Feeds:
Posts
Comments

From the Physician’s Desk … Weekly Blog!

Don’t forget to visit … www.LegacyEducators.org  and click on “Cancer Information”

———————————

November is Diabetes Awareness Month

Diabetes is a very common diagnosis in our community…and also in my family. My mother has diabetes, my maternal grandmother had diabetes, my father is teetering close to a diagnosis and my paternal grandmother has diabetes, with a foot ulcer (sore) that is very, very slow to heal. The buck stops with that generation…type 2 diabetes can be prevented! Why are healthcare providers so concern about diabetes?

  • Diabetes is the # 1 cause of blindness in adults 20-74yo
  • Diabetes is the #1 cause of chronic kidney disease, that may lead to Dialysis
  • Diabetes is the #1 cause of foot amputation
  • Neuropathy (numbness in fingers & toes) and much more…
Common locations of Diabetic foot ulcers

Common locations of Diabetic foot ulcers

Diabetes is one of the leading causes of disability and death in the United States. One in 11 Americans have diabetes — that’s more than 29 million people! And, another 86 million adults in the United States are at high risk of developing type 2 diabetes: Pre-diabetes3Diabetes statistics is 1 in 3. Are you pre-diabetic?

  • If you are overweight,
  • If you have high blood pressure, or
  • If you are age 45 or older, you are at higher risk of developing type 2 diabetes.

The good news is that making healthy changes can greatly lower your risk. To help prevent type 2 diabetes:

  • Watch your weight
  • Eat healthy
  • Get more physical activity

Read more HERE – Soo, I’m Diabetic, what’s the big deal about my feet?

Read more HERE – sugar, the bitter side of sweet

10 Ways to Prevent Diabetes

Pre-Diabetes stats

——————————————–

Remember …

Ipsa Scientia Potestas est    ———  Knowledge itself is power!

Don’t forget to visit my website … www.LegacyEducators.org 

Your Family Friendly Doc … Dr McGann!  

See you next week…

Every year around the time of Breast Cancer Awareness Month, I am asked about the seriousness of Triple Negative Breast cancer, what it means, why does it seem to affect Black women more, etc., I hope this blog answers some, if not all of your questions. Please contact me, if there are other questions or concerns. Thanks!

Legacy Health Educators

From the Physician’s Desk … Weekly Blog!

Don’t forget to visit … www.LegacyEducators.org  and click on “Cancer Information”

———————————-

TRIPLE NEGATIVE BREAST CANCER

Females are VERY vocal. If you were ever in doubt about the strength in numbers and just how vocal females can be regarding a cause of mutual interest … take a look at Breast Cancer.  Everyone knows pink = breast cancer.

However, despite the awesome global attention and exposure and the many research underway, there still exist a problem; patients are still not certain of the “labels” that physicians use in describing certain aspect of Breast cancer and are often times terrified by the information found on the internet – especially as it relates to triple negative breast cancer. The questions I am often asked are;

  1. What are receptors?
  2. What does “triple negative” breast cancer mean?
  3. Is “Triple Negative” breast cancer a good or bad thing?

View original post 474 more words

Cancer Pain Management

From the Physician’s Desk … Weekly Blog!

Don’t forget to visit … http://www.LegacyEducators.org and click on “Cancer Information”

——————————-

October is Breast Cancer Awareness Month. Although breast cancer is only one of many cancers, I am pleased of the exposure that the many “pink” ribbon brings. It gives me hope that other cancers can have a similar banner of awareness…in the near future. Despite our many progress and technological advances in medicine, cancer remains the second leading cause of death in the United States. For example, Breast Cancer has over 220,000 new diagnosis annually, and over 400,000 deaths each year. Many are surviving a longer time thank in the past.

  • Overall, cancer has taken on a more “chronic” long term debilitating effect, for those who survive initial treatment and are then diagnosed with recurrence/metastatic disease.
  • One the most feared symptom in this category of patients is pain. Overall, 50% to 70% of people with cancer experience some degree of pain, which usually intensifies as the disease progresses.
  • Less than 50% of these patients receive adequate relief of their pain, either because they are afraid to ask because they fear “addiction”, or physicians are unlikely to prescribe adequate medication to attain relief that will allow the patient continued good quality of life.
  • Suboptimal pain control can be debilitating and caregivers are often times unsure how to address this issue.

pm_general_cp_pain_approachThe World Health Organization program for cancer pain control recognizes that 1 in 5 patients with cancer has uncontrolled pain and has a ‘three-step ladder’ for the rational use of analgesics including morphine (recommended adaption to 4-step-ladder – see HERE).

