ATLANTA – Cancer will overtake heart disease as the world's top killer by 2010, part of a trend that should more than double global cancer cases and deaths by 2030, international health experts said in a report released Tuesday. Rising tobacco use in developing countries is believed to be a huge reason for the shift, particularly in China and India, where 40 percent of the world's smokers now live.
So is better diagnosing of cancer, along with the downward trend in infectious diseases that used to be the world's leading killers.
Cancer diagnoses around the world have steadily been rising and are expected to hit 12 million this year. Global cancer deaths are expected to reach 7 million, according to the new report by the World Health Organization.
An annual rise of 1 percent in cases and deaths is expected — with even larger increases in China, Russia and India. That means new cancer cases will likely mushroom to 27 million annually by 2030, with deaths hitting 17 million.
Underlying all this is an expected expansion of the world's population — there will be more people around to get cancer.
By 2030, there could be 75 million people living with cancer around the world, a number that many health care systems are not equipped to handle.
"This is going to present an amazing problem at every level in every society worldwide," said Peter Boyle, director of the WHO's International Agency for Research on Cancer.
Boyle spoke at a news conference with officials from the American Cancer Society, the Lance Armstrong Foundation, Susan G. Komen for the Cure and the National Cancer Institute of Mexico.
The "unprecedented" gathering of organizations is an attempt to draw attention to the global threat of cancer, which isn't recognized as a major, growing health problem in some developing countries.
"Where you live shouldn't determine whether you live," said Hala Moddelmog, Komen's chief executive.
The organizations are calling on governments to act, asking the U.S. to help fund cervical cancer vaccinations and to ratify an international tobacco control treaty.
Concerned about smoking's impact on cancer rates in developing countries in the decades to come, the American Cancer Society also announced it will provide a smoking cessation counseling service in India.
"If we take action, we can keep the numbers from going where they would otherwise go," said John Seffrin, the cancer society's chief executive officer.
Other groups are also voicing support for more action.
"Cancer is one of the greatest untold health crises of the developing world," said Dr. Douglas Blayney, president-elect of the American Society of Clinical Oncology.
"Few are aware that cancer already kills more people in poor countries than HIV, malaria and tuberculosis combined. And if current smoking trends continue, the problem will get significantly worse," he said in a written statement.
By MIKE STOBBE, AP Medical Writer Mike Stobbe, Ap Medical Writer – Tue Dec 9, 5:43 pm ET
Wednesday, December 10, 2008
Monday, November 10, 2008
CEA test used for tracking Colon Cancer
The carcinoembryonic antigen (CEA) test is a laboratory blood study. CEA is a substance which is normally found only during fetal development, but may reappear in adults who develop certain types of cancer.
Purpose
The CEA test is ordered for patients with known cancers. The CEA test is most commonly ordered when a patient has a cancer of the gastrointestinal system. These include cancer of the colon, rectum, stomach (gastric cancer), esophagus, liver, or pancreas. It is also used with cancers of the breast, lung, or prostate.
The CEA level in the blood is one of the factors that doctors consider when determining the prognosis, or most likely outcome of a cancer. In general, a higher CEA level predicts a more severe disease, one that is less likely to be curable. But it does not give clear-cut information. The results of a CEA test are usually considered along with other laboratory and/or imaging studies to follow the course of the disease.
Once treatment for the cancer has begun, CEA tests have a valuable role in monitoring the patient's progress. A decreasing CEA level means therapy is effective in fighting the cancer. A stable or increasing CEA level may mean the treatment is not working, and/or that the tumor is growing. It is important to understand that serial CEA measurements, which means several done over a period of time, are the most useful. A single test result is difficult to evaluate, but a number of tests, done weeks apart, shows trends in disease progression or regression.
Certain types of cancer treatments, such as hormone therapy for breast cancer, may actually cause the CEA level to go up. This elevation does not accurately reflect the state of the disease. It is sometimes referred to as a "flare response." Recognition that a rise in CEA may be temporary and due to therapy is significant. If this possibility is not taken into account, the patient may be unnecessarily discouraged. Further, treatment that is actually effective may be stopped or changed prematurely.
CEA tests are also used to help detect recurrence of a cancer after surgery and/or other treatment has been completed. A rising CEA level may be the first sign of cancer return, and may show up months before other studies or patient symptoms would raise concern. Unfortunately, this does not always mean the recurrent cancer can be cured. For example, only a small percentage of patients with colorectal cancers and rising CEA levels will benefit from another surgical exploration. Those with recurrence in the same area as the original cancer, or with a single metastatic tumor in the liver or lung, have a chance that surgery will eliminate the disease. Patients with more widespread return of the cancer are generally not treatable with surgery. The CEA test will not separate the two groups.
Patients who are most likely to benefit from non-standard treatments, such as bone marrow transplants, may be determined on the basis of CEA values, combined with other test results. CEA levels may be one of the criteria for determining whether the patient will benefit from more expensive studies, such as CT scan or MRI.
Precautions
The CEA test is not a screening test for cancer. It is not useful for detecting the presence of cancer. Many cancers do not produce an increased CEA level. Some noncancerous diseases, such as hepatitis, inflammatory bowel disease, pancreatitis, and obstructive pulmonary disease, may cause an elevated CEA level.
Description
Determination of the CEA level is a laboratory blood test. Obtaining a specimen of blood for the study takes only a few minutes. CEA testing should be covered by most insurance plans.
Preparation
No preparation is required.
Aftercare
None.
Risks
There are no complications or side effects of this test. However, the results of a CEA study should be interpreted with caution. A single test result may not yield clinically useful information. Several studies over a period of months may be needed.
Another concern is the potential for false positive as well as false negative results. A false positive result means the test shows an abnormal value when cancer is not present. A false negative means the test reveals a normal value when cancer actually is present.
Normal results
The absolute numbers which are considered normal vary from one laboratory to another. Any results reported should come with information regarding the testing facility's normal range.
Abnormal results
A single abnormal CEA value may be significant, but must be regarded cautiously. In general, very high CEA levels indicate more serious cancer, with a poorer chance for cure. But some benign diseases and certain cancer treatments may produce an elevated CEA test. Cigarette smoking will also cause the CEA level to be abnormally high.
Purpose
The CEA test is ordered for patients with known cancers. The CEA test is most commonly ordered when a patient has a cancer of the gastrointestinal system. These include cancer of the colon, rectum, stomach (gastric cancer), esophagus, liver, or pancreas. It is also used with cancers of the breast, lung, or prostate.
The CEA level in the blood is one of the factors that doctors consider when determining the prognosis, or most likely outcome of a cancer. In general, a higher CEA level predicts a more severe disease, one that is less likely to be curable. But it does not give clear-cut information. The results of a CEA test are usually considered along with other laboratory and/or imaging studies to follow the course of the disease.
Once treatment for the cancer has begun, CEA tests have a valuable role in monitoring the patient's progress. A decreasing CEA level means therapy is effective in fighting the cancer. A stable or increasing CEA level may mean the treatment is not working, and/or that the tumor is growing. It is important to understand that serial CEA measurements, which means several done over a period of time, are the most useful. A single test result is difficult to evaluate, but a number of tests, done weeks apart, shows trends in disease progression or regression.
Certain types of cancer treatments, such as hormone therapy for breast cancer, may actually cause the CEA level to go up. This elevation does not accurately reflect the state of the disease. It is sometimes referred to as a "flare response." Recognition that a rise in CEA may be temporary and due to therapy is significant. If this possibility is not taken into account, the patient may be unnecessarily discouraged. Further, treatment that is actually effective may be stopped or changed prematurely.
CEA tests are also used to help detect recurrence of a cancer after surgery and/or other treatment has been completed. A rising CEA level may be the first sign of cancer return, and may show up months before other studies or patient symptoms would raise concern. Unfortunately, this does not always mean the recurrent cancer can be cured. For example, only a small percentage of patients with colorectal cancers and rising CEA levels will benefit from another surgical exploration. Those with recurrence in the same area as the original cancer, or with a single metastatic tumor in the liver or lung, have a chance that surgery will eliminate the disease. Patients with more widespread return of the cancer are generally not treatable with surgery. The CEA test will not separate the two groups.
Patients who are most likely to benefit from non-standard treatments, such as bone marrow transplants, may be determined on the basis of CEA values, combined with other test results. CEA levels may be one of the criteria for determining whether the patient will benefit from more expensive studies, such as CT scan or MRI.
Precautions
The CEA test is not a screening test for cancer. It is not useful for detecting the presence of cancer. Many cancers do not produce an increased CEA level. Some noncancerous diseases, such as hepatitis, inflammatory bowel disease, pancreatitis, and obstructive pulmonary disease, may cause an elevated CEA level.
Description
Determination of the CEA level is a laboratory blood test. Obtaining a specimen of blood for the study takes only a few minutes. CEA testing should be covered by most insurance plans.
Preparation
No preparation is required.
Aftercare
None.
Risks
There are no complications or side effects of this test. However, the results of a CEA study should be interpreted with caution. A single test result may not yield clinically useful information. Several studies over a period of months may be needed.
Another concern is the potential for false positive as well as false negative results. A false positive result means the test shows an abnormal value when cancer is not present. A false negative means the test reveals a normal value when cancer actually is present.
Normal results
The absolute numbers which are considered normal vary from one laboratory to another. Any results reported should come with information regarding the testing facility's normal range.
Abnormal results
A single abnormal CEA value may be significant, but must be regarded cautiously. In general, very high CEA levels indicate more serious cancer, with a poorer chance for cure. But some benign diseases and certain cancer treatments may produce an elevated CEA test. Cigarette smoking will also cause the CEA level to be abnormally high.
Wednesday, November 5, 2008
steps to avoid cancer
Some do’s and don’ts for helping to avoid and fight cancer.
Your mental state
* Be positive.
* Resolve stress and past traumas.
* Accept yourself and your emotions, including the negative ones.
* Practice meditation, yoga, tai chi or some other form of relaxation.
Your diet
* These vegetables have great cancer-fighting characteristics: beets, Brussels sprouts, cabbage, garlic, kale, leeks and scallions.
* Also good are onions, blueberries, raspberries, cherries, red wine, soy.
* Increase your intake of omega-3s, typically found in fish (herring, trout, sardines, mackerel, halibut) and flax seeds and oils.
* Avoid sugar, white flour, vegetable oils, white rice and non-organic animal fat (meat, eggs, milk, cheese).
* Filter your tap water.
Your activity
* Spend 20 to 30 minutes a day on a physical activity like tennis, swimming or walking.
* Be out in the sun for 20 minutes every day.
And...
* Avoid being surrounded by people who smoke.
* Use cosmetic products that don’t contain parabens or phthalates.
* Use skin-care products without estrogens or placental by-products.
* Use cleaning products without synthetic chemicals.
* Don’t prepare food in a scratched Teflon pan.
* Reduce the influence of cell phones by using a headset consistently.
Source: David Servan-Schreiber, Anticancer 11-05-08
David Servan-Schreiber | November 2008 issue of ODE Magazine
Your mental state
* Be positive.
* Resolve stress and past traumas.
* Accept yourself and your emotions, including the negative ones.
* Practice meditation, yoga, tai chi or some other form of relaxation.
Your diet
* These vegetables have great cancer-fighting characteristics: beets, Brussels sprouts, cabbage, garlic, kale, leeks and scallions.
* Also good are onions, blueberries, raspberries, cherries, red wine, soy.
* Increase your intake of omega-3s, typically found in fish (herring, trout, sardines, mackerel, halibut) and flax seeds and oils.
* Avoid sugar, white flour, vegetable oils, white rice and non-organic animal fat (meat, eggs, milk, cheese).
* Filter your tap water.
Your activity
* Spend 20 to 30 minutes a day on a physical activity like tennis, swimming or walking.
* Be out in the sun for 20 minutes every day.
And...
* Avoid being surrounded by people who smoke.
* Use cosmetic products that don’t contain parabens or phthalates.
* Use skin-care products without estrogens or placental by-products.
* Use cleaning products without synthetic chemicals.
* Don’t prepare food in a scratched Teflon pan.
* Reduce the influence of cell phones by using a headset consistently.
Source: David Servan-Schreiber, Anticancer 11-05-08
David Servan-Schreiber | November 2008 issue of ODE Magazine
Tuesday, October 7, 2008
How Often Should You Get a Colonoscopy?
If you are at low risk for colorectal cancer, how long should you wait between colonoscopy screenings? Johns Hopkins looked into this question and provides advice.
Most of us grudgingly accept the need for regular colonoscopy screenings but may wonder: Is it really safe to wait a decade before your next colonoscopy? Some researchers have wondered as well.
The 10-year interval, the gold-standard period between screening colonoscopies for people at low risk, is based in part on the amount of time it usually takes a benign polyp to become cancerous. Until recently, there was little evidence to support this practice in people whose previous colonoscopies showed no evidence of cancer or polyps.
But new research suggests that the 10-year standard is more than adequate. In fact, it may be safe -- although not recommended -- to wait up to 20 years between colonoscopy screenings. For example, a Canadian study that reviewed colonoscopy records of 35,975 people confirms that those with a negative (cancer-free) test result had a 72% lower risk of developing cancer over 10 years than the general population.
A German study that spanned more than a decade confirmed this finding and went even further: For people with a prior negative colonoscopy, the low-risk period can extend to 20 years. We're not suggesting that you allow 20 years to pass between your colonoscopy screenings. But if you have a normal colonoscopy result, you can most likely wait at least a decade before undergoing the procedure again.
Important: If a screening colonoscopy catches even one polyp, your risk of colon cancer goes up and so does the recommended frequency of screenings. The same is true if you have a family history of colorectal cancer or other risk factors for colorectal cancer.
Posted in Colon Cancer on October 7, 2008
Most of us grudgingly accept the need for regular colonoscopy screenings but may wonder: Is it really safe to wait a decade before your next colonoscopy? Some researchers have wondered as well.
The 10-year interval, the gold-standard period between screening colonoscopies for people at low risk, is based in part on the amount of time it usually takes a benign polyp to become cancerous. Until recently, there was little evidence to support this practice in people whose previous colonoscopies showed no evidence of cancer or polyps.
