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November 4, 20190

 

November is Lung Cancer Awareness Month

 

November is Lung Cancer Awareness Month. It is the most common cancer worldwide, affecting 2.09 million people in 2018. It takes more lives every year than colon, prostate, ovarian and breast cancers combined.
 
Lung cancer is one of the most common forms of cancer, with more than 2,000,000 people diagnosed worldwide each year, and is the leading cause of cancer death globally.1 And if diagnosed at an earlier stage, patients have a 13 times higher likelihood of living for five years.2
 
By raising awareness of the far-reaching impact of the disease and continuing to challenge the stigma associated with lung cancer, we hope to drive improved outcomes for patients this November and beyond.
 

The intention of the month is to encourage people to seek medical advice sooner, to encourage early diagnosis ensuring the best possible chance of treating the disease effectively, and to highlight other important factors that influence patient outcomes. For example, educating about the complexity of lung cancer, the variety of people affected, and the damaging effects of lung cancer stigma can help to promote earlier diagnosis and foster better patient care.4 Furthermore, LCAM is an opportunity to highlight advances in treatment, champion global access to care and importantly, to show our support for patients and their loved ones.

 

Challenging the stigma

It is a common misconception that lung cancer is only a smokers’ disease. However, over half of those diagnosed are former smokers or people who have never smoked.5 This misconception has been linked to poor outcomes, due to factors such as delay in seeking treatment, disease-related distress, reduced social support and lower quality of care.6,7

At Roche, we are committed to improving outcomes for every person affected by lung cancer. One of our key goals this LCAM is to challenge the stigma associated with lung cancer and highlight the perspectives of people affected by the disease. As part of our Lung Cancer And Me campaign, our new lung artwork (above) unites the individual perspectives of people affected by lung cancer, including patients, their family members, oncologists, and advocates, showing how the emotional toll of the disease stretches beyond the patient.

 

8 Symptoms of Lung Cancer

**Symptoms of lung cancer develop as the condition progresses and there are usually no signs or symptoms in the early stages.

The main symptoms of lung cancer are listed below. If you have any of these, you should see your GP

 

Facts:

  • Smoking is linked to about 80% of lung cancer deaths.
  • People who smoke cigarettes are 15 to 30 times more likely to get lung cancer or die from lung cancer than people who do not smoke.
  • Quitting smoking at any age greatly reduces the risk of lung cancer.
  • Radon is the second leading cause of lung cancer. It is a radioactive gas that comes from rocks, dust and building materials. The gas is of low concentrations in the open air and high levels inside homes and buildings.
  • ​Symptoms of lung cancer vary from person to person.
  • Most people with lung cancer do not show symptoms until cancer has reached advanced stages.
  • Early detection of cancer increases the chances of successful treatment.
  • Physical activity may lower the risk of lung cancer by 20%, as it improves lung function and protects it against many diseases3.

 

Objectives:

  • Raising public awareness of lung cancer. 
  • Supporting scientific researches on lung cancer.
  • Educating those at risk of lung cancer.
  • Raising awareness of the harmful effects of smoking.

 

References

  1. WHO. Cancer. [Internet; cited 2019 November]. Available from: http://www.who.int/news-room/fact-sheets/detail/cancer.
  2. National Cancer Institute. SEER Cancer Statistics Review 1975-2010. [Internet; cited 2019 November]. Available from: https://seer.cancer.gov/archive/csr/1975_2010/results_merged/topic_survival.pdf.
  3. MOH  Lung Cancer Awareness Month – https://www.moh.gov.sa/en/HealthAwareness/healthDay/2019/Pages/HealthDay-2019-11-01-30.aspx
  4. American Lung Association. [Internet; cited 2019 October]. Available from: https://www.lung.org/assets/documents/research/addressing-the-stigma-of-lung-cancer.pdf.
  5. Yang P. Lung Cancer in Never Smokers. Semin Respir Crit Care Med. 2011;32(1):10-21.
  6. Chambers S, et al. A systematic review of the impact of stigma and nihilism on lung cancer outcomes. BMC Cancer. 2012;12:184.
  7. Henningfield M and Adjel A. Lung Cancer Awareness Month – A Lot of Progress, But More Work Needs to Be Done. Journal of Thoracic Oncology. 2017;12(11):1603-1605.

