“He…did not battle his illness bravely. Nor was he courageous in the face of death,” read the bold, opening paragraph of the obituary for the British journalist. John Diamond, a man almost as famous for his ten-year marriage to celebrity Nigella Lawson as the long and public battle with throat cancer that he lost in March 2001.

Told it the way it was

It was a fitting tribute. Diamond adamantly refused to fight his battle with cancer “bravely” and chose instead to write about his illness, in a raw and unforgiving fashion, in a weekly column for The Times newspaper in London.

Honesty was his only policy, as the quote below the fold reveals.

I despise the set of warlike metaphors that so many apply to cancer. My antipathy has nothing to do with pacifism and everything to do with a hatred for the sort of morality which says that only those who fight hard against their cancer survive it or deserve to survive it - the corollary being that those who lose the fight deserved to do so.

And so it continued throughout the length of his five year illness, ending with an incredibly poignant, final column that everyone must make time to read.

Diamond would have found a kindred soul in Bruce Feiler, a bone cancer survivor, who’s complied an eight-point list for The New York Times on the things that you should and should not say to people who are seriously sick. It’s so good it’s worth sticking on the fridge. 

The biggest crime of all, says Feiler, is telling someone that they “look great”.  Ditto asking, “What can I do to help?” and making a commitment to “pray for them”. 

Offering information on the latest “miracle cure” and demanding constant wellbeing updates are pretty terrible too.

The best visitor brings gossip and titbits from life “outside” the doom and gloom.

Knowing when to say “we should go now” is a massive advantage as well as giving the sick person the opportunity just be “down in the dumps”, when they want to be.

Real emotion is the biggest winner of the day. 

Say things like: “I’m sorry you have to go through this”, “I hate to see you suffer”, or “you mean a lot to me”.

The fact that so few of us do this makes it even more meaningful, Fieler says.

Great advice, right? But just like any great advice, it’s also terrifically hard to put into practice.

Seeing someone you love, sick in hospital, is a huge shock to the system. The tubes, the backless gowns, the fluoro lights that cast a wan light on even the best complexion. Even the plastic cups of warm water throw a right angle on your emotions. Little wonder that we clutch teddy bears and bunches of average flowers, and reach for the nearest available cliché.

But what do we, the people on the outside, in robust health, have to worry about? 

Basically we’re scared because we can’t fix it, says Annie Cantwell-Bartl, a, Honorary Fellow at Melbourne’s Royal Children’s Hospital. Our need to “make it better” for the people we love drives our bad, albeit well-meaning behaviours.

Instead of listening and giving our loved ones space, we panic and prattle off old wives’ tales and mollycoddling of the worst kind.

Cantwell-Bartl says we need to remember that sickness, like most other experiences in life, is personal. Recognise that what the person who is healing has needs that can change on a daily basis. 

“Some people need to shut down [in their illness] but more commonly they are bursting to share how they are feeling with someone who can bear listening to it,” says Cantwell-Bartl.

According to Cantwell-Bartl the key is to be consistent and get to know the needs of the person who is healing. 

Understand when they want to forget their illness, and just get out in the garden, or go for a cup of tea. And learn the importance of letting them vent their fears and frustrations, without saying anything at all.

44 comments

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    • deb says:

      07:13am | 17/06/11

      Well written,sick is sick,not nice at all.I sometimes look back at a time in my life when i had a massive seizure and lost my memory.For two terrible long years i struggled to pretend that i knew who? what and why? Funny thing was that others knew more about me than i did.Even now i have big gaps,holes in my life that i doubt will ever be filled.
      So maybe not a terminal illness but still life changing.My IQ ? a joke these days.Me,who used to read every book i saw now have trouble remembering if i have already read it.
      Saves a lot of trips to the library!

