Tobacco and Heart Disease

Author: Johnny d’Aquin MS, RRT, RPFT, UMC Pulmonary Services Director 

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May 31, 2018 is World No Tobacco Day, an annual program of the World Health Organization, and I can’t think of a better day than that one to quit smoking.

The focus of World No Tobacco Day 2018 is “Tobacco and heart disease.” The goal is to raise awareness on the link between tobacco, and heart and other cardiovascular diseases (CVD), including stroke, which combined are the world’s leading causes of death.

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The Truth About Tobacco and Heart/Cardiovascular Disease

The American Heart Association (AHA) says diseases caused by smoking kill more than 440,000 people in the U.S. each year.  Smoking puts people at high risk of lung disease, including lung cancer and emphysema. Smokers also have increased risk for heart disease and stroke.

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Cardiovascular diseases (CVD) kill more people than any other cause of death worldwide, and tobacco use and second-hand smoke exposure contribute to approximately 12% of all heart disease deaths.

  • One out of every 5 smoking-related deaths is caused by heart disease.
  • Women older than 35 who smoke and take birth control pills are at much greater risk for heart disease or stroke.
  • Cigarette smokers are 2 to 4 times more likely to get heart disease than nonsmokers.
  • Cigarette smoking doubles a person’s risk for stroke.

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How Does Smoking Change the Heart and Blood Vessels?

Smoking:

  • Causes an instant and long-term rise in blood pressure.
  • Causes an instant and long-term increase in heart rate.
  • Reduces blood flow from the heart.
  • Reduces the amount of oxygen that reaches the body’s tissues.
  • Increases risk for blood clots.
  • Damages blood vessels.
  • Doubles the risk of stroke (reduced blood flow to the brain).

Smoking has also been linked with depression and stress.

The good news is that quitting smoking can reduce the risk of heart disease.

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According to the AHA, stopping smoking reduces the risk for heart disease, the risk for repeat heart attacks, and death by heart disease by half.

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UMC is partnering with the Smoking Cessation Trust to help people quit smoking.

If you smoked just one cigarette before September 1, 1988 and are a current Louisiana resident, you are eligible to register with the smoking cessation trust and get free help.

You can get free smoking cessation medications, doctor visits, quit-line coaching and counseling. Call our office at (504) 702-4636 or enroll online.

Why Wait Another Day?

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6 Health Screenings to Help Women Prevent Disease

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May is women’s health month, a perfect time to remind the caregivers of the family to take care of themselves.

Don’t let heart disease, stroke, and other serious health conditions sneak up on you. Instead, prevent them by seeing your doctor for a yearly well-woman checkup

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At your checkup, your doctor will likely suggest health screenings. These tests can help spot potentially deadly conditions before they become life-threatening.

 

Here are 6 health screenings every woman needs in order to help prevent disease and stay healthy.

How many have you checked off your list?

1. Blood pressure

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Nearly half of all Americans older than age 20 have chronic high blood pressure—130/80 mmHg or greater. Getting your blood pressure checked, and changing your lifestyle or using medication, if necessary, can reduce your risk for stroke and heart disease.

2. Cholesterol

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This simple blood test—after an overnight fast—measures levels of HDL, or “good,” cholesterol and LDL, or “bad,” cholesterol, as well as triglycerides. These fats in your blood can affect your risk for heart disease and stroke.

3. Pap test

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This test, as part of a pelvic exam, takes a sample of cells from the cervix to check for cervical cancer. Women ages 21 to 29 should get a Pap test every three years. From ages 30 to 65, you should get screened every three to five years. Cervical cancer and the beginning stages of the disease are treatable if caught early.

4. Mammogram

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This breast X-ray can find breast cancer in its early, most treatable stages. Talk with your doctor if you’re between ages 40 and 49 about when to start getting a mammogram. If you’re between ages 50 and 74, the U.S. Preventive Services Task Force recommends a screening every two years.

5. Blood glucose

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This simple blood test helps detect type 2 diabetes and prediabetes, which can increase the risk for heart disease and other complications. It’s recommended for adults ages 40 to 70 who are overweight.

6. Colonoscopy

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During this test, the doctor will examine your colon, looking for signs of cancer and small growths that can become cancerous over time, which can be removed during the test. Experts recommend getting a colonoscopy starting at age 50.

Consider bringing a copy of your family health history to your checkup.

Create one here.

