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Archive for the ‘Demographics’ Category

From the Physician’s Desk … Weekly Blog! 

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Colorectal cancer screening in older adults who have never been screened  (New Information: JUL 2014)

Discontinuing screening — The decision to stop screening should depend upon whether an individual patient’s life expectancy justifies the risk and inconvenience of screening. Age alone is only one determinant of the impact of screening; in one modeling study, screening individuals aged 67 to 69 with three or more comorbidities (chronic illnesses – diabetes, heart disease, etc.,)  would save fewer lives than screening individuals aged 75 to 79 with no comorbidity (81 versus 459 lives saved per 100,000).

Many of the “Baby Boomers” are living longer and healthier lives, so continued screening may be justified.

At 93yo Dr. Eugster hopes to turn the heads of "Sexy 70yo on the beach!"

At 93yo Dr. Eugster hopes to turn the heads of “Sexy 70yo on the beach!”

Most guidelines recommend that screening for colorectal cancer stop when the patient’s life expectancy is less than 10 years. Which is a difficult concept for many patients to face…who will raise their hands to say they are likely to live less than 10 years? Who truly knows?  The US Prevention Study Task Force (USPSTF) guidelines recommend that patients over age 85 not be screened, and recommend against screening in adults 76 to 85 years, unless there are individual considerations that favor screening.

Older adults with no prior screening — One-time screening in older adults who have never been screened (23 percent of US elderly individuals) appears to be cost-effective up to age 86 years, based on results of a modeling study. In this simulation study, colonoscopy was cost-effective to age 83 years, sigmoidoscopy to 84 years, and fecal immunochemistry testing to 86 years for patients without comorbidity and at average risk for CRC. Colonoscopy was the most effective, and most expensive, strategy for one-time screening.

Signs and symptoms of colorectal cancer

Colorectal cancer may cause one or more of the symptoms below.  However, most of these symptoms are more often caused by conditions other than colorectal cancer, such as infection, hemorrhoids, irritable bowel syndrome (IBS), or inflammatory bowel disease (IBD). Still, if you have any of these problems, it’s important to see your doctor so the cause can be found and treated, if needed.

  • A change in bowel habits, such as diarrhea, constipation, or narrowing of the stool, that lasts for more than a few days
  • A feeling that you need to have a bowel movement that is not relieved by doing so
  • Rectal bleeding, dark stools, or blood in the stool (often, though, the stool will look normal)
  • Cramping or abdominal (belly) pain
  • Weakness and fatigue
  • Unintended weight loss
  • And any other signs of concerns…

SCREENING PEOPLE AT INCREASED RISK — The evidence for how high-risk patients should be screened is weaker than for average-risk patients. Thus, guidelines are based mainly upon arguments relating to knowledge of the biology of colorectal cancer (CRC):

If the patient is at risk for earlier onset CRC (eg, first-degree relative (mother, sister, brother etc.,) with onset of CRC before age 50), screening should begin earlier.

If the patient is at risk for more rapid progression of disease, screening should be performed more frequently.

If the patient is at risk for more proximal lesions (eg, hereditary nonpolyposis colorectal cancer [HNPCC]), screening should be performed with colonoscopy.

If the patient is at risk for a greatly increased incidence of disease (eg, HNPCC or familial adenomatous polyposis [FAP]), they should be screened with colonoscopy, the most sensitive test for complete examination of the colon.

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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…

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From the Physicians Desk … Weekly Blog!

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Medication mistakes is one of the leading causes of death in the United States…causing over 200,000 deaths, but could be higher as many go unreported. One-third of Americans take 5 or more medications and with the aging Baby Boomers population, some are taking 10 or more medications increasing the possibility for errors!

I cannot emphasize this enough…please pay attention to your prescription medications. Ask your doctor:

  1. What is the name of the medication? (spell it out and write it down!)
  2. What is the dose that you are giving me?
  3. How many time per day should I take it?

Medmistakes

After initial pick up at the pharmacy, note the name spelling, color, shape and size. Always check your refills carefully and compare to previous prescriptions.

Take note and be careful…your life could depend on it!

Click video below to watch.

 FDA: Drug Info Rounds 

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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…

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Fromt the Physicians Desk … Weekly Blog!

MARRIAGE AND HEALTH!

Standing the test of time!

Standing the test of time!

No one should be rushed into marrying if they are not ready to be hitched and the Divorce rate upwards of 50%…may substantiate this line of thinking. One may even argue that getting married is truly not worth it anymore. But I (the eternal optimist) beg to differ! I say YES to wedded bliss and there continues to be weddings galore every year, so people still believe in the “happy ever after”…do you? Well, there is scientific evidence to support getting married…yes there is! Please Note: The highest benefit is associated with Marriage and Not “co-habitation” … as is becoming the norm these days.

