Monday, October 12, 2020

CANCER RECURRENCE: Viewpoints and Strategies

INTRODUCTION: WHY CANCER COMES BACK  (Source: NIH- National Cancer Institute)
 When cancer comes back after treatment, doctors call it a recurrence-  or recurrent cancer. Finding out that cancer has come back can cause feelings of shock, anger, sadness, and fear. But you have something now that you didn’t have before—experience. You’ve lived through cancer already and you know what to expect. Also, remember that treatments may have improved since you were first diagnosed. New drugs or methods may help with your treatment or in managing side effects. In some cases, improved treatments have helped turn cancer into a chronic disease that people can manage for many years.

Recurrent cancer starts with cancer cells that the first treatment didn’t fully remove or destroy. This doesn’t mean that the treatment you received was wrong. It just means that a small number of cancer cells survived the treatment and were too small to show up in follow-up tests. Over time, these cells grew into tumors or cancer that your doctor can now detect.


OUTSMARTING CANCER WITH SELF-AWARENESS   Dr. Robert L. Bard
Once you do enough Google-searching (especially key words like "CANCER PREVENTION", "STAY IN REMISSION"), you'll learn how to come up with a simple plan to keep cancer away- or increase the likelihood of beating cancer with the comprehensive Early Detection & Prevention plan. In each case, much can be done to prevent the current stage. The first step is to GET MORE FAMILIAR WITH YOURSELF.

• Be aware of your genetic lineage: risk of cancer increases upon heredity. The first place to look is within your own DNA or family history. Many cancers tend to travel down generations. It can also have the tendency to skip one generation and appear in the next one.

• Periodic Checking of your body for any anomalies like lumps, bumps, discolored bruises or growths. Self-checking is the first base. Also stay on top of unusual feelings like frequent headaches, unique pains and strains- anything that feels out of the ordinary. Take nothing for granted when it comes to your body.

• Know your environment: Many health issues are known to be caused by environmental toxins. Where you sleep, eat and work could be affecting how you feel later. Some health hazards are fairly visible and apparent while others may need some historical research in your area where there may have been potential chemical wastes or spills in the past. If you know of such issues, further research, demographic studies, protective measures and targeted checkups may be your next step.

Some of the main tips to Recurrence Prevention include:

Don’t smoke
Eat a healthy diet
Maintain healthy weight
Limit alcohol
Exercise regularly
Get enough vitamin D
Avoid radiation
Avoid toxins
Avoid infections
Get regular screening
Quality sleep

VIGILANT PREVENTION FROM A 3X CANCER SURVIVOR   By: Vanessa Silva

My name is Vanessa Silva. I was diagnosed with breast cancer in 2007 after my father was first diagnosed with breast cancer where he was identified as BRCA2 positive. It recurred again in 2014, and then the cancer came back in 2016.  During my first bout, I pushed to do my part and changed the way I lived starting with the way I ate. I exercised, I stopped eating meat and I did everything by the book... and sure enough, I was told I was cancer free!  So after five years, I felt it was safe to go back to old habits and eat the things I missed the most – including meats. I was still working out, but admittedly, junk food managed to creep its way into my system.

What was confusing to me was that this time, I was so diligent about prevention- not having any meat, and constant juicing and exercising.  I feel as if my body produces cancer cells much faster than a regular person. I just have to be more vigilant with checking myself.

I try to make sure that I'm stress-free, that I don't put myself in situations that would make my immune system just crash.  My doctor and I are both very diligent about checkups and often do sonograms at the slightest concern. I see my breast surgeon every six months. And now, she's finally pushed it to a year, so I'm so happy with that.  I think, meat plays a huge part in all of this because of the hormones that are being injected into them.  I do my best to buy products that say Non-Hormones, No Antibiotics, etc., however, how much of that is true.  I was convinced that I needed to stop eating meats all together and to stop putting all of these processed products into my body and start eating a much healthier diet.


Eventually, I would like to become a vegan, but I know there's so many things that I really enjoy eating, like eggs and cheese. But slowly, I've been pulling away from eating eggs. It's been a year since the last time I’ve eaten eggs, but cheese is a hard one to quit. I'm just trying to eat a more "clean" foods-- a lot more vegetables, a lot more fruits, and making sure that I wash them, and they're organic.

Organic and gluten-free was the way to go for me! I don't drink dairy milk anymore only almond milk. I'm really trying NOT to introduce the bad stuff to my children. Two of them are already grown, I really try to give my youngest one ZERO red meat except maybe once a month.  Sometimes, it's turkey or chicken, but even that, we've really pulled away from. I try not to be as restrictive with them because they're young, and they should make their own decisions later, however, I want them to be knowledgeable of what they put into their bodies.  Zero sugar is hard to do but we try to stay away from candy, donuts and pastries.

 As my reality has been defined to stay proactive,  I continue thinking HEALTHY every way possible.  I know cancer is lurking, seeking the next opportunity to return and with a life plan of ABSOLUTE VIGILANCE, I'm fighting harder each day!



METASTASIS: RECURRENCE WITH A VENGEANCE   By: Kirby Lewis
 In 2012, I was diagnosed with stage two (male) breast cancer.  Standard operating procedure was having me undergo a mastectomy to my left breast.  It came with all the physical impact of treatments and surgery but I wasn't too worried about the outcome. I was sure that it wasn't going to kill me because I found that most people don't die from stage one, two or three.

Then, by 2016, I had recurrence. As a lot of people know, recurrence is about 30% of early stagers.  I sensed the first time that it was going to come back-- and that when it did, it was going to be metastatic.   Metastasis is when those rogue cancer cells that are in the area of the breast tissue decide to venture out into another neighborhood of the body. When that happens, they tend to go to the liver or the pancreas or, the kidneys or the bones or even the brain. I had metastases in both lungs and in my spine so it was quite alarming.  

