Indexing Title: TMEDINA’s Medical Anecdotal Report [04-2]

MAR Title: An old-maid with a breast cancer

Date of Medical Observation: May 12, 2004

Narration:

            2 months ago, I came across with a 42 y/o, female, who consulted with a friend due to a left breast mass of 3 years at the ER.

            Apprehensive she seemed, I started by making some gestures that showed compassion while examining her and as a result, she opened up.

            On physical examination, the mass was pointing out to a malignancy.

            Being an old-maid was the main reason for not consulting, she felt alone and that no one would take care of her. I then told her that this should not be the case and let her family know her condition, to give them a chance to involve themselves. She was then advised admission for work-up and referral to service consultant but refused because she still have to talk to the family.

            Last May 12, I was surprised to see her. She have started neo-adjuvant chemotheraphy with enthusiasm and currently on her 2^nd cycle. She introduced me to her sisters, who accompanies her every treatment. She hugged me and said thank you.

Insights (discovery, stimulus, REINFORCEMENT):

            At a glance, in every patient we see, somehow we already have an idea as to what kind of patient are we dealing with and it is vital that we should establish a rapport to gain their trust.