PACES Magazine Nr.10 - January 2012 EN by Patronatul Medicinei Integrative

PACES We believe in your happiness!

Promoted & Applied Social Economy Concepts

Published by the Integrative Medicine Entrepreneurs

Nr. 10, January 2012

79-81 Dornei Street, District 1, Bucharest Tel: 0372-770.126, Fax: 021-224.46.95 www.patmedin.ro

Legal liability for the content of this publication belongs Integrative Medicine Entrepreneurs © PMI, 2011

Published by Integrative Medicine Entrepreneurs 79-81 Dorna Street, District 1, Bucharest Tel: 0040-372.770.126, Fax: 0040-21.224.46.95 www.patmedin.ro

SCRIB PUBLISHING, 2011 Editorial Team Editor in Chief: Editorial secretary: Commentators:

dr. Aurel Storin

Iancu Elena Cătălina Octavian Andronic Florin Condurăţeanu Editors: Irina Ghiţă-Cioroba Cornelius Popa Clement Sava Beatrice Iordache Larisa Toader Photo Image Editor: Silvia Mandler WEB Administrator: Mihai Breahnă English Translator: George Wainer Editor: Gabriel Ionescu

ISSN 2247 – 0573

aurel.storin@patmedin.ro iancu.elena.catalina@patmedin.ro octavian.andronic@patmedin.ro ﬂorin.condurateanu@patmedin.ro irina.cioroba@patmedin.ro cornelius.popa@patmedin.ro clament.sava@patmedin.ro beatrice.iordache@patmedin.ro larisa.toader@patmedin.ro silvia.mandler@patmedin.ro mihai.breahna@patmedin.ro geogwww@yahoo.com gabi@etipograﬁe.ro

We believe in your happiness!

Editorial

Capitalism, Democracy, Financial Education, Transparency…

n my previous editorial article, «Democratic Capitalism”, I mentioned the danger faced by democracy in Romania following the disappearance of the middle class. Today, I would like to say a few words about my economic thinking and financial education. In Romania, there are three categories of citizens, today: 1. The Poor (who count on social welfare, the aid from the Government). 2. The Middle Class - is composed of those who work hard and live under existing possibilities (which causes them to join the poor) or those who live at an average level and try to save some money for the future. But for them, financial advisors appeared recently and convinced them to invest in long-term, diversified, mutual funds. Thus, they become passive investors, people who invest their savings without thinking to make a profit. They just want not to lose. 3. The rich. They are active investors, who invest the result of their work in order to win, to gain profit. In the business and money world, one word is often uttered: transparency. Mutual funds are not required to be transparent. There, you do not see anything, do not take decisions, you are not revealed the true costs. You may be kept the modest amounts you invested, but you are not assured your safety and profit. I confess that, by this editorial, I do not promise to solve your problems. I only warn you how to avoid becoming victims of your own problems. Do not expect only politicians and government officials to come up with solutions. Think that you, due to your own vision, can be part of the solution and not the

problem. Perhaps most of the rich do not want you to know what they know, how they got rich and, especially, they do not talk about their failures. I want you to know everything. I want you to know that both the rich and the poor have financial problems. Some 40 years ago, I had an eminent teacher abroad, Dr. Tarzi, who taught me three things I will never forget: 1. There are no bad or problem children. The only problem is created by parents, educators, the environment. Children can be shaped-up, just like plasticine. Is starting from an early age, the results can be excellent. 2. There are two things in life that no one give you. One has to take them on his or her own: responsibility and power. 3. Do not keep to yourself all that you learned. Pass on this knowledge and experience, so that they will be available for all. I have recently read a book by Donald Trump. He is a wonderful man, whom I esteem and admire. He writes there, in his book: “What sense is there to know many things and to keep them just for yourself?” In the previous editorial article, about “democratic capitalism” I regretted that, unfortunately, that financial education is not there, in the curricula of our schools and universities. Financial education replaces the fear of problems with the urge to find solutions for them. With proper planning and financial education, one can withstand turbulence occurring in the financial world, as well as find solutions to fix them. One of the largest companies in the world, General Motors, was involved in a major fall and many American experts

Promoted & Applied Economy Social Concepts

Nr. 10/January 2012

Editorial did not understand why, despite the many people with experience, they got into such a difficult situation. When asked to explain this, Dr. Warren Buffett, from the Harvard University, the richest American in 2009, said, “They do not have financial education. They got stuck into equations where simple mathematics is enough. We had thousands of students who graduated from business schools with the mentality that it is of no use to think. This may explain why some smart people working at General Motors mad such bad decisions... If mathematical analysis was needed, I should I start selling newspapers, all over again. (...As a student, early in his career, Warren Buffet used to sell newspapers…). There, I never needed algebra!” I understood from Warren Buffett that, in order to become rich, one needs to be logical, to have common sense and simple mathematics. When asked how was it that so many educated people were persuaded to invest in a company that used sophisticated mathematics, rather than simple mathematics and logic, Warren responded with humor: “Wall Street is the only place in the world where people come in Rolls-Royces to ask advice from those who travel by subway”. Warren is a fascinating man I had the honor to meet in 2005, at a congress in Washington. He is very rich, but also very modest and full of common sense and humor. I have not met since. Today, he is 81 and very active... I return to us and I immediately recognize two similar things: 1. A family having an average salary of 1,000 USD per month, try to solve their financial problems by taking loans from banks, mortgaging the house, car or other goods, hoping that they will solve these problems... It’s a serious error. Problems are not solved this way, but only postponed and complicated even more. 2. Probably, our governments do the same now. Since they lack proper solutions, they borrow from various institutions and banks, postponing solutions to the

problems and mortgaging our future. The Bible mentions a golden law that should never be broken: “Do not do unto others as you would not like to have them do to you...” Today this golden law sounds completely different: Those who have the gold make the law. I fear that the poor and the middle class are not represented in the Parliament, properly. Too many “business people”, who got rich overnight, can now afford to buy their seat in the legislative body. Then, who wonders today that those elected into the Parliament are not concerned at all about those vulnerable and sick? The Integrative Medicine Entrepreneurs took it upon themselves to educate, advise and train such people for a normal life, for a better vision of the future and even of the present. We mobilize local communities to help our fellow people who are vulnerable and ill, who need material and moral support. We cannot help with money, but we strive to bring them in a position to be able to gain it on their own, in legal, honest ways, so as to earn their daily meal. I told some other colleagues, Entrepreneurs and union leaders: “We are the power, we are people! We must find solutions together, not to wait from the others, in vain. The Government is just part of the audience. They watch us from the tribunes. In this “life and death” match, they are above, in the lodges of the stadium, but we are the players, we are on the ground, and it is on us that the results of the match depend. I would like to use this opportunity, at the beginning of 2012, to wish you good health, prosperity and to you’re your wishes fulfilled, together with your loved ones. Happy New Year!

LIVIU MANDLER, President of the Integrative Medicine Entrepreneurs

We believe in your happiness!

