DEAR ABBY: I was recently diagnosed with a stage four cancer. My surgeon has offered me an opportunity to be part of a clinical trial, which my family is aware of. They do not, however, know the details of how far the cancer has spread.
The prognosis for patients in this trial is about two more years. My wife thinks I should share this information with my extended family and friends immediately (although there are few signs that I'm ill). I prefer to remain silent until the disease catches up with me and my time gets closer. Your advice or reader response would be greatly appreciated regarding this very emotional decision. -- KEEPING IT TO MYSELF
DEAR KEEPING IT TO YOURSELF: I'm sorry about your diagnosis. I'm sure when your letter is published there will be a tsunami of reactions -- both pro and con -- from readers.
Of course your wishes should be respected, but since you asked, I am inclined to agree with your wife. Your illness affects not only you but also the rest of your family and friends. If you reveal your prognosis now, it will give the people who love you an opportunity to step up to the plate and offer emotional support, not only to you, but also to her and your family.