Tag Archives: AWAREmed Health and Wellness Resource Center

Depression in Women with Breast Cancer

Depression in Women with Breast Cancer: The most talk about type of cancer

Depression in Women with Breast Cancer

Depression in Women with Breast Cancer is realistic and must be addressed timely if we have to keep the beauty and health of our loved ones breast.

Of all the cancer types, breast cancer is the one most studied more so when it comes to the psychosocial effects. It therefore goes without mention that of all the studies done, most of them are focusing on women and breast cancer. This is what the experts at AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury are going to help us understand. Remember that doctor Akoury is also the founder of this facility and ever since she has been of great help to many people across the globe. You can be among the many that have been treated and are now enjoying their lives to the fullest by seeking an audience with her today through a phone call and you will not regret it. In the meantime, let us settle into the discussion focusing on the depression in women with breast cancer.

Depression in Women with Breast Cancer: Longitudinal studies of depression in women with breast cancer

Like I had said before, this has become a great point of concern to researchers and a lot is being done in this direction. Like for instance and according to one of the prospective study where 160 women with breast cancer and were schedule for breast surgery, it was established that about 22% prevalence of depression in women who had a mastectomy for breast cancer. In relation to those with initial stages of cancer this prevalence was consistent for two years. During this period a 30% rate of anxiety in a study of 58 ambulatory women who were 5 years post treatment for breast cancer. Nonetheless women who had partial mastectomy followed by radiation had better body image but similar amount of anxiety and depression symptoms and fear of recurrence as did women who had modified radical mastectomy.

Depression in Women with Breast Cancer: Depression in breast cancer patients by surgical procedure

Of the many studies conducted, when the specialist were analyzing the various findings and in comparison with the psychological outcomes of the women undergoing different surgical procedures, it was established some low levels of depression but higher levels of anxiety in 133 ambulatory breast cancer patients receiving radiotherapy after mastectomy or lumpectomy. The end result of this study shows clear evidence that in a cutoff score of 10 on HADS only two mastectomy patients were considered significantly depressed. And on the other hand if a HADS cutoff score of 8 was applied, then 6.7% were depressed. In contrast, in a study of 123 women with breast cancer, there was a clear evidence of high prevalence of depression (50% in mastectomy, 50% in lumpectomy with radiation versus 41% in lumpectomy only). These high percentages may have resulted from a use of a self-report depression scale (Center for Epidemiology Self-report Depression Scale [CES-D]) rather than a DSM-IIIR criteria-based clinical interview.

Depression in Women with Breast Cancer: Prior History of Depression in Women with Breast Cancer

Few researchers have noted the time of onset of depression or correlated patients’ history of depression with current depression or functioning. Notably, researchers reported findings on a homogenous sample of 79 women evaluated with the Diagnostic Interview Schedule and CES-D 3–7 months after their diagnosis of breast cancer. Nearly 18% of this sample had a past or current history of depression according to DSM-IIIR criteria. Women with elevated depressive symptoms had more physical symptom distress and more impaired functioning than subjects with depressive disorders and without depression.

In a cross-sectional study of 303 relatively young (mean age 46 years) women with early (stage I or II) breast cancer at 3 months after breast surgery using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire and HADS, it was again established that a past history of depression was associated with depression. It was also noted that women with few psychological symptoms and good emotional adjustment to cancer may have refused participation in this study because these women were also being recruited into an intervention study.

Depression in Women with Breast Cancer: Hormones and Depression in Women with Breast Cancer

In one of the studies involving 257 women with lymph node-negative breast cancer, 155 of who were treated with tamoxifen and 102 who were not. On the basis of clinical interview, 15% of the tamoxifen-treated group had depression compared with 3% of those not taking tamoxifen. Of the 23 women with depression, eight had mild symptoms and no change in tamoxifen dose was made, eight had significant depression requiring a dose reduction to relieve symptoms, and seven had to discontinue tamoxifen secondary to depression.

Depression in Women with Breast Cancer: Prevalence of Depression in Women with Advanced Breast Cancer

Studies evaluating the correlation of depression with disease progression in women with breast cancer have shown inconsistent results. Experts have found less depression in women with advanced breast cancer (4.5%) than in those with recurrent disease (15%). Physical disability did not relate to emotional disturbance. And yet in another study experts reported that ambulatory advanced breast cancer patients had a 20% depression prevalence in one study and 9% depression in another. Still again other studies found a 32% prevalence of depression in 22 women with local recurrence comparable with rates found with mastectomy. And in yet another research experts found a 13% prevalence of depression in advanced breast cancer patients (N = 139); increased levels of depression were found in those with lowest socioeconomic status, poorest performance status, and closer proximity to death.

