These are the work rules for residents: https://www.acgme.org/Portals/0/PFAssets/PublicationsPapers/dh_dutyhoursummary2003-04.pdf and the 2017 revision:...
"Everything we consume is converted into sugars" Not fat! Only carbs and proteins can be converted to glucose. So, if you want to cut back on sugar, get your calories from fat....
You can also fly into the twin cities, and take a shuttle to downtown Rochester, I think....
My wife is on Medicare A + private insurance, and I am going on this shortly. The reason is reaching 65 and Medicare eligibility while still working. Our private insurance requires that we go on...
Here is an FDA warning about use of testosterone, stating that there is concern that testosterone supplementation may increase the risk of heart attack and stroke:...
I have mixed feelings about the Superbowl . . .even though I live in Seattle and think the Seahawks are one of the most exciting sports teams playing today (the game against Green bay was amazing!),...
Those are two different people, Dr. Peter Carroll, a urologist at UCSF, and Pete Carroll, coach of the Seahawks, who was once fired by the New England Patriots, something he may be able to revenge....
The physics of MRI machine means that the narrower the bore of the machine (the closer the magnet is to you), the higher the resolution of the scan. Wouldn't it make sense to use a regular 3 Tesla...
Thanks. No, I'm not either. It would be cool to be a successful author and screenwriter, maybe not quite as cool to be a billionaire who looks like Lex Luther, although some may have other opinions....
If you like Neil Gaiman, his novel, "Neverwhere" is a kindle daily deal today (oops, if this violates guidelines, delete this post.) It takes place underneath London....
Even better, Frank Baum's books are free on Project Gutenberg, http://www.gutenberg.org , without sending a penny to Jeff Bezos. Many older books are public domain and can be downloaded in a variety...
Continuing on the Civil War theme: James McPherson, Battle Cry of Freedom--the best book ever written on the Civil War. A thoughtful analysis, the circumstances leading up to the war, and every key...
No terrorism. Electrical failure or fire. Pilot trying to turn around to go back to land in Malaysia. Controls malfunctioning, leading to plane pointing south. Then either everyone dead or controls...
Just another comment on the discussion: The FDA is investigating the safety of testosterone supplementation in view of two recent reports of increased heart attacks in men starting on testosterone....
I think the issue of an approximately 15% lower risk of dying from prostate cancer, and about a 25% lower risk of dying from any cause, may likely be explained that someone with metastatic prostate...
If the symptoms are actually "numb chin syndrome", that's serious. That condition is due to metastatic disease affecting the mental nerve (a sensory nerve to the chin). It's caused by metastasis to...
Dmlvt, it sounds complicated. There may be subsidies with bronze plans that don't apply to higher grade plans, which might have something to do with your company's actions. I know many people in my...
I'm confused by this thread. If the insurance is being brought on an ACA exchange, the employer has no say in what plan you chose. The "bronze" plans have a significant deductible, but an advantage...
Seems like there are strong opinions on the topic. While the author of this editorial seems to have his own agenda (he wrote a diet book), it appears that this isn't a treatment that one should start...
Just appeared in the New York Times: http://www.nytimes.com/pages/opinion/index.html?action=click&contentCollection=Opinion&module=Kicker®ion=Header&pgtype=article You have to do a search on "Don't...
I had the open surgery. I had complete urinary control as soon as the catheter was removed; I think it was 14 days, I don't quite remember as it was 5 years ago....
Laser ablation is being used to treat lesions in different parts of the body, including the brain. The advantage is that it is very precise, because the temperature change during the procedure is...
Great posts. Haven't actually posted here for a long time, but this lures me out of the shadows. I hope to someday do a few of the things on this list with my wife: Have grandchildren Marry off...
Costco is great. One other alternative for those who can't use Costco--the outpatient pharmacy in your local hospital. Also, a few large companies have a dispensary. Chain pharmacies almost always...
Here is the link that John T posted, made clickable: http://prostate-cancer.org/PDFs/Is14-1_p14-20.pdf These results are pretty disappointing--the complication rate (e.g. erectile dysfunction) is...
Quicker access to drugs is fine. The cost of that is that then there is less motivation to do adequate clinical trials, and that people taking the drugs have inadequately defined risk. There can be...
I'm not sure of your points. The point of posting the meta-analysis on randomized control trials of testosterone supplementation is that there is a reasonable concern that testosterone might have...
Here is a link on estrogens and breast cancer: http://www.sciencedaily.com/releases/2007/04/070418182417.htm ...
I was curious enough to look through the medical literature. There have been controlled studies in older men; these studies were pooled and looked at in the following article: J Gerontol A Biol Sci...
So, these aren't randomized controlled trials, they are small observational trials. The recommendation that HRT was beneficial for postmenopausal women was based on hundreds and hundreds of similar...
Can anyone provide a link to any randomized trial of testosterone in patients with prostate cancer demonstrating that it does not cause tumor progression? Or any study giving testosterone for a...
I think you can only feel them when the Richter scale exceeds your PSA....
It must have been close to the surface. We get 4 to 5's on the west coast pretty often, and mostly can't feel them....
Scheduled changes in the healthcare laws in the U.S.: http://www.healthcare.gov/law/timeline/full.html ...
I think these are nice pictures, even though I live here. Hope you visited during cherry season. Rainer cherries, $1.98/lb. Today's the hottest day of the year, 93 degrees. Almost hot enough to wish...
It's a fantastic movie for those who have a taste for long, quiet, thoughtful movies in Japanese with subtitles. He's one of the greatest directors, ever, best known in the US for The Seven Samurai,...
There are people on this thread expressing medical opinions. I'd say, don't get your second (or third) opinions on the internet. While many on this site are well read and intelligent, they are not...
This is a complex issue. There are federal laws ("antikickback statutes) that prohibit some referrals of this type:...
This study, which is also described in the New York Times, shows a pretty dramatic benefit; the colon cancer death rate fell by more than 50% in long term followup. Even though this isn't a...
It's true that San Francisco is a great city (the most beautiful in the U.S. outside Seattle ), and Boston, well, it has the big dig baked beans, and that restaurant where they throw rolls at you. ....
Greenbay is out. The Packers and the Bears aren't playing, the season's over....
Certainly not the Broncos. But the sports franchise of 2011, if not the century: St. Louis Cardinals....
Adding to the unofficial survey, I had open, just because that's what my surgeon did, and because he had extensive (1,200 case) experience. 48 hr in hospital, never any incontinence, PSA 0, ED 50:50....
They take out the pituitary gland through the nose. Maybe with a longer arm on the robot they could get the prostate out as well. Ouch!...
The affordable care act ("Obamacare') eliminates exclusions for pre-existing conditions as of 2014. It's already been eliminated for children (under age 19) by this bill. Otherwise, your insurance...
The shooter is believed to have been found dead: http://today.seattletimes.com/2012/01/man-sought-in-park-rangers-killing-found-dead/ ...
The challenge with prostate cancer is determining the correct degree of treatment for what you've got. This is made especially difficult by the inadequacy of the diagnostic methods, especially the...
There can be side effects, so it's probably better to see how you tolerate 50 mg before trying 100 mg. Probably better to give it a dry run and not have too much on the line the first time....
You are right, sorry. The life and writings of Christopher Hitchens are a fount of controversy, and are way off topic for this board. I have nothing more to say....
I made my previous comments and put the link to the articles in so that the man could be discussed for who he actually was, warts and all, and what he actually said during his life. Much of what he...