Managing chronic diseases

doi:10.1136/bmj.330.7497.963

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Palliative care spectrum starts early on

Peter Cox, sarcoma survivor (peter.cox@systems4.co.uk)

Systems 4, Gidea Park, Essex RM2 6AH

EDITOR—Palliative care does not start when a patient is dying.1 A whole spectrum of palliation begins from the day of diagnosis of a potentially terminal disease, such as soft tissue sarcoma.

Palliation, in the sense of needing to absorb what this means for the patient, becomes even then a medical imperative. The “How long have I got, Doc?” question …