Happy Thanksgiving from Susan

  Wishing everyone a very Happy Thanksgiving! I love this holiday! Always filled with family, good stories, good food and very good times. I...

Saturday, April 29, 2017

SHADES OF PINK FOUNDATION WALK

Excited to be at the Shades of Pink Walk hosted by Sue Snyder, Michigan's First Lady at the Detroit Zoo. Over 150 women helped by Shades of Pink in 2016.Wonderful to see such  strong participation.





Thursday, April 13, 2017

Don't let sex be forbidden topic after cancer

By Lonnie Fynskov, R.N. April 12, 2016
While you were growing up, how many of you were taught that sex was inappropriate for casual conversation? For some of us, the topic was not only absent from social conversation but also in our families.
Obviously, this has nothing to do with the importance of sex and intimacy in our lives but more to do with our cultural background and a discomfort related to openly talking about highly personal issues.
Unfortunately, that same discomfort may interfere with getting helpful information regarding changes in sexuality that may occur with various cancer treatments.
Several cancers or their treatments have the potential to impact sexual function and response. This may not be a concern for some, but if it is we want you to feel comfortable starting a conversation.
Physical or emotional changes such as grief related to the presence of surgical scars or removal of reproductive organs, the desire for sex, and the ability to reach climax or experiencing pain during intercourse are just some of the things that can create tension in relationships.
As healthcare providers, we know sexual concerns may be difficult to discuss. But frequently, there are suggestions that can help. A few people have told me that with a new cancer diagnosis, so much information is given that sex didn't even surface. Others said it was the first thing they thought about but were too embarrassed to ask about.
Some say that during treatment, they were either so sick or tired that it wasn't a concern. However, once they were feeling stronger any sexual problems were a significant concern for them and their partner. But even then, they were hesitant to mention it to their healthcare provider.
Our need for intimacy and closeness doesn't stop with a cancer diagnosis. Getting the information and support you need to live life to its fullest is important. Everyone's situation is different regarding when and how you like to receive information.
Some may want to have open conversations that are initiated by either person when a troubling situation occurs. Others are more private and prefer brochures or visiting a reputable website that provides reliable information.
I'd love to hear your thoughts about what would work best for you when you want information about your sexual concerns? If you prefer conversations with a healthcare provider on the subject of sex and intimacy, when is the best time for this to happen? Is it when making decisions regarding treatment options, during treatment or perhaps at follow-up appointments? Thank you for providing input on this important topic.

Friday, April 7, 2017

Breast Cancer: After surgery

Everyone reacts differently to surgery. In this section we look at some of the side effects and common problems that may arise. Most people recover well but there are some things to be aware of.

Chemo Brain Could Be Worse With This Type of Chemo Drug

Research from JAMA Oncology found differences in how the brain responds to certain chemotherapy drugs used to treat breast cancer. Researchers examined how the brains of breast cancer survivors functioned after treatments with anthracycline drugs, nonanthracycline chemotherapy and no chemotherapy whatsoever. What they found out should help people who suffer from “chemo brain,” or the fuzzy-headedness that patients feel during and after cancer treatments.
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METHODOLOGY

Researchers noted brain functions in 62 breast cancer survivors with an average age of 55 who stopped undergoing treatments at least two years before their participation in the study. Of the 62 women, 20 had anthracycline-based chemotherapy as a primary treatment, 19 received nonanthracycline regimens of chemotherapy and 23 had no chemo whatsoever, according to Medical Xpress. Doctors then found ways to measure the cognitive abilities of these former breast cancer patients.
Participants enrolled in classes at Stanford University from 2008 to 2014, and researchers conducted the analysis during this period. These breast cancer survivors underwent a battery of tests, including standard psychological tests that measure brain function and MRI scans to look at the brain's signalling network, notes JAMA Oncology. The results of these tests led to some alarming conclusions.

WHAT THEY FOUND

Women treated with anthracycline chemotherapy drugs had lower verbal memory skills compared to other forms of chemotherapy or no chemotherapy at all. This includes the ability to immediately remember facts. MRIs indicated that connections in the brain were lower in patients treated with chemotherapy compared to those who received no chemo during treatment for breast cancer, which means the brain processes information less efficiently after undergoing chemo. Patients self-reported greater psychological distress due to chemo treatments versus nonchemotherapy regimens.
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Anthracyclines are a class of antibiotic drugs that come from strains of certain Strep bacteria, notes the National Cancer Institute. These types of drugs treat cancer by damaging DNA in cancer cells and eventually causing these cells to die. Anthracycline-based drugs include daunorubicin, doxorubicin and epirubicin.
Overall, researchers suggest that anthracyclines may incur greater negative effects on the brain than chemotherapy without anthracyclines. Doctors at Stanford University and the University of Texas conclude more studies should follow up these conclusions due to this very small sample size (just 62 women), and so the doctors can get a better idea of how chemotherapy alters the brain.

HOW DO YOU COUNTER CHEMO BRAIN?

Chemo brain causes cancer patients to suffer impairment in thinking abilities and memory. Cancer Care has several ways patients can combat chemo brain to try to lead a more normal life while undergoing treatment.
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  • Carrying a pad of paper and a pen at all times to write down shopping lists, errands, chores, phone calls and appointments helps patients keep things straight. Patients should cross off each accomplished item and include as much information as possible such as times and dates for deadlines so you stay on top of things.
  • Daily planners, wall calendars and notebooks help organize daily schedules and offer plenty of space to write down tasks to accomplish on certain days. For more high-tech options, plenty of smartphone apps help to organize information and provide alerts to upcoming events.
  • Some patients find leaving a voice mail or answering machine message serves as a good reminder. For patients who prefer this option, a digital audio recorder can save a lot of time.
  • The best defense is to keep the mind and body active, healthy and alert through proper nutrition and exercise. This includes activities used to stimulate the brains, such as crossword puzzles, sudoku, word games or reading. The more patients can do to keep the brain and body in shape, the better they feel and less chemo brain takes over their life.
Chemo brain doesn't have to control you. Discuss your treatment options with your doctor and then see if he can recommend ways to help your brain and your body reduce the effects of treatment. Learn about the long-term and short-term effects of chemo brain by visiting this blog post.

The Breast Cancer Site is a place where supporters and survivors come together to help fight breast cancer. In addition to sharing personal stories of hope, shopping for the cause, and signing petitions, visitors can take just a moment each day to click on a pink button to provide free mammograms for women in need. Visit The Breast Cancer Site and click today - it's free!

http://blog.thebreastcancersite.com/cs-anthracycline-chemo-brain/