In September, comedian Ate Gay revealed he had been diagnosed with stage 4 cancer.
It started as a swelling in his neck, and after undergoing an ultrasound, CT scan, and biopsy, the initial findings suggested the mass was benign.
Ate Gay, however, sought a second medical opinion, and the prognosis couldn’t have been different from the initial findings.
The second medical opinion indicated the comedian may not survive past 2026 and that surgery is no longer an option.
Ate Gay bravely underwent radiation therapy in the Asian Hospital and Medical Center in Muntinlupa and has shown improvements amid ongoing cancer treatment.
His case highlights how an initial benign diagnosis may later be re-evaluated, emphasizing the importance of seeking a second medical opinion when things don’t sit right.
According to Dr. Charm Beleno, a medical officer of the Caloocan City Health Department, seeking a second medical opinion is becoming increasingly common in the Philippines.
However, many patients still rely solely on one doctor’s advice because of fear, cost concerns, or a lack of awareness.
“It’s becoming more common, especially in major cities,” said Beleno. “But a lot of patients still hesitate because they don’t want to offend their doctor, worry about extra costs, or simply don’t realize it’s okay to ask.”
When should one get a second medical opinion?
According to Beleno, it is recommended to seek a second opinion in situations where surgery is advised, the diagnosis remains unclear, the treatment isn’t working, or the condition is serious or rare.
In these cases, an additional perspective can help confirm findings or reveal other treatment options that may be more effective.
“I actually welcome it when patients tell me they’ve consulted another doctor,” the physician and registered pharmacist explained.
“Second opinions can confirm results or offer new insight. The goal is always the patient’s best care.”
In major or life-changing medical decisions such as cancer diagnoses, surgeries, or chronic illnesses, Beleno said seeking not just a second, but even a third opinion can be vital.
Doing so reduces the risk of misdiagnosis and ensures that patients make well-informed choices about their health.
“It is very important in major or life-changing decisions. It helps ensure the diagnosis and treatment are accurate and appropriate,” she explained.
Beleno advised patients to come prepared when seeking a second opinion. This includes bringing all previous test results, prescriptions, imaging results, and a summary of symptoms or medical history, as these will help the doctors properly assess their diagnosis.
In getting a second opinion, she also advised evaluating each expert’s recommendations thoroughly and basing their decision on a careful assessment of the evidence.
“[You] ask each to explain the reasoning, risks, and benefits clearly, then consider evidence, your comfort level, and practicality,” she said.
‘It’s your right’
Beleno emphasized that seeking a second medical opinion is not disrespectful and that patients should not be afraid to advocate for themselves.
“It’s your right. Good doctors support informed patients; it’s about your health, not about hurting anyone’s feelings,” she said. “Informed and proactive patients make better choices, leading to safer and more effective care.”
—CDC/LA, GMA Integrated News