    • Gregg says:

      07:37am | 17/06/11

      The article by John Diamond is a real doosie Lucy and in some ways reveals what is said in
      ” Cantwell-Bartl says we need to remember that sickness, like most other experiences in life, is personal. Recognise that what the person who is healing has needs that can change on a daily basis. “
      It would seem that Diamonds editor may have initially had trouble with the recognition and then I was wondering myself about the chirpiness for a bit as even Diamond admitted he did wander.
      His over-riding message on my gauge is that life is pretty damm good or has been for a few decades and not likely to get any better anytime soon despite digital TV and having a DVD record/play unit that is now useless for the former part and that NBN is hardly to fix, so what we have now we might as well be as happy about as we can for that’s life.

      As for the messages on the fridge, whilst I agree there is strength in
      ” Real emotion is the biggest winner of the day. ” lets also not forget to consider any daily changes.

      I suppose for us robust healthy beings in Australia the best we can hope for is for oir lying PM to get what she deserves and at least that would be eviction from the lodge.

    • Swingdog says:

      08:56am | 17/06/11

      You almost made it, Gregg. Better luck next time. Keep trying.

    • Fiona says:

      12:23pm | 17/06/11

      It was a good post until you brought politics into it.

    • Kate says:

      08:04am | 17/06/11

      For most us the time we start learning what to do and what not to do when our friends and family members face some terrible trial such as cancer is when it happens.

      People who share their experience to provide a guide for others are wonderful. I am lucky enough to have both parents still with us. However, that lack of experience made me fairly useless when a childhood friend lost her Dad. I blew it. Years later my friend was generous with her advice when a second long time friend lost her mum.

      It is so hard to know how to act in such life challenging times without a little guidance. Thanks for the post Lucy.

    • Luce says:

      11:48am | 17/06/11

      With a close family member currently facing such a situation, I am suddenly so much more sensitive to others in the same situation then I ever have been. It’s amazing what a little perspective does..

    • S.L says:

      08:09am | 17/06/11

      A mate from childhood died with bowel cancer in 2000. Because of distance and busy lives we hadn’t seen each other for 10 years but our group knew where everyone was and what we were doing. One day I get a phone call from another mate saying he had cancer and only had 2 weeks to live. I contacted another of our group in Sydney (who I hadn’t seen for nearly as long) and travelled down the next day to pick him up and we travelled up to the Blue Mountains to see our sick mate. Instead of the healthy 5ft 11” 90kg mate I’d last seen 10 years ago all we saw was a skeleton wrapped in skin. His first words when he saw me….....shit you’re going grey!   
      Indeed he lasted only another 2 weeks and all the old faces were at his funeral. I still have his phone number in my mobile, I’ll never delete it.
      Cancer is a terrible disease and I admire John Diamond for writing about his battle like he did.

    • fairsfair says:

      08:16am | 17/06/11

      Great article Luce.

      My family found it easier to just not talk about it. My dad had doctors and my mum to speak to in private, but he last thing he needed was everyone bringing up how sick he was everytime they saw him. If he brought it up - yes, we’d answer his questions, but following my brush with my father’s cancer I have learned to just be there. You don’t even have to say anything.

      A few weeks ago a lady in our accounts department miscarried at 38 weeks. She was back to work within 2 weeks and bombarded with morbid comments and apologies and these types of queries. I looked her in they eye and nodded and asked her if she watched Masterchef last night. Yesterday she thanked me for being someone she could not be “that person” around.

      People do not want to be a victim of their circumstance when they find that they are an actual victim. That said however, you can not begrudge people for panicing and babbling crap, they are worried and have genuine emotion that they are most likely having trouble dealing with.

    • hot tub political machine says:

      11:33am | 17/06/11

      Your comment makes me think of an Aboriginal friend of mine. He gets some very weird questions sometimes, but (I think wisely) will answer honestly if he believes their intent was good. Curiosity is not a vindictive trait, nor should it be discourged, but it can be harmful. The whole engage the brain before the mouth thing…

    • acotrel says:

      08:26am | 17/06/11

      Doesn’t throat cancer usually have something to do with smoking?  Prevention is better than cure.  That mindset should be applied to the idea that Tony Abbott could slither into the Lodge

    • fairsfair says:

      08:51am | 17/06/11

      there is a time and a place acotrel, and this isn’t it.

