Posts Tagged ‘doctor chat’

9/26/17 – Breast Cancer Live Chat Transcript

2017 Breast Cancer Live Chat Image

Thank you to those of you who joined the Breast Cancer live chat hosted by Dr. Lea Gilliland and Dr. Preeti Subhedar with Winship Cancer Institute of Emory University’s Glenn Family Breast Center. The chat had a good turnout and the transcript is now available below.

Breast Cancer Live Chat Transcript

Overview: Dr. Lea Gilliland and Dr. Preeti Subhedar answer your questions about breast cancer risk factors, screenings, symptoms, and therapy.

[Sep 26, 11:59 AM] EmoryHealthcare: Welcome everyone! Thanks for joining us today for our web chat about Breast Cancer: Risk Factors, Screenings, Symptoms & Therapy with Dr. Lea Gilliland and Dr. Preeti Subhedar with Winship Cancer Institute of Emory University’s Glenn Family Breast Center.

[Sep 26, 12:00 PM] EmoryHealthcare: We’ll get started in just a minute. Dr. Lea Gilliland and Dr. Preeti Subhedar are here to answer all your questions!

[Sep 26, 12:01 PM] EmoryHealthcare: Please note that all questions are moderated before appearing in the stream, so you may not see yours appear right away, but we will do our best to answer all your questions today.

[Sep 26, 12:03 PM] EmoryHealthcare: We received some questions that were submitted in advance of the chat, so we’ll get started by answering a few of those first.

[Sep 26, 12:04 PM] EmoryHealthcare: Q. What are your screening recommendations for women over 55?

[Sep 26, 12:04 PM] EmoryHealthcare: A. American College of Radiology and Society of Breast Imaging recommend screening every year beginning at 40. This saves the most lives. A recent study by Cornell notes that 19% of all breast cancers occur in women age 40-49.

[Sep 26, 12:05 PM] EmoryHealthcare: Q. Does reproductive history affect breast cancer risks?

[Sep 26, 12:06 PM] EmoryHealthcare: A. According to the American Cancer Society, women who have not had children or who had their first child after age 30 have a slightly higher breast cancer risk overall. Having many pregnancies and becoming pregnant at an early age reduces breast cancer risk. Still, the effect of pregnancy seems to be different for different types of breast cancer. For a certain type of breast cancer known as triple-negative, pregnancy seems to increase risk.

[Sep 26, 12:07 PM] EmoryHealthcare: Q. How often should I go to my doctor for a check-up?

[Sep 26, 12:07 PM] EmoryHealthcare: A. Once a year if you do not have a recent history of breast cancer. Screening mammography is recommended once a year.

[Sep 26, 12:08 PM] EmoryHealthcare: Q. What risk factors exist for breast cancer… I’ve heard alcohol, aluminum in deodorant, alkalizing versus natural pH in drinking water…

[Sep 26, 12:10 PM] EmoryHealthcare: A. According to the American Cancer Society(ACS), drinking alcohol is clearly linked to an increased risk of breast cancer. The risk increases with the amount of alcohol consumed. Compared with non-drinkers, women who have 1 alcoholic drink a day have a very small increase in risk. Those who have 2 to 3 drinks a day have about a 20% higher risk compared to women who don’t drink alcohol. Excessive alcohol consumption is known to increase the risk of other cancers, too.

[Sep 26, 12:11 PM] EmoryHealthcare: A. (continued) The ACS recommends that women who drink have no more than 1 drink a day.

Additional risk factors noted by the ACS include being overweight after menopause (fat creates estrogen), not being physically active, not having children or delaying having children, not breast feeding, use of birth control (during use), and use of combined estrogen and progesterone therapy after menopause.

[Sep 26, 12:15 PM] EmoryHealthcare: Let’s move on to your live questions now!

[Sep 26, 12:15 PM] EmoryHealthcare: Please sign in using one of the options at the bottom of the chat and submit your questions for [enter doctor name] in the comment box.

[Sep 26, 12:15 PM] Guest1876: What type of doctor should I see if I think I have breast cancer?

[Sep 26, 12:20 PM] EmoryHealthcare: If the concern is a new mass, you should have a diagnostic mammogram and ultrasound.  If you have a current diagnosis of breast cancer, you should visit your breast cancer surgeon for a consult.

[Sep 26, 12:20 PM] Simone: What is the hormone receptor status of my cancer? What does this mean?

