| Joined: Jul 2010 Posts: 95 Supporting Member (50+ posts) | OP Supporting Member (50+ posts) Joined: Jul 2010 Posts: 95 | Anger may be part of the coping mechanisms with cancer. There are several stages in the process of coping with this reality. The first stage is Denial and Isolation, than Anger, followed by Depression, and finally there is Acceptance. Some people get �stuck� at a certain stage such as Depression, or Anger. It is important to move on and get to the final stage of acceptance and hope. Dealing with the cancer emotionally is one of the most difficult problems that a head and neck cancer patient has to face. The challenges of life in the shadow of cancer make it hard to accept. The inability or difficulty to speak make it difficult to express emotions and can lead to isolation. The social stigma associated with admitting a pshycological problem makes it difficult to reach and treat many individuals that need therapy. Surgical cure is not enough and there should be more emphasize about mental well being after surgery or medical treatment. This is why professional help and understanding and help by family and friends are very important. Getting psychological counseling for the patient and his/her caregiver(s) is very important. I Brook MD Blog Site: http://dribrook.blogspot.com | | | | Joined: Jun 2007 Posts: 5,260 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 5,260 | I have yet to get mad or upset at anyone or anything except a couple of Drs that are know it alls. When it comes to intelligent, I classify them as being dumber in the head than a mule is in the ASS. Life goes on anyway.
Since posting this. UPMC, Pittsburgh, Oct 2011 until Jan. I averaged about 2 to 3 surgeries a week there. w Can't have jaw made as bone is deteroriating steaily that is left in jaw. Mersa is to blame. Feeding tube . Had trach for 4mos. Got it out April. --- Passed away 5/14/14, will be greatly missed by everyone here
| | | | Joined: Mar 2008 Posts: 3,082 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Mar 2008 Posts: 3,082 | Nice discussion Doc, albeit somewhat redundant of your most recent post. I'm skeptical of the specificity of the "Stages" theories (popularized in 1969 by Elizabeth Kubler-Ross' Death and Dying). Her Denial, Anger, Bargaining, Depression & Acceptance have achieved mythic status without any real scientific support. It was refreshing to read the 2007 JAMA (Journal of American Medicine) article :An Empirical Examination of the Stage Theory of Grief which found that [quote]Counter to stage theory, disbelief was not the initial, dominant grief indicator. Acceptance was the most frequently endorsed item and yearning was the dominant negative grief indicator from 1 to 24 months postloss. [/quote] The full abstract is here: JAMA -stages of grief I realize this is a hot button issue as evident from the study's Yale author's emphatic reply to criticisms: [quote]In Reply: The stage theory of grief has captured the imaginations of clinicians and the public. Despite its recognized limitations (eg, that it will not predict exactly how every bereaved person will grieve), it remains taught in medical schools, posted on authoritative Web sites (eg, National Cancer Institute),1 and continues to guide thinking about bereavement for many clinicians, educators, and researchers. Although several reviews have concluded that this theory has no support, our study represents the first empirical test of the stage theory. We are aware of no previous study that used the necessary grief measures or the analytic strategy to explicitly test the stage theory of grief.[/quote] If you want practical examples of Why are We Angry - you can take a look at the most viewed thread on the entire OCF web site : Don't you Just Hate It When... with almost 43 Thousand views (disclaimer:okay, I started that thread and continue to acclaim it so I'm biased). Of course as EZJim noted, one of our major complaints are the same attitudes of the doctors that you so eloquently skewered in your e-book. Your discussion of how they disregarded you and treated you rings true for many of us. Myself, I'm going with a much simpler paradigm: you need to fully mourn the life that you lost and then accept the life that you are really living now. Charm 65 yr Old Frack Stage IV BOT T3N2M0 HPV 16+ 2007:72GY IMRT(40) 8 ERBITUX No PEG 2008:CANCER BACK Salvage Surgery 25GY-CyberKnife(5) 3 Carboplatin Apaghia /G button 2012: CANCER BACK -left tonsilar fossa 40GY-CyberKnife(5) 3 Carboplatin Passed away 4-29-13
| | | | Joined: Jan 2009 Posts: 1,844 Patient Advocate (1000+ posts) | Patient Advocate (1000+ posts) Joined: Jan 2009 Posts: 1,844 | lol Charm, we so think alike...and read the same articles as I was going to point out the contention of the Kubler-Ross model. Apparently the good Dr here hasn't read George Bonanno, professor of clinical psychology at Columbia University. According to his book and other major studies supported by NIH, NIMH and the National Science Foundation over 20 years showed that the stages of grief didn't exist. Now I have to say, I dislike medical professionals..sorry Doc, no offense, but most of them can't see past their medical degrees. All but a small minority actually look at their patients as anything more then the disease or condition they are treating. But apparently I have anger issues and suffer from depression so what do I know 
Young Frack, SCC T4N2M0, Cisplatin,35+ rads,ND, RT Mandiblectomy w fibular free flap, facial paralysis, "He who has a "why" to live can bear with almost any "how"." -Nietzche "WARNING" PG-13 due to Sarcasm & WAY too much attitude, interact at your own risk.
