A former school groundskeeper says he got terminal cancer from Monsanto’s Roundup weedkiller

In a groundbreaking case against agricultural giant Monsanto, a jury has awarded $ 250 million in punitive damages and nearly $ 40 million in compensatory damages to a former school groundskeeper who said he got terminal cancer from the weedkiller Roundup.


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Kaiser Permanente Northern California’s Colorectal Cancer Screening Program Saves Lives

Kaiser Permanente members in Northern California are 52 percent less likely to die from colorectal cancer since the health care system launched a comprehensive, organized screening program, according to a new study in the specialty’s top journal, Gastroenterology.

“Since we launched our screening program we have seen a remarkable decline in the number of cases of colorectal cancer and related deaths across a large, diverse population,” said gastroenterologist and co-lead author Theodore R. Levin, MD, clinical lead for Kaiser Permanente’s colorectal cancer screening in Northern California.

Theodore R. Levin, MD

Theodore R. Levin, MD

The study, “Effects of Organized Colorectal Cancer Screening on Cancer Incidence and Mortality in a Large, Community-based Population,” confirms that since Kaiser Permanente Norther California’s screening program for colorectal cancer was rolled out between 2006 and 2008, screening completion as recommended by the U.S. Preventive Services Task Force increased to 83 percent among those eligible (adults 50 to 75 years old) by 2015, compared to 66 percent nationally. In that same timeframe, new cases of colorectal cancer in the United States dropped 26 percent.

Colorectal cancer is the 2nd leading cause of cancer deaths in the U.S.

View ADA text version of this infographic or download a pdf. »

Researchers compared the periods before and after the organized Kaiser Permanente screening program was rolled out between 2006 and 2008. The study found that mortality from colorectal cancer decreased 52.4 percent from approximately 31 deaths to 15 deaths per 100,000 people; and the incidence fell 25.5 percent from approximately 96 cases to 71 cases per 100,000 people.

“This most recent study is the culmination of more than two decades of groundbreaking Kaiser Permanente research and clinical care initiatives. It provides evidence for dramatic improvements to colorectal cancer screening by having an organized approach to making sure people get screened,” said The Permanente Medical Group gastroenterologist and co-lead author Douglas A. Corley, MD, PhD.

Screening saves lives

Douglas A. Corley, MD, PhD

Douglas A. Corley, MD, PhD

Colorectal cancer is the second-leading cause of cancer deaths in the United States. The American Cancer Society estimates more than 140,000 new cases will be diagnosed in the U.S. this year, and it’s expected to cause more than 50,000 deaths during 2018.

Fortunately, regular screening allows for the early detection of colorectal cancers and polyps that can become colorectal cancer. Cancer detected early is more likely to be cured and removing polyps early can prevent the development of colorectal cancer.

  • Fecal testing (such as with the fecal immunochemical test or “FIT”), every year
  • Flexible sigmoidoscopy every 5 years, and/or
  • Colonoscopy every 10 years

After a positive fecal test or sigmoidoscopy, physicians order a colonoscopy, the procedure that examines the full colon and can remove polyps.

Drs. Levin and Corley, both research scientists with the Kaiser Permanente Northern California Division of Research, noted that Kaiser Permanente has conducted, and continues to conduct, critical research on all three of these methods, with important studies dating back to the 1980s.

“Colonoscopy has long been an effective screening tool for colorectal cancer, but it can be expensive and time-consuming to deliver in large populations, and many people are unwilling to undergo the test,” Dr. Levin said. “We have found that Kaiser Permanente members are more than willing to be screened with the FIT kit, which has greatly contributed to our high screening rates.”

An initial Kaiser Permanente research goal — led by James Allison, MD, FACP, an emeritus research scientist in the Division of Research — was to generate evidence that the guaiac-based fecal occult blood test and/or sigmoidoscopy conducted in large, average-risk populations could save lives and decrease the incidence of colorectal cancer.

The Division of Research conducted landmark studies on the use of flexible sigmoidoscopy, which began at Kaiser Permanente facilities in the mid-1990s; these studies formed the basis for U.S. Preventive Services Task Force guideline recommendations.

In 1996, Kaiser Permanente conducted the first U.S. study showing that FIT kits had superior performance characteristics to the fecal occult blood test. A 2007 study provided evidence used by the U.S. Preventive Services Task Force to recommend FITs as a screening option in their guidelines. And a recent multicenter study within Kaiser Permanente was the first large U.S. study to estimate the effectiveness of colonoscopy for reducing deaths from colorectal cancer. (Although colonoscopy is commonly used, it has not been studied in large, randomized trials.)

Model screening program

Within a few years of initiating its population-based screening program, Kaiser Permanente was able to dramatically increase its screening rates by mailing FIT kits to the homes of its Northern California members of recommended screening age, 50 to 75 years old; systematically reminding members when they are due for screening; and quickly processing a large volume of FITs — upwards of 3,000 per day — that are mailed directly to a Kaiser Permanente laboratory.

“Kaiser Permanente’s screening program for colorectal cancer in Northern California is a perfect example of how a large health care system can expertly use technology and data to create a program that promotes health, prevents illness and saves the lives of its members on an unprecedented scale,” said Yi-Fen Chen, MD, associate executive director for quality and research of The Permanente Medical Group.

In 2014, the National Colorectal Cancer Roundtable set a national goal of screening at least 80 percent of those eligible by 2018. Kaiser Permanente Northern California achieved the 80 percent screening rate by 2011. The Kaiser Permanente FIT-based outreach program, combined with colonoscopy, has become a model for similar programs to maximize the number of people screened in the United States, the Veteran’s Administration and internationally.

Dr. Corley now also leads the National Cancer Institute’s Population-based Research Optimizing Screening through Personalized Regimens (or PROSPR) consortium, a multisite effort to evaluate and improve cancer screening processes, including colorectal cancer. The consortium’s research has included important studies on the quality and effectiveness of colonoscopies and adenoma detection rates.

“Screening markedly decreases deaths from colorectal cancer and enables people to live healthier lives,” Dr. Corley said. “The future of colorectal cancer research and care is furthering proven ways to increase screening rates; better understand the best ages to start, repeat and stop screening; and continue to improve the ease and effectiveness of the tests themselves.”

Infographic text

Colorectal cancer is the 2nd leading cause of cancer deaths in the US.
83% of Kaiser Permanente members* are now screened for colorectal cancer
From 2000 to 2015
26% fewer CASES of colorectal cancer (down arrow)
52% fewer DEATHS from colorectal cancer (down arrow)

*N Cal region; screened by fecal immunochemical test (FIT), colonoscopy or sigmoidoscopy, compared with two-thirds nationally (CDC); Levin and Corley et al., Gastroenterology, July 2018. Division of Research Northern California – Kaiser Permanente

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Community Health Centers Can Help Boost Rates of Colorectal Cancer Screening, Kaiser Permanente Study Shows

PORTLAND, Ore. — An innovative program in community health centers to mail free colorectal cancer screening tests to patients’ homes led to a nearly 4 percentage point increase in CRC screening, compared to clinics without the program, according to a Kaiser Permanente study published today in JAMA Internal Medicine.

According to the National Association of Community Health Centers, approximately 24 million people in the United States receive care at federally qualified health centers, often called community health or safety net clinics. These underserved patients historically have low rates of CRC screening compared to the general population.

“With such a large number of individuals receiving care in the safety-net setting, an improvement in CRC screening rates of even a few percentage points can have a major impact in terms of cancers detected and lives saved,” said lead author Gloria Coronado, PhD, an investigator at the Kaiser Permanente Center for Health Research in Portland, Oregon.

The study, “Strategies and Opportunities to Stop Colon Cancer in Priority Populations (STOP CRC),” took place in 26 clinics representing eight health centers in Oregon and California. More than 41,000 adults aged 50-64 met the study criteria of being due for CRC screening between February 2014 and February 2015.

Half of the clinics were randomized to implement the program after receiving training and support, and the other half continued to deliver usual care without the program. For clinics implementing the program, the process began with customization of their electronic health record systems to identify patients who were due for CRC screening. The clinics then mailed an introductory letter to these patients, explaining they would soon be receiving a screening test in the mail.

Next, clinics mailed the screening tests to eligible patients’ homes. The clinics used the fecal immunochemical test (or FIT), a simple test that detects small amounts of blood in the stool and can be done easily at home. Individuals with a positive FIT result were encouraged to get a follow-up colonoscopy to look for cancer or pre-cancerous polyps. Finally, as the last step of the program, clinics mailed a reminder letter to patients’ homes, encouraging them to complete and return their FIT kits.

Compared to the control group clinics, clinics that delivered the intervention had a significantly higher proportion of patients who were screened for CRC. The percentage of patients who completed a FIT kit was 3.4 points higher, and the percentage of patients who received any type of CRC screening was 3.8 points higher in intervention clinics compared to control clinics.

The clinical effectiveness of mailing FIT kits to patients’ homes had already been established in previous research, including a pilot study by Coronado and her team. But this new, much larger study showed the program can also work well when clinic staff — not researchers — are responsible for implementing it.

“This was a real-world, pragmatic trial, which is quite a bit different from a carefully controlled research environment,” explained Coronado. “Our team provided clinics with the EHR tools needed to identify and contact patients who were due for screening; we trained clinic staff to use the tools; we provided letter templates, pictographic instructions and other materials; and we used a collaborative learning model to offer ongoing support. But ultimately, clinic staff were responsible for integrating the intervention into their care processes.”

The study team observed significant variation across health centers in successful implementation of the program. The proportion of eligible patients who were mailed a FIT kit ranged from 6.5 percent to 68.2 percent. Of eligible patients who did receive a FIT kit in the mail, reminder letters had a major impact on return rates. Clinics that consistently sent out reminder letters after sending FIT kits had a return rate of 25 percent, compared to clinics that did so inconsistently (14 percent) or not at all (6 percent).

“Community health centers are very busy places with many competing priorities,” said senior author Beverly Green, MD, MPH, of the Kaiser Permanente Washington Health Research Institute. “Our study showed that while FIT outreach programs can be a great way to increase colorectal cancer screening rates in this underserved population, we need to identify additional strategies to support program implementation in health centers with limited resources.”

Coronado and her team are building on this research with a new study, “Participatory Research to Advance Colon Cancer Prevention.” The researchers are working with community advisors to adapt and spread a direct-mail FIT kit and reminder program, with the ultimate goal of increasing the effectiveness of reminders by ensuring they meet the specific needs of diverse population subgroups.

The STOP CRC study was funded by grants from the National Institutes of Health (UH2AT007782 and 4UH3CA18864002). In addition to principal investigator and lead author Coronado,  authors include Amanda Petrik, MS, William Vollmer, PhD, and Erin Keast, MPH, from the Kaiser Permanente Center for Health Research in Portland; Stephen Taplin, MD, MPH, from the National Cancer Institute’s Center for Global Health; Scott Fields, MD, from OCHIN; and Dr. Green, from the Kaiser Permanente Washington Health Research Institute in Seattle.


About the Kaiser Permanente Center for Health Research
The Kaiser Permanente Center for Health Research, founded in 1964, is a nonprofit research institution dedicated to advancing knowledge to improve health. It has research sites in Portland, Oregon, and Honolulu. Visit kpchr.org for more information. 

About Kaiser Permanente
Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and not-for-profit health plans. Founded in 1945, Kaiser Permanente has a mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve more than 12.2 million members in eight states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to: kp.org/share.

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3-D Printing Technology after Breast Cancer

The question is, why didn’t we think of this before? Most of us own inkjet printers, yet few of us, except one, have every thought of doing anything else with a printer except print documents. Except Dr. Thomas Boland, who thought of something else. In the early 2000s, bioengineer Dr. …

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Borrowing from the cancer playbook to find treatment for Alzheimer’s disease


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Giants GM Dave Gettleman, with cancer in remission, has same spirit and sense of humor: ‘My energy’s good’

Dave Gettleman has lost his hair but not his spirit or fervor for the Giants and for life.

“Let me tell you something,” Gettleman, 67, his cancer in remission and his sense of humor in tact, said Friday in his first public appearance since an early June diagnosis. “(Defensive line coach) Gary Emanuel…

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Healing and Hope for Cancer Patients

When a teen-aged Philip Wirganowicz read about the first heart transplant from baboon to human, he knew he wanted to be a physician. In medical school, however, it wasn’t cardiology he found himself drawn to but orthopedic surgery — and to the subspecialty of orthopedic oncology, the surgical component of treating sarcomas.

He admired the work of one of his teachers, a leader in this area, Jeff Eckardt, MD, who in 1980 established the Musculoskeletal Oncology Service at UCLA. Eventually, Dr. Wirganowicz received a fellowship to train with Dr. Eckardt — and he’s been working in the area of orthopedic oncology ever since.

After training, Dr. Wirganowicz moved to Philadelphia and served as an academic surgeon and member of the faculty at the University of Pennsylvania. A Northern California native, he returned to his home state in 2000 and worked to develop a Musculoskeletal Oncology Service in Oakland for Kaiser Permanente Northern California.

In 2013, he brought his expertise to Northwest Permanente, P.C., and set about establishing a similar program here. Today, as the task force leader for sarcomas, he continues to lead work in this area.

Dr. Phil — as he’s affectionately known by patients and colleagues alike — is trained to surgically remove sarcomas, which are rare tumors that grow either in soft tissue or in bone. Surgery usually involves resection, or removal, of the affected area, followed by reconstruction to maximize extremity function. The reconstruction can involve bone transplants, metallic implants and joint replacements, and bone grafting.

“Historically, these tumors would be cause for amputation,” he said, “but that is no longer true.” The increased sophistication of treatment options like surgery, radiation and chemotherapy mean that most patients can safely undergo limb-sparing procedures.

Although there are circumstances under which a patient cannot be cured, Dr. Wirganowicz believes that every patient can be helped. While he acknowledges that cancer care can be discouraging when patients succumb to their disease, Dr. Wirganowicz says he gains strength from the patients he can help or cure.

Pediatricians and primary-care physicians, as well as general surgeons, refer their patients to Dr. Wirganowicz when an X-ray or examination has revealed the presence of a tumor. If surgery is required, he takes the lead, collaborating with radiation and medical oncologists, radiologists and other specialists.

While he’s foremost devoted to his work, Dr. Wirganowicz also enjoys bicycling — in fact, he bike-commutes to Sunnybrook Medical Office in Clackamas, Oregon from his home in Vancouver, Washington. He has coached teen cyclists and is helping to establish a high-school mountain-bike league in the Northwest this year as part of the National Interscholastic Cycling Association.

“I take my job seriously,” he says, grinning. “My life, not so much.”

Learn more about cancer care at Kaiser Permanente Northwest at kp.org/cancer/northwest.

