my sister the oncologist wrote this on her fb page a few weeks back...
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By far the most difficult aspect of this job is explaining to an 18 year old that things are not looking good and she will not likely survive her fight against brain cancer. I am unable to answer the "why me" and "what am I doing wrong".
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It's always the same story isn't it. The young ones never have sustained response to the chemo. My 18 year old patient now has extensive LMD and she kept saying that she is trying to do everything right. Absolutely heartbreaking.
she was also telling me about a lady in her early 20s and was married for only a year who was referred to her clinic in little rock after getting massive headaches, and scans showed her brain has so many tumors and she had to tell the young lady there's not much they can do for her except ease her pain. coincidentally I was drinking with a dear friend last night, a widower with an 8 and a 4 year old.. his wife would have been 37 next month if she didn't succumb to cancer.