 

Open Up: The Truth About Oral Cancer

Author: Rohan Walvekar, MD, Co-Director of ENT Services at UMC

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Oral cancer will be responsible for over 10,000 deaths and will affect over 50,000 people in the United States in 2018.

These numbers may surprise you, because, in general, oral cancers are not thought of as commonly occurring; however, Louisiana is one of the states with highest incidence of oral and pharyngeal cancers in the United States.

What is the rate of these cancers in Louisiana?

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April honors Oral Cancer Awareness, and is a good time to learn about the signs, symptoms and treatment of oral cancer, as well as the importance of early detection.

What are oral cancers and why should we care about these cancers?

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Oral cancers are cancers that affect parts of our mouth such as the gums, tongue or palate. They are most commonly caused by tobacco use and alcohol consumption. There is a new threat called Human Papilloma Virus (HPV-16) that can also cause certain types of oral and oropharyngeal cancers.

These cancers are important because they have a devastating effect on a person’s ability to communicate with the world around them by affecting speech and swallowing, breathing and appearance; treatment, which is most commonly involves surgical removal, may also have an serious impact on these functions that are so vital to us.

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Surgical management is the ideal treatment for oral cancers but comes with the possibility of a disfiguring operation (e.g. removal of jaw bone or tongue affecting appearance or speech) and loss of function.

Early detection of oral cancer plays a vital role improving quality of life and function by limiting extent of surgery and consequently side effects of treatment.

In addition, it’s important to note that early-stage tumors (i.e. tumors detected at an earlier stage of the disease) have better chances of cure (5-year disease-free survival: 60-80 percent) as compared to cancers diagnosed when they are too large or advanced (5-year disease-free survival rates: 30-40 percent).

Unlike other types of cancers that may miss detection until they are too advanced; oral cancers can be diagnosed earlier with inspection and a biopsy – both of which can be easily done during an oral cavity examination by an expert in the clinic or at a cancer-screening event.

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Patients who notice a sore, ulcer or growth in the mouth that has not responded to treatment or a lump in the neck (oral cancers can spread to lymph nodes in the neck) that does not go away either after treatment or spontaneously in 2-3 weeks, should get check by an oral cavity expert such as an ENT surgeon or Head & Neck Cancer Surgeon.

The slogan that the Head Neck Cancer Alliance (OHANCAW) promotes –“All you have to do is open your mouth” is a testament to how a simple cancer screening can save lives and improve outcomes for oral cancer patients who are diagnosed early.

Get screened – promote screening – save lives!

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Click here to learn more about our Cancer Services and future screenings.

To make an appointment with an ENT, visit our website here. 

About Dr. Walvekar

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Rohan R. Walvekar, MD, earned his doctoral degree from the University of Mumbai. After graduating in 1998, he completed a residency in Otolaryngology and Head Neck Surgery at the TN Medical College & BYL Nair Charitable Hospital, Mumbai, India, with triple honors. Subsequently, he completed two head neck surgery fellowships, and trained at at the Tata Memorial Hospital, Mumbai, which is India’s most prestigious cancer institute, catering to over 5000 new head neck cancer registrations a year. After completing an Advanced Head Neck Oncologic Surgery fellowship at the University of Pittsburgh, he became an Assistant Professor in Head Neck Surgery within the Department of Otolaryngology Head Neck Surgery at the University of Pittsburgh/VA Medical Center, prior to joining the LSU Health Sciences Center in July 2008. His clinical interests are head neck surgery and salivary endoscopy. His research interests include evaluating prognostic markers and clinical outcomes of head and neck cancer therapy and treatment of salivary gland disorders.

The Link Between Diet, Obesity and Cancer

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A diet that includes plenty of fruits, vegetables and good sources of protein are important for good health, but did you know that what you eat can also affect your risk for cancer?

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The good news is that diet and obesity are things that can be controlled through healthful choices and a greater understanding of how our bodies process certain foods.

The link between cancer and diet is the topic of the UMC Cancer Center’s next Breast Health Lunch Lecture, presented by Adam Riker, MD., F.A.C.S. Dr. Riker is an LSU Health New Orleans surgical oncologist and Oncology Service Line Director at UMC.

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The free lecture takes place from 12 – 1 p.m. in the UMC Conference Center, on the first floor of UMC, 2000 Canal Street. Lunch will be provided, and a Q&A will follow.

