Wellness Wednesday: Breast Cancer Facts and Figures

October is National Breast Cancer Awareness Month and Mercy Health System wants you to know the facts about breast cancer and understand that early detection is the key to survival.

Facts about Breast Cancer in the United States

  • BreastCancerOne in eight women will be diagnosed with breast cancer in their lifetime.
  • Breast cancer is the most commonly diagnosed cancer in women.
  • Breast cancer is the second leading cause of death among women.
  • Each year it is estimated that over 220,000 women in the United States will be diagnosed with breast cancer and more than 40,000 will die.
  • Although breast cancer in men is rare, an estimated 2,150 men will be diagnosed with breast cancer and approximately 410 will die each year.
  • Most breast cancers are found in women who are 50 years old or older, but breast cancer also affects younger women. About 11 percent of all new cases of breast cancer in the United States are found in women younger than 45 years of age.

BreastCancer2A Global Burden

According to the World Health Organization, breast cancer is the most common cancer among women worldwide, claiming the lives of hundreds of thousands of women each year and affecting countries at all levels of modernization.

Good News about Breast Cancer Trends

In recent years, perhaps coinciding with the decline in prescriptive hormone replacement therapy after menopause, we have seen a gradual reduction in female breast cancer incidence rates among women aged 50 and older. Death rates from breast cancer have been declining since about 1990, in part to better due to screening and early detection, increased awareness, and continually improving treatment options.

Factors That Decrease Breast Cancer Risk

  • Being older when you first had your menstrual period.
  • Starting menopause at an earlier age.
  • Giving birth to more children, being younger at the birth of your first child, and breastfeeding your children.
  • Getting regular exercise.
  • Maintaining a healthy weight.

Factors That Increase Breast Cancer Risk

  • Long-term use of hormone replacement therapy.
  • Personal history of breast cancer or non-cancerous breast diseases.
  • Family history of breast cancer (on either your mother’s or father’s side of the family).
  • Treatment with radiation therapy to the breast/chest.
  • Dense breasts by mammogram.
  • Drinking alcohol.
  • Night-shift work.

Source: Centers for Disease Control and Prevention (CDC)


Watch Mercy Health System′s 2016 Pink Glove Dance video and share with your friends!

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Wellness Wednesday: Early Detection Saves Lives

According to the Centers for Disease Control and Prevention (CDC), mammograms are the best way to find breast cancer early and studies show that finding breast cancer early saves lives.

Nurse Assisting Patient About To Have A MammogramDuring National Breast Cancer Awareness Month, Mercy Health System would like to encourage you to care for yourself, or the women in your life, by reminding you of the importance of regular screenings.

The American Cancer Society and the National Comprehensive Cancer Network (NCCN) recommends that women begin having annual mammograms starting at age 40*. However, the U.S. Preventive Services Task Force suggests beginning annual mammograms at age 50 and women between the ages of 40 and 49 should consult with their health professional about when she should have a mammogram.

Mercy Fitzgerald Hospital and Mercy Philadelphia Hospital both provide free Walk-in Mammograms every week. No appointment is necessary. Just bring your insurance card, physician prescription and photo ID.

Mercy Fitzgerald Hospital Walk-In Screening Mammograms

breast-cancer-ribbonSr. Marie Lenahan Wellness Center
Women’s Imaging Suite
Every Wednesday, Thursday and Friday, 8 a.m. to 4 p.m.
Physician prescription, insurance card and photo ID required.
For more information, call 610.237.2525.

Mercy Philadelphia Hospital Walk-In Screening Mammograms

Medical Office Building
Radiology Registration
Wednesdays & Thursdays, 8 a.m. to 4 p.m.
Saturdays, 8 a.m. to 12 p.m.
Physician prescription, insurance card and photo ID required.
For more information, call 610.237.2525.

It is also recommended that women have a clinical breast exam every three years during their 20s and 30s and every year over the age of 40. Women should know how their breasts normally look and feel and report any breast changes to a health care provider right away. Breast self-exams are an option for women starting in their 20s.

There are certain circumstances under which you should consult your Primary Care Physician (PCP) before scheduling a mammogram. If you are pregnant or have been breastfeeding during the last six months, call your doctor and ask if a mammogram would be appropriate.

To find a Mercy Health physician, visit our website at www.mercyhealth.org/find-a-doctor.

* The American Cancer Society issued new guidelines for breast cancer screenings in October 2015. Read the CNN news report.


