Taking Treatment & a Half Marathon, Together, One Step at A Time
The relationship between a cancer patient and their care provider is a special one.  Between radiation therapy appointments, hours of chemotherapy, and even sometimes surgery and recovery, there’s not much that can strengthen this bond, besides running a half marathon. But Tiffani Tyer, a nurse practitioner in Radiation Oncology at the University of Maryland Greenebaum Comprehensive Cancer Center (UMGCCC), and Dana Deighton’s journey started long before this year’s Maryland Half Marathon & 5K. About 3 years ago Dana was diagnosed with stage IV esophageal cancer.  At 43 years old with 3 young children, it was, ...
Source: Life in a Medical Center - June 20, 2016 Category: Universities & Medical Training Authors: Chris Lindsley Tags: Cancer Doctors Employees & Staff patient care Patient Stories Uncategorized radiation oncology Source Type: blogs

A Day in the Life of an Acute Care SLP
Editor’s Note: This is an excerpt from a guest blog post that originally appeared on Tactus Therapy. In the post, speech-language pathologist Brenda Arend shares highlights of a typical day working in acute care at Providence St. Peter Hospital in Olympia, Washington. 8:30 a.m.: Assigning patients The first part of my day is spent opening up patient charts in our EPIC electronic medical record and assigning three SLPs to see patients in our 380-bed hospital. Two or three SLPs cover a caseload that ranges from 15 to 30 patients, although recently we see as many as 42. In addition, we also provide outpatient video fluo...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - June 9, 2016 Category: Speech Therapy Authors: Brenda Arend Tags: Speech-Language Pathology acute care Aphasia Cognitive Rehabilitation Dysphagia Health Care Swallowing Disorders Source Type: blogs

Harvard Medical School Teams Up with Makers of Bacardi Rum, Smirnoff Vodka, Jim Beam Bourbon, and Jack Daniels Whiskey, Providing Great PR at Bargain Rates
Last July, Harvard Medical School and its Cambridge Health Alliance accepted $3.3 million from the Foundation for Advancing Alcohol Responsibility to create an endowed chair in behavioral sciences research at Harvard Medical School and the Cambridge Health Alliance. The Dean of the Harvard Medical School proudly announced the acceptance of this money and praised the Foundation for Advancing Alcohol Responsibility, while acknowledging a long-standing alliance between the two entities: "The Foundation for Advancing Alcohol Responsibility has long been a strong supporter of the research program at Cambridge Health Alliance, ...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - May 4, 2016 Category: Addiction Source Type: blogs

Anheuser Busch "Smart Drinking" Initiative is a Complete Farce
Last December, Anheuser-Busch InBev (AB InBev) announced its commitment of more than $1 billion over ten years to promote "Smart Drinking," whose major purported purpose is to "reduce the harmful use of alcohol" by reducing "binge drinking, underage drinking and drink-driving." The company claims that this represents "Doing Right, While Doing Well." A major goal is to reduce the "harmful use of alcohol" by at least 10% in six cities within 10 years.The Rest of the StoryThe truth is that this initiative is essential a huge scam designed to promote alcohol use, to divert attention away from the alcohol industry's culpability...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - May 3, 2016 Category: Addiction Source Type: blogs

It’s hard for patients to choose a good hospital. It shouldn’t be.
Selecting the right hospital to receive care can save your life, lower your risks of getting a complication, or even reduce your financial hardship. The problem is that it’s extremely hard for patients to make that judgment. Sometimes, the data they need to select the best hospital for their care doesn’t exist. In other cases, it’s hard or impossible for the public to find. For instance, if you’re getting an esophagus resection or other high-risk procedure at a hospital that rarely performs it, your chance of death could be several times greater than if you went to a high-volume facility. This find...
Source: Kevin, M.D. - Medical Weblog - March 15, 2016 Category: Journals (General) Authors: Tags: Physician Hospital Source Type: blogs

LITFL Review 222
Welcome to the 222nd LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chuck of FOAM. The Most Fair Dinkum Ripper Beauts of the Week Josh Farkas explains his top 10 issues/problems with the new Sepsis-3 definitions. [SR] The Best of #FOAMed Emergency Medicine First 10 EM drops their articles of the month as February comes to a close. [AS] Cameron Berg discusses another way ...
Source: Life in the Fast Lane - March 6, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

DM / DNB Cardiology Entrance Mock Test 20
Please wait while the activity loads. If this activity does not load, try refreshing your browser. Also, this page requires javascript. Please visit using a browser with javascript enabled. If loading fails, click here to try again Click on the 'Start' button to begin the mock test. After answering all questions, click on the 'Get Results' button to display your score and the explanations. There is no time limit for this mock test. Start Congratulations - you have completed DM / DNB Cardiology Entrance Mock Test 20. You scored %%SCORE%% out of %%TOTAL%%. Your performa...
Source: Cardiophile MD - February 26, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs

Cancer Surgery At Low-Volume Hospitals In California
More than 100 years ago, Boston Surgeon Dr. Ernest Amory Codman took note of data on surgeries at a small semi-private hospital and some other larger and more prestigious hospitals. “They clearly showed,” he wrote, “that the semi-private hospital not only did more operations, but that the mortality was much lower, especially in some of the more difficult branches of surgery.” Not quite 50 years ago, results from the National Halothane Study produced some of the first solid statistical evidence of a link between the volume of services and outcomes. Since then, the work of numerous investigators has solidified and ex...
Source: Health Affairs Blog - February 10, 2016 Category: Health Management Authors: Laurence Baker and Maryann O'Sullivan Tags: Featured Health Professionals Hospitals Organization and Delivery Quality California hospital volume Physicians surgery Source Type: blogs

