As survival rates for pediatric cancer continue to improve, more and more pediatric practices include children who have been treated for cancer. Some patients are making the transition back to primary care after finishing their cancer treatment. Others are only a few years post-treatment and still being closely monitored for recurrence. Still others have survived five years or more and are considered cured. Whatever their circumstances, these patients can present ...

Read more...

The measles outbreak from Disneyland is a potent reminder of a) how infectious measles actually is; and, b) what happens when people don’t vaccinate. However, despite a mountain of evidence that vaccination is safe and does not cause autism or immune dysfunction or really anything terrible at all people still refuse. I live in a county that is on the leading edge of this scientific ignorance, but we are not alone ...

Read more...

medpagetodayFrom MedPage Today:

  1. Predicting Death in Advanced Cancer. Late-occurring signs of declining neurocognitive function proved to be highly specific and highly likely markers of impending death in patients with advanced-stage cancer.
  2. JAK-3 Drug Effective in RA, but Safe? The oral selective JAK-3 inhibitor decernotinib was associated with significant improvements in symptom relief ...

    Read more...

Disneyland is in the news, and not because it is the most magical place on earth.   It also is the origin of the most recent rubeola measles outbreak, now spread to seven states and Mexico with over eighty cases diagnosed so far.  Unvaccinated children are being kept home from school in some California districts and vaccination requirements once again have become a battleground between  public health agencies and the “right ...

Read more...

This past Christmas holiday, an as-yet-unidentified “index case” -- the first person to start an epidemic -- visited Disneyland in California. Five employees became infected, along with dozens of visitors to the park. Since then, the outbreak has spread to about 80 people, including people who’ve caught it not directly from visiting Disney, but by coming in contact with Disney cases. These “secondary” cases will soon lead to “tertiary” cases ...

Read more...

Headlines still appear about the vaccine “controversy.” However, there really isn’t one is there? Vaccines hold no controversy in the arenas of science, public health records, and medical schools across the country. In fact, the use of vaccines is considered standard of care. All mainstream religions uphold their immense value and even make them a part of their humanitarian relief programs. So, what is happening? I am a physician and a ...

Read more...

medpagetodayFrom MedPage Today:

  1. Anthem Data Breach: Potential Game Changer for Healthcare. Anthem Health's massive data breach announced Thursday sent shock waves through the healthcare information technology sector. As many as 80 million people may have had personal data compromised, placing them at risk of identity fraud, Anthem reported.
  2. No Link Between Oxytocin ...

    Read more...

shutterstock_92569954 Dear anti-vax parents, In the wake of the Disneyland measles outbreak, there’s been a lot of heated talk about parents who choose not to vaccinate their children. It seems like the medical community is now protesting even louder than the anti-vax groups were a couple years ago. But I want to take a moment and apologize for the harsh tone some of ...

Read more...

Although the Affordable Care Act’s second enrollment period is nearly over, politicians, medical professionals, and the public still debate its implications. According to David Houle and Jonathan Fleece, one-third of all hospitals in the United States will close or be reorganized into another kind of health care provider by 2020. What will differentiate the winners from the losers? Simply put, it will be high patient satisfaction. In consumer terms what ...

Read more...

Recently, at a holiday meal with my extended family, it came to light that neither of my typically developing teenage children really knows how to tie his or her shoes. It seems that for the past decade or so, both have been using the “bunny ears” technique introduced to preschoolers for tying their shoes. My children appear never to have moved on from there to the mature “around the tree” ...

Read more...

Most Popular