Cancer Risk Lower When Docs Are Better at Adenoma Detection

A retrospective study of three large health systems found that the risk for colorectal cancer following a colonoscopy was lower when the colonoscopy was conducted by a physician with higher adenoma detection rates (ADR’s). Adenomas are the usual precursor type polyps that can lead to colon cancer. At the Endoscopy Center of the North Shore,

De-Escalation of PPI Therapy

The American Gastroenterological Association has released a new Clinical Practice Update providing best practice advice on how to approach de-prescribing proton pump inhibitors (PPI) in ambulatory patients. See the AGA website information here.

The Microbiome in Cancer

We understand that the microbiome has emerged as an important consideration in clinical science, and this includes extension into the important world of oncology. The role of the microbiome in cancer is not just limited to causation and cancer risk. We now known that the microbiome modifies immune responses to tumors. It influences the clinical

Anonymous Physician Reviews

Should we ignore anonymous physician reviews? Are they a fair form of free speech? Or are they subject to bias and potentially libelous? See my article on KevinMD.com. Comment here or on the website!

Do pets promote your microbiome?

As a new pet owner (meet Jaxon!) I immediately noticed how much “overlap” there is with dog life and my life. Licks, kisses, and paws on you that have been…God knows where. And while I wouldn’t trade it for the world, the infectious-conscious doctor in me wonders if this is a good thing or bad

Big government protects from Pharma, but not Alcohol

MedPage Today reports two interesting pieces of reporting simultaneously this week. First, Public Citizen published a report showing from 1991 through 2017, a total of 412 legal settlements were reached between the federal and state governments and pharmaceutical manufacturers. The fines, settlements, and fees comprised a whopping total of $38.6 billion. For 2016 and 2017, 38 settlements

Fat intake may fuel cancer’s ability to spread

We now have more evidence that fat fuels cancer’s spread Scientists have stopped metastasis in mice. Metastasis is the leading cause of cancer-related deaths in the world, but until now, scientists have struggled to understand exactly how and why cancer cells go through the energy-intensive process of splitting off, travelling through the bloodstream, and taking