Body & Mind

TO YOUR GOOD HEALTH

By Keith Roach, M.D. Late Relapse Possible in Breast Cancer Patients

--DEAR DR. ROACH: I just read another sad story about a woman who had breast cancer, fought it and seemed to win, but after fi ve years, it came back and took her life. The same sequence of events happened to my wife two years ago. She fought the second round of cancer for a year and a half, but it was just about everywhere. What is this connection between the initial breast cancer occurrence and it coming back fi ve or six years later even more widespread throughout the body? Is screening stepped up during that period? -- Anon. ANSWER: I am very sorry to hear about your wife. With most cancers, no evidence of disease fi ve years out from diagnosis usually means a cure, that the person will not have a recurrence of that particular cancer, although people who’ve had one cancer are at a higher risk of developing a second, unrelated cancer. Breast cancer is one of the exceptions. Late recurrences (after fi ve years) are possible, even very late recurrences. I have seen 20 years afterward, and there are reports of even longer. Although the reasons why breast cancer seems to hide for many years are not known precisely, we do know some risk factors for recurrence: Larger tumors are more likely to recur. Those with positive lymph nodes are at high risk, and women with estrogen receptor positive, progesterone receptor positive and HER2 negative tumors are more likely to experience recurrence. Screening is absolutely appropriate in women who have had breast cancer. There is not a consensus about the type and frequency of screening, but many experts choose yearly mammography. Breast MRI has been considered, but it has not been proven to be better in women with a history of breast cancer. A healthy lifestyle, including regular exercise, a diet with plenty of fresh fruits and vegetables, abstinence from smoking and minimal alcohol intake, has been shown to reduce cancer risk in women with a history of breast cancer.

*** Dr. Roach regrets that he is unable to answer individual questions, but will incorporate them in the column whenever possible. Readers may email questions to ToYourGoodHealth@med.cornell.edu. © 2021 North America Synd., Inc., All Rights Reserved

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STATISTICS ABOUT MULTIPLE SCLEROSIS

MS can cost a person $30,000 to $100,000 per year, based on the severity of the disease.

We Care About Your Smiles

by Dr. Steve Sokolovskiy

TALKING OF TONGUES

A pink, healthy tongue is a vital part of oral health. Neglect or lack of proper care of this essential organ can lead to the harboring of destructive bacteria that adversely affects overall dental health. Regular dental examinations include evaluations to appraise the tongue’s color and texture since these factors are vital to oral health. Discoloration of the tongue, any color other than pink, or changes in the normal, smooth texture, could indicate a number of oral or other underlying health issues that need to be addressed. The human tongue is actually a muscle, essential to numerous bodily functions like speaking, breathing, and eating. It is susceptible to a multitude of diseases including tongue cancer. Your total health is always our concern at BATAVIA FAMILY DENTAL. That’s why all new patient exams are so thorough, so we can establish a baseline against which we can measure your future oral profi le and progress. And whether we’re dealing with tongues or teeth, regular professional checkups make it possible to watch for developing concerns and address them while they are still small, before they can turn into something more serious. For an appointment for advanced, gentle dental care, please call us at 585.343.4246, 6 Batavia City Centre. P. S. The tongue is a complicated part of the human body, requiring over 8,000 various motor signals to help it move.

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RECOGNIZE AND AVOID YOUTH SPORTS INJURIES

Repetitive use activities: Swimmers, tennis players, pitchers, and quarterbacks may experience something called a repetitive use injury. This is pain in an area of the body that is used over and over again. Infl ammation of muscles and tendons may appear, but repetitive use injuries also may result in stress fractures, which the National Institute of Arthritis and Musculoskeletal and Skin Diseases defi nes as hairline fractures in bones that are subjected to repeated stress. Rest between exercises can help alleviate these types of injuries. Ice, compression, elevation and immobilization may be used if pain is persistent. Salmon Orthodontics Beautiful smiles enhance self-confidence & self-esteem. Specialist with

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THREE WAYS TO RELIEVE ARTHRITIS PAIN

by Dr. Bob Arnot (NAPSI) — Over the course of my career as a physician, chief medical correspondent and war correspondent, I’ve been exposed to a wide variety of pain management drugs and approaches. One thing I’ve seen is that the United States is much more reliant on taking pills for pain than the rest of the world, where topical analgesics, physical therapy and other approaches are more widely used. A problem with pills is that many of them come with side effects that can be severe, especially if the medications are used in greater quantities or for longer than they’re supposed to be. That’s one reason for back, muscle and joint pains, I believe it’s best to start with topicals. What’s more, the Centers for Disease Control, the American College of Rheumatology and other medical experts agree it’s a safer approach. Fortunately, if you are an arthritis sufferer and want effective relief, there are two topicals that are FDA approved the same way Ibuprofen, Naproxen Sodium and other prescription pain medicines have been through the demanding new drug application process. While both help relieve arthritis pain, it is important to know the differences between Salonpas Pain Relief Patch Large and Voltaren Arthritis Pain gel. Salonpas Pain Relief Patch Large was the 1st topical approved by the FDA and provides relief for up to 12 hours. It begins to work in one hour and can provide clinically meaningful pain relief in the fi rst day. Since it is a patch, the medicine is pre-measured and easy to apply. Not only does this patch help relieve arthritis pain, but it also works for back, muscle and joint pain as well. On the other hand, Voltaren Arthritis Pain gel is not labeled for immediate relief and may take up to 7 days to help achieve relief. To apply this gel, you must fi rst measure out an amount based on a dosing card. Voltaren is effective for up to 6 hours and should only be used for arthritis pain. In addition to topical relief, joint and muscle pain can be treated with physical therapy. It can keep stiff joints from getting stiffer, reduce strain on joints during daily activities and help you get back to normal life without pain or diffi culty. Also helpful are hot and cold compresses. Heat is good for joint stiffness and cold compresses can ease joint pain. Just remember, don’t apply heat to a joint that’s already hot. If you feel a burning sensation in your joint, cool it with the cold compresses.

Dr. Arnot is board certifi ed in internal medicine and an award-winning journalist, author of twelve books on nutrition and health and host of the Dr. Danger reality TV series. You can fi nd more helpful healthcare and pain relief information from Dr. Arnot at https://us.hisamitsu/.

John W Crofts, MD Practice of Ophthalmology, Retinal Eye Care

150 Washington Ave, Batavia, NY 14020 Office Phone: (585) 343-8100 Former Senior Staff Fellow National Eye Institute, The National Institutes of Health

Recognized as a Top Doctor since 2005 (17 Years) https://www.castleconnolly.com/top-doctors

We Celebrate 30 Years of:

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Celebrating 30 Years of Service

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• For 30 years accepting new patients • Consult your local eye care professional or call for an appointment today (585) 343-8100

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