Robotic Surgery: A Better Option for Many Head & Neck Cancers
|
|
- Karin Deirdre Lewis
- 5 years ago
- Views:
Transcription
1 Robotic Surgery: A Better Option for Many Head & Neck Cancers Neal Futran, MD, DMD Director of Head and Neck Surgery, Department of Otolaryngology UW Medicine Eduardo Mendez, MD Assistant Professor, Otolaryngology: Head and Neck Surgery UW Medicine Charles Ross Throat Cancer Survivor Please remember the opinions expressed on Patient Power are not necessarily the views of our sponsors, contributors, partners or Patient Power. Our discussions are not a substitute for seeking medical advice or care from your own doctor. That s how you ll get care that s most appropriate for you. [Editor s Note, May 11, 2016: In 2011, Andrew interviewed tongue and pancreatic cancer survivor, Chuck Ross, along with experts Drs. Neal Futran and Eduardo Mendez about robotic surgery, which continues to be used today as an approach to treatment. This is the transcript of that interview.] Head and neck cancers are often difficult to diagnose and also can be hard to treat. Fortunately, advances in robotic surgery are changing the landscape of surgery for head and neck cancers. In this interview, two UW Medicine Health System head and neck surgeons and their patient discuss the advantages of the latest in robotic surgery. Imagine if you have cancer of the head and neck and need surgery - that can be quite traumatic. But what if there's a less invasive way, a more precise way, to allow doctors to get at cancers that maybe they otherwise could not get at with other types of surgery. Meet Chuck Ross, who is 64 years old, from Wenatchee. He was in materials handling for many years there, and then back in 2009 he was diagnosed with prostate cancer, and he had robotic surgery for that. During surgery, the surgeon noticed that there was a spot on Chuck s tongue and said, You know, I don't like that. We need to get that checked out. The conclusion was that it was cancer on his tongue and Chuck came to the University of Washington, to the Head and Neck surgeons there who also used robotic surgery to help people in a much less invasive way. Chuck, you had robotic surgery for prostate. The idea of having it for a second cancer - and nobody wants a second cancer - that seemed to be the way to go for you? Oh, absolutely, and the way Dr. Mendez explained it to me, that was the best way to go that I could see.
2 Now, the advantage would be to get it and do the surgery and maybe spare you radiation and chemo because of the precision of getting in a small place, right? Yes. And I was very fortunate. I had a level one cancer, and it was caught early which I think saved me a lot of pain and agony. So the fact that the prostate cancer surgeon spotted something unusual on your tongue, that was, can we say, fortuitous? Oh, absolutely. It may have gone a lot longer in not noticing it. And you understand that if Head and Neck cancer advances, it's a rough deal. Oh, yes. And as Dr. Mendez explained to me what they may or may not have had to do without the robotics would have been a lot more severe. So you had the robotic surgery. And how long were you in the hospital for that? I was in the hospital two days. And then I know they went back and had lymph node surgery, and that was a hospitalization of a few more days? Yes. That was four days in the hospital. Now, this was in We're doing this program in 2011, many months later. How you are you doing? I'm doing excellent. It couldn't be better. My swallowing is good. My taste is back. Yes, everything is very good. Now, with any kind of surgery, and certainly surgery on the tongue, you did have some swallowing issues for a short time, correct? Yes, that's correct. About two weeks' period of time that I was on liquids, and there was some pain and swelling, especially the first week, but after that, it subsided and it went well. So, Chuck, do you feel that you were a lucky guy - maybe with the prostate surgery as well as now with the tongue surgery - that robotic surgery was available? If you were going to have these cancers, this was a good time to have them?
3 Oh, I think the stars were in alignment for me when all this transpired: with the prostate surgery and what happened there, and then with the da Vinci robot being available for the laser surgery, this was the best thing that could have happened. The chairman of the department of Head and Neck surgery and the department of Otolaryngology at the University of Washington is Dr. Neal Futran. Dr. Futran, you have an overview of what's been happening in your field. How big a deal is it? I've been an otolaryngologist for 15 years and have concentrated my work on the treatment of Head and Neck cancers, and this includes the tongue. When we think about treatment for these cancers, the first goal of treatment is to get rid of the cancer, but also we need to think about a patient's quality of life, which in this case is speech, swallowing and appearance. When we used to have to do surgery, especially for the back of the tongue, it was doable but it was very invasive, could be disfiguring, and most importantly - even with some modern reconstructive techniques - swallowing and speech could be severely affected. We also have nonsurgical treatment, such as radiation and chemotherapy. These are very good tools in certain cases, and we started using that for these tumors, but even though they can get rid of some of the tumor, there are both short- and long-term side effects on speech and swallowing that can be severe. What robotics has really done for us is provided us a new tool that we can use to effectively remove the tumor surgically without those significant side effects, potentially reducing or even eliminating the need for radiation and/or chemotherapy. It also solves the dual goals of getting rid of the cancer, preserving speech and swallowing, easing the patient's recovery and maintaining excellent quality of life for our patients. Sounds like quite an advance. Let's hear from a colleague of yours who has been on Patient Power before, Dr. Eduardo Mendez, who is an assistant professor of otolaryngology and head and neck surgery at the University of Washington. Dr. Mendez, you performed the surgery on Chuck. It sounds like the robotics approach allows you to get to places that, with just your hands, would have been much more difficult or might have left disfigurements. That's correct. We have the ability with robotic surgery to perform the operation through the mouth without having to make any external incisions. In many of these tumors, the open surgery that you described can be quite morbid, and for many of those patients they choose not to have a surgical option. In many ways what robotics has done is broadened patients options. For candidates like Mr. Ross, it could be a win-win situation where, as Dr. Futran stated, we can