But new research suggests that the 10-year standard is more than adequate. In fact, it may be safe -- although not recommended -- to wait up to 20 years between colonoscopy screenings. For example, a Canadian study that reviewed colonoscopy records of 35,975 people confirms that those with a negative (cancer-free) test result had a 72% lower risk of developing cancer over 10 years than the general population.
A German study that spanned more than a decade confirmed this finding and went even further: For people with a prior negative colonoscopy, the low-risk period can extend to 20 years. We're not suggesting that you allow 20 years to pass between your colonoscopy screenings. But if you have a normal colonoscopy result, you can most likely wait at least a decade before undergoing the procedure again.
Important: If a screening colonoscopy catches even one polyp, your risk of colon cancer goes up and so does the recommended frequency of screenings. The same is true if you have a family history of colorectal cancer or other risk factors for colorectal cancer.
Posted in Colon Cancer on October 7, 2008
Wednesday, September 17, 2008
PET Scans for Recurrent Colorectal Cancer
September 10, 2008 — The use of positron emission tomography (PET) scans led to changes in disease management for more than half of all patients with suspected or proven recurrent colorectal cancer, according to the results of a study published in the September issue of the Journal of Nuclear Medicine.
In this large multicenter trial, PET scanning detected additional disease sites in 48.4% of patients in 1 study group (group A) and in 43.9% of patients in the second study group (group B). The use of PET scanning also changed the planned disease management in 65.6% of patients in group A and 49.0% of those in group B.
"The data from our study, as well as from other studies, clearly demonstrates that PET can alter management decisions, and in many meaningful ways," lead study author Andrew M. Scott, MD, director of the Centre for PET and the Ludwig Institute for Cancer Research, Austin Hospital, Melbourne, Australia, told Medscape Oncology in an interview. "It can help confirm the presence of disease, identify additional sites of disease, and assist in making the most appropriate treatment decisions."
"It should be emphasized that some patients have isolated disease that can be resected, which will allow them to have long progression free survival periods or even a potential cure," Dr. Scott added. "PET scanning can more appropriately identify patients that will benefit from these treatments."
Prompted Changes in More Than Half of Patients
PET scans have been shown to demonstrate a high degree of accuracy in the detection of recurrent and metastatic colorectal cancer, and although sensitivity is comparable with a computed tomographic (CT) scan in the detection of metastases to the liver, it is superior in the detection of extrahepatic disease. Previous reports estimate that the use of PET has changed estimates of the extent of disease in approximately one third of patients and that it can influence management decisions in patients with metastatic colorectal cancer.
However, few prospective studies evaluating the use of PET in patients with recurrent colorectal cancer have been performed, and none have been large multicenter trials. The study authors note that the effect of PET on patient outcomes, such as progression-free survival, has also not been previously reported.
The goal of the current trial was to evaluate the effect of PET on management change in patients with proven or suspected recurrent colorectal cancer and to assess the effect of management change on disease-free survival.
A total of 191 patients from 4 institutions were enrolled in the study between November 23, 2003, and August 12, 2004, and they were subsequently separated into 2 study groups. Group A consisted of 93 symptomatic patients with a residual structural lesion suggestive of a recurrent tumor, whereas group B consisted of 98 patients with potentially resectable liver or lung metastases.
Lesions Detected by PET, Management Changes
In group A, 90 (96.8%) patients underwent both PET and CT scans, whereas 3 (3.2%) patients underwent a PET scan only. In group B, 83 (84.7%) patients underwent both PET and CT scans, whereas 15 (15.3%) patients underwent a PET scan only.
Additional disease sites were identified in 45 (48.4%) patients in group A, and in the second group, additional sites were detected in 43 (43.9%) patients. Undergoing a PET scan also resulted in changes in disease management plans. On the basis of PET scan results, 61 (65.6%) patients in group A had management plans altered, and in group B, 48 (49.0%) patients had a change in management plans. In 96% of the patients participating in this study, the treatment management plan that was actually implemented was consistent with the stated post-PET management plan.
Progression-Free Survival
At 12 months, the investigators evaluated clinical outcomes by comparing the progression-free survival of patients in both groups. The researchers found that patients who had additional lesions detected on PET scan had poorer progression-free survival vs those who had conventional imaging. On follow-up, 60.5% of patients in group A had progressive disease, with additional lesions identified by PET scanning vs patients who underwent conventional imaging. In group B, progressive disease was identified in 65.9% of patients with additional lesions that were detected with PET scans.
Patients in group B who had localized disease to the liver or lungs on PET scan had a better prognosis vs those with more disseminated disease. The researchers also noted that these data clearly showed the powerful prognostic ability of PET to accurately stratify patients who are thought to have localized disease on conventional imaging. Stratification into curative and palliative groups was also improved after PET scans for patients in both groups. In addition, those in group B who planned to have surgery after undergoing a PET scan had superior progression-free survival vs patients who planned surgery before undergoing a PET scan.
"The data from our study shows that using PET scanning can impact outcomes and therapeutic decisions, and while our study did not look at cost effectiveness, there is substantial data showing that PET scanning is cost effective," said Dr. Scott.
Inappropriate treatment not only has a substantial effect on patient well-being, but also can be very costly, Dr. Scott emphasized. "PET scanning can contribute to more appropriate treatment decisions and ultimately be cost saving, but that was not specifically examined in our study."
This study was funded by the Australian Government Department of Health and Ageing.
J Nucl Med. 2008;49:1451-1457.
In this large multicenter trial, PET scanning detected additional disease sites in 48.4% of patients in 1 study group (group A) and in 43.9% of patients in the second study group (group B). The use of PET scanning also changed the planned disease management in 65.6% of patients in group A and 49.0% of those in group B.
"The data from our study, as well as from other studies, clearly demonstrates that PET can alter management decisions, and in many meaningful ways," lead study author Andrew M. Scott, MD, director of the Centre for PET and the Ludwig Institute for Cancer Research, Austin Hospital, Melbourne, Australia, told Medscape Oncology in an interview. "It can help confirm the presence of disease, identify additional sites of disease, and assist in making the most appropriate treatment decisions."
"It should be emphasized that some patients have isolated disease that can be resected, which will allow them to have long progression free survival periods or even a potential cure," Dr. Scott added. "PET scanning can more appropriately identify patients that will benefit from these treatments."
Prompted Changes in More Than Half of Patients
PET scans have been shown to demonstrate a high degree of accuracy in the detection of recurrent and metastatic colorectal cancer, and although sensitivity is comparable with a computed tomographic (CT) scan in the detection of metastases to the liver, it is superior in the detection of extrahepatic disease. Previous reports estimate that the use of PET has changed estimates of the extent of disease in approximately one third of patients and that it can influence management decisions in patients with metastatic colorectal cancer.
However, few prospective studies evaluating the use of PET in patients with recurrent colorectal cancer have been performed, and none have been large multicenter trials. The study authors note that the effect of PET on patient outcomes, such as progression-free survival, has also not been previously reported.
The goal of the current trial was to evaluate the effect of PET on management change in patients with proven or suspected recurrent colorectal cancer and to assess the effect of management change on disease-free survival.
A total of 191 patients from 4 institutions were enrolled in the study between November 23, 2003, and August 12, 2004, and they were subsequently separated into 2 study groups. Group A consisted of 93 symptomatic patients with a residual structural lesion suggestive of a recurrent tumor, whereas group B consisted of 98 patients with potentially resectable liver or lung metastases.
Lesions Detected by PET, Management Changes
In group A, 90 (96.8%) patients underwent both PET and CT scans, whereas 3 (3.2%) patients underwent a PET scan only. In group B, 83 (84.7%) patients underwent both PET and CT scans, whereas 15 (15.3%) patients underwent a PET scan only.
Additional disease sites were identified in 45 (48.4%) patients in group A, and in the second group, additional sites were detected in 43 (43.9%) patients. Undergoing a PET scan also resulted in changes in disease management plans. On the basis of PET scan results, 61 (65.6%) patients in group A had management plans altered, and in group B, 48 (49.0%) patients had a change in management plans. In 96% of the patients participating in this study, the treatment management plan that was actually implemented was consistent with the stated post-PET management plan.
Progression-Free Survival
At 12 months, the investigators evaluated clinical outcomes by comparing the progression-free survival of patients in both groups. The researchers found that patients who had additional lesions detected on PET scan had poorer progression-free survival vs those who had conventional imaging. On follow-up, 60.5% of patients in group A had progressive disease, with additional lesions identified by PET scanning vs patients who underwent conventional imaging. In group B, progressive disease was identified in 65.9% of patients with additional lesions that were detected with PET scans.
Patients in group B who had localized disease to the liver or lungs on PET scan had a better prognosis vs those with more disseminated disease. The researchers also noted that these data clearly showed the powerful prognostic ability of PET to accurately stratify patients who are thought to have localized disease on conventional imaging. Stratification into curative and palliative groups was also improved after PET scans for patients in both groups. In addition, those in group B who planned to have surgery after undergoing a PET scan had superior progression-free survival vs patients who planned surgery before undergoing a PET scan.
"The data from our study shows that using PET scanning can impact outcomes and therapeutic decisions, and while our study did not look at cost effectiveness, there is substantial data showing that PET scanning is cost effective," said Dr. Scott.
Inappropriate treatment not only has a substantial effect on patient well-being, but also can be very costly, Dr. Scott emphasized. "PET scanning can contribute to more appropriate treatment decisions and ultimately be cost saving, but that was not specifically examined in our study."
This study was funded by the Australian Government Department of Health and Ageing.
J Nucl Med. 2008;49:1451-1457.
Tuesday, September 16, 2008
The Size of a Pea
The Size of a Pea and a Lot More Dangerous
Colorectal polyps are small, noncancerous (benign) clumps of cells that grow in the rectum and colon. Over the course of 10-15 years, some of these polyps -- usually the ones that are larger than a pea -- can become cancerous. Fortunately, regular screening for colorectal cancer helps to identify and remove polyps, often before they progress to cancer.
It is not known why polyps develop, but some people are more prone than others. For instance, the older you get -- especially after age 50 -- the more likely you are to have polyps. You're also more likely to develop polyps if you've had them before (polyps tend to recur) or if someone in your family has had polyps or cancer of the colon.
Your behavior also influences your risk: Eating a lot of fatty foods, smoking cigarettes, drinking alcohol, not exercising, and being over weight can all contribute to the formation of polyps.
Q. I've had a colon polyp removed. What can I do to prevent colorectal cancer?
A. One crucial step is to have a follow-up colonoscopy every three to five years, depending on the number and size of your polyps.
You also need to get moving. The American Cancer Society stresses the importance of exercise for those trying to prevent polyp recurrence. Excess body weight and inactivity are linked with shorter survival times; one study found that people who exercised regularly were about half as likely to die of colorectal cancer within four years as those who did not exercise.
No diet is guaranteed to prevent colorectal cancer recurrence, but experts suggest this recipe to help lower your risk:
* Get most of your foods from plant sources (fresh vegetables, fruits, and nuts).
* Avoid processed foods and limit those high in saturated fats (especially beef).
* Choose chicken, fish, or beans as your main protein sources.
* Avoid junk foods, including sodas and sugar-laden snacks.
* Have no more than one alcoholic drink per day.
* Get most of your nutrients from foods rather than supplements.
Finally, although some research has suggested that NSAIDs may prevent colorectal cancer, the U.S. Preventive Services Task Force recently concluded that the risks of long-term NSAID use -- such as gastrointestinal bleeding, kidney problems, and hemorrhagic (bleeding) stroke -- exceed the potential benefits for people at average risk for colorectal cancer.
Johns Hopkins Health Alerts 09.16.08
Colorectal polyps are small, noncancerous (benign) clumps of cells that grow in the rectum and colon. Over the course of 10-15 years, some of these polyps -- usually the ones that are larger than a pea -- can become cancerous. Fortunately, regular screening for colorectal cancer helps to identify and remove polyps, often before they progress to cancer.
It is not known why polyps develop, but some people are more prone than others. For instance, the older you get -- especially after age 50 -- the more likely you are to have polyps. You're also more likely to develop polyps if you've had them before (polyps tend to recur) or if someone in your family has had polyps or cancer of the colon.
Your behavior also influences your risk: Eating a lot of fatty foods, smoking cigarettes, drinking alcohol, not exercising, and being over weight can all contribute to the formation of polyps.
Q. I've had a colon polyp removed. What can I do to prevent colorectal cancer?
A. One crucial step is to have a follow-up colonoscopy every three to five years, depending on the number and size of your polyps.
You also need to get moving. The American Cancer Society stresses the importance of exercise for those trying to prevent polyp recurrence. Excess body weight and inactivity are linked with shorter survival times; one study found that people who exercised regularly were about half as likely to die of colorectal cancer within four years as those who did not exercise.
No diet is guaranteed to prevent colorectal cancer recurrence, but experts suggest this recipe to help lower your risk:
* Get most of your foods from plant sources (fresh vegetables, fruits, and nuts).
* Avoid processed foods and limit those high in saturated fats (especially beef).
* Choose chicken, fish, or beans as your main protein sources.
* Avoid junk foods, including sodas and sugar-laden snacks.
* Have no more than one alcoholic drink per day.
* Get most of your nutrients from foods rather than supplements.
Finally, although some research has suggested that NSAIDs may prevent colorectal cancer, the U.S. Preventive Services Task Force recently concluded that the risks of long-term NSAID use -- such as gastrointestinal bleeding, kidney problems, and hemorrhagic (bleeding) stroke -- exceed the potential benefits for people at average risk for colorectal cancer.
Johns Hopkins Health Alerts 09.16.08
Tuesday, September 9, 2008
Improving Survival after Colon Rectal Cancer
African Americans are between 30 to 50 percent more likely to die from Colon Rectal Cancer than their white counterparts. Finding explanations for this disparity has been the focus of many studies.
Is it access to health care?
Is it education?
Is it due to the type of cancer treatment?
Researchers have not solved this mystery.
09-09-08
Quoted from the Northern California Cancer Center 2007 Annual Report.
Is it access to health care?
