Spirited and Lively Older Women Thread

BarbaraA

Lisa, I heard San Diego is getting sleet????

SoCalLisa

not where I live Barbara..nice and sunny, maybe in the mountains.

ptdreamers

Snowing here at the moment. Not too many other parts of Washington yet.

3jaysmom

imso glad we live in th state of no snow, and sunshine.. aren't you, barbara? you guys are getting slammed this winter..{hugs}3jays

BarbaraA

This has been a lovely winter so far. I have only had the heat on a couple of nights. Today it will be 80. Aahhhhh.

SoCalLisa

80 is good

SoCalLisa

Barbara you would be proud of me...doing this in bed on my new tablet

barbe1958

Things that sound sexy, but aren't!!!!

ptdreamers

BarbaraA, I am leaving on a cruise from Tampa April 1st. Can hardly wait for some sunny warm weather. Its snowing here and has been since yesterday.

Wren44

Possible snow forecast for here. I live close enough to water and at low elevation that we rarely get snow. In the meantime COLD rain.

SoCalLisa

Too funny Barbe...

SoCalLisa

New Guide Lines for OB GYNs

 





www.medscape.com



 


















       
   

OB/GYN Group Addresses Impact of Breast Cancer Treatments

               
               
                   
                   

By Anne Harding

                   

NEW YORK (Reuters Health) Feb 27 - The American
College of Obstetrics & Gynecology (ACOG) has released new
guidelines on caring for breast cancer patients, covering the effects of
breast cancer therapies -- and managing those effects -- along with
osteoporosis risk assessment, contraindications to hormonal therapy,
contraceptive options, and fertility and reproductive issues.

                   

As women increasingly survive breast cancer, ACOG
is "really taking a stance of saying look, this is something GYNs need
to know about," Dr. Mindy Goldman told Reuters Health.

                   

Dr. Goldman, who directs the women's cancer care
program at the University of California, San Francisco and helped write
the new guidelines, said that the field of breast cancer treatment is
evolving quickly, making it difficult for gynecologists to keep track
of, for example, how to follow patients on tamoxifen, or how to advise
young breast cancer patients on steps they can take to preserve eggs or
embryos.

                   

"I sort of see this as a start toward having this
as an area within gynecology that hopefully will become a part of
OB-GYN training," Dr. Goldman said. "This is a way to give practicing
GYNs some guidelines to go by."

                   

Following are some key points from the guidelines, set to be published in March in Obstetrics & Gynecology.

                   

Breast cancer survivors at high risk of
osteoporosis should be monitored with dual energy X-ray absorption. But
because most women who sustain fractures have normal bone density or
osteopenia, the guidelines state, physicians must also assess clinical
fracture risk factors, such as postmenopausal use of aromatase
inhibitors and chronic corticosteroid use. As the National Comprehensive
Cancer Network Task Force recommended in 2009, breast cancer patients
with T scores between -1.5 and -2.0 should be considered candidates for
pharmacologic therapy.

                   

Hormonal therapy for vasomotor symptoms is
contraindicated in breast cancer patients. Non-hormonal options, which
are not as effective but can offer some relief, include selective
serotonin reuptake inhibitors (SSRIs), selective norepinephrine reuptake
inhibitors (SNRIs) and gamma-amino butyric acid analogs. However, there
is concern that SSRIs may interfere with tamoxifen's effectiveness.

                   

Postmenopausal women taking tamoxifen who are not
experiencing bleeding do not require routine endometrial biopsy and
uterine ultrasonography.

                   

Preferred contraceptive options for breast cancer
patients include barrier methods, the copper IUD, and sterilization.
Non-hormonal treatments should also be the first option considered for
treating vaginal dryness and atrophy, a side effect of both tamoxifen
and aromatase inhibitors.

                   

If a woman diagnosed with breast cancer wants to
have children in the future, she should be offered consultation with
fertility specialists, who can discuss options including freezing eggs.
Pregnancy is not believed to increase the risk that breast cancer will
recur.

