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Digital advances in the medical aid in dying movement
I am certain that many of you might be familiar with the intelligent, vibrant young lady named Brittany Maynard. Brittany’s story was so compelling to the world that it reached the most outstanding and historic numbers through digital media. Ms. Maynard was only 29, diagnosed with terminal brain cancer and decided that she would end […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - February 8, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/jennifer-lynn" rel="tag" > Jennifer Lynn < /a > < /span > Tags: Social media Facebook Palliative Care Twitter Source Type: blogs

Radiation oncologists aren ’t just strangers in the basement
“We have a consult for radiation oncology regarding a 60-year-old gentleman with a history of lung cancer and is currently admitted. His oncologist is Dr. Heme Onc.” As a new radiation oncology resident, I was surprised to hear the consulting physician refer to the patient’s medical oncologist as “his oncologist.” What about the patient’s radiation […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - February 7, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/mudit-chowdhary" rel="tag" > Mudit Chowdhary, MD < /a > < /span > Tags: Physician Oncology/Hematology Radiology Source Type: blogs

How one insurer ’s mistake wrecked a practice’s quality score
To do the math right, you have to get your numerator and denominator correct, or else things just don’t work. Recently, in the midst of a large patient safety and quality improvement project trying to bridge gaps in breast cancer screening among our patients, we discovered that one of the large databases of patients who […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - February 3, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/fred-n-pelzman" rel="tag" > Fred N. Pelzman, MD < /a > < /span > Tags: Physician Primary Care Public Health & Policy Source Type: blogs

The growing role of end-of-life activists
Brittany Maynard was diagnosed with grade 2 astrocytoma, a form of brain cancer on  January 1, 2014, her cancer also returned in April 2014, where her diagnosis was elevated to grade 4 astrocytoma, also known as glioblastoma, with a prognosis of just six months to live. She decided to take lethal drugs prescribed by her physician to end […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - January 31, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/jennifer-lynn" rel="tag" > Jennifer Lynn < /a > < /span > Tags: Conditions Hospital-Based Medicine Palliative Care Source Type: blogs

A story of treatment failure and end-of-life decisions
Part 4 of a  series. By the time my father’s metastatic prostate cancer was diagnosed, he was already experiencing symptoms of poor appetite and weight loss, which grew progressively worse following his first hospital admission. As his nutritional status continued to decline, the protein level in his blood d ecreased, causing significant fluid buildup in his legs […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - January 30, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/iris-kulbatski" rel="tag" > Iris Kulbatski, PhD < /a > < /span > Tags: Conditions Critical Care Oncology/Hematology Source Type: blogs

We have a shot at preventing cervical cancer
Many people think eradicating cancer is unattainable. But for cervical cancer, we are well on our way to doing just that. Cervical cancer was once the leading cause of death in women in the U.S. But we are on the cusp of vanquishing this disease thanks to regular pap screening and a vaccine that protects […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - January 25, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/lisa-n-abaid" rel="tag" > Lisa N. Abaid, MD, MPH < /a > < /span > Tags: Meds OB/GYN Source Type: blogs

Pay for Federal Government Workers
With the backdrop of the shutdown and federal workers going unpaid, theNew York Times published a backgrounder last week on federal compensation. It was a fair and balanced piece and highlighted themesdiscussed in this study on government workers.TheNYT charts government and private sector wage growth. Average federal wages soared during the 1990s and 2000s but have grown more slowly this decade. However, overall federal compensation including benefits has grown briskly in recent years, as I chart below.Here are highlights from theNYT story:Verla Bloomfield has the kind of workplace that seems plucked from a different era....
Source: Cato-at-liberty - January 23, 2019 Category: American Health Authors: Chris Edwards Source Type: blogs

A stage IV lung cancer survivor story
I want to share how the era of immunotherapy, specifically immune-checkpoint-inhibitors, has changed the landscape of community oncology practice in metastatic non-small-cell lung cancer, for oncologists and, more importantly, patients. I want to tell you the story of Joe. A stage IV lung cancer survivor story.  (Name and details changed to protect anonymity.) In 2015, Joe […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - January 23, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/jennifer-lycette" rel="tag" > Jennifer Lycette, MD < /a > < /span > Tags: Conditions Oncology/Hematology Pulmonology Source Type: blogs

