Support for People with Cancer
Cancer patients are at risk of a wide array of medical emergencies that can present under different subspecialties. These may arise either from the direct local effects of their tumours and metastasis on involved tissues or from generalized effects associated with their disease that are popularly known as paraneoplastic syndromes. Because such conditions may require specific emergency treatment, the recognition of these syndromes by clinicians is critical as quite often these emergencies are predictable and can be prevented or adequately managed.

Over the years as Antineoplastic therapy improves allowing longer and meaningful survival for cancer patients, the prompt diagnosis and control of such emergencies will gain a lot of importance. Fortunately many such emergencies (especially metabolic emergencies) can be successfully prevented if one has an index of clinical suspicion.

Living with a serious disease such as cancer is not easy. People may worry about caring for their families, keeping their jobs, or continuing daily activities. Concerns about treatments and managing side effects, hospital stays, and medical bills are also common. Doctors, nurses, and other members of the health care team can answer questions about treatment, working, or other activities. Meeting with a social worker, counselor, or member of the clergy can be helpful to those who want to talk about their feelings or discuss their concerns. Often, a social worker can suggest resources for financial aid, transportation, home care, or emotional support.
Support groups also can help. In these groups, patients or their family members meet with other patients or their families to share what they have learned about coping with the disease and the effects of treatment. Groups may offer support in person, over the telephone, or on the Internet. Patients may want to talk with a member of their health care team about finding a support group.

Here are some supportive help useful to the patients and the nearer ones.

Living With Cancer -- One Day at a Time
Today may be the first day you've had to live with the diagnosis of cancer, or it may be one of many days you have survived this disease. Either way, you have probably found that cancer has changed your life in significant ways.

You must cope with changes in your emotions, your health, your body image, your support system, your whole outlook on life. Yet just as cancer has changed your life, the way you live your life can also change your cancer -- from a monstrous threat to a manageable condition.

Working your way through
Medical advances are leading to new cancer treatments every day. Even with promising breakthroughs, however, cancer is often a chronic illness -- or at least the fear of recurrence is always there. Cancer is something you may have to live with for a long time. This document offers some insights from cancer survivors to help you live with cancer a day at a time.

Build a Support Team. If your diagnosis of cancer is fairly new, the shock of it may leave you emotionally shaky. Ironically, this can be a time when friends and family find it hard to understand your struggles. They may not know what to say or how to react to your intense emotions. In their confusion, they may even avoid you.

Feeling alienated from others during this time is common. But now is not the time to go it alone. Try to remember that your loved ones' emotional equilibrium has been shaken too. Maybe they just don't know how to comfort you. Maybe they don't want to face their own fears about losing you.

Communicating your needs and desires to family and friends can be painstaking work. If you've talked and you're still not feeling "heard," try putting your thoughts in a letter. Often just writing your frustrations can provide relief.

A support group of others with cancer can be a great source of comfort and practical advice. Your local newspaper, hospital, or cancer society are good places to start looking for such a group.

Use Anger to your advantage
Anger, or even rage, is a healthy reaction to the mourning that comes with any serious illness. And as uncomfortible as it may feel, anger can become one of your best assets in life. One observation made in the clinic -- a person's will to fight is almost more important than his or her medical prognosis. Those who appear angry -- ready to fight the disease -- seem to have the best chance of recovery.

After a biopsy revealed malignancy in both breasts, Laura remembers her dispair. "All I could think was that I wouldn't be able to see my little grandson grow up," she says. "Then my reaction change to 'I am going to see Brett grow up.'" That was seven years ago. Laura and her husband look forward to many more years of enjoying life and her grandson.

True, a fighting spirit does not guarantee a cure. But if you are struggling to overcome your anger, maybe it's time instead to channel it into your fight for survival. A mental health professional or pastoral counselor can help you learn how to use all your emotions to your advantage.

With each dose or each crisis, I kept reminding her -- and myself -- that chemo effects would pass and with them the threat of cancer. We fixed our eyes on the goal of remission. The desire to live can overcome a lot of obstacles.

Make Plans
As cancer patients wrestle against the personal threat that the illness presents, life may seem to stand still for them and their loved ones. Others continue to go to school, change jobs, have babies, take vacations. But with tentative feelings about the future, those stricken with cancer may stop living their lives fully. They may even uncounsciously give up.

"Without making plans for a dinner party, a movie night out, or that family reunion, I had nothing to look forward to," says Pete of the darkest time during his chemotherapy for bladder cancer. "Finally I realized that though I was physically and mentally slower, I was able to do many of the things I loved doing before. Making plans gave me a sense of control and hope about my future."

If you haven't set goals lately, do it now. Write down some short-term and longer-term plans. If you've always wanted to learn how to paint, why not investigate that watercolor class today?

When Laura was faced with her mortality, it prompted her to try new things. She and her husband have traveled extensively since her surgery. She also learned how to use a computer and fulfilled her ambition of becoming a published writer. "Since that time, I've done some of the most exciting and creative things of my life," she says.

Survive What is Merely Survivable
Before your cancer diagnosis, you may have had an idealistic version of how you would handle such a crisis. When faced with the challenge of cancer treatment, you may have rsolved not merely to endure, but somehow to breeze through it.

Cancer is an awful disease. Its treatments can be wretched. If you hare just getting in the active phase of therapy, seasoned cancer patients urge you to do only what is necessary to get by. If keeping a positive outlook seems too taxing during the worst of your medical care, give yourself permission to just "be."

Forgive Yourself
Perhaps treatments are just an unpleasant memory but you still wince when you remember your behavior during the ordeal. Or maybe you're feeling responsible for becoming ill in the first place.

If you are displeased with the way you dealt with the past, talk with loved ones and your healthcare professionals. They may be able to give you a more realistic appraisal.

Remember, you wouldn't be reading this now if you were not a surivivor. If you have endured cancer chemotherapy, radiation or surgical treatments, you have a lot to be proud of. This is a good time to forve yourself for being human.

Learn to Reduce Your Stress Level
Pscyhoneuroimmunology is becoming a part of many medical treatments these days. Though the word is large, the concept is simple. It refers to the new scientific field that studies how the mind and emotions affect physical well-being.

Studies have shown that sress, from whatever source, has a detrimental effect on the immune systems. Your best chance of improving your quality of life is by reducing all areas of stress.

Some people find self-hypnosis, guided imagery, or exercise helpful in relaxing. Others find energized when they devote themselves to being of service to those around them. Still others find a consistent program of spiritual meditation or reading gives their lives emotional balance.

Realize How Scary Recovery can be
You're in remission!" Since your diagnosis, you've longed to hear these words. But when the final chemotherapy round is completed and your last doctor visit is scheduled, don't be surprised if you're again flooded with strange feelings.

During treatment, you teamed up with doctors, nurses, therapists and friends who ministered to your physical and emotional needs. Suddently this army of cancer fighters begins to disarm and maybe even to disband. If you're feeling abandoned by your support system, take heart.

When you are in remission, it's natural to experience a sense of loss. One more time you are redefining your role as a patient. Though you will be forever changed by your experiences with this illness, remission is a time to gather your forces and learn a new identity. You are no longer just a cancer patient -- you are a cancer survivor.

Take Heart
On your journey through the experience of cancer, you will inevitably have times when you feel you don't have even an ounce of strength left to get y ourself through the ordeals of that day. When that happens, go ahead and give it all up -- to the faithful God who walks beside you every step of the way. God will give you the strength you need to get through that day...and the next ..and the next ...and the next.

Dr. Madhuchanda Kar can provide information to help patients and their families locate such support and counseling. For more information, please write to her.