How work kept me going during my cancer treatment | Sarah Donnelly

28,672 views ・ 2018-05-17

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It was June 2014.
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I was 30 years old,
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and I received a call from my doctor's office
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to say my test results were in.
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So I walked up to see her in my lunch break, and my doctor said
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she was very sorry to tell me that I had breast cancer.
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I didn't want to believe her and at first, I didn't.
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You see, I'm a lawyer and I needed some evidence.
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So I'm very embarrassed to tell you all
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that I stood up and I walked around to where she was sitting
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so that I could look over her shoulder and verify
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what was written on the page in front of her.
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(Laughter)
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Malignant carcinoma.
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But still not wanting to believe it, I said,
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"Now, malignant carcinoma, you're sure that means cancer?"
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(Laughter)
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She told me she was sure.
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Back at work, I handed over the urgent things that needed to be done
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while I was having more tests to see if my cancer had spread.
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But at that moment, work wasn't my priority.
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I was thinking about how I was going to tell my family and friends
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that I had cancer.
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How I was going to answer their questions
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about how bad it was and whether I was going to be OK,
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when I didn't know that myself.
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I was wondering if my partner and I
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would ever have an opportunity to start a family.
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And I was figuring out how I was going to tell my mother,
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who had herself had breast cancer when she was pregnant with me.
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She would know how I was feeling
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and have an idea of what lay ahead for me.
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But I also didn't want her to have to relive her cancer experience.
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What I didn't appreciate at the time
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was that work was about to play a huge role in my treatment and recovery.
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That it would be my coworkers and my job
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that would make me feel valuable and human
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at times when I would have otherwise felt like a statistic.
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That it would be my job that would give me routine and stability
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when I was dealing with so many difficult personal decisions
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and so much uncertainty.
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Like, what sort of breast reconstruction I was going to have.
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And at a time like that,
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you would think that I would turn to my family and friends for support.
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And yes, of course I did that.
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But it would ultimately be my colleagues
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who would play a huge role in my day-to-day life.
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And they would be the ones to make me laugh.
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You see, we were a pretty close team,
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and we shared a couple of really good in-jokes,
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like this time they overheard someone ask me
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how I got my hair so shiny and perfect --
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without knowing that it was, of course, a wig,
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and you know, it was a very good wig
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and it did make getting ready in the mornings very easy.
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(Laughter)
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But in little moments like this, I appreciated what their support meant,
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and I wondered what I would have done without that network.
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I've spoken with so many people, women in particular,
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who haven't had the chance to have that network
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because they haven't been given the opportunity to work through treatment.
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And there are several reasons for this.
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But I think it mostly comes down to overly paternalistic employers.
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These employers want you to go away and focus on yourself.
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And come back when you're better.
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And they use those kinds of phrases.
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And while these responses are well-meaning,
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knowing the benefits it brought me,
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it makes me incredibly frustrated
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when people are told that they couldn’t or shouldn't work,
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when it's something that they want to do and physically can do.
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So I started to look into what an employer is required to do
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when someone presents with a cancer diagnosis.
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I discovered that under Australian law, cancer is considered a disability.
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So if you are unable to perform your usual work duties,
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your employer is obligated by the Disability Discrimination Act
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to make reasonable adjustments to your working arrangements,
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so that you can continue to work.
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What would reasonable adjustments look like for me?
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I knew the obvious impacts my diagnosis was going to have on work.
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Medical appointments would be scheduled during business hours,
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and I knew that I would need time off to recover from surgical procedures.
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Again, being a typical lawyer,
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I had done my due diligence on what to expect from treatment.
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Admittedly, a lot of that was through Doctor Google,
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perhaps not my best move and I wouldn't recommend that.
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(Laughter)
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But while I was ready for all the physical side effects,
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what really scared me was this thing called chemo brain.
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Chemo brain presents itself through memory loss,
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an inability to concentrate
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and an inability to solve problems.
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And if this happened to me,
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I wondered how I was going to do my job as a lawyer.
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Would I be forced to leave work?
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And how could I possibly have a discussion with my manager
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about reasonable adjustments to my working arrangements
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when I didn't know how I was going to be impacted?
