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Smart medicine is better health.

Welcome to Knowledge of Medicine –your internet resource for everything medicine. We provide the best health/medical resources available on the internet for both the professional and patient communities. Our comprehensive searches and selection of those medical internet sites with extraordinary content are provided as educational and informational tools. Medical care delivery must be educational,participatory and collaborative with all health partners. Take charge of your medical knowledge –only you can do it!

Harlan R. Weinberg,MD,FCCP

Educate –Participate –Communicate

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How MD Anderson made my breast cancer treatment journey quick

Dianna Ray130.jpgBy Dianna Ray

I had a very short breast cancer treatment journey —a scant six weeks from diagnosis to cure,thanks to early detection following a routine mammogram and the care I received at MD Anderson in the Nellie B. Connally Breast Center’s Multi Team Clinic. I’m lucky to have been able to get all of my care in one place close to my home in Houston.

Early detection saved my life

I’ve been getting annual mammograms since my 30s because I have fibrocystic breasts,a common condition that causes benign lumps or pain in the breasts.  

About 10 years ago,my doctor found an area of microcalcifications (a small cluster of calcium) and ordered a biopsy. Thankfully,everything was fine.

So,when the same condition presented itself again on my most recent mammogram in August 2014,I wasn’t too concerned. But five days after the biopsy,I was diagnosed with invasive ductal carcinoma,a type of breast cancer.
Coordinating my breast cancer treatment
I made an appointment with a breast surgeon that my primary care physician recommended.  I needed to gather the records from my previous two mammograms and my recent biopsy for the appointment,but I quickly felt overwhelmed with the details of coordinating my care and medical records on top of the emotional blow of a cancer diagnosis. I hadn’t even been able to think about finding an oncologist and radiologist.

That’s when I decided to reach out to a friend who had been treated at MD Anderson and now volunteers there. She recommended a program in MD Anderson’s Breast Center —the Multi Team Clinic. She explained to me how they coordinate all of your care,starting on day one. I went online that night and requested an appointment. I received a call back the next morning —Thursday —and by the end of the day,I had a Monday morning appointment.

My breast cancer treatment

At my first appointment,I met one-on-one with my surgeon,oncologist and radiologist. Each explained my cancer and the treatment options to me,and answered my questions. Then,they all returned and together we planned the course of my treatment. All in one day. 

When I left,I had so much more clarity and peace of mind. I didn’t have to spend valuable time and energy coordinating between doctors’offices and medical records and labs to get everything taken care of,and I knew my doctors were truly working together as a team. I had witnessed it myself.

Three weeks later,I had a right breast mastectomy at MD Anderson. Because my tumor was diagnosed at a very early stage,I didn’t need chemotherapy and radiation. My surgeon,Elizabeth Mittendorf,M.D.,took extra time and care and was able to preserve my skin and nipple. This way,the plastic surgeon,Mark Clemens,M.D.,was able to come in right behind her and do the reconstruction in one single surgery. By the time I was wheeled into the recovery room,I was cancer-free.

I am very thankful to my wonderful friends and family for their love and support throughout this journey. I’m fortunate my cancer journey was a quick one and that I was able to get the best possible care right here in Houston. I’m so grateful to the radiologist who found and diagnosed my cancer and to the great team of doctors at MD Anderson who worked closely and skillfully together to cure my cancer —all in just six weeks.

To schedule an appointment at MD Anderson,please call 1-877-632-6789 or request an appointment online.

Cancerwise | Cancer blog from MD Anderson Cancer Center

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EARLY RELEASE:Update:Ebola Virus Disease Epidemic — West Africa,January 2015

Morbidity and Mortality Weekly Report (MMWR)

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QuickStats:Suicide Rates,by Mechanism of Injury — National Vital Statistics System,United States,1999–2013

Morbidity and Mortality Weekly Report (MMWR)

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Advice from four cancer survivors

quotes.jpgA cancer diagnosis can feel lonely and overwhelming. But listening to the experiences of those who have been there before —other cancer survivors —can help.

We talked with four cancer survivors and caregivers and asked them to share their advice for those who’ve recently received a cancer diagnosis. Here’s what they had to say.

Trust your care team at MD Anderson
“Know that you’re going to have the best doctors in the nation that are going to be looking out for you. And it’s not just the best doctors,it’s a team. MD Anderson is the best in the world at having a team concept.”—Frank Mellen,B-cell lymphoma survivor

Watch Frank share more advice.

Keep living your life

“I continued with my life as I had lived it before. I do a lot of walking. I do a lot of reading. I used to do a lot of dancing. I think it’s important to just keep living.”—Nancy Kahn,ovarian cancer survivor

Watch Nancy share more advice.

