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October 11, 2012 - Image 43

Resource type:
Text
Publication:
The Detroit Jewish News, 2012-10-11

Disclaimer: Computer generated plain text may have errors. Read more about this.

SJMO LAUNCHES COMPREHENSIVE BREAST CENTER

St. Joseph Mercy Oakland (SJMO)

Patients identified as being at increased

is enhancing its Comprehensive

risk of breast cancer on their Mammo-

Breast Center (CBC) to better

Plus® risk evaluation are informed of their

meet the growing needs and ex-

scores, as are their physicians. They are

pectations of women with breast

offered the opportunity to participate in

care issues.

the RiskPlus - program, which is staffed

Fully achieving CBC status will

and an advanced-practice oncology nurse

take St. Joe to the next level in

practitioner.

by a board-certified genetic counselor

AMY KIRBY, MD

cancer and women's health services capabilities, says Amy

Kirby, MD, Breast Program Medical Director. She directs the

During their RiskPlus' appointment, patients

SJMO Breast Cancer Advisory Committee that oversees

receive a detailed genetic evaluation based

CBC implementation.

on personal, family and medical histories.

St. Joe has recently implemented two CBC components:

"They receive unbiased information re-

MammoPlus® and RiskPlus'. "These two enhancements to

garding their risk evaluation cancer ge-

our breast program add to our ability to identify women at

netic syndromes and genetic testing," says

increased risk of developing breast cancer" says Dr. Kirby.

Dr. Kirby. When appropriate, women are offered genetic

To make a mammography appointment at St. Joe, call the

"We hope that by identifying women at increased risk of

testing and, based on their complete evaluation, receive a

scheduling office at 248-858-3777. Evening and weekend

cancer, providing appropriate genetic counseling, testing

tailored risk reduction management plan.

appointments are available. A physician's order is required

for mammography services.

and individualized risk reduction plans, we can reduce

Other key components of the CBC are:

mortality from cancer"

• Rapid results (same-day access to biopsy)

SJMO is a member of the Mercy Cancer Network (MCN),

All women who come to the St. Joe Breast Imaging Cen-

• Nurse navigation

one of Michigan's largest cancer care networks. MCN links

ter for a mammogram are offered the opportunity to

• Psychosocial counseling and supportive services

local hospitals and cancer centers throughout Michigan to

participate in MammoPlus®—which includes both a digital

• Clinical trials

provide patients and families access to the most advanced

mammography screening and a lifetime risk assessment

• Survivorship program

medicine and latest in cancer diagnostics, clinical research

for breast cancer. There is no additional cost for Mammo-

• Multidisciplinary care team for patient planning and

trials and therapeutic technology. The long-term goal is for

Plus®. It is the hospital's version of the best mammogram

treatment

all MCN hospitals to offer standardized CBC to patients

service available.

• National accreditations in breast care and radiology

throughout Michigan.

WOMEN AND HEART HEALTH

These new risk factors include health issues—such as

What might this mean for you? If you had a complication

pre-eclampsia and diabetes—that may crop up only

such as gestational diabetes or high blood pressure dur-

WHAT'S NEW
FOR YOU?

during pregnancy.

ing pregnancy, your doctor needs to carefully monitor and

control your risk for CVD.

"Things like elevations in blood pressure or gestational

You've heard the message many

diabetes increase a woman's risk for developing diabetes

Having certain immune disorders, such as lupus and rheu-

times: Women get heart disease

or hypertension later in life," says Ileana L. Pina, MD, one

matoid arthritis, also can significantly increase a woman's

and have heart attacks, too.

of the authors of the AHA guidelines.

risk for CVD. According to the AHA, if you have one of

these conditions, you should be screened for CVD even

The American Heart Association

So even though these conditions may disappear after

(AHA) has been driving home

childbirth, they can remain CVD risks for a long time.

those facts to women for years.

NITIN DOSHI, MD

if you don't have evidence of heart disease.

For instance: Women with a history of pre-eclampsia

"In addition, women with high blood pressure, diabetes

face double the risk of having a stroke, heart disease and

and high cholesterol should refrain from smoking, because

Now the organization would

dangerous blood clots in their veins five to 15 years after

it adds to a multitude of added risks," notes Dr. Doshi.

like women to make that mes-

their pregnancy.

sage more relevant to their everyday lives. It urges every

The updated guidelines also emphasize the need to rec-

woman to sit down with her doctor and ask two questions:

ognize the impact that racial and ethnic factors can have

on CVD. For example: High blood pressure is a particular

"What factors keep me personally from being in optimum

problem for African American women, as is diabetes for

heart health?"

Hispanic women.

"What are some practical steps I can take—given my age,

PREVENTION "Women also don't tolerate a heart at-

health and background—to change them?"

tack as well as men once they have one, so it's important

to know that prevention is always better than treatment,"

SYMPTOMS "Often, women with heart disease present

adds Dr. Doshi. To prevent heart disease:

with atypical symptoms, such as pain between the shoul-

• Don't smoke.

der blades, indigestion, jaw or arm pain, or vomiting," says

• Maintain a healthy body weight and avoid abdominal

St. Joseph Mercy Oakland (SJMO) cardiologist and Medi-

obesity.

cal Director of Cardiovascular Services Nitin Doshi, MD.

• Be physically active.

"These symptoms should not be ignored, and women

• Eat heart-healthy foods, such as fruits, vegetables, fish,

should seek medical attention at the onset of any of these."

nuts and whole grains.

• Let your doctor know of any changes in your life that

may affect your personal path to heart health.

NEW RISKS Now there are new risks to consider

based on the result of updated AHA guidelines for the

prevention of cardiovascular disease (CVD) in women.

Exercise can help you stay heart healthy.

FALL 2012

5

To locate a St. Joe cardiologist near you, call 800-372-6094.

MICHIGAN MEDICAL REPORT

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