Through a battery of testing, it was unnerving to find out how fast it went from being non-present in my body to being everywhere- in my lungs and in my spine. Basically, I was looking at a six week period where I went from clear lungs, clear scans and within six weeks, my, my lungs lit up like Christmas trees.

I think that what people can learn from this is that you should never take the changes in your body lightly. Do self exams. And if you find something that is unusual, go have it checked out. It's $50 for a doctor visit and that's $50 well spent rather than buying a coffin. If your body has propensity to turn on those cancer cells, flip that switch, then (my thinking is that) it's likely that it is going to come back in some other form. And I hope that it doesn't. When someone is designated cancer free, I would love for them to think that that's it. But they do need to be diligent. And they do need to be cognizant and aware of the fact that the possibility will always exist.


References:

1) https://www.cancer.gov/types/recurrent-cancer

2) Prevention of Recurrence After Recovery From a Major Depressive Episode With Antidepressant Medication Alone or in Combination With Cognitive Behavioral Therapy - https://jamanetwork.com/journals/jamapsychiatry/article-abstract/2756320


EDITORIAL STAFF

ROBERT L. BARD, MD, PC, DABR, FASLMS
Advanced Imaging & Diagnostic Specialist
Dr. Bard received the 2020 nationally acclaimed Ellis Island Award for his lifetime achievement in advanced cancer diagnostic imaging. He co-founded the 9/11 CancerScan program to bring additional diagnostic support to all first responders from Ground Zero. His main practice in midtown, NYC (Bard Diagnostic Imaging- www.CancerScan.com) uses the latest in digital imaging technology and has been also used to help guide biopsies and in many cases, even replicate much of the same reports of a clinical invasive biopsy. Imaging solutions such as high-powered sonograms, Power Doppler Histogram, sonofluoroscopy, 3D/4D image reconstruction and the Power Doppler Histogram  are safe, noninvasive, and do not use ionizing radiation. 


GRACE DAVI, Public Health Research Consultant at The RightWriters Group 
Grace dedicated her life's work to intense reporting and data analyses of Cancer-related environmental issues. In addition to content work Grace is also a public advocate for health and safety projects in professional areas and support programs for Infection Prevention branches of health care.  Grace launched her career as a researcher/reporter by pioneering collaborative lab projects in the New York waterways by providing public awareness about contaminants and leaching into county and state aquifer. She combined this experience with   4+ years working with oncologists and cancer immunologists as an editor in medical education. Today, Grace is one of the editors and co-publishers of health related publcations, websites, newsletters and journals including prevention101.org and ImmunologyFirst.org


CHERI AMBROSE, Co-editor/outreach coordinator for NYCRA
Cheri is the associate editor for various publications such as PinkSmart News, the Journal for Modern Healing and First Responders Cancer News.  She is a patient advocate for many cancer-related programs and often contributes her time in cancer research fundraising events.  As the communications director for the NY Cancer Resource Alliance, she manages community outreach, partnership missions with other cancer foundations and research organizations and attends educational functions for cancer awareness. Her latest public projects include the launch of ImplantScan.org.  She stands as the current President of the male Breast Cancer Coalition (MaleBreastCancerCoalition.org).



Special thanks to: Sally Kalksma (video host for FightRecurrenceTV), Marc Futterweit, Vanessa Silva, Kirby Lewis, Arnaldo Silva and Peggy Miller (https://malebreastcancercoalition.org/).  Additional special thanks to: Dr. Jesse Stoff, "Cousin" Sal Banchitta (https://healthscannyc.org/), Dan Noonan (FDNY), Aimee Arceo, Mary Ann Santa Rita, Megan Meller, David Dachinger / Tamara Green (https://lovingmeditations.com/), Dr. Pierre Kory / Dr. Paul Marik / Dr. Varon of MATH+ (https://covid19criticalcare.com/), Dr. Ben Park (Vanderbilt Univ), Christopher Conner (FACES), Jessica Glynn and Debi Cavolo (breastcancercomfort.org) - whose help and loving contribution helped to make this work possible! 

Disclaimer & Copyright Notice: The materials provided on this website are copyrighted and the intellectual property of the publishers/producers (The NY Cancer Resource Alliance/IntermediaWorx inc. and Bard Diagnostic Research & Educational Programs). It is provided publicly strictly for informational purposes within non-commercial use and not for purposes of resale, distribution, public display or performance. Unless otherwise indicated on this web based page, sharing, re-posting, re-publishing of this work is strictly prohibited without due permission from the publishers.  Also, certain content may be licensed from third-parties. The licenses for some of this Content may contain additional terms. When such Content licenses contain additional terms, we will make these terms available to you on those pages (which his incorporated herein by reference).The publishers/producers of this site and its contents such as videos, graphics, text, and other materials published are not intended to be a substitute for professional medical advice, diagnosis, or treatment. For any questions you may have regarding a medical condition, please always seek the advice of your physician or a qualified health provider. Do not postpone or disregard any professional medical advice over something you may have seen or read on this website. If you think you may have a medical emergency, call your doctor or 9-1-1 immediately.  This website does not support, endorse or recommend any specific products, tests, physicians, procedures, treatment opinions or other information that may be mentioned on this site. Referencing any content or information seen or published in this website or shared by other visitors of this website is solely at your own risk. The publishers/producers of this Internet web site reserves the right, at its sole discretion, to modify, disable access to, or discontinue, temporarily or permanently, all or any part of this Internet web site or any information contained thereon without liability or notice to you.



Monday, December 23, 2019

NYCRA FEATURES A YEAR OF CANCER AWARENESS HIGHLIGHTS

As 2019 comes to a close, we reflect on an entire year of remarkable achievements, special events and new programs.  As publishers and a major info-sharing resource for cancer-related topics, NYCRA has been especially busy this year with countless interviews with clinical specialists and survivors alike.  In addition, our blessed friends in the fundraising, cancer advocacy and public outreach have also been most involved in driving the message of loving care.  We are honored to ally with some of the most remarkable individuals in our membership circle- comprised of "cancer crusaders" making up the Cancer Resource Alliance!

