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Welcome

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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Best of Cancerwise 2014:Stories of hope

best of hope.jpgThroughout the past year,our cancer patients have shared stories of their challenges and trials while revealing their determination,spirit and strength. These stories give us all what we could always use a little bit more of:hope.

Here are some of our most inspiring stories of hope from 2014.

Infant leukemia survivor reflects on the hospital that raised me
A few months after 9-month-old Ivana Camarillo was diagnosed with infant leukemia,she received a cord blood transplant. Now,at age 15,she’s helping other kids with cancer.

“Most people wonder why I do this and why I haven’t just left cancer in my past,”she says. “My answer is simple:I believe you should never forget where you came from.”Read her story.

How a CML clinical trial and Gleevec saved my life

Mel Mann was a 37-year-old major in the U.S. Army when he was diagnosed with chronic myeloid leukemia. But he found hope in a phase I clinical trial for ST1571,now known as Gleevec. Sixteen years later,Mel is MD Anderson’s longest living Gleevec patient. Read his story.
Squamous cell carcinoma patient runs 28th Boston Marathon
After running the Boston Marathon 27 times,you’d think Bob Lehew would have experienced every trial a runner could face. But in 2014,Bob ran the race halfway into his six weeks of his squamous cell carcinoma treatment. Found out what inspires him to keep going.

How my ovarian cancer diagnosis strengthened my marriage
Brittany Hurst married the man of her dreams on Sept. 15,2012. But just five weeks after her wedding,she was diagnosed with ovarian cancer.

“When we said our vows,Brandon and I had no idea that in ‘sickness and in health’would be tested so soon. We learned how important we were to each other really quick,”she says. Learn how cancer helped this couple grow stronger.
 
My uveal melanoma journey
Marla Avery had never heard of uveal melanoma until she received her diagnosis. As a part of her cancer treatment,Marla’s left eye had to be removed. The change was difficult for Marla,a makeup artist whose appearance had always been important to her. See how she learned to cope.

A mom reflects on her cancer journey
After she was diagnosed with breast cancer,Estelle Racusin wondered how her journey would impact her 4-year-old son,Ben.

“Throughout my breast cancer treatment,I told myself I had to live to show Ben that in life we are all dealt different scenarios,but the strong survive,”she says. “I wanted him to know that it’s how we deal with adversity that defines us.”Read her story.

Dating after tongue cancer
For Rita Avila,sometimes the idea of dating is scarier than cancer itself. “As if dating weren’t tricky enough,I have the added pressure of telling any guy I’m interested in that I’ve had tongue cancer,”she says. “And I still have the scars,the feeding tube and the follow-up appointments that came along with it.” Find out how she’s learning to move on after cancer.  

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,December 2014

Morbidity and Mortality Weekly Report (MMWR)

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Summary of the Keystone Islet Workshop (April 2014):The Increasing Demand for Human Islet Availability in Diabetes Research

Diabetes Journal current issue

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Contemporary Outcomes of Operations for Tricuspid Valve Infective Endocarditis

Tricuspid valve infective endocarditis (TVIE) is uncommon. Patients are traditionally treated with antibiotics alone,and indications for operation are not clearly established. We report our operative single-center experience.
The Annals of Thoracic Surgery

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EARLY RELEASE:Challenges in Responding to the Ebola Epidemic — Four Rural Counties,Liberia,August–November 2014

Morbidity and Mortality Weekly Report (MMWR)

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0.9 Percent Sodium Chloride Injection USP in 100 mL MINI-BAG PLUS Container by Baxter:Recall –Particulate Matter

Intravenous administration of a solution containing particulate matter may lead to local vein irritation,inflammatory reaction,aggravation of preexisting infections,allergic reactions,and systemic embolization.
MedWatch Safety Alert RSS Feed

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Remembering my first Christmas with AML

GillianKruse1216.jpgBy Gillian Kruse

My acute myeloid leukemia (AML) diagnosis came completely out of the blue for me. During the Thanksgiving holiday in 2010,I got my first annual physical in a few years simply because I’d recently started my first full-time job with benefits after graduating from college. In less than two weeks,what started as some slightly concerning bloodwork results turned into “You have an appointment at MD Anderson tomorrow morning.”

Much of the afternoon and evening after I received my AML diagnosis was a blur for me,but I distinctly remember sitting on the floor in my living room and staring at the Christmas tree. We’d just put it up a few days earlier,and I wondered if that was the last time I’d get to do so.

My first days at MD Anderson for AML treatment
MD Anderson was all decked out for the holidays when I arrived for my first appointment —trees in the waiting rooms,wreaths along the skybridge,paper snowflakes in the pharmacy. I still felt fine,though somewhat overwhelmed to be here amongst so many people who looked so sick when I didn’t feel any different than I had a week earlier. I also was a little overwhelmed to be here —of all places —during the holidays.

