The initial question was about returning to work.
I'm going back to work for the first time in 6 weeks on Monday. Worried about energy/endurance. Advice? #gyncsm
— Elizabeth Anderson (@MathTeacherEA) October 15, 2015
Advice included recruiting students to help, drink lots of water, take breaks, eat high energy snacks such as nuts, raisins and to take a nap when she got home.Then a good source on immuno-oncology was shared along with some comments on Lynch Syndrome.
Want "basics on up" re immuno-oncology, new drugs Opdivo and Keytruda, trials? Try new the new IKCC website http://t.co/Wkqt2YIXrr #gyncsm
— Robin Martinez (@RobinSmrtPtient) October 15, 2015
@RobinSmrtPtient Very true - tumors w MSI (microsatellite instability) respond to PD-1 inhibitors. MSI is common in #Lynch Syndrome #gyncsm
— Shannon Westin (@ShannonWestin) October 15, 2015
Lynch syndrome information and resources via @shewithlynch http://t.co/DyrCslkfGf She also blogs for @cure_magazine #gyncsm
— Christina Lizaso (@btrfly12) October 15, 2015
The discussion then turned to IP chemotherapy for ovarian cancer. Studies show IP chemotherapy provides an improved overall survival compared to IV chemotherapy.
The Underutilization of Intraperitoneal Chemotherapy for #OvarianCancer : Why? #gyncsm @Medscape http://t.co/nct6PzLDBg
— Lisa M Guzzardi, RN (@LguzzardiM) October 15, 2015
@LguzzardiM @btrfly12 Centers need to get the training to feel comfortable/competent/safe giving the IP treatment #gyncsm
— Shannon Westin (@ShannonWestin) October 15, 2015
The recent report on the safety of Hormone Replacement Therapy for epithelial ovarian cancer survivors was shared and discussed.
Adjuvant Hormonal Therapy Is Safe in Epithelial #OvarianCancer #gyncsm
Via @CancerTherAdvsr http://t.co/VtoZMbp4Zk
— Lisa M Guzzardi, RN (@LguzzardiM) October 15, 2015
Next the topic of annual pelvic exams and a possible U.S. Preventive Services Task Force recommendation was brought up.
The debate on whether we need annual pelvic exams is in the news again and gov report looming http://t.co/IHLM2Xg2l9 - thoughts? #gyncsm
— Christina Lizaso (@btrfly12) October 15, 2015
ACP says no need for annual if no symptoms, history. ACOG came back with caveats, feels up to pt and dr to decide. #gyncsm
— Christina Lizaso (@btrfly12) October 15, 2015
We also discussed screening, family history, gyn awareness month activities, a timeline chart of long-term side effects post-chemo & radiation, risk of ovarian cancer in young women, surgical menopause and which supplements are recommended after BSO(bilateral salpingo-oophorectomy).
A link to a Brief survey for Cancer Survivors: How do you prefer to receive test results?buff.ly/1VTe1tm was also shared.
Remember you can continue our conversation on Smart Patients (https://www.smartpatients.com/gyncsm)
We look forward to seeing you again next month on November 11, 2015 at 9pmE/8pmC/6pmP as we talk about Exercise and Nutrition. We are lining up some guests to share their expertise so the hour should be filled with helpful information. See you then!
Dee
Co-Moderator
Resources
IKCC website 10forio.com Understanding Immuno-oncology for Kidney Cancer
The Underutilization of Intraperitoneal Chemotherapy for #OvarianCancer medscape.com/viewarticle/85…
Adjuvant Hormonal Therapy Is Safe in Epithelial Ovarian Cancer cancertherapyadvisor.com/gynecologic-ca…
Do Women Need an Annual Pelvic Exam pbs.org/newshour/rundo…
Book: 100 Questions & Answers About Ovarian Cancer by @drdonsdizon @womenofteal jblearning.com/catalog/978128…
@NCICancerStats #OvarianCancer fact sheet: go.usa.gov/yUpP
What’s an Ashkenazi woman to do? Jewish Telegraphic Agency jta.org/2015/10/14/lif…