Posts filtered by tags: Oncology/Hematology[x]
April 18, 2019 at 11:00 AM Late last year the New York Times reported that Dr. José Baselga, the chief medical officer of Memorial Sloan Kettering Cancer Center, had resigned for failing to disclose his conflicts of interest at professional meetings and in scientific and medical journals. The Times report says that Dr. Baselga — who also served as physician-in-chief at the center — “had failed […]
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April 14, 2019 at 3:00 PM I need to see Justin before my workday commences. I’m a social worker at the outpatient cancer center where Justin has been treated for an aggressive colon cancer. Seeing him today means visiting him in the hospital, up the road from the center. It’s almost surreal. When I first met Justin, nearly two years ago, […]
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April 11, 2019 at 11:00 AM There is still a lot we don’t know about cancer. A diagnosis or even the thought of a future diagnosis can be scary. And what about your cancer risk? Many patients ask me “If a close family member has cancer, does that mean I will too?” Through hereditary cancer assessments, we are now able to […]
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April 10, 2019 at 7:00 PM Most men diagnosed with prostate cancer don’t die of the disease. Between 2011 and 2015, 112.6 per 100,000 men per year were diagnosed with prostate cancer in the U.S., but only 19.5 per 100,000 men per year died of the disease over that same period of time. That is still far too many deaths. But […]
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April 4, 2019 at 11:00 AM What is CBD? Cannabidiol or CBD for short is made from either the marijuana plant that contains tetrahydrocannabinol (THC) or hemp which contains little to any THC. “Hemp-derived” means that the CBD generally contains less than 0.3% THC while “marijuana-derived” contains higher amounts of THC. It is THC — and not CBD — is the […]
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April 1, 2019 at 7:00 PM What if I told you our children were being exposed to a known carcinogen, and it was increasing with successively younger kids? If that carcinogen were a preservative in packaging or chemicals from industrial waste, there would be widespread outcry. But it’s neither of those things. It’s something far more dangerous, but that we’ve somehow […]
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March 29, 2019 at 11:00 AM In a recent talk I gave for colleagues, I ventured outside the box. I searched for a metaphor to make cancer treatments easy to understand. Around the same time, it so happened my kids decided we needed to re-watch all of The Avengers movies at home. (In order, of course). Here’s where you get some insight into […]
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March 24, 2019 at 11:00 AM “Please don’t tell my family,” Mary (identifying information changed) immediately asked me after I disclosed the results of her lymph node biopsy and diagnosis of metastatic non-small cell lung cancer. At the time, I was a first-year oncology fellow. Initially, I thought it was a normal reaction (an example of my lack of experience). I […]
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March 22, 2019 at 9:00 AM A man in his fifties is wheeled into the emergency department on a gurney hoping he’ll still be around to cheer from the sidelines at his daughter’s next soccer game. A little girl on the pediatric floor upstairs simply hopes her tummy stops hurting. A woman in the clinic explains her puzzling symptoms and hopes […]
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March 16, 2019 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 a 2-month history of progressively worsening headaches, nausea, visual disturbance, and difficulty speaking. He also has hypertension and gastroesophageal reflux disease. Medications are lisinopril and omeprazole. On physical examination, vital signs are normal. Right oculomotor […]
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March 16, 2019 at 7:00 PM “Hey, you’re a med student. Right?” “Yes, I am. Do you need me to scrub in?” “That would be wonderful, yes! Everyone is either out on vacation or is sick. It’s just me and the resident.” “OK, I’ll be back in a few minutes.” I was on my OB/GYN rotation, and once a week I […]
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March 12, 2019 at 7:00 PM Most patients have an idea of how surgery and chemotherapy work. It’s not difficult to picture a surgeon cutting out a cancer or a medical oncologist prescribing chemotherapy. But how does radiation therapy work? For the vast majority of patients, and a good number of physicians, radiation therapy is a completely foreign concept. In my […]
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March 10, 2019 at 11:00 AM I see several patients daily with cancer. Some days can be tough, but nothing compares to what they are going through. I know that. The physical anguish and toll that chemotherapy, radiation, and surgery can take on the body. The burden that the disease can take on the mind and the soul. It’s devastating and […]
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March 9, 2019 at 7:00 PM First, the cancer diagnosis. Then, the barrage of trite encouragements: You can beat this! Don’t give up. Keep fighting! It’s not only friends and family members who utter these clichés — usually at a loss of what else to say. Health care providers also attempt to bolster patients’ morale with well-intentioned but well-worn phrases too. […]
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March 8, 2019 at 3:00 PM “We pass through the present with our eyes blindfolded … Only later when the cloth is untied can we glance at the past and find out what we have experienced and what meaning it has.” – Milan Kundera Two days ago, during a clinical skills session on lymph node examination, my classmates insisted that I […]
