New to Meducation?
Sign up
Already signed up? Log In

Category

11
2
16

Improving outcomes in breast cancer | Guidance and guidelines | NICE

In 1996, the Department of Health published a document called Improving Outcomes in Breast Cancer. It recommended which healthcare professionals should be involved in the treatment, management and care of women with breast cancer. It also recommended how these services should be organised so that women with breast cancer across England and Wales would receive high-quality healthcare.  
nice.org.uk
about 6 years ago
8
2
22

The ZedScan as an adjunct to colposcopy in women with suspected cervical intra‑epithelial neoplasia | Advice | NICE

NICE has developed a Medtech Innovation Briefing (MIB) on ZedScan as an adjunct to colposcopy in women with suspected cervical intra epithelial neoplasia.  
nice.org.uk
about 6 years ago
Preview
2
44

Save Your Bones: Osteoporosis Update 2014 - Research on Aging

(Visit: http://www.uctv.tv) Osteoporosis may have no symptoms, but it causes bones to become weaker. As many as half of all women and a quarter of men older ...  
youtu.be
over 5 years ago
8
2
123

EXPERIENCE OF A MALE OB & GYN IN A MUSLIM CULTURE IN PAKISTAN.

As part of my post retirement ob & gyn activities, I spent two years in the early nineties, working at the Aga Kahn Medical School in Karachi, Pakistan. That is a most modern facility with excellent staff and resources and great medical students. One can imagine that the majority of obstetricians and gynecologists in a muslim country, like Pakistan, are female and that male ob & gyn might encounter some difficulties It was my distinct impression that often it is not the woman herself who objects to being examined and treated by a male, but rather the husband. An anecdote of a real situation which I encountered will illustrate this. One day I was sitting in my office next to the labor and delivery suite as one of the more junior female residents came running into my office, quite excited. “Doctor Le Maire, could you please come quickly? One of the laboring patients has some very major drop in the baby’s heartbeat. I am worried but cannot reach her private doctor and the doctor on call is in the operating room.” I ran over to the delivery suite with the resident and into the patient’s room. She was obviously in much discomfort and her husband was at her side. One of the first things an obstetrician may do when a woman in labor shows signs of some problem with the undelivered baby as evidenced by a drop in the baby’s heart rate, is to examine the woman vaginally. In doing so, the he or she can determine if the baby can be quickly delivered or if there is a reason for the drop in the baby’s heart rate, such as a loop of the umbilical cord being compressed by the head, in which case an immediate C- Section might be necessary. So I immediately put on a pair of sterile gloves and got ready to examine the woman. She herself was perfectly ready to let me do this, but her husband stopped me and told me that he objected to his wife being examined by a male. This was even in the face of a serious situation with potential for harm to his unborn baby. There was no time to be lost trying to reach one of the female attendings, so I did the next best thing and told the very junior resident to take the patient into the operating room and examine her there and let me know the findings, while I was getting the operating room organized to do a C-Section, if called for. The strange thing is that the husband would have let me do a C- Section on his wife, but not a vaginal exam. As it turned out, by the time the patient ended up in the operating room, her private doctor had been located and was in attendance. The outcome was good and a healthy baby was delivered soon after. However the situation could have been quite different and catastrophic. Even stranger to me was that the woman’s husband was not a lay person but actually a chief resident in anesthesiology in the same hospital, with whom I had worked together in the operating room on a number of occasions. I would never have thought that an educated person and a medically educated person at that, would jeopardize the well being of his unborn child and wife, based on cultural and religious beliefs. Later on in the year this same anesthesiology resident came to ask me for a letter of recommendation as he wanted to apply for a specialized fellowship in the USA. I hope that the reader can understand why I politely (perhaps not so politely) refused. Those interested can read more about my experiences in an e book, entitled "Crosscultural Doctoring. On and Off the Beaten Path." One can down load it for free to the reader device of your choice from Smashwords at: http://smashwords.com/books/view/161522. Or just Google Crooscultural Doctoring.  
DR William LeMaire
over 5 years ago
11
1
31

