Although the treatment stands no real chance of curing me, does it stand a realistic chance of extending my survival by some worthwhile amount, and are the side-effects/risks acceptable?
If the answer to either part of this is “No”, then you probably shouldn’t be taking treatment. Otherwise go to the next question. Question 4 Although the treatment stands no real chance of curing me, or of extending my survival, does it stand a realistic chance of improving my quality of life, after I have taken into account the side-effect/risks? If “Yes”, go for it. If the answer is “No”, then you probably shouldn’t take the treatment. A patient’s quality of life is not measured by PSA levels, but by how they feel and how well they are able to carry on with their life. Improvement in a patient’s quality of life is not measured by whether the oesophageal cancer looks smaller on the CT scan, but whether the patient can swallow better. A patient with bone pain is not better because the bone scan is better, but because the pain is better. Think about it.
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