Edmund Burke said, “Nobody ever made a greater mistake than he who did nothing because he could do only a little.”
when pt hears that they have cancer
1. they stop listening for a while
2. they jump to the conclusion that its a terrible death sentence (not all cancers are bad/incurable). not all cancers are terminal. 5 year survival is better than its ever been. there are others diseases that are just as bad.
cancer drugs are improving quickly.
a chapter about how parents can tell children. gathering resources because treatment is toxic and fatiguing.
making decisions about treatment, alternative treatments – practical factual advice, pt has to make decision. dr gives pt facts e.g. to help them decide about internet scams etc.
Broader in scope than the specialist physician or surgeon, more personal than the psychologist, more longitudinal than the palliative care physician, yet more detached than loved ones, we are given a precious gift; a holistic view of humanity over the lifespan.
– disinfect skin
– locate cricothyroid membrane inferior to thyroid cartilage
– vertical incision (so it can be lengthened
– feel for membrane – keep finger on membrane
– horizontal incision – keep finger in incision
– thread in tubing
– bag ventilation
avoiding recurrent laryngeal nerves
avoiding major vessels in neck (common carotid and IJV)