Personal Views

Around every tumour there's a person

BMJ 1998; 316 doi: (Published 14 February 1998) Cite this as: BMJ 1998;316:560
  1. Surinder Singh, principal in general practice
  1. London

    Mr A has a nasty carcinoma of the bladder for which the standard recommended treatment was radical dissection of bladder, prostate, and both testicles. There is, however, nothing standard about Mr A.

    Mr A, who is in his mid 40s, registered with us over a year ago. A local practice had jettisoned him. Although this is conjecture, I think that it was because of his demanding nature. He came to us requesting benzodiazepines, which is never a good start to a long term doctor and patient relationship. He is Spanish, and his long term partner comes from the Philippines. Both are very intelligent and articulate.

    His main complaints at the outset were that the pain of the carcinoma was relentless and that every time he urinated it “was like passing razor blades, except worse.” He hated the tumour. What he hated even more, however, was the fact that everybody—or at least nearly every doctor—pushed …

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