Sunday, October 6, 2013

Oral Melanoma


The answer to yesterday's image challenge was #4- Melanoma.  Many of you diagnosed correctly.

Oral malignant melanomas are uncommon and like other melanomas of the skin they arise from melanocyte cells.  Unlike cutaneous (skin) melanoma which are linked to sun exposure, the risk factors for oral melanoma is unknown.  We think they arise de novo (from no cause).

Oral melanomas are more common in Japanese race and occur in men more than women (2:1)  It is rare in people under 20 and more common in men over 40 years.

Good oral exams by the dentist are always important to identify mouth lesions.  Most are benign and many other less serious conditions can cause pigmentation.

Wednesday, October 2, 2013

You Be the Doctor


This 42 year old man came to the doctor with these changes in his gums.  What is the diagnosis?

1.  Chewing tobacco
2.  Implantation of amalgam
3.  Lead Poisoning
4.  Melanoma
5.  Peutz-Jegher's syndrome

Make your diagnosis in the comment's section and check back Friday for the answer.  Can you be the doctor that gets it right?

Tuesday, October 1, 2013

Ignore these 15 Obamacare Myths


I've pulled my head up from frantic medical work just in time to give faithful readers 15 Myths that are being spread about Obamacare.  I have been first to admit that the government has done a lousy job of explaining the plan and it is no wonder the Tea Party has had a field day with mis-information.  But now that sign-ups for the Exchanges are open to the uninsured and under-insured population, these are the lies you should avoid:
  1. Congress is "Exempt" from the Affordable Care Act  
  2. Premium prices will increase due to Health Care Law
  3. The Affordable Care Act includes death panels
  4. Shutting down Government over Obamacare funding will stop the Health Care Law
  5. The ACA is "socialized medicine" and a "government takeover"
  6. People will be able to commit subsidy fraud on the Exchanges
  7. Obamacare "Narrow Networks" will constrain health choices
  8. The Affordable Care Act is bad for women
  9. The Affordable Care Act covers abortions
  10. The Affordable Care Act is a job killer
  11. With full access to medical records, the IRS will discriminate against conservatives
  12. Navigators will abuse private information
  13. Obamacare mandates doctors to ask patients about sexual history
  14. The Medicaid expansion will force doctors to turn away patients
  15. Obamacare is to blame for a projected 30 million people who will remain uninsured.
There is plenty to be mad at the government about.  The fact that the Tea Party has literally shut down government is atrocious and bad for mankind and bad for business.  Obamacare isn't the problem.  it isn't a perfect law but it is the same act the GOP came up with during the Bush years and it is a (minor) step in the right direction.

If you want to learn more...go here.

Aren't you glad I'm back with facts and the truth?