But when Becky had recently gone in for a routine physical, her doctor discovered a lump in her throat.
The diagnosis: Becky had cancer. She was frightened and angry. By the time she was referred to me, she
had cut off all communication with family and friends and was completely overwhelmed by the demands
of the doctors, the disease, and the routines of her daily life. The oncologist
had laid out her treatment
options, but making an informed choice seemed like just another burden. Becky was reluctant to see me,
saying: “I just can’t deal with any more doctors’ appointments.” She grudgingly agreed to let me help—
but only if it would take just a few minutes a day.
I asked Becky to tell me her goal for this period of her life. We agreed that her primary goal was to be
rid of the cancer, but since neither of us felt we could control the disease process, I asked her to list two
more. She said, “I want to make the best of each day that I have, and I want to get more chores done.” By
“chores,” she specified doing all the paperwork for her HMO, keeping up with her office job, and
maintaining her house as best she could. Here was a series of challenges that were small relative to the
cancer, but they made a tough time even worse.
I knew that Becky needed help with her chores. She had too much on her plate for even a healthy person
to handle. Becky was excellent at giving help to others but fearful of receiving it, and the more she needed
help, the harder it was to ask for. So we took some small steps toward helping Becky welcome friends
back into her life. Each morning, Becky wrote a list of chores. She put a
star next to each chore with
which she’d like to have assistance and described the specific help she’d like.
This daily listing of the chores kept Becky from sinking into denial and confusion, and the wishful
thinking about the ideal assistance kept her focused on asking for help in a safe manner. In our following
sessions, I did not encourage or suggest that she actually ask friends to help her, but I did compliment her
as the list got more and more creative. The list at first was brief, with items such as “I
wish a friend
would just say, ‘You are so brave’” or “I wish a friend would do my laundry.” Within a week, the list
became more detailed and emotional. “I wish a friend would sit with me while I deal on the phone with
the HMO or fill out their paperwork,” she wrote. “I wish a friend would go to the Wellness Community [a
local support group for people coping with cancer] and find out what it is like. I wish a friend would hold
me when I am crying.”
On her own, Becky slowly began to reconnect with her parents and her closest friends, and the seeds of
the wish list bore fruit. Even when her treatments sapped her energy, she grew calmer and more in control
of her day-to-day life. I saw Becky a few months ago, when the treatments were long over and the cancer
had been in remission for several years. We talked about her health for a while, and then she stopped me.
“Thanks for the gift of kaizen,” she whispered.