Los Angeles Times

Commentary: Choice to say 'no' defines the term 'healthy cancer patient'

End-of-year lists abound. Standout movies. The most memorable books. Yet I've never seen a doctor publish a "top 10" or recognize a practice's patient of the year. Not that we lack material. The average primary-care physician follows the health of about 2,000 people. Over a year, that's enough to view the full spectrum of life's calamities and triumphs. Despite our best efforts, some patients experience a bad-news bolt from

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