<i>The Doctor</i>: For Life and at the End of Life
Authors: Philip A. Pizzo
Journal: Annals of Internal Medicine (2014)

Ideas and Opinions3 February 2015The Doctor: For Life and at the End of LifePhilip A. Pizzo, MDPhilip A. Pizzo, MDFrom Stanford University School of Medicine, Stanford, California.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M14-2399 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Although it is easy to look on Sir Luke Fildes' 1887 portrait The Doctor (Figure )with a nostalgic nod to a past era, this painting still portrays, with sensitive clarity, the deep feelings of compassion, care, and concern that many of us aspire to emulate in medicine. I have viewed this painting through different lenses over my career: as a pediatric oncologist who deeply felt the loss of each patient and saw the piercing impact on the surviving family; as a physician–scientist who strove to discover and develop new treatments for catastrophic diseases in children and pushed the edges of ...References1. Committee on Approaching Death; Institute of Medicine. Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life. Washington, DC: National Academies Pr; 2014. Google Scholar2. Weeks JC, Catalano PJ, Cronin A, Finkelman MD, Mack JW, Keating NL, et al. Patients' expectations about effects of chemotherapy for advanced cancer. N Engl J Med. 2012;367:1616-25. [PMID: 23094723] doi:10.1056/NEJMoa1204410 CrossrefMedlineGoogle Scholar3. Committee on Improving the Quality of Cancer Care; Institute of Medicine. Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. Washington, DC: National Academies Pr; 2013. Google Scholar4. Temel JS, Greer JA, Muzikansky A, Gallagher ER, Admane S, Jackson VA, et al. Early palliative care for patients with metastatic non–small-cell lung cancer. N Engl J Med. 2010;363:733-42. [PMID: 20818875] doi:10.1056/NEJMoa1000678 CrossrefMedlineGoogle Scholar5. Smith TJ, Temin S, Alesi ER, Abernethy AP, Balboni TA, Basch EM, et al. American Society of Clinical Oncology provisional clinical opinion: the integration of palliative care into standard oncology care. J Clin Oncol. 2012;30:880-7. [PMID: 22312101] doi:10.1200/JCO.2011.38.5161 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Philip A. Pizzo, MDAffiliations: From Stanford University School of Medicine, Stanford, California.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M14-2399.Corresponding Author: Philip A. Pizzo, MD, Stanford University School of Medicine, Lorry Lokey Research Building, 265 Campus Drive G1078, Stanford, CA 94305; e-mail, [email protected]edu.Author Contributions:Conception and design: P.A. Pizzo.Analysis and interpretation of the data: P.A. Pizzo.Drafting of the article: P.A. Pizzo.Critical revision of the article for important intellectual content: P.A. Pizzo.Final approval of the article: P.A. Pizzo.Collection and assembly of data: P.A. Pizzo.This article was published online first at www.annals.org on 9 December 2014. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoCan the United States Buy Better Advance Care Planning? Scott D. Halpern and Ezekiel J. Emanuel Dying in America: A Constructive Step Forward and an Opportunity to Deepen Partnerships With Patients and Families Debra L. Ness and Beverley H. Johnson Engaging Public Health in End-of-Life Issues: It Is Time to Step Up to the Plate Jaya K. 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Fleming, MD, MACelebrating the ACP Centennial: From the Annals ArchiveDeborah Cotton, MD, MPH, Deputy Editor 3 February 2015Volume 162, Issue 3Page: 228-229KeywordsCancer treatmentChildrenEmotionsEnd of life careHealth care facilitiesHealth care qualityLung and intrathoracic tumorsPalliative carePatientsQuality of life ePublished: 3 February 2015 Issue Published: 3 February 2015 Copyright & PermissionsCopyright © 2015 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...