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Ebola and Breast Cancer

Dr. George Linhardt Teton Valley Health Care

Dr. George Linhardt
Teton Valley Health Care

That caught your attention. To be clear, breast cancer does not lead to an Ebola infection nor does Ebola put you at increased risk for breast cancer. However, they share the importance of monitoring yourself and being vigilant to stay well.

With Ebola, if one has traveled to certain countries and develops symptoms, they need to seek medical attention to save their life.

With breast disease, if one detects a lump or a change, it is imperative to seek medical attention to save one’s life.

Men as well as women can develop breast cancer, so men should not ignore changes.

You know your body better than anyone else, so you will be the best to detect subtle changes or irregularities. These changes will not be detectable overnight, but may arise over a period of a month. It is recommended that a particular day of the month; 1st, 15th or last day of the month be your day for self-examination. For women, it is best to schedule your self-exam several days after the last day of your menstrual cycle. It will be easiest to detect changes at that time.

Breast self-examination is easily performed by you in the shower with a liquid soap. It is important to include the entire breast, the area beneath the breast and the armpit. One should be one alert for a bloody discharge, or a different discharge and changes in the skin of the nipple. These nipple changes may be a rash, scaling or an unusual skin tag. You can visit Teton Valley Health Care’s breast health information webpage for more information about self exams and general breast health. Teton Valley Hospital can also provide you additional information with diagrams to assist you.

Mammograms are an excellent partner for breast self-examination. This partnership is critical as approximately 15% of all breast cancers are not detectable by mammography. Current recommendations for mammograms begin at age 40 and at intervals of one to two years. If one waits until that age or the next mammogram to have a lump evaluated valuable time is lost, and options may radically change. Unfortunately, many are fearful of finding a lump or that if a lump is detected a biopsy will be necessary. The sooner one finds a cancer, the more options are available. Biopsies should not be feared. Today, most biopsies are performed under local anesthesia through a nick in the skin, with minimal discomfort and a tiny scar.

It is imperative that you do not ignore a potential change you may detect during a  self-exam, and that your provider listens to your concerns.

In breast cancer: earlier is better than later, smaller is better than larger, know and trust what you body tells you.

Dr. George Linhardt is a general surgeon at Teton Valley Health Care. He sees patients at Driggs and Victor Health Clinics. To make an appointment call (208) 354-2302.

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Ode to the Sheep Trail

Ode to the Sheep Trail

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Ode to the Sheep Trail

The sheep trail is a lovely path
That skims the side of Teton Creek
And although I’ve never done the math
The miles are gentle for strong and weak.

Bring your dogs and bring some bags
Cuz dogs have fun but they also poop
They’ll smile and give you tail wags
But they sure won’t help you bend and scoop.

You’ll cross a bridge over Teton Creek
That leads you on your way
Through aspens, pines, views of the peak
Flowers, birds; all on display.

Hike until the very end
Where streams meet and make a fork
Or picnic at the sandy beach
And maybe pop a cork.

Head back home with a sense of peace
And memories of what you saw
Although it’s just a simple walk
You’ll feel a humbled awe.

- By Ann Loyola, (author of the Good Choice, Bad Choice blog).

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Health ABCs from a PA-C: Cholesterol 101

It’s health fair season, and I know many of you will have your discounted lab draws done this week at Teton Valley Hospital. One of your options for those draws is blood chemistry profile. With this test you’ll get a good overview picture of your kidney and liver health, blood count and lipid profile. The lipid panel means you’ll get a measure of your HDL (high-density cholesterol), LDL (low-density cholesterol) and triglyceride levels. But what does this mean to you?

Let’s start with the basics. Cholesterol is a waxy, fat-like substance found in your body and many foods. Your body needs it to build healthy cells and function properly. Too much cholesterol can accumulate in your body and cause plaques on your arteries. These plaques can block blood flow causing a heart attack or stroke.

We monitor two main types of cholesterol through blood work. LDL, “bad cholesterol” makes up the majority of the body’s cholesterol. LDL is known as “bad” cholesterol because having high levels can lead to a buildup in the arteries and result in heart disease. HDL, “good cholesterol” absorbs LDL and other cholesterol molecules and carries it back to the liver, which flushes it from the body. High levels of HDL, or “good” cholesterol, reduce the risk of heart disease and stroke.

Here is a list of appropriate blood levels:

Desirable Cholesterol Levels
Total cholesterol Less than 200 mg/dL
LDL (“bad” cholesterol) Less than 100 mg/dL*
HDL (“good” cholesterol) 40 mg/dL or higher
Triglycerides Less than 150 mg/dL

 

Treatment options for high cholesterol first start with TLC (therapeutic lifestyle changes). The first and most important lifestyle modification we encourage is to maintain a healthy weight. The important thing about weight loss is understanding it isn’t about short-term dietary changes. It’s about a lifestyle that includes healthy eating, regular physical activity, and balancing the number of calories you consume with the number of calories your body uses. Fewer calories in than calories expended is the way to lose weight. To better understand how many calories you need for your body and health concerns, see your primary care provider.  AHA graphic physical activity

Increasing your physical exercise is another lifestyle modification essential to maintaining a healthy heart and keeping your weight stable which in turns prevents chronic illness. Studies have shown that 30 minutes of aerobic activity five times a week is beneficial as primary prevention of heart disease. It is also important to try to maintain your target heart rate while exercising. This can be calculated by counting your pulse for 10 seconds and multiply by 6 to find your beats per minute. You want to stay between 50 to 85 percent of your maximum heart rate. This range is your target heart rate. Your maximum heart rate is 220 minus your age. If you are taking blood pressure medications, your target heart rate may be different, and you should consult your doctor before beginning a new exercise program.

Another way to control high cholesterol is with medications. Statins are a commonly prescribed medication with great value. They have proven to reduce risk of heart attacks and strokes. These medications are essential for people with cholesterol resistant to TLC and/or people with moderate to high levels of cholesterol.

An alternative therapy for people with mild high cholesterol is Red Yeast Rice. Red yeast rice (RYR) is the product of yeast (Monascuspurpureus) grown on rice. It is a dietary staple in some Asian countries. It contains the same compound found in statins, (HMG-CoA) reductase inhibitor. Studies have shown this product to be effective for treatment of hyperlipidemia (high cholesterol). More specifically, decreases in total cholesterol (TC), LDL cholesterol (LDL-C), and triglycerides (TG) have been noted. Consult with your primary care provider to see if this therapy may be beneficial to you.

Hopefully this gives you a better understanding of cholestrol in general and how you can work to keep your cholesterol levels within normal ranges.

Don’t forget that TVHC’s discounted lab draws run now through Saturday, September 13. Remember to fast for 8-10 hours prior to your draw if you plan to get the blood chemistry profile (which includes lipids). You can have your results read at our annual Harvest Health Fair Saturday, September 27 at Driggs Elementary. I’ll be there and I hope to see you at this important community event!

Anna Gunderson, PA-C is a nationally certified Physician Assistant. She works at the Driggs and Victor Health Clinics and is currently accepting new patients. Call (208) 354-2302 to make an appointment or visit tvhcare.org for more information on the services offered at Teton Valley Health Care.

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