Selasa, 29 September 2015

Breast Cancer: Ready for Prime Time


Izzie Stevens/Grey's Anatomy
(great sheets, eh?)
Cancer in prime time television is a mixed bag. 
Snarkologists will recall the amazing case of the beauteous Izzie Stevens on Grey's Anatomy. Diagnosed with melanoma that had spread to her brain (clearly child’s play), she was given only a 5 percent chance of survival — and survive she did.   
After that there’s no place to go but up, so when I heard that the writers of Parenthood were bringing breast cancer into the lives of Kristina and Adam Braverman, I pounced. The show has taken on autism, substance abuse and adoption in past seasons.
         Parenthood is a multi-generational saga where all the adult children and their spouses, ex-spouses, live-ins, children and soon-to-be fur children live in the same town as Mom and Dad, just like the rest of you do.  In my family everyone moved straight out of Dodge after high school, which is why my family has not been and never will be the model for a television show. 
No matter.  A typical Parenthood show zooms in and out of each character's world and includes “real life” situations like freak-outs over Dad’s failure to renew his driver’s license,  children with stomach aches the first day of school, work woes for the single parent Sarah with Ray Romano in a new career low as her photographer boss, anal over-achievers who schedule everything on their iPhones and sub-optimal, under-achieving ones, who laugh at the anal ones yet forget to pick up the kid at school.   
Just my kind of show.  Now bring on the cancer. 
Which is exactly how it happens in the real world.  One moment you’re swimming along in the stream of life then in the next cancer drops into your world like an atomic bomb. Your thinking explodes into a million bits, while at the same time, you strive mightily to keep your formerly normal face in place.
In the lull before the storm Kristina and Adam argue in bed about getting a dog.  I swear this is a conversation DH and I had years ago, before Fur Child #One.
“He’s going to crap all over the place,”  Adam says.
“So what? So do you.” So much for wifely humor. “I’m teasing.”
         By the time that episode is finished, we see Adam and the kids looking at puppies when Kristina drives up after a medical appointment that clearly went the wrong way.  She knows what we know. This is when we see, in slow motion, how their world is about to be turned upside down.  You can see the knowledge that his wife has just been diagnosed with cancer sinking into Adam’s face, bit by bit.
Is that what it looked like, I wondered.  
It certainly felt real. 
  What didn’t feel quite as accurate were scenes with the two different physicians, stereotypes squared, that Kristina and Adam consult.  One is abrupt, hurried, obnoxious.  He tells Kristina she has an early stage breast cancer that should be removed right away and oh, by the way, he has an opening at 8 am Friday.  Color us surprised.
          His polar opposite is a female physician with a consulting room straight out of Architectural Digest.  Oh, for that sofa.  She’s on emote control, empathy and confidence reverberating in equal parts.  


In the interim, Kristina has coffee with another breast cancer patient, who seems to know exactly what Kristina needs to do and tells her so in no time flat.
What?  Really? This is when I remember it’s television.  The support of survivors is essential, but if someone I’d just met was in my face to that degree in the week following my diagnosis she would have been talking to the hand.  My ears would have sewn themselves shut.
All these nuances.  There is never going to be a television portrayal that really “gets” cancer.  Every year some 230,000 women are diagnosed with invasive breast cancer.  That means that are that many stories plus those of their friends, families, and the people that care for them. Everyone has their take on what is real about cancer.
There are two thing though, that need to undergo a seismic change across the cancer culture, from co-survivors to educators to nurses to social workers to doctors.  The first is  the notion that the internet is armageddon.
“You’re not doing what the doctor said you’re not supposed to do are you,” Adam says when he finds Kristina web surfing.  
The internet is not the enemy. The internet is not going to create fear in a patient.  The fear following a cancer diagnosis is part of assimilating new and difficult information. Patients are going to surf the internet for medical information in the exact same way that teenagers are going to pick pimples.  It is going to happen.  They are especially guaranteed to search, in fact, in absence of other information.  If the physicians we turn to aren’t routinely sending their newly diagnosed patients home with a list of excellent web sites (that is if the physician doesn't have his or her own!) on breast cancer, and many helpful books as well, then part of the job has gone undone.
The other seismic shift, equally shared in medical culture, is how to play the role of positivity in dealing with illness.  Most women diagnosed with breast cancer aren’t feeling sick to begin with.  They walk from the land of the well into the land of the bald, the nauseated, the medical record number, the breastless and the reconstructed. Then they are encouraged to stay positive about all this, as if failing to do so will somehow impede their survival. 
Think about that.  It makes no sense.
This plays out as Adam and Kristina navigate the first murky, anxious days following the consults.  When he finds her surfing the web, he reminds her that she needs to stay positive.  Here’s what happens later.  This is scene scripted from any cancer patient’s life.  
To the writers and cast of Parenthood?  Well done.
“You just have to let me be scared.” 


