In
Memoriam
Neil Samuel Ghiso, 1970-2002
Neil Ghiso '01, a talented and
compassionate physician, researcher, and friend,
died on February 11, 2002, at the age of 31.
Neil arrived at HMS in 1994,
holding degrees in electrical engineering from
the University of Michigan and Stanford, and
certifications as a massage therapist and a
bartender. He had published articles based on
his research at Lawrence Livermore National
Laboratory and had worked with underprivileged
children in Appalachia. In his first two years
in the HMS-MIT Division of Health Sciences and
Technology, he not only took classes but also
worked in an laboratory focused on angiogenesis
research and served as a teaching assistant.
He starred in the Second Year Show and traveled
to needy communities in Vietnam to deliver obsolete
medical equipment.
A few months into his third-year
clerkships, Neil learned that he had a brain
tumor. The diagnosis forced him to confront
a question that, for most people, is only theoretical:
if you were told that you had only a year left-or
five, or ten-what would you change in your life?
From the day he learned of his diagnosis, Neil
felt strongly that he would not allow his disease
to interrupt his life. He remained committed
to staying in Boston, finishing medical school,
and continuing to lead a vibrant and productive
existence.
Over the following four and a
half years, Neil suffered through five surgeries,
three rounds of chemotherapy, one round of radiation
therapy, and countless doctor's appointments.
During that time, he also graduated with honors
from HST and delivered the commencement address
at HMS graduation in June 2000. He developed
a "memory database" to help others with the
same type of memory deficit that affected him
as a result of his cancer. He served as a Eucharistic
minister, parachuted from a plane with his brother,
participated in a bike race to raise money for
brain tumor research, played a superhero ("Adrian
Adriamycin") in a theatrical production to explain
cancer and cancer treatment to sick children
at the Dana-Farber Cancer Institute, and fell
in love.
He also became increasingly aware
that his role as a doctor and a patient gave
him a unique perspective on the medical system.
From his experience both delivering and receiving
health care, Neil discovered that the most critical
component of patient care is compassion. He
praised his own doctors for "working hard not
only to lower my seizures, but also to raise
my spirits, for not only fighting to kill off
my tumor, but also to keep alive my hope." He
described the compassion he received from his
doctors as "truly life-sustaining." At the same
time, he criticized a system in which physicians
are rewarded for spending as little time as
possible with patients. Neil considered ways
to incorporate compassion into health care delivery,
proposing, for example, that insurance companies
compensate doctors in some part on the basis
of patient satisfaction with the interaction.
Toward the end of his life, as
Neil became less able to address the health
care issues about which he felt so deeply, his
family and friends established the Neil Samuel
Ghiso Foundation to carry on his work. The foundation
is dedicated to fostering compassionate care
for chronically and terminally ill patients
and their families through medical education
and training. The foundation held its first
meeting at Neil's hospital bedside, a few weeks
before his death.
In his commencement address,
Neil reflected on his feeling of indebtedness
toward his many teachers and mentors at HMS.
"We are all really just the next chapter in
a long, long story," he said. "We are all a
gift of gratitude from the generation before
us to the generations before them." He proposed
that his graduating classmates repay their instructors
by teaching the next generation "to give care
the same degree of respect that we give the
MRI, or surgery, or medical science in general."
When we value compassion as an integral part
of health care, we honor Neil's legacy. We thank
him for all that he taught us.
Neil is survived by his mother,
Larissa; his father, Saad; his brother, Alex;
his sister-in-law, Luz Maria Santamarina; his
girlfriend, Emily Angiola; countless relatives;
and many, many friends.
- Lisa Catapano, MD/PhD
(Harvard Medical School 2003)
|