1) "THE FIRE STILL BURNS"- new film production series developed by the film partners of NYCRA - including all the first responders who joined us by sharing their stories. "The Fire Still Burns" is a mini-series of interviews about surviving first responders from historical events.  They share and describe their firsthand experiences and express their thoughts about safety, their health and  concerns about all first responders.  This episode highlights GARY STEMM's experiences at the 1975 NY Tel Exchange Fire, a disastrous event where 700+ responders tended to one of the largest fires in NYC history which affected most of the responders lives due to the toxic nature of this deadly fire.


2. FIGHT LIKE A GIRL 9th Annual Fundraising Event:  May 18, 2019 (East Wind in Wading River) - Jennifer Hunt and the entire group honored Kandise King at thus year's fundraiser gala "because she is a warrior in fighting cancer for two and a half years with multiple surgeries, chemo and radiation... as a single mom, this super-woman drove herself to and from work in the city each day while under treatmentšŸ’• she never gave up!" She’s what it means to fight like a girl!     This year, $54,000 was raised (highest in all years) for the LI2DAY Cancer Research Drive from the raffles, auctions and clothing drive- in total raised $315,000 since the group's inception.  (See Fight Like A Girl's main page)

August 8- Jennifer Hunt also contributed public awareness resources to support women with breast implants on a global scale. On July 24, The FDA (US Food & Drug Administration) identified a possible association between certain breast implants and the development of Breast Implant Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) to announce a formal recall of specific textured implants starting with the company, Allergan.  This recall raised a level of urgency about the public health risks behind BIA-ALCL with the hopes that other manufacturers would soon follow this lead.  "Whenever a company accepts responsibility to pull a risky product from the market, they usually aim to correct product flaws to eliminate public health risks. Recalls also set a great precedence for new research that can add to our scientific understanding about preventing the disorder and other paradigms like it", states implantscan.org. (see article from PinkSmart News)

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3) CANCER EDUCATION FOR FIRST RESPONDERS:  June 25-  NYCRA presented their First Responders Cancer Awareness & Resource program at one of the largest RMA (Retired Member’s Association/FDNY) meetings this year.  Earmarked by their giveaway button, “Get Checked Now!” has been educational mantra to promote the proactive self‐care message for all 9/11 survivors and career rescue personnel.  The visiting health speakers were well‐received by the almost 200 attendees. (see video) The focus and attention from the generation of retired rescuers reflects on their concerns for looming health issues as the new cancer cases and recent fatalities that continue to hit the news each week. "In all of our meetings, after the pledge of allegiance, they would read off the list of firefighters passing away and the list is getting longer all the time... we appreciate these speakers who are so dedicated to reminding usto get checked, especially the doctor (Stoff)‐‐ they called him the 'Cancer Encyclopedia'... he was so effective as a speaker with so much information for us. I haven't seen any doctors ever come out to speak to our groups like this ‐ not even with an appointment!" ‐ says retired Chief Bob Checco (FD archive photographer since 1958)

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4) HEALTH & FITNESS EXPO @ METLIFE STADIUM: June 22/23 - over 40,000 people from the tri-state area attended the 2-day health expo by NBC & Telemundo (presented by Quest Diagnostics).  This special public event promoted free health screenings, special New York Giants locker room tours and the chance for the public to meet NBC 4 New York and Telemundo 47 anchors and reporters. It was a family-friendly expo at the MetLife Stadium, showcasing their 7th year event with hundreds of vendors, fun athletic activities and health-related educational exhibitors including cancer awareness groups like the Pancreatic Cancer Action Network, the Male Breast Cancer Coalition, Hackensack Hospital (Colorectal cancer care) and the American Cancer Society. This event had a major message of PREVENTION for the community at large, where exhibitors marveled at the entertaining way that the producers 'packaged' education for the many families who attended. "It's so great to get the community and corporate support for this stadium to promote a perfect weekend of health messaging", says Arnaldo Silva, senior ambassador of mbcscan.com. "It's the best way to reach so many people in one fun-filled day... while getting the point across about paying attention to longevity."
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5) CANCER AWARENESS AMBASSADOR GOES "TED"  - Cancer remains the most common cause of death due to disease in children.  Over the last decade, researchers have made great strides in understanding cancer but finding cures has still been difficult.  In an ever changing world sometimes a new approach to solving this problem is necessary.  GenZ is transforming the viewpoint in society by setting a local example through their teamwork approach in solving problems.  And it is this collaboration which will be needed to solve some of the world’s larger crisis, like cancer. (see video)

A renowned global platform for any educator is to appear as a speaker in TED TALKS!  NYCRA public speaker Dr. Noelle Cutter is recently broadcast on TEDx Farmingdale (a chapter of TedTalks) for her presentation "The GenZ Approach to Curing Cancer".  Dr. Cutter presents her tremendous insights as a clinician and an educator. As a molecular biologist by training and researcher focused on treatment options for pediatric patients with Medulloblastoma, (a rare and aggressive form of brain cancer) her advocacy is primarily primarily on education and raising public awareness for this disease and better choices patients/families can make.  She works with  undergraduate students to help them find their own voice in advocacy and disseminating science research to the public. "My drive is a personal one...I lost my 18 month nephew to this devastating disease.  I wanted to know why and how we can do better.  It has become a life mission of mine.  I recently gave a #TedX talk on this very topic and hope that is will touch the lives of other families going through similar circumstances."
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6) CANCER TREATMENT TECHNOLOGIES IN REVIEW:  From diagnostic imaging advancements to genetic testing programs to radiological innovations with AI integration, the medical community sees the  significant rise in cancer survivorship thanks to the advanced research and talented engineers devleoping new technologies for this specific field of care.  Take for example The CyberKnife® Robotic RadioSurgery System- representing the latest performance innovation in this modality for treating benign and malignant tumors as well as other chronic disorders.  Since the century-old invention of the X-ray, CyberKnife has become one of the most recognized 'weapons in killing tumors'- combining x-ray based or photon based radiation delivered by a linear accelerator (a device that generates high intensity energy x-rays) and the integration of a robotic arm, known as a manipulator.  According to Dr. Repka, CyberKnife and radiation therapy do not replace chemotherapy but are valued additions to the therapeutic arsenal for treating cancer patients. “When I think about oncology, I think of the traditional three pillars: surgeons or SURGICAL ONCOLOGY, chemotherapy doctors or MEDICAL ONCOLOGY, and then radiation doctors or RADIATION ONCOLOGY—each playing a separate but oftentimes complementary role. As every cancer is different, the cancer’s response to treatments—radiation or chemotherapy or surgery—also varies. . . . I think the most important thing is maximizing the number of tools available for each patient’s unique case, to not only treat their cancer, but minimize their side effects.” (See complete review on the CyberKnife System - part 1)