#   #  #





Benefits of Cassava Leaves for health



Benefits of Cassava Leaves for health

Cassava (/kəˈsɑːvə/), Manihot esculenta, also called manioc, yuca, balinghoy or kamoteng kahoy (in the Philippines), শিমলু আলু shimolu aalu in Assamese, tabolchu (in Northeast India (Garo Hills)), mogo (in Africa), mandioca, tapioca-root, kappa (predominantly in India) and manioc root, a woody shrub of the Euphorbiaceae (spurge) family native to South America, is extensively cultivated as an annual crop in tropical and subtropical regions for its edible starchy tuberous root, a major source of carbohydrates. It differs from the similarly spelled yucca, an unrelated fruit-bearing shrub in the Asparagaceae family. Cassava, when dried to a powdery (or pearly) extract, is called tapioca; its fermented, flaky version is named garri.
 
Leaf Nutrient Content of Cassava - Cassava Leaves
Serving Size 100 g (100 g)

  •      37 Calories from Fat 1.80
  •      Total Fat 0.20g
  •      Saturated Fat 0.00 g
  •      Cholesterol 0 mg
  •      Sodium 11 mg
  •      G Total Carbohydrates 7:30
  •      Dietary Fiber 0.6 g
  •      Protein 3.70 g
  •      vitamin C
  •      Vitamin B1 (Thiamin)
  •      Vitamin B2 (Riboflavin)
  •      Vitamin B3 (Niacin)
  •      Vitamin B5 (pantothenic acid)
  •      vitamin B6
  •      calcium
  •      Iron
  •      potassium
  •      phosphorus
  •      magnesium
  •      zinc
  •      copper
  •      manganese

Benefits of Cassava Leaves for health
Good for Pregnant Women
Treating Fever & Headache
treating Diarrhea
Eyes Blurred view
Adding Appetite
treating Arthritis
treating Worms
Taxable wound Heat

Benefits of water spinach (Ipomoea aquatica) For Health and Drugs

 

Benefits of water spinach (Ipomoea aquatica) For Health and Drugs

Ipomoea aquatica is a semiaquatic, tropical plant grown as a vegetable for its tender shoots and leaves. It is found throughout the tropical and subtropical regions of the world, although it is not known where it originated.

Nutrient content of 100 grams of water spinach
  • Energy 29 cal
  • Protein 3 g Fat 0.3 g
  • Carbohydrates 5.4 g
  • Fiber 1.0 g
  • Calcium 73 mg
  • Phosphorus 50 mg
  • Iron 2.5 mg
  • Vitamin A 6,300 IU
  • Vitamin B1 0.07 mg
  • Vitamin C 32 mg
  • Water 89.7 g


Benefits of water spinach (Ipomoea aquatica) For Health and Drugs
  • Reduce Menstrual Diseases
  • disease Nosebleed
  • Disease Headache
  • Hemorrhoid disease
  • disease Insomnia
  • Disease Toothache
  • Smooth urine disease
  • disease Dandruff
  • Diseases Constipation, nausea for pregnant women
  • Swollen gums disease
  • disease Calluses
  • Itchy skin diseases as eczema
  • Centipede bites Disease

Benefits of amaranth leaves for health (Amaranthus)

Benefits of amaranth leaves for health (Amaranthus)

Amaranthus, collectively known as amaranth, is a cosmopolitan genus of annual or short-lived perennial plants. Some amaranth species are cultivated as leaf vegetables, cereals, and ornamental plants. 

