Tuesday, May 21, 2013

Cryoablation For Breast Cancer Patients

Have you heard about the cryoablation study we are participating in right now? Watch Dr. Cox explain some of the benefits that could come to future breast cancer patients using this treatment:

WFLA-TV Newschannel 8

Monday, May 13, 2013

Hints to Help with Nausea and Vomiting

One of the most important goals of the USF Breast Health Program is to provide you with the highest quality of care through education, research and service. The following information has been developed to help you manage nausea and vomiting. Your doctor, nurse or dietitian can review this information with you and answer any questions you may have.

What causes nausea and vomiting?
Nausea and vomiting can be caused by certain medications, motion, anxiety, dehydration, certain odors, radiation, chemotherapy or the cancer itself. Those people who have nausea and vomiting due to chemotherapy or radiation will be glad to know that there are a variety of ways to relieve these side effects through diet, medicines and relaxation methods.

What can help you eat while nauseated?
  • Take your prescribed anti-nausea medicine 30 to 60 minutes before you eat.
  •  If you have nausea and vomiting after your chemotherapy treatment, try taking your anti-nausea medicine the night before your treatment and keep taking it through the first 48 hours after treatment. Do this even if you do not feel nauseated.
  • Try eating dry, salty foods like plain toast or crackers.
  •  Use a clear liquid diet to reduce the feeling of nausea. Liquids such as apple juice, cranberry juice, lemonade, fruitades, broth, Gatorade®, ginger ale, 7-Up®, popsicles, gelatin, tea, or cola are usually well tolerated. Sip liquids slowly. If cold liquids or carbonation bothers you, drink at room temperature or when soda is flat (having no fizz).
  • Eat smaller portions of food that are low in fat since they are easiest to digest and move through the stomach faster. If you are eating smaller portions, be sure to eat more often to keep up with your calorie and protein needs.
  •  Avoid foods that are fried, fatty, or very spicy.
  •  Do not eat your favorite foods at times when you are likely to be nauseated or vomit. Patients often become “turned off” by some of their favorite foods if they eat them during periods of nausea and vomiting, such as right after chemotherapy.
  • Do not lie flat for at least two hours after eating. However, it may be helpful to rest after eating. If you do, sit upright. When reclining, make sure your head is at least four inches higher than your feet. You may want to put four-inch blocks under the head of your bed.
  • Sometimes loose clothing or fresh air can help. Take slow deep breaths and exhale slowly. Repeat two more times.
  • Try sour foods such as lemons, sour pickles, sour hard candy, or lemon sherbet to relieve the feeling of nausea. Rinsing your mouth with a mixture of lemon juice and water may also be helpful.

Helpful tips if the smell of food makes you nauseated:
  • Let someone else do the cooking. Sit in another room or take a walk while the food is being cooked.
  • Do not prepare fried foods or strong smelling foods when nauseated. Fried or greasy foods seem to be the worst offenders along with cabbage, broccoli and egg products.
  • Use prepared foods from the freezer that can be warmed at a low temperature, or have a meal that doesn’t need to be cooked.
  • Eat foods at room temperature or cooler. Examples of cold temperature foods are chef salads, sandwiches, Carnation® Instant Breakfast and yogurt with fruit.

Suggestions for increasing your diet after periods of vomiting:
  •  Start with liquids first.

1. If you are vomiting, do not try to eat. Drink or sip cool liquids such as iced tea, water, tonic water, club soda, Sprite®, sports drinks, etc. It is important to drink to replace lost fluids.
2. Suck on popsicles, hard candies, suckers, candy sticks, or candy canes.
3. As you feel better, try broth, Jell-O®, juices, sherbet, or fruit ice.
  • When liquids stay down, try dry toast, crackers, pretzels, hot cereal, or baked potatoes. If these foods do not cause problems, try milk on cereal, mild fruits and vegetables, custards and puddings.
  • Gradually add foods, one at a time, to see which are the best tolerated.

Call your doctor if:

  • You are unable to drink fluids.
  • Your nausea lasts for more than 1 or 2 days, or it is not controlled by your anti-nausea medicines.
  • You lose 2 or more pounds in 1 to 2 days.
  • Your vomit looks like coffee grounds.
  • You do not have the need to urinate as often as usual and your urine looks dark yellow.

Monday, November 12, 2012

Detecting Breast Cancer With Implants

In this news story from 10 News, Dr. Cox gives advice to women considering this procedure and how it could affect the detection and treatment of breast cancer.

Be sure to discuss your options with your plastic surgeon.

Tuesday, October 9, 2012

Handpick a Winning Medical Team

Finding the right group of physicians to care for you during cancer diagnosis and treatment is very important. Linda Hurtado wrote an article in Tampa Bay Parenting  about how she selected her medical team as she faced breast cancer treatment.

Handpick a Winning Medical Team

Thursday, September 6, 2012

Coming Up: The Main Event!

We are rapidly approaching the Hooked on Hope Inshore Fishing Tournament! As always, there are some amazing sponsors and donors. Go to their Facebook page or website to learn more about this year's event. There is a pamper party for survivors, a silent auction, and much more!! Online registration is now open, so join us in getting Hooked on Hope!

Tuesday, July 24, 2012

Nutritional Guidelines for Chemotherapy Patients

Some people experience virtually no side effects from cancer chemotherapy, but this is rare. Most patients report at least some problems, including nausea, fatigue and diarrhea during the treatment.

