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Total 484 results found since Jan 2013.

Misleading Metrics
Editor’s Note: This essay contains excerpts from Extreme Measures: Finding a Better Path to the End of Life, coming February 21st, 2017 from Penguin-Random House. A few years ago, while at a family get-together, I sat across from a retired hospice social worker named Terry. I am a physician whose practice alternates between attending on the wards of an inner-city intensive care unit and serving as a consultant on the hospital’s palliative care team. I didn’t set out to practice this uncommon combination of medical specialties. I started out totally dedicated to using the miraculous technologies in my critical car...
Source: Health Affairs Blog - February 21, 2017 Category: Health Management Authors: Jessica Nutik Zitter Tags: End of Life & Serious Illness Health Professionals Hospitals 30-day mortality statistic advance directive Palliative Care Source Type: blogs

Worst case scenario planning for IVF patients
For most IVF doctors and patients , failure is a taboo word.It's something which no one wants to talk about, because everyone wants to discuss only the chances of success. This is obviously far easier to do and much more pleasant, but I don't think evading hard issues really makes a lot of sense. I think it's always important to protect your downside before considering the upside.Not only is this far more sensible, it helps you create a safety net. Being prepared for the worst improves your emotional resilience and ensures that you don't go to pieces in case your cycle fails. Some patients think their world will end i...
Source: Dr.Malpani's Blog - February 14, 2017 Category: Reproduction Medicine Source Type: blogs

Socialized Medicine: From Anecdote to Data
Last night ’s CNN duel between Senators Bernie Sanders and Ted Cruz on the future of Obamacare was pretty illuminating for a recent arrival to the United States, with Senator Sanders’ playbook all-too-familiar to those of us from the UK.Sanders wants a single-payer socialized healthcare system in the United States, just as we have in Britain. Any objection to that is met with the claim that you are “leaving people to die.” The only alternatives on offer, you would think, are the U.S. system as it exists now, or the UK system. Sanders did not once acknowledge that the UK structure, which is free at the point of use,...
Source: Cato-at-liberty - February 8, 2017 Category: American Health Authors: Ryan Bourne Source Type: blogs

An infertile patient's secret thoughts, worries and fears
This is a guest post from a very thoughtful patient of ours.It describes very eloquently the worries and fears which prey on an infertile patient's mind. It's very hard to discuss them with anyone, and bottling them up just makes things worse !--------------------------------------------------------------------------------------------------------------------------Isn't it a paradox that when India and world's population is exploding at alarming rate; here I am ,struggling to have a single child for 5 long years and with no idea when the struggle will really end.I am being treated at Malpani's and yesterday the doctor urged...
Source: Dr.Malpani's Blog - February 6, 2017 Category: Reproduction Medicine Source Type: blogs

Being an oncologist is a privilege, even if it ’s sad
One of the privileges of medicine is the chance to meet people from every walk of life — many of whom you might never get a chance to know otherwise. Of course, such meetings are never spontaneous. In medicine, we are brought together by illness, and the people coming to see me are seeking advice on treatment for cancer. With new therapies, fortunately, oncologists are now seeing patients over the span of years, and we get to know the person who is the patient beyond their illness. Many also bring along others on visit after visit, and we get to know each of them too. Such was the case with Alice*. I had met her two year...
Source: Kevin, M.D. - Medical Weblog - January 27, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/don-s-dizon" rel="tag" > Don S. Dizon, MD < /a > Tags: Physician Cancer Source Type: blogs

Searching for a blood test to monitor ovarian cancer
The race is on to develop simple, non-invasive tests for cancer
Source: OnMedica Blogs - January 16, 2017 Category: Journals (General) Source Type: blogs

ACA Pregnancy Termination, Gender Identity Protections Blocked; Wellness Program Incentives Survive
Yesterday, January 1, 2017, several Affordable Care Act (ACA) rules were scheduled to go into effect. On December 31, however, a judge granted a preliminary injunction blocking parts of a nondiscrimination rule issued under ACA section 1557. On December 30, another judge refused to block a rule allowing employers to offer significant incentives for employees to disclose medical information in connection with workplace wellness programs. Judge Blocks Enforcement Of Ban On Discrimination Based On Gender Identity Or Pregnancy Termination On December 31, 2016, Judge Reed O’Connor of the United States District Court for the N...
Source: Health Affairs Blog - January 2, 2017 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage Abortion employee wellness incentives Genetic Information Nondiscrimination Act HIPAA religious accommodation Religious Freedom Restoration Act transgender discrimination Source Type: blogs

A Look at Ascendance Biomedical, Packaging Medical Tourism for Longevity Therapies
Ascendance Biomedical is a fairly new venture, still in the early stages of formalizing its structure and agenda. It is focused on two twofold path of (a) establishing patient-funded trials of potentially useful therapies in the longevity science space, and (b) packaging participation in trials and later purchase of therapies via medical tourism, bundling all of the complications into a single product. The people involved overlap with the principals of the Global Healthspan Policy Institute, and are fairly well connected in our community. The organization is tackling just a few types of therapy to get started, gaining expe...
Source: Fight Aging! - December 29, 2016 Category: Research Authors: Reason Tags: Healthy Life Extension Community Source Type: blogs