Is it education?
Is it due to the type of cancer treatment?
Researchers have not solved this mystery.
09-09-08
Quoted from the Northern California Cancer Center 2007 Annual Report.
Can Colorectal Cancer Be Prevented?
Can Colorectal Cancer Be Prevented?
American Cancer Society
Even though we do not know the exact cause of most colorectal cancer, it is possible to prevent many colorectal cancers.
Screening:
One of the most powerful weapons in preventing colorectal cancer is regular colorectal cancer screening or testing. From the time the first abnormal cells start to grow, it usually takes about 10 to 15 years for them to develop into colorectal cancer. Regular colorectal cancer screening can, in many cases, prevent colorectal cancer altogether. (See the American Cancer Society screening guidelines in the next section "Can Colorectal Polyps and Cancer Be Found Early?"). This is because polyps, or growths, can be detected and removed before they have the chance to turn into cancer. Screening can also result in finding colorectal cancer early, when it is highly curable.
People who have no identified risk factors (other than age) should begin regular screening at age 50. Those who have a family history or other risk factors for colorectal cancer polyps or cancer need to talk with their doctor about starting screening at a younger age and more frequent intervals.
Diet and exercise:
People can lower their risk of developing colorectal cancer by managing the risk factors that they can control, such as diet and physical activity. It is important to eat plenty of fruits, vegetables, and whole grain foods and to limit intake of high-fat foods. Physical activity is another area that people can control. The American Cancer Society recommends at least 30, preferably 45 to 60 minutes of physical activity on 5 or more days of the week. If you are overweight, you can ask your doctor about a weight loss plan that will work for you. For more information about diet and physical activity, refer to the American Cancer Society document, American Cancer Society Guidelines for Nutrition and Physical Activity for Cancer Prevention.
Vitamins, calcium, magnesium:
Some studies suggest that taking a daily multivitamin containing folic acid, or folate, can lower colorectal cancer risk. Other studies suggest that increasing calcium intake may lower risk. Some have suggested that vitamin D, which you can get from sun exposure or in a vitamin pill, can lower colorectal cancer risk. Of course, excessive sun exposure can cause skin cancer and is not recommended as a way to lower colorectal cancer risk. Calcium and vitamin D may work together to reduce colorectal cancer risk, as vitamin D aids in the body’s absorption of calcium. In addition, one recent study suggested that a diet high in magnesium may also reduce colorectal cancer risk in women.
Nonsteroidal anti-inflammatory drugs:
Many studies have found that people who regularly use aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Motrin, Advil) and naproxen (Aleve), have a 20% to 50% lower risk of colorectal cancer and adenomatous polyps. Most of these studies, however, are based on observations of people who took these medications for reasons such as treatment of arthritis or prevention of heart attacks. Two recent studies have provided even stronger evidence regarding the ability of aspirin to prevent the growth of polyps. The advantage of these recent studies is that people were randomly selected by the researchers to receive either aspirin or an inactive placebo. One study included people who were previously treated for early stages of colorectal cancer, and the other study included people who previously had polyps removed.
But NSAIDs can cause serious or even life-threatening bleeding from stomach irritation. Currently available information suggests that the risks of serious bleeding outweigh the benefits of these medicines for the general public. For this reason, experts do not recommend NSAIDs as a cancer-prevention strategy for people at average risk of developing colorectal cancer. However, the value of these drugs for people at increased colorectal cancer risk is being actively studied. Celecoxib (Celebrex) has been approved by the US Food and Drug Administration for reducing polyp formation in people with FAP. One advantage of this drug is that it causes less bleeding in the stomach. However, celecoxib may increase the risk of heart attacks and strokes. A similar drug, rofecoxib (Vioxx), was taken off the market because people who took it had an increased number of heart attacks and strokes. Please check with your doctor before beginning to take aspirin and other NSAIDs on a regular basis.
Female hormones:
Hormone replacement therapy (HRT) in postmenopausal women may reduce their risk of developing colorectal cancer. But those women on HRT who do develop colorectal cancer may have a fast growing cancer.
HRT also lowers the risk of developing osteoporosis, but it may increase the risk of heart disease, blood clots, and breast and uterine cancers. For these reasons, the decision to use HRT should be based on a careful discussion of benefits and risks with your doctor.
Other factors:
There are other risk factors that can't be controlled, such as a strong family history of colorectal cancer. But even when people have a history of colorectal cancer in their family, they may be able to prevent the disease. For example, people with a family history of colorectal cancer may benefit from starting screening tests when they are younger and having them done more often than people without this risk factor.
Genetic tests can help determine which members of certain families have inherited a high risk for developing colorectal cancer. Without genetic testing, all members of a family known to have an inherited form of colorectal cancer should be screened early and frequently. However, with genetic testing, family members who are found not to have inherited the mutated gene can be screened with the same frequency as people at average risk.
People with FAP should start colonoscopy during their teens. Most doctors recommend they have their colon removed when they are in their 20s to prevent cancer from developing.
The lifetime risk of developing colorectal cancer for people with HNPCC is about 80% compared to near 100% for those with FAP. Doctors recommend that people with HNPCC start colonoscopy screening during their 20s to remove any polyps and find any cancers at the earliest possible stage. People known to carry the genetic mutation associated with HNPCC may be offered the option of yearly screening with colonoscopy or removal of most of the colon.
Ashkenazi Jews with the I1307K APC mutation have an increased colorectal cancer risk, but do not develop these cancers when they are very young. And, as a group overall, Ashkenazi Jews (even those without the I1307K APC mutation) are more likely to develop colorectal cancer than other ethnic groups. For these reasons, most doctors recommend that they carefully follow the usual recommendations for colorectal cancer screening, but earlier or more frequent testing is usually not suggested.
Since some colorectal cancers can't be prevented, finding the disease early is the best way to improve the chance of a cure and reduce the number of deaths caused by this disease.
In addition to the screening recommendations for people at average colorectal cancer risk, the American Cancer Society has additional guidelines for people at moderate and high risk of colorectal cancer. These recommendations are described in the section "Can Colorectal Polyps and Cancer Be Found Early?" Ask your doctor how these guidelines might apply to you.
American Cancer Society
Even though we do not know the exact cause of most colorectal cancer, it is possible to prevent many colorectal cancers.
Screening:
One of the most powerful weapons in preventing colorectal cancer is regular colorectal cancer screening or testing. From the time the first abnormal cells start to grow, it usually takes about 10 to 15 years for them to develop into colorectal cancer. Regular colorectal cancer screening can, in many cases, prevent colorectal cancer altogether. (See the American Cancer Society screening guidelines in the next section "Can Colorectal Polyps and Cancer Be Found Early?"). This is because polyps, or growths, can be detected and removed before they have the chance to turn into cancer. Screening can also result in finding colorectal cancer early, when it is highly curable.
People who have no identified risk factors (other than age) should begin regular screening at age 50. Those who have a family history or other risk factors for colorectal cancer polyps or cancer need to talk with their doctor about starting screening at a younger age and more frequent intervals.
Diet and exercise:
People can lower their risk of developing colorectal cancer by managing the risk factors that they can control, such as diet and physical activity. It is important to eat plenty of fruits, vegetables, and whole grain foods and to limit intake of high-fat foods. Physical activity is another area that people can control. The American Cancer Society recommends at least 30, preferably 45 to 60 minutes of physical activity on 5 or more days of the week. If you are overweight, you can ask your doctor about a weight loss plan that will work for you. For more information about diet and physical activity, refer to the American Cancer Society document, American Cancer Society Guidelines for Nutrition and Physical Activity for Cancer Prevention.
Vitamins, calcium, magnesium:
Some studies suggest that taking a daily multivitamin containing folic acid, or folate, can lower colorectal cancer risk. Other studies suggest that increasing calcium intake may lower risk. Some have suggested that vitamin D, which you can get from sun exposure or in a vitamin pill, can lower colorectal cancer risk. Of course, excessive sun exposure can cause skin cancer and is not recommended as a way to lower colorectal cancer risk. Calcium and vitamin D may work together to reduce colorectal cancer risk, as vitamin D aids in the body’s absorption of calcium. In addition, one recent study suggested that a diet high in magnesium may also reduce colorectal cancer risk in women.
Nonsteroidal anti-inflammatory drugs:
Many studies have found that people who regularly use aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Motrin, Advil) and naproxen (Aleve), have a 20% to 50% lower risk of colorectal cancer and adenomatous polyps. Most of these studies, however, are based on observations of people who took these medications for reasons such as treatment of arthritis or prevention of heart attacks. Two recent studies have provided even stronger evidence regarding the ability of aspirin to prevent the growth of polyps. The advantage of these recent studies is that people were randomly selected by the researchers to receive either aspirin or an inactive placebo. One study included people who were previously treated for early stages of colorectal cancer, and the other study included people who previously had polyps removed.
But NSAIDs can cause serious or even life-threatening bleeding from stomach irritation. Currently available information suggests that the risks of serious bleeding outweigh the benefits of these medicines for the general public. For this reason, experts do not recommend NSAIDs as a cancer-prevention strategy for people at average risk of developing colorectal cancer. However, the value of these drugs for people at increased colorectal cancer risk is being actively studied. Celecoxib (Celebrex) has been approved by the US Food and Drug Administration for reducing polyp formation in people with FAP. One advantage of this drug is that it causes less bleeding in the stomach. However, celecoxib may increase the risk of heart attacks and strokes. A similar drug, rofecoxib (Vioxx), was taken off the market because people who took it had an increased number of heart attacks and strokes. Please check with your doctor before beginning to take aspirin and other NSAIDs on a regular basis.
Female hormones:
Hormone replacement therapy (HRT) in postmenopausal women may reduce their risk of developing colorectal cancer. But those women on HRT who do develop colorectal cancer may have a fast growing cancer.
HRT also lowers the risk of developing osteoporosis, but it may increase the risk of heart disease, blood clots, and breast and uterine cancers. For these reasons, the decision to use HRT should be based on a careful discussion of benefits and risks with your doctor.
Other factors:
There are other risk factors that can't be controlled, such as a strong family history of colorectal cancer. But even when people have a history of colorectal cancer in their family, they may be able to prevent the disease. For example, people with a family history of colorectal cancer may benefit from starting screening tests when they are younger and having them done more often than people without this risk factor.
Genetic tests can help determine which members of certain families have inherited a high risk for developing colorectal cancer. Without genetic testing, all members of a family known to have an inherited form of colorectal cancer should be screened early and frequently. However, with genetic testing, family members who are found not to have inherited the mutated gene can be screened with the same frequency as people at average risk.
People with FAP should start colonoscopy during their teens. Most doctors recommend they have their colon removed when they are in their 20s to prevent cancer from developing.
The lifetime risk of developing colorectal cancer for people with HNPCC is about 80% compared to near 100% for those with FAP. Doctors recommend that people with HNPCC start colonoscopy screening during their 20s to remove any polyps and find any cancers at the earliest possible stage. People known to carry the genetic mutation associated with HNPCC may be offered the option of yearly screening with colonoscopy or removal of most of the colon.
Ashkenazi Jews with the I1307K APC mutation have an increased colorectal cancer risk, but do not develop these cancers when they are very young. And, as a group overall, Ashkenazi Jews (even those without the I1307K APC mutation) are more likely to develop colorectal cancer than other ethnic groups. For these reasons, most doctors recommend that they carefully follow the usual recommendations for colorectal cancer screening, but earlier or more frequent testing is usually not suggested.
Since some colorectal cancers can't be prevented, finding the disease early is the best way to improve the chance of a cure and reduce the number of deaths caused by this disease.
In addition to the screening recommendations for people at average colorectal cancer risk, the American Cancer Society has additional guidelines for people at moderate and high risk of colorectal cancer. These recommendations are described in the section "Can Colorectal Polyps and Cancer Be Found Early?" Ask your doctor how these guidelines might apply to you.
My Bucket List
The Bucket List movie stars Jack Nicholson and Morgan Freeman as two terminally ill men who escape from a cancer ward determined to complete everything on their "Bucket List" -- a list of things to do before they "kick the bucket."
For as long as I can remember, I have dreamed of visiting foreign lands. I have seen Europe, most of the USA, Canada, Hawaii and Mexico. My outdoor adventures have included scuba diving in the Mexico and Hawaii, water skiing, snow skiing in Colorado and Utah, hiking volcanoes and the Napili Coast, sailing, swimming with dolphins, ocean kayaking with sea otters and camping. I rafted down the Colorado River and backpacked in Alaska.
I have fallen in love, married wonderful women and enjoyed many happy years with both wives. I have no regrets about my decision to divorce when the marriages ended. I have had several successful jobs and have worked with some terrific people. I also have been fired and quit a few jobs when it has been time to move on. I enjoy good books, movies, art, theatre and music. I love teaching. I have many terrific friends and family members.
I am 58 years old. I am cancer free. I am dating a terrific woman who truly enjoys life and she loves me for who I am. My life is in balance. I feel truly blessed.
The author Richard Bolles calls this “life planning” in his book, The Three Boxes of Life. I highly recommend it.
For as long as I can remember, I have dreamed of visiting foreign lands. I have seen Europe, most of the USA, Canada, Hawaii and Mexico. My outdoor adventures have included scuba diving in the Mexico and Hawaii, water skiing, snow skiing in Colorado and Utah, hiking volcanoes and the Napili Coast, sailing, swimming with dolphins, ocean kayaking with sea otters and camping. I rafted down the Colorado River and backpacked in Alaska.
I have fallen in love, married wonderful women and enjoyed many happy years with both wives. I have no regrets about my decision to divorce when the marriages ended. I have had several successful jobs and have worked with some terrific people. I also have been fired and quit a few jobs when it has been time to move on. I enjoy good books, movies, art, theatre and music. I love teaching. I have many terrific friends and family members.
I am 58 years old. I am cancer free. I am dating a terrific woman who truly enjoys life and she loves me for who I am. My life is in balance. I feel truly blessed.
The author Richard Bolles calls this “life planning” in his book, The Three Boxes of Life. I highly recommend it.
