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...

Difficult patients

We all have our fair share of so-called “difficult” patients. And, I would suggest that how we define “difficult” is as diverse as we are as health care providers and as individuals. Some patients come to us with that reputation—perhaps, a vague descriptor in a...

Should We Give Patients Our Cell Phone Number?

I recently attended the David Stroud Adolescent and Young Adult [AYA] Symposium at Keck Medicine of University of Southern California. It was a very interesting symposium with experts in adolescent and young adult cancer presenting on many different topics important...

A cry for help

I received an email this week and this is all it said: “I’m 51 years old and I was diagnosed with breast cancer 8 years ago, I love my husband very much I have no sex drive I do not want to be touched by him I hate sex it hurts is not comfortable it’s not...