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• W2171114012 abstract "In the past 30 years physicians have changed their attitudes about the communication of the diagnosis to their patients. The tendency in the past to protect patients against emotional distress caused by the breaking of bad news has been replaced by the acknowledgment of the patient's right to be informed about their condition.1Saltini A Communication of bad facts. To inform or not to inform the patient: a choice between 2 alternatives?.Recenti Prog Med. 1995; 86: 359-366PubMed Google Scholar This acknowledgment has not resulted in any benefit to patients; on the contrary it harms many of them. In the past 18 months, we have seen seven patients who died within 48 h of being told that there is no hope of cure for their illness. These patients were enjoying a normal life despite the fact that they had incurable cancer. There was no apparent cause for their early death apart from the news they had received. Questionnaires, which aim to answer the question of whether or not to inform patients about their illness are irrelevant. It is human nature to try to know the unknown, although this might not be in our best interest.2Oelz O Truth disclosure in physicians' dialogue: compassionate lie or merciless statistics?.Schweiz Rundsch Med Prax. 1996; 85: 440-444Google Scholar It is for the best that we do not know the future or time of death? In many instances life would be a nightmare if the future was revealed. Most people, however, will say that they would rather know the future. Similarly, the wish of patients to know the whole truth about their illness does not mean that it is right for them. As doctors, it is our obligation to make sure that we are acting in the best interest of patients. For example, a doctor who is treating a psychiatric patient might choose not to tell him the facts about his illness to make him feel that he is not suffering from any illness at all. Although this is not the truth, it might be the best option for the patient." @default.
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• W2171114012 date "1998-10-01" @default.
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• W2171114012 title "Do we always need to tell patients the truth?" @default.
• W2171114012 cites W2415460302 @default.
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• W2171114012 doi "https://doi.org/10.1016/s0140-6736(05)79804-4" @default.
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