FOX Health

Archive for August, 2009

You Won’t See THIS on TV…

Wednesday, August 26th, 2009

dr_manny_blog2Ask, and you shall receive…

Here at FOX News Health, it’s been our mission to provide you with the best health news coverage available on the Web.

Now, we’re taking that coverage a step further, with a new 30-minute weekly show, exclusively for FOXNews.com. The “Ask Dr. Manny” show will extend the lead in health coverage that you, the viewers, have helped us to achieve.

Because of your positive feedback and constant hunger for more information, we’ve combined some of our best features — and added some new ones, to bring you a dynamic show that covers all areas of health and medicine — from skincare to sex and weight loss — we’re even sharing the secrets to living a longer life!

Each week, we’ll be tackling a new topic, providing viewers with vital health information by taking a look into the lives of real people, answering your e-mails, and getting to the bottom of health news making headlines — with a little help from our resident know-it-all Dr. Cynara Coomer.

And remember, this isn’t like any old trip to the doctor — so you can count on it being fun and entertaining — but you’ll still be healthier after tuning in.

“Ask Doctor Manny” will premiere next Wednesday, September 2nd at 4 p.m. EDT on “The Strategy Room.”  Then every following Wednesday at 4 p.m. we’ll bring you a new, web-exclusive episode. 

And if you can’t catch it at its regular time — we’ve got you covered! You can check out what you’ve missed after the show airs by logging onto foxnewshealth.com. After airing on the Strategy Room every episode will be there!  Think of it as your own DVR full of vital health and medical information.

For a sneak peak at some of the highlights, click here: Ask Dr. Manny Show  …and let us know what you think by e-mailing drmanny@foxnews.com!

And as always, thanks for counting on us to keep you informed!

Thanks,
Dr. Manny

Tort Reform and Medical Practice

Wednesday, August 26th, 2009

siegel1In the current push for national health insurance, expensive overuse of technology based on the defensive practice of medicine by doctors is being overlooked. Yet doctors often over-order tests and treatments for fear of missing a remote diagnosis. Doctors are afraid of being sued by the same aggressive trial lawyers who lobby Congress against real reform. Keep in mind that it isn’t just a dreaded error like removing the wrong kidney that motivates doctors to practice defensively, it is the fear of lawyers and having to meet with them as part and parcel of responding to arbitrary lawsuits. Doctors who have done nothing wrong can be targeted with frivolous suits that drag them into the lawyer’s office. The process of having your records scrutinized in an effort to determine how well you’ve documented things and if you’ve made errors can be instructive, but it can also be humiliating. This process can alter the way a doctor practices as he or she struggles to avoid the nightmare of legal exposure in future.

Though 98,000 people die in U.S. hospitals every year from medical mistakes, at the same time according to a recent Harvard study, 40 percent of malpractice lawsuits are not legitimate, though they lead to 15 percent of the money paid out. Often times the doctors who are sued did nothing wrong, while those who make mistakes too often escape retribution.

Most malpractice cases are won by doctors, but not before they endure the protracted painful process of meeting with lawyers. Many doctors quit medicine or become even more defensive and order more and more unnecessary tests as a result. I remember when the best urologist and one of the top cardiologists at my hospital quit practice abruptly because of extended lawsuits where they weren’t at fault.

On the defense side, lawyers may milk doctors for billable time, and on the plaintiff side, ambulance chasers thrive, creating and exploiting frivolous cases for profit. Many patients get unnecessary operations because of defensive medicine. C-section is on the rise and is vastly overdone because of doctors fearing lawsuits. There is a culture of fear that motivates doctors to practice defensively, which causes costs to skyrocket.

With the possible rationing of care that may occur in the name of cost control under an expanded system, malpractice could skyrocket as more and more tests and procedures are denied yet doctors continue to be blamed when something goes wrong. It is especially problematic that neither insurers nor the government have direct legal responsibility while at the same time turning down tests. Most doctors are too busy and too scared of being singled out to band together to protest this uneven system.

What is the solution? One solution is to create state review boards like Michigan or Tennessee to limit frivolous lawsuits. Doctors and lawyers can serve on these boards together and provide a barrier to nuisance suits. More peer review in the hospitals is also a good idea, regular mortality and morbidity conferences where doctors behavior is examined without the direct fear of lawsuits.

