Posts filtered by tags: Oncology/Hematology[x]
13h ago ( January 23, 2019 at 7:00 PM ) The woman waiting to see me looked every inch a lawyer or accountant in her black pencil skirt, pink shirt, and a Chanel-style houndstooth jacket. Her ankle boots were reminiscent of those worn by women in Victorian times with a row of small buttons up the side. She had a scarf loosely knotted around her […]
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23h ago ( January 23, 2019 at 9:00 AM ) I want to share how the era of immunotherapy, specifically immune-checkpoint-inhibitors, has changed the landscape of community oncology practice in metastatic non-small-cell lung cancer, for oncologists and, more importantly, patients. I want to tell you the story of Joe. A stage IV lung cancer survivor story. (Name and details changed to protect anonymity.) In 2015, Joe […]
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January 22, 2019 at 7:00 AM Part 3 of a series. Patients with advanced cancer are particularly vulnerable to infection due to a compromised immune system. Moreover, the typical symptoms of serious infection, such as fever and chills, may be absent in cancer patients. If not identified and treated early, infection can lead to sepsis, a life-threatening reaction of the immune system […]
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January 21, 2019 at 3:00 PM Good news is always welcome, especially when talking about something as serious as cancer. And there is plenty of welcome information in the American Cancer Society’s release of our annual report on “Cancer Statistics, 2019” and its accompanying consumer-oriented version of “Cancer Facts & Figures 2019.” Among the good news in this report: A significant […]
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January 9, 2019 at 3:00 PM Over 80,000 new cases of bladder cancer are diagnosed every year. Of the new cases, over 62,000 are men, and over 18,000 are women. Whites have higher incidence rates than blacks, although black patients have higher mortality rates, particularly black women. The majority of cases are found with painless gross hematuria (although most patients with […]
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January 9, 2019 at 1:00 PM Part 2 of a series. My own self-appointed role as my father’s health care advocate during his prostate cancer battle was a natural consequence of my training as a medical researcher. After earning a PhD in medical science, I became the elected family health and wellness guru, offering insight into everything from hangnails to stem cells, […]
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January 8, 2019 at 1:00 PM Quick quiz question: two people are diagnosed with melanoma — Sarah Sunburn, an adamant sun-worshipper, and Paula Pale-All-The-Time, a fanatical sun-avoider. Who is more likely to die of the disease? The answer is pale-faced Paula. Surprised? Let me unpack this mystery and explain why sun exposure simultaneously kills people, while making the cancers they are […]
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January 7, 2019 at 1:00 PM As a physician who has spent his career taking care of people with HIV/AIDS, cancer and various blood disorders, this is an amazing time to be working in these overlapping fields of medicine. I began my training when roughly half the people diagnosed with HIV were destined to develop cancer, and nearly everyone died shortly […]
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January 3, 2019 at 7:00 PM Late one evening, I received a text from my oldest daughter. “What in medicine, that we do now, will we think is barbaric in 50 years?” Wow. They play more provocative bar games now than they played when I was in my 20s. I promptly texted back my knee-jerk response: “chemotherapy.” As we are on […]
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January 3, 2019 at 1:00 PM “Does a rock float on water?” I asked the haggard woman lying in the ICU bed. I was an intern, in the first rotation of my medical residency, and Mrs. Jones had been my ICU team’s patient for the past week. Over that time, she’d looked more and more uncomfortable, constantly gesturing for her breathing […]
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January 2, 2019 at 1:00 PM Part 1 of a series. The battle I walk into my parents’ home to pick my mom up for a family gathering. And like most days over the past few weeks, palpable sorrow greets me at the door. Our old dog lies sleeping on the couch, heavy with years, she’s difficult to rouse. She finally […]
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December 26, 2018 at 11:00 AM From second through fifth grade, I mastered the art of being sick. I got out of school, soccer practice and piano lessons so that I could be the child I wanted to be — not sick, but loved, cared for. Here was my recipe: 1. Wake up. 2. Feel anxious about the day to come […]
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December 20, 2018 at 3:00 PM Prostate cancer often presents unique challenges to patients and physicians alike. It can be indolent and non-aggressive — or life-threatening and everything in between. Unlike most cancers that have a dedicated roadmap for treatment for prostate cancer revolves around opinions and biases. To help patients navigate the landmine of prostate cancer, I’ve compiled a list […]
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December 14, 2018 at 7:00 AM November 2017. I was on my pediatrics rotation at a local community clinic. My attending asked me if I could see Johnathan (identifying information and event details altered to protect confidentiality), an eight-year-old boy who has been increasingly fatigued since the start of the school year. I walked down the hallway laden with paintings of […]
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December 13, 2018 at 11:00 AM As an internist, I strived to give patients hope by prescribing therapies that increased their chance — their hope — of the best outcome and by encouraging them with hopeful words. My own hope was to care for patients until I was old. Just weeks after celebrating my 36th birthday, I was diagnosed with non-Hodgkin […]
