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Old 03-29-2012
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Medicolegal and Ethics I do not think I want to know this if it is true

A 76-year-old man of Korean descent goes to see his primary care physician complaining of chest pains, difficulty breathing, and general fatigue. When interviewed, he answers the physician’s questions respectfully in a soft voice with little eye contact. When questioned about any pain, he indicates that it is always with him. Subsequent examination and testing leads the physician to suspect that the patient might have lung cancer. When the possibility is mentioned to the patient, he becomes very quiet, stares at the floor and says softly, but distinctly, “I do not think I want to know this if it is true.” At this point the physician’s best reply would be which of the following?

A. “I know cancer can seem a bit frightening, but modern advances in treatment give us some options you may not be aware of.”
B. “I understand the custom of your culture is not to discuss these things, but I’ll need you to work with me so we can beat this.”
C. “I understand your hesitation, respected Grandfather. I will work with your family if that is what you direct.”
D. “I’m sorry, but I will need your cooperation as we arrange treatment. I will need to tell you and you will have some decisions to make.”
E. “If it is your wish, I will not tell you. Whom in your family should I talk to in your place?”
F. “In this country, patients have to be told everything. I’ll let you know when we have more definitive information.”
G. “Let’s wait until we know something definitive and then we can talk about things further.”
H. “OK, I’ll respect your wishes and not tell you.”
I. “Tell me a bit more about why you do not want to know.”
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Old 03-29-2012
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I. talk with the guy...
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Ambition is a dream with a V8 engine. EP
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Old 03-29-2012
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I.......try to find the reason...........
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Old 03-29-2012
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I
Always listen to their bull ****
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  #5  
Old 03-29-2012
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yeah, the correct answer is I. As a physician you should always try and ask WHY ? Try to find out more from the patient. Specially in step 1, for any such questions, the answer is always WHY or TELL ME MORE. For example, if a patient's wife asks you to not tell the diagnosis of her husband to him then you have to ask WHY.
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The above post was thanked by:
Kabutar111 (03-30-2012), munira1980 (03-29-2012)



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