Author: Medical Editor Iris Introduction A cancer diagnosis can be overwhelming, bringing not only physical pain but profound emotional stress. For a 53-year-old patient diagnosed with metastatic urothelial carcinoma, this stress was compounded by severe lower back pain, persistent cough, and night-time discomfort that disrupted sleep. Nausea, inappetence, and slight weight loss further weakened him. Facing these challenges, he sought advanced care but local hospitals offered