Guest post by Mark S. Persky, MD, Chairman, Department of Otolaryngology-Head and Neck Surgery, Mount Sinai Beth Israel
When Anthony Palminteri began having pain when swallowing, he knew something was wrong.
“I started having difficulty swallowing, and the pain got progressively worse,” Anthony says. “It made it hard to eat.” After several doctors failed to diagnose and treat his symptoms, Anthony was left with more questions than answers.
Guest post by Susan K. Boolbol, MD FACS, Chief of the Appel-Venet Comprehensive Breast Service at Mount Sinai Beth Israel and Amanda Brandt, MS, Certified Genetic Counselor of the Mount Sinai Health System.
In an effort to raise public awareness about breast and ovarian cancer prevention, actress and director, Angelina Jolie, shared her personal story with the world. The New York Times letter revealed that a family history of ovarian cancer had prompted Jolie to seek genetic testing for the BRCA1 and BRCA2 genes, which are associated with hereditary breast and ovarian cancer. The testing revealed a heightened risk for both and she made the decision to undergo a preventative double-mastectomy and breast reconstruction surgery, reducing her breast cancer risk to under 5%. (more…)
The thyroid gland got its name from the Greek word for “shield,” due to its physical appearance in the neck. In many ways, it acts like a shield by protecting our bodies from losing functional balance. The thyroid gland produces and releases thyroid hormone, which is crucial in regulating overall metabolism (the physical and chemical processes in the body that convert or use energy). Digestion, weight, temperature regulation and reproduction all are affected by the thyroid gland.
The thyroid gland works like a thermostat via its connection with the brain. If there is not enough thyroid hormone in the blood stream, the brain will stimulate the thyroid gland to produce and release more. Blood tests are an easy way to detect both the level of thyroid hormone circulating in the blood — generally free thyroxine (T4) — and the stimulating signal from the brain (TSH, or thyroid stimulating hormone). The most common thyroid problems involve abnormal production of thyroid hormone.
Hypothyroidism is the term used to describe an underactive thyroid.
Symptoms include:
• Fatigue
• Feeling colder than usual
• Changes in skin and hair
• Weight gain
A common cause of hypothyroidism is Hashimoto’s thyroiditis, an autoimmune disorder in which cells in the body prevent the thyroid from producing and releasing enough thyroid hormone. Other causes include surgical removal of the thyroid gland for thyroid cancer; treatment of hyperthyroidism (an overactive thyroid gland) with radioactive iodine; or being born with an underactive thyroid gland.
The treatment for hypothyroidism is to replace thyroid hormone in the form of a pill taken once a day, preferably by itself and on an empty stomach so that it is fully absorbed. The dose is easily adjusted based on blood tests.
Hyperthyroidism describes an overactive thyroid gland.
Symptoms include:
• Increased sweating
• Heart palpitations
• Increased anxiety
• Diarrhea
• Weight loss
A number of conditions can cause hyperthyroidism. Opposite to hypothyroidism, cells in the blood stream called antibodies make the thyroid gland secrete an excessive amount of thyroid hormone.
The two most common treatments for hyperthyroidism are radioactive iodine and medication. Radioactive iodine works by destroying part of the thyroid gland to restore a normal level of thyroid hormone in the body; however, it is possible that hypothyroidism may then develop. Radioactive iodine has the benefit of generally being a more permanent treatment, although medications used to treat hyperthyroidism can be very effective in certain people, too. Just as in hypothyroidism, blood tests should be done routinely to monitor treatment.
Thyroid cancer can develop and, in the majority of cases, is curable by surgical removal of the thyroid gland by an experienced surgeon. Radioactive iodine may be used after surgery to destroy any small remaining cancer cells. An endocrinologist should be directly involved in monitoring care.
Extremes of thyroid function can certainly have an impact on your quality of life; the beauty is that with the correct diagnosis and management, these conditions can be greatly improved!
To find an excellent doctor who is right for you, please call our Physician Referral Service at 866.804.1007.
Guest Post by Aye Moe Thu Ma, MD, breast cancer specialist at Mount Sinai Roosevelt and Mount Sinai St. Luke’s. Earlier this year, Dr. Ma led a 15-member team of doctors and other health care professionals on a week-long medical mission to Myanmar, the Southeast Asian country formerly known as Burma. Under repressive military rule from 1962 to 2011, the country is beginning to emerge from decades of isolation as it moves toward democratic reforms. (more…)
Some people simply cannot be convinced to eat broccoli despite all its nutritional value. Fortunately, there are other cruciferous vegetables that, like broccoli, are packed with beneficial nutrients that research tells us may have the ability to fight cancer, decrease cognitive decline associated with aging and reduce inflammation in the body.
Part of the cabbage family, cruciferous vegetables include Brussels sprouts, broccoli, cauliflower, kale, cabbage, Swiss chard and collard greens, among others. Including these nutrient-packed veggies in your diet is easy, especially since they are widely available in grocery stores and green markets. Here are just a few ideas for you to try: (more…)
If there was one thing you could do to almost guarantee you won’t get cancer, you’d probably jump at the chance to do it, right? There is such a screening. Colonoscopy has helped reduce the rate of colon cancer in recent years. (more…)