Insurers, Not Legislators, are the Gatekeepers to Care, and a Call to Deep Six the Term " Worried Well. "
Over onPete Earley ' s blog, there is a post titled:Senators ’ Letter To SAMHSA Is Misguided: Dr. McCance-Katz Is Doing What Congress DemandedPete is on the Interdepartmental Serious Mental Illness Coordinating Committee, a group operating under the Department of Health and Human Services. He is an extraordinary writer and a tremendous mental health advocate. His post inspired me to rant at him (Me rant? Shocking, I know...) and Pete and I are both posting my response. I can ' t begin to capture the essence of his post on the controversy over the NREPP website, nor will you need to understand that...
Source: Shrink Rap - February 1, 2018 Category: Psychiatry Authors: Unknown Source Type: blogs
Does Donald Trump Have Heart Disease?
By SAURABH JHA
According to the WHO definition of health, which is “a state of complete physical, mental, and social well-being, and not merely the absence of disease and infirmity,” several million Americans became unhealthy on Tuesday November 8th, 2016 as Florida folded to Trump. As Hillary’s prospects became bleaker many more millions, particularly those on Twitter, lost their health. The WHO sets a high bar for health. It is easier for a camel to pass through the eye of a needle than for a person on social media to be in “complete mental and social well-being.”
Whilst WHO has set a high bar for health, moder...
Source: The Health Care Blog - January 24, 2018 Category: Consumer Health News Authors: at RogueRad Tags: Uncategorized Source Type: blogs
Precision Medicine and the Reinvention of Human Disease (Book Index)
In January, 2018, Academic Press published my bookPrecision Medicine and the Reinvention of Human Disease. This book has an excellent " look inside " at itsGoogle book site, which includes the Table of Contents. In addition, I thought it might be helpful to see the topics listed in the Book ' s index. Note that page numbers followed by f indicate figures, t indicate tables, and ge indicate glossary terms.AAbandonware, 270, 310geAb initio, 34, 48ge, 108geABL (abelson leukemia) gene, 28, 58ge, 95 –97Absidia corymbifera, 218Acanthameoba, 213Acanthosis nigricans, 144geAchondroplasia, 74, 143ge, 354geAcne, 54ge, 198, 220geAcq...
Source: Specified Life - January 23, 2018 Category: Information Technology Tags: index jules berman jules j berman precision medicine Source Type: blogs
Hepatocellular carcinoma (HCC) with a focus on diagnosis and screening
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - January 22, 2018 Category: Internal Medicine Tags: gastroenterology oncology Source Type: blogs
Endolymphatic Sac Tumor in an Elderly Man
Papillary architecture is typical for this entityThe patient is not known to have Von Hippel Lindau Syndrome, which can be associated with this tumor. According toExpert Path, the differential diagnosis for endolymphatic sac tumor is middle ear adenoma, middle ear adenocarcinoma, metastatic renal cell carcinoma, metastatic papillary thyroid carcinoma, paraganglioma, choroid plexus papilloma, and ceruminous adenoma. (Source: neuropathology blog)
Source: neuropathology blog - January 19, 2018 Category: Radiology Tags: neoplasms Source Type: blogs
Synthetic Lethality Nanoparticles Kill Difficult to Treat Cancers
Researchers at the University of Iowa have developed dual-action nanoparticles that have been shown, in a laboratory study, to selectively kill endometrial cancer (uterine serous carcinoma) cells. The therapeutic approach combines paclitaxel, a common chemo agent, and nintedanib, aka BIBF 1120, a new cancer drug that is typically used to hinder angiogenesis, but in the current case was used to target cancer cells with a specific mutation. The mutation that nintedanib looks for is called Loss of Function p53 that prevents normal function of tumor cells and makes them less susceptible to chemotherapy.
This is because chemo r...
Source: Medgadget - December 19, 2017 Category: Medical Devices Authors: Editors Tags: Nanomedicine Oncology Source Type: blogs
Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP): MRI
Discussionby Dr MGK Murthy, Dr GA PrasadChronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is characterized clinically by a progressive or relapsing course of many months to years of symptoms similar to compressive myelopathy.Etiology Remains unknown, but T-cell activation in nerves plays an important role in the pathogenesis of CIDP& antigens in Schwann cells have been identified.PathologicallyCIDP is characterized by mononuclear cell infiltrates, edema, segmental demyelination, and remyelination&“onion bulb formation” which describes enlarged fascicles with increased endoneural connective t...
Source: Sumer's Radiology Site - December 12, 2017 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Is there a link between alcohol and skin cancer?