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September 21, 20190

 

Baby’s first food is breast milk or infant formula. Breast milk is the perfect food and is made especially for your baby, but infant formula will provide adequate nutrition for them too.

 

Formula milk is made from modified cow’s milk, however it cannot mimic human breast milk; which is the most natural food for your baby. If you are not comfortable with breastfeeding or are not able to breastfeed you can still give your baby a good start with formula milk

 

Exclusive breastfeeding or infant formula is recommended for the first six months of a baby’s life. Complementary foods should be added when the baby is ready and breastfeeding or infant formula should continue until the baby is at least a year old. Ordinary cow’s milk is not suitable as your baby’s main drink before one year as it does not contain enough iron and nutrients for proper growth and is too high in sodium. Iron is critical for your baby’s healthy growth and development during the entire first year and a baby’s iron reserves start to run out at around 6 months. At 6 months of age, your baby requires different nutrients which are not covered by exclusive breastfeeding or infant milk; these nutrients are then provided by the complimentary food.

 

Infants are often developmentally ready to gradually accept complementary foods between four and six months of age. When ready for solid foods, your baby will be able to control head movements and sit with support. To show an interest in food, they will open their mouth and lean forward. When they have had enough to eat, they will lean back and turn away.

The first year of life is a time of rapid growth when most babies triple their birth weight. Make sure your baby gets the proper nourishment they need to develop to their fullest potential. Their fast-growing brain, along with their nervous system, continues to develop until about the age of three.

 

Feeding Practices

 

Breast Feed if Possible: Breast milk is best during the first year of life. If breastfeeding is not possible, infant formula is an acceptable alternative. Specialized formulas are available for infants that are allergic to regular infant formulas.

 

Heat Bottles Carefully: Some babies will drink a bottle straight from the refrigerator, but most prefer milk warmed to room temperature. Warm your baby’s bottle in one of these three ways.

  • Use a bottle warmer according to directions.
  • Hold it under a stream of warm tap water.
  • Put it in a pan of warm water that has been removed from the stovetop a few minutes.

Do not put baby bottles in the microwave, because microwaves can heat unevenly. The milk inside could reach scorching temperatures while the bottle may feel cool on the outside. In addition, some vitamins and protective factors in breast milk may be destroyed.

 

Hold Your Baby When Bottle-Feeding: At feeding time, you and your baby are learning about each other. Relax and hold your baby close. Babies can see things best when they are about 25 cm away, which is about the distance between your eyes and theirs when you hold them.

Talk to your baby while they nurse or bottle-feed. Babies whose parents talk to them learn more words than other children. Hug and cuddle your baby to help them feel secure, because sharing love is important for your baby’s health.

Hold Your Baby When Bottle-Feeding: At feeding time, you and your baby are learning about each other. Relax and hold your baby close. Babies can see things best when they are about 25 cm away, which is about the distance between your eyes and theirs when you hold them.

Talk to your baby while they nurse or bottle-feed. Babies whose parents talk to them learn more words than other children. Hug and cuddle your baby to help them feel secure, because sharing love is important for your baby’s health.

 

 

Our Pediatrics Doctors

Dr. ANWAR MOUSA
Consultant Pediatrician

Dr. ANWAR MOUSA

Consultant Pediatrician

Dr. ANWAR MOUSA

Dr. RAIN OSMAN
Consultant Pediatrician

Dr. RAIN OSMAN

Consultant Pediatrician

Dr. RAIN OSMAN


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August 17, 20190
Do your legs sometimes feel heavy and achy? Do some of the veins on your legs appear swollen and twisted? If so, you may be experiencing varicose veins. With approximately 30% of Americans living with varicose veins, this condition is very common, especially in women. (i) Read on to learn more about the signs and symptoms of varicose veins.  

