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Five day radiation option for women with breast cancer

August 26, 2015
Research shows that 90% of all local breast cancer recurrences happen within one centimeter from where the cancer was removed. Could we focus the radiation treatment into that area at highest risk but spare the remaining breast tissue?

I am excited to report that we have recently added a new breast cancer radiation treatment alternative for patients treated at the Swedish Cancer Institute. SAVI is a form of accelerated partial breast radiation that provides an alternative to the 6 weeks of treatment usually recommended to breast cancer patients. About a week after surgery, once we know that the cancer has been completely removed, a catheter is placed into the breast to deliver radiation treatment directly into the surgical cavity. Treatment now is delivered over five days instead of the standard 6-7 weeks of daily sessions.

Update on the proposed changes to food labels by the FDA

August 24, 2015
In a previous blog post, I mentioned that the U.S. Food and Drug Administration (FDA) is making changes to nutrition facts labels (originally introduced 20 years ago to help consumers make informed and healthy food choices).

On July 27, 2015, the FDA added a supplement to the initially proposed changes (originally published March 2015). It proposes that food manufacturers not only list the grams of added sugar, but also declare the percent daily value (%DV) for added sugars, which is a major step forward in aligning with international standards for sugar intake, and a totally novel concept in terms of food labelling in the U.S.

Ductal carcinoma in situ - the need for individualized treatment planning

August 21, 2015
On August 20, 2015, the New York Times published an article with the provocative title, “Doubt is Raised Over Value of Surgery for Breast Lesion at Earliest Stage.” In it they reference a study by Narod reported in JAMA Oncology that looked at breast cancer death after a DCIS diagnosis. 

But, the questions addressed by the article were different than the questions generated by the research.

Bike the US for MS donates $25,000 to Swedish MS Center

August 20, 2015
For the fourth year in a row, the committed riders of Bike the US for MS arrived at the Peddler Brewing Co. in Ballard this month to present a $25,000 gift to the Swedish MS Center in honor of its excellence in MS care.

Eating organic may help prevent UTIs

August 18, 2015
Urinary tract infections (UTIs) are very common and becoming harder to treat due to antibiotic resistant bacteria. Where are these resistant bacteria coming from? Overuse of oral antibiotics for any suspected infection has historically been thought to be a culprit, but now there's increasing evidence that resistant bacteria are coming from the global food chain, and in particular the poultry industry. Antibiotics are commonly used in poultry feed on chicken farms to reduce the risk of E.coli infections. Drug-resistant E.coli UTIs are increasing in women who are otherwise healthy and living in the community and have no other risk factors for developing drug-resistant infections. There is increasing evidence that drug-resistant E.coli from antibiotic-treated chicken meat, then ingested by women, may contribute to the emergence of drug-resistant community-acquired UTIs.

Switching from Tysabri to another MS medication

August 18, 2015
There has been debate about how to switch patients with multiple sclerosis (MS) from Tysabri to other medications. This happens most often when patients on Tysabri become positive for antibodies to the JC virus. Patients that have these antibodies are at increased risk of a serious infection called progressive multifocal leukoencephalopathy (PML).

New research has studied varying timelines for starting a new medication after Tysabri.

How to help kids prepare for surgery

August 17, 2015
Being scheduled for a surgical or sedated procedure can be a nerve wracking experience for children and their families. Knowing what to expect when you visit the hospital can help relieve many common fears and concerns. At Swedish, Child Life Specialists help children and families cope with the hospital process. Child Life Specialists are available to help educate and prepare children and families prior to surgery.

The pre-operative tour is a great place to start.

What to expect from a vestibular balance assessment

August 14, 2015
Vestibular assessments, or balance assessments, are recommended for people who have dizziness, vertigo, imbalance, and other related symptoms, because the vestibular portion of the inner ear contributes largely to our ability to stay upright. Visual input, somatosensory input and the central nervous system also contribute to our balance. Vestibular assessments are usually done by an audiologist. Because several body systems contribute to our balance, a patient who has dizziness may also be evaluated via clinical exam with an otologist or neurotologist or with imaging and blood work.

Here’s what happens during a vestibular assessment or ‘balance test’ and how to prepare:

Swedish MS Center Roadshow headed to Yakima

August 12, 2015

Experts from the Multiple Sclerosis Center at Swedish Neuroscience Institute and the National Multiple Sclerosis Society are bringing this traveling roadshow of Multiple Sclerosis education and information to Yakima, Washington on Sept. 19, 2015.

Why are some people turned down for a liver transplant

August 12, 2015
The decisions of a liver transplant program can sometimes seem unfair or even arbitrary, especially when a loved one is turned down for a liver transplant. While everyone in need of a transplant deserves an opportunity to be evaluated, not everyone can be placed on the waiting list. 
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