Jerks and like I do not believe that this patient, the patient is still very young, male, aged 25 years suffering from liver cancer, when I looked at the monitor, ultrasound picture is very typical for hepatoma (liver cancer). Taking a deep breath in, while I pray, I hope I'm wrong, but no, many times I slide the "proof" that ultrasound, the longer it seems increasingly clear picture of which is very typical for cancer.
Looks like I also still do not believe, I check back an enlarged heart, which is the arrival time complaint was first consultation with me. I do palpation ", clearly palpable enlarged heart, has reached 4-5 fingers under the breast bone (rib), consistency is also very hard, berbenjol, a sign of heart enlargement due to cancer is very typical.
The patient was still lying in bed, though I've finished malakukan examination, and ultrasound picture that I print. Several times I looked at her face, her face looks like a normal course, a little bit pale, no expression of fear and anxiety at all. I thought, this is probably because patients did not know the result of this disease, liver cancer, a very short life expectancy.
Seeing the patient's face, still very young, 25 years old, handsome face, olive skin, about 172 cm tall, looking a little thin, I like being a doctor is confused, like losing my mind. In theory, multiple liver cancer with the size of it, the prognosis is very bad. On average only live for two to nine months. In other words, this child will die in just a span of time. Even my experience in treating some patients with liver cancer, less than two months after diagnosis, most will die.
Then, what should I tell this patient? Do I have to come clean to the patient, about her illness? What I also should tell patients about the prognosis of this disease, "that he only had a life expectancy of two to nine months ahead, and medicine at the stadium would not be much benefit?"
When patients moved from his bed, and asked, "how a doctor? What were the results? "Long enough I'm speechless," it's okay, just a lump in your heart ", I replied. It crossed my mind, should I tell these patients. I must be frank, because it is right that must be met Opera-a doctor. In fact, later I could have sued, if within the next few months the patient died. I could be accused of negligent, foolish, reckless, did not provide correct information. And remember, many fans and builders who want to live off conflict that sometimes arise between the physician-patient relationship.
After the patient out, again waiting for my mother who asked for entrance. To the mother I am also unable to come clean. I see the tears dripping when asked, "what my child severe doctor? What can I do? "" This is my first child the doctor, just a pair of my son, I did not lose her doctor's strong. " I noticed that there was not a good feeling felt by a mother, looked from his face that scared and very worried. Seeing things like that mother, the more I do not have the heart to say much. Lastly, I just ask the mother to pray that God may give the best for their children.
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