Reason: The drugs that are used in chemotherapy are designed to kill fast-growing cancer cells. But they also damage fast-growing healthy cells, particularly in the mouth, digestive tract and hair follicles.

Good nutrition is critical if you’re undergoing chemotherapy. It’s estimated that up to 80% of cancer patients are malnourished. People who eat well before and during chemotherapy tend to have fewer side effects. They also are more likely to complete the full course of therapy than those who are poorly nourished and may feel too sick to continue. What to do...

Load up on Nutrient-rich Foods
In the weeks before chemotherapy, patients should emphasize nutrient-dense foods, such as whole grains, vegetables and legumes. The high nutrient load of a healthy diet helps strengthen healthy cells so that they’re better able to withstand -- and then recover from -- the effects of chemotherapy. Here are some good choices...

Dark leafy greens, such as spinach, kale and swiss chard. They’re high in antioxidants, such as beta-carotene, lutein and other phytonutrients. These compounds help minimize the damaging effects of free radicals, tissue-damaging molecules that are produced in large amounts during chemotherapy. Kale is particularly good because it contains indole-3-carbinol, a compound that has anticancer properties.

Olive oil, like green vegetables, is high in antioxidants. It’s one of the best sources of oleic acid, an omega-9 fatty acid that strengthens cell membranes and improves the ability of the immune system to fight cancer cells. I like extra-virgin olive oil because it has been exposed to the least heat.

Garlic. The National Cancer Institute reports that people who eat garlic regularly seem to have a lower risk for intestinal and other cancers, including breast cancer. The strong-tasting sulfur compounds in garlic, such as allicin, have strong antiviral and antibacterial effects -- important for chemotherapy patients because they’re susceptible to infection. In your recipes, try to use fresh garlic. When using, smash it and let it sit for 10 minutes to allow the antiviral properties to become more accessible -- then chop and cook. (To smash garlic, set the side of a chef’s knife on the clove, place the heel of your hand on the flat side of the knife and apply pressure.)

Increase Protein
It’s the main structural component of muscle and other tissues. People who undergo chemotherapy need large amounts of protein to repair tissue damage that occurs during the treatments.

Recommended: About 80 grams of protein daily. That’s nearly double the amount that healthy adults need. Cancer patients who increase their protein about a week before chemotherapy, and continue to get extra protein afterward, recover more quickly. They also will have more energy and less fatigue.

Try this: Two or more daily smoothies (made in a blender with juice or milk, a variety of fresh fruits and ice, if you like) that are supplemented with a scoop of whey protein powder. The protein in whey is easily absorbed by the intestine. And most people can enjoy a nutrient-rich smoothie even when they have nausea or digestive problems related to chemotherapy.

Drink to Reduce Discomfort
Stay hydrated both before and after chemotherapy sessions to reduce nausea. Drink liquids until your urine runs clear -- if it has more than a hint of yellow, you need to drink more.

Helpful: Soups and broths provide water, as well as protein, minerals and vitamins.

Avoid Your Favorite Foods Two Days before Treatments
It’s common for chemotherapy patients to develop food aversions when they get nauseated from treatments and then to associate the nausea with certain foods. It’s sad when people develop aversions and can never again enjoy their favorite foods.

Eat Lightly and Frequently
People tend to experience more nausea when the stomach is empty. During and after "chemo days," keep something in your stomach all the time -- but not too much. Patients do better when they have a light snack, such as sautéed vegetables or a bowl of broth, than when they go hungry or eat a lot at one sitting.

Treat with Ginger
When your stomach is upset, steep three slices of fresh ginger in a cup of simmering water for 10 minutes, then drink the tea. Or grate fresh ginger with a very fine grater, such as a Microplane, and put the shavings under your tongue. Ginger alleviates nausea almost instantly.

Overcome "metal mouth"
The drugs used in chemotherapy can damage the nerves that control the taste buds. Some people complain about a metallic taste in their mouths after treatments. Others notice that foods taste "flat" or that their mouths are extremely sensitive to hot or cold.

These changes, known as transient taste changes, usually disappear a few weeks (or, in some cases, months) after treatments, but they can make it difficult for people to eat in the meantime.

Helpful: The FASS method. It stands for Fat, Acid, Salt and Sweet. Most people will find that it’s easier to enjoy their meals, and therefore ingest enough nutrients, when they combine one or more of these elements in every meal.

For fat, add more olive oil than usual to meals... lemons are a good source of acid... sea salt has less of a chemical aftertaste than regular salt... and maple syrup gives sweetness with more nutrients (including immune-building manganese and zinc) than table sugar.

Try Kudzu Root
Used in a powder form to thicken sauces, puddings and other foods, it soothes the intestine and can help prevent diarrhea. You also can dissolve one teaspoon of kudzu root in one teaspoon of cold liquid and drink that. Drink after meals, as needed. Kudzu root is available in most health-food stores.

Soothe Mouth Sores
You can do this with soft, easy-to-eat foods, such as granitas (similar to "Italian ices") or smoothies. The sores can be intensely painful, which makes it difficult to eat.

Recommended: Watermelon ice cubes. Purée watermelon, and put it in a tray to freeze. Then suck on the cubes. The cold acts like a topical anesthetic -- you can numb the mouth before eating a regular meal. And the juice from the melon is just as hydrating as water but provides extra nutrients, including the antioxidant lycopene.

Go to our website for more guidelines. There you can get a FREE PDF copy of the National Cancer Institute's book "Eating Hints: Before, During, and After Cancer Treatment." Do these pointers help you? Tell us what has worked for you!