Anyone have an opinion about vaginal atrophy, dyspareunia and the use of Pueraria Mirifica to treat it?
I am asking this question because a woman I know says her surgeon told her that using the product Hygeena (see Hygeena Vaginal Suppositories) to treat her vaginal atrophy and dyspareunia, will increase her probability that cancer will return. Two years ago, she had a ring section of her colon removed to deal with her stage 2 cancer. She now has a clean bill of health. I looked at a dozen websites that basically say three things to me. 1) Nobody has done any extensive double-blind...
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Source: Student Doctor Network - September 29, 2023 Category: Universities & Medical Training Authors: LiamAllone Tags: Ob/Gyn Source Type: forums
FDA approves 'SKOUT' - a new AI device to detect colon polyps
https://www.cancertherapyadvisor.com/home/cancer-topics/gastrointestinal-cancers/fda-clears-skout-to-detect-colorectal-polyps-in-real-time-during-colonoscopy/
Interesting article that leads to more questions: Does FDA approval mean gastroenterologists can bill more for using the device vs standard colonoscopy? If so, will insurance companies reimburse for it?
And on the path end, does this mean receiving more or less colon biopsies if this becomes widely adopted? I could see...
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Source: Student Doctor Network - October 28, 2022 Category: Universities & Medical Training Authors: coroner Tags: Pathology Source Type: forums
Landmark RCT on colonoscopy screening for colon cancer
https://www.nejm.org/doi/full/10.1056/NEJMoa2208375
“The trial’s primary analysis found that colonoscopy only cut colon cancer risk by roughly a fifth, far below past estimates of the test’s efficacy, and didn’t provide any significant reduction in colon cancer mortality. Gastroenterologists, including Bretthauer, reacted to the trial’s results with a mixture of shock, disappointment, and even some mild disbelief.
“This is a landmark study. It’s the first randomized trial...
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Source: Student Doctor Network - October 10, 2022 Category: Universities & Medical Training Authors: wamcp Tags: Internal Medicine and IM Subspecialties Source Type: forums
Bit of a rant...anyone have a similar experience?
I work (academic subspecialist) with a malignant narcissist who has effectively trained our oncologists that any pathologist who doesn't order at least IHC on a given case is incompetent (slight exaggeration, but not too far off the mark). Generally this hasn't effected me too much...usually can fend off stupid requests for IHC from clinicians ("can you please run ER/PR on this papillary thyroid carcinoma?").
Yesterday, I get a case of met colon CA to a lymph node. Patient had a colectomy...
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Source: Student Doctor Network - December 12, 2021 Category: Universities & Medical Training Authors: pianoguy05 Tags: Pathology Source Type: forums
Is "Choosing Wisely" (ordering less tests) legit or purely a money saving attempt?
From an individual patient care and liability standpoint - it makes more sense to order more tests (in general principle). But we have this notion being put forward to avoid asymptomatic screening tests out of fear that something may be positive. That's true to a degree but only if the positive result is of no consequence. For example, an asymptomatic CBC or CMP may reveal anemia that could be colon cancer or transaminitis that could be liver disease. A positive result will send you down the...
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Source: Student Doctor Network - January 4, 2021 Category: Universities & Medical Training Authors: MedicineZ0Z Tags: Family Medicine Source Type: forums
Health question
Hi guys,
I am probably posting in a wrong forum, but could not find where to ask...
So what is your opinion on preventive health care, what kind of testing do you recommend to patients besides yearly physicals?
Lets say 50-60 -70 etc.. year old.
1) colon cancer screening
2) for women breast cancer screening (mammogram, ), OBGYN papsmear
for men prostate screening
3) do you recommend periodically Xray? Tb test? Or only if symptomatic?
anything else am I missing?
Thank you (Source: Student Doctor Network)
Source: Student Doctor Network - May 13, 2020 Category: Universities & Medical Training Authors: jmail Tags: Family Medicine Source Type: forums
What malignancy is this patient at risk for?
Spoiler: Medically graphic image of colon
A 17-year-old male is referred for colorectal cancer screening following his father’s diagnosis of metastatic colorectal cancer at the age of 47. He is asymptomatic and otherwise well. Colonoscopy reveals hundreds of adenomatous polyps throughout the colon, and he eventually undergoes a total proctocolectomy with ileal pouch anal anastomosis. Which of the following extracolonic...
