MKSAP: 62-year-old woman with ovarian cancer
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 62-year-old woman is evaluated during a follow-up visit for recently diagnosed stage IIIA high-grade serous ovarian cancer. She underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy and completed six c ycles of chemotherapy with cisplatin and paclitaxel. The patient’s paternal aunt was […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - June 22, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > < /span > Tags: Conditions OB/GYN Oncology/Hematology Source Type: blogs
Podcast: Hypersexuality with a Bipolar and Schizophrenic
Hypersexuality is a very common symptom of bipolar mania and a potential symptom of schizophrenia, as well. Both Gabe and Michelle have experienced being hypersexual, but because of their ages and genders, it manifested itself in different ways.
However, their personal differences aside, there is one thing that both our hosts completely agree on. . . Listen now to find out.
SUBSCRIBE & REVIEW
“Hypersexuality is not a good thing. It was a need that I had to fill.”
– Gabe Howard
Highlights From ‘Hypersexuality’’ Episode
[1:40] What is the correct definition of hypersexuality?...
Source: World of Psychology - April 8, 2019 Category: Psychiatry & Psychology Authors: A Bipolar, a Schizophrenic, and a Podcast Tags: A Bipolar, A Schizophrenic, and a Podcast Addiction Relationships Schizophrenia Source Type: blogs
Does Health Insurance Pay For Essure Removal?
We are frequently asked does health insurance pay for Essure removal?
Essure was first approved in 2001. At first not many women opted to have the Essure procedure. As doctors became more comfortable offering Essure and as the public became aware Essure was tubal ligation alternative, more women chose to use Essure for permanent birth control (sterilization).
Sterilization is intended to be permanent.
Research has shown that a significant number of women will regret their sterilization and desire to have another baby. Some of these women will consider in-vitro fertilization and some will consider surgical reversal of steri...
Source: Tubal Reversal Blog - March 11, 2019 Category: Reproduction Medicine Authors: Dr. Monteith Tags: Essure removal health insurance pay Source Type: blogs
What I Chose to Leave Behind
Books can represent signposts on my spiritual journey. I recently went over our bookshelves because they overflowed with books. They got to that point on account of the generosity of others who wanted to pass on books that we might like to read. I didn ’t want the bookshelves to look so messy so I began a purge. I first asked God to show me which books I no longer needed so that I could bless other people.There were books that had been significant at a particular stage in my spiritual journey. They had assisted me in attaining emotional and spiritual healing after a devastating event that changed the course of my life on...
Source: The Dance of Life - February 5, 2019 Category: Cancer & Oncology Tags: cancer Life experiences My Spiritual Journey Reflections Source Type: blogs
Excellent surgeons are those who are quick to recognize their mistakes
“Dr. Rahman, this is the nurse in OR 12, Dr. H is doing a robotic/laparoscopic hysterectomy. He thinks he’s injured the ureter and is requesting help. Are you available?” I knew what came next was going to be complex — challenging surgically, disruptive to my schedule and potentially risky. I told the nurse that I […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 27, 2018 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/naeem-rahman" rel="tag" > Naeem Rahman, MD < /a > < /span > Tags: Conditions Surgery Source Type: blogs
Excellent surgeons those who are quick to recognize their mistakes
“Dr. Rahman, this is the nurse in OR 12, Dr. H is doing a robotic/laparoscopic hysterectomy. He thinks he’s injured the ureter and is requesting help. Are you available?” I knew what came next was going to be complex — challenging surgically, disruptive to my schedule and potentially risky. I told the nurse that I […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 27, 2018 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/naeem-rahman" rel="tag" > Naeem Rahman, MD < /a > < /span > Tags: Conditions Surgery Source Type: blogs
Last Month in Oncology with Dr. Bishal Gyawali: November 2018
By BISHAL GYAWALI MD
Keynote speech
There was a very sobering piece in NEJM by the FDA last month in which the authors try to explore what went wrong with the Keynote-183, Keynote-185 and checkmate 602 trials testing PD-1 inhibitors combinations with pomalidomide or lenalidomide and dexamethasone in multiple myeloma. Interim analysis of Keynote 183 and 185 revealed detrimental effects on overall survival (OS) with hazard ratios of 1.61 and 2.06, not explained by differences in toxicities alone. The checkmate 602 trial was also halted in light of these findings and also showed higher mortality in the nivolumab combina...
Source: The Health Care Blog - December 17, 2018 Category: Consumer Health News Authors: matthew holt Tags: Pharmaceuticals Physicians Bishal Gyawali Cancer drugs cancer immunotherapy Clinical Trials FDA Oncology PD-1 inhibitors Source Type: blogs
Questioning Your Doctor is Ok
I received a good question(s) from a reader:
In your “Changing the culture” posting there is the comment: “Patients seeking medical treatment should not assume a prescribed therapy is beneficial just because a doctor says it is.”… How then does a patient evaluate a proposed treatment in a way that they aren’t thwarting a doctor from performing what may be a needed course of treatment? … Other writing I’ve seen describes doctors being too accommodative to patients reluctance at a treatment. A bad feedback loop if there was one.
