Dr. Sunana Sohi was recently featured on WHAS11. She highlighted the importance of colon cancer screening coupled with the heartwarming work our center brings to our patients each day.
Click here to watch the full video.
Dr. Sunana Sohi was recently featured on WHAS11. She highlighted the importance of colon cancer screening coupled with the heartwarming work our center brings to our patients each day.
Click here to watch the full video.
Osteoarthritis is the most common type of knee pain in adults over 50. By age 70, about 27 percent of adults have knee osteoarthritis. Some common symptoms include swelling, loss of mobility, stiffness and chronic pain.
Arthritis pain management has been the topic of much debate. Some physicians prescribe prescription opioids to manage the pain of arthritis, but new research suggests opioids may do more harm than good.
According to a new study published in Arthritis Research and Therapy, opioids may not be effective in reducing pain and disability associated with knee osteoarthritis. Instead, opioids can cause unwanted side effects such as dizziness, nausea, constipation, sleepiness and addiction.
Jannis Bodden, MD, of the University of California, San Francisco, conducted a four-year study on opioid use and changes in knee structure. Dr. Bodden and her colleagues found that, compared to non-opioid users, opioid users showed:
“Despite the use of opioids, baseline symptom and pain control were worse in opioid users compared to controls,” noted Dr. Bodden and colleagues. “Loss of [quality of life] was more rapid in opioid users, when adjusted for baseline pain scores, further questioning long-term opioid use, particularly in view of major adverse effects associated with this medication.”
Medication can be one component of pain management, but doctors often recommend natural treatments as well. These may include:
You don’t have to live with chronic pain. Your orthopedist can help you manage knee pain with a customized treatment plan. Knee, hip and joint surgeries are among some of the most common and successful procedures performed today, and your doctor can discuss several options to suit your needs. Call today to make an appointment.
According to the World Health Organization, 80 percent of children’s UV exposure occurs before turning 18. If this is true, why aren’t more kids wearing sunglasses?
Eye protection from the sun is essential for all ages, but especially for kids. Most children receive more annual sun exposure than adults. This increased exposure to sunlight increases the risk of eye damage from ultraviolet (UV) light.
Adults have a mature lens, but children’s eyes cannot filter out UV rays as efficiently. “UV radiation, whether from natural sunlight or indoor artificial rays, can damage the eye’s surface tissues as well as the cornea and lens,” said ophthalmologist Michael Kutryb, MD, a spokesperson for the American Academy of Ophthalmology. “Unfortunately, many people are unaware of the dangers UV light can pose.”
By encouraging your children to wear sunglasses, you can help prevent them from developing:
Make eye protection a daily habit for the whole family. Because sun damage is cumulative, it is best to begin UV protection at an early age. Here are some ways you can decrease your children’s UV exposure:
Another essential component of vision health is a comprehensive eye exam. Has it been over a year since you saw your eye doctor? Then, it may be time to call the office and schedule exams for the family.
A complete eye exam takes less than an hour, and it tests for refractive errors, focusing problems and common eye diseases like cataracts, glaucoma and macular degeneration. If your doctor detects a vision problem, you can begin treatment right away.
Why is colonoscopy known as the gold standard for colon cancer prevention? It is because colonoscopy can detect and prevent colon cancer in a single test.
There are many colon cancer screening methods, but they are not equally effective. Although it is more invasive, colonoscopy includes a complete examination of the colon, and during the procedure, your doctor can remove precancerous polyps before they can develop into cancer.
Many people prefer less invasive stool tests for screening because they are quick and require no preparation. The challenge with these fecal immunochemical tests (FIT) and fecal occult blood tests, however, is that they are less precise than colonoscopies. They can only detect blood in the stool. They cannot detect polyps or tumors, and they cannot prevent colon cancer development.
A recent study published in Gut BMJ confirms the importance of choosing a colonoscopy. You are twice as likely to develop deadly colon cancer if you have a positive stool test and decide to skip your follow-up colonoscopy.
Manuel Zorzi, MD, MSc, from the Veneto Tumor Registry, Azienda Zero, Padova, Italy, and colleagues conducted a study on patients aged 50 to 69 who took a fecal immunological-based colon cancer test (FIT). When comparing the incidence and mortality among patients who tested positive on their FIT, Zorzi found the ten-year cumulative mortality for colon cancer was 6.8 per 1,000 for patients who completed a diagnostic colonoscopy and 16 per 1,000 for patients who did not.
“The excess risk of [colon cancer] death among those not completing colonoscopy after a positive fecal occult blood test should prompt screening programs to adopt effective interventions to increase compliance in this high-risk population,” said Zorzi.