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Liver cancer death rate in US surged 43% in 16 years

Death rates from liver cancer increased 43% for American adults from 2000 to 2016, according to a report released Tuesday by the US Centers for Disease Control and Prevention’s National Center for Health Statistics. The increase comes even as mortality for all cancers combined has declined.


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Abby Lee Miller Involved with Possible 8th Season of Dance Moms amid Cancer Battle

Abby Lee Miller is not letting her cancer diagnosis get in the way of returning to Dance Moms.

While determinations on an eighth season has yet to be made, production is casting and Miller is involved in the process, a rep for Lifetime confirms to PEOPLE.

In March 2017, the dance instructor announced her resignation from the show in an Instagram post, accusing officials behind the series of treating her “like dirt” after she wrapped filming for season 7B.

“I WILL NO LONGER TAKE PART IN DANCE MOMS,” Miller wrote. “FOR THE PAST SIX YEARS/SEVEN SEASONS I HAVE ASKED, BEGGED, AND EVEN DEMANDED CREATIVE CREDIT FOR ALL THE IDEAS, AWARD WINNING ROUTINES, THEMES AND COSTUMING – TO NO AVAIL!”

“I don’t have a problem working with any kid, I love children and have dedicated my life to making other people’s children successful!” she continued. “I JUST HAVE A PROBLEM WITH BEING MANIPULATED, DISRESPECTED, AND USED – DAY IN AND DAY OUT BY MEN WHO NEVER TOOK A DANCE LESSON IN THEIR LIVES AND TREAT WOMEN LIKE DIRT!”

In April, one day after undergoing emergency surgery for what was initially thought to be a spinal infection, the 51-year-old — newly released from prison — was preliminarily diagnosed with non-Hodgkin’s lymphoma, a cancer that develops in the lymphatic system.

“It was not an infection, it was a type of a non-Hodgkin’s lymphoma – it’s a type of a cancer,” said Dr. Hooman M. Melamed, an orthopedic spine surgeon at Cedar Sinai Marina Del Rey Hospital who has been treating the star.

“We’re getting an oncologist involved and we have to figure out what the next steps are as far as chemotherapy or radiation or more spine surgery. Depending on the tumor type, depending on the sensitivity of the tumor – it just depends the type but I feel more than yes, she will undergo chemotherapy or radiation,” Dr. Melamed said at the time.

“If we didn’t do something, she was going to die,” Dr. Melamed previously told PEOPLE. “Her blood pressure was bottoming out. She was not doing well.”

Before her diagnosis, Miller had been living in a halfway house since serving her 366-day sentence for bankruptcy fraud at the Victorville Federal Correctional Institution in California, which she entered in July.

Dancing with the Stars alum Cheryl Burke took over as coach for Dance Moms season 7.


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After 18 deaths, Ireland changes cervical cancer screenings

Irene Teap was still bleeding. It had been 18 weeks since she had given birth to her youngest son, Oscar, but the blood kept coming.


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Coffee is Good for Breast Cancer and You

Coffee has actual health benefits, and may even protect against breast cancer recurrence, a recent study out of Sweden has found. No, this message is not sponsored by Starbucks, which will no doubt benefit as well. Health Benefits Coffee comes from a bean, or a whole plant source, which means …

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Prostate Cancer Prevention: Common Foods That Can Lower Your Risk

Prostate cancer is one of the most common types of cancer in men, but research shows a diet rich in the right kinds of vegetables and fruits can lower men’s risk of getting the disease.

The prostate is a gland located in the male reproductive system, and its primary function is to produce semen that transports sperm. One of the best ways to avoid prostate cancer and many other illnesses is to incorporate a healthy diet that is comprised of fruits and vegetables that supply important nutrients to your body.

Many people are unaware that the most common health remedies for the human body can be found in the kitchen. For example, researchers report one of the most common foods that can help to lower your risk of cancer are cruciferous vegetables. While that name may be unfamiliar to some, cruciferous vegetables are very familiar. They consist of kale, Brussel sprouts, broccoli, cauliflower, spinach and many other green vegetables. These super green foods provide a chemical known as DIM, which combats enzymes that work to contribute to the growth of cancer cells.

Tomatoes are another super food in the fight against cancer. Certified family physician and medical doctor, Joel Fuhrman, a New York Times best-selling author and expert on nutrition and natural healing, advised that adding more cooked tomatoes to your diet can help to lower the risk of developing prostate cancer. Fuhrman stated, “several studies revealed that those who consumed the most tomato-based foods reduced their total risks of prostate cancer by 35-percent and their risk of advanced prostate cancer by 50 percent.” Antioxidants such as lycopene, which are found in tomatoes, protect against cell damage usually caused by cancer. According to Fuhrman cooked tomatoes are preferred because they contain higher levels of lycopene than raw tomatoes. Other fruits that contain lycopene include: mangoes, watermelon, and guavas.

Vitamin D is also a popular nutrient in the fight against cancer. You can increase your vitamin D intake by taking supplements. The American Chemical Society stated that vitamin D supplements are beneficial to your health because they can “slow down/reverse the progression of less aggressive, or low-grade, prostate tumors.” Supplements are a quick way to

obtain the recommended amount of nutrients to keep your body healthy and are especially recommended for those who have a low nutrient deficiency.

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Diagnosing Breast Cancer With An Imaging Pill

For women, mammograms are a sometimes uncomfortable, but necessary, annual ritual. But this procedure doesn’t always provide accurate results, and it exposes women to X-rays. In a study appearing in ACS’ journal Molecular Pharmaceutics, scientists report that they have developed a non-invasive “disease screening pill” that can make cancerous tumors …

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Kaiser Permanente Cancer Patients Engage in Art Therapy at Oncology on Canvas Event

HONOLULU — Cancer patients, families, survivors and medical staff gathered at Kaiser Permanente Moanalua Medical Center today for Oncology on Canvas, an annual event funded by the Oncology Nursing Society Hawaii Chapter. Participants of all ages had the opportunity to draw, paint and write about their journeys, from diagnosis to treatment and healing. Attendees also connected with a network of other oncology patients, families and staff to discuss shared experiences and inspire others going through similar journeys.

“Bringing together patients, former patients and families helps build a support system and community for our members whose lives have been touched by cancer,” said Donna Gabriel, manager of cardiology and oncology at Moanalua Medical Center. “Creative expression is a unique and powerful way to process the difficulties of diagnosis and treatment and connect with other patients going through similar experiences.”

Originally modeled after the international Lilly Oncology on Canvas biennial art competition, Oncology on Canvas was brought to the islands by the Oncology Nursing Society in 2007, allowing patients and their families to share stories and support each other through art therapy. Art created from the event will be displayed in the oncology department at Moanalua Medical Center.


About Kaiser Permanente
Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and not-for-profit health plans. Founded in 1945, Kaiser Permanente has a mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve more than 12.2 million members in eight states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to kp.org/share.

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Joe Jackson Reportedly Hospitalized With Terminal Cancer

Joe Jackson is reportedly suffering from terminal cancer and is currently in the hospital being visited by family members “flocking to his bedside,” according to TMZ.

Citing family sources, the website reports that the 89-year-old Jackson family patriarch has been battling the illness for a while, but it is currently at the end stages.

His wife, Katherine, has been at his bedside recently, and some of their children and grandchildren have also made the trip to the hospital, notes TMZ.

No word on how much time he has left to live, but doctors have reportedly talked to the family about his terminal condition.

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Diagnosing Breast Cancer With An Imaging Pill

Diagnosing Breast Cancer With An Imaging Pill

For women, mammograms are a sometimes uncomfortable, but necessary, annual ritual. But this procedure doesn’t always provide accurate results, and it exposes women to X-rays. In a study appearing in ACS’ journal Molecular Pharmaceutics, scientists report that they have developed a non-invasive “disease screening pill” that can make cancerous tumors light up when exposed to near-infrared light in…

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More Breast Cancer Patients Can Avoid Chemotherapy: Study

More Breast Cancer Patients Can Avoid Chemotherapy: Study

A 21-gene test performed on tumors could enable most patients with the most common type of early breast cancer to safely forgo chemotherapy, according to a landmark study published in the New England Journal of Medicine.

Loyola Medicine oncologist Kathy Albain, MD, is among the main co-authors of the study and a member of the clinical trial’s steering committee. First author is Joseph Sparano,…

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New Potential Treatment For Triple Negative Breast Cancer

In a recent study published in the Journal of Clinical Investigation, Mayo Clinic researchers identified that an FDA drug approved for myelodysplastic syndrome may be useful to treat triple-negative breast cancer, which is one of the most aggressive and lethal types of breast cancer. In this study, Mayo investigators identified …

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Many breast cancer patients can skip chemo, big study finds

CHICAGO (AP) — Most women with the most common form of early-stage breast cancer can safely skip chemotherapy without hurting their chances of beating the disease, doctors are reporting from a landmark study that used genetic testing to gauge each patient’s risk.
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http://www.acrx.org -As millions of Americans strive to deal with the economic downturn,loss of jobs,foreclosures,high cost of gas,and the rising cost of prescription drug cost. Charles Myrick ,the President of American Consultants Rx, announced the re-release of the American Consultants Rx community service project which consist of millions of free discount prescription cards being donated to thousands of not for profits,hospitals,schools,churches,etc. in an effort to assist the uninsured,under insured,and seniors deal with the high cost of prescription drugs.-American Consultants Rx -Pharmacy Discount Network News

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Many women with common breast cancer can safely skip chemo, study says

About 70% of women diagnosed with the early stages of one of the most common form of breast cancer may no longer need chemotherapy as part of their treatment, according to the results of a large clinical trial.


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FDA chief outlines new ways to speed up cancer drug approvals

The U.S. Food and Drug Administration is taking steps to streamline the approval process for cancer drugs.
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New Potential Treatment For Triple Negative Breast Cancer

New Potential Treatment For Triple Negative Breast Cancer

In a recent study published in the Journal of Clinical Investigation, Mayo Clinic researchers identified that an FDA drug approved for myelodysplastic syndrome may be useful to treat triple-negative breast cancer, which is one of the most aggressive and lethal types of breast cancer.

In this study, Mayo investigators identified that the drug 5-aza-2′-deoxycytidine (decitabine) which is FDA…

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5 Complementary Treatments that Help You Feel Better During Cancer

Anyone who’s been through cancer treatment knows: it’s not for sissies. While doctors focus on eradicating tumors and clearing out lymph nodes, patients must deal with the day-to-day discomforts that treatments can cause. A stiff upper lip gets one only so far. Sometimes, trying to be strong backfires, as a …

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Discovery Of New Protein Linked To Breast Cancer

Discovery Of New Protein Linked To Breast Cancer

Researchers experimentally block the spread of a type of breast cancer.

Jean-François Côté, a researcher at the Montreal Clinical Research Institute (IRCM) and professor at Université de Montréal’s Faculty of Medicine, studies metastasis, the leading cause of cancer-related death. Recently, his team uncovered a protein that, once deactivated, could prevent the development of metastases in an…

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The Sweet Spot on Folic Acid: Too Little Risks Baby’s Health, Too Much Increases Cancer Risk

About one in 33 babies is born with birth defects in the United States. Most women know that folic acid helps. When taken before and during early pregnancy, it can prevent from 50 to 70 percent of some types of birth defects of the brain and spine, according to the …

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For mothers with advanced cancer, parenting concerns affect emotional well-being

A new study shows that parenting concerns have a significant impact on the mental and emotional health of women with advanced cancer. In particular, they found that a mother’s emotional well-being was significantly linked with whether she had communicated with her children about her illness, and her concerns about how her illness will financially impact her children.
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WATCH: New recommendations for prostate cancer screening

Men ages 55 to 69 should have a conversation with their doctor about the test.
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http://www.acrx.org -As millions of Americans strive to deal with the economic downturn,loss of jobs,foreclosures,high cost of gas,and the rising cost of prescription drug cost. Charles Myrick ,the President of American Consultants Rx, announced the re-release of the American Consultants Rx community service project which consist of millions of free discount prescription cards being donated to thousands of not for profits,hospitals,schools,churches,etc. in an effort to assist the uninsured,under insured,and seniors deal with the high cost of prescription drugs.-American Consultants Rx -Pharmacy Discount Network News

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Major study confirms HPV vaccines prevent cervical cancer

The human papillomavirus or HPV spreads through intimate contact during sex with someone who is infected. In some women, an HPV infection will persist and lead to cervical cancer. HPV vaccines protect against cervical cancer in young women, especially when the women are vaccinated between the ages of 15 and 26, a new Cochrane Report finds.


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Group of rare eye cancer cases baffles experts

A group of patients with a rare type of eye cancer called ocular melanoma has researchers and epidemiologists stumped.


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Get Well Wednesday: Prostate Cancer In The African American Community

Dr. Stacy Loeb is an assistant professor of urology and population health at New York university (NYU) specializing in prostate cancer and is one of the prostate cancer foundation’s funded young investigators.  

Dr. Loeb is an internationally recognized expert in prostate cancer with more than 285 peer-reviewed published articles and 11 book chapters.         

Dr. Loeb also frequently gives international lectures on prostate cancer, social media and men’s health. Dr. Loeb also hosts the men’s health show on Sirius XM 110 satellite radio.

What Is Prostate Cancer?       

A: The prostate is a gland found only in males that makes some of the fluid that is part of the semen.  .  The prostate is located below the bladder and in front of the rectum.it is the size of a walnut in younger men, but commonly gets larger as men get older.  This condition is known as enlarged prostate, and may cause bothersome urinary symptoms but is not associated with cancer.  Prostate cancer occurs when cells in the prostate gland start to grow uncontrollably.

Q: How does prostate cancer affect the African-American community? Why does it seem like prostate cancer is more aggressive in African-American men than other races?
A:  African-American men are significantly more likely to develop prostate cancer, and have more than twice the risk of dying from prostate cancer. The reason for this disparity is a major topic of scientific investigation and a priority area of research for the prostate cancer foundation.  There are many possible contributors to this issue ranging from genetic factors to differences in access to quality medical care.   Data shows that African-American men are less likely to be advised about cancer screenings and less likely to undergo surgery. 

Q: What are the risks associated with prostate cancer?
A:  Age is the biggest risk for prostate cancer, but is not the only risk factor.  Other important factors include:  family history, genetic factors, race, and lifestyle habits. Genes for disease can run in families.  Therefore, men who have a relative with prostate cancer are twice as likely to develop the disease, while those with two or more relatives are nearly four times as likely to be diagnosed.  The risk is even higher if affected family members were diagnosed before the age of 65.

Q: How often should you get tested for prostate cancer?
A: It is very important for African-American men to talk to their doctor about prostate cancer screening.  I recommend a baseline screening in the early 40’s. This value gives a lot of information about a man’s risk of ever developing life-threating prostate cancer.  The baseline screening results and other risk factors can be used to determine how often testing is needed after that.

