I sat at the nurse’s station reviewing my first patient of the day. I flipped through her chart as the techs prepared her for the procedure. Nothing special. She was a 56 year old lady from Bradenton, Florida, who had a coin size mass seen in one of her lungs on a routine chest x-ray. Using computed tomography I had been requested by her referring physician to get a piece of tissue from the nodule to be examined under a microscope, by the pathologist to determine histologically if the growth was benign or malignant. Having reviewed her history and her routine chest films, I walked into the procedure room to introduce myself, explain the procedure and answer any questions she might have. I found a pleasant 56 year old female, who seemed quite calm and answered all my questions with a calmness not ordinarily seen in these situations. Most people have a deadly fear of cancer and death and both anxiety and barely suppressed fear are usually the norm.
I explained
what I was about to do and that the tissue sample would confirm or exclude
malignancy. I explained how I would numb the skin over her chest and then using
CT imaging for placement, I would attempt to insert a cutting needle in the
middle of the soft tissue mass in her lung and obtain a core of tissue for the
pathologist to examine. She listened carefully as I went on to describe all the
possible complications associated with the procedure. She smiled and nodded her
assent, asked no questions and signed the consent form with the same degree of
concern as if signing a letter to her best friend.
A true story as related by John T. Spencer MD,
a recently retired physician, after almost 40 years of practicing Medicine.
a recently retired physician, after almost 40 years of practicing Medicine.