According to an article in the Chicago Tribune, until recently, medical mistakes were rarely discussed and almost never admitted to patients due to physicians' pride and fear of malpractice lawsuits. However, that mindset may be beginning to change, as leading patient safety organizations call for full disclosure of medical errors and some hospitals change to an "honesty is best" policy.

Such organizations working for this change include the Joint Commission on Accreditation of Healthcare Organizations and the National Quality Forum.

According to a study cited in the article, although all doctors say they want to be honest, fewer than half actually reveal serious errors that they have made. One of the biggest obstacles to disclosure is the fear of lawsuits and more than 30 states have passed 'apology laws' that bar apologies by physicians being used against physicians in court.

However, according to the article, most lawyers and doctors remain fearful and insurance companies usually insist that doctors break off all direct communications with patients after medical mistakes happen.

Do you trust your doctor? I do--with a bit of hestitation though. After my dad's death, we realized that his doctor had been grossly negligent in treating him--my dad had dozens of appointments where he complained of his failing health and asked his doctor to put him through tests to figure out what was wrong with him. His doctor's solution was to not screen him for anything and instead telling him it was just age catching up with him and prescribing him 600 heavy-duty painkillers to mask the pain he experienced while he was slowly dying. My dad trusted his doctor to look out for him and paid for it with his life.

Though I'm wary, most people do trust their doctors--more than any other professional they deal with in fact, a study shows. Not surprisingly, lawyers and politicians are the least-trusted. What do you think about these results? Are we right to trust out doctors? Or should we be taking more responsibility for our health and not relying on a virtual stranger to look out for our best interests?

If you have been through cancer treatment recently, were you given varying opinions from several medical practitioners? If so, you are not alone, as many cancer patients seem to be lost in haze of confusing medical jargon and differing opinions from several doctors.

With more than 1.4 million new cases of cancer due in 2007, one would expect the knowledge and options to be somewhat standard. As we all know, every case if different and there are so many variables at play that a customized treatment set is needed. Do all doctors pay this much attention to each cancer patient? Very doubtful -- there just are not enough specific cancer specialists to go around in my opinion.

The best defense is a good offense, so eating right and taking care of your body in exemplary fashion is a great idea regardless. But, if you end up developing cancer, it may take a decent dose of leaning and aggressiveness to battle through to the other side.

Over 75% of patients want to shake their doctor's hand upon meeting them for the first time and about half would like to be called by name, according to a report in the June 11 issue of Archives of Internal Medicine, head authored by Gregory Makoul, Ph.D., at Northwestern University Feinberg School of Medicine, Chicago.

Unfortunately, in this study, in over 50% of encounters, doctors did not mention patient's name at all upon meeting.

On the flip side, over half of patients would like doctors to introduce themselves using their first and last names, followed by about 30% who would like doctors to use only their last name.

When I meet a new doctor, I do like to be greeted by name, but just my first name is fine. As far as shaking hands, for me, that isn't necessary.

Advocacy runs far and wide. Thank goodness for that.

Think about this:

A new breast cancer non-profit organization has been launched especially for South Africans affected by the disease.

Founded by Samantha Galliet, the 31-year-old breast cancer survivor who made headlines with her "David and Goliath" battle to get life-saving Herceptin treatment, created PinkLink to give patients affected by breast cancer a voice.

PinkLink, focusing on the need for self-examination and awareness to encourage prevention and early detection of this silent epidemic, is intended to be a one-stop-shop with valuable South African based information on doctors, treatments, financial considerations, and health issues.

OK, we all know young women get breast cancer. But the way some talk about the pair -- young women and the deadly disease -- it would seem finding a young one living with this type of cancer is like locating that needle in a haystack. Many a young woman -- like me -- have heard doctors and nurses and technicians and family and friends remark, "you are too young for the disease," and then dismiss cancer suspicions as needless worry.

The median age for women diagnosed with breast cancer is 65. But think about this fact, published in the Spring/Summer edition of Beyond: Live & Thrive After Breast Cancer.

More than 240,000 women in the United States age 40 and under are living with breast cancer. Each year in this country, more than 14,000 women 40 years old and younger are diagnosed with breast cancer, says Boston oncologist Ann Partridge, M.D., of the Dana-Farber Cancer Institute.

