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Archive for the ‘Dr. Oz’ Category

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!

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Sleep is important! Hands down, it is one of my top priority for improving quality of life and should be yours too! Are you sleeping well? It would appear that sleeping (falling asleep and/or staying asleep)  is a problem for many.

Besides the popular commercials for sleep aid, Melatonin OTC (over-the-counter) is becoming quite popular too. Some are for it and recommend it highly … while others warn about its use and damaging side effects. Like anything else – moderation and proper use is the key! Speak with your doctor before using Melatonin, as it may interact with common prescription medications (see below!)

melatoninMelatonin is a hormone found naturally in the body of humans, animals, and also in plants and microbes. Melatonin has been identified in many plants including feverfew, St John’s wort, rice, corn, tomato, grape and other edible fruits.  Wine is commonly used as a sleeping aid. Is it because of the “depressant” nature of alcohol, or does the grape content of Melatonin contributes? One would venture both – more heavily towards the alcohol content though.

People use melatonin to adjust the body’s internal clock. It is used for jet lag, for adjusting sleep-wake cycles in people whose daily work schedule changes (shift-work disorder), and for helping blind people establish a day and night cycle.

As noted above, Melatonin production varies in the body over a 24hr period (which would affect when it should be taken) and decrease with age, as noted below. That would explain why older folks (our Grandparents) seem to sleep less.

melatonin.declineMelatonin is categorized by the US Food Drug Administration (FDA) as a dietary supplement and is not regulated as a pharmaceutical drug, so its full long-term effects in human have not yet ben ascertained. HOWEVER, a well-studied prescription-only, prolonged-release Melatonin product (Circadian) is available for people aged 55 and over. Prolonged-release melatonin was shown in clinical trials to decrease time to fall asleep, and improve quality of sleep and daytime functioning.

It is most commonly available in pill form, but melatonin is also available in forms that can be placed in the cheek or under the tongue. This allows the melatonin to be absorbed directly into the body. See side effect profile below.

Disclaimer: This is not an endorsement for this “specific” brand …

Dr. Oz’s Viewpoint – Hey…sleeping without clothing helps? 🙂

More on Dr Oz’s view…

Side Effects and Safety of Melatonin

  • Melatonin is LIKELY SAFE for most adults when taken by mouth short-term or applied to the skin. It can cause some side effects including headache, short-term feelings of depression, daytime sleepiness, dizziness, stomach cramps, and irritability. Do not drive or use machinery for four to five hours after taking melatonin.
  • Pregnancy and breast-feeding: Melatonin is POSSIBLY UNSAFE in pregnancy. Don’t use it. Melatonin might also interfere with ovulation, making it more difficult to become pregnant. Not enough is known about the safety of using melatonin when breast-feeding. It’s best not to use it.
  • Children: Melatonin should not be used in most children. It is POSSIBLY UNSAFE. Because of its effects on other hormones, melatonin might interfere with development during adolescence.
  • High blood pressure: Melatonin can raise blood pressure in people who are taking certain medications to control blood pressure. Discuss with you doctor and ask if you should avoid it.
  • Diabetes: Melatonin might increase blood sugar in people with diabetes. Monitor your blood sugar carefully, if you have diabetes and take melatonin.
  • Depression: Melatonin can make symptoms of depression worse.
  • Seizure disorders: Using melatonin might increase the risk of having a seizure.

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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…

Read Full Post »

From the Physician’s Desk … Weekly Blog! A reader’s request …

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Greetings my dear readers!

Coconut_greenAs many of you may know … I grew up in the beautiful islands of the Caribbean. I am, therefore admittedly, impartial about certain things…such as COCONUTS! Someone request that I blog about the properties of coconut. No problem mon.  For inspiration, I just enjoyed a few bites of “dark chocolate covered pieces of coconuts” …  *smile*

It is said, that those who consistently use Coconut products, enjoy an overall wealth of benefits, such as:

  • Prevention (decrease) of Obesity
  • Improvement of Heart Health
  • Improvement of Digestion
  • High dietary fiber
  • Low Glycemic Index
  • Quick energy boost
  • Reduces sweet cravings

coconut-waterCoconut,

  • contains no trans-fat,
  • Is gluten free
  • Has healing properties against bacteria, virus, parasites and fungus
  • Helps support overall Immune System functions

My vote: Coconut makes anything tastes better! But is there scientific proof of these benefits?

Because I am not the expert in this area … I will allow you to read more here,

http://en.wikipedia.org/wiki/Coconut

http://www.huffingtonpost.ca/2013/10/25/coconut-oil-benefits_n_4164278.html

http://www.coconutresearchcenter.org/index.htm

 

Or watch Dr. Oz below on the benefits on coconut oil, oil pulling, etc.,

 

 

Fox News report …

 

 

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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…

Read Full Post »