How do you handle rude comments?

Nurses General Nursing

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Long story short, my sister and my mom both have cancer right now. My mom had breast cancer, which is now in her stomach. My sister has breast cancer and she just had a double mastectomy. I have been under a lot of stress, needless to say.

So, when I told a very close friend of mine that my sister had breast cancer, her first response was "does she eat a lot of sugar?" I was shocked. I tend to not know how to respond when people say rude, insensitive things. I have learned there are many different causes of breast cancer. My sister happens to have a breast cancer gene, no not BRCA. Anyway, then recently when I told this same friend about my sister's mastectomy she asked "So does this mean she will be flat as a board??" I just said "yep!!" Then, the more I thought about what she said the more angry I became over the next few days. This friend is not in the medical field, but I think the majority of women know what a mastectomy is...don't they?? So, I chalked it up to ignorance. I discussed it with her later and she claimed she wasn't sure because I have been acting so "normal" about it all, like it isn't very serious or something. I told her I don't cry every single minute about it, but it is very serious. Then same friend asked me if my sister had missed some mammograms. Mind you, I had already told this friend about her diagnosis. The radiologist my sister had missed the cancer on a mammogram. Anyway, I just feel like this friend has pointed all fingers at my sister, like the cancer is her "fault". The "flat as a board" comment is hard to get out of my head. I have been avoiding this friend because of this. She told me she would never say anything to hurt my feelings. Well, then people really need to be careful before they open their mouths!

Then a nurse at work was talking to me about breast cancer. Her sister died from it, so you would think she would be sensitive about commenting on my sister. She actually told me "Did you know the percentage of men leaving their wives after a mastectomy is really high?" Wow. Just wow. I really have learned to be very very careful who I talk to!!

Has anyone experienced this??

One more thing....my so-called close friend was the first person I called when I found out my mom's breast cancer had spread to her stomach...which is incurable. I cried to my friend for almost 20-30 minutes. This was a few months ago. Them, just recently I mentioned to her something about my mom's stomach cancer and the friend said "your mom has stomach cancer??" OMG. My jaw literally dropped. My friend is becoming not so close anymore. This is proof she doesn't listen very well. I had told her my mom was vomiting for over a year...usually people close to you would remember something like that. Or do I just expect too much? Thanks for letting me vent. I have talked to other people with cancer who say they have lost friends because of rude comments. I think my friend isn't as much of a friend as I thought she was.

Specializes in Critical Care; Cardiac; Professional Development.

Call me silly but to me, if you can forget something on purpose, you can remember not to blurt it out inappropriately. Maybe that is oversimplifying things and I truly don't mean to be ugly, but it seems some self assessment is needed by people in these situations in order to learn how to be a better and more supportive friend. I do think, however, that one just doesn't know until one....knows. And you can't "know" until you have been touched by it personally. I do so wish people would try though. It just seems so wrong to expect the person going through hell to be the one who is understanding and making allowances...yet that is exactly how the world is.

After Joseph died, his younger brother was having some difficulties with emotional regulation in school. We all had a meeting about it, at which time his teacher, upon being reminded of Joseph's death, told us it had been what? Six months now? Shouldn't he be over it?

I will never forget that man's face and the punch in the gut that was, to hear someone actually say that out loud. Such ignorance.

OP, I hope there are enough replies here to make you feel less alone on this crazy journey called cancer. It has been nearly 11 years now since Joseph died and this is our 10th Christmas without him. I was brought to tears this morning by the sight of the sun just beginning to approach the horizon over a lake on my way to work, thinking about Joseph and all that never got to be. You don't get over things like this. You just learn how to carry it. You also learn, through a lot of pain, that it is sacred...and that sacred things are not meant to be shown to just anyone. Protect yourself and your journey. I am over here in my little corner, sending you love and light.

Specializes in NICU, Telephone Triage.
"Will she be flat as a board?" I would respond "well yes, just like your chest"

The sugar comment "does she eat a lot of sugar?" "Yes, sugar can cause cancer just as your crap comments lead to your nasty personality"

"You don't remember my mom has stomach cancer? Mmm I am worried that your dementia is progressing."

