Gynecologic Oncology   

There is conflicting data on whether the "surprise question" performs adequately enough.  Do you use this or other screening tools alone, or in c...

The patient received adjuvant chemotherapy and had an unrevealing staging PET/CT.

How do you advise patients who strongly desire chemotherapy?

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

Have you been able to deliver standard of care treatment?

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

Assuming patient is <45 years old with cervical, vulvar, vaginal, anal, or head/neck cancers, or with CIN/VIN/VaIN/AIN/oropharyngeal precancerous l...

Is this an artifact of what agent prior clinical trials used or something to do with the mechanism of action (i.e., less mineralocorticoid effect of d...

Please specify how your institution is allocating resources now or will be soon.

(i.e. frequency of serial BNP, troponin, cMRI)

How do you "have the talk" in a way that is straightforward without emotionally crushing the patient?

How can these interactions be improved? 

There is evidence that parents do not adequately understand the purpose of phase I pediatric cancer trials (Cousino et al., PMID 23071225). 

How is your approach different from or similar to those who undergo surgical menopause? 

How reliable is somatic testing to detect an underlying germline predisposition?

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

What is the impact among patients and providers? Has your documentation been adjusted now that patients can readily review?

In follow up to @Jacqueline Casillas presentation at ASCO 2021 regarding models of survivorship care delivery for AYA patients. 

Are there any effective non-pharm or pharm interventions?

s/p optimal debulking. If this was an early-stage cancer would it change your adjuvant therapy recommendations?

Would your counseling change if she reported a history of unplanned pregnancy? Is there any wording or waiver you might be able to use warning her of ...

Would you have reservations in treating patients with breast, GI, or pelvic malignancies with radiation alone or concurrent chemoradiation?

Specifically, are there strategies you use to 1) empower patients to participate in decision-making and 2) reassure patients who may be skeptical?

There are mixed recommendations about re-testing vs simply waiting for a quarantine period prior to resuming therapy. 

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

E.g. a patient with progression of their primary cancer but still is testing COVID19+ over a month after infection?

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

How would you approach a patient who is receiving chemoRT but has confirmed COVID-19 with minor symptoms, as breaking treatment for 2 weeks quarantine...

How do you prevent early menopause in women? Please comment on freezing of eggs, oophopexy, supine vs prone position, vaginal dialator.