medpagetodayFrom MedPage Today:

  1. CT No Better than Stress Test as Chest Pain Diagnostic. Anatomic CT as the initial screen for suspected stable coronary artery disease didn't improve clinical outcomes compared with functional testing but did increase overall radiation exposure.
  2. The Primary Care Cliff. Just about everyone in Washington knows that the Medicare ...

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medpagetodayFrom MedPage Today:

  1. Lupus Nephritis Histology Predicts Long-Term Outcomes. In lupus nephritis (LN), renal histology with World Health Organization (WHO) class IV pathology predicts a decreased long-term remission rate.
  2. Biosimilars Must Be Tightly Regulated. Following the approval of the first biosimilar agent in the United States -- Zarxio, for the prevention of ...

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The concept of “personalized medicine” gets thrown around a lot these days. And as an oncologist and a palliative care doctor, who advocates for using data to get information that can provide more personalized cancer care, I believe strongly in it. But what would truly personalized oncology look like? More than 14 million people are living with cancer in the United States, according to the National ...

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For 25 years, I have taught medical students how to give bad news.  Step one: Be prepared.  Step two: Find a safe, personal, quiet environment.  Step three, and this is most important: Before you speak, ask.  What do the patient and family understand? Fail to follow this vital rule and reap the whirlwind.   So, therefore, you might ask, if I have such wisdom and experience in this critical area ...

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asco-logoEvery so often I see a patient who views cancer as a constant threat to be handled. The cancer becomes so significant that she feels she can never let her guard down. I always worry about this -- partly because that singular focus on fighting cancer can sometimes detract one from other aspects of life, and those facets that give ...

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medpagetodayFrom MedPage Today:

  1. Kid's Asthma Not Linked to Maternal SSRIs in Pregnancy. Children whose depressed mothers took newer antidepressants while pregnant were not at increased risk of childhood asthma.
  2. Menopausal HT Not Tied to Greater Death Risk. Hormone therapy in postmenopausal women was not linked to a significant effect on all-cause mortality, ...

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A 75-year-old woman with progressive constipation. An 82-year-old man with unexplained anemia. A 39-year-old mother of two with intermittent blood in her stool. These are three of my patients. And sadly, they are three of nearly 150,000 Americans diagnosed with colorectal cancer every year. March is National Colorectal Cancer Awareness Month for good reason. In the United States, colorectal cancer is the third most commonly diagnosed cancer. It is also the ...

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medpagetodayFrom MedPage Today:

  1. Flu Vaccine: A Matter of Time. The flu vaccine was about 23% effective this season.
  2. Supreme Court Spars With Both Sides in Subsidies Case. The Supreme Court pummeled both sides with questions during Wednesday's oral arguments over the fate of the subsidies granted to people enrolling in health insurance ...

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March is colon cancer awareness month.  We have made tremendous strides in the fight against cancer especially colon cancer. Between 1991 and 2011, U.S. cancer death rate decreased by 22 percent (1.5 million lives saved), and colon cancer death rate decreased by almost 50 percent. This decrease coincides with widespread adoption of colorectal cancer screening particularly colonoscopy. Despite this progress, colon cancer is still the 2nd leading cause of cancer death in ...

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Cancer patients depend on denial.  Without its protection, we would be overwhelmed by terror.  Denial filters and slows bad news, so we can digest reality in the merciful morsels; thus, we cope.  Without denial, we would shut down, withdraw, and lose hope; healing would not be possible.  However, if we do not move beyond denial, accept the diagnosis and loss, make a plan, we die. Allen, a 43-year-old man, came to ...

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