Road Trip Be Prepared
What to pack for a road trip is more difficult after cancer treatment. To some degree side effects will continue. I will eat something exotic that will give me diarrhea. I have a emergency diarrhea kit in the car. While traveling I will find restrooms with no toilet paper, no soap and no towels. Pack it.
After cancer treatments I thought I could resume my regular activities of camping and hiking and swimming and riding my bike. Wrong. Recovery is a slow process filled with surprises.
After cancer treatments I thought I could resume my regular activities of camping and hiking and swimming and riding my bike. Wrong. Recovery is a slow process filled with surprises.
A Good Stick for a Blood Test
As a colon cancer patient, you will be getting many blood tests. I recommend you find the most experienced staff to take your blood. Experienced patients call it a “good stick.” Remember the staff who do their job well and thank them. You will want to find them next time you need a blood test.
I like to keep a file copy of the requested lab tests and make sure the results are sent to all the doctors that need to know the results. File folders track my progress and organize my papers. This helps me with billing and taxes time.
As the technician is drawing blood, review what lab tests are going to be conducted on your blood and find out when the results will go to your doctors. An exceptional patient is proactive with your health care.
If the lab technician is inexperienced they will keep trying to find a vein and end up bruising your arm. This is called a bad stick. Not a big deal if you just need a blood test for routine lab work and you can go home and calm down.
I like to keep a file copy of the requested lab tests and make sure the results are sent to all the doctors that need to know the results. File folders track my progress and organize my papers. This helps me with billing and taxes time.
As the technician is drawing blood, review what lab tests are going to be conducted on your blood and find out when the results will go to your doctors. An exceptional patient is proactive with your health care.
If the lab technician is inexperienced they will keep trying to find a vein and end up bruising your arm. This is called a bad stick. Not a big deal if you just need a blood test for routine lab work and you can go home and calm down.
Back to Balance
Life after cancer for me means that I enjoy each day. I really don’t know when I will die. Could be when I am riding my bike to work. If I want to live a long vibrant life, I choose to change old habits.
1. Exercise
I need to exercise each day. Back to balance means to choose the right exercise and knowing my limits. I know when I overdo my workout because I wakeup with leg cramps in the middle of the night or have a sore back. This is called feedback. I can change my exercise plan for tomorrow. Knowing my limits before injury is an art. I enjoy hiking, swimming, ride a bike, walking, dancing and go to the YMCA to move my body.
2. Eat Right
Back to balance for food is to eat limited portions of low fat organic food. I monitor my weight daily and I am an active member of weight watchers. This group of friends help me learn to gain control over portions and eat right. I need food to nourish my body and support my brain function. Balance is needed so I can maintain my best body weight.
3. Get Enough Sleep
No more long 4-hour commutes and then nine-hour workdays for me. Overwork brings burnout and sleep depravation. I am done with that lifestyle. This burnout behavior lowered my immune system and led my to colon cancer. I bike to work through a city park in ten minutes. I take naps during the day.
4. Simple Housing
Back to balance with housing for me is living in a small studio. Living simply. No more big real estate property to manage. A small studio means I collect less stuff. I keep hauling out boxes of clothes to donate to goodwill. Less clutter more clarity. I live in an old building with wooden floors and old radiators. No air conditioning needed. I use fans.
5. Healthy Relationships
Back to balance with relationships means I end toxic relationships that suck out my life source. I do not have to fix someone else’s problems. The reason I have healthy friendships is that our relationship is respectful and supportive.
6. Don’t Sweat the Small Stuff
Back to balance with my daily routine is making a list of things to do each day and getting my nap out of the way first. Balance makes my life peaceful and a lot more fun. Most things I worry about don’t happen. Does it take McDonalds ads to convince me that I deserve a break today?
7. Learn to Laugh and Have Fun Daily
Back to balance with overwork is planning leisure. Keep a list of fun things to do. Go see the movie The Bucket List. If today were the last day you would be alive, what would you do with your time?
8. Choose the Right Job
I am fifty-seven years old. I will be working a long time before I retire. If I want to have balance with my employment, I need to limit my stress level and work hours so my work life is sustainable.
1. Exercise
I need to exercise each day. Back to balance means to choose the right exercise and knowing my limits. I know when I overdo my workout because I wakeup with leg cramps in the middle of the night or have a sore back. This is called feedback. I can change my exercise plan for tomorrow. Knowing my limits before injury is an art. I enjoy hiking, swimming, ride a bike, walking, dancing and go to the YMCA to move my body.
2. Eat Right
Back to balance for food is to eat limited portions of low fat organic food. I monitor my weight daily and I am an active member of weight watchers. This group of friends help me learn to gain control over portions and eat right. I need food to nourish my body and support my brain function. Balance is needed so I can maintain my best body weight.
3. Get Enough Sleep
No more long 4-hour commutes and then nine-hour workdays for me. Overwork brings burnout and sleep depravation. I am done with that lifestyle. This burnout behavior lowered my immune system and led my to colon cancer. I bike to work through a city park in ten minutes. I take naps during the day.
4. Simple Housing
Back to balance with housing for me is living in a small studio. Living simply. No more big real estate property to manage. A small studio means I collect less stuff. I keep hauling out boxes of clothes to donate to goodwill. Less clutter more clarity. I live in an old building with wooden floors and old radiators. No air conditioning needed. I use fans.
5. Healthy Relationships
Back to balance with relationships means I end toxic relationships that suck out my life source. I do not have to fix someone else’s problems. The reason I have healthy friendships is that our relationship is respectful and supportive.
6. Don’t Sweat the Small Stuff
Back to balance with my daily routine is making a list of things to do each day and getting my nap out of the way first. Balance makes my life peaceful and a lot more fun. Most things I worry about don’t happen. Does it take McDonalds ads to convince me that I deserve a break today?
7. Learn to Laugh and Have Fun Daily
Back to balance with overwork is planning leisure. Keep a list of fun things to do. Go see the movie The Bucket List. If today were the last day you would be alive, what would you do with your time?
8. Choose the Right Job
I am fifty-seven years old. I will be working a long time before I retire. If I want to have balance with my employment, I need to limit my stress level and work hours so my work life is sustainable.
Angels: Becoming Aware of Spiritual Support
I never really had the experience of being surrounded by angels until my cancer diagnosis. This was an intense period of prayer. Asking God for help.
Friends would ask, “Is it OK if my church holds you in our prayers?” Of coarse I said, “Yes, thank you very much. That is very kind of you.” At this point in time, I was pretty skeptical about the prayer and the existence of angels.
I was raised Roman Catholic. Today I am more a Buddhist and mixture of other spiritual traditions. Prayer really was not part of my life until cancer. I began praying with friends at work. I would pray during radiation treatments. Usually my prayers were asking for the power to fight this disease. I asked God for help guide me on this path of treatment and healing.
I did plenty of praying during my cancer treatments. I saw many angels arrive with God's grace.
Friends would ask, “Is it OK if my church holds you in our prayers?” Of coarse I said, “Yes, thank you very much. That is very kind of you.” At this point in time, I was pretty skeptical about the prayer and the existence of angels.
I was raised Roman Catholic. Today I am more a Buddhist and mixture of other spiritual traditions. Prayer really was not part of my life until cancer. I began praying with friends at work. I would pray during radiation treatments. Usually my prayers were asking for the power to fight this disease. I asked God for help guide me on this path of treatment and healing.
I did plenty of praying during my cancer treatments. I saw many angels arrive with God's grace.
WHY ME? Survivor Guilt
Why do I get to live on and others die? October 2006 two close friends were killed instantly in automobile accidents. Both were my same age. Today another friend is dying of cancer in hospice. I feel lucky to escape the grim reaper but I question why has my life spared? What am I doing with my life and talent right now? Why me Lord? What should I do with my new lease on life?
I remember when I finished surgery, chemo and radiation treatments in 2004 I felt sooooo lucky to be alive. I was musing this same question….What to do with my life now that I successfully fought cancer?
I asked my good friend Lisa. “ Should I join the peace corps and go help somebody on the other side of the world?”
Lisa thought for a moment, then replied, “Doug how about just making a difference in peoples lives here in Oakland? You don’t have to join the peace corps.”
What a good idea. How about writing a book about my cancer experience and helping other people who have to either prep for their first colonoscopy of recover from treatments. As I reflect upon this question, I get more answers.
1. Be generous to others and yourself.
2. Enjoy each moment of life and urge others to do the same.
3. Cook meals for friends
4. Play lots of music
I remember a few years ago I had the pleasure of hearing Jimmy Carter speak. I find his life to be very inspirational. I remember to this day one quote from his talk. He said that he was standing on the shoulders of his father, who is standing on the shoulders of his father and so on. Because we have this foundation we can reach much higher than the previous generation.
So to answer the original question, Why Me? Just because. “Nothing personal. Your name just happened to come up.”
I remember when I finished surgery, chemo and radiation treatments in 2004 I felt sooooo lucky to be alive. I was musing this same question….What to do with my life now that I successfully fought cancer?
I asked my good friend Lisa. “ Should I join the peace corps and go help somebody on the other side of the world?”
Lisa thought for a moment, then replied, “Doug how about just making a difference in peoples lives here in Oakland? You don’t have to join the peace corps.”
What a good idea. How about writing a book about my cancer experience and helping other people who have to either prep for their first colonoscopy of recover from treatments. As I reflect upon this question, I get more answers.
1. Be generous to others and yourself.
2. Enjoy each moment of life and urge others to do the same.
3. Cook meals for friends
4. Play lots of music
I remember a few years ago I had the pleasure of hearing Jimmy Carter speak. I find his life to be very inspirational. I remember to this day one quote from his talk. He said that he was standing on the shoulders of his father, who is standing on the shoulders of his father and so on. Because we have this foundation we can reach much higher than the previous generation.
So to answer the original question, Why Me? Just because. “Nothing personal. Your name just happened to come up.”
You got the whole world in you hands
Introduction to Semi-colon
Semicolon was written for patients who are diagnosed with colon cancer. I want this book to be a resource to help you and your care-givers to develop plans to fight colon cancer and inspire you to heal completely. I encourage you to not just survive but thrive. My intention is to point the way to healing from the disease so you can continue living a vibrant life.
“Humans must rise above the Earth…to the top of the atmosphere and beyond. For only thus will we understand the world in which we live.” Socrates, 400 BC
I have traveled this road and won the battle. As a Colon Cancer Patient you have the power to heal completely. You will choose the right cancer treatment for your body. During this journey you will discover what needs healing and find the right path and proper pace for your recovery. You will find others who will help you with healing practices during and after your treatment. You have many choices to make during this journey. Remember, “You got the whole world in your hands.”
Semicolon was written for patients who are diagnosed with colon cancer. I want this book to be a resource to help you and your care-givers to develop plans to fight colon cancer and inspire you to heal completely. I encourage you to not just survive but thrive. My intention is to point the way to healing from the disease so you can continue living a vibrant life.
“Humans must rise above the Earth…to the top of the atmosphere and beyond. For only thus will we understand the world in which we live.” Socrates, 400 BC
I have traveled this road and won the battle. As a Colon Cancer Patient you have the power to heal completely. You will choose the right cancer treatment for your body. During this journey you will discover what needs healing and find the right path and proper pace for your recovery. You will find others who will help you with healing practices during and after your treatment. You have many choices to make during this journey. Remember, “You got the whole world in your hands.”
You miss 100% the shots you never take
I met Tom in Silicon Valley in 1995. Tom was the Director of Manufacturing at Cisco Systems. He hired me to help coordinate a big computer project. Cisco was growing quickly and their information systems were a disaster. The manufacturing line shut down for one week so the board of directors gave Tom 10 million dollars to build a new ERP system. We had nine months, like the birth of a baby to build a world-wide Oracle Enterprise Resource Planning system.
I helped Tom setup systems and problem solve. I only had one hour each week to meet with him and plan my work. I was really impressed with how Tom made quick decisions and solved problems. Later I found out that Tom was fighting cancer. He was working part-time with the ERP project and would fly down to Southern California for chemo treatments.
I remember Tom had a great CD music collection and that he played classical guitar. When I would meet with Tom and go over what I was doing to solve problems, he would listen carefully to my report and then say, “Great, make it happen!” I had to find ways to get this ERP project going ASAP. We were hiring computer programmers to write code, planning meetings to decide how to build this world-wide system of ERP. This was fast track everything. Get a computer TODAY for a programmer when it would take purchasing two weeks. I did not have two weeks to wait. So I would lease a computer and have it delivered the next day. I learned from Tom to cut through bureaucracy and get it done. He would always back me up.
Tom would slice through the politics and dramas quickly and help the team stay on focus. The T shirt you see above is still in my closet. I never knew why I chose to keep this T shirt. Eleven years later, after I fought Colon Cancer and won, now I know why I still keep the T-shirt…. To remember Tom and to thank Wayne Gretzky for the quote.
Wayne Douglas Gretzky, OC (born January 26, 1961) is a retired Canadian professional ice hockey player who is currently part-owner and head coach of the Phoenix Coyotes.
Born in Brantford, Ontario and nicknamed "The Great One," Total Hockey: The Official Encyclopedia of the NHL calls Gretzky "the greatest player of all time". He is regarded as the best player of his era and has been called "the greatest hockey player ever" by sportswriters, players, coaches, and fans. Along with his many awards and achievements, he is the only player to ever have his playing number, 99, officially retired across the entire National Hockey League.
Identified as a hockey prodigy at a very young age, Gretzky regularly played at a level far above his peers.[7] He became a full professional at the age of 17 in the World Hockey Association, leading to a long career in the NHL. He set 40 regular-season records, 15 playoff records, 6 All-Star records, won four Stanley Cups with the Edmonton Oilers, and won 9 MVP awards and 10 scoring titles. He is the only player ever to total over 200 points in a season (a feat that he accomplished four times in his career). In addition, he tallied over 100 points a season for 15 NHL seasons, 13 of them consecutively. He retired from playing in 1999, becoming Executive Director for the Canadian national men's hockey team during the 2002 Winter Olympics. He also became part owner of the Phoenix Coyotes in 2000 and following the 2004-05 NHL lockout became their head coach
From : http://en.wikipedia.org/wiki/Wayne_Gretzky
I helped Tom setup systems and problem solve. I only had one hour each week to meet with him and plan my work. I was really impressed with how Tom made quick decisions and solved problems. Later I found out that Tom was fighting cancer. He was working part-time with the ERP project and would fly down to Southern California for chemo treatments.