What Are Varicose Veins?Normal One-Way Vein Valves Illustration

Veins are a part of your body’s circulatory system. They carry blood from your body’s tissues back to your heart where it picks up oxygen. From there, your arteries carry the oxygenated blood back to your body’s tissues. (ii) Your veins have one-way valves that keep the blood flowing toward your heart. If the valves are damaged or weakened, rather than flowing back towards your heart blood can back up and pool in your veins, causing them to swell. Veins that are enlarged and swollen enough to be seen are known as varicose veins. These twisted and bulging veins appear most commonly on legs, though they can appear anywhere on your body. There is a smaller version of varicose veins known as spider veins, which are enlarged capillaries close to the surface of the skin. Capillaries are tiny, thin-walled veins that act as a bridge between your arteries and your veins. Spider veins get their name honestly—they may look like a spider web or branches of a tree on your skin.  

Varicose Vein Risk Factors

Varicose veins don’t discriminate—nearly anyone at any age can develop them. There are certain factors that increase your chances of developing varicose veins. These risk factors include:
  • Family history – If you have family members with varicose veins, your risk for having them increases.
  • Standing or sitting too long – Staying in one position for a long time — particularly if you are standing or your legs are crossed or bent — may force the veins in your legs to work harder to pump blood back to your heart. If you have a job that requires you to sit or stand for long periods of time, your risk of developing varicose veins is higher.
  • Being overweight – Carrying extra weight can put extra pressure on your veins, which may increase the likelihood that you develop varicose veins.
  • Pregnancy – During pregnancy, your growing baby puts pressure on your abdomen and on the veins in your legs. Many women find the varicose veins they develop during pregnancy go away within 3 to 12 months after giving birth.
  • Aging – As the number of candles on your birthday cake increases, so too does your chance of developing varicose veins. This is typically caused by normal “wear and tear” of aging that may cause your veins to weaken.
  • Gender – Women tend to get varicose veins more often than men. This is believed to be because of hormonal changes that occur during puberty, pregnancy, and menopause.
  • Previous leg injury – If your leg sustained an injury at some point, the veins may be weakened in their ability to move blood back to your heart. Former damage to the veins in your legs increases your chances of developing varicose veins. (iii)
If you have one or more risk factors, it is important to check your body for early signs of varicose veins on a regular basis.

 

Signs of Varicose Veins

Swollen, twisted veins aren’t the only indication that you have varicose veins. Other signs and symptoms of varicose veins include:
  • Large, bluish or purple-appearing bulging veins that you can see under the surface of your skin
  • Swelling in your ankles and feet
  • Painful or achy legs that feel “heavy”
  • Muscle cramping in your legs—particularly at night
  • Itchy legs, especially on your lower leg and ankles
  • Burning or throbbing sensations in your legs
  • Discolored patches of skin around the area where you have varicose veins
You may find your varicose vein symptoms worsen in warmer weather (iv), or if you’ve been standing for a long period of time. Your symptoms may improve if you rest and elevate your legs. Some people with varicose veins develop a rash known as stasis dermatitis. It is important that you speak to a healthcare professional if you develop cracked, itchy skin around your varicose veins. If left untreated, varicose veins rash could develop into venous leg ulcers. If you think you have varicose veins, the next step is to talk to your doctor for a diagnosis.

 