During the lecture Dr. Riker will share a wealth of information, including the basics of cancer, how many people develop cancer, and most importantly, why people develop cancer.

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According to the World Cancer Research Fund, one of the biggest risk factors for cancer is being overweight or obese. Eating food that is high in fat or sugar can lead to weight gain, and there is strong evidence that being overweight or obese increases the risk of 11 cancers.

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Dr. Riker’s lecture will explore why having too much sugar in our diets is not only dangerous, but potentially deadly, the effects of wheat, flour, gluten and process foods (most of which contain flour and wheat) on our overall health, the effects of dairy consumption and the most common pesticide/herbicide in the U.S. food chain and its impact on the vast majority of food consumed in the U.S.

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In the second half of his lecture, Dr. Riker will drill down on how our body processes food, especially sugar and wheat. Sugar is linked to insulin resistance, weight gain, high blood pressure, heart disease, diabetes and cancer. Gluten, a protein in wheat, has been linked to a number of ailments, including inflammation, intestinal disorders and autoimmune disorders.

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He will discuss the dietary guidelines in the food pyramid and affect on childhood and adult obesity.

The Standard American Diet

1970: 2,077 calories

1990: 2,343 calories

2010: 2,590 calories

Additionally, “I’ll focus upon the striking increase in obesity and diabetes (and other health problems) as a result of the U.S diet and then discuss what we can do about it, in order to live a healthy, happy, fulfilled and cancer-free lifestyle,” Dr. Riker said.

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Colon Cancer: When & Why You Should Start Screening

Author: Guy Orangio, MD,  FACS, FASCRS, UMC Colorectal Cancer Surgeon

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Colorectal cancer is the fourth most commonly occurring cancer and the second leading cause of cancer deaths in the United States, with over 56,000 people expected to die from this disease each year. However, this cancer is preventable and curable when detected and treated early.

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March is Colorectal Cancer Awareness Month, a perfect time to learn more about  this disease and when and why to get screened. Because there are often no symptoms when it is first developing, colorectal cancer can only be caught early through regular screening.

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Most colon cancers start as non-cancerous growths called polyps. If we are able to find these polyps while they are still non-cancerous, we remove them and the cancer may be prevented. Major surgery can usually be avoided.

STAGES

Screening programs begin by classification of risk based on personal, family and medical history. People who are at increased risk may need earlier and more frequent screening depending upon the recommendation of their healthcare provider.

The American Society of Colon and Rectal Surgeons (ASCRS), which is dedicated to advancing the treatment of patients with diseases affecting the colon, rectum and anus, supports the following colorectal cancer screening guidelines:

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Recommendations Screening People at Average Risk

  • Men and women at average risk should have screening for colorectal cancer and adenomatous polyps beginning at age 50 years.
  • A colonoscopy (a test that allows the physician to look directly at the lining of the entire colon and rectum) every 10 years or a barium enema (x-ray of the colon) every 5 to 10 years are acceptable alternatives. •

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Recommendations for Screening People at Increased Risk

  • People at increased risk of colorectal cancer or adenomatous polyps include those with first-degree relative (parent, sibling or child) with colon cancer or adenomatous polyps diagnosed before 60 years
  • People with two first-degree relatives who were diagnosed at any age, should have screening colonoscopy starting at age 40 years — or ten years younger than the earliest diagnosis in their family — and then repeat every five years.
  • People with a first-degree relative with colon cancer or adenomatous polyp diagnosed at age greater than 60 years or two second degree relatives with colorectal cancer should be advised to be screened as average risk persons beginning at age 40 years
  • People with one second-degree relative (grandparent, aunt or uncle) or a third-degree relative (great-grandparent or cousin) with colorectal cancer should be screened as average risk persons

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Prevention Tips

In addition to timely and regular screening for colorectal cancer, people may be able to lower their risk of getting the disease by:

  • Avoiding foods that are high in fat.
  • Eating plenty of vegetables, fruits and other high-fiber foods.
  • Exercising regularly and maintaining a normal body weight.
  • Not smoking and drinking alcohol only in moderation.

 

For information on the Comprehensive Colorectal Cancer Program at UMC, click here.

 

About Dr. Orangio

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Guy Orangio, MD, is a board-certified colorectal surgeon at UMC and an Association Professor of Clinical Surgery at LSU Health New Orleans.

