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Daily Archives: August 30, 2016

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My Ovary-Free Life

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I was 48 hours away from surgery, obsessed with wondering how my life and my body would change, when I was crudely reminded of why having my ovaries removed could be a really good thing. I got my period with the works—bloating, pimples, and cramps. As usual, I subsisted on ibuprofen every three hours. It was strange thinking this would be the last time Id feel this way.

Then the profound moment evaporated, and the inevitable complications popped up. Some tests turned up a little blood in my urine—and the two days til I was eggless in Manhattan turned into six weeks. Fortunately, the follow-ups on my blood were negative, but another life-changing event came along. My beloved dad died of brain cancer, and I needed time to grieve before I rebooked my surgery. Then, finally, the date was set: I was about to give away a huge part of me in hopes of outsmarting the breast cancer (BRCA) genes—passed down from mom and her sister—that greatly increase my risks of ovarian and breast cancer. I was sure I was ready.

 

 

Next Page: The prep aint pretty

[ pagebreak ]The prep aint pretty
The day before, the calls from the hospital start coming in at 11 a.m. Im asked things like: Whats your primary language? Are you planning on bringing any valuables? And then: Theres a chance you may stay overnight. You know—if they find something (like cancer). Oh, and no sex or baths or straining for a month afterward. Help! This is before Ive even begun … the bowel prep.

All I have to say is that anyone who says a bowel prep is easy has never done one. But once youve done it, its like youre in a secret club. Before any of this business even started, I did ask a dear friend (and colonoscopy veteran) to detail it for me. “Is it like you read a novel on the toilet? I asked naively. “Um,” she replied, “you kind of dont really feel like reading.” Enough said—but saying just isnt the same as doing.

At the stroke of 4 p.m., I start sipping magnesium citrate “tonic” (diluted with ginger ale) through a straw before quickly realizing that the only way to get through this 10-ounce treat is to chug. I think its going to be an explosive evening, but that turns out to be the understatement of the year. Its the nastiest evening Ive spent in a long time.

When my alarm rings at 5:45 a.m., its not that much of a shock since Id only catnapped. In the cab with my mom by my side, I silently pray my stomach will cooperate during the pitch-black half-hour ride to the hospital. Soon we check in, and there are more questions, including, when was your last period? Odd that this is going to be the last time Im asked this. Im parched and manage to get the nurse to smuggle me four ice chips. Ive never tasted anything more delicious. I then change into a gown and wrap myself in the chenille throw my mom was smart enough to pack. We cry softly as we imagine how my dad would have taken charge. That pain dulls the pain of being an hour away from a voluntary—but necessary—laparoscopic surgery. My ovaries are about to be removed through my navel and two small incisions at my bikini line. Lets go.

Going under…and going home
A few minutes before I head into the operating room, colleagues of my doctor, New York University (NYU) cancer expert David A. Fishman, MD, arrive with a stack of CDs and a release form listing all the unpleasant things that could happen during surgery. I sign and pick Sheryl Crow over Creed, figuring thats better karma. Soon I hear the sweet sounds of the music and someone saying: “She has chubby hands. Getting an IV line in will be easy.” I lift my hand, as if to say, “Watch it, Im still awake,” and thats all I remember.

I wake up a few hours later, and all is fuzzy. A nurse is offering me cranberry juice, asking how much pain Im in on a scale of one to ten. I say six. My husband runs off to fill my prescriptions—Im getting Percocet, stool softeners, and an estrogen pack to go. I summon up the energy to leave the recovery unit and walk—slowly, like an old woman—out and back into the world again. Once I get home, I snuggle under my sheets, kiss my sons head, take my first estrogen tab, and pass out.

 

 

Next Page: Why am I so sad?

[ pagebreak ]Why am I so sad?
I have a dull headache when I wake up, and my stomach feels like a painful balloon. (Im told itll take six weeks for my stomach to deflate—nice!) I peek under my bandages, and its not too scary. Plus, the ibuprofen seems strong enough to control my pain … but then the crying jags start.

