A New Option For Breast Cancer Patients Taking Tamoxifen


BREAST CANCER.
APPROXIMATELY ONE IN EIGHT AMERICANS WOMEN WILL DEVELOP
BREAST CANCER DURING THEIR LIFETIME.
BREAST CANCER IS THE SECOND MOST COMMONLY DIAGNOSED FORM OF
CANCER IN WOMEN. SOBERING STATISTICS WHICH REALLY
UNDERSCORE THE EFFORTS TO MANAGE, CARE FOR AND ULTIMATELY
BEAT THIS DISEASE. WITH US TODAY DR NANCY PEACOCK A
MEDICAL ONCOLOGIST SPECIALIZING IN BREAST CANCER TREATMENT WITH
TENNESSEE ONCOLOGY AND CHAIR OF THE SAINT THOMAS HEALTH NETWORK
CANCER COMMITTEE AND COMING UP A LITTLE LATER ON THIS MORNING A
BREAST CANCER SURVIVOR WILL SHARE HER INCREDIBLE STORY, BUT
FIRST WANT TO WELCOME DR. PEACOCK TO THE SHOW, GOOD
MORNING TO YOU DOCTOR. GOOD MORNING DANIELLE.
THE FIGHT AGAINST BREAST CANCER HAVE WE SEEN QUANTIFIABLE
IMPROVEMENT WOULD YOU SAY OVER THE LAST, LETS SAY TEN YEARS OR
SO? YES, I THINK WOMEN ARE MUCH MORE
AWARE ABOUT THE NEED FOR MAMMOGRAPHY AND SEEKING THAT OUT
FROM THEIR HEALTH CARE PROVIDERS IN A PROACTIVE WAY.
I THINK WE’VE MADE QUANTIFIABLE IMPROVEMENTS IN OUR APPROACHES
TO SURGICAL TREATMENT TO RADIATION TREATMENT AND ACTUALLY
OUR ABILITY TO PREDICT WHO’S GOING TO RESPOND BEST TO
SYSTEMIC CHEMOTHERAPY OR BIOLOGIC THERAPY OR HORMONAL
THERAPY…AND FINALLY I THINK WE ARE ABLE TO BETTER IDENTIFY
WOMEN WHO HAVE GENETIC MUTATIONS OR FAMILIAL RISK FOR BREAST
CANCER. FROMA BREAST CANCER PATIENT
PERSPECTIVE WHAT ARE SOME OF THE BIGGEST CHALLENGES?
ACUTE TOXICITIES FROM CHEMOTHERAPY SUCH AS HAIR LOSS,
NAUSEA AND VOMITING, ORAL MUCOSITIS, FATIGUE, NEUROPATHY,
WHICH IS NUMBNESS OF THE FINGERS AND TOES, RADIATION DERMATITIS,
I THINK THAT HORMONAL THERAPY ALSO CAUSES TOXICITY, THIS IS
HORMONE BLOCKING AGENTS THAT PREVENT ESTROGEN FROM CAUSING
BREAST CANCER CELLS TO GROW AND DEVELOP.
ANYTIME YOU DEPRIVE A WOMAN OF ESTROGEN YOU MAKE HER FEEL A
LITTLE MORE TIRED, SHE HAS HOT FLASHES.
WHAT WE CALL VASOMOTOR SYMPTOMS, HOT FLASHES, NIGHT SWEATS, JOINT
ACHES, IRRITABILITY, INSOMNIA, MOST WOMEN KIND OF GO THROUGH
THAT GRADUALLY AFTER THE AGE OF FIFTY BUT YOUNG WOMEN WHO HAVE
ESTROGEN POSITIVE BREAST CANCERS ARE FORCED INTO THAT EARLY
BECAUSE OF THEIR TREATMENT. SO FOR PATIENTS WHO ARE ESTROGEN
RECEPTOR POSITIVE, CAN YOU EXPLAIN THIS SIGNIFICANCE FOR
THOSE WHO ARE UNDERGOING TREATMENT?
ABOUT SEVENTY-FIVE PERCENT OF WOMEN WITH BREAST CANCER WILL
HAVE EITHER THE PRESENCE OF THE ESTROGEN RECEPTOR, THE
PROGESTERONE RECEPTOR OR BOTH OF THEM.
UM, WHAT THAT MEANS TO THE PHYSICIAN IS THAT WE CAN USE
HORMONE BLOCKING AGENTS SUCH AS TOMOXIFEN OR THE AROMA TASTE
INHIBITORS AS A REAL STRATEGY TO REDUCE THE RISK OF THOSE BREAST
CANCERS FROM COMING BACK. INITIALLY WE JUST THOUGHT THAT
WE NEEDED TO USE THEM FOR FIVE YEARS BUT THERES MORE AND MORE
EVIDENCE EMERGING THAT CARRYING THESE HORMONAL BLOCKERS OUT FOR
TEN YEARS OF THERAPY OPPOSED TO FIVE IS PROBABLY GOING TO BE A
STRATEGY THAT REDUCES LATE RISK OF RELAPSE EVEN MORE.
