Tip:
Highlight text to annotate it
X
Hi, welcome to the Be a Prepared Patient site. I'm Jessie Gruman, President of the Center
for Advancing Health. Here's how I became a prepared patient:
On my twentieth birthday I was diagnosed with cancer and I spent weeks in intensive care
while my doctors tried to halt the cancer's galloping course through my body. I was devastated.
I was just a child. I thought: I can't die now, I'm just starting out!
After I was well enough to go home, I began the daily trek back and forth to the hospital
for months of radiation treatments followed by two years of chemotherapy. I was skinny.
I was hairless and I was noncompliant -- that is, I didn't follow my doctor's orders.
Each time he gave me chemotherapy, my doctor would explain this whole complicated drug
regimen: you take six pills now, 3 pills then and after lunch and so on. I didn't do it.
One day I might take all the pills; some days I would skip a few, and other days I'd take
none. My doctor wanted me to stay home because my
immune system was at low ebb and I was at great risk for infection. I'd go out dancing.
A few years later, I looked back at my behavior in awe: The millions of dollars of biomedical
research that was distilled into the knowledge and experience and procedures and drugs aimed
at a disease that was costing tens of thousands of dollars to treat, and it ultimately relied
on the actions of a weak, skinny, scared 20-year-old to have its impact.
I had to show up. I had to take the drugs as scheduled. I had to avoid the risks or
the whole thing wouldn't work. I know I'm here today, in part, because of
the skills of my doctors and nurses and how they made use of the tools of medicine: the
surgery and chemotherapy and radiation. But without my participation, these tools would
not have made any difference. Health care is a shared enterprise. My role
in that enterprise has been brought home to me again and again through treatment for three
additional cancer diagnoses, a dangerous heart condition and the ongoing care for the conditions
that that many diagnoses and that much treatment demand.
I'm impressed with the health care that is now available to treat diseases that -- even
a decade ago -- were a death sentence. And I'm so very grateful for them. But we and
our doctors and nurses often overlook just how much the success of these tools depend
on our active, informed participation. We have to show up. We have to stay on the diet.
We have to take the pills. We have to avoid the risks. Or we don't realize the benefits.
Be a Prepared Patient provides solid, practical advice about what you can do to participate
fully in your health care. We hope you find the information and resources here useful.