Capping pain and suffering awards would seem like a simple enough solution, but some patients truly deserve a high reward if they’ve been badly mistreated by a physician (as when the wrong organ is removed or a diagnosis is blatantly missed). A better initial approach is to target nuisance suits for destruction.

It is estimated that tort reform can lead to an initial savings of 2% on health care costs, without even considering the billions of dollars that will be saved by decreasing the defensive practice of medicine (based on overuse). But even with tort reform, the current plans for health insurance reform combined with decreased reimbursements to hospitals and doctors will lead to more and more patients being seen in shorter periods of time. This will lead to more and more medical mistakes, and more and more malpractice.

There hasn’t been much of a push yet to combine tort reform with the current health insurance reform initiative being considered by Congress. This could change. The Democrats could decide to add some tort reform (probably Caps to pain and suffering) as a sweetener to a bitter pill (or bill). This might cause more physicians to support the current health reform, but would do nothing to correct the larger problem of physician dissatisfaction, overwork, attrition, and scarcity, all of which lead to medical mistakes.

Plus, simply capping pain and suffering is not a guarantee that doctors will see their liability insurance premiums lowered. In California in the 1980s, when a cap on pain of suffering to $250,000 was first initiated, there was no overall savings to physicians. Instead, the insurance companies made more profits. It took an additional law to ensure that the savings was transferred to physicians in terms of lower premiums.  

It is the current insurance-oriented climate for practicing medicine that must be changed before doctors (and their patients) will reach any kind of comfort level or be able to cut costs in a reasonable way. Insurance of both kinds (private and public) is the problem, not the solution. Costs spiral upward because of doctors’ fear of malpractice and rush to see more and more patients in a short period of time amid shrinking reimbursements. The easiest way to do this if you’re a primary care doctor is to quickly refer a patient to a specialist of for an expensive test, jacking up costs. At the same time, patients are inclined to overuse their health insurance because they don’t pay for each procedure or as many have put it, because patients don’t have any “skin in the game.”

Tort reform is essential and must include not only caps on pain and suffering and reflected decreases in liability premiums, but also a way to ferret out nuisance suites. I am in favor of more peer review in the hospitals as well as a lawyer and doctor staffed board in every state to review claims before they are brought. I strongly believe that private insurance companies as well as the government (Medicare and Medicaid), should incur liability themselves for tests they decline.

But I do not think that any of this should be done as a way to manipulate physicians to support a kind of health reform that is not in our best interest, or in the best interest of our patients.

 

Dr. Marc Siegel is an internist and associate professor of medicine at the NYU School of Medicine. He is a FOX News medical contributor and writes a health column for the LA Times, where he examines TV and movies for medical accuracy. Dr. Siegel is the author of “False Alarm: The Truth About the Epidemic of Fear and “Bird Flu: Everything You Need to Know About the Next Pandemic.” Read more at www.doctorsiegel.com

Now Starring Ryan Jenkins — As Himself

Wednesday, August 26th, 2009

ablow052710Ryan Jenkins was a famous reality TV star.  He had appeared on the VH-1 series Megan Wants a Millionaire, winning the $1 million prize.  He was selected for the third season of the VH-1 reality show “I Love Money,” and reportedly won the $250,000 prize on that show, too (which apparently will not air). 
 
What Ryan Jenkins really was in reality (as in, real life) was a violent man who had been sentenced to 15 months probation and ordered to complete domestic violence counseling after assaulting his girlfriend during 2007. He also was apparently capable of killing his ex-wife Jasmine Fiore and then removing the tips of her fingers and her teeth, in an attempt to prevent police from identifying her (which they ultimately did, ironically, by tracking the serial numbers on her breast implants).  He then fled and hung himself from a coat rack in a motel room in Canada.
 
The underlying character of a man asserts itself eventually, no matter how many scripts he is handed or how well-honed his acting skills.  
 
The truth is that most reality television shows have nothing to do with real life or with real emotions or with real people.  Most showcase situations that never occur in our genuine day-to-day existences and run the risk of attracting participants who are on the run from their feelings, not at one with them.  These “stars” are often quite different from actors like DeNiro or Pacino or Streep.  They aren’t practitioners of any particular art form and don’t know the first thing about getting into and out of character.  And they might not need to because they are always acting.  They may be particularly good at what they do because they lack a core self and can adapt to the unreal, real-life predicaments into which they are written. Their narcissistic needs for approval and applause and fame and their lack of a desire for privacy may, in fact, be intense enough to qualify as psychopathology.  They run to fake dramas because they have been running their whole lives—from core sadness and rage and shame.
 