Analgesic pain 4Morphine has long been the ‘gold standard’ for the treatment of severe cancer pain. However, its side-effects, particularly sedation/drowsiness, and cognitive impairment have led to ‘opioid rotation’ to alternatives such as methadone and hydromorphone. The one I like to use most in uncontrolled pain situation is the 72-h transdermal patch for Fentanyl, which offers advantages of reduced side-effects and increased convenience over oral morphine. Another novel pain medication is Intravenous (IV) strontium-89 and bisphosphonate therapy which are effective for both short- and long-term control of metastatic bone pain.

Pain Management Physician Review

Patient Discusses Pain

——————————————–

Remember …

Ipsa Scientia Potestas est    ———  Knowledge itself is power!

Don’t forget to visit my website … www.LegacyEducators.org 

Your Family Friendly Doc … Dr McGann!  

See you next week…

 

From the Physician’s Desk … Weekly Blog!

Don’t forget to visit … http://www.LegacyEducators.org and click on “Cancer Information”

—————————–

October is Breast Cancer Awareness Month and it is that time of year again, when American Cancer Society seeks our support. The Making Strides Against Breast Cancer Walk is being held in many cities throughout the United States. Have you joined a team and offer your financial support?

breast pinkThis could be a template for all other cancers. Imagine for a moment, if there is a walk for a specific cancer every 2 weeks…that would be awesome right?! Prostate Cancer, Colon Cancer, Gastric Cancer, Lung Cancer, Thyroid Cancer, Brain Cancer, etc.,… Imagine the societal impact and the health benefit for the participants too? A walk every 2 weeks…Why not? Just imagine…

Learn more about upcoming American Cancer Society Breast Cancer walk in your city, by clicking HERE and also see the videos below. Who knows, maybe you will see me at one of these walks…be sure to say hello! :-)

ACS 2015

ACS Video

——————————————–

Remember …

Ipsa Scientia Potestas est    ———  Knowledge itself is power!

Don’t forget to visit my website … www.LegacyEducators.org 

Your Family Friendly Doc … Dr McGann!  

See you next week…

From the Physician’s Desk … Weekly Blog!

Don’t forget to visit … http://www.LegacyEducators.org and click on “Cancer Information”

—————————–

Recently, a friend of mine had teeth extractions and when the bill was reviewed while waiting, there was an over-charge. The billing was done in anticipation of how many teeth would be removed, not after the procedure for the actual number removed. In one case, there was a charge for tooth #9, that was not even there (yes, in this procedure they charged per tooth…strange).

It caused me to wonder, how many patients actually check and question their medical and dental bills? (Watch VERY important videos below).

My nurse gave me an article that was written in the Washington Post about healthcare markups for the uninsured. Some interesting points includes:

negotiating-hospital-bills “Fifty (50) hospitals in the United States are charging uninsured consumers more than 10 times the actual cost of patient care, according a research published [recently]. All but one of the facilities are owned by for-profit entities and the largest number – 20 – are in Florida.”  Gerard Anderson, professor at the John Bloomberg School of Public Health noted,  “This means, when it cost the hospital $100, they are charging patients on average $1000. It would appear that these facilities are price gouging, simply because they can.”

Of note, other consumers who would be charged this ridiculously high rates are patients whose hospital are not in their insurance company preferred network of providers, patients using workers compensation and those covered by automobile insurance policy. Most patients covered by private, government and programs such as Medicare do not pay full price, because these entities negotiate lower rates. Location in big cities does not account for these high prices either, as hospital in the suburbs/rural area can be quite expensive.

See the Hospital list HERE

Only 2 states, Maryland and West Virginia, set hospital rate charges for procedures. Federal government does not regulate prices that healthcare providers can charge. Of course, these sky rocketing medical bills can lead to damaged credit scores, bankruptcy, or worse yet, avoidance of needed medical care.

