Swedish News Blog

Grieving and the holidays

Jeffery C. Ward

A cancer doctor is very familiar with the anxious and fearful grief that accompanies a diagnosis of cancer. We are less acquainted with the lonely and empty grief that is experienced by those left behind when our patients die. However, when I wear my hospice medical director hat, I am privy to those struggles, and knowing that the loss of someone close is particularly difficult during the holidays, I have chosen to divert from subjects I am more familiar with and rely on the experts at hospice to help me present a meaningful discourse on grief during the holiday season.

For the bereaved, the joyous holidays trigger emotions of great conflict. Every act of preparing for the holidays, once a time of cheer and anticipation, becomes another stabbing reminder of ones loss. The demands of family and friends, always a bit stressful around Thanksgiving, Hanukkah, Christmas, and New Year, now are overwhelming, both physically and emotionally. Traditions, designed to create love and family unity, now seem empty and may even create divisions among the grieving. Even successful celebration may bring on a deep surge of guilt for enjoying the holiday alone. And those who have no physical or emotional reserves left for thanksgiving or joy making, may feel great pressure to “get on with their life, and join in the fun.”

It has been suggested that the key word in grief is “permission.” The bereaved need permission from themselves, and from family and friends, to grieve as long as necessary and in any way that works, remembering that what works may not always be the same. It means permission to only do what you can. A turkey and all the trimmings may just be too much this year. Eating out may be perfect. Having someone else do dinner may be better yet. 

Permission may also be needed to change some timeworn traditions. It must be recognized that ...

Resources and social support for dealing with cancer

Brian Aylward, BS, CHES

Brian Aylward, BS, CHES
Health Navigator

Here at the Swedish Cancer Institute (SCI), we understand that individuals cope in their own unique ways, and that receiving personalized education and support is important in the healing process. For this reason, the SCI is devoted to providing complementary supportive services for newly diagnosed patients, those undergoing treatment, and those who have completed treatment, as well as their caregivers.

The SCI offers programs that promote education, hope, and healing. Many of these programs are offered free of charge, while others are offered on a sliding scale. These integrated care programs include:

  • American Cancer Society Patient Navigation: The American Cancer Society Patient Navigator helps patients find resources related to financial assistance, transportation, access to wigs and prosthetics, and much more.
  • Art Therapy: Art therapy is a confidential, supportive, and individualized experience for examining health issues through visual and verbal self-exploration.
  • Cancer Rehabilitation: Cancer rehabilitation integrates medical management of cancer treatment-related side effects with a variety of exercise therapies.
  • Health Education: The Swedish Cancer Education Centers offer complementary educational materials, innovative learning opportunities, and patient education classes.
  • Genetic Counseling and Testing: Genetic testing is available for individuals to determine their risk for developing certain cancers.
  • Massage Therapy: Massage therapy may help with cancer-related pain, fatigue and nausea.
  • Naturopathic Medicine: Combining modern science with natural remedies, naturopathic doctors are available for consultation and treat¬ment through coordination with the patient’s oncologist.
  • Nutrition Care Services: Nutritionists are available to help patients and caregivers make healthy dietary choices during cancer treatment.
  • Psychiatry: Psychiatrists help patients and caregivers maintain the emotional and mental well-being needed to cope with stresses of cancer.
  • Oncology Social Work: Licensed oncology social workers provide patients and caregivers ongoing counseling and assistance.
  • Support Groups: Support groups for patients and caregivers are offered weekly, creating an environment for people to share their feelings with others going through similar experiences. 

Patients often hear that it’s important to find a strong support system during and after treatment; this may include a partner, sibling, parent, child or close friend. These are ...

Cancer control and survivorship

Dan Labriola, ND

I recently attended the Southwest Oncology Group (SWOG) meeting, a consortium of research institutions doing clinical trials on cancer. The conference highlighted how new research will remarkably affect cancer survivorship, quality of life (QOL), integrative care and our ability to predict and provide needed services more accurately and with greater cost effectiveness for cancer survivors. The tools for implementing cancer control are evolving quickly.

Here are some highlights from the meeting:

  • Biomarkers, which are any human characteristics that are measurable including everything from gene expression (or over-expression) to pain surveys, can potentially predict long term survival as well as the specific services that will most benefit patients.
  • Symptoms that are increasingly predictable by biomarker assays include fatigue, insomnia, pain, anorexia, nausea, depression and others. This means that we will soon be able to better predict the patients who will be affected by these problems and deliver interventions much earlier and more effectively.
  • Patient satisfaction is frequently not related to treatment outcome. Factors such as QOL and survivorship are important.
  • Lung cancer patients suffer inordinately high, long-term QOL deficits. Many of these respond well to interventions but interventions are frequently not provided to patients with lung cancer.
  • Symptom clusters ...