Ryan Jenkins was gifted as a reality TV star because he was a tortured human being.
 
Just think about Jon and Kate Plus 8 “playing” parents to sextuplets by putting them before the lens of a camera that can’t help but distort their developing emotions and perspectives.  Great parenting there, huh?  They qualify as reality TV stars because they aren’t real parents, not because they are.
 
The real, real Ryan Jenkins was a person full of rage and self-hatred who terrorized more than one woman, killed his ex-wife, then hung himself.  If he had managed to live longer without taking any lives, he probably would have won some more prize money and gotten more famous.

Dr. Keith Ablow is a psychiatry correspondent for FOX News Channel and a New York Times bestselling author. His newest book, “Living the Truth: Transform Your Life through the Power of Insight and Honesty” has launched a new self-help movement. Check out Dr. Ablow’s Web site at livingthetruth.com.

Get Hooked On Natural Cures

Wednesday, August 26th, 2009

Medicine Hunter Chris Kilham (116 x 149 - on color)Thank you so much for checking out this blog. I hope to give you reasons to come back every week. As a medicine hunter, I spend my time investigating natural remedies. This work puts me in rainforests, mountains, deserts, and other wild and remote regions all over our spectacular planet. In the course of my travels, I encounter  medicinal plants for every need, plus unusual people, exotic locales, strange foods and bizarre customs.

I believe that trade in medicinal plants can promote human health and environmental and cultural sustainability in native areas. In between trips researching nature’s healing treasures, I speak all over the world, and appear on TV regularly, where I promote the message of natural healing. I have a wife I love, several close and wonderful friends, a happy dog, a beautiful home I visit on occasion, and global travel.

In the course of medicine hunting I have come to love and appreciate the remaining wild and largely undeveloped places in the world. The times I have spent with great healers have opened my mind and heart to a broader understanding of true healing, the human spirit, and the precious medicinal treasures of nature. In this blog, which I offer with great sincerity, I would like to share what I have found.

A Kathmandu Cure – How I Became Really Hooked on Plants

medicine_hunter1Do not drink out of Indian rivers! Wherever in the foothills of the Himalayas you may be, however seemingly pristine the environment, however cool and refreshing the water might feel as it swirls around your knees, do not afford yourself a long, thirst-quenching drink. At a remote section of the Gautam Ganga river, I had done exactly that. The cold Himalayan water was apparently a running cocktail of potent pathogenic microbes.

The microbes in the river water invaded my body like a battalion of gladiators, hacking and plundering from sinew to bone. I felt as though my digestive tract had been beaten with a brick bat, and my brain felt as though it had been cleaved with a wood-splitting wedge. I visited the toilet over fifty times the next morning, the beginning of a ten day siege that caused me to drop 35 pounds (amazing weight loss plan), and endure violent diarrhea with fever and chills.

Ayurveda Saves My Life

medicine_hunter2A rickshaw driver pedaled me through funky Durbar Square in Kathmandu, Nepal, into the winding alleys of Indrachowk, the oldest section of the city. We arrived at a modest one story faded brown cement building off of a small back street where Doctor Bajracharya maintained a practice. A slender, kind-looking man with alert eyes greeted me, Doctor Bajracharya. I told him that I was very sick, and in need of help, describing drinking from the river, the diarrhea, fever, chills, weight loss.

One of Nepal’s most distinguished natural doctors, Bajracharya practiced the 5,000 year old system of Ayurveda, the oldest medicinal system in the world. Ayurveda lies heavily on the use of medicinal plants to treat health disorders of all types. He asked me to lie down on a simple wooden examination table, laid a palm on the center of my abdomen, and paid close attention to my gurgling intestines. After a couple of minutes, Doctor Bajracharya withdrew his hand. “I will give you something that will stop this problem.”

Doctor Bajracharya disappeared into an anteroom for about ten minutes, and emerged with a small paper bag filled with a chocolate colored powder, and an envelope containing brown pellets that resembled rabbit turds. “Here is what you must do. Every meal, three times a day,” he poked the air with three slender fingers for emphasis “before you eat, mix a heaping teaspoon of this powder in a glass of water and drink it. Take three of these pills at the same time. Do this for nine days, and this problem will not come back. You will be completely rid of it.” I asked about the ingredients in the powder. “This contains burned conch shell, powdered very finely, and many different spices which grow around these mountains.” And the pellets?  “All herbs and spices, a very old formula. This is powerful for healing the digestive organs.”

