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Prostate Cancer 2017: Light at the End of the Tunnel?

  If you follow this blog far enough back you will read early rumblings about the futility of prostate cancer screening.  The last ten years has seen a “slow growth” of international guidelines stating that this is something that we probably should NOT be doing… and yet, it remains one of the most common screening […]

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UKCTOCS: Ovaries, P-values & Questions

Ovarian cancer is a horrible disease.  It is often asymptomatic until late in its course and then causes a lot of suffering.  This is a disease with an extraordinarily high morbidity and currently has a 5-year survival of only 40%.  So wouldn’t it be excellent if we could find this disease early in it’s course, […]

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Clinical Case 117: Cancer Fishin’

OK – this case is for all the GPs and Internal Medicine types out there.  This is a relatively common scenario…  how do you play it? Here’s the case. Bruce is a 53 y.o. accountant.  He is a little overweight at 89 kg (BMI 31).  He is otherwise relatively well, he cycles to the cafe […]

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PODCAST: Shared decision making

Shared decision making. This is one of the hot concepts in healthcare right now.  It is not new – but it is being embraced in many fields as a part of the trend towards more evidence-based practice and the changing culture of medicine where “doctor knows best” is no longer an acceptable platitude. If you […]

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Prostate Cancer screening: survival vs. mortality

Hi there In case you missed it – Dr Rob Park has just published an epic review of prostate cancer screening over on the FOAM4GP blog. If you have any exposure to prostate cancer screening in your practice or just are interested in the way modern medicine works – go over and check it out. […]