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Posts with tag housekeeping

On the hunt for vitamin D

Vitamin D is one of the latest, greatest hot cancer topics. Why? Well, it seems many of us women are vitamin D deficient. Such a deficiency might be linked to breast cancer risk so it's in our best interest to make sure we get a healthy dose of this vitamin. It's not as easy as adhering to the Dietary Reference Intake (DRI) guidelines, though. Follow them and you'll still come up short -- the Food and Nutrition Board, responsible for setting the DRIs, have not yet updated guidelines in light of cancer concerns. So what's a girl to do?

For starters, we need to understand that for overall health benefits, 1,000 IU (International Units) per day are necessary. The outdated DRI recommends 200 to 600 IU. This is based on preventing only bone diseases like rickets. Second, keep in mind it's safe to take up to 10,000 IU each day. Third, up your intake of this important vitamin. Here's how:

Fatty fish is the best source of vitamin D. But watch out for high mercury levels. Fortified milk is also good. It has 100 IU of vitamin D per eight-ounce serving, but cow's milk been linked to breast cancer risk as well.

Continue reading On the hunt for vitamin D

The View's Elisabeth Hasselbeck on surviving cancer

We know her best as the spunky headband-wearing contestant on Survivor: The Australian Outback and most recently as the vivacious co-host on the daytime talk show The View. Elisabeth Hasselbeck is a fighter -- whether she's duking it out to win $1 million or defending herself in front of a television audience. Remember her on-screen political feud with Rosie O'Donnell just before O'Donnell's departure from The View?

Hasselbeck seems sweet and innocent. I'm sure she is, really. But she surely has the ability to stand her own ground. She owes this trait to her mom, she says.

"My senior year of high school, my mother was diagnosed with an advanced from of breast cancer," says Hasselbeck, now 30. "She was put on intensive chemotherapy and had to take time off from her job as an attorney. Suddenly, I was the grown-up: I took her to her first chemo appointment, and helped her shave her head. The experience taught me a lot about looking inside for strength."

Continue reading The View's Elisabeth Hasselbeck on surviving cancer

Thought for the Day: The prepared patient

I'm an organizer, a plan-maker, a woman of many lists. It's all part of my Type A personality -- the one that contributes to a bit of stress but also helps me stay on top of things. I like staying on top of things.

Lists have become more important to me than ever, thanks to cancer and chemo and my forgetful brain. If I want to remember something, I must write it down. If I let just a moment pass without recording the thought I want to keep, it's gone. So I have ongoing grocery lists, household to-do lists, task lists, even lists of questions I want to ask my doctor. Since I see my doctors just once every few months, I keep a running list. Sometimes the list is quite long when I arrive for my appointment. Sometimes I don't have time to cover each topic. Sometimes I transfer questions onto future lists.

It would be nice if I could get all my medical questions answered at each visit. I once read that the typical amount of time a doctor spends with a patient is eight minutes -- so it makes sense I never cross off all my list items. But in the future, I may do better at covering my bases, thanks to this advice I found in the in the July 2007 issue of Good Housekeeping.

Continue reading Thought for the Day: The prepared patient

DES daughters must get mammograms

They are called DES daughters, and they are the women who mothers took the anti-miscarriage hormone drug DES during pregnancy. It is estimated that millions of pregnant women were given this drug between the 1940s and 1960s, and it's now been determined that the daughters born to these women have not only an increased risk of a rare vaginal cancer but also nearly double the chance of developing breast cancer.

This sad finding has been addressed before but now more than ever, DES daughters are urged to stick to a strict breast cancer screening schedule.

A news brief published in the February 2007 issue of Good Housekeeping boldly reminds all women to comply with government guidelines that call for mammograms for all women every one to two years starting at age 40 and every year after the age of 50. But it's a different story for women exposed in utero to DES.

"If you were exposed to DES, be sure to let your doctor know and have a mammogram ever year, even in your 40s," says Julie Palmer, lead researcher of the DES study.

Hair dye dilemma goes round and round

Don't rule out coloring your hair for fear it may cause cancer -- because there's not much evidence at this point that hair dye causes the disease.

Even though 22 potentially cancer-causing hair dyes were banned in Europe recently, it does not appear that any of them are actually used in products in Europe and the United States, according to a news update in the January 2007 issue of Good Housekeeping.

And only one of these banned chemicals -- 2,3-Naphthalenediol -- is even listed in the U.S. Food and Drug Administration's voluntary cosmetics registry.

So if you must make a New Year's resolution come January 1, consider making changes that clearly help lower the risk of cancer. Eat healthy, exercise, lose excess weight, limit or cease alcohol consumption, and quit smoking for starters. Coloring your hair? Not so bad -- yet.

Lumpectomy technique saves patients from repeat surgery

On Sunday, for the very first time, I read a magazine article about the hospital where I received treatment for breast cancer. I had never before seen mention of my hospital, my doctors, my city in anything other than local and regional newspapers and on area television stations. I figured news about Shands Hospital at The University of Florida was out there -- in more areas than my own -- because it's a well-known facility. People travel from all over to receive treatment here. So I know it's a good place. But to see in the October 2006 issue of Good Housekeeping an actual blurb about a new kind of lumpectomy -- pioneered right here in Gainesville, Florida -- is exciting.

I am the happy recipient of this new kind of lumpectomy -- which really is not new at all. It was developed 20 years ago by the surgeon who performed my own lumpectomy, and it allows women who undergo lumpectomy the chance to avoid return trips to the operating room.

The method is called frozen section analysis, and it was first used by Dr. Edward Copland III, first director of the UF Shands Cancer Center, who was tired of waiting for pathology reports and tired of operating on patients two and three times to ensure clear tumor margins.

It all happens like this -- a surgeon removes the breast cancer tumor, takes tissue samples, freezes them in an embedding compound, and sends them to a pathologist for immediate analysis. In a typical case, this frozen section process adds just 15 minutes to the operating time. If pathology reveals more tissue must be removed, the surgeon returns to the patient, still under anesthesia, and continues surgery. The patient does not need to return for more surgery.

Surgeons at most institutions rely on a method called permanent section analysis to determine whether or not cancerous cells remain along the margins of a tumor. The technique is labor-intensive, takes days to complete, and requires patients to return for additional surgery if margins are not clear. Surgeons using the frozen section method still consult permanent sections to confirm margins are clear -- but they are mostly certain of their findings during frozen section.

Studies show frozen section analysis to be safe and effective -- and it adds just $851 to the cost of surgery, a savings considering the cost of returning for surgery as a result of permanent analysis.

There are many advantages -- but the procedure is tricky and on occasion can fail to detect some cancerous margins, indicating frozen section should continue to be used in conjunction with permanent section. Opponents of the practice say false positives could result in unnecessary mastectomy. But Copeland says this has never happened at UF -- and he would never remove a woman's breasts until permanent section confirmed it was necessary.

Despite the promise of this method, only a handful of institutions make practice of this surgery-sparing technique. Shands at UF is the only hospital in North Florida where breast surgeons perform frozen section analysis on a regular basis.

The procedure -- which is not risky, is not harmful, and clearly saves patients from returning for surgery -- is the exact procedure I received almost two years ago. Dr. Copeland removed my tumor, froze tissue samples, sent them to pathology, and 15 minutes later knew my tumor had clear margins and had not spread to my lymph nodes. He visited my family in the hospital waiting room just after surgery and told them the good news -- clear margins, no spread, a 1.1 cm. tumor, stage I. And while other tumor criteria, such as ER/PR status and HER2 status, did not come my way immediately, I at least knew the basics when I woke from surgery. No waiting. No worrying. No complaints.

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