Losing God

Abstract

The Oncologist Schwartz Center Rounds PRESENTATIONMr. A is a 57-year-old man with a very extensive medical history. He first noticed a mass in his right groin in 1966. Biopsy revealed mixed cellularity Hodgkin's disease, and he received inverted Y field radiation therapy at Massachusetts General Hospital. Between 1968 and 1994 he developed eight nodal recurrences and required a splenectomy for idiopathic thrombocytopenic purpura which revealed Hodgkin's disease. Treatment for recurrent disease included mantle radiation, mechlorethamine/vincristine/procarbazine/prednisone (MOPP) chemotherapy, left chest wall radiation, radiation therapy to the left axilla, and a second course of MOPP and adriamycin/bleomycin/ vinblastine/dacarbazine (ABVD). Ultimately he was treated with stem cell supported high-dose chemotherapy, with busulfan and cyclophosphamide in 1994. Because of an elevated prostate-specific antigen (PSA) he underwent retropubic prostatectomy with bilateral pelvic lymphadenectomy and pelvic radiation therapy. Subsequently, he was diagnosed with bone metastases and treated with Lupron (leuprolide acetate). Other medical history included colonoscopic polypectomy for hematochezia and chronic anemia. He was also hearing impaired in the right ear. In recent years with problematic coronary artery disease he

Spiritual crisis: a concept analysis

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Spirituality, psychotherapy and music in palliative cancer care: research projects in psycho-oncology at an oncology center in Switzerland

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