In view of all these studies, researches and their findings it is becoming clearer that depression in women with breast cancer is realistically a problem that we cannot just wish away. It will take a consolidated effort from all us (medical professionals, government authorities, the general public and all interested parties) to pool together in the fight against these life threatening conditions. On her part as a medical expert, doctor Akoury made a decision to create a medical center (AWAREmed Health and Wellness Resource Center) whose main objective is to transform each individual’s life through increasing awareness about health and wellness and by empowering individuals to find their own inner healing power. Dr. Akoury’s practice focuses on personalized medicine through healthy lifestyle choices that deal with primary prevention and underlying causes instead of patching up symptoms. I strongly believe that you want your life to be transformed for the best of the very best. If this describes your interest, then you can schedule for an appointment with doctor Akoury today and being the life transformation journey with the best in the medical practice.

Depression in Women with Breast Cancer: The most talk about type of cancer

 

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The Prevalence of Depression in Cancer Patients

The Prevalence of Depression in Cancer Patients: Depression and Cancer

The Prevalence of Depression in Cancer Patients

The Prevalence of Depression in Cancer Patients is the concern of everybody. Even the medics are victims of the two health conditions

The impact of depression in cancer patients has of late been receiving much attention. This is because of the health risks that are involved when the two conditions marry together in an individuals’ life. It is no wonder that depression is actually seen as the psychiatric syndrome that has received the most attention in persons struggling with cancer. Nonetheless the study of depression has equally had a host of challenges due to the symptoms that associates with it on a broad spectrum that ranges from sadness to major effective disorder. The prevalence of depression in cancer patients is further put to test because of the changes in moods are often very difficult to evaluate more so when the patients in question is also receiving treatment of cancer and continuous threats of stress, fatigue and the pain they experience.

Doctor Akoury agrees that even though many research groups have assessed depression in cancer patients for several decades in the past, the reported prevalence varies significantly because of varying conceptualizations of depression, and in fact the definition of depression is not standard and different principles use for the definition of depression. Some of the differences may include the methodological approaches to the measurement of depression, and even the different populations studied. Depression is highly associated with oropharyngeal, pancreatic, breast, and lung cancers. A less high prevalence of depression is reported in patients with other cancers, such as colon, gynecological, and lymphoma. In this discussion we are going to make certain reviews on the prevalence of depression in cancer patients even as we desire to get the perfect links between the two health conditions.

Depression affects 121 million people and is among the leading causes of disability worldwide. If not treated in time depression can lead to personal suffering and increased mortality. Although the prevalence of depression varies considerably globally, the most common symptoms of depression may include:

Looking at gender, women are the most vulnerable to be depressed than men. Even though the available estimates shows that major depression are common with people in their late twenties, research findings puts children also at risk where in every ten children, one will have periodic feelings of sadness. This has been seen as one of the greatest indicators of depression says doctor Dalal Akoury. Experts also put the prevalence of depression in pre-pubertal children ranges from 1% to 3% and from 3% to 9% in adolescents; however, the lifetime prevalence through adolescence is estimated to be as high as 20%. Although there is no difference in the prevalence rate between sexes before puberty, females are at higher risk after puberty. Depression in children negatively affects a child’s development and often manifests as behavioral problems or somatic complaints.

The Prevalence of Depression in Cancer Patients: The Coexistence of Depression

Depression is not alone ranger and it is commonly coexisting with other syndromes and symptoms, like for instance the anxiety disorders posttraumatic stress disorder, panic disorder, generalized anxiety disorder and pain. The National Comorbidity Survey data show that in a 12-month period, 51% of patients with major depressive disorders are diagnosed with an additional anxiety disorder. Patients with comorbid depression and anxiety disorders experience more severe symptoms, have a longer time to recovery, use more healthcare resources, and have poorer outcome than do those with a single disorder.

The symptoms of depression and personal suffering resulting from this disorder have been well described. The complex biological underpinnings result from disturbances in neurotransmitters and hypothalamic-pituitary-gonadal axis dis-regulation. The last two decades have produced exciting science and advances in the understanding of the neurobiology and pathophysiology of depression. Electro-physiologic studies, neuroimaging techniques i.e., magnetic resonance imaging; computed tomography; single photon emission computed tomography; positron emission tomography; functional magnetic resonance imaging and neuropsychological studies are providing information about the neuroanatomical substrate of depression as we are learning more about how systemic disease effects vulnerability to depression.

