The patient who loves buying lettuce for his daughter-in-law – and what his case teaches us about shared decision-making in medicine | Ranjana Srivastava
Doctors should recommend treatment accompanied by conversations about the pros and cons for the individuals who are in front of them Weeks before major surgery
Doctors should recommend treatment accompanied by conversations about the pros and cons for the individuals who are in front of them Weeks before major surgery, a patient cancels his appointment with our geriatric oncology service, declaring it unnecessary.
An astute nurse convinces him otherwise. In his mid-80s, the patient has been diagnosed with an early cancer. The surgeon advises that surgery would be the only cure but, noting the lack of urgency, sends him to see me.
I can see why. The proposed procedure is long and complicated; in elderly people, even temporary setbacks can result in long-term effects. Continue reading...
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