The content of nutrients and phytonutrients
Energy: 36 cal
Protein: 3.5 g
Fat: 0.5 g
Carbohydrates: 6.5 g
Fiber: 0,8g
Calcium: 267mg
Phosphorus: 67mg
Iron: 3,9mg
Vitamin A: 6,090 IU
Vitamin B1: 0,08mg
Vitamin C: 80mg
Water: 86,9g


Benefits of amaranth leaves
Against Cancer Cells
Source of Anti-Inflammatory
Reducing the risk of cardiovascular disease
Lowering high blood pressure
Preventing Osteoporosis
Preventing Diabetes
prevent Anemia
Treat Bleeding Gums

Benefits of Sugarcane for health


Benefits of Sugarcane for health

Sugarcane is any of several species of tall perennial true grasses of the genus Saccharum, tribe Andropogoneae, native to the warm temperate to tropical regions of South Asia, and used for sugar production.

Cure jaundice
Sugarcane juice is a natural remedy to cure jaundice. Jaundice is a yellow pigmentation of the skin and membranes due to the presence in the blood billirubin. This disease occurs because of decreased liver function. However, sugarcane juice is able to restore the power of the liver function so that sugarcane juice can cure jaundice.

heal an infection
some infections such as urinary tract infections, sexually transmitted diseases, inflammation of the stomach is able to be cured with a glass of sugarcane juice.

Treating kidney stones
Kidney stones occur due to dehydration in the body. Therefore, to re-hydrate the body, you can try to consume sugarcane juice on a regular basis. Sugarcane juice also has a natural ingredient that can break up kidney stones.

Good for diabetics
Both sugarcane juice consumed by diabetics because sugarcane juice contains a natural sweetener. So as not to endanger or trigger the disease.

Rich in nutrients
Sugarcane juice is rich in vitamins and minerals such as phosphorus, iron, potassium, calcium, and magnesium. In addition, research shows that sugarcane juice is able to help recover the deficiency of vitamins in the body due to a high fever.

Curing the flu and colds
If you think that the sugarcane juice will aggravate your sore throat, then you are wrong. Because sugarcane juice actually able to help heal sore throats, colds, and flu.

Preventing cancer
Because the alkali content in it, either sugarcane juice to prevent cancer, especially colon cancer, lung cancer, and breast cancer.

hydrate the body
Dehydration is still a disease of junk especially when the summer. Therefore to prevent this, you can consume sugarcane juice to lower body heat and hydrate the body.

Benefits of Potato for health

 

Benefits of Potato for health

The potato is a starchy, tuberous crop from the perennial nightshade Solanum tuberosum L. The word "potato" may refer either to the plant itself or the edible tuber.

1.High fiber
Potatoes contain a fairly high fiber, parallel to grain breads, cereals, and pasta. With the high fiber content, potatoes helpful for digestive system health. Potatoes are also often involved a lot of people to help their diet program.

2. against disease
Potatoes are known to help reduce the risk of cancers such as prostate cancer and uterine cancer. Some studies also show that the potato is good for fighting heart disease. Potatoes contain vitamin B6 which can help you to fight a nervous breakdown and the formation of crystals or tumors.

3 Good for skin health
Potatoes contain vitamin C which is very good for your body, especially the skin. Membalurkan potato juice on the area of ​​the face can make your skin beautiful and glowing. As with cucumber, potato pieces are placed in the eye for 30 minutes, is known to reduce swelling and dark circles under the eyes.


