[NP-Clinical] Re: Breast Cancer question

Sat Jan 6 16:41:59 PST 2007

Priscilla,

  I am very sorry about your friend who was in remission, that now has recurrence.  Oncology is not my field at all, but I am going through lung cancer with my dad, and my mom is getting a biopsy next week for a suspicious breast mass next week. (my mom does not live in this state)  The news before Christmas for your friend sounds like it was awful.  I do know someone who works full time, and has a similar situation with mets to her spine, but she has done well for a couple years, I believe with palliative chemo.  Thats a positive thing, wish I knew more.  Carla Anderson/Portland,OR

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Today's Topics:

1. RE: Breast CA question (Sue Wiers)
2. RE: [ACC-Circle] More on ear problems (David or Diane Dito)
3. Re: More on ear problems (Lisa Meyer)

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Message: 1
Date: Sat, 06 Jan 2007 02:24:47 +0000
From: "Sue Wiers" 
Subject: RE: [NP-Clinical] Breast CA question
To: np-clinical at nurse.net
Message-ID: 
Content-Type: text/plain; format=flowed

Oncology is not my area of expertise either. However, I had been a hospice 
nurse for 5 years. In a nutshell, primary sites found early and treated may 
be cured. Metastatic sites typically are much more ominous. I am unaware 
of any new treatment that changes that rationale. However, I have been out 
of the loop for awhile.

I agree, timing was poor. I carefully consider when I make phone calls. 
Never on a Friday and particularly not before a holiday.

I must say, that I have had recent experience with a patient that was 
nothing short of miraculous. 44 year old with presumably inoperable lung 
mass and given 6 month life expectancy. Spontaneously regressed well after 
chemo had been completed. Left lung removed and all nodes negative. My 
best Christmas present was a handmade bracelet from her. It will always 
signify the possibilities of a miracle to me.

Sue Wiers FNP

>From: "Priscilla Merrill" 

>Reply-To: NP Clinical 
>To: "'NP Clinical'" 
>Subject: [NP-Clinical] Breast CA question
>Date: Fri, 5 Jan 2007 20:58:38 -0500
>
>Just a personal question for any oncology folks. A friend was in remission
>for just over 5 yrs. She had back pain last Summer and was set up with PT
>and NSAID’s. It kept worsening so low and behold, bone scan showed ca
>recurrence in several bony sites.
>Is there any hope at all these days once this happens? I hear lots on new
>drugs but last I read, this didn’t have a good prognosis. Any stories for
>hope out there for her? A real heartbreaker- - got the news over the phone
>the week before Christmas. I was surprised they did this. She was all
>alone in her office and someone went looking for her and found her sobbing
>in a dark room.
>Thanks for any info. Oncology is not my area.
>
>Priscilla Merrill FNP
>
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Message: 2
Date: Fri, 5 Jan 2007 20:31:06 -0600
From: "David or Diane Dito" 

Subject: [NP-Clinical] RE: [ACC-Circle] More on ear problems
To: 
Cc: ACC-Circle at listserve.com
Message-ID: <20070106023105.VVSX22316.aa06.charter.net at FIRST>
Content-Type: text/plain; charset="us-ascii"

Agree with Dena that Afrin can be key. Just make sure to educate the pt not
to use for longer than 3 days due to risk of rebound congestion. I "cheated"
one time with a bad cold/sinus infection and used for 7 days and had some of
the worst congestion of my life when I tried to d/c it! 

Diane Dito

-----Original Message-----
From: acc-circle-bounces at listserve.com
[mailto:acc-circle-bounces at listserve.com] On Behalf Of Christine Smith
Sent: Friday, January 05, 2007 7:23 PM
To: np-clinical at nurse.net
Cc: ACC-Circle at listserve.com
Subject: [ACC-Circle] More on ear problems

WELCOME TO THE ACC-CIRCLE DISCUSSION LIST!
See bottom of this post for help with setting user options or unsubscribing.

*********************************************************
Any miracle treatment for these pts with chronic plugged ear - Eustachian
tube dysfunction, after a URI? I see several of these a week and always just
advise Guafenison 400- 600 BID and Sudafed. Any other ideas? I have one lady
that is driving me nuts and the TM looks perfect - just this clogged feeling
with some popping.

Christine Smith, NP
Antioch, CA
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Message: 3
Date: Fri, 5 Jan 2007 21:46:30 -0500
From: "Lisa Meyer" 
Subject: Re: [NP-Clinical] More on ear problems
To: "NP Clinical" 
Message-ID: <003801c7313c$deaf55e0$1bb9ec18 at meyerpc>
Content-Type: text/plain; charset="iso-8859-1"

I agree with advice regarding Sudafed and Afrin. This is what I tell my pts. to try. Studies (at least regarding Sudafed--don't know if there have been any with Afrin) have not shown any benefit. I tell my pt's that the meds are worth a try, but that time will resolve their symptoms and that it can take a month. I do tell pts. that if their symptoms have not resolved in a month, to seek ENT eval. The fullness and popping are usually more of an annoyance than disruptive, but people have a hard time waiting it out anyway...

Lisa
----- Original Message ----- 
From: Christine Smith 
To: np-clinical at nurse.net 
Cc: ACC-Circle at listserve.com 
Sent: Friday, January 05, 2007 8:23 PM
Subject: [NP-Clinical] More on ear problems

Any miracle treatment for these pts with chronic plugged ear - Eustachian tube dysfunction, after a URI? I see several of these a week and always just advise Guafenison 400- 600 BID and Sudafed. Any other ideas? I have one lady that is driving me nuts and the TM looks perfect - just this clogged feeling with some popping.

Christine Smith, NP
Antioch, CA

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