remove the cancer and either avoid chemotherapy and radiation altogether or significantly reduce the need for those two. If we're comparing open surgery versus robotics, I imagine with robotics there would be less blood loss, shorter surgery time, less anesthesia, and shorter hospitalization. Help us understand the benefits. The traditional open surgical approaches would entail a big resection where the jaw would need to be split. Or with a big neck surgery, the incisions would need to be made and the tumor would be hard to access. Once the tumor was out, there is a challenge of having to reconstruct that, and that adds on yet another level of complexity. Altogether, it could be about a 12 hour surgical procedure. The patient then typically goes to the surgical ICU with a tube in their mouth and another tube through their nose so that they can eat, and the recovery time would be about 10 days or so. Although some of these patients eventually do quite well in the long-term, it is quite a bit for the patient to go through. Compare that to what Mr. Ross went through: about a 45-minute operation, transferred directly to the regular floor, and discharged from the hospital in about 48 hours. The pain can be significant, but we can keep that under control. And the
4 recovery time is also done in the comfort of your home since you're starting to swallow again, so by the end of two weeks or so the patients are swallowing almost normally. Dr. Futran, why is it an advantage when radiation or chemo can be avoided. How does this surgery do the whole job? When we think about surgery for any of these tumors, we obviously want to take out the tumor but we also want to take out a rim of normal tissue all the way around. The more tongue tissue you need to take away, the more it can affect speech and swallowing. If you have a tumor that you can get to through the mouth with, as Dr. Mendez stated, less morbidity but still get those clear margins and, if there are no unusual features in the tumor, we can observe that patient with clinical exam and periodic CT scans or other imaging. Part of the reason why the pendulum swung away from surgery to radiation therapy - with or without chemotherapy - was this issue of function. The whole goal is: how can we get rid of the tumor with the minimum amount of side effects? With robotic surgery, we're starting to get the best of both worlds. We can get the tumor out, get back to normal activity, and in many cases, not need that an additional nonsurgical treatment because we've gotten rid of the tumor. The other issue is even if radiation is required after surgery, the dosages can be reduced a bit because instead of having to use radiation to get rid of the whole tumor or a big bulk of the tumor, we're just dealing with microscopic disease. If we can lower the doses again, those side effects are mitigated. We talked about Chuck s tongue surgery, but give me other examples of the Head and Neck where this offers advantages. Right now, the most significant advantages are the back of the tongue the tonsil region, and the side of the throat. The other interesting area folks are looking at for this in Head and Neck are for thyroid surgery. Typically, a thyroidectomy is done through an open incision in the neck. For small tumors, you can actually make an incision in the armpit and use the robot to get to the neck, take out the tumor and eliminate a scar in the neck. The third area really under development is tumors in the sinuses, right between the eyes, so to speak. Typically, with open approaches, these tumors can be removed with significant side effects, but if we're able to do these surgeries with minimal incisions through the nose or the oral cavity, the recovery is not only quicker, but the side effects are less and patients return to function much more quickly and with less discomfort. Dr. Mendez, you've been doing this for a while now. What are you seeing in your patients? Chuck and other patients come back for checkups and you see them. How are they doing compared to what you used to see before you did robotics? We've been very fortunate. It is important to appropriate in your case selection, so we have made sure that the patients were fitting the right profile. Because of that, so far we have enjoyed very good outcomes. It is not only what you see, but it's also what you hear, and in Head and Neck cancer how you hear a patient speak is also evidence of what the long-term toxicities and side effects are of all these treatments. Sometimes big surgeries or radiation and chemotherapy can invoke this sense of slurred speech, and clearly, as you hear Mr. Ross speak, you cannot tell that he has gone through any sort of treatment. When you're meeting your cancer patient, you have all your senses to follow them and not only how they interact, not only how they swallow but also how they speak, and with Mr. Ross and other patients that have enjoyed robotic surgery, I have to say the difference is quite remarkable. They're enjoying their food through the mouth. They're not dependent on a tube or having to go through significant speech therapy to recover back to baseline. The speech is fantastic, intact,
5 essentially. And they're able to put the cancer behind them without having to think about every day having a reminder of what they just went through. Chuck, I want to see if you agree with everything your doctor said. Is that the way you see it too? Oh, absolutely. My speech issues were minimally invasive. I believe I was talking right after surgery. I had a little hard time swallowing, and once in a while I would cough or gag a little bit from that, but that was a long time ago, and now everything is actually very, very good. The taste has come back. It was about four or five months before I could really, taste certain foods. That's all come back now. I don't have a problem speaking or swallowing. Is this is all out of mind for your friends and family? Yes, it is. And of course Dr. Mendez keeps a good eye on me. Every three months I get checked to make sure that nothing is coming back. That eases my, Janice's and the family s that it's basically put behind. I mean, it's like any other cancer. You get checked to make sure, but I feel very good about myself and what's transpired, and I feel confident that it's not ever going to come back. You're retired now, so the point is you want to enjoy every day, go out to eat, interact with your family and feel good, and it sounds like you have that right now. I do, and I'm a very fortunate person the way things went. I enjoy golfing and stuff like that, and it's just amazing. Dr. Futran, we talked about who robotic surgery is right for, but there are times when you have to say, in this case, we need to do it differently. One of the issues with robotics is the expense. It's technically demanding, and you need special training to use it, so