
Caregivers have a daunting responsibility to be forthright, affable and genius in their chosen fields, and as patients, we rely on their expertise. Patients should surround themselves with caregivers who support them, put their diagnosis in perspective, and echo etched mantras in their minds, nourishing the power of positive thinking, with compassion being the "seeds of hope."
So many of us have been touched by cancer, either directly as Nila Webster has been, or on a different level of intimacy through a loved one’s diagnosis. Nila’s words here, so mindful in outlook, so rich with resolution, remind us of the doubtless, as yet untold powers of gratitude — of ongoing, fully embodied thanksgiving — powers which can effect change not only in the world around us but within our actual bodies. I join her in thanking all the oncologists at work every day in those chambers where healing happens, where humanity, peace, and acceptance are found. And thank you, Nila, for opening your experience to all of us.
Those must be in a way where we can learn lessons and benefits from the stories.Either its success or loosing story but all must be those stories from we may learn the lessons.
Franchises
As a physician, I feel that it is so important to hear how positive and healing a patient-caregiver relationship can be. Nila speaks of her longing for personal connections with those charged with helping her fight her cancer. She recounts how simple acts and words of kindness, thoughtful listening, and meaningful dialogue can change the entire landscape of the medical experience. Nila's words affirm the power of empathy and compassion. She earnestly seeks to use her dignosis as an opportunity to educate the medical community, and to encourage all of us to participate actively in our health care. With the clarity of her words and openness of her heart, Nila shares a pathway to healing that extends beyond the illness, addiction or trauma. Thank you.
Nila- thank you for illuminating the mutual compassion, respect, and care that contribute to the best decision making, integrity, and healing. As an RN, I deeply appreciate your wisdom, spirituality, and mind-body focus. All the best to you.
Nila Webster's words illuminate the extreme importance of a physician's words and attitude. The doctors' motto, "First, do no harm," has been unfortunately transgressed many a time, unwittingly, by doctors who used their words in an unwise or simply unaware fashion during a patient visit. Often, a physician will feel that the only harm that may be done is the harm of offering the wrong diagnosis or treatment (or lack thereof). Nila's post shows that words can help or harm, in and of themselves. Doctors may literally assist the patient's own healing process by choosing their words with compassion, wisdom, and a spirit of encouragement and hope...Brava to Nila for helping to show the way to the power of the doctor's words to effect healing!
I've been a nurse for over twenty years and it is so helpful to read these specific examples of how we can make a difference for our patients, through simple acts of caring and being truly concerned. I love to hear stories like this.
The need for compassionate care cannot be overstated. Every day, doctors, nurses and other providers have the chance to make a difference in the lives of patients through words of kindness and through a basic disposition of care. When I received news of a serious chronic condition, what I remember most is that the doctor who told me seemed genuinely concerned. This gave me the strength to go on. It gave me a sense of purpose and connection that may seem outside the boundaries of medicine, but is actually integral. I like the idea of a "true partnership" and am glad to say I have found it.
Dear Nila: thank you for eloquently expressing a subtle and profound truth. In the mere three months since I received a diagnosis of stage 4 lung cancer (with tumors riddling my spine and hips), I have experienced firsthand the truth of your words. I also want to say that, having entered into an email correspondence with you (that you initiated), you also embody another truth: the healing power of patients sharing their compassion and love and care with each other, as you have done with me. Sending you, and everyone on this thread, all my love and best wishes.
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