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Women’s Wellness Series

by Columbia Surgery on January 4, 2012

Making a difference in the lives of women with breast cancer.

It’s one thing to know that we ought to eat a healthy diet and exercise. It’s another to change our lifestyle and put that knowledge into daily practice. And it’s yet another entirely to inspire others to do the same in their lives. But Eileen Z. Fuentes has managed to accomplish all of the above through the Women’s Wellness Series, an inspiring and unique program aimed at helping women with breast cancer to become as healthy as they can possibly be.

When she became a breast cancer patient three years ago, Eileen – an employee of Columbia University — suddenly discovered what it was like to be on the patient’s side of the desk. She recalls that while the care she received at the Breast Surgery Section was wonderful, certain elements of support fell short, even in this world-class institution, and even for a knowledgeable, proactive person like herself. “I wanted to know what else I could do to help recover from breast cancer besides follow the treatments that my doctor advised,” she says. “I knew there had to be things I could do in addition to what my doctors prescribed – things to help become stronger, healthier, or things to alleviate side effects of my treatments, for instance.” She also realized that for patients whose first language was not English, the challenges were even more pronounced. In a personal quest to meet these needs, Eileen independently completed trainings in holistic nutrition and lifestyle modifications, including eating to beat cancer. She also pursued training in patient navigation, with an eye toward helping others by bridging some of the gaps she faced as a patient.

The fruit of her quest has blossomed into the Women’s Wellness Series, a very unique program held at Columbia University’s Clinical Breast Cancer Program for women with (or survivors of) breast cancer. The first series, held October 2010-April 2011, included weekly meetings and monthly yoga classes. Free to all participants, the meetings included many sessions about holistic nutrition, explaining how foods could be used to help prevent cancer. Information was provided in both English and Spanish. “Our goal was to serve underserved women, such as those who could no longer work due to their illness.”

As a survivor herself, Eileen was able to not only share information, but compassion and inspiration. She was able to convey not just why certain foods are good for us, but show the women how they could cook them in their own homes, in ways that taste good. She explains that before attending the series, women from some cultural groups had never been exposed to mushrooms or cruciferous vegetables. So after Eileen presented data from scientific studies about why those foods are so important in fighting cancer, a professional chef demonstrated how to prepare them.

In addition a cooking demonstration, numerous special guests shared their expertise during the six-month series, including a yoga teacher, a chi kung practitioner, a Zumba teacher, members of the Alvin Ailey Dance Theater, a reiki practitioner, a massage therapist, and others. In order to keep the series free for participants, these professionals all provided their services at no charge to the group.

The concept behind the series clearly worked for the women, most of whom continue to stay in touch with Eileen about their progress. “I recently ran into one of the women from our group. She is a low-income person, on welfare, and she was buying kale from the farmer’s market,” says Eileen. “That was fantastic to see.” Indeed, post-series surveys indicate that most of the participants have continued to adhere to lifestyle changes they adopted as a result of the series, such as eating whole foods, including greens in their diets, and exercising – changes that not only have enhanced their well-being now, but could contribute to staying cancer-free in the long term.

The 2012 Women’s Wellness Series will begin in January. Anyone interested in attending the series should contact Kris Smith at 212.342.3911 or ks2666@columbia.edu.

Related Link:
Positive Reinforcement: Women’s Wellness Series for All New York Area Breast Cancer Patients

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2011 Pancreatic Cancer Awareness Day

by Columbia Surgery on December 20, 2011

This year’s Pancreatic Cancer Awareness Day was the largest and most successful yet, says event organizer Christine Rein. One hundred fifty participants attended the event, which was held Saturday, November 12, 2011 at NewYork-Presbyterian/Columbia.

The program provided information about the pancreas and its function, genetics, risk stratification and screening, cancer-therapy breakthroughs, surgical options, cysts, pre-cancerous tumors and more.

