Treatment FAQ

what happens with no treatment

by Bret Reynolds MD Published 3 years ago Updated 2 years ago
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CONSEQUENCES OF NON-TREATMENT

  • Homelessness People with untreated psychiatric illnesses comprise 250,000 people, of the total homeless population. The...
  • Incarceration in 2011, there were about 240,000 seriously mentally ill in prisons and 125,000 in jails, or 365,000...
  • Episodes of Violence There are approximately 1,000 homicides – among the estimated 20,000 total...

Full Answer

When is it reasonable to say “no” to drug treatment?

Saying “no” may also be reasonable where the benefits from treatment are expected to be modest, yet the adverse effects from treatments are substantial. These scenarios are not uncommon in the palliative care setting. But in some circumstances, there’s a clear medical requirement for drug treatment – yet treatment is declined.

Is it ever OK to decline treatment?

And a decision to decline treatment has its own risks. One of the challenges that I confront regularly as a pharmacist is helping patients understand a medication’s expected long-term benefits against the risks and side effects of treatment.

Are cancer patients better off untreated or treated?

Walter Last, writing in The Ecologist (Vol 28, No 2, Mar/Apr 1998) reported (now over 10 years ago): “After analyzing cancer survival statistics for several decades, Dr Hardin Jones, a professor at the University of California, concluded: ‘...patients are as well, or better off, untreated. Jones’s disturbing assessment has never been refuted.

What are the consequences of non-treatment for serious mental illness?

The consequences of non-treatment for serious mental illness are devastating. Here are 2 articles on it Homelessness People with untreated psychiatric illnesses comprise 250,000 people, of the total homeless population. The quality of life for these individuals is abysmal.

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Is it possible to survive cancer without treatment?

By the time the cancer has reached the attention of doctors, unaided recovery is highly unlikely: overall, just one in 100,000 cancer patients are thought to shed the disease without treatment. Within those scant reports, though, there are some truly incredible stories.

What will happen if cancer is not treated?

The bottom line. Cancer can kill when tumors affect the function of major organs. Life threatening complications can also occur due to malnutrition, a weakened immune system, and lack of oxygen. Cancer treatments can prevent some of these complications, as well as disease progression.

Is it OK to refuse cancer treatment?

Refusing treatment is a personal decision that involves not just the medical facts of the case, but the values of the person afflicted with cancer. Although it can be hard to accept, sometimes refusing treatment is the right decision to make.

How long can you leave cancer untreated?

If you're wondering how long you can have cancer without knowing it, there's no straight answer. Some cancers can be present for months or years before they're detected. Some commonly undetected cancers are slow-growing conditions, which gives doctors a better chance at successful treatment.

How do you know when a cancer patient is near death?

Patients near death may not respond to others. Patients may withdraw and spend more time sleeping. They may answer questions slowly or not at all, seem confused, and may not be interested in what's going on around them. Most patients are still able to hear after they are no longer able to speak.

What is dying of cancer like?

It might take hours or days. The dying person will feel weak and sleep a lot. When death is very near, you might notice some physical changes such as changes in breathing, loss of bladder and bowel control and unconsciousness. It can be emotionally very difficult to watch someone go through these physical changes.

What are the last stages of cancer?

The following are signs and symptoms that suggest a person with cancer may be entering the final weeks of life: Worsening weakness and exhaustion. A need to sleep much of the time, often spending most of the day in bed or resting. Weight loss and muscle thinning or loss.

Can a cancer patient survive without chemotherapy?

It found that low-risk patients did well without chemotherapy. That study showed the test could select a cohort of patients with a 99 percent chance of five-year survival without distant metastasis. For those women, the risks of chemotherapy aren't justifiable.

What is the most common cause of death in cancer patients?

The single major cause of death was infection (36%), which was also a contributory factor in an additional 68% of the cases. Other important causes of death were hemorrhagic and thromboembolic phenomena (18%), which also were contributory factors in an additional 43%.

How fast do cancer stages progress?

Scientists have found that for most breast and bowel cancers, the tumours begin to grow around ten years before they're detected. And for prostate cancer, tumours can be many decades old. “They've estimated that one tumour was 40 years old. Sometimes the growth can be really slow,” says Graham.

What causes sudden death in cancer patients?

As per this definition, 32 of 130 end-stage cancer patients (24.6%) who died at home during a period of 2 years experienced "sudden death". The reasons for sudden changes included liver rupture, liver failure, hematemesis/melena, and renal failure.

How do doctors know how long a cancer patient will live?