Ando, My Colleague

dare mention my colleague Ando, in my diary entry today. He is an old and beloved friend, who is now my colleague at the Integrative Medicine Entrepreneurs. He now exhibits a number of absolutely original, very nice caricatures in the Exhibition Hall at 33 Victoria Avenue. The launch of the exhibition was also attended by Mr. Liviu Mandler, President of the Integrative Medicine Entrepreneurs. Octavian Andronic was my colleague in several other occasions, as well. We spent our youth with the pages of a newspaper named “The Information of Bucharest”. It was the most widely read and only newspaper available in the afternoon. Ando was a young, promising editor, while I was the front-page editorialist. My column was named “By the way” and contained all sorts of apropos. In fact, à propos is a French expression taken over by the Romanian language. Educated people write it with an accent on the „a” and a final „s”. We just wrote it without accents and a final „s”, not because we did not know to spell it correctly, but because it was not „healthy” to show that you were properly educated, back then. cartoons have ideas; they are not just drawings. We are still colleagues, advisors of the They have a special, subtle and intelligent humor. Integrative Medicine Entrepreneurs President in Ando’s favorite theme seems to be the absurd. Romania, due to the feelings of warm friendship Nothing else requires more fantasy from an artist. and subtle appreciation that we enjoy from Mr. Just look how much fantasy people sometimes Liviu Mandler, President of the Entrepreneurs. have, so as to create absurdity in the world. How did I „discover” Ando? More than 35 But Ando is an artist. Ando is not only someone years ago he showed me, despite his shyness, who draws caricatures. He is an inventor of comic some of his cartoons. I now confess, I found them ideas, of absurd situations, so I can certainly call excellent. him a Eugene Ionesco of caricature. For this reason, – ... And what should I do with them? I asked. the artist almost hesitates to call them caricatures. – Exhibit them! An artist who does He calls them, by a word which could not exhibit, does not exist. have been coined by him, „calligraphies”, @front – Where should I exhibit them? i.e. „calligraphy cartoons”… Diary And I showed him where. In the foyer As far as Ando is concerned, he is the of the „Constantin Tănase” Magazine author of outstanding works. Theater. A lot of people come there. Nevertheless, his most important Sometimes, no other place seems more work of art is his daughter, Ana Ștefania crowded than the foyer of the Theatre. Andronic, who, although being young, I recommended him to the Manager of has a great artistic personality. Theatre, who transformed, the foyer into Despite His requirement to artists, an exhibition, for a while. God is sometimes so generous that allows I do not remember who was the manager back two great artists to be part of the same family. It’s then, because that’s life at the theater. Things are the highest form of divine waste and, let me assure changing, with one exception: success. Everything you, God knows what He is doing! changes, but success remains. Blessed are the artists who create Art. But Mark my words. We are celebrating 35 years happiest are artists who create other artists! since Ando’s first exhibition, which took place at Ando, you lucky man!... approximately the same place as today. It is almost next door. DR. AUREL STORIN I invite you to look carefully at his works. His

Promoted & Applied Economy Social Concepts

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The Famous Singer George Nicolescu Began His Career in Club A

id you know that George Nicolescu, a very talented blind singer, began his career in Club A? his great “Song for the health of grass” can be still heard at club parties, today. Here’s an example of how a musician having a long career came to be admired by young people today, as well. In 1972, he went to the entrance exam at the Faculty of Romanic Languages, the French-Romanian section. He passed it, being the 24th with an average mark of 9.12. There were 100 available positions and 600 candidates. He graduated in 1976, but had to stay at home for almost a year, until he was sent to teach at the School for Blind Children in Buzău. He was a teacher from April 1, 1977 until 1985, when he was hired as a soloist of the Youth House of Culture in Buzău. After December 1989, he was hired for a few months (March - November 1990) as soloist of „The Optimists” Choir, practically until it was closed down. Club A (the Club of the Faculty of Architecture) was and remains a club for students, from its establishment, in 1969, until today. Maybe you did not know, but it is the oldest student club in Romania and perhaps in Europe, as well. George Nicolescu is one of the successful artists of the select few who started their career in Club A. The list of those who performed on the scene of the Club is a Who’s Who of the best people of culture in Romania: acting, Conservatory and ﬁne arts students; jazz, pop, classical and rock musicians, choirs and satirical groups, actors and directors, DJs and media personalities. Many of them have had their stage debut in Blănari Street and keep in mind

the emotions of their beginnings. Most troops of the Romanian rock scene were launched here: Timpuri Noi, Metrock, Sarmalele Reci, Șuie Paparude, Travka, etc. Having been active for 42 years, the club continues to be the favorite of students who are very enthusiastic about participating in the concerts of their favorite young folk or rock troops, as well as in ﬁlms and theater nights. Florian Pittis, Johnny Răducanu, Nicu Vladimir, Mircea Florian. These are other great names of personalities who have made history in Club A... Club A remains a cultural institution for students, a lively, nonconformist forum. The Club’s motto, taken over by dozens of generations of students has been and remains: „Club A... and you will never be the same! IRINA CIOROBA

The Path to Faith

hen one starts the journey of life, one tries to ﬁnd the best profession, to discover one’s potential, to develop one’s passion, talent and skills. Sometimes, one craves the whole life for one thing, dreaming and hoping that one will succeed, one day, to accomplish one’s plans. TEODOR TĂNASE, a young man suﬀering from the Down syndrome, wanted to become a priest. As a child, he discovered prayers with the help of his family, as well as the wisdom of the Bible, the Church, confession, communion and the traditions of the Orthodox faith. He felt that only with God he was able to overcome his powerless-

ness and what others thought of him, and perhaps to hope and to accomplish his plans. Faith in God is amazing and it lifts our souls, makes us good, patient, forgiving, more generous. The Orthodox Church, due to the holy books, helps us to think properly, far away from darkness and evil. It also helps us understand and respect the sacriﬁce of Jesus Christ and of the Holy Martyrs. Faith saves us all! TEODOR TĂNASE, a young disabled man, reads prayers, passages from the Bible and listens to religious music daily, so that, due to the purity of his soul, he honors God and

We believe in your happiness! tries to know as much as possible about the Orthodox faith. Due to the goodwill and blessing of His Holiness Father GALACTION, bishop of Alexandria and TELEORMAN, who is respected by each parishioner and who preaches the word of the Bible daily, it was possible for a disabled person to fulﬁll his dream. On December 25, 2011, on Christmas Day, the Assumption Church in Alexandria, hosted the ceremony by which Teodor became a Deputy Deacon. Being very touched, with tears of joy in his eyes and dressed in very nice clothes, he stepped to the altar. He is together with God and the priests who received him with joy and conﬁdence, as one

of them. It does not matter whether one is ill. The important thing is to have God in one’s soul, with humility and honesty. The Orthodox Church keeps its doors open for every Christian, regardless of their health, wealth, social or ethnic background. It’s good to walk with devotion and conﬁdence into the house of the Lord, to leave behind the secular world and to be committed to sacred issues which are, in fact, “our ticket” to eternity. Let us approach the forefathers’ CHURCH and FAITH, which were always with us! Let us ask for the help and blessing of the priests! Let’s not forget sacred issues, for they will always save us! Before God, we are all equal! Psychologist ILEANA CERCEL

The Wall of Glass

f course, glass is not conventional building material. Glass is most often used in figurines, flower vases, cups, jars for jam or sparkling rhinestones for carnival costumes. However, I have recently listened to the story of a desperate mother whose child had been diagnosed with autism. I heard her by chance. I was sitting on a bench next to this mother who explained to a good friend, I think, how the disease was diagnosed in her son. It was just like a wall of glass separating us: I saw him, I spoke to him but he did not he hear me. I was desperately looking for the glass wall that prevented us from communicating and yet, there was nothing between us... not even a wall of glass. I came home with a lump in my throat and I search for data on autism. This is how I found the amazing story of Radu, a child diagnosed with autism two years ago. His parents searched all over for a cure, and they found it. They brought a therapist from the United Kingdom. He is an expert in ABA therapy (applied behavioral therapy) who trained ten students in psychology and, together, they made the miracle happen. Today, Radu is 13 years old, got many he awards at school, has a certified IQ of over 135, likes skiing, painting, learns English, laughs and is 99% recovered. Radu tells people how he learned the „lesson about happiness”. This concept is difficult to understand and is often so difficult to meet, as well. After having saved Radu, his parents continued to help other parents who were just as desperate because this disease is beyond the understanding of current-times medicine. The center where children with autism are treated by the ABA therapy is called „Horia Moţoi”. Radu and his parents, Elizabeth and Damian Nedescu make significant efforts to obtain

sponsorships, so as to make the treatment cheaper. It can last as long as three to four years, eight to nine hours every day, with each child. Radu currently helps other children ﬁnd their way to the light, which he performed as a puzzle game that connects... bits and pieces, parts of images, words and feelings. One of the concepts, that Radu has to learn about in order to complete the 1% on his path to normality, is the notion of lying and its necessity. He does not understand, this child who escaped due to a miracle from God, why he should conceal one again his being in the disgusting darkness of lies. Maybe his wonderful parents, who led him with love to the haven of the 99% of normality... as people see it, should let Radu be just the way he is: beautiful, clean, untouched by the fog of lies which govern our lives... every day.

