Supportive Care   

There was a recall on viscous lidocaine and many of our patients cannot find it. What would you recommend as alternatives?

How do you counsel patients and caregivers? Do you prescribe medications (''appetite stimulants'') with the goal to improve appetite even if they do n...

How can these interactions be improved? 

In patients who continue to have insomnia despite diphenhydramine, benzos, and trazodone, are there other evidence based treatments that are helpful?

Do you routinely check IgG levels during therapy, if not indicated by a study protocol?

Are there other supportive care interventions that would otherwise be covered by hospice?

If yes, by what mechanism? 

Are there any effective non-pharm or pharm interventions?

After optimizing symptoms and reversible factors, and attempting cognitive-behavioral interventions and exercise, do you recommend pharmacologic agent...

What advice do you give regarding dietary practices, feeding tubes / parenteral nutrition, and pharmacotherapy specifically for cachexia?

There are conflicting reports of increased incidence of bleomycin-induced lung toxicity with G-CSF.

Obviously, patient and caregiver preferences are paramount. But, what factors do you consider? Does expanded hospice (e.g., Medicare Care Choices) inf...