Choosing Sunshine

Just after lunch, I was summoned to the bedside of a cancer patient who had just arrived in the ED. The resident told me Mark had refractory metastatic melanoma. Even the newer immunotherapies had failed him. Still, his talented oncologist had managed to coax him through complication after complication. As a result, the ED folks knew Mark well, and they were worried about how he looked this time. Now, seeing signs of overwhelming infection, the intensivists were nervous too. They were milling about looking at x-rays and labs, muttering about code status.

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