General

According to World Health Organization and Center for Disease Control, cancer is preventable and treatable. The leading causes of cancer are tobacco, infections, alcohol, obesity, and air pollutants.

Tobacco

–        Smoking damages DNA and causes cancer

–        Tobacco is associated with the following cancers:

o   Bladder

o   Blood (acute myeloid leukemia)

o   Cervix

o   Colon and rectum

o   Esophagus

o   Kidney and renal pelvis

o   Liver

o   Lungs, bronchi, and trachea

o   Mouth and throat

o   Pancreas

o   Stomach

o   Voice box (larynx)

–        Prevention: Smoking cessation/avoidance

Infections

–        Certain infections are associated with cancers

–        Human Papilloma Virus is associated with cancer of the cervix, vulva, vagina, penis, anus, and oropharynx.

–        Chronic infections with Hepatitis B and Hepatitis C can cause liver cancer

–        Prevention: Human papillomavirus (HPV) vaccine, Hepatitis B vaccination, treatment of active hepatitis B and hepatitis C infections

Alcohol

  • Drinking alcohol increases the risk of obtaining mouth and throat cancer, voice box (larynx) cancer, esophageal cancer, colon and rectal cancer, liver cancer, and breast cancer in women.
  • The human body breaks down consumed alcohol down into a chemical called acetaldehyde.Acetaldehyde damages your DNA and prevents your body from repairing the DNA damage. Damaged DNA can cause a cell to grow without control and cause cancer.
  • Prevention: avoidance of alcohol

Obesity

–        Obesity is associated with the following cancers:

o   Adenocarcinoma of the esophagus

o   Breast (in post-menopausal women)

o   Colon and rectum

o   Uterus

o   Gallbladder

o   Upper stomach

o   Kidneys

o   Liver

o   Ovaries

o   Pancreas

o   Thyroid

o   Meningioma (a type of brain cancer)

o   Multiple myeloma

–        Prevention: Healthy well-balanced diet and physical activity

Air Pollutants

–        Air pollution is associated with lung cancer, urinary tract/bladder cancer

–        Prevention: Reducing exposure to outdoor air pollution and indoor air pollution, including radon (a radioactive gas produced from the natural decay of uranium. Exposure to radon can occur in homes and buildings).

Sun Exposure

–        Causes cancers that include:

o   Melanoma

o   Squamous cell carcinoma of skin

o   Basal cell carcinoma of skin

–        Prevention: Includes wearing sunscreen (on skin and lips), wearing protective clothing and hats, avoiding peak sun rays at midday, and avoiding indoor tanning beds

 

Foods

–        Foods that are associated with cancer include processed foods, processed meats, red meat and charred food, sugar, fried foods, and alcohol

–        Red Meats and processed foods increase the risk of colorectal cancer (American Institute of Cancer Research)

–        Sugar and fast foods increase risk of obesity which increases risk of cancers

–        Prevention: Eating a balanced diet rich in healthy nutrients

Covid 19 Vaccine

So….a little birdie told us that some of you have been FULLY VACCINATED against the COVID-19 virus. What does that mean for you?

After a long year of COVID19 pandemic, the CDC guidelines are changing again. People who have been FULLY VACCINATED are wondering what activities are considered safe.

What is FULLY VACCINATED?

People are considered fully vaccinated for COVID-19 ≥2 weeks after they have received the second dose in a 2-dose series (Pfizer-BioNTech or Moderna), or ≥2 weeks after they have received a single-dose vaccine (Johnson and Johnson (J&J)/Janssen).

As per CDC guidelines dated April 2nd, 2021, FULLY VACCINATED people can: 

  • Resume domestic travel and do not need to get tested before or after travel or self-quarantine after travel.
  • FULLY VACCINATED people do not need to get tested before leaving the United States (unless required by the destination) or self-quarantine after arriving back in the United States.
  • Visit with other FULLY VACCINATED people indoors without wearing masks or physical distancing.
  • Visit with unvaccinated people from a single household who are at low risk for severe COVID-19 disease indoors without wearing masks or physical distancing.
  • Refrain from quarantine and testing following a known exposure IF they are asymptomatic.

As per current CDC recommendations, FULLY VACCINATED people should continue to:

  • Take precautions in public such as wearing a well-fitted mask and practice physical distancing.
  • Wear masks, practice physical distancing, and adhere to other prevention measures when visiting with unvaccinated people who are at increased risk for severe COVID -19 disease or who have an unvaccinated household member who is at increased risk for severe COVID-19 disease.
  • Wear masks, maintain physical distance, and practice other prevention measures when visiting with unvaccinated people from multiple households.
  • Avoid medium- and large-sized in-person gatherings
  • Get tested if experiencing symptoms of COVID-19.
  • Follow guidelines issued by individual employers.
  • Follow CDC and health department travel requirements and recommendations.

