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Cancer diagnosis in Pretoria affects families across every economic stratum, but access to specialist oncology care remains unevenly distributed. Public sector medical oncology departments provide chemotherapy, immunotherapy, and palliative management that private patients might access elsewhere, making these clinics essential safety nets for uninsured and under-insured populations. The oncology clinic's role extends beyond prescribing treatment: they manage side effects, coordinate with surgeons and radiotherapists, adjust regimens when toxicity emerges, and facilitate conversations about quality of life and end-of-life planning. For many Pretoria families facing this diagnosis, the clinic becomes a recurring anchor point through months or years of treatment, requiring both clinical rigour and genuine understanding of what patients endure.
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