Early Warning Signs of Varicose Veins

In order to detect varicose veins early on, you’ll want to check your body regularly. Before the tell-tale bulging and swollen veins appear, your initial symptoms may be misdiagnosed as dermatological problems, since varicose veins may cause skin discoloration, give an unnatural shine to the skin and/or cause thickening or hardening of your skin. (v) Other early warning signs of varicose veins include:
  • Light red spots on your lower legs. These spots may indicate that you have venous insufficiency, increasing your risk of developing varicose veins at some point.
  • Your legs hurt a little. Notice a dull aching in your legs? This could be an early sign of varicose veins.
  • Dark, visible veins close to the surface of your skin. Individuals who have more visible veins have a higher likelihood of varicose veins.
  • Swollen feet at the end of the day. If your feet are swollen at the end of each day, this may indicate that you are at higher risk of getting varicose veins.
  • Even without these early warning signs, there is a chance you may develop varicose veins, particularly if you have a family history or other risk factors.
Although varicose veins themselves generally do not lead to long-term health problems, it is important to take care of them and manage your symptoms. In some cases, varicose veins may worsen over time. Know that help is out there. Talk to your doctor for a formal diagnosis.   To find out everything you need to know about varicose veins feel free to contact us 044430700 or info@lafamilia.ae   Sources: (i) I Lin, F., Zhang, S., Sun, Y., Ren, S., & Liu, P. (2015). The management of varicose veins. International Surgery. 100, 185-189. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4301287/ (ii) Institute for Quality and Efficiency in Health Care (2010 Mar 12). How does the blood circulatory system work? Informed Health Online [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK279250/   (iii) Selçuk Kap?s?z, N., Uzun Kulao?lu, T., Fen, T., & Kap?s?z, H. F. (2014). Potential risk factors for varicose veins with superficial venous reflux. International Journal of Vascular Medicine, 531689. (iv) Institute for Quality and Efficiency in Health Care (2008 Feb 20). Varicose veins: Overview. Informed Health Online [Internet] https://www.ncbi.nlm.nih.gov/books/NBK279247/  (v) Mujadzic, M., Ritter, E.F., & Givens, K.F.(2015)A novel approach for the treatment of spider veins. Anesthetic Surgery Journal, 35(7): NP221-NP229. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4551823/

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August 15, 20190
If you’ve been diagnosed with, or you think you may have, varicose veins, you’re not alone. In fact, these dilated bulging bluish-purple veins that can be seen and often felt under the surface of the skin are present in up to 30% of people. i We know they’re common…but who gets varicose veins? Are you at risk? While it’s true that varicose veins can happen to anyone, there are certain risk factors that increase your chances of developing them. Keep in mind that while some of these factors can be addressed through lifestyle changes, others are out of your control.  

What Causes Varicose Veins?

Having a clear understanding about what causes varicose veins may help you to better understand the risk factors for varicose veins. Veins carry the unoxygenated blood from the body back to the heart. One-way valves are present in veins to prevent blood from flowing backward. When these valves are not working properly, blood pools, the pressure within the veins increases straining the walls of the veins. Weak vein walls can also play a part in the stretching of varicose veins. These stretched veins can be seen and felt just under the surface of the skin. Varicose veins should not be confused with spider veins, which are a smaller version of varicose veins made up of red or blue lines that look like a web or a branch. While spider veins usually do not have any physical symptoms, larger varicose veins have symptoms and can lead to more serious health conditions. Are you wondering if you’re at risk for varicose veins? Let’s look at the top 9 risk factors for varicose veins.  

