Implying patient inadequacy/failure: Clinic Example 1
Mr. Rand Thomas is a 62 year old male
diagnosed with metastatic lung cancer who has tried several types
of experimental chemotherapy. The latest round of chemo therapy
was completely ineffectual. He is being seen in the oncology clinic
and the oncologist is going to discharge him from clinic.
Dr. Mathys: “You have failed chemotherapy. So I am going
to refer you to hospice.”
Mr. Thomas: “When will I see you again?”
Dr. Mathys: “Well there is no
need for you to come back to see me. There is nothing further I
can do.”
Mr. Thomas: “Is this it, then?”
Dr. Mathys: “…….”?
What was not addressed: “The treatment has failed,
not you.”
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