Delivering Bad News - What not to do...
Summary
TLDRIn the video, Mrs. FLOTUS learns she has invasive, metastatic breast cancer that is estrogen receptor positive, indicating a response to hormonal therapy. Despite her shock and fear, the doctor assures her of available treatment options including surgery, radiation, and chemotherapy. The doctor's empathy and promise of support, along with the mention of a successful family member's recovery, aim to comfort Mrs. FLOTUS as she faces this health challenge.
Takeaways
- π₯ Mrs. FLOTUS is diagnosed with invasive breast cancer that has metastasized to her lymph nodes.
- π The cancer is estrogen receptor positive, which indicates a better response to hormonal therapy.
- π The patient has been experiencing symptoms such as fatigue, dizziness, and has discovered a lump.
- π©ββοΈ The doctor recommends meeting with a medical oncology team and a general surgery consultation.
- πͺ Possible surgical treatments include a mastectomy or a lumpectomy, to be followed by radiation and chemotherapy.
- 𧬠The cancer was undetectable at stage one and is prevalent in the Hispanic population, as mentioned by the doctor.
- πͺ The doctor encourages Mrs. FLOTUS to remain strong and assures her that there are many treatment options available.
- ποΈββοΈ The patient is described as very active, which could be beneficial for her recovery process.
- π’ The patient expresses fear and concern about the pain and suffering similar to what her husband experienced with colon cancer.
- π€ The doctor offers emotional support and mentions a personal connection through a family member who survived breast cancer.
Q & A
What health issues is Mrs. FLOTUS experiencing?
-Mrs. FLOTUS is experiencing fatigue, dizziness when she gets overly tired, and she has a lump that she is concerned about.
What tests has Mrs. FLOTUS undergone?
-Mrs. FLOTUS has undergone a CBC (Complete Blood Count), a comprehensive metabolic panel, and a mammogram.
What is the diagnosis given to Mrs. FLOTUS by the doctor?
-The doctor diagnoses Mrs. FLOTUS with invasive breast cancer that has metastasized to her lymph nodes.
What does 'estrogen receptor positive' mean in the context of breast cancer?
-Being 'estrogen receptor positive' means that the cancer cells have receptors for estrogen, which is a good thing because it indicates that the cancer is likely to respond to hormonal therapy.
What is the initial reaction of Mrs. FLOTUS upon hearing her diagnosis?
-Mrs. FLOTUS is in disbelief and shock, stating that no one in her family has had cancer.
What treatment options are suggested for Mrs. FLOTUS?
-The suggested treatment options include meeting with a medical oncology team and a general surgery consultation for a possible mastectomy or lumpectomy, followed by radiation therapy and chemotherapy.
Why does the doctor say that the cancer was undetectable at stage one?
-The doctor indicates that Mrs. FLOTUS's cancer was very insidious and undetectable at stage one, suggesting that it was not easily identifiable or noticeable at an early stage.
How does the doctor address Mrs. FLOTUS's concern about being in pain like her husband?
-The doctor reassures Mrs. FLOTUS that she will be fine and that there are many cancer survivors. The doctor also empathizes with her feelings and offers to set up a meeting in a few months.
What is the doctor's response to Mrs. FLOTUS's fear and concern about dying?
-The doctor assures Mrs. FLOTUS that she is not dying and that there are plenty of treatment options available. The doctor also refers her to the best medical oncologist in town.
What is the doctor's plan to support Mrs. FLOTUS moving forward?
-The doctor plans to refer Mrs. FLOTUS to the medical oncology team and offers to set up a meeting with her in six months. Additionally, the doctor calls in the nurse practitioner, Bonnie, to answer any further questions Mrs. FLOTUS may have.
What is the significance of the doctor mentioning her Aunt Marie's experience with breast cancer?
-The doctor mentions her Aunt Marie's successful treatment of breast cancer to provide Mrs. FLOTUS with a positive example and to reassure her that recovery is possible.