Ask your doctor about the stage of your cancer and how much it has spread. Ask about your prognosis, or how long you have to live. No one can know exactly, but your doctor should be able to tell you a range of months or years. And you need to know if more treatment for cancer will help you live longer.

Is it better to get help early or wait?

It is usually better to get help early rather than waiting until the problem has gone on for a long time. This reduces the chance of more serious problems developing. Depression is also more of a problem if you have had more than one period of depression over the years.

Can depression be reduced?

If you have repeated periods of depression over the years, treatment may reduce problems with depression in the future. It is especially important to seek help if you start to feel hopeless, that life is not worth living, or if you have serious thoughts of ending your life.

How many people are not receiving treatment?

According to the National Advisory Mental Health Council, an estimated 40 percent of these individuals, or 1.8 million people, are not receiving treatment on any given day, resulting in homelessness, incarceration, and violence.

How many acts of violence are committed in the period immediately prior to hospitalization?

A 1998 MacArthur Foundation study found that people with serious brain disorders committed twice as many acts of violence in the period immediately prior to their hospitalization, when they were not taking medication, compared with the post-hospitalization period when most of them were receiving assisted treatment.

How many women refused breast cancer surgery?

It compared patients who refused breast cancer with those that those that accepted surgery. Only 1.3% of women (70) refused surgery. Of that group, 37 had no treatment, 25 had hormone-therapy only, and 8 had other types of treatments.

What is the willingness to accept tradeoffs?

Willingness to accept these tradeoffs varies dramatically by disease, and are strongly influenced by patient-specific factors. In general, the more serious the illness, the greater the willingness to accept the risks of treatment.

How many people use alternative medicine?

In the population that did not use conventional care, one-quarter (24.8%) used some form of alternative medicine. And 12% (approximately 4.6 million Americans) were estimated to be using alternative medicine, and not conventional medicine, to treat one or more health issues.

Is CAM a substitute for medicine?

Surveys suggest the vast majority of consumers with medical conditions use CAM in addition to, rather than as a substitute for medicine – that is, it is truly “complementary”. But there is a smaller population that uses CAM as a true “alternative” to medicine.

Can you opt out of follow up on cancer?

Most patients who decide to opt-out of cancer treatment, also opt-out of any follow-up evaluation. So tracking down patients, and their outcomes, is essential. The effects of treatment refusals and delay, and the effectiveness of CAM as a substitute, has been evaluated in several groups of patients with breast cancer.

Is it reasonable to say no to palliative care?

Saying “ no” may also be reasonable where the benefits from treatment are expected to be modest, yet the adverse effects from treatments are substantial. These scenarios are not uncommon in the palliative care setting.

Is treatment without risk?

No treatment is without some sort of risk. And a decision to decline treatment has its own risks. One of the challenges that I confront regularly as a pharmacist is helping patients understand a medication’s expected long-term benefits against the risks and side effects of treatment.

How do doctors treat cancer?

At this point, a doctor may success an alternative to traditional cancer treatments, including: 1 A clinical trial: Researchers may provide experimental treatments for the cancer, all of which may present higher risks than traditional treatments. 2 Palliative care: Doctors may suggest stopping treatment and working to relieve the symptoms of the cancer for the remainder of life. 3 Entering hospice: This type of palliative care focuses on end-of-life preparation.

What is the difference between clinical trial and palliative care?

A clinical trial: Researchers may provide experimental treatments for the cancer, all of which may present higher risks than traditional treatments. Palliative care: Doctors may suggest stopping treatment and working to relieve the symptoms of the cancer for the remainder of life.

Can chemo affect quality of life?

In fact, for someone who likely only has weeks or months to live, aggressive treatments like chemotherapy may end up causing a significant reduction in quality of life over a period of a few weeks. This can cause the ill person to delay making end-of-life preparations or to delay entering hospice.

Can Pintas and Mullins compensate you?

At Pintas & Mullins Law Firm, we know awards cannot truly compensate you for this situation, but you can use the lawsuit to hold the offending party responsible. Should you hire us, we can answer any questions you have regarding your legal case. Contact us today at (800) 217-6099 for a free consultation.

Can you die from stage 4 cancer?

A person with stage 4 cancer may not feel ready to face the likelihood of death, which causes them to be willing to try any kind of treatment, even with a small chance of success, according to the study.

Can a tumor grow after first treatment?

However, should the tumor continue growing after the first treatment, the chances that future treatments stand little chance of causing the tumor to shrink are small, according to the American Board of Internal Medicine (ABIM) Foundation. For a free legal consultation, call (800) 217-6099.