                   

Dr. Goldman, herself an OB/GYN, told Reuters
Health she became interested in breast cancer after her best friend died
from the disease.

                   

Another impetus for the work that led to the
guidelines, she added, was the fact that surgeons and oncologists at
UCSF's breast care center were having difficulty seeing new patients
because so many breast cancer survivors were going to them for follow-up
care.

                   

SOURCE: http://bit.ly/w84SZr
                   

                   

Obstet Gynecol 2012.

Reuters Health Information © 2012 

 

















 

brigadoonbenson

So many good posts and I hate to bring up BC but is there a forum about Femera?  Also I had no lymph node involvement but then onco said something about a few cells in some of the vascular veins?  Anyone else have that?

barbe1958

Preserve EMBRYO's??? What the heck are you guys DOING down there???

Brigadoon, use the search engine at the top right of the page to find the Femara links. There are tons of them. Also vascular invasion as well.

Gingerbrew

I imagine there is one on Femara. If you go to the main index for the message boards you would probably find one there. There is also a search function that might help. I don't know about the vascular veins but I bet someone else will.

GInger

BarbaraA

PT, PM me when you are here! I wold love to meet you!

Yikes Lisa.

Anonymous

I have not written about this because it upsets me, but when I was in Chicago on the very last cab trip there from the hotel to the megabus, I lost my brand new Apple Macbook Air.....makes me sick to think about it.

I posted in detail about this on The older women with more sense thread.   It was the end to a trip that had been great up until then but believe me I am still kicking myself in the ass for ever letting that bag out of my sight.  Live and learn they say, but I don't seem to learn and continue to do stupid things.   Here are a few pics from my trip.     Sorry they are so large, but last time I posed pics everyone said they were too small.   lst is me having tea at the Ritz.  The others are from dinner with the BCO group......had a really good Itatlian dinner.  One of is of Lago and my friend Charla.   I will post others on the Illinois thread.     Oh, I am wearing my new wig at tea.   

Anonymous

the other pics     

Anonymous

The whole gang at dinner and after wating for a cab.

BarbaraA

Oh Marybe, so sorry about your Mac. Grrrrr. The pix are great!! Glad you had a good time!

Isabella4

Marybe...so sorry about your Mac...do you think there is a chance you'll ever see it again??

I am sitting here trying to catch the news, and just had an uncontrolable fit of laughing ( THAT I SHOULDN'T HAVE DONE!) TV station just  reported that a patient, being prepared for an operation, and being swabbed (with whatever it is they swab them with) CAUGHT FIRE !!! The patient had to be rushed to another hospital for burns treatment !!! OMG, whatever next ??

Just turned the darned TV off, I can't concentrate anyway when it's on.

I still have no idea at all as to when the hospital will be calling me in for op. to either back or  heart valve. I think they're just playing a waiting game so that when they do contact me I will be six foot under ! I last saw a specialist on January 6th, 2 months ago, and am waiting for them to contact me about either lot of pre op. tests.. WHEN I get a date for this then they have to do it within 6 weeks ( unless there's an emergency) We have lists to be on lists here !!

I was going to see my dentist this afternoon, but got a call to say he had had to cancel all his appointments for today, and could I ring to re schedule ? As I was almost ready to go out when I got the message, and as it was the most the most glorious spring day here today, I decided to go to Ikea, didn't want anything, and didn't get anything, but just wanted to be outside today....called back via a little garden nursery, and bought a few plants and some silly boots for my Gdaughter. She IS going to ( I hope) get interested in gardening this year . She spends a lot of time here with me, so I might as well start and make her earn her keep !! She can be my legs this spring, and run up and down fetching and carrying for me. Poor little soul was trying her hardest to push my wheelbarrow this evening, it is stood, absolutely full of weeds, and no way can I shift it. Of course she tried, and pushed the darned thing on it's side...now I have to clear all the rubbish back into the wheelbarrow! 

