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Informing Cancer Patients: Whose Truth Matters?

Mr. M. suffers from cancer and has been informed of the diagnosis, prognosis, and treatment options. He has been offered the opportunity to discuss these issues in the presence of his wife. He does not want us to speak with his wife, preferring to tell her himself. Months later, the wife and the patient tell us that she had been aware of the diagnosis but that they had spent many weeks in silence, neither knowing whether the other knew.