Patients are always elated when you can recommend an enjoyable, health-improving, recreational activity. As a runner, my favorite “prescription” while pregnant was exercise! However, more often than not, pleasurable activities are not what’s best for one’s health. But as a dermatologist who specializes in skin cancer, I am generally the bearer of bad news when I tell patients to never get another tan.
This November, alcohol came into the spotlight. The Cancer Prevention Committee of the American Society of Clinical Oncology recommended minimizing drinking alcohol, as it is thought to be a “modifiable risk factor ...
Source: Harvard Health Blog - December 8, 2017 Category: Consumer Health News Authors: Emily S. Ruiz, MD, MPH Tags: Cancer Health Healthy Eating Prevention Source Type: blogs
Best Post of August 2017: Choroid plexus carcinoma in an infant
The next in our " Best of the Month " Series is from August 1, 2017:Some papillary architecture is maintained (Source: neuropathology blog)
Source: neuropathology blog - December 1, 2017 Category: Radiology Tags: Best of the Month series neoplasms Source Type: blogs
MKSAP: 40-year-old woman with amenorrhea
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 40-year-old woman is evaluated for amenorrhea of 4 months’ duration. She has had weight gain, facial hair, alopecia, and debilitating fatigue. Her medical history is significant for psoriasis. She seems to be gaining weight in her face, abdomen, and neck. She also bruises easily. Her only medication is clobetasol for psoriasis.
On physical examination, temperature is 37.6 °C (99.7 °F), blood pressure is 148/90 mm Hg, pulse rate is 88/min, and respiration rate is 12/min. BMI is 38. She is obese with a r...
Source: Kevin, M.D. - Medical Weblog - November 25, 2017 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Endocrinology OB/GYN Source Type: blogs
Sensus Healthcare ’s Technology Uses Low-Energy X-rays Directly on Cancer Cells: Interview with CEO Joe Sardano
Sensus Healthcare is a medical device company that focuses on providing non-invasive and cost-effective treatment of non-melanoma skin cancers and keloids utilizing superficial radiation technology (SRT). Their proprietary, FDA-cleared SRT technology is used to effectively and safely treat oncological and non-oncological skin conditions. The radiation is focused onto cancer cells almost exclusively, and it penetrates no more than 5mm under the surface of the skin, sparing nearby tissues.
In 2013, Sensus Healthcare received FDA clearance in the United States to treat keloids with the SRT-100 device. Earlier this summer, Chi...
Source: Medgadget - November 20, 2017 Category: Medical Devices Authors: Alice Ferng Tags: Dermatology Exclusive Oncology Source Type: blogs
Incidentally detected Carotid Body Tumour : Case Report
Female, 60 years old, with headache and recurrent left tinnitus. Has been to several ENT clinics. Stayed unexplained for 5 Yrs. MRI brain incidentally detected the finding described below.Case submitted by Dr. A. Altamimi, MD, DMRD, FRCR, Consultant RadiologistMRI Brain revealed : special note is the presence of an incidentaloma in the form of a lobulated oval mass (about 2.5 x 3 x 4.5 cm) embedded in the left upper neck at the level of the carotid bifurcation (splaying the ICA and ECA carotid arteries) with some localized mass effect. It is generally iso-to-hypointense to muscle on T1, ...
Source: Sumer's Radiology Site - November 19, 2017 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Doctors have a responsibility to outline options. Patients make the final decision.
As an oncologist, I want to provide the best treatment for everyone. That should mean the best chance at a long-lasting remission, if not cure. Whatever that might take. Surgery, chemotherapy, radiation therapy — a dark tunnel that I hope patients will enter and then exit, with the sun shining on the other side. But, every now and then, I have a patient who chooses not to pursue the regimen that I think will bring them the best chances. Such was the case with Jean*.
I met Jean as a second opinion — referred to me for discussion about next steps. She was 90 years old, though looked 30 years younger. She lived by...
Source: Kevin, M.D. - Medical Weblog - October 26, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/don-s-dizon" rel="tag" > Don S. Dizon, MD < /a > Tags: Physician Hospital-Based Medicine Oncology/Hematology Source Type: blogs
Breast Implant MRI : Teaching Points
Case Report Follow up case of subpectoral silicone implant with no old scans available.MR findingsBoth breasts suggest well defined regular silicone implants in deep pectoral region with intact capsule. Subtle heterogeneity of the silicone signal at places is MR flow or interphase related with no linguine sign positivity to suggest any intra or extracapsular rupture of silicone. The contour of implant at places is depressed suggesting partial collapse (more seen in left breast implant anteriorly. Pectoral muscles appear normal. Both breast show tiny bright foci – possibly cysts with rest normal with no axillary lymp...
Source: Sumer's Radiology Site - October 9, 2017 Category: Radiology Authors: Sumer Sethi Source Type: blogs
