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Archive for the ‘Breathing’ Category

From the Physician’s Desk … Weekly Blog! 

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SMOKING … why is it so important to stop? Well, it is proven to cause harm … proven to cause cancer (carcinogen).  The promotion of smoking cessation is essential, as cigarette smoking is thought to be causal in 85 to 90 percent of ALL lung cancer.

smoking poison

lung_cancer_treatment

Lung Cancer deathsPrevention, rather than screening, is the most effective strategy for reducing the burden of lung cancer in the long term. Most lung cancer is attributed to smoking, including lung cancer in nonsmokers in whom a significant proportion of cancer is attributed to environmental smoke exposure.

  • Lung cancer is the leading cause of cancer-related death among men and women, and the third leading cause of cancer in the United States
  • Worldwide, lung cancer and lung cancer-related deaths have been increasing in epidemic proportions, largely reflecting increased rates of smoking. studies suggest that for any level of smoking, women are at higher risk of developing cancer than men.
  • In the year 2013, the American Cancer Society predicts that there will be approximately 224,230 new cases of lung cancer diagnosed, and approximately 159,260 lung cancer-associated deaths in the US

Recommendations for screening by expert groups — A 2012 systematic review of available evidence was commissioned by the American Cancer Society (ACS), American College of Chest Physicians (ACCP), American Society of Clinical Oncology (ASCO), and the National Comprehensive Cancer Network (NCCN) to serve as a basis for screening guidelines for these societies.  Screening guidelines supporting low-dose CT scans for identified high-risk groups, based upon this review, were issued by the NCCN and by theACCP/ASCO.

So, how should you approach this with your Doctor if interested in screening? Click link below for a guide developed just for patients!

NLSTstudyGuidePatientsPhysicians

A 2013 systematic review for the US Preventive Services Task Force (USPSTF) serves as the basis for revised guidelines for the USPSTF. Many expert screening groups have incorporated results from the NLST in their recommendations. The recommended age cut-off for screening varies between groups, with modeling studies suggesting that extending screening beyond the 74 years of the NLST cohort will provide further benefit

 

Senator Santiago Diagnosed with advance lung cancer. Press arrow below to watch!

AMERICAN COLLEGE OF CHEST PHYSICIANS LUNG CANCER GUIDELINES

 

SUMMARY AND RECOMMENDATIONS

  • Prevention (promoting smoking cessation) is likely to have far greater impact on lung cancer mortality than is screening. Nonetheless, lung cancer screening has the potential to significantly reduce the burden of lung cancer.
  • Early trials of chest x-ray screening found no mortality benefit for x-ray alone or x-ray plus sputum (spit) cytology
  • Low-dose CT (LDCT) refers to a noncontrast study obtained with a multidetector CT scanner during a single maximal inspiratory breath-hold with a scanning time under 25 seconds. Radiation dose exposure is less than a third of a standard-dose diagnostic chest CT examination.
  • A large randomized trial (NLST) of annual low-dose CT screening in patients with a 30 pack-year history of smoking, including those who quit smoking in the preceding 15 years, demonstrated a decrease in lung cancer and all-cause mortality
  • All patients who smoke should be strongly counselled to quit smoking as the most-effective intervention to reduce the risk of lung cancer.
  • Patients who currently smoke or have a history of smoking should be advised of the risks and benefits of screening for lung:
  • For patients in good health who are thought to have a risk for lung cancer and for whom the cost of screening is not an issue, we suggest annual screening with low-dose helical CT
  • High-risk criteria for participation in the NLST were age 55 to 74 years, a history of smoking at least 30 pack-years and, if a former smoker, had quit within the previous 15 years. Also suggest screening for high-risk patients in good health to age 80
  • Plain chest x-ray screening has been shown to be ineffective for lung cancer screening. We recommend not screening for lung cancer with chest x-ray

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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 Physician’s Desk … Weekly Blog!

Don’t forget to visit … www.LegacyEducators.org  and click on “Cancer Information” Thanks in advance for your support!

