PATIENT CHOICE: But what if its the "wrong" choice?!
|Fungating breast cancer|
During the clinic I saw the patient, the consultant was trying his best to help her in a way that didn't involve chemotherapy and that she would be accepting of. There was a clinical trial open that he thought she would prefer as it does not involve chemo and thought would be a good palliative treatment for her. This was really good doctoring in my opinion - he was trying to find a compromise in treatment that the patient would be happy with (or as happy as she would be with any type of conventional therapy). Unfortunately at this point the alternative medicine option reared its head again, the patient wanted to go to a developing country to consult an alternative healer she had heard about there. However going there would effectively mean she missed out on being in the trial. The doctor was very patient with her (even though I'm sure some of her views grated against his own personal views) and just gave her the facts but told her the decision was up to her.
I suppose when it comes to it, that patient doesn't have very long left and it is much better that she spends that time doing what she wants to, rather than living a little longer but spending the whole time in and out of trial appointments when she wasn't keen on being in the trial in the first place.