| Lighting candles of information |
Patient Information #2 - OneWorld's Cancer Education Series 2007
Knowledge is indeed Power! Get informed. Be an active partner in your own health care.
Knowledge is indeed Power! Get informed. Be an active partner in your own health care.
Patient Information provided anywhere on this web site is intended as a guide;
consult your health care provider for information specific to your health care needs.
consult your health care provider for information specific to your health care needs.
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| OneWorld Progressive Institute, Inc., is a 501(C)3 Community Organization and Public Charity which focuses on:
We believe that effective communication is an essential aspect of effective health care delivery. |
| The OneWorld, Inc., Cancer Education Health Literacy Series is arranged in sequence. All information is provided to better inform the community. Some programs have multiple parts; however, each program is complete within itself; one does not have to see the series to fully understand the topic being discussed. Ask to see these programs on your local access station in your town. Visit Patient Information1 of this web site to find more health literacy program information Copies of these programs are also available to viewers; order a copy from OneWorld, Inc. by calling (203) 407-0250, or sending us an email to: oneworldpi@yahoo.com We greatly appreciate the help of physicians from Yale & St. Raphael, who have worked with us to bring you these programs. We are especially indebted to Renee Gaudette, Public Affairs Manager, Yale Cancer Center and Dr. Joseph Cardinale, Medical Director of the Father McGivney Cancer Center, for their help in recruiting physicians to participate in our programs. All of the physicians donated their time to OneWorld and to the community. We thank them greatly. N'Zinga S. Shäni, Director, OneWorld, Inc. |
| OneWorld Progressive Institute, Inc. Presents Its: "21st Century Conversations" Health Care Literacy Series - Cancer Educ. PT 1 Topic: “Diversity in Breast Cancer – Genomics to Racial Disparities” Guests: Lyndsay Harris, M.D., Director; Shon Black, M.D., Surgeon Anna Martin, MSW, Coordinator, Yale Breast Cancer Disparities Program 1. Molecular Profiling in Breast Cancer a) Microarray Profiling: ¨ Explains behavior of some genes ¨ Sheds light on mechanisms of resistance ¨ Helps to better understand how gene expression patterns vary, and ¨ How gene expression influence patient outcomes b) Molecular Classifications Are Important Because They: ¨ Reduce heterogeneity/differences of patient groups ¨ Increase likelihood of response to therapy ¨ Make class distinction between Estrogen Receptor (ER) Positive and/or Progesterone Receptor (PR) Negative tumors ¨ ER Positive tumors respond to anti-estrogenic therapy ¨ ER Negative tumors do not respond to such therapy c) Expression Profiling Identifies Subgroups Across Platforms 2. “Triple Negative Breast Cancers – A Bad Actor with Unique Biologic Features” “Expressed as: ER/PR/HER2” – Represents an aggressive and poorly understood subclass of Breast Cancer with a much worse outcome. (Journal of Clinical Pathology 2006) ¨ Affect African-American women more than Caucasian women ¨ Affect AA women at a younger age ¨ Higher mortality rate for AA women than Caucasians 3. Differences in Breast Cancer by Race: ¨ Triple Negative tumors occur more frequently in pre-menopausal African-American women African-American women under age 50 have 39% frequency of these cancers Caucasian women of same age have 16% Triple Negative Cancers AA women with Breast Cancer have 37% higher death rate AA women under age 35 have higher incidence of Breast Cancer AA women with TNC have worse prognosis with metastases (spread) 4. Differences May Be Accounted for Due to: ¨ Limitations to access and screening programs ¨ More aggressive tumor biology ¨ Increased tumor genetic alterations ¨ Inadequate oncologic treatment 5. The Good News:
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| Moving On After Cancer Treatment - (HC Lit. Cancer Educ Part 5) Guests: Nina Kadan-Lottick, M.D., Director Hero’s Clinic for Survivors of Childhood Cancer Kenneth Miller, M.D., Director CT Challenge Survivorship Clinic & Dir. of Supportive Care, Yale Cancer Center 1. What is the definition of a cancer survivor? Someone who goes on to live a life of normal longevity 2. How many cancer survivors are there in the United States? Over 11 million; in CT 110,000 3. How do these numbers compare with a decade or more ago? There is a 30% increase in cancer survivors 4. How do the caregivers recover along with the cancer survivors? – Caregivers learn much from those with cancer 5. What are the good and bad side effects of a cancer experience?
