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Prostate and Genitourinary Cancer Research Pioneer |
Paul Lange, M.D. selected Distinguished Member for 2015.
Dr. Lange is internationally recognized for his clinical and experimental work in a variety of genitourinary cancers, especially prostate and testis. Early on he was instrumental in the elucidation of the biological markers AFP and hCG for testis tumors and later for the role of PSA in the management of prostate cancer.
He is currently University of Washington Emeritus Professor and Chair in UW’s Department of Urology, holds the Pritt Family Endowed Chair in Prostate Cancer Research, and is Director of the Institute for Prostate Cancer Research – a cooperative collaboration between UW and the Fred Hutchinson Cancer Research Center.
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Social Security Releases Updated Ruling on Interstitial Cystitis Effective March 18
The Social Security Administration has published a NEW Social Security Ruling (SSR) in the Federal Register on March 18, for evaluating interstitial cystitis (IC) in adults and children. The SSR takes effect immediately. New SSR 15-1p rescinds and replaces prior SSR 02-2p for establishing IC as a medically determinable impairment (MDI) and determining the level of disability for applicants applying for disability benefits. It takes into consideration information about IC recently developed by the American Urological Association (AUA) and the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK).
The ruling makes for fascinating reading and we strongly suggest that every current applicant, those currently appealing denials or patients considering making an application read the ruling in its entirety. It offers a LOT of clues about the types of information SSA expects and needs to approve disability benefits.
Docs Perform 1st Successful Penis Transplant
Doctors have performed the world's first successful penis transplant.
The nine-hour operation by surgeons in Cape Town, South Africa offers hope to high numbers of South African men who lose their penises due to complications with traditional circumcision. Experts thought the unnamed 21-year-old patient - who had to have his penis amputated three years ago after circumcision - would take two years to regain all function.
FDA Warning: Men's Testosterone Drugs Overused
The Food and Drug Administration is warning doctors against over-prescribing testosterone-boosting drugs for men, saying the popular treatments have not been established as safe or effective for common age-related issues like low libido and fatigue. The agency says drugmakers must clearly state in their labeling and promotions that the drugs, currently taken by millions of U.S. men, are only approved to treat low testosterone levels caused by disease or injury, not normal aging.
Vitamin D Supplements May Reverse Progression of Low-Grade Prostate Tumors
Medical News Today
New research presented at the 249th National Meeting & Exposition of the American Chemical Society suggests that taking vitamin D supplements may slow or reverse the progression of low-grade prostate tumors, without the need for surgery or radiation therapy. Within the Gleason Grading System used by pathologists, tumors with a Gleason score of seven or above are considered to be aggressive.
Vascular Calcification Predicts Early Death in CKD Patients
Renal & Urology News
Vascular calcification (VC) is highly prevalent in non-dialysis patients with chronic kidney disease (CKD) — and a certain type, medial calcification, might be deadly. A new study finds that 79 percent of patients have VC and in 47 percent it is prominent. In particular, VC occurring in the medial portion of muscular arteries was associated with twice the risk of all - cause mortality and 3.5 times the risk of cardiovascular mortality. VC did not predict CKD progression.
Top Silicon Valley Investor Keith Rabois: Software Will Replace Doctors and Lawyers
According to Keith Rabois, a Khosla Ventures partner and former executive at LinkedIn, PayPal, and Square, areas that require human expert judgment, like healthcare and law, are most likely to see disruption in the coming years. "One of the most interesting things we've noticed over the last decade is the ability of math and machines to replace human judgment, particularly expert judgment," Rabois said on Founder Calls, a new podcast run by Box CEO Aaron Levie.
PPACA Will Have 'Modest Effects' on Care Access, Study Finds
One concern about the Patient Protection and Affordable Care Act has been the anticipated longer wait times for physician visits with the addition of millions of newly insured people who would gain coverage through Medicaid expansion or the health insurance markets.
We've heard the doomsday scenarios about clogged emergency departments full of people who can't find a primary care physician, are forced to use the most expensive care access point for non-emergency care, thus defeating the very purpose of the reforms.
