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Total 543 results found since Jan 2013.

Overdiagnosis harms kids. Here ’s how to avoid it.
A fairly recent article in the Journal of Pediatrics is both intriguing and sobering. It is intriguing because it lays bare something we don’t talk much about or teach our students. It is sobering because it describes the potential harm that can come from it — harm I have personally witnessed. The issue is overdiagnosis, and it’s related to our relentless quest to explain everything. “Overdiagnosis” is the term the authors use to describe a situation in which a true abnormality is discovered, but detection of that abnormality does not benefit the patient. It is not the same as misdiagnosis, meaning the di...
Source: Kevin, M.D. - Medical Weblog - February 21, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/christopher-johnson" rel="tag" > Christopher Johnson, MD < /a > Tags: Conditions Pediatrics Source Type: blogs

New imaging technique may help some men avoid prostate biopsy
Men who have high levels of prostate-specific antigen (PSA) in their blood face troubling uncertainties. While it’s true that prostate cancer can elevate PSA, so can other conditions, including the benign prostate enlargement that afflicts many men as they get older. PSA levels also vary normally from one man to the next, and some men have unusually high levels even when they’re perfectly healthy. To rule out cancer, doctors might recommend a biopsy. Yet prostate biopsies pose risks of infection, and they can also miss cancer in men who truly have the disease. Most prostate biopsies are guided by transrectal ultrasound...
Source: Harvard Health Blog - February 17, 2017 Category: Consumer Health News Authors: Charlie Schmidt Tags: Cancer Men's Health Prostate Health Tests and procedures Source Type: blogs

What Tom Price doesn ’t know about prostate cancer screening
Dr. Tom Price may become the first medical doctor to lead the U.S. Department of Health and Human Services in 24 years. One might think that having completed medical school and practiced orthopedic surgery before entering politics might give him some extra insight into what works and what doesn’t in medicine. But judging by a letter to then-HHS Secretary Kathleen Sebelius that he signed in 2011 objecting to the U.S. Preventive Services Task Force’s draft recommendations on prostate cancer screening, Dr. Price either failed to learn anything in evidence-based medicine class or forgot everything he learned. Pric...
Source: Kevin, M.D. - Medical Weblog - February 16, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/kenneth-lin" rel="tag" > Kenneth Lin, MD < /a > Tags: Conditions Cancer 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

Will Trump ' s Leadership Picks Smack Down Health Care? - A Drug Company Lobbyist, an Entrepreneur Who Wants to Weaken Drug Testing, and a Mysterious Billionaire Who Settled Fraud Charges
President Trump in hisinauguration speech promised to reach out to " struggling families " and to benefit " American workers and American families, " and promised all Americans " you will never be ignored again. "  Yet the Trump transition team, and now presidential administration continues to consider individuals for health care policy leadership roles remarkable for theirconflicts of interest, which often did not merely arise from small financial transactions but from their roles as corporate insiders, and in some cases, association with dubiously ethical practices.  They are particularly unremarkable for their...
Source: Health Care Renewal - January 27, 2017 Category: Health Management Tags: conflicts of interest Covidien Donald Trump executive compensation fraud Medtronic revolving doors Source Type: blogs

On The Pulse - January 2017
MRI scan could improve prostate cancer diagnosis
Source: OnMedica Blogs - January 26, 2017 Category: Journals (General) Source Type: blogs

Over-the-Counter FIT Test for Colonic Cancer Looks Effective
A large very number of colonoscopies are performed yearly in the U.S. for cancer screening. For older male non-smokers, colonic cancer ranks with prostate cancer as a major cancer threat (see:Men and Cancer Risk). Here are some specific numbers about the frequency of gastroentestinal endoscopy (see:$4.4 Billion Gastrointestinal Endoscopic Market in the U.S. and Europe Projected for 2020):Gastrointestinal endoscopy is one of the most widely performed medical procedures in the world.It is projected that there will be over 75 million gastrointestinal endoscopic procedures performed in the U.S. and Europe com...
Source: Lab Soft News - January 24, 2017 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Clinical Lab Industry News Clinical Lab Testing Cost of Healthcare Laboratory Industry Trends Medical Consumerism Medical Research Point-of-Care Testing Test Kits and Home Testing Source Type: blogs

How the Federal Government ’s Opposition to Medical Marijuana Research Keeps Patients in the Dark
How the Federal Government’s Opposition to Medical Marijuana Research Keeps Patients in the Dark Last week the National Academies of Sciences, Engineering and Medicine released a report surveying over 10,000 scientific studies to determine conclusively how marijuana interacts with the body. The review was especially concerned with marijuana’s efficacy as a medicine as well as its positive and negative short- and long-term effects on users. Some of the Academies’ published conclusions were incredible. For example, there is conclusive evidence that cannabis and/or cannabinoids are an effective treatment for chronic pai...
Source: Cliffside Malibu - January 17, 2017 Category: Addiction Authors: Richard Taite Tags: Richard Taite Source Type: blogs