My doctors were all reassuring,kind and thorough. They helped me understand AML,and the whole team made sure my family and I understood my treatment plan. I enrolled in a clinical trial for my first round of chemotherapy,and then spent five days as an inpatient wondering how the treatments would affect me. My hair didn’t fall out overnight,and I didn’t have nausea,so I was hopeful that this cancer thing would be just a small hiccup and I’d be back at work in January.
Everything seemed to be going well,and I was out of the hospital quickly,returning to MD Anderson only for routine monitoring and any necessary transfusions. I kept a mask with me at all times,had a bottle of hand sanitizer on nearly every flat surface in the house and followed my medical team’s suggestions for avoiding infection.

An unwanted hospital stay
My blood counts reached their lowest point in the chemotherapy cycle right before Christmas,and on December 23,I learned I needed a platelet transfusion. Even though I felt fine when I arrived for my transfusion,I was running a fever that wasn’t going away. I got transferred to MD Anderson’s Emergency Center,where I was pumped full of fluids and antibiotics while the inpatient team prepared a room for me so I could be admitted for observation.

Although the nursing staff was very sympathetic and kept everyone in high spirits,I was so frustrated. My family had already changed our holiday plans,arranging them around my appointments. I didn’t want to spend Christmas itself in the hospital.

Discovering the gift of patience
Very early on December 25,I needed another transfusion. But my fever had subsided and I was discharged on Christmas morning. I was still able to celebrate the holidays with my family mostly as planned.

As I opened gifts with my family,my frustration with my treatment hiccups turned into gratefulness for what I did have —a fantastic team of caregivers inside and outside the hospital,and the ability to embrace flexibility and patience.

After all,as I learned that holiday season,plans can change,and with a cancer diagnosis,they often must. Recognizing this helped me to approach the rest of my treatment plans with patience,even though that could be incredibly difficult at times.

But I’ve seen the payoff. Patience is what allowed me to see my Christmas tree at home that Christmas. Now,every year when we put up our tree,I think back to my first Christmas with cancer and am grateful for how far I’ve come.

AML is one of the cancers MD Anderson is focusing on as part of our Moon Shots Program to dramatically reduce cancer deaths. Learn more about our AML/MDS Moon Shot.

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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Errata:Vol. 63,No. RR-5

Morbidity and Mortality Weekly Report (MMWR)

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How our busy employees get exercise

By Lindsey Garner

No matter how you like to get your heart rate up and work up a sweat,exercising for at least 30 minutes every day can help lower your chances for many common cancers. If you’re looking for ways to get your 1/2 hour in,check out how some of our busy employees stay active.

Triathlon training
“I like to exercise with a triathlon coach to prepare for my long distance races. It helped me prepare to swim 1.2 miles,bike 56 miles and run 13.1 miles for IRONMAN Texas 70.3 and IRONMAN Florida 70.3. Now I’m training for my second IRONMAN Texas 140.6,which includes a 2.4-mile swim,112-mile bike course and a 26.2-mile run. Having a coach helps provide me with the discipline I need to improve my swimming,cycling and running. I get better results and my workouts are challenging.”—Corinna Perez,fitness center liaison

corinnaperez.jpg

Moderate cardio and fitness classes
“I recently had a baby,so I’ve been focused on moderate cardiovascular exercise,like working out on an elliptical machine,walking,moderate jogging and core strengthening exercises. I also enjoy exercise classes that are fun and upbeat,like Zumba,night club cardio and step aerobics.”–Kimberly Tripp,director,Acute Care Services Administration

1215kimberlytripp.jpg

Lunch break walks
“With three children and their after school activities,I’m usually too busy to exercise after work. So,I try to walk for 45 minutes over my lunch hour every day. A coworker and I typically walk 15 laps a day on the third floor of our building. We help hold each other accountable for making it a priority to walk each day. We usually walk three miles a day and 15 miles a week.”—Amy Sabrsula (left) network services representative,Physicians Network

amys.jpgIndulging in all kinds of exercise
“I’m a bit of an exercise junkie. I enjoy running,cycling,surfing and weight training. I recently started kite boarding and love it!”—Joseph Steele,M.D.,professor,Interventional Radiology

1215Steele.jpg
This story originally appeared in Messenger,MD Anderson’s bimonthly employee publication.

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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QuickStats:Average Annual Rate of Emergency Department Visits for Bipolar Disorder Among Persons Aged =15 Years,by Age Group — National Hospital Ambulatory Medical Care Survey,United States,2010–2011

Morbidity and Mortality Weekly Report (MMWR)

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