How Much Do You Want Your Doctors To Say About Risks of Treatment?

This kind of paternalism, when a doctor assesses the risks and benefits, and spares the patient’s “knowing” seems anachronistic. But it may, still, be what many people are looking for when and if they get a serious illness. Not everyone wants a “tell me everything” kind of physician.

Posted in Breast Cancer, cancer treatment, Empowered Patient, Informed Consent, Life as a Patient, Oncology (cancer), Patient Autonomy, Patient-Doctor RelationshipTagged , , , , , , , , , 19 Comments on How Much Do You Want Your Doctors To Say About Risks of Treatment?

This Week’s Triple, Tough Dose of Real Stories on Women with Cancer

This news reminds us an aspect of cancer treatment some of us would rather put out of our heads….all cancer patients should take careful notes on their planned treatments and ask their doctors about the long-term consequences of therapy.

Posted in Breast Cancer, cancer awareness, cancer survival, cancer treatment, Medical News, Oncology (cancer), Women's HealthTagged , , , , , , , , Leave a Comment on This Week’s Triple, Tough Dose of Real Stories on Women with Cancer

FDA Approves Pertuzumab for Advanced, Her2+ Breast Cancer

My opinion is not quite formed on this new antibody. The FDA’s decision was based on results of one trial of 808 patients, half of whom didn’t get the experimental drug…

Posted in Breast Cancer, cancer treatment, Oncology (cancer), Pharmacology, ScienceTagged , , , , , , , , , Leave a Comment on FDA Approves Pertuzumab for Advanced, Her2+ Breast Cancer

On Sheryl Crow’s Report that She Has a Meningioma, and Singing Loud

Fortunately the LATimes and People magazine got the story right. Their headlines, and text, emphasize the benign nature of Crow’s newly-diagnosed condition, a meningioma.

Posted in Breast Cancer, Communication, Essential Lessons, Music, Public IllnessTagged , , , , , , , Leave a Comment on On Sheryl Crow’s Report that She Has a Meningioma, and Singing Loud

EMILIA Trial: T-DM1 Appears Helpful in Women with Her2+ Metastatic Breast Cancer

The new agent is a hybrid of an old monoclonal antibody, Herceptin, that’s chemically attached to DM1, a traditional kind of chemotherapy. The preliminary results of this randomized trial are encouraging. …It’s hard to know how this promising, likely expensive, intravenous drug will fit in with others for patients with Her2+ breast cancer.

Posted in Breast Cancer, cancer treatment, Medical News, PharmacologyTagged , , , , , , , 3 Comments on EMILIA Trial: T-DM1 Appears Helpful in Women with Her2+ Metastatic Breast Cancer

Remembering a Warm-Hearted Patient

When I was a resident I worked in a general medicine clinic. One afternoon each week, I’d get more dressed than usual and split off from my inpatient team around noon to go see patients in another building, outside of the hospital. Today, I’m reminded of a man I saw there and treated for two […]

Posted in Life as a Patient, Patient-Doctor RelationshipTagged , , , , , , , , 2 Comments on Remembering a Warm-Hearted Patient

The NBCC Holds Annual Summit and Pushes for Deadline 2020

Last week the National Breast Cancer Coalition (NBCC) held its annual summit. The meeting drew over 600 women to its opening rally in a Crystal City ballroom on Saturday, along with students who participated in sessions for Emerging Leaders, and a few men who joined in lectures and panels, and lobbied on Tuesday on Capitol […]

Posted in Breast Cancer, cancer awareness, Empowered PatientTagged , , , , , , , 1 Comment on The NBCC Holds Annual Summit and Pushes for Deadline 2020

10 Newly-Defined Molecular Types of Breast Cancer in Nature, and a Dream

The 10 molecular BC categories bear prognostic (survival) information and, based on their distinct mutations and gene expression patterns, potential targets for novel drugs….I wonder if, in a few years, some breast cancers might be treated without surgery.

