This first division is about the person, the second about the situation.

The psychological process of tumor patients after learning their disease is generally "fear"-----"doubt"-----"frustration"----- "Adaptation" is a four-stage process: firstly, they are afraid, and then they will doubt whether the diagnosis is wrong or not, and how can it be? This stage may involve asking around and looking for a doctor. Then comes frustration, and the final stage is still just accepting the reality and going for treatment.

If the patient is already a cheerful and open-minded person, there is no harm in telling the patient directly. But even the most open-minded person, even if the surface is fine, will have a series of psychological processes when he learns of the situation, only that he may quickly pass through the first three stages to the last stage of adaptation and cooperate with the treatment.

However, many people, especially those who are anxious or depressed and have an uncomfortable state of mind, may not be able to go out in the first three states, which is very unfavorable to treatment and accelerates the progress of the disease, so some people who are "scared to death" by cancer have been stuck in the first stage. Some people are "scared to death" by cancer because they have been stuck in the first stage. Or they have been depressed and do not speak, and the disease progresses very fast, which belongs to the third stage. Therefore, these situations should be avoided.

If the patient is assessed for possible psychological problems, if the patient is an early stage patient, I think we can first not tell the patient, after the surgery to recover for a period of time, if three months, half a year or so there is no problem, and then slowly tell the patient, remember to tell the patient slowly by osmosis. If you do not tell the patient, the patient will think that he is a small disease, after surgery has been cured, all kinds of bad habits can not be corrected, smoking and alcohol continue, overtime work continues, more importantly, will not cooperate with the review, always feel that he is a normal person, why ask me to go to the checkup nothing? In case something goes wrong, it will be too late. If the patient is already advanced, if the expected survival time difference is long, also need to slowly penetrate to tell, such as advanced prostate cancer regular treatment, many people can live 5 years 8 years, if not tell, how the patient will cooperate with the treatment, how to change the bad habits? Therefore, it is necessary to tell the patients slowly after the condition is stabilized.

Advanced patients who are assessed as not having a long expected survival time, it's just as well to not tell them all the time.

I think every tumor patient has the right to know about his or her condition. Some family members deliberately conceal their condition from the patient out of an overprotective mindset, fearing that the patient's psyche cannot withstand the fear of malignant tumors.

Beauty pharmacists feel that there are only two types of patients in whom it is possible to temporarily conceal their condition.

1、Patients who have reached advanced stages and the use of any treatment will not help can temporarily conceal their condition and try to meet some of their needs.

2, the psychological bear very poor pessimism patients, can temporarily conceal the condition, and then slowly tell him later.

How to tell patients about their condition:

The vast majority of patients suddenly learned that they suffer from malignant tumors will have more or less psychological fear. In order to treat and have to tell them, this is the family to play a big role in the ability to pacify ah.

1, the family must maintain a relaxed a state, if the family's mood than the patient is more negative, then I believe this will aggravate the patient's heart capacity.

2, with a confident posture to tell the patient's condition is not so nervous, the success rate of the cure is high, can reduce the patient's psychological fear to a certain extent.

May each and every one of our patients beat the disease!

When it comes to concealing the condition of a cancer patient, it is really difficult for people to say anything. To a certain extent, this problem seems to have certain Chinese characteristics, which may be related to China's cultural background, traditional customs and so on. In China, in the face of such major diseases as cancer, most of the family members will choose not to inform the patient's real condition, that is, they will try to conceal the condition by all means, and they will ask the doctors and nurses to cooperate with them to conceal the condition, and some of them will even repeatedly explain to the doctors and nurses that they will not let the patient know what kind of disease he/she is suffering from. In such an environment, the hospital's examination report is also protective, for example, cancer is not written in Chinese, only write an English abbreviation Ca (Cancer's English word Cancer's abbreviation). The doctor's first reaction after learning of the patient's condition is often to call the family over to explain the condition, and everything has to be decided by the family, so the patient seems to have lost the right to know his or her own condition.

Is this practice good or not? Is it really a good thing to do with good intentions? Undeniably, the intention and starting point of this practice are good, and it is for the protection of patients. The concept of "cancer is incurable" is so deep-rooted that people are generally scared of cancer and everyone is afraid of death. Under such circumstances, being diagnosed with cancer is undoubtedly a great physical and mental blow to the patient, and accidents may even occur due to strong psychological stress. Therefore, concealing the illness does help protect the patient to a certain extent.

However, from the perspective of medicine and disease treatment, patients should still be informed of their conditions. Only when the patient knows his or her condition can he or she effectively cooperate with the examination and treatment, because cancer treatment is a long-term comprehensive treatment process, which can be concealed for a while but not for a long time. As long as the patient is willing to pay a little attention, as long as he or she is not a fool, sooner or later he or she will be aware of his or her condition, and the blow to the patient may be even greater at that time. In particular, some family members cover up, stammers the practice, let the patient have suspicion, originally is possible through active treatment and cure of cancer, but because the patient wrongly believes that the family concealment of the disease, because he is terminally ill. Fear then gripped him, and from then on, he gave himself up and even committed suicide quietly, which was too bad.