I remember Tom had a great CD music collection and that he played classical guitar. When I would meet with Tom and go over what I was doing to solve problems, he would listen carefully to my report and then say, “Great, make it happen!” I had to find ways to get this ERP project going ASAP. We were hiring computer programmers to write code, planning meetings to decide how to build this world-wide system of ERP. This was fast track everything. Get a computer TODAY for a programmer when it would take purchasing two weeks. I did not have two weeks to wait. So I would lease a computer and have it delivered the next day. I learned from Tom to cut through bureaucracy and get it done. He would always back me up.
Tom would slice through the politics and dramas quickly and help the team stay on focus. The T shirt you see above is still in my closet. I never knew why I chose to keep this T shirt. Eleven years later, after I fought Colon Cancer and won, now I know why I still keep the T-shirt…. To remember Tom and to thank Wayne Gretzky for the quote.
Wayne Douglas Gretzky, OC (born January 26, 1961) is a retired Canadian professional ice hockey player who is currently part-owner and head coach of the Phoenix Coyotes.
Born in Brantford, Ontario and nicknamed "The Great One," Total Hockey: The Official Encyclopedia of the NHL calls Gretzky "the greatest player of all time". He is regarded as the best player of his era and has been called "the greatest hockey player ever" by sportswriters, players, coaches, and fans. Along with his many awards and achievements, he is the only player to ever have his playing number, 99, officially retired across the entire National Hockey League.
Identified as a hockey prodigy at a very young age, Gretzky regularly played at a level far above his peers.[7] He became a full professional at the age of 17 in the World Hockey Association, leading to a long career in the NHL. He set 40 regular-season records, 15 playoff records, 6 All-Star records, won four Stanley Cups with the Edmonton Oilers, and won 9 MVP awards and 10 scoring titles. He is the only player ever to total over 200 points in a season (a feat that he accomplished four times in his career). In addition, he tallied over 100 points a season for 15 NHL seasons, 13 of them consecutively. He retired from playing in 1999, becoming Executive Director for the Canadian national men's hockey team during the 2002 Winter Olympics. He also became part owner of the Phoenix Coyotes in 2000 and following the 2004-05 NHL lockout became their head coach
From : http://en.wikipedia.org/wiki/Wayne_Gretzky
What is an Exceptional Patient?
What is an Exceptional Patient?
Person is confident they will beat back the disease and resume a normal life. They hold an optimistic view of their prognosis. They involve themselves in creative activities. They believe in the power of the mind to overcome disease. They refuse to participate in defeat. Their every thought and deed advances the cause of life. Peace of mind sends the body a “live” message. They take charge of their lives. They work hard to achieve health and peace of mind.
“They do not rely on doctors to take the initiative but rather use them as members of a team, demanding the utmost in technique, resourcefulness, concern, and open-mindedness. If they are not satisfied, they change doctors.”1
Exceptional patients are loving. They will give you a hug. They love themselves and others. They love life and accept the fact they will not live forever. Exceptional patents heal themselves. “ True healing not merely reversal of one particular disease.”2
1 Love, Medicine and Miracles Lessons Learned about Self-Healing from a surgeon’s experience with Exceptional Patients by Bernie S. Siegel,MD Perennial Library Harper Row Publishers 1986 Page 3
2 Love, Medicine and Miracles Lessons Learned about Self-Healing from a surgeon’s experience with Exceptional Patients by Bernie S. Siegel,MD Perennial Library Harper Row Publishers 1986 page 4
Person is confident they will beat back the disease and resume a normal life. They hold an optimistic view of their prognosis. They involve themselves in creative activities. They believe in the power of the mind to overcome disease. They refuse to participate in defeat. Their every thought and deed advances the cause of life. Peace of mind sends the body a “live” message. They take charge of their lives. They work hard to achieve health and peace of mind.
“They do not rely on doctors to take the initiative but rather use them as members of a team, demanding the utmost in technique, resourcefulness, concern, and open-mindedness. If they are not satisfied, they change doctors.”1
Exceptional patients are loving. They will give you a hug. They love themselves and others. They love life and accept the fact they will not live forever. Exceptional patents heal themselves. “ True healing not merely reversal of one particular disease.”2
1 Love, Medicine and Miracles Lessons Learned about Self-Healing from a surgeon’s experience with Exceptional Patients by Bernie S. Siegel,MD Perennial Library Harper Row Publishers 1986 Page 3
2 Love, Medicine and Miracles Lessons Learned about Self-Healing from a surgeon’s experience with Exceptional Patients by Bernie S. Siegel,MD Perennial Library Harper Row Publishers 1986 page 4
Monday, September 8, 2008
Colon Cancer Claims Leroy Sievers
Colon Cancer Claims Veteran Journalist Leroy Sievers
Leroy Sievers, a veteran broadcast journalist, former executive producer of ABC News' "Nightline" and the author of a popular and candid daily blog about his battle with cancer, "My Cancer," has died at age 53. He died on August 16, 2008.
His daily Blog “My Cancer” www.npr.org/blogs/mycancer/
Saturday, July 19, 2008
Too Old for Colorectal Cancer Surgery?
How Old Is Too Old for Colorectal Cancer Surgery?
When a reasonably healthy octogenarian gets a diagnosis of colon cancer, the issue of age is bound to come up. How old is too old for colon cancer surgery? What are the risks? What kind of recovery and quality of life can the very elderly expect afterward? Is it worth it? Johns Hopkins explores these questions and others in this Special Report.
Few studies have looked at how the elderly fare after colorectal cancer treatment and pursued these hard-to-ask questions. But in the ones that have, the short answer is that octogenarians and even nonagenarians can fare as well as younger seniors, if they are in otherwise good health.
It is true that the risks of colorectal cancer surgery are higher for some older people. An analysis of 28 studies found lower survival rates among the elderly who have coexisting health conditions, are diagnosed at an advanced cancer stage, and have to undergo emergency procedures. Another study found that octogenarians with early stage cancer survived 10 or more years after colorectal cancer surgery if they had no chronic illnesses.
It appears that quality of life after colorectal cancer treatment can be as good for octogenarians as it is for younger seniors -- even in the face of coexisting illness, according to a Canadian study that compared the outcomes of people over age 80 with those in their 60s. The average age of the older group was 83 years at the time of colorectal cancer surgery, while the "youngsters" ranged in age from 65-69. People in both groups underwent comparable surgical procedures and had similar coexisting health problems (such as hypertension and diabetes), although the older group had somewhat less advanced (lower-stage) cancers.
The responses to a survey on quality of life and functioning before and after colorectal cancer surgery were remarkably similar in both groups. Before surgery, both worried about pain, becoming a burden, and death. After colorectal cancer surgery, there were no major changes or differences between the groups in terms of their ability to perform daily functions or their overall health, sexual function, or quality of life.
Too Early To Draw Firm Conclusions?
The Canadian researchers emphasize that their study findings are preliminary, and some results may be biased. While the results are preliminary, the study provides further ammunition for the argument that determining which patients are candidates for colorectal cancer surgery shouldn’t be made solely on the basis of chronological age. High-functioning elderly people who undergo colorectal cancer surgery appear able to retain their ability to function and maintain a good quality of life.
Experts note that regardless of age the outcome of colorectal cancer surgery is likely to be better under these conditions:
* The cancer is at an early stage. Most people in the study had stage 0, I, or II cancer; none had stage III or IV.
* The person about to have treatment is functioning at a high level before surgery and in good general health, without multiple serious chronic diseases. People who have three or more chronic diseases -- such as diabetes, rheumatoid arthritis, or heart disease -- tend to have poorer outcomes.
* The surgery is seen as a positive action, and the person with cancer is aware of the procedures to be performed and the potential outcomes. Other issues that could affect outcomes at any age include a family history of longevity and a good support system of family and friends.
Posted in Colon Cancer on July 15, 2008
When a reasonably healthy octogenarian gets a diagnosis of colon cancer, the issue of age is bound to come up. How old is too old for colon cancer surgery? What are the risks? What kind of recovery and quality of life can the very elderly expect afterward? Is it worth it? Johns Hopkins explores these questions and others in this Special Report.
Few studies have looked at how the elderly fare after colorectal cancer treatment and pursued these hard-to-ask questions. But in the ones that have, the short answer is that octogenarians and even nonagenarians can fare as well as younger seniors, if they are in otherwise good health.
It is true that the risks of colorectal cancer surgery are higher for some older people. An analysis of 28 studies found lower survival rates among the elderly who have coexisting health conditions, are diagnosed at an advanced cancer stage, and have to undergo emergency procedures. Another study found that octogenarians with early stage cancer survived 10 or more years after colorectal cancer surgery if they had no chronic illnesses.
It appears that quality of life after colorectal cancer treatment can be as good for octogenarians as it is for younger seniors -- even in the face of coexisting illness, according to a Canadian study that compared the outcomes of people over age 80 with those in their 60s. The average age of the older group was 83 years at the time of colorectal cancer surgery, while the "youngsters" ranged in age from 65-69. People in both groups underwent comparable surgical procedures and had similar coexisting health problems (such as hypertension and diabetes), although the older group had somewhat less advanced (lower-stage) cancers.
The responses to a survey on quality of life and functioning before and after colorectal cancer surgery were remarkably similar in both groups. Before surgery, both worried about pain, becoming a burden, and death. After colorectal cancer surgery, there were no major changes or differences between the groups in terms of their ability to perform daily functions or their overall health, sexual function, or quality of life.
Too Early To Draw Firm Conclusions?
The Canadian researchers emphasize that their study findings are preliminary, and some results may be biased. While the results are preliminary, the study provides further ammunition for the argument that determining which patients are candidates for colorectal cancer surgery shouldn’t be made solely on the basis of chronological age. High-functioning elderly people who undergo colorectal cancer surgery appear able to retain their ability to function and maintain a good quality of life.
Experts note that regardless of age the outcome of colorectal cancer surgery is likely to be better under these conditions:
* The cancer is at an early stage. Most people in the study had stage 0, I, or II cancer; none had stage III or IV.
* The person about to have treatment is functioning at a high level before surgery and in good general health, without multiple serious chronic diseases. People who have three or more chronic diseases -- such as diabetes, rheumatoid arthritis, or heart disease -- tend to have poorer outcomes.
* The surgery is seen as a positive action, and the person with cancer is aware of the procedures to be performed and the potential outcomes. Other issues that could affect outcomes at any age include a family history of longevity and a good support system of family and friends.
Posted in Colon Cancer on July 15, 2008
Thursday, July 17, 2008
My Colon Cancer Abdominal Resection
My Colon Cancer Abdominal Resection
November 2003
My first surgery was for tonsils. Maybe I was seven. I remember wanting popcorn after surgery but my mom brought ice cream. I think I stayed overnight in the hospital.
In my thirties I had two hernia repair surgeries. I had to rest a few days. No big deal. In your thirties you still think you can live forever. Hernia repair was just a speed bump in my race through life. I had stitches in my crotch so it was hard to sit up and it hurt to laugh. I did not want my friends with a sense of humor to come see me in the hospital. One friend brought me lilies and made me watch the Night of the Living Dead.
In my forties I had three nasal polyp surgeries. These were outpatient and easy because I had no real fear of dying. Surgery was quick and recovery was a short duration. I had support at home and was surrounded by friends.
Preparing for colon cancer surgery was scary. My cancer diagnosis felt like the kiss of death. I carried the intense fear of dying on the operating table during my abdominal resection. I did not know if they would be able to remove all the cancer from my body. Maybe the cancer was spreading. Maybe I would die slowly wasting away as cancer spread through my body.
After my diagnosis I got a second opinion from another doctor. He confirmed I had colon cancer. Next step was to find a surgeon to do the procedure. Carrie and I met with the doctor. I asked questions and Carrie wrote down answers. I was still overwhelmed about my cancer diagnosis. The doctor who did my colonoscopy called me on my personal cell phone to make sure I got my abdominal resection surgery scheduled as soon as possible.
I made sure my health insurance would cover my procedures. The night before my surgery I had to empty out my lower intestine and colon. No food or water after midnight.
Early in the morning, Carrie, my brother, and Carrie’s parents brought me to Sutter Hospital in Sacramento. An armband was placed on my left arm. When you enter a medical center for surgery, you submit to the surgical procedures. I took off my street clothes, glasses, watch, and changed into a blue and white hospital gown. I was just another medical patient now. I gave my medical files, my wallet and car keys to Carrie. I call this my surrender to surgery.
I laid down on a gurney. I tried to relax. I was really cold. The nurse covered my legs with a warm blue blanket. Then another nurse brought elastic stockings. These were to be worn to prevent blood clots. Then my legs were surrounded with a device that massaged my legs.
Next step to prepare me for surgery was for a nurse to start an IV. Unfortunately for me a young nurse in training was assigned to me to find a vein. After several failed attempts I asked for a more experienced nurse. I noticed Carrie was getting squeamish. Carrie had fainted during one of my earlier surgeries. I suggested she find my brother David to keep me company. An experienced nurse arrived to start my IV. She found a vein immediately. She connected the needle in my arm to clear tubing and a bag of glucose.
I tried to relax. My brother and I were surrounded with a curtain. This was supposed to provide privacy in a crowded surgical waiting room. I looked into my brother’s blue eyes to draw upon his strength. We were both scared. We both were trying to be brave.
My surgeon opened my private curtain and said “Good Morning.” He looked at my medical chart. A surgical mask hung around his neck. I was probably ab resection number two on his list. For him this was just another medical procedure.
“Do you have any questions, Mr. Beckstein?” he asked.
“No.” I replied.
Another nurse appeared through the curtain to position adhesive strips on my body. These were for the EKG machine and other electronic devices. She disappeared.
My anesthesiologist arrived. He looked at my chart.
Is he old enough to practice medicine? I thought to myself. He looks so young! Hope he knows what he is doing I thought.
