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Gord Downie & Brain Cancer

Leah Sarich | posted Thursday, May 26th, 2016

glioblastoma

Over the last few days, we’ve all be talking about Gord Downie of the Tragically Hip and his battle with brain cancer. But many of us have questions about just what kind of brain cancer this is and how could he be touring this summer? Neurosurgeon Dr. John Kelly explains Downie has a type of brain cancer called glioblastoma. It’s the most common form of brain cancer and also the most aggressive. It occurs in three in 100 thousand people. It can occur in any one at any age but is most commonly diagnosed in the 60 year old male.

There are reports Downie had a random seizure one day walking down the street. Dr. Kelly explains this is often one of the most common first symptoms of the disease, along with headache and neurological deficit. The location of the tumour in the brain affects what kinds of symptoms a patient will have because various parts of the brain control various parts of the body and mind. Usually what happens is a patient will have a seizure, recover from that seizure and then be taken to the ER to determine what caused that seizure. Imaging tests are done starting with a CT scan and then depending on what is revealed, the patient will get an MRI. The patient will then be put on anti-seizure medication and a treatment plan determined.

Downie has had surgery to remove the tumour followed by chemotherapy and radiation which is the standard form of treatment explains Dr. Kelly. Downie has responded very well to surgery, chemo and radiation, but Dr. Kelly says this is not always the case. Sometimes patients never wake up from the surgery or wake up only to have neurological problems that require care and some patients really struggle following chemo and radiation never returning to their previous life.

But Downie, according to reports, has responded very well to his treatment plan which is why he’s able to tour this summer. Is he cured? No, says Dr. Kelly. With glioblastoma, even though surgery has removed the tumour, it is impossible to get all of the cancerous cells. The cells are simply too small to be seen with imaging and that means another tumour will most likely grow. It’s also impossible to predict when this recurrence will occur.

For now, Downie as any patient at his stage of treatment, will be closely monitored with regular MRI scans so that the next tumour will be found as soon as possible.

For more information on glioblastoma visit this website. 

Summer Ready with Arthritis

Leah Sarich | posted Thursday, May 26th, 2016

arthritis

With summer just around the corner, many people with arthritis are looking to get more active. There are over 100 types of arthritis but everyone with the disease can benefit from gentle and regular exercise, says Rheumatologist Dr. Olga Ziouzina.

There are two main types of arthritis. Degenerative arthritis, which is caused by overuse as well as normal aging of the joints, affects about 20 percent of the normal population and the most common kind is osteoarthritis. Inflammatory arthritis, which is caused by a malfunction of the immune system where the body attacks its own joints creating ongoing inflammation, affects about one percent of the population and the most common kind is rheumatoid arthritis. The joints in both types of arthritis cope better when the patient is moving regularly. Dr. Ziouzina explains staying fit ensures the muscles remain strong and the ligaments and tendons remain flexible which, in turn, support the joints better.

However, if the patient has been sedentary over the winter, it’s important to start exercising slowly. Dr. Ziouzina says to expect a little more pain at the start as the body strengthens and to treat the pain with over the counter pain medications as well as heat and ice. She also recommends joint protection devices like walking sticks to offload some of the strain on the joints.

Also, it’s very important to stay in regular contact with your doctor. Dr. Ziouzina says there are new medications being approved all the time for arthritis, so patients need to ask their doctor if there might be a new treatment option for their type of arthritis.

For more information on arthritis visit this website. To support those with arthritis, the annual Walk to Fight Arthritis is Sunday June 5th at Eau Claire Market. Click here for details.

Preeclampsia

Leah Sarich | posted Thursday, May 19th, 2016

PE

Preeclampsia affects 5 to 8 percent of all pregnant women. For Preeclampsia Awareness Month, we spoke with the Head of Maternal Fetal Medicine at the University of Calgary Dr. JoAnn Johnson about a new study underway that aims to prevent the disorder.

Preeclampsia can have serious consequences for both mom and baby. The disorder is characterized by a sudden onset of high blood pressure in a woman usually after 20 weeks of pregnancy. It’s associated with protein in the urine and can affect multiple organs including the kidney and liver. And in many cases, the only treatment is to deliver the baby prematurely which is traumatic for everyone involved, not to mention incredibly costly to the health care system.

Currently, doctors can determine if a woman has PE by checking her blood pressure and doing a urine test at her prenatal visits. In terms of prevention, doctors can determine which moms are at high risk of preeclampsia by looking at their risk factors: did they have preeclampsia in a previous pregnancy, are they overweight, do they already have high blood pressure…etc.  These high risk moms are then given low dose aspirin. But new preliminary research shows if aspirin is given to high risk moms before 16 weeks of pregnancy it can dramatically reduce preclampisa… early studies suggest by as much as 90 percent.  But this result needs to be proven in bigger studies.