Colon cancer is common, but it is preventable. Nothing works better than a colonoscopy to reduce your risk for the disease. Both the American Cancer Society and the United States Preventive Services Task Force (USPSTF) changed their recommended age for baseline colon cancer screenings from 50 to 45 for all adults at average risk for colon cancer, so you may be due for a screening.
Many patients worry about the cost of a colonoscopy, but most insurance plans will pay for a screening colonoscopy. Stool tests are also considered screening exams. However, if the stool test comes back positive, the next step is a follow-up colonoscopy. This time, the procedure will be considered a diagnostic test, and the patient will have more financial responsibility. Therefore, it makes more sense to get a free or low-cost screening colonoscopy up front than to pay more for a diagnostic procedure later.
Yes, a colonoscopy takes more effort. It does require a day off work and bowel preparation, but the low-volume colon prep solution is much more palatable than it used to be. Moreover, depending on your test results, you may only have to repeat a colonoscopy every ten years. That’s better than a yearly stool test!
Schedule a colonoscopy today. Call our office to make an appointment for this potentially life-saving procedure.
Hip and knee replacement surgeries are among the most common procedures performed today, with over 1 million surgeries performed each year. With baby boomers aging, the demand for total hip replacement and total knee replacement surgeries will continue to rise as more Americans are diagnosed with osteoarthritis.
Most joint replacement procedures are successful, but about ten percent will fail every year. Metal hypersensitivity is one of the causes of failure in a knee or a hip replacement, especially in patients undergoing revision surgery.
According to research, between 10 and 15 percent of the general population are sensitive to metal. Nickel is the most common metal allergy, followed by cobalt and chromium.
Some patients can experience allergies to metal in the joint hardware or the bone cement used to attach the joint to the bone. The allergies can cause symptoms including:
According to a recent study published in the Journal of Allergy and Clinical Immunology: In Practice, using non-allergenic components in artificial joints can reduce complications. Karin Pacheco, MD, professor of medicine at National Jewish Health, has been analyzing allergies as a potential reason artificial joints fail. She asserts that replacing the artificial joint with non-allergenic materials may bring relief to many patients.
Pacheco and a group of research associates examined 105 patients with a failed joint that neither infection nor mechanical issues caused. The study found 34 patients were allergic to the metal, 39 were allergic to the bone cement, and 11 were allergic to both.
The research team also found:
After a 12-month follow-up, Dr. Pacheco said the patients who had the artificial joint replaced with non-allergenic materials reported they experienced significant improvement in swelling, pain and instability.
More research is necessary to determine firm conclusions about metal allergies and joint replacement. However, this study shows the importance of testing for metal allergies when there seems to be no other cause for joint failure.
“Allergies to the metals or bone cement used in artificial joints are an under-appreciated cause of artificial joint failure,” said Pacheco. “Testing for allergies and replacement of the joints with non-allergenic materials can provide significant improvement in pain and limitation” (Medical Xpress).
Patients should talk to their physicians about the type of joint they will receive and any potential risks.
If you’ve been avoiding a colonoscopy, don’t put it off any longer. Colonoscopy is much faster, safer, and more affordable than you might think. It’s essential to prioritize your health and schedule this life-saving procedure. One of the best decisions you can make for yourself and your family is to schedule a colon cancer screening today.
Colon cancer is a growth that begins in the colon, also known as the large intestine. Most colon cancers start as a polyp, a tiny growth that forms on the colon’s inner lining.
This year alone, there will be an estimated 104,270 new cases of colon cancer and 45,230 new cases of rectal cancer in the United States. Colon cancer is the second-leading cause of cancer death in the country, and it disproportionately affects African Americans. The good news is that regular screenings can detect cancer in the early stages – and can even prevent the disease.
African Americans have a higher incidence of colon cancer than other racial and ethnic groups in the United States. According to the American Cancer Society, African American individuals are 20 percent more likely to develop colon cancer and 40 percent more likely to die from the disease. Studies also show African Americans are at higher risk of developing polyps on the right side of the colon, which are often more challenging to detect.
Studies show lack of time is one of the main reasons African Americans cite for not scheduling a colonoscopy. Many people assume they are healthy if they do not have any symptoms of illness, but colon cancer rarely displays symptoms in the early stages. By the time patients experience warning signs like altered bowel habits, rectal bleeding or abdominal pain, cancer could be in an advanced stage.
Putting off a screening may increase your risk for colon cancer. Young-onset colon cancer is on the rise, especially in the Black community. People under 50 are also more likely to develop aggressive tumors.
Fear of discomfort is another reason African Americans who were surveyed reported for avoiding colonoscopy. However, patients are sedated during the procedure to avoid discomfort. Among all colon cancer screening methods, colonoscopy is the most effective test for detecting and preventing cancer because it allows the doctor to remove polyps before they become cancerous.