 

HPV, Not For Me: Preventing Human Papillomavirus & Cervical Cancer

Author: Stacey L. Holman, MD, UMC Women’s Health Center Director, LSU Health New Orleans Assistant Professor & Clinical OB/GYN

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As the new year begins, many women reflect on personal wellness and ways to get (and stay) healthy for the year to come. January is Cervical Cancer Awareness Month, and this presents an opportunity to promote prevention of the human papillomavirus (HPV) and cervical cancer.

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HPV is a common infection that spreads via sexual activity and is the cause of nearly all cases of cervical cancer.

Approximately 12,000 women are diagnosed with cervical cancer each year in the United States. It is the 3rd leading cause of death among gynecologic cancers in the US. While this number is declining, cervical cancer is still considered a preventable cancer and vaccination for HPV is a key part of prevention.

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What are risk factors for cervical cancer?

  • Tobacco Use
  • HIV Disease
  • High-Risk Sexual Activity, Early Onset of Sexual activity
  • History of Sexually Transmitted Infection

The Gardasil vaccine is available in the outpatient setting for HPV prevention.

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Here’s what you need to know:

  • The vaccine is available for females ages 9-26.
  • It covers 9 HPV types and those types are responsible for 90% of cervical cancers.
  • Administration of the vaccine ideally begins between age 11-12 and prior to a young woman’s first encounter of sexual activity.
  • The vaccine series is available at pediatrician offices for those under the age of 15 and in the Women’s Health Clinic at UMCNO for those 15 and older.

In addition, visiting with a physician on a regular basis to discuss cervical cancer screening with the Pap test is important for prevention of disease.

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Some additional tips for cervical awareness and health include:

  • Women should see a provider yearly for a well-woman visit. This is an opportunity to review a wellness plan, discuss sexual health, and determine optimal timing for cervical cancer screening with the Pap test.  The Pap test is recommended for ages 21-65 but a schedule for screening is individualized to each patient depending on age and medical history.
  • Young patients (under age 21) should also see a provider yearly for a wellness visit. They should receive counseling on sexual health and protection against sexually transmitted infections including HPV.

For a list of the Top 10 Things to Know About HPV and Cervical Cancer, click here.

For other facts about Cervical Cancer, click here.

 

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Think happy, but most importantly, think healthy this 2018.

 

 

About Dr. Holman

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Stacey L. Holman, MD, is a three-time graduate of LSU — She attended undergraduate in Baton Rouge, the School of Medicine in New Orleans and then completed residency in the same system. Dr. Holman is the Associate Residency Program Director for the Department of Obstetrics & Gynecology at LSU Health in New Orleans. Dr. Holman also serves as the Ambulatory Services Director and Quality Improvement champion for the department.

She holds the position of Women’s Health Center Director at University Medical Center New Orleans. In this role, she is responsible for leadership in the areas of quality improvement and clinical operations.

Dr. Holman is a Fellow of American College of Obstetrics and Gynecology and has served in several leadership roles within District VII.

Her clinical interests include adolescent pregnancy, cervical dysplasia, well-woman and preconception health.

She is a long time New Orleans resident along with her husband and their two young children, Ethan and Emma.

Problematic Pancreatic: What to Know About Pancreatic Cancer

Author: Jennifer Gnerlich, MD, UMC Surgical Oncologist and Assistant Professor of Clinical Surgery at LSU Health New Orleans

More people are being diagnosed with pancreatic cancer now than ever before. Currently, cancer of the pancreas accounts for 7 percent of all cancer deaths in the United States. This year, an estimated 53,670 adults will be diagnosed with this disease, and more than 43,000 of them will die. (Source: American Cancer Society)

November kicks off Pancreatic Cancer Awareness Month at UMCNO’s Cancer Center, so our staff is working to get the word out about this disease.

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Here is what you should know:

  • Most people are diagnosed with pancreatic cancer between the ages of 55 years old and 85 years old.
  • Men and women are equally affected by pancreatic cancer.
  • The number one risk factor for pancreatic cancer is smoking and tobacco use.
    • Please call the American Lung Association’s Lung Helpline at 1-800-LUNGUSA (586-4872) if you need help in quitting tobacco use and smoking, or phone us at UMC at (504) 702-5178. 
  • Individuals with BRCA mutations (associated with breast cancer) have an increased risk of pancreas cancer.

