Healthcare professionals may experience frustration at the lack of specific resource that provides a ready answer to patients suffering from breast cancer through enrolling in clinical trials setting by which a reasonable expectation of steady improvement to their condition is extremely predictable based on information collected over the last few years. My dilemma is driven from the facts that care is extended over a limited period of time and to a limited number of patients. Shared decision making is commonly used in this process but I am the last one who sign off who is/who is not should receive this treatment.
It was impossible to know for sure how a person would react or feel upon getting bad health news -- seriously bad news, such as a breast cancer diagnosis let alone tell them we have what might save you but we can’t give it to you.
What do you do? I have lost sleep over the last three days once I was given this task.