4 Helps reduce cholesterol levels
Maybe you often hear a lot of myths about how potatoes can fatten the body. But in reality, the potatoes do not contain a lot of calories as well as rice. Even potato gives full effect is longer so you do not easily hungry. In addition, potatoes can help you to reduce cholesterol levels.

5. Good for brain
Potatoes are rich in iron and copper are very helpful for brain development.

6 Helps reduce inflammation
If you are experiencing inflammation of both external and internal, potatoes can help you to overcome it. Potato is a food that is easily digestible and reduce inflammation in the intestines and digestive system. Potatoes can also help overcome inflammation or sores in the mouth. For external inflammation, potato juice is very helpful for treating bruises, burns, sprains, and ulcers. In addition, potatoes are known to help fight the effects of narcotics and skin problems.

7 good for people with kidney stones
Potatoes do contain iron and calcium that also helps the formation of kidney stones. However, potatoes are rich in magnesium which can resist the accumulation or deposition of calcium in the kidneys and other tissues so that the potatoes proved to be useful in treating kidney stones. Doctors also recommend that patients with kidney stones to involve potatoes at every meal.

8. Relieves stress
Contains vitamins B6, potato is very helpful to eliminate the stress that comes from the mind. Potatoes make the hormone adrenaline that can respond to stress, and eventually making the body relaxes and gives a soothing feeling.
 

From Co-Survivor to Survivor - How the Cancer Experience Changed My Advocacy

Hope changes everything. Hope is everything.

This morning there's been an extraordinary dialog on Twitter (http://twitter.com/jbbc) regarding cancer advocacy, and whether or not those who have not been diagnosed with cancer can truly understand survivors/survivorship. The answer is, OF COURSE! In fact, "co-survivors" -- or the daughters, sons, partners, sisters, brothers, friends -- have some of the strongest voices in the survivorship community. What makes an effective advocate is the ability to listen, to bear witness, and then transform that powerful listening into action.

Thousands of people get up and do this every day for one compelling reason: they want to make some aspect of the cancer experience better for someone else. I hear this time and time again. It never ceases to move me, in the same way I'm moved when families line the roads of a charity rides -- and clap. This speaks to what we are all made of more than anything I know.

We need every voice possible in the national and -- with thanks to the Lance Armstrong Foundation -- global dialog on cancer. The more we know about each other's perspective the better off we all are.

As a co-survivor both of my parents and a much-loved uncle had all died of cancer by the time I was 33. As a co-survivor I felt that bolt of lightning fear when my husband was diagnosed with melanoma the first time, then when it recurred. But as I survivor, what grew in me was hope. The hope that together we can defeat this illness called cancer. The hope that together we can speak up for change. And the best possible hope that -- if anything else -- we can discuss all of this in friendship and love.

Thanks again to Marie O'Connor, for her post on Journeying Beyond Breast Cancer.

Senin, 28 September 2015

Benefits of Papaya leaves for health

 

Benefits of Papaya leaves for health

Papaya leaves is one kind of vegetables are processed at the time young food is delicious and highly nutritious. Besides can be processed into a delicious meal, papaya leaves can also be used as a cure for several diseases. Papaya leaf blade shaped like a human hand. If the papaya leaf folded right in the middle, it would appear that papaya leaf-shaped symmetrical.

Benefits of Papaya leaves for health
Preventing cancer
Controlling blood pressure
Treat menstrual pain
Treating dengue
digestion
eliminate Ankeny
Increase appetite

Benefits of soursop leaf for health

 

Benefits of soursop leaf for health

Benefits of soursop leaves. Soursop fruit is known as delicious to drink. Most of us do not realize the soursop fruit turns out to have so many benefits for treatment. Not only that, even the leaves of the soursop tree also has excellent benefits for health and medicine.