There is NO screening test for this disease. You need to be aware of the possible presenting symptoms of pancreatic cancer, which include:

  • Jaundice (yellowing of the skin or eyes)
  • New onset of pain in the upper abdomen/belly or back pain
  • Indigestion or upset stomach not relieved with Tums or Pepcid
  • Pale, smelly, floating, or light colored stools that may look oily in the toilet
  • Unexplained weight loss
  • New diagnosis of diabetes, especially in people over 50 years old
  • New diagnosis of clots in veins or arteries
  • Pancreatitis

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If you have any of these symptoms, please see your primary care physician or contact the Cancer Center Monday through Friday at (504)702-3697 for an appointment.

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Getting checked is important. Pancreatic cancer has a five-year survival rate of 8%, but with appropriate care that survival can be as high as 27%. Treatment will usually include a combination of chemotherapy, radiation, and surgery.

Just as every person is unique, so is his/her pancreatic cancer. This is why every patient is discussed at a multi-disciplinary tumor board where a panel of experts in fields such as medicine, radiation, surgery, radiology, and pathology can discuss the case and determine the best treatment for that individual.

If you have been diagnosed with pancreatic cancer or want additional information, please contact the UMCNO Cancer Center as soon as possible.

About Dr. Gnerlich

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Dr. Gnerlich is a board-certified surgical oncologist specializing in upper gastrointestinal cancers in the pancreas, bile ducts, liver, stomach, esophagus and retroperitoneal sarcomas. A fun fact – While Dr. Gnerlich was completing her undergraduate degree, she was scouted to go into professional acting. She loves to run half-marathons, especially at Disney World. Dr. Gnerlich is excited to join the staff at UMC because of the “great team we have here.” She hopes to bring new procedures like HIPEC (hyperthermic intraperitoneal chemotherapy) to UMC for patients with certain types of cancer that have spread throughout the abdomen.

To make an appointment with Dr. Gnerlich or one of our cancer specialists, please contact (504)702-3697 or (504) 702-5700.

 

 

Hidden Scar Surgery: It’s No Secret

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Scars on your soul

Scars on your skin;

Some on the outside

Some are within;

Some have a story;

Some are unwritten;

Some you can see

But most are quite hidden.

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Each year, more than 400,000 women are diagnosed with breast cancer that requires surgery, and each year, these women carry with them burdens of fear, sometimes hair loss and, most noticeably, surgical scars.

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When considering breast procedures, many are unaware of the number of surgical options that are available: mastectomies, lumpectomies, reconstruction and, now, Hidden Scar Breast Cancer™ Surgery – a minimally invasive approach aimed to help women restore their self-image and begin the emotional healing process.

UMC New Orleans is among the first of hospitals in the Greater New Orleans area to offer this procedure, which is an advanced approach that hides incision scars and minimizes the daily emotional reminder of a breast cancer diagnosis for patients.

Adam I. Riker, MD, FACS, LSU Health New Orleans, breast surgical oncologist at UMC New Orleans, has been recognized as a Hidden Scar trained surgeon.

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 “In many instances, the incisions cannot be seen at all, as it is hidden in the inframammary fold of the breast,” Dr. Riker said, “and in select cases, the nipple can be completely preserved. This technology is exciting because it allows me to truly hide, as best as possible, the incisions that must be made for a particular breast operation.”

Breast cancer can be traditionally removed with a mastectomy procedure (in which all of your breast tissue is removed) or a lumpectomy procedure (in which only part of your breast tissue is removed).

With a Hidden Scar Approach to these procedures, Dr. Riker can place an incision in a location that is hard to see, so that the scar is not visible when your incision heals. As a result, you have little to no visible reminder of the surgery.

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The Hidden Scar approach can be performed for a nipple sparing mastectomy or a lumpectomy procedure. Patients who undergo the Hidden Scar approach do not have a higher risk of cancer recurrence than patients who undergo any other type of technique.

You may qualify for Hidden Scar Breast Cancer Surgery based on the size and location of your tumor, your breast shape, and your breast size.

To learn more about Hidden Scar Breast Cancer Surgery and other Services we offer for patients with cancer, visit www.umcno.org/hiddenscar

Have Your Cake…and Your Hair, Too!

UMC Offers FDA-Cleared DigniCap Scalp Cooling System to Minimize Hair Loss During Chemotherapy

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For patients recently diagnosed with cancer, it often feels like there is much to lose: time, energy, money, perhaps hope. Hair doesn’t have to be among the mix. Because of the DigniCap scalp cooling treatment, cancer patients across the United States are undergoing chemotherapy and seeing less hair loss. Now patients at University Medical Center New Orleans can do the same.

