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Surviving American Medicine

Compassion and Empathy at the End of Life: Advanced Care Planning Takes a Giant Step Forward

Cary A. Presant, M.D. | Posted 07.17.2015 | Politics
Cary A. Presant, M.D.

On July 8, 2015, Medicare took a significant step towards helping people make the right decisions for their care by proposing to pay in 2016 for physicians who spend at least 30 minutes discussing and documenting patient preferences and values at the end of life that may be used to guide decisions for Advanced Directives.

What Grade Does the Supreme Court Earn on Its Affordable Care Act Decision?

Cary A. Presant, M.D. | Posted 06.29.2015 | Politics
Cary A. Presant, M.D.

On June 25, 2015, the Supreme Court again upheld the ACA against a challenge, this time to federal subsidies. Was this a good or bad decision? What grade should we give the court, and for that matter congress as well?

'Female Viagra' -- Libido Liberation or Gender Hype?

Cary A. Presant, M.D. | Posted 06.15.2015 | Healthy Living
Cary A. Presant, M.D.

Is this new drug flianserin really the "female Viagra," or is it just a drug that empowers women to talk about gender discrimination?

Why You Should Watch the Film Cancer: the Emperor of All Maladies: A Biography of Cancer

Cary A. Presant, M.D. | Posted 06.24.2015 | Healthy Living
Cary A. Presant, M.D.

Our understanding of cancer and how to successfully treat it and the symptoms it produces is evolving and improving; and our ability to cope with cancer is also evolving with more confidence and hope in the future.

What Leonard Nimoy (Spock) and Lesley Gore ('It's My Party') Have in Common

Cary A. Presant, M.D. | Posted 06.16.2015 | Healthy Living
Cary A. Presant, M.D.

Above all, avoid cigarettes, and you will live longer, prosper better, and also have more parties. Leonard Nimoy and Lesley Gore, we will miss you both.

Angelina Jolie: Double Credit as a Role Model After Double Operations

Cary A. Presant, M.D. | Posted 05.30.2015 | Healthy Living
Cary A. Presant, M.D.

With the recognition that 5 to 10 percent of cancers are due to inherited mutations, it is especially important that people work with their physicians...

Lung Cancer in Women: The No. 1 Cancer Killer That Can Be Tamed

Cary A. Presant, M.D. | Posted 04.14.2015 | Healthy Living
Cary A. Presant, M.D.

Although breast cancer diagnosis is twice as common in women (1 in 8 women will get breast cancer) compared to lung cancer (1 in 16 women), the cure rate for lung cancer is much lower, resulting in more deaths from lung cancer.

January Cervical Cancer Month: Progress Is Promising

Cary A. Presant, M.D. | Posted 03.11.2015 | Healthy Living
Cary A. Presant, M.D.

Since vaccination with FDA-approved HPV vaccines can reduce HPV infections and reduce the likelihood of ever getting cervical cancer, it is important to know if people and their physicians are using the vaccines.

Healthy Makes Happy: 5 New Year's Resolutions for a Healthier Life and a Happy 2015

Cary A. Presant, M.D. | Posted 02.28.2015 | Healthy Living
Cary A. Presant, M.D.

As the calendar turns to New Year 2015, what resolutions should you make to get healthier and happier in the next 12 months? Here is what I recommend to my patients, family and friends.

Smokeout Time: Your Opportunity to Stop Smoking and Save Lives

Cary A. Presant, M.D. | Posted 01.17.2015 | Healthy Living
Cary A. Presant, M.D.

Live longer, live healthier, make the lives of those around you healthier (by avoiding your second-hand smoke), and make the Great American Smokeout your personal first anniversary for your smoke-free life.

No Shave November: Crowdfunding Cancer Research With Body Hair

Cary A. Presant, M.D. | Posted 01.12.2015 | Impact
Cary A. Presant, M.D.

Each of us avoids shaving for 1 to 30 days this month and makes a contribution equal to (or lots higher than) we would have spent on haircuts during that time. And we can also encourage friends who comment on our extra hair that they too should make a contribution.

5 Lessons to Be Learned From Michael Douglas' Cancer Experience

Cary A. Presant, M.D. | Posted 12.14.2014 | Healthy Living
Cary A. Presant, M.D.

Michael has shown us how to make the proper decisions to overcome stage IV cancer and regain a high quality life. Use these five tips to give yourself the best chance to survive.

Jane Seymour: A Daughter's Dilemma and Her Compassionate Solution

Cary A. Presant, M.D. | Posted 12.08.2014 | Healthy Living
Cary A. Presant, M.D.

