89.9 FM & HD2 Oswego/Syracuse
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91.7 FM & 99.9 Watertown
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Neurologist Robert Beach talks about seizure disorders and epilepsy. MD/PhD student Nicole Cifra tells about her commitment to public health. And physical therapist Cassi Terpening explains the importance of exercise during cancer treatment.
Exercise can improve cancer patients’ quality of life by helping to maintain strength and energy and feel better overall as they heal, said Cassi Terpening, DPT, a physical therapist at Upstate. Physical therapists help set up an exercise program tailored to the patients’ needs and guide them as they progress. It might involve simply walking and stretching or more vigorous activity. For more information on the rehabilitation program for patients with cancer, visit http://www.upstate.edu/pmr/healthcare/programs/cancer.php.
Not everyone who has a seizure has epilepsy, which involves recurrent, unprovoked seizures, including the convulsive kind many people think of and the nonconvulsive kind, which might involve staring off into space, said Robert Beach, MD, PhD, a professor of neurology at Upstate. Treatment of epilepsy, which affects more than 2 million Americans, can involve drugs, diet, laser-assisted surgery or a device that stimulates the vagus nerve, he explained.
Adolescents can fall into a medical “no man’s land” between pediatrics and adult medicine, said Upstate student Nicole Cifra, whose interest and work in the treatment of teens helped win her a U.S. Public Health Service Excellence in Public Health Award. Cifra, who will receive an MD/MPH degree in 2016, talks about the public health aspects of adolescence, especially eating disorders, and sees hope for the future.
Acne is the most common skin condition in the United States and the result of factors that may include hormone levels, genetics, medications and one’s environment, said Ramsay Farah, MD, division chief of dermatology at Upstate Medical University. Medications to fight acne have improved, he said, and early treatment helps avoid scarring.
When you are facing an operation or other procedure that involves being sedated or undergoing anesthesia, be prepared for the following, said Colleen O’Leary, MD, a professor of anesthesiology at Upstate:
1. Having an interview, in person or by phone, with someone from the anesthesia team to check your medical and surgical history, what medications you are taking, including over-the-counter drugs and herbal supplements, and any allergies you might have to medications, latex or foods.
2. Discussing the options available to you. A colonoscopy might involve mild or deep sedation, while some operations might call for a general anesthetic or the numbing of a body part to help avoid pain afterward.
3. Giving careful thought before the interview to your medications and history as well as to any questions you might have.
4. Receiving instructions, such as when to stop taking things by mouth and which medications, if any, to take on the day of the procedure. You might be allowed water or clear liquids up to a few hours beforehand.
Obviously it’s best to avoid getting a sunburn in the first place, said Ramsay Farah, MD. But if your skin ends up reddened after a day in the sun, here’s what Upstate’s division chief of dermatology advises:
1. Gauge the severity of the burn. If you have blisters, he said to make a trip to your health care provider, “just to make sure it’s examined and that no possibility of scarring arises.”
2. Take an aspirin. Its anti-inflammatory effects can help during the initial stage of a sunburn, if you take it promptly.
3. Apply cool compresses on the affected area.
4. Use a low-strength (1 percent) hydrocortisone cream, available over-the-counter, to help decrease inflammation but not affect wound healing. “You want to be careful not to put very strong steroids on the burn,” he said.
5. Head to your kitchen for a bottle of ketchup. Yes, you read that right. Farah explained that, “Ketchup has a lot of lycopenes and other anti-inflammatory factors, and it’s cold because it comes from the refrigerator. So if you put that on right away, along with your aspirin, you will decrease the inflammatory response.”
None of these measures will reverse the DNA damage, but they should help the burn heal better and feel better.
Dr. Anne Calkins tells about providing medical care behind bars for the Onondaga County Department of Corrections. Karen Doherty, who leads the department of communications sciences and disorders at Syracuse University, talks about advances in hearing aid technology. And Dr. Gustavo de la Roza explains prostate cancer grading and staging, of importance to any man facing a prostate cancer diagnosis.
Medical problems that afflict inmates are not much different than the ailments that are common in the Central New York community, said Dr. Anne Calkins. She leads the medical team providing care for adults incarcerated at the Justice Center jail in downtown Syracuse and the Jamesville Correctional Facility, and for youths at the Hillbrook Juvenile Detention Center in Syracuse.
Calkins, who trained at Upstate Medical University, treats high blood pressure, diabetes and sexually-transmitted diseases much as any primary care doctor would. She and her team provide minor surgery and emergency care, plus mental health care behind bars, and they arrange for hospital transport when necessary.
She tells what it’s like to provide care to a vulnerable population in this week’s show.
People’s hearing starts to decline in their 30s and continues as they age, in ways both subtle and frustrating, says Karen Doherty, PhD, professor and chair of the Department of Communication Sciences and Disorders at Syracuse University. Advances in hearing aid technology, however, offer hope to the 17% of American adults with a hearing loss.