Assuming Blood Is From Hemorrhoids And It Is Actually From Colon Cancer Might Make Physician Liable For Medical Malpractice

Being told one has colon cancer tends to bring up dread in nearly all of people. It can therefore feel quite reassuring for your doctor say that you just have hemorrhoids and there is no need to be concerned about the blood in your stool. But this reassurance should only come after the doctor has eliminated the likelihood of colon cancer (and other possibly dangerous gastrointestinal issues). Otherwise, you might not learn that you have colon cancer until it is too late. Should a doctor conclude without testing assumes that reports of blood in the stool or rectal bleeding by a patient are from hemorrhoids and it subsequently is discovered that the patient had colon cancer all along, that doctor might not have met the standard of care. Under those circimstances, the patient might have a legal claim against that physician.

It is generally thought that there are presently over 10 million men and women with hemorrhoids. An additional 1,000,000 new cases of hemorrhoids will likely arise this year as opposed to a little more than the 100 thousand new cases of colon cancer that will be identified . Further, not all colon cancers bleed. When they do, the bleeding may be intermittent. Also subject to where the cancer is in the colon, the blood might not actually be seen in the stool. Possibly it is in part as a result of the difference in the volume of instances being identified that a number of physicians simply consider that the existence of blood in the stool or rectal bleeding is due to hemorrhoids. This amounts to gambling, pure and simple. A physician who reaches this conclusion will be right greater than 90% of the time. It seems sensible, doesnt it? The problem, though, is that if the physician is wrong in this diagnosis, the patient might not learn he or she has colon cancer until it has developed to an advanced stage, maybe even to where treatment is no longer effective.

When colon cancer is found while still contained within the colon, the patients 5 year survival rate will normally be above eighty percent. The five year survival rate is a statistical indicator of the percentage of patients who survive the disease for a minimum of five years subsequent to diagnosis. Treatment for early stage colon cancer normally entails only surgery in order to take out the tumor and surrounding portions of the colon. Based on variables like how advanced the cancer is and the individual’s medical history (including family medical history), age, and the person’s physical condition, chemotherapy may or may not be required.

For this reason doctors generally recommend that a colonoscopy ought to be ordered right away if a patient has blood in the stool or rectal bleeding. A colonoscopy is a method that uses a flexible tube with a camera on the end is used to see the interior of the colon. If growths (polyps or tumors) are detected, they can be removed (if small enough) or sampled and tested for the existence of cancer (by biopsy). Providing no cancer is found from the colonoscopy can colon cancer be ruled out as a cause of the blood.

However, if the cancer is diagnosed after it has spread past the colon and has reached the lymph nodes, the person’s five year survival rate will generally be around 53%. Aside from surgery to take out the tumor and adjacent portions of the colon treatment for this stage of colon cancer requires chemotherapy in an attempt to eliminate any cancer that might remain in the body. By the time the cancer spreads to other organs such as the liver, lungs, or brain, the patients five year survival rate is lowered to roughly 8%. If treatment options exist for a patient at this point, they might include surgery, chemotherapy, radiation therapy, and other medications. Treatment might no longer be helpful once the cancer is this advanced. When treatment ceases to be helpful, colon cancer is fatal. This year, roughly 48,000 individuals will die in the U.S. from colon cancer metastasis.

As a result of telling the patient that blood in the stool or rectal bleeding as resulting from hemorrhoids without conducting the correct tests to eliminate the possibility of colon cancer, a doctor places the patient at risk of not learning he or she has colon cancer until it progresses to an advanced, possibly no longer treatable, stage. This may amount to a departure from the accepted standard of medical care and might result in a medical malpractice case.

If you or a a member of your family were assured by a physician that blood in the stool or rectal bleeding were because of only hemorrhoids, and were later diagnosed with advanced colon cancer, you ought to contact an attorney at once. This article is for informational usage only and does not constitute legal (or medical) advice. If you have any medical issues you should seek advice from doctor. You should not act, or refrain from acting, based upon any information in this article but ought to instead consult with an attorney. A competent attorney who is experienced in medical malpractice may be able to help you determine if you have a claim for a delay in the diagnosis of the colon cancer. Immediately contact an attorney are there is a time limit in lawsuits such as these.

