Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Doctor accepting new patients
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

A patient’s view on cancer surprises this physician

Lucy Hornstein, MD
Physician
May 10, 2017
Share
Tweet
Share

I had an upsetting encounter the other day with a 22-year-old woman, who mentioned (secondary to the purpose of the visit) that she was pretty sure she had breast cancer.

Why did she think that?

She’d found a lump in her breast.

(Somewhat unusually for the specific setting, she let me do a breast exam. All I felt was a small area of lumpy breast tissue, possibly a fibroadenoma at worst. Of course, I would recommend ultrasound and possibly excision, but I wasn’t acting in the capacity of her primary care physician.)

Had she seen a doctor about it?

No.

Why not?

The answer that sent my jaw to the floor:

Cancer means you’re going to die, and the only thing the doctors want to do is give you chemotherapy to make you as miserable as possible for as long as possible, so they can make as much money as they can off you.

No, she was not being sarcastic, or ironic, or anything but sadly sincere. I was taken completely aback.

I pulled my chair around to the other side of the desk, and asked her to give me her hands, which I held tightly while gazing straight into her eyes. As sincerely and seriously as I possibly could, I told her that no, that’s not what doctors did. At least none of the ones I know, and I know a lot of cancer doctors, every last one of whom is a particularly shining example of the best of the warmth, caring, and compassion to be found in the medical profession.

And saddest of all: I don’t think she believed me.

So yes, apparently in this day and age, there is still widespread belief that:

  1. Cancer is uniformly and universally fatal.
  2. Doctors inflict suffering for the sole reason of making money.
  3. Making money is the only reason doctors treat cancer.

What can one little dinosaur do? Other than hold someone’s hands, gaze deeply into their eyes, and pour my soul into every word, not much else. I can only hope.

Lucy Hornstein is a family physician who blogs at Musings of a Dinosaur, and is the author of Declarations of a Dinosaur: 10 Laws I’ve Learned as a Family Doctor.

Image credit: Shutterstock.com

Prev

The elderly need hired professionals to administer their medications

May 9, 2017 Kevin 7
…
Next

It's bad luck to say that in a hospital

May 10, 2017 Kevin 0
…

Tagged as: Oncology/Hematology

< Previous Post
The elderly need hired professionals to administer their medications
Next Post >
It's bad luck to say that in a hospital

ADVERTISEMENT

More by Lucy Hornstein, MD

  • After #MeToo, have the rules changed?

    Lucy Hornstein, MD
  • Never underestimate the power of pus

    Lucy Hornstein, MD
  • The insurance companies say I’m a terrible doctor. And I’m proud of it.

    Lucy Hornstein, MD

Related Posts

  • Building a bond of trust between patient and physician

    Michele Luckenbaugh
  • More physician responsibility for patient care

    Michael R. McGuire
  • Prescribing medication from a patient’s and physician’s perspective

    Michael Kirsch, MD
  • A physician’s addiction to social media

    Amanda Xi, MD
  • The triad of health care: patient, nurse, physician

    Michele Luckenbaugh
  • There are drawbacks when multiple layers are placed between patient and physician

    Elaine Walizer

More in Physician

  • The ticking clock: How time constraints in medicine hurt patient care

    Timothy Lesaca, MD
  • “The only thing that will change will be our name”: a private equity cautionary tale

    Anonymous
  • Leadership in action: How a broken pager fixed a hospital

    Ronald L. Lindsay, MD
  • Profits before patients: the hidden cost of U.S. health care

    Dr. Shantanu Rai
  • Why maintenance of certification varies widely: a system in crisis

    Brian Hudes, MD
  • AI governance in health care: Why physicians must lead the design

    Tod Stillson, MD
  • Most Popular

  • Past Week

    • Single-payer health care vs. market-based solutions: an economic reality check

      Allan Dobzyniak, MD | Policy
    • Rural emergency medicine in New Mexico: a physician’s firsthand account

      Sarah Bridge, MD | Physician
    • The ticking clock: How time constraints in medicine hurt patient care

      Timothy Lesaca, MD | Physician
    • Beyond Flexner: Why we must rethink medical training reform

      Ravi Agarwala, MD | Education
    • The “ethical canary”: How moral injury signals systemic failure

      Courtney Markham-Abedi, MD | Conditions
    • Learning from patients: How a physician gained strength and resilience

      Samantha Fernandes, MD | Physician
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • The hidden costs of the physician non-clinical career transition

      Carlos N. Hernandez-Torres, MD | Physician
    • The gastroenterologist shortage: Why supply is falling behind demand

      Brian Hudes, MD | Physician
  • Recent Posts

    • The ticking clock: How time constraints in medicine hurt patient care

      Timothy Lesaca, MD | Physician
    • Insulin resistance is not a disease: a metabolic reframe

      Kevin Whitt | Conditions
    • Understanding Moore’s Law and the exponential growth of technology

      Richard A. Lawhern, PhD | Conditions
    • From glucose to vascular health: the future of diabetes care

      Palma Shaw, MD | Conditions
    • “The only thing that will change will be our name”: a private equity cautionary tale

      Anonymous | Physician
    • Community cooperatives offer a solution to the affordable health care crisis [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 20 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Single-payer health care vs. market-based solutions: an economic reality check

      Allan Dobzyniak, MD | Policy
    • Rural emergency medicine in New Mexico: a physician’s firsthand account

      Sarah Bridge, MD | Physician
    • The ticking clock: How time constraints in medicine hurt patient care

      Timothy Lesaca, MD | Physician
    • Beyond Flexner: Why we must rethink medical training reform

      Ravi Agarwala, MD | Education
    • The “ethical canary”: How moral injury signals systemic failure

      Courtney Markham-Abedi, MD | Conditions
    • Learning from patients: How a physician gained strength and resilience

      Samantha Fernandes, MD | Physician
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • The hidden costs of the physician non-clinical career transition

      Carlos N. Hernandez-Torres, MD | Physician
    • The gastroenterologist shortage: Why supply is falling behind demand

      Brian Hudes, MD | Physician
  • Recent Posts

    • The ticking clock: How time constraints in medicine hurt patient care

      Timothy Lesaca, MD | Physician
    • Insulin resistance is not a disease: a metabolic reframe

      Kevin Whitt | Conditions
    • Understanding Moore’s Law and the exponential growth of technology

      Richard A. Lawhern, PhD | Conditions
    • From glucose to vascular health: the future of diabetes care

      Palma Shaw, MD | Conditions
    • “The only thing that will change will be our name”: a private equity cautionary tale

      Anonymous | Physician
    • Community cooperatives offer a solution to the affordable health care crisis [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

A patient’s view on cancer surprises this physician
20 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...