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101 Old Short Hills Rd
Atkins-Kent Building, Suite 101
W. Orange, NJ 07052
33 Overlook Rd.
Summit, NJ 07901
Bayonne, NJ 07002
1119 Raritan Road
Clark, NJ 07066
Robert J. Rubino,
Audrey A. Romero, M.D., F.A.C.O.G.
Jacqueline Saitta, M.D., F.A.C.O.G.
Allan D. Kessel,
Priya R. Patel,
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"I didn't know that!"
The survival rate five years after diagnosis of localized breast cancer is 99 percent.
The survival rate five years after breast cancer diagnosis in women under 40 is 85 percent.
The survival rate five years after diagnosis in women under 50 is 90 percent.
Fall is in full swing as the leaves start to decorate the outside. October is a busy month of activities. We cover several prevalent topics below:
In this issue of our newsletter, Dr. Kahan gives some pertinent tips for breast cancer awareness month. We also highlight an article from ob.gyn news on the connection between triathletes and pelvic floor disorders. In our Healthy Living section, we offer safety tips for the Halloween season. This Thursday, we are running an open flu clinic in our West Orange office - come get vaccinated! And, you'll find a new interesting "Medical Fact".
As always, we will continue to provide topics that are current, informative and important to your good health.
| Color Me Pink
By Meryl Kahan, MD
Along with the leaves changing colors and pumpkin spice everything, October brings the color pink for breast cancer awareness month. We all know someone who has been affected by breast cancer, or we have been affected by it ourselves. It is, after all, the most common malignancy in women, affecting 1 in 8, with a lifetime risk of 12%. It accounts for 27% of all new cancers diagnosed in women (men are not off the hook; about 1 in 1,000 will develop breast cancer too). In light of these statistics, there is some good news. Unlike ovarian cancer, which was highlighted in last month's newsletter, early detection of breast cancer is common, affording a 5 year survival rate of 98% when detected in its earliest stages. In fact, the mortality from breast cancer has been on the decline since 1990.
Elements Of Screening
The importance of early detection cannot be stressed enough, and this is done through the three elements of screening:
- clinical breast exam (done in the office)
- breast self exam / self awareness
When I ask my patients if they perform monthly self exams, I am often confronted with the reply "no, I don't know what I am feeling for". I respond that the objective is to become familiar with your own breasts so that if anything were to change, you would notice. Some women have denser and lumpier breasts than others, so self awareness is important. Typical symptoms that warrant further evaluation in the office include a lump anywhere in the breast including the underarm area, change in the skin texture overlying the breast (resembling an orange peel), an inverted nipple, new onset asymmetry of the breasts and nipple discharge, especially if bloody or clear. About 40% of cancers are actually detected by patients themselves while performing self exams. For the actual technique, check out: http://www.nationalbreastcancer.org/breast-self-exam
The other two elements of screening are just as important. All women aged 40 and older should undergo annual mammograms, which is a special X-ray that can show small lumps even before they are palpable. Similarly, all women aged 40 and older should have annual clinical breast exams by a healthcare provider, and those aged 20-39 should have a clinical breast exam every 1-3 years.
Another topic important to touch on is the genetic factor. Since breast cancer is common for malignancies, patients with a family member diagnosed at some point causes patients to worry about their own risk.
Only about 15% of women with breast cancer also have a relative with breast cancer. The highest risk is a first degree relative who has been diagnosed (mother, daughter, sister). Therefore, 85% of breast cancers occur in patients with no family history.
A special population, those with a BRCA mutation, account for about 5-10% of cases, but only certain patients qualify to be tested for this mutation. If you have any questions about whether you qualify, please ask one of our doctors. Please remember, early detection is key! While we will have to wait until May 2015 for the next Susan G. Komen Race for the Cure in West Orange, check out http://komennorthjersey.org/north-jersey-events/
for some upcoming events in the area. Happy October, and happy screening!
| Pelvic Floor Disorders Among Triathletes
On August 7th, Ob.Gyn. News published an article on pelvic floor disorders and their prevalence in female triathletes. Following is an excerpt from the article:
A large proportion of female triathletes who responded to a national Web-based survey have symptoms of pelvic floor disorders, and one in four screened positive for the female athlete triad.
These findings from women in the general population, with a median age range of 35-44 years, echo findings from studies of Olympic and professional athletes, and "show that even young, thin, and otherwise healthy endurance athletes [who are not professional athletes] have pelvic floor disorders," said Dr. Johnny Yi after presenting his findings in a press conference at the scientific meetings of the American Urogynecologic Society and the International Urogynecological Association. 37% of the triathlete women surveyed reported symptoms of stress urinary incontinence, and 16% reported symptoms of urgency urinary incontinence.
Currently, "these women may not get screened because they are not believed to be in a high-risk group," said Dr. Yi, a urogynecologist in group practice in Denver.
Of 311 women who responded to the survey, 37% reported symptoms of stress urinary incontinence, and 16% reported symptoms of urgency urinary incontinence.
Of the 75% of respondents who completed the triad questionnaire, 22% screened positive for low energy availability, 24% for menstrual irregularities, and 29% for abnormal bone strength.
Dr. Yi said he is particularly interested in possible associations between the female athlete triad and pelvic floor disorders, and in the pelvic floor consequences of coupling high-impact, high-endurance activity with the potential for a hypoestrogenic state.
To read the full article click here: http://bit.ly/ZBQiZf
Healthy Living: Halloween Safety Tips
Halloween is only weeks away and the excitement continues to build for children of all ages. Following are some helpful safety tips to keep in mind during Halloween festivities:
- Carry a flashlight and wear reflective clothing or reflective patches/tape to help you see and for others to see you.
- Walk house to house - don't run. And look both ways when crossing the street. It is often hard for cars to see you in the street when it's dark. Try to stay on the sidewalks.
- Wear well fitting clothes, costumes and shoes to avoid blocked visions, trips and falls.
- Avoid eating homemade treats by strangers; inspect the candy and treats before eating.
- Avoid dark homes and do not accept rides from strangers - have an adult supervise from a close distance and try to stay with groups. Do not enter into someone's home you don't know.
- Avoid carrying sharp or long weapons - knives, swords, light sabers, etc.
- Ensure make-up is non-toxic and test it on your skin first before applying to an entire area.
- Purchase flame-resistant costumes.
- Avoid decorative contact lenses.
- Teach children how to call 9-1-1 if they get lost or run into trouble.
- Provide healthy treats including a variety of fruits, vegetables and cheeses, especially prior to trick-or-treating.
- Keep lit items away from doorsteps, walkways and curtains and on sturdy tables and out of the reach of small children.
- Keep walkways clear and well-lit.
- Consider using a non-flame candle or glow stick instead of a candle to light your pumpkins. If you use a candle, choose a votive.
- Restrain pets so they do not jump or scare visitors.
Have a safe and happy Halloween!
Walk-In Flu Clinic Thursday, October 9th!
(At our main office in West Orange only)
This Thursday, October 9th, we are offering a walk-in flu clinic at our West Orange office only
(101 Old Short Hills Road, Suite 101) from 9:00 am to 1:00 pm.
The clinic is open to everyone, 18 and older, with a priority to pregnant patients.
Walk in - no appointment necessary.
Take a step toward keeping healthy this winter and get vaccinated.
| Dr. Rubino For Re-Election|
Did You Know?
Robert Rubino, MD, is running for re-election for Summit council this November 4th, Ward I.
To view Rob's accomplishment's and history in office, visit his campaign website:
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|Office Announcements |
Pay Your Rubino OB/GYN Bills Online
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