Cachexia in Patients With Advanced Cancer

B.C. is a 72-year-old female with stage IV metastatic papillary adenocarcinoma of the ovary status post nine cycles of carboplatin and paclitaxel, three cycles of topotecan, and three cycles of weekly paclitaxel. She currently is receiving gemcitabine and arrives today on a stretcher via ambulance saying that her abdomen is getting larger and that she is unable to get out of bed, take care of herself, or eat.