The Prevalence of Depression in Cancer Patients: Early Studies of Depression in Cancer Patients

When a significant number of mental health professionals began working in oncology settings, they asked oncologists to describe their perceptions of the prevalence of psychiatric disorders in cancer patients. They were able to find common responses ranging from “everyone is depressed which is very true because they have cancer” to “no one is depressed; these are just normal people” and likely were a reflection of the respondent’s mood and coping style.

One of the first efforts in psycho-oncology was to obtain objective data on the type and frequency of psychological problems in cancer patients. Using criteria from the Diagnostic and Statistical Manual of Mental DisordersThird Edition (DSM-III) classification of psychiatric disorders, the Psychosocial Collaborative Oncology Group determined the psychiatric disorders in 215 randomly selected hospitalized and ambulatory adult cancer patients in three cancer centers by structured clinical interview. Although 53% of the patients evaluated were adjusting normally to stress, the remainder (47%) had clinically apparently psychiatric disorders. Of this 47% with psychiatric disorders, more than two-thirds had adjustment disorders with depressed or anxious mood, 13% had a major depression, 8% had an organic mental disorder, 7% had a personality disorder and 4% had a preexisting anxiety disorder. The authors concluded that nearly 90% of the psychiatric disorders observed were reactions to or manifestations of disease or treatment. Personality and anxiety disorders can complicate cancer treatment and were described as antecedent to the cancer diagnosis. The finding of 4% anxiety disorders was far below what would have been expected in the general population.

Thirty-nine percent of those who received a psychiatric diagnosis experienced significant pain. In contrast, only 19% of patients who did not receive a psychiatric diagnosis had significant pain. The psychiatric diagnosis of the patients with pain was predominately adjustment disorder with depressed or mixed mood (69%), but of note, 15% of patients with significant pain had symptoms of a major depression. Finally in whichever way you look at depression and cancer, these two conditions put together in an individual’s live can be very dangerous. We must therefore do all within our reach to keep distance from all these complications. One of the most important things you must keep in mind is the consistent consultation with the experts for professional advice. Doctor Akoury and her team of experts at AWAREmed Health and Wellness Resource Center will handle your situation with great confidentiality and most importantly offer you lasting solutions professionally. Your health should come first and therefore, schedule for that appointment today.

The Prevalence of Depression in Cancer Patients: Depression and Cancer

 

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The Association between Obesity and Cancer

The Association between Obesity and Cancer: The known truths between obesity and the various types of cancer

The Association between Obesity and Cancer

The Association between Obesity and Cancer can be a very big threat to good health if not addressed in time. Talk to your doctor in good time for advice.

At the mention of the disease cancer, people frown and stress and worries settle in. The condition becomes even worse when the patients struggling with this health condition are also obese or overweight. Experts all over the world are very much concern with the prevalence of obesity that is threatening to get out of hand. Unless we take some decisive action today, obesity is going to be the number one threat to health owing to its close association with other chronic diseases like cancer. In our previous article we discussed the relationship between obesity and some types of cancer, and we want to continue with the same in this article so that we can all be ready to eliminate the two conditions from our societies. We spoke to doctor Dalal Akoury a medical professional in various medical disciplines. Doctor Akoury is the MD and founder of AWAREmed Health and Wellness Resource Center a health facility whose primary objective is to help people transform their individual’s lives through increasing awareness about health and wellness and by empowering them to finding their own inner healing power. This is something that she has done for over two decades making one of the most experience professionals you can trust with your treatment. As you consider calling doctor Akoury, let us continue with the discussion about the association between obesity and cancer.

The Association between Obesity and Cancer: Obesity and Colorectal cancer

Being obese or overweight is closely associated with increased risk of colorectal cancer in men. This is mostly facilitated by the distribution of body fat especially with the abdominal obesity giving the clear evidence of an association with colon cancer risk. This is also seen in women but with little significance. However the use of MHT is likely to modify the association in postmenopausal women. A number of mechanisms have been proposed to account for the association of obesity with increased colon cancer risk. One hypothesis is that high levels of insulin or insulin-related growth factors in obese people may promote colon cancer development. High BMI is also associated with rectal cancer risk, but the increase in risk is more modest.

The Association between Obesity and Cancer: Obesity and kidney cancer

Obesity has been consistently associated with renal cell cancer, which is the most common form of kidney cancer, in both men and women. The mechanisms by which obesity may increase renal cell cancer risk are not well understood. High blood pressure is a known risk factor for renal cell cancer, but the relationship between obesity and kidney cancer is independent of blood pressure status. High levels of insulin may play a role in the development of the disease.

