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No Increase In Cardiac Mortality from Breast Radiotherapy

Vivek K. Mehta, MD
Patients that I see routinely ask me about the heart related side effects from breast treatment.

Today, I can provide them with even greater evidence that the techniques that we use today are safer and have less risk of cardiac injury.  According to a study published in the October 1, 2014 issue of the International Journal of Radiation Oncology • Biology • Physics (Red Journal), the official scientific journal of the American Society for Radiation Oncology (ASTRO), the survival from breast cancer is the same regardless of whether you were treated with radiation to your left or right breast mound.   

Many studies over many decades have shown that breast cancer patients treated with radiation therapy have improved local-regional recurrence, and breast cancer-specific survival after breast-conserving surgery and overall survival (OS) after mastectomy. The media has focused its attention on long-term follow-up of historic radiation therapy trials for breast cancer which demonstrated a potential increase in cardiac mortality. However, these studies used earlier modes of radiation therapy including Cobalt and orthovoltage radiotherapy, and did not employ CT-based planning, which allows for greater cardiac avoidance. Three recent studies suggest that ....

Can food allergies be undiagnosed?

Kevin Dooms, MD

Kevin Dooms, MD
Allergist/Immunologist

With food allergies on the rise in the past several years, you probably know at least one person who is allergic to cow’s milk, eggs, soy, wheat, nuts, or seafood. Individuals with a food allergy typically experience symptoms every time they eat a particular food. These symptoms range from relatively mild like hives and swelling to more severe such as coughing, vomiting, or loss of consciousness.

Unfortunately, there are no approved treatments for food allergies today. Individuals cope by avoiding the food and having proper medications nearby in case of an allergic reaction. As most children eventually outgrow some food allergies, it’s important to get tested for an accurate diagnosis.

To diagnose a food allergy, allergy specialists usually ...

Breastfeeding, Disease Modifying Therapies (DMTs), and Postpartum Relapse in Multiple Sclerosis

Peiqing Qian

Peiqing Qian
Neurologist, Swedish Multiple Sclerosis Center

Women with multiple sclerosis (MS) have higher risk of relapse during the postpartum period.  Can exclusive breastfeeding alone prevent relapses? How soon after delivery should disease modifying therapies (DMTs) be reintroduced? Are any DMTs safe to take while breastfeeding? 
 
While disease modifying therapies (DMTs) have been shown generally to reduce relapse rates, none of them are indicated for use during pregnancy and lactation. Therefore, the question of when to restart DMTs postpartum remains a difficult one for physicians counseling MS patients who wish to breastfeed their children.
 
Trying to predict the risk of relapse for any one individual is very difficult. The risk factors for postpartum attacks include ...

Physical activity and lung cancer

Kathy Witmer, DNP, ARNP

Kathy Witmer, DNP, ARNP
Thoracic Surgery Clinical Team Leader

Can physical activity help treat or prevent lung cancer? According to a 2007 study presented at the American Association for Cancer Researcher’s 6th Annual International Conference on Cancer Prevention, the answer is yes! 
 
Physical activity is linked with a lower risk of developing lung cancer. The benefits of physical activity extended to men, women, current smokers, former smokers and never smokers. The activities did not require hours a day or an expensive gym membership. Even gardening twice a week reduced the risk of developing lung cancer.
 
A growing body of research shows that it is safe for patients with lung cancer to exercise before, during and after treatment. Pulmonary rehabilitation programs have

What you should know about Long Acting Reversible Contraceptives or IUDs

Anita Tourigny, ARNP

Anita Tourigny, ARNP
Nurse Practitioner, Minor & James OB/GYN

Does it seem that more of your friends are using IUDs or contraceptive implants?  IUDs, intrauterine devices, and contraceptive implants are becoming more popular in the United States.  In this post, we will discuss these birth control methods and why they are gaining in popularity. 

IUDs are plastic devices that are placed in the uterus by a healthcare provider.  There are three products available in the U.S.:

How to deal with temper tantrums in toddlers

Michelle Cole, MD

Michelle Cole, MD
Pediatric Hospitalist

We’ve all been there during that screaming fit in the grocery store because your 2 year old just HAS to have that particular treat off the shelf, and when we say no….it (a temper tantrum) all begins.

Why do toddlers tantrum?

A tantrum is the expression of a young child's frustration with the challenges of the moment and their inability to manage that frustration in any other constructive way. This is part of the normal development of children. For some toddlers, tantrums happen when they can’t figure out a particular task; for others they just can’t find the words to express his or her thoughts or feelings. Whatever the challenge, frustration with the situation might trigger anger — resulting in a temper tantrum. Since tantrums are an expression of powerlessness, toddlers who feel some control over their lives may have many fewer tantrums. Remember, if your child is thirsty, hungry or tired, his or her threshold for frustration is likely to be lower — and a tantrum is more likely.

Can I prevent tantrums?
  • Toddlers  ...

7 benefits of eating together as a family

Alana Holmquist, RD, CD, CSP

Alana Holmquist, RD, CD, CSP
Pediatric Dietitian | Clinical Nutrition Specialist

Regular family meals are good for children and for the family as a whole! Here's why:

1. Eating together encourages family togetherness
  • Positive family mealtimes help family members maintain relationships and feel a sense of belonging
  • When children can count on regular time with a parent or adults, they feel loved, safe and secure
  • Children set roots for a lifetime as they experience their family’s values and traditions

2. Eating together fosters happy, well-adjusted kids
  • Kids can feel accepted by their family and may not need to seek approval from the wrong crowd
  • Adolescents are less likely to be depressed and generally have a better self- esteem
  • Adolescents are less likely to smoke cigarettes, use marijuana, illegal drugs or alcohol

3. Eating together helps kids do better in school
  • Listening to grownups at the table exposes children to new works which helps them read better
  • Table talk gives youth a safe place to express their ideas. They ....
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