ANGELA S.

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Live Healthily!

oncern for one’s health should have an important place in our lives and we need to realize that many chronic diseases can be prevented through a healthy lifestyle, the food we eat being very important. The ideal food, if it existed, should meet a number of requirements: it should have a lowenergy value, to concentrate essential nutrients (essential amino acids, vitamins, minerals, essential polyunsaturated fatty acids), should contain dietary fibers and complex carbohydrates, as well as a very small amount of cholesterol and salt. Because there is no ideal food, in order to maintain health, one must consume a variety of foods that provide the nutrients needed by the body. Foods that should be included in the daily menu of a healthy person are: wholemeal grains; dark green, red, orange vegetables and legumes (dry beans, peas), fruits, milk and semi-skimmed or skimmed dairy products, vegetable oils (sunflower, olive oil, corn, soybeans, peanuts), lean chicken or fish. Dr. Maria Niţescu recommends a list of foods you should eat in small quantities or as seldom as possible: food / beverages containing added sugar, solid fats (butter, lard, tallow), margarine containing trans fat acids, foods prepared with saturated fats, hydrogenated fats and sugar (cakes, pastries, ice cream, etc) and refined bakery products and grains (white bread, white flour bread varieties, white flour pasta, husked rice, etc.) salt and all processed products containing salt (canned in brine, sausages, snacks, etc.), alcoholic beverages. „We should know that healthy eating habits do not refer only to what we eat. They also refer to how much we eat, how we combine food, how

many times and when we eat. Nor should we forget how important physical activity is. This is one of the main ingredients of our health, which helps signiﬁcantly reduce the risk of cardiovascular diseases, hypertension, stroke, diabetes and obesity in adults” says Dr. Maria Nitescu, a Head of Dept. at the Carol Davila University of Medicine. The „Live Healthily” Caravan which is part of the „regional network for the promotion and implementation of social economy concepts in order to increase the chances of social reintegration of disabled persons” strategic project halted in the Ilfov County, in places such as Baloteşti and Cornetu, where people belonging to the elder generation had the opportunity to be provided information about a healthy lifestyle. They have had their weight, blood pressure and blood sugar measured and were given promotional materials. Specialists from the CONSIM center spoke about the importance of a healthy lifestyle, regular medical check, as well as about how to stay healthy and the physical activities allowed in old age. The activity ended with a raﬄe: the luckiest participants received T-shirts to remind them about a healthy lifestyle.

We believe in your happiness!

Dr. Rãzvan Mãnescu

PACES Interviews

A graduate of the „Iuliu Haţieganu University of Medicine and Pharmacy in Cluj” currently being employed at the Municipal Hospital as urologist in Cluj-Napoca, his Department being headed by Prof. Dr. Ioan Coman, Dr. Răzvan Mănescu has taken care of countless patients with cancers of the genital-urinary system. Thanks to his kindness, we were able to take an extremely useful interview for our times.

Camelia Șulea: What is the incidence of testicular cancer and what are the symptoms of this disease? Dr. Răzvan Mănescu: The impact on patients is even greater, as the period of maximum incidence of the disease is located in the third and fourth decade of life. Of the patients with this condition, 1-2% have the misfortune of developing this disease bilaterally. C.Ş.: What are the prevention means for this disease? Dr. R.M.: I do not think we can talk about prevention measures, but rather more attention should be paid to following up patients at risk for developing this disease: patients with a history of cryptorchidism, infertility, with a family history of testicular cancer or a contra-lateral testicular tumor. C.Ş.: Are there routine investigations to remove suspicion about this type of cancer? What are they? Dr. R.M.: A set of routine tests for the detection of testicular cancer entails testicular cancer screening proper, which is not done. Many times, testicular cancer begins with the appearance of a scrotal formation. Practically the ﬁrst investigation is the physical examination performed by patients. If touching a suspect formation in the scrotum, it is their duty to report it to their urologist for expert advice. Scrotal pain can be another symptom in the beginning of this pathology, but, in this case, the ﬁrst step to be made by the patient is to consult a specialist. I insist that patients should go to the doctor as soon as possible in case of suspicion about a scrotal tumor mass, since the chances of recovery increase with early detection. After having reached the doctor, the report of the patient will be supplemented by physical examination, scrotal ultrasound, determination of tumor markers and even inguinal exploration and orchiectomy, so as to establish a histo-pathological result.

C.Ş.: What is the treatment for testicular cancer? Dr. R.M.: The diagnosis and treatment entail a multidisciplinary approach involving the urologist, oncologist, radio-therapist, anatomopathologist and psychologist. The patient should know that we can fight against testicular cancer and we can overcome the disease. Studies and the available literature prove it and our weapons are chemotherapy, radiotherapy and surgery. The patient should also know that the results are highly dependent on the disease stage at diagnosis and long-term monitoring is essential, since this battle lasts for several years. C.Ş.: Among the cases that you encountered, have certain people turned to testicular prosthesis? What does this intervention entail? Dr. R.M.: As I said, the maximum incidence of the disease is found in the third and fourth decades of life. Thus, patients are young people with a social life, an active sex life. Many times, patients may want a testicular prosthesis. Surgery basically involves installing a biocompatible prosthesis made of different materials at the level of the scrotum, where the cancerous testicle was removed. The prosthesis is chosen so that the dimensions are similar to the other testicle. C.Ş.: What is the impact on the patient’s psyche in case of such a diagnosis? Dr. R.M.: Upon hearing the diagnosis, patients’ attitudes vary. Whatever his initial reaction, he should receive psychological support needed to overcome the event and to get the needed strength so as to fight the disease. This is a long-lasting battle and it is not easy. Therefore, psychological counseling in a multidisciplinary treatment approach is very important. CAMELIA ŞULEA

Promoted & Applied Economy Social Concepts

Dr. Cristina Vitoc

Nr. 10/January 2012 PACES Interviews

Dr. Cristina Vitoc, M.D. oncologic radiotherapist, certiﬁed in breast imaging, and medical Ph.D. Having had a career of almost 40 years in the treatment of breast cancer, Dr. Cristina Vitocal was kind enough to share with us from her large-scale experience. «I had a teacher of psychology as a patient. At the time of diagnosis she decided her countdown had begun and she still had a lot to do. She studied and became a Ph.D., she took various administrative positions in the institution where she work. So, she faced this experience and turned it into something positive, practically starting to take important decisions about her life. It still is a pleasure to talk to her. This attitude has helped her get over the disease, from a psychological point of view. These are the moments of maximum job satisfaction as an oncologist.» The most important aspect in the relationship between doctor and patient is, according to Dr. Vitocal, mutual trust. «When patients refuse to be consulted or come late, this creates for me a sense of compassion or a sense of tenderness - were not prepared to come sooner. And then, I tell them the truth with gentleness. Thus, the patient accepts it. Given this context, we become closer and establish the therapeutic path. When the patient comes in early stages, I am happy to tell her that there are modern treatments to comfort her, that she will return to a normal family life, as well as in the larger society, and I congratulate her for having taken care of her health. When doing this, one is not a burden to one’s family. One takes care of herself and becomes an aid for the family. Therefore, this is why I am optimistic about this disease of the century and I am not vexed.»