Posted in Breast Cancer, cancer causes, cancer diagnosis, cancer treatment, Future of Medicine, Oncology (cancer), Pathology, Science, Under the RadarTagged , , , , , , , , , , 3 Comments on 10 Newly-Defined Molecular Types of Breast Cancer in Nature, and a Dream

Boobstagram Collects and Displays Breast Photos, Says Aim is to Boost Cancer Awareness

I’m not sure what to make of Boobstagram. The idea is for women to take photos of their breasts, send them in and raise awareness of the value of healthy breasts. The French company breaches cancer culture norms… If it were legit and raised loads of money for cancer research and care, would we tolerate this mode of fundraising?

Posted in Annals of Pink, Social MediaTagged , , , , , , , 11 Comments on Boobstagram Collects and Displays Breast Photos, Says Aim is to Boost Cancer Awareness

A JAMA Press Briefing on CER, Helicopters and Time for Questions

What’s clear is that depending on how investigators adjust or manipulate or clarify or frame or present data – you choose the verb – they might show differing results. This doesn’t just pertain to data on trauma and helicopters…

Posted in health care delivery, journalism, StatisticsTagged , , , , , , , , , , Leave a Comment on A JAMA Press Briefing on CER, Helicopters and Time for Questions

Illness is Not Discrete. On Feeling Sick, and Not Knowing What’s Next

A broken arm, a low-stage breast cancer that’s treated and done with, a bout of pneumonia – these are things that a career can afford, an editor can handle, friends can be supportive. But when you have one thing, and then another, and then another, it gets scary, it weighs you down.

Posted in Essential Lessons, Life, Life as a Patient, Life as a writer, Patient AutonomyTagged , , , , 2 Comments on Illness is Not Discrete. On Feeling Sick, and Not Knowing What’s Next

Review: Dr. Eric Topol’s Creative Destruction of Medicine

Topol’s comfortable writing about the intersection of science and medicine as few physicians are….One theme that emerges through the book is the capacity for technology – by “knowing” and processing so much real-time information about each person’s condition – to inform more effective, individualized treatments.

Posted in Books, Future of Medicine, Reviews, ScienceTagged , , , , , , , , 1 Comment on Review: Dr. Eric Topol’s Creative Destruction of Medicine

The Outlier’s Message, and Evolutionary Science in Breast Cancer

If a drug helps, keep it going; if it hurts, stop. There are so many algorithms in medicine, and molecular tools, but maybe the bottom line is how the, one, your patient is doing.

Posted in Breast Cancer, cancer treatment, clinical trials, Future of Medicine, Ideas, Oncology (cancer)Tagged , , , , , , , , , Leave a Comment on The Outlier’s Message, and Evolutionary Science in Breast Cancer

New Article on Mammography Spawns False Hope That Breast Cancer is Not a Dangerous Disease

Few forms of invasive breast cancer warrant no treatment unless the patient is so old that she is likely to die first of another condition, or the patient prefers to die of the disease….“Mammograms Spot Cancers That May Not Be Dangerous,” said WebMD, yesterday. This is feel-good news, and largely wishful.

Posted in Breast Cancer, cancer screening, Communication, Diagnosis, Essential Lessons, journalism, Medical News, Oncology (cancer), Women's HealthTagged , , , , , 6 Comments on New Article on Mammography Spawns False Hope That Breast Cancer is Not a Dangerous Disease

Why I Support Health Care Reform

Profit is not what medical care is about, or should be about. What we need is a simple, national health plan, available to everyone, with minimal paperwork and, yes, limits to care.

Posted in Essential Lessons, Future of Medicine, health care costs, health care delivery, Medical Ethics, PolicyTagged , , , , , , , 2 Comments on Why I Support Health Care Reform

Notes, on Running a Hospital and ‘Goal Play’

“Goal Play!” articulates how positive, team-oriented guidance and genuine concern for employees’ well-being can have a positive impact on the lives and careers of valued health care workers and their patients.

Posted in Books, health care deliveryTagged , , , , , , , , 1 Comment on Notes, on Running a Hospital and ‘Goal Play’

What Does it Mean if Primary Care Doctors Get the Answers Wrong About Screening Stats?

The new findings have no bearing on whether or not cancer screening is cost-effective or life-saving. What the study does suggest is that med school math requirements should be upped and rigorous, counter to the trend

Posted in cancer screening, journalism, Medical Education, Oncology (cancer), StatisticsTagged , , , , , , , , 3 Comments on What Does it Mean if Primary Care Doctors Get the Answers Wrong About Screening Stats?
newsletter software