Lying in bed, my thoughts race. Ive lost a part of myself thats so personal. Im over the fact that I wont bear another child; its more that from this moment on Im staying young synthetically. Thats disturbing. And the cruelest trick of all: My period starts. I realize Im 24 days into my cycle. Its worlds colliding: Im taking estrogen from what looks like a birth control pack, I have my period, and Ive lost my ovaries. I cant even put what Im feeling into words.

In a few days Im moving sluggishly, not a bad thing. I observe more, I appreciate more. Im tired but happy the whole thing is behind me, especially since my pathology report came back all clear. And, though Im sad that I cant scoop up my son, Ill be tickling him in just a few weeks. I look at him, my one and only biological child, and the husband I love now more than ever, with pure wonder and joy.

Meet the new me
My breast-cancer risk has now dropped 50 percent since I had my ovaries removed before I turned 40 (my birthday is in August), but my breasts remain a constant worry since my mom and aunt are breast-cancer survivors and Im BRCA positive. That means vigilant monitoring, and I get the red-carpet treatment. Women who have found something suspicious and dont have my genetic legacy often have to wait weeks to get a mammogram. I make just one call, and Im squeezed in on even the busiest of days. This special treatment seems unfair. So the new me—the one who can now worry a little less about getting cancer—decides to use my BRCA status to tell the world my story.

A week after surgery Im due back at NYU, but nothings wrong. Im going to be the “real woman” in a video news story featuring my surgeon and his studies on early detection of ovarian cancer. I feel grateful as I head up to the familiar fourth floor. The waiting room is packed. I gaze at the faces, the scarves, the women of all backgrounds gathered for the fight of their lives. I realize that for the past two years, I avoided looking at the other faces in this room. Now I really look and see unbridled bravery. I am this brave woman, too. I got rid of a body part before it had the power to kill. Sure, this was a huge ordeal, and there will always be a hole in my center, where my fertility, my innocence, once lay nestled somewhere within. But Im not a gambler. Not when it comes to my life, anyway. I have too much to share with the world. And now I can.

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You May Need to Replace Your Sunglasses More Often Than You Think

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Even if you love your current sunglasses, you still might need a new pair of shades. It seems sunglasses’ UV protection may deteriorate over time, and current industry tests are not sufficient for determining how long it’s safe to wear them, according to a study from Brazil.

Most Brazilians wear the same pair every day for about two years, the study notes, yet it has not been proven that lenses maintain the same level of protection after that type of exposure to ultraviolet radiation. The findings may have implications for the sunglass industry in the United States, as well. There is no current recommendation for when, exactly, people should retire their old pairs—and protecting eyes from the sun is important anywhere in the world, as UV exposure can lead to cataracts, retina damage, and other long-term eye problems and vision loss.

The new research focuses on Brazil’s system for classifying sunglasses by category, based on lens darkness and the level of UV protection offered. To be certified in one of these categories, lenses must pass a test in which they are exposed to a 450-watt sun simulator lamp for 50 hours at a distance of 30 centimeters. This is equal to two full days of average summer sun exposure, or four days of average winter sun exposure, the study authors write. However, because of Brazil’s proximity to the equator, the sun there is stronger than average. So in actuality, this test is only equivalent to 23.5 hours of sun exposure in the city of São Paulo, for example.

A previous survey found that Brazilians wear their sunglasses for an average of two hours a day for two years straight. The aging tests, the authors argue, should also be revised to reflect this.

RELATED: The Best Sunglasses for Healthy Eyes

In order to represent average consumer use throughout the country, they calculate that both the time and distance of exposure in the sun-simulator test needs to change to 134.6 hours at 5 centimeters. These calculations are specific to Brazil, the authors say, but may also be helpful for other countries at similar latitudes. (Other countries around the world have similar requirements for sunglasses.)