    • susie q says:

      09:21am | 17/06/11

      oh acotrel….i agree - we talking about cancer whilst still sucking on cancer sticks….it doesn’t seem very religious…? (not that i’m a fan) but what caught my eye was ‘the slither’ because i thought i’d come up with that last week…!? yes tragically it does look like he’s a ‘slithering’ with no struggle - very relevant time & place cancer & smoking goes together ....

    • acotrel says:

      09:21am | 17/06/11

      @fairs fair
      What is this?:
      ‘I suppose for us robust healthy beings in Australia the best we can hope for is for oir lying PM to get what she deserves and at least that would be eviction from the lodge. ’

    • Anubis says:

      09:31am | 17/06/11

      acotrel - after yesterdays little display of childish petulance by the lying red headed bint, where she slunk out of the House of Reps because she couldn’t get her own way, I think the best thing for her to do would be to slither out of the lodge permanently to never be seen again in a public forum. The woman is a disgrace. I don’t like Abbott but, honestly, a roadkill wombat that has been festering in the sun for a month would make a better PM than the current incumbent.

    • fairsfair says:

      09:33am | 17/06/11

      Oh so this was a response to Gregg was it? Who knew…

    • Jolanda says:

      09:37am | 17/06/11

      @acotrel.  I guess what you just said should be added to the list of what not to say to somebody who is dying of cancer of the throat.

    • Kelvin says:

      10:42am | 17/06/11

      Abraham Lincoln said: “Better to remain silent and be thought a fool than to speak out and remove all doubt.”

      If anyone who frequents this site needed any confirmation about acotrel (which most would not) - you just removed that doubt.

      Now crawl back into the Neanderthal world that you live in and shut up.

    • Ben C says:

      11:36am | 17/06/11

      @ acotrel

      For everyone’s sake, could you please learn to use the Reply button?

    • Eva says:

      04:32pm | 17/06/11

      Alcotrel,

      there is also HPV. Recently recognized as a major contributor to Throat cancer genesis.

    • Disgusted says:

      05:33pm | 21/06/11

      Actually acotrel, smoking INCREASES your RISK of throat/lung/whatever cancer. Non smokers get can and do get throat cancer.  Frequently. I hope people will be nicer to you when you are dying of some cancer caused by the over production of bile.

    • Lostie says:

      08:49am | 17/06/11

      Good piece.

      As an interesting point of reference, for some time I have suffered from an anxiety disorder primarily derived from my “acknowledgement” of my own mortality. For some time, I was unable to even do something as simple as have a good night’s sleep as the feeling of my own heart beating was enough to induce a panic attack upon the realisation that each beat could be my last to to any one of hundreds of conditions that could cause an instant and unexpected death.

      Of course, the reality is that I am a healthy (albeit a little over weight) 30 year old that has no reason to suspect that I will shrug off this moral coil even one day short of the average life expectancy.

      I wonder how much having read Diamond’s post will affect my anxiety, after all, he is right:

      “And the simple answer to the question ‘What the hell is the point of it all’ is this is the point of it all. You aren’t happy? Yes you are: this, here, now, is what happiness is. Enjoy it.”

      Life is what we have - the point is that we have it. Every moment of it is an experience, life is simply the chance to share that experience.

      You can’t always help someone experience that - it’s important to accept that some things are simply beyond our capacity to help or control.

      Perhaps that’s the meaning that we so dearly seek. “Acceptance”.

    • acotrel says:

      12:38pm | 17/06/11

      @Lostie You need to get in touch with reality.  I once had a job which involved standing over a vat containing 100 Kg of glycerine while it was being nitrated.  One static spark caused by vibration, and I could have been instantly vaporised.  That’s when you feel concerned for your own mortality. You must simply face the fact that your time will come one day.  Until then use all the delaying tactics you can.
      ‘A coward dies a thousand deaths, a hero but one’  Worry about the things you can change, forget the rest.  I’m 69, had a double bypass op and 3 strokes.  I still ride a racing motorcycle on occasion.  Not looking good for me?  I’ll tell my wife to include you on the guest list for my funeral.