PACES: How would you describe the relationship between doctor and patient? Dr. Cristina Vitoc: I could say that I was always there for my patients. I always wanted them not to suﬀer from cancer anymore and, if fate has decided that they still do, I then do my best for the diagnosis be found as early as possible. There should be no hesitation in diagnosis and extensions. This fact has led me to realize that I am responsible for every patient that requests an appointment for the breast consultation. Every time I tried to be as honest as possible with the patient and I tried to also consult with other colleagues, in case of hesitation, I felt comfortable to discuss and consult them about a diagnosis. In that case, medicine is beautiful, even if this disease has such grim possibilities. It can provide

We believe in your happiness! a lot of satisfaction when I am able to infirm or confirm it at an early stage. PACES: Why is breast cancer diagnosis so common? Dr. Cristina Vitoc: The incidence of breast cancer has increased due to general factors discussed in the etiology of cancer, such as lifestyle, stress, pollution. These factors act at an early age and the disease occurs in 8 to 10 years. Also, the genetic part should not be ignored. Genetic laboratories were founded, so that our genetic inheritance can be now established. But the mentality of the family has to change. I fought for it with my patients, so that they know their diseases in the family. The idea that the disease is a reason to shame is no longer valid. The patient has the duty to know his or her medical history. Each of us is responsible for being informed. In people with a history of cancer in their families, there should be different periods for consultations. Their lifestyle should also differ from that of people whose family members have never had the disease. There is another thing: young women choose to focus on their career and postpone motherhood more than their mothers or grandmothers. Breasts, due to pregnancy and lactation, develop their structure to maturity and become less sensitive to carcinogenic factors. However, regular checks are a must that can save many troubles. As I said, early detection and treatment in stage 0 or 1, mean that these women will have the same mortality rate as women who have not had this diagnosis. PACES: How receptive to treatment are women when facing such a diagnosis? Dr. Cristina Vitoc: Most are receptive to treatment and they are proud to be so. This is the case also because I did not hide the diagnosis. When offering openness and optimism, you can only get the same thing back. Of course, a certain percentage, much lower, of about 5%, are those patients who are so scared of the diagnosis that they refuse to cooperate. In these cases, I have no solution. When taking a patient for treatment, we have to establish a positive transfer of information and to trust one another. When the patient refuses this collaboration, the transfer is negative from the psychological perspective and it is better to transfer the patient to another colleague who has a different approach that works for them. The first priority should be to solve the problem of the patient. PACES: What can you tell us about the many natural treatments available on the market? Dr. Cristina Vitoc: Naturist or energetic treatments are to be used only as extra aid. They should not replace oncologic treatment. I have a motto: If you keep only the Christian periods of fast during the year and you have a balanced lifestyle and

11 approach to spirituality, this helps to having a threedimensional approach to the disease. There are three dimensions: the spiritual, physical - that we focus on, as doctors - and the psychological support, for which qualified people are needed. We, as physicians, do not have the tools of the psychologist, whose presence in the oncology team is vital to achieve optimal results and to help overcome this obstacle. Unfortunately, there are few cases when this issue is addressed threedimensionally. PACES: What are the steps to be made after treatment? Dr. Cristina Vitoc: After completing their treatment, patients get into the follow-up program, to closely monitor the health status at certain times. But, in case of a relapse, the patient may be down, in which case the presence of a physician and of the psychologist is vital. As I said, a psychologist should be part of the specialists’ team, in case of such a diagnosis. When talking about breast cancer, the survival rate ranges from 5, 10, 15 to 20 years. Given this context, we always keep the patient under observation. PACES: What are the main social obstacles for a cancer patient? Dr. Cristina Vitoc: As far as my patients have told me, I have to say that many of them faced bad intentions at work. They were given no understanding and this is one thing that we should not be proud of as humans. But the main obstacle is of a financial nature: timely retirement is problematic; some patients are taken from one commission to another for not having the proper degree of disability; even after going through mastectomy, their prostheses are not provided by the House of Health Insurance and they are quite expensive. A legislative reform is vital so as to facilitate cancer treatment, as well as additional costs required by patients. PACES: What is the impact of such a diagnosis on the family? Dr. Cristina Vitoc: Their families have different attitudes. There are members who feel a total compassion for their loved ones diagnosed with cancer. On the other hand, there are spouses who are not interested in their fight or who simply choose to divorce. However, I think that most of them are supporting their family members. About 80 to 90% of family members try to raise the morale of the patients, as well as to support them throughout the treatment. In such cases, psychological interventions are welcome. Proper counseling of family members is necessary for them to receive the necessary tools to approach their loved ones, to support them and to comfort them in critical times of depression.

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Dialogues about Cancer Dialogues about cancer with Dr. Ana-Maria Boeru, MD of Medical Oncology, skilled in acupuncture, homeopathy, general ecography and palliative care, Ph. D. candidate in the therapy of oncologic pain.

Definition and Nature Rep.: What is cancer? Dr. A.-M.B.: I will refer to the term cancer as a group of diseases in which cell structure develop a special and unique character of uncontrolled multiplication. These cells have a single specific feature: unlike other normal multiplication processes, they lose control over normal development at their initial place. Later on, they scatter in the entire body. It is important here to note the notion of uncontrolled spreading in the whole body. In that case, we refer to the appearance of metastases, which is typical for malignant tumors (cancer) as opposed to the benign tumors, in which uncontrolled growth does not develop further. When trying to answer the question about cancer, it is essential to know basic elements about the nature, diagnosis, causes, prevention of the disease (or more accurately to detect it in curable stages) and the holistic treatment (integrative treatment that combines classic treatment - surgery, chemoradio therapy - and other treatments focusing on nutrition and the complex psycho-social approach of the patient to suffers from the disease totally). As far as this last issue is concerned, I would like to insist on the connection between mind-spirit-soul and the whole body, which is valid in all human diseases and especially in cancer. Rep.: Let us take these items one by one to better explain them. What should we understand about the nature of cancer? Dr. A.-M.B.: There are different types of cancer. Cancer can develop in almost all parts of the human body, and, depending on the place where the initial uncontrolled growth develops, we have four clear types of cancer - the carcinoma - they are the most common form of cancer, developing from cells that cover internal surfaces (lung cancer, breast, body and cervix cancer, ovary, prostate and colon cancer) and external surfaces (skin cancer). - Sarcoma - Growing from the supporting tissues of the body, i.e. bone, cartilage, adipose tissue (fat) tissue and muscle cancers. - Lymphoma - they develop in lymph nodes and immune system tissues, which are responsible for protecting the body in the fight with aggressive, adverse, internal or external factors.

- Leukemias - these are cancers of the young, immature blood cells, which proliferate in the bone marrow and tend to accumulate in large quantities throughout the bloodstream.

