Tag Archives: diagnosis

Lump or spread?

Sometimes, progress brings uncertainty.  The past few years have seen a steady increase in the number of drugs and other approaches to cancer treatment such as immunotherapy that can be used to treat cancer.  Most of these new approaches do not cure cancer when given as a single therapy.  Nevertheless, many of them are very effective at inducing a temporary shrinking of the cancer.   For many cancers, we have a number of such treatments available.  From a physician’s point of  view, these new treatments create more options for patients. But they raise  a question that cancer doctors have struggled with for decades.  Do we … Continue reading

Depends on where one sits

In the classic Japanese film “Rashomon,” various characters tell very different stories based on their observations of the same incident.  The term “Rashomon Effect” is now used to refer to contradictory interpretations of the same events by different persons.  After watching this movie, I realized one person can experience an internal “Rashomon Effect” and have very different interpretations of events depending on the perspective from where they sit.  I have experienced this myself in my various roles.

As an administrator, I think a lot about accountability.  I know that there is great value in   being held accountable by others.  This applies to me and to those who work with me in the Cancer Center. I also know that administrative systems designed to assure accountability sometimes rely on imperfect or rigid measures of success that can get in the way of being responsive to necessary change.  In those cases, being held accountable can feel like oppressive micromanagement.  So … “accountability”  from one point of view can look like  “oppressive micromanagement”  from another – it depends on where  one sits. Continue reading