Q: What are some of the cutting edge developments for prostate cancer?
A: We are in the midst of a very exciting time in prostate cancer research, with new advances and discoveries being made every day.  For example, research funded by the prostate cancer foundation showed that the brca gene (a mutation known to be associated with breast cancer) is also associated with an increased risk of prostate cancer.  These cancers respond to different types of treatment than what is traditionally used for prostate cancer.  In the future, we will see more and more “precision medicine” where treatment will be tailored to the specific genetic alterations in the individual patient.

Q: What is the “know your numbers” campaign?
A: The “know your numbers” campaign kicked-off in April.  It is a national men’s health initiative geared to shed light about the significant disparities that exist between men of African descent and other ethnicities, and to raise awareness about the risk factors associated with prostate cancer. For more information, you can visit: www.pcf.org/knowthenumbers.

Q: What type of effect does the diet have on the prostate?
A: Many different factors influence prostate cancer risk. It does have a large genetic component, but lifestyle factors also play a significant role. Parsing out these factors is complicated and is a major area of research.  Generally speaking, a Mediterranean diet is thought to be potentially beneficial for the prostate, including ly copene (found in tomato products). By contrast, charred meat and excess dairy are thought to be potentially harmful. Overall, what is heart-healthy is prostate healthy.

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Too many cancer drugs? Crowded market gives investors pause

LONDON (Reuters) – In London’s world-famous Great Ormond Street children’s hospital, Dr. Karin Straathof is excited about a new cell-based medicine that offers hope for toddlers with incurable nerve tissue cancer.


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Rare Cancer Carefully Tracked and Treated

Cancer of the testes is considered a “rare” disease, occurring in fewer than 10,000 men between 15 and 40 years old in the United States annually.

About 150 of those cases are diagnosed across Kaiser Permanente’s Northern California Region. The cancer is so rare that each of the region’s urologists may diagnose just one case in any given year. That doesn’t mean the disease is any less devastating to those who have it.

Now urologists and medical oncologists in Northern California have teamed up to ensure that they are all providing consistent, expert care for every single case of testicular cancer.

The effort began in 2016, when medical oncologist Andrea Harzstark, MD, and urologist Joseph Presti, MD, both based at the Kaiser Permanente Oakland Medical Center, spearheaded the establishment of a regional multidisciplinary Testicular Cancer Review Panel, which convenes four urologic and medical oncology specialists twice a month to review new cases.

“We are identifying patients as quickly as we can to make sure they are all on the right treatment path,” Dr. Harzstark said.

During its first year, the panel reviewed 131 new diagnoses, according to research presented by Drs. Harzstark and Presti earlier this year. The panel requested the re-review of pathology or radiology in 20 percent of the cases.

“I was on the phone with the mom of a patient, and she said, ‘I cannot tell you how comforted I am to hear that a panel of experts has reviewed my son’s case,’” Dr. Presti said.

Research and technology make panel possible

Drs. Harzstark and Presti received critical assistance to form the review panel from Lisa Herrinton, PhD, research scientist at the Kaiser Permanente Division of Research, and Yi-Fen (Irene) Chen, MD, associate executive director of The Permanente Medical Group.

First, Dr. Herrinton used an analytical technique called natural language processing in Kaiser Permanente’s comprehensive electronic medical record, Kaiser Permanente HealthConnect®, to create spreadsheets of all new and ongoing testicular cancer cases, called a miniregistry.

“We were able to quickly give the testicular cancer panel the analytical tools so they could design a miniregistry that was exactly what they needed,” said Herrinton, whose team has created about 20 such miniregistries for other rare diseases, such as melanoma and sickle cell disease.

Then Dr. Chen’s System X team — a multidisciplinary group of TPMG technology, health care and quality leaders — piloted a powerful new clinical tool in Kaiser Permanente HealthConnect®, which allows the panel to access the complete lists of testicular cancer patients at all stages of treatment.

“Think of it as a spreadsheet on steroids,” Dr. Chen said. “We are supporting clinicians with very powerful system tools with dynamic data that allow them to efficiently and effectively take actions to close the care gap.”

With access to the tool, members of the panel can ensure that all appropriate follow-up imaging and laboratory tests are being done in a timely manner, specific to the type and stage of the testicular cancer.

Mark St. Lezin, MD, chair of chiefs of Urology for Kaiser Permanente Northern California, said the review panel “puts together true national experts who determine what is ideal care and use a marvelous computer system that assures that every man gets consistent, expert-level care.”

“That means a young man avoids chemo he doesn’t need, or gets the chemo that may prevent recurrence.”

The post Rare Cancer Carefully Tracked and Treated appeared first on Kaiser Permanente Share.

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Treatment combo nearly doubles survival time in lung cancer patients, study finds

Combining an immunotherapy drug with chemotherapy nearly doubled the survival time of some lung cancer patients compared to patients treated with chemotherapy alone, new research published Monday in the New England Journal of Medicine showed.


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Get Well Wednesday: National Minority Cancer Awareness Week

It is National Minority Cancer Awareness Week and Dr. Carol Brown wants you to know exactly what your risk factors are and when its time to see a doctor. She is a board-certified gynecologic oncologist which means her specialty is diagnosing and treating cancers that affects a woman’s reproductive organs.

For more than 25 years, she has used her skills as a surgeon to provide high-quality and compassionate care to women with ovarian, uterine, cervical, and vulvar cancer at Memorial Sloan Kettering Cancer Center, and this year, Dr. Brown serves as the 50th president of the Society of Gynecologic Oncology.

 WHY DOES IT SEEM LIKE CANCER EFFECTS MINORITY COMMUNITIES AT A HIGHER RATE THAN WHITE COMMUNITIES?

People of color, including Asians, Hispanic/Latinos, American Indians and Blacks are affected by some cancers at higher rates than other groups. Blacks in the U.S. have the highest death rate of any racial/ethnic group for lung, colon, breast, prostate and uterine cancer.

The causes of these inequalities are complex, but through research we are learning that biologic differences in the cancer itself may explain many cancer disparities experienced by Blacks and other diverse populations. Socioeconomic factors, especially poverty, also contribute to cancer disparities through barriers to high-quality cancer prevention, early detection, and treatment information and services.

WHAT’S ONE THING MOST PEOPLE DON’T KNOW ABOUT CANCER IN GENERAL?

The risk of being diagnosed with cancer increases with age because most cancers require many years to develop. According to data from the American Cancer Society, about 1 in 2 Black men and 1 in 3 Black women will be diagnosed with cancer in their lifetime.

The lifetime probability of dying from cancer is about 1 in 4 for Black men and 1 in 5 for black women. The one thing that most people don’t know about cancer is, that today, unlike in the past, most cancers can be cured with the right diagnosis and treatment, and even more cancers can be prevented by pursuing a lifestyle minimizes their risk.

The World Cancer Research Fund has estimated that about 20% of cancers that occur in the US are due to poor nutrition (including excess alcohol consumption), physical inactivity, and excess weight, and thus could be prevented.

BLACK WOMEN ARE DYING FROM CERVICAL CANCER AT A RATE 77% HIGHER THAN PREVIOUSLY THOUGHT, BUT THIS IS PREVENTABLE. WHY? HOW IS THIS PREVENTABLE?

The rate at which Black women in the U.S. are dying from cervical cancer is comparable to that of women in many poor nations. What makes these findings especially disturbing, is that the majority of cervical cancer is caused by a virus called Human Papilloma Virus(HPV).

Between primary prevention- which means getting ourselves and our children,  boys and girls, vaccinated with the HPV vaccine so that we never get the virus- and secondary prevention-which means getting your PAP smears on a regular basis so that cervical pre-cancer can be detected early and treated- cervical cancer is an almost completely preventable disease.  Many studies have shown that the most common reason Black women and any women in the U.S. die from cervical cancer is that they have not had recommended screening with PAP smears.

AT WHAT AGE SHOULD WOMEN STOP GETTING PAP SMEARS?

Many cervical cancer screening guidelines say that women over 65 who have had regular

screening with negative results don’t need to have PAP smears.  But based recent research that shows almost 20% of cervical cancer in the US occurs in women over age 65 and the research that death rates for cervical cancer are highest for Black women over 65, I recommend women continue to get regular cervical cancer screening past age 65 and for at least as long as they are sexually active.

WHAT’S THE BEST WAY FOR WOMEN TO DETECT CANCERS AFFECTING THEIR REPRODUCTIVE ORGANS BEFORE IT’S TOO LATE?

The best way for women to detect GYN cancer in an early stage is to get vaccinated against HPV to prevent cervical, vulvar, and vaginal cancer; to get regular screening tests, either PAP smears or HPV testing for these same cancers with your OB-GYN or primary health care provider; and most importantly to know the signs and symptoms of gynecologic cancer so that cancers of the uterus and ovary, for which there are no screening tests available, can be found in the earliest possible and curable stage.

Many of the signs of uterine and ovarian cancer are commonly experienced by most women at some point in their lives. But when things like pelvic pain, bloating, bleeding or discharge happen for a long period of time and you have no other explanation; see your doctor and ask about your risks for ovarian and uterine cancer and whether your symptoms could be a sign of these diseases.

Knowing your family history can be especially important for reducing your risk and even preventing uterine and ovarian cancer- for both of these there are known mutations in cancer-causing genes that can be passed down from one generation to the next.

There are medical and surgical options for both uterine and ovarian cancer that can help women who are at increased risk because of their family history from every getting the disease. For more information about GYN cancers and clinical trials please check out these great videos put together by my colleagues at the Society of Gynecologic Oncology  at https://www.sgo.org/patients-caregivers-survivors/clinical-trials/.

WHY ARE CLINICAL TRIALS FOR CANCER IMPORTANT?
Here’s what we know: Clinical research in underserved populations equals cancer health equity. Put simply, clinical trials are a crucial step to finding new and promising ways to improve treatment for cancer. Most medical advances have come as a result of clinical trials.

Participating in cancer clinical trials is the best way to level the playing field for Black people and all underserved groups affected by cancer.  We’re not just talking about the best in terms of care, but access to the best in new therapies, access to new drugs and interventions before they are widely available. If the treatment is a success, you are among the first to benefit.

WHAT IS THE PROCESS FOR CLINICAL TRIALS?

Before the clinical trial

All people affected by cancer should ask their doctor about clinical trials and whether there are any available for their particular disease and stage of treatment. If you are interested in a specific clinical trial, your doctor will explain to you the purpose of the trial and how it affects you, including the main risks and benefits of taking part through a process called informed consent. It’s important to know that participating in a clinical trial is voluntary and if you decide not to participate, it will not affect the care your doctor will give you.

During the clinical trial

Once you are on a clinical trial, the researchers running the trial will want to carry out regular tests, including physical exams and sometimes imaging tests, on you to find out how your treatment is working.  At the same time, they will be on the lookout for any side effects – so you may be asked questions about any new symptoms you experience while you are receiving treatment on the clinical trial.

Doctors will also look at the wider effects of a treatment on your life as a whole – in other words, your ‘quality of life’. So, they may ask you if you’re able to take part in your usual day-to-day activities, or if you need any extra help around the home or to look after your family.

 After the clinical trial: How will trial results be used?

After you finish treatment on a clinical trial, your doctors may still see you and follow you for symptoms on a regular basis for a long period of time to understand all the effects the treatment has had on you and your cancer. For some cancer clinical trials where you are receiving a specific treatment, your participation may give your doctor results that can be used to help find the best available treatment for your particular situation.

Results of cancer clinical trials are also used by your doctor and researchers to help cancer patients in general and to find new and more effective, less toxic ways of treating cancer. Results of the clinical trial you participated in should be made available to you by the researchers if you want them.

WHO SHOULD PARTICIPATE IN CLINICAL TRAILS?
More than twenty years after Congress required that research funded by the National Institutes of Health (NIH) include minorities, and women, less than 2% of all adults with cancer in the U.S. participate in a clinical trial. For minority and underserved people who suffer severe disparities in cancer incidence and death rates, participation in clinical trials is critical. Participation in clinical trials can help us understand how gender, racial, ethnic, and socioeconomic differences can affect the way cancer progresses and how well patients respond to treatments, as well as aid in the development of new treatments and ways to prevent cancer.

 

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Merck says a key test of Keytruda met the main goal of helping previously untreated lung cancer patients live longer.
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Kylie Minogue’s cancer guilt

OHMYGOSSIP — Kylie Minogue felt “a lot of guilt for her family” when she was diagnosed with cancer.
The ‘Can’t Get You Out of My Head’ hitmaker – who was diagnosed with breast cancer in May 2005 and underwent a partial mastectomy – admits it was difficult to see her family feel so “helpless” after finding out about her condition.
She shared: “I felt a lot of guilt for my family when I had cancer. I was in that moment, trying to get through, and they felt helpless. They weren’t, because their strength was important to me. It was tough to see them hurting so much and putting on a brave face. I don’t know how much they cried because they just couldn’t show that hurt to me then. Now I’m going to say clichéd things: you take a look at the bigger picture, what’s important to you, who is important to you, what you want to do differently – although I didn’t want to do anything differently. I just wanted to get better and get on with it. But I did realise that I love what I do and sometimes the good things come from beautiful moments of connection. I’ve got pretty good fans. They’re really kind.”
And the 49-year-old singer will now have to go through the menopause twice.
She told the Mail on Sunday’s You magazine: “I have to go through the menopause twice. I’ve done it once already. The first was medically induced when they suppressed my oestrogen for my cancer treatment. So at least I know what it will be like. You are flummoxed, you are hot and you forget what you’re saying. So I’ll be back in the fridge! I remember a friend of mine a bit older than me used to open the fridge and stand in front of it. I’m ahead of the game with that experience.”

