Saturday, April 23, 2016

Learn the physical exam by following an oncologist

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asco-logo “Observe, record, tabulate, communicate. Use your five senses. Learn to see, learn to hear, learn to feel, learn to smell, and know that by practice alone you can become expert.”
– Sir William Osler, “The Father of Modern Medicine” (1849–1919)

In this modern era of oncology, the potential extent of malignant spread is staged by high-quality scans. Further, when oncologists have questions about response(s) to cancer treatments rendered, we simply order another scan for comparison. These images can often provide us with an answer, right?

In today’s medical environment of CTs, MRIs, and PETs, we rely heavily on technology in making our diagnoses. For example, if a patient complains of back pain, we will interview the patient — by taking a history — to investigate the pain’s possible origin and symptoms, and examine the patient’s body for signs of a particular disease process. But, in fact, no matter how much time we spend with our patients, we will ultimately order tests to confirm a particular treatment response. Simply put, to measure if there is cancer progression, or not, as evidenced by metastases, or not, scans are often ordered for confirmation of our suspicions.

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