Covid-19 is creating havoc across the world.
This illness started off in China and has now travelled across the world. Large megacities to small villages are being affected severely.
Most of the real-time data we have is from China, Italy, Spain, UK and the USA.
The people with highest risk of dying are: age above 70, heart problems and immunosuppressed.
The immunosuppressed cohort include people on steroids and cytotoxic chemotherapy. This is a massive decision to be made in clinics on a daily basis.
What is the true benefit of 3rd or 4th line chemotherapy in someone with gastric or pancreatic cancer? The benefit is very marginal, but the chances of getting severely immunosuppressed are fairly significant.
It is a very difficult discussion. In the times of social distancing – only one family member is allowed for the consultation – the discussion is even more challenging.
Stay safe. Godspeed.