The average lifespan of the American woman continues to rise well past 80 years. Assuming a healthy heart and no other major medical illnesses, the chance for breast cancer is still present. Women over 70 have been under-represented in clinical trials, and there is still a little controversy about mammography for elderly women (which I believe... Read more
Both elderly patient and younger patients present special challenges for doctors. In the case of a younger patient there is a great deal of emotional intensity to the first meetings, and I find that an initial visit (usually 2 hours) is not enough time, and arrange for a follow up visit. Most younger patients benefit significantly from adjuvant... Read more
Not all doctors email patients, nor for that matter do all doctors email each other - but I have found it to be helpful for many patients. Not all patients have my email account, but for some patients for whom it seems appropriate I have given out my office email address.
Being able to email other doctors has been a huge blessing and a... Read more
I am pondering the announcement of a study to be discussed
next weekend on Vitamin D and breast cancer.
I'm starting to look through the ASCO (American Society of Clinical
Oncology) abstracts on breast cancer looking for some exciting news - this
study has received the most press... Read more
I wrote about CYP2D6, which refers to a gene that
codes for a biologic molecule involved in the breakdown of tamoxifen, about a
year ago. Since then it has not become
standard of care to order this on patients taking tamoxifen, but my desire to
do so has increased. Routine testing is
not yet recommended, according to those in the... Read more
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