Patricia L. Dawson, M.D., PhD

« Previous 12 Next »
Viewing Page 1 of 2 | Showing Results 1 - 10 of 17

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.

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

December 28, 2014
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 ...

Breast Cancer Screening Recommendations Revisited

April 20, 2013

Are you confused about breast cancer screening recommendations? If you are, you are not alone.

Multiple organizations have come out with conflicting studies, data, and recommendations. Those advocating for reduced screening argue that screening does not improve the death rate from breast cancer; that women who have biopsies that are found to be benign suffer significant psychological harm; and that cancers are found that would never cause death.

Significant flaws have been found in these arguments by physicians who have committed their careers to understanding and treating breast cancer. There are multiple problems with the scientific methodology, assumptions, endpoints and analyses used in these critiques of mammogram screening recommendations. One problem is that medical science currently does not have the ability to distinguish between lethal cancers and those that will not cause death. Based on rigorous scientific data, we do know that the best way to improve survival from breast ...

Nutrition for Young Athletes: Hit It Out of the Park

February 08, 2013

With the vague hint of spring in the air, many families are gearing up for the onslaught of practices and games that come with spring sports. As the kids strap on their pads and cleats again, keep in mind that a healthy athlete needs more than just good physical conditioning; fueling their bodies with proper nutrition is just as important to keep them competitive!

Nutrition is vital for the health of people of all ages and activity levels but young athletes have higher fluid and energy needs. Nutrition can also help 2 comment(s)|Read More

There's No Reason to Get (H)angry

January 21, 2013

Han·gry [ h·ng gree ]

  1. feeling very annoyed because you are hungry
  2. a combination of hungry and angry

We’ve all experienced it: the short temper that comes from being hungry, better known as being “hangry.” Sometimes in the hustle and bustle of life, eating can become a secondary priority. Unfortunately our brains and bodies aren’t meant to function without food and so we get hangry. Low blood sugar and a grumbling tummy can turn us into less than pleasant parents, partners and coworkers. So in spite of all the messages out there saying eat less, hear this message instead: Eat sensibly when you’re hungry. Here’s why (and how)...

Healing the Holiday Aches and Pains

January 14, 2013

The holidays are a beautiful time but as the New Year begins, the aftermath may be less than pleasant. With all the parties, traveling, eating, drinking and general merriment from the past few months, many of us may be dealing with a post-holiday headache. But what if your pain is more than just a passing ache? For those with chronic pain, especially in the back and neck, the added stress of the holidays can make it worse. Our minds and bodies play off each other so when one is stressed, the other one usually is, too. For instance, have you have noticed how a little rest and relaxation can cut both the physical and men...

Hitting the Sack Lunch Running

January 09, 2013

There are two truths most of us have to live with on a daily basis:

  1. We have to eat to survive
  2. Life is busy

These two truths together often mean that we grab for processed foods (chips, cookies, crackers) when we feel hungry. Other times, it’s just easier to order take-out or fast-food in between meetings, classes or appointments. Of course, these foods often have less nutritional value and more calories. With the New Year underway and many of us aiming to shed pounds or improve our nutrition, why not make a resolution to pack your lunch at least 3 to 5 times per week?

Packing your own lunch has many benefits including...

 

New Year's Resolutions: Not Just for Adults

January 04, 2013

Jingle bells may no longer be ringing in your ears, but the constant barrage of New Year’s resolution pressure probably is! Yet for all the commercials that promise the next great way to shed pounds or get more physically active in the New Year, children are left out of the resolution discussion. But that doesn’t necessarily mean that they shouldn’t be involved in setting healthy goals. Why not turn your New Year’s goals into a family affair?

For children, the goal shouldn’t be “pounds lost” but “healthy habits made.” Set an example for your children by not trying every fad diet but instead making a more concerted resolution to live a healthy lifestyle. Here are some fun ideas to involve your kids in your healthful resolutions...

Deciding on surgical treatment for breast cancer

December 14, 2012

A recent article in the Seattle Times references the 2012 Dartmouth Atlas Report: Improving Patient Decision-Making in Health Care. Unfortunately their take home line, "A new report that found wide geographical variation in the use of elective surgical procedures in Pacific states reflects the preferences of physicians – not what patients want or need, the authors say,” oversimplifies a complicated situation.

 

On my reading of the report, it stresses the values that an individual woman brings to the decision:

“Different...

What you should know about breast cancer and tips for reading online information

October 08, 2012

Since October is Breast Cancer Awareness Month, I’ve been paying more attention to online blogs about breast cancer and realize there is a lot of information and misinformation out there. How can you know what’s correct, what’s marketing, and what is just plain wrong? Here are some tips:

  1. Be an aware and questioning reader: Ask yourself some of the following questions. What is the source of the information? Does the author have anything to gain financially from the information? Are there studies that provide data supporting the recommendations? Who funded the studies and were there any potential conflicts of interest?
  2. Investigate more than one source: Healthcare has become very politicized and complicated but you can find reliable sources. But realize even with trusted sources the information provided may be conflicting. Some reliable sources include: 0 comment(s)|Read More

« Previous 12 Next »