Usually they come for a diagnostic work up after they have already been given a diagnosis of cancer. They arrive at an oncology office in a state of alarm and fear. They also have grave questions about their future life. The first problem I find is the way in which they were given the diagnosis. Receiving the diagnosis produces a strong emotional reaction.
Most people are shocked and devastated, needing more time to fully comprehend the meaning of cancer.
Most cases are usually straightforward. A diagnosis is made and treatments are initiated. Thus, many patients may not need a second opinion. But when a diagnosis of cancer is made, there is much fear, misunderstanding, and many questions about therapy. After analyzing the cancer data, the most important thing a physician can give to a concerned patient or family is to explain, in simple terms, all the pertinent issues.