Richard is a 67-year-old man with terminal cancer. He has just had a liver scan and
been told to visit his doctor, an oncologist (that is, a cancer specialist whose work
focuses on tumors), and get the results. When Richard arrives, the doctor says that
there has been no change in his condition, which is, nevertheless, not good. Richard
asks the doctor what can be done, and he replies that there is no remedy for this kind
of cancer. Becoming somewhat agitated, Richard asks the doctor what he would advise
him to do, but the doctor merely repeats his opinion that there is nothing to be done.
By this time Richard is both frustrated and upset, and he asks the doctor why he won't
care for him and doesn't care about him. In response the doctor gives Richard a prescription,
but he makes it clear that the dru_g is being prescribed only as a psychological
crutch-that it will not improve Richard's health. When he finally leaves the
doctor's office, Richard feels totally depressed, abandoned, and dehumanized. Do you
feel the doctor handled Richard's case well? If so, why; if not, why not? How would
you have handled the situation or advised the doctor to handle it? Discuss both the
truth telling aspect of what the doctor said and his methods of giving out information
and relating to his patient.