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

A perfect thank you note to an oncologist

James C. Salwitz, MD
Physician
June 26, 2014
Share
Tweet
Share

shutterstock_136156817

I got a letter the other day from a local urologist requesting clearance for a patient of mine to have surgery.  The doctor wanted to know whether there were any contraindications, from the standpoint of the patient’s cancer, such as bleeding, infection or poor wound healing, which would preclude local anesthesia, bilateral incisions, sharp separation, ligation, and electrocauterization of the vasa deferentia.  In other words, could my patient, a 42-year-old survivor of stage IV Hodgkin’s disease, tolerate a vasectomy?

The request bought a smile to my lips.  It was a little silly that the surgeon needed my approval to do a procedure that is so minor that each patient walks in and, sort of, walks out of the office.  The patient is in superb health and has not received chemotherapy for more than a decade.  One look at him and his normal blood work should have been enough.  However, I am happy to be kept in the loop.  The smile came from another thought entirely.

I remembered when my patient was 29-years-old, with bulky Hodgkin’s disease throughout his body, and we were simply hoping that he would be alive in six months for his wedding.  To save his life he needed a laundry list of poisons, with an encyclopedia of side effects.  He was a very sick man, getting very hard therapy. We fully expected he would be sterilized by our treatment.  At the time when we tried to bank his semen, he was so weak that the sperm count was already critically low.  Therefore, we started the fight for his life, not thinking about lives to come.

13 years later, he is without cancer.  Works full time.  Runs five days a week.  He is happily married.  Oh, and I almost forgot.  He is the exhausted father of two boys and one girl, ages 9, 6 and 4.  They were all fathered in the traditional way, au naturel.

Therefore, the smile on my lips is there because the request from the urologist is a wonderful reminder about why it can be so much fun and exciting to be an oncologist.  The perfect thank you note.  A whole family exists because of the work we did: my patient, partners, staff and I.  First steps, holidays, graduations, and romance are a very cool reward for a job well done.

After some thought, I decided to approve the surgery.  I could have made the case that perhaps a vasectomy did not make a lot of sense after working so hard to fix things in the first place.  Perhaps, I thought, he should wait a little longer … after all, you never know what can happen.  Nevertheless, I relented.  I suspected his wife would kill me.

James C. Salwitz is an oncologist who blogs at Sunrise Rounds.

Image credit: Shutterstock.com

Prev

The effect of dropping doctors from Medicare Advantage plans

June 26, 2014 Kevin 28
…
Next

You're doing it wrong: The Paleo diet

June 26, 2014 Kevin 8
…

Tagged as: Oncology/Hematology, Surgery

Post navigation

< Previous Post
The effect of dropping doctors from Medicare Advantage plans
Next Post >
You're doing it wrong: The Paleo diet

ADVERTISEMENT

More by James C. Salwitz, MD

  • Each line on the radiology list is a patient’s line in the sand

    James C. Salwitz, MD
  • The broader mission for hospice care

    James C. Salwitz, MD
  • Is the medical profession at its end?

    James C. Salwitz, MD

More in Physician

  • A step‑by‑step guide to crafting meaningful research questions

    Julian Gendreau, MD
  • How restrictive opioid policies worsen the crisis

    Kayvan Haddadan, MD
  • The dying man who gave me flowers changed how I see care

    Augusta Uwah, MD
  • How market forces fracture millennial physicians’ careers

    Shannon Meron, MD
  • Unity in primary care: Why I believe physicians and NPs/PAs must work together toward the same goal

    Jerina Gani, MD, MPH
  • Guilty until proven innocent? My experience with a state medical board.

    Jeffrey Hatef, Jr., MD
  • Most Popular

  • Past Week

    • Could antibiotics beat heart disease where statins failed?

      Larry Kaskel, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • A psychiatrist’s 20-year journey with ketamine

      Muhamad Aly Rifai, MD | Meds
    • How racism and policy failures shape reproductive health in America

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Education
    • Why GLP‑1 drugs should be covered beyond weight loss

      Rodney Lenfant | Conditions
    • How drug companies profit by inventing diseases

      Martha Rosenberg | Meds
    • How value-based care reshapes kidney disease management for better outcomes [PODCAST]

      The Podcast by KevinMD | Podcast
    • Imagining a career path beyond medicine and its impact

      Hunter Delmoe | Education

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 1 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

    • Could antibiotics beat heart disease where statins failed?

      Larry Kaskel, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • A psychiatrist’s 20-year journey with ketamine

      Muhamad Aly Rifai, MD | Meds
    • How racism and policy failures shape reproductive health in America

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Education
    • Why GLP‑1 drugs should be covered beyond weight loss

      Rodney Lenfant | Conditions
    • How drug companies profit by inventing diseases

      Martha Rosenberg | Meds
    • How value-based care reshapes kidney disease management for better outcomes [PODCAST]

      The Podcast by KevinMD | Podcast
    • Imagining a career path beyond medicine and its impact

      Hunter Delmoe | Education

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

A perfect thank you note to an oncologist
1 comments

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

Loading Comments...