Diagnosis and Causes Rep.: With regard to diagnosis, how can we understand the scientific names of different types of cancer? Dr. A.-M.B.: In order to understand the terms of a diagnosis, we have to be familiar with some specific terms, used by physicians to distinguish between different types of carcinomas, sarcomas, lymphomas and leukemias. These designations are created with prefixes that represent the affected cell type. For example, the prefix “osteo” means bone, so bone cancer is called osteo-sarcoma. Similarly, the prefix “adeno” means gland which is used to identify the type of cancer developed in the glandular cells and is called adeno-carcinoma. Thus, we have the name of breast adeno-carcinoma, as well as prostate or colon cancer. Rep.: What should we know about the causes of cancer? Dr. A.-M.B.: The answer to this question entails explaining the loss of control over normal cell multiplication. Cancer starts when this control is lost. In healthy tissues, there is a balance between the multiplication of new cells, which are young and needed, and the death of aging, used-up cells. This balance is part of a normal physiological and life cycle. The same balance is lost in cancer. It may result from the uncontrolled multiplication of cells or from the loss of normal cells’ capacity to die. The latter case involves a phenomenon that we call apoptosis or “cell suicide”. It is a normal mechanism by which old cells destroy in order to make room for the new cells. For us to understand the need for cell multiplication in the human body, let us imagine the process of skin cell multiplication. This cycle is needed to replace dry, damaged cells. It is a visible phenomenon during our daily washing routine. When this balance between normal cell development and cell loss is lost, there appears skin cancer.

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Cancer Prevention Rep.: Is it possible to prevent cancer? Or just to treat its early forms? Dr. A.-M.B.: There is a great difference between cancer prevention, since some of the causes are known and we try to reduce exposure to these factors, and the detection of early curable forms of cancer. The second possibility is more effective if we know exactly the steps to be made, if the population is better informed and they can implement them, despite the great deficiencies of the Romanian health system, which, unfortunately, does not facilitate the free-of-charge application of screening programs, as it happens elsewhere. My piece of advice is to apply both means so as to better fight against this terrible disease. Rep.: We should first focus on direct causes. Do we know such factors that directly trigger the disease? Dr. A.-M.B.: Cancer is often perceived as having no apparent cause, perhaps because scientists do not know exactly what triggers the disease. However, some of them are well-identified. In addition to the inherited genetic component, which is properly studied, researchers emphasizes the existence of three broad categories of factors that contribute to cancer development: chemical (eg. smoking, nutrition), radiation and viruses or bacteria. Scientists conducted studies on the general population, researching various behaviors, exposure to risk factors of the environment and the geographical area, and noted a connection between heredity and geographical, alimentary factors or other behaviors. For example, in Japan, the rate colon cancer is lower, but the rate of stomach cancer is higher than in the population of the United States. The difference disappeared in the Japanese who moved and now live in the U.S. This suggests that the risk of disease in the case of the two cancers is not primarily determined by heredity. Rep.: What is the role of tobacco and smoking in triggering cancer? Dr. A.-M.B.: Among the factors that may develop cancer, the two are most prevalent. Smoking cigarettes and tobacco (pipe), have together more than six chemical factors that may induce cancer. Cigarette smoking is the leading cause of lung cancer and contributes, almost as much, to the emergence of other types of cancer, such as, mouth, larynx, esophagus, stomach, pancreas, kidney and bladder cancer. Tobacco use in various forms may develop cancer of the tongue, lips, mouth, pharynx, esophagus, pancreas and bladder.

Other Risk Factors for Cancer: Radiation, Viruses, Bacteria and Heredity Rep.: What can you tell us about radiation exposure? Dr. A.-M.B.: Low frequency radiation, if prolonged and recurrent, can lead to skin cancer. The same risk is there for those who spend many hours in bright and hot sun, since there will be an accumulation of ultraviolet radiation. The means to prevent such a situation are: reducing exposure time, the use of special, protective clothing, lotions with sunscreen factors that may reduce the risk of some types of skin cancer. High frequency radiations, X rays and Roentgen, used in various medical investigations, radioscopy, radiographs, CT and radioisotopes (nuclear radiation) are also dangerous. They are more harmful than ultraviolet radiation due to their capacity to penetrate through clothes and skin into the body, causing cancers of internal organs. Rep.: How do you explain the time gap between the exposure to risk factors and the actual development of cancer? Dr. A.-M.B.: Chemical and radiation factors that may develop the disease (called carcinogens), act for a long time, continuously, on our genes, altering them and thereby stimulating cells to divide uncontrollably. All these biological events require a long time, and this explaining the gap between exposure to the factors and the beginning of cancer. For example, young people exposed to smoking get sick after 20, 30 years. Rep.: What other factors can cause disease in question? Dr. A.-M.B.: There are viruses, infectious agents that can only multiply if they penetrate living cells. Their genetic information or genetic load is thus transcribed to the healthy cells in the body where they proliferate. The most common cancers developed by viruses are cervix and liver cancer. Next, there are bacteria. One of the best known, which may increase the risk of developing gastric cancer is H. pylori. Rep.: What about the role of heredity? Dr. A.-M.B.: Cancer is not considered an inherited disease because it usually occurs in patients whose relatives, no matter how close they are, have never had cancer. However, people with relatives known to have suﬀered this

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disease have an increased risk of facing nonbeneﬁcial mutations transmitted hereditarily. Hereditary mutations that increase cancer risk are valid in case of breast, colon, kidney, skin and other less usual cancers. The percentage of those who develop cancer due to heredity is low. Rep.: What measures can we take to prevent cancer? Dr. A.-M.B.: There are a few simple, straightforward measures, but they are not always easy to implement: - Avoid smoking; - Protection against solar ultraviolet radiation; - Give up alcohol and smoking; especially when

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it comes to combining them, they are extremely dangerous; - Eat healthily; - Avoid getting in touch with the respective viruses; - Avoid carcinogens at work and at home; - Avoid industrial pollution; - Positive thinking.

Written by CLEMENT SAVA, Advertising Expert

Judo is Better than Taking Drugs that only Make Things Worse

he „design” of the human being is a sum of genial elements. One can only be amazed by the highly tuned mechanisms which set the human body into motion. Our ears have a splendid design, as well. Sophisticated phenomena occur in the inner ear. There, mechanical sound waves are transformed into neural waves. They are no longer mechanical vibrations and are directed to the brain as signals, through the neurons. That is why we hear with the brain, the ear being only the sound receiver. But balance is also achieved in the inner ear. In the labyrinth of the inner ear, there is a liquid, i.e. a lymph having a certain viscosity and composition. In the cochlea, in that the labyrinth, „crystals” float through the lymphatic fluid. They touch the ridges of the labyrinth and this is how balance is achieved. People often confuse dizziness with vertigo. But certain doctors make a clear distinction between dizziness and vertigo. Dizziness is entailed by a poor blood supply to the brain. Dizziness occurs in people who suddenly rise, in those who have low blood pressure, those who suffer from cervical spondylosis, i.e. that pressure caused by bone deposits upon the fascias of vessels and nerves which cross the spine on their way to the brain. Dizziness also occurs in those who did not eat in the morning and in those who stand still for many hours in front of the computer, those with a bad position of the neck, those who have suffered trauma, those suffering from diabetes and hypertension, those who take certain drugs. The term vertigo refer to that situation when things seem to revolve around the person or he/she spins

around, together with other things, or he/she is the one who spins around things. These vertigos start from the inner ear. Balance is not only connected to the inner ear, but also to the hindbrain and muscles. Muscles contain receptors that send signals and we thus regain the lost balance after a sudden stop, foe example. We regain balance because muscles get into action and restore the normal position. Sight has a role in balance because the eyes compensate for loss of a balanced position. Here is a list of diseases which are responsible for vertigo. Vertigos are caused by osteoporosis of the ear bones: otosclerosis produces a weft between the incus and the round window, a defect that can be corrected by surgery. Menier’s syndrome is a major cause of vertigo, as well as acoustic neurinoma (auricular nerve tumor). Vertigo is also entailed by motion sickness and seasickness. The most frequent vertigo are produced by benign paroxysmal positional vertigo, lasting some 5-10 seconds and not accompanied by nausea, vomiting. Moreover, hearing is not diminishing. The solution here is to have the audiologist suddenly move the head in a motion that resembles a judo movement. This sudden movement of the head repositions the crystals correctly into the liquid of the labyrinth and vertigos disappear as if it was magic. If drugs were recommended for more than 2-3 days, the eﬀect would be bad, since the good ear would be aﬀected too, not only the one that leads to vertigo. FLORIN CONDURĂŢEANU