What malignancy is this patient at risk for? (Source: Student Doctor Network)
Source: Student Doctor Network - November 5, 2019 Category: Universities & Medical Training Authors: WildWing Tags: Educational Quizzes and Case Studies Forum Source Type: forums
Hem/onc fellow, how to decide on career path
Hi, i’m about to finish 1st year hem/onc fellowship in a mid-tier academic program. Also have a PhD in cancer biology with publications (in colon cancer). No visa issue. I’m having a hard time in choosing my career path.
The things that I value most is lifestyle and pay. I have 2 young children to support.
So far, I know I like treating solid tumors, but do not have a specific disease that dominate my interests. Our program is clinically heavy in 1st year, so far I did not do any meaning...
Hem/onc fellow, how to decide on career path (Source: Student Doctor Network)
Source: Student Doctor Network - October 22, 2019 Category: Universities & Medical Training Authors: Smallmelon Tags: Hematology / Oncology Source Type: forums
Help! SEVERE Hypochondriasis/Med student syndrome
Hi, so ever since I’ve started medical school my anxiety has been an all time high. I’m doing completely fine in school, managing to stay in the top 10% of my class. But I’m constantly worried about my own health. Last semester I was having abdominal pain and bloating and I drove myself insane for like 2 weeks because I thought I had colon cancer. Turns out I was eating too much Taco Bell.
But this semester it has started to get to a point where it’s effecting my concentration. I have...
Help! SEVERE Hypochondriasis/Med student syndrome (Source: Student Doctor Network)
Source: Student Doctor Network - April 14, 2019 Category: Universities & Medical Training Authors: Quavo Tags: Medical Students - MD Source Type: forums
Interleukin-10 in IBD and colon cancer--A major break through. Re: Diagnosis and management of inflammatory bowel disease in children
(Source: BMJ Comments)
Source: BMJ Comments - February 11, 2019 Category: General Medicine Source Type: forums
Why are bench research labs often such toxic work environments?
There are countless posts here about PI's, postdocs, and grad students abusing, manipulating, or otherwise having aggressive/inappropriate behavior towards pre meds and/or others below them. I've had this experience myself. I was in a colon cancer bench research lab and my PI once had a full on screaming match with the senior postdoc. There were their actual words:
PI: I want you to collect the cells in the afternoon
Post-Doc: Tell *Insert my Name* to do it
PI: He's got a midterm today he...
Why are bench research labs often such toxic work environments? (Source: Student Doctor Network)
Source: Student Doctor Network - January 29, 2018 Category: Universities & Medical Training Authors: LoveBeingHuman:) Source Type: forums
Will medicine ever become boring ?
Ive shadowed lots of types of physicians, and it seems cool with all the variety but now that I realize as you chose a specialty it probably gets repetetive.
The gastric surgeon I shadowed was doing mainly hernia repairs and colon cancer excisions on a daily basis
Intervention cardiologist was pacemakers with a few other procedures but mainly pacemakers
Internal medicine was primarily dealing with checkups and physicals, in the hospital the standard stuff.
When you look at it as a whole...
Will medicine ever become boring ? (Source: Student Doctor Network)
Source: Student Doctor Network - September 25, 2017 Category: Universities & Medical Training Authors: CaptainJackSparrow83 Source Type: forums
Shock Journal Club
You're an intern in the ED and the place is bumping, filled with your typical drunks, worried well and sick people.
A new patient is brought through the doors and assigned to you.
70 yo female, history of metastatic colon cancer with mets to brain, adrenals, bone, liver, dm2, htn biba to ED with decreased mental status, baseline a&ox3.
Has been receiving palliative chemotherapy and steroids in the outpatient setting, last one was a week ago.
T: 100.6 P 105 BP 86/56 RR 14 SpO2 97% on RA...
Shock Journal Club (Source: Student Doctor Network)
Source: Student Doctor Network - March 12, 2017 Category: Universities & Medical Training Authors: Psai Source Type: forums
Re: Physical activity and risk of breast cancer, colon cancer, diabetes, ischemic heart disease, and ischemic stroke events: systematic review and dose-response meta-analysis for the Global Burden of Disease Study 2013
(Source: BMJ Comments)
Source: BMJ Comments - August 23, 2016 Category: Journals (General) Source Type: forums
