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Absence of Proof vs. Proof of Absence: Do We Need a Controlled Trial of Parachutes for Sky Divers?

June 19, 2008 - 1:36 pm

   Throughout this site, we try to rely on the strength of evidence to support the value of one treatment over another.  This is based on a growing trend of evidence-based medicine, by which we shape our management decisions following the lines of clinical trials.  But this approach of “useless until proven valuable” is really […]

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A Few New (to me) Online Resources, and a Plea for Ideas

September 10, 2007 - 4:57 pm

In the last couple of days I’ve learned about a few new online resources that are likely to be helpful for cancer patients and/or family members. One of these was suggested by OncTalk member Carlos on the Discussion Forum, who started a thread on a new website called OncologSTAT. This site […]

10 Comments

The Hardest Part of the Job

May 31, 2007 - 9:59 pm

In oncology, we very frequently hear people say, “I don’t know how you do what you do”. There are plenty of times when we might start to wonder ourselves, as we fight with insurers to get a treatment, or when very bad things happen to patients we’ve developed relationships with. […]

9 Comments

Discussing Prognosis: Can Hope and Realism Co-Exist?

May 29, 2007 - 8:55 pm

Member Ned raised the question of how oncologists discuss prognosis and the goals of treatment. I think this is a very important topic that touches every relationship between an oncologist and the patient (and family and/or friends directly involved). First, I’ll say that this is an area of medicine that […]

22 Comments
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