My wife, Pam, and I have just completed a 413 nautical-mile sail from Key Biscayne, Florida, to Hilton Head, South Carolina, on our Lagoon 42 – Shavasana. It is our most extended passage so far and the furthest out in the Atlantic Ocean we have ventured. We are headed back north towards the Chesapeake Bay and had a weather window that allowed us to sail into the Gulf Stream and ride that fabled ocean river north. The two to three knots of push make for some incredible boat speed over the ground, and we were often logging 8 to 10 knots with stern winds and following seas. From a sailor’s perspective, that is fast. I imagine the powerboat enthusiasts shaking their heads and smiling at such pitiful velocities.
Clearing Up the Types of Kidney Cancer
Renal cell carcinoma is not the only type of kidney cancer, although it does account for 9 out of 10 cases. About 5% of kidney cancer patients have transitional cell or urothelial carcinoma, which start at the point where the ureters meet the kidneys, the lining of the renal pelvis.
Higher Risk of Dementia Found in Veterans With Housing Instability
Veterans who experience housing instability have an elevated risk of developing Alzheimer’s disease or a related dementia compared to those with stable housing, according to a recent study.
Renal Cell Carcinoma Continues to Rise Worldwide; More Common in Veterans
Kidney cases continue to rise nationwide, with more than 81,600 individuals expected to be diagnosed with the disease by year-end, the American Cancer Society estimates.
Selecting First-Line Therapy in Advanced Renal Cell Carcinoma
The rapid expansion of treatment options for advanced or metastatic renal cell carcinoma (RCC) in the last decade has improved survival rates and brought hope to the one-third of RCC patients diagnosed with Stage IV cancer.
New Therapies Have Improved Survival for Prostate Cancer Patients
Improved treatment has meant better overall survival for many men diagnosed with prostate cancer, according to a new research letter. For older patients, however, the benefits of the new therapies weren’t as effective, the authors pointed out.
GOP Lawmakers Challenge Data That COVID-19 Vaccine Protected Troops
Recent data from DoD seems to confirm what researchers and physicians have been saying for years—that individuals who receive the COVID-19 vaccine are less likely to experience long-term health effects than those who do not.
HCC Tumor Recurrence After Radiologic Responses
How often does local recurrence occur in hepatocellular carcinoma (HCC) patients who undergo selective transarterial radioembolisation (TARE) or transarterial chemoembolisation (TACE) and achieve a complete response (CR) radiologically?
Biomarkers Help Predict Which Cirrhosis Patients Develop HCC
It can be difficult to determine which patients with cirrhosis will go on to develop hepatocellular carcinoma (HCC).
Intravenous Ketamine Treatment Improves Depression in Veterans
Veterans who received intravenous ketamine treatments had improved symptoms of depression within the first 6 weeks, and these improvements were sustained over at least 6 months with decreasing infusion frequency, according to a recent study.
Accelerated PACT Timeline Opens VA Healthcare to Many More Veterans
VA has dramatically accelerated the healthcare provision of the PACT Act, opening healthcare enrollment to hundreds of thousands of veterans who might have been exposed to toxic substances during their service.
Younger Veterans With Mild TBI Appear to Be at Higher Alzheimer’s Risk
Do concussions caused by explosive battlefield blasts increase the risk of developing Alzheimer’s disease (AD)?
VA Study Implicates High Levels of IL-6 in Long QT Syndrome
Long QT syndrome (LQTS) is a cardiac disorder that predisposes patients to malignant arrhythmias, particularly Torsades de Pointes ventricular tachycardia, which can degenerate to cardiac arrest.
Misclassification Affects Estimates of Opioid-Use Disorder Medications
Is misclassification of people who inject drugs (PWID) and are hospitalized because of infections affecting the analysis of outcomes from medications for opioid-use disorder (MOUD?
Long-Acting Benzodiazepines Best for Alcohol Withdrawal in Veterans
An extensive study of VA patients concluded that the best way to manage alcohol withdrawal in hospitalized settings is the use of long-acting benzodiazepines with symptom-triggered therapy, as recommended in American Society of Addiction Medicine (ASAM) guidelines.