Can a doctor talk to a patient about stage 4 cancer?

Sometimes, doctors do not speak in straightforward terms with patients about the limited chances of success in curing stage 4 cancer. Patients need to ask questions of doctors about the actual chances of recovery when facing stage 4 cancer.

Can MS patients take medication?

Many people with MS say no to medication, and "the reasons vary considerably from person to person,” says Nicholas LaRocca, PhD, vice president of health care delivery and policy research at the National Multiple Sclerosis Society (NMSS).

Can MS patients be treated?

Multiple sclerosis drugs have been proven to reduce relapses. But some with MS still say no to treatment. Most doctors recommend starting an MS medication at the time of diagnosis, but some people with MS choose not to. Getty Images.

What happens if cancer stops working?

Or maybe one type of cancer treatment has stopped working and the cancer has kept growing. If this happens, your doctor might say your cancer has advanced or progressed. There may or may not be other treatment options. But when many different treatments have been tried and are no longer controlling the cancer, it could be time to weigh ...

How to trust your doctor about cancer?

Trusting your cancer care team. Talking with your doctor and cancer care team, and trusting them to be honest, open, and supportive, is very important. You will have more confidence in treatment decisions if you trust the doctors making recommendations. This means communication is a key part of your care, from diagnosis throughout treatment ...

How to talk to your loved ones about cancer?

Talking with your loved ones. Be open with your loved ones about your cancer and the news you've been given. Explore their thoughts, feelings, and suggestions. Talk to them about the options you have been given, along with the decisions you have made or are thinking of making. If you feel you need their input, ask.

Is there hope for a life without cancer?

Staying hopeful. Your hope for a life without cancer might not be as bright, but there is still hope for good times with family and friends – times that are filled with happiness and meaning. Pausing at this time in your cancer treatment gives you a chance to refocus on the most important things in your life.

Can cancer shrink?

If you have cancer that keeps growing or comes back after one kind of treatment, it’s possible that another treatment might still help shrink the cancer, or at least keep it in check enough to help you live longer and feel better. Clinical trials also might offer chances to try newer treatments that could be helpful.

Can you get a second opinion on cancer?

When faced with deciding whether to continue cancer treatment, some patients or their loved ones may want to get a second opinion. Even when you place full trust in your doctor and cancer care team, you might wonder if another doctor could offer something else or more information. It's normal to think about talking to someone else, and your doctor should support you if you decide to get another opinion. Remember that your cancer care team wants you to be sure about the decisions you make. You can read more in Seeking a Second Opinion.

Does cancer stop working?

If Cancer Treatments Stop Working. Cancer treatments can help stop cancer from growing or spreading. But sometimes treatment does not work well or stops working. Maybe treatment ended a while ago and was successful at first, but cancer has come back. Or maybe one type of cancer treatment has stopped working and the cancer has kept growing.

Why do people decline chemotherapy?

Many patients decline chemotherapy for low odds of benefit especially if they have gotten very weak or have other symptoms that make their quality of life very poor. This question originally appeared on Quora - the place to gain and share knowledge, empowering people to learn from others and better understand the world.

What happens when you die from cancer?

The most frequent outcome when cancer patients die is that whatever pain they have is controlled with narcotics and or sedatives. There often comes a point in poorly treatable cancer situations that the treatment is as bad or worse than the disease.

Can cancer be treated with radiation?

Cancers metastatic to bone are often painful but in some cases the discomfort is mild or more severe pain can be relieved with radiation therapy. There are specialists who assist in managing ...

Is pancreatic cancer bad for you?

Some cancers are more associated with pain than others. Pancreatic cancer can be particularly bad when it grows into nerves near the back of the pancreas. But I’ve had many patients with pancreatic cancer where pain wasn’t a problem. Instead, like many other patients with advanced cancers, they became weaker and more frail as their cancer worsened, ...

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Who Uses Cam Instead of Medicine?

  • Addiction is when the need to do something reaches a level of obsession and compulsion that overrides your responsibilities and priorities, changing you fundamentally. It’s a negative relationship, where your perceived need to consume a substance or engage in certain behavior d…
See more on theheightstreatment.com

Effectiveness Evaluations

Conclusion: Alternative Medicine Isn’T Real Medicine

References

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Surveys suggest the vast majority of consumers with medical conditions use CAM in addition to, rather than as a substitute for medicine – that is, it is truly “complementary”. But there is a smaller population that uses CAM as a true “alternative” to medicine. A study by Nahin et al in 2010 looked at data from the 2…
See more on sciencebasedmedicine.org

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