The Association between Obesity and Cancer: Obesity and Esophageal cancer

Overweight and obese people are about twice as likely as people of healthy weight to develop a type of esophageal cancer called esophageal adenocarcinoma. Most studies have observed no increased risk, or even a decline in risk, with obesity for the other major type of esophageal cancer, squamous cell cancer. The mechanisms by which obesity may increase risk of esophageal adenocarcinoma are not well understood. However, overweight and obese people are more likely than people of normal weight to have a history of gastro-esophageal reflux disease or Barrett esophagus, which are associated with an increased risk of esophageal adenocarcinoma. It is possible that obesity exacerbates the esophageal inflammation that is associated with these conditions.

Obesity and pancreatic cancer – Many studies have reported a slight increase in risk of pancreatic cancer among overweight and obese individuals. Waist circumference may be particularly important factor in the association of overweight and obesity with pancreatic cancer.

Obesity and thyroid cancer Increasing weight has been found to be associated with an increase in the risk of thyroid cancer. However it is not very clear what the mechanism might be.

Obesity and gallbladder cancer The risk of gallbladder cancer increases with increasing BMI. The increase in risk may be due to the higher frequency of gallstones, a strong risk factor for gallbladder cancer, in obese individuals.

Is there any possibility that avoiding weight gain decreases the risk of cancer?

This is very interesting acknowledges doctor Akoury, nonetheless the only way to ascertain this is through running a controlled clinical trials. A number of NIH-funded weight loss trials have in the past demonstrated that people can lose weight and that losing weight reduces their risk of developing chronic diseases, such as diabetes, while improving their risk factors for cardiovascular disease. It is also worth noting that the result emanating from the last trials, the NIC workshop findings demonstrated that it would not be feasible to conduct a weight loss trial of prevention of cancer. The question that follows would be why? The reason is a simple one that is the effect of weight loss trial of other chronic diseases would be demonstrated and the trial consequently stopped so that the public could be informed of the benefits before the effect on the prevention of cancer would become evident.

Therefore, most data about whether losing weight or avoiding weight gain prevents cancer come mainly from cohort and case-control studies. Data from these types of studies, called observational studies, can be difficult to interpret because people who lose weight or avoid weight gain may be different in other ways from people who do not, just as obese people may differ from lean people in other ways than BMI. That is, it is possible that these other differences explain their different cancer risk.

Nevertheless, many observational studies have shown that people who have a lower weight gain during adulthood have a lower risk of:

A more limited number of observational studies have examined the relationship between weight loss and cancer risk, and a few have found decreased risks of breast cancer and colon cancer among people who have lost weight. However, most of these studies have not been able to evaluate whether the weight loss was intentional or related to underlying health problems. It is because of such findings that made doctor Akoury to create AWAREmed Health and Wellness Resource Center with a sole objective of transforming each individual’s life through increasing awareness about health and wellness and by empowering individuals to find their own inner healing power. If you want a more personalized medicine through healthy lifestyle choices that deal with primary prevention and underlying causes instead of patching up symptoms, then you need to schedule for that appointment with doctor Akoury today.

The Association between Obesity and Cancer: The known truths between obesity and the various types of cancer

 

 

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Facts about relationship between obesity and cancer

Facts about relationship between obesity and cancer: Obesity and Cancer Risk

Facts about relationship between obesity and cancer

Facts about relationship between obesity and cancer. This relationship has no good to offer to human health and must be prevented by all means

The common understanding of obesity is a condition where an individual person or persons has an abnormal high and unhealthy proportion of body fat. The measurement of obesity is often done using the BMI scale. This is believed to provide a more reliable and accurate measure of obesity or overweight as oppose to the use of weight alone. Now of what interest do we have in the ascertainment of peoples’ weight? This is because the prevalence of obesity and overweight is growing into a catastrophic situation and people’s health is at risk. National Health and Nutrition Examination Survey (NHANES) is giving an estimation of about 68% in US alone as the adult population age 20 and above to be struggling with either obesity or overweight. With this impact and the complications that come with being obese or overweight, it has become necessary that both the professionals and the laymen take a position in fighting the scourge. To this effect, we want to discuss some of the facts about relationship between obesity and cancer with a view of creating awareness to the society to be on the look out of the consequences that are attached to these two conditions.