In June 2014, I had the joy of filming a cancer segment with Jane Seymour for her series "Feel Grand" supported by Grandparents.com for Detroit Public...

Do You Have the Courage to Save Your Life? Angelina Jolie Shows How You Can

Cary A. Presant, M.D. | Posted 12.06.2014 | Healthy Living
Cary A. Presant, M.D.

Life events are often hard to predict. But sometimes you can get a good picture of what is in store for you! October is Breast Cancer Awareness Month...

Ebola and Life-Threatening Diseases: Should You Take Untested Medicines?

Cary A. Presant, M.D. | Posted 11.29.2014 | Healthy Living
Cary A. Presant, M.D.

If a condition, even Ebola, threatens your life, be courageous, be informed, and be prepared to make a decision that could help you survive.

Happy 80th Birthday Pearle! Congratulations on 31 Years of Being a Breast Cancer Survivor!

Cary A. Presant, M.D. | Posted 11.26.2014 | Healthy Living
Cary A. Presant, M.D.

Since October is Breast Cancer Awareness month, I can think of no better time than to give congratulations to my patient Pearle Mintz. With the intent...

Second Semester Grades for Obamacare: How Is the ACA Doing?

Cary A. Presant, M.D. | Posted 10.21.2014 | Politics
Cary A. Presant, M.D.

In March, I gave my first semester grades for the Affordable Care Act (ACA, also known generally as Obamacare), and it received a C grade for a GPA of 2.0. Now, a semester of health care later, how is it doing?

6 Tips About Breakthrough Drugs: For Example, Should Breast Cancer Patients Try to Get Palbociclib?

Cary A. Presant, M.D. | Posted 10.12.2014 | Healthy Living
Cary A. Presant, M.D.

Breakthrough drugs are widely covered in the media. After hearing about these new drugs, patients and their families are always asking me how they can get access to the new medicine or participate in a clinical trial of the new drug. Let's look at a current example.

Preventing Ebola and More Common Infections: Tips For You On Contact and Hygiene

Cary A. Presant, M.D. | Posted 10.06.2014 | Healthy Living
Cary A. Presant, M.D.

Social gestures are important to feel welcome, express trust, show gratitude, and conclude visits with a hopeful tone. Find the best way between you and your doctor to have these feelings, but do not increase your risk of infection in the process.

Why Variability in Cancer Care Recommendations Means You Should Consider Second Opinions

Cary A. Presant, M.D. | Posted 09.23.2014 | Healthy Living
Cary A. Presant, M.D.

Make sure your care is following the best guidelines, or if your doctor is not following best guidelines, that the doctor has a good explanation of why you actually need something different. Good patients get good information which gets good care which gets the very best outcomes. And often, good patients need to get second opinions.

Are There Tears in Your Popcorn? What to Learn From The Fault in Our Stars

Cary A. Presant, M.D. | Posted 08.31.2014 | Healthy Living
Cary A. Presant, M.D.

The Fault in Our Stars movie portrays the fault in our lives when challenged with illness, and the joy in our lives when these challenges are met.

Tony Gwynn's Biggest Hit and His Advice for Us

Cary A. Presant, M.D. | Posted 08.20.2014 | Impact
Cary A. Presant, M.D.

After wearing number 19 for the San Diego Padres, Tony Gwynn was elected to the Hall of Fame on the first ballot on which he was eligible. But his biggest accomplishment (to me) was when he courageously faced cancer surgery in August 2010.

An Unknown Legacy of Casey Kasem -- Supporting Patients in Need

Cary A. Presant, M.D. | Posted 08.18.2014 | Impact
Cary A. Presant, M.D.

On Father's Day June 15, 2014, the world lost Casey Kasem. I identified with Casey because we were both music lovers, both short and both very friendly. But also, we were both committed to supporting cancer patients in need of help.

The American Cancer Society at 100 Years: Helping Make More Survivors, Like Jaclyn Smith!

Cary A. Presant, M.D. | Posted 08.15.2014 | Healthy Living
Cary A. Presant, M.D.

For the past 100 years, the American Cancer Society (ACS) has been helping promote the best science to help control cancer. In support of that goal, t...

What's the ObamaCare GPA? The ABCs of Giving a Grade to the Affordable Care Act

Cary A. Presant, M.D. | Posted 06.22.2014 | Politics
Cary A. Presant, M.D.

I want to grade what the ACA is doing for me now. Because that's where healthcare reform hits the road, in the care that each of us pays lots of dollars to receive.