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The Best Movies about Cancer

e’ve all been impressed by the exciting movies in which one of the characters suffers from cancer. However, these films may be very good textbooks, behavior guides and life lessons. Here is a chart of the ten most popular films about cancer: 1. “Wit” with Emma Thompson. It presents the story of a powerful, feared woman who was diagnosed with grade IV ovarian cancer. 2. “Stepmom”. A touching film about a mother, Susan Sarandon, who died of cancer, and a stepmother, Julia Roberts, who has to take care of the children. 3. “Crazy Sexy Cancer” - a documentary movie in which actress Kris Carr steps in front of the camera and has the experience of being diagnosed with an incurable form of cancer. 4. “The Bucket List” with Morgan Freeman and Jack Nicholson is a famous film in which the two characters suffering from terminal cancer fulfill their last wishes before dying. 5. “Love Story” - a touching story, in which

the female character becomes ill and dies of cancer. 6. “Brian’s Song” - an older movie about a strong, inter-racial friendship, which gets stronger as one of the characters is diagnosed with an incurable form of cancer. 7. “Dying Young” is the story of a rich, young man, Campbell Scott, who employs a nurse, Julia Roberts, whom he falls in love with. The ﬁlm illustrates their love story during the terrible experience entailed by chemotherapy. 8. “Life Like a House” - the main character, suﬀering from terminal cancer, tries to resume the strained relationship with his son. 9. “Letters to God” - The story of an eight year old boy with a brain tumor, who regularly writes to... God. 10. “One more kiss” - A woman diagnosed with cancer goes to Scotland to revive the relationship with her ex-boyfriend.

Travel during Chemotherapy Treatment

hemotherapy is one of the issues that concern cancer patients most. It is generally perceived as a very rough treatment which involves many prohibitions and major changes of the lifestyle. In fact, these allegations are not entirely true. With a little care and planning, cancer patients can still perform enjoyable activities, like travel, for example. Here are some tips for a successful trip: - Talk to your doctor before you go on vacation. He can give you the best advice, since he knows the patient’s condition in detail. - Take with you more medication than you would normally need. During a trip, you are more likely to lose, misplace or forget your drugs, so that it is best to have a reserve. Not all pharmacies have available drugs for such serious conditions. - Find a good oncologist at your destination. You never know whether you might need

advice or help from a doctor. - Check if you have medical insurance so that, in case of consultation or other interventions, you will not have to pay extremely large amounts. - Make sure that the drugs you take are not forbidden in countries where you travel, otherwise problems may arise at the border and it is most likely that they will be conﬁscated. - Don’t forget to rest. Too much activity and going to sleep late, as well as prolonged exposure to sunlight, should not be part of your program, if you want to enjoy a relaxing, fulﬁlling holiday. Once you meet these requirements, all cancer patients, including those who are taking chemotherapy, may have interesting and successful holidays!

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Holidays for Cancer Patients

olidays are usually a joy for all people and an excuse to spend more time with family and friends. For people suﬀering from cancer, the holidays lead to a series of disturbing questions, such as: How can I enjoy the holidays when I have so many important, serious issues to solve? Will I still be alive next year? How can I organize the holiday celebrations and take care of myself at the same time? The ﬁrst two questions should be approached personally, preferably after the holidays. As far as the last question is concerned, here is some advice: Try to spend the holidays with your family and as many friends and colleagues as possible. It is very hard to go through this period alone, even for a healthy person, but this is especially true for a cancer patient. Nevertheless, do not spend too much time partying, do not exaggerate by being too active and

losing sleep. Whenever you feel tired, back oﬀ for a while until you feel better. Do not be the organizer. Establishing all the details of the holiday party would be a huge waste of energy and an unnecessary stress to the body. Thus, let family and friends deal with the preparation of festive meals, shopping, washing dishes and cleaning after the event. Make purchases on the phone. In no case should you get among the crowds in the stores. Try to shop online or by phone and opt for the home delivery service. You will see that a lot of energy is saved this way. In addition to practical details, do not forget the emotional factors. Remember that your loved ones do care about you and come to celebrate with you for this very reason. Do not forget to do the same for them.

Beauty Is not Afraid of Cancer

ne of the major concerns related to cancer, particularly envisaged by women, is related to the effects that prolonged treatment may have on their beauty and physical appearance. It is known that one side-effect of chemotherapy is the quick and certain loss of hair. Although it seems hard to believe, many women hesitate or simply give up this kind of treatment, which is very effective, because of these concerns. Indeed, their fear is founded. Until recently, finding a good wig or accessories to cover hair loss proved to be a long process, often without the expected effects. But today, women who were diagnosed with cancer and go through chemotherapy can relax: they will lose neither beauty, nor their style. On the contrary! There has recently appeared an industry that creates accessories for people who suffer from cancer, especially related to hair loss. These companies are usually near or in

connection with oncology hospitals. Such stores have an amazing range of accessories for women: from classic highquality wigs, made only of natural hair, to the most extravagant turbans, everything is available to those who want to buy them. At the same time, one can find, in such a store, hats of all colors and sizes, shawls and kerchiefs made of exotic materials, retro bandanas or sport caps. Once you find such a store, you will understand that there are convenient, very elegant ways to end the aesthetic crisis that accompany cancer treatments. You will discover that beauty is not sacrificed, but rather valorized in ways that you would have never thought.

CLEMENT SAVA

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Meditation Calms Down Cancer Patients

n the modern society, where stress, traffic jam and pollution are key words, relaxing activities like yoga and other types of meditation are becoming increasingly popular. In cases of cancer, it was proven that meditation, through its effect of relaxation for the mind and body, is beneficial. Of course, meditation has nothing to do with curing cancer proper, but it is recommended as a complementary activity designed to improve the patient’s general mood. The first effect of meditation is the removal of stress. The cancer diagnosis brings about a very high level of stress and unease. After a few minutes of meditation per day, stress is wiped out. Thus, a good mood is an immediate effect of removing stress. After meditation, at least for a while, the patient feels very good and relaxed. Meditation reduces the risk of depression. It is impressive that only five minutes of daily meditation have such a reinvigorating effect on the nervous system. The latter is thus properly balanced and the possibility to fall into depression is minimal. It is not only the nervous system that has a lot to gain, in this case. The immune system gains as well. It seems that meditation helps strengthen the immune system, facilitating the creation of new cells. Moreover, meditation increases the ability to

focus, which is known to tend to weaken in cancer patients. In addition, it seems that meditation increases the body’s capability to face pain. Due to the fact that the nervous system is balanced and the immune system in strengthened, a welcome side effects occurs: the increased capability to face pain. As I initially said, meditation is not effective in the prevention or treat of cancer, but it is worth the effort. In exchange for only five minutes of your time, you will experience incredible benefits.