Benefits of soursop leaf for health
Helps nourish the heart
Helps to lower blood sugar levels
Helps to lower high blood pressure
Able to inhibit the growth of bacteria
Help inhibit the development of virus in the body
Helps inhibit parasite growth
Helps inhibit tumor growth
Helping merileksasi auto-body muscle
Capable of being anti-seizure medications
Helps relieve pain
Able to treat and suppress any body peradangandalam
Capable of helping to reduce fever
strengthens nerves
Helps dilate blood vessels in the body
Help to kill worms parasait
Strengthen and aid digestion and increase appetite.
Benefits of Soursop leaves to treat boils
Benefits of Soursop Leaves for treating Eczema and Rheumatism
Helps the immune system and prevent infections
Benefits of Soursop Leaves for treating Back Pain
Treating Gout
treating Cancer

Benefits of celery leaves for health


Benefits of celery leaves for health

Celery is a plant variety in the family Apiaceae, commonly used as a vegetable. The plant grows to 1 m tall. The leaves are pinnate to bipinnate with rhombic leaflets 3–6 cm long and 2–4 cm broad.

Celery contains a lot of vitamins namely vitamin A, vitamin B1, vitamin B2, vitamin B3, vitamin B5, vitamin B6, vitamin C, vitamin E and vitamin K, which can be used to prevent or to treat some diseases. Nutrients contained in the leaves can be used for the prevention of diseases by taking it in the form of vegetables.

Some of the benefits of celery leaves
  • Reducing high blood pressure
  • Helping you cope with vertigo. Vertigo is a problem on the head of a seven-round pain in the head
  • Overcoming the hind limbs which have both fluid and less dangerous
  • Overcome minor problems such as nausea, colds, coughs, and allergies.
  • Overcoming rheumatism and gout
  • Help moisturize the eye so as not to dry
  • Increased appetite
  • Overcoming urination accompanied by blood
  • Help overcome menopausal complaints
  • For those of you who missed period can often help to melancarakan coming months you
  • As fertilizer hair to make it look more dense
  • Reducing cholesterol problems
Benefits of celery leaves for health 

Minggu, 27 September 2015

Left Behind

Many of you know about the recent loss of a lovely friend and family member to metastatic breast cancer.  She was 55.  Her first grandchild is due this January.
        The cruelty of cancer is relentless.
        My friend had access to great care and the mind-bogglingly expensive 'designer drugs' that did little to stem the tide of her cancer. They didn't improve her quality of life, either.  In fact, treatment further weakened an already impaired immune system and ultimately she died of pneumonia after three weeks in the hospital.
        At her memorial service this past Friday the Seattle sky was cloudless.  Many of us were too warm in fall clothes but there was a lovely patio adjoining the reception area so we stood out there, remembering, laughing, letting tears flow, talking about our dogs and the weather.
        There was a box with programs and next to that, another one with pink ribbons and pins.
        I hesitated.
        The hesitation, in and of itself, infuriated me. I didn't want the politics of cancer to intrude on this quiet, private evening. But that is what a pink ribbon has become: a mixed signal. Where it may have once stood for hope and advancement, it now also represents commercialization and 'branding' (a term I've come to dislike) that has absolutely nothing to do with or for cancer.  That simple ribbon, which I wore proudly when diagnosed in 1998, is now seen to mask the darker realities of cancer: treatments that don't work, the sorrow of lives cut short.
        But the people who put the ribbons out had no idea about mixed messages or health culture.  So I put one on my collar.  And as soon as the service was over I left it behind.
     
Monday, September 26, 2011

Sabtu, 26 September 2015

What Are Your Plans Today?

WOW! Advocates for the Lance Armstrong Foundation are some of the most ardent, dedicated and generous that I've ever seen.

Here's a match made in heaven that's good all day Saturday, Sept. 26.

You can have a custom tooth whitening procedure performed for free through a "Share a Smile Foundation Charity Day" sponsored by Dr. Ray McLendon. One hundred percent of your donation with be donated to the Lance Armstrong Foundation.

Then Dr. Dave Holsey, a super advocate for LAF, will match your donation and contribute to my ride!

