Fwd: FK-Unpad> Digest Number 3627

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Date: 2013/9/12
Subject: TRS: FK-Unpad> Digest Number 3627
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Subjek: FK-Unpad> Digest Number 3627


There are 2 messages in this issue.

Topics in this digest:

1. Fwd: When Med Students Get Medical Students Disease   
    From: Billy N.

2. Shock study: Chemotherapy can backfire, make cancer worse by trigger   
    From:   ddgn...@gmail.com


Messages
________________________________________________________________________
1. Fwd: When Med Students Get Medical Students Disease
    Posted by: "Billy N." bi...@mediator.web.id yahrapha
    Date: Thu Sep 5, 2013 11:00 am ((PDT))

http://well.blogs.nytimes.com/2013/09/05/when-med-students-get-medical-students-disease/?ref=health&_r=0
When Med Students Get Medical Students� Disease
Barron H. Lerner, M.D.

Each year hundreds of medical students think they have contracted the
exact diseases they are studying. But they haven�t.
�Medical students� disease� refers to the phenomenon in which medical
students notice something innocuous about their health and then attach
to it exaggerated significance. It often corresponds to a disease they
have recently learned about in lectures or encountered on the wards.
We are at the start of a new academic year and close to 20,000
students are beginning medical school in the United States. How did
medical students� disease get discovered? And does it really exist? It
was around when I was in medical school, in the 1980s. And in my own
class, we experienced a surprising twist.
Medical students� disease � which has also been called �nosophobia,�
meaning �fear of disease� � first gained attention in the mid-1960s
after the publication of two articles from prominent psychiatric
departments. Researchers at McGill University reviewed records from
the student health service and reported that 70 percent of medical
students complained of symptoms of various illnesses they had studied.
Typical was a student who decided he had schizophrenia during his
psychiatry rotation but later changed his diagnosis to Meniere�s
disease, an inner ear disorder. He had neither condition.
Meanwhile, investigators at the University of Southern California
School of Medicine interviewed 33 senior medical students, finding
that almost 80 percent had incorrectly given themselves diagnoses of
diseases ranging from cancer to tuberculosis. The authors wrote that
medical students� disease was often met with �jocularity and humor,�
but that it could also be a �signal of general emotional distress and
conflict.�
As we marched through our syllabus, several of my classmates believed
they had developed various diseases. Most common were apparent brain
tumors when we learned neurology and angina during our lectures on the
heart. Having been told that medical students were prone to
hypochondriasis, we generally responded with eye-rolling.
But then something surprising happened. Two of us turned out to be
seriously ill.
One of my classmates, Cam, had actually started feeling unwell the
summer before medical school, noting that he could no longer lift as
much weight as before. In addition, his vision was not quite right.
He saw a neuro-opthalmologist, a specialist in neurological diseases
of the eye, before leaving for school. This doctor tentatively
diagnosed myasthenia gravis, a neuromuscular disorder that causes
weakness throughout the body, especially the eyes and eyelids.
But when Cam visited a neurologist during the first month of medical
school, the doctor, likely having seen many imaginary illnesses among
students, was, according to Cam, �a little dismissive.� Cam thought
his symptoms were real, but also wondered if it might all be in his
head. Fortunately, however, the neurologist sent him to see another
neuro-ophthalmologist, who confirmed the original diagnosis.
To this day, Cam experiences periodic �low level eye weakness,� but it
does not interfere with his ability to work as an infectious diseases
specialist.
I was present the day, during our second year, when another of my
classmates, Mike, first learned he might be ill. We were in hematology
laboratory and learning how to check our red blood cell counts, also
known as the hematocrit. We almost all had normal levels ranging
between 35 and 50.
But Mike�s reading was only 27. Assuming that Mike had done the test
incorrectly, our professor told him to repeat it and watched his
technique, which was fine. It was 27 again. Mike was severely anemic.
He remembers the teacher pulling him to the side and quietly advising
him to go to student health.
In retrospect, Mike, an inveterate basketball player, realized he had
been getting short of breath � a sign of anemia.
Further tests revealed that Mike had iron-deficiency anemia, meaning
he was losing blood, most likely from his intestines. Yet numerous
tests did not reveal the source of the bleeding.
Mike began to wonder about other possible causes of his condition. One
classmate told him that the anemia was a result of Mike�s propensity
for junk food.
Seemingly sick but without a diagnosis, Mike finished the semester.
But only barely. He had developed a large mass in his abdomen. When
his doctors performed a colonoscopy, the diagnosis became obvious:
Mike had a colon cancer that had caused his intestine to ball up.
The news was jarring, to say the least � about as far from an
imaginary diagnosis as any medical student could have. Surgeons
removed part of Mike�s large intestine. Fortunately, the lymph nodes
were negative and Mike survived. Today he is a general internist.
Cam and Mike were truly sick, but what about other medical students
who only think they are? Is medical students� disease really such a
problem, borne from overly anxious and stressed future doctors?
A few more recent controlled studies � with better methodology than
the older research � suggest that the answer is no. For example,
medical students at Oxford University had similar �health anxiety�
scores to control groups comprised of non-medical students and
non-students. A study of four medical schools concurred and even found
that first- and fourth-year medical students had lower anxiety and
worry levels than other graduate students.
It appears, then, that while some medical students do falsely
experience symptoms of diseases they have encountered, they are no
more hypochondriacal than other students. So it is probably wrong to
speak of a distinct entity known as medical students� disease, even if
the concept amuses more senior physicians. And when students, like Cam
and Mike, really do not feel well, we should take their complaints
seriously.





Messages in this topic (1)
________________________________________________________________________
________________________________________________________________________
2. Shock study: Chemotherapy can backfire, make cancer worse by trigger
    Posted by:  ddgn...@gmail.com
    Date: Thu Sep 5, 2013 6:43 pm ((PDT))

Ini hanya laporan. Untuk dicermarri lebih  lanjut kebenaran lebih lanjut

Chemotherapy can backfire, make cancer worse by triggering tumor growth
Long considered the most effective cancer-fighting treatment, chemotherapy may actually make cancer worse, according to a shocking new study.
http://m.nydailynews.com/1.1129897



Messages in this topic (1)



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