Find us also on Twitter @OHMYGOSSIP and @OHMYGOSSIP_USA

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Breast cancer patients fare better if they have muscle: Study

A new study published in JAMA Oncology finds that women with breast cancer who have more muscle mass have a better chance of survival.
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http://www.acrx.org -As millions of Americans strive to deal with the economic downturn,loss of jobs,foreclosures,high cost of gas,and the rising cost of prescription drug cost. Charles Myrick ,the President of American Consultants Rx, announced the re-release of the American Consultants Rx community service project which consist of millions of free discount prescription cards being donated to thousands of not for profits,hospitals,schools,churches,etc. in an effort to assist the uninsured,under insured,and seniors deal with the high cost of prescription drugs.-American Consultants Rx -Pharmacy Discount Network News

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Science Says: What we know about cancer risk and coffee

Trouble is brewing for coffee lovers in California, where a judge just ruled that sellers must post scary warnings about cancer risks
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http://www.acrx.org -As millions of Americans strive to deal with the economic downturn,loss of jobs,foreclosures,high cost of gas,and the rising cost of prescription drug cost. Charles Myrick ,the President of American Consultants Rx, announced the re-release of the American Consultants Rx community service project which consist of millions of free discount prescription cards being donated to thousands of not for profits,hospitals,schools,churches,etc. in an effort to assist the uninsured,under insured,and seniors deal with the high cost of prescription drugs.-American Consultants Rx -Pharmacy Discount Network News

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Science Says: What we know about cancer risk and coffee

Trouble is brewing for coffee lovers in California, where a judge ruled that sellers must post scary warnings about cancer risks. But how frightened should we be of a daily cup of joe? Not very, some scientists and available evidence seem to suggest.
Health Headlines

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http://www.acrx.org -As millions of Americans strive to deal with the economic downturn,loss of jobs,foreclosures,high cost of gas,and the rising cost of prescription drug cost. Charles Myrick ,the President of American Consultants Rx, announced the re-release of the American Consultants Rx community service project which consist of millions of free discount prescription cards being donated to thousands of not for profits,hospitals,schools,churches,etc. in an effort to assist the uninsured,under insured,and seniors deal with the high cost of prescription drugs.-American Consultants Rx -Pharmacy Discount Network News

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Kaiser Permanente Provides Free Medical Procedures and Cancer Screenings for Community Access Day

LOS ANGELES – Kaiser Permanente West Los Angeles partnered with Venice Family Clinic to host its Community Access Gastrointestinal Day on March 17. Community Access Gastrointestinal Day is a collaborative effort made possible by Kaiser Permanente’s Community Benefit Program, to provide diagnostic colonoscopies and endoscopies to a limited amount of underserved West LA residents, at no cost to them.

Kaiser Permanente volunteer staff and surgeons performed 12 procedures benefiting nine patients at the Community Access Gastrointestinal Day. One patient, Nicolasa Cali, 59, was especially grateful to have received two procedures as part of the event. She was told in January she needed these procedures as soon as possible, but she was worried how she would pay for them and how long she would have to wait to get them.

April Schustz, the specialty hub coordinator at the Venice Family Clinic, said it was likely Cali would have had to wait six months just to get an appointment to see a Los Angeles County gastrointestinal specialist who would then determine if procedures should be ordered. She then would likely have to wait several more months to actually get the procedures.

Cali is just one of many patients with limited or no health insurance. “Even with the Affordable Care Act, approximately 30 percent of patients from Venice Family Clinic remain uninsured. These include undocumented immigrants as well as people who are homeless,” said Rigoberto A. Garcia, director of Health Education at Venice Family Clinic.

“These patients come presenting some very concerning health conditions and risk factors,” said Celia Brugman, Community Benefit health manager, Kaiser Permanente West Los Angeles. “With the Community Access Day program, they leave the facility with a clear diagnosis and the Venice Family Clinic now has the knowledge they need to move forward to help these patients restore their health. This program has a very powerful impact on these patients’ lives and perfectly complements our mission at Kaiser Permanente.”

Kaiser Permanente West LA CAD Team

Kaiser Permanente West Los Angeles Community Access Day team.

The Community Access Gastrointestinal Day event happens during Colorectal Cancer Awareness Month; therefore, endoscopies and diagnostic colonoscopy screenings will be conducted for early detection of colon and rectal cancers. Colon cancer is the third most commonly diagnosed cancer in the U.S., but it’s also one of the most treatable cancers. When colorectal cancer is found at an early stage, the five-year relative survival rate is approximately 90 percent.

Additional colorectal screenings will take place at Kaiser Permanente West Los Angeles Medical Center on Thursday, March 22 as part of its colorectal screening day.

Creating healthy communities is central to Kaiser Permanente’s mission and critical to individual health and wellness. At the Kaiser Permanente West Los Angeles Medical Center, contributions to various Community Benefit Programs totaled $ 28,002,536 in 2016.

To learn more about Kaiser Permanente’s community programs go to community.kp.org or find out more about Kaiser Permanente West Los Angeles.

About Venice Family Clinic
Venice Family Clinic’s mission is to provide quality primary health care to people in need. Launched in 1970 by founder Phillip Rossman, MD, and co-founder Mayer B. Davidson, MD, the Clinic has grown from a small storefront operation into the largest community health center on the Westside of Los Angeles. With the help of more than 1,300 volunteers, including nearly 400 physicians, it provides comprehensive medical, behavioral health, dental, vision, child development, health education and health insurance enrollment services to 26,000 men, women and children annually through 12 sites in Venice, Santa Monica, Mar Vista, Inglewood and Culver City. For more information, visit venicefamilyclinic.org.

About Kaiser Permanente
Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and not-for-profit health plans. Founded in 1945, Kaiser Permanente has a mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve more than 11.8 million members in eight states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to: kp.org/share.

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How Breast Cancer Impacted My Skin

Hair is the one thing everyone talks about with cancer, but it was the rashes and skin infections that really affected me.

Health – Good Housekeeping

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Kaiser Permanente Cancer Screening and Prevention Fair Provides Free Exams and Education

HONOLULU — Kaiser Permanente welcomed over 300 attendees and provided more than 150 free cancer screenings at its annual Cancer Screening and Prevention Fair, held this morning at Waipio Medical Office.

Kaiser Permanente otolaryngologists (ear, nose and throat specialists) provided short physical exams to screen for cancers of the head and neck, which often appear as lesions or spots in the mouth, nose or throat. Risk factors for head and neck cancer include tobacco and alcohol use, so those who smoke and drink are encouraged to participate in regular screenings.

Kaiser Permanente dermatologists examined attendees for evidence of melanoma — the fifth most common cancer in Hawaii — and other types of skin cancer. According to the American Cancer Society, an estimated 490 cases of melanoma will be diagnosed in Hawaii this year. Like head and neck cancer, melanoma is highly curable in its earliest stages, with a five-year survival rate of 99 percent for localized melanoma.

In addition to screening exams, attendees had a chance to speak with tobacco cessation counselors and members of Kaiser Permanente’s prevention and education department, to receive tips on quitting smoking, improving nutrition, sun protection and living an overall healthy lifestyle.

“Some types of cancers, including those of the head, neck and skin, can be prevented by reducing risk factors such as smoking, drinking or heavy exposure to sunlight. Education, lifestyle changes and early detection through screenings help save lives,” said Susan Amina, APRN, cancer care coordinator at Kaiser Permanente Hawaii. “We’re glad to see so many attendees taking steps toward better health, which includes taking part in preventive care and screenings like mammograms, fecal occult testing and Pap smears.”

The American Cancer Society estimates that Hawaii will see 6,280 new cancer diagnoses and 2,580 cancer-related deaths in 2018; breast, lung, colorectal and prostate cancer are the most common types in the state. Regular screenings, education and an awareness of risk factors all contribute toward detecting cancer in its early stages, when survival rates are often significantly higher.

About Kaiser Permanente
Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and not-for-profit health plans. Founded in 1945, Kaiser Permanente has a mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve 11.8 million members in eight states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to: kp.org/share. cancerSusan Amina, APRN,

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Screening for Colorectal Cancer Can Save Lives

Colorectal cancer is the second-leading cause of cancer death in the United States, yet only two in three adults in the United States is adequately screened. With appropriate screening, however, colorectal cancer is one of the most preventable forms of cancer. Men and women at average risk should begin screening at age 50.

In observance of Colorectal Cancer Awareness Month, we interviewed Karl Kwok, MD, an interventional gastroenterologist at the Kaiser Permanente Los Angeles Medical Center, about the importance of screening tests and what we can do to lower our risk of cancer.

Why is colorectal cancer screening so important?

Colon cancer is the third most commonly diagnosed cancer in the United States. However, it’s also one of the most treatable cancers. When colorectal cancer is found at an early stage, the five-year relative survival rate is approximately 90 percent. In fact, regular screenings can help detect advanced polyps, which are precancerous, and allow us to remove them using advanced techniques that do not require surgery. This returns your colon-cancer risk back to baseline.

What methods are used to screen people for colorectal cancer?

Kaiser Permanente, in line with the United States Preventive Services Task Force, encourages its members age 50 and above to either undergo a yearly at-home fecal immunochemical test, also known as a FIT test; an average-risk sigmoidoscopy every five years; or an average-risk colonoscopy every 10 years.

People with a higher risk for colorectal cancer, such as those with a strong family history of colorectal cancer, may need to start routine testing before age 50 and have it more often.

To figure out which screening test is best for you, have a conversation with your primary care provider. Each has its advantages and disadvantages, but one thing is certain: Regular colorectal cancer screenings can save lives.

Can colorectal cancer be prevented?

To a large extent, YES! Most cases of colorectal cancer are due to sporadic development of precancerous polyps that do not cause symptoms for a long period of time. This is why screening is critical — the earlier we detect and remove these polyps, the less likely they can grow into an advanced polyp and ultimately turn into cancer. Multiple studies have shown that precancerous colon polyp removal is protective against subsequent development of colon cancer.

What risk factors increase a person’s chance of developing colorectal polyps or colorectal cancer?

Some of the known risk factors for developing colon cancer include:

  • Having a diet heavy in red meats and processed meats
  • Having a sedentary lifestyle
  • Being overweight or obese
  • Smoking and heavy alcohol use
  • Having a family history of colon cancer, especially a first degree relative (mother, father, sibling or child)
  • Having a personal history of colorectal polyps or a personal history of inflammatory bowel disease, including Crohn’s disease or ulcerative colitis (a condition which causes chronic inflammation of the colon)
  • Your racial and ethnic background or your personal health history. For example, African Americans have the highest colorectal cancer incidence. People with a history of kidney transplants and people with type 2 diabetes also have an increased risk of colorectal cancer.

To learn more about colorectal cancer and the screening process, visit www.kp.org.

Get Screened!

On Thursday, March 22, all Kaiser Permanente Southern California Medical Centers will host a colorectal cancer screening day. Be part of this life saving event. Please drop off your completed screening kit (FIT kit) at your nearest Kaiser Permanente medical center. If you haven’t received one, call your doctor or visit your customized online Personalized Action Plan on KP.org and request a FIT kit.

Need help? This video shows a simple step-by-step process to use the home screening kit.

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Many adolescent and young adult cancer survivors have more social connections than peers

Survivors of adolescent and young adult cancer often have stronger social networks than their non-cancer peers, according to researchers, who hope to translate that support into better lives for the nation’s growing population of cancer survivors.
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The Latest: Epidemiologist testifies on Roundup cancer claim

SAN FRANCISCO (AP) — The Latest on a hearing in San Francisco on lawsuits claiming the active ingredient in the Roundup weed killer can cause cancer(all times local):
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The Ovarian Cancer Symptom Women Are Ignoring

Pay attention the next time you feel bloated.

Health – Good Housekeeping

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Doctors Told This 16-Year-Old He Had the Flu, But He Ended Up Having Cancer

Our thoughts are with you, Hunter.

Health – Good Housekeeping

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The Ovarian Cancer Symptom Women Are Ignoring

Pay attention the next time you feel bloated.

Health – Good Housekeeping

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Cancer research breakthrough shows a better way to predict drugs that will work

A new study using lab-engineered microtumors allowed doctors to better predict if a drug treatment will work.
Top News & Analysis

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Can you vaccinate yourself against cancer?

Studies touting the benefits of cancer vaccines are emerging, but do those studies really show hope or just hype? Here’s a look at the past, present and future of cancer vaccine research.


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Julia Louis-Dreyfus Shares Incredible “Post-Op” Photo After Breast Cancer Surgery

She looks absolutely stunning.

Health – Good Housekeeping

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4 Foods That Can Help Reduce Your Risk of Breast Cancer

As if you needed another reason to chow down on roasted edamame.

Health – Good Housekeeping

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Kaiser Permanente Moanalua Medical Center Recognized for Excellence in Cancer Care

HONOLULU — Kaiser Permanente Moanalua Medical Center has been named one of America’s Best Hospitals for Cancer Care by the Women’s Choice Award®. Presented by WomenCertified Inc., this evidence-based designation scored Moanalua Medical Center in the top nine percent of 4,812 U.S. hospitals offering cancer care services.

The America’s Best Hospitals for Cancer Care recognition is awarded based on the presence of specific cancer-related services offered on-site, infection rates and patient recommendation ratings on the Hospital Consumer Assessment of Healthcare Providers and Systems survey. Hospitals must also be designated by the American College of Surgeons Commission on Cancer Classification as one of four specific types of cancer programs in order to be recognized. In 2017, Moanalua Medical Center received three-year accreditation from the commission based on quality measures including early diagnosis, cancer staging, optimal treatment, rehabilitation and end-of-life care.

Moanalua Medical Center’s cancer care services include a breast care clinic, which provides cancer patients with a coordinated team made up of oncologists, geneticists, radiologists, surgeons and support staff providing comprehensive care under one roof.

“The American Cancer Society estimates that thousands of people in Hawaii will receive a cancer diagnosis this year, which is devastating news to patients and their families,” said Jennifer Carney, MD, Kaiser Permanente Hawaii. “Our coordinated care approach takes into account our patients’ total picture of health and enables us to deliver safer, more effective care. Thanks to our dedicated providers and staff, we’re grateful to make a difference in the lives of numerous cancer survivors every year.”

America’s Best Hospitals for Cancer Care combines national accreditations, (HCAHPS) survey results and hospital outcome scores with primary research about women’s health care preferences. It is the only award recognizing excellence in cancer care services based on robust criteria that consider female patient satisfaction and clinical excellence.

About the Women’s Choice Award®
The Women’s Choice Award sets the standard for helping women to make smarter choices for themselves and their families. The company and its awards identify the brands, products and services that are most recommended and trusted by women. The Women’s Choice Award is the only evidence-based quality designation that drives consumer and patient appreciation through education, empowerment and validation. Additionally, they recognize those that deliver a recommendation-worthy customer experience. Visit www.WomensChoiceAward.com to learn more.

About Kaiser Permanente
Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and not-for-profit health plans. Founded in 1945, Kaiser Permanente has a mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve 11.7 million members in eight states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to: kp.org/share.

