Re: How would you answer this cancer question?


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Peter Moran wrote:
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I've got a question for you...but first put yourself in this situation:

You've been a board certified radiation oncologist for 30 years...and
you head the largest radiation oncology practice in the US.

So one day, a former patient shows up unexpectedly. The patient had
lung cancer with mets. Your treatment was merely palliative due to the
advanced nature of the disease. So you're kind of surprised to see him
walking into your office under his own power a year later. The truth
is, you thought he had died.

Which is not too suprising because after 30 years of practice, you've
never seen such a case as this. You have never seen a case of remission
in a case anyhting like this. It is only then that you discover that
the patient is cancer free.

So here's the question...do you become curious as to what the patient
did to become well again? Or do you presume that it was just one of
those things?

(A bit of reading between the lines).

Very loaded choices.

They are simple questions which ask what YOU would do. Would YOU try to
find out what might have been different?

Here is what the other doctor wrote:

"I knew the patient's prior condition because this was a patient had
seen a year before. His cancer of the lung had matastasized to his
bones.

"There was no mistaking the improvement in this patient. When I saw
that his new films showed no evidence of cancer in either his bones or
lungs, I had to find out what had caused the remission."

So the question to you is, would you have also tried to find out what
caused the remission?

Well, my experience suggests that the patient would have been eagerly
telling me what they did "that was different". The expression "what caused
the remission" involves jumping to conclusions prematurely - you can rarely
decide amything from a single case .

But, OK, let me give a provisional yes. Now what?

Peter Moran


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Relevant Pages

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