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Submission: On August 25 via api from US — Scanned from DE
Submission: On August 25 via api from US — Scanned from DE
Form analysis 2 forms found in the DOM
POST #
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<div class="row">
<div class="col-sm-6 col-12">
<div class="form-group"><input type="text" class="form-control" name="name" id="name" placeholder="Enter name" required=""></div>
</div>
<div class="col-sm-6 col-12">
<div class="form-group"><input type="email" class="form-control" name="email" id="email" placeholder="Enter email" required=""></div>
</div>
</div>
<div class="row">
<div class="col-sm-6 col-12">
<div class="form-group"><input type="text" name="phone" class="form-control" id="phone" placeholder="Your Phone"></div>
</div>
<div class="col-sm-6 col-12">
<div class="form-group">
<!-- <input type="text" name="company" size="40" class="form-control" id="company" placeholder="Your Company"> -->
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<div class="row">
<div class="col-12">
<div class="form-group"><textarea name="message" id="message" class="form-control" rows="4" cols="25" placeholder="Message"></textarea></div>
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</div>
<div class="row">
<div class="col-sm-12 mt-3" style="text-align: center;">
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</div>
<div class="row">
<div class="col-sm-12 mt-3" style="text-align: center;">
<center>
<div class="g-recaptcha" data-sitekey="6Ldo0PkiAAAAAIwlujchs0-f-3ahinfDJJpDgR8O">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-a2s63mg22qw9" frameborder="0" scrolling="no"
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</div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
</center>
<br>
<button type="submit" class="btn btn-primary btn-xl" id="btnContactUs">Send Message</button>
</div>
</div>
</form><form id="regForm" action="">
<h1>ASSESS YOUR RISK</h1>
<!-- One "tab" for each step in the form: -->
<div class="tab" style="display: block;">
<div class="container"><br>
<center>
<img src="https://0b9aafecab229788ebf1-90f622f94aeb4d165ef7469777c28f31.ssl.cf2.rackcdn.com/assessmentTest/Page2_OldPerson.png" class="img-responsive step4-img animated rotateIn" style="width: 100px;">
</center>
<br>
<strong style="font-size: 24px;">1. How old are you?</strong>
<div class="form-check">
<input class="form-check-input" type="radio" name="exampleRadios" id="exampleRadios1" value="a" checked="">
<label class="form-check-label" for="exampleRadios1"> Younger than 20A </label>
</div>
<div class="form-check">
<input class="form-check-input" type="radio" name="exampleRadios" id="exampleRadios2" value="b">
<label class="form-check-label" for="exampleRadios2"> 20 - 39 </label>
</div>
<div class="form-check">
<input class="form-check-input" type="radio" name="exampleRadios" id="exampleRadios3" value="c">
<label class="form-check-label" for="exampleRadios3"> 40 -59 </label>
</div>
<div class="form-check">
<input class="form-check-input" type="radio" name="exampleRadios" id="exampleRadios4" value="d">
<label class="form-check-label" for="exampleRadios4"> 60 - 80 </label>
</div>
<div class="form-check">
<input class="form-check-input" type="radio" name="exampleRadios" id="exampleRadios4" value="d">
<label class="form-check-label" for="exampleRadios4"> Older than 80 </label>
</div>
</div>
</div>
<div class="tab">
<div class="container"><br>
<center>
<img src="https://0b9aafecab229788ebf1-90f622f94aeb4d165ef7469777c28f31.ssl.cf2.rackcdn.com/assessmentTest/Page3_Scale.png" class="img-responsive step4-img animated rotateIn" style="width: 100px;">
</center><br>
<strong style="font-size: 24px;">2. Are you obese?</strong>
<div class="form-check">
<label for="fname">Weight</label><br>
<input type="number" id="fname" class="form-control " placeholder="lb"><br>
