Oncology/Hematology

Unlocking the hidden potential of physician scientists: the key to research breakthroughs and health care innovation

Physician
June 25, 2023

Ten years ago, as a new graduate, I sought an academic job that would protect my time for research. I was surprised to find that I was “unqualified”: I had no research funding and few published manuscripts. With these deficits, no institution was willing to give me a research job. Eventually, I was offered a clinical job that would protect my time at 20 percent. With this time, I was …

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The power of liquid biopsies and the challenge of health care disparities

Conditions
June 23, 2023

Laura Nuttall was diagnosed with deadly brain cancer at the age of 18 after going for a routine eye exam. She completed an incredible bucket list, which included meeting Michelle Obama, driving a monster truck, and commanding a Royal Navy warship before ultimately succumbing to her cancer this past Monday at the age of 23.

What if her cancer had been discovered earlier through a simple blood test? Could it …

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The inspirational journey of an 82-year-old WWII veteran battling cancer

Conditions
June 21, 2023

He was 82 years old when he came into our ER, writhing in excruciating abdominal pain. After an ultrasound and a subsequent CT scan, the devastating diagnosis was revealed—end stage pancreatic and liver cancer.

Despite enduring a pain level of 10, he managed to maintain his sense of humor, joking about “biting the bullet.” However, he admitted that the pain had become unbearable.

This resilient individual was not just any patient; he …

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Patients with chest numbness following mastectomy may experience lower quality of life

Conditions
June 21, 2023

Imagine not being able to fully feel a hug from your loved ones.

Not being able to feel your baby’s head nuzzled against your chest.

Feeling like a part of your body doesn’t belong to you.

These side effects are common following a mastectomy—and often permanent. Chest numbness is the result of nerves being cut during a mastectomy. When the severed nerves are not reconnected, they cannot transmit a signal to the brain, …

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Surviving multiple cancers: a tale of blessings and exceptional doctors

Conditions
June 21, 2023

Although it could be said that I’ve been very “unlucky” over the past couple of years due to surgeries and treatments for three separate cancers, I feel blessed by how “lucky” I have been to have had a combination of outstanding doctors.

Dealing with ongoing medical issues, as a health care professional, I fully appreciate the challenges facing patients and physicians alike in the current health care climate.

Thank you, doctors, for …

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A physician’s fight against insurance denials [PODCAST]

Podcast
June 17, 2023
YouTube video

Subscribe to The Podcast by KevinMD. Catch up on old episodes!

Join us in this compelling podcast episode as we dive into the world of insurance denials and the challenges faced by physicians and patients. Our guest, Jennifer Lycette, is not only a rural hematology-oncology physician but also …

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How excessively regulating doctors can harm patients

Physician
June 9, 2023

According to the American Board of Medical Specialties, its program for maintenance of certification (MOC) serves the patients, families, and communities of the United States and improves patient care by establishing high standards for ongoing learning, practice improvement, and assessment activities. Whether this is true or not has been a hotly contested topic in the medical profession for about two decades, when MOC was first introduced. Proponents claim that MOC …

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Proposed USPSTF guideline update: Advocating for earlier breast cancer screening at age 40

Conditions
June 3, 2023

Pop Quiz: At what age do medical experts recommend women of average risk for breast cancer begin receiving screening mammograms?

  1. 40
  2. 45
  3. 50
  4. All of the above.

If you answered “D,” you are correct. Confused? I don’t blame you. Medical societies and independent task forces do not agree on when to begin or end screening mammograms for women at average risk of developing breast cancer. This has led to confusion and …

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The rising threat of lung cancer in Asian American female nonsmokers

Conditions
June 3, 2023

“It’s adenocarcinoma,” said the voice on the other end of the phone.

I couldn’t believe it.

“Lung cancer? Me? How could that be? I’ve never smoked!” Shock, disbelief, and disappointment filled all the nooks and crannies of my mind and heart.

In January 2021, I went to my PCP after developing a nagging dry cough after starting lisinopril eight months prior, during the first months of COVID. I concluded that it was just …

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Heartwarming stories of cancer patients teaching us about life and the human spirit

Physician
May 30, 2023

I felt uneasy starting my oncology and leukemia rotations. These patients were so sick, and many of them had incurable cancer, often just weeks or days away from death. I wondered how I could help them, what we could do if we couldn’t treat their cancer. I’m grateful that these patients taught me not just much about how we can always help our patients and support them but also much …

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5 myths of treating sickle cell disease with automated red blood cell exchange

Conditions
May 19, 2023

Not all transfusion therapies are the same.