9 Varicose Vein Risk Factors that You Should Be Aware Of

Now that you have a better understanding of what varicose veins are and what causes them, you are ready to learn about the major varicose vein risk factors.
  1. Gender – Women are more likely than men to develop varicose veins. The contributing factor is thought to be female hormones.ii
  2. Pregnancy – Being pregnant can cause varicose veins. The growing fetus in the uterus puts pressure on the veins in the lower abdomen which increases the blood pooling in the legs. The good news is that after the delivery of the baby when the increased pressure is relieved, the varicose veins that occur during pregnancy usually disappear.iii
  3. Birth control pills – Taking medications that contain female hormones, such as birth control pills and hormone replacement therapy used to treat menopause-related symptoms, increases the likelihood of developing varicose veins.ii
  4. Heredity – While it isn’t completely understood, if your family members have varicose veins, you are more likely to have them at some point too. ii
  5. Weight – Being overweight or obese is a risk factor for developing varicose veins. Increased body weight can compress the veins, which increases the pressure and strains the walls and valves. Losing weight may help.iv
  6. Getting older – As we age, our veins age with us. With time, the valves and walls weaken, and varicose veins are more likely to develop. This risk increases after age 40.It’s important to keep in mind that getting older is not the only risk factor of varicose veins.
  7. Desk jobs – Jobs that involve sitting or standing all day can increase pressure in the legs, which can result in the formation of varicose veins. v
  8. History of blood clots – If you have had a blood clot in the past, or deep vein thrombosis, you are at high risk for developing varicose veins. The clot may have damaged the valves and/or the walls of your veins. ii
  9. Damaged veins – If your veins have suffered traumatic damage, they may not be as strong as they once were; they can enlarge and become varicose veins. ii
Do you have any of these symptoms? Could you have varicose veins? If you have any of the following, you should talk to your doctor:
  • Twisted, bulging veins on your legs
  • Blue or reddish color of the skin around veins
  • Swelling of your feet that can come and go
  • Legs cramps
  • Itchy ankles, with or without a rash
  • Legs that feel heavy, uncomfortable or even painful
Having one or more of the above varicose vein risk factors does not mean that you definitely have or will develop varicose veins, but if you’re concerned, you should see your doctor. While some risk factors, such as family history and gender, cannot be changed, there are some lifestyle changes you can make to prevent varicose veins from getting worse. And keep in mind, surgery is not necessarily your only option for varicose veins treatment. There are safe and effective minimally invasive treatment options like sclerotherapy, endovenous laser therapy and microphlebecomy that might be an option for you. Want to learn more? Consult with a varicose vein specialist to best determine the severity of your varicose veins and what you can do about them.     Sources i Lin, F., Zhang, S., Sun, Y., Ren, S., Liu, P., The Management of Varicose Veins. Int Surg, 2015. 100: p. 185-189. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4301287/ ii National Heart, Lung and Blood Institute. Who Is at Risk for Varicose Veins?https://www.nhlbi.nih.gov/health/health-topics/topics/vv/atrisk  iii Asbeutah, A., Al-Azemi, M., Al-Sarhan, S., Almajran, A., Asfar, S., Changes in the diameter and valve closure time of leg veins in primigravida women during pregnancy. J Vasc Surg Venous Lymphat Disord, 2015. 3(2): p. 147-153 https://www.ncbi.nlm.nih.gov/pubmed/26993832 iv Davies, H., Popplewell, M., Singhal, R., Smith, N., Bradbury, A., Obesity and lower limb venous disease – The epidemic of phlebesity. Phlebology, 2016. May 13. pii: 0268355516649333. https://www.ncbi.nlm.nih.gov/pubmed/27178403 v Piazza, G., Varicose Veins. Circulation, 2014. 130: p. 582-587. http://circ.ahajournals.org/content/130/7/582.long

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August 15, 20191

What are varicose veins?

Veins carry blood from various parts of our body toward the heart through a one-way valve. If the vein is weak or has a faulty valve, the valve would stretch and no longer close properly. Thus, the veins become visibly swollen, as these are filled with blood that cannot flow properly. This causes pain, enlargement, discoloration, blood clots, sores that won’t heal, and other problems aside from their unattractive appearance.   Enlarged veins like these are called spider veins or varicose veins. The difference is that spider veins appear as small, thin purple, red or blue veins on the surface of the skin. On the other hand, varicose veins are larger swollen veins that are located slightly deeper than spider veins.   Reticular veins are medium-sized, greenish and non-bulging but abnormally visible veins. These can commonly be found on the outer surface of the thighs and behind the knees. The appearance of reticular veins means the onset or early stage of varicose veins.  

Common Types of Varicose Veins

Spider Veins Known in the medical field as telangiectasias, spider veins are small and thin veins that can be found close to the skin’s surface. These super-fine veins are connected to the larger venous system but they are not an integral part of it.   Reticular Veins These are veins approximately one to four millimeter in size and appear to be green, flat veins. Reticular veins usually appear in the legs at the outer area of the thigh, in the calf region, or behind the knee. These are not that large in size and do not bulge but they are also unattractive.   Varicose Veins These veins are caused by weak vein walls or faulty valves which stretches the valves and hinder proper closing. Because of this, blood is not able to flow normally, leading the veins to become enlarged visibly and triggering other symptoms such as pain, swelling and discoloration.   We offer specialized varicose veins treatment in Dubai We are providing effective and innovative treatment for cases of varicose veins. To book a consultation or to inquire about the treatment cost in Dubai, please contact us through +971 4 44 30700 or info@lafamilia.ae

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May 14, 20190

INTERVENOUS THERAPY (IVT)

With the latest clinically-tested and MOH-approved IVT infusion technology, we offer a complete range of IV solutions that cater to all your beauty and wellness needs. From simple (yet extremely effective) energy boosters to carefully compounded skin glow and rejuvenation solutions, we have a handpicked selection of IV treatments that you can choose from.