</div>
<div class="form-check">
<label for="fname">Height</label><br>
<div class="row">
<div class="col-sm-6 col-6 ">
<label class="control-label" style="font-size: 11px;">Feet</label>
<input type="number" class="form-control numvalidation" name="sme_height_feet" id="sme_height_feet" placeholder="Feet">
<br>
</div>
<div class="col-sm-6 col-6 ">
<label class="control-label" style="font-size: 11px;">Inches</label>
<input type="number" class="form-control numvalidation" name="sme_height_inches" id="sme_height_inches" placeholder="Inches">
<br>
</div>
</div>
<br>
</div>
</div>
</div>
<div class="tab">
<div class="container"><br>
<center>
<img src="https://0b9aafecab229788ebf1-90f622f94aeb4d165ef7469777c28f31.ssl.cf2.rackcdn.com/assessmentTest/Page4_Cigarette.png" class="img-responsive step4-img animated rotateIn" style="width: 100px;">
</center><br>
<strong style="font-size: 24px;">3. Do you currently <br> <b>smoke cigarrettes?</b></strong>
<div class="form-check">
<input class="form-check-input" type="radio" name="exampleRadios" id="exampleRadios4" value="d">
<label class="form-check-label" for="exampleRadios4"> Yes </label>
</div>
<div class="form-check">
<input class="form-check-input" type="radio" name="exampleRadios" id="exampleRadios4" value="d">
<label class="form-check-label" for="exampleRadios4"> No </label>
</div>
</div>
</div>
<div class="tab">
<div class="container"><br>
<center>
<img src="https://0b9aafecab229788ebf1-90f622f94aeb4d165ef7469777c28f31.ssl.cf2.rackcdn.com/assessmentTest/Page5-6_AshkenaziAfricanAmerican.png" class="img-responsive step4-img animated rotateIn" style="width: 100px;">
</center><br>
<strong>4. Are you of <b>Ashkenazi Jewish</b> heritage? </strong>
<div class="form-check">
<input class="form-check-input" type="radio" name="exampleRadios" id="exampleRadios4" value="d">
<label class="form-check-label" for="exampleRadios4"> Yes </label>
</div>
<div class="form-check">
<input class="form-check-input" type="radio" name="exampleRadios" id="exampleRadios4" value="d">
<label class="form-check-label" for="exampleRadios4"> No </label>
</div>
<div class="form-check">
<input class="form-check-input" type="radio" name="exampleRadios" id="exampleRadios4" value="d">
<label class="form-check-label" for="exampleRadios4"> Unknown </label>
</div>
</div>
</div>
<div class="tab">
<div class="container"><br>
<center>
<img src="https://0b9aafecab229788ebf1-90f622f94aeb4d165ef7469777c28f31.ssl.cf2.rackcdn.com/assessmentTest/Page5-6_AshkenaziAfricanAmerican.png" class="img-responsive step4-img animated rotateIn" style="width: 100px;">
</center><br>
<strong style="font-size: 24px;">5. Are you Black American? </strong>
<div class="form-check">
<input class="form-check-input" type="radio" name="exampleRadios" id="exampleRadios4" value="d">
<label class="form-check-label" for="exampleRadios4"> Yes </label>
</div>
<div class="form-check">
<input class="form-check-input" type="radio" name="exampleRadios" id="exampleRadios4" value="d">
<label class="form-check-label" for="exampleRadios4"> No </label>
</div>
<div class="form-check">
<input class="form-check-input" type="radio" name="exampleRadios" id="exampleRadios4" value="d">
<label class="form-check-label" for="exampleRadios4"> Unknown </label>
</div>
</div>
</div>
<div class="tab">
<div class="container"><br>
<center>
<img src="https://0b9aafecab229788ebf1-90f622f94aeb4d165ef7469777c28f31.ssl.cf2.rackcdn.com/assessmentTest/Page7_OtherCancers.png" class="img-responsive step4-img animated rotateIn" style="width: 100px;">
</center><br>
<strong style="font-size: 24px;">6. Do you have a personal history or strong family history of these cancers: breast, ovarian or colon cancer or malignant melanoma? </strong>
<div class="form-check">
<input class="form-check-input" type="radio" name="exampleRadios" id="exampleRadios4" value="d">
