Bladder Cancer: A Resource Guide for Patients and Their Families
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CHAPTER ONE INTRODUCTION After the initial shock of being given a new diagnosis of cancer, a flood of emotions follow with fear and anxiety being foremost. Questions fill your mind: How serious is it Can I be cured? Am I going to die? Will I suffer? What treatments are available? Can I do anything to improve my odds? What side effects will occur from the treatments? Will I lose time from work? Will my insurance cover the cost? Will I be disfigured? Will my spouse and family be supportive? Do I have a good doctor? Bladder cancer, or any serious potentially life threatening illness is generally alien to most individuals. Suddenly, lives are changed and a new reality must be dealt with. Becoming a “patient” or worse “a cancer patient” is not only threatening, but a dreaded proposition. Cancer patients are not happy with the loss of autonomy, the invasion of privacy, the discomfort inflicted upon them and the demands on
Having a fundamental base of knowledge is a must when facing the issues and treatment decisions which lie ahead. In the following pages, together we will explore bladder cancer, a disease which is totally foreign to most of us until the diagnosis is made. I have chosen to present the information in a question and answer format, written in a conversational tone, as if I were having an extended consultation with one of my patients. The questions are typical of what individuals have asked over the years. I have covered the key issues and decisions the individual with bladder cancer may face. The answers are to the point and cover the essentials required to make an informed decision for most individuals. For others, a more detailed resource may be required. For helpful sources of additional information see the Appendix. Each individual’s situation is unique. Decisions on treatment may be modified based on the patient’s preferences and values and altered by other considerations such as age and coexisting conditions. By becoming an individual knowledgeable of bladder cancer, you will be prepared to fully partner with your physician for your best possible outcome. To your companions and family members, this book will serve to answer the many questions and doubts that may arise. Having your loved ones informed and supportive is a big plus for the individual facing this new challenge. The book is written in a logical sequence starting with finding a qualified urologist to the basics on bladder cancer, its assessment and treatment. At the end of the book, you will find chapters on complementary medicine, advance care planning, and hospice care. The book can be read in sequence or each chapter can serve as a resource covering the basics of the topic. It is my hope this book will help clarify the many issues and options individuals must face with bladder cancer. For family members, significant others and concerned friends, this resource should help improve your understanding and thus your ability to assist your loved one.
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About the Book
If you, a loved one or friend has been diagnosed with bladder cancer, learning the basics is of utmost importance. It is essential to understand the nature of the disease, the work up and variety of treatments which are available.
This book is comprehensive yet user friendly. It is written in a question and answer format in conversational tone. The physician author is a clinical urologist who has guided many individuals with bladder cancer through diagnosis and the various forms of treatment. This resource should enable those with bladder cancer and their family and friends to face this challenge with reason.
After reading this book, you will be able to make an informed decision as you collaborate with your physician to regain your health.
This book is written to allow the reader to have an improved dialogue with their physician. It is not a substitute for medical consultation with a qualified physician. The reader must consult with their physician regarding work up, treatment and potential side effects of therapy.
About the Author
Gary N. Dunetz M.D.,FACS, is a board certified urologist. who trained in urology at Boston University Medical Center. He has been in clinical practice in Nashua, New Hampshire since 1984. His practice in general urology has included numerous patients with bladder cancer.
"A patient's understanding of their condition is key to an effective physician/patient dialogue. This is essential in the care of this disease where multiple treatment options exist. I decided to write this guide to shed some light on this complex subject and bring clarity to the decision making process."