IN YOUR OPINION WHAT WOULD YOU SAY IS THE BIGGEST REASON THAT
WOMEN FALL SHORT IN MAINTAINING THEIR THERAPY REGIMENT?
FIRST OF ALL, THEY ARE DEALING WITH THE SIDE EFFECTS OF THEIR
TREATMENTS. THE CHEMO THERAPY THAT WE’VE
ALREADY TALKED ABOUT. THEIR GOING THROUGH TOXICITIES
OF HORMONAL THERAPY, AGAIN JOINT PAIN, UM WEIGHT GAIN, HOT
FLASHES, NOT SLEEPING WELL AT NIGHT AND YOU MIX THAT IN WITH
LIFE ISSUES SUCH AS CHILD REARING, ISSUES WITH THEIR
RELATIONSHIP WITH THEIR SPOUSES, THESE WOMEN MAY BE CONCERNED
ABOUT THEIR JOBS AND KEEPING THEIR INSURANCE COVERAGE, ALL OF
THOSE THINGS WILL HAVE TO HAVE ONE BAD GUY AS THE CULPRIT, AS
THE THING THAT’S CAUSING THE SIDE EFFECTS AND THE LIFE ISSUES
AND I THINK THAT THE THING THAT MOST COMMONLY IS PICKED OUT AS
THE BAD GUY IS THE HORMONE BLOCKING AGENT BECAUSE BEFORE
THEY HAD IT, THEY DIDN’T HAVE ALL THESE PROBLEMS, BUT I THINK
THERE ARE REAL WAYS THAT WE CAN DEAL WITH TOXICITIES.
WE HAVE PRETTY GOOD PHARMACEUTICAL INTERVENTIONS
THAT WE CAN USE TO HELP WITH SPECIFIC SIDE EFFECTS AND
PROBLEMS AND SO A WOMAN JUST REALLY NEEDS TO TALK TO HER
HEALTH CARE PROVIDER. WELL I WANT YOU TO STICK AROUND
BECAUSE WE’RE GOING TO MEET A BREAST CANCER SURVIVOR HERE TO
SHARE HER JOURNEY AND HER ROADS TO RECOVERY, WE’LL BE
RIGHT BACK. (MUSIC).
WELCOME BACK TO OUR SEGMENT ON BREAST CANCER AND THERAPIES
ASSOCIATED WITH THIS DISEASE. WITH US ONCE AGAIN DR. NANCY
PEACOCK,A MEDICAL ONCOLOGIST SPECIALIZING IN BREAST CANCER
TREATMENT AND JOINING US BREAST CANCER SURVIVOR JULIE MCGEE.
JULIE WELCOME TO THE COUCH, GLAD TO HAVE YOU WITH US THIS
MORNING. THANKS FOR HAVING ME.
DR. BEFORE WE HEAR FROM JULIE I WANT TO PROBE A BIT FURTHER IN
TERMS OF THE OPTIONS THAT WOMEN WHO FALL SHORT IN THEIR THERAPY
REGIMENT SUCH AS TOMOXIFEN. WHATS BEING DONE TO ENSURE THAT
THEY DO CONTINUE AS PRESCRIBED? THERE ARE OPTIONS FOR PEOPLE
BESIDES PILLS. THERE IS A LIQUID FORM OF
TOMOXIFEN THATS AVAILABLE. THERE ARE WAYS TO TREAT HOT
FLASHES AND NIGHT SWEATS WITH PHARMACEUTICALS.
THERE ARE WAYS TO TAKE CARE OF IRRITATING MOUTH ULCERS WITH A
DRUG CALLED GELCLAIR. WE HAVE WAYS TO PREVENT AND
TREAT RADIATION DERMATITIS WITH ANOTHER PRODUCT CALLED BIONECT.
SO THERE ARE LOTS OF SUPPORT OPTIONS OUT THERE, WE JUST NEED
TO MAKE SURE WE ARE ASKING THE QUESTIONS TO THE PATIENT TO FIND
OUT WHAT THEY NEED. JULIE, HOW DID YOU FIRST
DISCOVER YOU HAD BREAST CANCER? DANIELLE I WAS DOING A ROUTINE
BREAST EXAM AND FOUND A LUMP THAT I HAD BEVER FELT BEFORE AND
IMMEDIATELY CALLED MY DOCTOR AND HE SET UP AN APPOINTMENT FOR A
MAMMOGRAM WHICH WAS FOLLOWED BY A BIOPSY AND I WAITED A GOOD
WEEK AND A HALF AND I HEARD THE WORDS THAT NO BODY WANTS TO
HEAR, YOU HAVE BREAST CANCER. IT WAS VERY HARD.
