is this, a question that we often do serious clinical situations, as in patients with neoplastic diseases and irreversible.
And as always, there are several schools of thought: some believe it is better to "tell the truth, the whole truth and nothing but the truth" to the patient, and even aggravate it to be prepared for the worst.
And others, it is better to hide, disguise or mitigate the truth, to avoid suffering, etc. While everyone seems to agree that yes, they should fully inform the family more direct.
In this dilemma we find ourselves often, and most uniquely, oncologists.
In these situations, it is always good "fall back" of the great masters, in this case our "humane physician" Dr. Gregorio Marañón , it is these harsh words:
"We must declare heroically the physician not only can, but sometimes, you must lie. And not just charity, but with more rigorous scientific approach.
Long before the rise of psychosomatic medicine we all knew that a pious and intelligent inaccuracy deliberately imbued with the mind of a patient may benefit more than all the drugs in the pharmacopoeia.
"Now I repeat what I said before: that these doctors that violate the infinite tenderness of a patient and their families so as not to make mistakes, as long as it does not suffer from their reputation, are the worst of our profession, but doctors harmful distracted and ignorant "
"Now I repeat what I said before: that these doctors that violate the infinite tenderness of a patient and their families so as not to make mistakes, as long as it does not suffer from their reputation, are the worst of our profession, but doctors harmful distracted and ignorant "
If I say "I'm suggestible to this sick," probably be representing to his pain, a somewhat crude comedy, for my temper, almost loathsome, and useful only if the patient has a little more spiritual different from the wild.
But if I have deep faith in my arms and the applied treatment, full of enthusiasm to my patients, this faith and enthusiasm grew to unbelievable limits my effectiveness crude syrup and my shot. For the suggestion that the scientific conviction occurs in the spirit of the intelligent man is, precisely, the more accurate index of his power.
But if I have deep faith in my arms and the applied treatment, full of enthusiasm to my patients, this faith and enthusiasm grew to unbelievable limits my effectiveness crude syrup and my shot. For the suggestion that the scientific conviction occurs in the spirit of the intelligent man is, precisely, the more accurate index of his power.
As the Cid won battles after death, science the only wins for its prestige, even under scientific armor is the gap or perhaps the error "
"The skeptical doctor, so this almost defenseless in the fight against the disease." ; Gregorio Marañón
personally believe, a priori, it is better not to report directly the patient from diagnosis to prognosis fatal because are multiple cases to prove it: that "hope is healing well" and that closing doors, even if it appears "objectively" (never is) there is no horizon, is perhaps one way to cut and shorten lives.
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