Crystal, a 28-year-old woman with one child, began experiencing severe pain in her abdomen while visiting her family in Accra. After describing the excruciating pain to her husband, Mr Kumi, he scheduled Crystal for an appointment with Dr. Agyei, a gastroenterologist, who ordered a series of tests. While conducting a barium scan, a radiologist at the Hospital noted a small bowel obstruction. Dr. Agyei recommended surgery, to which both the patient and the husband agreed. After the surgery, Dr. Agyei, the operating surgeon said, your wife is recovering nicely in the recovery room. “I am sorry to say that she has carcinoma of the colon.”, “I am sorry, but the cancer has spread to her lymph nodes and surrounding organs.” Mr kumi, with tears in his eyes, asked, ‘’Please do not tell my wife that she has cancer. I want her to always have hope.” Dr. Agyei agreed, Don’t worry, I won’t tell her. You can tell her that she had a narrowing of the colon.”. The patient was later re-admitted to the hospital for the last time. The patient was so ill that even during her last moments she was unaware that she was dying. Dr. Agyei entered the room and asked Mr kumi, “Can I see you for a few moments?” “Yes,” Mr Kumi replied. He followed Dr. Agyei into the hallway. “Mr kumi, I can keep Crystal alive for a few more days, or we can let her go.” Mr kumi, not responding, went back into the room. He was now alone with Crystal. Shortly thereafter, a nurse walked into the room and gave the patient an injection. Mr kumi asked, “What did you give her?” The nurse replied, “Something to make her more comfortable.” The patient had been asleep; she woke up, looked at the husband, and said, “Could you please cancel my appointment to be sworn in as the Assembly woman? I will have to reschedule. I don’t think I will be well enough to go.” The husband replied, “Okay, try to get some rest.” The patient closed her eyes, never to open them again.
Questions).
4. Place yourself in patient’s shoes, the physician’s shoes, and husband’s shoes, and then discuss how the lives of each may have been different if the physician had informed the patient as to the seriousness of her illness.