Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 66-year-old man is evaluated for vague abdominal pain of several months' duration and a 10-kg (22-lb) weight loss. He drinks alcohol socially but does not smoke. The patient is otherwise well, has good performance status, and takes no medications. On physical examination, vital signs are normal. No lymphadenopathy is noted. Cardiopulmonary examination ...

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shutterstock_70926484 It was last summer in July when I became sick. It was a range of not unusual upper respiratory symptoms, but as time progressed and my symptoms didn’t respond to the usual combination of steroids and antibiotics, I became concerned. I’d developed a more distinct pain in my chest and became increasingly mindful about those bad things we see from time ...

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download Sometimes I tell people I’m learning how to treat cancer, and their first question is ‘why haven’t we cured cancer yet?’ We will.  It’s coming. In medicine, we’re much better at treating infections than cancer, but it wasn’t always that way:

  • We didn’t know washing your hands before delivering a baby was safer for women until 1847.
  • The concept of a germ was proposed in 1870.
  • The first 
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Dr. Peterson, the radiation oncologist, gets right to the point. "The medical center's tumor board has concluded that your cancer is inoperable, incurable and untreatable," he says flatly. "Any chemotherapy or radiation treatments would be palliative in nature." He begins explaining the reasons behind the board's verdict, but everything he's saying washes out. My mind stopped working as soon as I heard the words "incurable" and "palliative." I am sliding into shock. Dr. ...

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american cancer society Value. A simple word with lots of meanings, all of which depend on the context of the moment. Value in health care -- especially in cancer care -- is certainly no exception. What is undeniable is that we are seeing an increasing clamor about value in cancer treatment. And one person's value is clearly another person's concern. At the crux ...

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I find myself in a unique position. I recently retired as an orthopedic surgeon and my wife and I moved out of my practice area. At the same time, my wife was diagnosed and started treatment for breast cancer. So I got opportunity to interact with the health care system both as a provider and as a family member of a patient receiving long-term care first from providers I knew ...

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medpagetodayFrom MedPage Today:

  1. Gene Test Has Promise for Nailing DCIS Recurrence Risk. A multigene panel predicted recurrence risk in ductal carcinoma in situ (DCIS), according to a population-based study.
  2. Docs, Guns, and Smokes. One day in clinic, 2 years ago, a patient handed Adam Goldstein, MD, MPH, a request for a concealed ...

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asco-logo I had just started the sexual health clinic at Massachusetts General Hospital (MGH) when I was approached to meet with a group of prostate cancer survivors. I was hesitant at first -- my interests were in female cancer survivors who had experienced sexual dysfunction. This was partly because I had assumed men had an easier time accessing information on ...

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medpagetodayFrom MedPage Today:

  1. Family Hx Still Independent Risk Factor for RA. The familial risk of rheumatoid arthritis (RA) cannot be explained fully by established genetic and environmental RA risk factors, so family history remains an independent risk factor for RA.
  2. Who Is Getting ACA Insurance -- And Who Isn't. A story on ...

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Recently, the Centers for Medicare & Medicaid Services (CMS) officially proposed coverage for annual low-dose computed tomography (LDCT) screening for lung cancer in current or former smokers age 55 to 74 years with at least a 30 pack-year history. In doing so, CMS followed the lead of the U.S. Preventive Services Task Force, which had previously given a "B" grade recommendation for screening in a similar population through age 80 years. In the ...

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