Edited by Roxanne K. Young, Associate Editor.
He looks so sad, so forlorn. He chews a lip as he studies his sneakers.
His hands clasp together and then awkwardly separate like uncomfortable acquaintances.
His foot drums to a beat internal and irregular. His forehead sweats. The
pen in his hand has been chewed and gnawed. Little tooth rivulets carpet its
I have seen this clinical presentation a thousand times.
The helplessness has surfaced. He can no longer suppress it. He is a
steam whistle and the anxiety at facing cancer's horrible ambiguity has finally
rumbled to the surface, erupting with volcanic emotional chaos. He expected
Shapiro D. Perspective Shift. JAMA. 1998;279(7):500. doi:10.1001/jama.279.7.500