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Letter Response Paper

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Submitted By titan57
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Dr. Siegel,

As senior editor of the journal Tips for Cancer Patients: Promising Treatments, the editorial board and I have reviewed and decided to accept your article. With our primary audience being cancer patients, your article does a great job of talking in a voice that is encouraging while also giving them hope to continue living. What strengthens your article is how you back up your claims with formal and informal research, adding to the legitimacy of them. Most importantly, the board and I agree that the strongest part of the article was how your ideas can be useful and compatible with today’s cancer treatment.
We liked how you kept everything positive for the patient. One of your best examples of having a positive voice was the story of Harold. He was refusing treatment and didn’t want to live because he was afraid of becoming old and senile like his father. You convinced him that if he could take control of his own life and death, then he didn’t have to become this way. With this encouragement, he was able to accept treatment and live the way he wanted to (p. 23). This is great for cancer patients to hear, as many of them are depressed and just want to give up. It’s great the way you find something important in their lives, capitalize on it, and have the patient use that as their motivation to get better. This can be practical for the people who will be reading this article.
We strongly agree with the way you explained how a doctor should be honest with a patient, without being brutally honest with them. This forms a great doctor-patient relationship, which (as you know) is vital for patient success. This will help the patient believe that what the doctor is doing for him is actually what’s best for him. You explain that when a doctor accepts their patient’s views (though not always agreeing with them), the patient’s belief toward the treatment they are receiving will increase and then they tend to do better. You show this best in the case of Bridget; where you accepted her, then convinced her that chemotherapy and radiation along with God would heal her (p. 53). All of these studies show our audience that if they fully buy in to what the doctor is doing, they will have a better chance at success.
Readers will also be able to apply how to become a successful patient by taking your advice of how to become the exceptional patient. You explain that exceptional patients are the pesky ones who want to know absolutely everything about what is going on with their treatment, but doesn’t always agree with what the doctor wants to do. You back this up with statistical evidence showing that these mislabeled “bad” patients actually have higher killer-T cell counts than ordinary patients. Not just that, but the ten year survival rate of the patients with the “fighting spirit” was 53 percent higher than the patient who responds to the diagnosis with an “I’m hopeless” attitude (p. 25). This positive message that you kept throughout this article was exactly the message we want our audience to walk away with. Another strong study you found related to this was the psychological tests done by Leonard Derogatis. You explained that breast cancer patients who freely expressed the emotions they were feeling lived much longer than those who repressed their emotions (p. 104). This can show our readers that it is ok to express whatever they are feeling, knowing it could help them get better.
Your positive voice was best shown through the hope to live you instilled in the patients. A quote from your article summarizes this, “When a doctor can instill some measure of hope, the healing process sometimes starts even before treatment begins” (p. 43). Giving patients hope puts them into control of their own lives, so they can go out by their own choice.
We liked the analogy you used saying that if the survival rate of a particular disease is 10 percent, you tell all of your patients that they could be a part of that 10 percent and that hope is real in a patient’s mind. You state that the only “false hope” that physicians give is telling the patients that they have to be a part of the 90 percent that doesn’t survive (29). You go on to support your claim with a study done by a psychologist, stating that positive and negative expectations have opposite effects of the concentrations of cortisol and prolactin in the blood. You then go on to describe the effects that this had on the Israeli soldiers, where two groups of soldiers had to march 40 kilometers each. One group was given accurate information, while the other group was given false information. The group that was given the most accurate information fared much better in the march (p.29). By telling this story not only do you support your claims with scientific evidence but put it in a real world scenario. Although many people may not relate to with previous experience, they will be able to understand the meaning of it.
It’s these real world examples that make your article so relevant to modern cancer treatment. By explaining how the brain controls every tissue and organ in the body can put things into perspective for the audience. You support all of your ideas with real stories and with undeniable scientific human anatomy. You show the true power of the mind with its ability to control the immune system through the pituitary gland (p. 67). As the readers know, the immune system is how our body rids itself of cancer. You explain if people take the “living is difficult but desirable”, their immune systems will respond accordingly and keep them alive (p.69).
By giving the readers a background of the power of the mind, you introduce new ideas that can help treat the patients. Some practical examples you gave were telling the patient during surgery that you needed his blood pressure to be lower and then it went to exactly where you wanted it (p. 47). You made another point in the positive effects playing music had during surgery. We felt the most compelling story was that of Harry. After he had no heartbeat, you told him it wasn’t his time and to come on back, then he fully recovered (47). Its stories like this that put your article over the top.
If anesthesiologists can grasp the power of unconscious awareness in patients, patient’s well-being can be improved. As a doctor if you can do something that even has the slightest possibility of helping a patient, then why wouldn’t you? We felt that your ECaP program was pure genius and that hopefully by reading your article, more people will join your program and get all of the help that they deserve.
Overall with you staying positive and giving them hope, your patients and the patients in your stories had unbelievable success. Though your methods don’t follow the social norm, if people can read this and walk away saying “I can beat cancer and nothing can stop me”, our magazine could not ask for anything more.

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