Study: Racism Contributes to Low OUD Prescribing in MHS
Rates of prescribing for medication for opioid-use disorder (MOUD) are low in the MHS and show evidence of institutional racism, according to a new study.
Higher Cardiorespiratory Fitness Linked to Improved CABG Survival in Veterans
Having higher cardiorespiratory fitness scores or being in better physical condition are linked to improved long-term survival in U.S. veterans after coronary artery bypass graft surgery, according to a recent study.
Sometimes interesting paths create interesting people
One of the best aspects of the sailing lifestyle is discovering new anchorages and meeting the local people. Recently, after a spectacular downwind sail with consistent 10-15 knot winds off the starboard quarter (what sailors mean by fair winds and following seas), we dropped our hook at Boot Key in Marathon, Florida. Marathon is home to The Turtle Hospital, a fascinating non-profit organization dedicated to the rescue, rehabilitation, and release of sea turtles. Sea turtles are Shavasana’s (our Lagoon 42 sailing catamaran) ‘spirit’ animal, and a graphic of five sea turtles graces our bows. Pam and I felt a visit to the Turtle Hospital a must. We were not disappointed and recommend a tour of this fascinating facility if you happen to be traveling the Florida Keys.
Better Understanding of What Patients Want from Breast Reconstruction Surgery
As many as 40% of breast cancer survivors are dissatisfied after breast reconstruction due to unexpected outcomes that don’t meet personal preferences.
Results Mixed for Military Toxic Exposure Effect on Breast Cancer Incidence
Little work has been done to investigate the relationship between MEE and risk of breast cancer.
Tailoring Imaging Regimens Could Detect More Second Breast Cancers
Women at a high risk of interval second breast cancers might benefit from additional surveillance imaging modalities, according to a new study.
Immune Checkpoint Inhibitors Improve Overall Survival for VA NSCLC Patients
DURHAM, NC -- Non-small-cell lung cancer (NSCLC) patients showed significant benefit from the use of immune checkpoint inhibitors (ICIs) in a study looking at use of the therapy for five major cancer types in the VA healthcare system. The study from the VA’s National...
High Intensity of End-of-Life Care for Minority Patients With Lung Cancer
While disparities in lung cancer mortality among racial and ethnic minorities are well documented, not as much is understood about how racial and ethnic minority patients with lung cancer are treated at the end of life.
Risk Model Helps Predict Second Lung Cancer in Survivors of Initial Malignancy
Lung cancer survivors have a high risk of developing second primary lung cancer (SPLC); the risk is three to four times higher than the risk of someone in the general population developing initial primary lung cancer (IPLC).
Study: Vietnam War-Era Veterans Not at Increased Risk of Suicide Mortality
Veterans who served in the Vietnam War era, either in theater or not deployed, are not at increased risk of suicide mortality compared with the U.S. population, although the number of suicides among these veterans is noteworthy and merits the attention of mental health professionals and policymakers, according to a recent study.
Does ‘Underserved’ Designation Demoralize Staff at VA Facilities?
For the past several years, VA has been identifying the most underserved facilities in its system and requiring them to create action plans to improve care to their veterans.
Thiazide Diuretics Associated With Reduced Risk of Kidney Stones
Using thiazide diuretics is associated with statistically significant lower odds of developing kidney stones, which supports the use of the products for kidney stone prevention, according to a recent study.
VA Telemedicine Rates Remain High After COVID-19 Pandemic, Especially for Mental Healthcare Visits
Following the COVID-19 pandemic, telemedicine rates for veterans enrolled in VA healthcare services remained high, accounting for more than half of mental healthcare visits, while telephone-based care has decreased to pre-pandemic levels, according to a recent study.
Psychoactive Drug Ibogaine Effectively Treats TBI Complications
The signature injury of U.S. veterans from recent military conflicts, traumatic brain injury (TBI) is a leading cause of injury-related disability.
Internal VA Investigation Verified Sexual Harassment Complaints Within ORMDI
An internal VA investigation has verified many, though not all, of the sexual harassment allegations made public by members of the House VA Committee in January.