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PTSD AWARENESS (AND SERVICE DOGS) IN FIRE SERVICE!
Emotional traumas and stress influencers are scientifically aligned with anxiety, depression, behavioral disorders, drug/alcohol abuse and a wide list of physiological health issues. These symptoms are typically diagnosed by mental health professionals through observational science and behavioral analysis. This disorder is prevalent in occupations exposing the individual to high cases of emotional trauma (distress)- such as with rescue workers.  NYCRA has contributed countless hours supporting public awareness of the significant rise of PTSD cases in our community- and partnering with treatment specialists to publicly share solutions for this health crisis.  This includes the CRANIALSCAN project, a mission to promote the use of imaging technologies to support the diagnosis and tracking of mental health disorders. (see: www.cranialscan.com).  Also, NYCRA's own prevention ambassador, Darryl Vandermark (Firefighter and HAZMAT Chief) is also a prominent speaker about the many benefits of PTSD dogs and what it's like to live in the professional world with PTSD.

Also see Video: K9's at the Giants Game

Disclaimer & Copyright Notice: The materials provided on this website/web-based article are copyrighted and the intellectual property of the publishers/producers (The NY Cancer Resource Alliance/IntermediaWorx inc. and Bard Diagnostic Research & Educational Programs). It is provided publicly strictly for informational purposes within non-commercial use and not for purposes of resale, distribution, public display or performance. Unless otherwise indicated on this web based page, sharing, re-posting, re-publishing of this work is strictly prohibited without due permission from the publishers.  Also, certain content may be licensed from third-parties. The licenses for some of this Content may contain additional terms. When such Content licenses contain additional terms, we will make these terms available to you on those pages (which his incorporated herein by reference).The publishers/producers of this site and its contents such as videos, graphics, text, and other materials published are not intended to be a substitute for professional medical advice, diagnosis, or treatment. For any questions you may have regarding a medical condition, please always seek the advice of your physician or a qualified health provider. Do not postpone or disregard any professional medical advice over something you may have seen or read on this website. If you think you may have a medical emergency, call your doctor or 9-1-1 immediately.  This website does not support, endorse or recommend any specific products, tests, physicians, procedures, treatment opinions or other information that may be mentioned on this site. Referencing any content or information seen or published in this website or shared by other visitors of this website is solely at your own risk. The publishers/producers of this Internet web site reserves the right, at its sole discretion, to modify, disable access to, or discontinue, temporarily or permanently, all or any part of this Internet web site or any information contained thereon without liability or notice to you.

Sunday, December 22, 2019

TODAY'S RADIOTHERAPY: CYBERKNIFE TECHNOLOGY (part 1)

Co-written by: Dr. Jesse A. Stoff  & Dr. Robert L. Bard | The NY Cancer Resource Alliance
Source Interview: Michael Repka, MD, with the Perlmutter Cancer Center at NYU Winthrop Hospital
Additional material provided by: Accuray Inc.


MEETING TODAY’S CHALLENGES FOR CANCER THERAPY
Since the advent of radiation therapy (and the invention of the x-ray) over a century ago, the noninvasive treatment approach of radiotherapy continues to be recognized as one of the most forward-thinking technologies in the pursuit of targeting cancer tumors. The CyberKnife® Robotic RadioSurgery System represents the latest performance innovation in this modality for treating benign and malignant tumors as well as other chronic disorders.   

To review the CyberKnife technology, we approached the Perlmutter Cancer Center at NYU Winthrop Hospital—the top radiotherapy and CyberKnife cancer treatment center in the country. Michael C. Repka, MD, a radiation oncologist there, shared his extensive insight and firsthand experience about CyberKnife technology including its performance and patient benefits.

THE INTEGRATIVE REVOLUTION
The CyberKnife® system combines three different technological advances. The first is x-ray based or photon based radiation, the standard form—and vast majority—of medically induced radiation. This is delivered by a linear accelerator, a device that generates high energy x-rays that are far higher in intensity than a CT scan or a conventional x-ray. The CyberKnife combines a miniaturized linear accelerator (rather than the typical oversized linear device), to allow room for a second technological advance—the integration of a robotic arm, known as a manipulator. The third advance is equipping CyberKnife with an interactive image-guidance system that acquires stereoscopic kV images during treatment. 

The integration of these systems was designed to promote hyper-accuracy in treatment by allowing the robotic arm to direct radiation beams from many different angles – angles that are not typically accessible via a normal and more static radiation machine. Meanwhile, another advantage to CyberKnife over other radiation devices is that it can track all activities during treatment in real time—including the slightest motions such as a patient’s breathing— automatically adjusting the radiation targeting accordingly.

