The American Cancer Society recently came out with a recommendation about lung cancer screening for high-risk patients:
Many people suffer from chronic diarrhea, not realizing that many times the cause can be found and corrected. Chronic diarrhea is defined as loose stools that last for at least 4 weeks. It usually means more than 3 or 4 loose bowel movements per day. Chronic diarrhea can have a substantial negative impact on quality of life and overall health. Many people with this problem have to stay near a toilet and are afraid to even leave the house because of fear that they will not be able to control their bowel action. It is particularly troubling if there is associated incontinence.
Chronic diarrhea can be caused by intestinal infections, endocrine disorders, inflammatory bowel disease, food sensitivity or allergy and a side effect of medications. These problems can often be diagnosed with a careful history and appropriate diagnostic testing.
There is one particular ..
There are two questions to be answered if cancer is suspected:
I often get asked why can’t a woman just get a breast MRI rather than a mammogram. The imaging tests that we do for breast cancer screening and evaluation of abnormalities have different strengths and weaknesses.
Mammograms are very useful as a screening tool. They can be done quickly and read efficiently by the breast radiologist. They have minimal radiation exposure. They can be done by a mobile coach in locations that are more convenient to patients. They are excellent for identifying abnormal calcium deposits within the breast tissue and for seeing disrupted tissue and masses. They may be less effective in women who have dense breast tissue but the digital techniques have helped some with that.
Ultrasound is a great tool for evaluating a mass or tissue asymmetry found on mammograms. It can distinguish between a benign appearing solid mass, a fluid filled cyst, a mass that is suspicious for cancer, or normal appearing breast tissue. There is no radiation exposure. It is less reliable as a screening tool because it can be dependent on the skill of the physician or technologist doing the procedure. It is possible to miss abnormalities or to mis-interpret normal findings as abnormal. There are studies underway evaluating using an automated version of ultrasound as a screening test but the results are not conclusive and this is not considered ready for standard practice.
Breast MRI is a highly sensitive test that is very dependent on...
This post is reposted with permission from Spike O’Neill – see his original post here.
Some of you may have heard of my recent health scare. For those of you who heard and sent along your well wishes, I thank you. For anyone who hasn't, please allow me to share a scary story of ignorance and arrogance that almost cost me big time.
About a month ago, I was carrying my 8 year old daughter on my shoulders. We were leaving a family outing and she was griping about being tired. I didn't have to carry her very far, but when I put her down I noticed a weird ache in my jaw and in both arms, as well as a dull thick ache and a kind of puffiness in my hands. It went away pretty quickly and I blew it off as a pinched nerve or something. But when I felt the same thing a week later after lifting a few boxes in my garage I was a bit more concerned.
I tried again to dismiss the incident, but I have to give it up for my family, who INSISTED that I go see my family doctor just to be sure. I saw my Doc, who had just given me a complete physical a couple months ago, He checked me over, gave me an EKG and suggested a stress test just to be sure. I figured what the hell? Better to be safe than sorry right?
I had no idea how good that advice really was.
I took my stress test 4 days later at Swedish Hospital's Cherry Hill facility. A stress test is just you on a treadmill, wired to a bunch of stuff that measures heart function, pulse and blood pressure. Well, the normal EKG they gave me before the test started went completely sideways a few minutes later when they fired up the speed and incline of the treadmill. That's when they brought in Dr. Peter Demopulos, cardiologist.
Dr. Demopulos said that...
This week a large European consortium updated the data on a huge study on prostate cancer screening. The study included over 160,000 men in eight European countries followed for an average of 11 years. The men were randomly assigned to prostate cancer screening with the PSA blood test or no screening. The primary endpoint of the study was death from prostate cancer. The current report in the New England Journal of Medicine gave an additional two years of follow-up data over the prior reports.
As expected with longer follow-up, the benefits from screening have become more clear. The study now shows a 29% decrease in the number of men dying from prostate cancer in the screened group. This confirms the expected benefit for early detection.
This publication comes at a time of great controversy regarding prostate cancer screening here in the United States...
On Sunday, March 25, 2012, the Mercer Island Rotary Club will be hosting the 40th Annual Mercer Island Half Marathon. Children and adults of all ages participate and we anticipate more of the same this year. In addition to the half marathon race around the Island, there will also be a 10K Run, a 5K Run and Walk and a Kids’ Dash. So anyone can participate!
Swedish and the Swedish Cancer Institute are sponsors of this signature event. We are so excited to be part of this event again. One of the main purposes of the day is to raise awareness of colon cancer prevention.
In addition to the various runs and walks, you can still visit, have fun and maybe learn something new. You can also visit the “COLOSSAL COLON”! For the first time you get to walk through the colon and see what the inside looks like! Just don’t get lost in there. Don’t worry, it doesn’t smell!
This year will be particularly special as the 40th anniversary run. In honor of the anniversary, the Mercer Island Rotary Club has collected the “40 Faces of Colon Cancer”. This is a terrific idea. It’s a way to make colon cancer personal and real. Patients of all ages, races and backgrounds have agreed to share their personal stories and cancer experiences. Each story is unique as are the individuals with cancer. What they have in common is a passion to raise awareness of colon cancer and the need to get screened.
Colon cancer is unique among cancers in that nearly all can be prevented with appropriate screening.