The choice of treatment for cancer patients with different personalities and its advantages and disadvantages When a person is suddenly diagnosed with cancer, it is like a thunderbolt from a clear sky to the patient and his/her relatives, which shatters all the dreams and happiness of his/her life in a flash. The world around him or her becomes dark, and he or she can no longer feel the brightness of spring, the beauty of life, or the joy of living. The fear of death and disillusionment took over all of my body and mind. Like the tourists on the Titanic, which was capsizing and sinking in the vast ocean in the middle of the night, and like the deer surrounded by hunters on the Kouzan mountain ridge, they were in a state of extreme panic and helplessness. At this moment, under the threat of death, how to survive, in the face of a variety of seemingly life-saving anti-cancer therapies, and these therapies have a certain degree of risk, and there is no guarantee that they will be effective. Consultations from many sources have resulted in a wide range of opinions. Doctors, in turn, often leave the choice to the patient. How to make the best choice may be the most difficult decision in the life of every cancer patient. Yang Feng, Department of Integrative Medicine, Henan Cancer Hospital The author, who has been engaged in oncology clinical work for twenty years and has diagnosed and treated thousands of cancer patients, has observed that in this life-critical choice, the personality characteristics of each cancer patient, which determines the choice and implementation of anticancer therapies, determine the effect of one’s treatment to a great extent. Each person has a different character, or personality, which reflects a person’s total psychological outlook. The significant difference between people lies in their personalities. Personality is formed by the interaction of genetic, environmental, educational and other predisposing and acquired environments. Different genetic, existential and educational environments form their own unique psychological characteristics. Each person’s thinking and behavior is determined by the individual’s personality traits. There are four familiar classifications of personality types. Choleric: decisive, brave and impassioned, ambitious, irritable, arrogant and subjective; polycythemia: sensitive, optimistic, frivolous, volatile; mucous: calm, leisurely, soft, able to argue right and wrong; melancholic: considerate, skeptical, messy imaginative, pessimistic and despondent, cowardly. As the saying goes, “it is easy to change one’s character, but not one’s personality”, “personality determines destiny”, when you know that you have cancer, and you have to make a choice of treatment which is a matter of life and death, the personality of each person must play a decisive role. One of the characteristics of bilious patients is that they do not admit that they have cancer. A patient with esophageal cancer was short-tempered and self-righteous. Progressive swallowing obstruction developed to the point that he could only eat thin rice, but still did not listen to advice, do not go to the hospital for examination, but also cursed his family and doctors who advised him to check, until the esophagus perforated before having to go to the hospital, delayed the treatment, 2 months on the death of the patient. Secondly, there is a gambling mentality, favoring surgery, even if it is no longer an indication for surgery, but also strongly request surgery. They are not afraid of radiotherapy, and ask for large dose, short and fast. Third, once the treatment is too painful, give up treatment. For this kind of patients, if the doctor is not careful, the treatment will be overdone or the patient will give up all the treatments because of the big toxic side effects. The most common characteristic of patients with polycythemia vera is that before they get cancer, they suspect that they have cancer as soon as they feel unwell, and they repeatedly seek medical treatment and go around for examination. Once they really have cancer, they are like a thunderbolt and are disoriented. On the surface, they give people the impression that they do not care about cancer, but inwardly, they are really terrified. They are resistant to the existing effective therapies and easily believe in the so-called new therapies whose efficacy has not been repeatedly verified and whose efficacy is not certain, and they always fantasize that there is a magical method that can cure their tumors completely in one go. They are emotionally unstable and easily influenced by the emotions of people around them. When weighing the efficacy and toxic side effects of methods, they tend to prefer high efficacy. Once they feel that the efficacy of the treatment is not satisfactory enough, they ask for a change of the method, disregard the long-term and complexity of cancer treatment, and stop obeying the doctor’s arrangement, and the treatment plan changes again and again, thus affecting the therapeutic effect. With the passage of time, panic, disappointment, helplessness, and skepticism aggravate, and chronic stress syndrome appears early and heavily, seriously affecting the patient’s recovery. Mucoviscidosis patients learn that they have cancer, they will recognize their own bad luck, deal with their own things without saying a word, figure out their own condition, and try to cooperate with the attending physician on the choice of treatment, hoping to communicate more with the doctor and clearly understand their own condition and treatment methods. More choice of conventional therapy, unwilling to choose the therapy without sufficient basis, the efficacy of the therapy is not clear. Good compliance, generally in the treatment seldom put forward not and practical requirements, mostly can complete the treatment program, get the general deserved therapeutic effect. However, due to the lack of adventurous spirit, they tend to lose the opportunity to get better therapeutic effects from experimental new drugs and new methods of treatment. Furthermore, cancer is different from general common diseases, once the conventional treatment is ineffective, this kind of personality group can still benefit from a doctor with high professional skills and rich clinical experience, but it is sad to meet a quack doctor who is at his mercy. Melancholy patients in the choice of treatment methods, indecisive, sticky, worry a lot, surgery for fear of surgical accidents, would rather give up. Chemotherapy is worried about normal cell damage, radiotherapy is worried about radioactive inflammation and fibrosis, take Chinese medicine is afraid of the efficacy of uncertainty, it is really consider to consider to go, the left calculating the right balance, can be a few months can’t get the idea, and sometimes the doctor is anxious to stomp his feet. This kind of people often choose small toxic side effects, but the efficacy of the therapy is uncertain, lost the watermelon to pick up the sesame seeds, and ultimately miss the opportunity for treatment. Personality determines success and personality determines failure. The different personalities of cancer patients determine the advantages and disadvantages of their own treatment choices, that is to say, they decide whether to stay or go in their own lives. No matter what your personality is, if you know your own weaknesses, you should remind yourself of the asymmetry of information between you and your professional doctor and choose your treatment carefully in this life-threatening decision. This is your responsibility to yourself and to your loved ones.