The CyberKnife system was initially developed by Stanford professor of neurosurgery John Adler and the Schonberg Research Corp. to treat intracranial tumors, with the first patients treated in 1999. It is developed for widespread medical use by Accuray Incorporated and has produced over six evolutions since its original design—including the CyberKnife® M6 System, which is the latest addition to the CyberKnife product family and was released in 2012. Accuray states that this system is “widely used to treat conditions in the brain, spanning benign and malignant primary tumors, brain metastases, trigeminal neuralgia, acoustic neuromas and arteriovenous malformations (AVMs). CyberKnife radiosurgery is even used to treat complicated neurosurgical cases, while sparing important functions, such as hearing and vision.” [1]

According to Dr. Repka, “CyberKnife is a unique and exciting tool in the treatment of cancer, delivering targeted radiation therapy with extreme precision that allows for large doses of radiation over a single or small number of sessions. This can be very beneficial for patients, such as those with prostate cancer, making the treatment not just shorter and more convenient, but in many cases decreasing associated side effects as well.” Though CyberKnife technology has been widely associated with NYU Winthrop, there are many different health centers nationwide that have access to this innovation. Dr. Repka underwent training at Georgetown University Hospital—one of a number of facilities treating patients with CyberKnife, but the Perlmutter Cancer Center at NYU Winthrop, which has locations in New York City and on Long Island, has performed more CyberKnife treatments to treat prostate cancer than any other facility in the U.S. 

By the time the CyberKnife was perfected and cleared by the FDA, it was recognized for treating tumors anywhere in the body, and the evolution of CyberKnife has continued to allow for an increasing range of applications over its prior prototypes. A similar but different form of radiation technology, called the Gamma Knife, is another successful industry innovation but mainly targets tumors in the brain. 

Historically, any tumor that is to be treated with CyberKnife requires the placement of a marker, called a fiducial— a tiny piece of gold implanted directly into the tumor. This gold fiducial is a small, seed-sized marker used to aid the CyberKnife in visibly tracking and locking on to the tumor’s exact location in real time. This marker is able to account for any movement of the tumor during the actual delivery of the treatment. Not all cancers require this marker. In cases of tumors in areas like the spine or in the brain, for example, the CyberKnife can use the bony anatomy of the skull or the vertebral bodies as marker references or surrogates, so the CyberKnife can be very precise in treatment delivery.

UPGRADES
As with all innovations and their paths of evolution, the success of the CyberKnife system has a direct connection with its users’ feedback and systemic challenges. In response, a significant new upgrade is in the delivery of the radiation beam using a multileaf collimator, little finger-like leaflets that can adjust the beam into different shapes. By using this multileaf collimator, the CyberKnife raises its level of control in the delivery of big doses of radiation to a very targeted area. This recent improvement reduces the treatment time significantly compared to treatment in the past. 

PATIENT RESPONSE
As with any treatment protocol, results of the CyberKnife depend on each individual patient, their situation and the specific type of cancer. As an example, with brain tumors, treatment is often done in a single setting—essentially like a single Space Invaders zap. Meanwhile, other cases necessitate spreading the treatment out over a few days or a week, in order to be more effective.

SIDE EFFECTS
Radiation is geo-targeted and very specific, so the effects are only in the area being treated—as opposed to chemotherapy that goes everywhere in the body through the bloodstream. Radiation side effects are on a case-by-case basis, and many patients may experience mild side effects or no side effects at all.  

With prostate cancer, for example, side effects tend to be mild and are very similar to those experienced with conventional radiation therapy, such as a mild increase in urinary urgency, some occasional burning during urination, etc. These common side effects typically do not occur until a near the end of treatment and gradually go away within a few weeks of treatment. There are always some low risks of long-term toxicity from any prostate-directed radiation, but the precise treatment delivered by CyberKnife allows physicians to mitigate those risks substantially.

TREATMENT PHILOSOPHY
According to Dr. Repka, CyberKnife and radiation therapy do not replace chemotherapy but are valued additions to the therapeutic arsenal for treating cancer patients. “When I think about oncology, I think of the traditional three pillars: surgeons or SURGICAL ONCOLOGY, chemotherapy doctors or MEDICAL ONCOLOGY, and then radiation doctors or RADIATION ONCOLOGY—each playing a separate but oftentimes complementary role. As every cancer is different, the cancer’s response to treatments—radiation or chemotherapy or surgery—also varies. . . . I think the most important thing is maximizing the number of tools available for each patient’s unique case, to not only treat their cancer, but minimize their side effects.”

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RADIATION THERAPIES- OVERVIEW
Radiation therapy (or radiotherapy) is a cancer treatment that uses high doses of radiation to kill cancer cells and shrink tumors. At high doses, radiation therapy kills cancer cells or slows their growth by damaging their DNA. Cancer cells whose DNA is damaged beyond repair stop dividing or die. When the damaged cells die, they are broken down and are removed by the body. (see: NIH Link)

There are a variety of options on the market for radiation therapy.  Each device targets tumors and performs the treatment tasks differently.

• CYBERKNIFE: Delivers high energy x-ray based or photon based radiation by an image-guided miniature linear accelerator mounted on a robotic arm. Available for use on cancer tumors in ANY part of the body.

• CONVENTIONAL, EXTERNAL BEAM RADIATION THERAPY (EBRT): Conventional EBRT is typically delivered by means of a four-field technique—designed to include the prostate, the seminal vesicles, and the regional lymphatic vessels. Conventional radiotherapy includes irradiation of large volumes of tissue, including the skin, small bowel, bladder, large bowel, pelvic bones, and additional areas of soft tissue

• STEREOTACTIC BODY RADIATION THERAPY (SBRT): SBRT it deals with tumors outside of the CNS and involves the delivery of a single high dose radiation treatment or up to 5 fractionated radiation treatments to the outside area of the tumor and into the surrounding normal tissue. (more)

• PROTON THERAPY: Uses proton beams (positively charged particle) rather than x-rays to treat cancer 

• GAMMA KNIFE: Targets only brain or cervical spine tumors with one high-dose treatment. Gamma Knife delivers 192 precisely focused beams of gamma radiation to small targets inside the brain. 

