Why are we not ceasing chemotherapy when it is useless, toxic, logistically complex and expensive? Medical oncologists have overly optimistic predictions and, sometimes excessive, treatment-prone attitude and they are criticized by other health care providers for this.
There is a growing culture of awareness toward preserving quality of life, palliative care, symptom-directed care, hospice referral and end-of-life issues regarding terminal cancer patients.
Whatever the motive, the reasons for administering chemotherapy at the end of life should be known. Striking a balance is not easy.
Medical decision making on ceasing systemic chemotherapy remains a very complex, intimate and subjective process.
What went wrong? Why did this young woman get chemotherapy until the end of life? Clearly because I failed. I hope I have learned the lesson.