Whose Hope Is It, Anyway?
A prescription and a pause
It was with this optimism that I looked forward to seeing my patient, RV, in clinic. He and his wife were my friends. We had known each other for years, had socialized together, and I had treated him for chronic lymphocytic leukemia (CLL) off and on during this time. He would joke that he was my worst patient because he frequently was noncompliant and infrequently called to tell me why. A recent CT scan confirmed progressively worsening lymphadenopathy, and I was eager to extol the virtues of the B-cell receptor pathway inhibitors as his next line of treatment....