Of course, I think the question of whether or not to inform cancer patients of their conditions has to be analyzed on a case-by-case basis. According to the principle of medical ethics, patients have the right to know and the right to choose, but at the same time, we have to consider the principle of "maximizing the benefits to patients", that is, how to do what is most conducive to the treatment, control and recovery of the patient's disease is the most crucial, which is also in line with the ethical principles. Instead of informing the patient of his or her condition for the sake of informing him or her of his or her condition, it is necessary to take into account the patient's gender, age, personality, ethnic habits, religious beliefs, educational background and level of education, and psychological qualities, depending on the circumstances of the case. A general principle is to weigh the pros and cons of informing the patient of his or her condition as far as possible while minimizing the negative impact. If the advantages of informing the patient's condition outweigh the disadvantages, the patient should be informed as much as possible; if the disadvantages outweigh the advantages, it is necessary to be careful and cautious, and it is not possible to inform the patient's condition on the basis of respecting the patient's right to know, otherwise it may bring serious consequences, and the patient's interests will ultimately be harmed if the good intention is done to a bad end, and it is not in line with the medical ethical principle of maximizing the benefits to the patient. It is also not in line with the medical ethical principle of "maximizing the benefit to the patient".

Therefore, not only to properly respect the patient's right to know, but also to refer to the views of their families, because the patient's family members most understand the patient's habits, personality, mental capacity, etc., the doctor can not rely on their own subjective judgments, should be fully communicated with the family to discuss, and together to come up with an optimal informative program, not only to take care of the patient's mental capacity, but also to allow the patient to cooperate with the examination and treatment, so as to truly maximize the benefits to the patient. This is the only way to maximize the benefits to the patient.

Some family members, regardless of the circumstances, do not listen to the doctor's advice at all and choose to conceal their illness, even to the extent of concealing it. In fact, this is only their wishful thinking, and there is no need to hide some cases, such as early cancer, there is the possibility of cure, and even the possibility of cure is quite large, this concealment is actually of little significance, the patient should be allowed to understand that, despite the cancer, but the early stage, it can be cured, which can enhance the patient's confidence in the fight against cancer and also allow the patient to cooperate with the treatment very well.

It is absolutely impossible to inform cancer patients of their conditions; once they are informed, the patients will have to collapse. If the patient does not know about his condition and continues to work, live and study as usual, his condition may even be reversed.

Once a medical practitioner and a family member told a cancer patient the truth, the patient fainted on the spot, his condition worsened and he died soon after. In fact, most cancer patients are scared to death when they know the truth. There is no one in the world who is not afraid of death, including cancer patients, because once a cancer patient knows the situation, he or she carries the burden of thought and knows that he or she will not live long, and he or she does not think about food and tea, followed by a drastic drop in immunity, and it is only strange that he or she will not die.

There is an old man beside me, to the hospital medical examination, lung cancer advanced, the family did not tell me the truth, the old man is a retired cadres, usually like mahjong, good fishing and drinking tea, early morning and late at night. The doctor told his family that the old man's disease would last three months at most, so please prepare for the aftermath.

However, the drama happened in the story of mahjong, the old man not only did not die in three months, but also lived with honor, which is strange! What was so strange about it? If the old man himself had learned of this terrible news, he might not have survived three days before he was scared to death. Now five years have passed, the old man is still alive, mahjong continues to let him sound into the ear, where he knows what he has got a terminal illness.

There are many ways to play mahjong, such as "push to hu", "blood battle to the end" and so on. The old man every day with their retired colleagues to play is the Sichuan mahjong "bloody battle to the end", he is good at cards good luck, every day will win dozens of hundreds of dollars, the first thing to return home is to report the battle with the daughter-in-law and old partner, joyful. Normal people play mahjong is to entertain the body and mind, patients play mahjong is to cure the disease, which is not ambiguous.

The family was puzzled by this, ran to ask the doctor, the doctor informed: this is mahjong cured his terminal illness, if you inform the patient in advance of his condition, so that he carries the burden of thought, the patient every day hangs on his own illness, immunity dropped dramatically, Mr. Disease of course, laughed miserably. Most of those terminally ill patients are not tortured to death, but scared to death.

In fact, this is what mahjong cured the old man's cancer, but the old man's psychological victory over the disease, the old man's mentality is good, every day, carefree, happy, mahjong entertainment to make the old man forget everything, he every day to devote himself to the battle of mahjong, which still have the mind to worry about the disease suffering from the body. If the family told the truth earlier, the old man may have gone to see the grandfather of Hades.

That said, this is just a case, once in a lifetime, if mahjong could cure terminal illnesses, hospitals would have to close down and mahjong would be all the rage. In other words, you can't worry about anything. Being happy and joyful is the essence of life.