Facts about relationship between obesity and cancer: Obesity and Cancer

Experts have established that obesity is closely associated with increased risks of various types of cancer including the following among many others:

  • Esophagus
  • Pancreas
  • Colon and rectum
  • Breast (after menopause)
  • Endometrium (lining of the uterus)
  • Kidney
  • Thyroid
  • Gallbladder

According to of the studies done using NCI Surveillance, Epidemiology, and End Results (SEER) data, estimated that in 2007 in the United States alone, about 34,000 new cases of cancer in men representing 4 percent and 50,500 in women representing 7 percent were due to obesity. Even though there were some cases attributed to obesity, there were some variances in the cancer types with endometrial cancer and esophageal adenocarcinoma being as high as 40%. Experts while analyzing this, could make a projection that if the trend continues as it is now, then in the next two decades the future health and economic burden of obesity will lead to about 500,000 additional cases of cancer. On the other hand, while analyzing the same findings, it was established that if the average adult was to reduce their BMI with just 1%, then this would translate into preventing an increase of the number of new cancer cases by about 100,000. That is how closely obesity is related to cancer.

In the meantime, we spoke to the experts at AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury and she says that several possible mechanisms have been suggested in the past to explain the association of obesity with increased risk of certain cancers. The following are some of the tabled suggestions:

  • Fat tissue produces excess amounts of estrogen, high levels of which have been associated with the risk of breast, endometrial, and some other cancers.
  • Obese people often have increased levels of insulin and insulin-like growth factor-1 (IGF-1) in their blood (a condition known as hyperinsulinemia or insulin resistance), which may promote the development of certain tumors.
  • Fat cells produce hormones, called adipokines that may stimulate or inhibit cell growth. For example, leptin, which is more abundant in obese people, seems to promote cell proliferation, whereas adiponectin, which is less abundant in obese people, may have anti-proliferative effects.
  • Fat cells may also have direct and indirect effects on other tumor growth regulators, including mammalian target of rapamycin (mTOR) and AMP-activated protein kinase.
  • Obese people often have chronic low-level, or “sub-acute,” inflammation, which has been associated with increased cancer risk.

Other possible mechanisms include altered immune responses, effects on the nuclear factor kappa beta system, and oxidative stress.

Facts about relationship between obesity and cancer: Obesity and breast cancer

Many studies have shown that overweight and obesity are associated with an overbearing increase in risk of postmenopausal breast cancer. This higher risk is seen mainly in women who have never used menopausal hormone therapy (MHT) and for tumors that express both estrogen and progesterone receptors.

Overweight and obesity have, by contrast, been found to be associated with a reduced risk of premenopausal breast cancer in some studies.

The relationship between obesity and breast cancer may be affected by the stage of life in which a woman gains weight and becomes obese. Epidemiologists are actively working to address this question. Weight gain during adult life, most often from about age 18 to between the ages of 50 and 60, has been consistently associated with risk of breast cancer after menopause. The increased risk of postmenopausal breast cancer is thought to be due to increased levels of estrogen in obese women. After menopause, when the ovaries stop producing hormones, fat tissue becomes the most important source of estrogen. Because obese women have more fat tissue, their estrogen levels are higher, potentially leading to more rapid growth of estrogen-responsive breast tumors.

The relationship between obesity and breast cancer risk may also vary by race and ethnicity. However, there is limited evidence that the risk associated with overweight and obesity may be less among African American and Hispanic women than among white women.

Facts about relationship between obesity and cancer: Obesity and Endometrial Cancer?

Overweight and obesity have been consistently associated with endometrial cancer. This is the cancer of the lining of the uterus. Obese and overweight women have two to four times the risk of developing this disease than women of a normal weight, regardless of menopausal status. A number of studies have also found that the risk of endometrial cancer increases with increasing weight gain in adulthood, particularly among women who have never used MHT.

Although it has not yet been determined why obesity is a risk factor for endometrial cancer, some evidence points to a role for diabetes, possibly in combination with low levels of physical activity. High levels of estrogen produced by fat tissue are also likely to play a role. In conclusion to part with the prevalence of obesity and all the relationships we are observing with different kinds of cancers, we all have a duty to perform in the realization of good health. It begins with the mutual acknowledgement that these two conditions are a threat to our health. Up on that we can begin to talk to the experts both at AWAREmed Health and Wellness Resource Center and other institution where professionalism is practiced in offering treatment of the same. You can schedule for an appointment with doctor Dalal Akoury today and she will be there to help you overcome whatever challenge you may be having.

