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Join Swedish Cancer Institute at Seattle's Lung Force Walk on June 7

Joelle Thirsk-Fathi, DNP

The American Lung Association (ALA) has dedicated 100+ years to promoting lung health through prevention of tuberculosis, cleaner air, smoking prevention, and providing resources to those who wish to quit smoking.

In their fight for healthy lungs, the ALA has taken on a fight with lung cancer.  Lung cancer is the #1 leading cause of cancer deaths in America for men and women.  This initiative against lung cancer is called Lung Force.

Swedish Cancer Institute has a long history of fighting lung cancer through research, early detection via low dose CT screening, staging of lung cancer, surgical and medical therapies, and palliation of lung cancer.

In support of the ALA and their efforts to spread awareness of the risks of lung cancer, raising funds for lung cancer research and providing advocacy for those affected by lung cancer, Swedish will participate in the Lung Force Walk on June 7th, in Seattle.

We welcome you to join Team Swedish for a fun filled morning of music, the 5K walk, and festivities at the finish line.  You can register for the walk for free and/or make a donation in any amount that you wish.  Dogs are invited to walk too!

To join and learn more, click here and  ....

How to Manage a Sports Related Concussion

Janet Lee, MD

Janet Lee, MD
Pediatric Hospitalist

What is a concussion?
A concussion is a mild brain injury that causes a change in mental status that can occur with direct insult to the head. A concussion may also occur with movement of the body that cause acceleration/deceleration forces to the head.
 
What are the symptoms of a concussion?
  • Headache
  • Dizziness
  • Loss of consciousness
  • Amnesia
  • Difficulty concentrating
  • Confusion
  • Nausea and/or vomiting
  • Difficulty balancing
  • Sensitivity to light
  • Sensitivity to noise
  • Ringing in the ears
  • Drowsiness
  • Irritability
  • Sadness
When should I seek medical attention for a concussion?
  • A healthcare provider should evaluate every child or adolescent suspected of a concussion. 
  • If this occurs during a sporting event, the child should sit out the rest of the game
  • Your provider may conduct a standardized neuropsych assessment to help guide return to activities/sports
What is the best treatment for a concussion?
  • Rest, rest and more rest!
  • Absence from school may initially be necessary until one can concentrate on a task without exacerbating symptoms
  • Avoid excessive time texting, on the computer, watching television, playing video games or listening to loud music
  • Return to activity too soon can lead to worsening and prolonged symptoms.  A second injury to the brain while the brain is healing can lead to severe brain injury that is life-threatening
When can a child return to sports after a concussion?
A person with a concussion should not return to play until they no longer have symptoms at rest for at least 24 hours.  Return to play should then be a step-wise progression.  The child/adolescent should be symptom free for 24 hours before progressing to the next level of play:
  • Light aerobic exercise (e.g.: walking)
  • Sport-specific exercise
  • Non-contact training drills
  • Full contact practice
  • Return to play (Must first be cleared by a provider)
What resources are there for concussions?
Swedish’s Spine, Sports and Musculoskeletal Medicine team has developed a Sports Concussion Clinic with the following resources:
  • Baseline neurocognitive testing with a computerized exam called ImPACT can be done prior to playing a sport to assess changes and recovery if a concussion occurs.
  • Comprehensive concussion management, including clearance for return-to-play
Click here to learn more about the Sports Concussion clinic.  The team includes sports medicine physicians, psychiatrists, an athletic trainer, physical therapists and a neuropsychologist that can deliver individualized care for every athlete

Reducing visits to the operating room for breast cancer patients

Claire L. Buchanan, MD, FACS

Claire L. Buchanan, MD, FACS
Breast Cancer Surgeon

Swedish Cancer Institute has changed the way early stage breast cancer patients are cared for by adopting new surgical margin guidelines.  These guidelines will reduce the need for taking women back to the operating room if cancer cells are found at or near the specimen edge, also known as the margin. Following extensive review of the data, this new guideline was established by breast experts from the Society of Surgical Oncology and the American Society of Radiation Oncology and has been endorsed by the American Society of Breast Surgeons and the American Society of Clinical Oncology.
 
