Current Practice • Pratique courante Palliative Care Files Nausea and vomiting

history. He presents with a 2-month history of cough and a recent episode of hemoptysis. A chest x-ray film reveals a right lung mass, and computed tomography (CT) of the chest, abdomen, and pelvis confirms a right middle lobe mass with no evidence of metastatic disease. Lung biopsy confirms non–small cell lung cancer (NSCLC) and results of further metastatic workup are negative. The tumour is stage IB (T2N0) NSCLC. After Gregg and his doctor discuss options, Gregg is referred to an oncologist and a chest surgeon. He elects to have a lobectomy and post-operative chemotherapy. Six weeks after the surgery, he is doing well and chemotherapy will commence shortly. The oncologist informs Gregg of the potential side effects of chemotherapy, including nausea and vomiting. Chemotherapy-induced nausea and vomiting (CINV