There is a shortage of doctors in rural community practice in the U.S. Medical oncology, is but one of many specialties where the shortage is especially glaring. In oncology, I think there is perhaps a fear of practicing outside the walls of a large tertiary center. Leaving the established framework and boundaries between the doctor…
Comments closedMy patient sat in a wheelchair. In his mid-forties, before the cancer, he had held a physically demanding job that he loved. Now, the cancer in his spine had ended not only his ability to work, but any ability to use his legs. His wife was devoted to him in a way that seemed as…
Comments closedHere is an example of “meaningful use” from the clinic, and how meaningless it is for actual practice: Mr. X. is a man in his 80s who was cured of his cancer, but at what cost. The therapies which eradicated the cancer left him with permanent frailties and the loss of his independence. A family…
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