the question becomes, is this a technology looking for a purpose or does it really have value? You can see in Chuck s case and many others, it does have value. Every time we see a patient, we talk about options because the patients are partners in the decision-making process. When we see patients a lot of it depends on the size of the tumor, the location of the tumor in the mouth, and whether or not we see evidence of spread of the tumor to lymph nodes in the neck. That's how we determine what types of treatment are best for each particular case. The advantage we have here at the University of Washington is the wonderful expertise in all facets of Head and Neck care, from radiation oncology to medical oncology as well as all the supportive services such as speech pathology and nursing, etc. So we meet every week as a group to look at the problem to try to assess the best treatment in the best order for the patient, discuss it with them and their family, and then come up with an appropriate treatment plan. Robotic surgery for head and neck cancer is not available everywhere, Patients and their families might want to have a consultation with a major center like the University of Washington to see if robotic surgery could apply. I think that's of extreme value. We do see patients from all over the Northwest and beyond. Not all of them have to be treated in Seattle, especially for various parts of their care. We have wonderful partners in the community and there's
6 great expertise, but by at least having an evaluation with us is another set of eyes. It's having a whole team looking at the problem and I think it really helps direct the therapy as best as we possibly can. With cancer, we have certain tools, and we know really the first shot is the best shot. Obviously, if we have to play catchup, we do, but if you can get the appropriate plan from the start, using the tools we have as wisely as we can, that ultimately gets the best patient outcome. Dr. Mendez, people ask you probably now, they say, well, you're talking about robotics, how many of these surgeries have you done. Now, that answer is going keep changing, but you have a good bit of experience for this now, right? Since April 2010 we've done over 50 of these cases, so we definitely have been able to expand our expertise and have become much more familiar with the technique. We're growing as a program. We're seeing more and more of what the benefits are and what the limitations are. One other point we should mention is that one of the disadvantages with chemotherapy and radiation therapy, although effective, is that they can only be given once and the toxicities are such that the patient wouldn't be able to tolerate repeated treatments. With robotic surgery, or surgery in general, all tools remain on the table. We're following Chuck to make sure that the cancer doesn't return. I'm confident that it won't, but if for some reason it did, all tools remain on the table. And that is an extremely important option that we continue to preserve and have in the treatment of cancer. We've made an advance, and the advance opens more doors and it doesn't shut them. Dr. Futran, I want to give you a chance to get on your soapbox about early detection because, as you know, Chuck said his doctor spotted something unusual and he followed up. Early detection is critical in head and neck cancer, isn't it? Like many things, the smaller the problem is, the smaller and easier the solution. Head and Neck cancers are slow growing. It may start with a sore throat. It may start with a little ulcer on the tongue. The key thing about these cancers is that they typically start with symptoms that come and go within a couple of weeks. But if there are persistent areas that last beyond two or three weeks, they should be checked out be addressed. If we address these things early, we can usually take care of them much more easily and not have to use a lot of the aggressive tools. Early detection is one of the most critical aspects of achieving a good outcome and people should pay attention to their bodies and not be shy about seeking help when necessary. We have this approach - robotic surgery - that can help many people when it's done with the experience of folks like Dr. Mendez and Dr. Futran and their program at the University of Washington. I urge people to be vigilant about their own body, and should they need treatment for Head and Neck cancer to have a consultation with a renowned center. And that's what I wanted to ask you about, Chuck. So you could have just stayed in Wenatchee and maybe had surgery there and maybe it wouldn't have been caught so early. Are you glad that you went over the hill to the University of Washington? Would you recommend others go the extra mile? I absolutely would. The personnel there doctors, everybody, the hospital nurses - they were fantastic. They made me feel like they cared, and they did. I would recommend that to anybody at any time. The robotics made a big difference for you?
7 Absolutely. Dr. Mendez and I both talked about that: what could have happened if they hadn't had robotics. It scares the life out of me to realize how much pain and agony I'd have had to go through compared to what minimally I did with robotics. Early detection, going to a skilled center, and now the option of a robotic approach offers so many advantages. Chuck Ross, I want to wish you a happy retirement, eating and tasting everything you like, and speaking a lot to anybody you want. Thank you for being with us. Thank you. It was very enlightening. We learned a lot, and you're helping inspire so many other people. Dr. Eduardo Mendez, thanks for being back on Patient Power. Thanks for what you do every day, and I'm glad that you can have full, clear conversations with your patients who have undergone robotic surgery. Thank you for inviting me. It's a pleasure to be here. Dr. Neal Futran, you're the chair of the department. You must feel really good about how robotic surgery is helping you provide better care. I m extremely proud. I m proud to have wonderful faculty members like Dr. Mendez, who learn about this, champion this cause, and bring it to not only to our community but the entire Northwest. Thank you so much for being with us and thanks for what you do at the University of Washington. This is what we do on Patient Power. We connect you with imminent doctors who continue to use the best tools available for patients. We also bring inspiring stories from patients like Chuck Ross. Thank you for joining us. Remember, knowledge can be the best medicine of all. Please remember the opinions expressed on Patient Power are not necessarily the views of our sponsors, contributors, partners or Patient Power. Our discussions are not a substitute for seeking medical advice or care from your own doctor. That s how you ll get care that s most appropriate for you.