“I am Doctor Saunders. We spoke on the phone last night. I will start a drug to help you to relax and then when we are in the operating room you will go to sleep. “Do you have any questions, Mr. Beckstein?” he asked.
“No.” I replied. I am ready for my surgery Doctor.
I was glad my brother David was by my side. We listened to the noises coming through my privacy curtain. The anti-anxiety medicine was starting to smooth the edges of my experience.
One month before my surgery a friend recommended “Successful Surgery.” A compact disk by Belleruth Naparstek. This guided imagery and affirmations helped me prepare for this day. I played the CD at home several times to help me relax and to prepare for this stressful surgery. The day of the procedure, I forgot to bring the CD into the operating room but I could recall Belleruth’s voice.
“You will see a shimmering….” I could hear her voice telling me to relax. Her entire message was there in my brain ready to recall before my procedure.
My body began to relax as the IV medication helped me feel warm and safe. I felt like I was in a movie. My brother disappeared from view like a ship floating out to sea. My gurney rolled through big stainless steel doors and I entered the operating room. The room was very bright. I saw my surgeon and my anesthesiologist looking at me as the nurse hooked up my electrodes to the EKG.
“Ready Mr. Beckstein?”
Yes.
Fade to black.
Notes from my medical record…
A small bowel resection was performed while the patient was under general anesthesia. A nine inch incision was made in the abdomen. The diseased part of the colon was removed and the two healthy ends were sewn back together. The abdominal incision was closed. The Abdominal Resection was successful. Twenty-five lymph nodes were removed for testing.
Post-OP
“Can you hear me Mr. Beckstein?”
The recovery room nurse’s voice was far away. Maybe I could understand every other word. Like a spotty cellphone connection. I was surrounded by muffled voices drifting into my field of hearing.
A machine was inflating and deflating the blood pressure cuff squeezing my right bi-cep. It recorded a reading of 130 over 79. Pulse 60.
“Can you open your eyes Mr. Beckstein?”
“I rather not Nurse, I thought to myself. Leave me alone. I do not want to wake up. Let me sleep a little longer.”
Out of focus lights appeared through the fog covering my body.
“If you can hear my voice blink your eyes Mr. Beckstein.”
I blinked.
I was officially awake following my abdominal resection. My body felt heavy. I considered trying to move my arms but I felt like a lead blanket was covering my chest and arms like a dentist office x-ray procedure.
Nurses and doctors were walking back and forth around my gurney. Other patients were wrapped in white sheets like Egyptian mummies. No dead people here. Think I am in the recovery room. No privacy curtain here. Big wide open room where the nurses watch patients like bees buzzing in a field of flowers.
I was bored looking at the ceiling tiles, I had a wild idea. Maybe I could move the fingers of my left hand! I wiggled a few fingers. Hey they moved. Next I tried to bend my elbow and move my fingers. Success. Do I dare explore my belly to feel the incision? I was curious and scared at the same time. Conflict. What to do? I pushed away the hospital blanket to bravely explore my midsection only to be stopped with bandages and gauze and wide strips of adhesive tape. Better not to proceed to the incision just yet. Maybe too much information.
Beep. Beep, beep.
The EKG recorded my heart beat with the latest digital display for the nurse.
I was breathing.
My heart was beating.
I was alive.
I was done with surgery.
I did not die on the operating table.
Do I still have cancer in my body?
Did they dig it all out?
“You are doing very well Mr. Beckstein” my surgeon and my primary physician were looking at me. They both had a big smile. Both in surgical scrubs.
“In a few minutes they will move you to your hospital room. You get some rest. We will talk to your family now. Do you have any questions?”
“Did you remove all the cancer during this surgery, doctor?”
“Yes.”
I thanked them and drifted off to sleep. I felt no pain. Morphine floated into my bloodstream and I was grateful. I was grateful to be alive.
Someone pushed my gurney into a huge elevator. A few moments later my body was transferred from gurney to my hospital bed.
I was alone.
November 2003
My first surgery was for tonsils. Maybe I was seven. I remember wanting popcorn after surgery but my mom brought ice cream. I think I stayed overnight in the hospital.
In my thirties I had two hernia repair surgeries. I had to rest a few days. No big deal. In your thirties you still think you can live forever. Hernia repair was just a speed bump in my race through life. I had stitches in my crotch so it was hard to sit up and it hurt to laugh. I did not want my friends with a sense of humor to come see me in the hospital. One friend brought me lilies and made me watch the Night of the Living Dead.
In my forties I had three nasal polyp surgeries. These were outpatient and easy because I had no real fear of dying. Surgery was quick and recovery was a short duration. I had support at home and was surrounded by friends.
Preparing for colon cancer surgery was scary. My cancer diagnosis felt like the kiss of death. I carried the intense fear of dying on the operating table during my abdominal resection. I did not know if they would be able to remove all the cancer from my body. Maybe the cancer was spreading. Maybe I would die slowly wasting away as cancer spread through my body.
After my diagnosis I got a second opinion from another doctor. He confirmed I had colon cancer. Next step was to find a surgeon to do the procedure. Carrie and I met with the doctor. I asked questions and Carrie wrote down answers. I was still overwhelmed about my cancer diagnosis. The doctor who did my colonoscopy called me on my personal cell phone to make sure I got my abdominal resection surgery scheduled as soon as possible.
I made sure my health insurance would cover my procedures. The night before my surgery I had to empty out my lower intestine and colon. No food or water after midnight.
Early in the morning, Carrie, my brother, and Carrie’s parents brought me to Sutter Hospital in Sacramento. An armband was placed on my left arm. When you enter a medical center for surgery, you submit to the surgical procedures. I took off my street clothes, glasses, watch, and changed into a blue and white hospital gown. I was just another medical patient now. I gave my medical files, my wallet and car keys to Carrie. I call this my surrender to surgery.
I laid down on a gurney. I tried to relax. I was really cold. The nurse covered my legs with a warm blue blanket. Then another nurse brought elastic stockings. These were to be worn to prevent blood clots. Then my legs were surrounded with a device that massaged my legs.
Next step to prepare me for surgery was for a nurse to start an IV. Unfortunately for me a young nurse in training was assigned to me to find a vein. After several failed attempts I asked for a more experienced nurse. I noticed Carrie was getting squeamish. Carrie had fainted during one of my earlier surgeries. I suggested she find my brother David to keep me company. An experienced nurse arrived to start my IV. She found a vein immediately. She connected the needle in my arm to clear tubing and a bag of glucose.
I tried to relax. My brother and I were surrounded with a curtain. This was supposed to provide privacy in a crowded surgical waiting room. I looked into my brother’s blue eyes to draw upon his strength. We were both scared. We both were trying to be brave.
My surgeon opened my private curtain and said “Good Morning.” He looked at my medical chart. A surgical mask hung around his neck. I was probably ab resection number two on his list. For him this was just another medical procedure.
“Do you have any questions, Mr. Beckstein?” he asked.
“No.” I replied.
Another nurse appeared through the curtain to position adhesive strips on my body. These were for the EKG machine and other electronic devices. She disappeared.
My anesthesiologist arrived. He looked at my chart.
Is he old enough to practice medicine? I thought to myself. He looks so young! Hope he knows what he is doing I thought.
“I am Doctor Saunders. We spoke on the phone last night. I will start a drug to help you to relax and then when we are in the operating room you will go to sleep. “Do you have any questions, Mr. Beckstein?” he asked.
“No.” I replied. I am ready for my surgery Doctor.
I was glad my brother David was by my side. We listened to the noises coming through my privacy curtain. The anti-anxiety medicine was starting to smooth the edges of my experience.
One month before my surgery a friend recommended “Successful Surgery.” A compact disk by Belleruth Naparstek. This guided imagery and affirmations helped me prepare for this day. I played the CD at home several times to help me relax and to prepare for this stressful surgery. The day of the procedure, I forgot to bring the CD into the operating room but I could recall Belleruth’s voice.
“You will see a shimmering….” I could hear her voice telling me to relax. Her entire message was there in my brain ready to recall before my procedure.
My body began to relax as the IV medication helped me feel warm and safe. I felt like I was in a movie. My brother disappeared from view like a ship floating out to sea. My gurney rolled through big stainless steel doors and I entered the operating room. The room was very bright. I saw my surgeon and my anesthesiologist looking at me as the nurse hooked up my electrodes to the EKG.
“Ready Mr. Beckstein?”
Yes.
Fade to black.
Notes from my medical record…
A small bowel resection was performed while the patient was under general anesthesia. A nine inch incision was made in the abdomen. The diseased part of the colon was removed and the two healthy ends were sewn back together. The abdominal incision was closed. The Abdominal Resection was successful. Twenty-five lymph nodes were removed for testing.
Post-OP
“Can you hear me Mr. Beckstein?”
The recovery room nurse’s voice was far away. Maybe I could understand every other word. Like a spotty cellphone connection. I was surrounded by muffled voices drifting into my field of hearing.
A machine was inflating and deflating the blood pressure cuff squeezing my right bi-cep. It recorded a reading of 130 over 79. Pulse 60.
“Can you open your eyes Mr. Beckstein?”
“I rather not Nurse, I thought to myself. Leave me alone. I do not want to wake up. Let me sleep a little longer.”
Out of focus lights appeared through the fog covering my body.
“If you can hear my voice blink your eyes Mr. Beckstein.”
I blinked.
I was officially awake following my abdominal resection. My body felt heavy. I considered trying to move my arms but I felt like a lead blanket was covering my chest and arms like a dentist office x-ray procedure.
Nurses and doctors were walking back and forth around my gurney. Other patients were wrapped in white sheets like Egyptian mummies. No dead people here. Think I am in the recovery room. No privacy curtain here. Big wide open room where the nurses watch patients like bees buzzing in a field of flowers.
I was bored looking at the ceiling tiles, I had a wild idea. Maybe I could move the fingers of my left hand! I wiggled a few fingers. Hey they moved. Next I tried to bend my elbow and move my fingers. Success. Do I dare explore my belly to feel the incision? I was curious and scared at the same time. Conflict. What to do? I pushed away the hospital blanket to bravely explore my midsection only to be stopped with bandages and gauze and wide strips of adhesive tape. Better not to proceed to the incision just yet. Maybe too much information.
Beep. Beep, beep.
The EKG recorded my heart beat with the latest digital display for the nurse.
I was breathing.
My heart was beating.
I was alive.
I was done with surgery.
I did not die on the operating table.
Do I still have cancer in my body?
Did they dig it all out?
“You are doing very well Mr. Beckstein” my surgeon and my primary physician were looking at me. They both had a big smile. Both in surgical scrubs.
“In a few minutes they will move you to your hospital room. You get some rest. We will talk to your family now. Do you have any questions?”
“Did you remove all the cancer during this surgery, doctor?”
“Yes.”
I thanked them and drifted off to sleep. I felt no pain. Morphine floated into my bloodstream and I was grateful. I was grateful to be alive.
Someone pushed my gurney into a huge elevator. A few moments later my body was transferred from gurney to my hospital bed.
I was alone.
Wednesday, July 9, 2008
Fitting Exercise into Your Life
Being physically active has so many health benefits. So if you are thinking you can't possible fit 30 minutes or more of exercise into your daily routine, these tips from Johns Hopkins can help.
If finding enough time to exercise seems too much to contemplate, remember that any exercise is better than no exercise and small steps are the key to eventually making larger changes in your habits. What this means is that you shouldn’t forgo exercise altogether just because you can’t find the time or energy to exercise for 60 minutes a day -- even 30 minutes of exercise on most days of the week offers significant health benefits. Here are some strategies you can try to increase your amount of physical activity
Replace sedentary activities with more active ones.
For example, instead of watching television while sitting on the couch, take a walk while listening to a book on tape or talking on your cell phone. Or at least try doing some calisthenics while watching your favorite show.
Look for stolen moments throughout your day to add activity.
Climb the stairs instead of taking the escalator, walk instead of taking your car or public transportation, do a lap around the mall before you start shopping, and return your cart all the way back to the supermarket instead of leaving it in the nearby cart bay.
Buy a pedometer.
This step counter will help you assess how many steps you’re taking per day. We and other experts recommend 10,000 steps a day (equivalent to about 5 miles), although most people walk much less than that. Start off by tracking the number of steps you take on a typical day. Then, try to increase your step count by 500–1,000 steps every 2–3 weeks. Keep a record of your step counts and reward yourself (not with food, of course) when you reach your goal.
Plan for exercise every day.
Mark out 30 minutes or more a day for physical activity and stick to it as if it’s an important meeting or appointment. Individuals who become habitual exercisers are those who make physical activity a priority.
Calories Burned During Moderate vs. Vigorous Activities
Calories Burned Per Hour for a 154-lb Person
Hiking 370
Light gardening/yard work 330
Dancing 330
Golf (walking and carrying clubs) 330
Bicycling (less than 10 mph) 290
Walking (3.5 mph) 280
Weight lifting (general light workout) 220
Stretching 180
Running/jogging (5 mph) 590
Bicycling (more than 10 mph) 590
Swimming (slow freestyle laps) 510
Aerobics Walking (4.5 mph) 460
Heavy yard work (chopping wood) 440
Weight lifting (vigorous effort) 440
Basketball (vigorous) 440
*People who weigh more than 154 lbs. will burn more calories per hour and people who weigh less than 154 lbs. will burn fewer calories per hour when engaged in the activities listed here. Source: Dietary Guidelines for Americans, 2005.
Posted in Nutrition and Weight Control on July 9, 2008
Thursday, June 26, 2008
A Good Stick for a Blood Test
As a colon cancer patient, you will be getting many blood tests. I recommend you find the most experienced staff to take your blood. Experienced patients call it a “good stick.” Remember the staff who do their job well and thank them. You will want to find them next time you need a blood test.
I kept a file copy of the requested lab tests and make sure the results are sent to all the doctors that need to know the results. File folders track my progress and organize my papers. This helps me with billing and taxes time.
As the technician is drawing blood, review what lab tests are going to be conducted on your blood and find out when the results will go to your doctors. An exceptional patient is proactive with your health care.
