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1/A retired #oncology professor from a Govt. College. Now dabbles in #Ayurveda. Runs an 'ashram' in Kerala to 'treat' #cancer patients. He refers a patient with BCLC-C stage liver cancer 2me. A nice letter 4 further management. Patient has advanced cancer
Systemic therapy option+
Systemic therapy option+
2/ I spent 50 mins with patient/family - discuss prognosis, comfort care - the works. Once patient left 4som blood tests, I tell family, separately, regarding end of life care, once the time comes. They wer sad but contend. Very crunched 4money. So best option - they cudnt afford
3/ Best approved option for advanced liver cancer is Atezo+Bevaci - too expensive. So they tuk next good option - Lenvatinib - affordable for them. I sent a detailed letter with plans, along with patient son, to the evidence-based turned #ayurveda oncology professor.
#MedTwitter
#MedTwitter