Minimally Invasive Surgery Offers Promise for Pancreatic Cancer Patients
Minimally Invasive Surgery Offers Promise for Pancreatic Cancer Patients Recorded on: August 1, 2012 Venu Pillarisetty, M.D. Surgical Oncologist Seattle Cancer Care Alliance Please remember the opinions
More informationBreast Cancer Imaging Webcast October 21, 2009 Peter Eby, M.D. Introduction
Breast Cancer Imaging Webcast October 21, 2009 Peter Eby, M.D. Please remember the opinions expressed on Patient Power are not necessarily the views of Seattle Cancer Care Alliance, its medical staff or
More informationBenefits of Survivorship Treatment Care Plans Webcast May 13, 2009 Scott Baker, M.D., M.S. Donald Wilhelm. Introduction
Benefits of Survivorship Treatment Care Plans Webcast May 13, 2009 Scott Baker, M.D., M.S. Donald Wilhelm Please remember the opinions expressed on Patient Power are not necessarily the views of Seattle
More informationFine-Tuning Immunotherapy to Treat Prostate Cancer Recorded on: April 24, 2013
Fine-Tuning Immunotherapy to Treat Prostate Cancer Recorded on: April 24, 2013 John Corman, M.D. Medical Director, Floyd & Delores Jones Cancer Institute at Virginia Mason Virginia Mason Medical Center
More informationTracking Genetic-Based Treatment Options for Inflammatory Bowel Disease
Tracking Genetic-Based Treatment Options for Inflammatory Bowel Disease Recorded on: June 25, 2013 Melvin Heyman, M.D. Chief of Pediatric Gastroenterology UCSF Medical Center Please remember the opinions
More informationSurgical Treatment For Prostate Cancer Webcast May 6, 2010 John W. Davis, M.D., F.A.C.S. Mike Whyte. Mike s Story
Surgical Treatment For Prostate Cancer Webcast May 6, 2010 John W. Davis, M.D., F.A.C.S. Mike Whyte Please remember the opinions expressed on Patient Power are not necessarily the views of M. D. Anderson
More informationSection 4 Decision-making
Decision-making : Decision-making Summary Conversations about treatments Participants were asked to describe the conversation that they had with the clinician about treatment at diagnosis. The most common
More informationHello and welcome to Patient Power sponsored by UCSF Medical Center. I m Andrew Schorr.
The Integrated Approach to Treating Cancer Symptoms Webcast March 1, 2012 Michael Rabow, M.D. Please remember the opinions expressed on Patient Power are not necessarily the views of UCSF Medical Center,
More informationHello and welcome to Patient Power sponsored by UW Medicine Health System. I'm Andrew Schorr
Advanced Techniques for Treating Liver Tumors Webcast James O. Park, M.D. Veena Shankaran, M.D. Raymond S.W. Yeung, M.D., FRCS(C), FACS Derek Epps November 28, 2011 Please remember the opinions expressed
More informationSurgical Options for Breast Cancer October 28, 2009 Kristine Calhoun, M.D. Suzie Hagerland. Introduction
Surgical Options for Breast Cancer October 28, 2009 Kristine Calhoun, M.D. Suzie Hagerland Please remember the opinions expressed on Patient Power are not necessarily the views of Seattle Cancer Care Alliance,
More informationDr. Gopal, are you encouraged in the direction of where research is headed and its benefit for patients?
Targeting the Tumor in Lymphoma July 8, 2009 Ajay Gopal Please remember the opinions expressed on Patient Power are not necessarily the views of Seattle Cancer Care Alliance, its medical staff or Patient
More informationAn Update on BioMarin Clinical Research and Studies in the PKU Community
An Update on BioMarin Clinical Research and Studies in the PKU Community Barbara Burton, MD, Professor of Pediatrics, Northwestern University Feinberg School of Medicine, Director of PKU Clinic, Children
More informationAndrew Schorr: And you're a retired businessman. Tell us about this diagnosis. What was going on for you that suddenly you were sick? What happened?
Advances in the Treatment of Stomach Cancer Webcast August 5, 2008 Linus Ho, M.D. Please remember the opinions expressed on Patient Power are not necessarily the views of M. D. Anderson Cancer Center,
More informationOne of the areas where it's certainly made it difference is with the transplantation of the liver. Dr. Roberts thinks so much for joining us.
Benefits and Risks of Living Donor Liver Transplant Webcast May 28, 2008 John Roberts, M.D. Please remember the opinions expressed on Patient Power are not necessarily the views of UCSF Medical Center,
More informationLet me introduce you to her. That s Barbara Scribner who joins us from Kent, Washington. Barbara, thank you so much for joining us.
Lung Cancer: Detection and Early Intervention Webcast November 30, 2009 Douglas E. Wood, M.D. Jason Chien, M.D., M.S. Barbara Scribner Please remember the opinions expressed on Patient Power are not necessarily
More informationPROSTATE CANCER SCREENING SHARED DECISION MAKING VIDEO
PROSTATE CANCER SCREENING SHARED DECISION MAKING VIDEO 1 00:00:00,067 --> 00:00:10,968 2 00:00:10,968 --> 00:00:12,701 So, you were given a decision aid sheet 3 00:00:12,701 --> 00:00:14,567 about prostate
More informationAndrew Schorr: Dr. Young, for patients receiving initial treatment could you discuss the findings comparing horse ATG and rabbit ATG?
What s New in Aplastic Anemia Treatment American Society of Hematology Meeting December 2011 Dr. Neal S. Young Please remember the opinions expressed on Patient Power are not necessarily the views of our
More informationHello and welcome to Patient Power sponsored by Northwestern Memorial Hospital. I'm Andrew Schorr.
Brain Tumor Clinical Trials Webcast November 22, 2011 Sean Grimm, M.D. Please remember the opinions expressed on Patient Power are not necessarily the views of Northwestern Memorial Hospital, its medical
More informationIf You Have Head or Neck Cancer
EASY READING If You Have Head or Neck Cancer What is head and neck cancer? Cancer can start any place in the body. Cancer that starts in the head and neck can have many names. It depends on where the cancer
More informationUnraveling Recent Cervical Cancer Screening Updates and the Impact on Your Practice
Transcript Details This is a transcript of a continuing medical education (CME) activity accessible on the ReachMD network. Additional media formats for the activity and full activity details (including
More informationSurgical Treatment For Pancreatic Cancer Webcast March 22, 2011 Venu Pillarisetty, M.D. Stan Barer. Introduction
Surgical Treatment For Pancreatic Cancer Webcast March 22, 2011 Venu Pillarisetty, M.D. Stan Barer Please remember the opinions expressed on Patient Power are not necessarily the views of Seattle Cancer
More informationHerpes Zoster Vaccination: New Recommendations for Shingles Prevention - Frankly Speaking EP 50
Herpes Zoster Vaccination: New Recommendations for Shingles Prevention - Frankly Speaking EP 50 Transcript Details This is a transcript of an episode from the podcast series Frankly Speaking accessible
More informationDr. Coakley, so virtual colonoscopy, what is it? Is it a CT exam exactly?