 
Intervenous Therapy (IVT) is the fastest and safest way to feed vitamins and minerals, amino acid and other therapeutic substance straight in your bloodstream  

IVT Therapy Benefits?

Our IVT’s have been clinically proven to stimulate and increase immune system function. It encourages cellular repair, regeneration, and accelerates the process of recovery. IVT enhance the sense of wellbeing, alleviates nutritional deficiencies and addresses other medical condition  

Our IV Cocktails:

  • Anti-stress & Anti-oxidant
  • Female Balance
  • Energy Boost & Fitness Hydrating Support
  • Glowing & Skin Rejuvenation
  • Hair Regeneration
  • Memory Boost
  • Cardio Support
  • Immune Boost & Hydration
  • Blood Boost & Iron
  • Liver Detox
  • Vitamin Mix
  • Diabetic Support
  • Amino Acids
  • Gut Healer
  • DMSO + MSM
  • Amino Acids (Fat Burning)
  • Amino Acids (Muscle Building)
  • Amino Acids (Chronic Fatigue)
  • Amino Acids (Weight Gain)
   

Treatment Pre-Requisites:

To ensure that your treatment is smooth and safe, we follow a strict protocol that includes a mandatory consultation with our doctor for primary analysis, and a blood test to check for factors that may affect your health or effectiveness of the treatment.

 
Note: The blood test is a one-time requirement, and a necessary precaution to avoid serious medical side-effects.  

After your blood test results are reviewed and cleared, your treatment will continue as planned. Our doctor will work with you to develop a unique treatment plan to achieve the best results. We will also go over the minor details – including the “do’s & don’ts” – to prepare you for your treatment with us.

On the other hand, any contraindications found in your blood test may require some adjustment to your treatment plan or the components used in your IV cocktail. A few major concerns may void your eligibility for the treatment due to the high risks associated with that unique case.

*Note: Results and requirements may differ from patient to patient.

 

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October 29, 20170
IT DOESN`T ALWAYS START WITH A LUMP Breast cancer starts when cells in the breast grow out of control. These cells usually form a tumor that can often be felt as a lump. If the tumor is malignant (cancer), the cells can grow into (invade) surrounding tissues or spread (metastasize) to distant areas of the body. Most breast lumps are not cancerous, but this can be determined only by your doctor. Every woman is at a risk of developing breast cancer, having a family history increases this risk.   What we need to know is, the sooner a cancer is detected, the easier it will be to treat. Mammography works by compressing the breast tissue which can sometimes cause slight discomfort for a very short time. It is advised to schedule mammograms a week after the menstrual cycle as the breasts are less tender.   lafamilia | Breast cancerBREAST SELF-EXAMINATION (BSE) Every woman should make self-examination a habit to check her breasts for lumps, thickening or other changes every month. Examining your breasts regularly will educate you on how your breasts normally feel. It’s a routine that gives you the opportunity to spot changes that need your doctor`s attention. The best time for BSE is 6-10 days after the 1st day of your period as the breasts are not tender or sore.   What are you looking for?
  • Lump, hard knot or thickening
  • Swelling, warmth, redness or darkening
  • Change in the size or shape of the breast
  • Dimpling or puckering of the skin
  • Any rash on the nipple
  • Pulling in of your nipple
  • Sudden Nipple discharge
  • Painful spot, persistent for a long time
  What Can I Do to Reduce My Risk Of Breast Cancer? Although you cannot prevent cancer, some habits that can help reduce your risk are:
  • Maintain a healthy weight
  • Stay physically active
  • Eat fruits and vegetables
  • Do not smoke
  • Limit alcohol consumption
  This is why Breast Self-Examination (BSE) is given utmost importance by Doctors. Any changes noticed on BSE should be brought to the notice of your health care provider at the earliest. This helps in early plan of care and timely treatment.   The next step after this is a mammogram to diagnose the breast changes.
  • A mammogram is recommended once a year for women over 40 years of age
  • Women younger than 40 should ask their healthcare professional whether mammograms are advisable and how often to have them
  • Same goes for women with risk factors (genetic predisposition etc) for breast cancer
  What Can I Do to Reduce My Risk Of Breast Cancer? A mammogram is the best screening tool used today to find breast cancer early. It is an X-Ray picture of the breast. A mammogram can find cancer even before you notice any changes in your breast. It can find cancer when it is more contained and easier to treat often without having to loose the breast. It is recommended that all women have a mammogram screening every year starting at the age of 40 (and perhaps earlier if you have a family history of breast cancer). STEPS OF BREAST SELF-EXAMINATION:
  • Lie down on your back with a pillow under your shoulder
  • Use the pads of the three middle fingers on your left hand to check your right breast
  • Press using soft, medium and strong pressure in a circular motion without lifting your fingers off the breast skin
  • Follow an up and down pattern
  • Feel for changes in your breast, above and below your collarbone and in your armpit
  • Repeat on your left breast using your right hand.
  lafamilia | Breast cancer– FEEL YOUR BREASTS WHILE LYING DOWN
  • Hold arms at your side
  • Hold arms over your head
  • Press your hands on your hips and tighten your chest muscles
  • Bend forward with your hands on your hips
  Finally: Be persistent and speak up Be your own health advocate and make sure you mention any breast changes or lumps to your doctor. If your concerns are dismissed without further investigations get a second opinion.

