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- Nurse Barb
It’s important to note that guidelines are just that, guidelines based upon data from large populations, however they may not apply to every woman that you encounter, especially to those who have unique circumstances and let’s face it, are more challenging and more rewarding as we provide personalized, individualized care.
The current American Society for Colposcopy and Cervical Pathology (ASCCP) guidelines for pap smears differ from those of the US Preventive Services Task Force (USPSTF)
The USPSTF guidelines recommend that Pap smears be stopped at age 65 if there have been adequate prior screens, however it’s not clear what the definition is of adequate prior screens.
Imagine how the Internet of Everything could change how we diagnose breast cancer!
This documentary, Detected follows the development of an amazing wearable technology that detects teeny tiny temperature changes within breast tissue and sends information via your smart phone to your physician about whether there is a concern for an increased risk of breast cancer.
Now imagine women around the world who don’t have access to mammograms and yet where cell phones are literally a lifeline. Now the Internet of Everything can help women who don’t even wear bras find worrisome risks and governments with few resources devise programs to screen women at highest risk so that precious resources can be used for treatments.
Welcome to a new world in Breast Cancer Screening. The movie, Detected, from Ironbound films, was shown in Austin at the South by Southwest Film festival. View the trailer here.
I’m reading Atul Gawande’s book Mortality and thought I’d share a story about how I care for my patients as they continue on life’s journey.
Katherine was one of my favorite patients. I met her when she was in her early 70’s and cared for her well into her 90’s. She was a breast cancer survivor and we were monitoring her bone health because she, like 1 in ?? women after menopause had developed osteoporosis. As she aged, our conversations changed. At each visit, she not only provided updates of her medical history, all of her new medications but I also heard the latest on her kids, saw the school photos of her grandkids, and best of all, listened to some of the best travel stories and advice before Trip Advisor was ever created. She and her husband took full advantage of retirement and managed 2- 3 trips each year to exotic locations I could only dream of.
I learned from caring for Katherine to live every moment. She brought in smudged black and white photos of her family smiling in their black rubber boots about to board a sea-plane in the early 60’s in the wilds of Alaska. I remember her telling me about a trip to St. Petersburg when she was 92, and how much she loved going back to visit Paris. “I love to walk wherever I go, the only thing that stops me now, is sometimes I get out of breath as I get older.”
Last night a friend of mine brought over her mammogram report and asked me what it meant and what she should do. She had been informed that her breasts were dense, but wasn’t told what it meant, what the next steps were and what she should do.
Though there’s a law on the books in many states that requires that women be notified of their breast density, often their health care providers aren’t making recommendations about what they should do next.
Can Women find Confidence After Breast Cancer Surgery?
“Life-changing” and “traumatic” are words many patients use to describe their breast cancer diagnosis. Fortunately, through medical advances, women can often be cured of their cancers, joining a resilient and growing group of breast cancer survivors. They can also explore a variety of procedures to reconstruct their missing breasts, building confidence after a challenging time in their lives.
This is a guest post by Dr. Sean Wright, MD., F.A.C.S., a reconstructive plastic surgeon who trained at Harvard and is now practicing in the Philadelphia area. We’re featuring a variety of guest authors and perspectives on health issues and are delighted to share his piece with you. (more…)
I’ve been reading a lot about soybeans and their beneficial effects on health. What I found was surprising and reassuring. There’s many good reasons to incorporate more to soy into your family’s diet. Here’s 6 surprising secrets about soy and better health.
#1 Soybean Oil is a Great Source of Omega – 3
Many people find it difficult to get the recommended amounts of heart healthy Omega -3 fatty acids from eating 2 servings of fatty fish each week. You might be surprised to learn that soybean oil is a great source of Omega- 3 and Vitamin E. Most vegetable oil you buy is 100% Soybean oil.
#2 Soybeans Lower Cholesterol
Multiple studies have shown that soy (more…)
I was talking to 2 friends the other day, who both had double mastectomies for advanced breast cancer. Kim and (not their real names) had complete reconstruction and neither one had been able to save their nipples.
They were both talking about how difficult it is to have one nipple that’s horizontal and points straight ahead like a headlight, and the other that’s off in it’s own direction, like a wandering and wayward child.
From the National Non-Profit Project Pink Comes a Story of Love, Liberation and Laughter:
The Breast Cancer Diaries
For ten years, Ann Murray Paige covered the news, but for the biggest story of her life she turned the camera on herself. When Ann, a former local news reporter and anchor is diagnosed with breast cancer at age 38, she sets up a diary camera in her bedroom.
Women, like Angelina Jolie and me, who have a family history of breast cancer worry more about breast cancer according to a new study. One of the best things that I did was to get tested for the BRCA 1 & 2 genes, which helped me have more information and less fear.
Having information and then talking about it with my surgeon, breast specialist and gynecologist helped me feel more empowered. (more…)
At a recent conference, researchers presented findings that will provide hope to many women who’ve been treated for breast cancer. Now, with lumpectomies and other surgeries that conserve more breast tissue, women are able to nurse their babies.
As you would expect, the researchers found that milk production was lower in the affected breast, but that even with surgery and radiation, there were women who were still able to produce some milk if the ducts were intact.