Praying that the remedies might improve my condition even a little, I slowly made my way on unstable legs to the Blue Tibetan restaurant off Durbar Square, to take my first doses of the ayurvedic remedies and eat some lunch. Once seated, I opened the bag of powder and sniffed it. The mixture smelled aromatic and bitter, and that was no real surprise. Certain aromatic spices and bitter herbs are traditionally used to relieve gastrointestinal disorders. I mixed a heaping teaspoon of the powder into a glass of water and selected three pellets. Popping the pellets into my mouth, I chased them down with the bitter drink, knocking back the herbal sediment at the bottom of the glass. 

By early evening, after two doses of the ayurvedic remedies from Doctor Bajracharya, the diarrhea which had been my ruination for ten days stopped completely. My fever subsided, and my guts stopped quivering. That night I enjoyed eight hours of restful, uninterrupted sleep. When I awoke the next morning, I was weak and as skinny as a Red Cross relief poster child, but the diarrhea was gone, my temperature was normal, and I had some energy.

Even though I had used various herbs for years- ginger for colds and sore throat, ginseng for mental enhancement, hot chilies to decongest- I was completely surprised by the effectiveness of the natural remedies I had been given. This devastating sickness, and the remarkable natural cure I experienced, propelled me into the world of natural medicines, from rainforests to mountains, and from shamans to laboratories. Plant medicines are the most widely used medicines on earth, and it will be my privilege to share them with you.

Chris Kilham is a medicine hunter who researches natural remedies all over the world, from the Amazon to Siberia. He teaches ethnobotany courses at the University of Massachusetts Amherst, where he is Explorer In Residence. Chris advises herbal, cosmetic and pharmaceutical companies and is a regular guest on radio and TV programs worldwide.  His field research is largely sponsored by Naturex of Avignon, France. Read more at www.MedicineHunter.com 

What to Eat at the Airport

Tuesday, August 25th, 2009

tanya_zuckerbrot2Whether you’re headed home for the holidays, taking off on a long-planned vacation, or traveling for business, being on the road can wreak havoc with the best-laid eating and exercise plans. Airports in particular can be a diet disaster—cinnamon buns, buttery pretzels, and bags of chips and candy.  Even items that seem healthy like sandwiches found at Au Bon Pain are often loaded with high-fat condiments like mayonnaise and bacon and pack as much as 700-800 calories and more than 20 grams of fat per sandwich!  What’s more is that these sandwiches come pre-made so you do not have the option of asking them to hold the mayo.
 
The key to staying on track with your diet is planning ahead and always keeping healthy snacks stashed in your carry-on bag.  Forgetting to pack healthy snacks can make high-calorie foods sold in the terminal very tempting especially if your flight is delayed.  Start your vacation off right, with these simple tips.

Tips for Purchasing Food at Airports:

1) Stay away from any sandwiches laden with heavy mayonnaise or bacon.  Also avoid tuna and egg salads, as these are often very high in fat due to the mayonnaise.  If available, opt for sandwiches with veggies and lean protein such as turkey or chicken with little to no mayonnaise. 

2) Some delis or restaurants offer grilled chicken or a garden salad with dressing on the side, which are generally good picks. 

3) Yogurts can often be purchased at airport food stands. Choose low-fat, reduced sugar versions. To add some crunch and fiber, bring individual portions of fiber one cereal (put ½ cup servings into Ziploc bags) and sprinkle on yogurt.

4) Fresh fruit or fruit salads sold at many stands are always a good, low-fat bet.

5) Many airport stores sell large bags of nuts mixed with dried fruit. While nuts in moderation, are great sources of heart-healthy fat, one serving may range from 130-160 calories and 13 grams of fat, and many bags contain as many as 10 servings!  If you tend to go overboard with portions, you would probably be better off bringing your own nuts in pre-measured amounts (you can put them in plastic baggies or Ziploc bags).  A serving of nuts is about 1 ounce (23 almonds, 49 kernels of pistachios, or 30 peanuts).

