She sat on the exam table with her eyes closed, back straight, completely still. She was in her late 30s, a mother of young children, a professional. Months earlier, she had undergone extensive surgery for head and neck cancer, followed by radiation. The treatment was brutal. Part of her jaw was removed, and she required skin grafting. Then, she underwent multiple weeks of radiation to … Continue reading Between Pain and Suffering
So here’s the thing about pain: it’s complicated. Last weekend I was on call when my phone rang. It was an elderly woman in her 80s with advanced cancer that had been stable. Her chart said “pain well-controlled on optimized opioid regimen” – one of those clinical phrases we use that sometimes means everything and sometimes means nothing at all. She started talking about bone … Continue reading I Only Want What’s in Your Mind and Heart”: The Origins and Science of Total Pain in Oncology
Marcin Chwistek, MD 