September 6th, 2010 by Toni Brayer, M.D. in Better Health Network, Health Tips
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Canker sores are painful, and mouth pain cannot be ignored. They’re difficult to prevent and you just have to cope with them until they go away. We have no idea what causes them. For a doctor, this is difficult to accept. What the heck are canker sores?
The medical term is apthous ulcers and they’re round or oval painful ulcers that appear on the tongue, inner lips, inside of cheeks, or palate of the mouth. Up to 40 percent of people have experienced canker sores. So why have the remaining 60 percent never had them? We don’t know. Read more »
*This blog post was originally published at EverythingHealth*
September 5th, 2010 by JenniferKearneyStrouse in Better Health Network, News, Research
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Rates of rectal cancer in those younger than 40 have been increasing, the LA Times reported recently.
Researchers studied data from the Surveillance, Epidemiology and End Results (SEER) Registry and looked at the change in rectal and colon cancer incidence in those under 40 from 1973 to 2005. Overall rates were low, but while colon cancer incidence remained constant, rectal cancer incidence increased by an average of 3.8 percent annually, the authors reported in the journal Cancer.
The authors didn’t advocate routine screening in those under 40, but did recommend that physicians be more alert to the possibility of rectal cancer in those presenting with symptoms such as rectal bleeding, according to the Times. (LA Times)
*This blog post was originally published at ACP Internist*
September 5th, 2010 by DrWes in Better Health Network, Health Policy, Opinion, True Stories
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I received the following e-mail from a patient (paraphrased):
Dear Dr. Fisher,
Thank you for trying to switch me from lisinopril to generic losartan (Cozaar) to help me with the irritating cough that has been nagging me since I was placed on lisinopril. I did not pick up my prescription, though. At nearly $200 for a three-month supply, I’ve decided to live with the cough, since the same amount of lisinopril costs me about $12.
-Ms. Patient
Interesting how the generic drug market for some drugs only marginally discounts prices. Since the companies that make generics did not have to absorb research and development costs, how do they justify the exorbitant prices? Simple: The middlemen still have to get theirs.
-WesMusings of a cardiologist and cardiac electrophysiologist.
*This blog post was originally published at Dr. Wes*
September 3rd, 2010 by Jon LaPook, M.D. in Better Health Network, Health Tips, News, Research, True Stories
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Dr. Mehmet Oz just might be the last person on earth people would expect to get a colon polyp. He’s physically fit (he left me in the dust the last time we ran together), he eats a healthy diet, he doesn’t smoke, and he has no family history of colorectal cancer or colon polyps.
But several weeks ago, when Mehmet had his first screening colonoscopy at age 50, I removed a small adenomatous polyp that had the potential to turn into cancer over time. Statistically, most small polyps like his don’t become cancer. But almost all colon cancers begin as benign polyps that gradually become malignant over about 10 to 15 years.
Since there’s no way of knowing which polyps will turn bad, we take them all out. The good news is there’s plenty of opportunity to prevent cancer by removing these polyps while they are still benign. But only about 63 percent of Americans between ages 50 and 75 get screened for colorectal cancer. Read more »
August 25th, 2010 by BobDoherty in Better Health Network, Opinion, True Stories
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I’m going to do something unusual: Reprint in its entirety a commentary from a fourth-year medical student, Jonathan. He posted it in response to comments from other readers to my blog about Dr. Berwick’s commencement address to his daughter’s medical school class.
I tweeted about Jonathan’s post, calling it a needed voice of idealism at a cynical time. This is what Jonathan had to say to his physician colleagues:
“To begin, I am a fourth-year medical student going into primary care and this directly applies to me. We have two options when reading [Dr. Berwick’s] address. We can take, in my opinion, the weak road or the strong road. Our new generation, as well as the one that raised us, is one of apathy and selfishness. We are only concerned about how changes affect us. We have lost the sacrifice and the consideration of our patients and fellow staff. This address, no matter how hard your heart may be, springs up a humanism in you that is undeniable. You can choose to brush it off and make excuses about policies and money, or you can stand up and be the physician that is described. I agree that there are a lot of issues in medicine today (billing, paperwork, bureaucracy to name only a few). However, if those issues render you cold and uncaring, my friend, I strongly suggest you find another profession. This profession is one of nobility. It is one of selfLESSness. This is a high calling. A good book states, ‘To whom much has been given; much will be expected.’ Well, if you are a physician, much has been given to you. What are you going to do with it?”
Today’s question: How would you answer Jonathan?
*This blog post was originally published at The ACP Advocate Blog by Bob Doherty*
