Questions? Comments? Send us a message! In this episode, we discuss a complex ethical dilemma concerning a pregnant woman diagnosed with advanced ovarian cancer who refuses recommended termination and chemotherapy due to prior fertility struggles. Several experts in medicine, ethics, law, spiritual care, and social work provide differing perspectiv…

Blood in your urine, so-called hematuria, is fairly common, with a new genetic test being studied to rule out bladder cancer as a cause. William Nelson, director of the Kimmel Cancer Center at Johns Hopkins, says such a test would … Does blood in your urine mean you have cancer? Elizabeth Tracey reports Read More »…

Blood in your urine is definitely a reason to seek medical attention, and for many people cancer is a top concern. Now a new genetic test that can spot changes in the DNA known as mutations can help rule out … Can a genetic test spot bladder cancer in people who have blood in their urine? Elizabeth Tracey reports Read More »…

Neoadjuvant chemotherapy translates to chemotherapy for cancer before surgery, with a recent study demonstrating its benefit for people with esophagus cancer. Kimmel Cancer Center director William Nelson at Johns Hopkins says this strategy is time tested. Nelson: Neoadjuvant therapy is … Are there advantages to receiving chemotherapy for cancer bef…

Cancer of the esophagus is a tough cancer to treat, and more people worldwide are developing it. A recent study compares one regimen giving chemotherapy and radiation before surgery versus another strategy using four chemotherapy drugs plus surgery. William Nelson, … What is the best way to treat esophageal cancer? Elizabeth Tracey reports Read Mor…

Pain in nerves, called neuropathy, is more common when a couple types of cancer drugs are used or when someone has lung cancer versus other types of cancer, a new study concludes. Johns Hopkins Kimmel Cancer Center director William Nelson … Is it possible to catch nerve pain early in cancer treatment and minimize it? Elizabeth Tracey reports Read M…

Neuropathy, or painful nerves, are seen in more than 40% of people who’ve been treated for cancer, a recent study reports. Kimmel Cancer Center director William Nelson at Johns Hopkins says the magnitude of the problem is huge, although there … Can painful nerve pain following cancer therapy be avoided? Elizabeth Tracey reports Read More »…

Nerve pain, or neuropathy, can be a big problem for some people who’ve been treated for cancer, with a new study showing just how big a problem it is. William Nelson, director of the Kimmel Cancer Center at Johns Hopkins, … How often does someone who’s been treated for cancer experience nerve pain? Elizabeth Tracey reports Read More »…

A greater sense of control, feeling in partnership with their care team, and not finding reporting symptoms burdensome are just a few of the outcomes reported by people with advanced cancer in a study of an electronic intervention where they … How does reporting symptoms impact cancer care for patients? Elizabeth Tracey reports Read More »…

Imagine you have advanced cancer and your doctor asks you to report your symptoms electronically, so that intervention is possible before things like pain or breathing difficulties become especially troublesome. Kimmel Cancer Center director William Nelson at Johns Hopkins describes … Is it helpful for people with advanced cancer to report their sy…

Helping people with advanced cancer is facilitated by having them fill out symptom questionnaires for their medical team, who can then intervene promptly, a new study demonstrates. William Nelson, director of the Kimmel Cancer Center at Johns Hopkins, applauds the … Patients with advanced cancer can help in their own care, Elizabeth Tracey reports …

Questions? Comments? Send us a message! This case report explores the use of botulinum toxin type A (BTX-A) injections for treating post-thoracotomy pain syndrome (PTPS), a chronic neuropathic condition affecting many patients after thoracotomy. The study highlights that traditional treatments often fail to provide adequate relief, prompting invest…

Questions? Comments? Send us a message! I. Introduction This briefing document synthesizes key findings from several sources exploring the potential of cannabinoids in managing neuropathic pain. The sources include pre-clinical investigations, clinical trial reviews, and decision analysis models, offering a multifaceted view of the topic. We will e…

Questions? Comments? Send us a message! Hiccups, while often seen as a minor inconvenience, can become a significant health issue when they are persistent or intractable. This episode explores the science behind hiccups, their potential medical causes, and treatment options, particularly the use of gabapentin as an off-label solution. • Discussion …

Questions? Comments? Send us a message! This case report details a patient with chronic lymphocytic leukemia whose initially misdiagnosed joint pain was ultimately attributed to the rare syndrome of remitting seronegative symmetrical synovitis with pitting edema (RS3PE). The report discusses RS3PE's characteristics, often overlooked due to its rari…

Questions? Comments? Send us a message! This retrospective study from a 21-hospital system analyzed the effect of palliative medicine consultations on 30-day hospital readmission rates for patients with six diagnoses (heart failure, sepsis, pneumonia, COPD, AMI, and stroke). The research found statistically significant reductions in readmissions fo…

Questions? Comments? Send us a message! This article presents an ethics case study concerning a 52-year-old male declared brain dead, whose family refuses to remove life support. Multiple perspectives—medical, nursing, chaplain, social work, legal, and ethical—are offered, exploring the conflict between the family's emotional denial of death and th…

Questions? Comments? Send us a message! This case report details a rare instance of post-radiation lichen planus in a 64-year-old male, following radiation therapy for squamous cell carcinoma. The report examines the patient's medical history, clinical presentation, and treatment response to topical triamcinolone. The authors review existing litera…

Questions? Comments? Send us a message! This case report and accompanying discussion detail Posterior Reversible Encephalopathy Syndrome (PRES), a neurological condition presenting with seizures, visual disturbances, and altered mental status. Often misdiagnosed as more severe conditions like intracranial hemorrhage, PRES demonstrates reversible br…

Questions? Comments? Send us a message! The BJR method is a novel mathematical approach to methadone conversion that aims to improve upon existing methods by providing a smoother, less discontinuous, and less linear output for a reasonable and safe methadone dose. Here's how it improves upon existing conversion approaches: Addresses Limitations of …

Questions? Comments? Send us a message! The case study underscores the potential for misinterpreting spiritual distress as psychiatric illness, resulting in inappropriate treatment. Clinicians should learn several key lessons from the case of Mr. G, primarily emphasizing the importance of addressing patients' spiritual needs alongside their physica…

Questions? Comments? Send us a message! This ethics roundtable discussion centers on the case of JG, a 45-year-old man who attempted suicide and subsequently suffered severe brain damage. The article presents differing perspectives from medical, nursing, risk management, ethics, pastoral, social work, and legal professionals regarding the ethical i…

Questions? Comments? Send us a message! This ethics roundtable discussion analyzes a case study where a patient's daughter-in-law, the primary caregiver, seeks to withdraw life support, but state law restricts surrogacy to blood relatives or spouses. The discussion explores the ethical and legal implications of this restrictive law, highlighting th…

Questions? Comments? Send us a message! Ethical and legal considerations surrounding a comatose Jehovah's Witness patient's need for a life-saving blood transfusion are debated. The patient's parents, also Jehovah's Witnesses, refuse consent, while her brother advocates for the transfusion, claiming she wasn't a practicing member. The case highligh…

Questions? Comments? Send us a message! Who makes the decision if the patient lacks capacity? Multiple healthcare professionals offer varying perspectives on the ethical and legal dilemma surrounding the care of a 93-year-old comatose patient (JH). A conflict exists between JH's legally appointed Power of Attorney (POA), his hired caregiver, who wa…