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Skin Cancer Where The Sun Don’t Shine

Not all skin cancers are from sun exposure. Viruses such as human papilloma virus (HPV), the virus that causes genital warts, also cause skin cancer. Skin cancer from HPV develops on genital skin in both men and women. It’s rarely talked about, but it’s important and can be deadly.

Did you know that half of all deaths from skin cancer other than melanoma are from genital skin cancer? You probably also didn’t know that women are more likely to die from genital skin cancer as they are from skin cancer that developed from sun exposure (again, excluding melanoma).

We dermatologists are inexhaustible when it comes to warning people about the dangers of sun exposure, but we should also be warning people about the dangers of genital warts. HPV protection, which includes HPV vaccines, is as important as sun protection in preventing death from non-melanoma skin cancer.

Genital warts can lead to deadly skin cancer. If your dermatologist has not checked your genital skin, be sure your primary care physician or gynecologist does. This is especially important, because unlike other sexually-transmitted diseases (STDs) which often have symptoms, HPV or genital warts often don’t. It may be embarrassing, but it could save your life.

*This blog post was originally published at The Dermatology Blog*

An App To Self-Test For STDs?

A new £5.7 million project being led by St. George’s-University of London is developing self-test devices that can plug directly into mobile phones and computers, immediately identifying sexually transmitted diseases (STDs).

The project is called eSTI — electronic self-testing instruments for sexually transmitted infections (STIs) — and is being led by Dr. Tariq Sadiq, senior lecturer and consultant physician in sexual health and HIV at St George’s-University of London. Most of the funding is coming from The Medical Research Council and the UK Clinical Research Collaboration.

The UK has seen a 36 percent rise in STIs from 2000 to 2009 — often blamed on the reluctance of the population to get diagnosed and the stigma of going to public health clinics — prompting the support of this project. Read more »

*This blog post was originally published at iMedicalApps*

Safe Sex, Thailand, And Mr. Condom

Mechai Viravaidya has been fighting poverty and disease in Southeast Asia through innovative promotions of safe sex practices. In this TED talk, he gives an amusing overview of how Thailand went from seven children per family to 1.5 in less than four decades and a 90 percent reduction in HIV infection rates from 1991 to 2003.

*This blog post was originally published at Medgadget*

Healthcare Advice For College-Bound Kids

Sending a child off to college? Call your lawyer first. From the Weekend Wall Street Journal:

After a few clients ran into difficulty getting information about adult children who were ill, Sheila Benninger, an attorney in Chapel Hill, N.C., began recommending that clients’ children designate a health-care power of attorney after they turn 18 to identify who can speak for them if they can’t.

She also includes a Health Insurance Portability and Accountability Act, or HIPAA, release form that allows patients to determine who can receive information about their medical care and whether information about treatment for substance abuse, mental health or sexually transmitted diseases can be disclosed.

You don’t have to use a lawyer. Generic health-care power-of-attorney forms can be found online. If the school has a HIPAA release online, it’s best to use that more-tailored document.

Parents should keep a copy in an email folder, where it can be easily accessed in an emergency. And students should designate a general power of attorney so someone can pay bills or handle other issues if they go abroad.

It’s good advice for those of us shipping one more child back to college this week.

-WesMusings of a cardiologist and cardiac electrophysiologist.

Hat tip: Instapundit

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

New Pap Smear Guidelines: The Right Care Or Rationed Care?

The American College of Obstetricians and Gynecologists (ACOG) recently reiterated their position that Pap smears should be performed on healthy women starting at age 21. This is different from the past which recommended screening for cervical cancer at either three years after the time a woman became sexually active or age 21, whichever occurred first.

How will the public respond to this change?

Over the past year there have been plenty of announcements from the medical profession regarding to the appropriateness of PSA screening for prostate cancer and the timing of mammogram screening for breast cancer. Understandably, some people may view these changes in recommendations as the rationing of American healthcare. Read more »

*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*

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

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