What are some ways that you manage the emotional stress that comes from working with children with retinoblastoma?
I am dealing with a life-threatening malignancy that can possibly blind a child. It can be emotionally stressful to know that every move I make counts toward saving a child’s life. I manage this stress in three ways. First, with confidence. I tell families that we know the appropriate therapeutic moves to make and we know we can win. I remind my patients and myself of the top treatment priority—to save the child’s life. It is a bonus if we can save the child’s eye and vision. In 50% of cases, however, we are fortunate to give the child excellent vision. Second, I am always aware of the dignity of the patient and their family. It does not matter if the family is without funds or insurance, or if they are royalty. I keep in mind that these are real people living real lives, and I must honor them. Third, I feel so lucky that I have seven happy and healthy children. I feel that because I am so lucky I owe this to society. I am willing to take on the stress; I can handle it. In spite of the