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But Rosenblatt and Catlin warn that the initial trigger of chronic pain may no more exist or be impossible to determine – and that advanced imaging techniques can lead to as many false-negative and false-positive diagnoses as the ‘much-maligned’ visual analog pain scale. Finally, Dr Michael Von Korff, from the combined group Health Analysis Institute in Seattle, points out that guidelines on long-term use of opioids made by palliative care professionals and ‘based almost completely on expert opinion’ have already been generalised to principal care practice without appropriate evaluation. Continue reading →

COX-2 specific inhibitors: safer anti-inflammatory therapy? A new class of anti-inflammatory agents that is as effectual as conventional NSAIDs but carries less risk for the upper gastrointestinal tract has been released lately in Australia. The COX-2 specific inhibitors selectively block the formation of prostaglandins involved in inflammation and discomfort while sparing those involved in protecting the abdomen from ulceration. Continue reading →

Consider, for example, the following reported lawsuit. The patient, a father and spouse of three children, started seeing the defendant doctor when he was 48 years old. Ten years later the doctor performed a sigmoidoscopy on the person and made an access in his records documenting that he found a ridge that was bleeding. For this reason finding, the physician sent the man to another physician who in turn also do a sigmoidoscopy. This physician also found the ridge and biopsied it. After 7 weeks this second physician performed a full colonoscopy which discovered a polyploid ring measuring approximately two centimeters. Continue reading →

DCIS accounts for twenty five % of all breast cancer diagnoses almost, according to the American Cancer Society. In the absence of this new info, the researchers said, women diagnosed with DCIS today tend to be offered a gamut of treatment plans that lengthen from a complete mastectomy to watchful waiting around. Most women usually decide on a lumpectomy with or without extra treatments such as for example radiation, hormonal chemotherapy or therapy. However, since the majority of DCIS lesions aren’t associated with formation of subsequent invasive tumors, chances are that many women diagnosed with DCIS are getting over treated. Continue reading →

As says consider abortion measures, South Dakota law becomes flashpoint The effects of this South Dakota regulation may be more political than practical, reports Politico, while people on both relative sides of the problem spring into action. The tactics vary: mandatory sonograms and anti-abortion counseling, sweeping limitations on insurance plan, bans on abortions after 20 weeks of being pregnant. To abortion-privileges activists, they add up to the largest political threat because the Roe v www.finast.net/finasteride-vs-minoxidil/ . Wade decision of 1973 that legalized abortion nationwide . Politico: South Dakota Abortion Law Wakes Up Activists The ramifications of sweeping fresh abortion limitations in South Dakota may well be more political than practical. Continue reading →