Virtual Colonoscopy Webcast January 26, 2009 Fergus Coakley, M.D. Please remember the opinions expressed on Patient Power are not necessarily the views of UCSF Medical Center, its medical staff or Patient
More informationWhat s the Latest in Prostate Cancer Immunotherapy Options?
What s the Latest in Prostate Cancer Immunotherapy Options? Jeri Kim, MD Associate Professor, Department of Geritourinary Medical Oncology The University of Texas MD Anderson Cancer Center Sumit K. Subudhi,
More informationNeed a New Dentist? How to Choose a Dentist Using 10 Simple Questions
Need a New Dentist? How to Choose a Dentist Using 10 Simple Questions Re: Special Report How to Choose a Dentist Using 10 Simple Questions Dear Friend, Although we all know proper dental care is vital
More informationTRANSCRIPT. Do Corticosteroids Decrease the Pain of Acute Pharyngitis? - Frankly Speaking EP 18
Do Corticosteroids Decrease the Pain of Acute Pharyngitis? - Frankly Speaking EP 18 Transcript Details This is a transcript of an episode from the podcast series Frankly Speaking accessible at Pri- Med.com.
More informationUpper Tract Urothelial Carcinomas (UTUCs)
Upper Tract Urothelial Carcinomas (UTUCs) Part II: UTUC Treatment Options November 14, 2017 Moderated by: Presented by: Gary D. Steinberg, MD University of Chicago Medical Center Ahmad Shabsigh, MD Ohio
More informationWhy Are So Many Clinicians Choosing to Practice Functional Medicine?
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/integrative-and-functional-medicine-in-practice/why-are-so-manyclinicians-choosing-practice-functional-medicine/8424/
More informationMS Learn Online Feature Presentation. Less Common Symptoms Featuring: Dr. Stephen Krieger
Page 1 MS Learn Online Feature Presentation Less Common Symptoms Featuring: Dr. Stephen Krieger Trevis: The one thing I find about people living with MS is that we all want to be normal. Walt: I have --
More informationAs a Lung Cancer Patient, What Information Do I Need to Make the Best Choices?
As a Lung Cancer Patient, What Information Do I Need to Make the Best Choices? Mary Ellen Hand, RN, BSN Nurse Coordinator Rush University Medical Center Emma Shtivelman, PhD Chief Scientist Cancer Commons
More informationGerald: Yes, it was. I knew that something was abnormal. I needed to get it checked out.
Skull Base Surgery Webcast February 12, 2008 Ehab Hanna, M.D. Franco DeMonte, M.D. Please remember the opinions expressed on Patient Power are not necessarily the views of M. D. Anderson Cancer Center,
More informationModernizing the Mitral Valve: Advances in Robotic and Minimally Invasive Cardiac Repair
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/medical-breakthroughs-from-penn-medicine/modernizing-mitral-valveadvances-robotic-minimally-invasive-cardiac-repair/7686/
More informationHIV Housing Care Continuum Webinar 1 August 3, 2016
Page 1 HIV Housing Care Continuum August 3, 2016 Rita Flegel: Hello and welcome. I'm Rita Flegel, the Director of HUD's Office of HIV/AIDS Housing. And presenting with me today is Amy Palilonis also from
More informationLiving With Myeloma Webcast April 7, 2010 Tanya Wahl, M.D. Steve Henkel. Steve s Story
Living With Myeloma Webcast April 7, 2010 Tanya Wahl, M.D. Steve Henkel Please remember the opinions expressed on Patient Power are not necessarily the views of our sponsors, partners or Patient Power.
More informationPathology Driving Decisions
Pathology Driving Decisions Part I: Understanding Your Diagnosis and Your Treatment Options May 7, 2018 Presented by: Dr. Matthew Mossanen completed his college and medical school training at UCLA. He
More informationHow is primary breast cancer treated? This booklet is for anyone who has primary breast cancer and wants to know more about how it is treated.
How is primary breast cancer treated? This booklet is for anyone who has primary breast cancer and wants to know more about how it is treated. How is primary breast cancer treated? Part 1 the treatment
More informationThe Latest in Non-Hodgkin Lymphoma News From ASCO
Patient Power Knowledge. Confidence. Hope. The Latest in Non-Hodgkin Lymphoma News From ASCO John Leonard, MD Associate Dean for Clinical Research Weill Cornell Medical College Please remember the opinions
More informationConversations: Let s Talk About Bladder Cancer
Understanding Biomarkers Matt Gaslky, MD, Professor of Medicine Icahn School of Medicine at Mount Sinai Piyush Agarwal, MD, Head, Bladder Cancer Section Urological Oncology Branch, National Cancer Institute
More informationDr. Michael Keating: My Hopes for the Future of CLL Treatment Recorded on December 8, 2014
Patient Power Knowledge. Confidence. Hope. Dr. Michael Keating: My Hopes for the Future of CLL Treatment Recorded on December 8, 2014 Michael Keating, MB, BS Professor of Medicine, Department of Leukemia
More informationDEFINE YOUR VOICE DIANNE REEVES
1 00:00:17,120 --> 00:00:20,730 - Most of my teachers were great records 2 00:00:20,730 --> 00:00:24,200 and the great fortune that I had to grow up at a time 3 00:00:24,200 --> 00:00:28,870 when a lot
More informationMarty: I had my physical in 2006, and my physician said that I had myelofibrosis and said I had three to five years to live.
