FROM OUR EXPERTS
What does one do if she experiences major chest pains and medical examinations reveal no heart or BP abnormalities? This is a particularly good question because it applies to all fields of medicine, and to all people who at some time in their lives will become patients (Yes, even doctors). If a person is experiencing symptoms that are not accompanied by signs of disease, or evidence in the form of an abnormal test, the diagnostic work-up will sometimes cease. Yet the patient still has the symptoms. What should be done? First, were all the elements of your complaint dealt with? Please see my prior posting about preparing for a visit to a cardiologist . It is appropriate for a visit to any physician. Second, what constitutes a full work-up for chest pain? This is actually different depending upon the likelihood of different processes causing the discomfort. Arteriosclerotic coronary artery disease is quite unlikely in very young people (but congenital disease may be more ...
"Flying isn't fun anymore," my brother-in-law frequently proclaims along with other travelers tired of security checks and crowded seats. I certainly agreed with him while I sat on full plane in New Hampshire for an hour waiting for clearance on my way home from visiting our children and new grandbaby. Flying definitely isn't fun anymore for me because I have lymphedema .
No one explained it to me at the time, but I was at double risk for this condition that causes swelling because I had 24 lymph nodes removed when I had my mastectomy , and I had extensive radiation to my chest and lymph nodes. Sure enough about a year after my cancer treatment ended, one day I noticed that all the creases in my right wrist were gone. Wow! Did I gain weight that fast? Nope, the creases were still there on the left wrist. The surgeon prescribed a compression sleeve to control the swelling.
The sleeve was uncomfortable and didn't help much, but I did get a little better. The next time I saw ...
Local treatments such as surgery and radiation therapy are given to treat the invasive ductal carcinoma itself and any nearby areas that may be affected by cancer, such as the chest and lymph nodes.
People with invasive ductal carcinoma need surgery not only to remove the breast tumor itself, but also to confirm whether or not cancer is in the lymph nodes. You will work with your doctor to determine what type of surgery is right for you, based on the stage and grade of the cancer and other factors specific to your situation.
In most cases, surgery is the first treatment for invasive ductal carcinoma. However, if the tumor is large or the cancer has spread to many lymph nodes or other parts of the body, treatments such as chemotherapy or hormonal therapy may be given first to shrink the cancer.
Possible surgical procedures include the following:
Lumpectomy : The surgeon removes only the tumor (the “lump”) and some of the normal tissue that surrounds it. Sometimes, axillary (un...
You should know
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