Posts Tagged ‘live chat’

Takeaways from Dr. Saba’s Head and Neck Cancer Chat

Thanks to everyone who joined us on Tuesday, June 24, for our live online chat on “Risk factors, symptoms and treatment options for head and neck cancer” led by Nabil Saba, MD, Chief of Head and Neck Oncology at Winship Cancer Institute of Emory University.

According to the National Cancer Institute (NCI), head and neck cancers account for approximately three percent of all cancers in the U.S. During the chat, Dr. Saba addressed some of your questions relating to risk factors, symptoms and the latest research for head and neck cancer. See all of Dr. Saba’s answers by checking out the chat transcript! Here are just a few highlights from the chat:

Question: What are the symptoms of head and neck cancer? How do I know if I need to go get checked out?

Nabil Saba, MDDr. Saba: Symptoms include having a lump in the neck, persistent changes in your voice over time, difficulty swallowing, and unusual pain in the neck/throat area (pain that doesn’t seem to get better with time). These are some common symptoms, so if you’re experiencing any of these, it would probably be a good idea to talk to your physician.

 

Question: Are there particular factors or traits that may pre-dispose a person to head or neck cancers?

Nabil Saba, MDDr. Saba: There are certain well-defined risk factors for head and neck cancer, including a history of smoking or alcohol consumption. It has also been observed that HPV-related oropharynx cancer is increasing in Caucasian males, whereas oral tongue cancer seems to be increasing in Caucasian females. While there is an increased risk of head and neck cancer in these groups of people, it doesn’t necessarily mean you are at high risk if you fall into one of these groups.
 
If you missed out on this live chat, be sure to check out the full list of questions and answers on the web transcript. You can also visit www.emoryhealthcare.org/cancer for more information on cancer treatment at Winship at Emory.

Risk Factors and Symptoms of Head and Neck Cancer

Head and Neck Cancer ChatHead and neck cancer includes a collective group of cancers occurring in the head or neck region, ranging from the nasal cavity and sinuses, to the back of the throat, including the oral cavity, tonsils, base of the tongue, nasopharynx, hypopharynx and larynx.

According to the National Cancer Institute (NCI), head and neck cancers account for approximately three percent of all cancers in the U.S. Studies show that these cancers are more common in people over the age of 50 and three times more common in men than in women; however, if diagnosed early, head and neck cancer is often curable.

Recently, a growing number of cancers occurring in the base of the tongue and tonsils have been linked to human papillomavirus (HPV), which is already a well known risk factor for cervical cancer in women. HPV-related head and neck cancer is a distinct type of cancer and so far has been diagnosed more in men than women.

Join Nabil Saba, MD, Chief of Head and Neck Oncology at Winship Cancer Institute of Emory University, as he hosts a live chat on “Risk Factors, Symptoms and Treatment Options for Head and Neck Cancer.” Dr. Saba will be available to answer all of your questions such as:

  • What are the known risk factors linked to head and neck cancer?
  • What are the symptoms of head and neck cancer?
  • How is head and neck cancer diagnosed?
  • Can head and neck cancer be prevented?

Chat Details:

Date: Tuesday, June 24, 2014
Time: 12:30- 1:30 pm EST
Chat Leader: Dr. Nabil Saba
Chat Topic: Risk Factors, Symptoms and Treatment Options for Head and Neck Cancer

Chat Sign Up

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]

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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.

 

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Get All Your Breast Cancer Questions Answered Live & Online!

Breast Cancer Online ChatThe American Cancer Society estimates that in 2012, a total of 229,060 new cases of breast cancer will be diagnosed in both men and women. In honor of October’s Breast Cancer Awareness Month and to help our community get their questions answered, we are hosting an online chat on the topic of breast cancer.

Join Heather Pinkerton, RN, BSN, OCN and Nurse Navigator for the Emory Breast Center, on Tuesday, October 16, 2012 to get all of your questions on breast cancer—ranging from diagnosis, to treatment, to survivorship—answered.

Date: Tuesday, October 16, 2012
Time: 12 noon – 1:00 pm EST
Chat Leader: Heather Pinkerton, RN, BSN, OCN and Nurse Navigator for the Emory Breast Center
Chat Topic: Breast Cancer Diagnosis

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Join Us for a Web Chat on Cancer Survivorship & Intimacy

Cancer Survivorship & IntimacyDon’t miss it! Up next in our series of Live Chats for cancer survivors and their families, we will focus on the topic of intimacy. Cancer treatments can wreak havoc on body and mind, thus impacting how we feel about affection and intimacy.

Alice Mullins from Winship Cancer Institute of Emory University’s survivorship program will lead a discussion on this very important and often under-addressed topic.

