Wednesday, January 06, 2021

How to Tell Someone They Have Cancer: Medical Professional Edition

  • ER Doctor 1: Inform patient that all heart-related testing came back fine, but that the chest X-ray showed a "fuzzy spot" on the lung. Advise patient not to jump to worst-case scenario, and laugh politely at her joke ("Alien spores?"). Explain that it is most likely pneumonia, and if a CT scan confirms this, her colleague on the next shift will send said patient home with some antibiotics.  
  • ER Nurse 1: let the youngish-woman pacing the now-empty waiting room know that the doctor is just waiting for the results of the CT scan. Realize that they have, in fact, come in. Lose all ability to make eye contact with said patient for the next hour, until it is time to bring her in to meet the doctor. Come out behind the barrier (which you have not done for the past 4 hours) and personally escort her, with a heartbreaking look of compassion, to a small, windowless room filled with couches and Kleenex boxes.  
  • ER Doctor 2: Introduce yourself. Apologize (and feel secretly, if not understandably, upset) that you, and not the doctor who had originally been overseeing her care, is here to discuss the results of the tests. Repeatedly ask if the patient would like to have someone with her to hear the news. Eventually accept that your persistence in this matter is only making things worse. Explain that this is the worst part of the job.  Inform patient that the CT scan showed a mass that was "indicative of malignancy." Refuse under all circumstances to use the word "cancer", despite the patient's best efforts to trick you into this, such as by asking sneaky questions like, "Does that mean I have cancer?" Explain that this can only be confirmed with further tests, which are all being arranged. Offer Kleenex. Take some for yourself. 
  • ER Nurse 2: Arrange midnight taxi home for patient. Personally escort her to the door. Attempt to cheer her up by informing her of the latest news that Donald Trump has tested positive for Covid-19. 
  • Floyd's Uncle who is a Radiologist and also German and lives up to the stereotypical directness of his naionality: Read Canadian radiologists report. Tell niece that yes, it is most likely cancer. 


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