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Archive for March, 2011

We Need Another Mammogram Study

March 27, 2011

There have been 10 controlled trials of mammograms and not all of them were randomized controlled trials. We need another. Treatment for breast cancer has improved since the advent of mammography. Drugs like tamoxifen and trastuzumab have improved survival in selected patients (though trastuzumab costs a fortune, but it actually helps)....
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The Limited Potential of Personalized Medicine

March 20, 2011

Have a simple blood test so your healthcare can be personalized. Sounds great, doesn’t it? This is the hope of the supporters of genomics, the emerging science analyzing the DNA structure of humans. Over 80 mutations have been discovered that are associated with obesity and diabetes. Each mutation accounts for no more...
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The Medicaid Mess

March 10, 2011

I’m going to the interim session of the Texas Academy of Family Physicians this weekend. It’s always renewing for me to talk with my colleagues who are committed to caring for their patients in trying times, who come from big towns and small. I’m sure one of the big topics will...
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How Dr. Oz Increases Healthcare Costs – Example 1, Ovarian Cancer Screening

March 6, 2011

In a recent You Docs column in my local newspaper, a woman asked about new ways to detect ovarian cancer. She went on to state, “Each year I ask for an internal pelvic exam and a CA-125 test. My mom died from breast cancer and my sister from ovarian cancer.” The...
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Important News!

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