After surgery, women diagnosed with hormone-receptor-positive breast cancer usually take hormonal therapy medicine to reduce the risk of the cancer coming back (recurrence). Types of Hormonal Therapy Tamoxifen a selective estrogen receptor modulator (SERM)is used to treat both premenopausal and postmenopausal women. may cause hot flashes may increase the risk of endometrial cancer may increase
What is an angiogram ? An angiogram or cardiac catheterization is a procedure to detect narrowing or blockages in your coronary arteries. Contrast dye is injected into the heart arteries while X-ray images are taken. The pictures provide a road map of your vessels visualizing blockages, narrowing, or other abnormalities of the arteries. The blockages found
What is an Abdominal aortic aneurysm (AAA) Aortic aneurysms are separated into two categories, thoracic, which involves the ascending aorta, the aortic arch, and the first part of the descending aorta, and abdominal, which involves the descending aorta. This article will focus on abdominal aneurysms Abdominal aortic aneurysms (AAAs) are relatively common and potentially life-threatening.
Until 10000 years ago , continental scale ice sheets came and went many times over millions of years shaping mysteriously the earth landscape . In the late 1600 near present day Glacier Bay a different landscape harbored the Tinglit people . In the place of the Bay , the landscape was a grassy valley with
Our first stop in Alaska – Ketchikan city, with an amazing Native American story The story of Raven and Fog Woman explains the yearly migration of salmon in Ketchikan , Alaska A long, long time ago, Raven and his two slaves Gitsanuk and Gitsagag, built a camp at the mouth of a creek As winter
The pacemaker-twiddler’s syndrome is an uncommon cause of pacemaker malfunction. It occurs due to unintentional or deliberate manipulation of the pacemaker pulse generator within its skin pocket by the patient. This causes coiling of the lead and its dislodgement, resulting in failure of ventricular pacing. More commonly reported among elderly females with impaired cognition, the
The peonies in my garden are blooming, bringing back memories of my mother’s garden in Romania, – a splash of color and beauty. There is a special one, popular in Romania – Paeonia romanica Peregrina The Chinese call Peonies the King of flowers ; were named in honor of Paeon, the physician of the gods.
Good Shepherd Hospital Physicians – Dr Sunil Kadakia, Medical Director and Chairman of Cardiology, makes his debut as an author, with an innovative novel about the contemporary trend in managing the American Health Care system. Filled with wit, originality and humor, the book dives into every level of managerial infrastructure . The stories are written
Varicose Veins Screening Questionnaire prior to Consultation
Vein screening Questionnaire – to be completed prior to the consultation Do you have bulging or varicose veins? yes no Do your legs feel heavy, tired or achy – especially at the end of the day? yes no Do your legs feel better with rest and
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