When they first discovered the tumor in his pancreas in October 2003, his doctors told him an immediate operation was necessary, and could lead to a cure. As first reported by Peter Elkind in 2008, Jobs decided to think different, declined surgery, and explored alternative medicine treatments for his disease. Nine months later, in July 2004, the tumor had grown. Only then would he allow his doctors to operate. Would Steve Jobs be alive today had he consented to surgery when they first discovered ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 25-year-old man is evaluated for a 2-year history of infertility. He and his wife have been unable to conceive since marrying 2 years ago. Analysis of a semen sample provided 3 weeks ago during an infertility evaluation showed azoospermia. The patient has a strong ...

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For years, it has been widely known throughout the medical profession that basic education in nutrition for training physicians has simply been ineffective.  And whether this failure was due to a lack of time or simply a failure of emphasis, the point remains that the medical profession in general is woefully inadequate when it comes to a sound knowledge base related to nutrition and its effects on optimal health.  ...

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With just a few minutes of research on prostate cancer, you will find that it is the most common cancer in men; approximately 1 in 6 men will develop prostate cancer in their lifetime.  In these few minutes you will also identify the only two methods available for prostate cancer screening: PSA tests and digital rectal exams (DRE).  Alone, these exams are not very sensitive in detecting prostate cancer, ...

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Everyone wishes they had baby skin. It feels so soft and smooth; it’s perfectly adapted to induce us adults to want to clean their diaper, no matter how many times they dirty them. Like their big eyes and cute noses, baby skin it part of the whole package of being adorable. But like their eyes, their skin, however beautiful, is immature. Baby skin is thinner, has less natural moisturizers and ...

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I was thinking about food labels recently as I scanned yet another new food product at the grocery store. It's become something of a hobby. "Oh, second ingredient evaporated cane juice (AKA sugar) and then at the end 'natural' (my quotation marks) flavors." The verdict: processed food. I don't need to know any more than that. Don't care about calories or fat grams or the other things we have been ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 68-year-old man is evaluated for a 6-month history of a sensation of dryness in his eyes. He notes that it feels as though there is sand in his eyes. On physical examination, the eyes are red, and trichiasis (ingrown eyelashes) and symblepharon (adhesions of the ...

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One of the saddest, but more treatable, causes of hair loss in patients is trichotillomania, the impulse control disorder in which a person repeatedly pulls out hair from their body for non-cosmetic reasons. While some people have never even heard of trichotillomania, according to the Trichotillomania Learning Center, as many as ten million Americans (or 4% of the U.S. population) suffer from the disorder. According to the Diagnositic and Statistical Manual ...

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Under current guidelines from the American Stroke Association, tissue plasminogen activator (tPA, commonly known as a "clot buster" drug) should be administered within 3-4.5 hours of “last seen normal” – and 1 hour of patient arrival – to potentially ameliorate a new onset stroke.  ("Last seen normal" means exactly what it says. A patient who went to bet at 10 PM and awoke with slurred speech at 6 AM was ...

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On the theme of knowing when and when not to follow the diktats of emergency medicine, one of the greatest challenges for a practicing ER doc is chest pain. Missed MI is still the biggest driver of malpractice costs, and last I hear, ER docs still send home something like 2% of patients who are having MI or unstable angina. Not good. So over the last decade we've gotten all ...

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