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Correspondence
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Volume 339:1863 December 17, 1998 Number 25
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Bitter Pills to Swallow

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 by Poulson, J.
To the Editor: In her perceptive Occasional Note (June 18 issue),1 Dr. Poulson does not mention two of the most demeaning bitter pills that are common in oncology and that can influence how physicians treat patients with cancer.

It is common to refer to second-line treatment as "salvage," which gives the impression that doctors are rummaging through the junkyard of a patient's body looking for something that is still worth saving or poking through a flooded basement in the hope of finding something that is not beyond repair. The term "salvage treatment" is often used in descriptions of clinical trials . . . [Full Text of this Article]

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