CLEMENT SAVA

Psychosocial Issues in Testicular Cancer

hen discussing the psychological effects of cancer, we take women into consideration and their emotional problems. But men, too, face a series of emotional and even social problems, once they are diagnosed with cancer. Indeed, studies proved that men have a stronger approach on the issue of cancer and they do not allow themselves to be too much affected by emotions. But when it comes to cancers that affect their masculinity and self-esteem, things are different. I am referring to testicular cancer. Naturally, this type of cancer diagnosis is a huge shock for men. They are afraid of losing their masculinity and their status in the family and society. Their greatest fear is the surgical removal of the testicles. This is the greatest anguish of men who

suffer from testicular cancer, which is why they postpone the operation as much as possible. Studies show that men are worried about losing their social status among other men and having their image altred in the eyes of the others. But above all, they are frightened that the removal of testicles would adversely affect their sex life and the relationship with their partner. It has been shown, however, given the statements provided by survivors of testicular cancer who had their testicles removed, that this procedure had absolutely no impact on their social life. Also, their sex life was not affected in any way. Therefore, the psychosocial effects of this type of cancer are actually minimal, but for the inner stress of the patient is causing the real problems.

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Nr. 10/January 2012

Can I Adopt a Child despite the Fact that I Suffer from Cancer?

ancer should not aﬀect people’s lives, including their family life and the wish to have children. There are certain types of cancer directly causing infertility, such as testicular, cervical or ovarian cancer. Also, prostate, breast, thyroid and skin cancers may result in temporary or permanent infertility, as a side-eﬀect.

Is it possible to adopt, then? Of course, the main issue is a moral one. Is it fair to adopt a child, knowing that you are suﬀering from a disease that can be fatal? When adopting or giving birth to a child, one has the moral obligation to bring him or her up to maturity. Of course, the chances of an unexpected accident are there for everyone, but cancer is a diﬀerent situation. Before one makes the decision to adopt a child, one must answer the following questions: - Am I in remission? If so, what are the chances of recovery? If the odds are less than 75%, is a sign

of immaturity to commit to raising a child. - Are there other family members who could care for the child, if I fail to defeat the disease? - How old is the child available for adoption? If one adopts a newborn, one must make sure that he or she will continue to live for at least twenty years, so as to support the child until he or she graduates from university.

Is adoption allowed? Each country has its own policies related to adoption, with clear provisions about people suﬀering from cancer or other high-risk diseases. But, in general, it is up to social workers to assess whether a cancer patient may or may not adopt a child. Usually, they take into account factors like the stage of the disease in the ill person, as well as the health state of the other life partners. Most of the times, the enthusiasm and the wish to have a child are enough. CLEMENT SAVA

Cancer in Children What is cancer in children all about? The child’s adaptation to the All types of cancer, including in child, have the same mechanism: cells grow uncontrollably, new lifestyle develop anomalies and evolve differently from the “laws” of the body. Usually, factors that trigger cancer in children are different from those in adults, such as smoking, alcohol, exposure to toxic environments. In children, genetic mutations, other diseases or previous treatments made them prone for suffering from cancer.

What can we do? Parental involvement is essential. Once the child has been diagnosed with cancer, it is important that parents take him to an experienced pediatric oncologist. Cancer treatment can include, even the children, numerous surgeries and chemotherapy. These are radical elements that change the life of the child. In this situation, parents must develop both themselves and for the child, a life program that is speciﬁcally based on physical, but mostly mental support.

First, the child shall in no case be lied to about his or her condition. The first step is to explain, in a language understandable for the child’s age, the specific features of the disease and the changes it entails. Of course, the presentation must be made in an optimistic way, seeing cancer not as an anomaly, but as a disease that must be overcome. Many children feel guilty, believing they are somehow responsible for what happens to them. In this case, it is the parent’s duty to assure the child that he or she has no fault for being ill and should inspire courage and confidence at every step. Often, parents and other family members give away to fear and mistrust. Psychologists warn that it is vital, for the wellbeing of the child, to avoid this trap. Fighting cancer is a long process, just as in adults, but parents of ill children should not lose hope, because the chances of recovery are very high in children. In 70% of cases, they reach adulthood, being fully recovered from the physical and mental points of view.

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Solarium Use Risks

ccording to the new canons of beauty, tan has become one of the main ingredients of a successful image. Statistics show that, in the last few years, the number of people who tan artificially increased significantly, most of them young, often just below the age of majority. Although youngsters are sure that artificial tanning helps them look better, long-term effects are opposite: young people come to experience accelerated aging and likely skin cancer. Artificial tanning devices issue a quantity of ultraviolet radiation which is at least ten times greater than the amount occurring naturally, through sun exposure. Moreover, UV radiation is a proven carcinogen and it is associated with a high risk of contracting skin cancer and malignant melanoma. Damage in the body by artificial tanning is cumulative and irreversible. The effects are also very complex: fine wrinkles, skin deformation, pigmentation and depigmentation, aged skin. Such problems can occur even in 20

years old youngsters, if they were constantly exposed to radiation. Therefore, scientists warn young people that, besides the huge risk of contracting skin cancer (a risk that young people usually do not take into account, since they consider cancer a disease of the old), artiﬁcial tan ages skin by about 7 years.

The Library of the Cancer Patient

nce a person is diagnosed with cancer, his or her life changes completely. Cancer is not a simple disease that is treated with medical help, without getting interested in technical details. Cancer treatment can last for years and, no matter if we like it or not, it becomes a part of life for the diagnosed person. As such, we cannot simply remain ignorant. Once diagnosed, the patient should begin to study the issue of cancer in detail. It is assumed that, since he or she is not an oncologist, an ordinary person only has some general pieces of information about cancer, but nothing concrete. Therefore it is necessary to begin to build a cancer-specialized library. First of all, the patient should read a series of popularizing books, i.e. books containing general information about what cancer is and how it manifests itself. Once this level has been attained, proceed to more specialized books, with detailed information.

The patient also needs specialized books on the type of cancer he or she is suﬀering from. Thus, the patient will ﬁnd accurate information about how the disease manifests itself and proper treatment, so that he or she will be able to accurately monitor his or her progress. Finally, after having understood the technical details of the disease, the patient should buy motivational books. These books deal with the psychological changes that occur when cancer appears. Such books, since they are written by experts, contains very good advice for understanding how to overcome various emotional obstacles and how to shape one’s character so as to lead a normal life. Here are some reference titles for cancer: “A cancer battle plan” - Ann E. Frahm, “Cancer as a Turning Point: A Handbook for People with Cancer, Their Families, and Health Professionals” - Lawrence Leshan and “Cancer: The Recovery Guide “- Jonathan Chamberlain.

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Cancer Prevention

t is well-known that there are no certainties about cancer and it cannot really be prevented. It is therefore necessary to discover it as early as possible so as to begin the proper treatment soon, thus exponentially increasing the chances of healing. There are two things that each of us should do periodically in order to monitor our health and ensure that we are not suﬀering from cancer: 1. Go to the doctor for regular checks. Immediately call a specialist if you notice any suspicious symptoms. 2. Have all examinations and inspections the doctor recommends, within the speciﬁed period. Why do we need periodical inspections and when should we have them? - Most types of cancer can be easily detected at

an early stage and can be easily treated, as long as they are still not widespread in the body. - These controls are not age-related. People of all ages should regularly check their health status, to be informed and, when ﬁrst suspicions appear, they should immediately go to their doctor for indepth investigations. What may the symptoms be? - Swellings that do not heal - Cough and hoarseness that do not go away - Unexplained weight loss - Changes related to excretion Also, people whose family members have had cancer should pay more attention to routine controls.

