Spirited and Lively Older Women Thread

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

80 is good

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

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.

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 

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.

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  . 

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

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

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.