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What ' s Been Left Out
Would You Do It Again?Over on my other blog, every Monday, I write Good Decision/Bad Decision posts. The idea is to dissect a decision, usually financial, from various viewpoints. Nothing we do in life is truly good or bad, there are always consequences. This week, I am going to tackle something a little more personal. Should I have gone to medical school?This question is fraught with emotional pitfalls. How could it not be? From the moment I can remember, I have wanted to be a doctor. It has been with me for every breath and aspiration. Now at the age of 44, Almost twenty years...
Source: In My Humble Opinion - April 14, 2018 Category: Primary Care Authors: Jordan Grumet Source Type: blogs
Making a Splash for Cancer Research
The post Making a Splash for Cancer Research appeared first on Johns Hopkins Nursing Magazine.
Source: Nursing Blogs at Johns Hopkins University - April 5, 2018 Category: Nursing Authors: Editor Tags: Hopkins Nurse Spring 2018 cancer children endometrial fundraiser oncology ovarian pancreatic research Swim Across America swimming 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
A high school senior determines that chemically modified curcumin can inhibit pancreatic cell growth
Just read an interesting tidbit. But first, I have to remark that this generation of U.S. high school students is really something…(and I’m not referring solely to their science projects…)…
At any rate, a senior at Hampton Bays High School came in third place at the Long Island Science and Engineering Fair in mid March for her discovery that chemically modified curcumin blocked pancreatic cancer cells from growing…and killed them (apoptosis). Based on her project, perhaps someday (!) this modified curcumin could be used to strengthen conventional treatments for pancreatic cancer. You can read ...
Source: Margaret's Corner - March 26, 2018 Category: Cancer & Oncology Authors: Margaret Tags: Blogroll Sydney Caldwell; Long Island Science and Engineering Fair; chemically modified curcumin Source Type: blogs
Coping with Other ' s Cancer
When you are diagnosed with cancer, you are faced with the World of Oncology. Inside that world lies the answers to your questions and how to keep you alive. As you go through diagnosis and treatment, you get to educate yourself on your illness and what ' s involved in getting through it.Oncologists have to go to medical school to learn all this crap. Us patients get the express pass and learn it much faster and more intimately. Doctor ' s say ' may cause nausea and hair loss ' . We know it means we will watch our hair fall out as we shop for a wig and try to keep something in our stomachs. We learn what the truth really i...
Source: Caroline's Breast Cancer Blog - March 24, 2018 Category: Cancer & Oncology Tags: cancer diagnosis cancer information cancer treatment coping Source Type: blogs
Uncontrollable itching – the denouement
The emergency department ordered a CT scan that showed a dilated common bile duct, no pancreatic masses, a mass in the duct – stone versus other.
Twelve hours after admission, he developed a temperature of 101 and a repeat CBC showed an elevated WBC with left shift.
Therefore, GI did an ERCP the next day – revealing a large gallstone – not easily removable. The placed a stent and drained pus.
So this man had painless jaundice from a common duct stone.
As an intern in 1976 I had a patient with ascending cholangitis. His internist told me that he had pancreatic cancer, but had declined surgery. In 197...
Source: DB's Medical Rants - March 21, 2018 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
Uncontrollable itching – part II
As we heard the history we stopped, prior to hearing the exam and labs, and developed a differential diagnosis. With the combination of itching, probable jaundice and pale stools we assume either intrahepatic or extrahepatic obstruction. Our differential diagnosis with commentary:
Primary biliary cirrhosis – much more common in women then men – but does often present at this age with uncontrollable itching
Primary sclerosing cholangitis – no history of ulcerative colitis or diarrhea symptoms, but still possible
Gallstone – not all common duct stones cause pain
Cholangiocarcinoma – ...
Source: DB's Medical Rants - March 20, 2018 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
Pancreatic Cancer Sucks
I haven ' t been blogging recently because I have been emotionally stressed. It may take me a while longer to get back to it. Myfather, who was diagnosed with pancreatic cancer last May, had metastases by August 1, and was in chemo until Feb 13, died on Tuesday February 27.Since his diagnosis with Waldenstrom ' s lymphoma back in 2013, I had become his oncology interpreter/assistant. I went to the important appointments and answered his questions that the doctor ' s don ' t want to answer.Due to vein damage from chemo for his lymphoma he needed a port. When he did finally get a port, his first question was ' when do I get ...
Source: Caroline's Breast Cancer Blog - March 18, 2018 Category: Cancer & Oncology Tags: death depression family sadness Source Type: blogs
Paligenosis as a Potential Source of Methods to Target Many Types of Cancer with One Type of Therapy
The future of the treatment of cancer will be, must be, dominated by classes of therapy that can be easily and cost-effective applied to many different types of cancer. Such therapies can only exist as a result of targeting mechanisms that are shared by many or all types of cancer. It must also be challenging or impossible for cancerous cells to do without these mechanisms. The biggest issue in cancer research over the past few decades, in my opinion, is the specificity of therapies, the amount of time and resources poured into efforts to produce treatments that can only work on one type or a few types of cancer, and that ...