Advances in the Treatment of Myeloproliferative Disorders Webcast April 28, 2009 Srdan Verstovsek, M.D., Ph.D. Marty Prager Please remember the opinions expressed on Patient Power are not necessarily the
More informationAdvances in Pediatric Bone Marrow Transplant Webcast March 4, 2011 Scott Baker, M.D., M.S. Anna Robinson. Introduction
Advances in Pediatric Bone Marrow Transplant Webcast March 4, 2011 Scott Baker, M.D., M.S. Anna Robinson Please remember the opinions expressed on Patient Power are not necessarily the views of Seattle
More informationProstatic Cryosurgery and Robotic Prostatectomy
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/medical-breakthroughs-from-penn-medicine/prostatic-cryosurgery-androbotic-prostatectomy/4013/
More informationMS Learn Online Feature Presentation Swallowing Difficulties in Multiple Sclerosis Featuring Patricia Bednarik, MS, CCC-SLP, MSCS
Page 1 MS Learn Online Feature Presentation Swallowing Difficulties in Multiple Sclerosis Featuring, MS, CCC-SLP, MSCS >>Kate Milliken: Welcome to MS Learn Online. I am Kate Milliken. Swallowing is something
More informationLiving My Best Life. Today, after more than 30 years of struggling just to survive, Lynn is in a very different space.
Living My Best Life Lynn Allen-Johnson s world turned upside down when she was 16. That s when her father and best friend died of Hodgkin s disease leaving behind her mom and six kids. Lynn s family was
More informationRoles of Non-HDL Cholesterol in Risk Assessment and Treatment
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/lipid-luminations/roles-of-non-hdl-cholesterol-in-risk-assessment-andtreatment/7066/
More informationJourney to Recovery: A Breast Cancer Podcast Series Episode 1, Part 1: A Breast Cancer Diagnosis
Journey to Recovery: A Breast Cancer Podcast Series Episode 1, Part 1: A Breast Cancer Diagnosis Doreen: When I was diagnosed with breast cancer, I felt shocked --extremely shocked -- and I felt like I
More informationTargeted Therapies in Breast Cancer Webcast October 24, 2007 Julie Gralow, M.D. Hosted By Andrew Schorr
Targeted Therapies in Breast Cancer Webcast October 24, 2007 Julie Gralow, M.D. Hosted By Andrew Schorr Please remember the opinions expressed on Patient Power are not necessarily the views of Seattle
More informationAutoimmune disorders: An emerging risk factor for CV disease
Autoimmune disorders: An emerging risk factor for CV disease DR. SHARON MULVAGH: Greetings. I'm Dr Sharon Mulvagh, professor of medicine and director of Mayo Clinic Women's Heart Clinic. During today's
More informationA Critical View of JUPITER
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/lipid-luminations/a-critical-view-of-jupiter/4124/
More informationVIDEO_ Sarah Hallberg - Interview (San Diego 2017)
VIDEO_ Sarah Hallberg - Interview (San Diego 2017) Dr. Andreas Eenfeldt: If you are a doctor and you want to help your patients with type 2 diabetes to reverse their disease, how do you do it? You can
More informationDefeating Colon Cancer with Surgery
Defeating Colon Cancer with Surgery Recorded on: September 19, 2012 Alessandro Fichera, M.D. Director, Colorectal Surgical Oncology Program, Seattle Cancer Care Alliance Please remember the opinions expressed
More informationBreakthrough Understanding in Pancreatic Cancer Therapy
Breakthrough Understanding in Pancreatic Cancer Therapy Recorded on: May 28, 2013 Sunil R. Hingorani, M.D., Ph.D. Associate Member Fred Hutchinson Cancer Research Center Please remember the opinions expressed
More informationCarrier Screening in your Practice Is it Time to Expand your View?
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/medical-industry-feature/carrier-screening-your-practice-it-time-expandyour-view/9648/
More informationAfter Soft Tissue Sarcoma Treatment
After Soft Tissue Sarcoma Treatment Living as a Cancer Survivor For many people, cancer treatment often raises questions about next steps as a survivor. What Happens After Treatment for Soft Tissue Sarcomas?
More informationCombining Individualized Treatment Options with Patient-Clinician Dialogue
Transcript Details This is a transcript of a continuing medical education (CME) activity accessible on the ReachMD network. Additional media formats for the activity and full activity details (including
More informationASCO 2016: Ask the Lung Cancer Experts
Live @ ASCO 2016: Ask the Lung Cancer Experts Charu Aggarwal, MD, MPH Assistant Professor of Medicine University of Pennsylvania Health System Liza Villaruz, MD Hematology/Oncology Specialist University
More informationHereditary Cancer Syndromes and the Obstetrician/Gynecologist
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/clinicians-roundtable/hereditary-cancer-syndromes-and-theobstetriciangynecologist/6990/
More informationThe Expanding Value of Biomarkers in NSCLC Treatment
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/closing-gaps-nsclc/the-expanding-value-of-biomarkers-in-nsclctreatment/10283/
More informationDiabetes Remission with Weight Loss - Frankly Speaking EP 49
Diabetes Remission with Weight Loss - Frankly Speaking EP 49 Transcript Details This is a transcript of an episode from the podcast series Frankly Speaking accessible at Pri- Med.com. Additional media
More informationUnderstanding Thyroid Cancer
Understanding Thyroid Cancer Recorded on: July 25, 2012 Christine Landry, M.D. Surgical Oncologist Banner MD Anderson Cancer Center Please remember the opinions expressed on Patient Power are not necessarily
More informationExpert Round Table with Drs. Anne Tsao and Alex Farivar Part 1: Elderly Man with Indolent Bronchioloalveolar Carcinoma
Expert Round Table with Drs. Anne Tsao and Alex Farivar Part 1: Elderly Man with Indolent Bronchioloalveolar Carcinoma February 2010 I d like to welcome everyone, thanks for coming out to our lunch with
More informationLung Cancer Awareness Month Update 2008
Lung Cancer Awareness Month Update 2008 Guest Expert: Frank, MD Professor of Thoracic Surgery Lynn, MD Professor of Pulmonary Medicine www.wnpr.org www.yalecancercenter.org Welcome to Yale Cancer Center
More informationMS Learn Online Feature Presentation MS and Your Emotions, part two Deborah Miller, PhD. Tracey>> Welcome to MS Learn Online, I m Tracey Kimball.
