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RE: A diagnosis missed - until the third visit
Yikes, it's scary to think he had cancer and all you were working with to uncover it were such common issues like hypertension, nausea, vomiting, and elevated WBCs. And lucky that he was making positive changes in his life so you could rule out some easy suspects and you kept digging! Can he be cured with surgery alone?
If they are caught early enough most cancers can be cured with surgery. It's when surgery isn't possible.... then things get dicey.