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Pancreatic Cancer Awareness Day Is A Success, Provides A Wide Range Of Information

This year’s Pancreatic Cancer Awareness Day was the largest and most successful yet, says event organizer Christine Rein. One hundred fifty participants attended the event, which was held Saturday, November 12, 2011 at NewYork-Presbyterian/Columbia.

The program provided information about the pancreas and its function, genetics, risk stratification and screening, cancer-therapy breakthroughs, surgical options, cysts, pre-cancerous tumors and more.

Lecture topics included: Read more »

*This blog post was originally published at Columbia University Department of Surgery Blog*

Prostate Cancer: When Active Surveillance Wins Out Over Immediate Treatment

The word “cancer” strikes fear in everyone who is told they have it. It conjures up images of a fast-moving, life-threatening disease.

That isn’t necessarily the case for men with newly diagnosed prostate cancer. More than half of them have a type of cancer that is confined to the prostate gland and that grows so slowly it will never affect their health or their lives. Yet almost 90% of men told they have prostate cancer opt for immediate treatment with surgery or radiation therapy—which often cause trouble getting or keeping an erection and an assortment of urinary problems.

Two weeks ago, a panel of experts convened by the National Institutes of Health recommended that many men with localized, low-risk prostate cancer be closely monitored, and that treatment be delayed until there was evidence that the disease was progressing.

“It’s clear that many men would benefit from delaying treatment,” Dr. Patricia A. Ganz, conference panel chairperson and director of the Division of Cancer Prevention and Control Research at the Jonsson Comprehensive Cancer Center at the University of California in Los Angeles, said in a statement, adding that Read more »

*This blog post was originally published at Harvard Health Blog*

Dealing With The Problem Of Hospital Readmissions For Heart Failure

“How are you feeling, Ms. Jones?”

“Fine.”

“Have you been more short of breath lately?”

“Not really, just when I exercise.”

“How much exercise?”

“I dunno. But after I go to the mailbox and walk back up to the house, I’ve got to stop now where before I didn’t.”

Exertional dyspnea. It conjures up a large differential of potential cardiovascular or pulmonary causes. And as the above commonly-encountered doctor-patient conversation demonstrates, the problem is a dynamic one: at rest things are often fine, on exertion or with recumbency less so.

Now imagine that the doctor then sees elevated neck veins, hears rales in the lower lung fields, and sees swollen ankles on their patient. Heart failure, right? Read more »

*This blog post was originally published at Dr. Wes*

MedWAR Allows Participants To Negotiate A Series Of Medical And Wilderness Challenges

This is another post derived from a presentation given at the 2011 Annual Summer Meeting of the Wilderness Medical Society. Michael Caudell, M.D. from the Medical College of Georgia gave an excellent talk entitled “Scenario-Based Learning in the Wilderness and the Creation of MedWAR.”

MedWAR  (Medical Wilderness Adventure Race) is considered a challenge, and takes preparation and skill to complete. Using simulations, participants have to negotiate a series of medical and wilderness challenges. It involves both individual acumen and group dynamics. The MedWAR model is based on critical actions, all of which begin with scene safety, the “ABCs” (airway, breathing, circulation) of a medical resuscitation, and the particular scenario. Victims may be dressed as victims using moulage to simulate injuries, and scene settings are made as realistic as possible. Wilderness medicine is grounded in realism, and laced with improvisation, stress, creativity, and resourcefulness. The MedWAR concept is Read more »

This post, MedWAR Allows Participants To Negotiate A Series Of Medical And Wilderness Challenges, was originally published on Healthine.com by Paul Auerbach, M.D..

Michelle Duggar Miscarries: What Caused It?

Sometimes Fate has to shout in order to be heard, especially when the voice of reason is ignored. Michelle Duggar was pregnant with her 20th child to the aghast of many including this author. We squirmed in our seats. We moaned. We groaned. We blogged. The combination of Duggar’s 19 children and her advanced maternal age of 45 is enough to make any obstetrician or midwife cry, especially when she becomes pregnant, yet again. Not surprisingly, Duggar experienced a miscarriage with pregnancy number 20. According to media reports, when the Duggars presented for their ultrasound, a fetal heart beat could not be obtained. What occurred in obstetrical vernacular was a missed abortion or an early fetal demise. Based on the Duggars’ press release, his wife probably had no symptoms prior to receiving the ultrasound. The cramping, spotting, abdominal and back pain was probably absent. An early fetal demise without symptoms or missed abortion means the baby stopped growing because there was a condition present that was incompatible with life. Did Duggar’s age increase her chances of having a miscarriage? Read more »

*This blog post was originally published at Dr. Linda Burke-Galloway*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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