In medicine world, the doctors know that there are certain diseases that are incurable, the only thing that they can do is to relieve the symptoms and try to prolong the patient’s life. However, because I knew what procedure that they will usually do, I think the procedure to relieve the symptoms often bring more pain and suffering to the patient. To be operated again and again, to depend on a feeding tube to eat, to depend on a tube to defecate… I think this will only torture the patient though it might prolong his life a little longer.
Let’s say you have stage 4 of any kind of cancer with spreading to other organs and the is no cure for it, the only thing you can do is keep on removing organs that contained the cancer cells to prevent it from further spreading so that you could live a little bit longer. If it is the stomach, they will remove the stomach. If it is the esophagus, they will remove it. If it is the liver they will remove it. No one could ever live without a stomach, how could you digest food without a stomach? Or to live without a liver or kidneys.
I wonder if one day when I have to deal with such patient, should I tell him the truth about his illness or should I persuade him to undergo all this painful operation and give him some false hope? In Russia, we were taught to hide the truth from the patient and be very careful not to mention the word cancer in front of patient. I find that it is very cruel and it makes you feel so hopeless sometimes. Almost every patient that came into the oncology department never knew about the truth of the severity of their cancer and they often never make it alive to be discharge from the hospital. 9/10 of the patients given to us often ended up dead in the operating theater.
If you have terminal stage of cancer and cannot be save anyhow, do you wish to know your diagnosis from your doctor? Do you want to be receive the palliative treatment?
If it was me, I think I want to know the truth from my doctor. I will not accept any surgery or any palliative treatment and spend all the last days of my life completing things that are undone. Life, it doesn’t matter long or short as long as we live a meaningful life. People will die sooner or later, I want to die smiling with no regrets.
I feel sad for my patients here. They knew nothing about their condition and before they have a chance to complete the last thing that they wanted to do like having a proper dinner with whole family or giving their grandchild a name, death took them away.
But there are some people choose to not to know and continue to live happily like normal until death take them away. Sometimes the lesser thing you know, the lesser thing to worry and the happier you will live.




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