Peter LeWitt, MD

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John Duda, MD

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Managing Malignant Bowel Obstruction

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Jocelyn White, MD, discusses how to help manage symptoms associated with malignant bowel obstruction.

There are several relevant strategies for patients with cancer who have malignant bowel obstruction. According to Jocelyn White, MD, strategies for management must be based on patient characteristics, current cancer treatment, and care goals.

“For hospice and palliative patients, we start by treating the reversible causes,” Dr. White said. “The first thing you do when you suspect obstruction is to try to treat for pseudo-obstruction. I can’t tell you how many times we have gotten patients referred to us for complete malignant bowel obstruction who actually are constipated or obstipated.”

 

 

 

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There are several relevant strategies for patients with cancer who have malignant bowel obstruction. According to Jocelyn White, MD, strategies for management must be based on patient characteristics, current cancer treatment, and care goals.

“For hospice and palliative patients, we start by treating the reversible causes,” Dr. White said. “The first thing you do when you suspect obstruction is to try to treat for pseudo-obstruction. I can’t tell you how many times we have gotten patients referred to us for complete malignant bowel obstruction who actually are constipated or obstipated.”

 

 

 

There are several relevant strategies for patients with cancer who have malignant bowel obstruction. According to Jocelyn White, MD, strategies for management must be based on patient characteristics, current cancer treatment, and care goals.

“For hospice and palliative patients, we start by treating the reversible causes,” Dr. White said. “The first thing you do when you suspect obstruction is to try to treat for pseudo-obstruction. I can’t tell you how many times we have gotten patients referred to us for complete malignant bowel obstruction who actually are constipated or obstipated.”

 

 

 

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Systems Automation for Cancer Surveillance

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Melvin DeHerrera, RN, MBA, discusses how data-driven tools can help track patients with head and neck cancer.

By using tools like the VA corporate data warehouse and automatic assignment of new patients with head and neck cancer to cancer tracking systems, the New Mexico Veterans Affairs Health Care System in Albuquerque is creating a more efficient system of patient care. According to Melvin DeHerrera, RN, MBA, customized patient information is helping to facilitate more cures in the hospital’s ear, nose, and throat clinic.

“The cancer care coordinator tracks head and neck cancer patients with an automated system,” Mr. DeHerrera said. “The purpose of this project is to provide optimal treatment interventions while preventing any patients from being inadvertently lost to follow-up.”

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Melvin DeHerrera, RN, MBA, discusses how data-driven tools can help track patients with head and neck cancer.
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By using tools like the VA corporate data warehouse and automatic assignment of new patients with head and neck cancer to cancer tracking systems, the New Mexico Veterans Affairs Health Care System in Albuquerque is creating a more efficient system of patient care. According to Melvin DeHerrera, RN, MBA, customized patient information is helping to facilitate more cures in the hospital’s ear, nose, and throat clinic.

“The cancer care coordinator tracks head and neck cancer patients with an automated system,” Mr. DeHerrera said. “The purpose of this project is to provide optimal treatment interventions while preventing any patients from being inadvertently lost to follow-up.”

By using tools like the VA corporate data warehouse and automatic assignment of new patients with head and neck cancer to cancer tracking systems, the New Mexico Veterans Affairs Health Care System in Albuquerque is creating a more efficient system of patient care. According to Melvin DeHerrera, RN, MBA, customized patient information is helping to facilitate more cures in the hospital’s ear, nose, and throat clinic.

“The cancer care coordinator tracks head and neck cancer patients with an automated system,” Mr. DeHerrera said. “The purpose of this project is to provide optimal treatment interventions while preventing any patients from being inadvertently lost to follow-up.”

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Noninvasive Prenatal Testing for Trisomy 21 in the General Pregnancy Population

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In this video, Dr. Wapner discusses the results of a large, prospective, multicenter, blinded study demonstrating that the Harmony test for risk assessment of trisomy 21 (Down Syndrome) outperforms combined first trimester screening in the general pregnancy population.

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In this video, Dr. Wapner discusses the results of a large, prospective, multicenter, blinded study demonstrating that the Harmony test for risk assessment of trisomy 21 (Down Syndrome) outperforms combined first trimester screening in the general pregnancy population.

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In this video, Dr. Wapner discusses the results of a large, prospective, multicenter, blinded study demonstrating that the Harmony test for risk assessment of trisomy 21 (Down Syndrome) outperforms combined first trimester screening in the general pregnancy population.

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Manage Your Dermatology Practice: Offering a Mix of Treatments for Acne and Rosacea

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Combination therapy may be essential to treat acne and rosacea and minimize any negative aftereffects. Dr. Gary Goldenberg discusses the options for combination therapy including topical and oral prescription therapies as well as procedures and over-the-counter therapy. Patients also should be counseled on minimizing triggers.

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KOH preparation

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VIDEO: How can opioid blocking help treat ‘food addiction’?

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WASHINGTON – How do naltrexone and naloxone work in the brain to help treat opioid and alcohol dependence, and what are the implications for those who have what Dr. Mark S. Gold of the department of psychiatry at Washington University in St. Louis calls “food addiction”? In this video, recorded at the Summit in Neurology & Psychiatry held by the Global Academy for Medical Education, Dr. Gold discusses the mechanism of action for these opioid agonists and their role in addiction treatment. The Global Academy and this news organization are owned by the same company.

