Guest editorial _____________________ Pain management Highlighting special populations Richard B. Patt, MD, Guest Editor ~lUgJ~ e ~ CANCER ~ ~PAIN A I * At the outset I feel obliged to disclose that I don't purport myself to be an expert on the topic of the day, cultural diversity in hospice care and pain management, but then again, I don't think many experts exist. My work, however, has re- cently provided the opportunity for me to teach in sites as remote as Kenya, Southeast Asia and various parts of Latin America. On each oc- casion, I've not limited my interac- tions to thelecture hall, but have had the privilege of observing the di- verse clinical practices our col- leagues are engaged in. The most striking initial impression is of the extraordinary limitations imposed by ambient cultural and economic factors. The inequity of such glaring and gross limitations makes an easy breeding ground for apathy, and a sense of impotence and disconnec- tion. Happily, such feelings are in- variably eclipsed by hope and a Richard B. Patt, MD, Associate Professor, Anes- thesiology and Neuro-Oncology Deputy Chief, painand Symptom Management Section, Univer- sity of Texas MD Anderson Cancer Center, Hous- ton,
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