Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • 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
KevinMD
  • 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
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

Fear, anger, and loss should have burned me out. But it hasn’t.

James C. Salwitz, MD
Physician
December 31, 2015
Share
Tweet
Share

Three decades at cancer’s bedside has taught me about fear. I have seen denial postpone critical diagnosis.   I have watched mistrust and anger yield poor choice. I have fought against terror that spreads malignancy by delaying treatment.  I have shared fury and devastation as horrid growths rip apart bodies, destroy families and end life.

After so many thousands of patients, so many wasted lives, you would think I would have given up. Fear, anger and loss should have burned me out. Have I not accepted that man’s fate is to suffer and die? Cancer wins. We lose.

The opposite is my truth. I have seen the glory that is man. I see great victories, miracles, every day. The courage of patients, friends and families. The sweat, work and brilliance of visionaries, scientists and great physicians. I see stunning breakthroughs and new horizons today and coming so quickly, in tomorrows near. The losses of a career have taught about courage and the infinite ability of man to conquer. The destruction of disease has taught that the enemy of hope is fear.

Once again and always, we face another disease. That societal sickness is the growth of hate. As with cancer, it is fed by fear. As with cancer, it is spread by ignorance. As with cancer, mistrust, and anger result it pathologically horrible decisions destroying dreams, opportunity and lives. Hate is a disgusting, oozing, bleeding, aberrant tissue that kills.

Hate feeds off ignorance. Like a depleted immune system, it grows when fear and confusion open lethal opportunity by suppressing reason, communication and trust. In those vital moments, when those who would choose love and community are too confused or scarred to speak, hate spreads its lethal metastasis. Hate wins. We lose.

However, I have seen the glory that is man, and I know of his courage to fight disease. A cancer found early is weak, flimsy and, deprived of cause and nourishment, no more than a few dead cells under the surgeon’s knife. Such is hate. Dreams, reason and courage, vanquish irrational fear; the spread of hate can be stopped and the horror it threatens, will fade.

When faced with cancerous growth, a healer has a calling and an opportunity to act. If the doctor and patient can overcome fear, and, with trust, work together, there is hope for cure. Faced with cancerous hate, we are called and must act. Sprouting from ignorant anger in a putrid soil of fear, hate grows until it threatens every child, every mother, every father, and every soul. Only if we can overcome hate, is there is hope for life.

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

Image credit: Shutterstock.com

Prev

These are the words medical educators should think about

December 30, 2015 Kevin 0
…
Next

How physicians can curb the prescription opioid epidemic

December 31, 2015 Kevin 11
…

Tagged as: Oncology/Hematology

< Previous Post
These are the words medical educators should think about
Next Post >
How physicians can curb the prescription opioid epidemic

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

Related Posts

  • How social media leads to a loss of creativity

    Edwin Leap, MD
  • This physician is burned out. But not for the reason you think.

    Anonymous
  • The miscalculated fear of an opioid crisis in Haiti

    Kenny Moise, MD
  • In the face of uncertainty, choose hope over fear

    Shreya Kumar
  • A medical student’s biggest fear

    Ariana Trautmann
  • A physician’s addiction to social media

    Amanda Xi, MD

More in Physician

  • Independent medical practice: Why private clinics are essential

    Marcelo Hochman, MD
  • How hindsight bias distorts clinical medicine

    Olumuyiwa Bamgbade, MD
  • Do no harm: Why physician burnout requires bottom-up reform

    Desiree Francis, MD
  • Institutional distrust in health care: Why a doctor lost faith

    Joshua Mirrer, MD
  • Debunking 4 myths about fertility treatments for women of color

    Ilana Ressler, MD
  • Whole-body MRI screening: a radiologist’s guide to preventive scans

    Amit Newatia, MD
  • Most Popular

  • Past Week

    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • Evidence-based medicine vs. clinical judgment: a medical student’s perspective

      Jay Pendyala | Education
    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • When side effects are actually a cry for help with medication costs

      Shuchita Gupta, MD | Physician
    • The hidden math behind physician hiring costs and recruitment

      Timothy Lesaca, MD | Physician
    • The Schism of Time: Bridging the generational gap in the workplace

      Seleipiri Akobo, MD, MPH, MBA | Physician
  • Past 6 Months

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
  • Recent Posts

    • Independent medical practice: Why private clinics are essential

      Marcelo Hochman, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • Do no harm: Why physician burnout requires bottom-up reform

      Desiree Francis, MD | Physician
    • Institutional distrust in health care: Why a doctor lost faith

      Joshua Mirrer, MD | Physician
    • Communicating health to children: a pediatrician’s guide for parents

      Joey Skelton, MD | Conditions
    • Insulin resistance is a survival mechanism, not a broken system [PODCAST]

      The Podcast by KevinMD | Podcast

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

  • Most Popular

  • Past Week

    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • Evidence-based medicine vs. clinical judgment: a medical student’s perspective

      Jay Pendyala | Education
    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • When side effects are actually a cry for help with medication costs

      Shuchita Gupta, MD | Physician
    • The hidden math behind physician hiring costs and recruitment

      Timothy Lesaca, MD | Physician
    • The Schism of Time: Bridging the generational gap in the workplace

      Seleipiri Akobo, MD, MPH, MBA | Physician
  • Past 6 Months

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
  • Recent Posts

    • Independent medical practice: Why private clinics are essential

      Marcelo Hochman, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • Do no harm: Why physician burnout requires bottom-up reform

      Desiree Francis, MD | Physician
    • Institutional distrust in health care: Why a doctor lost faith

      Joshua Mirrer, MD | Physician
    • Communicating health to children: a pediatrician’s guide for parents

      Joey Skelton, MD | Conditions
    • Insulin resistance is a survival mechanism, not a broken system [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Fear, anger, and loss should have burned me out. But it hasn’t.
1 comments

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

Loading Comments...