Key points from today’s guests:
Morning Rounds – Updates on Current News
Dr. Kamal Gupta, interventional cardiologist, The University of Kansas Health System
- A new space has opened for cardiovascular and cardiothoracic surgery research.
- The large team of clinical researchers, doctors, research nurses, and coordinators, are all now closer to the clinical workspace.
- So we have easier access to patients and more efficiency.
- We are enrolling in about 65 trials, including ones with innovative treatments for people with heart failure.
- There is a lot of excitement about gene modification technology. The future in the next 5-10 years is very promising.
Focus Topic
Steve Stites, M.D., chief medical officer, The University of Kansas Health System
- This year, the first-ever guidelines for exercise, diet, and weight management during cancer treatment were published in the Journal of Clinical Oncology.
- Exercise can be this surprise gift in your life.
- Hip mobility is such a challenge as we get older and getting your lower back in shape can be tough.
- Exercise can help you feel better than you have before. And ultimately, that's always the goal of great medicine. It should be the goal of great health care.
Marcia Francis, breast cancer survivor
- After cancer surgery, she wanted to see what she could do to exercise and Sami advised her that there was a lot of options.
- She started with bodyweight exercises – just working out with her own body like doing squats.
- It gave her a mental boost and helped her feel like she had more control and gave her a lot of hope.
- She thanks here great care team and the work they’ve done to get her back to good health.
Sami Mansfield, cancer exercise specialist; founder, Cancer Wellness for Life
- Exercise is free. We have so many people that have financial barriers and time barriers, but there are exercises you can do from your own chair.
- I love working with individuals with cancer. I love how willing and how passionate people are about wanting to improve their quality of life.
- I really believe people want to be strong they want to be healthy. They want to be able to play with their grandkids and do things that means something to them.
- We know that the majority of individuals after a cancer diagnosis will die from cardiovascular disease because we've reduced their muscle and we've reduced their overall cardiovascular health and conditioning -- they just get fatigued and they lose muscle mass, so we know that exercise plays a really important role.
- We should all be striving to meet the exercise recommendations for every adult in the world. However, we didn't have specific guidelines reiterating the safety, the efficacy, the importance for individuals undergoing cancer treatment.
- These guidelines really took the evidence globally and created a very specific resource to support the oncology care teams to support exercising during treatment.
Dr. Jeffrey Holzbeierlein, urologic oncologist; physician-in-chief, The University of Kansas Cancer Center
- Sarcopenia is basically muscle loss or muscle wasting that can occur certainly during cancer treatment and other conditions as well.
- It's poorly understood actually and really, people don't understand why people develop sarcopenia but that is oftentimes accelerated during cancer treatment.
- We know that patients that go on to develop sarcopenia have worse outcomes. They actually die more frequently than patients who don't.
- Exercising and diet during cancer treatment to prevent the loss of muscle is really critical. We've done some exercise and dietary studies that have supported that.
- Functional fitness is also important – mowing the lawn, raking leaves – this is exercise and sometimes those simple tasks make a difference.
Dr. Julia White, breast radiation oncologist, The University of Kansas Cancer Center
- Radiation can really take away a lot of energy, especially in a patient who's been through surgery and chemotherapy.
- I think it is important to meet the patient in the space she's in. Listen to your body and back off when you feel tired.
- But even simple exercises such as walking to and from the mailbox – even twice a day – is important.
- Exercise has such big implications for their overall health, their ability to keep off other diseases particularly.
- We are working with our patients to see how exercise can be part of their routine during treatment, and also try to hopefully engage those patients who haven't been exercising to do what they like so they can become more active and give them a better health benefit.
‘Doc Hawk’
Dr. Dana Hawkinson, medical director of Infection Prevention and Control, The University of Kansas Health System
- It is mosquito and tick season, so it is vitally important to wear your bug spray and protect yourself from mosquito and tick bites.
- In Kansas in the last few years, the Kansas Department of Health and Environment has issued high risk warnings for West Nile virus.
- We know that those infections do occur and can lead to death, so it is vitally important to protect yourself from tick and mosquito bites.
Thursday, May 23 at 8 a.m. is the next All Things Heart. Nearly 39 million Americans are living with diabetes. Explore the link between diabetes and heart failure and how to prevent that from happening.
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