Palliation   

Assume no epidural/cord compromise. Is kypho/vertebroplasty, radiation therapy, or conservative management (brace, antiresorptive therapy) the superio...

My patient’s family has asked that I don’t tell her that she has metastatic cancer because it will devastate her. I am planning on palliat...

How do you "have the talk" in a way that is straightforward without emotionally crushing the patient?

If a patient calls you after hours with a headache following SRS and have not been given steroids, what is your preferred regimen? 

Is there specific workup you perform? Are there preventive measures? Once established, are there non-pharmacological and pharmacological treatments yo...

Would you continue treating the patient (in spite of the risk of causing a frank perforation, sepsis, and subsequently devastating consequences), or w...

Does your management differ if the hiccups are felt to be related to chemotherapy as opposed to the disease itself?

The immediate response by patients in this situation seems almost universally to be, "But I'll starve to death!" Referencing literature about lack of ...

We have a great palliative care clinic and I like to refer many patients with metastatic disease, even if I feel that they will live a year or two lon...

I know that some would argue that healthy patients with an excellent performance status may not need an early palliative care referral, but wouldn't i...

Is heparin or warfarin routinely held prior to treatment?  

More specificlaly, in a non-emergent situation?