The rewards of being a physician

You know, sometimes medicine sucks, particularly oncology. Oh, it’s not so bad for surgeons, particularly breast surgeons, because we can cure many of the patients we operate on. But for solid tumor oncologists, who deal with diseases that current medicine can’t cure but only palliate day in and day out can, if you don’t get adequate rewards for it, be soul-crushing. (That’s one reason that I ultimately went into surgical oncology rather than medical oncology; I found I just wasn’t cut out to deal with the kinds of patients medical oncologists do.) Those of us in academics do it for a lot less money than most private practitioners, and we’re expected to do research and compete successfully for outside grant funding.

Some days, I, like many, am seriously tempted to chuck it all and going to work in an E.R. somewhere week and doing shift work the rest of my life at 40 hours a week (weeks like this last one, for instance).

Then, via Bora, I find out about a story like this:

DURHAM, N.C. — For three years, Ara Everett has been treated for Stage 4 breast cancer and a brain tumor. But she has survived longer than she and her family ever expected.

They give the credit to Dr. Heather Shaw, an oncologist at Duke University Medical Center.
Everett’s daughter, Erica Green, wrote to NBC17 to ask Triangle Wishes to honor Shaw and the medical staff that have provided such personal care for her mother.

“How do you say thank you to doctors, the people that save your life?” Green wrote in her e-mail. “We hear all of the bad stuff about doctors these days. It’s time to thank them for the awesome work they do to benefit so many.”

Triangle Wishes arranged for Piper’s Tavern to provide a luncheon for Shaw and the Oncology Department staff at the Duke Medical Center.

“We just wanted to say, from the appointment coordinators who greet her and see her standing, struggling and say, ‘Sit down, Ms. Everett, we got it,’ to the nurses that whisk her back and take care of her and bring her crackers and soda if they see she’s jittery to Dr. Shaw and all the surgeons, we just really wanted to say thank you to everybody in a big way,” Green said.

“I think the doctor was truly touched by it, and it was really nice to be a part of it,” said Dan Hurley, of Piper’s Tavern.

Video can be found here.

I have just two short thoughts. First, there is no reward greater than knowing you have saved the life of a fellow human being. It may seem to be a thankless job many times, but what other job lets you have this sort of an impact on the life of a fellow human being? My other thought is that this story puts a human face on the disease we are working to conquer. I’ve pointed out before why physician-scientists are important and how, even if our grasp of the fine points of molecular biology can’t compare, we think differently about disease, how we understand the human cost by facing it day in and day out, and how we know what the shortcomings are in our current treatments and what’s needed to do better.

That’s because patients like Ara Everett teach us these things.

By Orac

Orac is the nom de blog of a humble surgeon/scientist who has an ego just big enough to delude himself that someone, somewhere might actually give a rodent's posterior about his copious verbal meanderings, but just barely small enough to admit to himself that few probably will. That surgeon is otherwise known as David Gorski.

That this particular surgeon has chosen his nom de blog based on a rather cranky and arrogant computer shaped like a clear box of blinking lights that he originally encountered when he became a fan of a 35 year old British SF television show whose special effects were renowned for their BBC/Doctor Who-style low budget look, but whose stories nonetheless resulted in some of the best, most innovative science fiction ever televised, should tell you nearly all that you need to know about Orac. (That, and the length of the preceding sentence.)

DISCLAIMER:: The various written meanderings here are the opinions of Orac and Orac alone, written on his own time. They should never be construed as representing the opinions of any other person or entity, especially Orac's cancer center, department of surgery, medical school, or university. Also note that Orac is nonpartisan; he is more than willing to criticize the statements of anyone, regardless of of political leanings, if that anyone advocates pseudoscience or quackery. Finally, medical commentary is not to be construed in any way as medical advice.

To contact Orac: [email protected]

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