The hidden work of primary care
It was nearing the end of my day at the mobile health clinic where I work as a nurse practitioner, providing free, comprehensive primary care to uninsured patients in central Florida. Clinic was officially over, and we were no longer taking patients; I was signing notes and finishing up some teaching points with a PA student when a woman walked up and asked me if she could “talk to me for a minute, just to ask a quick question.” After many years working in community health, I know these types of requests are rarely “quick,” but, understanding our patients’ limited opportunities access to care, I obliged. As soon ...
Source: Kevin, M.D. - Medical Weblog - December 11, 2017 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/michelle-nall" rel="tag" > Michelle Nall, MPH, ANP-BC < /a > Tags: Policy Primary Care Source Type: blogs

Racial inequalities in cancer survival
Three studies published in a supplemental issue of the journal Cancer this month come to disturbing conclusions: in the United States, the survival rates for colon, breast, and ovarian cancer are lower for black people than for white people. The news isn’t all bad: overall cancer survival rates are going up. The three studies mentioned here draw from two larger studies of worldwide cancer survival, the CONCORD... // Read More » (Source: blog.bioethics.net)
Source: blog.bioethics.net - December 10, 2017 Category: Medical Ethics Authors: Joe Gibes Tags: Health Care Justice Allocation / Access / Public Health allocation/access/public health; health care practice bioethics Culture / Ethnicity / Gender / Disability human dignity medicine racism syndicated Source Type: blogs

Why PCO patients should induce a period every month
Polycystic ovarian disease ( PCOD) is a common cause of infertility. Typically, most of these patients have irregular cycles because they don't ovulate regularly. Now, because they don't ovulate, they don't get pregnant , and they don't get regular periods either . This is because they produce a lot of estrogen, but there's no progesterone production at all, because of the lack of ovulation.Now, this means that every time they miss a period, they're very hopeful that this time they could be pregnant. They wait and they wait, and after two months or three months they don't get a period, they finally go to a doctor who does ...
Source: Dr.Malpani's Blog - December 5, 2017 Category: Reproduction Medicine Source Type: blogs

The Couric-Jolie effect: The impact of celebrities ’ medical advice
Follow me on Twitter @RobShmerling Some called it the Katie Couric effect. Soon after her husband died of colon cancer in 1998, the journalist and television personality had a televised colonoscopy to promote the test. Rates of screening colonoscopies soared for at least a year. Or, call it the Angelina Jolie effect. In 2013, the actress wrote an editorial in the New York Times about the tests she had for genes (called BRCA) linked with breast and ovarian cancer, and how the positive result led her to have a double mastectomy. Soon after, rates of BRCA testing jumped. Whatever you call it, the effect is real. When it comes...
Source: Harvard Health Blog - December 1, 2017 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Health Health care Managing your health care Source Type: blogs

The Couric-Jolie effect: When celebrities share their medical experiences
Follow me on Twitter @RobShmerling Some called it the Katie Couric effect. Soon after her husband died of colon cancer in 1998, the journalist and television personality had a televised colonoscopy to promote the test. Rates of screening colonoscopies soared for at least a year. Or, call it the Angelina Jolie effect. In 2013, the actress wrote an editorial in the New York Times about the tests she had for genes (called BRCA) linked with breast and ovarian cancer, and how the positive result led her to have a double mastectomy. Soon after, rates of BRCA testing jumped. Whatever you call it, the effect is real. When it comes...
Source: Harvard Health Blog - December 1, 2017 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Health Health care Managing your health care Source Type: blogs