i have yet to meet a patient who wants treatment.
patients want an outcome.
via oncRN: fyi.
I had a patient with an inoperable tumor recently, who’d been getting chemo and radiation for this same tumor for 4 years, while it progressively got bigger and bigger, all nicely documented in the electronic notes.
And, when I advised a hospice admission I was rebuffed. “The oncologist says we might be admitted to an experimental treatment at MD Anderson”.
I understood their desire to have hope (however misplaced), and wanted to throttle an Oncologist. We’re talking about a bone invading tumor the size of a soccer ball. Which has responded to exactly nothing, in years. At what point is treatment not only pointless, but counterproductive?
(Old doctor joke: when the nephrologist goes to the morgue to give the last dialysis, they’re surprised to find a note in the empty coffin “gone to chemo”).
We all want to live forever. None of us will. Don’t give up when the treatment can give a positive outcome; don’t waste your days chasing treatment when the outcome is more treatment…