September 04, 2009
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Should the 'War on Cancer' focus more on prevention, rather than treatment?
A new semester is upon us, and it is fun to see all the new medical and graduate students milling about the hospital. After a relaxing summer without much big news on the cancer front, just this week alone, I have come across several interesting tidbits and websites (looks like we are all back to work, just like the students!). I also start my biostats class today (pray for me).
- A great summary article (by a neurosurgeon!) of the utter craziness that is the Medicare Relative Value Units (RVU) payment system (or how primary care doctors continue to get the shaft).
- Are we missing an opportunity to prevent or cure more cancers by focusing the War on Cancer on treatment rather than prevention? (My answer: yes, but patients also need good treatments). There is also a good counterpoint here on how industry is overemphasizing the search for cancer drugs, at the expense of other diseases.
- Read as an obstetrician explains why she believes that alternative health practices are a form of fundamentalism. (One beef with her rationale: The reason life expectancy is increased is largely driven by better prenatal and birth practices and better sanitation and vaccines, so I don't think medicine can claim all the prolongation in life expectancy — a number which by its nature is heavily weighted by infant mortality).
- This letter to the editors of The New England Journal of Medicine perfectly sums up my concerns with resident work-hour limitations — they lead to a reduction in professionalism.
- A man experiences unusual mental clarity during his chemotherapy (not the usual "chemo brain," is it?) for his recurrent esophageal cancer.