Breast Cancer Screening: What Is New?
Dr. Chimezie C. Amanambu, M.D • February 22, 2022
Breast Cancer Screening: What Is New?
Breast cancer is very important disease suffered by both men and women but more common in women. This article will focus on breast cancer in women.
Breast cancer is a leading cause of cancer death in US women being second only to lung cancer. It is estimated that 1 in 8 women will develop invasive breast cancer in their lifetime. In 2015, more than 230,000 women are expected to be diagnosed with invasive breast cancer.
Caucasian women are slightly more likely to develop breast cancer than African-Americans but breast cancer occurring in women younger than 45 years old is more common in African-Americans. However, African-American women are more likely to die of breast cancer. Breast cancer is less common among Asian, Hispanic and Native-American women.
Mammography has been the principal method of screening for breast cancer. Other methods includ breast ultrasound and breast MRI.
Screening mammography has been shown to reduce breast cancer deaths in women aged 40 to 69 years. However, there is a high rate of false positive (diagnosis of an abnormality when there is none) in young women due to dense breasts. African-American women have dense breasts. These false positive results lead to anxieties and performance (and subsequent performance) of breast biopsies.
The American Cancer Society (ACS) recently changed their recommendation about breast cancer screening for women at average risk. You can evaluate your risk of breast cancer using the Gail Breast Cancer Risk Assessment Tool at http://www.cancer.gov/bcrisktool/.
- Start regular screening mammography at 45 years.
- Biennial screening for women 55 years and older.
- Screening mammography should continue for as long as their overall health is good and life expectancy is 10 years or longer.
- The ACS does NOT recommend clinical breast examination by the patient or a clinician because of lack of benefit.
For commercial drivers in and around Akron, Ohio, maintaining a valid Commercial Driver’s License (CDL) is essential for their livelihood. A crucial component of this process is the DOT medical examination, which ensures drivers meet the necessary health standards for safe operation. Dr. Amanambu at Pax Internal Medicine Associates provides thorough and efficient DOT physicals, making him your reliable choice for a DOT physical exam in Akron, Ohio. Understanding the DOT Physical The Department of Transportation (DOT) mandates that all commercial drivers undergo a DOT physical to assess their physical and mental fitness to operate commercial motor vehicles. This examination is designed to identify any medical conditions that could impair a driver’s ability to safely perform their duties. What to Expect During Your DOT Medical Examination with Dr. Amanambu Dr. Amanambu, a certified medical examiner, conducts comprehensive DOT physicals, adhering to all FMCSA (Federal Motor Carrier Safety Administration) guidelines. During your examination, you can expect: Medical History Review: Dr. Amanambu will review your medical history, including any current or past medical conditions, medications, and surgeries. Physical Examination: A thorough physical examination will assess your overall health, including your vision, hearing, blood pressure, pulse, and general physical condition. Urinalysis: A urine test will be conducted to screen for underlying medical conditions, such as diabetes or kidney disease. Vision and Hearing Tests: Your vision and hearing will be tested to ensure they meet the minimum standards required for commercial driving. Neurological Assessment: Dr. Amanambu will assess your neurological function to ensure you have adequate reflexes and coordination. Why Choose Dr. Amanambu for Your DOT Physical in Akron, Ohio? Experienced Medical Examiner: Dr. Amanambu is a certified medical examiner with extensive experience in conducting DOT physicals, ensuring you receive a thorough and accurate examination. Convenient Location: Pax Internal Medicine Associates is conveniently located in Akron, Ohio, making it easily accessible for commercial drivers in the surrounding areas. Efficient and Timely Service: Dr. Amanambu understands the importance of getting drivers back on the road quickly. He strives to provide efficient and timely examinations, minimizing any disruptions to your schedule. Patient-Centered Care: Dr. Amanambu prioritizes patient comfort and well-being, creating a relaxed and supportive environment for your examination. Thorough and Accurate Assessments: He's committed to providing thorough and accurate assessments, ensuring you meet all FMCSA requirements for CDL certification. Preparing for Your DOT Physical To ensure a smooth and efficient examination, it's recommended that you: Bring a list of all current medications, including dosages. Bring any necessary medical documentation, such as recent lab results or medical records. Be prepared to provide a urine sample. If you wear glasses or hearing aids, bring them to your appointment. Secure Your CDL Certification with a DOT Physical Exam in Akron, Ohio Don't let your CDL certification lapse due to an expired medical card. Schedule your DOT physical with Dr. Amanambu at Pax Internal Medicine Associates today. He'll provide a comprehensive and efficient DOT medical examination, helping you stay compliant with FMCSA regulations and keep your career on track.
Living with Chronic Obstructive Pulmonary Disease (COPD) presents unique challenges, and managing symptoms effectively often extends beyond medication. Optimizing your nutrition through a carefully planned COPD diet significantly impacts your breathing, energy levels, and overall well-being. Dr. Amanambu at Pax Internal Medicine Associates understands the importance of dietary recommendations for individuals with COPD, and he provides expert guidance to help patients make informed choices for improved respiratory health. Why Diet Matters for COPD Individuals with COPD expend more energy breathing, resulting in weight loss and muscle weakness. A well-balanced COPD diet helps maintain a healthy weight, strengthens respiratory muscles, and boosts the immune system. Furthermore, certain foods exacerbate symptoms, while others provide much-needed support. Key Dietary Recommendations for Individuals with COPD: Focus on Nutrient-Dense Foods: Prioritize fruits, vegetables, whole grains, and lean proteins to provide essential vitamins and minerals. These foods support overall health and immune function, crucial for individuals with compromised respiratory systems. Increase Protein Intake: Protein is vital for maintaining muscle mass, which is often depleted in COPD patients. Include sources like fish, poultry, beans, and eggs in your diet. Choose Healthy Fats: Opt for unsaturated fats found in avocados, nuts, seeds, and olive oil. These fats provide energy and support cell function without contributing to inflammation. Limit Sodium Intake: Excessive sodium leads to fluid retention, making breathing more difficult. Avoid processed foods, canned goods, and excessive salt added to meals. Stay Hydrated: Drinking plenty of water helps thin mucus secretions, making them easier to cough up. Aim for at least eight glasses of water per day, unless otherwise instructed by your physician. Eat Smaller, More Frequent Meals: Large meals can put pressure on the diaphragm, making breathing more challenging. Smaller, more frequent meals help maintain energy levels and prevent shortness of breath. Foods to Avoid with COPD: Processed Foods: High in sodium, unhealthy fats, and artificial additives. Sugary Drinks: Provide empty calories and contribute to weight gain. Gas-Producing Foods: Such as beans, cabbage, and carbonated beverages, which can cause bloating and make breathing more difficult. Foods That Cause Mucus Production: Dairy increases mucus production in some individuals. Dr. Amanambu's Expertise in COPD Management Dr. Amanambu understands the complexities of COPD and the crucial role nutrition plays in managing the condition. He provides personalized dietary recommendations, considering individual needs and preferences. His expertise helps patients develop sustainable eating habits that support their respiratory health and improve their quality of life. By following these dietary recommendations for individuals with COPD, and working closely with Dr. Amanambu, you take control of your health and breathe easier.