ScanLow

Bosses bday, cakes, dinner and kayaks!

Fortunate to be a part of UW Radiology & get time off to focus on wellness!

Colorectal cancer is the 2nd deadliest cancer that affect both men and women.

Risk factors you CAN’T control
1-Age: 90% cases are 50 yr or older
2-Race and ethnicity: highest in non-hispanic African Americans
3-History of polyps or cancer
4-Inflammatory bowel disease (ulcerative colitis or Crohns disease)
5-Family history

Risk factors you CAN control
1-Diet: risk higher with processed meat so try more fruits, vegetables and fiber
2-Alcohol: limit to 2 drinks/day for men and 1 drink/day women
3-Weight
4-activity level: more sitting or lying down more colon cancer
5-Smoking: about 12% of US colorectal cases caused by current or former smoking

Talk to your doc about screening options.
https://bit.ly/3yDhjyV
***co

Leading cause of cancer death in 2020?
1-Lung cancer (23%)
2-Colon & re**um (9%)
3-Pancreas (8%)
4-Female breast (7%)
5-Prostate (5%)

Most common cancer DIAGNOSED are
1-Skin
2-Breast
3-Prostate
4-Lung
5-Colorectal

Lung cancer poses greater threat of death than skin, breast and prostate. Quit smoking.
https://bit.ly/3Le6ypn

Chewing to***co?

Smokeless to***co or chewing to***co is major risk factor for oral cancer.
-Smokers are 6 times more likely to get oral cancer, but to***co chewers have 50 times more likely to develop mouth cancer.
-India, Bangladesh, Cambodia, Bhutan top the list of to***co chewing
-Mouth cancer include, cancer of lips, tongue, cheeks, floor of mouth, hard and soft palate, sinuses and throat

Symptom to look for
-Most common symptom: mouth sore that does not heal
-Pain in mouth
-Persistent lump or thickening in cheek
-sore throat

Quit to***co. If you experience any symptoms, talk to your doc early.

https://bit.ly/3w5wX4i
***co

Smoking is major risk factor for heart disease.

Smoking causes 1 in 4 deaths from cardiovascular disease.
-it raises triglycerides (fat in your blood)
-lowers HDL (good cholesterol)
-makes blood sticky, so more clotting
-damages cells that line blood vessels
-increases build up of plaque (fat, cholesterol, calcium)

Even with less than 5 ci******es per day may show signs of early cardiovascular disease.

Quit smoking, save your heart and yourself!
https://bit.ly/3Pggd23

Diabetes capital of the world? India??

I read few peer reviewed articles in Indian Journal of Ophthalmology & Journal of the Association of Physicians in India (JAPI), where “India is deemed as the world’s capital of diabetes.” Then found several news articles in Indiatoday, timesofindia, thehindu, businessworld, globalhealthaging, deccanherald and more, citing India as the diabetes capital of the world.

Top Countries with highest number of diabetes cases in 2021 were
1-China
2-India
3-Pakistan
4-USA
5-Indonesia
6-Brazil
7-Mexico

So why is India the diabetes CAPITAL of the world? What am I missing?
https://bit.ly/38mpQvf

Smoking and Diabetes.

Smokers have greater risk for developing Type 2 diabetes than non-smokers.
-risk of developing diabetes increase with number of ci******es smoked per day.
-smoking increases inflammation and oxidate stress, which damages cells
-smokers also have trouble with insulin dosing and managing diabetes.

Talk to your doc and QUIT smoking!
https://bit.ly/3vVZhWG

Smoking is 2nd largest risk factor for total number of deaths worldwide, after high blood pressure.

World (Number of deaths by risk factors 2019) as per Lancet global disease burden
1- High BP: 10.85 million
2-Smoking: 7.69 million
3-Air pollution (outdoor & indoor): 6.67 million

However, in India, risk factors air pollution (outdoor & indoor), outdoor air pollution causes more deaths than smoking.

India
1-Air pollution (outdoor & indoor): 1.67 million
2-High BP: 1.47 million
3-Outdoor air pollution: 1.15 million
4-High blood sugar: 1.12 million
5-Smoking: 1.01 million

Are we missing lung cancer cases by ONLY screening smokers?
https://www.thelancet.com/gbd

Cancer patients in low and middle income countries (LMICs) have poor prognosis compared to patients in high income countries.

Why?
1-lack of awareness
2-late diagnosis
3-lack of access to treatment

How? to create awareness?
1-TV ads by government cancer control programs or large healthcare companies.
2-Friends and families.
3-Social media &/ internet.
4-Outdoor patient or commonly called OPD (outpatient department) discussion with docs.

Use social media to create awareness judiciously, talk to your doc on routine OPD visit and discuss cancer screening or early diagnosis options.

Previous lung diseases (PLD), such as chronic bronchitis, asthma, TB and pneumonia are associated with higher risk of lung cancer

As per SYNERGY project, which is the pooled analysis of case-control studies from Europe, Canada and North America
-Risk of lung cancer is generally increased with PLDs, such as chronic bronchitis, asthma, TB and pneumonia.
-Although, to***co is shared risk factor for both PLDs and cancer, PLD is an independent risk factor for cancer
-Hypothesis is that inflammation caused by PLD may act as catalyst for lung cancer.

If you suffer from symptoms, such as cough, sputum and difficulty breathing, don’t ignore and talk to your doc about cancer early.

https://synergy.iarc.fr

Ozone usually forms on hot summer days by reacting with air pollution!

-Ozone in the stratosphere is “good” as it protects from UV rays
-Ozone in the troposphere or ground is “bad” as it can cause breathing difficulty, asthma, lung damage and early death.
-It is formed when 2 air pollutants (VOCs & NOx) chemically react with sunlight. VOC is volatile organic compounds and NOx is Nitrogen Oxide.

Ground level Ozone is also commonly called smog and can be damage can prevented by
-maintaining your vehicle regularly
-inflate your car tires
-check AQI (Air Quality Index)
-if having difficulty in breathing, talk to your doc early.
https://bit.ly/3ONv6sp