    • Jim says:

      03:00pm | 17/06/11

      It’s not often acotrel makes sense but when he does I love the old fella!

      He is absolutely right…I come from a looooong line of heart attacks. In fact, you have to go back about 6 generations to find an ancestor of mine who has not died from a heart problem, and he died young after falling from a horse.

      I live with the knowledge that if my aorta doesn’t dissolve first, then my heart will stop me one day in spectacular fashion.

      “Hakuna Matata” is my mantra every day. According to an animated warthog and a meerkat, it means No Worries.

    • The Badger says:

      07:19pm | 17/06/11

      Live long and prosper.

    • Mayday says:

      08:53am | 17/06/11

      Great article and even better advice, thank you.

      When my dad was in his last weeks a good friend of his always entered the hospital room with the words “how are you Frank, you look well?”

      One day as this man left my dad became angry and said that if he repeated that statement one more time he would get up and punch him so that evening I rang his wife and explained the situation.

      Fortunately on the next visit he stopped at “how are you” and then sat next to Dad, held his hand and cried.  Both men then spent a couple of hours together taking about the real issues that troubled them and their friendship was much stronger for it.

      Dig deep and put yourself in the place of the sick or dying person and listen, its hard going but worthwhile and from my experience it leaves the people involved ‘lighter’ for the sharing of the pain and fear.

    • Richard M says:

      09:35am | 17/06/11

      The other side of this story about John Diamond is that the lovely Nigella was having an open affair with her now husband while Diamond was dying.  Great stuff.  Quite a few UK people refused ever to watch her program again as a result.

    • fairsfair says:

      10:49am | 17/06/11

      I thought it was he that encouraged her to move on? I could be wrong though.

    • Ben C says:

      11:45am | 17/06/11

      @ ff

      That’s what I heard too, that he encouraged her to move on, because he knew that he was going and he wanted her to find happiness again.

    • Richard M says:

      05:33pm | 17/06/11

      This is crap that Nigella has tried to sell since.  The fact is that she was screwing Saatchi, Diamond’s best friend, while Diamond was dying.  The fact that he said just before he died that it was OK with him is just rationalisation on his deathbed.  How morally bankrupt do you have to be to do this with your husband’s best friend while he is dying, whatever he might say.  Of course, the main concern of most women is to look after themselves, all in the name of “lerve”, whoever else it might hurt.

    • TChong says:

      10:33am | 17/06/11

      There is no wrong or right way to deal with these situations, that can be considered a definitive rule.
      The dynamics of the people involved, ,and their relationships , should be the guide.
      Complete avoidance of the topic might suit some, for others , facing the reality might be equally valid.
      Hard and fast rules rarely work, or are applicable to something as multi layered as a person, and their loved ones facing such a situation.
      ie- if you know the person well enough, then react in a way that is appropriate for the person(s) , and the situation.
      My own experience though, is that everyone sitting around being miserable is of little value, to the sufferer , or their close family/ friends.
      The western medical model, of people dying in a sterile , inpersonal ( thru necessity) enviroment of a hospital isnt the best, but culturally seems hard to break.

    • Economist says:

      10:48am | 17/06/11

      So what? If it was open, perhaps John Diamond told her to get on with her life . Perhaps Nigella needed some other outlet otherwise the grief may have overwhelmed her, people cope in different ways (I’m speculating). Would he have cared, his life was coming to an end. Did it take the joy from his final moments, did it take away the memories he had with her. Do you have evidence that she never visited him or despised him, perhaps this would be then be an issue.

      He indicated that he didn’t want to be forgotten, not that he expected people to grieve for the rest of their life.

      Here was a man simply self reflecting on what life meant to him, the experience, the ups and the downs.

    • Richard M says:

      05:37pm | 17/06/11

      Oh, perlease, give me a break.  Her behaviour was utterly reprehensible, however you might try to dress it up.  Can i just ask what would have been the social reaction if a male had been doing the dirty on his wife while she was dying, with the wife’s best friend.  Get a grip.

