Today's presentation by Dr. Roy Strowd, Wake Forrest School of Medicine. Discussing #symptoms:
- Nausea from chemo is often well controlled and not a major side effect or symptom
- Sleep dysfunction is really common. Excessive sleepiness during the daytime and/or insomnia
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Work-up to determine sleep, fatigue, and neurocog dysfunction includes: - thyroid working? - vitamin level low? - enough steroid in the body? - low testosterone (for men)? - sleep apnea?
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Physical activity is the best thing you can do to improve neurocognition, including memory. Try walking, running or other
#exercises 3 to 5 times per week.#BrainTumorTipsPrikaži ovu nit -
Another common symptom:
#Seizures. Causes could be tumor growth, scar tissue, missing medication dose, infection, other medications, and missing sleep. Treatments: some contain it (medications) and some put it out (steroids, radiation, chemo, surgery).Prikaži ovu nit -
Brain swelling: Headache, nausea/vomiting. Treatment: steroids. Side effects: weight gain, mood changes, leg swelling, stomach ulcer, increased blood sugar, immune suppression. Try to give lowest possible dose.pic.twitter.com/GduaqxKJO7
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Presentation shifting to complementary, alternative treatments and focus on four things: vitamins, cannabis, acupuncture, and yoga/meditation. Good definitions to help understand talk
. #CAMpic.twitter.com/ogZE1cJbu7
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Vitamins and supplements: 73% of Americans report using dietary supplement; only 60% report speaking to doctor about it. 74% physicians unaware of patient usage. Be aware of antioxidants b/c could interfere with treatment.
#medtwitterpic.twitter.com/lnie0X9qqM
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What about cannabis? Don't have data to support. Don't know whether works. Don't recommend using cannabis compounds during active treatment. Use data-driven compounds to help manage symptoms. Cannabis-based products are being studied for symptoms, but need more research.
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#Acupuncture: data supports the use of it. It can be highly effective for nausea-vomiting, cancer pain, neuropathy, and other pain.#Yoga, meditation, mindfulness, virtual reality: Not enough data to prove they work. Work for some and not for others. Goa is holistic approach.Prikaži ovu nit -
For optimal treatment and balance (body, mind, spirit), doctors need to know what patients are taking. They need to know about side effects so they can help improve
#qualityoflife and get patients through hardest parts of treatment. Don't "just live with" your symptoms.Prikaži ovu nit -
Are there
#clinicaltrials? Talk with your doctor. Two resources for patients and providers: http://clinicaltrials.gov and center at@NIH National Center for Complimentary and Integrative Healthhttps://nccih.nih.gov/Prikaži ovu nit
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