It’s Time to Talk about Cancer Surgery Volume
By JENNIFER MALIN, MD Twenty years ago as a newly trained oncologist, I faced the same challenge that many cancer patients and their families do as they try to figure out where to turn when my mother was diagnosed with ductal carcinoma in situ– or pre breast cancer.  Her surgeon, who had come highly recommended by her family doctor,told her she needed to have a lymph node dissection, which can result in lifelong disability due to lymphedema or swelling of the arm.  As an oncologist, I knew it was not recommended for ductal carcinoma in situ, but she resisted my suggestion to get a second opinion. Despite the fact that...
Source: The Health Care Blog - February 10, 2016 Category: Consumer Health News Authors: Simon Nath Tags: THCB Jennifer Malin Source Type: blogs

DM / DNB Cardiology Entrance Mock Test 12
Please wait while the activity loads. If this activity does not load, try refreshing your browser. Also, this page requires javascript. Please visit using a browser with javascript enabled. If loading fails, click here to try again Click on the 'Start' button to begin the mock test. After answering all questions, click on the 'Get Results' button to display your score and the explanations. There is no time limit for this mock test. Start Congratulations - you have completed DM / DNB Cardiology Entrance Mock Test 12. You scored %%SCORE%% out of %%TOTAL%%. Your performa...
Source: Cardiophile MD - February 4, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs

DM / DNB Cardiology Entrance Mock Test 4
Please wait while the activity loads. If this activity does not load, try refreshing your browser. Also, this page requires javascript. Please visit using a browser with javascript enabled. If loading fails, click here to try again Click on the 'Start' button to begin the mock test. After answering all questions, click on the 'Get Results' button to display your score and the explanations. There is no time limit for this mock test. Start Congratulations - you have completed DM / DNB Cardiology Entrance Mock Test 4. You scored %%SCORE%% out of %%TOTAL%%. Your performan...
Source: Cardiophile MD - January 18, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs

U wave on ECG
Brief Review U wave in ECG occurs after the T wave and is usually seen in the mid precordial leads. In hypokalemia, T wave becomes flattened and U wave becomes prominent (or apparently so because of near absence of T waves). Important conditions associated with U waves are systemic hypertension, aortic and mitral regurgitation and coronary artery disease [1]. Theories about genesis of U waves One theory about the genesis of U wave is that it is due to repolarization of the Purkinje fibres. Another possibility is that it is due to after potentials caused by mechanical forces in the ventricular wall. A third hypothesis sugge...
Source: Cardiophile MD - December 6, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: ECG / Electrophysiology discordant U wave inversion Exercise induced U wave inversion genesis of U waves U wave alternans Source Type: blogs

Funtabulously Frivolous Friday Five 115
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old-fashioned medical trivia…introducing Funtabulously Frivolous Friday Five 115 Question 1 Dr Jerri Nielsen FitzGerald ran into trouble when she was stationed in Antarctica in 1999. What condition did she face and had to treat herself for? + Reveal the Funtabulous Answer expand(document.getElementById('ddet1636854385'));expand(document.getElementById('ddetlink1636854385')) Breast cancer. Dr Fitzgerald had to perform a biopsy with the help of non-medical staff, and treated herself with chemothera...
Source: Life in the Fast Lane - September 4, 2015 Category: Emergency Medicine Authors: Niall Hamilton Tags: Frivolous Friday Five appendicitis breast cancer dr Beecher Dr Jerri Nielsen FitzGerald FFFF Forssman morphine pink lady placebo saline vibrations Source Type: blogs

A Simple Slice of Bread. Staff of Life for You. Poison for Me.
Celiac Disease. Know of it? Even if you do, you may not know it’s a serious genetic autoimmune condition. Because it can cause over 100 symptoms, it often masquerades as other conditions. For that reason, and despite availability of simple blood test to detect it, the average time to diagnosis is ten years for women and six years for men. The consequences in the meantime can be significant: miscarriage, stillbirth, osteopenia, neurological conditions, gastrointestinal symptoms, headache, fatigue, failure to thrive and stunted growth in children and, over the long term, increased risk of esophageal, stomach and colon canc...
Source: Disruptive Women in Health Care - August 28, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Chronic Conditions Food Nutrition Source Type: blogs

When a CT scan misses cancer
A female patient came to see me with some difficulty swallowing, a very routine issue for a gastroenterologist.  I performed an scope examination of her esophagus and confronted a huge cancer occupying the lower portion of her esophagus. I expected a benign explanation for her swallowing issue.   She was relatively young and not particularly ill.  She had seen my partner years in the past for a similar complaint, which he effectively treated by stretching her esophagus.  I expected that I my procedure would be a re-run.  I was wrong. Continue reading ... Your patients are rating you online: How to respond. Manage you...
Source: Kevin, M.D. - Medical Weblog - April 26, 2015 Category: Journals (General) Authors: Tags: Conditions Cancer Radiology Source Type: blogs