Ovarian Cancer, Cancer, Mayo Clinic News Network discussed on Mayo Clinic Radio
Warmth allows the poorest to open up and allows the extra lotion that you've applied to so deeper into the skin more effectively. And then you simply allow that wet dressing if you will or my nickname. The hand burrito placed on overnight if you're sleeping or for an hour on during the daytime when you're awake and you can do this two to three times a day you can do it morning after a lunch meal for example or in the afternoon and then of course before bed and a lot of people find that if simple a sock coverage does not help that kicking it up a notch with moisture. Ization in Vinegar Soak Helps definitively. I want to make sure that we tell the public to remember. Do not work under wet dressings. They don't absorb into the skin. So it'd be tried with Petroleum Jelly or a moisturizer that is mostly based. You'll just become frustrated so make sure that it's a cream or lotion. And then lastly I'd like to remind people even do something similar you're having mask irritation so after you've washed and dried What you can do is simply. Apply the Lotion. Twice to your face or the cream leaving a nice thick layer and then do the same vinegar-soaked with the wash cloth and then simply lay it across your face in the areas that are irritated for about fifteen minutes and repeat bat two to three times a day. And you'll find that human of the -cation message is very helpful to the face. So wonderful pearls. That Dr Davis. Thank you so much for joining us today. We've had the honor and privilege to be talking to Dr Dawn Davis Mayoclinic Dermatologists. Thank you so much. Today's dodger Cathcart. Please remember that patients have trouble beyond these at home. Remedies were happy to take care of them and dermatology or primary care. Please contact with local provider with your Mayo Clinic. Radio will return right after this. Stay with us. Hi Vivian Williams for the Mayo Clinic News Network. Did you know your kid could have an eating disorder? If he or she is extremely picky Dr Jocelyn Lebeau a Mayo Clinic child psychologist who specializes in eating. Disorders says. It's called avoid restrictive food intake disorder. It's basically extreme picky eating the food repertoire of those who have it is so limited that they can't maintain their body weight and they have health issues. She says it can be a fine line. Though between normal childhood behavior and extreme pickiness she says your kids weight goes on a curve if they fall off their curve. That's when you start to worry and it doesn't matter by the way if they're curve is at the fifth percentile. The fiftieth percentile or the eighty fifth percentile. As long as your kid continues to track where he or she has always tracked. That's healthy but it can be a problem if your kid loses weight and falls off his or her curve in that case darker. Libo says you don't WanNa make mealtime world war three. She says if suddenly you're setting up a power struggle and demanding that they have to eat and you keep telling them they have to eat. They have to eat your kind of dooming yourself. It can be even trickier for picky teens. So she suggests getting professional help in the meantime she says parents should do all. They can to get their kid to eat more of anything. Dr Libo says parents should be challenging picky eaters to eat bigger portions of the foods that are on their list of what they want to eat. She says if your kid falls off the curve nutrition is not as important at that point. Their bodies not using nutrition the same way so it's really about getting their way back up before you start trying to get them to eat kale or something like that for the Mayo Clinic News Network. I'm Vivian Williams. Welcome back to Mayo Clinic Radio. I'm Dr Tom Shives. My Co host family physician. Dr Elizabeth Cozine Tracy mccray is away. Dr Cozine Nice to have you with us. Thanks for having me with you. So we're going to talk about a very in cancer and we have previously talked about and we've talked about what a difficult disease it is to treat and the fact that it is fortunately relatively uncommon only about twenty two thousand women are diagnosed with ovarian cancer every year but the prognosis is sub optimal. Not as good as we'd like it to be and in fact less than fifty percent of women live for five years after they're diagnosed. How do doctors decide the best treatment? And what are some of the factors that influenced the outcome in patients with ovarian cancer joining us in studio today as Mayo Clinic? Gynecologic oncologists surgeon. Dr Monica Kamar. Welcome Dr Kumar. Thank you so much for having me. Good to have you back. So ovarian cancer. We know that many women present With late stage disease there wasn't diagnosed early on when it might have been more curable. Why is that yeah? I mean it's one of the biggest challenges with ovarian cancer and part of it is because it's rare. There's not a good screening test so we've done lots of studies looking for screening tests similar to like what we do from mammography and breast cancer or colonoscopy for colon cancer pap smears for cervical cancer but for ovarian cancer there's not a good effective screening test and the second issue is. There's not a lot of symptoms so the symptoms that people have are really vague and I think this presents a really big diagnostic challenge for people like our care doctors Where patients come and they have the complaints like abdominal plain bloating. Sometimes they get full kinda early and who hasn't had that system over the last month right and so trying to distinguish you know I I kinda in some ways. Have the easy part where they already come to me with a diagnosis. But if you're a family cared Aker Primary Care Doc. And you're seeing this patient. You have to figure out. Is this the problematic kind of domino pain or is this just normal daily abdominal right? When they come to see me they're