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The Health IDEA

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4 top tips: Your best odds for preventing a heart attack

1/31/2019

 
female-cardiologist-with-patient
​Could you have a heart attack? Reduce your odds through these tips.

(BPT) - Many Americans consider themselves well-informed and attentive when it comes to their health.

That’s why it's so puzzling that many remain unfazed by the threat of heart disease.

That was among the findings of the MDVIP Heart Attack IQ Survey, a national study showing Americans are more concerned about cancer than a heart attack — even though cardiovascular disease kills more people than all forms of cancer combined. In fact, heart disease is the underlying cause of one in three U.S. deaths. Many Americans don’t take it seriously because they believe most heart problems can be treated with medication or surgery, while others simply procrastinate when it comes to adopting healthier behaviors that help prevent heart disease.

As a result, many are surprised when faced with a life-threatening heart attack, which can happen to anyone at any age. While the average age for a first attack is 66 for men and 70 for women, the risk increases significantly as soon as men reach 45 and women reach 55.

“Despite the statistics, people assume a heart attack is going to happen to somebody else, but not to them,” said MDVIP Chief Medical Officer Dr. Andrea Klemes. “Heart disease can be dangerously silent, which is why it’s important to know your risk factors and the steps you can take to minimize them.”

Gloom and doom aside, awareness of the issue is the first step, and there is much you can do to prevent heart disease. Some 80 percent of heart attacks and strokes are preventable.

Consider these suggestions for reducing your risk of heart attack:

* Partner with your primary. Your primary care doctor is your first line of defense in helping prevent heart disease. Make sure you partner with a physician who has the time to identify and discuss your risk in detail, who will work on a plan to control your risk factors and who can provide ongoing support to keep you motivated and accountable. Physicians like those in the MDVIP network maintain smaller practices so that they can devote more time to each patient and provide the coaching needed to keep them on track.

* Stay up to date on screenings. When’s the last time you had your blood pressure and cholesterol checked? But don’t stop at the basics. Most heart attacks occur in people with normal cholesterol levels. You also want to get a read on whether you have inflammation in your arteries or insulin resistance, both of which raise your heart disease risk. You can only act on what you know, and knowing your numbers is key to early detection.

* Make heart-healthy changes. Creating and sustaining healthy lifestyle habits can help keep your blood pressure, cholesterol and sugar in check and lower your risk for heart disease. So don’t skip your exercise, weight management or smoking cessation programs. Just make sure you consult with your doctor before changing your diet or beginning a new exercise program.

* Sleep more, stress less. While often overlooked, insufficient sleep and excessive stress can put strain on your heart over time. Both can also influence your eating habits, mood and overall health. Most adults need seven to nine hours per night; if you’re getting that and still feel tired, consider asking your doctor for a sleep apnea test. Also, try starting a regular practice — whether it’s a yoga class, deep breathing or a daily walk outside — to better manage stress.
​
Take the Heart Attack IQ quiz and learn more about finding a preventive physician by visiting www.mdvip.com/HeartAttackIQ.

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The Rarest of the Rare

1/24/2019

 

There is little information available about epithelioid sarcoma. Patients, advocates, doctors and researchers across the United States are aiming to educate people about this ultra-rare cancer and the unmet need for an effective, tumor-specific treatment. Consider these facts about ES.


The Rarest of the Rare

What to know about a cancer you may not have heard of

(Family Features) A woman celebrating her 40th birthday, a young boy starting second grade or a college grad about to begin his career. All three could develop a rare form of cancer known as epithelioid sarcoma (ES), a form of soft-tissue sarcoma.