“It's still too soon to confirm that UV protection deteriorates over sun exposure,” study author Liliane Ventura, PhD, a professor at the University of São Paulo, wrote in an email. “If the aging test performed by sun simulator with current exposure parameters is not revised, then there are no means to guarantee that UV protection does not change over time.”

The report, published in Biomedical Engineering OnLine, suggests that in addition to UV protection, lenses’ shatterproof qualities may degrade as well.

Although the same aging standards are not used in the United States, Jeff Pettey, MD, clinical spokesperson for the American Academy of Ophthalmology (AAO), says that the new research does make important points that could be relevant to Americans.

RELATED: 6 Mistakes You're Making With Your Contacts

“They’re suggesting that the way the industry currently tests sunglasses may not be adequate,” says Dr. Pettey. “There’s a lot we may be unaware of that happens over time—so while there is no official recommendation right now, it might make sense to consider looking for a new pair if you’ve worn the same ones regularly for a couple of years.”

If you’re really curious about whether it’s still safe to wear a pair of old favorites, adds Dr. Pettey, many eyeglass retailers can test lenses’ UV protection levels.

Until more is known, consumers can protect themselves by making sure they buy good glasses in the first place, by purchasing lenses that are labeled "100% UV protection" or "UV400." Most pairs sold in the United States offer this level of protection, Dr. Pettey says, but it’s still a good idea to confirm before purchasing. (According to a 2014 AAO survey, almost half of people shopping for sunglasses don’t think to check for this language.)

Don’t take into account factors like cost, polarization, lens color or darkness, either; these don’t necessarily make a difference in UV blockage. “Even clear lenses you’d wear with a prescription can have protection, as well; it’s not necessarily about how dark they are," says Dr. Pettey.

RELATED: 9 Worst Eye Care Mistakes You're Making

Size and fit, however, do matter. “Bigger is better if you’re outdoors doing activities for longer periods of time,” Dr. Pettey says. “If you’re skiing or out on the ocean and getting reflected UV light from all directions, larger wrap-around eyewear will certainly offer more protection.”

Ventura says that while there’s no way to know how often sunglasses should be replaced, she does recommend against buying them from locations where they’ve already been exposed to sunlight—from an outdoor stand on the boardwalk or beach, for example.

For now, Ventura and her team are conducting further tests on how sunglass lenses hold up over time, and hopes to report more definitive findings in the near future. “We are willing (and have proposed an effective method) to know how long UV protection lasts,” she says. “It's a wake-up call for the sunglasses standards to be revised.”

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4 Health Rumors You Seriously Need to Stop Believing

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Just like old habits, old medical rumors are hard to shake. Here are the facts versus fiction on some persistent health hearsay (cancerous underwear! toxic fish!) so you can stop worrying once and for all.

The rumor: It's bad to eat fish during pregnancy

The truth: Nuh-Uh! While there are certain foods that pregnant women should avoid, moms-to-be can continue eating most kinds of fish worry-free. A recent study in the American Journal of Epidemiology found that eating three to four servings of fish (including tuna!) per week while pregnant was linked to increases in kids' IQs. Just continue to avoid eating the highest-mercury fish: swordfish, shark, king mackerel, and tilefish.

The rumor: Underwire bras cause cancer

The truth: Nope! Some people still claim that underwire bras could compress the lymphatic system of the breast, making toxins build up. The reality? Newer research has demonstrated that neither the style of bra you wear nor the length of time you wear it has any effect whatsoever on breast cancer risk.

RELATED: 6 Big Myths About Hydration You Shouldn't Believe

The rumor: Cracking fingers leads to arthritis

The truth: Phsaw! If the popping isn't painful, it's fine. Studies show that knuckle crackers are no more likely to develop arthritis than folks without this habit. 

The rumor: Eating soy messes with fertility

No! Animal studies have suggested that consuming more soy might affect fertility due to its phytoestrogens, but there's scant evidence that this is the case for humans. In fact, research suggests that women who get their protein from mostly soy and plant foods are less likely to have ovulation issues. 

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