<label class="form-check-label" for="exampleRadios4"> Yes </label>
</div>
<div class="form-check">
<input class="form-check-input" type="radio" name="exampleRadios" id="exampleRadios4" value="d">
<label class="form-check-label" for="exampleRadios4"> No </label>
</div>
</div>
</div>
<div class="tab">
<div class="container"><br>
<center>
<img src="https://0b9aafecab229788ebf1-90f622f94aeb4d165ef7469777c28f31.ssl.cf2.rackcdn.com/assessmentTest/Page8_FamilyTree.png" class="img-responsive step4-img animated rotateIn" style="width: 100px;">
</center><br>
<strong style="font-size: 24px;">7. Have any of your close relatives (parent, sibling, child) had pancreatic cancer? </strong>
<div class="form-check">
<input class="form-check-input" type="radio" name="exampleRadios" id="exampleRadios4" value="d">
<label class="form-check-label" for="exampleRadios4"> Yes </label>
</div>
<div class="form-check">
<input class="form-check-input" type="radio" name="exampleRadios" id="exampleRadios4" value="d">
<label class="form-check-label" for="exampleRadios4"> No </label>
</div>
</div>
</div>
<div class="tab">
<div class="container"><br>
<center>
<img src="assets/img/db.png" class="img-responsive step4-img animated rotateIn" style="width: 100px;">
</center><br>
<strong style="font-size: 24px;">8. Have you been diagnosed with type 2 diabetes in the last three years? </strong>
<div class="form-check">
<input class="form-check-input" type="radio" name="exampleRadios" id="exampleRadios4" value="d">
<label class="form-check-label" for="exampleRadios4"> Yes </label>
</div>
<div class="form-check">
<input class="form-check-input" type="radio" name="exampleRadios" id="exampleRadios4" value="d">
<label class="form-check-label" for="exampleRadios4"> No </label>
</div>
</div>
</div>
<div class="tab">
<div class="container"><br>
<center>
<img src="assets/img/dblong.png" class="img-responsive step4-img animated rotateIn" style="width: 100px;">
</center><br>
<strong style="font-size: 24px;">9. Have you had diabetes for a long time? </strong>
<div class="form-check">
<input class="form-check-input" type="radio" name="exampleRadios" id="exampleRadios4" value="d">
<label class="form-check-label" for="exampleRadios4"> Yes </label>
</div>
<div class="form-check">
<input class="form-check-input" type="radio" name="exampleRadios" id="exampleRadios4" value="d">
<label class="form-check-label" for="exampleRadios4"> No </label>
</div>
</div>
</div>
<div class="tab">
<div class="container"><br>
<center>
<img src="https://0b9aafecab229788ebf1-90f622f94aeb4d165ef7469777c28f31.ssl.cf2.rackcdn.com/assessmentTest/Page10_pancreatitis.png" class="img-responsive step4-img animated rotateIn" style="width: 100px;">
</center><br>
<strong style="font-size: 24px;">10. Do you have chronic or familial pancreatitis (generally starts as acute and moves into chronic)? </strong>
<div class="form-check">
<input class="form-check-input" type="radio" name="exampleRadios" id="exampleRadios4" value="d">
<label class="form-check-label" for="exampleRadios4"> Yes </label>
</div>
<div class="form-check">
<input class="form-check-input" type="radio" name="exampleRadios" id="exampleRadios4" value="d">
<label class="form-check-label" for="exampleRadios4"> No </label>
</div>
</div>
</div>
<div style="overflow:auto;">
<div style="float:right;"><br>
<button type="button" id="prevBtn" class="btn btn-default " onclick="nextPrev(-1)" style="display: none;">Previous</button>
<button type="button" id="nextBtn" class="btn btn-primary " onclick="nextPrev(1)">Next</button>
</div>
</div>
<!-- Circles which indicates the steps of the form: -->
<div style="text-align:center;margin-top:40px;">
<span class="step active"></span>
<span class="step"></span>
<span class="step"></span>
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</div>
