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USA Today - some ca's are indolent & won't harm us

An oncologist at MSKCC recounts his own experience when his wife was diagnosed & began treatment for cancer.

"Those who work in geriatric care are among the worst paid in the health care system. Is the time I spend as a surgeon excising a patient's cancer worth 10 times more than the time the primary care doctor spent finding the cancer in the first place?" Dr. Gawande, who examined the problems of medical care for the aged last year in The New Yorker, pointed out that as we grow older, "we don't get one problem at a time." "People with multiple problems need time, and that is not cheap and is currently not paid for by medical insurance," he said. "It's not possible to address five different problems in a 20-minute visit." Dr. Gawande, who examined the problems of medical care for the aged last year in The New Yorker, pointed out that as we grow older, "we don't get one problem at a time.... People with multiple problems need time, and that is not cheap and is currently not paid for by medical insurance," he said. "It's not possible to address five different problems in a 20-minute visit."

From: Keating N, et al "Physician factors associated with discussions about end-of-life care" Cancer 2010; DOI: 10.1002/cncr.24761.

"Goal-priming experiments" - of the sort cited by Malcolm Gladwell - "are coming under scrutiny...." 'A team led by the Belgian cognitive scientist Axel Cleeremans and another at the University of California, San Diego, led by Hal Pashler, repeated the [NYU] slow-walker study and found no difference in the rates of walking between goal-primed and unprimed subjects. 'Mr. Pashler's team also tried without success to replicate a dozen other goal-priming experiments, including one showing that exposure to money made subjects more likely to endorse a free market, and another reporting that exposure to a picture of an American flag prompted subjects to express nationalist attitudes. 'To be sure, a failure to replicate is not confined to psychology, as the Stanford biostatistician John P. A. Ioannidis documented in his much-discussed 2005 article "Why Most Published Research Findings Are False." The cancer researchers C. Glenn Begley and Lee M. Ellis could replicate the findings of only 6 of 53 seminal publications from reputable oncology labs.'

Doctors' inertia in changing practice to fit new evidence - especially in cancer screening

Dr. Desiree Pardi, a leading practitioner in palliative care, counseled patients about accepting death, until cancer spread in her body, and she chose to fight it.

role of micro-RNAs, and biogenome (interacting with local human cells)

Midge's Dx of Ca, & Support at MSKCC