That's a lot of young women. That's a lot of breast cancer. And yet, mammograms still are not recommended for women under the age of 40.

One man. One cancer diagnosis. One feature-length film. About how 17,000 men gain membership every month in a group this one man calls, The Men's Club.

The man is Rocky Galgano. He is 58 years old. He is a retired police officer. And he happens to be a member of the very club he features in his film -- a club full of men living with prostate cancer.

Galgano created his documentary as a companion to all the densely-written books and resources he found filled to the brim with medical jargon about a disease that will strike 218,890 and kill 27,050 men this year alone.

Men are reluctant to talk about prostate cancer or get tested for the disease, says Galgano. And yet this form of cancer can be cured if caught early. So Galgano stepped to the plate and started talking. He talks about his personal experience, and he talks about different types of treatment. He has nine different doctors talk. He has cancer survivors talk. And he says he wants as many people as possible to see this film.

Galgano is working on distribution and says he's close to a deal with Amazon.com. He also plans to market the not-yet-rated film to urologists across the country, and he will soon sell his masterpiece -- a trailer can be seen here -- on his website for $19.95.

A friend of a friend was diagnosed this week with a cancerous brain tumor -- a glioma to be exact -- and the surgery to remove the mass is scheduled for Monday.

I don't know much about this woman or her cancer, but I do know doctors told her yesterday she will likely survive for only a few years. I can't help but think that if doctors had given me this same prediction at the time of my cancer diagnosis, my time would just about be up.

I can't fully grasp the magnitude of this sad and sobering news. But I can comprehend that any one of us could be on the receiving end of such an announcement at any given moment. We are all vulnerable. And so I am confronted once again with the powerful and painful reminder that each day really could be my last.

Scientists say drivers who spend a lot of time in the car have an increased chance of developing cancer.

It's the exposure to the sun's rays through car windows that hikes the risk of skin cancer, especially for those who drive with open windows.

In a study of 898 patients with skin cancer, it was discovered that the disease spread to the part of the body closest to the side car window. In response to this finding, doctors recommend drivers tint their car windows or use ultraviolet filters in an effort to minimize cancer risk.

Radioactive cancer patients attending this weekend's Super Bowl in Miami could be in for an alarming experience when they pass through radiation detectors designed to signal the presence of dirty bombs. Such cancer patients -- who have received treatment using radioisotopes and still may have tiny amounts of radioactive material in their bodies -- may want to come armed with letters from their doctors explaining their precarious set of circumstances.

The use of radioisotopes in medicine is growing -- and so is the use of radiation detectors in our security-conscious nation, which means patients are triggering alarms when they are not even aware they are being scanned, doctors and security officials say.

Nearly 60,000 people a day in the United States undergo treatment or tests that leave traces of radioactive material in their bodies, according to the Society of Nuclear Medicine. These traces are not enough to hurt anyone, but they are enough to trigger radiation alarms for up to three months.

Radioisotopes are commonly used to diagnose and treat certain cancers and thyroid disorders, to analyze heart function, and to scan bones and lungs. And many doctors already know to equip their patients with travel cards because of the problems they can encounter in public places.

Nearly 20 million nuclear medical procedures were performed in the United States in 2005 -- up 15 percent from 2001. Clearly, the number of people who could be mistaken for terrorists is quite large. So if you are one of these people -- with the power to create a buzz in a public setting -- get your papers in order so you can quickly confirm your identity as nothing more than a cancer patient.

This year alone, 215,000 women will be diagnosed with breast cancer. And sadly, not all of them will be treated equally.

Researchers reported last Tuesday that breast cancer patients who are either obese or poor are more likely to receive lower doses of chemotherapy. This might be why some women relapse and others do not, according to the researchers whose findings appear in the Journal of Clinical Oncology.

This treatment discrepancy seems to stem from doctors who mean well and want to save certain women from severe side effects of chemotherapy. Doctors may be under-dosing obese patients, for example, because a larger dose based on weight could lead to worse side effects. There is no evidence this is true, however.

As for socioeconomic status, researchers report doctors are assuming less-educated patients won't stick with a tough course of treatment -- and so they prescribe less, in hopes patients will complete the regimen.