There is little information available about ES. Patients, advocates, doctors and researchers across the United States are aiming to educate people about this ultra-rare cancer and the unmet need for an effective, tumor-specific treatment. Consider these facts about ES:

What are Soft-Tissue Sarcomas and What is Epithelioid Sarcoma?
Soft-tissue sarcomas (STS) are a type of cancer that occur in tissue like muscle, fat, skin, nerves and blood vessels. There are more than 50 types of STS, including ES, which is a rare form that can occur under the skin in the limbs (such as the arms, hands, legs or feet) or soft tissue in other places like the abdomen. Adults in their 20s and 30s and men, in particular, are more likely to get ES, although it can affect people of all ages and genders, according to research published in the Journal of Clinical and Aesthetic Dermatology.

How Rare is Rare?

According to the American Cancer Society, a rare cancer is defined as fewer than six new diagnoses per 100,000 people per year.

ES is an ultra-rare cancer. According to available epidemiology and case reports, it is estimated about 600 people are properly diagnosed in the U.S. and Europe each year.

What are the Most Common Types of ES and How Do They Impact Diagnosis?
ES can take two forms:
Distal-type: Classic form, typically affects teenagers and young adults.

  • Typically forms under the skin in areas like hands, legs and feet.
  • Can be mistaken for another skin condition like an infected wart or a wound that won’t heal, which may delay diagnosis.
  • Proximal-type: Rarer form, mainly affects adults and is more aggressive.
  • Typically forms in central areas of the body like the abdomen.
  • Can be mistaken for menstrual cramps or an upset stomach, making identification and diagnosis more difficult.

Dealing with a Diagnosis?
Due to its rarity, harmless appearance in its initial stages and occurrence in young people, ES is often misdiagnosed, according to the Liddy Shriver Sarcoma Initiative. For this reason, the Sarcoma Foundation of America recommends checking often for lumps and bumps in places they shouldn’t be.

For people faced with a sarcoma diagnosis, it’s important to get a second opinion from a sarcoma specialist. These specialists have extensive knowledge of STS and can determine what form of sarcoma one may have, what stage it is and the best course of treatment. The specialist may confirm the diagnosis with a physical examination, a scan or a tissue sample (biopsy) of the area.

It’s common to feel a range of emotions after a diagnosis of ES, according to Clear View Health Partners, including:

  • Fear
  • Denial
  • Frustration
  • Anxiety
  • Hope that treatment will be successful
  • Determination to beat ES

What Treatment Options are Available?
Treatment options depend on a variety of factors, including the location of the tumor, tumor staging and whether the disease has metastasized or spread to other parts of the body.

For patients with early stage ES, many elect to have surgery to remove the tumor, which may precede or be followed by radiation therapy or chemotherapy treatment, according to the Journal of Clinical and Aesthetic Dermatology. If the cancer returns or spreads, a patient may undergo radiation therapy and chemotherapy. New treatment options are being studied through clinical research, which is why seeking a specialist in the field is important if one is faced with a diagnosis.

As with many cancers, early detection is important and can increase survival or successful treatment. Typically, the distal form of ES is associated with more favorable survival rates than the proximal form.

4 Things to Do to Address ES Today

1. Don’t ignore your bumps and lumps, see a doctor as soon as possible.

  • curesarcoma.org/patient-resources/sarcoma-infographic/  

2. Learn more about epithelioid sarcoma and its symptoms.

  • mayoclinic.org/diseases-conditions/epithelioid-sarcoma/cdc-20392420

3. Seek a second opinion.

  • sarctrials.org/sarc-centers-map

4. Find support if you’re faced with a diagnosis.

  • sarcomaalliance.org/resources/support-groups
  • cancersupportcommunity.org
  • cancercare.org/counseling

An ES Diagnosis Journey

In the spring of 2008, Maria Voermans’ 4-year-old daughter requested an “airplane ride,” and as Voermans lifted the young girl up with her legs, she had to make an “emergency landing” because of some sudden and significant pain in her upper right thigh.

After a few months, the pain persisted. Voermans continued to jog and play sand volleyball, thinking nothing of it. At the recommendation of her primary care physician, she took some anti-inflammatories and tried to rest, which wasn’t easy to do as a single mother of two young children.

