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The Distress We Don’t Measure — One Question, Zero to Ten
In Episode 3 of The Sixth Vital Sign, Dr. Chirag Jain examines one of the most overlooked questions in cancer care: How much distress is a patient actually carrying?
In oncology, temperature, pulse, respiration, blood pressure, and pain are routinely measured. But psychological distress often remains invisible because patients may not volunteer it, clinicians may not recognise it, and the question “How are you doing?” can invite a polite “I’m fine” even when the patient is struggling.
This episode introduces the Distress Thermometer, a simple, validated screening tool that asks patients to…
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