I was recently sent a link to this article entitled “Smile! You’ve Got Cancer” written by Barbara Ehrenreich.  I encourage everyone to read it. The article lives up to its striking title and more.  And I couldn’t help but respond with my perspective. So that you know where I’m coming from, my most personal encounter with cancer is that my grandmother died from cancer. I also treat people with acute ...

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“I’m so sorry, but it looks like the cancer has spread.” As I heard these words come out of my mouth, I knew that in a split second, a new reality was created in the mind of the patient that I was talking to. I looked at his face and saw that he was trying to remain strong, but in his demeanor, it was apparent that dreams were crushed and that ...

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From MedPage Today:

  1. BP Control May Cut Second Stroke Risk in Half. Stroke patients do a poor job of consistently controlling their blood pressure, but those who do may cut their risk of having another stroke in half.
  2. Debulking, IP Chemo Best for Ovarian Ca. Optimal surgical debulking and intraperitoneal (IP) adjuvant chemotherapy afforded patients with advanced ovarian cancer the best outcomes in a ...

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For years internationalists have being trying to make the argument to ordinary Americans that foreign policy matters -- that we must contend with complex issues overseas like countering terrorism while also focusing resources and energies on economic issues at home. We have posed it as a trade-off. We are making the foreign affairs case the wrong way.  Rather than argue the positive merits of trade or the negative repercussions of unchecked ...

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“I walked in a person, and out a cancer patient,” my dad said as we filed home. Crossing this threshold, we found ourselves on the other side of medicine -- the side on the exam table or gurney, as opposed to the one standing over it. As a physician I was used to the latter. This is my family’s story in our new position, and how the cost of medical care has impacted ...

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From MedPage Today:

  1. FDA Staff Doubts Colon Cancer Blood Test. FDA staff expressed serious reservations about using an investigational blood biomarker test as a colorectal cancer screen, citing poor specificity and unanswered questions about other purported advantages.
  2. Weight Gain Soon After Birth Tied to Diabetes Risk. New moms who add extra pounds to baby weight within a year of giving birth increase their risk ...

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Have you ever had a conversation that rattles around in your head for days? Maybe, it changed what you thought you knew about the world.  Perhaps the ideas or comments did not make any sense.  I had a discussion last week and it seemed that logic stood on its head.  The means was defined by the end, with no connection to the beginning, or more exactly, the tail wagged the ...

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From MedPage Today:

  1. Water Labor OK, Water Birth Risky, Groups Say. Immersion in water during the early stages of labor might benefit mothers-to-be by decreasing pain and shortening delivery times, but giving birth in water has no proven benefits and poses potentially serious risks to the baby, according to a statement from the American Academy of Pediatrics (AAP) and the American College of Obstetricians and Gynecologists ...

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When I meet a new patient, I’m frequently astounded by the health care he has received. I’ve met patients with absolutely no cardiac symptoms who have been receiving EKGs every six months for years. I’ve had patients brag to me about their annual executive physicals in which myriad tests including treadmill stress tests and chest x-rays were routinely performed. Patients get head-to-toe CT scans under the mistaken hope that they ...

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From MedPage Today:

  1. More of the Bugs Kids Get Are Resistant. The rate of antibiotic-resistant Gram-negative bacterial infections in children is increasing in inpatient and outpatient settings.
  2. Salt, Obesity May Prematurely Age Young Cells. High sodium intake and obesity may act synergistically to accelerate cellular aging in adolescents, according to new research.
  3. Breast-Sparing Tops Mastectomy in New Analysis. Breast-conserving surgery led to ...

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