Lecture topics included:

  • Surgical Options
  • Genetics & Prevention
  • Cysts & Pre-Cancerous Tumors
  • Current & Future Therapies
  • Epidemiology of Pancreatic Cancer: What We Know About Risk & Prevention
  • Question & Answer Session

Pancreas Center Director John A. Chabot, MD, gave a moving tribute to Peter Stevens, MD, an integral member of the Pancreas Center team who passed away this year. Bob Brown, a pancreatic cancer survivor, also gave an inspiring testimonial.

Although the event was scheduled to end at 3:00 pm, NYP/Columbia faculty stayed and answered attendees’ personal questions for several additional hours.

Learn more about the treatment of pancreatic cancer and diseases of the pancreas by viewing the 6th Annual Pancreatic Cancer Awareness Day Presentations and by visiting pancreasmd.org.

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Date: December 7, 2011
Time: 12:00 PM ET to 1:00 PM ET
Speaker: Robert T Grant, MD and the Columbia University Department of Surgery
Registration & Q&A Form: www.gotomeeting.com

Robert T. Grant, MD, FACS

Robert T. Grant, MD, FACS

Do you have questions about your beauty regimen and not know where to turn? Are you debating which over the counter beauty products are actually effective, or wondering if Latisse really works? Maybe you’re at the age where you find yourself thinking about other cosmetic procedures such as Botox, breast augmentation or liposuction?

Whatever the case, we all strive each day to achieve our personal best—in our career, our family and yes, our appearance. But with so many cosmetic products and procedures out there, it’s hard to separate advertising ploys from their real results. Dr. Robert T. Grant, the highly accredited Plastic Surgeon-in-Chief of New York-Presbyterian Hospital/Columbia University Medical Center and Weill Cornell Medical Center, wants to help uncover the truth and answer all your questions live.

Join us on December 7, 2011 at 12 PM ET for the very first Columbia University Department of Surgery interactive Ask-the-Surgeon Webinar. For one hour, Dr. Robert T. Grant will provide you with a short presentation and then answer your beauty and health questions live. Using a holistic approach, he will consider all factors—genetics, fitness, nutrition and more—and will provide solutions for you to look and, more importantly feel, your best at any age.

Be sure to visit www.gotomeeting.com to register and submit the questions and topics you would like to cover before the event. We hope you can participate and encourage you to invite your friends and colleagues so they too can benefit from this amazing opportunity.

To learn more about Dr. Robert T. Grant’s credentials, philosophy, procedures performed and more please visit www.robertgrantmd.com

We look forward to speaking with you soon and helping you look and feel your best.

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Bonnie Badenchini

Bonnie Badenchini

The Pancreas Center will hold its Annual Pancreatic Cancer Awareness Day Saturday, November 12, 2011 at the Vivian and Seymour Milstein Family Heart Center. At this free event, experts from NewYork-Presbyterian Hospital, Columbia University Medical Center, The Pancreas Center, and The Muzzi Mirza Pancreatic Cancer Prevention & Genetics Program will provide a free patient education program about screening and early detection of pancreatic cancer.

In the following interview, Bonnie Badenchini, Coordinator for the Pancreas Center, explains the history behind this event.

Question: When was the first NYP/Columbia Pancreatic Cancer Awareness Day held? Why did the doctors and staff decide that an event like this was needed?

Bonnie: The initial group of doctors that would later form The Pancreas Center came together in the mid-1990′s. The medical field was starting to realize that pancreatic cancer required a multi-disciplinary approach that included interventional gastroenterologists, oncologists, and surgical specialists. In 2005, our group at NewYork-Presbyterian/Columbia was officially launched as The Pancreas Center.

Dr. John Chabot felt that a forum was needed where findings, new research, and our innovative approaches could be communicated to other NYP/Columbia doctors and the community at large. This meeting could also provide patients and their families an opportunity to speak with Pancreas Center doctors outside the confines of a medical office. So from that need, the first Pancreatic Cancer Awareness Day was planned.

Question: How has Pancreatic Cancer Awareness Day changed over time?

Bonnie: As can be the case with first-year events, it was difficult to get the word out for our first event and attendance was low. But we believed in the purpose and necessity of this event and have proudly watched it grow in attendance to 125 in 2010.

