A patient story tonight, from Jackie: It was one of those days.  I had been to the gynecologist the week prior because I somehow knew the sporadic bleeding, which I had experienced, was not a simple urinary tract infection for which I had been treated three times.  My doctor did the scrapings and biopsies and had me run down the hall for an ultrasound.  I’d had lots of ultrasounds during my pregnancies -- ...

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stuart-scott Stuart Scott revolutionized the sportscasting industry with his unique style and likable demeanor on ESPN.  Mr. Scott recently passed away after an 8-year battle with recurrent appendiceal cancer.  Mr. Scott was a devoted father and put his relationship with his two daughters above everything else.  He was a sensational broadcaster and was passionate about his craft.  He inspired many young athletes ...

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medpagetodayFrom MedPage Today:

  1. Should FDA Change Metformin's Black Box Warning? Diabetes experts are building a case to lift restrictions on using metformin in patients with moderate chronic kidney disease.
  2. Tacrolimus for Induction in Lupus Nephritis? Tacrolimus was found to be noninferior to mycophenolate mofetil (Cellcept) for lupus nephritis induction therapy when given ...

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You’ve made it. Four years of college, four years of medical school, and three years (sometimes four or five) of residency, depending on the specialty you chose. You’ve earned a prestigious title. You are a doctor. But wait, you are not done yet. Want to be a cardiologist, oncologist or gastroenterologist? Add another three years to the eleven spent to become an independent practitioner. Another three years of interest rate on that six ...

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Julie was lost in thought. Her right pointer finger slowly traced the edges of the metallic trinket.  It was tucked far enough into her pant pocket that only the longest digit could reach.  Back and forth, her hand moved caressingly, pausing from time to time to inspect any irregularity, any imperfection.  In such a manner Julie built a mental image of the old forgotten piece of jewelry.  Her hands visually occupied ...

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My brother wears a scar around his neck. It represents his second surgery for papillary thyroid cancer. The first started off the same way. Ugly, red and angry. Curving like an ominous smile around his neck, like a noose. That’s how it felt too -- the lump in his throat growing as he sat quietly, alone in a doctor’s office. It’s interesting how physical scars are a visual manifestation of ...

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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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