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August 25, 20171
Tips for your Child’s Back-to-School Dental Visit: – How is the child’s overall dental health? The dentist will be looking at the big picture of the child’s mouth, including teeth and gums. “We will check to make sure teeth are lining up correctly, the child’s bite is in good shape and to keep an eye out for any [orthodontic] issues that may show up later,” Dr. Haifa says. “We’re also making sure baby teeth are going to the Tooth Fairy like they should.”   – Will the child get a cleaning today? This is a must, no matter how well children brush. “Even if your child—or you, for that matter—brushes twice a day, it’s not possible to get rid of all the bacteria that can lead to cavities,” Dr. Haifa says. “And on the other hand, you may have a child who goes off to camp and never uses their toothbrush.” That’s why a professional cleaning goes a long way. “It removes more of the cavity-causing bacteria and helps to keep gum tissue healthy,” she says. “It can also remove most or many stains from teeth.”   – Does the child need an X-ray? X-rays helps your dentist see how the child’s teeth are developing and makes sure the tooth roots are healthy. They also are used to see if there are any tooth decays between the child’s teeth. “The decay process can move very, very fast, so the earlier we can catch it, the better,” Dr. Haifa says. The child won’t need an x-ray at every visit. “We do them only when necessary,” she says.   Practice the 3-2-1 Rule: To keep kids’ teeth healthy between dental visits, families are encouraged to practice the 3-2-1 Rule at home: Eat three (3) healthy meals, brush two (2) times (morning and night), and floss at least one (1) time every day.   Regular brushing with fluoride toothpaste and flossing. Heading towards the dental care aisle when you’re out shopping for notebooks, binders and pencils. If parents buy several toothbrushes they could have their child change to a new one every three months or so, or after an illness. If it’s hard to remember when to change a brush, you could try to change it every time report cards come out. Ask your dentist for a recommendation on how often to change toothbrushes.   Eating healthy lunches and snacks. Include portable healthy lunch items and snacks in your child’s sack lunch, including grains, milk, cheese, raw vegetables, yogurt or fruit. If your child eats in the school cafeteria, review healthy, balanced food choices with him before the first day of school   Wearing a properly fitted mouth guard while participating in organized sports, PE classes or playground activities.

