From the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.
In September 1998, Kathleen Foley, MD, discussed the management of severe
pain in a 44-year-old woman near the end of life.1
Mrs L was admitted to the hospital with a flaccid left arm, her first manifestation
of metastatic lung cancer. Her hospital course was marked by severe back pain
secondary to metastases and exacerbation of her usual severe headaches. Her
physicians tried several regimens to control her pain, eventually consulting
with the hospital pain service.
Parker RA, Hartman EE. A 44-Year-Old Woman With Severe Pain at the End of Life, 1 Year Later. JAMA. 1999;282(24):2354. doi:10.1001/jama.282.24.2354