Gastrointestinal Cancers   

There was a recall on viscous lidocaine and many of our patients cannot find it. What would you recommend as alternatives?

For instance, do you factor availability of RNAseq, inclusion of normal blood controls, and QNS rates into your decision?

Or offer resection followed by adjuvant therapy? 

Please specify how your institution is allocating resources now or will be soon.

How reliable is somatic testing to detect an underlying germline predisposition?

The patient already received PLADO+sorafenib, Y90, and Atezolizumab/Bevacizumab complicated by recurrent episodes of bleeding from esophageal varices....

Would you offer liver transplant in the setting of metastatic disease? 

Would you have reservations in treating patients with breast, GI, or pelvic malignancies with radiation alone or concurrent chemoradiation?

What are there most evidence-based options?

Are you placing more weight on patient risk factors such as age >65 or co-morbidities?

How do you prevent early menopause in women? Please comment on freezing of eggs, oophopexy, supine vs prone position, vaginal dialator.