Source: Fight Aging! - February 27, 2018 Category: Research Authors: Reason Tags: Medicine, Biotech, Research Source Type: blogs
Radical realism: A hospice doctor prepares for death
Bruce Wilson, MD, is a hospice doctor and former cardiologist who was diagnosed with pancreatic cancer in February of 2017. In the months that followed, he publicly discussed events as they unfolded on a CaringBridge blog. The irony of the situation was profound: a hospice doctor being handed what some consider a death sentence. A physician who dedicated his career to changing the conversation about end of life care now engaged in open conversation with over 800 people about his own end-of-life decisions.
Bruce — as he insists I call him — agreed to sit with me and answer my soul-searching and self-serving questions. I...
Source: Kevin, M.D. - Medical Weblog - February 26, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/shola-vaughn" rel="tag" > Shola Vaughn, MD < /a > Tags: Physician Hospital-Based Medicine Oncology/Hematology Source Type: blogs
A physician sees end-of-life care through a religious lens
In my second year of residency, I was on the hematology/oncology service where we were taking care of a pleasant lady in her 80s who was admitted with pancreatic cancer. It was apparent that the disease had spread rapidly, and when we discussed her at rounds, we knew that she likely had a few months to live, at best. We also knew, however, that there were life-extending treatment options we could provide. When we walked into her room and presented these to her, she was attentive and listened respectfully, and she ultimately decided not to pursue any more treatment.
What struck me was how content she was with the decision a...
Source: Kevin, M.D. - Medical Weblog - February 22, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/chiduzie-madubata" rel="tag" > Chiduzie Madubata, MD < /a > Tags: Physician Hospital-Based Medicine Palliative Care Source Type: blogs
Am I properly trained for grief?
It’s 2:02 p.m. when my pager beeps. I pull it out and read: “Juan may have just passed. Going in now.”
As a social worker in the region’s only cancer specialty hospital, I provide emotional support for patients and their families — including talking about their wishes for end-of-life care.
Juan is a sixty-five-year-old Ecuadorian man with stage 4 pancreatic cancer. I’ve known him for about a year. Polite and easy to talk to, he often listens to Spanish sermons as he walks through the halls, IV pole at his side.
Over the months, we’ve grown close. He’s told me about his life in Ec...
Source: Kevin, M.D. - Medical Weblog - February 20, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/sara-bybee" rel="tag" > Sara Bybee, LCSW < /a > Tags: Conditions Critical Care Source Type: blogs
Fermented foods to beat back SIBO and dysbiosis
If you’ve been following the Wheat Belly discussions, you already know that efforts to cultivate healthy bowel flora in the wake of wheat/grain elimination is a key factor in regaining health. While I’ve emphasized the importance of a high-potency (e.g., 50 billion or more CFUs per day), multi-species probiotic supplement and prebiotic fibers, I’ve not focused on the importance of fermented foods. This issue comes to light in particular with our experience in battling small intestinal bacterial overgrowth, or SIBO.
Dysbiosis, or disrupted composition of bowel flora in the colon, is exceptionally common, e...
Source: Wheat Belly Blog - February 19, 2018 Category: Cardiology Authors: Dr. Davis Tags: Undoctored Wheat Belly Lifestyle bowel flora fermented foods grain-free Inflammation kefir kimchi kombucha probiotic sibo small intestinal bacterial overgrowth yogurt Source Type: blogs
What ’s love got to do with it: lessons from a dying physician
They came from all corners of the globe to bid him farewell. He looked cachetic, his frail form interrupted by swelling in his abdomen and legs, a result of end-stage pancreatic cancer. It was Dr. Yeat’s last week in the hospital before being transferred to a nearby hospice. He was now on morphine, and despite severe fatigue and difficulty breathing, he always managed a smile.
Some of his visitors were former colleagues; others were friends, previous medical trainees, and mentees. Amidst moments of laughter, crying, and sober reflection, each recounted one anecdote after another of their encounters with Dr. Yeat at som...
Source: Kevin, M.D. - Medical Weblog - February 14, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/charles-a-odonkor" rel="tag" > Charles A. Odonkor, MD < /a > Tags: Physician Hospital-Based Medicine Oncology/Hematology Source Type: blogs
Precision Medicine and Public Health (from Precision Medicine and the Reinvention of Human Disease)
Excerpted fromPrecision Medicine and the Reinvention of Human DiseaseDespite having the most advanced healthcare technology on the planet, life expectancy in the United States is not particularly high. Citizens from most of the European countries and the highly industrialized Asian countries enjoy longer life expectancies than the United States. According to the World Health Organization, the United States ranks 31st among nations, trailing behind Greece, Chile, and Costa Rica, and barely edging out Cuba [42]. Similar rankings are reported by the US Central Intelligence Agency [43]. These findings lead us to infer that acc...
Source: Specified Life - February 6, 2018 Category: Information Technology Tags: cancer cancer vaccines precision medicine prevention public health Source Type: blogs
