Doctors can tell many tales of what they term as a difficult encounter.  Just as many patients can recall doctors whom they would say are difficult to work with as well.

Patients deemed difficult included those with more than five symptoms, severe symptoms or an underlying mental disorder or were less functional. These patients were less likely to fully trust or be satisfied with their physician, and they were more likely to report a worsening of symptoms two weeks after their visit.

Read more: http://www.kevinmd.com/blog/2011/03/difficult-patient-doctors-responsible.html

 

Early PSA Predicts Prostate Cancer Risk — But Then What?

Posted by: admin on: August 18, 2011

In October 2010, an article was published in Cancer Online that looked at more than 20,000 men from Sweden who had their blood drawn and stored when they were between the ages of 33 and 50. Over time, through 2006, more than 1400 of the men were diagnosed with prostate cancer.

The investigators went back and tested the blood samples of these men to see what their PSA [prostate-specific antigen] levels were up to 30 years before the diagnosis of prostate cancer was made. They found that if the PSA was > 0.63 ng/mL, they had a significant chance of developing cancer or advanced cancer many years in the future.

The bottom line is that this is interesting information and warrants further evaluation to see what would be the best approach, but it doesn’t find all men who have aggressive cancer, and it could turn out that men who have life-threatening disease might not have been detected 30 years earlier by using this PSA cutoff.

Read more:  http://www.medscape.com/viewarticle/733120

Alcohol Addiction

Posted by: admin on: August 17, 2011

VANCOUVER – B.C. will soon become the first jurisdiction in Canada to recognize alcohol addiction as a chronic medical condition.

Health Minister Colin Hansen said the change, to take effect April 1, will put the emphasis on preventive measures and give family doctors more time and resources to treat patients with alcohol addiction.

“It’s saying to family physicians that if they identify somebody that has a chronic alcohol problem, they can treat them in the same way they would treat complex illnesses,” he said.

Read the rest of this entry »

Obesity should not require specialists to manage

Posted by: admin on: August 17, 2011

No matter what our current practice or specialty, at some point during medical school we will have had to study and demonstrate our knowledge and competency in dealing with common disorders like diabetes, hypertension, depression, chronic pain and countless other ailments.

In addition, we will have spent hours poring over much rarer disorders, conditions that many of us may never see in a lifetime of practice.

Read the rest of this entry »

A New Risk Factor Found for Colon Cancer: Lack of Sleep

Posted by: admin on: August 17, 2011

Researchers recently found that individuals who averaged less than six hours of sleep at night had an almost 50 percent increase in the risk of colorectal adenomas compared with individuals sleeping at least seven hours per night. Adenomas are a precursor to cancer tumors, and left untreated, they can turn malignant.

“To our knowledge, this is the first study to report a significant association of sleep duration and colorectal adenomas,” said Li Li, MD, PhD, the study’s principal investigator. “A short amount of sleep can now be viewed as a new risk factor for the development of the development of colon cancer.”

Read more:  http://www.endonurse.com/news/2011/02/a-new-risk-factor-found-for-colon-cancer-lack-of-sleep.aspx

 

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