Unlike other transfusion therapies, automated red blood cell exchange (RBCX) efficiently and rapidly removes a patient’s hemoglobin S (HbS)-containing RBCs and replaces them with healthy RBCs. You may be surprised to learn that there are a few misperceptions surrounding automated RBCX. How do you think about automated RBCX today?

Myth #1: RBCX is only for acute patients

Reality: Automated RBCX is recommended by …

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The deadly consequences of a shortage: The Pluvicto crisis leaves metastatic prostate cancer patients in limbo

Meds
May 12, 2023

You’ve recently been diagnosed with metastatic cancer. You started the recommended first-line therapy, but it isn’t cutting it. There is another available treatment, but your hopes are crushed upon learning that you will have to wait at least three months before the life-extending medication can be produced for you and reach your location. All the while, your cancer will continue to grow and spread, slowly eating your body from the …

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An inspiring tribute to an exceptional radiologist who made a lasting impact

Conditions
May 11, 2023

“He had an intuitive gift as a physician in diagnosing and managing breast cancer. His expertise helped countless patients, and he was deeply appreciated by those he cared for. He felt an enormous sense of gratitude to be able to help his patients and be an integral part of their care.”

I didn’t want to have cancer again, and who would? It was December 29, 2021, just over a year since …

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Unwavering faith: a woman’s journey through cancer and beyond

Conditions
May 5, 2023

Her back was mottled, and she could barely sit up. She was weak from her invasive cancer. I visited her on Easter Sunday. Perhaps it was God’s will that I didn’t have an elaborate Easter dinner with ham, rolls, pies, and house decor filled with decorative bunnies. Instead, I went to visit this dear friend I met by happenstance and her dear husband who always seemed to help me out. …

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Against all odds: 17-month-old defies death and improves neurologically after craniospinal irradiation

Conditions
May 1, 2023

Three months ago, a case was discussed in the multidisciplinary tumor board. A 17-month-old child was admitted through the ER with a posterior fossa tumor (brain tumor) and multi-level spinal cord compression due to tumor deposits. The tumor was so extensive that only a biopsy could be performed rather than maximum safe resection. The biopsy report was discussed in the MDT (it was medulloblastoma), and after considering the neurological deficits …

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Breakthrough trial shows MRI-guided radiation can reduce prostate cancer treatment toxicity

Conditions
April 29, 2023

Nearly 290,000 American men will be diagnosed with prostate cancer in 2023. Thankfully, the vast majority will be diagnosed with clinically localized disease and can be cured with either surgery or radiotherapy. Emerging clinical trial data have cemented stereotactic body radiotherapy (SBRT), a form of radiation in which ≤5 daily doses are delivered with high precision in generally five or fewer treatments, as a curative option for most men with …

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Why poor diets are contributing to a surge in colorectal cancer cases among young people

Conditions
April 26, 2023

An alarming trend has emerged in my medical practice in recent years: I’m seeing more and more young adults with colorectal cancer.

When I began practicing as a family physician 21 years ago, I never saw patients in their 40s and 50s with the disease, much less ones in their 30s. Now, I diagnose two to three people in those age groups every year.

On the heels of National Colorectal Cancer Awareness …

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A veteran’s battle against possible lung cancer

Conditions
April 22, 2023

During my night shift at the emergency department, I encountered a 72-year-old decorated war veteran named Mr. Sun. Accompanied by his concerned wife, he came to address a year-long struggle with fatigue and a non-productive cough he’d been experiencing in recent weeks. Initially resistant to seeking medical attention, Mr. Sun finally gave in to his wife’s insistence.

As I entered the room to assess Mr. Sun, it was immediately apparent how …

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The insurance denial process: one oncologist’s fight against a broken system

Physician
April 16, 2023

It is 4:15 p.m. in my clinic, and I’m running an hour behind.

One of my morning patients arrived acutely ill and thus required more of my time and attention than the schedule allotted for. Accordingly, every patient after that has ended up waiting for me. And, as I’m a cancer physician, each of them requires—and deserves—all my time and energy. There are no “easy” visits here.

By the end of the …

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