| | | | Joined: Nov 2010 Posts: 36 "OCF Canuck" Contributing Member (25+ posts) | "OCF Canuck" Contributing Member (25+ posts) Joined: Nov 2010 Posts: 36 |
55 yrs, Female, smoked for 4 yrs 35 yrs. ago, SCC right underside tongue and floor of mouth, laser surgery took 1/3 tongue Aug 2010, 3 weeks later in Sept right neck dissection 40 nodes removed with 1microscopic spot in one node. No chemo or radiation.
| | | | Joined: Jun 2007 Posts: 10,507 Likes: 7 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 10,507 Likes: 7 | Charm, sorry to burst your bubble. Your post 'Don't you Just Hate It' is the second most read post on OCF. The most read post on OCF has a little over 85,000 views. It was titled 'ChristineB', it was about my fight last year and the never ending hospital stay. ChristineSCC 6/15/07 L chk & by L molar both Stag I, age44 2x cispltn-35 IMRT end 9/27/07 -65 lbs in 2 mo, no caregvr Clear PET 1/08 4/4/08 recur L chk Stag I surg 4/16/08 clr marg 215 HBO dives 3/09 teeth out, trismus 7/2/09 recur, Stg IV 8/24/09 trach, ND, mandiblctmy 3wks medicly inducd coma 2 mo xtended hospital stay, ICU & burn unit PICC line IV antibx 8 mo 10/4/10, 2/14/11 reconst surg OC 3x in 3 years very happy to be alive | | | | Joined: Feb 2007 Posts: 1,940 "OCF across the pond" Patient Advocate (1000+ posts) | "OCF across the pond" Patient Advocate (1000+ posts) Joined: Feb 2007 Posts: 1,940 | Having read thousands of posts over the last four years i conclude that all such research is crap.No two people react the same to a cancer diagnosis or a death sentance.Thats my conclusion.
Liz in the UK
Husband Robin aged 44 years Dx 8th Dec 2006 poorly differentiated SCC tongue with met to neck T1N2cM0 Surgery and Radiation.Finished TX April 2007 Recurrence June/07 died July 29th/07.
Never take your eye off the ball, it may just smack you in the mouth.
| | | | Joined: Nov 2006 Posts: 2,671 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Nov 2006 Posts: 2,671 | Liz - I like your conclusion. And your candor. Very refreshing.
Anne-Marie CG to son, Paul (age 33, non-smoker) SCC Stage 2, Surgery 9/21/06, 1/6 tongue Rt.side removed, +48 lymph nodes neck. IMRTx28 completed 12/19/06. CT scan 7/8/10 Cancer-free! ("spot" on lung from scar tissue related to Pneumonia.)
| | | | Joined: Mar 2008 Posts: 3,082 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Mar 2008 Posts: 3,082 | Christine I couldn't be happier that OCF members viewed your thread the most. With all you do here, despite all you have endured, it's truly just that your eponymous thread is number one. I will immediately cease and desist from claiming primary status. Of course I can't stop O.J. Simpson from joining the OCF forum and continuing his promotion of "We're number two" that he used to do for Avis.  Seriously, we all appreciate you very much Charm 65 yr Old Frack Stage IV BOT T3N2M0 HPV 16+ 2007:72GY IMRT(40) 8 ERBITUX No PEG 2008:CANCER BACK Salvage Surgery 25GY-CyberKnife(5) 3 Carboplatin Apaghia /G button 2012: CANCER BACK -left tonsilar fossa 40GY-CyberKnife(5) 3 Carboplatin Passed away 4-29-13
| | | | Joined: Aug 2008 Posts: 716 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Aug 2008 Posts: 716 | I agree with Cookey, reaction by individuals can vary greatly.
My anger did not last long and I basically blamed myself for not being more diligent leading up to my diagnosis. Which seems all too common with OC, sad but true. Maybe I should have seen a professional but it's not in my genes to do so and I like to believe sooner or later I come to my senses. I do like to reflect on different life matters and when I do that I like to do it my way. Anger has never really been an issue with me...I view it as a waste of time that hinders oneself including hurting those around us. Negativity breeds negativity and that can be dangerous.
Although, I do believe that research and documenting history of anything is extremely important.
Last edited by Ray1971; 11-06-2010 07:22 PM.
7-16-08 age 37@Dx, T3N0M0 SCC 4.778cm tumor, left side of oral tongue, non smoker, casual drinker, I am the 4th in my family to have H&N cancer 8-13-08 left neck dissection and 40% of tongue removed, submandibular salivary gland & 14 nodes clean, no chemo, IMRTx35 11-4-08 Recovering & feeling better | | |
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