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"The elephant in the room is a collection of short stories that creatively communicate the cancer patient’s journey. The stories, based on real-life accounts, are built around the idiosyncratic relationships between patients and their doctors. Using humor, empathy and wisdom, Jonathan Waxman explores the very human side of cancer as well as providing expert commentary on the clinical aspects of diagnosis and therapy of this disease. These stories comfort and entertain, inform and engage, and are a treat to read for anyone whose life has been affected by cancer."

"[Penelitian ini membahas mengenai Breaking Bad News, suatu momen dalam praktik kedokteran di mana hal-hal yang secara negatif dapat mempengaruhi cara pandang pasien akan masa depannya diberitahukan. Breaking Bad News dan hubungan dokter?pasien yang banyak dikaji dari kacamata rumpun ilmu kesehatan, sekarang diteliti dari kacamata ilmu komunikasi dengan menggunakan teori ilmu sosial. Penelitian ini pada akhirnya menemukan bahwa proses komunikasi dokter?pasien tidak sebatas berbicara tentang puas atau tidak puas dan sembuh atau belum sembuh, tetapi ada dinamika lebih dalam tentang cost dan reward hubungan dokter?pasien. Dengan menggunakan metode kualitatif dengan paradigm eksploratif, penelitian ini membuka bagaimana posisi Breaking Bad News dalam komunikasi dokter pasien, dan penelitian ini menemukan aspek komunikasi apa yang berperan dalam menjalin komunikasi interpersonal yang baik dalam konteks hubungan dokter?pasien.;This research mainly talks about Breaking Bad News, an activity in medical practice which may affect patients? view about their future in a negative way. Studies and research about Breaking Bad News and doctor?patient relationship have been done a lot in medical views. Yet in this research, Breaking Bad News and doctor?patient relationship will be seen in communication studies perspective with the usage of social science theory. This research finds that the process of doctor?patient communication is not merely about the patients? satisfaction or the chance of the patients to be completely healed. Doctor?patient communication contains a cost and reward relationship which happens during the process. By using qualitative method and exploratory paradigm, this research goes for a deep analysis about the position of Breaking Bad News and the components that will create a good interpersonal relationship., This research mainly talks about Breaking Bad News, an activity in medical practice which may affect patients’ view about their future in a negative way. Studies and research about Breaking Bad News and doctor–patient relationship have been done a lot in medical views. Yet in this research, Breaking Bad News and doctor–patient relationship will be seen in communication studies perspective with the usage of social science theory. This research finds that the process of doctor–patient communication is not merely about the patients’ satisfaction or the chance of the patients to be completely healed. Doctor–patient communication contains a cost and reward relationship which happens during the process. By using qualitative method and exploratory paradigm, this research goes for a deep analysis about the position of Breaking Bad News and the components that will create a good interpersonal relationship.]"

"Pendahuluan:Kejadian kanker payudara pada perempuan usia reproduksi di Indonesia maupun di seluruh dunia dewasa ini semakin meningkat. Terapi kanker payudara dapat mengakibatkan kerusakan organ reproduksi, terutama ovarium dan menyebabkan infertilitas. Salah satu solusi yang tersedia saat ini adalah preservasi ovarium. Hal ini merupakan isu yang penting dan kompleks mengingat tingginya kekhawatiran pasien. Oleh karena itu, penelitian ini bertujuan untuk mempelajari pengetahuan, sikap, dan perilaku dokter maupun pasien perempuan penderita kanker payudara di usia reproduksi terhadap preservasi ovarium.Metode: Dilakukan studi deskriptif kualitatif pada enam pasien dan delapandokter subspesialis bedah onkologi di RSCM dan RS Kanker Dharmais pada Juli 2018-November 2018. Data dikumpulkan melalui wawancara formal tidak berstruktur pada pasien dan dokter spesialis bedah onkologi. Dilakukan juga pengumpulan data demografi pasien. Hasil: Sebagian besar pasien mengaku belum memiliki informasi yang cukup namun setelah dipaparkan mengenai tujuannya, hampir semua sepakat bahwa preservasi ovarium adalah cara yang dapat digunakan untuk mewujudkan keinginan para pasien untuk memiliki keturunan. Dalam pelaksanaannya, subjek juga paham adanya pertimbangan agama dan finansial. Untuk dokter bedah onkologi, mayoritas mengaku tidak memahami banyak mengenai preservasi ovarium karena keahlian mereka tidak spesifik di fertilitas. Dokter bedah onkologi tidak keberatan untuk belajar lebih lanjut atau mengikuti seminar mengenai preservasi ovarium. Kesimpulan: Usaha preservasi fertilitas pada pasien kanker masih belum banyak diketahui oleh pasien sehingga terdapat kesenjangan antara perilaku dokter dan pengetahuan pasien. Faktor utama yang memengaruhi kurangnya pengetahuan pada pasien adalah pendidikan, sedangkan faktor utama yang memengaruhi perilaku dokter adalah tingkat keberhasilan preservasi. Diperlukan edukasi dari dokter untuk pasien mengenai preservasi fertilitas, kebijakan yang mendukung dari jaminan kesehatan, dan kerja sama bedah onkologi serta konsultan fertilitas.