Another concern many patients have reported is the cost of colon cancer screening. Due to the Affordable Care Act, most screening colonoscopies are free and don’t include a deductible or out-of-pocket payment. Talk with your doctor’s office about colonoscopy coverage since there may be requirements including age and prior history of polyps.
No one looks forward to colon cancer screenings, but they are an essential part of preventive care. If you’ve been avoiding getting screened, don’t put it off any longer. A colon cancer screening is one of the most important gifts you can give your family – and yourself.
Call a GI center and make an appointment for a colon cancer screening. A preventive test today can prevent expensive medical bills in the future.
Eye disease does not affect all races equally. African Americans are more likely to develop certain eye diseases like cataracts, glaucoma and diabetic retinopathy yet are less likely to receive necessary eye surgery.
Cataracts are a clouding of the lens of the eye. Most people over the age of 40 have at least one developing cataract, which will continue to worsen unless treated with cataract surgery. Common symptoms of cataracts include:
Cataracts are treatable with cataract surgery. Cataract surgery is the most common procedure performed on Medicare beneficiaries, and it has a success rate of over 90 percent. However, studies show African Americans are less likely than Caucasian Americans to have cataracts removed.
Glaucoma is an optic nerve disease that can cause permanent eye damage. Next to cataracts, primary open-angle glaucoma is a leading cause of blindness among African Americans and individuals of African descent. In addition, in African Americans, glaucoma develops earlier and faster, and it is six times more likely to cause blindness (Glaucoma Research Foundation).
Glaucoma has been referred to as is the “sneak thief of sight” because it can develop without pain or symptoms. Because there is no cure for glaucoma, the only way to preserve vision in those with the disease is to diagnose and treat glaucoma in the early stages.
Diabetic retinopathy is an eye disease that can develop in individuals with diabetes, causing blood vessel damage, vision loss and even blindness. The longer an individual has diabetes, the more likely they are to develop diabetic retinopathy.
African Americans are 1.7 times more likely to develop diabetes than Caucasians. More than 825,000 African Americans have diabetic retinopathy, and experts predict the numbers will increase to 1.2 million by 2030.
Many eye diseases do not show symptoms in the early stages, but they can cause long-term vision loss or even blindness if they go undetected. However, through comprehensive eye exams with dilation, providers can diagnose eye diseases early when they are still easy to treat.
If it has been over a year since your last comprehensive eye exam, it is time to make an appointment with an ophthalmologist. In less than one hour, your eye doctor can assess your vision, test for eye diseases and provide you with helpful information to keep your eyes healthy and your vision clear.
Colon cancer screening rates are significantly lower among Hispanic Americans over 50, and Hispanic Americans are more likely to be diagnosed with colon cancer in advanced stages.
Colon cancer is a growth that begins in the colon, also known as the large intestine. Most colon cancers start as a polyp, a tiny growth that forms in the colon’s inner lining. Colon cancer often has no noticeable symptoms in the early stages. By the time warning signs occur, the cancer may be at an advanced stage.
Studies show Hispanic Americans are less likely to get screened for colon cancer than Caucasians or African Americans. According to the National Colon Cancer Roundtable, one in two Hispanic adults between 50 and 75 years of age are not getting tested as recommended. Because of lower screening rates, colon cancer causes about 11 percent of cancer deaths among Hispanic males and nine percent among Hispanic females.
There are many possible obstacles to colon cancer screening in Hispanic populations:
Even though colon cancer is the second-leading cause of cancer deaths in the United States, most cases are preventable with proper screening. The American Cancer Society suggests that all adults at average risk for colon cancer begin screening at age 45. There are two basic screening methods:
There are many misunderstandings and beliefs surrounding colon cancer, colon cancer screening and colonoscopy. Often, these myths prevent people from getting screened. Here are some common misconceptions about the disease and screening, along with facts about colon cancer and colonoscopy.
|“Colon cancer is a man’s disease.”||Colon cancer affects both genders. Men and women are both at risk for developing colon cancer.|
|“Colonoscopies take too much time. I will miss work, and I can’t afford that.”||You will only need to miss one day of work for a colonoscopy. There are also other screening options that do not require you to miss work.|
|“I can’t afford a colonoscopy.”||There are many ways to get a low-cost or free colonoscopy. Insurance covers colonoscopy screenings.|
|“Colonoscopies are not safe.”||The risk of injury during a colonoscopy is low. Not getting screened at all puts you at high risk for a deadly disease.|
|“Doctors just want money. They don’t care about my health.”||GI physicians work to save lives through colonoscopies. They want you to feel comfortable and confident about your upcoming procedure, so write down your questions and concerns and discuss them with your provider.|
|“I can’t get a colonoscopy because it’s too embarrassing.”||GI physicians and their teams perform colonoscopies on patients all the time, so there’s no need to be embarrassed! Besides, having a colonoscopy is the best way to prevent colon cancer. If you get a clean bill of health, you may not have to repeat the test for another 10 years.|
|“I don’t understand the procedure. I don’t feel like I’m in control.”||Ask your doctor for information like pamphlets and websites that can help you be more informed.|
For the sake of your health and your family, call today to make an appointment with your gastroenterologist. Colonoscopies save lives, so schedule yours today.