Watch Mercy Health System′s 2016 Pink Glove Dance video and share with your friends!


More Information:

http://www.cdc.gov/cancer/breast/basic_info/screening.htm

http://www.cdc.gov/cancer/breast/pdf/breastcancerfactsheet.pdf

http://www.cancer.org/cancer/breastcancer/

http://www.cancer.gov/types/breast

Wellness Wednesday: It’s Healthy Aging Month

Chinese Grandparents Sitting With Grandchildren In ParkPeople in the U.S. are living longer than ever before. Many seniors live active and healthy lives. But there’s no getting around one thing: as we age, our bodies and minds change. There are things you can do to stay healthy and active as you age:

Eat a balanced diet

Studies show that a good diet in your later years reduces your risk of osteoporosis, high blood pressure, heart diseases and certain cancers. As you age, you might need less energy. But you still need just as many of the nutrients in food.

Keep your mind and body active

Exercise is perhaps the best demonstrated way to maintain good health, fitness, and independence. Research has shown that regular physical activity improves quality of life for older adults and decreases the risk of cardiovascular disease and many other illnesses and disabilities. In many ways, it is the best prescription we have for healthy, successful aging.

Don’t smoke

iStock_000018054489_LargeDo we really need to explain this one? Smoking is bad for you. So if you smoke, you should quit. There are many programs out there that can help you kick the habit. Visit the classes and events page on our website to join a free smoking cessation group, or ask your doctor for more information on ways to quit. Even if you’ve spent a lifetime smoking, you will benefit from stopping now.

Get regular checkups

Regular health exams and tests can help find problems before they start. They also can help find problems early, when your chances for treatment and cure are better. Which exams and screenings you need depends on your age, health and family history, and lifestyle choices such as what you eat, how active you are, and whether you smoke.

To make the most of your next check-up, here are some things to do before you go:

Practice safety habits to avoid accidents and prevent falls

A fall can change your life. If you’re elderly, it can lead to disability and a loss of independence. If your bones are fragile from osteoporosis, you could break a bone, often a hip. But aging alone doesn’t make people fall. Diabetes and heart disease affect balance. So do problems with circulation, thyroid or nervous systems. Some medicines make people dizzy. Eye problems or alcohol can be factors. Any of these things can make a fall more likely.

Sources: Centers for Disease Control and Prevention, NIH: National Institute on Aging

Wellness Wednesday: Keeping Your Cholesterol in Check

September is National Cholesterol Education Month, a good time to get your blood cholesterol checked and take steps to lower it if it is high.

More than 102 million American Adults have total cholesterol levels above healthy levels (at or above 200 mg/dL). More than 35 million of these people have levels of 240 mg/dL or higher, which puts them at high risk for heart disease.

What is cholesterol?

SeniorsCholesterol is a waxy, fat-like substance found in your body and in many foods. Your body needs cholesterol to function normally and makes all that you need. Too much cholesterol can build up in your arteries. After a while, these deposits narrow your arteries, putting you at risk for heart disease and stroke. Not all cholesterol is bad. Cholesterol is just one of the many substances created and used by our bodies to keep us healthy.

Total cholesterol is a measure of the total amount of cholesterol in your blood and is based on the HDL, LDL and triglycerides numbers.

HDL (high-density lipoprotein) cholesterol

HDL cholesterol absorbs cholesterol and carries it back to the liver, which flushes it from the body. HDL is known as “good” cholesterol because having high levels can reduce the risk for heart disease and stroke. Low HDL cholesterol puts you at higher risk for heart disease. People with high blood triglycerides usually also have lower HDL cholesterol. Genetic factors, type 2 diabetes, smoking, being overweight and being sedentary can all result in lower HDL cholesterol.

LDL (low-density lipoprotein) cholesterol

LDL cholesterol makes up the majority of the body’s cholesterol. LDL is known as “bad” cholesterol because having high levels can lead to plaque buildup in your arteries and result in heart disease and stroke. However, your LDL number should no longer be the main factor in guiding treatment to prevent heart attack and stroke, according to new guidelines from the American Heart Association. For patients taking statins, the guidelines say they no longer need to get LDL cholesterol levels down to a specific target number. A diet high in saturated and trans fats raises LDL cholesterol.

