Wow, excellent article.
Just wondering, does anyone here think it's their responsibility to address death and dying with their patients? It seems most attendings I have worked with sidestep the issue. Radoncs are generally very good at knowing what treatments to offer and recommend, and are generally very sensitive to the feelings of their patients, but I have never seen a direct discussion initiated by a Radonc addressing a patient's wishes regarding dying. They have generally steered conversations towards the benefits that treatment can offer.
Admittedly, my experience is extremely limited (the equivalent of four months of med school rotations). Does anyone have a different experience?
