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Warfarin For Early Cancer Detection?

In cancer treatment, detection of a tumor in an early stage markedly increases the chance of favorable outcomes.  
Can the much-aligned blood thinner, warfarin, occasionally help in early detection of cancer?

Few pharmacologic agents receive more bad press than warfarin.  Stories, which are too numerous to count, like “Did warfarin kill my father,” can be widely found on Internet forums, search engines, and are often quoted by reluctant patients — whose numerator of bad warfarin experiences is one.

It is true that warfarin has a narrow therapeutic window — a small difference between an effective dose and dangerous dose. Read more »

*This blog post was originally published at Dr John M*

PSA Screening Not Recommended: NY Daily News Still Doesn’t Care

Headlines every day in the New York Daily News are luring men in as part of a mass prostate cancer screening campaign that the American Cancer Society not only does not endorse, but its chief medical officer recommends against. Yet the paper brags that it’s beginning its second decade of this non-evidence-based campaign. Sample headlines:

• Doctors urge New York men to take advantage of free, city-wide PSA testing

• What you don’t know can kill you. Get a FREE prostate cancer test. It can save your life

• Bring dad in for FREE prostate cancer test across the city on Father’s Day

and

• Don’t skip the PSA test! My prostate cancer is treatable because simple test caught it early (written by a Daily News staffer). Read more »

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

The iPad In The OR

Felasfa Wodajo, an orthopedic oncologist in Virginia, recently took his iPad into the operating theater to see how it performs in such an environment.

Being one of the editors at iMedicalApps, Dr. Wodajo just published his initial findings and they bode a rather bright clincial future for the iPad, and tablets in general.

SOURCE: iMedicalApps: Test driving the iPad in the hospital Operating Room…

*This blog post was originally published at Medgadget*

Challenges Continue For Women In Science And Medicine

I didn’t turn on the computer yesterday (yes, it was glorious), so I missed Mother’s Day coverage in our local newspaper. When we returned home, I was happy to see that on the front page of the print copy the dean of Duke School of Medicine, Nancy Andrews, M.D., Ph.D., was featured with her daughter in the lab on their “fun Saturdays” together.

Also cited and pictured in the article was Duke vice dean for research and professor of pharmacology and cancer biology, Sally Kornbluth, Ph.D., and her daughter.

Written by News & Observer science editor Sarah Avery, the article describes how women are increasing in ranks in biomedical degrees earned while still lagging at the associate professor level and up. This trend was cited specifically for faculty and administrators in basic science departments of medical schools, but is widespread in academic science and engineering. Read more »

*This blog post was originally published at Terra Sigillata*

Environmental Cancer: A Report From The President’s Panel

While most of the news sources are reporting that cancers from the environment are ‘grossly underestimated’ in response to the recently released 240-page report from the President’s Cancer Panel, I want to focus on the steps individuals can take to lessen their personal exposure to environmental carcinogens. Collectively, these small actions can drastically reduce the number and levels of environmental contaminants. Read more »

*This blog post was originally published at Suture for a Living*

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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