The Missed Dialogue in Metastatic Disease.

Here's a typical story of metastatic disease. A woman gets diagnosed with advanced breast cancer. Investigations reveal that the tumor has spread to multiple organs. The oncologists start treatment. The tumor responds. Then it stops responding. Treatments get changed. The oncologists get changed. Opinions come in from well wishers in different corners of the world. The patients and families go from one doctor to another and from chemotherapy to homeopathy, hoping something "works". The story ends, "We tried all possible treatments, yet they all failed and we couldn't save her life." Families are often left feeling cheated by expensive treatments, guilty they couldn't help the patient and wo

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