The usual charge for having your teeth whitened is $350. Donations of $100 and more are strongly encouraged!

To make this happen call 281-587-4900. Tell them Jody Schoger sent you. If you'll send me a photo of your beautiful new teeth I'll post on Twitter and on this blog.

Dr. McLendon's office is located at 112 Bammel-Westfield Road.

Jumat, 25 September 2015

Incurable? Not so fast. Learn what these super survivors know have discovered

Tami Boehmer and her daughter, Chrissy. 

“Hope is the thing with feathers that perches in the soul, and sings the tune without words, and never stops at all.”
n  Emily Dickensen

When my brother’s prostate cancer recurred recently a kind friend said he’d hold my brother “in the light.”  The imagery and thought guiding it was beautiful to me and gently reassuring.  Powerful, too, as though through deep meditation and prayer the space we inhabit might actually change. 

Does that give you room for thought? If so then you are the kind of survivor who will both benefit from and marvel at a gem of a book by Tami Boehmer, a metastatic breast cancer survivor who transformed her own diagnosis into a search for “super survivors” – men and women who faced a difficult cancer diagnosis and are still here to tell us what they’ve learned along the way.

Just so you know, I rarely use the word miracle and am very well aware, as we all are, of many men and women who were miracles to us but have died of miserable cancers, anyway.  From Incurable to Incredible is from the here and now, not from the land of illusion or the smarmy, Suzanne Somers land of science.

Instead, Tami opens up the door and introduces to a group of compelling people doctors can’t categorize.  Some you might say, are even past (and delightfully so) their expiration date.   Then she steps backstage and lets them tell their stories, 27 different stories, 27 different stories of hope, 27 drastically altered lives, 27 different people of all ages and types of cancer.  

Following introductions by Bernie Siegel, MD and Livestrong CEO Doug Ulman, Tami writes about her experience with breast cancer and the journey that led to the book.  In 2008, the 44-year old mother and PR professional found that her breast cancer had metastasized to her liver and lymph nodes in her chest.   

There is no pity.  None.  There’s no sentiment or navel gazing.  She knew that to survive she needed to get past the statistics she was reading.  She called a volunteer chaplain from her church who had a rare and incurable cancer but who was living well with it. 

“Tell me everything you’re doing,” she writes about that conversation, “I’m taking notes.” 

Good notes and good questions.  What contributes to beating the odds?  What do these special survivors have in common?  She identifies eight different factors then organizes each survivor’s story within the categories -- purpose, attitude, support, perseverance and faith.  The stories are rich, by people who made the most of the resources available to them. They took on their own care and were proactive.  All had some kind of faith.  None of the stories are easy.  But through means not definable by any us there are transformations many times over.

“Cancer has given me permission to live the life I should,” said Dave Massey, 51, a two-time Stage IV germ cell survivor.  Like another woman, who joked that her Irish mother “would have killed her if she died,” Dave’s humor remained intact.  When he realized his doctor’s MO was “when in doubt, cut it out” and the doubt pertained to amputating both his legs, he found treatment elsewhere.  Today he runs marathons. 

You will recognize some the survivors from the work they’re doing now, like Jonny Imerman, you’ll meet some new ones. You will love all of them. You’ll see yourself, where you rose above your own diagnosis, where you can still learn, and how much all of us can find to celebrate.

When we learn to nourish our lives, we pay attention to our hunger for living. 
                         --  Bernie Segal, M.D., from the introduction, From Incurable to Incredible

(Disclosure:  Tami Boehmer provided me a review copy of From Incurable to Incredible.  Printing costs were provided by a private donor and ten percent of the author’s proceeds will go to the Lance Armstrong Foundation)



Have a beautiful weekend,
Jody

True October

“Never doubt that a small group of thoughtful committed citizens can change the world. Indeed, it’s the only thing that ever has.” Margaret Mead

It’s coming. I’m not talking about Christmas —  even if the ornaments are out already — but the October pink that will soon cover the earth. Trickles of pink already started appearing in August. Within a few years’ time I expect we will see pink streamers competing with the red, white & blue bunting at July 4 festivities.  

