AI, Research Articles

Beyond Numbers: Making AI Work for Patients with Advanced Cancer

The Evolving Challenge of Cancer Prognostication Over the last decade, I’ve witnessed a remarkable transformation in my supportive oncology practice. The advent of targeted therapies and immunotherapy has moved us beyond the traditional triad of surgery, chemotherapy, and radiation. While these advances have dramatically improved the survival of many patients, they’ve paradoxically made one of our core responsibilities—prognostication—more complex than ever. Understanding Modern Cancer Trajectories … Continue reading Beyond Numbers: Making AI Work for Patients with Advanced Cancer

Unknown's avatarMarcin Chwistek, MD
neuroscience, Research Articles

New Insights: Exercise to Combat Chemotherapy Neuropathy

It turns out that there is yet another thing that exercise helps for – chemo-induced peripheral neuropathy (CIPN). It not only helps to diminish the symptoms of neuropathy that already took place, but it can prevent it (!), which many other things that have been vigorously tried before (vitamins, fish oil, medications, etc.) failed to do so. It is potentially quite paradigm changing finding that … Continue reading New Insights: Exercise to Combat Chemotherapy Neuropathy

Unknown's avatarMarcin Chwistek, MD
Medical Humanities, Patient-Physician Relationship

Finding Space for Humor in Serious Illness Care

Between Gravity and Grace: Discovering the Role of Levity in Patient Care “She had always been interested in standup comedy, and it occurred to her that what’s funny is true. That’s why people respond because the unspeakable is getting said.” I came across these words in Ariel Levy’s 2017 New Yorker profile of Elizabeth Strout, and they stopped me in my tracks. For years, I had struggled … Continue reading Finding Space for Humor in Serious Illness Care

Unknown's avatarMarcin Chwistek, MD
Books

“Making Sense of Cancer”

I wanted to write a few words wholeheartedly encouraging you to read Dr. Jarle Breivik’s new book, “Making Sense of Cancer: From Its Evolutionary Origin to Its Societal Impact and the Ultimate Solution.” (Dr. Breivik is a Ph.D. researcher and educator who worked in the field of immunotherapy).  It’s a brilliant exploration of cancer and its societal and philosophical implications. The book is a pleasure … Continue reading “Making Sense of Cancer”

Unknown's avatarMarcin Chwistek, MD
Essays, Medical Humanities, Patient-Physician Relationship

Not just Bones and Muscles

A few weeks ago, an elderly patient with advanced metastatic cancer came to see me in my palliative care clinic. She did not speak English. She came in with her daughter, who translated as the patient did not wish to use an interpreter. She told me about her worsening pain. We had a good visit; I got to know the patient and her daughter a … Continue reading Not just Bones and Muscles

Unknown's avatarMarcin Chwistek, MD1 Comment
neuroscience, Patient-Physician Relationship

Guilt: The Elephant in the (exam) Room.

“I don’t do guilt.” Dr. Robin Taylor is a pulmonologist who practices in Glasgow, Scotland. Most of the patients who come to see him in his respiratory clinic, smoke. And one of the most important things he could help them do for their health is to quit. And as simple as it sounds, it is notoriously a difficult thing to do. And it is not … Continue reading Guilt: The Elephant in the (exam) Room.

Unknown's avatarMarcin Chwistek, MD