<?xml version="1.0" encoding="UTF-8"?><!-- generator="wordpress/2.2.1" -->
<rss version="2.0" 
	xmlns:content="http://purl.org/rss/1.0/modules/content/">
<channel>
	<title>Comments on: Stomach cancer, stomach ulcer and duodenal ulcer</title>
	<link>http://bernardchan.net/2006/07/30/stomach-cancer-stomach-ulcer-and-duodenal-ulcer/</link>
	<description>What's next along this river of life?</description>
	<pubDate>Tue, 06 Jan 2009 01:29:51 +0000</pubDate>
	<generator>http://wordpress.org/?v=2.2.1</generator>

	<item>
		<title>By: Bernard</title>
		<link>http://bernardchan.net/2006/07/30/stomach-cancer-stomach-ulcer-and-duodenal-ulcer/#comment-78</link>
		<author>Bernard</author>
		<pubDate>Tue, 15 Aug 2006 15:04:33 +0000</pubDate>
		<guid>http://bernardchan.net/2006/07/30/stomach-cancer-stomach-ulcer-and-duodenal-ulcer/#comment-78</guid>
		<description>hoiling, i consider myself trained in evidence-based medicine. "western" medicine developed not from the west but throughout the world. 

i can responsibly prescribe a test or treatment if there is direct evidence that it helps. if there is no direct evidence, then there should be indirect evidence. most TCM or alternative medicine is not evidence-based. some DO have evidence, but most don't. those treatment methods with evidence can be recommended but those without evidence needs evaluation first. 

for example, acupunture has been shown to relieve pain... so i might say, go ahead and try it. 

but then see a qualified practitioner. the rule of medicine is "first do no harm". is there a body of acupunturists who agree on a consistent and safe method of acupuncture? will this organisation be responsible to regulate themselves? 

conventional medicine is a systematic study which has in place a specific standard of practice and peers to regulate the practice of medicine. alternative medicine practioners need to have a system like that to be consistent and safe... self-regulation and commitment to evidence. 

whatever the method of diagnosis and treatment, the most important factor is a CONSCIENTIOUS, COMPASSIONATE AND COMPETENT practitioner</description>
		<content:encoded><![CDATA[<p>hoiling, i consider myself trained in evidence-based medicine. &#8220;western&#8221; medicine developed not from the west but throughout the world. </p>
<p>i can responsibly prescribe a test or treatment if there is direct evidence that it helps. if there is no direct evidence, then there should be indirect evidence. most TCM or alternative medicine is not evidence-based. some DO have evidence, but most don&#8217;t. those treatment methods with evidence can be recommended but those without evidence needs evaluation first. </p>
<p>for example, acupunture has been shown to relieve pain&#8230; so i might say, go ahead and try it. </p>
<p>but then see a qualified practitioner. the rule of medicine is &#8220;first do no harm&#8221;. is there a body of acupunturists who agree on a consistent and safe method of acupuncture? will this organisation be responsible to regulate themselves? </p>
<p>conventional medicine is a systematic study which has in place a specific standard of practice and peers to regulate the practice of medicine. alternative medicine practioners need to have a system like that to be consistent and safe&#8230; self-regulation and commitment to evidence. </p>
<p>whatever the method of diagnosis and treatment, the most important factor is a CONSCIENTIOUS, COMPASSIONATE AND COMPETENT practitioner</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: hoiling</title>
		<link>http://bernardchan.net/2006/07/30/stomach-cancer-stomach-ulcer-and-duodenal-ulcer/#comment-77</link>
		<author>hoiling</author>
		<pubDate>Tue, 15 Aug 2006 14:10:22 +0000</pubDate>
		<guid>http://bernardchan.net/2006/07/30/stomach-cancer-stomach-ulcer-and-duodenal-ulcer/#comment-77</guid>
		<description>Yea it is. Hey, I wonder. Since you're a western trained doctor, I'm interested to know your view about TCM.</description>
		<content:encoded><![CDATA[<p>Yea it is. Hey, I wonder. Since you&#8217;re a western trained doctor, I&#8217;m interested to know your view about TCM.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Bernard</title>
		<link>http://bernardchan.net/2006/07/30/stomach-cancer-stomach-ulcer-and-duodenal-ulcer/#comment-69</link>
		<author>Bernard</author>
		<pubDate>Sun, 13 Aug 2006 16:08:13 +0000</pubDate>
		<guid>http://bernardchan.net/2006/07/30/stomach-cancer-stomach-ulcer-and-duodenal-ulcer/#comment-69</guid>
		<description>yup. our body is so complex in terms of internal communication it's probably more complex than the world-wide-web. haha</description>
		<content:encoded><![CDATA[<p>yup. our body is so complex in terms of internal communication it&#8217;s probably more complex than the world-wide-web. haha</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: hoiling</title>
		<link>http://bernardchan.net/2006/07/30/stomach-cancer-stomach-ulcer-and-duodenal-ulcer/#comment-67</link>
		<author>hoiling</author>
		<pubDate>Sun, 13 Aug 2006 15:55:06 +0000</pubDate>
		<guid>http://bernardchan.net/2006/07/30/stomach-cancer-stomach-ulcer-and-duodenal-ulcer/#comment-67</guid>
		<description>I guess the organs need to 'communicate' with each other after sudden changes in one of the 'members'. 

