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Using a Gene Test to Assess Recurrence Risk for Women with Ductal Carcinoma In Situ

Patricia L. Dawson
Participants at the San Antonio Breast Cancer Conference were recently updated on the status of OncotypeDx for DCIS. 

Providers at the Swedish Cancer Institute have been using  this technology since it became available about 4 years ago. The test is done on the tissue after surgery to see if it might be safe to not add radiation therapy to lumpectomy / partial mastectomy for carefully selected DCIS patients.

There is now data on ...

Do I need a pap smear?

Crystal Houlton
When women come in for their yearly well-woman exam, many are surprised to find out that they may not need a pap smear. This is because the mechanisms through which women develop changes in their cervix that may lead to cervical cancer are now much better understood. This had led to a drastic change in pap smear screening recommendations with the most recent updates to recommendations in 2012. Although, we still recommend regular well-woman exams, it is likely that most women will only need a pap smear every ...

Is Your Shoulder Pain a Rotator Cuff Injury?

Sara Jurek, MD

Sara Jurek, MD
Orthopedic Surgeon

What exactly is the rotator cuff?

The rotator cuff is a group of muscles and tendons that envelope and attach to the “ball” of the shoulder (the humeral head). The cuff is responsible for keeping the ball squarely centered within the shallow socket of the shoulder. 
Reproduced from orthoinfo.aaos.org

What are the symptoms of a rotator cuff injury and who is affected?

A rotator cuff injury can cause a ..

What type of MS do I have?

James D. Bowen, MD

Traditionally, MS has been divided into four clinical courses: relapsing/remitting, primary progressive, secondary progressive and progressive relapsing. These four were intended as descriptions of the different courses that MS could take in patients, and were not based on any particular understanding of the biology of the disease, the cause of the disease, or even the prognosis of patients with the different types of MS. Over the years, our understanding of MS has improved, and these descriptions of the disease course no longer meet our needs to describe the disease.

Over the past couple of years, there has been a revision of our classification of MS, resulting in a publication in July 2014. The recommendations of this revision have been  ..

How to deal with acute or chronic diarrhea

Melanie Panchal
Diarrhea is described as loose watery stools sometimes with increase in frequency requiring frequent trips to the toilet.  In most cases diarrhea symptoms usually last for a few days, but if the symptoms occur for more than the 30 days it can be a sign of a serious disorder. 

Diarrhea occurs when the food and fluids you ingest pass too quickly through your colon.  Diarrhea can be classified into acute or chronic and its symptoms can be classified as uncomplicated and complicated.  Uncomplicated symptoms of diarrhea are abdominal cramping/bloating, thin loose watery stools, and the sense of urgency to have a bowel movements.  Symptoms of complicated diarrhea include blood or undigested food in the stool, weight loss and fever.  If you have symptoms of complicated diarrhea you need to notify your primary care provider for further evaluation.

New tool to help understand Tobacco Related Diseases

Jolyn Hull

Jolyn Hull
Health Education Specialist, Swedish Cancer Institute

Tobacco and tobacco smoke affect our bodies from head to toe in complex ways. These affects can result in the development of diseases or conditions that are then considered to be tobacco-related diseases. In order to simplify the idea of tobacco related diseases, we have created a tool to help you understand where and how different diseases and conditions may present themselves throughout your body due to tobacco use. The tool will show male-specific, female-specific and gender-neutral consequences associated with tobacco use.

Seattle rain? You can still play inside!

Kathryn Lent, PT, DPT

Kathryn Lent, PT, DPT
Physical Therapist, Swedish Pediatric Therapy Services

In the last few years, I’ve taken note of various national campaigns encouraging improved health and wellness in children. Some aim to inspire at least an hour of play daily. Others focus on movement in conjunction with eating nutritious food to help fight childhood obesity. All of these campaigns share a common important message: regular physical activity improves a child’s overall health.

With the winter months upon us, my patients and families are concerned how to maintain activity levels when it’s cold, rainy, and gets dark outside too early. Even in the warmest months, there may be reasons a child might be inside more than out – including safety concerns. Fortunately, there are many fun ways children CAN stay active indoors when playgrounds are cold, ball fields are icy, yards are soggy, or the sun goes down too early.

Here are some ways kids can play inside while also working on strength, balance, flexibility, or coordination:
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