6. What services will be offered at the CTC Survivorship Clinic?
KEY MESSAGE POINTS: 1. Survivors are a growing population that has special needs. HOPE. 2. Both cancer survivors in active treatment and long term survivors are a priority at YCC. Care for the continuum. Credits:
Call (203) 785-CARE for more information on Survivorship. |
Topic: “Breast Cancer Diagnosis & Treatment Options” (Cancer Educ) PT 2 Guests: Lyndsay Harris, M.D., Director, Yale Breast Cancer Program (YBCP) Shon Black, M.D., Surgeon, YBCP Meena Moran, M.D., Radiation Oncologist, YBCP Breast Cancer is Common
Breast Health and Cancer Prevention
Breast Abnormalities
Breast Cancer · May present as a mass, nipple discharge, or abnormal mammogram. · Have a breast exam by a doctor, a mammogram, and possibly an ultrasound. Types of Breast Tissue Biopsies : Needle biopsy with a mammogram; Needle biopsy with an ultrasound, Needle biopsy with a MRI & Surgery Types of Breast Cancer : Non-Invasive, Invasive, Ductal, Lobular & Inflammatory Breast Cancer Characteristics: Size, Grade, Receptors, Estrogen, Progesterone, HER2, Axillary Lymph Node Involvement & Distant Metastasis Breast Cancer Treatment: Surgery, Medicines, Radiation Surgery - Takes out the cancer in the breast and lymph nodes.= Lumpectomy · Mastectomy ± reconstruction, - Sentinel lymph node biopsy & Axillary lymph node dissection Medical Oncology
Radiation Oncology : Beams given to the chest ± axilla for local cancer control. · Whole breast radiation & Partial breast radiation Current Studies at Yale Breast Center · Breast Tomosynthesis · Partial Breast Radiation · Chemotherapy Trials High Risk Patients
If you get breast cancer: Don’t lose hope! Seek treatment! Get Informed! · Take time to learn what your options are. Seek support from family and friends. For Additional Information: · Yale Breast Center: 203-785-2328 · Mammogram Van: 203-688-8600 Websites · www.breastcancer.org · www.komen.org · www.nci.org Yale Cancer Center – 866 – Yale Cancer; Web site: yalecancercenter.org McGivney Cancer Center: www.srhs.org/cancer 1·800·ACS·2345, www.cancer.org also: www.breastcanceralliance.org |
| Health Care Literacy Series - Cancer Education PT 4 Topic: “Treatment Advances in Lung Cancer” Guests: Frank Detterbeck, M.D., Co-Director, TOP Program Professor of Thoracic Surgery Yale University School of Medicine Irene Scanlon, LCSW, TOP Program Cancer Facts:
Types of Lung Cancer : Lung Cancer, Non-Small Cell & Lung Cancer, Small Cell Risk Factors for Lung Cancer include the following: · Smoking cigarettes, cigars, or pipes now or in the past. · Being exposed to second-hand smoke. · Being exposed to asbestos or radon. Lung Cancer Screening
Two tests have commonly been used to screen for lung cancer are:
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OneWorld, Inc. defined. OneWorld Progressive Institute, Inc. is a 501 (C)3 charitiable, community organization. Our motto is: "It is better to light a candle than to curse the darkness." Our goal is to bring reliable and useful information to the Greater New Haven as well as the broader CT community. We place particular emphasis on:
We provide information mainly through our public access television programs. These programs are titled: 21st Century Conversations & N'Zinga's Journal. They can be seen weekly on various local access cable systems in Southern CT. Please visit our TV Schedule page to learn more. In order to provide the most effective programs possible, we invite your input. Tell us about the programs and services offered by your organization, and tell us about the tyoe of information you need. If you are a service organization, whom do you serve, and in what geographic areas? What are the standard requirements to benefit from your organization? We are striving to make a positive difference. Please help us to present more effective and informative programs. Send us an email to: oneworldpi@yahoo.com, or write to us at: OneWorld, Inc. P.O. Box 8662 New Haven, CT 06531 Provider Relationship Tips
Are you a diabetic?
Learn about Cholesterol & its effects on your body. Check out these sites: 2sourcesofcholesterol Visit: www.health-heart. org/cholesterol.htm You can also put in the words "types of cholesterol" in a search engine and find more information. To learn more about Cervical Cancer and your own risk factors, visit: www.cdc.gov www.nih.gov www.cancer.gov |
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| "21st Century Conversations" Health Care Literacy Series - Cancer Educ. Part 6 Topic: “Treatment Advances in Prostate Cancer” Part 1 (Cancer Educ Series) PT 6 Guests: Joseph Cardinale, M.D., Medical Director, Father Michael J. McGivney Cancer Center & head of the Radiation Oncology Section. Dr. Ralph DeVito, Urology Section Chief at the Hospital of Saint Raphael Telephone number for Father Michael J. McGivney Center For Cancer Care Hospital of Saint Raphael: (203) 789-3131; Web site: www.srhs.org American Cancer Society -1·800·ACS·2345 - www.cancer.org Community Participants: Dottie Green, Clive Spencer, Norman Forrester, Roderick Richardson, and Xavier Pettway Some of the questions addressed on the program: - What are the cancer basics? - What is the epidemiology of prostate cancer? - What do doctors do during the workup and medicals aspects that lead to diagnosis - How do doctors take care of cancer patients? - What are some of the potential treatments? - What about new technology? - What are the main factors that determine the type of treatment offered? (Age, stage, type, family history?) - The Laparoscopic Approach- benefits, challenges, outcomes, etc. - - DaVinci Video presented Questions from studio audience (audience members spent 30 mins with the doctors before the program went on the air; some of these questions were addressed during that time) - What are the signs and symptoms that prostate cancer might be present? - What are the most effective preventive or proactive steps men