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Bristol-Myers Q4 Results Top View; Meets Primary Endpoint In Lung Cancer Trail

Bristol-Myers Squibb Co. (BMY) posted loss for the fourth-quarter 2017, compared to profit in the prior year, reflecting impact from U.S. tax reform. Both adjusted earnings per share and quarterly revenues topped analysts’ expectations. It also announced positive results for its Opdivo and Yervoy cancer drug combination in a late-stage clinical trial.
RTT – Earnings

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Cancer from cellphones? New studies say no need to hang up

WASHINGTON (AP) — Two government studies that bombarded rats and mice with cellphone radiation found a weak link to some heart tumors, but federal regulators and some scientists say don’t worry — it is safe to use your device. They still do.
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US OKs 1st drug aimed at women with inherited breast cancer

U.S. regulators have approved the first drug aimed at women with advanced breast cancer caused by an inherited flawed gene. The Food and Drug Administration on Friday approved AstraZeneca PLC’s Lynparza for patients with inherited BRCA gene mutations who have undergone chemotherapy. The drug has been on the market since 2014 for ovarian cancer, and…
Living | New York Post

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Compassionate Cancer Care When It’s Needed Most

When one of our members receives a cancer diagnosis, they can rest assured knowing that our integrated, specialized approach to care that focuses on the needs of each patient will be there to support them and those who care for them. It’s at the core of what we do. Every day, we make a commitment — to beating cancer and saving lives with earlier detection, research and superior personal care, delivered with compassion.

In 2017, additional nurse navigators joined our the Kaiser Permanente Northwest staff, we continued our work with our Worksite Wellness team to close care gaps, we further developed our multidisciplinary clinics, and we worked to streamline patient care and refine protocols that give our patients a clear pathway to their treatment.

As we look forward, our team of highly skilled professionals will all be working to continue to provide collaborative care that includes highly specialized treatment for each individual.

View the complete 2017 Cancer Care Annual Report. >

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How alcohol damages stem cell DNA and increases cancer risk

LONDON (Reuters) – Drinking alcohol produces a harmful chemical in the body which can lead to permanent genetic damage in the DNA of stem cells, increasing the risk of cancer developing, according to research published on Wednesday.


Reuters: Science News

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How I Learned to Live After My Father Died of Lung Cancer

I realized that my father certainly wouldn’t want me to live a life stunted by fear of death.

Health – Good Housekeeping

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Roche to buy US cancer drugmaker Ignyta for $1.7 billion

The move will broaden Roche's oncology portfolio globally, the companies said on Friday.
Health Care

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Opioids now kill more people than breast cancer

More than 63,600 lives were lost to drug overdose in 2016, the most lethal year yet of the drug overdose epidemic, according to a new report from the National Center for Health Statistics, part of the US Centers for Disease Control and Prevention.


CNN.com – RSS Channel – Health

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Small risk of breast cancer seen with hormone contraceptives

Modern low-dose birth control pills, available since the 1990s, have fewer side effects than the earliest oral contraceptives
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A New Study Says Use of Birth Control Is Linked To Increased Chances Of Breast Cancer

According to a study done in Denmark, women who have used hormonal contraception are at an increased risk for being diagnosed with breast cancer.

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A Serene Bedroom Makeover for a Mom Who Survived Cancer | Home Made Simple | Oprah Winfrey Network

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First Look: A Cancer Survivor in Need of a Soothing Master Suite | Home Made Simple | OWN

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http://www.acrx.org -As millions of Americans strive to deal with the economic downturn,loss of jobs,foreclosures,high cost of gas,and the rising cost of prescription drug cost. Charles Myrick ,the President of American Consultants Rx, announced the re-release of the American Consultants Rx community service project which consist of millions of free discount prescription cards being donated to thousands of not for profits,hospitals,schools,churches,etc. in an effort to assist the uninsured,under insured,and seniors deal with the high cost of prescription drugs.-American Consultants Rx -Pharmacy Discount Network News

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Coming Together for Cancer Care and Treatment

Breast cancer patients find hope and inspiration in many places. For some, their “rock” can be found in a higher power. For others, it’s the data that suggests a positive outcome. Most people lean on their friends, family and caregivers. For Kaiser Permanente member Noelle Gross, her inspiration also comes from the wacky TV program, “Let’s Make a Deal.”

While receiving chemotherapy for breast cancer, Noelle watched her favorite TV game show. It was a breast cancer special, and many audience members were cancer survivors.

“Some had been free of that horrible disease five years, 15 years, and all looked healthy and fabulous. I was feeling awful at the time and vowed that I would be healthy enough to go on the show one year later,” she says.

Prevention and treatment

Jump to October 2017, and Noelle has indeed appeared on “Let’s Make a Deal,” accompanied by close pals carrying signs identifying themselves as “breast friend” and “breast sister.” Her prize, a Kia Soul automobile, will be delivered in a couple of months. (She hopes it’s pink.)

Noelle says, “that cancer stuff” — a single mastectomy and chemo — is behind her. Soon, she will undergo preventive removal of her other breast, then breast reconstruction. She’s feeling stronger and more hopeful every day.

Despite the obvious fear and anxiety of facing a breast cancer diagnosis, receiving care from Kaiser Permanente has been a good experience, she says.

“They made me feel like I was their only patient. They made it convenient and easy — words that don’t typically describe cancer care — and I was confident that I had a dedicated team of specialists in my corner, all in synch with one another.”

She’s referring to the Multidisciplinary Clinic (or MDC), an option for patients newly diagnosed with breast cancer.

A patient-centered approach

Phoebe Harvey, MD, is chief of hematology and oncology and medical director of Kaiser Permanente’s cancer services. The department is accredited by the American College of Surgeons Commission on Cancer Comprehensive Community Cancer Program. She describes the clinic this way: “MDC is very patient centered. Patients meet with a surgical oncologist, medical oncologist and radiation oncologist, one at a time, in a single appointment.”

Immediately before meeting with the patient, a tumor board discusses each patient’s case and develops a path forward. The board is comprised of a team of cancer specialists, as well as pathologists, radiologists, nurses (including nurse navigators and research nurses), specialty care physician assistants, physical therapy clinicians, speech therapy clinicians, palliative care physicians, a tumor registry clinical coordinator, and specialty care residents.

“The preparation that goes into MDC, and the knowledge of having a plan in place helps patients to overcome the shell-shock that often comes with a breast cancer diagnosis,” says Dr. Harvey. “Patients get on their way to treatment quicker.”

The Northwest Region’s Breast Cancer Task Force received a Kaiser Permanente “Bring Your Best” care delivery award in 2015 for designing the clinic. The award says, “For outstanding work to improve patient outcomes and create the best care experiences for our members and their families.”

Committed and caring

Kaiser Permanente Northwest member Kathy Allen agrees.

“I can tell that my doctors take their commitment to their patients to the next level. It’s phenomenal to be able to meet with them at one appointment, instead of piecemeal over several weeks. The experience gave me the highest level of confidence in my care team.”

Compare the Multidisciplinary Clinic to the traditional approach to breast cancer care: After diagnosis, patients typically meet with a surgeon, then with other oncology specialists over the next several weeks. That means three days of lost work for the patient, three days of child care, three co-pays, and triple the stress, fear and anxiety.

Noelle’s husband and sister (a physician assistant) sat with her. They met Dr. Harvey, Katie Deming, MD, radiation oncologist; and Chris Moran, MD, surgical oncologist, each board-certified in their area of specialty.

“They knew about my case before they entered the room and everyone was on the same page, supportive, and compassionate. The appointment gave us a world of comfort and confidence,” says Noelle. “It was something upbeat and positive in an otherwise crummy year.”

Surrounded by her team

She’s thankful her care team offered her a clinical trial that studies the impact of adding an anti-estrogen medication called Everolimus versus placebo in addition to regular anti-estrogen therapy in women with high-risk estrogen positive breast cancer. This is just one of many clinical trials Kaiser Permanente offers patients.

Noelle stays in close contact with her nurse navigator, Rhonda Wirth, who removes any barriers and prevents gaps in care. Noelle also relies on a binder full of information about her breast cancer diagnosis, treatment and reconstruction. The binder has information on genetics, physical therapy, support services, medical leave and other topics.

“The more a patient understands what is happening and why, and knows what to expect, the more empowered they feel,” explains Dr. Harvey. “Empowerment doesn’t erase fear, but it gives back a sense of control over what’s happening to them.”

Noelle’s back at work, teaching kindergarten students and thriving with her husband and two young children by cheering on the Portland Timbers. And of course watching “Let’s Make a Deal.”

Learn more about cancer treatment at Kaiser Permanente Northwest.

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Julia Louis-Dreyfus ‘Wants to Keep Working’ Amid Cancer Battle

Amid Julia Louis-Dreyfus cancer battle, the Veep star is determined to keep working.

“Julia is undergoing treatment for breast cancer, and we’re obviously postponing production of the show – we were supposed to have started now – while she’s in treatment. But the expectation is that we will shoot again,” executive producer Frank Rich said on SiriusXM’s “Press Pool” on Wednesday, November 15. “We have one more season we’re doing, which we’re incredibly excited about. Rather impressively, while we wait for her to gather her full strength, around her treatment we’ve been having with the cast in Los Angeles, table reads of scripts for the final season as they’re ready.”

“So it’s been quite something because she’s fighting a serious, what is for anybody, a real illness. And yet, wants to keep working as much as circumstances allow without being crazy about it,” Rich continued. “I’ve seen her as recently as ten days ago, and watched her just be hilarious playing Selina Meyer. With the cast all around her playing the assorted group of idiots that Selena has to deal with on a weekly basis on the show. So she’s got a great support system. She’s a very strong person and we can’t wait to welcome her back at full speed.”

The actress shared an update on her health on Thursday, November 9, and revealed she had completed her third round of chemotherapy. “2 of my darling Bozos (love them so much) psyche me up for 3rd chemo today,” she wrote alongside a video of her costars Sam Richardson and Matt Walsh made to inspire her during her treatment. “And guess what? It worked! I’m psyched AF.”

The 56-year-old first announced that she was diagnosed with breast cancer on Twitter. “1 in 8 women get breast cancer. Today, I’m the one,” she wrote on September 28. “The good news is that I have the most glorious group of supportive and caring family and friends, and fantastic insurance through my union. The bad news is that not all women are so lucky, so let’s fight all cancers and make universal health care a reality.” 

Us Weekly

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My Cancer Is in God’s Hands

After being diagnosed with an extremely rare and aggressive form of sarcoma, I realized there were two paths I could take.

Health – Good Housekeeping

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The 2017 James Dyson Award Winner Is A Device That Detects Skin Cancer

Where healing happens

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This is a huge win for all of us who want to stay healthy without having to always spend money going to the doctor’s office.

A group of Canadian engineering students have been named the winners of this year’s James Dyson Award, being recognized for their device that detects skin cancer without the need for a traditional biopsy. The McMaster University students developed the Skan device as a way to quickly and easily detect melanoma in its early stages–when diagnosed early enough, melanoma is virtually harmless.

According to the team, 37 people in the UK alone are diagnosed with melanoma every day. The students explained the need for their device saying: “Early diagnostic methods rely heavily on visual inspections, which are inaccurate. More advanced methods are time consuming and expensive, adding avoidable strain to already over-burdened health services….In the UK one to 10 skin cancers are diagnosed in the late stage, however, it can take a number of weeks to see a specialist. Those who do not go through biopsy procedures run the risk of missed detection.”

As an alternative to the usual method of taking a biopsy, the team of students  proposed that diagnosis could be made using a non-invasive device that is simply placed on top of the skin. The device then applies a cooling sensation to the area through a series of thermistors and records how fast the skin takes to return to its normal temperature. The results are fed back to a computer and displayed as a heat map and a time plot that shows how long different areas of the skin took to heat back up.

“Cancerous cells have a higher metabolic rate than normal cells, and as such – they release more heat,” said the team. “This means that after a thermal shock is applied, the cancerous tissue will regain heat more quickly than the non-cancerous tissue, indicating a strong likelihood of melanoma.” The combination of these results would show the presence, or lack of presence, of melanoma.

The team claims that their Skan device will cost 80% less than the non-invasive option of thermal imaging. James Dyson made a statement about the winners saying, “By using widely available and inexpensive components, the Skan allows for melanoma skin cancer detection to be readily accessible to the many. It’s a very clever device with the potential to save lives around the world.”

 


Life & Style – Black America Web

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Pregnancy Poses No Greater Risk to Breast Cancer Survivors

Source: Oxford University Press USA

A recent study published in the Journal of the National Cancer Institute indicates that pregnancy does not incur a greater risk of relapse for survivors of breast cancer. The safety of pregnancy for women with history of breast cancer has remained a controversial topic for many years, especially in cases of estrogen-receptor (ER) positive breast cancer. In these cases, hormones can promote the growth and spread of breast cancer so, as hormone levels change during pregnancy, it was thought that breast cancer would be more likely to recur in survivors of ER positive breast cancer during pregnancy.

These findings show that pregnancy does not increase the risk of breast cancer recurrence, alleviating fears that pregnancy poses a greater risk to breast cancer survivors.

The study compared breast cancer survivors who became pregnant with those who did not become pregnant over an average period of 7 years. The study tracked the recurrence rate of breast cancer and found that those who became pregnant did not experience a greater rate of recurrence, even in cases of ER positive breast cancer.

These findings show that pregnancy does not increase the risk of breast cancer recurrence, alleviating fears that pregnancy poses a greater risk to breast cancer survivors. The study notes that fears among physicians and patients may be a factor in the high rate of abortion among women who have a history of breast cancer.

The post Pregnancy Poses No Greater Risk to Breast Cancer Survivors appeared first on Women's Health.

Women’s Health

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Pregnancy Poses No Greater Risk to Breast Cancer Survivors

Pregnancy Poses No Greater Risk to Breast Cancer Survivors

Source: Oxford University Press USA A recent study published in the Journal of the National Cancer Institute indicates that pregnancy does not incur a greater risk of relapse for survivors of breast cancer. The safety of pregnancy for women with history of breast cancer has remained a controversial topic for many years, especially in cases of estrogen-receptor (ER) positive breast cancer. In…

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WomensHealth.com

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Mom With Metastatic Breast Cancer Gives Free Areolae Tattoos to Women With Mastectomies

She’s making the most of her time by helping women feel comfortable in their skin.

Health – Good Housekeeping

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9-Year-Old Cancer Patient Asks for Cards to Celebrate “Last Christmas” Early

“…we want him to know that Christmas wishes come true.”

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The Sneaky Ovarian Cancer Symptom You Need to Know About

Reading this could save your life.

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Breast Cancer Taught Me to Live Day by Day, Hour by Hour

If cancer teaches you anything at all, it’s that life is not guaranteed.

Health – Good Housekeeping

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After Surviving Breast Cancer, I Was Diagnosed With Rheumatoid Arthritis

I’m still here. I can still do things to feel good. I can still enjoy life with my kids and family.

Health – Good Housekeeping

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Your Questions About Breast Cancer Screening Answered

Confused about breast cancer screening and mammograms? You are not alone, says Susan Kutner, MD, general surgeon and chair of Kaiser Permanente’s Northern California Breast Care Task Force. As new research emerges, mammography guidelines shift. Still, Dr. Kutner stresses that mammography is the best screening tool for breast cancer right now.

