Tag Archives: healthcare provider

Screening and Measurement for Early Detection of Breast Cancer Related Lymphedema Part 1 of 3

Greeting!  Following is Screening and Measurement for Early Detection of Breast

Cancer Related Lymphedema by the National Lymphedema Network. 

Lymphedema and Cellulitis might well disappear one day – I hope! – if we are diligent and research continues.  It is a nasty disease … 

I am reprinting here in three parts only a smattering of information from the NLN website. 

In addition a reminder that I write here as a patient with diseases – one of them lymphedema.

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Part 1 of 3 

Position Statement of the

National Lymphedema Network

By: NLN Medical Advisory Committee

Updated April 2011

TOPIC: Screening and Measurement for Early Detection of Breast

Cancer Related Lymphedema 

Breast cancer treatment places individuals at lifelong risk for the development of lymphedema. Early identification of lymphedema is believed to yield better patient outcomes. Patient education regarding the signs and symptoms of developing lymphedema and objective measurement of arms are needed to promote early identification and to improve patient outcomes.

 

• Patient education:

 

Patients should be made aware of the need to contact a healthcare provider immediately if they begin to experience feelings of heaviness or tightness in at-risk arms; if they notice swelling in the affected area; or if the arm and/or at risk chest or truncal areas becomes hot or red.

 

• Objective measurement:

 

Pre-treatment baseline measurement of arms is essential, as this serves as the base-lined at which subsequent measurements can be compared.

 

See http://www.lymphnet.org/pdfDocs/nlnBCLE.pdf

www.lymphnet.org

 

Thanks for reading … Sharon O’Hara <familien1@comcast.net>

COPD – the beginning. Pain – the end

COPD (Chronic Obstructive Pulmonary Disease) is not painful.  We simply cannot breathe easily.  Some of us are on supplement oxygen – others chug along noisily, some less noisy.

“Question: Is having pain in the lung typical of COPD?

Answer: Chronic lung pain is not commonly associated with COPD. However, pain can come from the wall of the chest and not directly from the lungs – this in fact can be seen in COPD. Pain in the chest can come from coughing very hard and straining the muscles of the chest. Pain in the chest can be due to a rib fracture from coughing hard. Pain in the back of the chest can come from osteoporosis, or thinning of the bones. Check with your healthcare provider to find out the cause of your pain. If you have new chest pain, or have pain that frightens you, call 911 to go to the emergency room at the nearest hospital.”

 http://www.nationaljewish.org/healthinfo/conditions/copd-chronic-obstructive-pulmonary-disease/faq/

The problem for some of us is that COPD leads to other stuff – some of it painful – none of it desirable.  That is where I am – I have gathered a bunch of other stuff since my 1997 stay in Harrison Medical Center.

Do to inattention at putting on my stockings when I needed to – timing is crucial – the Cellulitis/Lymphedema is back and trying to heal.  It should have healed by now.  A brief stay in Harrison gave a great jump-start of healing my left leg but the healing has been set back and that means the pain is unrelenting.

A problem seems to be that the long homemade brush had an end tied cord that caught in the bristles of the soft baby brush and ripped the half healed sores open when I was in the shower to gently cleanse the wounds before my husband wrapped them again.

I did not know why it was so painful until I lifted the brush to rinse it and saw the cord end stuck in the soft bristles. I have recut the length of the cord so it cannot happen again.

Pain overtakes a life – it has taken over mine…and no blame except to me.   It has been over a year since my legs got bad and lymph fluid wept and the ‘blame’ is my own doorstep.  I let other stuff get in the way of getting my stockings on. I dropped the ball – as it’s turned out – on my own left foot.

I have never liked taking pain pills for any reason but for a lung patient – it is harmful.  Trouble is, right now – I do not care.  What good is saving your lungs when pain keeps you awake and in agony?  Crying in pain chokes off my airway and I still my mind to focus on deep breathing.  I take a pain pill to sleep and I take a pain pill to endure being awake waiting for my leg to heal.

Should I be afraid of becoming a drug addict?  At this point, I’m more afraid of not wanting to wake up to another day of the same pain.

Funny how drug abuse by drug addicts shut down pain relief for people who medically need it.  Doctors become afraid to prescribe pain pills for fear their patients will become addicted….and patients become afraid to take it.

Read the latest policy by the state – to track:

““Having a patient’s prescription history gives prescribers a more complete view of patient care when they prescribe or dispense controlled substances,” Washington State Secretary of Health Mary Selecky said in a press release. “This new service is another tool for patient care and safety.””

Read more: http://pugetsoundblogs.com/kitsap-crime/2011/10/14/state-to-begin-monitoring-prescriptions-for-pain-medication-in-2012/#ixzz1cT5a9dJ1

Josh Farley’s “State to begin monitoring prescriptions for pain medication in 2012” article is timely.

The only people tracked here are medical patients and their doctors.  The druggies and drug dealers remain in a dark, untracked place of anonymity.

If doctors are leery of writing scripts for pain medications for their patients – what will happen to those patients forced to endure unrelenting pain?

Yes, Josh – I think this is an invasion of people’s privacy.

Thanks for reading…. Sharon O’Hara