According to the CDC, over 54 million adults in the United States have arthritis, and the number may approach 78 million in 2040. The most common form of arthritis is osteoarthritis, which affects over 32 million Americans.
A new study shows patients who received text messages encouraging them to exercise had better outcomes related to knee osteoarthritis.
There are many reasons people don’t exercise, says Rachel Nelligan, a PhD candidate and physiotherapist at the Centre for Health, Exercise and Sports Medicine at the University of Melbourne in Australia. Exercise can be painful, and it is challenging to find quality treatment and remain motivated.
Nelligan conducted a randomized clinical trial on 180 patients with knee osteoarthritis to determine how motivation affects exercise and pain relief.
All participants had access to a free website that gave information about arthritis and emphasized the importance of being physically active. Half of the patients received a prescription for a 24-week exercise program, supplemented by automated text messages that encouraged them to keep exercising. The other half of the patients did not receive the same resources.
Not surprisingly, the patients who were in the intervention group showed improved mobility and decreased knee pain.
“People who had used the intervention group website and text message support told us the clear exercise instructions provided on the website enabled them to master the exercises without needing health professional input,” Nelligan said. “They also said the regular text message support was an important part of the program providing weekly exercise reminders and exercise motivation, as well as keeping them accountable to the program for the 24 weeks.”
Are you looking forward to summer to spend more time outdoors? Warmer weather offers many opportunities to get moving, improve strength and reduce joint pain. If you have osteoarthritis or suffer from joint pain, it is essential to exercise regularly.
Your orthopedist can provide you with safe exercises to relieve joint pain and a fitness schedule that is compatible with your treatment plan. If you experience chronic pain in your knee, hip or shoulder, it may be time to talk to your doctor about a total joint replacement. These procedures are safe and successful with a surprisingly short recovery time.
Call today to schedule an appointment and discuss your options.
Glaucoma is a group of eye diseases that can elevate inner eye pressure to dangerous levels and damage the optic nerve, causing permanent vision loss. Today, more than three million Americans have glaucoma, but half are unaware they have the disease.
Scientists are always seeking new treatments that will prevent the death of retinal cells and regenerate diseased nerve fibers in the optic nerve. In the past, researchers found that a particular molecule called NAD declines in the retina as people age and it puts retinal cells at risk for degeneration.
Studies have found nicotinamide, a water-soluble form of vitamin B-3, prevented NAD depletion and reduced the risk of glaucoma in animals. Nicotinamide is found in foods like poultry, fish, eggs, and cereal grains.
A new study in Sweden is exploring a new potential neuroprotective therapy for glaucoma. Researchers at Karolinska Institutet and St. Erik Eye Hospital are testing nicotinamide on animal and cell models for glaucoma.
Pete Williams is Assistant Professor and Research Group Leader for glaucoma at the Department of Clinical Neurosciences, Karolinska Institutet, and St. Erik Eye Hospital. “What we have demonstrated in cell and animal models is directly making its way to patients in the Swedish health care system,” said Williams. “This exemplifies our commitment to generating translatable treatments for glaucoma” (Medical Xpress).
If you have glaucoma or glaucoma runs in your family, you may think you should begin taking vitamin B3. However, you should not start any new supplements or vitamins without talking to your doctor.
If you have questions about new glaucoma treatments or natural treatments, call to make an appointment with your eye doctor. All medications can have side effects and can interact with other drugs.
Glaucoma can be a tricky disease to diagnose because it usually does not cause pain or symptoms in the early stages. By the time a patient begins to notice peripheral vision loss, permanent damage has already occurred. Therefore, it’s essential to have a yearly comprehensive eye exam with dilation. During an eye exam, your doctor will perform many assessments and test for common eye diseases like glaucoma, cataracts and macular degeneration. There is no way to prevent glaucoma, but annual exams will help detect glaucoma early and prevent permanent eye damage.
Call your eye care center and make an appointment for a comprehensive eye exam with your ophthalmologist. Are you at increased risk for glaucoma? Take our Glaucoma Risk Assessment and discover whether you could be at high risk for the disease.