Another important and more exciting difference is our agenda of topics. Today, there are more research studies and clinical trials to discuss. Since our center’s formation we’ve started to address pancreatic cancer prevention and screening techniques, and can provide attendees with the news on our findings in those areas.

We will also discuss the addition to the Pancreatic Cyst Surveillance Program headed by Dr. John Allendorf. With this program we are establishing methods to monitor pancreatic cysts that could potentially turn into cancer.

Question: What differences will attendees see this year compared to last year’s event?

Bonnie: For the first time this year we are going to have a patient speaker. We believe that others who have been touched by this disease will draw strength and support by hearing from a peer. As Dr. Chabot has said, “All a patient with pancreatic cancer and their family have is hope.” Our goal is to provide as much hope as it takes to inspire patients to push through, families to stay strong, and physicians to keep looking for a cure.

Question: What was one of your most inspiring moments at a Pancreatic Cancer Awareness Day?

Bonnie: Every Awareness Day inspires me. I have been with the Pancreas Center from the beginning and have watched this center grow and achieve goals that have affected so many lives. What has touched me the most has not only been the growth in attendees but the increase in number of survivors.

Question: Pancreatic cancer has been in the news recently with the stories of Steve Jobs, Pavarotti and Patrick Swayze. Do you think this is making a big difference in the general public’s awareness of pancreatic cancer?

Bonnie: I do believe this does makes a difference. If the passing of a celebrity from pancreatic cancer helps to make people more aware of it, and they take steps to obtain screening for themselves or loved ones, then some positive effect has happened.

Question: Will those who cannot attend the Pancreatic Cancer Awareness Day be able to see copies of the presentations?

Bonnie: Yes, we will put these on our web site www.pancreascenter.org and post them to our Facebook page at www.facebook.com/pancreascenter. The best thing to do is to “like” our Facebook page. Then our messages will appear on readers’ walls when they are posted.

Question: Is there anything else about the services and facilities within the Pancreas Center that you would like to share?

Bonnie: At the Pancreas Center we know all too well that being diagnosed with pancreatic cancer is devastating for patients as well as their families. We do everything possible to provide the best care for everyone involved with the diagnosis. The staff, nurses, and doctors all work tirelessly to help patients not just survive, but maintain as full and vibrant a life as possible. Meanwhile we continue to strive for the ultimate goal of finding a cure for this disease.

For more information on the Pancreatic Cancer Awareness Day and to register, please visit our Annual Pancreatic Cancer Awareness Day event page. Free parking is available and should be requested at the time of registration.


Interview by Bradley Jobling

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On Thursday, October 20, The Pancreas Center of NewYork-Presbyterian Hospital/Columbia University Medical Center will be holding the 2011 Gigi Shaw Arledge Conference on Pancreatic Diseases. This all-day event is targeted for clinicians and scientists, covering pancreatic cancer research from basic, translational, clinical and epidemiological perspectives and will feature distinguished guest lecturers and leaders in the field of pancreatic diseases.

The conference is being held due to the generous support of the Gigi Arledge Foundation. Giselle (Gigi) Arledge, the late wife of Columbia Trustee and benefactor Roone Arledge, passed away from pancreatic cancer in 2010. According to foundation President Catherine Shaw, ” Now is the time to move pancreatic cancer research forward. Dr. Chabot, Dr. Wang and the team at The Pancreas Center are leaders in this battle. With their focus on research, treatment and prevention, they are helping develop society’s knowledge of pancreatic cancer. In my mother’s honor, I have donated a research and endowment fund that will support the Center’s scientific research”.

Gigi Shaw Arledge and Catherine Shaw

Gigi Shaw Arledge and Catherine Shaw

For more information about Gigi Arledge and the foundation’s mission please read, In Her Own Words: Catherine Shaw, President of the Gigi Arledge Foundation.

Event details can be found at the 2011 Gigi Shaw Arledge Conference on Pancreatic Disease Event Page or by contacting Stephanie Scheeler at 201-346-7003 or sas2258@columbia.edu.

