It’s a norm in Bangladesh to hide a serious disease such as cancer from the patient. Whenever one or more of the family members bring a patient to a doctor, directly or indirectly they inform the doctor not to divulge the disease to the patient. Rather, they ask to tell them first. There is some debate about this issue. One of my teachers was strongly against it. According to that teacher, it’s unethical to divulge a patient’s information to anyone other than the patient without the patient’s permission, even to the spouse! Others think that patients may not adequately handle bad news. So, involving family members is justified. What’s your opinion on this? Now let's go to today’s chamber talk.
An above-60 patient was brought by his son. Quite a caring son! Before talking with the patient about his illness, the son talked with me privately outside of my chamber. It was a cancer patient with metastasis to multiple body parts! He couldn’t talk about primary cancer. The family members haven’t told the patient that he has cancer, which already has spread to other body parts! So, the son requested me not to talk about cancer with the patient!
Besides cancer, he had a chest infection and left inguinal area abscess-like wounds. He was a typical picture of cancer Cachexia (lean, thin, emaciated!). There was nothing much to do for him. I just gave supportive and symptomatic management! He was sick but well-oriented!
The word cancer brings extreme fear to the patients and their family members. So, I think involving others when breaking the bad news is justified. But, hiding such a disease from the patient is also not the correct method!
What do you think?
A Random photograph unrelated to the above text. I captured it a few days ago
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