Page 1 MS Learn Online Feature Presentation MS and Your Emotions, part two Deborah Miller, PhD Tracey>> Welcome to MS Learn Online, I m Tracey Kimball. Tom>> and I m Tom Kimball. In the first installment
More informationSection 4 Decision-making
Decision-making : Experience of health professional communication Conversations about s Participants were asked to describe the conversations they have had about mitochondrial disease options. The most
More informationReducing Adverse Drug Events Related to Opioids: An Interview with Thomas W. Frederickson MD, FACP, SFHM, MBA
Reducing Adverse Drug Events Related to Opioids: An Interview with Thomas W. Frederickson MD, FACP, SFHM, MBA Iyer Hi, this is a podcast from the Physician-ient Alliance for Health & Safety. The podcast
More informationAfter Adrenal Cancer Treatment
After Adrenal Cancer Treatment Living as a Cancer Survivor For many people, cancer treatment often raises questions about next steps as a survivor. Lifestyle Changes After Treatment for Adrenal Cancer
More informationIntroduction. All Rights Reserved
Sarcoma: Patients and Doctors Working Together to Fight a Rare Cancer Health Radio Network February 4, 2007 Chappie Conrad III, M.D., F.A.C.S. Douglas Hawkins, M.D. Jared Holmes Please remember the opinions
More informationCognitive Challenges After Hormone Therapy August 26, 2009 Webcast Monique Cherrier, Ph.D. Celestia Higano, M.D. Introduction
Cognitive Challenges After Hormone Therapy August 26, 2009 Webcast Monique Cherrier, Ph.D. Celestia Higano, M.D. Please remember the opinions expressed on Patient Power are not necessarily the views of
More informationThe Current Research on Stretching and Flexibility is Flawed!
Transcript from: https://www.youtube.com/watch?v=qz0ot7tbbg0 Original Article: http://stretchcoach.com/articles/proper-stretching/ The Current Research on Stretching and Flexibility is Flawed! Hi. I'm
More informationOvercoming Seasonal Affective Disorder Webcast December 19, 2011 Pamela Sheffield, M.D. Crystal Wong, M.D.
Overcoming Seasonal Affective Disorder Webcast December 19, 2011 Pamela Sheffield, M.D. Crystal Wong, M.D. Please remember the opinions expressed on Patient Power are not necessarily the views of UW Medicine,
More informationTreating Lung Cancer: Past, Present, & Future Dr. Ramiswamy Govindan Washington University November, 2009
Treating Lung Cancer: Past, Present, & Future Dr. Ramiswamy Govindan Washington University November, 2009 GRACE, the Global Resource for Advancing Cancer Education, is pleased to provide the following
More informationBBC Learning English 6 Minute English 2 October 2014 Sleeping on the job
BBC Learning English 6 Minute English 2 October 2014 Sleeping on the job NB: This is not a word for word transcript Hello I'm. Welcome to 6 Minute English. I'm joined today by. Hello..? Hello? Oh sorry,
More informationShoulder Arthritis and Shoulder Replacement Surgery Webcast June 22, 2010 Matthew Saltzman, M.D. Introduction
Shoulder Arthritis and Shoulder Replacement Surgery Webcast June 22, 2010 Matthew Saltzman, M.D. Please remember the opinions expressed on Patient Power are not necessarily the views of Northwestern Memorial
More information4 Latest Advances in Epilepsy Treatment at Penn
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/medical-breakthroughs-from-penn-medicine/latest-advances-treatmentepilepsy/8197/
More informationCancer and Neuropathy Webcast September 2, 2008 Jeong H. Oh, M.D. Introduction
Cancer and Neuropathy Webcast September 2, 2008 Jeong H. Oh, M.D. Please remember the opinions expressed on Patient Power are not necessarily the views of M. D. Anderson Cancer Center, its medical staff
More informationExpert Tips to Stop Smoking Now Webcast January 17, 2011 Vicky Fang, M.D. Yunyu Cao, M.D. Introduction
Expert Tips to Stop Smoking Now Webcast January 17, 2011 Vicky Fang, M.D. Yunyu Cao, M.D. Please remember the opinions expressed on Patient Power are not necessarily the views of UW Medicine, their staff,
More informationNational Institute on Drug Abuse (NIDA) What is Addiction?
National Institute on Drug Abuse (NIDA) What is Addiction? https://www.drugabuse.gov 1 Table of Contents What is Addiction? Do You or a Loved One Have a Drug Abuse Problem? Signs of Drug Abuse and Addiction
More informationHepatocellular Carcinoma: Clinical Priorities from Detection to Liver Transplantation
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/medical-breakthroughs-from-penn-medicine/hepatocellular-carcinomaclinical-priorities-detection-liver-transplantation/7948/
More informationPancreatic Cancer: Associated Signs, Symptoms, Risk Factors and Treatment Approaches
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/medical-breakthroughs-from-penn-medicine/pancreatic-cancerassociated-signs-symptoms-and-risk-factors-and-treatment-approaches/9552/
More informationAsthma and Allergies: How to Get Relief Webcast May 31, 2010 Bryna Dunaway Jennifer Creaser, A.R.N.P., F.N.P. Thomas Hei
Asthma and Allergies: How to Get Relief Webcast May 31, 2010 Bryna Dunaway Jennifer Creaser, A.R.N.P., F.N.P. Thomas Hei Please remember the opinions expressed on Patient Power are not necessarily the
More informationAndrew Schorr: Hello and welcome once again to Patient Power, sponsored by the Seattle Cancer Care Alliance. I'm Andrew Schorr.