Cancer Survivorship & Intimacy Web Chat Details:

Date: Wednesday, July 18, 2012
Time: 12:00 (noon) – 1:00 pm EST
Host: Alice Mullins, Winship Cancer Institute of Emory University Survivorship Program
Topic: Cancer Survivorship – Intimacy TRANSCRIPT

The Role of Support Groups in Cancer Survivorship

Cancer Survivorship Peer Partners Web ChatAs an Oncology Social Worker at the Winship Cancer Institute of Emory University, I provide resources and support to patients and their families throughout the cancer journey. During my first visit with a new patient, I often suggest that he or she try out one of the many support groups offered at Winship or in the community. The response I get from this suggestion varies depending on the patient from enthusiasm to absolute fear.  As a facilitator of two support groups at Winship, I am admittedly a strong advocate of joining a group. However, I understand the apprehension some feel towards sharing the ups and downs of the cancer journey with other people.

For those uncomfortable with participating in support groups, I often outline the benefits of using support groups as a method to cope and connect to others in similar situations. Research from The American Cancer Society provides the following about support groups:

  • Support groups can enhance the quality of life for people with cancer by providing information and support to overcome feelings of aloneness and helplessness.
  • Support groups can help reduce tension, anxiety, fatigue and confusion.
  • There is a strong link between group support and greater tolerance of cancer treatment and treatment compliance.
  • People with cancer are better able to deal with their disease when supported by others.

Dr. Sujatha Murali, Assistant Professor of Hematology and Medical Oncology at Winship, endorses the use of support groups. Dr. Murali states, “support groups are an integral part of treating the whole patient. At Emory, we believe in a multidisciplinary approach to cancer care, which not only includes physicians and nurses, but social workers, pharmacists, and nutritionists. We believe this approach results in the best chance of treatment success.”

Still not convinced joining a support group is right for you? Fortunately, support groups come in different forms and sizes. For those uncomfortable with face-to-face group settings, online or telephone groups are great alternatives. Some groups are lead by professional clinicians while others are organized by cancer survivors themselves. Groups can be disease, age or gender specific and some meet weekly, monthly or have no time limit at all.  With all these options available, there’s bound to be a support group to fit anyone’s needs! And if you’re still not sure where to turn, you can always contact me or other social workers at Winship with your questions or by using the comments field below. You can also join Joan Giblin, Director of the Survivorship Program at the Winship Cancer Institute in our upcoming online chat on the Cancer Survivorship and Peer Partners Program at Winship.

Interested in joining a support group, but do not know how to select the right one? The first step is to speak with your oncology social worker!  If you aren’t sure who your social worker is, simply ask your doctor or nurse to point him or her out. Most cancer centers have oncology social workers dedicated to support your psychosocial needs and overall well-being.  Some recommended and approved groups are available through the following sites:

To close, I’d like to share a quote I often share with my patients. It’s out of Mr. Fred Rogers’s book, Life’s Journeys According to Mister Rogers: Things to Remember Along the Way. He writes, “Anything that’s human is mentionable, and anything that is mentionable can be more manageable. When we can talk about our feelings, they become less overwhelming, less upsetting, and less scary. The people we trust with that important talk can help us know that we’re not alone.”

The cancer journey can be overwhelming, especially if traveled alone. The benefit of allowing others to provide support and care can be life-changing, and possibly life-saving. Join us as we kick-off some of our new support groups, including the Triple Negative Breast Cancer Support Group on Thursday, June 14, 2012. For more information, please see visit our website at http://winshipcancer.emory.edu/groups.

About the Author
Margaret “Maggie” K. Hughes is a Licensed Master of Social Worker at Winship Cancer Institute of Emory University. She works with Drs. Hawk, Murali, Kucuk, Carthon and El-Rayes. Maggie facilitates the Pancreatic Cancer Support group and co-facilitates the Triple Negative Breast Cancer Support Group at Winship.

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Dermatologist #1 Skin Care Rule – Wear Sunscreen!

Melanoma Web MD ChatIt’s almost summer time, and many of us are already spending more time outside enjoying the warm weather. Most of us don’t consider the consequences of increased sun exposure on our skin, even indirect exposure. Skin cancer is the most common type of cancer in the United States, with about one million new cases every year. The three common forms of skin cancer are distinguished by the types of cells affected: melanoma, basal cell and squamous cell. While melanoma is less common than basal and squamous cell cancers, it is the most dangerous. If caught early, melanoma can be treated; however, if left untreated, melanoma can spread to other parts of the body.

What is Melanoma?

Melanoma is a cancer of melanocytes, which are cells whose primary function is to make pigment. These cells are located in the layers of epidermis, or the outer layer of skin. Melanocytes are also responsible for making birthmarks and freckles; however, in those cases, the cells are not cancerous. Melanomas can form on any part of the skin but are most commonly found on the chest and back in men, and the legs in women. Melanomas can also develop on the neck and face, and they sometimes occur in the eye and in mucosal surfaces, such as the mouth and bowel.