It is patients joke of us Docs (in certain Demographic) that “Motrin/Ibuprofen” is prescribed for everything! Some even joke that it is the prescribed drug of choice if you lose a finger and that it is even used for Anesthesia during surgical procedures! (of course, this is not true! Trust me, you would quickly find that out!:)

But imagine with me, for just a moment that “HOPE” is a prescribed drug of choice; a drug of choice that is abused? I ask you to consider “HOPE” as a form of treatment for any ailment or issue at hand.  This does not require a physician, it does not require a trip to the pharmacy, no pills, no needles, cannot smoke it … and there is actually no financial cost associated with it. What it does require, is a chain of positive thoughts … even in the most grim of situations. It puts YOU in control of your feelings (as fickle as it can be). This is not a form of “lying to oneself” … not at all. Instead, it is a choice. A choice to observe the options available…and choose the most favorable one…HOPE

I read where a challenge was given to remove negative words from one’s vocabulary. Words such as “I can’t…” and say instead, “I will try…” Remove the word “problem” and use words such as “issue”, or “project”, or “challenges” instead.  Try it.  Difficulty at work? “My Boss presents some unique challenges, but like any other project, I am working at it!” This approach IS actually good for your health!

Serenity Prayer

Serenity Prayer

This approach can be a tough one in the Oncology (cancer) field of practice. Whenever I am asked,

“Doc, how long do I have to live?”

I often reply;

“Honestly. I do not know. If I get hit by a bus today you will outlive me (I usually get a smile with that one).  Think about how you would like to spend your remaining time with your family…showing appreciation…showering them with affection and love…be it for 6 wks, 6mths, or 6years. Can you do that for me?”

If it is that they leave this life in 3wks … then they would have lived life to the fullest and they were none the wiser… as they drifted off to sleep…only to awake in The Father’s loving arms.

Whatever your situation may be today … be it health challenges, work related issues, family disruptions, or myriad of other things that pulls at you from all directions. Encourage yourself.

Take a moment…

take a deep breath…

Repeat the “Serenity Prayer” out loud …

…and then watch the video instructions on HOPE below…from Talia…

This is my Prescription … written just for you.

{Press PLAY arrow/button to watch}

 

On 16 JUL 2013…Talia passed away. She was 13yo…

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

JUST THE FACTS –  CHILDREN’S TOBACCO USE!

UKRAINE CHILDREN SMOKERS

  • Right now, more than 3.6 million middle and high school students still smoke
  • High School students who are current (past month) smokers: 18.1% or 3.4 million children
  • Kids (under 18) who try smoking for the first time each day: 3,500
  • Kids (under 18) who become new, regular, daily smokers each day: nearly 1,000
  • Kids (3-19) exposed to secondhand smoke: 50.2% or 32 million
  • Packs of cigarettes consumed by kids each year: 800 million (~$2 billion/year in sales revenue)
  • Kids under 18 alive today, who will ultimately die each year from smoking (unless smoking rates decline): 6,000,000+
  • People in the USA who currently suffer from smoking-caused illness: 8.6 million

Total annual public and private health care expenditure caused by smoking:      $96 billion   

Smoking Diseases are many – Serious Infectious Illness, Asthma, Ear Infections, Cancer…among other chronic diseases.

Help Children NOT to start smoking…and help others who have started, to quit smoking.

Pic smokers-lungs-comparison1

The “Factual numbers” goes on and on … We reviewed 3 topics thus far this year relating to our children –

  • Childhood dating violence
  • Childhood obesity, and
  • Children smokers

Kid cryingWhere is the future and the hope of and for our children? The children who will lead this country when I am older…when you are older. I refuse despair. Instead, I choose to do something about it. What about you?

Wipe your tears Dear … there is hope!

Encourage a child today to quit smoking and continue to pray for our nation!

Visit here for more information: http://www.tobaccofreekids.org

Learn more facts: Click here

Tobacco use and Harms among kids:  click here 

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From the Physician Desk … Weekly Blog! http://www.LegacyEducators.com

Recently, I was visiting with a friend. I had a headache and asked for an Over The Counter (OTC) Medication. Several medications were provided – Motrin, Tylenol, Excedrin – a mini-OTC Pharmacy! However, ALL but one of them were EXPIRED! I was asked,

” Is it safe to take these medications? They are still good, right?”

“No. I think 2-5 years is too long time…giggles. I usually go by the expiration dates. Some medications can be taken beyond the dates, but I have no idea which ones … so I just stick to the expiration dates.”

Chuckling, I think of some of my “brave” friends who still drink milk after the expiration dates…Hhhmmm. The unbelievers…*smile*

Which got me thinking Hhhmmm … are these dates truly legitimate? I know Insulin, Nitroglycerin and certain other LIFE SAVING medication should not be taken after the expiration date as their efficacy cannot be guaranteed!

Click on you tube video below for more information

Take note: the bathroom may not be the best place to keep medication since it is HOT/STEAMY most of the time! A cool, dry place is key.

What are your thoughts?

From Your Friendly, Family Doc…Doc C!

Be Sure to visit http://www.LegacyEducators.com for more health education videos!