Breast Cancer Awareness Month, initiated in l985, is now a commercial mainstay of the cancer scene — the pharmaceutical companies, hospitals, cancer centers and nonprofit organizations that aim to prevent, treat and cure this awful disease. And yes, here we are almost 30 years later, same month, hearing some of the same talk about prevention and early detection. It seems to me that everyone is aware of breast cancer.  Few understand it and even more I think, are afraid of it than ever before.  

Fear doesn’t help. Early on I tried to shrug off my initial, Stage III diagnosis with my oncologist. I wanted not to have cancer. “But this is the good cancer, right?” I asked him. As always, he told served up truth on a platter.

“There are no good cancers.”

Then when my cancer metastasized I was compelled with that same urge. I wanted to know that the metastasis creeping around wasn’t particularly dangerous. Or threatening. Yet. I wanted out of the Stage IV group and into the category of women who die with — not of — breast cancer. 

What can I say.  A metastatic diagnosis temporarily leaves you senseless.

Since those early days, between what I’ve experienced with my disease and seen in the metastatic community, my thoughts and perspective have inevitably changed again. 

From where I’m sitting the pink parade can go on without me. Games can take place. Eventually November will arrive. The issue isn’t whether or not awareness helps but the kind of awareness we need to advocate for, the kind of awareness worth the time you have here on earth. Coping with October is about focus, not on noise or commercialization, but on the very real work that must be done now.
* * *

Almost one third of all women and men diagnosed with early breast cancer — there are approximately 1.6 million new cases a year worldwide*— will go on to develop metastatic disease. Metastatic or Stage IV illness, where cells leave the original tumor and establish new outposts in the skeleton or visceral organs, is not curable. It can be treated in a variety of ways that range from the mildly (expletives deleted) disruptive to a life-long balancing act with chemotherapy and its cumulative, toxic impact. The grim and often-repeated survival statistics are not inspiring nor do they bear repeating. Prognostic stats use information from the past to predict how you will do in the future. But as any oncologist can tell you, you can have five women with biologically similar cancer, they can have the same treatment and you can still have have five completely different outcomes due to the individual characteristics of each women and how her disease reacts to treatment. Treatment fails too many. 

If we are to reach a point where breast cancer is 1) turned into a chronic disease for all subsets, from the seemingly indolent to the shockingly aggressive and 2) treatments are stripped of the toxicity that renders a patient’s quality of life unmanageable then advanced breast cancer must have more research and education. 
Joyce. Part of treatment for
thousands yearly.

Late last week the second international congress on advanced breast cancer  — ABC2 — issued new guidelines on advanced and metastatic disease with an urgent plea for “high-quality research” for this “historically neglected population.” These guidelines bring the best evidence to bear on advanced disease, including the recent trials on everolimus (Afinitor) for hormone-positive metastatic disease and pertuzumab (Perjeta) and trastuzumab emtansine (Kadcycla) for HER2-positive disease. It also details treatment guidelines for hormone positive, triple negative, hormone positive and locally advanced breast cancers (LABC). 

"Advances in survival outcomes for ABC, particularly MBC, have been frustratingly slow," the report notes. "MBC remains a virtually incurable disease and LABC patients vernally have a poor prognosis with a high risk of distinct recurrence." 

The report is significant for many reasons. To reach consensus on anything related to breast cancer treatment in and of itself is remarkable. The international group of health professionals, advocates and researchers is the first to define treatment guidelines and advocate for metastatic disease from a global perspective. The report is clear, distinct
and bold. The guidelines take an additional step and pinpoint where “…research efforts are urgently needed.” They include:



- Patients with metastasis to the liver, pleural cavity or the skin; 
- Men with advanced breast cancer prescribed aromatase inhibitors  (exemestane, letrozole, or anastrozole); 
- Patients with advanced HER2+ disease who relapse shortly after treatment with trastuzumab (Herceptin) and, 
- The role of surgery for the breast tumor when the cancer has already metastasized.

