Less Is More

First I do not think this case (1) really represents a folie à trois (a shared delusional belief of three) but does have at least 3 "issues" that are problematic—which are that none of the 3 cancer specialists (in urology, radiation oncology, and medical oncology) judge that their therapies, alone or together, when administered in a potentially curative schema, can be safely given to this patient. Yes, I would advise palliative external beam radiation given with a likely well-tolerated technique and dose to significantly delay symptoms from his cancer.

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