can and should take? - Are there different forms of prostate cancer (aggressive, less aggressive, etc.) - What are the most effective forms of treatment for prostate cancer? - Does the effectiveness of the treatment depends on the type of cancer someone has? -- Does the type of surgery affect cancer recurrence or survival? - Is there less blood loss with laparoscopic surgery? - What are the disadvantages of not being hands-on? - How do the recovery times for people going through open surgery and laparoscopic surgery compare? (DaVinci Robotic video gave excellent explanation of benefits and reduced risks) The doctors also discussed Black men getting prostate at an earlier age & provided info about Hispanic and Caucasian men, age, family history, etc. The National Cancer Institute (NCI) provides information about cancer, including various publications. You can order these materials by telephone or on the Internet. You can also read them online and print your own copy. All of the information below has been copied directly from the NCI web site at: www.cancer.gov/cancertopics/wyntk/prostate. The NCI also has a very comprehensive booklet with a wealth of excellent information about all types of cancers. Please visit the NCI web site listed above to learn more. Words that may be new to readers appear in italics. The "Dictionary" section explains these terms. Some words in the "Dictionary" have a "sounds-like" spelling to show how to pronounce them. · Telephone (1-800-4-CANCER): Information Specialists at NCI's Cancer Information Service can answer your questions about cancer. They also can send you NCI booklets, fact sheets, and other materials. · Internet (http://www.cancer.gov): You can use NCI's Web site to find a wide range of up-to- date information. For example, you can find many NCI booklets and fact sheets at : http://www.cancer.gov/publications. People in the United States and its territories may use this Govt. Web site to order printed copies. This Web site also explains how people outside the United States can mail or fax their requests for NCI booklets. You can ask questions online and get help right away from Information Specialists through LiveHelp at: http://www.cancer.gov/cis. These are the Stages of Prostate Cancer: · Stage I: The cancer cannot be felt during a digital rectal exam. It is found by chance when surgery is done for another reason, usually for BPH. The cancer is only in the prostate. · Stage II: The cancer is more advanced, but it has not spread outside the prostate. · Stage III: The cancer has spread outside the prostate. It may be in the seminal vesicles. It has not spread to the lymph nodes. · Stage IV: The cancer may be in nearby muscles and organs (beyond the seminal vesicles). It may have spread to the lymph nodes. It may have spread to other parts of the body. · Recurrent cancer is cancer that has come back (recurred) after a time when it could not be detected. It may recur in or near the prostate, or it may recur in any other part of the body, such as the bones. You may want to ask the doctor these questions before having a biopsy: · Where will the biopsy take place? Will I have to go to the hospital? · How long will it take? Will I be awake? Will it hurt? · What are the risks? What are the chances of infection or bleeding after the biopsy? · How long will it take me to recover? · How soon will I know the results? · If I do have cancer, who will talk to me about the next steps? When? Saint Raphael's Community Outreach - The Hospital of Saint Raphael is continuing its outreach to men in Greater New Haven to screen for prostate and colorectal cancer. - Project Brotherhood, sponsored by Bayer, is gearing up for its third screening in April. - Project Brotherhood’s second screening on Sept 19, 2006, had a specific goal to attract African-American men over age 45 and the underserved in the community. - More than 160 men from Greater New Haven took part in Project Brotherhood’s free prostate and colorectal cancer screening Sept. 19, 2006 at the Father Michael J. McGivney Center For Cancer Care. Men streamed into the McGivney Center during the three-hour screening. The program is for all men in the Greater New Haven area. African-American men should get the screening starting at age 40, Hispanics and Caucasian men need to check at age 50, unless they have a family history of prostate cancer. * OneWorld's community TV program "21st Century Conversations" and WYBC radio were instrumental in getting the word out. The project also got a boost from Dr. Reggie Mayo, superintendent of schools in New Haven, and Bishop William Philpot – both leaders in the community. |
Topic: Lung Cancer 101 & Integrative Medicine (Cancer Educ. PT 3) Guests: Dr. Alicia McKelvey & Dr. John Federico, Thoracic Surgeons Ms. Debra Scully – Manager, Integrative Medicine McGivney Cancer Center Part 1: : Risks for Developing Lung Cancer:
Lung Cancer Symptoms:
What kind of work-up is done for lung cancer & how is it diagnosed? Diagnosis and work-up of lung cancer go hand in hand. a) Most often someone gets a chest xray that shows an abnormality b) This prompts a CT Scan of the chest (an x-ray that gives 3-dimentional info) c) A Bronschoscopy (looking inside the airways with a fiberoptic scope) is often done d) If any lymph glands in the chest are suspicious for being involved, they are biopsied Part 2: Integrative Medicine & Wellness Group 1. Integrative Medicine incorporates treatment of: a. Mind, body and spirit. b. Combines the best of traditional & complementary medicine c. Focuses on the whole person d. Addresses physical, mental, emotional & spiritual needs e. Offers a complete circle of care 2. Lung Cancer is divided into four stages: 1, 11, 111 & 1V. Stage 1V is Metastatic. This means the disease has spread to other areas of the body. Treatment options are based on the stage of the disease at the time of diagnosis.
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