Swedish Digestive Health Network – call 1-855-411-MYGI (6944)

Debra Cadiente, RN,BC

Debra Cadiente, RN,BC
Nurse Navigator, Swedish Digestive Health Network

In the fall of 2011, Swedish opened the largest, most advanced endoscopy center in the Pacific Northwest. This state-of-the-art unit serves as the procedural space for a broad range of minimally invasive cases performed by gastroenterologists, colorectal specialists, thoracic and bariatric surgeons and pulmonologists on patients with a broad range of digestive and respiratory diseases.  As we celebrated this accomplishment, we were reminded of the complexity of digestive disease and that many times, patients and possibly even referring physicians aren’t sure of what type of specialist is best suited to a particular digestive problem.

There is nothing more distressing as a health care professional than hearing patient horror stories about trying to access care. A chronic illness can cause depression and discouragement; an acute illness or a cancer diagnosis can overwhelm the patient and the patient’s family with plenty of unknowns. 

To address these challenges, a group of 50+ specialists came together and created the Swedish Digestive Health Network.

The Swedish Digestive Health Network focuses on collaboration to ease the way for ...

Neck lump or mass

Namou Kim, MD, FACS

Namou Kim, MD, FACS
Medical Director, Swedish Head & Neck and Reconstructive Surgery

A palpable neck lump in any patient should raise some concern.  In the case of a pediatric patient, the concern may be less, since reactive and infectious nodes in the neck can be fairly common in children.  When a child has a bad episode of pharyngitis, tonsillitis (sore throat), or even a bad cold, the lymph nodes of the neck may react and become enlarged.  In that type of scenario, your doctor should prescribe appropriate antibiotics to resolve the enlarged lymph nodes and follow up to make sure that the nodes have regressed.

Very few pediatric neck masses will end up being concerning.  Besides infectious neck lymph nodes as stated above, some of the other more common causes of pediatric neck mass are congenital cysts.  However, none of the pediatric neck masses should be ignored.  A neck lump that persists for more than a few days should be looked at by a pediatrician.

In the adult population, a neck mass or lump can be much more concerning.  Essentially when an adult patient presents to us with a neck mass, we have to fine the root cause and basically rule out a tumor.  Of course, infectious lymph nodes do happen in the adult patients as well, but it is less common.  Congenital cysts are also much less common in the adult patient. 

The more common causes of a neck mass in the adult patient are ....

Oncology social workers help patients with cancer

Tricia Matteson, MSW, LSWAIC

Tricia Matteson, MSW, LSWAIC
Oncology Social Worker

“What happens if my insurance won’t pay for all of this treatment?”
“How do I tell my young daughter about my cancer?”
“My spouse is really struggling, but I don’t know how to help him.” 
“How will I get to radiation every day if I can’t drive?”
“My friends and family call a lot, but I don’t feel like talking to them”
“I’m scared.”   “I’m angry”   “I’m sad”    “I’m confused”
“What’s a power of attorney…and do I need one?”
“Where can I find out about a support group? ”
“I wish I knew where to turn.”

If you are faced with a diagnosis of cancer, you may be asking similar questions and wondering where to turn for answers.  A good place to start is with an oncology social worker.  Oncology social workers assist with the non-medical issues that often arise when someone is diagnosed with cancer.  We have master’s degrees in social work, and are specially trained to provide counseling and assistance with services that can reduce stress for you and your family through all phases of your cancer diagnosis and treatment.  Social work services are available at the Swedish Cancer Institute at our First Hill, Edmonds, and Issaquah campuses, and are provided at no cost to our patients. 

We can help you:

Second Annual Oral Cancer Walk for Awareness

Allison W. Seamon

Last year marked Seattle’s first oral cancer awareness walk. The Swedish Head and Neck Surgery Clinic was proud to get behind the cause and walk alongside of our patients. The 2012 walk was a great success with about 300 participants and close to $60,000 generated in funds. Next month we hope to surpass that goal by raising $75,000 on September 14, 2013, with the second annual 5K walk for oral cancer awareness. The walk is a fundraising event for the whole family, set to take place at Magnuson Park.

Oral cancer is a type of head and neck cancer that, unfortunately, is on the rise. This is the most common site of cancer in the head and neck. We used to see  ...

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