• RADIOIMMUNOTHERAPY: A type of systemic therapy using monoclonal antibodies to deliver low doses of radiation directly to the cancerous tumor while not affecting noncancerous cells. 

Radiation therapy does not kill cancer cells right away. It takes days or weeks of treatment before DNA is damaged enough for cancer cells to die. Then, cancer cells continue dying for weeks or months after radiation therapy ends.

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ABOUT DR. REPKA
Dr. Michael Repka is a radiation oncologist at the Perlmutter Cancer Center at NYU Winthrop Hospital in Mineola, New York, which is part of NYU Langone Health. He received his medical degree from Sidney Kimmel Medical College. Previously, he worked in a research laboratory studying the molecular genetics of cancer while pursuing the passion for the field of oncology. As a radiation oncologist at Perlmutter Cancer Center, Dr. Repka is involved in many aspects of cancer care—curative, adjuvant, and palliative. He has extensive training in all forms of radiation therapy, including external beam radiotherapy, brachytherapy, stereotactic body radiotherapy (SBRT), and stereotactic radiosurgery. NYU Winthrop Hospital is one of the foremost centers in the world for SBRT. Dr. Repka has published multiple peer-reviewed publications, including novel research, review articles, and book chapters. Also, he has presented research at annual meetings for the European Society for Radiation Oncology and the American Society for Radiation Oncology. Dr. Repka has no financial disclosures to report. 


CONTRIBUTING WRITERS 
JESSE STOFF, MD, HMD, FAAFP - Dr. Stoff is a highly credentialed medical expert specializing in cancer immunology and a publisher of current educational programs about prevention, wellness and medical texts about onco-immunology. As a senior clinical investigator for cancer treatment protocols, Dr. Stoff is dedicated to resolving the most challenging health issues of our time. He has spoken worldwide at some of the top medical conferences about his experiences and analyses on the study of human disease. His medical practice (INTEGRATIVE MEDICINE OF NY, Garden City, NY (www.IMOFNY.com) has been continually providing patients with the many comprehensive clinical options and modalities available- including "ONCO-IMMUNOLOGY,” the science of battling cancer cells and reversing pre-cancerous conditions through a complete prevention program that has earned him great success in this field.  For more information, visit: www.Dr.JesseStoff.com


ROBERT L. BARD, MD, PC, DABR, FASLMS - Dr. Bard is recognized for his specialized work in advanced cancer diagnostic imaging. He co-founded the 9/11 CancerScan program to bring additional diagnostic support to all first responders from Ground Zero. His main practice in midtown, NYC (Bard Diagnostic Imaging- www.CancerScan.com) uses the latest in digital imaging technology and has been also used to help guide biopsies and in many cases, even replicate much of the same reports of a clinical invasive biopsy. Imaging solutions such as high-powered sonograms, Power Doppler Histogram, sonofluoroscopy, 3D/4D image reconstruction and the Power Doppler Histogram  are safe, noninvasive, and do not use ionizing radiation. It is used as a complement to find anomalies and help diagnose the causes of pain, swelling and infection in the body’s internal organs while allowing the diagnostician the ability to zoom and ‘travel’ deep into the body for maximum exploration.



SPECIAL THANKS
NYU Winthrop is the Long Island hospital base of NYU Langone Health System and is ranked by U.S. News & World Report as one of the top-10 New York metro-area hospitals. The hospital was founded in 1896 and is now a 591-bed medical academic center and ACS Level 1 Trauma Center. The hospital features more than 75 divisions of specialty care, offering comprehensive inpatient and outpatient programs and services to address every stage of life. NYU Winthrop also has a Research Institute that conducts robust research and studies that are helping to shape the future of medicine. The hospital, with ties to New York University, blends the progressive philosophy and advances of a teaching and research institution with a personal approach to patient care that is the cornerstone[buzzword] of the organization. The NYU Winthrop campus is also home to the new NYU Long Island School of Medicine—a tuition-free school with an accelerated three-year curriculum devoted exclusively to training primary care physicians.



REFERENCES:





https://www.cancer.org/cancer/cancer-basics/history-of-cancer/cancer-treatment-radiation.html

https://www.cancerresearchuk.org/about-cancer/cancer-in-general/treatment/radiotherapy/external/about


Disclaimer & Copyright Notice: The materials provided on this website/web-based article are copyrighted and the intellectual property of the publishers/producers (The NY Cancer Resource Alliance/IntermediaWorx inc. and Bard Diagnostic Research & Educational Programs). It is provided publicly strictly for informational purposes within non-commercial use and not for purposes of resale, distribution, public display or performance. Unless otherwise indicated on this web based page, sharing, re-posting, re-publishing of this work is strictly prohibited without due permission from the publishers.  Also, certain content may be licensed from third-parties. The licenses for some of this Content may contain additional terms. When such Content licenses contain additional terms, we will make these terms available to you on those pages (which his incorporated herein by reference).The publishers/producers of this site and its contents such as videos, graphics, text, and other materials published are not intended to be a substitute for professional medical advice, diagnosis, or treatment. For any questions you may have regarding a medical condition, please always seek the advice of your physician or a qualified health provider. Do not postpone or disregard any professional medical advice over something you may have seen or read on this website. If you think you may have a medical emergency, call your doctor or 9-1-1 immediately.  This website does not support, endorse or recommend any specific products, tests, physicians, procedures, treatment opinions or other information that may be mentioned on this site. Referencing any content or information seen or published in this website or shared by other visitors of this website is solely at your own risk. The publishers/producers of this Internet web site reserves the right, at its sole discretion, to modify, disable access to, or discontinue, temporarily or permanently, all or any part of this Internet web site or any information contained thereon without liability or notice to you.

