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Indistinguishable From Magic.

Michael J Slade¹

¹Washington University School of Medicine, Saint Louis, MO.

Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology

|May 26, 2026

Summary

This summary is machine-generated.

Oncology clinical practice faces challenges distinguishing established knowledge from hopeful outcomes. Speculative fiction offers a unique lens to explore these physician and patient struggles in daily care.

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Area of Science:

Oncology
Medical Humanities
Clinical Practice

Background:

Daily clinical practice in oncology presents unique challenges.
The line between medical knowledge and patient hope can be blurred.

Purpose of the Study:

To explore the challenges of day-to-day oncology practice.
To examine the distinction between knowing and hoping through speculative fiction.

Main Methods:

Analysis of speculative fiction narratives.
Exploration of clinical oncology scenarios.

Main Results:

Speculative fiction can illuminate the difficulties physicians and patients face.
The struggle to differentiate between certainty and hope is a key theme.

Conclusions:

Understanding this distinction is crucial for effective oncology care.
Speculative fiction provides valuable insights into the patient and physician experience.