</form>Text Content
* About * Our Mission * Contact PANCREATIC CANCER IS TO BECOME THE 2ND LEADING CAUSE OF CANCER DEATH IN THE US BY 2030. ARTIFICIAL INTELLIGENCE (AI) TOOLS ARE BECOMING HIGHLY EFFECTIVE AT DETECTING PANCREATIC CANCER. -------------------------------------------------------------------------------- EARLY DETECTION CAN SAVE YOUR LIFE. ARE YOU AT RISK? let's Start IF IT IS DETECTED AT AN EARLY STAGE, THE 5-YEAR SURVIVAL RATE IS 42%. -------------------------------------------------------------------------------- OUR STORY VINO SHAN, PANC MD'S FOUNDER AND CTO'S ELDER BROTHER WAS DIAGNOSED WITH PANCREATIC CANCER IN 2018. THE FAMILY RECEIVED A CALL FROM THE HOSPITAL SAYING THAT HIS CONDITION WAS "SERIOUS BUT NOTHING TO WORRY ABOUT". UPON ARRIVAL AT THE HOSPITAL, THEY LEARNED THAT HE HAD PASSED AWAY. IT WAS DETECTED AT A VERY LATE STAGE AND IN 18 DAYS FROM DIAGNOSIS HE PASSED AWAY AT THE AGE OF 61. IN ADDITION TO PROCESSING THE DEATH OF HIS ELDER BROTHER, VINO HAD TO BREAK THE NEWS TO HIS 85 YEAR OLD MOTHER OF HER SON'S PASSING. VINO MADE IT HIS MISSION TO INCREASE THE 5-YEAR SURVIVAL RATE USING AI DRIVEN TECHNOLOGY. VINO HOPES THAT NO OTHER FAMILY WILL HAVE TO GO THROUGH WHAT HE WENT THROUGH. OUR MISSION TO DEVELOP AI TOOLS FOR EARLY DETECTION TO INCREASE SURVIVAL RATE DETECTION ON CT SCANS WITH DEEP LEARNING ALGORITHM-BASED SCREENING IN PATIENTS WITH DIABETES PREDICT ELEVATED PANCREATIC CANCER RISK USING ELECTRONIC HEALTH RECORDS RISK FACTORS: -------------------------------------------------------------------------------- FAMILY HISTORY DIABETES (LONG-STANDING AND NEW-ONSET) SMOKING ETHNICITY OBESITY OLDER AGE UNDERSTAND THE SIGNS AND SYMPTOMS -------------------------------------------------------------------------------- TUMMY PAIN OR BACK PAIN UNEXPLAINED WEIGHT LOSS OR LOSS OF APPETITE JAUNDICE ( YELLOW SKIN OR EYE AND ITCHY SKIN) CHANGE IN BOWEL HABITS KEEPING PANCREAS HEALTHY -------------------------------------------------------------------------------- YOU CAN HELP REDUCE YOUR RISK OF PANCREATIC CONDITIONS BY: MAINTAINING A HEALTHY WEIGHT. REGULAR EXERCISE AND AVOIDING WEIGHT GAIN CAN HELP PREVENT TYPE 2 DIABETES AND GALLSTONES THAT CAN CAUSE PANCREATITIS. EATING A LOW-FAT DIET. HIGH FAT INTAKE CAN LEAD TO GALLSTONES, WHICH CAN CAUSE PANCREATITIS. BEING OVERWEIGHT IS ALSO A RISK FACTOR FOR PANCREATIC CANCER. WATCHING YOUR ALCOHOL INTAKE. DRINKING ALCOHOL CAN INCREASE YOUR RISK OF PANCREATITIS AND PANCREATIC CANCER. QUITTING SMOKING. USING TOBACCO, ALONG WITH CIGAR SMOKING AND SMOKELESS TOBACCO PRODUCTS, CAN RAISE YOUR RISK OF PANCREATIC CANCER AND CHRONIC PANCREATITIS. GETTING REGULAR CHECKUPS. SEEING YOUR HEALTHCARE PROVIDER FOR REGULAR EXAMS CAN HELP FIND EARLY SIGNS OF CONDITIONS SUCH AS PANCREATIC CANCER AND PANCREATITIS. OUR HEADQUARTERS - USA 1005 Congress Ave., Austin, TX 78701, USA 1-855-910-DOKO(3656) HOURS OF OPERATION [ Mon-Fri ]: 10:30AM to 7:30PM EST * * * * HAVE A QUESTION? Send Message Privacy Policy | Terms of Use Copyrights © 2024. All rights reserved by PancMD. ASSESS YOUR RISK 1. How old are you? Younger than 20A 20 - 39 40 -59 60 - 80 Older than 80 2. Are you obese? Weight Height Feet Inches 3. Do you currently smoke cigarrettes? Yes No 4. Are you of Ashkenazi Jewish heritage? Yes No Unknown 5. Are you Black American? Yes No Unknown 6. Do you have a personal history or strong family history of these cancers: breast, ovarian or colon cancer or malignant melanoma? Yes No 7. Have any of your close relatives (parent, sibling, child) had pancreatic cancer? Yes No 8. Have you been diagnosed with type 2 diabetes in the last three years? Yes No 9. Have you had diabetes for a long time? Yes No 10. Do you have chronic or familial pancreatitis (generally starts as acute and moves into chronic)? Yes No Previous Next