I say these things to myself for the amusement factor, it helps me to deal with people ;)

Thanks for the laugh. Wish I was that witty when the comments are first said. I discussed the comments with my friend, she knows I am upset.

Specializes in NICU, Telephone Triage.
Someone I know lost his brother when they were teenagers to a brain tumor. He once told a story of how he opened up to his college roommate about how he'd had a brother who had died. Later that year, the roommate asked him out of the blue if he had any siblings. He said at that point he just said "no" and realized this person wasn't his friend.

That's just absolutely horrible. People are so self-centered.

Specializes in NICU, Telephone Triage.
I cannot agree with this one more emphatically! I was truly shocked at how many people I thought would be there fore me when I had breast cancer just shifted to the periphery of our lives and I didn't hear from them. People who I didn't think were as close and wouldn't have thought to depend upon for anything were the ones driving me to radiation therapy when my husband couldn't, bringing us meals, etc. People will surely surprise you!

Exactly. My sister keeps pointing out how her friends and even our cousin can be on facebook constantly, but can't send her one text asking how she is. She doesn't expect people to even call or come over...but one little text would be nice. Even my cousin said some things that were hurtful. We had a talk with her about her dad distanced himself from my family when my dad had kidney disease and heart problems. My uncle later apologized to my mom for not being there for her. My cousin felt really bad about how her dad behaved. Now she is doing the same thing to my sister!! People are really just self-absorbed is the way I see it. So sad.

Specializes in LTC.

If I may play the role of Devil's Adovcate...When faced with unexpected, shocking and traumatic news, I feel immediately stressed and uncomfortable and in that emotional state, say the first thing that makes "sense" in my confused and troubled mind. I mean no harm. Ever. And truly want to be helpful and supportive. Sometimes I pull it off, sometimes I don't. Just being very honest.

From my experience, delivering traumatic and emotionally charged news throws people off, bad. I can see it in their expressions and panicked search for the "right" words. They are trying desperately to make sense of a concept that they can not process in 3 seconds, therefore say "stupid" things.

For example: Announcing to people close to me that my mother was murdered sent them into complete, non-sensical stammering as they tried to simultaneously process the concept and offer support. One person even said "Was she into drugs?" in their feeble attempt to make sense of it. Hurtful comment at the time, yes. But how do you respond to such an out-of-nowhere, 2x4 to the face type of announcement?

I quickly found that to get the responses I needed, I had to guide people. I would preface the information with a statement along the lines of "Look. I'm about to tell you something that I really need your support for. This is really hard for me so please just hug me or something."

Most people seem to appreciate being made aware of what's expected of them so that they know what to give. I know I do. Let me know what you need and I'll be there for you. Just don't leave me to my own devices. I'll probably muck it up.

Specializes in CT ,ICU,CCU,Tele,ED,Hospice.

I am so sorry for what you and your family are going thru .It is very stressful .some people just don't think before speaking others are just clueless,

My brother in law died of lung cancer leaving my sister and 6 kids at thanksgiving.My mom died from sepsis at xmas the same year .this is their 10th anniversary .on top of that i just lost my husband few months ago.He had spinal cancer stage 4 at diagnosis and went thru radiation and 42 chemo treatment.I worked full time .then this year he died from brain bleed .it was very stressful .both his work and mine knew his diagnosis and treatments .we are both ED nurses.but somethings people said were clueless.I just learned who I could depend on and who I couldn't.

Maybe your friend wanted to know if she eats lots of sugar because she heard thats a risk??? Maybe she asked about being flat as a board because she didnt know how to word the question correctly and genuinely wanted to know if her entire breasts were removed? Maybe the nurse brought up men leaving their wives because having a spouse support is very important to her and was shocked by that statistic.

I personally don't find these questions rude. Maybe the questions were ignorant but maybe they werent trying to be malicious.

Most people would like to hear what they want to hear but not everyone will respond in the way we want them to. If you do find these comments rudeYou either can take it or let them know how you felt about it. I personally do not take certain things personal but if I did, I wouldnt discuss topics that are sensitive in this case.

I lost a sibling I was very close to in a pretty awful way. I too got the weird questions/strange comments, in hindsight it seemed alot of them came from people under 40.

