Man versus Nature — Also Sprach Zarathustra and an End-of-Life House Call

Tom has been my patient since my fellowship, and now he is dying. He has been a constant in my career journey as much as I have been in his treatment, for 5 years and more than 80 treatment cycles. As an oncology fellow, I told him of his diagnosis of colon cancer with lung and liver metastases. I…

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