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March 8, 2019 at 8:32 AM The news that beloved game show host Alex Trebek has advanced stage pancreatic cancer hit his millions of fans hard this week. His illness has elicited heartbreak and support. As a clinician who treats pancreatic cancer, I anticipated the reaction that would follow next. Fear. While it is a rare form of cancer, pancreatic cancer […]
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March 7, 2019 at 11:00 AM Her name was Callie (identifying information changed). She was four years old. She loved glitter and princesses and anything sparkly. She was affectionate and silly, and I fell hard for her. She was a patient, my patient, on the pediatric oncology unit during my very first ward rotation intern year. On my first day, I […]
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March 6, 2019 at 10:10 PM The news that Alex Trebek has advanced stage IV pancreatic cancer has been met with an outpouring of support and good wishes, as would be expected for someone who has been a part of our lives for so many years. The fact is, pancreatic cancer is a difficult disease to treat effectively. That is due in no small […]
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March 6, 2019 at 10:10 PM The news that Alex Trebek has advanced stage IV pancreatic cancer has been met with an outpouring of support and good wishes, as would be expected for someone who has been a part of our lives for so many years. The fact is, pancreatic cancer is a difficult disease to treat effectively. That is due in no small […]
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March 4, 2019 at 1:00 PM “Please help me. I was brushing my teeth this morning and started bleeding a ton from my mouth.” Joe (identifying information changed) pointed to a bucket next to his bed. I was horrified to see close to two pints of blood in it. With gloves on, I pulled out my penlight and a new tongue […]
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March 2, 2019 at 7:00 AM Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. An 81-year-old woman is evaluated for a 1-year history of headaches, redness of the face, and itching. She indicates being otherwise capable of performing her daily activities on her farm. She reports no shortness of breath, chest pain, or difficulty sleeping. […]
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February 27, 2019 at 9:00 AM When I started on my path in medicine, I was an optimistic, wide-eyed, enthusiastic medical student. I had fond memories of rounding on Sundays with my vascular surgeon father as a child, and I remembered the appreciation his patients would express when we would run into them at our local grocery store. My dad never […]
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February 25, 2019 at 11:00 AM Somewhere between medical school, residency and fellowship, I lost my voice. I knew what I wanted to do with my life. I thought I knew where I wanted to be in my career, and how to accomplish those things … until one day, I wasn’t so sure. I don’t know if it happened when I […]
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February 23, 2019 at 7:00 AM Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 75-year-old man is evaluated for progressive dysphagia of 8 months’ duration for both solid food and water, and the necessity to induce vomiting several times each month to relieve his symptoms. He also has experienced chest pain and heartburn symptoms. […]
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February 17, 2019 at 3:00 PM Here’s what most medical experts agree on: People 50 and older should be screened for colon cancer. Here’s what is more controversial: Whether that screening should start, routinely, at age 45. Recently, the American Cancer Society (ACS) recommended that colon cancer screenings start at age 45. Their recommendation was based in large part on an uptick […]
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February 8, 2019 at 11:00 AM When I first turned to writing, I had no knowledge of the field of narrative medicine. It took four years of medical school, three years of residency, three years of subspecialty fellowship and over a decade in practice before I learned of it. (That’s more than 20 years, for those counting.) Throughout, I’ve struggled to […]
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February 6, 2019 at 7:00 PM “We have a consult for radiation oncology regarding a 60-year-old gentleman with a history of lung cancer and is currently admitted. His oncologist is Dr. Heme Onc.” As a new radiation oncology resident, I was surprised to hear the consulting physician refer to the patient’s medical oncologist as “his oncologist.” What about the patient’s radiation […]
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February 5, 2019 at 3:00 PM Transformation of health care is underway: The landscape is filled with innovation, and the horizon is dotted with technological possibilities of “Star Trek” ilk. In a recent New England Journal of Medicine Catalyst article, there was a compelling argument for how artificial intelligence (AI) of the future will help deliver us from a high cost, […]
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February 4, 2019 at 1:00 PM During my third year of medical school, I completed a clinical rotation in surgery. I was certain that it would be horrible. I envisioned myself in the OR, getting lightheaded, passing out onto the sterile field and being yelled at by my attending physician. I worried that the medical knowledge I’d worked so hard to […]
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January 30, 2019 at 3:00 PM There is something both intimate and mysterious about the waiting area for mammograms. You sit in a relatively small space; chairs close together with a gown tied to cover your nakedness, your normally restrained lady parts flopping free against the scratchy fabric. There are young and old, black and white, grey and blond and even […]
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