Triglycerides

Triglycerides are a type of fat found in your blood that your body uses for energy. Normal triglyceride levels vary by age and sex. A high triglyceride level combined with low HDL cholesterol or high LDL cholesterol is associated with atherosclerosis, the buildup of fatty deposits in artery walls that increases the risk for heart attack and stroke

How do you know if your cholesterol is high?

cholesterolHigh cholesterol usually doesn’t have any symptoms. As a result, many people do not know that their cholesterol levels are too high. However, doctors can do a simple blood test to check your cholesterol. High cholesterol can be controlled through lifestyle changes or if it is not enough, through medications.

It’s important to check your cholesterol levels. High cholesterol is a major risk factor for heart disease, the leading cause of death in the U.S. The National Cholesterol Education Program (NCEP) recommends that adults aged 20 years or older have their cholesterol checked every 5 years.

Preventive guidelines for cholesterol screening among young adults differ, but experts agree on the need to screen young adults who have other risk factors for coronary heart disease: obesity, smoking, high blood pressure, diabetes and family history

Conditions That Increase Risk for High Cholesterol

Diabetes mellitus increases the risk for high cholesterol. Your body needs glucose (sugar) for energy. Insulin is a hormone made in the pancreas that helps move glucose from the food you eat to your body’s cells. If you have diabetes, your body doesn’t make enough insulin, can’t use its own insulin as well as it should, or both. So this causes sugars to build up in the blood.

Behaviors That Increase Your Risk for High Cholesterol

Unhealthy Diet: Diets high in saturated fats, trans fat, and cholesterol have been linked to high cholesterol and related conditions, such as heart disease.

Physical Inactivity: Not getting enough physical activity can make you gain weight, which can lead to high cholesterol.

Obesity: Obesity is excess body fat. Obesity is linked to higher triglycerides and higher LDL cholesterol, and lower HDL cholesterol. In addition to high cholesterol, obesity can also lead to heart disease, high blood pressure and diabetes. Talk to your health care team about a plan to reduce your weight to a healthy level.

Family History Can Increase Risk for High Cholesterol

Portrait Of Extended Family Group In ParkWhen members of a family pass traits from one generation to another through genes, that process is called heredity.

Genetic factors likely play some role in high cholesterol, heart disease and other related conditions. However, it is also likely that people with a family history of high cholesterol share common environments and other potential factors that increase their risk.

If you have a family history of high cholesterol, you are more likely to have high cholesterol. You may need to get your cholesterol levels checked more often than people who do not have a family history of high cholesterol.

The risk for high cholesterol can increase even more when heredity combines with unhealthy lifestyle choices, such as eating an unhealthy diet.

Some people have an inherited genetic condition called familial hypercholesterolemia. This condition causes very high LDL cholesterol levels beginning at a young age.

If you have high cholesterol, what can you do to lower it?

Your doctor may prescribe medications to treat your high cholesterol. In addition, you can lower your cholesterol levels through lifestyle changes:

  • Low-fat and high-fiber food (Eat more fresh fruits, fresh vegetables and whole grains).
  • For adults, getting at least 2 hours and 30 minutes of moderate or 1 hour and 15 minutes of vigorous physical activity a week. For those aged 6-17, getting 1 hour or more of physical activity each day.
  • Maintain a healthy weight.
  • Don’t smoke or quit if you smoke.

Sources: Centers for Disease Control and Prevention, American Heart Association


More Information:

Know the Facts About High Cholesterol [CDC Fact Sheet]

American Heart Association’s Cholesterol SmartHub

Wellness Wednesday: Protect Yourself from Skin Cancer

img1Did you know? Skin cancer is the most common cancer in the United States? Yet most skin cancers can be prevented.

Every year, there are 63,000 new cases of and 9,000 deaths from melanoma—the deadliest form of skin cancer.

Ultraviolet (UV) exposure is the most common cause of skin cancer. A new CDC study shows that the majority of Americans are not using sunscreen regularly to protect themselves from the sun’s harmful UV rays.

In fact, fewer than 15% of men and fewer than 30% of women reported using sunscreen regularly on their face and other exposed skin when outside for more than 1 hour. Many women report that they regularly use sunscreen on their faces but not on other exposed skin.

Mom-sunscreenWhat is important to remember is that the sun produces dangerous UV rays, whether it’s sunny or a cloudy day.

UV rays, which can penetrate cloud cover, damage the DNA of skin cells, which causes the melanin in the body to rush to that site and try to compensate for the damage. Melanin is responsible for the pigment (color) of your skin. So when this happens, the skin changes color … pink or red for some, tan or brown for others. Whichever color your skin becomes (sunburn or suntan), both are a result of damaged skin cell DNA caused by ultraviolet rays.