My own opinion is that quite a few of those people have never suffered a family member or friend with a serious illness, or had someone pass away. I don't think that they are rude, seems more curious. I had one misdirected person ask what does it feel like, they just can't comprehend it, because they've never experienced it for themselves.

Specializes in Psych, Addictions, SOL (Student of Life).

Found this article which may help to explain what is going on

Coping With Crises Close to Someone Else’s Heart - The New York Times

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
Maybe your friend wanted to know if she eats lots of sugar because she heard thats a risk??? Maybe she asked about being flat as a board because she didnt know how to word the question correctly and genuinely wanted to know if her entire breasts were removed? Maybe the nurse brought up men leaving their wives because having a spouse support is very important to her and was shocked by that statistic.

I personally don't find these questions rude. Maybe the questions were ignorant but maybe they werent trying to be malicious.

Most people would like to hear what they want to hear but not everyone will respond in the way we want them to. If you do find these comments rudeYou either can take it or let them know how you felt about it. I personally do not take certain things personal but if I did, I wouldnt discuss topics that are sensitive in this case.

I. just. can't. even.

You are trying to excuse the inexcusable, and you're expecting the person who is in the middle of a life or death trauma to not only understand and make allowances for someone's self-centeredness but to try to forgive it as well. There is no good excuse to ask those questions or to make that comment about men leaving their wives. Just none.

While you personally might not find those questions rude, most people -- especially people in the midst of a crisis like cancer -- will find them rude and incomprehensible, not to mention so unsupportive as to be burdensome. Please try to find some less burdensome way to respond to a friend's sad news -- and try even harder to find a better way to respond to a patient.

Specializes in ED, psych.
Maybe your friend wanted to know if she eats lots of sugar because she heard thats a risk??? Maybe she asked about being flat as a board because she didnt know how to word the question correctly and genuinely wanted to know if her entire breasts were removed? Maybe the nurse brought up men leaving their wives because having a spouse support is very important to her and was shocked by that statistic.

I personally don't find these questions rude. Maybe the questions were ignorant but maybe they werent trying to be malicious.

Most people would like to hear what they want to hear but not everyone will respond in the way we want them to. If you do find these comments rudeYou either can take it or let them know how you felt about it. I personally do not take certain things personal but if I did, I wouldnt discuss topics that are sensitive in this case.

No. Just. NO.

I just can't. even. with this post.

During a traumatic life event my mother, and myself, or the OP and her sister, or the countless other people on this thread affected by the devastation that cancer has brought to their lives ... we just, what?

EXPECT that people are going to say such stupid, insensitive comments such as "flat as a board?"

EXPECT that the friends, family or coworkers we are speaking are just *so triggered* by MY life that we have to tiptoe around the conversation, so not to sound scary or frightening?

Cancer is a traumatic life event. I would reconsider if you would take things "personal" -- goody for you if you don't, but many people certainly are crushed by such statements.

How about some food for thought:

* My SIL is a breast cancer survivor- she had a mastectomy and it devastated her as she felt less of a woman (at 40 years of age). Sure, it saved her life but certainly at an emotional and physical cost. Flat as a board? Not cool.

* My SIL lost her mother to breast cancer 15 years ago. She has the BRCA1 gene, just like mom. Her daughter most likely has it too. Great legacy to keep in mind. So sugar comments? Not appreciated.

* My coworker was just diagnosed with ovarian cancer at age 32. Any comments about her husband taking off?

Do we do this to our patients? I try not to, because I sure don't understand what goes on in their shoes. I get to leave at the end of my shift; they don't. I also watch what I say to my mom; I'm watching from the sidelines. I'm not the one experiencing it first hand.

Sure, the comments aren't supposed to be malicious. But what ever happened to actually thinking before one speaks? Yes, I watch who I speak to ... mainly because I'm pretty private. But the people I've confided in? They've been amazing.

True colors of people you know come out when you are in need. Also, some people don't filter their words very well and just say stupid stuff. They don't realize how it comes across, just talking without thinking. No sense in letting it get to you for too long, everybody is human, at least you know who you can depend on now. I am sorry about the illness in your family, it must be pretty hard on them and you.

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