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Marketwatch Reports on Morgan Stanley Children’s Hospital

by Columbia Surgery on August 2, 2011

Marketwatch.com issued a press release Morgan Stanley Children’s Hospital Highlighted for Leadership in Pediatrics, regarding Morgan Stanley Children’s Hospital leadership in pediatrics. The article referred readers to a new web program available on ORLive.com, where clinicians and families may find an in-depth look at the broad range of programs offered by the Division of Pediatric Surgery at NewYork-Presbyterian Morgan Stanley Children’s Hospital/Columbia University Medical Center. The web program’s content focuses on how the team at Morgan Stanley Children’s Hospital is committed to offering children and their families the highest level of care.

Related Link:
ORLive: Pediatric Surgery at NewYork-Presbyterian Morgan Stanley Children’s Hospital Videos

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Metabolic Syndrome: What You Need to Know

by Columbia Surgery on July 18, 2011

People with metabolic syndrome are twice as likely to develop heart disease, and five times as likely to develop diabetes, as those who don’t have metabolic syndrome. But many people are not yet familiar with this relatively new term. Do you know what metabolic syndrome is?

OECD Country Populations with a BMI > 30 (1996-200

OECD Country Populations with a BMI > 30 (1996-2003)

Metabolic syndrome is the combination of several medical problems associated with morbid obesity. In addition to obesity, these conditions include:

  • high blood pressure
  • glucose intolerance/insulin resistance
  • excess body fat
  • high cholesterol

According to Melissa Bagloo, MD, Assistant Professor of Clinical Surgery, “Patients don’t necessarily have to have all of the above conditions, but when three or more occur together, the association of these problems is called metabolic syndrome.” Identifying metabolic syndrome is important because the syndrome increases the risk for cardiovascular disease, stroke, type 2 diabetes, kidney disease, and other problems. The goal of treatment is to reduce the risk of heart disease and diabetes.

As a leader in the field of bariatric surgery, the Center for Metabolic and Weight Loss Surgery has long observed that surgery for weight loss (gastric bypass surgery) is highly effective in resolving diabetes among patients who have a body mass index (BMI) of 35 and above: over 80% of patients who have gastric bypass surgery see their diabetes go into remission. “This dramatic effect on diabetes occurs within a matter of days and does not depend on weight loss,” according to Dr. Bagloo. “Although we do not yet know what the underlying mechanisms are for this effect, we know that operating on patients with these diseases causes a significant improvement in metabolic problems. We believe gut hormones play an integral role in this process and that a change in this milieu accounts for the results that are seen clinically.”

Based on those observations, the Center is now studying the effect of weight loss surgery among patients with diabetes and BMI between 30-35. “By performing metabolic surgery, we hope to reverse these conditions to improve quality of life and decrease long-term effects and complications,” explains Dr. Bagloo. Because it is not known how surgery might affect patients at lower body weight in the long term, or what other complications might occur, this is being carefully studied in the setting of a trial. At this time, select patients with BMI between 30-35 may be eligible for participation in the Diabetes Surgery Study, which is currently underway at three sites in the U.S. and in Taiwan.

For more information about weight loss surgery, diabetes, and metabolic syndrome, visit the Center for Metabolic and Weight Loss Surgery.

Related Links:
Study Begins to Explain Why Surgery Cures Type 2 Diabetes
Why Consider Surgery for Obesity?

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Attendees of the breast cancer awareness symposium “Bridging the Gap: Promoting Breast Cancer Prevention, Screening and Wellness” were given the chance to submit questions on breast cancer in the minority community. This is the second part of these questions answered by Dr. Preya Ananthakrishnan, Assistant Professor of Clinical Surgery and a host of the event.

Q: Does removing a breast that is not cancerous mean the cancer can or will occur somewhere else?

Dr. Ananthakrishnan: Removing a breast that is not cancerous (called prophylactic mastectomy) decreases the chances that a cancer will form in the opposite breast, however does not have any impact on whether the cancer will occur somewhere else.