Don’t let others’stories scare you
“I would tell them to not go on the Internet and read everything they can. While that’s good,at a certain point you’re just going to freak yourself out. And not everything that happens to everybody is going to happen to you. Everyone’s body is different. You might read about some side effects that really scare you,and they never happen to you.”—Jami Mayberry,vulvar cancer survivor

Watch Jami share more advice.

Think positive
“Don’t get discouraged once you find out you’re diagnosed. There’s so much advanced treatment now. Think positive and stay with it.”–Mumtaz Sarani,salivary gland cancer caregiver  

Watch Mumtaz and her husband,Mohamed,share more advice.

To schedule an appointment at MD Anderson,please call 1-877-632-6789 or request an appointment online.

Cancerwise | Cancer blog from MD Anderson Cancer Center

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Notes from the Field:Investigation of Contacts of a Health Care Worker Who Worked While Ill with Pertussis — Maryland,August–September 2014

Morbidity and Mortality Weekly Report (MMWR)

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#FliptheClinic Seeks Ideas to Disrupt Healthcare

Yes,I know —another catchy “let’s disrupt healthcare”hashtag/campaign. Is there any meat behind it? And as we go about our lives with diabetes,why should we care? That was my reaction too,when I first started hearing about…

The post #FliptheClinic Seeks Ideas to Disrupt Healthcare appeared first on DiabetesMine:the all things diabetes blog.

DiabetesMine:the all things diabetes blog

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Response to Comment on Malik. Which Test for Diagnosing Early Human Diabetic Neuropathy? Diabetes 2014;63:2206-2208

Diabetes Journal current issue

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Chronic post-surgical pain:10 years on

W. A. Macrae
Jul 1,2008;101:77-86
Review Articles
Br J Anaesth:Most-Cited Full-Text Articles

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Worker Illness Related to Newly Marketed Pesticides — Douglas County,Washington,2014

Morbidity and Mortality Weekly Report (MMWR)

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How nurses helped me through my ovarian cancer recurrence

brittanynurse127.jpgBy Brittany Hurst

I did not realize how much I depended on my medical team until my second ovarian cancer diagnosis. During summer 2014,I spent a total of 70 days in the hospital. I spent 58 of them at MD Anderson.

I can honestly say that those days might have been some of the toughest days of my life. I have always been a happy person even in spite of my ovarian cancer journey,but that summer was physically and emotionally exhausting. I had a nasogastric (or NG) tube to help me breathe,underwent two surgeries and started chemotherapy again. I did not know when I would be going home,and every day I prayed it was that day. But I made it through that tough time,thanks to a lot of help from my family,friends —and my nurses.

Coping with my second ovarian cancer diagnosis with help from nurses

Your nurses are with you 24/7 during a hospital stay. They are the ones you email if you have questions,and they are your lifeline to your doctor. They are constantly writing notes in your chart to update your doctors and are by your bedside at the press of the button.

I not only looked at my nurses as my caregivers,but I also felt as if they were some of my best friends. As I learned,having a great relationship with your nurses helps them know the best way to help take care of you. If it was time for one of my dreaded shots,I had certain nurses give them to me. If I was having a bad day,they made sure to get me out of the room. They were kind when I needed someone besides my family and friends to talk to,and they were stern when they needed to be.
I became a baby in the hospital,and I hate to admit but “I can’t”became one of my go-to sayings. I had one nurse who sat beside me as I cried about everything I had been through and how I hated going through all of this again. She put her arm around me and shared a motivational story about her at church. It was all about “I can’s”and not the “I cant’s.”Another nurse kindly brought me snacks from Chinatown that I had mentioned one day. One nurse gave me a sheet of inspirational Bible verses the day I finally got to go home.

They always listened to me. They always went above and beyond to help me and my family. I have never felt more loved and cared for than I did during those long days in the hospital.

Keeping in touch
Those nurses are still some of my best friends. We keep in touch through social media and text messages. On Christmas,they were some of the first ones to wish me a Merry Christmas!  

Every month when I return to MD Anderson for my follow-up appointments,I stop by the floor to say hey and give them an update on my treatment. I don’t always get to see every nurse when I visit because of their schedules,but when I do see them,we always take a picture together. A few words that come to mind when I look at my pictures with my nurses —kind,loving,strong,honest and incredible. They are one of the reasons I am able to look back at such a hard time and smile.

I cannot say it enough,but thank you to the nurses who took care of me and became some of my best friends. Thank you to all the other nurses out there providing care for others when they are unable to care for themselves. Your job does not go unnoticed.

Read more by Brittany Hurst.

To schedule an appointment at MD Anderson,please call 1-877-632-6789 or request an appointment online.

Cancerwise | Cancer blog from MD Anderson Cancer Center

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