A recent study discusses the health-related benefits that appear to be conveyed by being in a good relationship. In men, marriage appears to be linked to improved survival rates with the more satisfying the marriage, the higher the rate of survival. As an example, University of Rochester researchers discovered happily married men who undergo coronary bypass surgery are more than three times as likely to be alive 15 years later as their unmarried counterparts. The study may be found in the journal Health Psychology, a publication of the American Psychological Association.

 Marriage and heart“There is something in a good relationship that helps people stay on track” says Kathleen King, professor emerita from the School of Nursing at the University of Rochester and lead author on the paper. Harry Reis, a coauthor and professor of psychology comments that the effects of marital satisfaction is “every bit as important to survival after bypass surgery as more traditional risk factors like tobacco use, obesity, and high blood pressure.”It was also noted that wives need to feel satisfied in their relationships to reap a health dividend.

Couples who are happy over the long haul stay healthier as the years pass, too, according to a new BYU study just published in the Journal of Marriage and Family.Marriage 1

The positive findings are probably largely about support between husband and wife, Miller said. People happy in their marriage typically support each other. “They probably encourage each other to be healthy, to go to the doctor, to take multivitamins and that kind of support,” he said. “We found not only an absence of negative stuff, but the presence of good stuff in a positive, supportive, vibrant marriage.”

The findings hold for both men and women, Miller said. He added that another new study he’s worked on shows that a happy marriage also boosts work productivity. Rick Miller is a professor in the School of Family Life at Brigham Young University

Read more here …CLICK HERE!

Stay Active!

Stay Active!

 

Remember

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

Visit 
http://www.LegacyEducators.com
 for more health information!

Your Family Friendly Doc … Dr McGann!  

See you next week…

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From the Physicians Desk ...Doc’s Weekly Blog!

Learn more about your health by watching videos – click here!

A Plea from the Nation’s Families …

  • We need the Men in our lives to take better care of themselves.
  • We need the men in our lives to lead by “Health” example.
  • We need the men in our lives to be checked routinely  for preventable health problems and be screened for early detection and have life saving treatment for diseases such as Cancer.
  • We need our men to be around for us … living a long, healthy life.
mens-health-doctor

Visit your Doc today!

JUN 10-16 is National Men’s Health Week…speak to the men in your life about the common chronic diseases listed below. If they answer “NO” to any of the questions, then they should also provide their “NUMBER” and know the DATE of their last exam/lab tests – have them prove it ! Let them show you the papers from the Doctor’s visit – this is serious!  No papers, no evidence, an appointment is necessary – Call for an appointment with his Doctor today! “wink”;

  1. Are you Diabetic?
  2. Do you have High Blood Pressure?
  3. Do you have High Cholesterol?
  4. Are you Obese? What is your BMI?
  5. What is your Prostate Specific Antigen (PSA) number?
  6. Did you have a Colonoscopy? What is the age you should be screened for Colon Cancer?
  7. Do you know your family history for Heart Disease, Cancer, and Diabetes?

visit click HERE to learn more MEN’S HEALTH WEEK

Click below to watch video

Remember …

Ipsa Scientia Potestas est    ———  Knowledge itself is power

Visit http://www.LegacyEducators.com for more health information!

Your Family Friendly Doc … Dr McGann!  See you next week…

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From the Physicians Desk … Doc’s Weekly Blog! Learn more about your health by watching videos – click here!

Weekly mail … weekly Medical Journal to go through! Lets see…this week an interesting  article titled the, “Three Great Truths of Medicine” caught my attention…Hhhmm. The article was featured in 25th March 2013 issue of Oncology Times and authored by Dr. J Simone. Today, I will briefly review the first of these 3 truths

NUMBER ONE:

There is no reliable, public mechanism for choosing a skillful Doctor.

Young doctor checking an MR exposure

  • What constitutes a Good vs a Great Doctor? How does a patient choose a Doctor?
  • In the article, it was stated that virtually any M.D. can obtain and maintain a license to practice medicine. Not to belittle the process of getting through Medical School, but if you were able  to jump through the necessary hoops to “get in” then “getting through” is usually not too problematic…some refer to it as being “smart enough” but that can also be semantics. Nevertheless, one quickly realizes that the school from which the “Medical Degree” was obtained, becomes inconsequential by the great equalizer of the many medical board exams one must take. Board Certification is a GOOD thing!
  • Additionally,  Medicine is changing constantly AND rapidly.  So, how do you know if your Doctor is keeping up with the latest for his/her Medical Specialty? Not only are Doctors required to see many patients everyday, but at the point of exhaustion are required to keep up with the pace of Medicine, and Maintain a family life…How do they do it all?