Q: Does Arimedex affect joints and vision?

Dr. Ananthakrishnan: Yes, anastrazole (Arimidex) can cause joint pain. Vision changes should be reported immediately to your doctor, particularly if associated with headaches, confusion, or difficulty with speech or balance. This could be a medical emergency that would require immediate attention.

Q: Is it recommended that I take Tamoxifen as a prevention for breast cancer? What are the side effects? Is it possible to get a list of the suggested preventative foods mentioned by Dr. Crew?

Dr. Ananthakrishnan: The benefits of your taking Tamoxifen for breast cancer prevention depend on your individualized risk of breast cancer, which should be discussed with your doctor or a medical oncologist. Side effects of Tamoxifen include blood clots, strokes, uterine cancer, and cataracts. Other less serious side effects include hot flashes, vaginal dryness, leg cramps, and joint pain.

Q: I had an abdominal, pelvic & chest CT scan in January, April & now scheduled for a chest CT in June. Last because of chest pain & abdominal discomfort. Is this too much radiation with contrast & non-contrast scans?

Dr. Ananthakrishnan: While you would like to limit your radiation exposure from imaging studies as much as possible, if you are having serious symptoms then the benefits of detecting a problem on the scans are likely to outweigh the risks of the additional radiation. However, perhaps you could speak with your doctor to see whether the tests could be spaced out more if the symptoms you are experiencing have not changed in the interim.

Q: What is the increased risk for breast cancer development for women who have had abortions?

Dr. Ananthakrishnan: History of abortions does not increase risk for breast cancer. (You can refer to the: Summary Report: Early Reproductive Events and Breast Cancer Workshop for even more information on this.)

Q: My breast are large and mammograms are painful. Are there any alternatives – holistic or otherwise? The pressing seems un-natural and looks like it would cause other problems.

Dr. Ananthakrishnan: While mammograms are painful, unfortunately at this time there are no well accepted alternatives to mammography. The FDA came out with a statement in early June that thermography is not a substitute for screening mammography.

Q: When you mentioned a relative getting cancer at an early age may mean you are at a higher risk, is it any relative?

A first degree relative (mother, sister, or daughter) with a breast cancer increases risk more so than a distant relative.

Watch for Part 3 of this article, “Bridging the Gap: Your Questions & Answers on Breast Cancer from Dr. Preya Ananthakrishnan and Dr. Katherine Crew” to be posted shortly on columbiasurgery.net.

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Preya Ananthakrishnan, MD

Preya Ananthakrishnan, MD

Attendees of the breast cancer awareness symposium “Bridging the Gap: Promoting Breast Cancer Prevention, Screening and Wellness” were given the chance to submit questions on breast cancer in the minority community. This is the first part of these questions answered by Dr. Preya Ananthakrishnan, Assistant Professor of Clinical Surgery and a host of the event.

Q: I am a 51 year old Black women, whose mother died 13 years ago from breast cancer & her sister was diagnosed last year. I had a mammography 2 weeks ago and got the dreaded come back letter. Should I get genetic counseling?

Dr. Ananthakrishnan: I would suggest that your sister with the breast cancer get tested first, and if her test result is positive then you should get tested. Furthermore, it is likely that even though you got a “call back” letter after your mammogram, it is very possible that you don’t actually have a breast cancer. I would advise you to go in as soon as possible to work up whatever abnormality was seen. If you do in fact have a breast cancer, then you should certainly undergo genetic testing yourself.

Q: What is considered “early detection” of breast cancer?

Dr. Ananthakrishnan: Early detection is finding a breast cancer before symptoms actually occur. This could be by finding it on a mammogram before actually feeling a lump in the breast, or by finding a small lump before it becomes a big lump. Early detection can sometimes allow for less aggressive treatments and improved outcomes.

Q: Is radical mastectomy surgery still performed? I hear little about it now.

Dr. Ananthakrishnan: Radical mastectomy which involves removing the pectoralis major muscle along with the breast above it is now rarely performed.