    • Kebabpete says:

      11:04am | 17/06/11

      Brilliant article Luce! Some of your best work. That holiday must have done wonders!

      As someone who always calls it how I see it, pulls no punches, and is as honest as I can be with everyone, I think this approach works great. Some people say I’m rude and sometimes heartless, but that doesn’t mean I don’t feel emotion or empathy towards someone. I just treat people the way I would want to be treated whether they are seriously ill or not.

      One of my best mates who was recovering from a brain tumor removal was more excited and interested to know the cricket score when he woke up than to see everyone feeling sorry for him. On arrival at the hospital I told him he looked like a rebellious teenager with his new crazy haircut and then we spoke about the cricket. It was only about an hour later that I could see he was in need of sleep so i told him he looked like shit so I should go. He laughed and said, “I knew I could count on you.”

      Its hard, but if you can get passed worrying about how it makes you feel seeing them like that, its much easier to understand how it makes them feel to see you acting normal.

    • TugboatBen says:

      02:44pm | 17/06/11

      When I visited my wife’s grandfather for the last time before he succumbed to pancreatic cancer, I rehearsed in my head a thousand times what I would say when I greeted him. Knowing that he was a no fuss kind of guy and appreciated a spade being called a spade, I decided to open with “great to see you”. When I got to his house and saw how different he was I to when I had last seen him, I completely forgot what I had planned to say and blurted out the standard “how are you” before I could stop myself. I’ll never know if he could see the awkwardness I was feeling (and trying to hide) but he looked at me with a big smile and a laugh and said “everyone says that?” thought we both knew full well that I wasn’t enquiring about his wellbeing. He was much more appreciative of me being there to see him than idle chit chat and I haven’t greeted a close friend that I hadn’t seen in a while with a “how are you” since.

    • CJ Morgan says:

      11:09am | 17/06/11

      As someone who’s recovering from major surgery to remove cancerous tumours, I find much in this piece that resonates with my own experience.  Mind you, as Lucy says, sickness is personal - which is probably why I differ from John Diamond in what is helpful from others and what isn’t.

      I don’t mind the ‘fight’ metaphor, perhaps oddly because I’m a lifelong pacifist.  When I was diagnosed with liver cancer recently, my initial reaction was one of resignation.  Then I thought ‘bugger it, I’m too young to just give up and die’ and things started to improve.  My GP introduced the fight metaphor, which I embraced.

      Without going into boring detail, other possibilities emerged in direct response to my changed attitude.  Although I was not a good candidate for surgery just based on ‘the numbers’, my otherwise robust spirit and attitude convinced my surgeon to go in to bat for me and surgery went ahead - apparently successfully. 

      Probably unrelatedly, although I’m a lifelong atheist/agnostic, I don’t mind people saying prayers for me.  I figure it can’t hurt me, probably helps them cope psychologically, and hey, all good vibes are welcome!

      Lastly, offers of ‘help’ are also welcome if they are genuine and practical.  We live in the bush and I’m so grateful to my friends and neighbours who’ve rallied to assist us in so many ways - from feeding the animals and mustering cattle to chopping firewood - since I got sick.

      Thanks for the article.

    • Fiona says:

      02:35pm | 17/06/11

      I agree with the offers of help (genuine ones). An I’m sorry for your diagnosis aat an appropriate time is fine too, as long as you don’t keep banging on about it. The sick person doesn’t want to feel like they have to be your therapist.

    • Gladys says:

      11:34am | 17/06/11

      I lost a mentor to lung cancer at the turn of the millennium. I visited him one last time, to find him on his couch looking out through the doors to the bush. It was January, stinking hot in Brisbane and he wore just a pair of shorts. You could count the ribs.

      Rather than talk about his death, I continued our conversations about my life. It sounds egotistical, but he seemed to like to hear my ups and downs. His wife brought him a scotch, I had some plum cake and I had a good old cry knowing that I would never see him again. I started before I left.

      When I left we kissed. I think he’d always wanted to do that. I didn’t say good-bye or adieu or anything else. I left.

