Feeds:
Posts
Comments

Archive for the ‘Current Health Advice’ Category

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…

 

Read Full Post »

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…

 

 

 

 

 

Read Full Post »

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…

Read Full Post »

From the Physician’s Desk … Weekly Blog!

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

—————————–

NATIONAL CHILDHOOD OBESITY AWARENESS MONTH – SEP 2015

One in 3 children in the United States is overweight or obese. 1 in 3! That is a staggering number!

Features-SMHWhy should you care? Obesity is an epidemic in our country and when it affects our future, we should all care.

Childhood obesity puts kids at risk for health problems that were once seen ONLY IN ADULTS, like type 2 diabetes, high blood pressure, and heart disease. A 15 year old with high blood pressure, use to be highly unusual – now it’s normal.

The good news is that childhood obesity can be prevented. Encourages your family to make healthy changes together.

  • Get active outside: Walk around the neighborhood, go on a bike ride, or play basketball at the park.
  • Limit screen time: Keep screen time (time spent on the computer, watching TV, or playing video games) to 2 hours or less a day.
  • Make healthy meals: Buy and serve more vegetables, fruits, and whole-grain foods.

Taking small steps as a family can help your child stay at a healthy weight. If you have no immediate family troubled with obesity, then think about your niece(s), nephew(s), cousins, start something for the children’s ministry at your church, get involved with PTA….let’s help our children…they are our future! Listen to what the children have to say in the videos below…

Thank you!

12yo and 300+ pounds

 

Weight Loss camp in Georgia

——————————————–

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…

 

 

 

 

Read Full Post »

From the Physician’s Desk … Weekly Blog!

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

——————————

Earlier this year, we looked at “Why Your Thyroid Gland Matters” take a quick review HERE. For some, this may be a reason why there are issues with weight gain, fatigue, etc.,  As an Oncologist and being the cancer world, topics such as “over-diagnosis” always renders a reaction from me. If a life is being saved in the long run, can we truly quantify “over-diagnosis” in cancer?

thyroiddA new study published in the journal Academic Radiology lists reasons why thyroid cancer over-diagnosis.  Although there were an estimated 62,000 new cases of thyroid cancer in 2014, the number of fatalities was estimated at fewer than 1,900. Incidence rates have risen by 185% in 35 years, and surging rates and a mismatch between incidence and mortality signal a problem with over-diagnosis.

3 Key reasons considered for overdiagnoses of Thyroid cancer are:

  1. the imaging of incidental thyroid nodules. Such nodules are present on 16 to 25 percent of computed tomography (CT) scans, which is lower than other modalities. The malignancy rate of incidental nodules on CT and ultrasound is less than 12 percent.
  2. A second underlying reason is thyroid nodules are easy to biopsy. This suggests the biopsy threshold (reason to do a biopsy) is low and that decisions may not always comply with recommendations. The number of fine-needle aspiration biopsies for thyroid nodules doubled from 2006 to 2011, which was linked to a 31 percent gain in the number of surgeries for thyroid nodules.
  3. The third reason is routine processing of surgical specimens for other thyroid diseases such as goiter and thyrotoxicosis find incidental cancers in anywhere from 6 to 18 percent of patients.

Would you want to know if you have thyroid cancer or thyroid disease?

——————————————–

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…

 

Read Full Post »

From the Physician’s Desk … Weekly Blog!

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

——————————

Recently, I was awaiting news regarding a change in my job position. Each time the subject would cross my mind, I noticed that my heart would beat faster, my heart rate increase, and my breathing pattern changed. When I mentally thought – “relax” – I felt my body release tension, my face relax, my breathing pattern steadied….I honestly did not realize how much the thought process about this situation was affecting my physical body. Hhhmm…ever had that experience?

DyerI have been accused of being “too calm”…(if there is such a thing) and too relax sometimes (blame my island roots vibe).  Now I’m wondering if I’ve been at this “place” too long and allowing the outside into my psyche. If so, that is not a good thing. I need to change my thought process, change my mind…regardless of the situations around me.  As TD Jakes noted,

“a ship does not sink because it is in the water, but because the water gets into it.” (Reference: learning how to be around chaos and crazy situations, but not allowing the chaotic situation to get into you).

I cannot imagine someone affected this way physically on a daily basis, because they are in a bad relationship, job, or situation (or even daily long commute/traffic). It reeks havoc on the physical body!  Mental weariness affects the physical body, much more than a lot of folks realize.

The Psyche is an area of great interest to me and Dr. Wayne Dyer is one of my “silent” mentors. Take a moment to listen to one of his very insightful presentations.

DR. WAYNE DYER – “CHANGE YOU THOUGHTS CHANGE YOUR LIFE!”

dyer1

——————————————–

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…

Read Full Post »

From the Physician’s Desk … Weekly Blog!

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

——————————

If you have never had a Computed Tomography, which is also called CAT or CT Scan, it will only be a matter of time before your physician recommend one. CT scan is painless and is considered a more advance/sophisticate X-ray machine. However, unlike an X-ray that shows only “2-dimension” images, CT Scan uses “3-dimensions” and allows us to see inside your body (see below).

One of the many fear, is that too many CT scans can cause cancer. However, as noted in this recently published article, the benefits of CT scans far outweigh the risks of the reasons why the CT Scan was ordered in the first place.

Excerpt from Medical News:

Like a donut - open at top

Like a donut – open at top

“In recent years, there has been widespread media coverage of studies purporting to show that radiation from X-rays, CT scans and other medical imaging causes cancer.

But such studies have serious flaws, including their reliance on an unproven statistical model, according to a recent article in the journal Technology in Cancer Research & Treatment. Corresponding author is Loyola University Medical Center radiation oncologist James Welsh, MS, MD.

“Although radiation is known to cause cancer at high doses and high-dose rates, no data have ever unequivocally demonstrated the induction of cancer following exposure to low doses and dose rates,” Dr. Welsh and co-author Jeffry Siegel, PhD, write.

CT showing tumor in a child

CT showing tumor in a child

Studies purporting to find a cancer link to medical imaging radiation have other flaws besides the questionable LNT model. For example, two recent studies suggested possible increased cancer risks from low-radiation doses associated with pediatric CT scans. But these cancers likely are due to the medical conditions that prompted the CT scans, and have nothing to do with the radiation exposure, Drs. Welsh and Siegel write.”

Read more HERE or http://www.news-medical.net/news/20150701/Low-radiation-doses-from-CT-scans-do-not-cause-cancer.aspx

No need to fear CT scans! There are so many other proven cancer causing elements you should be aware of – smoking, alcohol, obesity…and much more. Pay attention to and fix what you can!

 

Video: What is a CT Scan?

Video: Patient’s experience

——————————————–

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…

Read Full Post »

Older Posts »