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From the Physician’s Desk … Weekly Blog!

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

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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

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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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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”

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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?

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From the Physician’s Desk … Weekly Blog!

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

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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

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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 … http://www.LegacyEducators.org and click on “Cancer Information”

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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

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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 … http://www.LegacyEducators.org and click on “Cancer Information”

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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?

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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 … http://www.LegacyEducators.org and click on “Cancer Information”

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Ovarian Cancer is deadly. It is the 4th leading cause of death in women and the leading cause of gynecological cancer death. The average lifetime risk is 1 in 70 with median age of diagnosis of 63years. Like most other cancers, Ovarian Cancer is highly curable if diagnosed at an early stage, but 75% presents with more advance disease, at stage III or IV. Early diagnosis is usually very difficult, because patients often present with vague abdominal symptoms and there is a lack of good screening test with initial presentation.

Sister Mary Joseph Nodule w/Ascites

Sister Mary Joseph Nodule w/Ascites

Common Symptoms:

  • Abdominal discomfort/pain/bloating
  • Increasing girth (increase size around waist/abdomen region)
  • Change in bowel (movements) habits
  • Early satiety (feeling full after eating small amount of food)
  • Nausea
  • Sister Mary Joseph Nodes (associated with ovarian cancer and of gastrointestinal tract)
  • Ascites (fluid just under the abdominal skin, that shifts like a wave when tapped)

In addition to the basic blood, liver and kidney evaluation, some specific labs (blood work) that may assist with ovarian cancer diagnosis includes:

  • CA125 – elevated in 80% of ovarian tumors
  • CA 19-9 – low sensitivity, but could be positive in other cancers
  • CEA – elevated in 58% of advance stage ovarian cancers
  • AFP & βHCG – Measure if <30years old to help rule out other types of tumors

Ovaries-hurt-when-sneezeBecause of its presentation, diagnosis usually involves quite a number of imaging as well: Transvaginal ultrasound, CT scan and/or MRI, cystoscopy, sigmoidoscopy, endometrial biopsy if patient has abnormal vaginal bleeding, assessment of any ascites fluid, etc., Surgical exploration is also necessary to complete staging of disease (find out how advance and how far it has spread).

Treatment: As with most cancers, the treatment for ovarian cancer is dependent on the final staging, but majority involves surgery followed by chemotherapy. If not a chemotherapy candidate, then Whole Abdomen Radiation Therapy (WART) may be considered after surgery. However, WART is falling out of favor, due to the toxicity and side effect profile.

Can it be detected earlier? See videos below.

Dr. Oz’ brief review of Ovarian Cancer

Patient Education video w/diagrams

SEPTEMBER is Ovarian Cancer Awareness Month. For additional information you may also contact:

National Ovarian Cancer Coalition
2501 Oak Lawn Avenue, Suite 435
Dallas, TX 75219
(888) OVARIAN (682-7426)
(214) 273-4200
nocc@ovarian.org
www.whyteal.org External Links Disclaimer Logo
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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 … http://www.LegacyEducators.org and click on “Cancer Information”

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SEPTEMBER is National Blood Cancer Awareness Month

Whenever cancer is discussed, automatically, solid tumors are thought of – lung cancer, prostate cancer, breast cancer, liver cancer, etc., “How can you get cancer of the blood? Is that even possible?” That’s the question I am most commonly asked. The answer is yes!

Blood cancers affect the production and function of your blood cells. Most of these cancers start in your bone marrow where blood is produced. Stem cells in your bone marrow mature and develop into three types of blood cells:

  • Red blood cells
  • White blood cells, or
  • Platelets

bloodIn most blood cancers, the normal blood cell development process is hampered by uncontrolled growth of an abnormal type of blood cell, any of the cells in the diagram above. These abnormal blood cells, or cancerous cells, prevent your blood from performing many of its functions, like fighting off infections or preventing serious bleeding.

How common are these types of cancers? According to the Leukemia & Lymphoma Society an estimated 1,185,053 people are living with, or are in remission from, leukemia, lymphoma, myeloma, or another form of blood cancer, with an estimated 156,420 new cases expected to be diagnosed in 2015.

Leukemia, lymphoma, myeloma, and other blood cancers will kill an estimated 55,350 people in the United States this year alone. The most common types are:

  • Hodgkin’s Lymphoma
  • Leukemia
    • AML – Acute Myeloid Leukemia
    • CML – Chronic Myeloid Leukemia
    • Childhood ALL – Acute Lymphocytic Leukemia
    • Adult ALL – Acute Lymphocytic Leukemia
    • CLL – Chronic Lymphocytic Leukemia
  • Multiple Myeloma
  • Myeloproliferative Neoplasms
  • Non-Hodgkin’s Lymphoma

Please see videos below for more information.

Basics of Blood Cancer

Signs, Symptoms & Treatment of Blood Cancers

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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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