What truly palliates? Do we choose or do we allow the patient to choose?

The day I met Mr. Lightfoot, he was a medical curiosity on teaching rounds, “a great example of a Sister Mary Joseph’s Nodule,” a sign of metastatic stomach cancer. Earl was lying in a hospital bed in the cancer unit of the hospital, his stomach completely distended, nauseous and vomiting, unable to eat anything. He had undergone a cycle of chemotherapy only days before. I organized Mr. Lightfoot into a problem list: 1. Nausea / vomiting. Zofran and Compazine 2. Diet. IV fluids, PO intake as tolerated 3. Gastric cancer. Status post cycle of chemotherapy, hold for now. The plan seemed simple. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - Category: Journals (General) Authors: Tags: Physician Cancer Source Type: blogs