Ouyang Xiaochuan (1907-1989), Chinese communist leader, a martyr of the Cultural Revolution

2018.1.6

Dr. Ying Zheng, Chief Physician of the Department of Preventive Oncology, Affiliated Cancer Hospital of Fudan University, introduced:

For the tumor patient should know his condition this matter is actually a more important issue we face, for further diagnosis and treatment will also have a great impact. Then, the family should make the decision based on a full understanding of the patient's condition. Generally speaking, if the patient has a better mental ability, in addition, the communication and support between the family is very good, or recommended to let the patient know the disease. After the patient has gone through the initial emotional recurrence of the disease, generally speaking, most people will face the reality and deal with it normally, which is useful for organizing one's own life and actively cooperating with the treatment. For those who are psychologically very difficult to accept, who cannot face these blows normally, or who may be overly aggressive, if their family members have such a judgment, then they can also consider withholding telling them the truth. But the patient has the right to know about the disease, no one can deprive him of the right to know, in this process in fact, we need to have the art of dealing with, I believe that the family through a full assessment and consideration can decide how to do this thing well.

Most people who generally know about cancer and are sentenced to death don't live more than three months. A lot of people who are told by their doctors about cancer, it's the same as being sentenced to death and living to tell the tale.

So, in the end, should patients know it? Depends on the individual character of their own condition priorities, although the patient has the right to know things, but many times the so-called truth will only kill people!

You are advised that it is better not to inform your patients about your condition.

There was an old accountant in our village who suddenly felt unwell and had a bad appetite and went to the hospital for examination and treatment. The result was stomach cancer. The doctor advised the old accountant's family not to tell the patient about his condition, but the patient's family followed the doctor's advice and did not tell the patient the truth at all.

During the first few days of treatment, this old accountant was in good spirits. But when he happened to come out of the ward and saw that he was in a tumor ward, he was suddenly depressed and fell apart. Before long, he passed away.

It is said that mood can affect the condition. As long as the mood is happy, death can be delayed; if the mood is not comfortable, death can be accelerated. Therefore, in order to delay the death process of a cancer patient, never tell him the real situation of the disease, but try to portray a good treatment result to him/her, so that he/she can keep his/her spirit happy at all times. In this way, he or she is likely to live a few more days.

I think that it should.

It just still needs to vary from person to person and from time to time.

The reason I say it's time to inform is because tumor treatment is a long, arduous process that is difficult and risky to keep hidden.

First, early detection and treatment is the key to cure. Treatment includes surgery, radiotherapy and chemotherapy, which are not easy for patients to be unaware of. I have seen several patients whose family members only said that the disease was benign, and the patients firmly refused to undergo surgery, thus missing the opportunity to be cured. There are also patients who are reluctant to undergo treatment because they have not been informed enough of the effects of the treatment. Or not enough information on the side effects, resulting in patients' lack of confidence and lack of preparation.

Secondly, concealment is disrespectful of the patient's rights. The family unilaterally deprives the patient of his right to know on the grounds that it is good for him, not realizing that every person pays for his own body has the right to know and control it. He has the right to decide how to manage his health. If the family is willing to do what is best for him, they should help him quit smoking, stop drinking, not stay up late, pay attention to eating habits, etc. This is really good.

Feng Jilong, vice president of Shenyang No. 5 People's Hospital (Shenyang Cancer Hospital) and vice president of Shenyang Cancer Rehabilitation Association, said that cancer patients should be told the truth. Positive cooperation between patients and doctors, personal management is very important, which can help greatly improve the survival rate of cancer.

Obviously this is not quite the same as many people's perception, but professional doctors believe that a patient can do a good job of self-management is the most important, otherwise the patient in a lot of living habits, dietary habits do not pay attention to and adjustments can only lead to aggravation of the disease.

Dr. Feng said that cancer itself has become a chronic disease, and cancer management has become a new topic. In addition to precision treatment, cancer management involves the patients themselves and their families in treatment plan, medication, life and diet, emotion, mood management and so on.

He gave an example. A cancer patient quit drinking and smoking very well. Whenever he met and socialized with his classmates, this patient openly said, "I am a patient, I am a patient, I can't drink, I don't drink a drop of alcohol. The individual fully and rationally recognizes the problems related to the disease that need to be avoided and prevented, and no lesions were found after several reexaminations. He has also become a typical example of scientific anti-cancer and rational anti-cancer.

And from a practical point of view, the patient needs to undergo radiotherapy, surgery, etc., and it is impossible for him to be completely isolated and filtered and uninformed about this information.

In the current situation where medical knowledge is very popular, patients will also know what kind of disease they have, rather than being kept in the dark, it is better to reveal the truth to them at the right time to face it scientifically. Effective support from family members, necessary guidance and help from doctors, and the combined efforts of many can achieve the best results.

It's very poorly feasible and hard to do if it's all hidden, isn't it?

The misinformation that "cancer kills" has led to wrong treatment methods and wrong understanding, and it scares and destroys people. People who have a firm belief in Chinese culture and Chinese medicine can be told, but those who believe in Western medicine and Westernized brain will be scared half to death if you tell them. Everyone should know what to do!