“The purpose of a mammogram is to detect cancer early. If we detect cancer in its earliest stage and treat it immediately, side effects are less intense and survival rates are higher,” she says.

Dr. Kutner recently shared the top questions she receives from patients, as well as the information and advice she frequently provides.

When should women start getting mammograms and how often should they get them?

Overall, it is important to look at each individual woman’s risk. What we’re learning is that we can’t just say “a mammogram every year is good for everyone” – it’s too much for some. We rigorously review all evidence every two years. It’s important to have a conversation with your primary care provider about your risk factors, which include previous biopsy results, previous cancers, your personal history and your family history. You should only get a mammogram if it is going to be beneficial to you and your health.

photo of Susan Kutner, MD

Susan Kutner, MD

There is a lot of controversy surrounding women who fall into the 40-50 age group. Our evidence has shown that, as a group, not all women need to start getting mammograms at age 40. Talk to your primary care provider about the benefits and risks, specific to you. In the 50-74 age group, we see the greatest incidence of breast cancer and the greatest benefit of mammography. Typically, women in this age group have a mammogram every one-two years. For women over the age of 75, the risk of developing breast cancer continues, but they may be more at risk of developing other diseases that get in the way of early cancer detection.

Are mammograms safe?

Mammography is an X-ray. There is a very low level of radiation exposure during each mammogram. However, X-ray exposure is a cumulative process over a lifetime. Therefore, each mammogram you do get should serve a purpose to you and your health.

In addition to screenings, how can women be proactive about decreasing their risk of developing breast cancer?

Even before age 40, women should learn about and know their individual risks of developing breast cancer, and discuss with their primary care physician to tailor a screening plan specific to them. Women who have an immediate family history (mothers, sisters and aunts) of breast and ovarian cancer, especially below the age of 40, should be offered an evaluation by a genetic counselor to see if they need to start screening at an earlier age. The next step in being proactive involves making healthy lifestyle choices. These include getting regular exercise (30 minutes of aerobic exercise a day, five times a week), managing weight, avoiding smoking and excessive alcohol consumption, and maintaining a healthy diet as much as possible.

What does the future of breast cancer screenings look like?

It’s possible that breast cancer screenings in the future will not be imaging tests. Since breast tissue is so variable, we may need to look at other ways to screen for breast cancer that have not been fully addressed before, such as a blood test for cancer markers. Overall, in the next phase of intervention and research, we will continue to improve — we’ve already gone from analog images to digital, and 3D is now emerging. It takes 10-20 years to see what works and to test equipment, and we want the next step to be valuable.

We need to be careful about what we’re doing, continue to reevaluate, and ultimately ask, “how can we detect cancer early?” We don’t want to over-diagnose or over-treat cancers. We are routinely looking at research to answer, “what are the recommendations?” and “how do screenings impact women at different ages?”

For example, some ask why self-exams have gone out of favor and why we don’t stress that like we used to. With self-exams, it is difficult to detect cancer early because cancer usually starts a little deeper in the breast, which makes it harder to feel it. This doesn’t mean we should ignore our bodies and subtle signs or that self-exams don’t have value.

Breast cancer dramatically affects women and their families. We need to continue to get better at treating it. We also need to keep in mind that whatever we do to improve breast cancer risk and decrease the likelihood of dying from it, we must invest in a woman’s ability to get the information she needs to make a personal plan for her care.

The post Your Questions About Breast Cancer Screening Answered appeared first on Kaiser Permanente Share.

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Get Well Wednesday: Breast Cancer 101

Janna Andrews knew at an early age that she wanted to be a doctor. Raised by her mother, Janna’s academic pursuits were encouraged and supported through her mother’s sacrifice. Janna attended Princeton University and majored in molecular biology. She then attended Temple University School of Medicine, after which she specialized in radiation oncology.

Since returning home to New York, Janna joined the staff at NorthWell Health as an Assistant Clinical Professor of Radiation Oncology, at the Zucker Hofstra School of Medicine. Janna specializes in breast and gynecological cancers as well as gastrointestinal cancers. Five years ago, Janna started a nonprofit called “Kicked It In Heels” for breast cancer survivors, focusing on young women and women of color.

BREAST CANCER AND MAMMOGRAMS:

What is the survival rate for breast cancer diagnosis?

Thanks to advances in technology with mammography and improvements in treatment, the death rates for breast cancer have declined by 40 %. There are over 3 million breast cancer survivors nationally because of this. Over 6 million breast cancer survivors worldwide. This decline is attributed to breast cancer being diagnosed at earlier stages in nations where populations have access to medical care and the most current and up-to-date treatment strategies.

What are the current treatments for breast cancer?

Treatments like improved chemotherapy regimens tailored to the patient’s’ cancer profile. Hormonal therapy for patients with estrogen/progesterone positive disease and even tests based on gene analysis to distinguish who would benefit from chemotherapy vs. hormonal therapy. Women that have Her2-nue positive disease can be treated with Herceptin. And there are many second line-targeted therapies to choose from if the cancer does not respond to the first line of treatment.

In terms of mammography, the introduction of 3D mammography has led to a decrease in biopsies of non-cancerous lesions. 3-D mammograms, or digital breast tomosynthesis (DBT), overlays 3-D optical mammogram images with x-ray images. Not every woman benefits from 3 D mammography but for women with dense breast, it is very helpful at distinguishing what may be cancerous from what is noncancerous. Instead of looking at a deck of cards stacked on top of each other, it’s more like looking a deck of cards fanned out.

How many women are at risk for breast cancer?

One out of eight women will be diagnosed with breast cancer in their lifetime. That means this disease touches everyone. It’s rare to meet someone who has not witnessed a friend, a loved one, a mother or sibling go through the treatment for breast cancer.

While the death rate from breast cancer has decreased, the disparity outcomes in women of color have increased. Despite having lower incidence rates, Black women had a 41% higher breast cancer death rate. 10% more Black women were diagnosed at regional or distant cancer stage compared with white women.

For every 100-breast cancers diagnosed, Black women had nine more deaths than white women (27 deaths per 100 breast cancers diagnosed among Black women compared with 18 per 100 among white women).

What are the specific risks for Black women?

Despite significant progress in breast cancer detection and treatment, Black women experience higher death rates even though they have a lower incidence of breast cancer compared to white women.

What are the causes of this disparity? Lack of access to care? Lack of health insurance? Implicit bias amongst health care providers? Cultural nuances? Lack of Black women participating in clinical trials? Employment issues like getting time off of work to go for treatment, or securing childcare, can all impact a woman’s ability to seek care or get the optimal care.

It’s fantastic to see these disparities change for states like Connecticut, Massachusetts, and Delaware. It is probably a reflection of the 2006 legislation passed in Massachusetts that required all state citizens to have health coverage. Massachusetts also has or had a National Breast and Cervical Cancer Early Detection Program that helps women in poverty get the screenings they need.

Do Black women get cancers that are harder to treat?

Black women are 3 x more likely to be diagnosed with triple-negative breast cancers. Triple negative means that the cancer cells do not express the estrogen, progesterone, or the her2-neu receptor.

Because there are no receptors to target, triple negative breast cancer have to be treated with chemotherapy. The outcome for triple negative breast cancer tends to be worse in that recurrences are more common. But that is not to deter women from getting screened. We have multiple treatment options for all of the different types of breast cancer. Triple negative can be treated.

What can be done to help more women get screened for breast cancer?

All of this information can be quite scary to hear and that can keep many women from getting their mammograms. We are working on ways to deliver this information in a less clinical or intimidating way. My non-profit, Kicked It In Heels, did a project this year called the Beauty Shop Initiative.  We asked hair stylists to have the conversation with their clients about screening and what they knew about breast density.

What was poignant for us about this initiative was how many hair stylists were eager and happy to help, but also how many of these stylists broke down crying because they had never been screened themselves and they were too scared. What the stylist told us each time was that having the conversation helped them address their fear and motivated them to get screened.

TEXT TOM QUESTIONS

Q: Why does 3D mammography cost more and insurance does not cover it? 

A: 3D mammography is still relatively new.  It increases the cost of a mammogram by roughly $ 50-100.  We know that 3D mammography decreases the number of false positives but insurance companies are slow to cover it because there isn’t enough information yet that it will improve outcomes. It decreases the number of callbacks for noncancerous lesions and in a large study of over 450,000 women, the detection of larger cancerous lesions went up by 41%.

Q: We know the females in the family should definitely be tested if there is a high risk. What about the males in the family?

A: Men can get breast cancer, too. This is a great question! Male breast cancers make up about 1% of all breast cancers. There is no screening test for men at this time. Men should be familiar with their bodies and know their family history.  If there is a history of a BRCA mutation or a strong family history then they are at higher risk of developing breast cancer.

What are dense breasts?

A: So when women are breastfeeding, their breast are very dense so just having a mammogram itself can be very uncomfortable. 3D mammography while breastfeeding is safe, but the mammography reading of a lactating breast can be challenging.  If a woman feels a lump or notices a change in her breast while breastfeeding, she should undergo mammography otherwise some centers suggest a woman wait until she’s been done breastfeeding for about six months.

This year I decided to do the 3 D mammography – this was 2 weeks ago. I have been called back for an enlarged mass in my medial right breast. My question is – why was my regular exam unable to identify this in one year?

A:  Unfortunately, the mass may not have been present a year ago. I think the year and a day rule is interesting and I’ve experienced it myself.  I think that is just the insurance companies trying to control their bottom line in assuring that women are being checked at least once a year, but not more often if not indicated.

Q: My mother was diagnosed with breast cancer at 52. When should I start my mammograms?

A: So this is a controversial question. The American Cancer Society recently changed their recommendations two years ago to say that women should start having annual mammograms at age 45 but with the option of starting at 40.  The US Preventative Services Task Force suggest that women should start having mammograms by age 50.

That being said, the American College of Radiology and the National Comprehensive Cancer Network still recommend that mammography starts at age 40 and I agree. Although the risk of developing breast cancer increases with age, young women, especially young Black women, are often diagnosed younger.

Q: What do you think about thermography instead of yearly mammograms to decrease radiation?

A:  Breast thermography should be used as a tool with mammography, but it cannot replace it. Thermography is a risk assessment tool that can give additional information when used with mammography.

Q: How does the common African-American diet impact breast cancer?

A: Eating a well-balanced diet is a great behavioral risk factor that anyone can change. Ideally, postmenopausal women want to avoid large fluctuations in weight gain in an effort to reduce their risk.  Diet and exercise apply to breast cancer survivors as well, both help to reduce the risk of recurrence.

Q: I had my mammograms every year, which were all normal. I felt a lump, went to the doctor, had another mammogram and ultrasound. Neither noticed the lump, but an ultrasound found irregularities. I had a biopsy and was diagnosed with Stage 3 breast cancer 3 years ago.

A: Unfortunately, breast cancers can grow quickly. It sounds like you were on top of your annual mammograms and were familiar with your body to notice a change, which is crucial.

Q: There is a large amount of cancer in my immediate family – my father died from prostate cancer, my mother had kidney cancer and my brother had throat cancer. They are all deceased. Should I be concerned about my cancer risk and would breast cancer specifically be a concern?

A: There are certain familial syndromes that increase your risk of developing breast cancer; they account for roughly 15% of breast cancers diagnosed.  It may be ideal to sit down with a geneticist and go over your family history.  The geneticist can then decide whether you may benefit from having a gene panel run to further assess your risk.

Q: I think why women delay a second mammogram after an abnormal is because they have to pay for it. Why do they have to pay for an abnormal test?

A: That is a good question. I’m not aware that women have to pay for the second mammogram or further screening if the initial test is abnormal.  Women often have to pay for a second opinion, but should fit any charges that arise from additional screening depending on their insurance company.

Q: I have dense breasts and I have a cyst the size of a nickel. I have yearly mammograms. If the cyst gets bigger, should they remove it?

A: It’s great that you are aware that you have dense breasts.  If the cyst is not painful and it’s not affecting the shape of your breast, it probably does not need to be removed.

Q: I m a 46-year-old African American woman and I’ve been getting diagnostic mammograms for the past 4 years or so, because I have dense breasts and a palpable mass in my left breast. I also had a hysterectomy in 2015 because of endometriosis and fibroids. My aunt just finished radiation for breast cancer. Is my risk higher? What changes can I make now to try to keep my risk low?

A:  Yes, your risk is higher because of your family history and also because you have dense breasts. Speak to your physician  -there are medications that you may be interested in using to decrease your risk but going for your annual mammograms and knowing your family history are key. Maintaining a healthy weight, avoiding excessive alcohol use can also help to decrease your risk.

Q: Are there any lifestyle changes that give us an advantage in staving off breast cancer?

A: Exercising up to 150 minutes a week at a moderate pace or 75 minutes of vigorous exercise is a lifestyle change that will pay in dividends. Eating a well-balanced diet, avoiding excess alcohol, all decrease your risk.

Q: I’m blessed to see 50, but does your breast tissue change with age? I felt a difference with my breast exam and had a mammogram & scan with an all clear, but still wonder.

A: Yes, breast tissue tends to become fattier as women age.

Q: My doctor ordered the 3D mamo for the first time last year and they discovered calcification in the left and said they were not cancers and just to come back in 6 months for a re-check. At the 6-month check all was good, then this year the same finding for the right beast, so I have to go back in 6 months for a re-check, What can you tell me about this calcification, what is it and where does it come from?

A: Not all calcifications are cancer, depending on their appearance, they can just be benign findings.  But some pre-invasive breast cancers called DCIS can present with calcifications and the center is watching the calcifications every 6 months to make sure they don’t change.

Q: If you are diagnosed with a Stage 0, why is there an urgency to do the mastectomy? Is it like the Cesarean epidemic because of the type of insurance the patient has? Why isn’t immunotherapy pushed more in our community?

A: There shouldn’t be an urgency to mastectomy for Stage 0 breast cancer.  Depending on how extensive the cancer is in the breast, a lumpectomy may not be the best option but the advantages and disadvantages of both options should be discussed.

Immunotherapy, or using the immune system as a mechanism to fight cancer, is a promising field but many studies and drugs are still under investigation in terms of efficacy. They are often offered on a clinical trial before they are offered to the general public to prove safety and efficacy.

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Life & Style – Black America Web

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Breast Cancer Sucks, But Remember: So Do All Other Cancers

Rarer forms need funding just as much, even though they may not be a natural fit for a cutesy slogan or benefit from an A-list celebrity who’s just been diagnosed.

