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Sunday, November 01, 2009

H1N1 and Cancer - update

Letter to the Editor;


With the focus of attention on H1N1 are we allowing care for those 
desparately ill to go to the bottom of today's priority list? It would 
seem so. 

I have a friend in need. The cancer is killing both of us. The 
cancer is killing my friend because of the disease. It is killing me 
because I am sitting here watching and listening to this friend who 
needs help but cannot access palliative care assistance. It seems that 
this patient has tried to access help without success. 

I believe there must be a healthcare provider somewhere in this province, 
who can exercise some form of a miracle and connect the dots. Out of privacy 
concerns I will not publicly provide this patient's personal information 
but what I do need is someone in the Vancouver area who has the authority, 
ability and willingness to help this patient. 

As a cancer survivour and friend, the best I can do is place a call for action. 
As a healthcare provider, you have the means to make it work. I will connect 
you. Please help because we need to and we must.

Sandi Pniauskas

October 30, 2009

http://ovariancancerandus.blogspot.com
http://ovariancancerdebate.blogspot.com/

November 1st, 2009 update: This letter was circulated through 
media outlets, Twitter, Facebook,
listservs, professional organizations etc. With the exception
of Charles Adler (media broadcaster) 
and 2 cancer survivours it fell on deaf ears.


Initial evaluation and referral guidelines for management of pelvic/ovarian masses - Canada

"Patients deemed to have a high risk of an underlying malignancy should be reviewed in consultation with a gynaecologic oncologist for assessment and optimal surgical management."

Who are the providers of gynaecologic cancer surgical care in Ontario?

"CONCLUSION: Gynaecologists perform over half of the operations for gynaecologic cancers in Ontario."

Laparoscopic peritoneal entry preferences among Canadian gynaecologists

Abstract: the response rate to the survey was 45.6%

"CONCLUSIONS: Our survey had a significant response rate and was able to delineate current laparoscopic entry practice patterns of gynaecologists, which were consistent across Canada. Despite 72.9% of respondents reporting familiarity with the recent SOGC clinical practice guideline, it appears that clinical practice does not necessarily coincide with current recommendations. These variances in gynaecological practice emphasize the need for further educational initiatives to ensure that the evidence from research is used to make clinical practice safer."

Malignant Ascites Symptom Cluster in Patients Referred for Paracentesis.

The contribution of founder mutations to early-onset breast cancer in French-Canadian women