Monday, July 21, 2014

Miscellaneous updates

1.Watch out now with patient being readmitted for a new cycle of chemotherapy may be counted as a readmission...the EHR has been diagnosed to make this mistake!
2.Is it true that the only people who like CERNER are the hospital administrators because of its instant billing feature!
3.Is it true that the Practice of "Time out" for last checks reduces Medical errors?

In Breast cancer:
1.Salsa Trial:  10 years for Tamoxifen in adjuvant setting
2.ABCSG:  Obesity may portend poor outcome in patients receiving Aromatase Inhibitors in Breast cancer treatment.

3.POEMS:   Chemotherapy alone  Vs Chemotherapy + Goserelin (the combination of chemo+Goserelin showed better fertility protection)
4. The combination of Dual Trastuzumab and Lapatinib failed to increase survival

Oncologists are awaiting resulst of Pertuzumab + Trastuzumab!for a final conclusion on these issues!

5.In breast cancers that are small and Her-2 positive, T<2cm  weekly Taxol+Herceptin gives >=95% survival, just do this don't wait for a non coming  trial!   Please treat because the Mortality may be as high as 20-25%------give Herceptin as described
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