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ASCOconnection.org is a forum for the exchange of views on topical issues in the field of oncology. The views expressed in the blogs, comments, and forums belong to the authors. They do not necessarily reflect the views or positions of the American Society of Clinical Oncology. Please read the Commenting Guidelines.

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Countries like Lebanon, with delays in vaccination, carry the risk of herd immunity by the coronavirus rather than by the vaccines—which could mean tens of thousands of more deaths, more suffering, and health care system collapse. 
I’ve been thinking about the word “performance” a lot lately. Why is sexual activity described this way? 
In this new year we must remain alert to our own prejudices, and be vigilant about keeping our personal biases out of the charts and out of our discussions with colleagues, patients, and caregivers. 
"It is far too common that patients with less access to care or different skin color or unfamiliar language are assumed to not understand," writes Dr. Jacquelyne Gaddy. "Maybe it is in fact that we didn’t take the time to understand."
As her patient struggled to find the words, Dr. Viju Chandrasekhar found that some forms of connection and communication transcend speech. 
If you're increasingly tired of "hopping on another call," "sending a Zoom invite," or "unmuting yourself," Dr. Aakash Desai and Dr. Ariela Marshall offer tips and empathy for managing videoconference fatigue in the new year.
Despite the virtual nature of the AMA House of Delegates meeting, the decisions made there have a very real impact on our profession and the patients we serve.
When a couple sought my advice on reconnecting after one partner's breast cancer treatment, I prescribed a regimen of practical, step-by-step sensate focus exercises.
"On top of an overwhelmingly difficult year, and after many months, we still face many challenges as it looks like we are hitting a new critical point as the reported COVID-19 admissions are surging," writes Dr. Dawood Findakly.
Every day in clinic, Dr. Narjust Duma is reminded of the importance of sexual health in cancer care. 
We owe it to this vulnerable population to check our assumptions and deliver the highest-quality cancer care in a safe and welcoming environment.
As 2020 begins to wind down, members reflect on the impact of the COVID-19 pandemic as well as how they intend move care forward into the new year. 
"This pandemic really threw a wrench at an already delicate work/life situation that now looks a lot like a house of cards," write Dr. Richa Dawar and Dr. Estelamari Rodriguez.
Advocate, survivor, and caregiver: my friend Anne Marie describes the intricate challenges of those shifting roles, especially in the pandemic, and the critical importance of clear and sensitive communication.
In Lebanon, as elsewhere, we are concerned that many patients are avoiding clinic and hospital visits for fear of catching coronavirus. We therefore decided to focus our October 2020 awareness campaign on breast self-examination at home.
I wasn’t sure what the patient's response would be to my suggestion for mourning after prostate cancer treatment, but I thought it was worth talking about.
Dr. Carolyn B. Hendricks was an early adopter of telemedicine and is confident that it has benefitted her patients, but there are three things that she misses during televisits.
"I always work hard to help my patients live as long as possible, but now I have the added goal of helping them live to see a post-pandemic world," writes Dr. Suneel D. Kamath. 

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