[Sep 26, 12:23 PM] EmoryHealthcare: All breast cancers have a hormone that makes it grow. We look at 3 receptors for hormones to decide on what kind of treatment you need. We look at the estrogen, progesterone and Her2 receptors to direct therapy.

[Sep 26, 12:23 PM] Guest6133: How do I get a copy of my pathology report?

[Sep 26, 12:23 PM] EmoryHealthcare: Your surgeon should be able to help guide you.

[Sep 26, 12:24 PM] EmoryHealthcare: Or you could contact the hospital’s medical records department.

[Sep 26, 12:25 PM] JJL94: What about genetic testing? What would the pros and cons of testing be?

[Sep 26, 12:27 PM] EmoryHealthcare: There are certain situations in which genetic testing is important. Not all people need to have genetic testing. If you are a woman under the age of 45 with a diagnosis of cancer, are 50 years old with breast cancer and have a relative with a history of cancer, or multiple family members with cancer, you may want to consider testing. These are just some of the indications.

[Sep 26, 12:29 PM] EmoryHealthcare: Pros: allows you to understand your specific genetic risk

Cons: the result can sometimes be distressing. Talk to your family about what the results may mean to you

[Sep 26, 12:29 PM] Guest8532: Does smoking cause breast cancer?

[Sep 26, 12:31 PM] EmoryHealthcare: Smoking is a risk factor for all types of cancer, including breast. It is also a risk factor for non-cancer related diagnoses such as heart disease. Talk to your primary care physician if you are interested in smoking cessation.

[Sep 26, 12:33 PM] Guest4423: I had wire localization a few years ago. Are they using seeds now, to guide the surgeon?

[Sep 26, 12:36 PM] Guest6133: What kind of impact does stress have on breast cancer?

[Sep 26, 12:37 PM] EmoryHealthcare: There are no known direct links between stress and breast cancer, but we may just not know enough about the link yet. Stress can have an adverse effect on things like blood pressure, heart rate and can therefore be deleterious. Talk to your primary care physician for ways to reduce stress.

[Sep 26, 12:38 PM] Simone: Are mammograms painful?

[Sep 26, 12:38 PM] EmoryHealthcare: Mammograms can be uncomfortable but they should not be painful. It can be difficult to image all of the breast tissue that needs to be included. Please let your technologist know if you are experiencing pain or have experienced pain in the past.

[Sep 26, 12:41 PM] Guest1876: Is there a link between hormone replacement therapy (HRT) and breast cancer?

[Sep 26, 12:41 PM] EmoryHealthcare: There are 2 main types of hormone therapy. For women who still have a uterus (womb), doctors generally prescribe estrogen and progesterone (known as combined hormone therapy or HT). Progesterone is needed because estrogen alone can increase the risk of cancer of the uterus. For women who’ve had a hysterectomy (who no longer have a uterus), estrogen alone can be used. This is known as estrogen replacement therapy (ERT) or just estrogen therapy (ET).

[Sep 26, 12:42 PM] EmoryHealthcare: Combined hormone therapy (HT): Use of combined hormone therapy after menopause increases the risk of breast cancer. It may also increase the chances of dying from breast cancer. This increase in risk can be seen with as little as 2 years of use. Combined HT also increases the likelihood that the cancer may be found at a more advanced stage. The increased risk from combined HT appears to apply only to current and recent users. A woman’s breast cancer risk seems to return to that of the general population with

[Sep 26, 12:43 PM] EmoryHealthcare: population within 5 years of stopping treatment.

[Sep 26, 12:44 PM] EmoryHealthcare: Bioidentical hormone therapy: The word bioidentical is sometimes used to describe versions of estrogen and progesterone with the same chemical structure as those found naturally in people. The use of these hormones has been marketed as a safe way to treat the symptoms of menopause. But because there aren’t many studies comparing “bioidentical” or “natural” hormones to synthetic versions of hormones, there’s no proof that they’re safer or more effective. More studies are needed to know for sure.

[Sep 26, 12:45 PM] Guest8532: What are the side effects of Tamoxifen?

[Sep 26, 12:45 PM] EmoryHealthcare: The common side effects of tamoxifen include menopausal symptoms such as night sweats, insomnia, weight gain. Other side effects include muscle or joint pain. The most serious risk of blood clots and risk of uterine cancer is only 1/1000 patients. Although these risks sound serious, remember that when tamoxifen is prescribed to you, it reduces your risk of another breast cancer by 50%.

[Sep 26, 12:46 PM] Guest6015: Where can i learn about clinical trials for breast cancer?