Other considerations….

  • Sometimes you don’t know who is FULLY VACCINATED or who is at a high risk for severe COVID-19 infection.
  • CDC guidelines and Health Department recommendations will likely change as more information becomes available.
  • keep in mind: guidelines change quickly as we learn about this virus. Stay informed and stay safe!

From your friends at Concierge Medicine of Jupiter

Obesity

At Concierge Medicine of Jupiter, our philosophy is to change the idea that obesity is a character flaw caused by insufficient willpower, lack of discipline, or bad choices. Since 2013, the American Medical Association has recognized this condition as a true disease- one requiring treatment and management by medical professionals. Through research we now know that one of the hallmarks of obesity is disordered signals for hunger and satiety (the feeling of fullness) making it difficult or even impossible for many to lose weight and keep it off.

In the simplest terms- excess body fat is metabolically active and can cause an abnormal and unrelenting drive for feeding- making weight management even more difficult when compared to those who are not obese.

The pathophysiology of obesity is only partially understood and research is ongoing. Obesity is related to genetic, psychological, physical, metabolic, neurological, and hormonal impairments. It is intimately linked to heart disease, sleep apnea, certain cancers, and many other illnesses. It is also one of the major risk factors for poor outcomes in COVID19 infection. Obesity is one of the few medical conditions that can negatively influence social and interpersonal relationships.

The good news is that shedding even a modest number of pounds can have significant health benefits. Sustained weight loss of just five percent of body weight can significantly lower blood pressure, blood glucose and improve blood lipids.

Obesity has finally been recognized as a disease. We firmly believe it should also be treated as such- just as we do for high blood pressure, high cholesterol, and diabetes. There are new medicines that can be offered, surgery for advanced cases, and new diet and nutritional approaches with a proven track record.

 

Our physicians at Concierge Medicine of Jupiter, Catherine G. Drourr, M.D.  and Yana Shtern, M.D., have a passion for preventative medicine with nutrition and weight management a cornerstone of our practice. If you want to find out more information about our VIP membership practice, contact us at Concierge Medicine of Jupiter today to learn more about our personalized weight management program.

Hyperhidrosis is a condition that is characterized by excessive sweating and usually occurs mostly on the hands, feet, armpits, and face of the affected patient.

In normal cases, the body produces sweat episodically meaning that sweat is usually produced as a response to something whether it be stress, anxiety, when you are exercising, or when you are running a temperature after which it dissipates. 

In a small percentage of patients with hyperhidrosis, this exocrine function doesn’t stop and they sweat in conditions that don’t warrant it for e.g. in an air-conditioned space or while simply just relaxing. Hyperhidrosis can in some instances be linked to an underlying cause, however, in many cases, there is no known medical cause.

Hyperhidrosis can be classified into two groups – primary and secondary hyperhidrosis.

Primary hyperhidrosis

Primary hyperhidrosis can cause undue sweating in large quantities usually evident on the face, feet, hands, and underarms of the patient.

Secondary Hyperhidrosis

Secondary hyperhidrosis usually presents itself in larger areas that are dispersed all over the body and is caused by heat, underlying medical conditions, or even from some types of medication.

Many cases of primary hyperhidrosis are usually hereditary in nature. Patients with hyperhidrosis sweat from the eccrine gland which are found in large quantities on the hands, feet, face, and underarms. Overstimulation of the eccrine gland is what causes hyperhidrosis and sometimes all that is necessary to trigger excessive sweating is a mere thought of potentially feeling a certain way.

How is it treated?

Over the counter medicine can be used to treat hyperhidrosis. 

  • Anticholinergics affect the nerve glands to secrete less sweat. This medication comes in pill form, or in the form of a cream that is applied to the skin.
  • Botox injections
  • Anxiety medication
  • Low intensity electrical current treatments 

Surgery is usually the last resort. Doctors perform a thoracic sympathectomy where the doctor removes the nerves and sweat glands in the affected area. This can cause other side effects which include sweating elsewhere such as on the back, chest, and legs for example.

Secondary hyperhidrosis is usually caused by an underlying medical condition and causes sweat to be produced whilst sleeping. Secondary hyperhidrosis usually occurs all over the body and can be caused by the following factors such as pregnancy, hyperthyroidism, gout, shingles, menopause, and many others as well as certain medications used to treat conditions such as diabetes or depression. 

If you are suffering from this medical anomaly and want to find out more information about this condition, contact us at Concierge Medicine of Jupiter today for personalized medical care assistance with a difference.