Health – Good Housekeeping

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Woman writes tribute to nurses caring for her 2-year-old with cancer

Shelby Skiles’ note was liked by thousands on Facebook.
ABC News: Health

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http://www.acrx.org -As millions of Americans strive to deal with the economic downturn,loss of jobs,foreclosures,high cost of gas,and the rising cost of prescription drug cost. Charles Myrick ,the President of American Consultants Rx, announced the re-release of the American Consultants Rx community service project which consist of millions of free discount prescription cards being donated to thousands of not for profits,hospitals,schools,churches,etc. in an effort to assist the uninsured,under insured,and seniors deal with the high cost of prescription drugs.-American Consultants Rx -Pharmacy Discount Network News

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Doctors First Diagnosed This 29-Year-Old With IBS — Later, She Died of Cancer

“Please push to be checked if needed, don’t let this happen to you,” she wrote days before her death.

Health – Good Housekeeping

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Julia Louis-Dreyfus Shares Update After Her Second Round of Chemotherapy for Breast Cancer

The actress took to Instagram to thank her Veep costars for their support.

Health – Good Housekeeping

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$417M award against Johnson & Johnson tossed in cancer suit

LOS ANGELES — A judge on Friday tossed out a $ 417 million jury award to a woman who claimed she developed ovarian cancer by using Johnson & Johnson talc-based baby powder for feminine hygiene. Los Angeles County Superior Court Judge Maren Nelson granted the company’s request for a new trial, saying there were errors and…
Business | New York Post

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Oral sex can cause mouth and throat cancer: study

Lotharios who smoke and go down on their girlfriends are more likely to get a rare mouth and throat cancer. Smokers who have had more than five sexual partners are at greater risk of getting the cancer triggered by the human papilloma virus. But scientist reassure that only 0.7 percent of men will ever develop…
Living | New York Post

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US regulators approve 2nd gene therapy for blood cancer

TRENTON, N.J. (AP) — U.S. regulators on Wednesday approved a second gene therapy for a blood cancer, a one-time, custom-made treatment for aggressive lymphoma in adults.
Health Headlines

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http://www.acrx.org -As millions of Americans strive to deal with the economic downturn,loss of jobs,foreclosures,high cost of gas,and the rising cost of prescription drug cost. Charles Myrick ,the President of American Consultants Rx, announced the re-release of the American Consultants Rx community service project which consist of millions of free discount prescription cards being donated to thousands of not for profits,hospitals,schools,churches,etc. in an effort to assist the uninsured,under insured,and seniors deal with the high cost of prescription drugs.-American Consultants Rx -Pharmacy Discount Network News

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Doctors Use Patients’ Genes to Guide Cancer Care

Associated Press

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http://www.acrx.org -As millions of Americans strive to deal with the economic downturn,loss of jobs,foreclosures,high cost of gas,and the rising cost of prescription drug cost. Charles Myrick ,the President of American Consultants Rx, announced the re-release of the American Consultants Rx community service project which consist of millions of free discount prescription cards being donated to thousands of not for profits,hospitals,schools,churches,etc. in an effort to assist the uninsured,under insured,and seniors deal with the high cost of prescription drugs.-American Consultants Rx -Pharmacy Discount Network News

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Statins Linked to Lower Rates of Breast Cancer and Mortality

Statins Linked to Lower Rates of Breast Cancer and Mortality

A 14 year study in more than one million people has found that women with high cholesterol have significantly lower rates of breast cancer and improved mortality. The research, presented at European Society of Cardiology Congress, suggests that statins are associated with lower rates of breast cancer and subsequent mortality. “This is the most conclusive and direct evidence as yet to confirm the…

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Statins Linked to Lower Rates of Breast Cancer and Mortality

A 14 year study in more than one million people has found that women with high cholesterol have significantly lower rates of breast cancer and improved mortality. The research, presented at European Society of Cardiology Congress, suggests that statins are associated with lower rates of breast cancer and subsequent mortality.

“This is the most conclusive and direct evidence as yet to confirm the link between high cholesterol and breast cancer, a topic that has been fascinating researchers for the past few years,” said Dr Rahul Potluri, senior author and founder of the ACALM Study Unit at Aston Medical School, Aston University, Birmingham, UK.

“Showing that patients with high cholesterol have a lower risk of developing breast cancer and subsequent mortality in a longitudinal study like this provides the strongest evidence for a protective effect, which is likely related to statins. -Dr Rahul Potluri”

“We previously found an association between having high cholesterol and developing breast cancer so we designed this study to follow up patients longitudinally and address the relationship more robustly,” he continued. “Showing that patients with high cholesterol have a lower risk of developing breast cancer and subsequent mortality in a longitudinal study like this provides the strongest evidence for a protective effect, which is likely related to statins.”

The current study followed-up women aged 40 or more with, and without, a diagnosis of high cholesterol and compared the development of breast cancer and subsequent mortality rates in the two groups. Patients admitted to UK hospitals with high cholesterol between 1 January 2000 and 31 March 2013 were recruited from the Algorithm for Comorbidities, Associations, Length of stay and Mortality (ACALM) clinical database. They were followed-up until 2013 for a new diagnosis of breast cancer and subsequent mortality obtained from the Office for National Statistics. Analyses were performed to adjust for demographic and clinical characteristics between the groups.

Out of a total of 1 220,024 patients in the ACALM study, there were 16,043 women with high cholesterol aged 40 or over who were compared to an equivalently sized and age-matched group of patients without high cholesterol.

The researchers found that those with high cholesterol were 45% less likely to develop breast cancer than those without high cholesterol. After adjusting for factors which might influence mortality, including age, sex, ethnicity, and the ten most common causes of death in the UK, the researchers found that patients who developed breast cancer were 40% less likely to die if they had high cholesterol than if they did not.

Dr Potluri said: “Compared to those without high cholesterol, patients with high cholesterol had a 45% reduced risk of breast cancer, and if they did develop breast cancer, a 40% reduced chance of death. If a diagnosis of high cholesterol leads to lower breast cancer rates this must either relate to something inherent in the condition or affected patients, or more likely, to treatment with widely used cholesterol lowering interventions such as statins.”

Dr Paul Carter, lead author of this study and researcher at the ACALM Study Unit, said: “Our research confirms that women with a diagnosis of high cholesterol have strikingly lower rates of breast cancer with improved death rates and survival. Building on previous research by us and other groups, including animal studies in which statins reduced the risk of breast cancer, this gives a strong indication that statins produce this protective effect in breast cancer.”

“Statins have some of the best mortality evidence amongst all cardiovascular medications and their use in patients with a diagnosis of high cholesterol is likely the reason this diagnosis appears to be protective against the development of breast cancer and subsequent mortality,” continued Dr Carter.

He added: “The results of this study provide the strongest justification to date for a clinical trial evaluating the protective effect of statins in patients with breast cancer, and this is what we intend to do.”

Dr Carter concluded: “Patients with breast cancer who have high cholesterol, people at high risk of cardiovascular disease, and those with established cardiovascular disease should be given statins according to current guidelines. I don’t think at the moment we can give statins to prevent or reduce mortality from breast cancer per se. But a positive result in a clinical trial could change this and it is an exciting and rapidly progressing field.”

 

Materials provided by European Society of Cardiology.

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Live Phone Calls Better Than Text Messages and Letters to Remind People About Colon Cancer Screening

PORTLAND, Ore. — Live phone calls significantly outperform text messages and letters as a way to remind patients to complete and return at-home screening tests for colon cancer, according to new research in the Journal of General Internal Medicine.

The study included more than 2,700 patients who receive care in safety-net clinics and who were overdue for colon cancer screening. Colon cancer screening is recommended for everyone ages 50-75.

The patients were sent test kits by mail, and 10 percent mailed back their completed tests within three weeks. Those who did not return the kits within that period were assigned to one of seven reminder interventions. These included a phone call from a clinic outreach worker (live call), two automated calls, two text messages, a single reminder letter, or a combination of these strategies.

The live phone call intervention was most effective, resulting in 32 percent of patients in this group completing and returning their test kit within six months. The text message intervention was the least effective — only 17 percent of patients in this group completed and mailed back their test.

“We knew that these patients are not as text savvy as younger patients, but we didn’t expect text messaging to do so poorly, compared to the other strategies,” said Gloria Coronado, PhD, lead author and cancer disparities researcher with the Kaiser Permanente Center for Health Research. “Text messaging is a relatively inexpensive way to send patient reminders, but for this group it was also relatively ineffective.”

Patients received the various reminders in their preferred language. Phone calls were the most effective strategy for all patients, but English speakers were more likely to resond to live phone calls, while Spanish speakers were more likely to respond to the combination of a live call and two automated calls.

People assigned to receive the live call and the automated calls had more contacts with the health care system. It appears that Spanish speakers appreciated this additional contact, while English speakers may have been more likely to disregard the additional automated calls, said Coronado.

“The phone calls may help to build trust or confianza, which is an important value and motivator for care-seeking among Hispanics,” added Ricardo Jimenez, MD, co-author and medical director of Sea Mar Community Health Centers in Seattle, where the study took place.

“Our study shows that one reminder intervention doesn’t necessarily work for all patients. We need to design interventions tailored to the patient’s language and cultural preference,” explained Coronado.

Initially, at-home fecal screening tests were sent to 2,722 patients who received their health care in the Sea Mar system and who were overdue for colon cancer screening. Some of the tests were returned by the U.S. Postal Service because patients no longer lived at the address on file. After excluding these patients and the patients who mailed their test kits back within three weeks, there were 2,010 assigned to one of the seven reminder interventions.

The authors believe it is the first study to rigorously test the effectiveness of reminder strategies in a safety net system among patients with different language preferences.

Study strengths include its large, diverse sample size and ability to capture the patients’ demographic and medical information in the medical record. The study also has some limitations. Researchers could determine whether the text messages were sent to active cell numbers, but not whether patients received the text messages. They also don’t know whether patients listened to the automated phone messages or read the postcards.

The study was funded by a grant from the National Institutes of Health Common Fund and the National Cancer Institute, and is part of the larger STOP Colon Cancer pragmatic trial that aims to improve colorectal cancer screening in community health clinics in Oregon, California and Washington (UH2AT007782) (4UH3CA188640-02).

In addition to Coronado and Dr. Jimenez, other authors include Jennifer Rivelli, MA, Morgan Fuoco, MA, William Vollmer, PhD, Amanda Petrik, MS, Erin Keast, MPH, from the Kaiser Permanente Center for Health Research in Portland, Oregon, and Sara Barker, MPH, and Emily Topalanchik from Sea Mar Community Health Center in Seattle..

About the Kaiser Permanente Center for Health Research
The Kaiser Permanente Center for Health Research, founded in 1964, is a nonprofit research institution dedicated to advancing knowledge to improve health. It has research sites in Portland, Oregon and Honolulu, Hawaii. Visit kpchr.org for more information.

About Kaiser Permanente
Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and not-for-profit health plans. Founded in 1945, Kaiser Permanente has a mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve 11.8 million members in eight states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists and caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to share.kaiserpermanente.org.

 

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Dog the Bounty Hunter Updates Fans on Beth’s Cancer Treatment

“On a one to 10, her pain is about a 9, so … she’s not good.”

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Boy Bullied for Growing Hair Out for Cancer Patients Now Has Stage 4 Lymphoma

90 days ago he was cancer-free.

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Study questions European approval process for cancer drugs

LONDON (AP) — Only about half of the cancer drugs approved by the European Medicines Agency in the last few years were later shown to help patients live longer or improved their lives, a new study says.
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Cervical Cancer Survivor Warns of Surprising Symptom You Should Never Ignore

She chalked her stomach pains up to drinking too much sparkling water.

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Mom Dismisses Weird Bump as Blackhead, Finds Out It Was Skin Cancer

Her “adult acne” was actually squamous cell carcinoma.

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Angelina Jolie’s doctor shares top 10 breast cancer prevention tips

Here are 10 diet and lifestyle changes to reduce your risk of breast cancer.
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15 Things Not to Say to Someone With Breast Cancer

(And the one thing every woman wants to hear)

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Julia Louis-Dreyfus and Son Henry Hall Thank Fans for Support After Her Breast Cancer Diagnosis

Julia-Louis Dreyfus took to Twitter on Friday, September 29, to say thank-you for the messages of support she received after revealing she is battling breast

This article originally appeared on www.usmagazine.com: Julia Louis-Dreyfus and Son Henry Hall Thank Fans for Support After Her Breast Cancer Diagnosis

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Julia Louis-Dreyfus Reveals She Has Breast Cancer

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Johnson & Johnson Ordered to Pay $417M in Lawsuit Linking Baby Powder to Cancer

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Does Using Talcum Powder Increase the Risk of Ovarian Cancer?

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Dog the Bounty Hunter’s Wife, Beth, Has Been Diagnosed With Throat Cancer

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More Women Have Fibromyalgia Than Breast Cancer

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Surgeons Have Major Influence on Breast Cancer Treatment

Written by Nicole Fawcett, manager of cancer communication for the University of Michigan Comprehensive Cancer Center

Surgeon attitudes were biggest driver of likelihood patients receive contralateral prophylactic mastectomy, a new study finds

The procedure, called contralateral prophylactic mastectomy or CPM, involves removing both breasts even when cancer is found only in one. It is seen to be strongly driven by patients’ preferences.

A new study, published in JAMA Surgery, finds that surgeons had the strongest influence on the likelihood of a woman having CPM.

“Surgeons have huge influence on treatment, and with that comes ultimate responsibility to get it right with patients, even with a procedure that seems to be driven largely by patient preference,” says senior study author Steven J. Katz, M.D., MPH, professor of medicine and of health management and policy at the University of Michigan.

For surgeons who heavily favored breast-conserving surgery and were most reluctant to perform CPM, only 4 percent of their patients had CPM. For surgeons who least favored conservation and were most willing to do CPM, the rate was 34 percent.

Researchers surveyed 3,353 women with early stage breast cancer and matched them to 349 surgeons, who were also surveyed. About 16 percent of the women reported receiving CPM.

Surgeons were asked to assess a typical patient scenario and indicate what treatment they would recommend. From there, the researchers categorized surgeons based on most to least likely to favor breast conservation.

Surgeons also indicated whether they would perform CPM if the patient requested it. Responses were categorized based on most to least likely to perform the procedure.

The researchers found the surgeons’ attitudes had a large impact on whether the patient received CPM.

“Two attitudes seem to explain the difference: how strongly the surgeon favors breast-conserving surgery and how reluctant the surgeon is to perform CPM,” Katz says.

For most women with early stage breast cancer in one breast, removing the unaffected breast does not improve survival. Many experts question whether CPM in these women is overtreatment.

For surgeons who heavily favored breast-conserving surgery and were most reluctant to perform CPM, only 4 percent of their patients had CPM. For surgeons who least favored conservation and were most willing to do CPM, the rate was 34 percent.

“That difference is huge. Even for a procedure that is very patient-driven, we see that surgeons account for a lot of the variability in the community, and those surgeon attitudes really matter in terms of whether a patient does or does not get CPM,” Katz says.