[Sep 26, 12:47 PM] EmoryHealthcare: You can always ask your breast cancer physician (medical, surgical, or radiation oncologist). Also, Winship Cancer center has a website that can specifically allow you to see if a clinical trial is appropriate for you.

[Sep 26, 12:48 PM] Guest6133: My grandmother said wearing my cellphone in my sports bra could cause cancer? Have you seen any research to support this?

[Sep 26, 12:48 PM] EmoryHealthcare: There has not been any reliable research to support this.

[Sep 26, 12:49 PM] EmoryHealthcare: These questions have been great! We have time for just one more question today.

[Sep 26, 12:51 PM] Guest8532: Can benign cysts become cancerous?

[Sep 26, 12:53 PM] EmoryHealthcare: Benign cysts are areas of fluid within your breast. These cysts are at no more risk of becoming cancer than any other area in your breast.

[Sep 26, 12:54 PM] EmoryHealthcare: That’s all the time we have for today. Thanks so much for joining us! As we mentioned, we’ll follow up with a blog post to answer any questions we didn’t get a chance to address today.

[Sep 26, 12:55 PM] EmoryHealthcare: Thanks for your questions!

[Sep 26, 12:58 PM] Guest3978: Thank you.

Make an Appointment

To make an appointment, please call 404-778-7777.


Emory Glenn Family Breast Center at Winship Cancer Institute is dedicated to breast cancer prevention, detection and comprehensive treatment of breast health issues and breast cancer including aggressive forms of triple negative breast cancer.

Our breast cancer doctors and researchers are thought leaders in the field of breast cancer and are uniquely positioned to have access to the latest information on cancer care. The breast cancer program at Winship Cancer Institute of Emory University offers multidisciplinary teams including oncology surgeons, radiologists, medical oncologists, pathologists, and advanced practice nurses with expertise in only breast cancer. There are a variety of treatment options for breast cancer; for some patients, a combination of treatment methods may be used.

 

Survivorship Care Plan- Are You Prepared? Take-Aways from Web Chat

Cancer Survivorship SupportRecently, I conducted a chat with Winship Cancer Institute of Emory University on the Effects of Chemo and Radiation on Cancer Survivors. In 1978, as a child, I was diagnosed with Ewing’s Sarcoma. I received radiation and chemotherapy at that time that resulted in my development of significant late side effects in my adult life.

The participants asked some great questions. One particular question we did not have time to answer was,

“Did you find a survivorship care plan an effective tool for you or your parents once you moved from active treatment?”

For me, a cancer treatment summary or a survivorship care plan was extremely helpful after my active treatment. Without the knowledge from my parents and their guidance, I would not have been able to properly prepare a care plan.

I recommend that every cancer survivor become well informed and secure a treatment summary and survivorship care plan.  Consider it the first step in accepting responsibility for your personal health and well-being after cancer treatment.

A Cancer Treatment Summary should include the following information at a minimum:

  • Identifiers for you (name, medical record number and birthdate)
  • A description of your cancer diagnosis including pathology and staging information
  • A list of all treatments you have received (surgery, chemotherapy, biological therapy, hormonal therapy, and/or radiation therapy)
  • All dates and doses of treatment you received  (i.e. cumulative doses of anthracyclines)
  • Any significant side effects you experienced during treatment
  • Contact name and phone number of a member of your family or close friend
  • Names and Contact information of all providers involved in your care

A Survivorship Care Plan should include the following information at a minimum:

  • A Treatment Summary
  • A plan for long term follow-up including appointments and testing you will need and when you should have them
  • A list of any long term side effects that you need to be aware of and ways to handle them (including physical issues as well as emotional and social issues you may experience)

For more information on how to prepare your survivorship plan and the benefits of having one, check out the chat transcript.

About Stephanie Zimmerman

Stephanie’s personal experience as a child diagnosed and treated for Ewing’s Sarcoma in the late 1970’s led her to become a nurse serving the physical and psychosocial needs of children and their families along the cancer trajectory. In April 2008, Stephanie’s heart failed because of the chest radiation and Doxorubicin used to cure her Ewing’s Sarcoma three decades prior. Unable to return to clinical practice following a heart transplant, yet unwilling to abandon her passion for the survivor population, Stephanie partnered with Judy Bode of Grand Rapids, MI in the founding of myHeart, yourHands, Inc. [MHYH]

Related Resources

The Effects of Chemo and Radiation on Survivors Web Chat

I am a survivor. I beat Ewing’s sarcoma, a childhood cancer, which I was diagnosed with at 8 years old. I fought the cancer with an intense treatment plan that included 6 weeks of radiation therapy followed by 7 cycles of multi – agent chemotherapy. As a result of the aggressive treatment plan, I developed heart failure and ultimately had to receive a heart transplant. I beat the odds and am here to tell my story of survivorship!

