Patient dismissed from primary care clinic for making anti-trans statements
Breast cancer patient banned from Oregon hospital before mastectomy
An Oregan woman with breast cancer has spoken out after allegedly being banned from her medical clinic for questioning the presence of a trans flag in the medical setting.
www.dailymail.co.uk
Tl;dr:
-Patient repeatedly notes that a transgender flag in the clinic is "disrespectful" and "triggering" to her personally and demands it be removed.
-Clinic later dismisses patient for repeated "disrespectful and hurtful remarks" towards "the clinic commun...
Source: Student Doctor Network - September 8, 2023 Category: Universities & Medical Training Authors: futureapppsy2 Tags: Medical Students (MD) Source Type: forums
Nerve capping surgery
Anyone familiar with this for supposed neuroma? There's a surgeon around who advertising these. Things like post-mastectomy or amputee pain, neuralgia after hernia, etc. I'm skeptical at best... (Source: Student Doctor Network)
Source: Student Doctor Network - April 9, 2023 Category: Universities & Medical Training Authors: ragnathor Tags: Pain Medicine Source Type: forums
Surgeons being sued after transgender regrets their life changing decision made at 15 years old.
Detransitioned teen wants to hold 'gender-affirming' surgeons accountable: 'What happened to me is horrible'
Former transgender teenager Chloe Cole joined 'Tucker Carlson Tonight' to discuss her lawsuit against the doctors who performed a 'gender-affirming' double mastectomy.
www.foxnews.com (Source: Student Doctor Network)
Source: Student Doctor Network - November 11, 2022 Category: Universities & Medical Training Authors: Dr. Anonymouss Tags: Medical Students (MD) Source Type: forums
Breast case
31 y/o T2NO er/pr positive, vus in brca 2, no significant cancer history in family. Already got lumpectomy x 2 (initial + margins). Mastectomy never discussed as option. Have polled some surg onc colleagues at top tier places and probably 60/40 in favor of offering mastectomy. Thoughts? (Source: Student Doctor Network)
Source: Student Doctor Network - July 27, 2022 Category: Universities & Medical Training Authors: Reaganite Tags: Radiation Oncology Source Type: forums
Hypertension after Induction - Case Discussion
Hey guys I had a weird occurrence the other day and had to cancel a case. There probably aren't many explanations for what happened but I've been surprised by input on these forums before.
Patient is a 68 y/o female, 70kg, with a Hx of mild COPD (on stiolto), Hypertension, Hypothyroidism, and sleep apnea. She is scheduled for bilateral mastectomy with sentinel nodes for a 2 cm mass in the right breast, invasive lobular carcinoma. Hx both cataracts done in past 2 years. Hx hysterectomy and...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - July 22, 2022 Category: Universities & Medical Training Authors: DrOwnage Tags: Anesthesiology Source Type: forums
Breast cancer; prior lymphoma radiation
I have a case of an otherwise health 50 ish year old with a T1 luminal A breast cancer. MRI breast staging confirms T1N0M0.
Prior radiation for Hodgkin's at age 15.
I know the boards answer here, but it's so tempting to consider this for APBI if she desires BCS. I think cosmestically, etc it'll be fine. I guess my biggest worry is just lifetime risk of further breast cancers.
So I'm leaning mastectomy(ies) here.
Thoughts? (Source: Student Doctor Network)
Source: Student Doctor Network - May 12, 2022 Category: Universities & Medical Training Authors: BobbyHeenan Tags: Radiation Oncology Source Type: forums
Mastectomy Scar Boost
Where I trained we boosted everyone.... period.
Then when studying for oral boards just now I realized most major trials for PMRT did not boost.
One of those times you realize the "experts" that trained you might not actually know what they are doing.....
What do people do here? I'm probably going to drop it unless there's a reason to be worried about the scar (close/positive margin) (Source: Student Doctor Network)
Source: Student Doctor Network - November 5, 2021 Category: Universities & Medical Training Authors: dieABRdie Tags: Radiation Oncology Source Type: forums
Breast is the worst: another case!
42 year old healthy female diagnosed with a huge DCIS , received mastectomy and sentinel lymph node dissection.
Inside the 11cm big DCIS, 2 invasive ductal carcinomas were found, biggest one was 2.2cm in diameter.
Axillary status is pN1 with a micrometastasis in 1 / 3 nodes (0.5 mm), no ECE.
Reconstruction was performed with an implant. Oncotype Dx score is 12, so no chemotherapy.
So, it's a pT2(m) pN1 (1/3mi) cM0 L0 V0 Pn0 R0 ER100% PR10% Her2- G2 invasive ductal carcinoma.