Lighter note to those survivor, they'll never have to face WEIGHT issues! Smaller stomach, lesser food! Perhaps, more supplements for nutrition? :)</description>
		<content:encoded><![CDATA[<p>I guess the organs need to &#8216;communicate&#8217; with each other after sudden changes in one of the &#8216;members&#8217;. </p>
<p>Lighter note to those survivor, they&#8217;ll never have to face WEIGHT issues! Smaller stomach, lesser food! Perhaps, more supplements for nutrition? <img src='http://bernardchan.net/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Bernard</title>
		<link>http://bernardchan.net/2006/07/30/stomach-cancer-stomach-ulcer-and-duodenal-ulcer/#comment-65</link>
		<author>Bernard</author>
		<pubDate>Sun, 13 Aug 2006 02:50:52 +0000</pubDate>
		<guid>http://bernardchan.net/2006/07/30/stomach-cancer-stomach-ulcer-and-duodenal-ulcer/#comment-65</guid>
		<description>hoiling, yes it will affect the digestive system. 

for example, the patient will have to eat small frequent meals because the "storeroom" is now smaller. 

also, some patients feel giddy after a meal because the food gets into the intestines too quickly and get absorbed too quickly. some patients can experience diarrhoea for a while. 

the absorbtion of iron is poorer, so patients may need extra iron in the diet.

to answer the second question, yes and no. 

yes cos it can burst and stomach contents and acid can leak into the abdominal space, which is life threatening. also it can cause so much swelling and scarring at the stomach that food has dificulty passing. 

no because nowadays it's not common as there is good medicine to prevent ulcers from becoming that bad. 

besides that, ulcers are life threatening to the spouse when the ulcer is causing pain ;-)</description>
		<content:encoded><![CDATA[<p>hoiling, yes it will affect the digestive system. </p>
<p>for example, the patient will have to eat small frequent meals because the &#8220;storeroom&#8221; is now smaller. </p>
<p>also, some patients feel giddy after a meal because the food gets into the intestines too quickly and get absorbed too quickly. some patients can experience diarrhoea for a while. </p>
<p>the absorbtion of iron is poorer, so patients may need extra iron in the diet.</p>
<p>to answer the second question, yes and no. </p>
<p>yes cos it can burst and stomach contents and acid can leak into the abdominal space, which is life threatening. also it can cause so much swelling and scarring at the stomach that food has dificulty passing. </p>
<p>no because nowadays it&#8217;s not common as there is good medicine to prevent ulcers from becoming that bad. </p>
<p>besides that, ulcers are life threatening to the spouse when the ulcer is causing pain <img src='http://bernardchan.net/wp-includes/images/smilies/icon_wink.gif' alt=';-)' class='wp-smiley' /></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: hoiling</title>
		<link>http://bernardchan.net/2006/07/30/stomach-cancer-stomach-ulcer-and-duodenal-ulcer/#comment-63</link>
		<author>hoiling</author>
		<pubDate>Sat, 12 Aug 2006 12:45:33 +0000</pubDate>
		<guid>http://bernardchan.net/2006/07/30/stomach-cancer-stomach-ulcer-and-duodenal-ulcer/#comment-63</guid>
		<description>Hi, 

I'm curious. If the doc cut out half of cancerous stomach, will it affect the patient's digestive system? I wonder if stomach and duodenal ulcer a life threatening disease. Errmm</description>
		<content:encoded><![CDATA[<p>Hi, </p>
<p>I&#8217;m curious. If the doc cut out half of cancerous stomach, will it affect the patient&#8217;s digestive system? I wonder if stomach and duodenal ulcer a life threatening disease. Errmm</p>
]]></content:encoded>
	</item>
</channel>
</rss>