Two more months went by and her leg caused increasing problems. She could feel something in her leg, but never considered it a “lump” because it was not visible on the outside. Voermans took matters into her own hands and visited a sports medicine orthopedic specialist for further testing.

An MRI found a mass in her right leg and she was referred to one of the few musculoskeletal oncologists in Wisconsin, her home state. He ordered a biopsy, which on Voermans’ youngest daughter’s third birthday confirmed her worst fear: it was a rare form of cancer called proximal-type epithelioid sarcoma, and it was stage three. Her biggest concern was not living to experience future holidays, birthdays, graduations and other life milestones with her daughters.

Voermans underwent chemotherapy, radiation therapy and had surgery to remove the tumor. As of July 2018, Voermans reports the cancer has not returned.

Today, she’s a wellness coordinator supporting other people diagnosed with cancer who are undergoing treatment or post-treatment. She’s able to use her own cancer journey to provide empathy to others, and it’s brought satisfaction to the whole experience.

Content courtesy of Epizyme, Inc.

Photo courtesy of Getty Images (Doctor talking to man)

SOURCE:
Epizyme, Inc.

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5 tips to prevent the spread of an infectious superbug

1/23/2019

 
women_gym_exercising
Don't let a trip to the gym lead to a bout with the flu....or MRSA!

(BPT) - In the winter, we tend to be in closer quarters indoors and constantly around friends and family. It is important to be conscious of infectious diseases, such as Methicillin-resistant Staphylococcus Aureus (MRSA), which are spreading rapidly among public places like gyms and schools. MRSA prevention should continue at home, especially for groups at higher risk, like student athletes.

Taking simple measures at home and on-the-go can help you to protect and safeguard your health, environment and family from dangerous bacteria and viruses, including MRSA, this season. Clorox teamed up with Jeanine Thomas, MRSA survivor and founder of MRSA Survivors Network; former NFL player Brandon Noble, who has been personally affected by MRSA; and Saskia V. Popescu, hospital epidemiologist and infection preventionist, to share the following expert tips:

1. Wash your hands frequently with soap and warm water for at least 15 seconds — the time it takes to sing "Happy Birthday" twice — or use an alcohol-based hand sanitizer. “Winter is a prime season for stomach bugs and diarrheal illness, so it’s important to stay vigilant with hand hygiene,” said Popescu. Be extra cautious in public settings like gyms, locker rooms, households and schools, where these viruses are increasingly spreading.

2. Keep to yourself and do not share personal items, such as towels or razors, which contact bare skin. MRSA is easily spread by skin-to-skin contact or touching contaminated items or surfaces. It is also resistant to many antibiotics, making it difficult to treat.

3. Act fast and take care of cuts and open wounds by covering them up with a clean, dry bandage until healed. Seek a medical professional if the wound worsens or doesn’t heal quickly. “When I contracted MRSA, it changed my life. I had no idea such a disease existed and would pose as a threat to my career, health and overall well-being,” said Noble.

4. Use a barrier, such as a towel or clothing, between skin and shared equipment at the gym. MRSA prevention should continue at home, especially for groups at higher risk like student athletes, as MRSA bacteria can remain on surfaces after someone touches them, making it possible for someone else to pick them up.

5. Regularly clean countertops and other surfaces in your home. “Keeping your germs at bay in the kitchen is easy,” said Thomas. “Just mix 1/2 cup bleach with one gallon of water, wipe surfaces and leave solution on for 5 minutes and then rinse.” The Centers for Disease Control and Prevention (CDC) recommends disinfecting surfaces which are likely to contact skin with an EPA-registered disinfectant, like Clorox Regular Bleach with Cloromax.

MRSA is one common superbug that can be potentially deadly. Caused by a type of staph bacteria often found on the skin and in the nose, MRSA is easily spread by skin-to-skin contact or touching contaminated items or surfaces. It is also resistant to many antibiotics, making it difficult to treat. The CDC estimates that there are 72,444 infections and 9,194 MRSA-related deaths each year in the U.S alone.