Q: After 40 years old, I thought instead of every year, mammography would be every 2 years. Is this correct?

Dr. Ananthakrishnan: This is based on the USPTF task force recommendations which came out in 2010, however these recommendations have not been widely adopted. Current recommendations by the American Cancer Society still include annual mammography in women over age 40.

Q: I watch the Dr. Oz Show and he spoke about a shield to cover your neck when having a mammogram. What are your thoughts on the subject?

Dr. Ananthakrishnan: The American College of Radiology does not recommend using a thyroid shield, since the amount of radiation the thyroid is exposed to is so low during a mammogram. In addition, use of a shield can cause artifact in the mammogram (meaning shadows or other findings that can make your mammogram more difficult to read,) which would mean that your mammogram would have to be repeated. This would expose you to even more radiation than if you had not used the thyroid shield in the first place.

Q: Breast Cancer and HIV – can you treat both and which is the priority to treat first?

Dr. Ananthakrishnan: Yes, breast cancer can absolutely be treated in patients with HIV. In fact, the patients do very well from both diseases. The idea is to keep the HIV under control with maintenance therapy, and treat the breast cancer as aggressively as it would be treated in a non-HIV patient.

Q: Is Arimidex, a chemoprevention drug used as readily as Evista or Tamoxifen – why or why not?

Dr. Ananthakrishnan: The aromatase inhibitor drugs include anastrazole (Arimidex), exemestane (Aromasin), and letrozole (Femara). Anastrazole is currently being studied for its role in chemoprevention, as part of the IBIS-II trial. Recent data was just reported earlier in June at the ASCO conference that exemestane reduces the risk of an initial breast cancer occurrence. Concerns about using the aromatase inhibitors for breast cancer prevention are mainly related to side effect profiles, including bone pain and joint pain.

Q: Can I drink green tea if taking Lovenox? (80 mg every 12 hours)

Dr. Ananthakrishnan: Talk to your physician about this. The concern about green tea and anticoagulants is that green tea contains vitamin K, which can make some anticoagulants ineffective.

Q: Shortly after being diagnosed with breast cancer I started feeling a pain in my thigh. I had a PET-scan, X-ray, Venous & Doppler all coming back negative. Any suggestions on a cause or treatment?

Dr. Ananthakrishnan: It is best to discuss this with your physician, since a physical exam would also be helpful in determining the etiology of your pain.

Related Link:
Bridging the Gap: Your Questions & Answers on Breast Cancer from Dr. Preya Ananthakrishnan Part 2

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June 2011 Breast Cancer Symposium at Club 101

by Columbia Surgery on June 20, 2011

from l to r: Dr. Monet Bowling, Dr. Sheldon Feldman, and Dr. Preya Ananthakrishnan

On Saturday, June 4, NewYork-Presbyterian Hospital/Columbia University Medical Center hosted a free community breast cancer awareness symposium called “Bridging the Gap: Promoting Breast Cancer Prevention, Screening and Wellness.” More than 200 women, many of whom were breast cancer survivors, attended the event.

Held at Club 101 in Manhattan, NY, the symposium involved more than just a delicious breakfast and lunch; the event featured leading figures in breast cancer research speaking on a variety of subjects, ranging from breast cancer prevention and treatment to more general topics such as sexual health, nutrition, and stress relief. In addition to the speeches, meals, and informative breakout sessions, there were group exercises in meditation, yoga, and Reiki. Several community-based organizations were also present, sharing information about the services they offer locally.

The event was hosted by Preya Ananthakrishnan, MD, Sheldon Feldman, MD, and Katherine Crew, MD, and organized by Columbia University Medical Center’s Department of Surgery, The Herbert Irving Comprehensive Cancer Center’s Research Recruitment Minority Outreach, and the Columbia University Cancer Screening Partnership.

Bridging the Gap Eileen Z Fuentes

Eileen Z. Fuentes,
Wellness Guru & Breast Cancer Survivor

Related Link:
Bridging the Gap: Your Questions & Answers on Breast Cancer from Dr. Preya Ananthakrishnan Part 1

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