How do you approach the decision of whether and when to initiate therapy in patients who remain COVID-19 positive >2 weeks after infection but are asymptomatic from the virus?
E.g. a patient with progression of their primary cancer but still is testing COVID19+ over a month after infection?
Answer from: Medical Oncologist at Community Practice
This is a very difficult situation in that even these asymptomatic individuals may have lasting ground glass opacities and pulmonary damage with abnormal PFTs but still asymptomatic.
Answer from: Radiation Oncologist at Academic Institution
This is a rapidly changing situation. However, the last report published by the Singapore's National Centre for Infectious Diseases on May 23, 2020 is here (accessed June 24, 2020).
According to this study, after 11 days or so, the patient is no longer infectious. A positive test “does not eq...
Answer from: Medical Oncologist at Academic Institution
While I generally agree with @Elizabeth M. Nichols for the circumstance of an asymptomatic and otherwise healthy patient who is being treated for curative intent and for whom there are not good alternatives, eg, endocrine, targeted therapies, IO for the disease, and setting, I also have second thoug...
Answer from: Radiation Oncologist at Academic Institution
I agree with @Elizabeth M. Nichols and others opinions and advice. Just a note: VAULT is a place where banks store money and our "precious documents" or where the undertakers get us when we leave this world (No joking!).
Wow, I can only imagine! I guess I would do...