Sometimes this damage affects certain genes that control how skin cells grow and divide. If these genes no longer work properly, the affected cells may become cancer cells. 

Sun Protection Strategies That Work

  • Use broad spectrum sunscreen with SPF 15+ to protect any exposed skin.
  • Seek shade, especially during midday hours.
  • Wear sunglasses, a hat that covers your ears, and other clothes to protect skin.
  • Sunscreen works best when used with shade or clothes, and it must be re-applied every two hours and after swimming, sweating and toweling off.

Sources: American Cancer Society, Centers for Disease Control and Prevention


More Information

Protect Your Family from Skin Cancer

Suncreen: The Burning Facts

FDA Sheds Light on Sunscreens

NIOSH Fast Facts: Protecting Yourself from Sun Exposure

 

Wellness Wednesday: Reducing Your Risk of Skin Cancer

July is UV Safety Month … and for good reason.

Protection from ultraviolet (UV) radiation is important all year round. However, exposure to UV rays from sunlight is the greatest during the summer months.

This is because you’re spending more time outside. You’re near or in the water. And you’re wearing less and/or lighter clothing than in the colder months. So your skin is more exposed to potentially damaging rays.

The sun’s UV rays can damage your skin in as little as 15 minutes. UV rays from the sun can reach you on cloudy and hazy days, as well as bright and sunny days, because clouds block visible light, not UV. Many people don’t realize they are getting too much sun when it is overcast or if there is a light wind.

The hours between 10 a.m. and 4 p.m. are the most hazardous for UV exposure outdoors. UV rays reflect off of surfaces like water, cement, sand and snow. So days spent at the beach or near a pool, are crucial times to apply and reapply sunscreen and take protective measures, such as wearing a wide-brimmed hat.

Suntanners beware. It doesn’t matter that you have that envious olive color skin. You are still damaging your skin. We hear it all the time: “I don’t burn; I tan. So I don’t have to worry.” Wrong!

sunburnWhen your skin is exposed to UV rays, your body makes melanin to try to protect the deeper layers of your skin from damage. Melanin is what gives your skin color. Some people produce more melanin, so their skin is naturally darker.

When your skin is damaged by the sun’s rays, your body’s defense mechanism is to make more melanin to shield your skin cells from additional damage. The melanin absorbs ultraviolet light and causes the skin to change color. Those who produce more melanin will typically tan. Those who are fair-skinned do not produce as much melanin, so instead of tanning, they just burn. But even those who tan can get a sunburn if they spend a lot of time out in the sun.

The result is still that the UV rays are actually damaging the DNA of your skin cells. Once this happens, those cells die and the body’s reaction to this is to begin flooding the area with blood to help with the healing process. And as you can guess, that is what causes the bright red glow of a sunburn.

So no matter which camp you fall in, you should always wear sunscreen before going outside. Here are some additional recommendations to help protect yourself and your family.

  • Stay in the shade, especially during midday hours.
  • Wear clothing that covers your arms and legs.
  • Wear a hat with a wide brim to shade your face, head, ears and neck.
  • Wear sunglasses that block both UVA and UVB rays.
  • Use sunscreen with sun protection factor (SPF) 15 or higher, and both UVA and UVB protection.

Shade

You can reduce your risk of skin damage and skin cancer by seeking shade under an umbrella, tree, or other shelter before you need relief from the sun. Your best bet to protect your skin is to use sunscreen or wear protective clothing when you’re outside—even if you’re in the shade.

Clothing

Enjoying Playing in the Sand TogetherClothes made from tightly woven fabric offer the best protection. A wet T-shirt offers much less UV protection than a dry one, and darker colors may offer more protection than lighter colors. Some clothing certified under international standards comes with information on its UV protection factor.

If wearing this type of clothing isn’t practical, at least try to wear a T-shirt or a beach cover-up. Keep in mind that a typical T-shirt has an SPF rating lower than 15, so use other types of protection as well.

Hat

For the most protection, wear a hat with a brim all the way around that shades your face, ears and the back of your neck. A tightly woven fabric, such as canvas, works best to protect your skin from UV rays. Avoid straw hats with holes that let sunlight through. A darker hat may offer more UV protection.

If you wear a baseball cap, you should also protect your ears and the back of your neck by wearing clothing that covers those areas, using sunscreen with at least SPF 15, or by staying in the shade.

