TY - CHAP M1 - Book, Section TI - The Angel on My Shoulder A1 - Frumovitz, Michael A1 - Epner, Daniel E. A2 - Epner, Daniel E. PY - 2022 T2 - Empathy: Real Stories to Inspire and Enlighten Busy Clinicians AB - MY PATIENT WAS a 36-year-old woman with recurrent small cell carcinoma of the cervix, an incurable condition. In addition to facing the prospect of death, she also faced the collateral damage that cancer invariably inflicts on its victims’ personal lives. “Who will care for my children?” she asked through sobs. “My husband can't be trusted. He's a no-good drunk and a cheat who can't hold down a job. My parents are divorced and my mother has a bad heart.” Then after a brief pause to consider her seemingly hopeless circumstances, she steeled her resolve and said, “I'm not giving up! I have to be here for my children.” It was late in the afternoon, at the end of a clinic packed with many other patients who faced similarly grave prognoses. I operated that morning from 6:30 until clinic began at noon, so I was fried and desperately needed to finish my work and get home. Yet her plaintive voice droned on, and as it did, the proverbial angel on my shoulder engaged in mortal combat with the devil on my other shoulder. The little angel stood tall and proud as alwaysin his starched white coat, clean-shaven and composed. He said, “Stay calm. Take a breath. Stick with it. Give her a few more minutes.” However, her sobbing showed no signs of abating, so the little devil emerged from his cave and crawled up on my shoulder wearing dirty scrubs and a three-day beard, disheveled, frustrated, and exhausted. He yelled in my ear, “I can't take another minute of this. I need to get out of here before I scream! What does she expect me to do or say about her personal problems?” As I thought about how to respond, I wondered, “What would Dad do in this situation?” SN - PB - McGraw Hill LLC CY - New York, NY Y2 - 2024/04/23 UR - hemonc.mhmedical.com/content.aspx?aid=1190086093 ER -