Join me on Tuesday, February 19 from 12-1pm for a live, interactive chat about weathering the storms of cancer. Despite the side effects that have impacted my life greatly, long after the completion of my therapy, I am bubbling with hope and smiling about thoughts of my future.

About Stephanie Zimmerman

Stephanie is a patient and family advisor for the Winship Cancer Institute of Emory University. She is also a cancer and heart failure survivor and late effects cancer educator. She co –founded My Heart, yourHands, Inc., a nonprofit organization that is dedicated to equipping survivors with late effects after cancer treatment.

 

Related Links

Human Papilloma Virus (HPV) and Head and Neck Cancer

The Centers for Disease Control and Prevention (CDC) estimates that more than 2,300 cases of HPV associated head and neck cancers are diagnosed each year in women and more than 9,000 in men. Although alcohol and tobacco continue to be major risk factors for developing cancer of the mouth, throat or voice box, recent studies by the CDC have shown that approximately 63% of cancers associated with the tonsils and base of tongue are associated with HPV. Join Emory Head and Neck Surgical Oncologist, Mark W. El-Deiry, MD FACS on Thursday, January 24 at 12 noon for an online web chat on HPV and Head & Neck Cancer. He will be available to answer questions regarding HPV and Head and Neck Cancer including:

• What is HPV?
• What are HPV-related head and neck cancers?
• How do you get tested for HPV?
• What are the symptoms of an HPV infection?
• Is there a vaccine for HPV?
• Lesions in the mouth and throat?
• Should I get my head and neck cancer tested for HPV?
• Are there any studies related to HPV and head and neck cancers?
• What is Emory doing to educate and prevent head and neck cancers?

Related Links

Healthy Holiday Eating Web Chat

‘Tis the season for indulgence, fa la la la la la la la laaaaa! With the holiday season upon us, it’s hard to resist the urge to overindulge. While it is important for everyone to know how to make healthy choices when it comes to nutrition and exercise, incorporating the right foods a nutritional elements into one’s diet is especially important for cancer survivors. According to the National Cancer Institute, an individual is considered a cancer survivor from the time of diagnosis through the balance of his or her life. Understanding the role nutrition plays before, during, and after cancer treatment is critical to ensuring cancer survivors are as strong as possible through their journey in the fight against cancer.

Because nutritional recommendations can be very different for cancer patients than for the average healthy adult, Tiffany Barrett, MS, RD, CSO, LD, of the Winship Cancer Institute of Emory University, is hosting an online chat on Tuesday, December 11, 2012 at noon EST to share her insights on optimal nutrition to support the journey in the fight against cancer.

Be proactive this holiday season and join Tiffany and our other chat participants to share tips, ideas, and get questions answered related to the best nutritional choices you can make this holiday season and beyond!

Related Resources

Recap on Live Lung Cancer Chat with Dr. Suresh Ramalingam

Dr. Suresh Ramalingam, Professor/Chief of Medical Oncology from the Winship Cancer Insititute, recently conducted an chat pertaining to the leading cause of cancer deaths among both men and women, which is lung cancer.

As many of us are already aware, Dr. Ramalingam reminded participants that secondhand smoke is a known risk factor for the development of lung cancer. Given that exposure to secondhand smoke varies and is difficult to track, it’s also hard to quantify the exact risk second hand smoke has on a person. However, recent studies have shown that states in which laws are in place to restrict public smoking are beginning to report declines in lung cancer incidence.

During the live chat, Dr. Ramalingam also touched on lung cancer treatment options and noted that there is no one-fits-all approach to treating a disease like lung cancer. Ideal treatment methods vary based on the stage of the disease. For early stage lung cancer, surgery is considered the standard treatment, however Dr. Ramalingam noted that some researchers believe stereotactic radiation will one day replace the need for surgery. Dr. Ramalingam added that radiation can also be a very effective treatment option for patients who are not candidates for surgery due to medical reasons. Chemotherapy has shown effectiveness in nearly all stages of lung cancer.

There’s great news for former smokers and the concern of developing lung cancer. Once a smoker quits, the risk of lung cancer progressively decreases. (For a timetable on the benefits of quitting, check out our blog post here) Recently, lung CT scans have demonstrated the ability to save lives in patients who currently smoke, or who have a history of smoking. Dr. Ramalingam suggests that former smokers discuss their smoking history with their physician to see if a lung CT screening is appropriate.

