Your Father's Diagnosis: Questions for Better Communication with Doctors - Gastroenterology and Hepatology

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Please consult Dr. Hsu?


My father was hospitalized last Friday, and the doctor informed us about the results of the urinalysis, blood tests, and ultrasound.
My father's condition is classified as "infiltrative," with the presence of ascites and jaundice.
It seems that cancer cells have also spread to the bloodstream, and the fetal protein level is approximately 350.
We are unaware of any other information.
A CT scan was performed on Monday, and the results came out today, but we do not have any data on that either.
The doctor directly told us that the situation is not optimistic, so they only recommend chemotherapy and palliative care, asking us to decide on the treatment approach.
When we sought further clarification about his condition, the doctor said that is generally the case and there isn't much more to discuss.

My concern is that if the doctor does not provide us with specific data or images, how can we seek a second opinion from another physician to confirm the diagnosis? We do not intend to question the doctor's expertise, but based on his description, it seems our only options are chemotherapy or waiting for the inevitable, and I am unsure how he reached such a conclusion.
Has the situation deteriorated to the point where any doctor would arrive at the same conclusion? Or should we consider additional testing? (Having never encountered this situation before, we truly do not know how to communicate with the doctor.
We worry that asking too many questions might annoy them, and we may not fully understand the answers, but we genuinely want to know what is happening...)

KK, 30~39 year old female. Ask Date: 2005/03/08

Dr. Xu Jinchuan reply Gastroenterology and Hepatology


Hello! Due to the lack of your father's medical history for reference, we are unable to assess his condition online.
However, if you would like to seek a second opinion, you can request a summary of your father's medical records from the original physician.
This summary will include information about your father's hospitalization, laboratory data, and examination reports, which can be provided to another physician for evaluation.

Reply Date: 2005/03/08

More Info


I'm sorry to hear about your father's health situation. It sounds incredibly challenging for both you and your family. When dealing with a serious diagnosis, especially one involving cancer, it's essential to have clear communication with healthcare providers. Here are some suggestions on how to approach this situation and ensure you get the information you need.

1. Prepare for Appointments: Before meeting with the doctor, write down all your questions and concerns. This can include specific inquiries about your father's diagnosis, treatment options, and prognosis. For example, you might ask:
- What exactly does "invasive" mean in my father's case?
- Can you explain the significance of the ascites and jaundice?
- What does the elevated alpha-fetoprotein level indicate?
- What are the specific findings from the CT scan?
- Are there any additional tests that could provide more information?
2. Request Detailed Information: If the doctor provides vague answers, don't hesitate to ask for clarification. You can say something like, "I appreciate your insights, but could you provide more specific details about the test results? It would help us understand the situation better." If the doctor is unable to provide this information, you can request copies of the test results, imaging reports, and any other relevant documentation. This information can be crucial if you seek a second opinion.

3. Consider a Second Opinion: If you feel uncertain about the diagnosis or treatment plan, seeking a second opinion from another oncologist can be beneficial. When you have the test results and imaging reports, you can present them to the new doctor for a more comprehensive evaluation. This step can provide you with additional perspectives on your father's condition and treatment options.

4. Inquire About Treatment Options: While chemotherapy and palliative care are common recommendations for advanced cancer, it's essential to understand all available options. Ask the doctor about:
- The goals of chemotherapy in your father's case.

- Potential side effects and how they can be managed.

- Other treatment modalities, such as targeted therapies or clinical trials, that may be appropriate.

- The role of palliative care in improving quality of life, even if curative treatment is not an option.

5. Communicate Openly: It's understandable to feel hesitant about asking too many questions, but remember that you are advocating for your father's health. Healthcare providers are accustomed to questions from patients and families. You can express your concerns by saying, "I want to ensure I understand everything clearly so that we can make informed decisions together."
6. Seek Support: Consider involving a social worker or patient navigator if available. These professionals can help facilitate communication with the medical team and provide emotional support during this difficult time. They can also assist in coordinating care and accessing resources.

7. Educate Yourself: While it's essential to rely on medical professionals, educating yourself about your father's condition can empower you to ask informed questions. Resources such as reputable cancer organizations and medical literature can provide valuable insights into cancer types, treatments, and prognosis.

8. Document Everything: Keep a record of all discussions, test results, and treatment plans. This documentation can be helpful for future appointments and when seeking second opinions.

In summary, it's crucial to advocate for your father's health by asking questions, seeking clarity, and exploring all available options. Don't hesitate to reach out for additional support, whether from healthcare professionals or patient advocacy groups. Your father's health and well-being are paramount, and being proactive in communication can make a significant difference in his care.

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