Sunglasses

Sunglasses protect your eyes from UV rays and reduce the risk of cataracts. They also protect the tender skin around your eyes from sun exposure. Sunglasses that block both UVA and UVB rays offer the best protection. Most sunglasses sold in the U.S., regardless of cost, meet this standard.

Sunscreen

swimmingoldermanPut on broad spectrum sunscreen with at least SPF 15 before you go outside, even on slightly cloudy or cool days. Don’t forget to put a thick layer on all parts of exposed skin. Be careful not to forget ears, tops of feet, behind your knees, and other spots that might be exposed. Get help for hard-to-reach places like your back. And remember, sunscreen works best when combined with other options to prevent UV damage.

How sunscreen works. Most sun protection products work by absorbing, reflecting, or scattering sunlight. They contain chemicals that interact with the skin to protect it from UV rays. All products do not have the same ingredients; if your skin reacts badly to one product, try another one or call a doctor.

SPF. Sunscreens are assigned a sun protection factor (SPF) number that rates their effectiveness in blocking UV rays. Higher numbers indicate more protection. You should use a broad spectrum sunscreen with at least SPF 15.

Reapplication. Sunscreen wears off. Put it on again if you stay out in the sun for more than two hours and after swimming, sweating or toweling off.

Expiration date. Check the sunscreen’s expiration date. Sunscreen without an expiration date has a shelf life of no more than three years, but its shelf life is shorter if it has been exposed to high temperatures.

Cosmetics. Some makeup and lip balms contain some of the same chemicals used in sunscreens. If they do not have at least SPF 15, don’t use them by themselves.

Sources: Centers for Disease Control and Prevention, American Academy of Dermatology


More information:

Sunscreen: The Burning Facts
U.S. Environmental Protection Agency (EPA)

FDA Sheds Light on Sunscreens
U.S. Food and Drug Administration (FDA)

Protecting Yourself from Sun Exposure
National Institute for Occupational Safety and Health (NIOSH)

Wellness Wednesday: Keeping Yourself Healthy

Two separate recent studies suggest that being married may improve the likelihood of surviving a heart attack and may also help you beat cancer.

iStock_000022455486_Medium

It is possible that the reason for this is that married folks have a significant other nagging … er, I mean strongly encouraging … them to go to the doctor on a regular basis and get a checkup.

Preventive care and early detection are key to maintaining and continuing a healthy lifestyle as you age. Finding cancers early, learning about diseases or conditions at an early stage, gives you a better chance of doing something about it.

The best way to proactively keep yourself healthy is to take care of your body. So whether you have a spouse to ‘encourage’ you or not, there are some steps you can take to get in shape and keep healthy.

Be physically active.

Walking briskly, mowing the lawn, playing team sports, and biking are just a few examples of how you can get moving. If you are not already physically active, start small and work up to 30 minutes a day of moderate physical activity for most days of the week.

Eat a healthy diet.

Concept, food, meal.

Fruits, vegetables, whole grains, and fat-free or low-fat dairy products are healthy choices. Lean meats, poultry, fish, beans, eggs, and nuts are good, too. Try to eat foods that are low in saturated fats, trans fats, cholesterol, salt and added sugars.

Stay at a healthy weight.

Try to balance the calories you take in with the calories you burn with your physical activities. As you age, eat fewer calories and increase your physical activity. This will prevent gradual weight gain over time.

Drink alcohol in moderation or not at all.

MenhealthCurrent dietary guidelines for Americans recommend that if you choose to drink alcoholic beverages, you do not exceed 2 drinks per day for men (1 drink per day for women). Some people should not drink alcoholic beverages at all, including

  • Individuals who cannot restrict their drinking to moderate levels.
  • Individuals who plan to drive, operate machinery, or take part in other activities that requires attention, skill, or coordination.
  • Individuals taking prescription or over-the-counter medications that can interact with alcohol.
  • Individuals with specific medical conditions.
  • Persons recovering from alcoholism.

Don’t smoke.

For more information on quitting, visit Quit Smoking section.

Take aspirin to avoid a heart attack.

If you are at risk for a heart attack (you’re over 45, smoke, or have diabetes, high blood pressure, high cholesterol, or a family history of heart disease), check with your doctor and find out if taking aspirin is the right choice for you.

Sources: AHRQ, UC San Diego Health, British Cardiovascular Society


More information:

Man and Life: How Marriage, Race and Ethnicity and Birthplace Affect Cancer Survival

Marriage could improve heart attack survival and reduce hospital stay


Watch Mercy Dance to Support Men′s Health Month