Protective Health with Scientific Truth

"What is needed is some person, some institution, some inescapable 'force' that captures the imagination of our citizens and demonstrates that cancer and other diseases will be eliminated only when each of us comes to understand that this can only occur as part of a lifelong process of sanity, balance, moderation, and self-respect."

Internist - Medical Oncologist - Tumor Immunologist - Radiation Oncologist - Author - Inventor - Health Advocate
Introducing Charles B. Simone, M.MS., M.D. 
Dr. Simone Reports 
Cancer's Worst Enemy 
"Charles Simone Phenomenon"
by William Pitts 
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Simone Protective Cancer  Center 
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The most influential people say...

"Nancy joins me in sending you our best wishes for the success of your vital work."
   Ronald Reagan, President

"Dr. Charles B. Simone, an expert in the field of cancer research and treatment, is an individual for whom I have the highest respect."
    Peter W. Rodino, Jr.
    Chairman, Judiciary

"If everyone would follow Dr. Simoneís Plan, we would make major strides toward putting the cancer doctors out of work."
    Robert A. Good, M.D.,Ph.D.
    Former Director, Memorial
    Sloan Kettering Hospital

"I congratulate Dr. Simone on innovative work."
    Dr. Linus Pauling,
   Two Unshared Nobel Prizes

"This book and program should be in all homes and all schools in the early grades. Congratulations, Dr Simone, you have done a great service for all of us."
    Lendon Smith, M.D.,
   Author, "The Children's Doctor"

"Valuable and timely. Should prove beneficial to the public."
    George E. Stringfellow,
   American Cancer Society

"Excellent work"
    Dr. Denis Burkitt, FRCP

"Thank you for all your work on behalf of alternative therapies."
    Tom Harkin, US Senator

"I agree with you that we need to focus not just on treatment but also on prevention."
    Henry Waxman, US House

"Your work will reduce cancer."
    William Bennett, Former
   Secretary of Education

"Thank you for having the courage to come forward. Your testimony was a powerful indicator of the great need for change in America's system of health care, and the importance of an individual's freedom of choice when treating illness."
    Dan Burton, Chairman
   Committee on Government
   Reform & Oversight

Copyright 2013
Charles B. Simone, M.MS., M.D.
(609) 896-2646

Do we always need to tell patients the truth?

Charles B. Simone, M.D., Nicole L. Simone, B.S.E.,
Charles B. Simone, II Lancet. 1998; 352: 1787.

Hassn and Hassan wrote their opinion that "the wish of patients to know the whole truth about their illness does not mean that it is right for them... on the contrary, it harms many of them"(1). However, a survey found that 96 percent of Americans wanted to be told if they had cancer and 85 percent wanted to know how long they would live if their cancer usually led to death in less than a year (2).

Moreover, a legal case involving ethical informed consent (Arato v. Avedon [3]) asked whether the law should force physicians to report statistical life expectancy information to patients. Mr. Arato had pancreas cancer that was treated surgically, then with experimental chemotherapy and radiation because there "is no effective treatment." The surgeon and oncologist never told Mr. Arato and his wife that only 5 percent survive for 5 years, nor did they give a prognosis or estimate of his life expectancy, nor were they asked. A recurrence occurred and the physicians knew he would die within a few months, but did not tell the patient about life expectancy. The patient died and his wife sued the physicians claiming that the doctors were obligated under Californiaís informed consent law to tell the patient about survival figures before asking him to consent to chemotherapy. The court decided Mr. Arato should have been informed. The physicians said if the patient knew of the high mortality rate, he would have no hope. And during the 70 visits, the patient did not ask questions about his life expectancy indicating to the physicians that he did not want to know. The patientís wife said had the patient known the facts, he would have declined all treatment and attended to his business affairs. His wife incurred tax losses due to poor business planning.

The lower court favored the physicians. The appeal court reversed the decision. The California Supreme Court upheld the decision in favor of the wife because of the doctrine of informed consent based on four tenets:

  1. Patients are generally ignorant of medicine.
  2. Patients have a right to control their own bodies and thus to decide about medical treatment.
  3. To be effective, consent to medical treatment must be informed.
  4. Patients are dependent upon their physicians for truthful information and must trust them (making the doctor-patient relationship a "fiduciary" or trust relationship rather that an armís length business relationship).

The court concluded that "the physician is under a legal duty to disclose all material information - information regarded as significant by a reasonable person in the personís position when deciding to accept or reject a recommended medical procedure - needed to make an informed decision regarding a proposed treatment."

The practice of medicine is an art as well as a science. It involves compassion and honesty. A good physician will always give a ray of hope as well as discuss the implications of a grave situation.

Charles B. Simone, M.D., Nicole L. Simone, BSE, Charles B. Simone, II.
Simone Protective Cancer Center
123 Franklin Corner Road Lawrenceville, NJ 08648 USA

  1. Hassn AMF, Hassan A. Do we always need to tell patients the truth? Lancet. 1998; 352:1153.
  2. Presidentís Commission for the Study of Ethical Problems in Medicine. Making Health Care Decisions. 1982; 2: 245-246.
  3. Arato v. Avedon. 5 Cal 4th 1172, 23 Cal Rptr. 1993. 2D. 131, 858P. 2D 598.