What drives CPM

The three most common reasons surgeons reported for performing double mastectomy if the patient requested it were to give patients peace of mind, avoid conflict and improve cosmetic outcomes.

SEE ALSO: How Decision-Making Habits Influence the Breast Cancer Treatment Decisions Women Consider

For most women with early stage breast cancer in one breast, removing the unaffected breast does not improve survival. Many experts question whether CPM in these women is overtreatment.

“More extensive treatment than is needed equals more harm and more side effects. There’s a sea change going on among cancer doctors who increasingly recognize potential overtreatment and strive to reduce it,” says study author Monica Morrow, M.D., chief of the breast surgical service at Memorial Sloan Kettering Cancer Center.

“If a patient does not feel 100 percent confident with what their doctor is discussing and recommending, they should seek a second opinion,” Katz adds.

The post Surgeons Have Major Influence on Breast Cancer Treatment appeared first on Women's Health.

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Eva Longoria Opens Up About Her Special Needs Sister’s Breast Cancer: ‘She Had a Hard Enough Life as It Is’

On Friday, Eva Longoria opened up about her special needs sister Liza’s frightening breast cancer diagnosis.

“It was a couple years ago,” Longoria told PEOPLE at the Kiss This 4MBC launch event in New York City.  “I never said anything because it was a private thing. It was my special needs sister too so she had a hard enough life as it is.”

“She got it early, stage 1, mammogram. We were lucky,” Longoria continued. “But one in three women who get breast cancer get metastatic , where it spreads throughout the body.”

When asked why she had decided to start talking about her sister’s history with cancer now, Longoria replied, “I haven’t spoken about my sister on purpose and then when this campaign came up I felt like, you know what, I’m literate on the breast cancer subject and I didn’t even know about metastatic breast cancer.”

“So I thought, how many people don’t know about this? And if I have a platform that can help women learn about this, if I have a platform that can help raise funds to find a cure for it, that’s even better,” Longoria added.

RELATED VIDEO: Eva Longoria Shares Her Top Three Tips to Pulling Off a Dramatic ‘Telenovela’

“It’s definitely important because it’s the least fielded, terminal cancer,” Longoria continued. “We’ve had so many advances in preventative and early stage and that’s great because there’s nothing better than stage zero. But these women are stage four and they usually have a 2 year life expectancy. And there is no cure so these are the women in most need.”

When asked about what advice she had for women who wanted more info about metastatic breast cancer, Longoria said to put themselves first for once.

“Women are horrible at putting themselves first,” Longoria said. “And the thing that suffers is your health.”

“So I would encourage every woman that comes here to be their own advocate,” she added. “because you gotta insist on that test or insist on that sonogram — insist on that extra step. And don’t take no for an answer when it comes to your own health. That’s a general life thing, not just health. It’s the airplane thing, put your own mask on before helping others.”

Longoria has previously called her sister Liza “her hero.”

“She was my hero growing up,” Longoria told Parade in 2007. “It was a blessing to watch her overcome every obstacle – tying her shoes, putting on a shirt, getting out the front door. And yet she still had a job and would come home on the bus by herself and help with dinner. You could only imagine the hurdles she encountered every minute of the day.”

She even said her sister helped her career in some ways. “Liza was a role model to get me ready for life in Hollywood,” Longoria continued. “You don’t take health for granted. You don’t take life for granted. It seems so insignificant to go, ‘Darn it, I didn’t get that movie role,’ or, ‘Darn it, so-and-so is wearing the same dress as me to the Emmys.’ ”

Eva Longoria has teamed up with Novartis and the Kiss This 4MBC campaign. For every boomerang and selfie posted with #kissthis4mbc Novartis will donate $ 10 to metastatic breast cancer research. More information can be found at kissthis4mbc.com.


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Surgeons Have Major Influence on Breast Cancer Treatment

Surgeons Have Major Influence on Breast Cancer Treatment

Written by Nicole Fawcett, manager of cancer communication for the University of Michigan Comprehensive Cancer Center Surgeon attitudes were biggest driver of likelihood patients receive contralateral prophylactic mastectomy, a new study finds The procedure, called contralateral prophylactic mastectomy or CPM, involves removing both breasts even when cancer is found only in one. It is seen to be…

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2 US scientists awarded Balzan Prize for cancer research

MILAN (AP) — Two U.S. scientists whose work has contributed to creating immunological treatments for cancer are among the winners of this year’s Balzan Prizes, announced Monday, recognizing scholarly and scientific achievements.
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Woman Shares Photo Journey After “Pimple” Turns Out to Be Skin Cancer

The “acne” caused her to lose most of her nose, eight teeth and part of her jaw in over 30 different surgeries.

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Affordable Care Act helps insure lower-income cancer patients, study says

The percentage of poor, newly diagnosed cancer patients without health insurance fell in states that expanded Medicaid under the Affordable Care Act.
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Coffee could soon carry cancer warnings on packaging

A bitter legal “brew-ha-ha” that could roil the coffee world has kicked off in Los Angeles. Starbucks and a host of other coffee sellers are fighting a lawsuit that alleges roasted coffee beans contain low levels of a carcinogen — and therefore coffee products sold in California, from lattes to packaged beans, should carry Surgeon…
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Mom Shares Instagram Photo to Make a Point About Hidden Cancer Symptoms

An important reminder that you don’t have to feel sick to be sick.

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Manicurist Shares Warning That a “Black Line” on Nails Could Be a Sign of Skin Cancer

She noticed it on a client, whose prognosis is reportedly “not good.”

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Androgen Deprivation Therapy Associated with Higher Risk of Heart Failure in Men with Early-Stage Prostate Cancer

PASADENA, Calif. — Men with localized prostate cancer who received androgen deprivation therapy, a hormone treatment, were at significantly higher risk of heart failure than men who did not receive this therapy, according to a Kaiser Permanente study published today in the British Journal of Cancer.

In the past, androgen deprivation therapy has been used for advanced prostate cancer. Now, it is increasingly being used to treat prostate cancer in an earlier stage, before it has spread, which is often referred to as localized prostate cancer. However, the safety, risk and benefits of this therapy have not been established, said lead author Reina Haque, PhD, MPH, a researcher with the Kaiser Permanente Southern California Department of Research & Evaluation.

The goal of androgen deprivation therapy is to reduce levels of male hormones, called androgens, or to stop them from stimulating prostate cancer cells to grow. Androgen deprivation therapy can lower androgen to the same level as surgical castration within three weeks. This research, which looked at a large cohort of men with localized prostate cancer, suggests androgen deprivation therapy may be related to an increased risk of cardiovascular disease in this population.

The study found that for men with localized prostate cancer, androgen deprivation therapy was associated with:

  • An 81 percent increased risk of heart failure in men without pre-existing cardiovascular disease
  • An increased risk of heart rhythm problems for men with pre-existing cardiovascular disease, including a 44 percent increased risk of arrhythmia
  • An increased risk (three times more likely) for men with pre-existing cardiovascular disease of developing conduction disorder, an interruption of the electrical impulses to the heart

“The implication is that patients with localized prostate cancer should be followed to minimize the health effects of androgen deprivation therapy on the cardiovascular system,” Haque said. “Patients should consider lifestyle changes, and physicians should actively monitor the patient’s health for early signs of heart disease.”

Kaiser Permanente researchers followed a cohort of 7,637 men diagnosed with localized prostate cancer between 1998 and 2008 who were initially under “watchful waiting,” which means they were being followed by a physician to gauge the progression of the cancer. Researchers followed them for up to 12 years after diagnosis. Nearly 30 percent were treated with androgen deprivation therapy. Many of the men were under the age of 60.

To determine the effect of androgen deprivation therapy on men with localized prostate cancer, researchers assessed a comprehensive set of factors including pre-existing cardiovascular disease, diabetes, hypertension, use of cardiovascular medications, smoking, body mass index and PSA levels. This allowed the researchers to account for the differences that could increase the risk of heart attacks, such as smoking, or previous cardiovascular disease.

“The findings allow men with localized prostate cancer to consider the positive and negative effects of androgen deprivation therapy and discuss it with their physicians,” said Haque. “If they move forward with the therapy, patients should work with their physicians to adjust their lifestyle to reduce the risk of cardiovascular disease.”

This study adds to previous Kaiser Permanente research aimed at improving men’s health, including work developing a better health care delivery model for men with prostate cancer, and determining how a man’s weight might affect his prostate cancer outcomes.

Additional study authors include Xiaoqing Xu, PhD, Kaiser Permanente Southern California Department of Research & Evaluation; Stephen K. Van Den Eeden, PhD, Kaiser Permanente Northern California Division of Research; Marianne Ulcickas Yood, PhD, Boston University School of Public Health; Andrea E. Cassidy-Bushrow, PhD, Henry Ford Health Systems; Nancy L. Keating, MD, MPH, Division of General Internal Medicine, Brigham & Women’s Hospital and Department of Health Care Policy, Harvard Medical School; and Huei-Ting Tsai, PhD, and Arnold L. Potosky, PhD, Lombardi Comprehensive Cancer Center, Georgetown University.

About the Kaiser Permanente Southern California Department of Research & Evaluation
The Department of Research & Evaluation conducts high-quality, innovative research into disease etiology, prevention, treatment and care delivery. Investigators conduct epidemiologic research, health services research, biostatistics research, and behavioral research as well as clinical trials. Major areas of study include chronic disease, infectious disease, cancer, drug safety and effectiveness, and maternal and child health. Headquartered in Pasadena, California, the department focuses on translating research to practice quickly to benefit the health and lives of Kaiser Permanente Southern California members and the general public. Visit kp.org/research.

About Kaiser Permanente
Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and not-for-profit health plans. Founded in 1945, Kaiser Permanente has a mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve more than 11.8 million members in eight states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to: kp.org/share.

The post Androgen Deprivation Therapy Associated with Higher Risk of Heart Failure in Men with Early-Stage Prostate Cancer appeared first on Kaiser Permanente Share.

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Lung Cancer Sufferer’s Photo Goes Viral After Making an Important Point About Symptoms

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Health – Good Housekeeping

HEALTH CARE UPDATE:

Click today to request your free ACRX discount prescription card and save up to 80% off of your medicine!

SPECIAL DONATION REQUEST UPDATE:

Please help American Consultants Rx achieve it’s biggest goal yet of donating over 30 million discount prescription cards to over 50k organizations in an effort to assist millions of Americans in need. Please click here to donate today!

Free Medicine Help Donated to Cancer Society of Greenville County by Charles Myrick of ACRX

ACRX Recognition Gallery: American Consultants Rx
http://www.acrx.org -As millions of Americans strive to deal with the economic downturn,loss of jobs,foreclosures,high cost of gas,and the rising cost of prescription drug cost. Charles Myrick ,the President of American Consultants Rx, announced the re-release of the American Consultants Rx community service project which consist of millions of free discount prescription cards being donated to thousands of not for profits,hospitals,schools,churches,etc. in an effort to assist the uninsured,under insured,and seniors deal with the high cost of prescription drugs.

The American Consultants Rx discount prescription cards are to be given free to anyone in need of help curbing the high cost of prescription drugs.

Due to the rising costs, unstable economics, and the mounting cost of prescriptions, American Consultants Rx Inc. (ACRX) a.k.a (ACIRX) an Atlanta based company was born in 2004. The ACRX discount prescription card program was created and over 25 million discount prescription cards were donated to over 18k organizations across the country to be distributed to those in need of prescription assistance free of charge since 2004.

The ACRX cards will offer discounts of name brand drugs of up to 40% off and up to 60% off of generic drugs. They also possess no eligibility requirements, no forms to fill out, or expiration date as well .One card will take care of a whole family. Also note that the ACRX cards will come to your organization already pre-activated .The cards are good at over 50k stores from Walgreen, Wal mart, Eckerd”s, Kmart, Kroger, Publix, and many more. Any one can use these cards but ACRX is focusing on those who are uninsured, underinsured, or on Medicare. The ACRX cards are now in Spanish as well.

American Consultants Rx made arrangements online for the ACRX card to be available at http://www.acrxcards.com where it can also be downloaded. This arrangement has been made to allow organizations an avenue to continue assisting their clients in the community until they receive their orders of the ACRX cards. ACRX made it possible for cards to be requested from online for individuals and organizations free of charge. Request for the ACRX cards can also be made by mailing a request to : ACRX, P.O.Box 161336,Atlanta,GA 30321, faxing a written request to 404-305-9539,or calling the office at 404-767-1072. Please include name (if organization please include organization and contact name),mailing address,designate Spanish or English,amount of cards requested,and telephone number.

American Consultants Rx is working diligently to assist as many people and organizations as possible. It should be noted that while many other organizations and companies place a cost on their money saving cards, American Consultants Rx does not believe a cost should be applied, just to assist our fellow Americans. American Consultants Rx states that it will continue to strive to assist those in need.

HEALTHCARE UPDATE:

Click today to request your free ACRX discount prescription card and save up to 80% off of your medicine!

Phillies Unnerved by Possible Brain Cancer Pattern After Darren Daulton Death

Philadelphia Phillies' all-star catcher Darren Daulton died of brain cancer at age 55 in early August. Glioblastoma, the aggressive and common form of malignant brain tumor that Daulton had is now giving his team and disease researchers alike pause, the New York

This article originally appeared on www.rollingstone.com: Phillies Unnerved by Possible Brain Cancer Pattern After Darren Daulton Death

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SPECIAL NEWS BULLETIN:

http://www.acrx.org -As millions of Americans strive to deal with the economic downturn,loss of jobs,foreclosures,high cost of gas,and the rising cost of prescription drug cost. Charles Myrick ,the President of American Consultants Rx, announced the re-release of the American Consultants Rx community service project which consist of millions of free discount prescription cards being donated to thousands of not for profits,hospitals,schools,churches,etc. in an effort to assist the uninsured,under insured,and seniors deal with the high cost of prescription drugs.-American Consultants Rx -Pharmacy Discount Network News

BEST DEAL UPDATE BY AMERICAN CONSULTANTS RX:

Click today to request your free ACRX discount prescription card and save up to 80% off of your medicine!

SPECIAL DONATION REQUEST UPDATE:

Please help American Consultants Rx achieve it’s biggest goal yet of donating over 30 million discount prescription cards to over 50k organizations in an effort to assist millions of Americans in need. Please click here to donate today!

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Health – Good Housekeeping

HEALTH CARE UPDATE:

Click today to request your free ACRX discount prescription card and save up to 80% off of your medicine!

SPECIAL DONATION REQUEST UPDATE:

Please help American Consultants Rx achieve it’s biggest goal yet of donating over 30 million discount prescription cards to over 50k organizations in an effort to assist millions of Americans in need. Please click here to donate today!