Re: New Patient - Head and Neck Cancer


"E.Nigma" <NoReply@xxxxxx> wrote in message
news:DIG2DGNH38829.0857638889@xxxxxxxxxxxxxxx
In article <CC62g.55479$P01.8364@pd7tw3no>

I agree whole-heartedly, but I would like, at the very least, to
maintain control of my life and to participate my treatment rather
than just go quietly to the slaughter. The Oncologist isn't taking
the treatment, nor is he paying for it. I am.

You can maintain control, but you can't control the oncologist. You can go
to another one. You can't control him either.
When you get on an aeroplane, you have to trust the pilot. He has to trust
the ATC. Try telling the pilot what altitude you think he should fly you
at...........


As far as trust is concerned, I don't know this Oncologist. I've
never been to his home. I don't know his children, or his wife. I
don't know the sum of his accomplishments other than he's listed in
the phonebook under Physicians and Surgeons MD and DO by Specialty.
Does that demand or even entail absolute trust as a logical
consequence?


Physicians are human, but despite the fact I've known some stupid ones and
some arrogant ones, I've never met one who doesn't have the best interests
of his/her patient front and foremost. Trust is something that comes out of
you, however, not the oncologist.

I realize that our society expects a patient to put his life in the
hands of a person he has just met. It happens everyday. I, for one,
ask questions. I more than likely aggressively probe just how this
person thinks and if he/she can't maintain their cool and answer my
questions and if his/her demeanour does not afford me some comfort,
than I go elsewhere.


By all means ask questions. Ask him why not carbo? He should have an answer.

Sadly, in this day and age, if I get nervous, my lawyers get nervous.
THAT is a logical consequence!


And one reason the onc will do his best - just not he primary reason.

Trusting a person is a deep cognitive activity, especially doctors
and lawyers, both having the potential to do you harm. This kind of
trust is certainty based on past experience, but just how do you go
about enquiring into a doctor's past experience.


Call the College of Physicians in your State, province, country.

More often than not a new cancer patient is thrust into a fog and
talked to as if he/she were unaware of his condition because of a
lack of relevant information or knowledge. An ENT doctor, who he has
just met, diagnoses cancer. He is pushed through a large machine
while funeral parlor music plays softly in the background, giving him
an uneasy remembrance of "Soylent Green". Two or three days later he
is sent to a Cancer Center and meets with an Oncologist for the first
time who, because he's overbooked/overworked, quickly outlines a
treatment procedure listing chemotherapy and/or radiationtherapy
terms which the patient, more than likely, has never heard before,
and expects him to gesticulate at the appropriate moments and, god
forbid, signs any releases required, then makes a relatively quick
appointment for him to start Chemo and without a "by your leave" goes
to the next stall to meet with yet another scared and ignorant new
cancer patient. Oh hum, busy day!


You have a responsibility to make sure you understand all the issues and get
all the answers. It won't annoy the onc - it's his job. But you'll get much
better quality info from the guy who knows your history and path and
radiology results than you will from the internet. Why would you trust what
you're told here? You've never been to my house either.

Trust some one?

Yes, and here we make a magnanimous leap of faith, ---we are left to
trust this person we've just met, and we call upon some higher
arbitrageur in supplication, "...is he making accurate
predeterminations in my best interest?"

Hummm.



In the end, someone with a significant problem really only has one option.
Find an expert you trust and follow their advice.


.

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