No Room For Emotion or Exceptions to the Rule (on Avastin)

My cousin testified before the FDA oncology advisory board on Tuesday about her experience taking Avastin. This is a tragedy, to deny the only drug that is keeping a 51 year old woman alive. You have to wonder, are the advisory panel members so rational in all their behavior and choices? Are they always so […]

Posted in Breast Cancer, cancer survival, cancer treatment, clinical trials, from the author, health care costs, Medical News, Oncology (cancer), PolicyTagged , , , , , , , , , 12 Comments on No Room For Emotion or Exceptions to the Rule (on Avastin)

Cathy Wants a New Doctor and a Second Opinion

Last night the Big C returned, not surprisingly with an opening dream sequence. Laura Linney, portraying Cathy Jamison in the Showtime series, is running. The scene turns out to be a nightmare, and she awakens with a headache and her husband by her side. OK so far. Within a few minutes, Cathy’s young oncologist informs […]

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Gregg Allman Stars in Hepatitis C Awareness Campaign, with Merck

This weekend I learned that Gregg Allman, of the Allman Brothers, has hepatitis C. Not just that; he underwent a liver transplant last year for treatment of liver cancer. This information came my way via CNN, in a clip narrated by Dr. Sanjay Gupta. The cable TV crew filmed the old rocker in Macon, Georgia, […]

Posted in Communication, Hematology (blood), Infectious Disease, Medical News, Music, Public Health, Public Illness, TVTagged , , , , , , , , , , Leave a Comment on Gregg Allman Stars in Hepatitis C Awareness Campaign, with Merck

Looking Back on ‘The Normal Heart,’ and Patients’ Activisim

They were impatient with the pace of research and physicians’ protocols, and spoke out emphatically about their needs: for more research; for prevention and treatment; for easier access to new drugs; and, simply, for good medical care.

Posted in Empowered Patient, Essential Lessons, Infectious Disease, Life as a Patient, Reviews, TheaterTagged , , , , , , , , , Leave a Comment on Looking Back on ‘The Normal Heart,’ and Patients’ Activisim

Taking Care of Yourself When Someone You Love is Ill

This week a close relative was hospitalized and turns out to have a serious condition.  He’s not a blog-lover, so I’ll keep this abstract: When a loved one gets sick, you have to take care of yourself. It’s hard to do your work, and to be there 24/7 for the rest of your family, and […]

Posted in Family, Life, Women's HealthTagged , , , , , 2 Comments on Taking Care of Yourself When Someone You Love is Ill

What’s Next on the Big C? (Hopefully a Second Opinion)

(Hopefully a second opinion) When I last wrote on The Big C, a Showtime series in which the actress Laura Linney portrays a woman in her forties with advanced melanoma, I considered some of the options she might choose when the series resumes next Monday night. At the end of Season 1, she elected to […]

Posted in cancer treatment, Communication, Empowered Patient, Oncology (cancer), TV, Women's HealthTagged , , , , , , , , , 1 Comment on What’s Next on the Big C? (Hopefully a Second Opinion)

Lowering Cancer Care Costs by Reducing Tests After Treatment

This is the second in a series of posts on Bending the Cost Curve in Cancer Care. We should consider the proposal, published in the NEJM, gradually over the course of this summer, starting with “suggested changes in oncologists’ behavior,” #1: 1. Target surveillance testing or imaging to situations in which a benefit has been […]

Posted in cancer survival, Empowered Patient, health care costs, Informed Consent, Oncology (cancer), Patient AutonomyTagged , , , , , , , 2 Comments on Lowering Cancer Care Costs by Reducing Tests After Treatment

Don Berwick, Head of CMS, on the Value of Patient-Centered Care

A few weeks ago I had the opportunity to hear Dr. Don Berwick speak at the annual meeting of the Association of Health Care Journalists. Berwick now heads the Centers for Medicare & Medicaid Services. When he spoke in April, on transparency and how we might simultaneously cut costs and improve care, I thought his […]

Posted in Communication, health care delivery, language, Medical Ethics, Patient Autonomy, Patient-Doctor RelationshipTagged , , , , , , 3 Comments on Don Berwick, Head of CMS, on the Value of Patient-Centered Care

FDA Approves New Assay for Her2 in Breast Cancer

This week the FDA approved a new assay for Her2 expression in breast cancer biopsies. The technology, Inform Dual ISH, is manufactured by Ventana Medical Systems, a Roche subsidiary. Inform Dual ISH works like this: technicians, typically working under the supervision of a pathologist, expose a tiny bit of a breast biopsy specimen, fixed on […]

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Running 2 Lists That Might Lessen the Costs of Oncology Care

Recently the NEJM ran a Sounding Board piece on Bending the Cost Curve in Cancer Care. The authors take on this problem: Annual direct costs for cancer care are projected to rise — from $104 billion in 20061 to over $173 billion in 2020 and beyond.2…Medical oncologists directly or indirectly control or influence the majority […]

Posted in Future of Medicine, health care costs, Oncology (cancer), PolicyTagged , , , , , , , 2 Comments on Running 2 Lists That Might Lessen the Costs of Oncology Care
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