The Latest in Gynecological Cancers Webcast May 21, 2008 Banjamin Greer, M.D. Please remember the opinions expressed on Patient Power are not necessarily the views of Seattle Cancer Care Alliance, its
More informationPelvic Organ Prolapse: What Can I Do About This Problem? Webcast July 27, 2010 Christina Lewicky-Gaupp, M.D. Joanne s Story
Pelvic Organ Prolapse: What Can I Do About This Problem? Webcast July 27, 2010 Christina Lewicky-Gaupp, M.D. Please remember the opinions expressed on Patient Power are not necessarily the views of Northwestern
More informationPredictive analytics can spot patients not taking their medicine
Predictive analytics can spot patients not taking their medicine Using big data to find incidents of medication nonadherence, and using it to tailor patient interventions, is a key component to population
More informationComparing Liquid-Based Cytology Methods in the Detection of Cervical Cancer: Perspectives from Dr. Daniel Ferrante
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/advances-in-womens-health/comparing-liquid-based-cytology-methodsdetection-cervical-cancer-perspectives-dr-daniel-ferrante/7592/
More informationCase Study: Biomedical Scientist - Caroline
Case Study: Biomedical Scientist - Caroline What do you do? I'm a biomedical scientist, in haematology. I work in an NHS hospital. We study the morphology of the cells - what they actually look like, such
More informationHow to Foster Post-Traumatic Growth
How to Foster Post-Traumatic Growth Module 7, Part 2 - Transcript - pg. 1 How to Foster Post-Traumatic Growth Two Ways to Ignite Accelerated Growth Part 2: How Your Choice of Language Can Transform an
More informationAbhinav: So, Ephraim, tell us a little bit about your journey until this point and how you came to be an infectious disease doctor.
Announcer: Welcome to the Science is the Best Medicine podcast with your host Dr. Abhinav Sharma, exploring the pressing scientific and healthcare issues of our time. Dr. Abhinav Sharma: Superbugs we hear
More informationColon Cancer Screening Webcast April 23, 2008 William Grady, M.D. Introduction
Colon Cancer Screening Webcast April 23, 2008 William Grady, M.D. Please remember the opinions expressed on Patient Power are not necessarily the views of Seattle Cancer Care Alliance, its medical staff
More informationThe Treatment Landscape for Metastatic Breast Cancer Webcast Host: Andrew Schorr Guests: Hope Rugo, M.D. Robert Prosnitz, M.D.
The Treatment Landscape for Metastatic Breast Cancer Webcast Host: Andrew Schorr Guests: Hope Rugo, M.D. Robert Prosnitz, M.D. Dikla Benzeevi Please remember the opinions expressed on Patient Power are
More informationRecording Transcript Wendy Down Shift #9 Practice Time August 2018
Recording Transcript Wendy Down Shift #9 Practice Time August 2018 Hi there. This is Wendy Down and this recording is Shift #9 in our 6 month coaching program. [Excuse that I referred to this in the recording
More informationThe Parent's Perspectives on Autism Spectrum Disorder
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/autism-spectrum/the-parents-perspectives-on-autism-spectrumdisorder/6809/
More informationAn Oral Fecal Transplant for Lunch?- Frankly Speaking EP 53
An Oral Fecal Transplant for Lunch?- Frankly Speaking EP 53 Transcript Details This is a transcript of an episode from the podcast series Frankly Speaking accessible at Pri- Med.com. Additional media formats
More information"PCOS Weight Loss and Exercise...
"PCOS Weight Loss and Exercise... By Dr. Beverly Yates Dr. of Naturopathic Medicine, PCOS Weight Loss Expert & Best Selling Author Table of Contents Introduction... 2 If You Are Dieting Do You Need To
More informationWe know that treatments are now targeting genes, but does genetics play a bigger role in cancer outside of that?
Welcome to the 3Ps of Cancer podcast, where we'll discuss prevention, preparedness, and progress in cancer treatments and research. Brought to you by the University of Michigan Rogel Cancer Center. I'm
More informationBrachytherapy for Prostate Cancer Webcast November 4, 2008 David Swanson, M.D. Steven Frank, M.D. Introduction
Brachytherapy for Prostate Cancer Webcast November 4, 2008 David Swanson, M.D. Steven Frank, M.D. Please remember the opinions expressed on Patient Power are not necessarily the views of M. D. Anderson
More informationAbdominal Aortic Aneurysms Health Radio March 10, 2008 Mark Farber, M.D. Dick May. Introduction
Abdominal Aortic Aneurysms Health Radio March 10, 2008 Mark Farber, M.D. Dick May Please remember the opinions expressed on Patient Power are not necessarily the views of Health Radio, our sponsors, partners
More informationSelected Proceedings of ALDAcon SORENSON IP RELAY Presenter: MICHAEL JORDAN
Selected Proceedings of ALDAcon 2005 SORENSON IP RELAY Presenter: MICHAEL JORDAN MICHAEL JORDAN: Okay. I m excited to be here. I feel that the communication that Sorenson has and will continue to provide
More informationHello and welcome to Patient Power sponsored by UCSF Medical Center. I'm Andrew Schorr.
Managing Pain from Shingles Webcast August 22, 2011 George Pasvankas, M.D. Please remember the opinions expressed on Patient Power are not necessarily the views of UCSF Medical Center, its medical staff
More informationAiming for a CLL Treatment Home Run Recorded on June 1, 2014
Patient Power Knowledge. Confidence. Hope. Aiming for a CLL Treatment Home Run Recorded on June 1, 2014 Thomas Kipps, MD, PhD Deputy Director of Research Operations UC San Diego Moores Cancer Center Please
More information