Fully Repeal the SGR
For more than 12 years Congress has sought a long-term solution to the flawed sustainable growth rate (SGR) formula. Over this time, the SGR has become one of the most dreaded terms in healthcare policy. It has no friends and is widely regarded in a bipartisan manner as a "mistake" and "failed policy." Yet Congress finds itself in a familiar place – struggling to pass a permanent repeal of a failed policy it largely abhors.
Medicare's New ACO Model Aims to Smooth Cash Flow
With the announcement of a new accountable care payment model, federal officials are forging ahead with their efforts to boost value-based payments for Medicare services.
The Next Generation ACO model recently unveiled, seeks to advance Medicare's accountable care payment initiatives, according to Patrick Conway, M.D., chief medical officer and deputy administrator for innovation and quality at the Centers for Medicare & Medicaid Services.
Medicare Reform to Be Voted on by US House of Representatives
Americans for Tax Reform
Reports are out that the U.S. House of Representatives may take up a plan to put in place large structural reforms to the Medicare system in March. This is a huge win for conservatives. Entitlement reform is the only way that the growth of government can be controlled this century. Particularly, the House is considering a plan that controls the growth of Medicare in two key ways.
Budget Hawks: 'Doc Fix' Would Cost $400 Billion
Fiscal conservative groups are pushing back against the GOP-led proposal to end automatic payment cuts to Medicare doctors without fully making up the costs — which one group says would cost $400 billion over 20 years. GOP leadership is working on a $200 billion deal, of which about $70 billion would be offset. Proponents argue that eliminating the yearly "doc fix" legislative battle would ultimately save money and pay for itself within the next two decades.
5 Post-ACA Healthcare Trends to Watch
Despite Republican lawmakers' continued attempts to derail healthcare reform and the uncertainty over the Supreme Court's upcoming ruling in the King vs. Burwell case, the Affordable Care Act (ACA) has had a profound impact on the healthcare industry in the last five years and will continue to do, according to a new report by PwC.
What Patients Prefer to Know
The New York Times
Dr. Rachel A. Freedman, an oncologist who specializes in breast cancer at the Dana Farber Cancer Institute in Boston, said she noticed a few years ago that many patients who were referred to her had little understanding of their disease or its treatment. There was hardly any published information on what patients knew about their own cancers, so Dr. Freedman and some colleagues decided to conduct a study. The results showed that a little more than half of the women knew their cancer’s stage and its estrogen and HER-2 status. Only 20 percent knew the grade. Blacks and Hispanics tended to know less than whites.
100 Medical Societies Warn about Possible ICD-10 Problems
The American Medical Association and 99 other state medical, medical specialty and professional associations are asking CMS acting Administrator Andrew Slavitt to have the agency improve transition plans for the Oct. 1 conversion to ICD-10 diagnostic and procedural codes. "By itself, the implementation of ICD-10 is a massive undertaking," the AMA and fellow signatories said in a seven-page letter. "The undersigned organizations remain gravely concerned that many aspects of this undertaking have not been fully assessed and that contingency plans may be inadequate if serious disruptions occur on or after Oct. 1."
5 Ways Tech-Savvy Millennials Alter Healthcare Landscape
Advances in technology empower millennials to alter healthcare delivery and insurance, according to a new consumer survey by PNC Healthcare. Online shopping for doctors, web-based diagnostic tools and research about treatment options at the finger-tips are informing healthcare decisions for millennials, replacing the single-source, primary care physician favored by older generations. "Millennials will overtake boomers as the nation's biggest consumer buying group, shifting the purchasing power," said Jean Hippert, senior vice president, PNC Healthcare. "The rules of evolution dictate that those insurers and health care providers that survive or thrive will be those that adapt sooner than later to the preferences of this fast-paced, technology-driven generation.
'Did the Surgery Work?' California Registry Asks Patients
A California-based orthopedic surgery registry posted new data this week that takes a different approach to showing how well patients fared within one year of undergoing common, often expensive, musculoskeletal procedures at six state hospitals. Rather than look at complication rates and the frequency with which patients have to be readmitted after surgery, the data released Wednesday, March 18, by the California Joint Replacement Registry comes from surveys of patients before and after surgery, basically seeking to answer a basic question: Did the procedure work?
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