Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

We often feel at a loss for words when the news is bad

Kate Land, MD
Physician
April 29, 2012
Share
Tweet
Share

Something difficult has unfolded around here lately and when news got out a dear friend came by with a gift of a story. She told us about a day years ago when one neighbor heard the other had breast cancer. The well neighbor was shocked and saddened. She was at a loss and wanted to help; wanted to do something but, what? In a daze but motivated none the less, she grabbed a can of beans from her cupboard (perhaps we should imagine she was reaching for the chocolates?) and headed to her friend’s house. She rang the bell and as the door opened she felt suddenly a bit silly but, with a warm embrace she greeted her friend and said “I have brought you something.”

When those around us are suffering, when the news is bad, we often feel at a loss for words.  Or worry we will say the wrong things. And, all too often we do. I sat by the fire Sunday night talking about what people say and do in these moments. Some feel compelled to tell you their story.  When my brother-in-law committed suicide a few years back his brother had to endure story after story of other similar deaths. How painful for him to have to stand there suddenly supporting rather than being supported! Or, people would say how horrible it was that his brother had done this to him. Rather than lamenting how much pain his brother must have had to quietly suffer before death!

When I shared my recent news with a friend  she blurted out a question that was so absurd as to deserve my favorite of all snap comebacks: “Oh my! You actually said that out loud! You must be so embarrassed.” I of course did not think that fast and simply answered the hurtful question. Another friend of mine recently lost both of her beloved grandparents in the same month. She received many comments about how they had lived a long life implying perhaps that it was okay that they had died. Instead for her, the loss was stark and biting – not easier somehow because she had lived all these years with their love.

These examples brought me to think of an article I read last summer. In “You Look Great and Other Lies” Bruce Feiler writes well of “Six Things You Should Never Say to a Friend (or Relative or Colleague) Who’s Sick. And Four Things You Can Always Say.” It is absolutely worth a read. The tip that most sticks in my mind (perhaps because it seemed such a natural thing to say) is that it is hurtful to hear, “You look great!” As if it is all about looks?

In the spirit of Mr. Feiler’s article and in the spirit of knowing that all of us mean well and want to say the right words let me add a few tips:

  • Learn to be comfortable with a moment of silence. As a physician and as a person who likes to gab I have had to cultivate this skill. When confronting uncomfortable topics many of us have a tendency to start talking – immediately and fast. Instead, pause, breathe and count to ten. While you do you can gather your thoughts and the person you are with may have a chance to tell you more.
  • Simplicity is best. The briefest responses are often the most powerful. Try “My heart goes out to you” or “I love you and wish you did not have to face this.” Best yet for me was “I have faith in you.”

And, don’t forget Feiler’s tip: don’t ask, “How can I help?” There are few people who want to ask for help and in a crisis, few who know what help they need. Instead – just figure out how to help on your own. Bring dinner. Call on your way to the grocery store to ask for their shopping list. Send a note. Or, if all else fails you … bring a can of beans. Your support will be priceless.

Kate Land is a pediatrician who blogs at mdmommusings.

Submit a guest post and be heard on social media’s leading physician voice.

Prev

Patient advocates need to manage expectations

April 29, 2012 Kevin 9
…
Next

Health care needs the Lollipop man

April 29, 2012 Kevin 0
…

Tagged as: Primary Care

Post navigation

< Previous Post
Patient advocates need to manage expectations
Next Post >
Health care needs the Lollipop man

ADVERTISEMENT

More by Kate Land, MD

  • a desk with keyboard and ipad with the kevinmd logo

    Doctors should never treat their families: Easier said than done

    Kate Land, MD
  • a desk with keyboard and ipad with the kevinmd logo

    The words we choose can have impact on those we interact with

    Kate Land, MD
  • a desk with keyboard and ipad with the kevinmd logo

    A model patient in physical exam class

    Kate Land, MD

More in Physician

  • Physician grief and patient loss: Navigating the emotional toll of medicine

    Francisco M. Torres, MD
  • Is primary care becoming a triage station?