usually pretty undifferentiated and but worried about ovarian cancer because they do hear about this sort of statistic that fewer than fifty percent of women who are diagnosed with ovarian cancer live for five years after the diagnosis tells a little bit about those statistics. Why is it so grim. Yeah so at the end of the day even though we do have some treatments that are effective and we can usually but not always get patients into remission because of the late stage of diagnosis. We have disease that's usually spread throughout the abdomen. Sometimes of the abdomen into the chest cavity or other parts of the body into treatment as challenging and cancer cells can evade the tree the traditional treatments of surgery and chemotherapy. And the disease often recurs. So while I can get someone can get into remission with our traditional therapies their risk of it coming back and then not being careful is quite high. Gotovina's any woman female ever come into your office and use said Dear Self. I bet she's got ovarian cancer and if so what was it about the history or maybe your examination that made you suspect that. I've got it on my differential before and actually I have yet to diagnose ovarian cancer I've thought about exactly although the the woman who was postmenopausal who is perhaps late fifties early sixties. Who has new blowed or new tidy? That's being full shortly after eating and really hadn't had this symptom before so that kind of raises my feelers. A little bit and the main thing that I wanna do is not ignore those types of symptoms and say oh we should look into this and so usually order for example public ultrasound. Yeah and that's really important. And like you said. I think it's becoming more common in the public discourse to know about these symptoms but I think there's a lot of people who didn't even know there were symptoms of ovarian cancer patients. Come to me and say well if I have so much cancer. I have pain. Or why don't I have more symptoms? Anything patients than be the lack of symptoms the lack of sort of screening tests. That have shown anything then also lead to the sense of shock when they say I was healthy and doing my normal life and turns out. I have an advanced cancer. But there's pull of room for the ovarian cancer to grow in the abdomen before it actually pushes on anything enough that it causes symptoms right exactly right so when you talk about treatment You they come to you with a diagnosis. How how do you own the options? And how do you and the patient decide? What's best for them? Yeah that's a great question so you know if we're talking about just advanced ovarian cancer which is the majority of patients so patients who are staged three C. Or four which means that. The disease has left the pelvis and has spread throughout the abdomen and sometimes into the chest cavity. I tell patients that for the most part treatment is a combination of surgery and chemotherapy. In there are some nuances on how we decide. Do we do surgery? I we call that primary site over reductive surgery meaning surgery that goes in and tries to take out as much of the tumor as possible and then we follow that with chemotherapy. So that's option one. A second option is to start with chemotherapy. Let the tumors shrink to surgery and then do some more chemotherapy. After of course there's always the option where there might be a patient who says I. I don't want to treat this you know. I have an advanced cancer. I've lived my life and it's a pretty rare case. Is Important that patients know when you get a diagnosis like this. And you feel really robbed of your control that really you are still the person who gets make decisions about your health and your body and there are some patients who will choose not to any treatment. So what are some of the factors that are within patients control for example what they eat or active they are that might actually influence the treatment or how they respond to treatments? Yeah in this area we look at a lot so the thing is what I always tell. Patients is for everything we do. There's risks and benefits especially for surgery. You know there are a lot of risk with surgery but there's a lot of benefit we think that if we can get some into the operating room and take out as much disease as possible front as a first step that we can lead to the longest benefit from a survival standpoint so the long survival. But there's a cost to that surgery. This is highly complicated. Surgery includes operating in all four quadrants of the abdomen. Meaning I'm GonNa is not just doing a hysterectomy but it's often complicated surgery up around the liver around. The spleen in. The upper part of the abdomen usually requires a Ballard section. Sometimes these surgeries can last six to eight hours with a high rate of blood loss in so that being said it's also very effective surgery in so there's two things that I look at number one. I WanNa make sure I can do meaningful surgery so I don't want to go into the operating room and then leave the operating room having put them in through a lot of risk and a lot of surgery without being able to take out the majority of disease so the first is I want to make sure is her disease responsible. Can I take out the most amount of disease that I can? The second question is issue fit enough for surgery because there are a high risk of complications. And so we want to avoid complications and we also want to make sure that if you were to have a complication you can recover from that complication. So we look at lots of factors. It's not a perfect science but we look at things like age. No how old is the person We look at their albumin. And that is a nutritional mercker and it can be very affected by cancer and the fluid that develops in the abdomen. We look at their other co morbidity so other medical history they have like heart disease or Klotz in their leg in lungs and how that in Florence is their overall being..