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From the Physician’s Desk

Have you heard the saying, “Stress will kill you!”

That is a grave statement indeed (no pun intended). If this is true, then many are in danger … yes? I am guilty of “dancing with stress” and the music will be tuned out in 2013!

Merriam-Webster Dictionary defines stress as – a constraining force or influence as

  • janeterickson.com

    Hold on! Don’t crack under stress! flickr.com

    a : a force exerted when one body or body part presses on, pulls on, pushes against, or tends to compress or twist another body or body part;

  • b : the deformation caused in a body by such a force
  • c : a physical, chemical, or emotional factor that causes bodily or mental tension and may be a factor in disease causation

Nothing about the definition of STRESS or its causation is appealing to me …

I will resolve to combat stress 2013 by; (in no particular order)

  • Laughing out Loud more often (and not just ‘LOL’ in my notes)
  • Practice Yoga more regularly (at least once/wk)
  • Leave work…”at work”
  • Exercise more often and have more fun with it … yes I can!
  • Seek God’s face … seriously … and read my Bible
  • Forgive Quickly and Often
  • Recall what made me Happy/Smile at age 7, 9, 11 … Hhmmm
  • Take Vacations
  • Love Freely

Short list … but it is the first step in the right direction. All great things begin with a thought … written down … and a first step!

What will you do to De-Stress in 2013?

Happy New Years!

www.LegacyEducators.com  – Health Education the easy way! Watch videos on complicated topics in medicine.

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From the Physician’s Heartwww.LegacyEducators.com

The Hills are capturing photographs of the wild life, while I learn a few tips from our Tracker, Scotch, in South Africa

This is the story of a young ambitious doctor, who after many years of isolation in the Academic trenches, decided to play “catch up” on her favorite hobby of Globe Trotting. Getting away from the hectic scene of the Washington DC Metro area was a welcomed and overdue break! She sought Adventure in South Africa and it was during the Safari (Tanda Tula, Kruger Park) that she kindled a new friendship.

No idea what I was thinking! Yes, I still have my hand:-)

The “Happy Hills” a dynamic couple, was on this very Safari in South Africa…just in time for a chance encounter. A conversation between the Globe Trotting Doc and the Happy Hills was inevitable and pleasant indeed – Mr. Hill is quite the comic! It was discovered, that they had traveled 8000 miles to meet ,when they live only 12miles apart – YUP, they are only 12 miles apart …Practically neighbors…Imagine that!

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My Angel Next Door…8000 miles back in the USA!

You guessed it! Since then, we have met on several occasions to discuss life, family, business, and the Greatness of God on such divine encounter – we are still amazed!

No matter where you are – share a smile, be kind and engaging – for in doing so you never know when you may be entertaining ANGELS! I did … and I am so grateful, as I am the better for it having met the Hills!

This Thanksgiving, be specific and let someone know “personally” that you are GRATEFUL s/he is in your life! Mr & Mrs Hill, I am grateful you are a part of my life! Hugs…

Peace & Blessings!

http://www.LegacyEducators.com

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From the Physician’s Deskwww.LegacyEducators.com

As I rummaged through my weekly mail, and mused about the Magazine Detective responsible for finding me and sending all these “junk snail mail” I started flipping through the “Frontiers” Autumn 2012 issue. The article that caught my attention titled “80 is the new 50” …  got me to thinking…Seriously? Last time I heard it was “70 is the new 60” … the gap (delta) keeps increasing. When it matters for ME … it will be … “100 is the new 60” … yeah …I can definitely look forward to that!

Nevertheless, despite the title, the article was VERY interesting. It tells of an older woman and a Doctors’ decision to perform surgery based on her “actual health/performance status” instead of her actual age. Here is an excerpt;

{“The patient was 86yo woman and surgeon Mark Bloomston, MD, carefully considered whether to remove half her liver to treat her metastatic Colon Cancer. “She looked younger than 86, but I knew her liver was 86 and that older people can have unpredictable outcomes after major liver operations,” he recalls. He explained to her that there was a risk she might die as a result of surgery; she told him she wanted to “go down swinging.”  “She Survived the operation, went home 4 days later and never looked back,” says Bloomston, a surgical oncologist and associate professor of surgery at The Ohio State University Comprehensive Cancer Center.” }

Illustration by Roy Doty

Go Grandma! Awesome, positive attitude!” Being in good health is important NOW, but its benefit is most reflected when one is older.

If you could change ONE thing today, that would guarantee happier Golden Years -healthier, mobile/active, independent and able to maintain that, “go down swinging” attitude – what would that be?

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