“In 2000, I had ankle surgery and ended up infected with the antibiotic-resistant bacteria MRSA. The infection spread to my bone marrow and bloodstream and required many surgeries and rehabilitation,” said Thomas. “Since then I have been dedicated to advocating for patients and families to help inform them and bring awareness of the disease and prevention measures to the general public.”

“I wish I had known the simple ways to prevent the spread of this disease, like I do now, as that could have made all the difference,” said Noble. As germs and illnesses spread quickly, especially in close-proximity areas, taking proactive steps to prevent common viruses and bacteria from spreading in the home, at schools and in locker rooms is more important than ever. Learn more on how to prevent the spread of viruses and bacteria, such as MRSA, at Clorox.com.

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Common cold or pulmonary fibrosis? Know the symptoms

1/22/2019

 
female-doctor-with-patient

(BPT) - Persistent dry cough. Fatigue. Shortness of breath. These symptoms are sometimes associated with a passing virus, especially during the peak of cold and flu season. Coughs can last an average of 18 days; however, if your dry cough is still lingering after two months, another condition, such as pulmonary fibrosis, might be the cause.

“There are more than 50,000 new cases of pulmonary fibrosis diagnosed every year, yet many patients have never heard of it prior to their diagnosis,” said William T. Schmidt, president and CEO of the Pulmonary Fibrosis Foundation (PFF). “Some individuals with the disease may be first misdiagnosed with pneumonia, bronchitis or asthma, which is why it is imperative we continue to raise awareness about the disease, common symptoms and risk factors.”

What is pulmonary fibrosis?

While the condition is largely unknown, more than 200,000 Americans are living with pulmonary fibrosis, a progressive, debilitating lung disease. In simple terms, pulmonary fibrosis is scarring in the lungs that, over time, can destroy the normal lung and make it hard for oxygen to get into the blood.

Currently, there is no cure once scarring has begun, but the PFF is mobilizing people and resources to provide access to high-quality care, as well as leading research for a cure so individuals with pulmonary fibrosis will live longer, healthier lives.

What are the symptoms of pulmonary fibrosis?

There are three main symptoms of pulmonary fibrosis — shortness of breath, a dry, hacking cough and fatigue. If you have two or more of these lingering symptoms, they should be taken seriously and you should speak with your physician.

“I started off with a slight, dry cough. I didn’t know what it was,” said Dot Delarosa, a pulmonary fibrosis patient who received a life-saving lung transplant in 2010. “I would talk and I would cough, talk and cough. To me, this was my normal.”

While anyone can develop pulmonary fibrosis, it is more likely to occur in those 60 years and older with a history of smoking, putting hundreds of thousands of Americans at risk for the disease. Other risk factors include: a family history of pulmonary fibrosis; prior or current use of certain medications such as chemotherapy and amiodarone; a history of radiation treatment to the chest; environmental and occupational exposures including indoor mold, birds or asbestos; and a previous diagnosis of rheumatoid arthritis or another autoimmune disease.

How do I find out if I have pulmonary fibrosis?

Although many of these symptoms are seen with more common diseases such as COPD, asthma and heart disease, it is important to consider pulmonary fibrosis. If you have symptoms or risk factors, the first step is to speak with your healthcare provider. Early diagnosis is key to maximizing treatment options. With a lesser known disease like pulmonary fibrosis, advocating for your health is crucial. To help you start that conversation with your doctor, a downloadable Pulmonary Fibrosis Risk List is available at AboutPF.org.

To be diagnosed, you may need further testing after a thorough physical exam with your physician. Testing to help facilitate a clear diagnosis may include pulmonary function testing and/or high-resolution computed tomography.

If further action needs to be taken, you can find a local pulmonologist through the PFF Care Center Network, which includes centers with experience in the diagnosis and treatment of pulmonary fibrosis.

For more information or to find a pulmonologist near you, visit AboutPF.org.


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