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June 20, 20171
Taking care of your child smile as an adult starts now. As parent, you have the most important role to help and lead your kid develop a proper oral hygiene. You can find here some recommendations that may help you as parents.   DURING THE TEETHING: Your baby will start teething around the age of 3-4 months. The gum start to be inflamed and sore. Symptoms can last for just few days, or for as long as several months. lafamilia-baby-teethingThese are common signs of teething:
  • Drooling
  • Swollen and bulging gums
  • tooth visible below the gum
  • Irritability
  • Trouble sleeping
  • Trying to bite, to chew and to suck on everything
  • Rubbing the face
  • Rejecting food
  • Grabbing ears
But some others are more alarming like fever, diarrhea and rash. If these conditions persist in time more than 24 hours, please contact your pediatrician.   Here are some teething hacks that will soothe your baby’s aching gums:
  • add breast milk to an ice tray with pacifiers. Freeze tray that will help relieve pain from your baby’s sore gum.
  • freeze a washcloth soaked in chamomile tea. Once cold give it to baby to chew on. Not only will it soothe gums and collect drools, it will also help them relax and fall asleep.
  • cold applesauce will feel good gently sliding over your baby’s gums and makes for a great snack. Add cinnamon to enhance flavor.
  TEETH ERUPTION SEQUENCE: The first pearly white typically peeks through when a baby is between 4 and 7 months old, but it’s perfectly normal for it to show up quite a bit later. If there‘s still no tooth in sight when your baby reaches 18 months old, mention it to her/his doctor who may refer you to a pedodontist.   WHEN YOUR BABY STARTS GETTING THE FIRST TOOTH
  • At about 8 months, starts your infant drinking from a cup as this reduce the time that decay-producing sugars in contact with the teeth.
  • No bottles to bed!! No bottles to bed filled with anything other than water.
  • Early childhood caries is serious condition caused by frequent exposures of an infant’s teeth to liquids that contain sugar.
  • Among these liquids are milk (including breast milk), formula, fruit juice and other sweetened drinks.
  • Introduce your infant to tooth cleaning as the teeth appear. As infant are unable to control swallowing, no toothpaste at all should be used at first and then a tiny amount of low fluoride toothpaste later on.
An excess of fluoride increase dental fluorosis risk. Be careful!!
  • Brush teeth with soft bristles brush twice daily (morning and before bed time) and floss once daily.
  • Let your child brush first when teaching him/her, then help them with their brushing.
  • Don’t be concerned at first with trying to brush all the teeth at each session.
  • Reinforce your teaching with positive role modeling, make sure your child sees you brush and floss regularly, they will want to mimic you.
  • Let them play with a toothbrush anywhere in the house so that they are comfortable with it -monitor- not to let them run around with it unwatched)
  • At about 18 months-2 years, take your child to the dentist for a check-up and to become accustomed to dental visits.
  • How can you help your child quit thumb sucking?
Prolonged thumb sucking lead to malocclusion, malformation of the roof of the mouth, may develop speech problems as pronunciation and lisping. Be supportive and talk to your child about it. Distract him/her by offering other comfort objects as pacifiers. As pacifiers make less damage to the oral structure. You can use over the counter nontoxic bitter paints.   Tongue thrusting: It’s the habit of sealing the mouth for swallowing by thrusting the top of the tongue forward against the lips. It pushes teeth out of alignment and interfere with proper speech development. If you notice this, consult a speech pathologist.   Lip sucking: Means holding the lower lip beneath the upper front teeth. It results in an overbite and the same kinds of problems as with thumb sucking and tongue
  • Brown spots: if soft brown or black spots appear on the tooth, with progression slowly toward the chewing surface of the tooth, you need to book an appointment with your dentist
  • Chalky white spots: first appear as dull white bands on the smooth surface of the tooth at the gum line, followed by yellow or brown discoloration. They are indicative of early decay or weakened enamel.
  It may be reversible with exposure to topical fluoride and plaque removal. If left untreated it will lead to cavitation!! Dental consultation is necessary Green stains: on the cervical third of the labial surface of the maxillary incisor associated with chromogenic bacteria and plaque.   THE TOOTH BRUSH SONG (sing the tune of row, row, row your boat). Brush, brush, brush your teeth Brush them every day We put tooth paste on your brush To help stop tooth decay Floss, floss, floss your teeth Floss them every day! Using the string to clean between Keeps the plaque away! Clean, clean, clean your teeth Clean the everyday! Your teeth will shine for years to come In the most beautiful way! Brush, brush, brush your teeth Brush them every day! Happy, healthy teeth you’ll have if it’s done this way.    

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July 3, 20160

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