Some days GD's are a blessing, some days not so much so !!

Isabella.

Gingerbrew

Marybe you had dinner at my favorite Italian restaurant. We had our DD high school graduation party there. Mothers Day brunch there too! There are many rooms and nooks and crannies for diners all through the restaurant.  Oh I love it. Would you believe I cannot tell you its name just now. Thank you residual chemo brain.  

I hope you get your computer back or at least your homeowners insurance covers it!  

Love the new wig. Doesn't look at all like a wig. 

Isabella, I can just picture your DGD trying to push the big wheel barrow. I hope she is a help to you this year and onward. My DGD loves to help put laundy into the machines and take it out too. We have front loaders so it helps her be able to reach.

My DH is doing business in Nashville this week. I hope he gets out of their early tomorrow. He said he was going to the airport early to try to get on an earlier flight. Saying a prayer for the entire area for safetly.

Love Ginger  . 

BarbaraA

Ginger, that is a LONG flight home! Here's hoping the weather holds!

Gingerbrew

DH is home, he had to come home by way of Detroit. I am glad it wasn't via Cincinatti as that airport was evacuated this morning. 

DH said the flight between Nashville and Detroit was very bumpy, and that is something if it is him saying it. He also said the Detroit airport is very new and even has a Disney style monorail inside to go between terminals.  He used to travel to Detroit all the time about 15 to 20 years ago.I suspect you two would have lots of road warrior stories. Years back the companies would pay for Airline Clubs which made layovers or weather cancellations more bearable. They also paid for top tier hotels and Marriot, Hyatt, Hilton, and now it isn't unusual for him to be in a Quality Inn sort of place. On vacation we are happy there but for business I think it used to make it easier on him to be able to stay in the most comfortable places. My goodness when he first started traveling around 1980 his company was near the Helmsly (Palace?) in NYC and he would be booked there.  I was astonished when he told me there was a phone in the bathroom!  I honestly don't know how he has done it for so long.  

This day of storms has been horrendous for the midwest and mid south.  I am keeping them all in prayer.

GInger

BarbaraA

Me, too Ginger. Prayers are up for all those affected.

Alyson

Hi all

Haven't been on much this past week, not feeling very high spirited at all as the RA is playing up and seem to be busy as well.

Isabella I too have GD who love the wheel barrow and attempts to move it. She will potter around with me in the garden and get things for me. I try to tell her the names of the plants so hopefully she will learn them.

Havw had nasty weather here as well, luckily we just got the eadge of the storm. Not sure where summer went.

Big hugs to all

Gingerbrew

I bought three window boxes for the eating ae of the kitchen so I can see some pretty flowers from the house. I am so looking forward to that.

Welcome sweet springtime we bid the adieu. Come soon spring. 

Ginger

BarbaraA

I love spring. We don't really get spring here. It seems like it went from fall to summer this year.

Alyson

Summer what was that? It makes me smile to hear you talk of spring because of course its autumn here but I love autumn because usually we get rid of the humidity and have beautiful clear fine days.

Slept better last night and I an not having the rugrat this morning. (Even though DGS is beautiful and I love him to pieces I have to share with his Nana) Will look after both DGS and DGD tuesday night then DGS on Friday. DGD now goes to Kindergarten 3 days a week.

Mary you look great, what lovely pictures.

3jays sending big hugs, you are such an inspiration because you are so bright dispite all that is going on. ((((3Jays)))))

Must go and get dressed and decide what I will do with my free day as I am usually so busy with DGS on a Monday. Hope you all have had a restful weekend.

Elisimo

Marybe - the pictures are great, looks like you had a good time.  Love the wig, it looks so much like your hair used to look only fuller.

The weather here has been crazy, ranging from cold and humid one day to beautiful sunny the next and tomorrow morning it is supposed to SNOW in NC in March!!!! We haven't had any snow all winter and now that Spring is supposed to be here, it snows!!!!!  Hope everyone is staying warm and dry and storms are staying away from where you are.