Tuesday, June 30, 2009

Doctor Admits Giving Patients the Wrong Radiation Doses

A Philadelphia doctor, who has been accused of botching dozens of prostate cancer surgeries at a Veterans Administration hospital, admitted Monday that he sometimes missed his target when implanting radioactive seeds, leaving patients with incorrect dosages.

Dr. Gary Kao said these mistakes are commonplace when you are aiming seeds at the walnut-sized prostate, which sits near the bladder and rectum. In a statement made by Kao, he stated, “I did not believe our procedures were botched. I’ve always acted in the best interest of the patient. I refuse to become a scapegoat for the scandal at the VA Medical Center.” After being questioned by Senator Arlen Specter, Kao acknowledged that he never informed patients when he missed the prostate or delivered insufficient doses. However, he maintains that the mistakes did not necessarily amount to substandard care.

The Nuclear Regulatory Commission has found that 92 of 115 men treated in the brachytherapy program at the VA Medical Center in Philadelphia received incorrect doses of the radiation seeds, often because they landed in nearby organs or tissue surrounding the prostate. Kao performed the majority of these procedures while under a contract with the University of Pennsylvania.

The brachytherapy program at the VA Medical Center has been suspended. A review of 12 other VA hospitals where the procedure is performed showed a handful of problems, but none on the same magnitude as the VA Medical Center in Philadelphia.

Kao has stopped performing the surgeries and last week took a leave from the University of Pennsylvania.

For more information see: http://www.nytimes.com/2009/06/30/health/30veterans.htm?partner+rss&emc=rss

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posted by Chavon Williams at 12:26 PM

Tuesday, June 23, 2009

Physicians Often Fail to Inform Patients of Abnormal Test Results

A study published in the Archives of Internal Medicine found that physicians frequently fail to report abnormal test results to patients. The study included 5,434 patients, ages 50 to 69, from 23 primary care practices in the Midwest and on the West Coast. Researchers looked at various tests such as cholesterol blood work, mammograms, Pap smears, and screening tests for colon cancer. The results proved that only 1 out of 14 abnormal test results were reported to patients.

“Failure to report abnormal test results can lead to serious even lethal consequences for the patient,” said Dr. Lawrence Casalino, the leader of the study, and chief of the Division of Outcomes and Effectiveness Research at Weill Cornell Medical College. “If you’ve had tests, whether it be a blood test, or some kind of X-ray, or ultrasound, don’t assume because you haven’t heard from your physician that the result is normal.”

Failing to inform patients can lead to malpractice lawsuits and increased medical costs, researchers said. Thus according to researchers, patients should make a conscience effort to follow up with their physicians after having tests performed.

For more information see: www.sciencedaily.com/releases/2009/06/090622163031.htm

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posted by Chavon Williams at 2:25 PM

Friday, May 29, 2009

Cancer Drug Erases Fingerprints

A Singapore man undergoing treatment was detained by U.S. immigration officials after the drug he was taking caused his fingerprints to disappear. The man, identified as Mr. S, was eventually allowed to enter the United States after officials determined he did not pose a threat to security.

According to Mr. S’s oncologist, Eng-Huat Tan of the National Cancer Center in Singapore, the patient had neck and head cancer that spread. Although Mr. S responded well to chemotherapy, to prevent a recurrence doctors placed him on Capecitabine, a drug marketed in the United States as Xeloda. One of the side effects of the drug is hand-foot syndrome. It causes the skin o n the hands and feet to peel. Eventually over time, the drug erases fingerprints.

“It is uncertain when the onset of fingerprint loss will take place in susceptible patients who are taking Capecitabine”, Dr. Eng-Huat Tan wrote. “However, it is possible that there may be a growing number of such patients as Mr. S. These patients should prepare adequately before traveling to avert the inconvenience that Mr. S was put through.”

For more information see: http://news.bbc.co.uk/2/hi/health/8064332.stm

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posted by Chavon Williams at 9:54 AM

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