Facts about relationship between obesity and cancer: Obesity and Cancer Risk

 

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Understanding the Emotional Side Effects of Cancer

Understanding the Emotional Side Effects of Cancer: Ask questions

Understanding the Emotional Side Effects of Cancer

Understanding the Emotional Side Effects of Cancer marks the beginning point towards successful cancer treatment

It is always said that it is the sick that needs the doctor and not the other way round. This statement is very significant in the quest to finding all the information you need to make the best decision about your cancer treatment. Understanding the emotional side effects of cancer will only be possible when you ask question. This way you will be getting answers to all your concerns and avoiding making mistakes. Says doctor Dalal Akoury. Doctors and nurses are professionals making them to be the best sources of information when you have medical questions. Therefore, before you book for that appointment with doctor Akoury in her office at AWAREmed Health and Wellness Resource center, and for memory purposes, write down all the questions you may have about things disease. The questions may include: your type of cancer, treatment, side effects, and limits on activity you might have during treatment. Remember that other members of your health care team, like pharmacists, dietitians, social workers, physical therapists, and radiation therapists are also experts in their different areas of discipline and can also help you with your questions. Doctor Akoury emphases that it is your life we are talking about and therefore you need not to be afraid to ask those questions.

Asking questions shows you want to learn and take an active role in your treatment. If a health care team member doesn’t have time to answer all of your questions, and don’t be surprised about that because it do happens due to their schedule of work. You can ask when a good time for them is so that you would be to finish your conversation or ask about other ways to get the answers you need. Besides the known questions you have off head, you can also research on the other questions to ask from various sources like going online so that you can find more conclusive list of questions to ask your doctor. The objective of this is starting right; therefore no question is too small or too silly to ask. I encourage patients never to be afraid to call the doctors or other medical staffs with questions about anything including even questions about their bills and insurance. If you were to visit our facility (AWAREmed Health and Wellness Resource Center) it will interest you to find out that our doctors and his staffs are all trained and experienced professionals who will be willing to answer any question you may ask. You can also have an opportunity to speak to our pharmacist who will help you in making special arrangements when we needed to get prescriptions, especially pain medicine, filled after our regular business hours.

Understanding the Emotional Side Effects of Cancer: Know how to reach your doctor any time

In the quest to understanding the emotional side effects of cancer, consistency is very important. People with cancer must know when they need to call their doctor. Ask which side effects or unusual problems that needs to be reported right away. Some things can wait until the next office visit, or until regular office hours when you can call and speak to a nurse. But if you’re having severe or unexpected side effects, you need to know how to reach a doctor even when the regular office hour is closed. In this case, patients’ needs to be sure that they have a hot line phone number and that your loved ones have it, too. Nonetheless if your doctor isn’t available after hours, find out what you should do if you have problems.

And because it is a collective responsibility, some family members may also wish to speak with members of your health care team. This is very important as it can help them get answers to their questions and find support to deal with their feelings as well. Remember that by doing all these you are not in any way disturbing. Your health care team is bound by law to keep information about your health confidential. They will not discuss your health with family members and friends unless you give your permission for them to do so. Let your doctors and nurses know which family members and friends may be contacting them and with whom they can share information. You may have to sign forms giving your permission for these discussions.

Understanding the Emotional Side Effects of Cancer: Feel comfortable with your health care team

It is a common practice across the globe that all health care professionals would be patient, understanding and have all the time in the world to answer questions, and know how to explain things to you so you could easily understand. This is and will always be the practice as it is entailed in the ethical guidelines. However, these professionals are also humans and occasionally finding all of these qualities in one person is rare. Even if you find some little discomfort it is still worth it for you to trust your doctor and other members of the health care team. Nonetheless if you feel growing discomfort and that lack of trust and open communication is keeping you from getting good medical care, you are at liberty to ask for a referral to another doctor with whom you feel more comfortable. Also, don’t be afraid to ask your doctor for a referral for a second opinion. You need to be an active member of your health care team. As an active team member, you will need to do things like keep your scheduled appointments, take medicines as prescribed, and report side effects timely.

Finally with determination there is not obstacle that you cannot overcome. With the right experts and professionals around you, you will be on top of your health and beating all the obstacles as they may come. One of the ways of eliminating those obstacles is by consistently being in touch with the experts at AWAREmed Health and Wellness Resource Center. Doctor Akoury who is also the founder of the facility will handle your individual case professionally and with a lot of confidentiality. So don’t be afraid go ahead and schedule for that appointment today.

Understanding the Emotional Side Effects of Cancer: Ask questions

 

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