All Journal Entries Journals
Sort By:  

where am I now?

Mar 28, 2014 - 4 comments

Well it's been hard to break my  habit of stopping into the forums daily but I've been so busy, haven't had much time.  I do still stop in periodically to help out :) I still don't often respond to PM's.  

So finally I am all set up for furthering my education! I am starting this summer at my local community college to knock off a bunch of gen eds I need for my degree.  I am not remotely excited to take english comp but you gotta do what you gotta do.  I need practice at writing without smiley faces and lol's as well as my frequent he he he's!!    Next Winter, I start at slippery rock university online to take the nursing classes I need to complete my BSN.  It's very frustrating to have to pay so much money for something I already do and do well but since I am hoping to move elsewhere in a few years, I have to pursue that degree even after 27 years of being a nurse.  The 2020 BSN initiative has made it almost impossible for anyone without a BSN to get a job as a nurse so I have little choice but to do this.  I am hoping once I am  done with this degree, I can switch to a career more in research to utilize that side of what I have been doing here for so long :)  

Patiently waiting for the weather to warm up so I can start getting my garden in.  Meanwhile am trying my hand at starting from seed from seeds I saved from last summer's garden.  Not easy keeping all the pets out of the buckets of dirt I have all over the place now....lol  

remember - always have protected sexual contact!!!  ( couldn't resist )

grace

time for changes

Jul 22, 2013 - 16 comments

I've put a lot of thought into this decision but it's time for me to move on from doing online std support.  I've been doing this for over 15 years now on varied forums and I know I will miss doing it at times but I'm trying to make some changes to my own life and hope to have less time in general to devote to the forums.  I've really enjoyed helping others deal with the stigma and misinformation that surrounds all std's but especially herpes.  I am fortunate enough to be a nurse in a major teaching institution and have the resources to educate myself to help others both in my day job and here.  I've really enjoyed helping so many of you and I've made some great friendships from folks I've met online too :)

I will leave my profile active since there is so much info in my journal posts but I will not be replying to any comments or questions.  



grace

hpv and oral sex

Jun 05, 2013 - 4 comments
Tags:

oral sex

,

HPV



Thanks to Michael Douglas, hpv and oral cancer is in the spot light.  I thought this article was pretty decent about it. I also will link to some of the best posts by the std experts here on medhelp about it too for more reading :)

http://www.medpagetoday.com/MeetingCoverage/ASCO/39595

ASCO: Actor's Oral Sex Remarks May Aid HPV Prevention
By Crystal Phend, Senior Staff Writer, MedPage Today
Published: June 03, 2013

CHICAGO -- Actor Michael Douglas' apparent claim that he got throat cancer from human papillomavirus (HPV) contracted through oral sex may help aid prevention efforts, experts suggested.

Douglas, now 68, was diagnosed with a "walnut-sized" stage IV tumor at the base of his tongue in 2010 after months of oral discomfort. His well-known tobacco and alcohol habits -- both risk factors for oropharyngeal cancers -- had been thought to be the cause, but he appeared to indicate otherwise in an interview appearing in British tabloid The Guardian yesterday.

While one of his representatives has since challenged that interpretation of the interview, the spotlight on HPV as a cause of cancer should promote awareness of the need for HPV vaccination, head and neck cancer and HPV specialists contacted here at the American Society of Clinical Oncology meeting said.

"It's no surprise to physicians such as myself, because probably 80% of the tonsil and tongue cancers I see are related to HPV," Eric Moore, MD, an oropharyngeal cancer specialist at the Mayo Clinic in Rochester, Minn., noted in an interview with MedPage Today.

Most adults become exposed to the virus at some point but clear it like any other infection. Those who become chronically infected are at elevated risk of cervical, anal, and head and neck cancers, particularly from subtype 16.

The tonsils and base of tongue are the predominant areas affected in the head and neck because of the deep pockets in the tissue there that allows the virus a foothold, similar to the cervix, Moore explained.

Oral sexual contact is how HPV is thought to spread to the mouth and throat, and men appear to more readily acquire the virus from women than women do from men, as is true in other sexually transmitted infections, noted William Schaffner, MD, an infectious diseases specialist at Vanderbilt University in Nashville, Tenn.

While many patients worry about who they may have gotten the virus from and who they have given it to, clinicians can reassure patients that testing family members and partners isn't necessary.

"It's impossible to know in people with multiple sexual partners how they got it," he said. "If you went back and tested their partners, you wouldn't even know because they may have cleared the infection."

Moreover, there isn't an established and reliable test for oral HPV unlike for the cervix.

Examination of the mouth, tongue, and head and neck lymph nodes during a dental exam should help catch oropharyngeal cancers at an early stage, Schaffner noted.

But there isn't a treatment for chronic HPV infection or any evidence supporting HPV testing for nonsymptomatic individuals, added Marcia Brose, MD, PhD, a head and neck cancer specialist at the Abramson Cancer Center in Philadelphia.

"We're not even near that yet," she told MedPage Today.

But those considerations make prevention all the more important, and for that reason public awareness of Douglas' case could be helpful, Schaffner said.

"It will generate many conversations," he said. "I don't believe it will change a great deal of behavior, but certainly knowledge that HPV is increasing and HPV is a cause of cancers may make understandable CDC recommendation that all children should be vaccinated against HPV."

Brose and Moore agreed that physicians can take advantage of conversations about HPV- and oral-sex-related risk to promote vaccination of adolescents.

"It's not as clear cut whether adults should be vaccinated," Moore noted. "After you've already seen the virus, the vaccine doesn't work because you've already been 'auto-vaccinated' by clearing the virus."

fake scientific journals

Apr 10, 2013 - 2 comments

http://www.nytimes.com/2013/04/08/health/for-scientists-an-exploding-world-of-pseudo-academia.html?smid=tw-nytimesscience&seid=auto&_r=1&pagewanted=all&

in this day and age it really is too easy to just create a journal that is supposedly scientific to get your poorly conducted study published. be careful what you read online and assume because it's in a journal , it's well done. stick to journals like journal of infectious disease, new england journal of medicine etc.

grace