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I was fortunate to have a supportive manager
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who was happy to see how things went as we went along,
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rather than requiring a concrete plan up front.
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I was lucky that while he may not have even known
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about this concept of reasonable adjustments,
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to him, it was just common sense.
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But I've learned that it's not common sense to everyone.
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Everyone going through treatment will learn how it impacts them
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and what their limitations are.
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And they'll learn to adjust for that.
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So for me, there were the tips and tricks that I learned about the treatment itself,
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like, before you go to chemo,
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you need to make sure you're really well hydrated
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and that you're warm, because it helps the nurses to find your veins.
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And make sure that you don't eat any of your favorite food,
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either before or after chemo,
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because you're going to be throwing that up
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and you won't ever want to look at it again.
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(Laughter)
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I learned that one the hard way.
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And then there were the tricks for managing my workflow.
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I scheduled chemo for first thing on a Monday morning.
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I knew that from the time I left the cancer care unit,
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I had about four hours before this fog screen would come down
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and I would start to be sick.
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So I would use that time to clean my inbox and make any urgent calls.
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The worst of the sickness would be gone within about 48 hours.
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And then I would log back into work from home.
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This treatment continued and I knew what to expect.
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I was able to set reasonable expectations with my business partners
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about what I could do
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and the time frames that I could do it in.
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But I still remember the hesitation in their voices
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when it came to asking for things.
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And asking me to do things by a certain time.
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And trust me, these were people
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that were not afraid of setting a good deadline.
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(Laughter)
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I got the impression they didn't want to put any extra pressure on me
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while I was going through treatment.
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And while I appreciated the sentiment,
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I actually needed the deadlines.
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To me, that was something within my control
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and something that could stay in my control
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when there were so many things that couldn't.
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And as I was working from home,
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I was thinking about how employers should be applying this concept
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of reasonable adjustments in our current age,
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where one in two Australian men and women
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will be diagnosed with cancer by the age of 85.
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So, as we continue to work longer and longer into older age,
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the chances of having a serious illness while we're in the workforce
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are increasing.
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And with technology enabling us to work anywhere, any time,
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reasonable adjustments are no longer contingent upon
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whether or not you can continue to physically make it
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into the physical office.
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Reasonable adjustments are also not about
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just offering a longer break or a comfier chair to sit in,
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although those things might be good, too.
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At the very least,
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we need to be applying the flexibility policies and strategies
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we've developed for other scenarios,
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like for people with family responsibilities.
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But how can we ensure that people are even having a conversation
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about what reasonable adjustments might look like for them
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if a manager's first response is to say,
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"Oh no, don't come back to work until you're better."
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And a light went on for me.
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It must be compulsory for managers
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to have to have these conversations with their employees.
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And lessons from people like me,
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that have really benefited from working through treatment,
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need to be more widely shared.
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And I thought about what could be done to guide these conversations,
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and then an amazing colleague of mine, Camilla Gunn,
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developed a "Working with Cancer" toolkit.
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The toolkit provides a framework for those diagnosed,
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their managers, their carers and their coworkers
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to have conversations about cancer and the work support available.
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Camilla and I have now been to other organizations
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to talk about the toolkit
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and how it can help to guide through
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what, quite frankly, are otherwise some pretty awkward conversations.
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And I'm pleased to say that the uptake of the toolkit is increasing.
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So what should be a manager's first response
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when somebody says that they're sick
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and they don't know how it's going to impact their work?
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It must be this:
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"To the extent that you are able, and want to,
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we would love to work out an arrangement for you
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to continue to work through treatment."
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We need to start positively engaging people with serious illness
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to keep them in the workforce,
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rather than paternalistically pushing them away.
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I've told you my story because I want you to know the benefits
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that working through treatment brought me.
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And I also want to change your perceptions
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if you think that somebody going through treatment
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is just bored, frail and vomiting a lot.
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And yes, these things were true some of the time,
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if not a lot of the time,
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but I was also determined to push myself at work
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as much as I had always done.
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And I was able to do that because my employer gave me the choice.
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Most importantly, I'm telling you
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because while it's a seemingly obvious choice to give someone,
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it's not one that is always offered or encouraged.
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And it must be.
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Thank you.
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(Applause)
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