Marilyn’s query should be recognized both for
the words — a straightforward question about
medicinal marijuana use — and for the music
— a plea for symptom relief. Both must be addressed.
Although marijuana probably involves
little risk in this context, it is also unlikely to
provide much benefit. Simply to allow a patient
with uncontrolled symptoms of metastatic breast
cancer to leave the office with a recommendation
to smoke marijuana is to succumb to therapeutic
nihilism