Benzodiazepines in palliative care
70 year old pancreatic cancer patient, unclear what stage, but receiving chemo/surgery for it. Also on fentanyl patch and oxycodone IR TID 5mg. Whats your overall policy with benzos in palliative care with a patient already on opioids? Are you more lenient, if patients respiratory function is being monitored? (Source: Student Doctor Network)
Source: Student Doctor Network - February 19, 2024 Category: Universities & Medical Training Authors: annoyedpsychiatrist Tags: Psychiatry Source Type: forums
Hypoglycemia from intermittent fasting??
I am an anesthesiologist so I’m looking for insight from my IM colleagues, especially endocrine.
My golf buddy claims that he occasionally gets hypoglycemia late in the morning when intermittent fasting. Totally healthy, non overweight 45 year old. No meds. Fasts from 6 pm to 10 am. Says he gets visual disturbances that sound like scotoma, maybe some lightheadedness. Reverses with food. Worse if exercise before food.
Seems like healthy pancreas/glucogon would prevent this, am I wrong? (Source: Student Doctor Network)
Source: Student Doctor Network - January 16, 2024 Category: Universities & Medical Training Authors: caligas Tags: Internal Medicine and IM Subspecialties Source Type: forums
Trials to send referrings
I thought it might be good to have a running thread of recent trials or papers you’ve sent or will send to your referrings to create new referral patterns.
I’ll start:
Prophylactic Radiation Therapy Versus Standard of Care for Patients With High-Risk Asymptomatic Bone Metastases: A Multicenter, Randomized Phase II Clinical Trial - PubMed
Radiation delivered prophylactically to asymptomatic, high-risk bone metastases reduced SRE and hospitalizations. We also observed an improvement in OS with prophylactic radiation, although a confirmat...
Source: Student Doctor Network - September 30, 2023 Category: Universities & Medical Training Authors: grenz Tags: Radiation Oncology Source Type: forums
Reapplication - Please assess my application
Please be completely honest. Thank you! I'm not quite sure how to improve my application.
ORM, SES disadvantaged
cGPA: 2.76 (Post-bacc: 4.0, full-time for several years)
SMP GPA: 3.67
MCAT: 519
IA: Academic dismissal halfway through undergraduate, went through readmissions process
Clinical:
• MA, scribe & manager for internal medicine: ~4000 hours
• MA urology: ~1500 hours
Research:
• Pancreatic cancer wet lab research (no publication/poster): ~900 hours
• Oncology database clinical...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - May 14, 2023 Category: Universities & Medical Training Authors: premed-dodo Tags: Re-Applicants Source Type: forums
New podcast for the residents/medical students!
Drs. Alexander Buttress and Levin Fairchild, PGY-2 general surgery residents at UT-Chattanooga discuss the daily life of a general surgery resident, as well as important topics within medicine from the Match, Step 1, the emotional toll of being a surgery resident, financial challenges of residency, and much more! The show is titled "Don't F*** with the Pancreas", we hope you'll give us a listen and reach out to us with suggestions for future talks, stories of your own, and any questions...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - February 7, 2023 Category: Universities & Medical Training Authors: abuttress Tags: Medical Students (MD) Source Type: forums
borderline pancreas volumes
Wondering how people are doing volumes in BR pancreas when using conventional chemorads. The recently published Preopanc trial based volumes strictly off of gross disease, albeit using a different dose schema. On the other hand, we've historically treated a large volume with ENI from above the celiac down to L2 and into the porta, including the para-aortic, portal venous, celiac, and SMA in the case of head tumors. Based strictly on tolerability, I suspect more people complete the more...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - September 20, 2021 Category: Universities & Medical Training Authors: Ray D. Ayshun Tags: Radiation Oncology Source Type: forums
Working in two labs at once?
Hi all,
This summer I interviewed for and was fortunately offered a research intern role in the paralysis center at a very good hospital where I am. I was really interested in this opportunity since not only is there an opportunity to contribute to research, but also a chance to interact with patients and be in the OR.
Earlier today, I received an email from one of my contacts at a top cancer institute who connected me with a researcher who is doing research in pancreatic cancer which I...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - September 19, 2021 Category: Universities & Medical Training Authors: tneduts lacidem-erp Tags: Pre-Medical (MD) Source Type: forums
Whippe Procedure and Arterial Lines.