If you would like more information about the causes, prevention and methods used to treat lung cancer you may review Dr. Suresh Ramalingam’s lung cancer chat transcript here.

For more information on lung cancer, check out the related resources below. To become a patient, you may visit the Winship Cancer Institute of Emory University online.

Related Resources

2 Ways to Lower Your Lung Cancer Risk Today

Lung Cancer Awareness Month
More people in the U.S. die from lung cancer than any other type of cancer. Lung cancer is responsible for approximately 30% of cancer deaths in the United States. In fact, it’s actually the cause of more deaths than breast cancer, colon cancer and prostate cancer combined. November is Lung Cancer Awareness Month and we’d like to share with you some important information and tips for how you can lower your lung cancer risk.

Quit Smoking

Obviously, if you smoke, the most important step you can take to lower your risk for lung cancer is to quit smoking. Quitting smoking:

  • Lowers your blood pressure and your heart rate – Within 20 minutes of quitting, your blood pressure and heart rate are reduced to almost normal.
  • Repairs damaged nerve endings – Within 48 hours of quitting, damaged nerve endings begin to repair themselves, and sense of taste and smell begin to return to normal as a result.
  • Lowers your risk for heart attack – Within 2-12 weeks of quitting, your heart attack risk is lowered.
  • Lowers your risk for lung cancer – According to a 2005 study by the National Institute of Health, within 10 years of quitting smoking, your risk of being diagnosed with lung cancer is between 30-50% of that for the smoker who didn’t quit.

Smoking accounts for ~90% of lung cancer cases. If you smoke, this is the critical first step in lowering your lung cancer risk. If you have a history of smoking and are between the ages of 55-75, you may be a candidate for a Lung CT Scan.

Eat a Wider Variety and More Fruits & Veggies

In November 2007,  the American Institute for Cancer Research (AICR) and the World Cancer Research Fund published Food, Nutrition, Physical Activity and the Prevention of Cancer: a Global Perspective, the most comprehensive report on diet and cancer ever completed. The study found evidence linking diets high in fruit and their ability to lower lung cancer risk to be probable. This is one of the core reasons that the AICR recommends consuming at least five portions a day of fruits and vegetables. After evaluating approximately 500,000 people in 10 countries in Europe, another study demonstrated intaking a variety of produce may also help lower lung cancer risk, so make sure to vary the color on your plate!

Chat Online with Dr. Suresh Ramalingam

Lung Cancer Web ChatIf you have specific questions about lung cancer, whether they’re related to prevention, risk factors, symptoms, diagnosis, treatment, support, or otherwise, Dr. Ramalingam is hosting a free 1-hour online web chat about Lung Cancer on Thursday, November 17th. Dr. Ramalingam will also be fielding questions on the topic of Lung CT scanning, a lung cancer screening mechanism that studies have shown may help lower the risk of lung cancer mortality.

You can ask as many questions as you’d like in the chat, or feel free to sign up to check out Dr. Ramalingam’s answers to other participant questions. We hope to see you there! UPDATE: Lung Cancer Chat Transcript

Breast Cancer Questions? Dr. Styblo Has Your Answers

Breast Cancer Doctor Chat

Breast cancer is the second most common cancer affecting women. In fact, 13% of all women will develop breast cancer in their lives. Many women are concerned about their risk for breast cancer, and are unsure what their next steps should be. Our doctors frequently get questions such as, Is getting yearly check-ups sufficient? At what age should I start scheduling regular mammograms? What symptoms should I look out for?

Are you concerned about breast cancer? If you have unanswered questions related to breast cancer, look no further. To kick off October as Breast Cancer Awareness Month, surgical oncologist and breast surgeon at the Winship Cancer Institute, Dr. Toncred Styblo will be hosting a live 1-hour web chat to answer all of your breast cancer questions.

Wonder if you’re at high risk for developing breast cancer and what you should do? Dr. Styblo will provide guidance on how to determine if you are high risk and steps you can take if you are. And as an expert in surgical oncology, Dr. Styblo will also be able to answer questions related to breast cancer treatment and surgical options.

Don’t forget, early detection is key to providing the best chance for cure. So take action and control of your health by scheduling your mammogram today and remind a friend to do the same! And, make sure to sign up for Dr. Styblo’s breast cancer chat and bring your questions with you. We’ll see you on October 4th for what’s sure to be a great discussion!