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More Men Choosing Less Aggressive Treatment for Low-Risk Prostate Cancer
Prostate cancer is the most common form of cancer for men but it often does not present in an aggressive form of the disease. It now appears that more men with this type of prostate cancer are now, appropriately, foregoing aggressive treatment of the disease (see:More men with low-risk prostate cancer are forgoing aggressive treatment). Below is an excerpt from an ariticle on this topic:American doctors are successfully persuading increasing numbers of men with low-risk prostate cancer to reject immediate surgery and radiation in favor of surveillance, a trend that is sparing men's sexual health without increasin...
Source: Lab Soft News - May 24, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Clinical Lab Testing Genomic Testing Healthcare Delivery Medical Consumerism Medical Research Public Health Source Type: blogs

The Ethics of Keeping Alfie Alive
By SAURABH JHA Of my time arguing with doctors, 30 % is spent convincing British doctors that their American counterparts aren’t idiots, 30 % convincing American doctors that British doctors aren’t idiots, and 40 % convincing both that I’m not an idiot. A British doctor once earnestly asked whether American physicians carry credit card reading machines inside their white coats. Myths about the NHS can be equally comical. British doctors don’t prostate every morning in deference to the NHS, like the citizens of Oceania sang to Big Brother in Orwell’s dystopia. Nor, in their daily rounds, do they calculate opportun...
Source: The Health Care Blog - May 21, 2018 Category: Consumer Health News Authors: at RogueRad Tags: OP-ED Uncategorized AlfieEvans Source Type: blogs

Patient Modesty: Volume 87
EO, a visitor writing in the Comment section of Volume 86 of this thread title has set the stage for further discussion-- particularly the way male patients are treated within the medical system. I thought his narrative would be appropriate to start this Volume. ..Maurice.Graphic: My composition using ArtRage and appearing as the graphic on the thread "Order vs Chaos in Medical Practice"At Sunday, May 06, 2018 3:55:00 PM,  Though I am encouraged that many of the contributors to this blog have become activists as regards affording male clients (patients) the same rights as female clients when it comes to mode...
Source: blog.bioethics.net - May 7, 2018 Category: Medical Ethics Authors: Maurice Bernstein, M.D. Tags: Health Care syndicated Source Type: blogs

The fall of the digital rectal exam
For almost 20 years, the value of the digital rectal exam (DRE), a long time staple of the complete examination of the trauma patient, has been questioned. Performing a rectal examination on all trauma patients is no longer advocated except for a few specific indications. As recently as two months ago, trauma surgeon Michael McGonigal blogging at the Trauma Pro reinforced the message. Because a rectal examination is so uncomfortable for patients already traumatized and its yield is so minimal, he advocates doing it in only patients with spinal cord injury, pelvic fracture, and penetrating abdominal trauma. For a more ext...
Source: Kevin, M.D. - Medical Weblog - April 16, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/skeptical-scalpel" rel="tag" > Skeptical Scalpel, MD < /a > Tags: Conditions Emergency Medicine Oncology/Hematology Source Type: blogs

Heal thyself before others
Alice wept in my arms as she described her father’s last days. He died of metastatic prostate cancer. She felt lighter as she shared beautiful memories of him. It will never be the same for Alice, nor will it be for me. I was running behind for my next patient, a healthy 86-year-old woman. I apologized for keeping her waiting. She did not mind; she knew I would give her the time she needed. She held my hand as she unburdened her recent challenges caring for her husband after his vascular surgery. As dictated by her insurance carrier, she had minimal services. To my frustration, I could not in my power, get her the help s...
Source: Kevin, M.D. - Medical Weblog - April 13, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/shalu-ramchandani" rel="tag" > Shalu Ramchandani, MD < /a > Tags: Physician Primary Care Psychiatry Source Type: blogs

Prostate cancer: Britain ' s growing problem
This report finds that four in ten prostate cancer cases are diagnosed late and warns that action is needed to avert a potential prostate cancer crisis by 2030.  It also brings together commentary and thought-leadership from some of the UK ’s leading experts in the field to set out the key issues.ReportPress release
Source: Health Management Specialist Library - April 9, 2018 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Quality of care and clinical outcomes Source Type: blogs

New study once again casts doubt on PSA screening
This study adds to the discouraging screening literature, and again, simply does not support screening of asymptomatic individuals,” he said. Fortunately, Garnick added, men diagnosed with prostate cancer following a PSA test may not have to be treated either in the short or long term. Depending on tumor characteristics, some can opt to have their cancer monitored with active surveillance, which relies on periodic prostate biopsies or MRI to look for new signs that treatment may be necessary. “Hopefully, current research that uses sophisticated genetic testing or biomarkers of prostate cancer may help provide more prec...
Source: Harvard Health Blog - April 6, 2018 Category: Consumer Health News Authors: Charlie Schmidt Tags: Cancer Health Men's Health Prostate Health Screening Source Type: blogs