If the lab technician is inexperienced they will keep trying to find a vein and end up bruising your arm. This is called a bad stick. Not a big deal if you just need a blood test for routine lab work and you can go home and calm down.
Unfortunately for me I got a bad stick while getting ready for my abdominal resection surgery. I had an inexperienced nursing student made numerous attempts at trying to find a vein and miss. I got more stressed from this treatment. I felt like a pincushion. She gave up on one arm, then my wife fainted. I asked for my brother to enter the prep area and help calm me down. Finally she got an IV started in my other arm.
I found it hard to relax and let go of my worries about surgery with a bad stick. I was relieved to run the Belleruth Naparstek Imagery Before Surgery recording in my head and relax before surgery.
I kept a file copy of the requested lab tests and make sure the results are sent to all the doctors that need to know the results. File folders track my progress and organize my papers. This helps me with billing and taxes time.
As the technician is drawing blood, review what lab tests are going to be conducted on your blood and find out when the results will go to your doctors. An exceptional patient is proactive with your health care.
If the lab technician is inexperienced they will keep trying to find a vein and end up bruising your arm. This is called a bad stick. Not a big deal if you just need a blood test for routine lab work and you can go home and calm down.
Unfortunately for me I got a bad stick while getting ready for my abdominal resection surgery. I had an inexperienced nursing student made numerous attempts at trying to find a vein and miss. I got more stressed from this treatment. I felt like a pincushion. She gave up on one arm, then my wife fainted. I asked for my brother to enter the prep area and help calm me down. Finally she got an IV started in my other arm.
I found it hard to relax and let go of my worries about surgery with a bad stick. I was relieved to run the Belleruth Naparstek Imagery Before Surgery recording in my head and relax before surgery.
Tuesday, June 24, 2008
Fecal Occult blood test screening for Colon Cancer
Don't assume a normal annual test for fecal occult blood (FOBT) means you can postpone your colonoscopy. According to Frank Herlong, M.D., Associate Professor of Medicine, Gastroenterology Division at Johns Hopkins and Health After 50 Board Member, FOBTs are no longer relied upon for colon cancer screening -- though some doctors may use them to test for gastrointestinal bleeding from causes other than cancer.
Before colonoscopies became widely available and covered by insurance, annual FOBTs were an affordable and easy-to-use tool for colon cancer screening. But FOBTs have always been notoriously unreliable. Most employ a chemical called guaiac that changes color if blood is present in the stool sample. Guaiac also reacts with certain fruits and vegetables and with blood from red meat, which increases the likelihood of "false positive" results. All positive results must be confirmed by colonoscopy.
Immunochemical FOBTs, or IFOBTs, test for a protein specific to human blood. They are widely available and more accurate than guaiac based tests. But no matter which FOBT you use, a negative result does not necessarily mean that you are safe. Case in point: A recent study published in The New England Journal of Medicine found that an expensive DNA-based FOBT was capable of detecting 26% more invasive cancers and potentially precancerous growths than a common guaiac-based FOBT. But even this vastly superior DNA-based test identified only 51% of all invasive cancers detected by colonoscopy.
The most important thing to keep in mind is that not all precancerous growths or colon cancers cause bleeding; by the time they do, the cancer may be advanced. In contrast to all types of FOBTs, a colonoscopy detects -- and removes -- growths whether or not they cause bleeding. Thus, colonoscopy is your best protection against colon cancer.
Tuesday, June 10, 2008
Dave Barry's Colonoscopy Journal
June 10, 2008
This is from newshound :
... I called my friend Andy Sable, a gastroenteritis, to make an appointment for a colonoscopy. A few days later, in his office, Andy showed me a color diagram of the colon, a lengthy organ that appears to go all over the place, at one point passing briefly through Minneapolis . Then Andy explained the colonoscopy procedure to me in a thorough, reassuring and patient manner. I nodded thoughtfully, but I didn't really hear anything he said, because my brain was shrieking, quote, 'HE'S GOING TO STICK A TUBE 17,000 FEET UP YOUR BEHIND!'
I left Andy's office with some written instructions, and a prescription for a product called 'MoviPrep,' which comes in a box large enough to hold a microwave oven. I will discuss MoviPrep in detail later; for now suffice it to say that we must never allow it to fall into the hands of America 's enemies.
I spent the next several days productively sitting around being nervous. Then, on the day before my colonoscopy, I began my preparation. In accordance with my instructions, I didn't eat any solid food that day; all I had was chicken broth, which is basically water, only with less flavor. Then, in the evening, I took the
MoviPrep. You mix two packets of powder together in a one-liter plastic jug, then you fill it with lukewarm water. (For those unfamiliar with the metric system, a liter is about 32 gallons.) Then you have to drink the whole jug. This takes about an hour, because MoviPrep tastes - and here I am being kind - like a mixture of goat spit and urinal cleanser, with just a hint of lemon.
The instructions for MoviPrep, clearly written by somebody with a great sense of humor, state that after you drink it, 'a loose watery bowel movement may result.' This is kind of like saying that after you jump off your roof, you may experience contact with the ground.
MoviPrep is a nuclear laxative. I don't want to be too graphic, here, but: Have you ever seen a space-shuttle launch? This is pretty much the MoviPrep experience, with you as the shuttle. There are times when you wish the commode had a seat belt. You spend several hours pretty much confined to the bathroom. You eliminate everything. And then, when you figure you must be totally empty, you have to drink another liter of MoviPrep, at which point, as far as I can tell, your bowels travel into the future and start eliminating food that you have not even eaten yet.
After an action-packed evening, I finally got to sleep. The next morning my wife drove me to the clinic. I was very nervous. Not only was I worried about the procedure, but I had been experiencing occasional return bouts of MoviPrep spurtage. I was thinking, 'What if I spurt on Andy?' How do you apologize to a friend for something like that? Flowers would not be enough.
At the clinic I had to sign many forms acknowledging that I understood and totally agreed with whatever the heck the forms said. Then they led me to a room full of other colonoscopy people, where I went inside a little curtained space and took off my clothes and put on one of those hospital garments designed by sadist perverts, the kind that, when you put it on, makes you feel even more naked than when you are actually naked.
Then a nurse named Eddie put a little needle in a vein in my left hand. Ordinarily I would have fainted, but Eddie was very good, and I was already lying down. Eddie also told me that some people put vodka in their MoviPrep. At first I was ticked off that I hadn't thought of this, but then I pondered what would happen if you got yourself too tipsy to make it to the bathroom, so you were staggering around in full Fire Hose Mode. You would have no ch oice but to burn your house.
W hen everything was ready, Eddie wheeled me into the procedure room, where Andy was waiting with a nurse and an anesthesiologist. I did not see the 17,000-foot tube, but I knew Andy had it hidden around there somewhere. I was seriously nervous at this point. Andy had me roll over on my left side, and the anesthesiologist began hooking something up to the needle in my hand. There was music playing in the room, and I realized that the song was 'Dancing Queen' by ABBA I remarked to Andy that, of all the songs that could be playing during this particular procedure, 'Dancing Queen' has to be the least appropriate.
'You want me to turn it up?' said Andy from somewhere behind me. 'Ha ha,' I said. And then it was time, the moment I had been dreading for more than a decade. If you are squeamish, prepare yourself, because I am going to tell you, in explicit detail, exactly what it was like.
I have no idea. Really. I slept through it. One moment, ABBA was yelling 'Dancing Queen, Feel the beat of the tambourine,' and the next moment, I was back in the other room, waking up in a very mellow mood. Andy was looking down at me and asking me how I felt. I felt excellent. I felt even more excellent when Andy told me that It was all over, and that my colon had passed with flying colors. I have never been prouder of an internal organ.
ABOUT THE WRITER
Dave Barry is a Pulitzer Prize-winning humor columnist for the Miami Herald.
Sunday, June 1, 2008
Protect Yourself Against Prostate Cancer
Simple Steps to Protect Yourself Against Prostate Cancer
Reducing your risk of prostate cancer begins with the big picture, those well-publicized major lifestyle changes that are widely recommended but often difficult to accomplish. Then there are the smaller details: cancer-protective foods, supplements, and medications. A serious prostate cancer risk-reduction program encompasses both approaches.
Achieving a healthy weight, committing to regular exercise, and altering long-ingrained dietary habits are the most important steps you can take to protect yourself from prostate cancer. And their payoff goes far beyond the prostate. These lifestyle changes could reduce your risk of nearly all the most devastating diseases: heart disease, stroke, diabetes, Alzheimer’s disease, and many other forms of cancer. What’s more, they work together to improve your health. Here are some strategies to consider:
Weight management.
The links between obesity and prostate cancer continue to strengthen. Fat cells churn out a slew of substances that fuel the development and progression of cancer. These include estrogen, testosterone, and insulin-like growth factor. Men who are obese also are more likely to be diagnosed with advanced prostate cancer. The possible reasons are that obese men tend to have larger prostates (making tumor detection more difficult), and their prostate specific antigen (PSA) scores are often deceptively low.Regular exercise.
Vigorous physical activity appears to protect against prostate cancer. Men who exercise regularly are less likely to be diagnosed with advanced or fatal prostate cancer. Some evidence suggests that vigorous physical activity may also slow its progression.Dietary changes.
Adopting a plant-based diet can reduce your risk of prostate cancer and improve your overall health. This dietary approach focuses on fruits, vegetables, legumes (like beans and peas), whole grains, seeds, and nuts. Soy foods (like soy nuts and tofu) also appear to be protective. Aim for at least nine fruits and vegetables a day.
To get all the cancer-fighting nutrients you need, try to include a “rainbow” of fruits and vegetables each day -- reds, oranges, yellows, greens, and blues/purples. Brightly colored fruits and vegetables are rich in carotenoids, cancer-fighting substances that serve as coloring agents in plant foods. Also be sure to include at least one serving per day of a cruciferous vegetable (like broccoli, cabbage, or cauliflower). These vegetables contain other types of cancer-fighting chemicals.
Specific Foods, Supplements, and Medications. Ongoing research into prostate cancer prevention has identified a number of individual substances that may be protective:
Lycopene. The carotenoid lycopene is found in tomatoes, pink grapefruit, and watermelon. Cooked tomato products such as spaghetti sauce and ketchup are the richest source.
Pomegranates. Pomegranates and pomegranate juice have recently been found to cause prostate cancer cells to self destruct. Among men with prostate cancer, daily glasses of pomegranate juice have slowed the increase in PSA levels after treatment.
Omega-3 fatty acids. Omega- 3 fatty acids are a type of polyunsaturated fat found abundantly in fatty fish (like salmon, sardines, tuna, and halibut) and fish oil. Flaxseeds, walnuts, and canola oil contain a weaker, but still beneficial, plant-based form of these healthful fats. Omega-3s have anti-inflammatory and anticancer effects. Several studies have suggested that men who eat fish two or more times per week have a lower risk of developing prostate cancer.
Selenium and vitamin E. These two nutrients are being tested for their potential protective effects in SELECT (Selenium and Vitamin E Cancer Prevention Trial) -- the largest clinical study ever launched about prostate cancer prevention, coordinated by the U.S. National Cancer Institute. Several smaller studies have shown benefits, but until the SELECT results are in, doctors recommend against taking large amounts of either nutrient. A multivitamin that includes both is the best bet for now.
Vitamin D. Vitamin D plays an important role in regulating cell growth and has been associated with a reduced risk of prostate cancer. The dietary sources of vitamin D include fortified milk and fatty fish. The way to boost your body's natural productin of vitamin D is to spend about 15 minutes a day (without sunscreen) in the sun.
Statins. Prostate cancer researchers are discovering the important role inflammation plays in the development of prostate cancer. High cholesterol levels also may increase the risk. The cholesterol-lowering medications known as statins tackle both problems. In a study that Johns Hopkins researchers participated in, men who took statins had half the risk of developing prostate cancer compared with nonusers.
NSAIDs. Nonsteroidal anti-inflammatory drugs (NSAIDs) also reduce inflammation and appear to lower the risk of prostate cancer. These medications target a protein called COX-2, which is believed to help prostate cancer cells spread.
Prostate Disorders Special Report by Johns Hopkins Health Alerts is owned and operated by University Health Publishing. June 1, 2008
Our email is: customerservice@johnshopkinshealthalerts.com
Thursday, May 29, 2008
Cold Blooded
Cold Blooded
I sat in the oncologist’s waiting room and stared at cold-blooded fish that circled in the fish tank. Like sharks who wait patiently for the kill. There will be a kill today. At 10 AM.
The cold frosted glass door opened. The receptionist asked if there have been any change of address or health insurance since my last visit.
No was my reply.
Two more minutes passed. The fish stared at me as I stared back. The nurse opened the door, announced my name, I followed her to the tiny treatment room. A chill was in the air. Chemo treatment rooms are never warm.
I sat in cold fake leather chair. I covered my lap with a tiny blue flannel blanket. The same blankets the stingy airlines offer their cold customers. I draped one blanket around my legs and tried to cover my chest with another baby blanket. The artic air conditioning cooled the room. Baby blankets tried to keep me warm. They failed.
The busy nurse looked drained of life from this job. Just another patient getting chemo. Her icy fingers found a vein. She inserted a cold needle into my body. She taped the tube to my arm and hung a clear bag of saline solution over my head.
A hot-blooded man began to chill.
Ten minutes passed. I looked at the plastic bag over my head. Empty. Nurse returned with a brand new bag of the old chemo (A cocktail that has been so effective for so many years!). The nurse removed the empty bag of saline and plugged in my cold cancer cocktail.
I sat in the chair motionless. I watched chemo float through the clear tube to the needle in my arm. The chemo crept up my arm slowly. Arm began to freeze. The chemo cocktail circulated my carcass. The chemo entered my heart. Cold chemo cocktail was pumped thru my entire body. Cold chemo killed some cancer cells. Cold chemo cocktail killed some of my brain cells too. I think. Can’t really remember that part I was cold and numb.
Drip, drip, drip.
The chemo bag emptied poison into my cold dying body. I sat helpless in a chair.
My body went cold. I began to shiver. Whenever I get cold I feel like I am dying. Parts of my body were dying during chemo.