    J. Leonard Lichtenfeld, MD
  • Violence against physicians and the role of empathy

    Dr. R.N. Supreeth
  • Finding meaning in medicine through the lens of Scarlet Begonias

    Arthur Lazarus, MD, MBA
  • Profit vs. patients in the U.S. health care system

    Banu Symington, MD
  • Why medicine needs military-style leadership and reconnaissance

    Ronald L. Lindsay, MD
  • Most Popular

  • Past Week

    • Psychiatrists are physicians: a key distinction

      Farid Sabet-Sharghi, MD | Physician
    • The loss of community pharmacy expertise

      Muhammad Abdullah Khan | Conditions
    • Is primary care becoming a triage station?

      J. Leonard Lichtenfeld, MD | Physician
    • Sibling advice for surviving the medical school marathon [PODCAST]

      The Podcast by KevinMD | Podcast
    • What is a loving organization?

      Apurv Gupta, MD, MPH & Kim Downey, PT & Michael Mantell, PhD | Conditions
    • What is vulnerability in leadership?

      Paul B. Hofmann, DrPH, MPH | Conditions
  • Past 6 Months

    • Direct primary care in low-income markets

      Dana Y. Lujan, MBA | Policy
    • Psychiatrists are physicians: a key distinction

      Farid Sabet-Sharghi, MD | Physician
    • Patient modesty in health care matters

      Misty Roberts | Conditions
    • The U.S. gastroenterologist shortage explained

      Brian Hudes, MD | Physician
    • The Silicon Valley primary care doctor shortage

      George F. Smith, MD | Physician
    • California’s opioid policy hypocrisy

      Kayvan Haddadan, MD | Conditions
  • Recent Posts

    • Leadership buy-in is the key to preventing burnout [PODCAST]

      The Podcast by KevinMD | Podcast
    • A daughter’s reflection on life, death, and pancreatic cancer

      Debbie Moore-Black, RN | Conditions
    • What to do if your lab results are borderline

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Direct primary care limitations for complex patients

      Zoe M. Crawford, LCSW | Conditions
    • Understanding the unseen role of back-to-school diagnostics [PODCAST]

      The Podcast by KevinMD | Podcast
    • Public violence as a health system failure and mental health signal

      Gerald Kuo | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 4 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Psychiatrists are physicians: a key distinction

      Farid Sabet-Sharghi, MD | Physician
    • The loss of community pharmacy expertise

      Muhammad Abdullah Khan | Conditions
    • Is primary care becoming a triage station?

      J. Leonard Lichtenfeld, MD | Physician
    • Sibling advice for surviving the medical school marathon [PODCAST]

      The Podcast by KevinMD | Podcast
    • What is a loving organization?

      Apurv Gupta, MD, MPH & Kim Downey, PT & Michael Mantell, PhD | Conditions
    • What is vulnerability in leadership?

      Paul B. Hofmann, DrPH, MPH | Conditions
  • Past 6 Months

    • Direct primary care in low-income markets

      Dana Y. Lujan, MBA | Policy
    • Psychiatrists are physicians: a key distinction

      Farid Sabet-Sharghi, MD | Physician
    • Patient modesty in health care matters

      Misty Roberts | Conditions
    • The U.S. gastroenterologist shortage explained

      Brian Hudes, MD | Physician
    • The Silicon Valley primary care doctor shortage

      George F. Smith, MD | Physician
    • California’s opioid policy hypocrisy

      Kayvan Haddadan, MD | Conditions
  • Recent Posts

    • Leadership buy-in is the key to preventing burnout [PODCAST]

      The Podcast by KevinMD | Podcast
    • A daughter’s reflection on life, death, and pancreatic cancer

      Debbie Moore-Black, RN | Conditions
    • What to do if your lab results are borderline

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Direct primary care limitations for complex patients

      Zoe M. Crawford, LCSW | Conditions
    • Understanding the unseen role of back-to-school diagnostics [PODCAST]

      The Podcast by KevinMD | Podcast
    • Public violence as a health system failure and mental health signal

      Gerald Kuo | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

We often feel at a loss for words when the news is bad
4 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...