If you’re a patient looking to have your cake, and your hair, too, here’s what you need to know:

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How It Works

The DigniCap scalp cooling treatment is a proven approach to reduce chemotherapy-induced hair loss that has been used successfully by tens of thousands of patients worldwide. The reduced temperature results in a reduced blood flow to the scalp area so that less chemotherapy reaches the hair cells. Hair cells are therefore not exposed to the full dose of chemotherapy and may be able to survive the chemotherapy treatment. In addition, cellular metabolism within the hair cells is slowed down.

As a result, hair is less likely to fall out.

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How It Feels

We sat down with one of our patients, and the term she used was “pain-free.” The DigniCap is designed to comfortably fit patients’ heads and comes in varying sizes. Although it can get a little cold at times, most patients tolerate scalp cooling with DigniCap® scalp cooling system very well because the system cools the cap down gradually from room temperature. The cap temperature never drops below freezing to help make the treatment more comfortable for patients.

Common Side Effects

Side effects, as a result of the DigniCap, are minimal. They include feelings of coldness, headaches, scalp pain and/or light-headedness, which is rare. Your doctor can provide a pain reliever if you develop a headache.

What It Costs

Scalp cooling costs roughly $350-400 per treatment. The number of treatments required is determined by a patient’s physician.

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How You Can Receive Treatment

For more information, or to express your interest in being treated with the DigniCap scalp cooling system, contact the UMCNO Cancer Center at (504)702-3113 or visit www.umcno.org/dignicap.

Mammo Is Ammo: How Early Screening Saved My Life

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Author: Tamira Armwood, Breast Cancer Survivor, University Medical Center New Orleans

I clung to the words like I do to my rosary when I pray: tightly. What was supposed to be a routine mammogram screening at age 40 turned into a quick discovery of a mass on my right breast. Immediate emotions of fear and worry consumed me. But then a moment of relief came: After the biopsy, we determined the mass was benign.

That was July 2014, but the start of my journey against cancer did not begin until six months later.

Fast-forward to January at my follow-up appointment. My radiologist performed another biopsy, but this time, the results were not so favorable. “Stage 2 Breast Cancer,” she said, which means the cancer inside of me was growing, but still contained in the breast and nearby lymph nodes.

Because of the cancer’s aggression, a treatment plan was immediately created.

I can’t remember any thoughts that weren’t concerned with my own disbelief.

I couldn’t have cancer. I have no family history of it! Did she really just say those words? How am I going to tell my daughters? What if I don’t make it?

I prayed for strength, courage, wisdom, hope and support, and the amount of each of these needs I received from my husband and daughters was nearly two-fold. Like me, they had no certainty of what was going to happen. Unlike me, fear was not their focus but, rather, the fight.

When my treatment plan was established, my breast surgeon informed me I would need a lumpectomy performed to remove the lump from my breast. In addition, I would have to experience 18 weeks of chemotherapy treatment plus 33 days of radiation. The information, tests and costs were overwhelming, but then I meditated on Jeremiah 29:11, which says, “For I know the plans I have for you. Plans to give you hope and a good future.”

What this told me was that I was not near my end.

In my diagnosis, there was hope. After my treatment, there would be a good future.

If there is anything this disease has taught me, it is how to embrace the little things in life.

On this journey, I experienced a great degree of setback: hair loss, excessive weight gain, nail discoloration, lymphedema and periods of extreme fatigue. What I gained, however, was far greater. After my diagnosis, I smiled more. I shared more information with family and, even, strangers. I got excited more. I displayed courage more.

In the most unexpected way, I have become more grateful for the little blessings this experience has given me. It has brought my family closer together, mended broken relationships and been a common cause for which we can all show passion and compassion.

If you are someone who has recently been diagnosed with cancer, my advice to you is this:

Know there is hope. Stay the course. Stand in Faith. And never quit.

I didn’t have a family history of breast cancer, but genetic breast cancers only account for about 15%-20% of all breast cancers. That’s why it’s so important to get screened.

Because of this mantra, I preserved through the fight.

Because of my annual mammogram, I became a breast cancer survivor.

Thank you so much for allowing me to share my story with you.

Tamira Armwood

 

For more information about mammograms at UMC, visit http://www.umcno.org/mammograms.