STAGE 4 PANCREATIC CANCER When you get sick with stage 4 pancreatic cancer, you need a list of all possible treatments with Treatment Scores. The treatment score represents the expected Net Treatment Benefit for the patient using all available medical studies. You and your physician should then use shared decision-making based upon your values and preferences, to come up with the best individualized treatment plan for you. We need to start doing this kind of treatment transparency for patients. We need to start changing medicine from an art into a science. If your accountant can help you figure out net income, your physician should be able to help you figure out the net treatment benefit. When you get stage 4 pancreatic cancer you do not have much time. All this information should already be organized and available in simple format for you. Your family physician should then be able to go over all the treatment options with you in a scientific manner, explaining all the medical statistics and what they mean. This important role for the family physician needs to be started immediately. Why are we still living in the dark ages? Information is power. Information is literally life and death.

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