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December 10, 2018 at 11:00 AM When I was in medical school, I loved pathology. The visual learning and deep understanding of disease were attractive enough that after second year, I took an extra year before clinical rotations to work as a post-sophomore fellow, working as a resident cutting specimens and performing autopsies. I missed patient contact but it served as a […]
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December 6, 2018 at 7:00 AM I was diagnosed with sickle cell disease at three months old in Haiti. The diagnosis from the doctor was followed by more tragic news; my parents were told that I was not going to live past five months. From that point on, my parents searched high and low for medication and knowledge about this unfamiliar […]
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December 3, 2018 at 1:00 PM The oncologist had prescribed Xgeva hoping it would strengthen her bones while also delaying the progression of Angela Kahn’s breast cancer. But Kahn (a pseudonym) couldn’t get over the price of the drug. Before the oncologist had a chance to ask how she was feeling, she blurted out that the medication cost “$15,000 a shot.” […]
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November 25, 2018 at 7:00 PM “Where there is no struggle, there is no compassion.” -Frederick Douglass Growing up with sickle cell anemia exposed me to the field of medicine. As I go through the pain and complications, it humbles me to the point that motivates me to work harder to be the doctor I want for myself. I want to […]
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November 22, 2018 at 3:00 PM I recently attended a lunchtime session on the Choosing Wisely initiative. This public and professional awareness endeavor attempts to educate the public and health care providers about procedures that do not benefit patients, and that may ultimately cause harm. It was an interesting educational session and while most of the content was not new to me, […]
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November 20, 2018 at 7:00 AM I just read of a a jury award in excess of $25 million against an insurance company who denied a recommended cancer treatment to a patient who ultimately died. I do not wish to review here the particulars of this case, and admit that my knowledge is limited by one news report that I read. While I […]
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November 17, 2018 at 7:00 AM Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 42-year-old man arrives for follow-up consultation. Three months ago he developed a proximal right leg deep venous thrombosis following a skiing-related fracture of the right tibia. Although not recommended by guidelines, a thrombophilia evaluation was performed, which revealed an elevated […]
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November 8, 2018 at 3:00 PM Comparing the 2018 U.S. Preventive Services Task Force (USPSTF) recommendation statement on prostate cancer screening in the October 15th issue of American Family Physician with its previous recommendation, the first question family physicians ought to ask is: What new evidence compelled the USPSTF to move from recommending against PSA screening in all men to determining that there was a small net […]
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November 8, 2018 at 9:00 AM About one in fifty people reading this essay will be diagnosed with kidney cancer at some time in their life. In fact, one out of one people writing this essay has already been diagnosed with kidney cancer. (I had a small tumor removed from my left kidney not long after I turned 50.) But how many people […]
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November 6, 2018 at 7:00 PM I had my first mammogram at age 35, and for the next 35 years I had mammograms regularly. On my way, I’d pass the entrance to the Thomas Johns Cancer Hospital, outside of Richmond, VA, never thinking that I’d one day cross that threshold myself. When I heard the “C” word, I didn’t know what […]
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November 6, 2018 at 3:00 PM At the age of 17, my younger sister Elisabeth noticed a change in her body — enlargement of the front of her neck. “I just thought I was building muscle from working out,” she innocently rationalized. A series of laboratory tests and imaging followed and led to a much more grave discovery — cancer. There […]
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November 3, 2018 at 7:00 AM Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 79-year-old man is evaluated for pain in the buttocks region. He was diagnosed with non-Hodgkin large B-cell lymphoma 6 months ago. Although his lymphoma has responded well to therapy and he is without evidence of active disease, he required hospitalization […]
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November 1, 2018 at 9:00 AM When I was a preemie — all two-and-a-half pounds of me — my mom was understandably worried. She said her doctor wheeled her down the hall to the newborn nursery, and my mom could hear me screaming all the way down the hall. She said, “I’ve got to hand it to you. You let your […]
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October 31, 2018 at 3:00 PM I’m struggling — truly struggling. This year has been beyond hard. I honestly never thought this time last year that I would be in this predicament. Things were good, I had a great job, and I was working on our fixing up our dream retirement home. We had great vacations every year. Yes, the home […]
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October 30, 2018 at 7:00 AM Ethical OB/GYNs everywhere sighed heavily when they realized from the action on their Facebook and Twitter feeds that the Ellen Show broadcasted incorrect and potentially harmful information about ovarian cancer screening to almost 4 million people. Millions more will likely hear about it on social media. Ellen Pompeo, who plays a doctor on the television show […]
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