BRCA-Positive Males at Higher Risk for Prostate and Pancreatic Cancer
Here is a brief description about BRCA gene mutations and the manner in which they predispose to various cancers (see: BRCA mutation):A BRCA mutation is a mutation in either of the BRCA1 and BRCA2 genes, which are tumor suppressor genes....Harmful mutations in these genes may produce a hereditary breast-ovarian cancer syndrome in affected persons. Only 5-10% of breast cancer cases in women are attributed to BRCA1 and BRCA2 mutations..., but the impact on women with the gene mutation is more profound.Women with harmful mutations in either BRCA1 or BRCA2 have a risk of breast cancer that is about five times the n...
Source: Lab Soft News - December 21, 2016 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Clinical Lab Testing Healthcare Delivery Medical Education Medical Research Preventive Medicine Source Type: blogs

Despite Long Record of Misadventures, Johnson and Johnson to Receive Award for " Ethical Leadership?! "
What does it take for a big pharmaceutical/ device/ biotechnology company to get an ethics award?Reported by Sheila Kaplan at Stat (but for subscribers only), and first noticed by Carl Elliott and justdiscussed on his Fear and Loathing in Bioethics blog, it appears that the giant Johnson and Johnson pharma/ device/ biotech company will get an award in " ethical leadership " from and " organization called Fellowships at Auschwitz for the Study of Professional Ethics, or FASPE. "The Stat report, quoted by Dr Elliott, stated:FASPE Chairman David Goldman, an attorney in New York, said he wasaware of the pharma giant ’s vario...
Source: Health Care Renewal - December 14, 2016 Category: Health Management Tags: crime health care ethics Johnson and Johnson legal settlements Source Type: blogs

Genetic Testing for Breast or Ovarian Cancer- Making Sense of Health News
In the last few months, some news media have reported the controversial advice that all women should be tested for the BRCA1 and BRCA2 genes, not just those with a strong family history of breast or ovarian cancer. This review (from HealthNewsReview.org) of that news coverage contains information and viewpoints helpful to women who are considering BRCA testing, regardless of their family history.   Read the review https://nnlm.gov/bhic/imxx
Source: BHIC - December 13, 2016 Category: Databases & Libraries Authors: Carolyn Martin Tags: General Health Information Literacy Source Type: blogs

Niraparib Maintenance Therapy in Ovarian  Cancer via Now@NEJM
Posted oninfosnack.
Source: Kidney Notes - November 30, 2016 Category: Urology & Nephrology Authors: Joshua Schwimmer Source Type: blogs

Saying goodbye to a patient who ’s your friend
Sometimes, I think that many folks see oncology as an acute care specialty: patients get cancer, get sick, and then they die. There’s an impression that we meet patients only for a moment in time before they are gone forever. But speak to any oncology specialist, and you will see nothing is farther from the truth. While there are those whom we do indeed meet and know for only a short time, there are many others who continue under our care for months and years. Whether in remission or alive with disease, we even have those patients who remain in our clinics for decades. For me, those long established relationships are oft...
Source: Kevin, M.D. - Medical Weblog - November 15, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/don-s-dizon" rel="tag" > Don S. Dizon, MD < /a > Tags: Physician Cancer Source Type: blogs

Seropositive voltage gated calcium channels, utility
Conclusions:  1.  High VGKC ab levels are found in patients with classic and other autoimmune disorderes,  Low level ab titers are seen in nonspecific and mostly nonautoimmune disorders2.  The presence of VGKC antibodies rather than the level may serve as a marker of malignancyNotes this is bad on a chart review of 6,032 patients who underwent evaluation .The nonclassic group includes PNS and CNS diorders including neuropathy, dementia, ALS, CJD.  Some patietns had nonspecific symptoms such as stutering speech, nausea and vomting and orthostasis without diagnosis of neurologic disease.Cancers were ...
Source: neurologyminutiae - November 8, 2016 Category: Neurology Source Type: blogs

A doctor thinks a patient is prepared for death. He ’s wrong.
Milly* was 82 years old and had been diagnosed with a recurrent ovarian stromal tumor — one that is typically seen in much younger women. Surgery was ruled out, and a colleague from outside of Boston sent Milly to me for an opinion about medical treatment. I reviewed her case before I met her: no significant medical problems, apparently very active and still living independently. Still, I was worried about her age, knowing that chemotherapy could be a double-edged proposition meant to control her disease, but placing her at risk for significant toxicity. I remember thinking to myself, “Well, she is 82; she’s lived a ...
Source: Kevin, M.D. - Medical Weblog - November 8, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/don-s-dizon" rel="tag" > Don S. Dizon, MD < /a > Tags: Physician Cancer Source Type: blogs