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The best anesthetic I never gave
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com.
Sometimes our best decisions as physician anesthesiologists are when we decide to call off a surgery or procedure. The “best anesthetic I never gave” was for 18-year-old Hunter Jones and her case really demonstrates the importance of talking with patients before surgery.
Hunter was an active, normal high school student enjoying her senior year when she received a colon cancer diagnosis. Both Hunter and her mother were shocked at the diagnosis and surprised again when I had to call off her surgery to remove the cancer after conducti...
Source: Kevin, M.D. - Medical Weblog - March 31, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/mary-herman" rel="tag" > Mary Herman, MD, PhD < /a > Tags: Physician Surgery Source Type: blogs
Unsustainable
This picture shows changes in the cost of treating colon cancer, from 1993-2005. It shows unsustainable growth in these expenditures: By unsustainable, however, I do not mean unjustifiable. Patients with colon cancer have much better prognoses in 2005 than 1993, … Continue reading →
The post Unsustainable appeared first on PeterUbel.com.
Source: blog.bioethics.net - March 27, 2017 Category: Medical Ethics Authors: Peter Ubel Tags: Health Care cancer healthcare costs Peter Ubel syndicated Uncategorized Source Type: blogs
This 2-minute video shows you why you need a colonoscopy
March is colon cancer awareness month.
Created by gastroenterologist Amit Sachdev, this video was selected by the American Society of Gastrointestinal Endoscopy as part of their colorectal cancer screening campaign. Enjoy.
Image credit: Shutterstock.com
Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - March 24, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/admin" rel="tag" > Admin < /a > Tags: Video Cancer GI Source Type: blogs
Your First Colonoscopy! What to Expect
Whee! Time for a Tube Up Your Tuchus!image:wikimedia commonsBy Crabby McSlackerSo, some perspective here: for people with serious illnesses who've been through hardcore, painful, debilitating, invasive medical procedures? A colonoscopy is probably child's play. (Although let's be clear, that's just an expression. If your child actually plays this way? We need to talk).But for most people, there's at least a little trepidation. And for many, if statistics are to be believed, that fear is significant enough to skip the procedure entirely! Well sure, it could save your life and all, but really? Do you have to?There are actual...
Source: Cranky Fitness - March 12, 2017 Category: Consumer Health News Authors: Crabby McSlacker Source Type: blogs
Undoctored: Giving back control over individual health
The new Undoctored book is scheduled for release this coming May 9th, 2017, a book that shows how you can be freed from the bonds of a predatory, profit-seeking healthcare system. Here’s a bit more from the book, now available in pre-release.
Undoctored: An excerpt
Unquestionably, there are situations in which doctoring and the healthcare system are needed. If you are bleeding, injured, or struggling to breathe with pneumonia, some old-fashioned suturing, bone-setting, or antibiotics can still do the trick. Nobody around here is going to replace their own hip joint or treat a urinary tract infection with sal...
Source: Wheat Belly Blog - March 12, 2017 Category: Cardiology Authors: Dr. Davis Tags: Wheat-Free Lifestyle autoimmune diabetes gluten grains hypertension Inflammation metabolic undoctored Weight Loss wheat belly Source Type: blogs
Is my doctor ’s guideline for my treatment right for me?
Health care guidelines are produced in ever-increasing numbers. The National Guideline Clearinghouse, a U.S.-based public website compiling summaries of “clinical practice” (health care) guidelines, has over 1,000 entries and is updated weekly. The National Institute for Health and Care Excellence in the U.K. has over 180 clinical guidelines.
Health care guidelines cover all aspects of medicine, from using aspirin to prevent heart attacks and colon cancer to managing earwax and caring for athletes with concussions.
Health care guidelines impact policy decisions and care for individuals. Recent research, though, sugges...
Source: Kevin, M.D. - Medical Weblog - March 11, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/melissa-j-armstrong" rel="tag" > Melissa J. Armstrong, MD < /a > Tags: Physician Primary care Source Type: blogs
Multigene Panel Testing for Patients with Early-Onset Cancer of the Colon
In a recent note, I discused some theories about why the incidence of colonic cancer is increasing in younger patients (see:Why the Increased Incidence of Colonic Cancer Among Younger Americans?). Continuing in this same vein, a recent article I came across raised the issue of multigene panel testing to reveal genetic mutations in the roughly one-third of patents with early onset colonic cancer (see:Multigene Panel Testing Reveals Mutations in One-Third of Early Onset CRC Patients). Below is an excerpt from the article:Although the overall incidence of colorectal cancer (CRC) has been decreasing in the Un...