A Guide To Dental Health

People commence to learn about dental health from a very young age, when tooth initial begin to show up. But in spite of such early awareness, many folks fail to maintain good dental health by means of their adult life. Great dental wellness comprises brushing and flossing your tooth every day, and regular visits to a dentist or dental hygienist as well. Besides, individuals supplement their dental care with the use of products like mouthwash or advanced mouth care systems. You really should preserve it in mind that the lack of adequate dental care practices will result in cavities and gum disease.

It is usually advised that you use a toothbrush with softer bristles so as to protect your gums. Some folks, nonetheless, prefer power brush methods that help break up plaque and bacteria inside your mouth. But it takes a lot more than brushing to keep your enamel in great wellness. Some other steps need to be taken to ensure that individuals don’t lose their teeth as they turn out to be old.

To begin with, you really should understand your own oral well being needs, as your oral well being depends on your diet, the type and amount of saliva within your mouth, your overall wellness and your oral hygiene regimen. Attempt to comply with a daily program in consultation with your dentist.

As fluoride strengthens developing tooth in kids and prevents decay in adults, toothpastes and mouthwashes containing fluoride really should be utilized. You really should brush at the least twice a day, if possible three times or after each meal. You really should also floss at the least twice a day. Brushing and flossing will remove plaque, a complex mass of bacteria that constantly forms on your enamel.

Limit the consumption of snacks and comply with a balanced diet regime plan. Tobacco in any form will improve the risk of oral cancer and trigger stains on your tooth. Visit your dentist frequently and get your mouth examined.

Mental Activity Leading To Weight Gain

Too much mental exertion can bring about a boost in appetite. As some may know, actual physical work is as tiring as mental strain. Mental labor, according to studies, “destabilizes” insulin and glucose levels thus driving one to eat more because of boost in hunger. There are a number of factors that point to a jump in appetite, and a lot of those has something to do with the mind of a person.

A foremost mental factor is one that is triggered by mental challenges – stress. Stress is associated to eating extra. I for one tend to eat a lot more when I am stressed out in the past. This reaction of your body to your state of mind will be automatic once you let your guard down.

Rats are no different from humans. Glucocorticoid steroid hormone, or cortisol in humans, is dispensed by rats when they are chronically stressed, as researchers found out. In turn, this spurs the rats to excitedly participate in pleasure-seeking acts. These actions shall eventually help them promote abdominal obesity because of the amount of high-energy foods that they ate.

A person will acquire abdominal obesity by excessive or gratuitous eating. Diabetes, stroke, and increased risk of heart attack are just some illnesses and disease associated to abdominal obesity. Getting rid of stress before it gets out of hand is better than relieving it with a fat burger and a big soda!

Boredom and loneliness are fingered by British researchers too. These also cause an increase in eating in about fifty percent of adults! Potato chips and ice cream is just a couple of comfort foods to stay away from. These foods are generally consumed in large amounts passing along large quantities of fat too!

There’s no alibi to not be conscious of your hunger after a tiring day at work now that you know. But if you are legitimately hungry, then eat by all means. Never forget that what your body needs is proper nutrition, so eat healthy and eat right! A well balanced diet and a healthy regimen of day by day exercise is a positive hit to take your weight-worries away.

Buying A Movado Watch Can Help With Breast Cancer Awareness

When you’re a little kid, the month of October is an incredible thing, because it means that Halloween is right around the corner. Every child in America is well aware that October ends with a gigantic costume party that involves fun, adventure, and most important of all, a plethora of free candy.

However, as many adults are aware, October is also Breast Cancer Awareness Month, and because of that many companies and organizations are releasing “pink” memorabilia as a way to warn individuals of the dangers of breast cancer.

Amongst those products is the 2010 Coach “Think Pink” Breast Cancer Awareness Movado watch. A collaboration between designer companies Coach and Movado watch, this timepiece is being sold with the guarantee that 20% of all proceeds are being donated directly to the Breast Cancer Research Foundation. The timepiece is available between October and the end of 2010 at Coach and Movado Watch shops, as well as a number of department stores. With a mother-of-pearl dial, the 2010 Coach “Think Pink” Breast Cancer Awareness Movado watch is well worth the retail price of $248, even if the proceeds weren’t going to support an honorable cause. However, the collaboration between Coach and Movado watch isn’t the only major partnership going on in support of breast cancer research during the month of October. One of the biggest corporations in America is also getting in on the Breast Cancer Awareness: The National Football League

As many fans have undoubtedly noticed, a high majority of NFL players have been wearing pink armbands, gloves, shoes, and towels as a means for showing support for “A Crucial Catch,” a campaign partnership between the NFL and the American Cancer Society. To quote the official NFL website:

