To comfort always 

By Lucia Ponor, MD, MBA, Johns Hopkins Medicine 

Hope is often defined as a desire accompanied by an expectation or belief in fulfillment. It embodies an optimistic outlook that anticipates positive outcomes, guiding us through challenging circumstances. For so many, hope serves as a vital source of meaning, especially when life feels uncertain or threatened.  

In Greek mythology, Pandora, the first woman created by Hephaestus, was given a jar filled with numerous afflictions. When she opened the jar, those evils scattered across the world. However, hope remained securely inside, untouched and unwavering. This story carries profound significance for me, particularly as I care for patients diagnosed with cancer. Even when my analytical mind urges skepticism, I’m reminded of the incredible power of hope.  

I think of a young woman who despite having no risk factors or prior health issues, faced the devastating diagnosis of advanced metastatic adenocarcinoma of the stomach. By the time she came to us, the cancer had spread to nearly every organ, leaving her in a precarious situation. After a grueling 12-hour surgery that involved the removal of several organs, she began her journey of treatment filled with hardship but also with hope. As she faced chemotherapy, radiation, and countless supportive measures, we forged a special friendship that deepened my understanding of what hope truly means. She embodied the joy of being alive, despite the immense challenges she faced, and maintained a close bond with her family, friends, and community until her last moments.  

This young woman reminded me to cherish the small, often overlooked moments in life. Things we might usually stress about, like frizzy hair, suddenly seem insignificant in the face of life-threatening illness. She would even check in on me, making sure I was staying hydrated, fully aware of how easily one can forget self-care amid the demands of caregiving. Her courage reignited my commitment to provide comfort when a cure is no longer possible. She taught me that simply being present at the bedside could help ease her anxiety as she navigated the complexities of her situation.  

For all those who care for patients, it’s essential to celebrate even the smallest victories and, at times, set aside the statistics. We must remain hopeful yet grounded, particularly in the face of severe illnesses. Let us honor the autonomy of patients and cultivate positive relationships, for it’s within these connections that individuals often find strength and empowerment. Hope should always be part of our care approach, supporting its realistic application until the very last moment.  

“To cure sometimes, to relieve often, to comfort always.”
―Edward Livingston Trudeau

This piece is dedicated to the author’s friend Brikena. 

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This piece expresses the views solely of the author. It does not necessarily represent the views of any organization, including Johns Hopkins Medicine.