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Dana Farber Cancer Institute just releasedthis list of what to look for in an oncologist. I just think that they are things we should look for in all doctors.I have ditched doctors who didn't have all these:Communication - why have a doctor who doesn't talk to you.Specific expertise - I wouldn't want a dermatologist to treat my rheumatoid arthritis but I would want them to remove funky looking moles. I would also want my oncologist to specialize in breast cancer.Willingness to collaborate - this is exactly why I am getting a new pain management doctor: he won't let his patients talk to someone else and then go back to him - meaning no second opinions if you are his patient.Access to new technologies - if my doctor is not using the newest technologies to treat me, I don't want them. I had a gastroenterologist in the mid 1980s. At that time he was the head of the department. I went back to him around 2009 and he was still writing paper notes, and only looking at his hand written notes. Emphasis on personalized treatment - I am not a number. I am an individual. I have a million (or so) ailments and I want a doctor to take all of those into account.Focus on the whole person - please don't just treat my breast cancer but look at the rest of me and suggest things that will benefit my entire body and think about my emotions and mental state.Someone with your style - actually, someone who will adapt to my style. I know how much information I want to hear and will ask you questio...
Source: Caroline's Breast Cancer Blog - Category: Cancer & Oncology Tags: being a patient doctors Source Type: blogs

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In this study, we found that senescent chondrocytes isolated from OA patients secrete more EVs compared with nonsenescent chondrocytes. These EVs inhibit cartilage ECM deposition by healthy chondrocytes and can induce a senescent state in nearby cells. We profiled the miR and protein content of EVs isolated from the synovial fluid of OA joints from mice with SnCs. After treatment with a molecule to remove SnCs, termed a senolytic, the composition of EV-associated miR and protein was markedly altered. The senolytic reduced OA development and enhanced chondrogenesis, and these were attributable to several specific differenti...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
Ryan R. Kelly1,2†, Lindsay T. McDonald1,2†, Nathaniel R. Jensen1,2, Sara J. Sidles1,2 and Amanda C. LaRue1,2* 1Research Services, Ralph H. Johnson VA Medical Center, Charleston, SC, United States 2Department of Pathology and Laboratory Medicine, Medical University of South Carolina, Charleston, SC, United States The significant biochemical and physiological effects of psychological stress are beginning to be recognized as exacerbating common diseases, including osteoporosis. This review discusses the current evidence for psychological stress-associated mental health disorders as risk factors for os...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
By Dr. Binita Ashar, director of the division of surgical devices in the FDA’s Center for Devices and Radiological Health Choosing to obtain a breast implant, whether for augmentation or reconstruction, is a deeply personal choice, from the initial decision to undergo breast implant surgery to the size, material and surface texture. These types of decisions should be discussed between a patient and their provider in a transparent and balanced way with clear information about the benefits and risks of the breast implants and the procedure. As a public health agency, we play an important role in ensuring that patients ...
Source: Mass Device - Category: Medical Devices Authors: Tags: Blog FDA Voice Source Type: news
Listen to L Susan Wieland of the  Cochrane Complementary Medicine Field talk toDr. Mark Porter on Inside Health about Cochrane evidence on Yoga (start at 23 minutes). Yoga originated thousands of years ago in India as an integrated physical, mental, and spiritual practice based on ancient Vedic philosophy, and is connected to Ayurveda, the system of traditional Indian medicine. During the 20th century, yoga became increasingly recognised outside India, and over the past decades it has continued to grow in popularity worldwide as system for promoting health and well-being. While modern yoga often focuses on physic...
Source: Cochrane News and Events - Category: Information Technology Authors: Source Type: news
A few weeks ago, I posted about whatmy pain medication may hide, yesterday I found the truth. Call me slow about some things but I had to do some thinking.I have RA, fibromyalgia, bad back, etc - all sorts of nice things that cause pain. So I get the good drugs. I have this awesome pain patch that masks 99% of it. It wasn't until I was an idiot a few weeks ago and forgot to change my pain patch I had no idea how much pain.The thinking process I had to go through was what was all that pain from and why is it important? I know several people that have RA as well, my mother and an old friend. Both of them are on injected biol...
Source: Caroline's Breast Cancer Blog - Category: Cancer & Oncology Tags: aggressive ailments arthritis treatment medical crap rheumatoid arthritis Source Type: blogs
You get one ailment, and it always seems to bring along its'friends'. A few examples are cancer with chemotherapy causes digestive issuesand temporary baldness. It can sometimes also cause long term cardiac issues - which can eventually kill you. With rheumatoid arthritis you can get things like Sjogren's Syndrome which causes dry eyes and other fun things. Afew examples are:" ... [RA]inflammation can result in conditions affecting skin, heart, lung, eyes, mental health, etc. Conditions likeosteoporosis, cataracts,depression, cancers, etc. are more common. And add to that infection based conditions like influenza, pne...
Source: Caroline's Breast Cancer Blog - Category: Cancer & Oncology Tags: ailments being a patient comorbidities Source Type: blogs
I have many friends who, after cancer, get back to their old lives for the most part. I'm not talking about that'new normal'bull, but just doing normal things like going back to work, taking part in all their family activities and all sorts of regular, every day life things.Me, I did not get to go back to my regular life after breast cancer. My body had other plans for me. It decided it was time to fall apart.After breast cancer, I got gall stones and had my gallbladder out six months after radiation ended. That winter I slipped on the ice, landed on my left hand and started all my lymphedema crap.The following fall my bac...
Source: Caroline's Breast Cancer Blog - Category: Cancer & Oncology Tags: ailments being healthy being me Source Type: blogs
In this study we demonstrate the use of clustered regularly interspaced short palindromic repeats (CRISPR)-based epigenome editing to alter cell response to inflammatory environments by repressing inflammatory cytokine cell receptors, specifically TNFR1 and IL1R1. This has applications for many inflammatory-driven diseases. It could be applied for arthritis or to therapeutic cells that are being delivered to inflammatory environments that need to be protected from inflammation." In chronic back pain, for example, slipped or herniated discs are a result of damaged tissue when inflammation causes cells to create ...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
Sometimes, things just don't go as you wanted or expected. Its a fact of life and we need to learn to cope, change directions, and move on.In the grand scheme of things, my original plans were that would I grow up, go to college, get a job, a career, married, kids, retire to a life of happiness and world travel. Well, we know what happened to that. I got as far as'go to college'when my health started taking over my life. One little cancer diagnosis has a big emotional impact and it took time to get my life back together.So I regrouped and started over at college, etc. The job and career went okay. I did eventually got marr...
Source: Caroline's Breast Cancer Blog - Category: Cancer & Oncology Tags: being healthy housebound life new house Source Type: blogs
I am very grumpy these days. I think part of it is juggling my medical issues. But its also that I have been dealing with a lot of pain, and in new body parts. I am still on that never ending roller coaster of'wait its another doctor appointment'each week. Also, my stupid CPAP machine doesn't help me. I have given up even using it because the mask doesn't work for me.Last night I almost cancelled all my plans for today to stay home and pout. But I realize pouting never got anyone anything so I ditched that. I did get some good sleep last night which helps. And my reward today is getting my nails done this afternoon after I...
Source: Caroline's Breast Cancer Blog - Category: Cancer & Oncology Tags: ailments crabbiness stress Source Type: blogs
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