Fatigue in Cancer

atigue is one of the most common and unpleasant side-effects of cancer in general and of lung cancer in particular. What is cancer fatigue? Fatigue in people suffering from cancer is different from the normal fatigue experienced by healthy persons. Healthy people feel tired after a hard day or after a night without enough sleep. Cancer patients always feel drained and lack energy, despite a great day, a long sleep or even after a large quantity of caffeine. What does cancer fatigue entail? - An overwhelming sense of tiredness, defined as a “total” fatigue of the entire body - A fatigue cannot be “cured” by normal means (sleep, relaxation, coffee) - A strong feeling of tiredness, even after performing simple activities, such as carrying the trash to the bin or coing to the shop around the corner of the street - Difficulty in focusing - Loss of will to participate in activities which were hitherto common and popular. What causes fatigue in

cancer? There are several factors leading to fatigue. Part of the blame lies on cancer proper, but most of the fatigue results from various invasive treatments. Nevertheless, they are mandatory, but stress the body a lot. Unfortunately, the two causes cannot be eradicated. But another cause of fatigue can be stress and emotional problems entailed by the struggle for survival. Fortunately, this is an issue that can be controlled and minimized, especially with professional help.

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Nothing Is Impossible…

t is important to you really want it. It sounds stereotypical, but it is the truth. It is difficult to take them out of their shells. They are reluctant at first, shy, reticent, but most of them find it difficult to step out of their isolation, no matter if they want it or it was imposed on them by the rest of the world. As a nurse and sometimes as a participant in organized social gatherings at the Centre, I feel that there is a fight. My colleagues, experts in psychology and social welfare, tell me that everything I categorize as, „games” are, in fact, methods and techniques designed to overcome certain barriers and to reveal their characters, skills, etc… It’s a beautiful „game”, especially since one is able to slowly see that they open-up to communication. It’s interesting, as an observer, to attend to such a change of attitude. Initially, most of them accept the challenge to

„play” with embarrassment and doubtful glances, as if the invitation came from some aliens. Little by little, they relax, their face lights up and start taking part in the game with their soul, as well. Not all of them, it is true! Some change their attitude only after a second meeting. One thing is for sure: they have forgotten how to „receive” because they were cast into oblivion by rest of us. They forgot how to „give” because they no longer know how to do it or don’t want to, anymore. And they have a lot to give. They can give love, kindness, wisdom and life experience. We ask them to share their experiences, to open their hearts, to tell us what would like to do during the meetings. They have great ideas and all they want is to communicate, to make friends, to learn new things, but above all, to be accepted and respected by the „others”. MARINA ŞEULEANU

Deodorants, a Health Hazard?

urely, you must have heard many rumors according to which daily use of deodorants is a major factor in triggering breast cancer. Should deodorants be a reason of concern for women? In fact, doubts have arisen as a result of emails that circulated all over the world, spreading disturbing news. According to researchers, it is false. The theory still circulating on the Internet is based on the fact that deodorants, since they have an antiperspirant eﬀect, prevent the elimination of toxins and harmful substances through sweat. Thus, toxins, presumably accumulated in the lymph glands from the armpit, resulting in breast cancer. The toxic substances that are believed to be responsible for this are called parabens. They are one of the deodorants’ ingredients. Indeed, in many tumors of women diagnosed with breast cancer traces of parabens were found, but doctors say that it is impossible for parabens to trigger cancer. According to them, parabens are similar to estrogen. Compared to estrogen, parabens are much weaker and any action they could trigger would surely be fought by estrogen or other existing chemicals in the body.

Another questioned ingredient in deodorants is aluminum. It is true that many oncology clinics forbid women to use deodorants and other substances containing aluminum salts, but not because of any danger. It is simply because they obscure visibility of echographies and may lead to erroneous results. Thus, doctors ensure us that to establish a connection between deodorant use and cancer is an ungrounded exaggeration.

CLEMENT SAVA

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Nr. 10/January 2012

„What a Sweet Girl!” Take Care or She Might Make Us Check for Diabetes!

e sometimes hear men talking about girls: „She is sweet as candy!” Certain trendy ladies that we may often see in cafes in the Dorobanţi neighborhood have also taken over this word: „I like that guy! He has money, a cool car and he’s really sweet! He likes spending money on me, too!” You, sweet ones, be careful not to get diabetes because of so much sweetness. And diabetes is really bad. I am joking, of course! I also made a joke when I told a colleague that I could not get the Dolce cable company for I had diabetes. After all, people should also understand a concept launched by doctors: the glycemic index. How is it that there are sweet foods that are bad and sweet foods that are good, which are more or less accepted by physicians who specialized in diabetes and in nutrition. to make it simple, carbohydrates having a low glycemic index are good, while carbohydrates with a high glycemic index are bad. For example, a potato which is as large as an egg, having about 40 grams, contains about 10 grams of carbohydrates and creates a blood sugar level higher than 40 grams of lentils, that have the same 10 grams of carbohydrates. That’s because lentils have a low

glycemic index, and boiled potatoes have a high glycemic index. Another example: a raw 30 grams carrot contains 10 grams of carbohydrates. This raw carrot produces a blood sugar level 30% higher than the same amount of cooked carrot, having the same quantity, but only 10 grams of carbohydrates. I n other words, raw carrots have a higher glycemic index than cooked carrots and raw carrots bring about a higher blood sugar level. Here are some foods with a high glycemic index that cause high blood sugar levels: bread of many categories, boiled rice, ice cream, chestnut cream, biscuits, pastry, popcorn, raw carrots, potatoes, peas, grapes, bananas, cola, etc. Here are foods having an average glycemic index: pasta, sweet fruits, i.e. apples, pears, melons, apricots, dates, ﬁgs. Here are foods having a low glycemic index: nuts, beans, citrus fruits, tomatoes, peppers, squash, green beans, dairy products. Other explanations: white bread has a glycemic index of 95; rye bread has an index of 40. Biscuits have a high index - 70, but green vegetables have less than 15. FLORIN CONDURĂŢEANU

Esophagus, a smart pipe

here are some not so smart people who laugh of the esophagus, calling it „a simple pipe through which food reaches the stomach from the mouth.” In fact, the esophagus is a smart, well-built „pipe”. It consists of several layers of muscles, with nerve bundles (plexuses), being kept under a complex control both by the nerves and the hormones. The most acknowledged esophagus surgeon is Professor Silviu Constantinoiu, the chief of the surgery clinic at the St. Maria Hospital. The esophagus is often affected by the gastro-esophageal reflux. Stomach contents return to the esophagus in some patients and even reach the mouth. The trouble is that the esophagus has a mucosa which cannot cope with the stomach juices. When the flow comes only from the stomach, such secretions are acidic and this is called gastro-esophageal

reflux. But this flow can come from lower parts, the duodeno-gastric reflux also containing alkaline juices, since they may be bile secretion and secretions of the pancreas. The esophagus does not „like” this aggression of the acid juices from the stomach or alkaline juices of the duodenum and the stomach. If acidic juices stay for a longer period in contact with the mucosa of the esophagus, there appear lesions of the esophagus. In time, being traumatized, the esophagus is metamorphosed into gastric mucosa or intestine mucosa (the Barrett esophagus). This change in the esophageal mucosa which becomes a Barrett esophagus increases the risk of cancer. When facing gastro-esophageal reflux, patients may feel heartburn and discomfort when laying in bed. Other details will be available in the next article.

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