Sixty minutes later the nurse inspected the bag with fingers covered with plastic gloves.
You are done Mr. Beckstein.
The nurse held my elbow with polar paws. She pulled the cold needle out of my vein. I held the white round cotton ball over my leaking vein. The efficient nurse wrapped eight inches of adhesive tape over the fat cotton ball and around my elbow. Not much hair left inside my arm anymore.
“Do you think you can stand up? She asked.
Yes.
I will find your friend to take you home Mr. Beckstein.
Thanks
I slowly shuffled out of the cold chemo treatment room.
I hate the cold.
Wednesday, May 28, 2008
Finding Your Best Diet
Finding Your Best Diet
The limited research on popular weight-loss plans drives home two messages: (1) weight loss is hard, and (2) finding the optimal diet for you as an individual is the only way to succeed. Here is some common-sense advice on how to choose a diet that suits you.
Long-term weight control is based on changing your eating patterns (and your physical activity habits) for a lifetime. Anyone can go on a diet for a couple of weeks, or even a couple of months, but those who lose weight and keep it off adopt a diet plan they can sustain (with some calorie adjustments) for years. Here, then, are some tips on how to choose a diet that suits you:
Do a self-assessment.
Most overweight people eat out of habit and in response to emotions rather than because they’re hungry. To learn what leads you to overeat, observe your usual diet for a week: Keep track of what you eat, when and where you eat, who you’re with when you eat, and how you’re feeling when you eat. Also make note of your portion sizes (many overweight people eat larger portions and more calories than they think).
This process will give you an idea of your trouble spots and help you decide what diet plan will work best for you. For example, if your portion sizes are too large, you might find that a diet program that provides prepackaged or prepared meals, because you won’t need to make decisions about portion size.
If you are an emotional eater, a diet plan that offers counseling or support groups might be best for helping you cope with the emotional issues that are driving you to overeat.
Find a diet that fits your personality and lifestyle.
You might be the type of person who is most comfortable with a diet that provides daily menus and recipes -- or you might prefer a plan that offers lists of foods from which you can pick and choose (or even provides prepackaged foods). You might require a diet plan that addresses some of your health concerns -- the need to lower your sodium, cholesterol, or fat intake -- or allows you to eat meals away from home because you travel a lot.
Choose a diet that is well balanced.
Trendy diets such as the Atkins plan may produce quick weight loss, but they don’t offer the full complement of vitamins, minerals, and other nutrients your body needs to stay healthy -- and they typically lead to weight regain when you go off the diet. These diets are also hard to stay on for the long term because they strictly limit the types of foods you can eat. The best strategy is to go on a calorie-controlled diet plan that includes all of the food groups and doesn’t deprive you of your favorite foods.
Posted in Nutrition and Weight Control on May 28, 2008
Tuesday, May 13, 2008
Lifetime Probability of Developing Colon Cancer
There will be an estimated 108,070 new cases of Colon Cancer in the USA in 2008. The lifetime probability of developing Colon Cancer for women is 1 in 19 ; for men 1 in 18.
Colon Cancer is highly preventable when patients are regularly checked and screened via colonoscopy. For years there was only one drug to treat this cancer. Now there are five.
The five year survival rates have increased to 65 percent, but when localized colon cancer is detected early and treated surgically, the survival rate is 95 percent.
Source : May 2008 AARP Bulletin page 13
Colon Cancer is highly preventable when patients are regularly checked and screened via colonoscopy. For years there was only one drug to treat this cancer. Now there are five.
The five year survival rates have increased to 65 percent, but when localized colon cancer is detected early and treated surgically, the survival rate is 95 percent.
Source : May 2008 AARP Bulletin page 13
Monday, May 12, 2008
Dietary Factors and the Development Of Colon Cancer
Colon cancer is one of the most common malignancies in Western countries: both men and women face a lifetime risk of nearly 6% for the development of invasive colorectal cancer. Epidemiologic studies have shown that several dietary factors contribute to the development of Colon Cancer,
In the great majority of cases, colorectal cancer arises from an initially benign overgrowth of colonic lining, a so-called adenomatous polyp which acquires with time harmful mutations and transforms into a dangerous colonic carcinoma. Observational studies suggest that the adenoma-to-carcinoma sequence takes up to 10 years. Although nearly half of Western population may harbor adenomatous polyps by the age of 50, it is estimated that only a few percent of adenomas will progress to cancer.
Adapted from materials provided by University of Helsinki, via EurekAlert!, a service of AAAS.University of Helsinki (2008, May 7). Discovery Of A Novel Mechanism For The Development Of Colon Cancer. ScienceDaily. Retrieved May 12, 2008, from http://www.sciencedaily.com /releases/2008/05/080505125625.htm
- high fat,
- red-meat ,
- obesity
- lack of vegetables
- lack of fiber in the diet.
In the great majority of cases, colorectal cancer arises from an initially benign overgrowth of colonic lining, a so-called adenomatous polyp which acquires with time harmful mutations and transforms into a dangerous colonic carcinoma. Observational studies suggest that the adenoma-to-carcinoma sequence takes up to 10 years. Although nearly half of Western population may harbor adenomatous polyps by the age of 50, it is estimated that only a few percent of adenomas will progress to cancer.
Adapted from materials provided by University of Helsinki, via EurekAlert!, a service of AAAS.University of Helsinki (2008, May 7). Discovery Of A Novel Mechanism For The Development Of Colon Cancer. ScienceDaily. Retrieved May 12, 2008, from http://www.sciencedaily.com /releases/2008/05/080505125625.htm
Tuesday, April 22, 2008
Colon Cancer Follow-up and Recurrence
Following treatment for colon cancer, it's critically important to monitor your recovery with frequent doctor visits and to pay attention to potential symptoms of recurrence. Johns Hopkins doctor explain what to look for.
After colon cancer treatment, vigilant surveillance must continue for several years. Early detection of recurrent or metastasized cancer yields the best possibility for cure or containment. For these reasons, at the Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, most colon cancer patients come for follow-up every three to six months for the first three years, and then every six to twelve months for two years afterwards.
While it is not productive to worry about recurrent cancer, it is important to be able to begin treating the cancer as soon as possible. Thus it’s a double bind. Signs and symptoms of cancer recurrence or metastases can be vague, especially when you are recovering from major treatment. It may be difficult to sort out new sensations from the ones you had before surgery.
Some symptoms doctors suggest you take seriously include:
- Fatigue, weight loss, loss of appetite, and anorexia. These could be connected with therapy, but can also be signs of cancer recurrence.
- Abdominal pain and bowel blockage. Cancer can recur in the area of the bowel where it was treated or elsewhere in the colon. This may block normal bowel movements, so do report pain and constipation.
- Nausea, vomiting, or yellow discoloration of eyes and skin may be signs of metastases to the liver.
- Shortness of breath might indicate lung tumors.
- Infrequent urination accompanied by hip or back pain can indicate that the cancer has spread to the urinary system skeleton.
Johns Hopkins Health Alerts, 6 Trowbridge Drive, Bethel, CT 06801, Attn: Web Team
Saturday, April 12, 2008
Helplessly Handicapped
Helplessly Handicapped
4/12/08 5:02 AM
I cheated again
Used handicapped parking
But I’m not handicapped.
Told myself I earned my handicap status
Cause I am a cancer survivor
Every year DMV’s computer
Keeps renewing my blue handicapped pass
So I can cheat when I want
I can park for free, its OK I am special
I am helplessly handicapped
Push my car into a blue zone
Able-bodied people push money into meters
It is so tempting my parking pass
It sits in my glove compartment
Hiding like Halloween candy
Its OK, you earned it.
Being handicapped is a 12-step process
Hi, I’m Doug I’m slightly handicapped
I can park for free in Oakland all day
Cause I got a blue card hanging on my mirror
So easy, just hang the blue handicapped plaque
On the rear view mirror,
lock the car and walk away
I’m entitled to use my pass
Because?
Because I got cancer 5 years ago
Doesn’t that blue card expire?
Nope, I have become hopelessly handicapped
DMV will make sure it’s forever
My handicap status is permanent
But you are cured of cancer!
I am
So why are you helplessly handicapped?
Because I can still justify this behavior.
Really, and you can sleep at night?
Yeah. sometimes
4/12/08 5:02 AM
I cheated again
Used handicapped parking
But I’m not handicapped.
Told myself I earned my handicap status
Cause I am a cancer survivor
Every year DMV’s computer
Keeps renewing my blue handicapped pass
So I can cheat when I want
I can park for free, its OK I am special
I am helplessly handicapped
Push my car into a blue zone
Able-bodied people push money into meters
It is so tempting my parking pass
It sits in my glove compartment
Hiding like Halloween candy
Its OK, you earned it.
Being handicapped is a 12-step process
Hi, I’m Doug I’m slightly handicapped
I can park for free in Oakland all day
Cause I got a blue card hanging on my mirror
So easy, just hang the blue handicapped plaque
On the rear view mirror,
lock the car and walk away
I’m entitled to use my pass
Because?
Because I got cancer 5 years ago
Doesn’t that blue card expire?
Nope, I have become hopelessly handicapped
DMV will make sure it’s forever
My handicap status is permanent
But you are cured of cancer!
I am
So why are you helplessly handicapped?
Because I can still justify this behavior.
Really, and you can sleep at night?
Yeah. sometimes
Tuesday, April 1, 2008
Alternative and Complementary Therapies for Colon Cancer
Colon Cancer Special Report from Johns Hopkins April 1, 2008
Alternative and Complementary Therapies for Colon Cancer
Johns Hopkins specialists discuss eight complementary therapies to ease symptoms of colon cancer.
The truth: There is no "natural cancer cure,” and so-called therapies based on that claim have injured many cancer patients -- either directly, because of dangerous "treatments,” or indirectly, by keeping them from using methods validated by solid research.
Now the good news: Many complementary therapies, used along with conventional medicine, can support cancer treatments, reduce some of the adverse effects of cancer treatment, ease tension and pain, and contribute to overall health. This is known as integrative medicine.
Integrative medicine can be particularly important for palliative care: interventions that contribute to comfort and well-being but not necessarily to a cure. Yoga, acupuncture, meditation, aromatherapy, relaxation techniques, and spiritual healing are used often in this way.
If you decide to try something your doctor has not prescribed, be sure to tell your medical team. Your cancer treatments have been carefully tailored for your situation, and adding anything else could have serious effects or interact with your cancer treatments. Look for an integrative practitioner who is also a licensed physician or who works with a medical doctor. Any integrative therapist should be willing to give reports to and consult with your doctor.
- Complementary Cancer Therapy 1: Acupuncture -- The ancient treatment has been shown to ease many conditions associated with cancer, especially those connected with chemotherapy. Studies have show that acupuncture may relieve postoperative nausea and vomiting and chemotherapy-induced acute vomiting, especially when used along with conventional medications. It can also relieve peripheral neuropathy, an often-painful form of nerve damage sometimes caused by chemotherapy.
- Complementary Cancer Therapy 2: Mind–Body Therapies -- A solid body of evidence shows that meditation and relaxation can ease pain, relieve stress, and improve depression. In fact, your cancer center or local clinic probably has a stress-reduction program that insurance will cover, at least in part. Programs may involve guided imagery or visualization, relaxation, and breathing techniques to enhance treatment and control pain. Meditation has been shown to contribute to relaxation and pain relief and to enhance some treatments.
- Complementary Cancer Therapy 3: Yoga and Tai Chi -- These ancient Eastern movement practices were developed to balance mind and body and have been shown to improve mood and ease pain. They also contribute to muscle strength, energy level, and balance. However, they involve physical exercise, and some classes can be quite strenuous. Ask at your cancer center about tai chi or yoga classes. Some are covered by insurance or offered at a minimal cost. Look for classes developed especially for people with chronic illness or who are recovering from cancer. There are also videos and DVDs especially for cancer patients that you can use at home.
- Complementary Cancer Therapy 4: Aromatherapy -- An entire philosophy and even some research support the idea that certain odors can be calming or stimulating. Most aromatherapy involves essential oils from plants or herbs. You may find aromatherapy pleasant, and it is unlikely to cause harm.
- Complementary Cancer Therapy 5: Spiritual Healing -- Religion and spiritual practices bring solace and comfort to many and can be an important part of your mental well-being. Studies show they may relieve stress and anxiety and contribute to relaxation, and others who share your spiritual beliefs can be supportive. However, do not expect a cure from spiritual or religious practices, and avoid anyone who says that your thoughts or a lack of faith caused your cancer. Such negative influences will not help you to get well or feel better.
- Complementary Cancer Therapy 6: Healing Retreats -- Cancer retreats can help patients and their families and caregivers. These are special residential centers, often in a beautiful setting, that offer programs to help understand and cope with the stress and complex emotional aspects of a cancer diagnosis. Programs often include mind–body exercises, such as meditation and yoga; nutritional advice; help with the effects of both the cancer and its treatments; and an opportunity to be in a private setting with others who are going through a similar experience.
- Complementary Cancer Therapy 7: Herbs and Supplements -- It’s true that many conventional medicines were developed from botanicals and herbal therapies. However, when used in their unprocessed state, as supplements, “special natural formulas,” and herbal remedies, most have not been shown effective in treating or preventing cancer. In fact, many of the so-called natural cancer cures may cause harm. They can damage other organs and even lead to death. Also, anything you ingest could interact with conventional cancer treatments.
However, some herbs and supplements may help with your symptoms or ease some of the most unpleasant side effects of treatment. For instance, peppermint may ease nausea and vomiting, and there also is evidence that taking ginger by mouth might help reduce chemotherapy-induced nausea.
- Complementary Cancer Therapy 8: Irrigation and Enemas -- The Internet abounds with ads for “cleansing colon treatments” and enemas that are touted to prevent or cure cancer by clearing “toxins” and “unhealthy buildup” out of your colon. There is no scientific basis whatsoever for these claims. What’s more, frequent use of laxatives and enemas can cause dehydration and other health problems. Also, these treatments are not very pleasant. If you did not enjoy the colonic cleansing you underwent before colonoscopy, you probably won’t like these very much, either.
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