If healthy food is nowhere in sight and your stomach is growling, grab a tall skim latte.  The milk has some protein as well as calcium and may be enough to fill you up. Some portable snack options include:

• Raw nuts (but keep the portions to about 1/4 cup) and soy nuts
• Fresh or dried fruit
• Pretzels
• Low-sugar granola bars
• Low-fat energy bars
• Mini carrots
• Bottled water

Foods to Pack
*You may find yourself in a terminal where no healthy food is available. Always come equipped with snacks on hand.  The table below will give you snack ideas that are both convenient and nutritious.  They are designed to provide you with some protein and fiber to keep you feeling full longer.

  Calories Fat  (g) Sat fat (g) Carbs (g) Fiber (g)
Thomas’ Light Multigrain English Muffin w/ 1 Tbsp peanut butter and 1 Tbsp sugar free jelly 200 8 1 32 9
Glennys  Lowfat Soy Crisps 140 3 0 18 3
Gnu bar 150 3 1 32 12
Fiber One Cereal(1/2 cup portions) 60 1 0 25 14
Fiber One Bar 140 4 1.5 29 9
Kashi TLC BarHoney Almond Flax 140 5 .5 19 4
Raw veggies (1 cup of carrots, cucumber slices  & bell peppers) 50 0 0 11 3
Med Apple 80 0 0 19 3.3
Med Banana 105 0 0 27 3
Scandinavian Bran Crisps (per cracker) 16 0 0 3 3
Laughing cow cheese (1 wedge) Note: does not need to be refrigerated 35 2 1 1 0
Bumble Bee Sensations (Tuna) Easy Peel Bowls Sundried Tomato & Basil 130 5 1 2 0
Almonds (1 oz) 160 14 1 6 3
Pistachios (1 oz) 160 13 1.5 7 3

 Tanya Zuckerbrot, MS, RD is a nutritionist and founder of www.Skinnyandthecity.com.    She is also the creator of The F-Factor Diet™, an innovative nutritional program she has used for more than ten years to provide hundreds of her clients with all the tools they need to achieve easy weight loss and maintenance, improved health and well-being.  For more information log onto www.FFactorDiet.com.

His Hang Ups

Monday, August 24th, 2009

yvonne_headshot2yvonne-q1Dear Dr. Fulbright,
If a man has hang-ups about his body or is nervous to be nude in front of his partner, how can this negatively affect his sex life? My husband has put on weight and seems more sexually self-conscious because of it.
—Meg

yvonne-a2Like females, when a guy has body image hang ups, he’s going to be self-conscious during sex. He’s going to be more in his head, worrying about what his lover thinks and how he looks versus losing himself in the moment. He will also not be in the mood for sex as much, or seek it out as often. He may also be more inhibited when he does have sex, for example, lights off or sex in certain positions where she’s less likely to see him.

For both sexes, in feeling out of shape, a person doesn’t feel as sexy. It’s also harder to move — a person is going to feel more sluggish, far from peak performance. People report more vibrant sex lives when they’re in shape and exercising.

Dr. Yvonne Kristín Fulbright is a sex educator, relationship expert, columnist and founder of Sexuality Source Inc. She is the author of several books including, “Touch Me There! A Hands-On Guide to Your Orgasmic Hot Spots.”

Supporting Your Student Athlete

Monday, August 24th, 2009

111_cerbasi_blogWith estimates of 30 to 40 million children participating in organized youth sports in the U.S., you will likely be attending your fair share of athletic events this fall. You know you have to drive your child to and from practice and make sure his or her jersey is washed for game day, but your support of your student athlete goes far beyond that. From proper nutrition to early bed times, you are a key factor in your child’s athletic success.

In addition to the physical support you offer your child, your emotional support is important as well. Student athletes are faced with a number of issues such as the question to use performance enhancing drugs, maintaining good grades, and being a productive member of a cohesive team. There are a number of things you can do to guide your child to make sound decisions as a student athlete this year.

Support the Balancing Act
As your child gets older and her sport gets more competitive, the time spent involved in that sport increases. Practices are usually every day after school or in the evening and often on the weekend as well. Some sports, such as hockey, practice in the mornings before school because of limited availability of practice facilities.

In addition to the hours spent on the field, your child needs to maintain the hours spent in the books. Creating a schedule for your child will help her find time for both school and sports. Write all practices and games on a calendar in a common area of the house. Encourage her to map out her week by writing important homework assignments or tests on the calendar so she gives herself enough time to study.