Why did it take over a week for doctors to initiate treatment?
Part 3 of a  series. Patients with advanced cancer are particularly vulnerable to infection due to a compromised immune system. Moreover, the typical symptoms of serious infection, such as fever and chills, may be absent in cancer patients. If not identified and treated early, infection can lead to sepsis, a l ife-threatening reaction of the immune system […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - January 22, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/iris-kulbatski" rel="tag" > Iris Kulbatski, PhD < /a > < /span > Tags: Conditions Hospital-Based Medicine Infectious Disease Oncology/Hematology Source Type: blogs

Behind the recent good news in cancer statistics
Good news is always welcome, especially when talking about something as serious as cancer. And there is plenty of welcome information in the American Cancer Society ’s release of our annual report on“Cancer Statistics, 2019” and its accompanying consumer-oriented version of“Cancer Facts& Figures 2019.” Among the good news in this report: A significant […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - January 21, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/j-leonard-lichtenfeld" rel="tag" > J. Leonard Lichtenfeld, MD < /a > < /span > Tags: Conditions Oncology/Hematology Source Type: blogs

10 essential questions to ask when diagnosed with bladder cancer
Over 80,000 new cases of bladder cancer are diagnosed every year. Of the new cases, over 62,000 are men, and over 18,000 are women. Whites have higher incidence rates than blacks, although black patients have higher mortality rates, particularly black women. The majority of cases are found with painless gross hematuria (although most patients with […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - January 9, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/naeem-rahman" rel="tag" > Naeem Rahman, MD < /a > < /span > Tags: Conditions Oncology/Hematology Urology Source Type: blogs

A story of missed opportunities and medical missteps
Part 2 of a  series. My own self-appointed role as my father’s health care advocate during his prostate cancer battle was a natural consequence of my training as a medical researcher. After earning a PhD in medical science, I became the elected family health and wellness guru, offering insight into everythin g from hangnails to stem cells, […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - January 9, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/iris-kulbatski" rel="tag" > Iris Kulbatski, PhD < /a > < /span > Tags: Conditions Oncology/Hematology Urology Source Type: blogs

Despite progress in cancer care, cost and equity challenges still must be addressed
As a physician who has spent his career taking care of people with HIV/AIDS, cancer and various blood disorders, this is an amazing time to be working in these overlapping fields of medicine. I began my training when roughly half the people diagnosed with HIV were destined to develop cancer, and nearly everyone died shortly […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - January 7, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/david-m-aboulafia" rel="tag" > David M. Aboulafia, MD < /a > < /span > Tags: Policy Oncology/Hematology Public Health & Source Type: blogs

Is this cost-saving Medicare proposal doomed?
The Trump administration has proposed that insurance plans providing drug coverage to Medicare beneficiaries will no longer be forced to cover six hitherto“protected” drug classes. The classes — which include drugs for psychiatric conditions, cancer and immune diseases –– are among the priciest of all drugs and account for as much as 33 percent […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - January 3, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/martha-rosenberg" rel="tag" > Martha Rosenberg < /a > < /span > Tags: Policy Public Health & Source Type: blogs

Fight Aging! Newsletter, December 24th 2018
In conclusion, we found a gradient of increasing blood pressure with higher levels of BMI. The fact that this gradient is present even in the fully adjusted analyses suggests that BMI may cause a direct effect on blood pressure, independent of other clinical risk factors. PRRX1 as a Possible Point of Control for Remyelination https://www.fightaging.org/archives/2018/12/prrx1-as-a-possible-point-of-control-for-remyelination/ Researchers here outline what is possibly a new point of intervention in the processes that maintain the myelin sheath that wraps nerves. This sheath is vital to the correct operatio...
Source: Fight Aging! - December 23, 2018 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs