Who’s the Patient? Advocacy vs. Interference

When is an advocate not an advocate? When should a spouse step back and let the husband make a treatment decision? When should an adult child of a man with prostate cancer let their father decide what is best for him? These are questions that, fortunately, I don’t...

Tears in the heart

My patient mix comes in waves—some months it is mostly women with breast cancer struggling with adjuvant endocrine therapy or men in the aftermath of surgery for prostate cancer. These past two months, it has been young adults, and my heart has taken a beating. There...

Supportive care

I see patients in three kinds of supportive scenarios. There are those who come to their visits with me by themselves. I understand why they come alone to address their sexual problems; they think that the problem is theirs to fix and often think it has nothing to do...