When patients seek a second opinion: Its not about you I remember when I first started in oncology; I had joined the faculty at Brown three years after fellowship and was seeing a patient* with newly diagnosed breast cancer. She was in her 40s, an advertising executive, married, with two small kids. The diagnosis was unexpected (as it usually is), with a lump found while showering. She had come ...

Read more...

Medicine cannot be reduced to just a job. Heres why. A few months ago I was paged by a medical student in the emergency room at ten o'clock. I had just changed my clothes, and before my pager went off my attention had been squarely fixed on the newest Jack Reacher novel. You can usually tell when someone is going to ask you to come into the hospital from home, because there ...

Read more...

Does Brittany Maynards decision affect the future of oncology? Would you base a life or death decision based on one doctor’s opinion? One research article? Google searches? What would it take? I recently read that Brittany Maynard took her own life. Plagued by glioblastoma, she chose to reject chemotherapy, radiation, and hospice. Tomorrow, I have a schedule packed with glioblastoma patients who personify courage, determination, and faith. Glioblastoma (GBM) ...

Read more...

A medical student diagnosed with cancer Ironically, we had just finished our endocrine unit when I noticed a lump in my neck. Perhaps school had made me more vigilant, or perhaps I merely fell into the realm of hypochondriac medical student, but I couldn’t ignore this lump. I set up an appointment with my doctor fully expecting a diagnosis of medical student neuroticism. Instead she agreed that it was ...

Read more...

No CT scans for old smokers? "Traditionally, doctors used to be called in when needed. But this is now changing. Increasingly it is the doctor who calls the person in by issuing an invitation. Healthy people are asked to visit the surgery for a 'check-up,' or 'screening,' when their computerized records show they are 'due.' Non-attendance is known as 'non-compliance,' indicating an element of recklessness and irresponsibility." - Petr ...

Read more...

Recently, NPR published the results of a study confirming that removal of both breasts (a double mastectomy) fails to improve the chance of survival compared to breast conserving treatments for breast cancer. The headline of the story was “Double Mastectomies Don't Yield Expected Results, Study Finds.” This finding is not actually news to informed physicians. Since the 1980s, there has been widespread recognition that both mastectomies and lumpectomies offer an ...

Read more...

After a prostate cancer diagnosis: The urgency to treat Hearing the words “you have cancer” changes everything. In my role as clinical nurse specialist in a busy prostate clinic, I see the effects of these three words on men and their families every day. The shock and disbelief, the fear and confusion as most men feel perfectly well with no symptoms at all. Many men want to do something ...

Read more...

Twitter counts for this doctor. Read why. Whenever I speak about social media, much of it has to do with Twitter. It has become part of my daily routine, much like checking email or going to news media sites. I will often check-in on Twitter and will respond to items of interest -- whether or not tweets were sent directly to me. However, I am cognizant ...

Read more...

Quit smoking: It takes a community to spread the wordYou never know when something special is going to happen, as in one of those times when you just wish you had a camera rolling to capture a moment, a comment, a statement about the way the world is -- and the way the world could be. This past weekend my wife and I were attending a meeting in ...

Read more...

The best way to avoid the flu is spending the months from fall until spring in a solitary bunker, communicating with other people only electronically. The second best way is getting the flu vaccine. The Centers for Disease Control and Prevention (CDC) recommends the flu vaccine for everyone over 6 months who doesn’t have a specific contraindication to it. Because of the increasing number of different flu vaccines that are now ...

Read more...

Most Popular