Case Discussion with Experts, Drs. Julie Brahmer and Greg Riely: Case 1 (audio)

<p><span style="font-family: arial, sans, sans-serif; font-size: 13px; white-space: pre-wrap;">Case discussion with Dr. Julie Brahmer of Johns Hopkins University and Dr. Gregory Riely of Memorial Sloan Kettering, on a case of a woman with poorly differentiated NSCLC, responding well to fist line chemotherapy.</span></p>  
Howard (Jack) West, MD
over 11 years ago
12
1
27

Case Discussion with Experts, Drs. Julie Brahmer and Greg Riely: Case 1 (video)

<p><span style="font-family: arial, sans, sans-serif; font-size: 13px; white-space: pre-wrap;">Case discussion with Dr. Julie Brahmer of Johns Hopkins University and Dr. Gregory Riely of Memorial Sloan Kettering, on a case of a woman with poorly differentiated NSCLC, responding well to fist line chemotherapy.</span></p>  
Howard (Jack) West, MD
over 11 years ago
12
1
58

Adnexal Masses

Topics Today, I&#8217;ll discuss the evaluation and management of adnexal masses, including ovarian cysts, endometriomas and ovarian cancer. Ovarian Neoplasms&#8230; View Text Here Free Links: OBGYN-10 OBGYN-101 Gray Haired Note Ovarian Neoplasm Links, in the Global Library of Women&#8217;s Medicin Brookside Associates Medical Education Division  
Mike Hughey, MD
over 11 years ago
2
1
30

SABCS 2008 | Case01

ResearchToPractice.com/SABCS_2008 – Second Opinion: Proceedings and Interviews from a 2-Part CME Satellite Symposia Held at the 31st Annual San Antonio Breast Cancer Symposium. Case: 38-year-old premenopausal woman with a 2-cm, Grade III, ER/PR-positive, HER2-positive IDC and a 1.8-cm, biopsy-confirmed hepatic metastasis. Interviews conducted by Neil Love, MD. Produced by Research To Practice.  
Dr Neil Love
over 11 years ago
3
1
30

SABCS 2008 | Case02

ResearchToPractice.com/SABCS_2008 – Second Opinion: Proceedings and Interviews from a 2-Part CME Satellite Symposia Held at the 31st Annual San Antonio Breast Cancer Symposium. Case: 49-year-old woman with biopsy-confirmed liver and lung metastases three years after adjuvant AC for a triple-negative IDC. Interviews conducted by Neil Love, MD. Produced by Research To Practice.  
Dr Neil Love
over 11 years ago
4
1
29

SABCS 2008 | Case03

ResearchToPractice.com/SABCS_2008 – Second Opinion: Proceedings and Interviews from a 2-Part CME Satellite Symposia Held at the 31st Annual San Antonio Breast Cancer Symposium. Case: 47-year-old woman with multiple unresectable brain metastases eight years after adjuvant anthracycline/taxane therapy for an ER/PR-negative, HER2-positive IDC. Interviews conducted by Neil Love, MD. Produced by Research To Practice.  
Dr Neil Love
over 11 years ago
5
1
59

SABCS 2008 | Case04

ResearchToPractice.com/SABCS_2008 – Second Opinion: Proceedings and Interviews from a 2-Part CME Satellite Symposia Held at the 31st Annual San Antonio Breast Cancer Symposium. Case: 65-year-old woman with rapidly progressive, symptomatic bone and lung metastases after recurrence during her fifth year of an adjuvant aromatase inhibitor for ER/PR-positive, HER2-negative BC. Interviews conducted by Neil Love, MD. Produced by Research To Practice.  
Dr Neil Love
over 11 years ago
6
1
26

SABCS 2008 | Case05

ResearchToPractice.com/SABCS_2008 – Second Opinion: Proceedings and Interviews from a 2-Part CME Satellite Symposia Held at the 31st Annual San Antonio Breast Cancer Symposium. Case: 62-year-old woman with a neglected 6-cm, ER/PR-positive, HER2-positive IDC and biopsy-proven lung metastases who refuses chemotherapy. Interviews conducted by Neil Love, MD. Produced by Research To Practice.  
Dr Neil Love
over 11 years ago
7
1
60