Why do dermatologists recommend applying sunscreen daily?

Skin cancer is most commonly a result of excessive exposure to the sun’s ultraviolet (UV) rays. The sun contains two types of these rays: UVB, which are responsible for sunburns, and UVA, which cause cell aging and long-term skin damage. Both rays cause damage to skin cells’ DNA, resulting in abnormal cell growth. Here are some tips to protect your skin from the sun’s harsh rays and prevent skin cancer:

  • Use a broad spectrum SPF of a level 15 or higher, which is a type of sunscreen that protects the skin from both UVA and UVB rays.
  • Avoid outdoor activity between 10 a.m. and 4 p.m., when the sun’s rays are most intense.• Wear protective clothing as well as a hat and sunglasses to protect more sensitive parts of the body.
  • Remember, the UV rays can go through light clothing, windshields, windows, and clouds.
  • While shade offers some protection, the sun’s UV rays can still penetrate through clouds and trees and have harmful effects.

Check yourself!

Remember, skin cancer is generally treatable if detected early. If you haven’t done so, give your body a quick scan, and repeat this practice at least once a month. Get to know the pattern of moles, spots, freckles, and other marks on your skin. If you notice any new moles or changes in shape or color to existing ones, please contact your healthcare provider.

Have additional questions? Join Dr. Suephy Chen on May 14, 2012 at 11:30 AM EST for a live online discussion about diagnosing and treating melanoma.

For more information about melanoma and other skin cancers, visit Winship Cancer Institute of Emory University.

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An Intro to Colorectal Cancer Part II: Prevention, Diagnosis & Treatment

Colon Cancer Chat Sign UpMarch is Colorectal Cancer Awareness Month. A few weeks ago, we gave you an intro to Colorectal Cancer, including statistics, information on the risk factors and symptoms of colorectal cancer, and information on the most popularly recommended diagnostic test, the colonoscopy. This week, we’re following up with information on preventing and treating cancer of the colon or rectum (also known as colorectal cancer), and providing more information on other methods for diagnosing.

Colorectal Cancer Prevention

Receiving regular screenings is going to be the best way to prevent colorectal cancer. Catching cancer early while it is still curable and/or removing polyps before they turn cancerous are keys to survival. According to the American Cancer Society, “people who have no identified risk factors (other than age) should begin regular screening at age 50.” If you have a strong family history of colon polyps or cancer, getting screened prior to age 50 is highly recommended. Other advice you’ll see for cancer prevention is similar across cancers. A few things you can do to help improve your health and fight off cancer, including colorectal cancer, include: quitting smoking, exercising regularly, eating a healthy, well-balanced diet, and maintaining a healthy weight.

Diagnosing Colorectal Cancer

While a colonoscopy is the most common method of diagnosing and staging colorectal cancer and/or other gastrointestinal disorders, there are several other procedures used including:

  • Flexible Sigmoidoscopy: This test uses a flexible, lighted tube with a small video camera on the end. It can travel the full length of the rectum and half of the colon.
  • Colonoscopy: This test allows the doctor to look at the entire length of the colon and rectum with a colonoscope, which is a longer version of a sigmoidoscope.
  • Double Contrast Barium Enema: A type of x-ray test using barium sulfate, which is a chalky liquid, and air to outline the inner part of the colon and rectum, highlighting abnormal areas on x-rays.
  • CT Colonography (Virtual Colonoscopy): This is an advanced type of computed tomography (CT or CAT) scan of the colon and rectum. It is non-invasive, can be done fairly quickly, and does not require sedation.

For more information on each of these procedures, please visit the Winship Cancer Institute of Emory University.

Treating Colorectal Cancer

After cancer is diagnosed and staged, your multidisciplinary colorectal cancer care team will create a treatment plan using one, or a combination, of these main treatment methods:

  1. Surgery – Surgery is the main treatment method for colorectal cancer. This procedure involves removing the cancer, a section of normal tissue on either side of the cancer, and any local lymph nodes.
  2. Radiation Therapy – A type of cancer treatment that uses ionizing radiation energy to kill cancer cells and shrink cancerous tumors. Colorectal cancer may be treated using external beam radiation before surgery to shrink the tumor or after surgery to kill any remaining cancer cells.
  3. Chemotherapy – Chemotherapy is medication delivered to the body to eliminate cancer cells or greatly reduce their effect. It targets cells that divide rapidly, a characteristic of most cancer cells. Chemotherapy is often used to support and enhance other cancer treatment modalities.