Do consumers now have to shop around for best health care cost for a procedure? As the commercial noted, shopping around for other things, not just your car, especially if uninsured or in one of the above categories, may be to your benefit.

Watch VERY important videos below.

Unfair Hospital Charges

Negotiating Hospital Bills 

Read Rose’s story HERE

Hospital-Bill-Total

——————————————–

Remember …

Ipsa Scientia Potestas est    ———  Knowledge itself is power!

Don’t forget to visit my website … www.LegacyEducators.org 

Your Family Friendly Doc … Dr McGann!  

See you next week…

 

 

 

 

 

From the Physician’s Desk … Weekly Blog!

Don’t forget to visit … http://www.LegacyEducators.org and click on “Cancer Information”

—————————–

OCTOBER is Breast Cancer Awareness Month

The More You Know…

Screening beginning at the age of 40 reduces breast cancer deaths by 18%.

Despite the above known fact, the United States Preventive Services Task Force (USPSTF) recommendations prioritize sparing women the potential negative aspects of having a mammogram, and in their opinion, their task is to try and maximize the number of lives saved, per mammogram. Shouldn’t they be more interested in how many lives are saved…period? Many advocacy groups are against the USPSTF recommendation draft listed below and I’m joining their ranks.

Hypothetically, if we are able to save one life, but it would take 500 mammograms, but that one life saved is yours at age 45, surviving to age 50 to start screening would likely not be an option for you. Would you be for, or against the starting age of 50 for screening? That is the issue with population based decision making processes – it takes the “person” out of it and aim for the greater good (but the greater good for who?)

 The other issue? If the information to NOT screen women until age 50 becomes widely accepted, then many women between the ages of 40-49 would honestly not even be aware of the USPSTF fine print recommendation to “individualize” screening. They just would not receive a mammogram. So what does that mean? Per the statistics above, 18% of women between the ages of 40-49 who missed the early opportunity of mammography diagnosis, would die from breast cancer. That is unacceptable…yes?

A similar decision is being made for age 75 and older – insufficient evidence to recommend screening. Majority of our “Baby-Boomers” are actually quite active and doing well…so more to follow on that topic.

However, despite my bias FOR screening mammogram to begin at age 40, it is always good practice to hear the other side of the story. Please see USPSTF explanation video below and link to USPSTF is HERE

What are your thoughts?

USPSTF Breast Ca Draft

——————————————–

Remember …

Ipsa Scientia Potestas est    ———  Knowledge itself is power!

Don’t forget to visit my website … www.LegacyEducators.org 

Your Family Friendly Doc … Dr McGann!  

See you next week…

From the Physician’s Desk … Weekly Blog!

Don’t forget to visit … http://www.LegacyEducators.org and click on “Cancer Information”

—————————–

Most people know that eating fruits and vegetables is important for good health, but most of us still aren’t getting enough. This September, Legacy Health Educators is proud to participate in Fruits & Veggies – More Matters Month.food for thought

  • Fewer than 1 in 7 adults eat the recommended amount of fruits every day.
  • Fewer than 1 in 10 adults eat the recommended amount of vegetables every day.

The great news? Communities, health professionals, businesses, and families can work together to encourage people to eat more fruits and vegetables.  The Dietary Guidelines for Americans recommend two cups of fruit and 2-1/2 cups of vegetables each day.

Eating a healthy diet with plenty of vegetables and fruits can help you:

  • Lower your risk for heart disease and some types of cancer
  • Maintain or reach a healthy weight
  • Keep your body strong and active

vegetablesHere are some ideas to help you and your family fit more fruits and vegetables into your day:

  • Keep a bowl of fruit handy where the whole family can see it.
  • Cut up fruits and veggies ahead of time so they’re ready for quick, healthy snacks.
  • Challenge your family to try a new veggie or fruit every week.

Remember, eating more fruits and veggies can be fun – and it’s worth it!

5 Healthy Foods

Are Fruits Bad For Your Diet?

 ——————————————–

Remember …

Ipsa Scientia Potestas est    ———  Knowledge itself is power!

Don’t forget to visit my website … www.LegacyEducators.org 

Your Family Friendly Doc … Dr McGann!  

See you next week…

Follow

Get every new post delivered to your Inbox.

Join 356 other followers