Looking...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - June 30, 2021 Category: Universities & Medical Training Authors: Palex80 Tags: Radiation Oncology Source Type: forums
Breast SIB
Anybody ever SIB a worrisome axillary level 2 node following mastectomy with 4/19 level 1 nodes. Plus/minus on whether the patient would be willing to undergo further resection, and has already said no to adjuvant chemotherapy. I'm just wondering about an sib if all other avenues are blocked. (Source: Student Doctor Network)
Source: Student Doctor Network - January 31, 2021 Category: Universities & Medical Training Authors: Ray D. Ayshun Tags: Radiation Oncology Source Type: forums
Complex elderly breast case.
I have an 83 year old that had a 5 cm VERY far medial left breast mass, eroding into skin and rib/pec muscle. She has a number of comorbidities including CHF with a pacer/defib.
Clinical staging was T3N1 (a few axilla nodes)M0.
She had an excision of the mass (just did a "lumpectomy") and axillary dissection. + margins into the chest wall muscle as you'd expect. Really surgeon didn't think she'd do as well with a mastectomy and family reports surgery was "really hard on her" so no more...
Complex elderly breast case. (Source: Student Doctor Network)
Source: Student Doctor Network - November 10, 2020 Category: Universities & Medical Training Authors: BobbyHeenan Tags: Radiation Oncology Source Type: forums
Nodal ITC after neoadjuvant chemotherapy
Dear colleagues,
I would greatly appreciate your input on this situation.
cT2N0 triple positive breast cancer.
Mastectomy and axillary clearance after neoadjuvant chemotherapy shows pCR in the breast and sentinel node biopsy shows ITC.
RT? Leave alone?
Thanks (Source: Student Doctor Network)
Source: Student Doctor Network - October 5, 2020 Category: Universities & Medical Training Authors: Treat Tags: Radiation Oncology Source Type: forums
PBI in N1mi (actual radiation question)
We should have a sub-forum where we ask radiation questions... Have a lady with a RUOQ T1N1mi ER/PR+ breast cancer s/p lumpectomy and SLNB with microscopic disease in the SLN. She has lupus with some mild cutaneous manifestations on plaquenil. She doesn't want mastectomy, and have discussed risks. The cavity with margin and level 1/2 could be treated pretty conveniently instead of WBRT, sparing a ton of tissue. Was wondering if this sounds reasonable in this setting. (Source: Student Doctor Network)
Source: Student Doctor Network - September 5, 2020 Category: Universities & Medical Training Authors: Ray D. Ayshun Tags: Radiation Oncology Source Type: forums
Is medical massage considered clinical experience?
Originally I asked this over at r/premed and while I got some excellent feedback I wanted to cross-post to see if anyone else had more thoughts / suggestions / clarity to share:
Title is pretty self-explanatory but for context here's what I'm talking about:
I've been a massage therapist for about 13 years. I've worked primarily with what is called "medical massage," e.g. clients post car accidents, surgeries (mastectomies, open heart surgeries, etc), those with chronic conditions looking...
Is medical massage considered clinical experience? (Source: Student Doctor Network)
Source: Student Doctor Network - July 21, 2020 Category: Universities & Medical Training Authors: whenpeanutmetbutter Tags: Nontraditional Students Source Type: forums
Breast Case
41 y/o female, 6cm IDC, 2 enlarged axillary lymph nodes on preop imaging (2cm and 1.5cm respectively), IDC, ER 10%, PR/HER-2-negative. 2cm axillary node core biopsy negative (clip placed at time of biopsy). BRCA-negative. Received neoadjuvant ACT with imaging showing complete resolution of breast mass and "normalization" of both enlarged nodes. (Per imaging, the 1.5 cm node initially showed thickened cortex but now normalized with fatty hilum). Got simple mastectomy + SLNB + immediate...
Breast Case (Source: Student Doctor Network)
Source: Student Doctor Network - May 29, 2020 Category: Universities & Medical Training Authors: Reaganite Tags: Radiation Oncology Source Type: forums
pN0(i+), do you treat the nodes?
Dear friends,
I have a 39 yo female diagnosed with a 2.3 cm IDC of the left Breast. she underwent a partial mastectomy with sentinel node sampling. it is a grade 3 IDC, Ki67 30%, 2 LN were sampled, both positive with isolated cells <2mm (i+). LVSI +. she received adjuvant chemotherapy.
i know that according to Z0011, it is justified not to irradiate the nodes.
What is the best practice now, considering her age and the grade? (Source: Student Doctor Network)
Source: Student Doctor Network - January 17, 2020 Category: Universities & Medical Training Authors: Kroll2013 Tags: Radiation Oncology Source Type: forums