If you are interested in learning more about colorectal cancer, or have questions not covered in this blog,  make sure to sign up for Dr. Bassel El-Rayes and Dr. Roberd Bostick’s colon cancer chat  tomorrow, March 20th (UPDATE – CHAT TRANSCRIPT). It’s bound to be a great discussion!

Contact us for more information about our colorectal cancer treatment programs: 404-778-1900 or request an appointment online.

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An Intro to Colorectal Cancer Part I: Risk Factors, Symptoms & Diagnosis

Colorectal Cancer Awareness MonthMarch is colorectal cancer month, and an article in the New York Times highlights the important role colonoscopies have played in reducing deaths from colorectal cancer. The study included patients tracked over 20 years after receiving a colonoscopy, which lead to the detection and removal of precancerous polyps, known as adenomatous polyps. Findings from the study show that the combination of a colonoscopy and polyp(s) removal lowered the colorectal death rate by 53 percent. While not all polyps turn into cancer, evidence shows that early detection and intervention are keys to survival. In the spirit of helping raise awareness around Colon Cancer and the importance of colonoscopies as a diagnostic and preventive tool, below you’ll find some helpful resources and important information about colorectal cancer.

Colorectal Cancer Statistics

According to the American Cancer Society, “excluding skin cancers, colorectal cancer is the third most common cancer diagnosed in both men and women in the United States.” That means in 2012, estimates for the number of colorectal cancer cases that will be diagnosed in the United States are:

  • 103,170 new cases of colon cancer
  • 40,290 new cases of rectal cancer

But, if detected early enough, colorectal cancer is curable. So, how is colorectal cancer detected?

Colorectal Cancer Diagnosis

According to the Winship Cancer Institute of Emory University, “colorectal cancer usually starts in the innermost layer of the lining and slowly progresses through the other layers.”  There are several ways of diagnosing colorectal cancer, but the most popular method is a colonoscopy. A colonoscopy is a special type of cancer screening because it allows doctors to screen and intervene at the same time.

During a colonoscopy, the doctor will use a colonoscope, which is a flexible, lighted tube with a small video camera on the end. They use this instrument to look at the entire length of the colon and rectum. If the doctor finds abnormalities such as polyps or growths, he or she can remove them right away while patients are under sedation. Special instruments can be passed through the colonoscope to remove the suspicious looking areas before they have the chance to turn into cancer.

Colon Cancer Web Chat

According to Roberd Bostick, MD, MPH and a professor in the Department of Epidemiology at Emory University’s Rollins School of Public Health, “most of the time, a colonoscopy is the most effective means for diagnosing [colorectal cancer].Certainly, if a person were to have symptoms that would be suggestive of colon cancer, then those symptoms might precipitate them wanting to have a diagnostic test, like a colonoscopy.”

For a full list of symptoms and risk factors of colorectal cancer, please see below. Watch the full video discussion with Roberd Bostick, MD, MPH. Also, bring your additional questions to Dr. Bassel El-Reyes and Dr. Roberd Bostick’s colon cancer chat on March 20th (UPDATE – CHAT TRANSCRIPT).

Colorectal Cancer Symptoms

If you are experiencing any of these symptoms, contact your doctor to be properly diagnosed and treated. It’s important to note that these symptoms may not necessarily be a result of colorectal cancer. Other health problems can produce similar symptoms, which is why it is important to contact your physician if you are experiencing any of the symptoms listed below:

  • Change in bowel habits:
    • Diarrhea or constipation
    • Feeling that your bowel does not empty completely
    • Finding blood (either bright red or very dark) in your stool
    • Finding your stools are narrower than usual
  • Frequent gas pains or cramps, or feeling full or bloated
  • Loss of weight for no apparent reason
  • Feeling very tired all the time
  • Nausea or vomiting

Colorectal Cancer Risk Factors

The main risk factors for colorectal cancer are uncontrollable. They are heredity, family history and personal medical history. Other risk factors include:

  • Presence of an inflammatory bowel disease (i.e. Crohn’s disease, ulcerative colitis, etc.)
  • Diabetes
  • Other controllable factors
    • Obesity
    • Red meat consumption
    • Processed meat consumption
    • Smoking
    • Alcohol consumption

Remember, early detection is the key to providing the best chance for a cure. It is important to contact your physician if you are experiencing symptoms or are at risk for colorectal cancer.  If your physician feels it’s appropriate, a screening test, such as a colonoscopy, will most likely be recommended to rule out the possibility of cancer.

With all this information, what can you do to stay healthy? Take action and make sure you are getting regularly screened! While a colonoscopy is bound to not be the most pleasant experience, it could potentially save your life by detecting colorectal cancer early when the disease is easier to cure.  If you are interested in learning more about colorectal cancer, make sure to check out the chat transcript the colorectal cancer chat.

Contact us for more information about our colorectal cancer treatment programs: 404-778-1900 or request an appointment online.

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