Health Affairs ’ January Issue
This study is believed to be the first population-level analysis of prostate cancer treatment rates in recent years, a time that witnessed changes to both prostate-specific antigen (PSA) screening guidelines and treatment protocols. Also of interest in the January issue: For Many Served By The Ryan White HIV/AIDS Program, Disparities In Viral Suppression Decreased, 2010-14; Rupali Doshi of the George Washington University and the District of Columbia Department of Health, and coauthors. Global health: Brazil’s primary health care expansion The role of governance in improving health is widely recognized as necessary, bu...
Source: Health Affairs Blog - January 9, 2017 Category: Health Management Authors: Lucy Larner Tags: Elsewhere@ Health Affairs Featured Health Affairs journal Source Type: blogs

Cancer Prevention (Or Why Me?)
I have a feeling I am bit cynical these days. This morning I found a post by Dana Farber ' s Insight blog on cancer prevention tips, which caught my cynical eye.I was 19 when I was first diagnosed with cancer. Okay, I admit to smoking some by then but I wasn ' t much of a drinker until I got to college (!!). I was pretty active. I was young. Any bad habits didn ' t have much time to turn into a cancer, or so I think. Then by my second diagnosis, 26 years later, I might have had a few more bad habits but I was pretty active and got check ups, wore sun screen and in good shape. This is my family history of cancer: ...
Source: Caroline's Breast Cancer Blog - January 2, 2017 Category: Cancer & Oncology Tags: aggravation cancer diagnosis cancer prevention frustration Source Type: blogs

Immediate radiation when PSA levels spike after prostate cancer surgery helps reduce risk of recurrence
Following surgery to remove a cancerous prostate gland, some men experience a biochemical recurrence, meaning that prostate-specific antigen (PSA) has become detectable in their blood. Since only the prostate releases PSA, removing the gland should drop this protein to undetectable levels in the body. Detecting PSA could signify that prostate cancer cells are lingering, and forming new tumors before they can be seen with modern imaging technology. PSA isn’t always reliable for cancer screening, but it is a very sensitive marker of new cancer growth after initial treatment. Doctors usually treat biochemical recurrence by ...
Source: Harvard Health Blog - December 29, 2016 Category: Consumer Health News Authors: Charlie Schmidt Tags: Cancer Health Men's Health Prostate Health 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

Breaking Down The Final 2018 Letter To Issuers
Editor’s note: The final 2018 Letter To Issuers In The Federally Facilitated Maketplaces, discussed below, was issued in conjunction with the final 2018 Benefit and Payment Parameters rule, discussed here and here. On December 16, 2016, the Centers for Medicare and Medicaid Services (CMS) at the Department of Health and Human Services (HHS) released its final 2018 Letter to Issuers in the Federally Facilitated Marketplaces (FFM). CMS releases a letter each year to insurers that offer coverage through the FFM or through state-based marketplaces that use the Healthcare.gov platform (SBM-FP), laying out the ground rule...
Source: Health Affairs Blog - December 19, 2016 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage Payment Policy Source Type: blogs

Alzheimer's Care Killing our Parents with “Kindness”
We were proud of the fact that we had managed to honor our promise to never put her in a nursing home; and that, she was still able to continue living with dignity in her own home.By Shira SebbanAlzheimer's Reading Room“Who authorized this patient to be administered morphine?” The hospital geriatrician’s voice was stern as he addressed the staff clustered around my mother’s bed. “She’s for active care, not for palliative care – she’s going home!”Dying from Dementia, Suffering Often UnnecessaryWith the doctor finally on side, I felt like I had won a battle –the battle to stop the morphine, which the hosp...
Source: Alzheimer's Reading Room, The - December 7, 2016 Category: Neurology Tags: care of dementia patients care of dementia patients at home dementia care elderly dementia care help alzheimer's help with dementia care Hospice Care memory care palliative care Source Type: blogs

Is there sex after cancer?
Ten years ago, I first met this patient, newly diagnosed with intermediate-risk prostate cancer. As I walked into the examination room, I was struck by the juxtaposition of his wife, crumpled in a chair and weeping silently, with the patient himself, pacing the 12′-by-4′ room with a look of either anger or frustration. This difference in response between the man and his spouse is not unusual; what was unusual was that he seemed to lack the usual shock that I anticipate seeing in the wake of those three words, “you have cancer,” recently delivered by the physician. What I thought was anger or frustration was...
Source: Kevin, M.D. - Medical Weblog - December 7, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/anne-katz" rel="tag" > Anne Katz, RN, PhD < /a > Tags: Physician Cancer Source Type: blogs