I was slightly upset about how much the cancer patient helped me. Then a devastating text came Rangana Srivastava

“So, what do I say when they call me to perform surgery?”

“Well, this should not happen because I will talk to them.”

“But if they did that?”

“Do not attend the appointment.”

“like this?”

“Yes, you will not recover well from a big process.”

“I agree, document.”

My patient, in the 1960s, has two separate cancer, which cannot be treated, and they are life threatening. Keeping well is a budget, and then my advice to avoid working on one cancer at the expense of blocking treatment for the other. It also suffers from long -term depression, and has relatives based on fine and never come with them.

The calamities should not be forced to compete to be meaningful but a mixture that fills me with dread is cancer and unaccounted mental illness.

Cancer attracts government money and large horses, public sympathy and a deep and wide support network. When the patient is diagnosed with cancer, there is a clear way of care although the road can be unnecessary rugged. Among the researchers who reached discoveries and doctors who use them on patients, that is, a number of people who enrich the ecosystem: nurses, social workers, allied health and volunteers. Only last week, I shared my umbrella with Octogran sat with internal patients every week for 20 years.

Mental illness is the cousin of the poor in physical conditions. Although it is the issue of increasing awareness and increasing financing, they say, there is a lot of slipping between the cup and the lip. It is difficult for people to reach comprehensive care and it is practically impossible to obtain the continuity of care, and it can be said that the most important part of recovery. In an excellent general hospital system in many ways, I find the gap in external care services and support services for mental illness is incomprehensible.

This leaves patients (already deprived) who suffer from a double diagnosis in the malignant situation of receiving the same treatment as the prince for one disease and Pauper for the other.

After emailing the surgeon and receiving immediate confession, I move to Maryam.

“Now that surgery is outside the table, let’s talk about the rest. You need to radiate a growing coin. For this, we need to stop your other treatment.”

Feeling her frequency, I am assured that I will personally explain things with many people participating in their care before strengthening her visits to one clinic and one team. At some point, since I am confused about writing and speaking, she asks what it means “all this” but with no time to make sure of what it really means, I say something. She is kindly thanks to me and leave.

I feel self -satisfied, even a little tied in the amount of what has been achieved in our allocated 20 minutes, which has become 40.

I have avoided major surgery that may have proven to be fatal. It was released by radiologist urgent date. She has met a specialized cancer nurse who will be continuous assistance.

If you have to classify the patients who helped them a day, I will put them at the top. So, the strike is particularly destroyed when you only overcome hours, and receive a text of written staff.

“The patient is so upset that she asked to cancel all her dates.”

My only possible conclusion is that the patient is upset with me.

An explanatory email from the patient followed. “I have nothing against doctors, but everything is too much, and I just want to leave me alone.” This only increases my sin.

Then, this text is from a colleague who ended the alarm. “I think we will have to wait until you suffer from a crisis.”

The crisis that can be avoided is what every oncology doctor works desperate to avoid him, and therefore the patient’s decision to cancel the treatment immediately after my interview affects me as a personal failure.

Fortunately, suppress the instinct to contact it. The last thing the patient needs is to be placed in submission, even if that is to protect her health.

I wonder whether I can take things more slowly (and keep the patients of other patients waiting) and they were more harmonious to her emotions (without any additional cost).

I regret that my enthusiasm for treating her cancer got better than my duty to protect her mental health. But I can only think that what brought it to decline is the excessive cognitive load of my advice layer at the head of fragile mental health that has not been eaten sufficiently.

When someone is well diagnosed mentally with physical disease, mental health care should be expanded; Instead, the weakness grows more at risk.

Everyone I know is struggling to reach psychological and psychological assistance in a timely manner. But in a cancer clinic where there is also a race against time, the practical reality is that people surrender – both doctors and patients. If one does not expect a mental health specialist to treat cancer, the opposite should not apply either?

That is why every general hospital cancer service will be enriched by an guaranteed counselor or psychiatrist. Most patients will serve well, as only those who need normal care indicate a psychiatrist dedicated to periodic guidance. Given the spread of many mental illnesses and intersections with cancer, this will be well spent.

I admit my problem to a nurse that gives her one day before contacting the patient. I hate to ask the amount of listening and understanding that it has reached there, but it has never been unprecedented to receive a simple text.

“Just confirmation of the patient has agreed to attend all her appointments.”