SABCS 2008 | Case06

ResearchToPractice.com/SABCS_2008 – Second Opinion: Proceedings and Interviews from a 2-Part CME Satellite Symposia Held at the 31st Annual San Antonio Breast Cancer Symposium. Case: 47-year-old postmenopausal woman with a 1.8-cm, ER/PR-positive, HER2-negative, node-negative BC who developed bone metastases after four years of an adjuvant aromatase inhibitor. Interviews conducted by Neil Love, MD. Produced by Research To Practice.  
Dr Neil Love
over 11 years ago
8
1
27

SABCS 2008 | Case07

ResearchToPractice.com/SABCS_2008 – Second Opinion: Proceedings and Interviews from a 2-Part CME Satellite Symposia Held at the 31st Annual San Antonio Breast Cancer Symposium. Case: 76-year-old woman with a 0.8-cm, ER/PR-positive, HER2-negative, moderately differentiated IDC with two positive nodes and an Oncotype DX® Recurrence Score® of 13. Interviews conducted by Neil Love, MD. Produced by Research To Practice.  
Dr Neil Love
over 11 years ago
9
1
30

SABCS 2008 | Case08

ResearchToPractice.com/SABCS_2008 – Second Opinion: Proceedings and Interviews from a 2-Part CME Satellite Symposia Held at the 31st Annual San Antonio Breast Cancer Symposium. Case: 76-year-old woman who underwent a mastectomy for a 6-cm, ER/PR-positive, HER2-positive, T4b IDC with skin ulceration and extensive dermal involvement. Interviews conducted by Neil Love, MD. Produced by Research To Practice.  
Dr Neil Love
over 11 years ago
10
1
25

SABCS 2008 | Case09

ResearchToPractice.com/SABCS_2008 – Second Opinion: Proceedings and Interviews from a 2-Part CME Satellite Symposia Held at the 31st Annual San Antonio Breast Cancer Symposium. Case: 41-year-old woman with a 1.8-cm, triple-negative, node-negative IDC, longstanding Type 1 diabetes and recent retinopathy. Interviews conducted by Neil Love, MD. Produced by Research To Practice.  
Dr Neil Love
over 11 years ago
11
1
20

SABCS 2008 | Case10

ResearchToPractice.com/SABCS_2008 – Second Opinion: Proceedings and Interviews from a 2-Part CME Satellite Symposia Held at the 31st Annual San Antonio Breast Cancer Symposium. Case: 67-year-old woman with a 2.5-cm, ER/PR-positive, HER2-negative, node-negative IDC who has completed five years of adjuvant anastrozole. Interviews conducted by Neil Love, MD. Produced by Research To Practice.  
Dr Neil Love
over 11 years ago
12
1
27

SABCS 2008 | Case11

ResearchToPractice.com/SABCS_2008 – Second Opinion: Proceedings and Interviews from a 2-Part CME Satellite Symposia Held at the 31st Annual San Antonio Breast Cancer Symposium. Case: A 37-year-old woman with a 0.4-cm, moderately differentiated, ER/PR-negative, HER2-positive, node-negative IDC. Interviews conducted by Neil Love, MD. Produced by Research To Practice.  
Dr Neil Love
over 11 years ago
13
1
19

SABCS 2008 | Case12

ResearchToPractice.com/SABCS_2008 – Second Opinion: Proceedings and Interviews from a 2-Part CME Satellite Symposia Held at the 31st Annual San Antonio Breast Cancer Symposium. Case: 56-year-old premenopausal woman with a 2.2-cm, ER/PR-positive, HER2-negative, node-negative IDC with 88 percent Ki-67. Interviews conducted by Neil Love, MD. Produced by Research To Practice.  
Dr Neil Love
over 11 years ago