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ABSTRACTBackground: The incidence of breast cancer in women of reproductive age in Indonesia and throughout the world today is increasing. Breast cancer therapy could damage the reproductive organs, especially ovarium, and cause infertility. One of the currently available solutions is ovarian preservation. This is an important and complex issue due to the heightened patients concern. Therefore, this study aims to assess the knowledge, attitude, and practice of doctors as well as reproductive women with breast cancer regarding ovarian preservation.Methods:A descriptive qualitative study was done on six patients and eight oncology surgeons in RSCM and RS Kanker Dharmais between July2018-November 2018. Data was gathered throughunstructured formal interview with patients and oncology surgeons. Demographic data of patients was also collected. Results: Majority of patients admit to knowing next to nothing about fertility preservation, yet they agree to its benefits once they got a brief explanation from the doctors. They perceive this act as a solution for having an offspring though they also understand the religion and financial barriers. In conjuction with the patients, most oncology surgeons have minimal information about this field as it is not their day to day duty. They expressed an eagerness to learn about ovary preservation in seminar as it would help to answer patients concerns. Conclusion: Patients knowledge about fertility preservation measures among cancer patients is still minimal mainly due to lack of proper educational background. Doctors attitude regarding fertility preservation issue is also heavily influenced by the success rate of the attempt. In the future, further socialization for patients about the objective of fertility preservation supported with health coverage policy are needed for the development of the preservation program. "

"Aim: to assess the quality of life (QOL) of lung cancer patients.Subject and methods: Twenty-four subjects were interviewed, and questionnaires were filled to evaluate the subjective quality of life of the patients. Objective evaluation was conducted using the Karnofsky Performance Status (KPS). Subjective evaluation included physical, social, and spiritual dimensions. Evaluation was conducted at the time of diagnosis (initial phase, 24 subjects), and reevaluation was conducted during the adaptive phase (21 subjects).Time and place: the Department of Internal Medicine, Faculty of Medicine of the University of Indonesia, Dr. Cipto Mangunkusumo National Central General Hospital and Dharmais Cancer Hospital, Jakarta, from January 2001 to January 2002.Results: At the time of diagnosis 1 subject had poor QOL, 18 (75%) had moderate QOL, and 5 had high QOL. At the reevaluation, 8 had mild QOL and 13 had high QOL.Conclusions: There was a significant increment of quality of life from the time of diagnosis to the second evaluation.Abbreviations: (QOL) quality oflife,(KPS)Karnofsky Perfomance Status"

"In Knockout, Suzanne Somers interviews doctors who are successfully using the most innovative cancer treatments—treatments that build up the body rather than tear it down. Somers herself has stared cancer in the face, and a decade later she has conquered her fear and has emerged confident with the path she's chosen.Now she shares her personal choices and outlines an array of options from doctors across the country:Effective alternate treatments•without chemotherapy•without radiation•sometimes, even without surgeryIntegrative Protocols•combining standard treatments with therapies that build up the immune systemMethods for managing cancer•outlining ways to truly live with the dieaseSince prevention is the best course, Somers' experts provide nutrition, lifestyle, and dietary supplementation options to help protect you from getting the disease in the first place. Whichever path you choose, Knockout is a must-have resource to navigate the life-and-death world of cancer and increase your odds of survival. After reading stunning testimonials from inspirational survivors using alternative treatments, you'll be left with a feeling of empowerment and something every person who is touched by this disease needs…hope."

"Kanker payudara adalah karsinoma atau keganasan pada beberapa morfologi sekaligus, dan salah satu terapi yang diberikan adalah kemoterapi. Kemoterapi yang dilakukan membutuhkan berbagai strategi keperawatan untuk membantu mengatasi berbagai efek yang ditimbulkannya termasuk dukungan keluarga. Maka tujuan penelitian ini adalah mengeksplorasi lebih mendalam tentang harapan pada pasien kanker payudara yang mendapat kemoterapi tentang dukungan keluarga. Selanjutnya penelitian dilakukan pada 5 partisipan dan menemukan 4 tema seperti : harapan untuk dapat melanjutkan normal dalam keluarga, harapan peningkatan pemahaman keluarga tentang dampak penyakit akibat kemoterapi dan perawatannya, harapan untuk di hargai, didengarkan dan ditemani, harapan untuk dibantu menyelesaikan masalah yang dihadapi akibat sakit oleh keluarga.

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Breast cancer is carcinoma or malignancy in some morphology as well, and one kinds of treatment that is given is chemotherapy. There were various kinds of nursing strategy to help overcoming various effects that are aroused by the chemotherapy given including family support. Therefore, the purpose of this research was to explore deeper about family support in raising breast cancer patient?s hope which is got chemotherapy. This research is held toward five participants and find four themes i.e. hope to continue normal life in their family, hope to raise family understanding about the impact malady caused by chemotherapy, hope to be appreciated, to be listened and to be accompanied, hope to be helped by their family in overcoming a problem which is faced because of the disease."