Genetic Risk Scores (GRSs): Ready for Inclusion in the Medical Record?
Conclusions: Polygenic hazard scores can be used for personalised genetic risk estimates that can predict for age at onset of aggressive PCa.We are on the cusp of the emergence of proposals to pursue broad predictive genetic screening for cancer (see: Broader Genetic Testing for Cancers May Benefit Population Health). Such screening will inevitably lead to the reporting of"actionable" results to patients' physicians and inclusion in the EHR. In the paper cited above, it was shown that the analysis of a patient's DNA SNIPs can be used to calculate a GRS that predicts the age of onset for aggressive c...
Source: Lab Soft News - April 4, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Source Type: blogs

A mix of treatments may extend life for men with aggressive prostate cancer
For men diagnosed with aggressive cancer that’s confined to the prostate and nearby tissues, the overarching goal of treatment is to keep the disease from spreading (or metastasizing) in the body. Doctors can treat these men with localized therapies, such as surgery and different types of radiation that target the prostate directly. And they can also give systemic treatments that kill off rogue cancer cells in the bloodstream. Hormonal therapy, for instance, is a systemic treatment that kills prostate cancer cells by depriving them of testosterone, which fuels their growth. Now a new study shows that a mix of different t...
Source: Harvard Health Blog - March 31, 2018 Category: Consumer Health News Authors: Charlie Schmidt Tags: Cancer Men's Health Prostate Health Source Type: blogs

The problem of misunderstanding 23andMe genetic test results
Home delivery for everything from fresh produce to custom-selected clothing has become a way of life for many Americans. While most home-delivery conveniences are generally changing our lives for the better — giving us more time and choices — at-home genetics kits that reveal information about the risk of developing certain cancers represent a risky step in our on-demand culture. The FDA recently gave 23andMe the green light to sell the first direct-to-consumer tests for mutations in the BRCA1 and BRCA2 genes, which are linked to serious risks of developing cancer. All a buyer has to do is ship a saliva sample to t...
Source: Kevin, M.D. - Medical Weblog - March 28, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/susan-domchek" rel="tag" > Susan Domchek, MD < /a > Tags: Conditions Genetics Oncology/Hematology Source Type: blogs

The Future of Value-Based Care Relies Upon Providers: Taking the Reins on Alternative Payment Models
By CHUCK SAUNDERS and NEAL SHORE, MD 2017 was a pivotal year for the growth of value-based care. For many practices, this meant completing their first performance year as part of the Merit-Based Incentive Payment System (MIPS). A much smaller percentage of practices was able to participate in approved advanced Alternative Payment Models (APMs). While practices await feedback on their 2017 performance, early lessons have already become evident. Clearly, as practices are assigned greater responsibility and accountability for patient populations, it becomes increasingly important that they effectively navigate the reimburseme...
Source: The Health Care Blog - March 23, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

The Barbershop Study: How an Unorthodox Study on Black Men ’ s Health Brought Down the House
This study essentially shows that a health care system that moves itself into barbershops is effective in one third of men found to have poorly controlled blood pressure.  I’m also fairly sure a pharmacist in my living room will improve my lipid profile.  And it bears repeating, that despite this herculean effort, two-thirds of black men chose not to connect with a healthcare system that was in their barbershop.  You can go ahead and put money on the odds that Harry White remains out of reach – its one you’ll win 66% of the time. I’ll also point out the study duration was six months – Harry had sho...
Source: The Health Care Blog - March 21, 2018 Category: Consumer Health News Authors: anish_koka Tags: Uncategorized Source Type: blogs

The Barbershop Study: How an Unorthodox Study on Black Men ’ s Health Brought Down the House and Where It Went Wrong
This study essentially shows that a health care system that moves itself into barbershops is effective in one third of men found to have poorly controlled blood pressure.  I’m also fairly sure a pharmacist in my living room will improve my lipid profile.  And it bears repeating, that despite this herculean effort, two-thirds of black men chose not to connect with a healthcare system that was in their barbershop.  You can go ahead and put money on the odds that Harry White remains out of reach – its one you’ll win 66% of the time. I’ll also point out the study duration was six months – Harry had sho...
Source: The Health Care Blog - March 21, 2018 Category: Consumer Health News Authors: anish_koka Tags: Uncategorized Source Type: blogs

Which Direct-To-Consumer Genetic Test to Choose?
Due to the collapse of the price of genetic testing and the FDA’s gradual ease of the regulatory environment, direct-to-consumer (DTC) genetic testing companies are booming. You can inquire your deoxyribonucleic acid about your ancestry, health risks, metabolism, and some start-ups even promise you to find true love or your kids’ talents. As the jungle of DTC companies is getting denser, more and more people ask me which genetic tests are worth the try. They love the possibility of getting access to their DNA but don’t know where to start. Here’s the DTC genetic testing kick-starter package! Navigating through...
Source: The Medical Futurist - March 20, 2018 Category: Information Technology Authors: nora Tags: Genomics 23andme ancestry DNA DTC future genetic test Genetic testing genetics Genome genome sequencing Health 2.0 Source Type: blogs