Source: Lab Soft News - March 7, 2017 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Clinical Lab Industry News Clinical Lab Testing Lab Industry Trends Lab Processes and Procedures Medical Research Preventive Medicine Source Type: blogs
Answering Your Colon Cancer Questions with Dr. Jiang
A new study released by the National Cancer Institute shows colon and rectal cancers have increased dramatically and steadily in young and middle-age adults in the United States over the past four decades. Dr. Yixing Jiang, a Medical Oncologist at the University of Maryland Greenebaum Comprehensive Cancer Center, answers all the questions you’re now asking yourself about colon cancer.
Q. What are the risk factors for colon cancer?
A. The risks for developing colon cancer are: obesity; insulin resistance diabetes, red and processed meat; tobacco; alcohol; family history of colorectal cancer; certain hereditary syndromes (...
Source: Life in a Medical Center - March 6, 2017 Category: Universities & Medical Training Authors: Hannah Braun Tags: Cancer Health Tips colon cancer maryland research study treating colon cancer Source Type: blogs
Why the Increased Incidence of Colonic Cancer Among Younger Americans?
A spate of stories has been published recently about the increased incidence of colonic cancer among younger Americans (see: Why Are More Young Americans Getting Colon Cancer?). I have been interested in the epidemiology of colonic cancer since I was a medical student when I was taught that cancer of the colon ws very common in Argentina and Scotland because of the high beef consumption (see:Review on meat consumption and cancer in South America). This was believed to alter the colonic bacteria flora which, in turn, produced carcinogenic chemicals in the gut. Many decad...
Source: Lab Soft News - March 4, 2017 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Medical Consumerism Medical Research Preventive Medicine Source Type: blogs
Extreme and Outrageous End-of-Life Communication – Beyond the Bounds of Common Decency
I have read hundreds of complaints in end-of-life medical treatment conflicts. But I have never seen allegations like those in Wilson v. University of Alabama Health Services Foundation.
I teach the tort of intentional infliction of emotional distress in my Torts class. This is a textbook example. The family is seeking $10 million in punitive damages.
90-year-old Elizabeth Monk Wilson was taken to UAB Hospital with a "full measures" advance directive. The clinicians there disagreed with that plan and thought that only comfort measures were appropriate. But the way in which they conveyed...
Source: blog.bioethics.net - February 24, 2017 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care medical futility blog syndicated Source Type: blogs
Insulin is a carcinogen
The science is clear: Insulin is carcinogenic.
People with insulin resistance, metabolic syndrome/pre-diabetes, and type 2 diabetes have high levels of blood insulin, typically many times higher than normal. People with these conditions are at increased risk for various cancers such as breast, colon, prostate, and pancreas (Gallagher 2015). Type 2 diabetics are also more likely to die of their cancer than non-diabetics. While the cause-effect connection is due to a number of factors (high blood sugar, inflammation, high circulating estrogen levels, increased insulin-like growth factors, etc.), much of the increased cancer ...
Source: Wheat Belly Blog - February 20, 2017 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle cancer carcinogen diabetes gluten grains Inflammation insulin resistance Source Type: blogs
Reviewing Methionine Restriction as a Basis for Calorie Restriction Benefits
The practice of calorie restriction has been shown to extend life in most mammalian species tested, including primates, and to at least greatly improve measures of health in humans. There is some consensus for the primary mechanism of calorie restriction to involve sensing of methionine levels in the diet, as feeding animals a normal level of calories using foods that contain very little methionine produces fairly similar outcomes to those observed in calorie restricted animals. Methionine is one of the essential amino acids, those not manufactured by our biochemistry and which must be obtained via the diet. It is required...
Source: Fight Aging! - February 8, 2017 Category: Research Authors: Reason Tags: Daily News Source Type: blogs
The scam of “ detox ” : Ritual purification by another name
“You need to detox.” How many times have you heard or read this? Maybe a friend of yours suggested it for the New Year. Maybe you saw it on a website, in a magazine, or as part of an ad. I like to say sometimes, “Toujours les toxines,” because in many branches of alternative medicine…
Source: Respectful Insolence - February 6, 2017 Category: Surgery Authors: Orac Tags: Antivaccine nonsense Autism Cancer Complementary and alternative medicine Homeopathy Naturopathy Quackery autointoxication chelation colon cleanse detox detoxification liver flush 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
Patient death by data: A poem
“Afternoon,” the doctor says. “What brings you here today?”
A cough? A cold? A belly ache? Some feelings of dismay?
Well, tell me just what ails you, and I’ll try to do my best,
To sort through all your problems and put your fears to rest.
But give me just a moment — my computer must get started.
Without attention to its needs, your visit goes uncharted.
You say your chest is hurting? And you’re really short of breath?
But lack of colon cancer screen could lead to early death!
And what about your tetanus shot? And hepatitis C?
And what of all the illness hidden in your family tree?
I know your chest is hu...
Source: Kevin, M.D. - Medical Weblog - January 23, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/ellen-kemper" rel="tag" > Ellen Kemper, MD < /a > Tags: Physician Primary care Source Type: blogs