It’s easy for families to procrastinate long-term projects and class assignments after a long day at work, school and practice. Remember that studying a little bit each night, even when she is tired, will benefit your child in the long run. Be wise about how you spend what little down time you have. This may mean saying no to weekend parties or gatherings in order to give your student athlete some rest. School always comes first and many athletic programs have rules regarding minimum grades in order to participate in sports. Discuss the school’s policy with your child and communicate with her teachers to make sure she is maintaining her grades. If her grades drop, you need to re-evaluate her participation on the team.

Be a Good Sport
There has been lots of press on this topic and you may think you already show good sportsmanship while watching your child’s game. Keep in mind that your child hears everything- even things you think you said under your breath. Stay positive- even if your team is losing or another athlete makes an error on the field. Be the first to yell “That’s OK, Johnny. Here we go, bears!” Set the tone for the team and for other parents by helping your athlete shake off a mistake and get back in the game. This also applies to the car ride home after the game. If your child is upset about losing or making a mistake, remind him that any team can win on any day. It’s certainly acceptable for your child to want to better his skills, but focusing completely on the negative or being angry with others is not a productive way to grow as an athlete.

Communicate With the Coach
There may be times when you disagree with the coach’s decision or a play he called. It is not your place to call the coach after every game to recap the play-by-play. If there is a situation that is on-going, such as a teammate targeting your child or your child not getting any playing time, approach the coach in a calm fashion at an appropriate time. Ask to schedule a meeting with the coach and let him know what you want to discuss. Approach the coach in a respectful manner and ask for his opinion. You can certainly ask what you can do to support your athlete at home, particularly if the issue is your child’s skills. Show the coach, and your child, that you want to be part of the team that supports the team! It is also important that your child communicates with the coach. If there is a conflict with the schedule or your child has a question about the team, encourage him to approach the coach himself. This shows his maturity and desire to make the most of his experience on the team.

Encourage Off-Season Workouts
It is important for all children to engage in healthy activities. It is necessary for student athletes to maintain their strength and skills in the off-season to avoid injury when they return to their sport. Make fresh fruits, vegetables, and healthy protein a part of every meal. Most schools have a weight room that your child can take advantage of for free. Private instructors are available for most sports and some offer small group discounts. Check with your child’s friends about taking semi-private lessons to enhance skills in the off-season. Encourage healthy habits by limiting TV time and making family walks or pick-up games routine.

Be a Cheerleader
Be a visible supporter of your student athlete by attending as many games as possible. Seeing your face in the stands and hearing you yell her name will make your athlete feel really good. If work prevents you from being there, try and get a video of the game from the coach or another parent. Watch the game with your child and cheer her on- even if you know the final score. Your support means the world to your child and whether she is the star athlete or warming the bench, she will appreciate you cheering her on. You can also show your support by participating in fundraising events and other team activities. Many sports have a tradition of having a pasta dinner before a big game. Offer to host a dinner or contribute something to the meal.

The most important thing for you and your student athlete to remember is that participating in a sport should be enjoyable. Of course there are times of disappointment or discouragement, but your child’s overall experience should be positive. You are your child’s first and best teacher so supporting him through something he is passionate about will help him in all areas of his life.

Jennifer Cerbasi teaches at a public school for children on the autism spectrum in New Jersey. As a coordinator of Applied Behavioral Analysis programs in the home, she works with parents to create and implement behavioral plans for their children in an environment that fosters both academic and social growth. In addition to her work both in the classroom and at home, she is also a member of the National Association of Special Education Teachers and the Association for Supervision and Curriculum Development.

Q&A: Colorectal Cancer

Wednesday, August 19th, 2009

109_coomer1. What is the difference between colon cancer and rectal cancer?
Colon and rectal cancers are actually very similar — but the difference lies in what part of the large intestine the cancer affects. The colon and rectum make up a long, muscular tube that most people know as the large intestine. The first part of the large intestine is the colon and at the end of it is the rectum.

Cancers in the colon and rectum usually grow slowly and may start as benign polyps. These polyps are found during a colonoscopy, and early removal of polyps may prevent it from becoming cancer. Over 95 percent of colon and rectal cancers start in the cells that line the inside of the large intestine.

Cancer of the colon and/or rectum is the third leading cause of cancer in men and the fourth leading cause of cancer in women worldwide.

