Why do oncologists lie?

Many have fulminated against oncologists who lie to patients about their prognoses, but sometimes cancer doctors lie for or with patients to improve our chances of survival. Here's the back story in this case. The patient, a woman in her early 50s, was given a diagnosis of endometrial cancer.
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Are oncologists honest?

Oncologists often do not give honest prognostic and treatment-effect information to patients with advanced disease, trying not to “take away hope.” The authors, however, find that hope is maintained when patients with advanced cancer are given truthful prognostic and treatment information, even when the news is bad.
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Why do oncologists push chemo?

An oncologist may recommend chemotherapy before and/or after another treatment. For example, in a patient with breast cancer, chemotherapy may be used before surgery, to try to shrink the tumor. The same patient may benefit from chemotherapy after surgery to try to destroy remaining cancer cells.
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Do doctors tell cancer patients the truth?

The medical literature suggests that most patients want to be told the truth about a diagnosis of cancer. Despite this evidence of their patients' wishes, physicians in many countries still hesitate to disclose this and other diagnoses.
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Do oncologists care about patients?

An oncologist manages a patient's care throughout the course of the disease. This starts with the diagnosis. Their role includes: Recommending tests to determine whether a person has cancer.
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The Mind of a Pathological Liar (Mental Health Guru)



Are oncologists happy?

Working as an oncologist often entails frustration and challenges. Compared with other specialists, oncologists are about in the middle of the pack. Only 29% of oncologists in Medscape's survey responded that they were very or extremely happy.
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What are common in oncology patients?

The most common types of treatments that medical oncology offers are surgery, chemotherapy, radiation therapy, targeted therapy, and immunotherapy. An oncologist will make a treatment recommendation depending on the type of cancer a patient has and its stage.
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How do doctors break the news of cancer?

Drs. Baile and Buckman advise physicians to first ask a patient what he or she knows about the situation; then deliver the news in small chunks and simple language; and then acknowledge the strong emotions that follow. They caution doctors not to interrupt, rather they should make eye contact, and repeat key points.
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What to do if a doctor lies to you?

You can sue your doctor for lying, provided certain breaches of duty of care occur. A doctor's duty of care is to be truthful about your diagnosis, treatment options, and prognosis. If a doctor has lied about any of this information, it could be proof of a medical malpractice claim.
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Is it ethical for a doctor to lie to a patient?

It is a truth universally acknowledged that ethical doctors will not intentionally deceive their patients. The American Medical Association states: “A physician shall . . . be honest in all professional interactions, and strive to report physicians . . . engaging in fraud or deception, to appropriate entities.”
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Do oncologists profit from chemotherapy?

Smith, an associate professor of oncology at the Medical College of Virginia Commonwealth University, has estimated that oncologists in private practice typically make two-thirds of their practice revenue from the chemotherapy concession.
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Which is harder on the body chemo or radiation?

Since radiation therapy is focused on one area of your body, you may experience fewer side effects than with chemotherapy. However, it may still affect healthy cells in your body.
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Why do oncologists make so much money?

Doctors in other specialties simply write prescriptions. But oncologists make most of their income by buying drugs wholesale and selling them to patients at a marked up prices. "So the pressure is frankly on to make money by selling medications," says Eisenberg. Ethicists see a potential for conflict of interest.
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What is the life expectancy after chemotherapy?

During the 3 decades, the proportion of survivors treated with chemotherapy alone increased from 18% in 1970-1979 to 54% in 1990-1999, and the life expectancy gap in this chemotherapy-alone group decreased from 11.0 years (95% UI, 9.0-13.1 years) to 6.0 years (95% UI, 4.5-7.6 years).
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Do doctors lie about prognosis?

Research shows that it happens rather often. Eleven percent of 1,800-plus physicians recently surveyed by Massachusetts General Hospital admitted to having lied to a patient in the preceding year, and 55 percent said they'd described a prognosis to a patient in a more positive light than was medically accurate.
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How do you know if chemo is killing you?

Here are some signs that chemotherapy may not be working as well as expected: tumors aren't shrinking. new tumors keep forming. cancer is spreading to new areas.
...
Along the way, the timeline may have to be adjusted due to:
  1. low blood counts.
  2. adverse effects to major organs.
  3. severe side effects.
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Do doctors give false diagnosis?

A surprising number of doctors misdiagnose or fail to diagnose patients' conditions, which could cause patient harm. Medical professionals have gone through years of schooling and are professionally licensed to work in the health care industry.
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Why do doctors lie on medical records?

The doctor lied to protect himself from a malpractice lawsuit. It is surprising how often doctors get caught in a lie because there they don't make sure all sets of records have been altered.
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Do doctors Google their patients?

In a recent survey she presented in 2017, Gershengoren found that “93 percent of staff and 94 percent of residents reported Googling a patient at least once, [and] that 17 percent of staff and 40 percent of residents Googled their patients on a frequent or semi-regular basis in the ER.”
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Do doctors hide cancer diagnosis?

Most patients (96%) received their cancer diagnoses from physicians. Surgeons disclosed the diagnosis to 25% of patients, primary care physicians to 23%, medical oncologists to 22%, and other physicians to 26%.
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How can doctors give bad news?

Be frank but compassionate; avoid euphemisms and medical jargon. Allow for silence and tears; proceed at the patient's pace. Have the patient describe his or her understanding of the news; repeat this information at subsequent visits. Allow time to answer questions; write things down and provide written information.
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Can a doctor say you might have cancer?

Although it may yield new clues about different cancers, doctors still typically confirm the diagnosis with a biopsy. Tell your doctor if you're at risk for a certain type of cancer or if cancer runs in your family. Together you can decide whether to test for certain biomarkers or to do other testing for the disease.
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What cancers have the highest survival rate?

The cancers with the highest 5-year relative survival rates include melanoma, Hodgkin lymphoma, and breast, prostate, testicular, cervical, and thyroid cancer. Cancer is a disease that causes cells to grow and multiply uncontrollably in certain parts of the body.
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What are the most fatal cancers?

Worldwide, the three cancers that killed the most people in 2020 were lung cancer (1.80 million deaths), colorectal cancer (935,000 deaths) and liver cancer (830,000 deaths).
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What cancers have the lowest survival rate?

The cancers with the lowest five-year survival estimates are mesothelioma (7.2%), pancreatic cancer (7.3%) and brain cancer (12.8%). The highest five-year survival estimates are seen in patients with testicular cancer (97%), melanoma of skin (92.3%) and prostate cancer (88%).
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