Friday, November 22, 2019

INTEGRATIVE MEDICINE LAUNCHES JOINT CONFERENCE TREND


ACAM "Collaboration Cures" Conference 2019


October 14-17, 2019 marked the 4th Annual Collaboration Cures event by the American College for Advancement in Medicine (ACAM) and The American Academy of Physiological Medicine & Dentistry (AAPMD). Both medical organizations united for another successful conference at the 2019 Annual Meeting where both associations ran side-by-side programs where attendees can choose lectures from either.  This year's event took place at the Gaylord Opryland Resort & Convention Center in Nashville, TN where over 400 members of ACAM and AAPMD and supporters of the medical community nationwide attended to experience the many benefits of this educational conference. An additional 400+ came from American Academy for Oral Systemic Health (AAOSH), the third partner association for the Collaboration Cures event.

According to Dr. Ahvie Herskowitz (President of ACAM) and Dr. Howard Hindin (VP of ACAM and Executive Director for AAPMD), the mission behind this special alliance was sparked by a growing body of evidence supporting common origins of chronic diseases, such as cardiovascular disease, diabetes, dementia and cancer. Now in their fourth meeting, ACAM and AAPMD uniquely demonstrated how medicine & dentistry can collaborate in both assessment & treatment of patients for better overall healthcare.  Supporters of this special event were excited about the growing momentum set by this plan- delivering the recorded "second largest collaboration event in the past 4 years... and showing positive signs of new expansion for 2020!"


Over 60 of the industry's top medical experts in health and wellness delivered educational presentations to support the community of integrative medicine.  Recognized names like Dr. Julian Thayer (world leader in heart rate variability (HRV) research), Dr. Joseph Mercola (NYT Best selling author and renowned advocate for natural medicine), Dr Pamela Smith (Anti-Aging / Functional Medicine specialist) and internationally renowned physician specializing in clinical onco-immunology Dr. Jesse Stoff. "I applaud ACAM for their vision and leadership in uniting other medical associations to assemble the community of healers to share their findings and resources", states Dr. Stoff. "This is telling of the 'coming together' movement of the INTEGRATIVE philosophy of treating disease today- in that it takes more than a village but the entire community (of medicine) and a commitment to healing the whole patient, not just the isolated issue".

The group is represented in a number of ways in both the medical and dental fields. Medical includes MDs and NDs, as well as chiropractors, physical therapists, airway health specialists and anyone looking at whole human health.  Top long term ACAM supporters and a growing list of new partnerships expressed great energy about their partnership with ACAM). The Collaboration Cures afilliates and exhibitors included an estimated 25-30 partners for ACAM and about the same for AAPMD were represented on the Learning Floor. "There are really so many people caring and sharing in this powerful movement!"

Collaboration Cures upholds a special agenda of advanced learning and expanding the involvement of key players to achieve overall health. In years to come, they aim to continue implementing this collaborative concept into daily practice, sharing the most cutting-edge techniques in integrative healthcare and exploring new partnership opportunities.  "With the current health problems... collaboration is absolutely necessary for optimal health solutions because there is no one practitioner that has all the keys to answer the problem" -  Howard Hindin, DDS (Pres. AAPMD/ VP of ACAM)


Disclaimer & Copyright Notice: The materials provided on this website/web-based article are copyrighted and the intellectual property of the publishers/producers (The NY Cancer Resource Alliance/IntermediaWorx inc. and Bard Diagnostic Research & Educational Programs). It is provided publicly strictly for informational purposes within non-commercial use and not for purposes of resale, distribution, public display or performance. Unless otherwise indicated on this web based page, sharing, re-posting, re-publishing of this work is strictly prohibited without due permission from the publishers.  Also, certain content may be licensed from third-parties. The licenses for some of this Content may contain additional terms. When such Content licenses contain additional terms, we will make these terms available to you on those pages (which his incorporated herein by reference).The publishers/producers of this site and its contents such as videos, graphics, text, and other materials published are not intended to be a substitute for professional medical advice, diagnosis, or treatment. For any questions you may have regarding a medical condition, please always seek the advice of your physician or a qualified health provider. Do not postpone or disregard any professional medical advice over something you may have seen or read on this website. If you think you may have a medical emergency, call your doctor or 9-1-1 immediately.  This website does not support, endorse or recommend any specific products, tests, physicians, procedures, treatment opinions or other information that may be mentioned on this site. Referencing any content or information seen or published in this website or shared by other visitors of this website is solely at your own risk. The publishers/producers of this Internet web site reserves the right, at its sole discretion, to modify, disable access to, or discontinue, temporarily or permanently, all or any part of this Internet web site or any information contained thereon without liability or notice to you.

Monday, November 18, 2019

Channel 11 News Studio- features Dr. Bard and Gov. Paterson


Channel 11 WPIX Podcast: - original airplay May 31, 2019
Subject: Melanoma and Skin Cancer Discussion / New Yorkers' Summer Health Concern




Channel 11 WPIX News: - original airplay May 31, 2019
Part 1 clip: Gov. Paterson interview on the State of the State
Part 2 clip: Melanoma and Skin Cancer interview with Dr. R. Bard and Dr. B. Robinson