2. Who is at risk for colorectal cancer?
There are several risk factors for developing cancer of the colon and/or rectum including:

  • Age — people aged 50 and over should be screened, with frequency depending on medical history;
  • Medical history — a personal history of polyps or colorectal cancer increases your risk;
  • Family history — a family history of colon cancer also raises your risk of developing the disease;
  • Inherited syndromes — certain syndromes such as Familial Adenosis Polyposis (FAP) also increase your chances of developing colorectal cancer;
  • Ethnicity — Studies have shown higher incidence of colorectal cancer in African-Americans and Ashkenazi Jews;
  • Diet & lifestyle — diets high in red meat and overcooked foods, smoking, obesity, heavy alcohol consumption are all risk factors;
  • Overall health — underlying conditions like type 2 diabetes can increase your chances of developing colon and/or rectal cancer.

3. What is the treatment and survival rate for rectal cancer?
Surgery is usually the most common treatment for stages I, II and III rectal cancer — although radiation and chemotherapy will often be given before surgery to try and shrink the tumor and kill off cancerous cells in affected tissue.

There are several types of surgery for rectal cancer. Stage IV rectal cancer is treated primarily with chemotherapy and palliative surgery, if necessary. Palliative surgery provides a treatment that will relieve a problem (such as a bowel obstruction) but does not lead to a cure.  In the case of obstruction, a colostomy surgery would be performed.

4. What does it mean to have a permanent colostomy bag?
Colostomy is a surgical procedure that brings a portion of the large intestine (colon) through the abdominal wall. Waste (stools) moving through the colon drain into a bag that is attached to the abdomen. It is done when the cancer is removed from the rectum or to bypass an obstruction caused by colon cancer. 
 
Contrary to people’s perception, having a colostomy bag is hygienic and can be very discreet because the bag can be well-hidden under clothing.
 
For some patients suffering from rectal cancer, colostomy surgery may be part of a curative treatment, while for others, it may be relief for an incurable situation. But either way — patients who are candidates for this procedure often see significant improvements in their quality of life.

5. What do you think about the trend of patients trying to treat themselves with herbal remedies?
I think that including alternative treatments with conventional medicine can be very beneficial to patients as long as it’s under the guidance of a medical doctor who supports this course of treatment and monitors a patient’s progress and overall health. I certainly don’t think that alternative treatments should replace conventional therapy and patients need to be careful because there are a lot of scams out there that may or may not be harmful, and can take a financial toll.

6. What are some of the reasons a person might seek alternative treatment?
One of the most effective uses of alternative medicine in cancer patients is to alleviate pain associated medical treatment. For example, acupuncture has been proven to help with pain and other negative side effects like nausea brought on by chemotherapy or surgery. Certain types of relaxation therapy can relieve anxiety associated with a course of conventional treatment. And there are some natural herbs that aid in calming nausea or vomiting — which are often side effects of chemotherapy.

So for patients who want to use alternative medicine to alleviate negative side effects of medical treatment or to enhance the healing effects of conventional therapy — physician-monitored alternative treatments can help. But again, there is no evidence to support alternative therapies being used in place of conventional medicine — whereas we have a wealth of evidence supporting the effects of chemotherapy, radiation and surgery in the treatment of cancer.

8. What advice do you have for people thinking of skipping out on medical treatment and trying alternative therapies for cancer?
Often when people are initially diagnosed with cancer, they often don’t feel sick (especially if the cancer is caught early) so a lot of times, the thought of going through medical treatment seems beyond the realm of comprehension.

There are no regulations for alternative treatments, and in most cases, no proof they work. If doctors give a medication and patients have severe negative side effects — that medication is studied and pulled from the market. But with a lot of these herbal remedies, there is no proof that these treatments work. Each patient is different and each situation is different. So what a patient really needs to consider when they talk to their doctor about their diagnosis, is how much they really want to risk.

It comes down to what your current treatment options are, and their effect on your quality — and ultimately quantity — of life.

Dr. Cynara Coomer is an assistant professor of surgery specializing in breast health and breast cancer surgery at Mount Sinai Medical Center in New York City. She is a FOX News Health contributor providing medical expertise on a variety of topics in cancer research with a focus on women’s health, breast diseases and tips for healthy breasts at any age.

Avoiding a Deadly Accident

Wednesday, August 19th, 2009

dr_manny_blog2Spinal cord injury is one of the most devastating injuries that can occur because if its potential to leave a person totally disabled.

