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On Being a Doctor |


Michelle Shayne, MD
[+] Article, Author, and Disclosure Information

From University of Rochester Medical Center, Rochester, NY 14642.

Requests for Single Reprints: Michelle Shayne, MD, University of Rochester Medical Center, 601 Elmwood Avenue, Box 704, Rochester, NY 14642; e-mail, michelle_shayne@urmc.rochester.edu.

Ann Intern Med. 2011;155(9):645. doi:10.7326/0003-4819-155-9-201111010-00019
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I didn't expect the telephone conversation to take such a turn. I was returning a call to report the results of tumor markers that were still pending at the time of my patient's clinic visit. I told her the results, and along with them came implications I knew she wouldn't want to hear. The tumor marker values, instead of declining in a manner consistent with a good response to treatment, were increasing. I sensed the tension in her voice as she asked, “That's not good, is it?”





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