REALLY HARD. I HAD A LUMPECTOMY AND FOLLOWING
THAT I HAD RADIATION TREATMENT. I WAS THEN PUT ON TOMOXIFEN BY
MY ONCOLOGIST WHICH IS A TABLET FORM AND I CAN’T TAKE PILLS,
NEVER HAVE BEEN ABLE TO AND SO HE GAVE ME AN ALTERNATIVE CALLED
SOLTAMOX, WHICH IT’S THE EXACT SAME DRUG AS TOMOXIFEN.
IT WORKS THE EXACT SAME FOR REDUCING MY RISK AND I’VE BEEN
TAKING IT FOR A WHILE NOW AND HAVE HAD NO SIDE EFFECTS FROM
IT. AND THE GREAT THING ABOUT THAT
IS THAT’S A LIQUID FORM. DR. PEACOCK IS JULIES STORY
FAIRLY TYPICAL AND ARE THERE OTHER KIND OF SUPPORTIVE CARE
ISSUES THAT CANCER PATIENTS SHOULD BE AWARE OF?
THE IMPORTANCE OF HERE STORY IS THAT SHE RECOGNIZED THERE WAS
SOMETHING DIFFERENT,SHE PAID ATTENTION TO IT AND SHE GOT HELP
FOR IT. A LOT OF WOMEN WILL TEND TO BLOW
THAT OFF OR NOT PAY ATTENTION AND JUST SAY OH IT’S NOTHING AND
JUST GO ONWITH THEIR DAY. ESPECIALLY IF YOUR YOUNGER.
ESPECIALLY IF YOUR YOUNGER. SHE HAS A HARD TIME TAKING
TABLETS AND SO SHE HAD A LIQUID FORM OF THE SAME MEDICATION
AVAILABLE. SO MANY OF MY PATIENTS WILL COME
IN AND TELL ME I JUST CAN’T TAKE ANOTHER PILL, I CAN NOT TAKE
PILLS. DON’T YOU HAVE ANYTHING ELSE FOR
ME? I THINK THAT ITS REALLY
IMPORTANT FOR THE MEDICAL PEOPLE TO SAY ARE YOU TAKING YOUR PILLS
AND IF NOT, WHY? ONE THING PEOPLE HAVE TO DO IS
EDUCATE THEMSELVES ABOUT THEIR BREAST CANCER , TREATMENTS,
breastcancer.org IS A GREAT WEBSITE, IT’S SO INFORMATIVE AND
I DEFINITELY BELIEVE THAT KNOWLEDGE IS POWER.
YOU KNOW I WAS JUST THINKING HERE, YOU KNOW CERTAINTY YOU
DOING YOUR SELF BREAST EXAM MAY HAVE SAVED YOUR LIFE AND I
WANTED TO POSE THAT LAST QUESTION TO YOU DR. WHAT ARE
SOME CLOSING THOUGHTS? I THINK THE GREAT NEWS IS THAT
SURVIVAL IS IMPROVING WITH BREAST CANCER, I THINK IT’S ALSO
IMPORTANT THAT PEOPLE KNOW THAT THERE ARE SUPPORTIVE CARE
OPTIONS OUT THERE, IT’S NOT ALL ABOUT WHAT’S THE BEST TREATMENT
OPTION, IT’S ABOUT HOW DO WE SUPPORT PEOPLE THROUGH THEIR
TREATMENTS. PEOPLE NEED TO BE AWARE THAT
THERE ARE OPTIONS OUT THERE FOR THEM.
THANK YOU SO MUCH JULIE, I’M SO GLAD YOU’RE HERE TO TELL YOUR
STORY AND DOCTOR I HAVE TO TELL YOU TERRIFIC INFORMATION, THANK
YOU FOR JOINING US AS WELL THIS MORNING…AND IF YOU’DE LIKE TO
GET MORE INFORMATION ON TODAY’S TOPIC JUST GO TO THE WEB AT
breastcancer.org OR VISIT thebalancingact.com AND SHARE
YOUR THOUGHTS AND CONCERNS RELATED TO BREAST CANCER WITH
US. YOU CAN ALSO LOG ON TO FACEBOOK
AND SEARCH FOR BALANCING ACT FANS.

0 Replies to “A New Option For Breast Cancer Patients Taking Tamoxifen”

  1. Very misleading article. It's not that the medication affects her, its that she has a problem with all pills. Shame on Dr peacock. She knows better.

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