On January 17, 2010

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What place does the patient have in the election of his treatment?

It is said that for five thousand years the Medicine has been a doctors' thing, although then nurses were added, psychologists, dietitians, biologists, etc to the medical equipment.

For many years the doctors knew what was better for the patients. The doctors were deciding the treatment without the patients taking part really in the process of deciding.

In general, the doctors have a little time to report, with what it still stays less time so that the patients could exhibit his questions.

When there is more than one option of treatment, as it is the case of the cancer of prostate, the explanation of the different possibilities (fundamental so that the informed person could choose) it is brief and, often, turned away by the weight of the type of specialist who is reporting (surgeon, radioterapeuta, oncologist, etc).

But the days in which the patients were staying out of the decisions are disappearing. The age of the information is modifying these things, giving the due leading role to the sick person.

Of what do they consist or the relations must consist at present medically / patiently?

Before deciding the treatment, the doctor gathers all the precise information about the illness of the patient, to be able to present a review of the facts and a detailed discussion on the possibilities of treatment. This way the patient can know the pros and contras of each of the treatments.

From this moment, it is the patient who must choose. since, after everything, it is he and only he who will have to live with the results of his election.

The person must decide that he considers better for himself.

Even it is possible that the person, once informed, decides to spend the decision to the doctor. Very well, it is in his right, of deciding for himself or in delegating the doctor.

And if the doctor does not agree with my election?

First of all, the patient must listen carefully to the arguments of the doctor. An open communication line must be established between patient and medical. The reasons of the doctor are usually completely legal.

Nevertheless, if the doctor does not accept or respects the decision of the patient, this one is in his right to look for another doctor who does it.

Why do any doctors get angry when the patient says to them what believes that it is better for him?

It is necessary to be careful, since many patients decide without being well informed. They have read a book or someone has said this or other to them.

The doctor is specializing and has, in general, many years of experience.

Although you believe that he has read very much I believe that it must use his knowledge precisely to improve the understanding with his doctor and to open the doors for the communication.

What must I do, since?

Read this page, he will acquire a good knowledge grade on the diagnosis and the treatment of the cancer of prostate.

His case is only, since individual is his, therefore. Know well the situation of his illness, rise questions to doctors and nurses. Gather them in writing. Reflect on the answers.

When he feels well informed, turns the doctor and explain his decision to him. Then hear the arguments of the doctor. Do not try to commit the error opposite to that of the absence of information on the part of the patients: that is to say, do not want to impose now without much ado his opinion on the doctors. Listen to them.

Must my wife or partner take part in the election of my treatment?

The cancer is an illness that affects not only the patient, but to his couple, to the entire family, to the friends and relations and to the work.

Essential point is the place of the woman of the patient with prostate cancer.

The partner will live, from the diagnosis, influenced by the results, both of the bad news and of the consequences of the treatments. She lives 24 hours of the day through the problem.

She must take part in the information and in the decisions.

Ask him that he thinks, that he is afraid, that he waits, that he wants. Do that he accompanies it to the hospital, to be present at the conversations with doctors and nurses. Stimulate it to that she exhibits his questions and rises questions.

You owe to share his feelings with her. Discuss with naturalness his worries, fears, insecurities towards the future thing and towards his life and his quality of life, according to the election that does and the possible consequences.

Are there women who do not take part?

Really, but try, minimum, to inform it like.

And my friends? And in the work?

It is a difficult topic. As for the friends, it depends on the type of relations that it has with them.

It is a true fact that the cancer is an illness taboo and that, from which certain persons know that a friend they have cancer, they change his attitude towards him; it seems that they did not know how to behave or that they were afraid of the illness.

Others have the habit of trying to advise excessively, without any foundation, to the person.

Another complicated topic is if it is necessary to communicate or not to the coworkers that one has been treated by prostate cancer.

The way of being human has not changed sufficiently with regard to the cancer. Many persons who want to insure themselves of private benefit societies have difficulties as soon as they confess to have had a cancer.

In the labor environment, the above mentioned diagnosis can complicate the things, in the shape of absence of promotion and difficulties in the daily relation with the partners. Such is the power taboo of this illness.

it is a decision, that of telling or not the diagnosis, very personally, that you have to reflect deeply before taking a way or other.




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