Friday, December 02, 2005

Update on previous lung cancer

There were no comments on this case but I would still like to hear your suggestions since it is an ongoing case and I don't have a final answer yet. This is the 61 y/o man with the previous IIB NSCLCa now with abnormal hilum and RML bronchus with path changes of radiation but no obvious malignancy. As it is getting close to the holidays, he came to the office yesterday for the bronch results and we agreed to watch him closely with a repeat CT in 3 months and no other invasive procedures. What would you do?

3 comments - CLICK HERE to read & add your own!:

Anonymous said...

Firstly when dealing with malignancy, i would be open with this man about his condition. In my opinion physicians place too much emphasis on only informing patients clearly of the implications when in some cases it is too late for them to have ANY successive treatment. Most patients i have come across prefer an open and honest approach. Yes we do not want to cause any undue worry but we should take time to discuss all aspects of this disease, whatever that may be. A relief of success far outweighs the shock and disappointment that can follow the other. Im sorry but 3 mths could be this mans funeral.

Topping said...

Firstly when dealing with malignancy, i would be open with this man about his condition. In my opinion physicians place too much emphasis on only informing patients clearly of the implications when in some cases it is too late for them to have ANY successive treatment. Most patients i have come across prefer an open and honest approach. Yes we do not want to cause any undue worry but we should take time to discuss all aspects of this disease, whatever that may be. A relief of success far outweighs the shock and disappointment that can follow the other. Im sorry but 3 mths could be this mans funeral.

Randy Thomas said...

Hey, how's it going? I just came across your blog and I've gone through a lot of what you've written in the past. I can see what you are saying and can relate to bit of it. Its actually weird that I ended up at your blog, cause I was actually doing an assignment, looking for information on New Lung Cancer Treatment. Even though your posts didn't exactly correspond to what I'm trying to find, it was still a good distraction. I guess it always is when you've got to do a damn assignment. Thanks anyway.