Cancer does not pause!! Since the start of the COVID pandemic, social distancing has led to patients delaying or avoiding hospitals, outpatient clinics and routine follow up. As a result, cancer is not being diagnosed as frequently and often the cancer is more advanced when it is identified. This may limit treatment options. Please continue to seek urgent medical assistance when needed and arrange for continued follow up with your physicians. Options are available for telehealth visits or in–person office visits with COVID precautions.