The report also stresses the need for multidisciplinary, international trials and the education of health professionals on the application of the new information, psycho-social support, early palliative care and patient engagement -- all the things empowered patients stress.

In fact the steady work of advocates stressing the unique clinical needs of advanced and metastatic patients shows. The typical scenario is to test new drugs on metastatic patients. Then, once efficacy is established, there is a quick movement to test the treatment in earlier stage patients. While moving trials to treat earlier stages is as it should be, the continued treatment of the metastatic patient with that drug and others is left unclear. "So this is what we plea for, that yes, once you have enough data, move to the early setting, but remain and keep investing some effort in understanding how best to treat the advanced breast cancer patient. They are one third of all breast cancer patients patients and they deserve that," said Professor Fatima Cardoso, lead author and co-chair of the latest guidelines. 

"Emerging drug research and treatment guidelines work hand in hand," said renowned advocate and author Musa Mayer. "As the research discovers new treatments to prolong and improve life for people living with mets, the guidelines help us use the tools we have today as broadly and accurately as possible, clarifying for governments and payers all over the world what resources are basic for optimal care."

I could probably continue to write about all that's contained in this report for the rest of the day. I've read it a few times now and continue to learn more. But I'll close with the thought of "optimal care" for every person diagnosed with breast cancer, from Minneapolis to the Maldives, Tuscaloosa to Tanzania. That is the truth I see in October. The ground swell to bring metastatic breast cancer issues to light is here. Raise your voice. 

Notes: 

The first International Consensus Guidelines Conference on ABC (ABC1) was held in 2011. ABC2, which attracted some 1100 participants from 71 countries, took place last November in Lisbon. The conference was organized by the European School of Oncology (ESO) and the European Society of Molecular Oncology.  A list of participants is available in The Breast. 


1. “Experts issue plea for better research and education for advanced breast cancer,” September 18, 2014 medicalxpress.com 
2.  Annals of Oncology (online) “ESO-ESMO 2nd international consensus guidelines for advanced breast cancer (ABC2), September 18, 2014.  Published in The Breast  September 20, 2013. 


Kamis, 24 September 2015

benefits of bilimbi Fruits for health (Averrhoa bilimbi)


benefits of bilimbi Fruits for health (Averrhoa bilimbi)

Averrhoa bilimbi (commonly known as bilimbi, cucumber tree, or tree sorrel) is a fruit-bearing tree of the genus Averrhoa, family Oxalidaceae. It is a close relative of carambola tree.

bilimbi are included in the family Oxadilaceae also commonly used as a herbal plant for treatment. The leaves, flowers and fruit are part of the plant that is often used. The leaves are used to treat abdominal pain, mumps (parotitis), rheumatism. Flowers for treating cough, mouth sores (stomatitis). Starfruit fruit is often used to treat whooping cough, treat ulcers, prevent diabetes and eliminate acne.

Ingredients of bilimbi Fruits (Averrhoa bilimbi)
  • Protein 0.61 g
  • Ash from 0.31 to 0.40 g
  • fiber 0.6g
  • Phosphorus 11.1 mg
  • Calcium 3.4 mg
  • Iron 1.01 mg
  • thiamine 0,010 mg 
  • riboflavin 0,026 mg 
  • Carotene 0,035 mg
  • Ascorbic Acid 15.5 mg
  • Niacin 0,302 mg  
Benefits of  bilimbi Fruits (Averrhoa bilimbi)
  • leatherback Wuluh Treating Coug
  • Overcome Whooping Cough
  • Cough Medicine for Children
  • Treat Rheumatism
  • Sprue Traditional Medicines
  • Traditional Acne Medication
  • Treating Panu
  • Treating Diseases Mumps
  • Dental Hospital of Traditional Medicines
  • Treating High Blood Pressure
  • Treating Diabetes