Patients should definitely not assume a tr...
Source: Dr John M - November 5, 2018 Category: Cardiology Authors: Dr John Source Type: blogs
Grander Lessons from a Failure of Robotic Surgery
This week on my podcast, I deviated briefly from cardiology to discuss a shocking and sad study highlighting the vital nature of doing randomized controlled trials in the practice of medicine.
The reason I mentioned a trial comparing 2 types of hysterectomy (removal of the uterus) in women with early stage cervical cancer was not to opine on matters of cancer, but because the tragic story shows the harm doctors can do if we incorporate therapies without proper testing.
The New England Journal of Medicine published a trial in which women with early cervical cancer were randomized to two types of hysterectomy:
One was the...
Source: Dr John M - November 4, 2018 Category: Cardiology Authors: Dr John Source Type: blogs
Does Health Insurance Pay For Essure Reversal?
As a specialty center for Essure reversal, our office staff are frequently asked “Does health insurance pay for Essure reversal?”
Essure was first approved in 2001. At first, not many women opted to have the Essure procedure. Very few Essure procedures were performed.
After the Bayer Health Care Corporation acquired Essure in 2013, more aggressive marketing of Essure occurred, more doctors began offering Essure, and more women opted to use Essure for permanent birth control (sterilization).
It has been estimated that over 750,000 women world-wide have had Essure. The actual numbers of women who have Essure inse...
Source: Tubal Reversal Blog - October 28, 2018 Category: Reproduction Medicine Authors: Dr. Monteith Tags: Essure reversal Source Type: blogs
Inside Hologic ’s Evolving Definition of Women’s Healthcare
Hologic (NSDQ:HOLX), known in the medtech industry for its mammography and diagnostics devices, is rethinking what it means to be a women’s healthcare company.
The 6,000-person company wants to expand its reach to include products that care for women’s well-being, as well as their health – a concept that Dr. Edward Evantash honed when he led the Ob/Gyn division at Tufts Medical Center.
“The beauty of being an Ob/Gyn is that you really take care of women throughout the continuum of their lifecycle,” Evantash, Hologic’s medical director & VP of global medical affairs, told MassDevice.com. “You get the ful...
Source: Medgadget - September 5, 2018 Category: Medical Devices Authors: Editors Tags: Sponsored Content Source Type: blogs
A health insurer ’s true motives
A patient came to see me with lower abdominal pain. Was she interested in my medical opinion? Not really. She was advised to see me by her gynecologist who had advised that the patient undergo a hysterectomy. Was this physician seeking my medical advice? Not really. Was this patient coming to see me as her day was boring and she was bored and needed an activity? Not really. After the visit with me, was the patient planning to return for further discussion of her medical status? Not really.
So, what was going on here. What had occurred that day was the result of an insurance company practice that I had t...
Source: Kevin, M.D. - Medical Weblog - July 17, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/michael-kirsch" rel="tag" > Michael Kirsch, MD < /a > Tags: Physician Gastroenterology OB/GYN Source Type: blogs
Michelle ’ s Wheat Belly health and weight transformation
Michelle shared her Wheat Belly transformation in health and weight, something that none of her doctors helped accomplish. She accomplished all this on her own–with spectacular results: thinner, no longer a diabetic, reversed fatty liver, rashes, and hormonal distortions.
“Just wanted to share how unhealthy I was pre-Wheat Belly. I did not feel well and had diabetes, high liver enzymes, high cholesterol including high triglycerides, high ferritin levels, rashes and too many other things to mention.
“I started Wheat Belly because my life depended on it. Don’t let your health get that far. I hav...
Source: Wheat Belly Blog - June 28, 2018 Category: Cardiology Authors: Dr. Davis Tags: News & Updates diabetes facial change Inflammation undoctored Weight Loss wheat belly Wheat Belly Total Health Source Type: blogs
Patient Modesty: Volume 87
EO, a visitor writing in the Comment section of Volume 86 of this thread title has set the stage for further discussion-- particularly the way male patients are treated within the medical system. I thought his narrative would be appropriate to start this Volume. ..Maurice.Graphic: My composition using ArtRage and appearing as the graphic on the thread "Order vs Chaos in Medical Practice"At Sunday, May 06, 2018 3:55:00 PM, Though I am encouraged that many of the contributors to this blog have become activists as regards affording male clients (patients) the same rights as female clients when it comes to mode...
Source: blog.bioethics.net - May 7, 2018 Category: Medical Ethics Authors: Maurice Bernstein, M.D. Tags: Health Care syndicated Source Type: blogs
Patient Modesty: Volume 87
Discussion Blog)
Source: Bioethics Discussion Blog - May 7, 2018 Category: Medical Ethics Source Type: blogs