Every year thousands of people injure themselves jumping into pools head first because they don’t realize the depth of the water is not sufficient to withstand a close impact. The projectile force that a head can be exposed to can literally crush the cervical spine, causing permanent damage to the spinal cord.

The cervical spine begins at the base of the skull and is made up of seven vertebrae and eight pairs of cervical nerves. It protects the spinal cord, supports the skull, and allows head movement. Serious injury to this area typically paralyzes a person, and often injures vital respiratory nerves.

Location often determines the severity of a spinal cord injury. For example, an injury at the neck or cervical spine level may result in paralysis in both the arms and legs, and the use of a respirator to breathe. An injury to the lower spine, may only affect the legs other parts of the body below the injury site.

Spinal cord injuries should always be taken seriously, and if you think someone has suffered one, it’s important you don’t try to move them – keep them still until medical professionals arrive.

Signs of a serious spinal cord injury might include:

  • Fading in and out of consciousness
  • Extreme back pain or pressure in the neck, head or back
  • Weakness, loss of coordination or paralysis in any part of the body
  • Numbness, tingling or loss of sensation in the hands, fingers, feet or toes
  • Loss of bladder or bowel control
  • Difficulty with balance and walking
  • Impaired breathing after injury

From a medical perspective, repairing spinal injuries has had limited success. Many times, the damaged nerves cannot be repaired, and patients are left with diminished motor function and sensation. This is why significant research is being done in the field of regenerative medicine. The use of stem cells, right now, seems to be the most promising treatment for the future, but we’re still many years away from fully integrating spinal cord nerves.

This is why prevention is key. When you’re young, you think you’re invincible. But it doesn’t matter what physical activity you choose to do, you always have to acknowledge that your body has limitations. You have to be aware of your surroundings, and whenever possible, think of using protective gear.

Postpartum Depression—In Fathers

Wednesday, August 19th, 2009

ablow052710Postpartum depression is well-known in women who have given birth.  As many as 15 percent of new mothers may experience all the symptoms of major depression in the months following a delivery.  These symptoms can include low mood, low energy, tearfulness, altered sleep patterns, changes in appetite, inability to concentrate, low self-esteem.  They can even include suicidal thinking or bizarre and false beliefs called delusions, which are a form of psychosis. 

Thankfully, awareness of postpartum depression in women has increased dramatically amongst clinicians and the general population. 

What many fewer people realize is that new fathers can fall victim to postpartum depression, too. In my own practice I have seen it happen several times, and research indicates that perhaps 10 percent of men become acutely depressed in the postnatal period.  Their symptoms mimic those of women with the disorder, but they may be even less likely to get help because they believe admitting to their suffering would make them look weak at a time when they want to be seen by others as especially strong.

In the men I have treated, the joys of having a new son or daughter have mingled with complex worries about whether they would be able to support larger families, whether they would lose the affection of their wives and whether they would be equal to the daunting task of being role models for their children.   For some, becoming fathers seemed to bring them uncomfortably in touch with their own mortality, as they contemplated being survived by their offspring.

I have noticed a particular vulnerability to postpartum depression in new fathers who had strained or frankly painful relationships with their own dads.  The recreation of a father-child bond, albeit in a different time and place, with a very new role, can bring a man into unbearably close contact with unresolved conflicts from his own childhood.   “How am I supposed to be a father when I wasn’t fathered at all myself?” one of my patients asked me.

Fortunately, postpartum depression in men responds to the treatments that relieve clinical depression in other settings.  Psychotherapy can be invaluable, as can antidepressant and anti-anxiety medications.  A new technologies, called rTMS (repetitive transcranial magnetic stimulation), has also been approved by the FDA. 

Using the tools in our therapeutic armamentarium, psychiatrists can defeat depression in over 90 percent of cases.  That means that recognizing the signs and symptoms of the condition is half the battle. 

So if you know a man struggling with his mood and his energy level weeks or months after his partner gives birth, don’t assume it’s all about staying up with the baby. Share what you now know about postpartum depression:  It doesn’t just affect new mothers.

Dr. Keith Ablow is a psychiatry correspondent for FOX News Channel and a New York Times bestselling author. His newest book, “Living the Truth: Transform Your Life through the Power of Insight and Honesty” has launched a new self-help movement. Check out Dr. Ablow’s Web site at livingthetruth.com.
 
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