Researchers found that severely obese women were four times more likely to get less chemotherapy than they need. Women with less than a high school education were three times more likely to receive low doses of chemotherapy. And women living in the South were almost six times more likely to come up short on the drugs they need to save their lives.

"We have new therapies and cures out there for many forms of cancer and sadly, sometimes we're not curing people because they are not getting the full doses that should be standard," says Dr. Gary Lyman who led the study at the University of Rochester Medical Center in New York.

The standard dose of some medications are too high and dangerous for the patients, where some patients respond the exact opposite and show that the standard dose is too low to produce beneficial effects. It would seem to be a simple case of age, gender, or genetic differences to explain the individual variability in response to the drugs.

A study at the University of Kansas is reporting that variations in the body's production of hydrogen peroxide, which is believed to serve as a signaling molecule at low levels, can affect the accumulation of drugs inside our cells.

Oxidative stress, an increase in hydrogen peroxide levels, may have an increased response to a given dosage of a drug. This seems to show that it is in our best interest for physicians to provide more individualized dosing of drugs.

Hydrogen peroxide effects could be especially important in therapeutic drugs such as aminophylline, carbamazepine, lithium, carbonate, phenytoin, theophylline and warfarin. The researchers think that small changes in the doses of these drugs could cause either subtherapeutic or toxic results.

I've had the little book, with its glossy plaid cover, ever since it was released in 1991. I was 21 years old and already a fan of well-crafted, powerful words. So it was no surprise I picked up Life's Little Instruction Book: 511 suggestions, observations, and reminders on how to live a happy and rewarding life. And it's no surprise I have kept it with me for all these years, allowing it a lifetime membership on my bookshelf, where I can swiftly pluck it from its spot when I need a little inspiration.

Now in a worn, faded, and tattered state, this book is still one of my favorites. Its words are timeless, its messages are meaningful -- even more so now that I am 36 years ago. Now a college graduate, a one-time working professional, a wife, a mom, a writer, and a breast cancer survivor, the reflections printed in this book speak to me more clearly than ever before.

Here are seven of my current favorites from Life's Little Instruction Book -- written by H. Jackson Brown, Jr. for his college-bound son at a time when he had no idea the road map he provided for his child would come to serve so many others.

• Always have something beautiful in sight, even if it's just a daisy in a jelly glass.

• Don't forget, a person's greatest emotional need is to feel appreciated.

• Choose work that is in harmony with your values.

• Don't be intimidated by doctors and nurses. Even when you're in the hospital, it's still your body.

• Don't use time or words carelessly. Neither can be retrieved.

• Live so that when your children think of fairness, caring, and integrity, they think of you.

• Keep it simple.
  

As a resource of medical information, take into account that there are over 25,000 medical journals published worldwide. For most of us, it is an overwhelming volume of information.

Doctor Evidence is an independent user-friendly fee-based medical search service connecting patients and doctors to the latest in relevant information which can then lead to the formulation of informed decisions about medical treatments -- and avoid potentially deadly mistakes in misdiagnosis, treatment or surgery.

In 2000, Dr. Todd Feinman founded Doctor Evidence after undergoing unnecessary surgery for intestinal cancer. After surgery he was told that the test that led to surgery had been a false-positive. He did not have cancer.

According to Dr. Feinman, "Every year, hundreds of new therapies and diagnostic tests are introduced to treat the thousands of diseases that are afflicting millions of adults and children. Finding evidence about the most accurate diagnostic tests and effective treatments requires the proper resources. This includes specialized information technologies, subscriptions to medical databases, medical librarians, and much more that is not readily available to most doctors and patients."

Yesterday, Extra aired a feature about Dr. Feinman and the Doctor Evidence service. During the report, a patient who had been told he might have pancreatic cancer turned to the Doctor Evidence website only to find out that one of the high-niacin level medications he was taking was mimicking symptoms of pancreatitis or pancreatic cancer. You can view the video of the segment online here.

Doctor Evidence staff is comprised of doctors with expertise in evidence-based medicine, medical librarians with masters in library science, other professionals with expertise in healthcare, and information technology experts. To learn more, visit the Doctor Evidence website.