Why do oncologists lie to patients?

Background: Oncologists often do not give honest prognostic and treatment-effect information to patients with advanced disease. One of the primary reasons stated for witholding this information is to “not take away hope.” We could find no study that tested if hope was influenced by honest clinical information.
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Why don t doctors tell you the truth?

There are three common reasons for this. It's a clinical diagnosis that could possibly be disproved later (and we don't want to be wrong). Most doctors shy away from diagnoses with psychiatric components. It's too hard to prove, and too easy for it to bite you in the hindquarters.
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Can an oncologist rule out cancer?

An oncologist is a physician who is highly trained to investigate, diagnose and treat an individual with cancer or suspected cancer. These doctors can treat many different types of cancer in various parts of the patient's body.
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How do oncologists decide treatment?

Treatment options are affected by physician-related factors and environmental factors, such as financial and regulatory aspects that may be specific to a particular national health system, as well as by patient-specific factors, such as age and comorbidities.
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When Should I fire my oncologist?

The simple answer is that you have the right to change oncologists any time you want. An even more reasonable answer is that you should consider a change if and when you're uncomfortable with an important aspect of your care, and you can't resolve that concern with your current oncologist.
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The Whole Truth: Is It Ever OK to Lie to Patients?



What should you not say to a doctor?

The Importance of Sleep and Social Well-Being in Depression Among Patients with Autism
  • Anything that is not 100 percent truthful. ...
  • Anything condescending, loud, hostile, or sarcastic. ...
  • Anything related to your health care when we are off the clock. ...
  • Complaining about other doctors. ...
  • Anything that is a huge overreaction.
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Do oncologists profit from chemotherapy?

This is not to say that oncologists do not make money by providing chemotherapy. The average “margin,” the extra amount of dollars that chemotherapy in the outpatient setting is charged, is between 4 and 6 percent.
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When should you not do chemotherapy?

Your oncologist may recommend avoiding chemotherapy if your body is not healthy enough to withstand chemotherapy or if there is a more effective treatment available.
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What questions should I ask my oncologist?

Helpful questions to ask your oncologist
  • How much experience do you have treating this type of cancer?
  • Should I get a second opinion?
  • What are the risks and benefits of my treatment options?
  • What can I do to manage the potential side effects of treatment?
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What should you not tell a cancer patient?

Avoid saying: 'I know how you feel' | Replace with: 'I can't possibly know how you feel, but I'm here to support you' No two cancer journeys are the same. That's why, sharing your own personal cancer stories typically aren't as helpful as you may hope for them to be.
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Does an oncologist treat more than cancer?

An oncologist is a doctor who treats cancer and provides medical care for a person diagnosed with cancer. An oncologist may also be called a cancer specialist. The field of oncology has 3 major areas based on treatments: medical oncology, radiation oncology, and surgical oncology.
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Will a doctor say if they suspect cancer?

If you're deemed to be of sound mind, and you ask the question, then yes, they are legally obligated to disclose your medical data to you. That includes what they may or may not be testing you for.
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Do doctors withhold information from patients?

Withholding medical information from patients without their knowledge or consent is ethically unacceptable. Physicians should encourage patients to specify their preferences regarding communication of their medical information, preferably before the information becomes available.
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Do patients have the right to know their diagnosis?

The bottom line is the patient does have a right to know his or her diagnosis, for two main ethical reasons: 1) it is the patient's information, not anyone else's, so the patient is entitled to that information; and 2) there will always be additional decisions to make, even if the diagnosis is terminal, so the patient ...
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How honest should you be with your doctor?

Answer questions directly and honestly, and don't leave anything out that could be relevant, even if you feel embarrassed. Give your provider a chance to earn your trust by responding without judgment.
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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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Which cancers are most likely to recur?

Some cancers are difficult to treat and have high rates of recurrence. Glioblastoma, for example, recurs in nearly all patients, despite treatment. The rate of recurrence among patients with ovarian cancer is also high at 85%.
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Can chemo do more harm than good?

It is true that, while some people benefit, in some cases the side effects of palliative chemotherapy do more harm than good, and many patients would see more benefit from early access to palliative care as opposed to invasive medical interventions.
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How much does an oncologist make a year?

The average oncology salary in South Africa is R 630 762 per year or R 323 per hour. Entry-level positions start at R 228 000 per year, while most experienced workers make up to R 4 611 485 per year.
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What is the highest salary for an oncologist?

High Paying Oncologist Jobs
  • MOHS Surgeon. Salary range: $75,000-$400,000 per year. ...
  • Radiation Oncologist. Salary range: $275,000-$400,000 per year. ...
  • Hematologist Oncologist. Salary range: $305,500-$397,500 per year. ...
  • Pediatric Oncologist. Salary range: $68,000-$369,500 per year. ...
  • Surgical Oncologist. ...
  • Oncology Social Worker.
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Are oncologists respected?

Oncologists are widely respected, admired and in high demand.
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What to expect the last few weeks of life?

  • Why do changes happen at the end of life? When someone's dying, the body slows down and shows signs that the person is approaching the end of their life. ...
  • Losing weight. ...
  • Feeling weak and sleeping more. ...
  • Feeling hot or cold. ...
  • Eating and drinking less. ...
  • Bladder and bowel problems. ...
  • Breathlessness. ...
  • Noisy breathing.
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What is the most life threatening side effect of chemotherapy?

Infections. Chemotherapy can reduce your body's ability to fight infection. This makes you more likely to get infections that could make you seriously ill.
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