How do you keep up with your Career/Job changes?

Well, as Dr. Simone pointed out, in most States, doctors are required to obtain a number of Continuing Medical Education (CME) credits. This acts as a means of trying/forcing Doctors to update medical education. However, since these are Seminar/Meeting based, the outcome or benefit for the physician cannot be easily quantified.

How do you choose your doctor?

  • Advice from a friend or family member?
  • Referral from your Primary Care or reading an article in the Press?
  • Convenient location or blind choice or limited by Insurance acceptance?
  • Or (a pet peeve of most physicians) – the ever so wary “fee based” evaluation of a doctors “star based” scoring by an unknown number of patient satisfaction surveys?
  • Were you always satisfied with above after meeting with the doctor? Or did you require a little something extra – more compassion, more time with your Doctor, etc.,

THE  Dr. Mac FACTOR

Should I be faced with a large surgery, I would consider the expertise/board certification of the surgeons (yes), the number of procedures performed (maybe), and success rate (maybe). HOWEVER, I know all too well, that Doctors, like “regular” people are not perfect.  IF the surgeon has a 100% success rate, I just may be the one that causes the change to 99%. So, instead of putting my trust solely in the surgeon, I put my trust in Jesus. My Jehovah Raphe, the one true great Physician … I know the outcome rest solely in his hands.

Now you choose …

Click on image below to watch video

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From the Physicians Desk … Doc’s Weekly Blog!

Learn more about your health by watching videos click here!

MARCH IS COLON CANCER AWARENESS MONTH...

Click here to watch videos and read on Colorectal Cancers!

JUST THE FACTS!

  • Colon Cancer CAN be stopped in its tracks … before it EVER begins!
  • At least 60% of deaths from Colorectal cancer could be prevented if everyone had a regular screening
  • If you are African American screening should begin at AGE 45!! (CHANGE IN GUIDELINES!)
  • Other General Population screening should begin at age 50, as colorectal cancer occurs in people age 50 or older (younger in African Americans)
  • Colon Cancer is the 3rd Leading Cause of deaths for ALL Cancers – for both Men and Women! Over 50,000 died of colorectal cancer in 2012 (American Cancer Society Estimated 2012 statistics)
  • Colon cancer may start from a polyp (an abnormal growth) that if seen during colonoscopy can be removed … and may be all the treatment you need! (your doctor will send the polyp for additional evaluation and will tell you more)
  • In most cases, there are NO symptoms for colorectal cancers in the early stages. However, some may experience blood in or on the stool, abdominal aches, pains or cramps that do not go away, and losing weight without trying.  REMEMBER though, most do not have any symptoms.
  • Colon Cancer can usually be prevented…Colon Screening Saves Lives!
  • Tell your love ones, family and friends – all should be screened at age 45 (African Americans) or 50 (General population)! If you are older and never had a colonoscopy, what then? No problem mon! Talk to your primary care provider and get your screening done this year! Blessings.

Click on image below to watch – “All Jokes Aside” –  Steve Harvey’s – I want to live!

(Please note: Change in Guideline requires African American screening begin at age 45! A change from the video below)

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From the Physicians DeskWeekly Blog!

Visit www.LegacyEducators.com for Health Video Clips – Learn how to become your own health advocate!

FEBRUARY is Teen Dating Violence Awareness Month.

TeensI must apologetically admit, teen dating violence was not on my radar. Teen Violence … Yes. Teen DATING Violence … No. I really never gave it much thought being inundated with my career of caring for those affected by Cancer … but this too is a real problem for our youths. I encourage others to step out of their career scope or area of interest and become more involved with the things that affect our children…our future!

One in 10 teens reported being physically abused by a boyfriend or girlfriend in the last year. That number can be safely doubled for the “unreported” cases, and quadrupled for the other types of abuse – emotional, verbal, mental, etc., This generation is neck deep in Violence. Watched the news lately?   I truly believe that the foundational problem is a generational lack for the value of life…the respect of life.

teen parenttalkIf you have a teen in your life – child, grandchild, niece, nephew, friend – Ask about his/her dating relationships (remember, males are not always the “abuser” … teen boys are abused too!).  If it is a difficult discussion for you, then share this link ( http://healthfinder.gov/nho/FebruaryToolkit2.aspx ). Our future is at risk on so many fronts and from so many angle. Pray for our children constantly…they are our future.

Click below to watch NBC video on Teen Dating Violence

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