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In the Spotlight

 
June 3, 2000

Surviving Cancer And Earning a Living: What You Can Expect

 

Many cancer survivors wonder whether having a cancer history will make a difference in their job prospects. Common questions include: Will I be able to return to work? Take time off for more treatment if I need it? Work as hard as I once did? Advance in my career?

There is no one answer to these questions. Some people choose not to go back to their jobs while others are not physically able to return. But most work-able cancer survivors do return to work. Sometimes it takes a year or more before survivors are ready to return full-time, but once they go back, they almost always are back to stay. Cancer survivors have included professional and Olympic athletes, business executives, artists and musicians, film stars and world leaders.

When cancer survivors return to work, some have highly supportive employers who help ease the change from patient back to employee. Others get back to the routine without much help from their company or organization. And at some workplaces, wrong ideas and false fears about cancer cause job-related problems that survivors must overcome.



The following stories reflect the workplace experiences of cancer survivors.

  • "After I had my colostomy, my employer asked me to quit my job because the cancer was upsetting my fellow workers. He said a demotion or transfer was possible if I didn't agree. Except for my wife, that job was my whole world. So rather than quit, I decided to fight for it. "-Jon H.
  • "My employer denies that my treatment last year for cancer had anything to do with my not getting a promotion and raise. My boss said I was being defensive when I suggested that I was being discriminated against because of my illness. He said he just didn't feel I was ready for the responsibility at this time. I don't know what to believe, but I'm looking into my options."-Betty C.
  • "When I went back to work, my boss was honest with me. She said that my situation had been discussed at a managers' meeting. Some people had questioned what impact my coming back would have on the company's insurance rates. Her boss asked how she planned to get the job done with an employee she could no longer count on to stay healthy. Fortunately she did some research and found out that the turnover rate, absenteeism records, and work performance of people with a cancer history are very much the same as unaffected workers. Her facts helped correct management's wrong ideas."-Roy P.

Tips for dealing with coworkers after cancer treatment

Cancer Survivors as Employees
  • 80 percent of people with cancer return to work after diagnosis.
  • Research shows that cancer survivors are as productive on the job as other workers and that they aren't absent from work any more often.
  • About 1 in 4 cancer survivors experience some form of employment discrimination

When your coworkers hear about your illness, many of them will want to help, but they won't know how. Others may be frightened by your situation, especially when they don't know much about cancer and todays potential for treatment and cure. Here are some ideas for helping them--and you--to resume a good working relationship.

  • Plan how you will deal publicly with your cancer when you are back on the job.

    There is no "right" way to interact with others about your illness. Once they are back at work, some cancer survivors don't want to focus on their cancer or to be associated with the disease in people's minds. Others are very open with coworkers about their experiences. They may have a frank discussion with their manager or close coworkers to air concerns, correct wrong ideas and decide how to work together. The best approach is the one that feels comfortable for you.

  • Keep up contacts during your treatment and recovery.
    Your coworkers will be concerned about you. If they have information about your treatment and progress, they will be less anxious and frightened.

    It is also important to stay "connected" to the people with whom you work. Talk by phone. When you are able, have lunch with friends or stop in for an office party. Plan to rest before and after if necessary. Your return to work will be easier for you and your coworkers if you have stayed involved.

  • Ask your employer to educate company employees about cancer.

    Research has found that people believe three major myths about cancer that sometimes affect their attitudes towards cancer survivors:

    Myth #1-Cancer is a death sentence;
    Myth #2-Cancer is contagious;
    Myth #3-Cancer makes workers less productive.

    When coworkers learn the facts about cancer, they realize that these myths are untrue. Open discussion calms concerns and resolves fears. You may want to invite a speaker to discuss the issues such as an expert from a local cancer support organization, a doctor, a nurse or social worker who specializes in cancer.

    Your company medical department, personnel office, union or employee assistance program are possible sponsors for an educational program. Information efforts might include making written materials available, holding a brown bag lunch discussion or correcting wrong ideas at staff or union meetings.

  • Join (or form) a workplace support group for cancer survivors.

    Such groups may include only cancer survivors or both people with and without cancer. Depending on what members want, support groups can be anonymous or open. They can provide mutual emotional support for members, or they can make active efforts to stand up for the rights of cancer survivors.

  • Consider talking to other coworkers who learn they have cancer.

    Share your experiences and insights. Let people who have just found out they have cancer know that they are not alone. Offer to do something for them that you wish someone had done for you.

  • Get help if you need it.

    If coworkers' attitudes about cancer are making it hard to do your job, your first step may be trying to resolve the situation informally with the people involved. Correcting others' wrong ideas, without being defensive, can be difficult. But a direct approach may help things change for the better.

    When your own efforts don't work, you may want to get help. Your manager, shop steward, employee assistance counselor or personnel office may be able to change coworkers' ideas, procedures or the way your job fits in with others' to lessen problems. It is a good idea to have a workable solution to suggest when you raise a problem.

    Most survivors understandably hesitate to "rock the boat," calling company attention to personal problems. When hurtful remarks or actions get you down, talking to a friend or counselor may help you put things in perspective. When coworker attitudes get in the way of doing your job, however, it becomes an issue that management needs to address.

For more information, go to PersonalMD.com's Cancer Center or contact the National Cancer Institute of the National Institutes of Health http://www.nci.nih.gov/ or the American Cancer Society www.cancer.org

Source: National Cancer Institute, National Institutes of Health




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