It's not often I'm the one delivering the news that a patient of mine has cancer. It may be the surgeon, the specialist, the mammogram, or the ER doc that gives the bad news. I don't avoid it; it just works out that way.
I had to today. Just the fact that he had an appointment for an acute concern was a red flag with this guy, who is nice enough, but doesn't relish coming to the doctor. My visual impression of him reinforced my concern, his complaints even more so, and his physical exam sealed the deal.
My heart sank.
I always appreciated bluntness when we got news about Henry. No mincing of words, no dancing around.
I hope he did too.