Outlines
π₯ Diagnosing Breast Cancer
In this paragraph, a patient named Mrs. FLOTUS is discussing her health concerns with her doctor. She reports feeling very tired and dizzy, and mentions a lump that she is scared about. The doctor informs her that she has invasive breast cancer that has metastasized to her lymph nodes. The cancer is estrogen receptor positive, which indicates that hormonal therapy will be effective. The doctor suggests meeting with a medical oncology team and a general surgeon to discuss treatment options, which may include a mastectomy or lumpectomy, followed by radiation therapy and chemotherapy. The patient expresses shock and disbelief, questioning how she could have cancer given her regular check-ups. The doctor reassures her about the availability of treatment options and the strength of cancer survivors, including a personal connection with the doctor's Aunt Marie.
Mindmap
Keywords
π‘Invasive breast cancer
π‘Metastatic
π‘Estrogen receptor positive
π‘Mammogram
π‘Lumpectomy
π‘Mastectomy
π‘Radiation therapy
π‘Chemotherapy
π‘Medical oncology team
π‘Insidious
π‘Cancer survivor
Highlights
Patient reports feeling very tired and experiencing dizziness when overly tired.
Patient mentions having a lump and expresses fear.
Doctor reveals the diagnosis of invasive breast cancer.
Cancer has metastasized to the lymph nodes.
Cancer is estrogen receptor positive, indicating a response to hormonal therapy.
Patient expresses disbelief and concern about family history.
Doctor outlines the next steps including meeting with a medical oncology team and general surgery.
Surgical options of mastectomy or lumpectomy are mentioned.
Radiation therapy and chemotherapy are part of the treatment plan.
Patient is confused and scared, only hears 'breast cancer'.
Doctor explains the seriousness of the tumor and its potential to spread quickly.
Doctor reassures the patient that the cancer was undetectable at stage one.
Breast cancer is highlighted as prevalent in the Hispanic population.
Doctor encourages the patient to remain strong.
Patient expresses fear of dying.
Doctor assures the patient of available treatment options and refers to a top medical oncologist.
Patient shares her fear of pain, referencing her husband's experience with colon cancer.
Doctor empathizes and offers to set up a meeting in six months.
Doctor calls in nurse practitioner Bonnie for additional support and questions.
Transcripts
[Music]
hello ma'am hello
doctor Miss flus yes um so what's your
body been telling
you uh well I get very dis very tired I
get some dizziness when I get overly
tired I uh I have a lump I'm scared I
want to know what the results of the
test
were well the reason we've been doing
these tests the CBC the comprehensive
metabolic panel the
mamogram um let's get right down to it
Mrs FLOTUS you have invasive breast
cancer it's metastatic to your lymph
nodes uh it's estrogen receptor positive
which is a good thing because you you
will respond to hormonal
therapy what I can't have
cancer no one in my family has
cancer are you sure the next step will
be for me to send you or for you to meet
with a medical oncology team um and a
general surgery they will probably
recommend a masectomy a lumpectomy and
this will be followed by radiation
therapy and chemotherapy do you have any
questions have I gone too fast oh I
didn't understand all I heard was breast
cancer yes sorry uh you have a tumor a
growth it's serious and that it can
spread and it can grow pretty quickly um
so it's been very
Insidious um any more
questions how can I have breast
cancer I kept all my mamogram schedule I
kept my
checkups so your Cancer's been very
Insidious it's was undetectable at stage
one
and breast cancer is very prevailing in
the Hispanic
population you know what I need for you
to do is just to remain strong I have
breast
cancer yes I know um that's the way
nature
is I think I'm just going to refer to
the medical oncology team at this point
uh but you know Mrs FLOTUS I know you
can bounce right back from this you're
very active am I dying no you're not
dying you have plenty of treatment
options available in fact I'm sending
you to the best medical loal oncologist
in town I'm I guarantee you're going to
be fine I'm scared
doctor uh you know you're going to be
fine there's plenty of cancer survivors
everywhere in fact my Aunt Marie she was
diagnosed with breast cancer and she is
doing fine I don't want to be in pain
like my husband was like I said you're
going to be all right I know just how
you feel I've seen what cancer can do to
you it eats you up my husband died of
colon cancer so you know what the harsh
treatments that are going to arise and
the issues um you know I'm available to
help you why don't I set up a meeting
with you in a couple of months say 6
months I've press
KC I'm sorry yes
you know I'm going to call in my nurse
practitioner Bonnie and she'll be
available to answer any questions um you
can take your time uh here's some tissue
if you need some let me go call her now
here okay I'll see you in a couple
months Bonnie
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