How often are you NOT placing an arterial line for a Whipple. I have a surgeon who suggests that it’s not indicated just because it’s a Whipple, and although I could be persuaded, these patients rarely come in with just pancreatic cancer. It’s not like this surgeon is a whiz at them either but I like to hear the thoughts of others here. (Source: Student Doctor Network)
Source: Student Doctor Network - February 19, 2021 Category: Universities & Medical Training Authors: 0kazak1 Tags: Anesthesiology Source Type: forums
Aggressive pancreatic schemes
Just a general question. My approach in training for inoperable pancreas cancer in the setting of no distant disease was either "palliative" (as per Chris Crane) SBRT or standard chemoRT. I find both those options less appealing for various reasons than the 67.5/15 approach, or even 75/25. I'm wondering what other people are doing who don't have MR Linacs. (Source: Student Doctor Network)
Source: Student Doctor Network - December 31, 2020 Category: Universities & Medical Training Authors: Ray D. Ayshun Tags: Radiation Oncology Source Type: forums
Was patient mislead? Told she was "cancer-free" after 3 weeks of radiation therapy
Justice Ruth Bader Ginsburg says she's cancer-free
Thursday, January 9, 2020
Supreme Court Justice Ruth Bader Ginsburg says she's starting the new year cancer-free.
The 86-year-old was "energized and speaking animatedly" when she told CNN, "I'm cancer free. That's good," during a rare sit-down interview from her chambers on Tuesday.
This was the fourth time over the past 20 years Ginsburg has beaten cancer. She had colorectal cancer in 1999, pancreatic cancer in 2009 and lung cancer surgery...
Was patient mislead? Told she was "cancer-free" after 3 weeks of radiation therapy (Source: Student Doctor Network)
Source: Student Doctor Network - September 19, 2020 Category: Universities & Medical Training Authors: msnbc2020 Tags: Radiation Oncology Source Type: forums
Using an abbreviated name of a specific research center in a secondary
For one of my secondaries, I found that I can use the abbreviation of a specific research institute at the school and it fits the word count perfectly. Can I use this without spelling it out, especially if I mention what that department does in my essay? For example, let's say I want to do research on pancreatic cancer at the National Cancer institute, is it okay if I just say, "and staff members at the NCI may help me start a project on pancreatic cancer." (Source: Student Doctor Network)
Source: Student Doctor Network - September 16, 2020 Category: Universities & Medical Training Authors: LiteralLungs Tags: Pre-Medical - MD Source Type: forums
Adversity topic for secondaries
Which of these is better for my adversity essay for secondaries:
1) My mom was diagnosed with stage 3 pancreatic cancer at the end of my second year in undergrad. I had to drive back and forth from school (2 hour trip) to take care of her and attend her chemo sessions and surgeries in addition to keeping of my school work and activities.
2) I moved around a lot cross-county when I was growing up. I only went to each school for K-12 for a max of 2 years before changing schools. This led to...
Adversity topic for secondaries (Source: Student Doctor Network)
Source: Student Doctor Network - June 3, 2020 Category: Universities & Medical Training Authors: username1000 Tags: Pre-Medical - MD Source Type: forums
Clinical Cancer Advances 2020
Refinement of surgery takes the prize for 2020.
And many other survival-improving advancements mentioned.
Rad onc advances: helped make surgery possible in pancreatic, a non-practice-changing SABR-COMET ("improves survival"?), and CDDP+XRT still a standard in HPV+ H&N cancer. (Source: Student Doctor Network)
Source: Student Doctor Network - February 17, 2020 Category: Universities & Medical Training Authors: scarbrtj Tags: Radiation Oncology Source Type: forums
liver SBRT for single large lesion
Dear colleagues,
your opinion is highly appreciated:
55 years old female, diagnosed of a pancreatic adenocarcinoma in 2017. She underwent a Whipple surgery followed by adjuvant chemoradiation to the tumor bed using a 3 fields 3D-conformal plan.
In 2019, she developed a single liver lesion of 2.5 cm , segment VIII treated with RFA.
3 months after, the lesion progressed in size reaching 7 cm , CA19-9 5000, with no other secondary lesion elsewhere.
Her liver function is maintained, only...
liver SBRT for single large lesion (Source: Student Doctor Network)
Source: Student Doctor Network - February 4, 2020 Category: Universities & Medical Training Authors: Kroll2013 Tags: Radiation Oncology Source Type: forums
Transplant Surgery & Research? Is that Academic Transplant Surgery?
Hey ya'll. Question
I want to research to discover how to generate the pancreas. I also want to become a surgeon. I was thinking that if I become a transplant surgeon, it will be a great match for doing both, since, obviously, the goal is to transplant the pancreases I, hopefully, make into people suffering from pancreatic diseases, specifically Type 1 Diabetes to cure them completely. I do know kidneys would be required too, maybe the discovery of one will serve to complement research and...
Transplant Surgery & Research? Is that Academic Transplant Surgery? (Source: Student Doctor Network)
Source: Student Doctor Network - December 2, 2019 Category: Universities & Medical Training Authors: soundofwonder Tags: Surgery and Surgical Subspecialties Source Type: forums
