Skip to content
  • About
  • Contact
  • Contribute
  • My Book
  • Careers
  • Podcast
  • Transcripts
  • Speaking
KevinMD
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • My Book
    • Careers
    • Podcast
    • Transcripts
    • Speaking
KevinMD
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • My Book
    • Careers
    • Podcast
    • Transcripts
    • Speaking
  • About Kevin Pho, MD, Founder of KevinMD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Custom enhanced author page pricing
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • 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
  • Upgrade to the KevinMD enhanced author page

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 and 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

  • Why I say no during a cosmetic surgery consultation

    Richard V. Balikian, MD
  • The generalist physician hiding in every specialist

    Farid Sabet-Sharghi, MD
  • Why pediatric direct primary care belongs at the door

    Trey Williams, MD, MBA
  • How relationships affect health, seen from the exam room

    Shiv K. Goel, MD
  • Knowing when to stop treatment is medicine’s quiet burden

    Beatrice Preti, MD
  • Oncology grief is the price of caring deeply for patients

    Rachel Jin, MD
  • Most Popular

  • Past Week

    • The case for an AI-native health care platform

      Brian Hudes, MD | Health Technology
    • EMR errors get blamed on physicians, not systems

      Dennis Hursh, Esq | Health Policy
    • Why doctors burn out connecting with patients, and how to fix it [PODCAST]

      The Podcast by KevinMD | Podcast
    • AI bias in health care reads the writer, not the symptom

      Craig Hauben, MPA | Health Technology
    • How Becerra and Hilton differ on California health care

      Kayvan Haddadan, MD | Health Policy
    • Rural health care delivery is not a coverage problem

      Vance Alm, MD | Physician
  • Past 6 Months

    • The MCAT requirement persists as a norm, not as a tool

      Aniruth Ananthanarayanan | Medical Education
    • Polycystic ovary syndrome is more than ovarian

      Oluyemisi Famuyiwa, MD | Conditions and Diseases
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • DOT ruling protects peanut allergies but not eggs, sesame, or milk [PODCAST]

      The Podcast by KevinMD | Podcast
    • Telemedicine as a career, not a side gig

      AIR Physician Academy | Physician
    • Social media told her to abort her Turner syndrome baby

      Stephanie Waggel, MD | Conditions and Diseases
  • Recent Posts

    • Why doctors burn out connecting with patients, and how to fix it [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why I say no during a cosmetic surgery consultation

      Richard V. Balikian, MD | Physician
    • The generalist physician hiding in every specialist

      Farid Sabet-Sharghi, MD | Physician
    • Post-traumatic growth is not just cognitive reframing

      Josette Pelatan, PhD | Conditions and Diseases
    • Vaccine hesitancy is a language problem, not just science

      Lindsey Sachs, Lauren Brick, and Vijay Rajput, MD | Conditions and Diseases
    • Why acts of kindness make you measurably happier

      Kayvan Haddadan, MD | Conditions and Diseases

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

    • The case for an AI-native health care platform

      Brian Hudes, MD | Health Technology
    • EMR errors get blamed on physicians, not systems

      Dennis Hursh, Esq | Health Policy
    • Why doctors burn out connecting with patients, and how to fix it [PODCAST]

      The Podcast by KevinMD | Podcast
    • AI bias in health care reads the writer, not the symptom

      Craig Hauben, MPA | Health Technology
    • How Becerra and Hilton differ on California health care

      Kayvan Haddadan, MD | Health Policy
    • Rural health care delivery is not a coverage problem

      Vance Alm, MD | Physician
  • Past 6 Months

    • The MCAT requirement persists as a norm, not as a tool

      Aniruth Ananthanarayanan | Medical Education
    • Polycystic ovary syndrome is more than ovarian

      Oluyemisi Famuyiwa, MD | Conditions and Diseases
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • DOT ruling protects peanut allergies but not eggs, sesame, or milk [PODCAST]

      The Podcast by KevinMD | Podcast
    • Telemedicine as a career, not a side gig

      AIR Physician Academy | Physician
    • Social media told her to abort her Turner syndrome baby

      Stephanie Waggel, MD | Conditions and Diseases
  • Recent Posts

    • Why doctors burn out connecting with patients, and how to fix it [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why I say no during a cosmetic surgery consultation

      Richard V. Balikian, MD | Physician
    • The generalist physician hiding in every specialist

      Farid Sabet-Sharghi, MD | Physician
    • Post-traumatic growth is not just cognitive reframing

      Josette Pelatan, PhD | Conditions and Diseases
    • Vaccine hesitancy is a language problem, not just science

      Lindsey Sachs, Lauren Brick, and Vijay Rajput, MD | Conditions and Diseases
    • Why acts of kindness make you measurably happier

      Kayvan Haddadan, MD | Conditions and Diseases

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...