The idea is to determine who is at high risk of preeclampsia early on, and then offer them this low dose aspirin. That’s why the research study, called the Prediction study, underway at the University of Calgary first needs to confirm that their assessment tool works here in Canada, if it does, then those women deemed high risk can receive treatment.

Researchers are looking for 1 thousand first time pregnant women, less than 14 weeks, here in Calgary to participate. There’s no risk to mom or baby. All the study would do is add an additional blood test and measurement to the first trimester screening. This additional testing would add about 30-40 minutes to their nuchal. Researchers want women to understand participating in this study would help future moms and babies.

For more information on the study and to find out if you’d be eligible to participate email predictioncalgary@gmail.com or call 403-943-8382.

For more information on preeclampsia go here.

 

 

 

 

Gastroenteritis

Leah Sarich | posted Tuesday, May 17th, 2016

gastropic

More and more Fort McMurray evacuees in evacuation centres across the province are coming down with an intestinal illness called Viral Gastroenteritis or viral gastro. The latest numbers of those infected can be found here from Alberta Health Services.  This is a viral infection that can be caused by several kinds of viruses… norovirus (the one often associated with cruise ships and daycares,) rota virus, adeno virus and more. These are viruses that are in the community at all times. But Dr. Raj Bhardwaj, an acute care physician, explains the viruses are highly contagious and easily spread through confined spaces like schools and evacuation centres. He says the virus particles can live on hard surfaces for up to two weeks if not cleaned off.

The viruses cause unpleasant symptoms like vomiting and diarrhea, stomach pain and nausea. While unpleasant, the infection usually only lasts about 2-3 days. But because it is so highly contagious, Dr. Bhardwaj says the best defence is good hand hygiene. He says washing hands with soap and water for 15 to 30 seconds, then drying hands with a paper towel and using that paper towel to turn off the taps and open the door is the best practice. It’s critical not to reinfect yourself leaving the bathroom by touching any surfaces. Hand sanitizers are less helpful because they’re often not used properly. Dr. Bhardwaj says with an alcohol based sanitizer, people must wet their entire hands including between fingers and under fingernails and then they must rub hands together until they’re dry. It’s also necessary for patients to isolate themselves as best as they can. They must also not prepare food for others.

And as for treating this infection, do not expect antibiotics. Dr. Bhardwaj explains viral gastro is a viral illness so antibiotics won’t work. The best thing to do is support the body while it clears the infection itself and that means staying hydrated. While it can be a challenge to keep water down, particularly in little kids, Dr. Bhardwaj says aim for just 1 tablespoon of water every 5 to 10 minutes. This is all the hydration the body needs to fight the infection on its own.

For more information on this illness read this fact sheet from AHS.

 

Lupus

Leah Sarich | posted Friday, May 13th, 2016

lupusdoc

Lupus affects one in two thousand individuals, 90 percent of them are women. The disease is most commonly diagnosed between the ages of 15 and 45 so this age group presents unique challenges. But first off what is lupus? Dr. Ann Clarke who has started a new Lupus Clinic at the University of Calgary explains lupus is an autoimmune disease where the patient’s own antibodies attack their own tissues. Numerous organs and tissues can be affected but many patients present with a skin rash, arthritis or kidney involvement. So the disease can be tricky to diagnose, hence the nickname “the disease of a thousand faces.”

Typically a family doctor will suspect lupus in a patient and then refer them to a rheumatologist. That doctor will then do a full patient history to try and put together a symptom profile, they’ll do an exam and order blood work where they’ll be looking for specific antibodies related to lupus. Like with many diseases, lupus is easier to treat if it is caught early. Treatments usually involve immune suppressing drugs from steroids to biologics. The goal of treatment is to get the patient into a prolonged state of remission.

And with this group of patients family planning is a huge issue, says Dr. Clarke. Fertility can be affected and the fetus can also be adversely affected by lupus medications. Furthermore, the mom’s condition can become worse in pregnancy so patients who want to become pregnant must come up with a plan with their doctor in order to do so safely.

The good news is Dr. Clarke’s lupus clinic is accepting new patients with lupus. This clinic will provide optimal care for lupus patients. Dr. Clarke has established relationships with other specialists like nephrologists or kidney doctors and a dermatologist with a special interest in lupus. The clinic will also allow for patients to participate in clinical trials for new medications.

For more information on lupus visit this site, for more information on Dr. Clarke go here.

 

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