“The NFL, its clubs and players are proud to support the fight against breast cancer. Our campaign, “A Crucial Catch”, in partnership with the American Cancer Society, is focused on the importance of annual screenings, especially for women who are over the age of 40. Throughout October, NFL games will feature players, coaches and referees wearing pink game apparel to raise awareness for the campaign, as well as on-field pink ribbon stencils and special K-balls and pink coins. All apparel worn at games by players and coaches and special K-balls and pink coins will auctioned off at NFL Auction (www.NFLAuction.NFL.com), with proceeds benefitting the American Cancer Society and team charities. This is an issue that has directly touched the lives of so many in the NFL family, and we are committed to helping make a difference in breast-cancer prevention.”

There are countless groups and organizations getting in on the action this October. The amount of support truly is unbelievable and seeing “pink” in so many places, from the NFL to a Movado watch, gives even the most pessimistic of individuals the belief that finding a cure is a matter of “when,” not “if.”

Imrt In Breast Cancer

Worldwide breast cancer is the most common malignancy in women. In the developed world, it is responsible for 18 percent of all cases of cancers seen in women. One million new cases of breast cancer are registered worldwide every year and it is the single commonest cause of death among women in the 40- 50 years age group. In India breast cancer is the second commonest cancer seen in the women after carcinoma cervix. Its prevalence is higher in urban women and it accounts for 20% of all cancer related diseases. In Mumbai and Delhi, it is the commonest malignancy seen in women. In India it has an incidence of 17-40 cases per 1, 00,000 population and the 5 years survival is 42.3 percent to 46.8 percent.

Conventionally radiotherapy in early breast cancers is done by the whole breast technique which utilizes two tangential ports. Upper margin of the radiotherapy field lies at the first intercostals space, and the lower margin lies 2 cm below the inferior mammary line. Medial margin is in the midsternal line and the lateral margin is at the mid axillary line. A total dose of 50 Gy in 25 fractions is given over 5 weeks by conventional fractionation followed by boost of 10-20 Gy. This technique is easy to setup, and avoids the junction dose. Computerizes planning is done for dose optimization. Standard 2d treatment (conventional radiotherapy) techniques utilizes a simplistic view of patient anatomy and it creates hot spot because lung transmission is not accurately included and thinner regions of breast (superior and inferior) are modeled like the thickest slice of the breast. Thus conventional radiotherapy has limitations in the treatment of breast cancer and these include.

Dose inhomogeniety due to change in the contours of the breast 1520 percent of dose inhomogenicity in the superior and the inferior planes of the breast occurs. The medial and lateral aspects of the breast get higher doses of radiation.

Radiation accompaniments i. e. radiation effects on normal tissues in the field are seen uncommonly but they do occur in the lungs and the heart. Newer techniques are able to minimize them.

The newer techniques are used to

Improve dose homogeneity within the tumor volume.
Avoid radiation to normal tissues in the area.
Reduce side effects related to the radiation treatment.
Improve local tumor control and overall survival of the patient.
In an attempt to address the above mentioned parameters a number of newer radiotherapy techniques have been introduced for the treatment of early breast cancer. These include IMRT, external beam RT using 3D conformal RT, Intraoperative Electron Beam RT, Mammosite Ballon Branchytherapy and interstitial branchytherapy. Gated radiotherapy is also available.

All these techniques need a CT scan based treatment planning system and require the use of tissue compensators.

IMRT

IMRT is an approach to conformal therapy that not only delivers high dose to the tumor tissue but also ensures low dose to the surrounding normal tissue. The dose is varied depending on the tumor volume. A higher dose of radiation can be delivered to the areas with high tumor volume, a small dose where tumor volume is not so high and a minimal dose is delivered to surrounding normal tissue. By these means a higher tumor control probability and minimal or no side effects of radiotherapy are achieved, resulting in improved therapeutic ratio and better patient care.

Important normal structures that need to be examined and protected while IMRT for breast cancer is being planned include

Heart
Ipsilateral lung
Contralateral lung
Contralateral breast
Tissues outside the breast planned tumor volume (PTV)
Dose specifications in IMRT are as follows:

Breast volume receiving 105% of prescribed dose should be
Breast volume receiving 110% of prescribed dose should be 55
Breast receiving 115% of prescribed dose should be