Waiting room at CH11: Dr. Bard meets NYS Gov. David Paterson and wife Mary



On CH11 (WPIX) News set with Marvin Scott and Gov. Paterson


On CH11 News set:
(L-R) Marvin Scott, Dr. Bruce Robinson & Dr. Robert Bard











Disclaimer & Copyright Notice: The materials provided on this website/web-based article are copyrighted and the intellectual property of the publishers/producers (The NY Cancer Resource Alliance/IntermediaWorx inc. and Bard Diagnostic Research & Educational Programs). It is provided publicly strictly for informational purposes within non-commercial use and not for purposes of resale, distribution, public display or performance. Unless otherwise indicated on this web based page, sharing, re-posting, re-publishing of this work is strictly prohibited without due permission from the publishers.  Also, certain content may be licensed from third-parties. The licenses for some of this Content may contain additional terms. When such Content licenses contain additional terms, we will make these terms available to you on those pages (which his incorporated herein by reference).The publishers/producers of this site and its contents such as videos, graphics, text, and other materials published are not intended to be a substitute for professional medical advice, diagnosis, or treatment. For any questions you may have regarding a medical condition, please always seek the advice of your physician or a qualified health provider. Do not postpone or disregard any professional medical advice over something you may have seen or read on this website. If you think you may have a medical emergency, call your doctor or 9-1-1 immediately.  This website does not support, endorse or recommend any specific products, tests, physicians, procedures, treatment opinions or other information that may be mentioned on this site. Referencing any content or information seen or published in this website or shared by other visitors of this website is solely at your own risk. The publishers/producers of this Internet web site reserves the right, at its sole discretion, to modify, disable access to, or discontinue, temporarily or permanently, all or any part of this Internet web site or any information contained thereon without liability or notice to you.

Saturday, November 16, 2019

Historical Portraits of the FD: Chief Bob Checco's Photo Gallery



LINK: PERSONAL GALLERY
Click the above link to visit the gallery and you can click each photo to enlarge.



LINK: GALLERY #1 1A-1Z 1967-1976)

[photos + 2A-2Z (1970-1976) 

LINK: GALLERY #3
(1969-1975) 
** Are you in this gallery? See Directory of all firefighters listed in Gallery 3 





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Welcome to Chief Checo's photo galleries of the FD. There are 6 Galleries in total. Please click the banner graphic link (thumbnail) or the Gallery text link under each banner to enter. Also below each banner is a link of their designated Directories of all firefighters names and photos labelled accordingly. These directories will help you find if you (or someone you are looking for) is in this particular gallery.  Each photo is individually labelled according to gallery.

If you have any questions or comments about Chief Checco's photo galleries, feel free to contact him directly at: 446W58@COMCAST.NET



 There is rarely a Bocce Ball tournament or a retired FD members' meeting that you will not find beloved patriarch Chief Bob Checco - a legendary treasure trove of priceless stories and photographic portraits about many of the retired firefighters of New York.  Thanks to his remarkable memory and a vault of never-before-published photos spanning decades and generations of firefighters, we can all enjoy looking back in FD history as far back as his probie years when he snapped that first shot in 1958.

To date, so many look to Chief Checco as one of the living gatekeepers of FD stories about so many of our city's heroes.  His life-long career in the fire department carries a legacy that started in 1958 in Engine 259/ Long Island City.   He became a Lieutenant in 1966, made Captain in 1976 and then became Acting Battalion chief (ABC) in 1977 in the FD Buildings Unit.  Most of his children followed in his footsteps in city service starting with his son-in law Lt. Frankie Manetta who joined the FD in 1977 and son Ff. Jimmy Checco and drew a third generation that brought in grandsons Ff. Tommy Checco and Ff. Mike Manetta.  NYC public service in the family also extends to the NYPD which included PO Joe Checco and PO Danny Manetta.

NYCRA, the First Responders Health Resource and the AngioFoundation invites you to join this exclusive tour of the fire department through the lens of Chief Checco as he shares some of the most priceless memories and powerful portraits of his family, his friends and the community of firefighters of the City of New York.  We are blessed to witness Chief Checco's collection of images and accurate depictions of each moment captured on film while he describes some of the finer details about the many first responders in the upcoming photo memoirs (to be published soon).

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"This is the most comprehensive collection of images taken of my generation in the department.  Where each day was a true honor to be with every firefighter (doing the best job in the world), going through these memories really makes looking back an enjoyable journey.  Chief Checco single-handedly captured & memorialized each precious moment that no other photographer could ever have access to.  He went from firehouse to firehouse to snap both candid and official photos including all the special events, official graduations and the city hall meetings.  The family photos were also most endearing, watching some of our unit leaders growing up and into the job.   For all the active and retired firefighters, each of those moments, those faces and those stories are the greatest gift!" - 
(Ret) Firefighter SALVATORE "SAL" BANCHITTA from Engine 316 of the 49 Battalion.  

Also check out COUSINSAL.ORG

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OTHER ARTICLES







Advertisement: HealthScanNYC.org



Advertisement: www.Prevention101.org




Disclaimer & Copyright Notice: The materials provided on this website/web-based article are copyrighted and the intellectual property of the publishers/producers (The NY Cancer Resource Alliance/IntermediaWorx inc. and Bard Diagnostic Research & Educational Programs). It is provided publicly strictly for informational purposes within non-commercial use and not for purposes of resale, distribution, public display or performance. Unless otherwise indicated on this web based page, sharing, re-posting, re-publishing of this work is strictly prohibited without due permission from the publishers.  Also, certain content may be licensed from third-parties. The licenses for some of this Content may contain additional terms. When such Content licenses contain additional terms, we will make these terms available to you on those pages (which his incorporated herein by reference).The publishers/producers of this site and its contents such as videos, graphics, text, and other materials published are not intended to be a substitute for professional medical advice, diagnosis, or treatment. For any questions you may have regarding a medical condition, please always seek the advice of your physician or a qualified health provider. Do not postpone or disregard any professional medical advice over something you may have seen or read on this website. If you think you may have a medical emergency, call your doctor or 9-1-1 immediately.  This website does not support, endorse or recommend any specific products, tests, physicians, procedures, treatment opinions or other information that may be mentioned on this site. Referencing any content or information seen or published in this website or shared by other visitors of this website is solely at your own risk. The publishers/producers of this Internet web site reserves the right, at its sole discretion, to modify, disable access to, or discontinue, temporarily or permanently, all or any part of this Internet web site or any information contained thereon without liability or notice to you.

CANCER RECURRENCE: Viewpoints and Strategies

INTRODUCTION: WHY CANCER COMES BACK   (Source: NIH- National Cancer Institute)   When cancer comes back after treatment, doctors call it a ...