While it is unusual for gastroenterologists to see colorectal tumors in patients under the age of 50, and even more uncommon before the age of 40, it does happen, so patients need to be aware of their risks. Colorectal tumors in young people are often detected either through symptom evaluation or because of a colonoscopy performed for an underlying risk factor, most commonly a family history of colorectal cancer (CRC). During ...

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From MedPage Today:

  1. Stool DNA Test Detects Colon Cancer. A stool DNA test detected significantly more colon cancers in average-risk patients as compared with a conventional fecal immunochemical test (FIT).
  2. 10 Ways to Safely Push Ketamine in the ED. A doctor recently took me on a ketamine trip, and I enjoyed it immensely.
  3. 'Rebound' Obesity Seen After ADHD Treatment. Children with attention-deficit/hyperactivity ...

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From MedPage Today:

  1. Is Belphen the Next Blockbuster Diet Drug? Even though there are scant data, obesity researchers and patients have already put a name to a potential new weight-loss craze: Belphen, a combination of lorcaserin (Belviq) and phentermine.
  2. Does COPD Dull the Mind? Mild cognitive impairment was more likely in patients with chronic obstructive pulmonary disease (COPD), particularly the longer it went on.

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From MedPage Today:

  1. Vitamin D's Role in Weight Loss. Simply supplementing vitamin D as part of a dietary intervention won't necessarily aid weight loss, unless patients actually achieve levels of 25 (OH)D of 32 ng/mL or more.
  2. Less Invasive Surgery Gets Hip Patients Behind Wheel Faster. Patients who undergo hip joint replacement surgery using minimally invasive techniques can safely return to driving 2 weeks ...

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Supporters of the most recent paper from the Canadian National Breast Screening Study (CNBSS) falsely contend that only radiologists are criticizing this study. This simply is not true. The Canadian study flaws have been well documented for decades. Robert E. Tarone at the National Cancer Institute (who isn't a radiologist) wrote in 1995 that there was a statistically significant excess of advanced cancers that were allocated to the mammography ...

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I went to see my oncologist for my six-month checkup yesterday. All was routine, other than my blood pressure being 131 over something when it's usually in the 115 range, even when I see my family doctor. No anxiety there. When he asked what had changed in the last six months, I told him about the endoscopy I had in December, which turned out to be normal. But what prompted it ...

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When patients ignore the evidence: Try to understand their valuesI still remember being taken aback by how young she was. “She” was Mary -- a 28-year-old woman who had completed chemotherapy for stage II breast cancer. She was treated elsewhere and had moved cities when her husband got a promotion. “I’m still getting used to this area, but I am happy my hair came back before we had to move. I ...

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News reports covering a prostate cancer study recently in the New England Journal of Medicine have all pretty much come out with the same message: men diagnosed with prostate cancer who had radical surgery did much better than men who were assigned to "watchful waiting" after they were diagnosed. But guess what? There's a critical fact that seemed to be missing in much of the coverage I saw. And that fact ...

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It was probably the most awkward question I had been asked before, and I did not have an answer. He was a middle-aged gentleman, neatly dressed -- very simple and unassuming. He blended like a lifeless statue in the waiting area. What sparked my notice of him was his accompanying robust file, crammed with familiar pink discharge slips from the ED. He was clearly what we call a “frequent flyer,” but ...

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From MedPage Today:

  1. Preop PET Cuts Lung Cancer Surgery. Routine preoperative PET imaging led to a significant reduction in unnecessary surgery for non-small cell lung cancer (NSCLC).
  2. A Cure for Chlamydia Arthritis? Increased understanding of the biology and survival tactics of Chlamydia trachomatis is suggesting that the post-infectious chronic arthritis experienced by many patients may actually be curable.
  3. Efavirenz Tops Lopinavir in ...

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