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Caregiving by Men:
A Husband's Perspective
By: Seth B. Goldsmith, Sc.D,. J.D.
The formal diagnosis of ovarian
cancer was confirmed after seven hours of surgery at
Boston’s Brigham and Women’s Hospital. Prior to
receiving that devastating news, we were in the land of
possibilities, probabilities and suspiciousness in large
measure due to the inconclusiveness of blood tests,
ultrasounds and CT scans. Cancer never strikes at a good
time, but for us the surgery occurred at a particularly
poignant moment, July 27, 1969, our twentieth wedding
anniversary.
For the next five and a half years, Sandra and I
struggled with hope, disappointment, fifty hospital
admissions, two other major surgeries, countless minor
procedures, and two changes of physicians. And
throughout these years, until her death on October 13,
1995, we had to function as a family, work, pay bills,
go to school, be effective parents to our two teenage
sons and assist our aging parents and a disabled
sibling—in other words, live life. Additionally, for
significant periods during those years, I became a
caregiver.
In the ten years since Sandra’s passing, I have been
consulted by friends and family who are going through
similar experiences. Most recently, a business colleague
told me that his wife just had surgery for ovarian
cancer and I started sharing with him my observations
about a husband or significant other’s job when a loved
one is stricken with cancer. Those conversations led me
to prepare this article on ten steps for effective
caregiving. While most of my examples are from ovarian
cancer, I think they are applicable across the spectrum
of diseases that make a significant impact on the family
constellation.
STEP #1 EDUCATE YOURSELF
Being an effective caregiver is a proactive job. It is
imperative that the caregiver becomes an expert on the
disease, particularly when the person with the disease
is physically and emotionally drained from the diagnosis
and treatment. This means reading the consumer oriented
literature from the various relevant organizations such
as the National Ovarian Cancer Coalition, The American
Cancer Society or the National Institutes of Health,
plus reading the professional literature.
Some of this literature is available on the general
search engines such as Google or Yahoo, but it is also
useful to try the sites medical professionals use such
as MEDLINE and MEDLARS. In some instances, relevant
articles may only be available as abstracts online so to
read the full text it will be necessary to go to a
hospital or university library. My experience has been
that librarians are exceptionally helpful in assisting
you to acquire virtually any article.
Understanding these articles will be a new challenge.
Initially many of them will, because of their technical
nature, appear to be gibberish. However, within a few
weeks of starting this self-education project the
articles will start making some sense. As important as
the articles themselves might be, knowing whom the
authors are is equally important. The articles will
provide a crucial way of identifying those physicians
who are doing the cutting edge research on the disease.
More on that later!
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