DOCTOR JOE,
On the first visit if you give too much information, it isn't going to stick with the them,By the time they leave your office they won't remember half of what you tell them, It seems to me the mind has a way of shuting down when the stress gets to large to handle. I can honestly say that I remember very little from the first visit, and I doubt that My husband remembers much either, we were so devastated from the dx. that nothing was registering.
I personally think that most of us want to know, is it curable? if not, what is the best course of action? Most familys just want as much time as possible to be together.
I only found out recently what stage my husband's lung cancer was when first found, At the time of Dx. it would have done no good to tell me as I was too freaked out and telling me would have made it worse. only now ( after a year) do I feel I able to handle it, This is a learning experience in progress, each turn is different in this on going disease!
I think if the family doesn't ask don't tell them, if they ask, don't lie, they will learn to adapt. I am amazed an how much my family has grown through all of this. KAYD