Many women with early stage invasive breast cancer opt for breast conserving surgery, known as lumpectomy or partial mastectomy. For 20-25% of these patients, a second surgery or re-excision was performed because the margin was not considered adequate based on previous practice guidelines. The latest peer reviewed evidence shows disease control is excellent when surgery is combined with whole breast radiation with or without hormonal therapy and/or chemotherapy, regardless of the margin width.
 
The Swedish Cancer Institute’s multidisciplinary breast cancer team reviewed and approved these guidelines for our program. We believe by reducing the need ...

What is inflammatory bowel disease (IBD)?

Karlee J. Ausk, MD

Karlee J. Ausk, MD
Gastroenterologist

Inflammatory bowel disease (IBD) is a chronic (i.e. long-lasting) inflammatory condition of the gastrointestinal system.  IBD is often confused with irritable bowel syndrome (IBS) because of their similar acronyms, but the two conditions are not related.  IBD affects approximately 1.4 million Americans and is most commonly diagnosed between 15-40 years of age.
 
IBD can be categorized into ulcerative colitis and Crohn’s disease.  Though there are clear differences between the two, they are closely related and sometimes difficult to distinguish.
 
Ulcerative colitis is a condition where inflammation affects the most superficial layer of the large intestine (colon).  It typically starts at the rectum and can involve a varying amount of the colon.  In contrast, the inflammation of Crohn’s disease can affect all layers of the intestine and can involve any area of the gastrointestinal tract – from the mouth to the anus.  The type of inflammation seen in Crohn’s disease may lead to long-term complications such as strictures or fistulas (abnormal connections to other organs) that are typically not  ...

Public Comment Period on Food Label Changes Ending Soon

Uma Pisharody, MD, FAAP

Uma Pisharody, MD, FAAP
Pediatric Gastroenterologist

Time is running out if you want your opinion to be heard when it comes to the FDA’s proposed changes to the iconic food label that we’ve all come to rely on when buying packaged foods. 

This is a big deal.  For those of you who haven’t heard, highlighted below are the key proposed changes:

  • Require information about the amount of “added sugars”.  A review of this was discussed in Dr. Thekke Karumathil’s blog a few months ago.

  • Remove the “calories from fat” label

  • Update serving size requirements

  • Present “dual-column” labels to differentiate “per-serving” and “per-package” calorie and nutrition information

  • Only require the declaration of amounts of 4 nutrients (vit D, calcium, iron, and potassium).  No longer will nutrients like Vitamin A and C be required, although manufacturers may declare them voluntarily.

  • Refresh the format to emphasize calories, serving sizes, and percent daily value.

Here's what these changes would look like:

Summer 2014 Cancer Community Walks & Runs

Brian Aylward, BS, CHES

Brian Aylward, BS, CHES
Health Education Specialist

Each year, the Swedish Cancer Institute (SCI) partners with local and national organizations in an effort to help spread awareness of cancer, associated treatments, and resources available in our communities.
 
Summer 2014 is no different. We’ve signed on to take part in more events than ever before—and we want you to join us! As an active patient, survivor, family member, friend or advocate, your voice and participation matter.
 
American Cancer Society Relay for Life
These overnight community fundraising walks help raise money to fund cancer research, education, and support services like Hope Lodge®, Road to Recovery®, Look Good, Feel Better®, and Reach to Recovery®, all American Cancer Society-run programs. The Swedish Cancer Institute patients gain access to these programs throughout the Swedish network. There are several Relay for Life events going on in the Puget Sound. The Swedish Cancer Institute is taking part in:

New products available for allergy treatment

Marlene Peng, MD

Marlene Peng, MD
Allergist, Minor & James

For those with seasonal allergies, treatment can be as simple as an over-the-counter medication, but often requires more.  The good news is that there are a lot of options now. Some new products have been recently approved by the FDA to help individuals who are dealing with grass and ragweed allergies.

The treatment of nasal and eye symptoms from allergies includes antihistamines, nasal sprays and allergy shots.  Over the counter antihistamines include diphenhydramine (ex. Benadryl), loratadine (ex. Claritin), cetirizine (ex. Zyrtec), or fexofenadine (ex. Allegra).  Over the counter allergy eye drops are also available, such as ketotifen (ex.Zaditor).  Together, these help with itchy, sneezy, watery nose and eyes.  Nasal antihistamines are prescription and also help with these symptoms.  Nasal steroids help decrease congestion and postnasal drip.  

A long-standing solution ...
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