Re: Two sad cases -->larger picture
From: Jamie (ajfields@pine-net.com)
Mon Jun 12 09:12:02 2006
So taking the time to listen to her concerns may help her make a wiser
decision. Well done.
At Mon, 12 Jun 2006, Joanne Bulley, MD wrote:
>
>Path: Invasive Ductal Carcinoma
>All her docs - including her psychiatrist are on the issue of throwing
>the baby out with the bath water: get the lumpectomy and sentinel node
>done and go from there.
>
>I had a 20 minute chat with her.
>
>Her big problem is a "friend" who told her how horrible the sentinel
>node bioosy procedure was and she is "done" with having medical folks
>tell her "there will be no pain" and then being in pain.
>
>We had the big talk about the fact that with the diagnosis the CANCER
>needs to be removed and we talked about short term goals and long term
>goals.
>
>I am going to see if patients I have who have had the Sentinel Node
>procedures done at our hospital and at the tertiary care hospital can
>tell us about the procedures and whether they are willing to talk with
>another woman who needs to go through it for peer support.
>
>I will then call her and see if she would be willing to talk to others
>who have had it done.
>
>And we will work from there.
>
>Joanne
>
>At Sat, 10 Jun 2006, Joanne Bulley, MD wrote:
>>
>>With this patient - I have not seen her for about 18 months - she
>>scheduled the mammogram prior to her appointment with me.
>>
>>She had called us to ask about the sentinel node procedure and was all
>>worked up because she had heard it was a pretty nasty procedure. My
>>receptionist called the folks who do it - got the low down and then
>>chatted with the patient.
>>
>>So ... Ihave some serious counseling to do.
>>
>>I agree with you, Joe P., the pendulum has swung and is (for some
>>patients) swinging too far when they want the FIRST lkine of therapy to
>>be "naturopathic".
>>
>>We are talking about CANCER here - not episiotomies.
>>
>>Joanne
>>
>--
>Joanne Bulley, MD
>Keene, NH, USA
>
>Sunshine!
>
--
JFields, RN, BSN
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