      I still don’t think I handled it very well.

    • Lucy Kippist

      Lucy Kippist says:

      12:06pm | 17/06/11

      Gladys, that’s a really beautiful story. I think you handled it perfect. Cantwell-Bartl’s advice was the same for terminal conditions. She said even then you don’t need to say anything, just being there is enough.

    • Luce says:

      12:19pm | 17/06/11

      Thanks for posting this piece, and the link to John Diamonds last column. Everything said resonates quite strongly with me, as it seems to for most of the other comment posters, as one of my own family members is facing such a situation.

      Illnesses such as these are a terrible thing, the effect of which ripples out from the sufferer, through everyone that cares for them. Its sadly ironic that we, as you say, allow ourselves to engage in unhelpful behavior due to our desire to fix the situation. Learning to be more sensitive to the needs of your loved one in pain takes time and patience, and open ears. I’ll admit I’m only part of the way there, and can only hope that when the time comes, I’ll know how best to handle the situation, not for my sake, but for his.

    • JaneE says:

      01:54pm | 17/06/11

      My husband died last year aged 43 years, 13 years after being diagnosed with cancer. We were very fortunate that he was quite well between treatments and we had a family, established successful careers and lived a very good life in that time.
      We chose not to embrace the warlike metaphors that abound during such an illness, and I rejected them completely after his death. To say he lost his battle with cancer would have given the disease far more power than it deserved. It was not the centre of our life, but rather an unwelcome intruder in our life, to be tamed when necessary and otherwise ignored. We are left with lovely memories.
      Thank you for an excellent article and links. I particularly enjoyed John Diamond’s last post.

    • stephen says:

      09:23pm | 17/06/11

      Ten years ago my mother rang me, crying, and said my father should stop dictating from the bed after double heart surgury, and he, getting well, sat up, and put emphasis on her that she should share his burden.
      I hate to say it, but so many things are political, still.
      Sickness suffers the present atmosphere : some are more equal than others.

    • acotrel says:

      09:46pm | 17/06/11

      It’s important to seize every opportunity to communicate with your loved ones while they’re alive.  I lost my two sisters to breast cancer.  There are still things I’d like to talk to them about.

    • Hellonathan says:

      09:05pm | 18/06/11

      I’ve nearly died so many times through accidents. Multiple electrocutions, head on car crash, fell off a cliff on my mountain bike. All my experiences with avoiding death have been pretty quick, apart from the cliff, that did some damage. I think the problem is that the difference between dying slowly and quickly is the amount of bloody thought we put into it. Each time I was dying I always thought “oh, this is surprising, bugger” and then in the subsequent survival “you must be kidding!” The response from family and friends has been much the same. Anyway, good luck to the dying reading this, take heart from me, sometimes you survive when you’ve seemingly got no right to.

    • atthepub says:

      06:56am | 19/06/11

      When my mum was dying, she pretended all was well (we all deal with things our own way). I wasn’t able to visit her in hospital myself at the time. Just the same I decided to get to the bottom of it and find out why the doctors didn’t allow her to go home etc etc.

      Sometimes it is hard to do the right thing at the right time or it may be right for you and not the person dying or the people around the person dying.

      Half my family still won’t talk to me now years later for me not visiting my mum on her death bed or at her funeral. I was in hospital with an inoperable ruptured appendix due to septicemia, kinda hard to move around in that situation.

      My point here is that it is obviously important to cater as much as possible to the needs of a dying person however you are a person too. My mum pretended that all was well (to everyone) and I wanted to say goodbye if that indeed was the situation. So I frantically phoned doctors trying to get my mum any help she may have needed. Meanwhile she was slipping away.

      And yes we had a good relationship. Praise God I had closure because we’d always had a good relationship. With death dying and illnesses, things hardly ever are that straight forward that one can follow a formula.

      Be kind, be true to yourself, try to accommodate where you can, be kind to the sick person whilst staying true to yourself; realise that you’ll need some kind of closure.

      Thanks Lucy, thought provoking article.

 

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