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WASHINGTON – How do naltrexone and naloxone work in the brain to help treat opioid and alcohol dependence, and what are the implications for those who have what Dr. Mark S. Gold of the department of psychiatry at Washington University in St. Louis calls “food addiction”? In this video, recorded at the Summit in Neurology & Psychiatry held by the Global Academy for Medical Education, Dr. Gold discusses the mechanism of action for these opioid agonists and their role in addiction treatment. The Global Academy and this news organization are owned by the same company.

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WASHINGTON – How do naltrexone and naloxone work in the brain to help treat opioid and alcohol dependence, and what are the implications for those who have what Dr. Mark S. Gold of the department of psychiatry at Washington University in St. Louis calls “food addiction”? In this video, recorded at the Summit in Neurology & Psychiatry held by the Global Academy for Medical Education, Dr. Gold discusses the mechanism of action for these opioid agonists and their role in addiction treatment. The Global Academy and this news organization are owned by the same company.

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VIDEO: Addiction-treatment workforce too small to cope with demand

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WASHINGTON – “No one would say the reversal of the medical effects of [illicit drug use] is ‘treatment,’ ” says Dr. Mark S. Gold, an addiction specialist in the department of psychiatry at Washington University in St. Louis. That’s only the beginning, he says. After patients with drug addictions are stabilized, then begins the complicated and lengthy task of treatment. Yet, there is a coming shortage of medical personnel qualified to offer addiction treatment, says Dr. Gold, who cites that – in the next decade – the addiction-treatment workforce will be 10 times too small to meet the demand. In this video, recorded at the Summit in Neurology & Psychiatry held by the Global Academy for Medical Education, Dr. Gold discusses ways that primary care physicians and others can help. The Global Academy and this news organization are owned by the same company.

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WASHINGTON – “No one would say the reversal of the medical effects of [illicit drug use] is ‘treatment,’ ” says Dr. Mark S. Gold, an addiction specialist in the department of psychiatry at Washington University in St. Louis. That’s only the beginning, he says. After patients with drug addictions are stabilized, then begins the complicated and lengthy task of treatment. Yet, there is a coming shortage of medical personnel qualified to offer addiction treatment, says Dr. Gold, who cites that – in the next decade – the addiction-treatment workforce will be 10 times too small to meet the demand. In this video, recorded at the Summit in Neurology & Psychiatry held by the Global Academy for Medical Education, Dr. Gold discusses ways that primary care physicians and others can help. The Global Academy and this news organization are owned by the same company.

The video associated with this article is no longer available on this site. Please view all of our videos on the MDedge YouTube channel

wmcknight@frontlinemedcom.com

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WASHINGTON – “No one would say the reversal of the medical effects of [illicit drug use] is ‘treatment,’ ” says Dr. Mark S. Gold, an addiction specialist in the department of psychiatry at Washington University in St. Louis. That’s only the beginning, he says. After patients with drug addictions are stabilized, then begins the complicated and lengthy task of treatment. Yet, there is a coming shortage of medical personnel qualified to offer addiction treatment, says Dr. Gold, who cites that – in the next decade – the addiction-treatment workforce will be 10 times too small to meet the demand. In this video, recorded at the Summit in Neurology & Psychiatry held by the Global Academy for Medical Education, Dr. Gold discusses ways that primary care physicians and others can help. The Global Academy and this news organization are owned by the same company.

The video associated with this article is no longer available on this site. Please view all of our videos on the MDedge YouTube channel

wmcknight@frontlinemedcom.com

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VIDEO: Helping patients sleep better can be simple

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WASHINGTON – Sleep disorders can be treated easily in the primary care setting, although there are times when it’s best to refer to a sleep clinic. Dr. Raman K. Malhotra of the department of neurology at Saint Louis University, shares ways to help determine when a patient is presenting with sleep disorders vs. mood disorders. He also offers tips for patients, who can get the rest they need, once their sleep habits are adjusted. Also discussed in this video, recorded at the meeting held by the Global Academy for Medical Education, is the use of melatonin and iron supplementation to combat restless legs syndrome. Global Academy and this news organization are owned by the same company.

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WASHINGTON – Sleep disorders can be treated easily in the primary care setting, although there are times when it’s best to refer to a sleep clinic. Dr. Raman K. Malhotra of the department of neurology at Saint Louis University, shares ways to help determine when a patient is presenting with sleep disorders vs. mood disorders. He also offers tips for patients, who can get the rest they need, once their sleep habits are adjusted. Also discussed in this video, recorded at the meeting held by the Global Academy for Medical Education, is the use of melatonin and iron supplementation to combat restless legs syndrome. Global Academy and this news organization are owned by the same company.

wmcknight@frontlinemedcom.com

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WASHINGTON – Sleep disorders can be treated easily in the primary care setting, although there are times when it’s best to refer to a sleep clinic. Dr. Raman K. Malhotra of the department of neurology at Saint Louis University, shares ways to help determine when a patient is presenting with sleep disorders vs. mood disorders. He also offers tips for patients, who can get the rest they need, once their sleep habits are adjusted. Also discussed in this video, recorded at the meeting held by the Global Academy for Medical Education, is the use of melatonin and iron supplementation to combat restless legs syndrome. Global Academy and this news organization are owned by the same company.

wmcknight@frontlinemedcom.com

On Twitter @whitneymcknight

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