Half-siblings of people with colon cancer have nearly the same colon cancer risk as full siblings do — a 6% cumulative lifetime risk compared with 7% — and a higher risk than other second-degree relatives have, researchers recently reported. The risk may be due both to genetics and to shared environmental factors, and the finding
Physician burnout is really “moral injury”. In combat veterans moral injury is called post-traumatic stress; among physicians it’s portrayed as burnout. It’s a symptom of a bigger problem, the failures of our healthcare system.
Patients with inflammatory bowel disease may also have undiagnosed anxiety and depression, according to a study by Charles Bernstein, MD, of the University of Manitoba in Canada. Researchers evaluated the prevalence of undiagnosed depression and anxiety by analyzing data from a cohort study of psychiatric comorbidity in immune-mediated disorders, including IBD. About a third of
Colorectal cancer is noted to be on the rise in younger patients. This is concerning as rates have steadily declined in other age groups. Although a small percentage overall, the rate of most marked rise in colon cancer is seen in the 20’s. New research suggests colorectal cancer is clinically different in younger patients. The
An article from New York Times, discusses the possibility of PTSD resulting from unremembered medical procedures using medications like midazolam. Is this possible? I believe it is. If people can be traumatized by injury, sexual assault, and childhood abuse that they have repressed from their memories completely, then why not?
Two-thirds of patients with IBS attribute their symptoms to dietary factors. Most traditional approaches involving pharmaceuticals are only modestly effective and patients are left seeking alternative approaches, including dietary manipulation. The article referenced below aims to review dietary restrictions as a non-pharmaceutical management approach for IBS. See the article by Drs. Afrin Kamal and Mark
Nearly all women who were diagnosed with inflammatory bowel disease reported sexual problems, according to a study at the University of Minnesota that was published in Inflammatory Bowel Diseases. Scores were similar for patients with Crohn’s disease and ulcerative colitis. Surprisingly, remission of disease did not alleviate the symptoms, according to the study. “This is
There’s a common misperception that artificial intelligence refers to robots doing humans work, someone wearing a virtual reality headset, or a machine taking decision-making processes away from human beings. Quite the contrary, artificial intelligence augments the abilities of people involved in complex tasks to make better decisions, quicker decisions, and sort out the wheat from
A recent article shows patient safety concerns about PPI’s are common and strongly associated with attempts at discontinuation, with or without a provider’s recommendation. Patients at high risk for GI bleeding, who clearly benefit from PPI’s, were just as likely to have tried stopping PPI’s as others. Physicians should always discuss the risks and benefits