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Communication | Empowered Patient | Health IT | Medical Education | TV

News, Information, Facts and Fiction

This morning I was in the gym, half-​​watching CNN as I did my usual exer­cises. Mathew Chance, a senior inter­na­tional cor­re­spondent based in Moscow, recapped the hor­rific scene involving explo­sions at two metro sta­tions at the peak of rush hour. Chance reported that the bombers were both women. Most of the other facts sur­rounding the tragedy remain uncertain, he said. John Roberts, one of the CNN hosts, asked about any claims of respon­si­bility for the ter­rorist attacks. “Well, in fact, we had some infor­mation earlier today,” Chance responded. “…there had been a claim of responsibility…But that infor­mation appears to be incorrect.“

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Breast Cancer | cancer screening | Under the Radar

Another Erroneous Report on Breast Cancer Screening by Mammography

Map of Denmark, CIA World Factbook (Wikimedia Commons)

What the authors tried to do was analyze trends in breast cancer mor­tality in relation to mammography’s avail­ability in dis­tinct regions of Denmark over several decades. Using Poisson regression, a form of sta­tis­tical analysis, they looked for a cor­re­lation and found none. They con­cluded that they couldn’t detect a benefit of screening mam­mo­grams among Danish women who might benefit (see below). Here’s what I think are the two most serious flaws in this obser­va­tional study:

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Communication | Medical News | Reviews | TV | Women's Health

A New Nurse Jackie in Preview

The program promises to con­tinue “its look deep inside the com­pli­cated heart and soul of a func­tioning addict, a loving wife, mother, and a first-​​class nurse.” I’m curious but must admit that last year I watched only part of one episode and didn’t return…The program promises to con­tinue “its look deep inside the com­pli­cated heart and soul of a func­tioning addict, a loving wife, mother, and a first-​​class nurse.” I’m curious but must admit that last year I watched only part of one episode and didn’t return…Today she beckons half-​​smiling, an aura of pills and syringes above and syringes above her head. Maybe she’s happy about …

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cancer awareness | Communication | Music | Oncology (cancer) | Wednesday Web Sighting

Peter Sings Colonoscopy

Peter Yarrow - Colonoscopy Song

Am I pro– or con– colonoscopy for routine screening, you might wonder. Well, that depends. Am I pro– or con– famous singers and other celebrities extolling the ben­efits of par­ticular medical inter­ven­tions? Well, that depends, too. But I’m sure I prefer “Puff the Magic Dragon.” Also “Leaving on a Jet Plane” fills me with imperfect mem­ories of 6th grade.

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Breast Cancer | cancer survival | Communication | Diagnosis | Empowered Patient | Informed Consent | Oncology (cancer) | Pathology | Patient Autonomy | Patient-Doctor Relationship | Statistics | Under the Radar

A Small Study Offers Insight On Breast Cancer Patients' Capacity and Eagerness to Participate in Medical Decisions

Last week the journal Cancer pub­lished a small but note­worthy report on women’s expe­ri­ences with a rel­a­tively new breast cancer decision tool called Oncotype DX. This lab-​​based tech­nology, which has not received FDA approval, takes a piece of a woman’s tumor and, by mea­suring expression of 21 genes within, esti­mates the like­lihood, or risk, that her tumor will recur. As things stand, women who receive a breast cancer diag­nosis face dif­ficult decisions…

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cancer treatment | Future of Medicine | Oncology (cancer)

Other, Oral Targeted Cancer Treatments

Why I’m enthu­si­astic — I antic­ipate that within just a few years, cancer patients might take “med­ication cock­tails” for their tumors, much in the way people living with HIV use drug com­bi­na­tions to fend off infection. Cancer will, in many cir­cum­stances now deemed incurable, be managed instead as a chronic disease.

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cancer treatment | Oncology (cancer) | Selected Topics

Some Targeted Therapies for Cancer Come as Pills

If patients can take a drug without a catheter, it might be less costly – there’s no nurse to hire, no catheter to pur­chase and insert and there’s no billing for an infusion per se. And there’s less cost to the patient in terms of hassle and some untoward effects of IV treatment. With oral drugs (cap­sules, pills or tablets — any­thing taken by mouth) there’s no need to go to the doctor’s office or medical center every week or every other week…

See more Some Tar­geted Ther­apies for Cancer Come as Pills

cancer treatment | Oncology (cancer) | Selected Topics

Considering Targeted Therapies For Cancer

I first heard about STI-​​571 (Gleevec, a tar­geted cancer therapy) from a cab driver in New Orleans in 1999. “Some of the doctors told me there’s a new cure for leukemia,” he men­tioned. We were stuck in traffic some­where between the airport and the now-​​unforgettable con­vention center. His prior fare, a group of physi­cians in town for the American Society of Hematology’s annual meeting, spoke highly of a promising new treatment. It seemed as if he wanted my opinion, to know if it were true. Indeed, Dr. Brian Druker gave a landmark plenary pre­sen­tation on the effec­tiveness of STI-​​571 in patients with chronic myel­ogenous leukemia (CML) at the con­ference. I was aware of the study findings. “Yes,” I said. “There is a new drug for leukemia.” Since then, oncol­o­gists’ enthu­siasm for tar­geted ther­apies – med­ica­tions designed to fight cancer directly and specif­i­cally – has largely held. But the public’s enthu­siasm is less apparent. Perhaps that’s because many people are unaware of these new drugs’ potential, or they’re put off by their hefty price tags.

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Empowered Patient | Homemaking | Infectious Disease | Medical News

The High Cost of Food-Borne Illness, and Some Steps To Avoid These in Your Home

tomatoes on our counter

A new report from the “Make our Food Safe” project, based at Georgetown Uni­versity, makes clear that food-​​borne ill­nesses – from bac­teria, par­a­sites and a few viruses — are ever-​​present and costly. The study, authored by Robert Scharff and funded by the Pew Char­i­table Trusts, finds that food-​​borne ill­nesses tally nearly $152 billion per year. This huge sum includes some subjectively-​​measured expenses like pain, suf­fering and missed work. Even without those, the toll reg­isters above $100 billion – it’s a big sum, either way. The main cul­prits are

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Communication | Empowered Patient | Health IT

MedlinePlus, Now More Than Ever

Med­linePlus, a virtual super­store of medical infor­mation, is one of the most fre­quented health-​​related web­sites worldwide. The site, co-​​sponsored by the National Library of Med­icine and the National Insti­tutes of Health, is com­pre­hensive and, with some excep­tions (see below) rel­a­tively free of com­mercial bias. I find it a useful starting point for almost any health-​​related search…

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