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Weekly Report on the Intersection of Technology and Exercise in Naples, Florida

Arlene Figaro pushes a weighted sled across the ground, then she does some squats. It won’t sound like a treatment for breast cancer, however it is. Encourage Exercise Medicine is the one place in Collier County offering exercise and nutrition as a treatment for breast cancer. This recent technique was dropped at this area by Bruce Nakfoor, a board-certified radiation oncologist, who stresses that combining these elements together with the large three of chemo, radiation, and surgery gives patients the most effective final result. “I did a major amount of research, and I used to be blown away by how much exercise helps not only making them feel higher, but the way it lowers the possibility of the cancer coming back,” Nakfoor stressed. He said food regimen and exercise can reduce reoccurrence by 30-60 percent. “We’re all kind of tunneled into chemotherapy, radiation, and surgery,” he said. “We would like this to be seen as a medical intervention too. We will not be pushing people away from traditional therapy, but we’d like so as to add these risk-reducing treatments.” Arlene Figaro, 76, pushes a weighted sled at Encourage Exercise Medicine in Naples. Figaro had breast cancer and says the exercise helps together with her recovery. ANDREA STETSON / FLORIDA WEEKLY Figaro, 76, had chemo, radiation, and surgery, but said adding exercise has made an enormous difference. “Coming here has modified my life,” she began. “It strengthens your mind, your body, and your spirit.” Patients are measured for muscle mass and body fat and based on screening they’re given an exercise prescription. Figaro, who said she had never been to a gym before getting breast cancer, spends two mornings every week at Encourage. “My arms are much stronger than they was once after surgery,” she described. “I’m in a position to walk longer because my legs are stronger and even my respiratory is healthier. Before, once I held a cup of coffee, my hands would shake since the cup was too heavy, and now I can hold the cup just high quality.” Debbie Moore, 55, has similar stories. “The exercises are strengthening my muscles,” she described. “Due to all of the surgeries I wasn’t in a position to lift my arms above my head, and now I can totally try this. It really has helped even with balance and standing up and sitting down because I had joint pain. After figuring out with them I feel so great.” Nakfoor has his patients mix this with a nutrition program that focuses on reducing sugar and steering towards a more Mediterranean food regimen. “Every treatment has a profit and a major downside. This has only advantages,” Nakfoor stressed. Immediately Encourage is the one place offering this comprehensive program. “I don’t think the word has been getting out despite the fact that there are a long time of evidence,” Nakfoor concluded. Sergio Dromi, the Medical Director of Women’s Imaging for ProScan/NCH, sits in his current office. He’s looking forward to moving into the newer, more modern facility later this month. ANDREA STETSON / FLORIDA WEEKLY Encourage isn’t the one place offering recent cutting-edge ways to assist fight breast cancer. Proscan/NCH is about to open a brand new 12,000 square foot facility in North Naples that focuses on breast cancer. Sergio Dromi, medical director of Women’s Imaging for ProScan/NCH says it’ll be a one-stop shop for treating breast cancer. The brand new place may have the primary contrast-enhanced mammography in Collier County. “It gives them the possibility to get more specific tests beyond only a mammogram,” Dromi explained. He said that shall be especially helpful for patients that may’t have an MRI as a result of having a pacemaker or being claustrophobic or obese. “We shall be the primary to bring that into town,” Dromi exclaimed. “It’s probably the most advanced out there.” Florida Cancer Specialists & Research Institute, which works with NCH, has a more recent treatment called immunotherapy. “It’s a unique variety of systemic therapy,” explained Zanetta Lamar, a medical oncologist for breast cancer at FCS. “It uses the immune system throughout the body to assist fight cancer. We mix immunotherapy with traditional therapy, and we’ve got had a really high success rate, and that has been very exciting to see.” Greer Burcky, a registered dietitian and performance coach, shows Arlene Figaro the most effective option to do squats with weight. ANDREA STETSON / FLORIDA WEEKLY She uses this therapy before patients have surgery. “The tumors there, you’ll be able to’t see them anymore, so it makes the surgery so a lot better,” she said. “The opposite thing that’s evolving is there may be tumor testing. It uses your DNA to examine to see if there are breast cancer cells throughout the blood.” Genesis Care can be boasting something recent for breast cancer patients: tattoo-less radiation. Patients typically get a tattoo the dimensions of a freckle to assist line up the machines in the right place. But at Genesis, a brand new Vision RT machine has software that tracks the belly motion to find out where the radiation is required. Sonal Sura, a radiation oncologist, says patients appreciate not having to be tattooed. “The tattoo is a continuing reminder of what they’ve been through,” she explained. “There’s a physiological portion to it. This recent software is our newest thing.” Patients are also selecting to try some recent technology at Magnolia Breast Center. “We did more training in breast surgery,” said Tam Mai, certainly one of the specialty doctors. “The more training you have got, the more you understand the treatment involved, and the higher final result for the patients.” Magnolia is using a brand new cutting-edge technology called oncoplastic. “That’s recent,” Mai said. “It minimizes the deformity of the breast.” Experts agree that every one the brand new technology and coverings are helping save breast cancer patients, but they stress that early detection is crucial for the most effective outcomes. Immediately a 36-year-old recent mother lies in a hospital bed at Naples Community Hospital cherishing her last days of life. Her breast cancer spread through her body, leaving her in the ultimate stages of the disease. “Immediately I actually have three patients on my unit where the first cancer is breast cancer, and it’s end of life,” said Suzanne Graziano, nursing director, 4 South Oncology and OPIS for NCH. “Regarding breast cancer, it’s just frightening and heartbreaking what we’re seeing.” Dromi says women should start having yearly mammograms at age 40. But even young women needs to be checking their breasts monthly for anything unusual. “If it’s caught early, the treatment works,” Graziano stressed. “Crucial awareness is you have got to do your self-breast examination, and that needs to be done every month. If it doesn’t feel normal, don’t second guess, get skilled advice. You could have an unbelievable survival rate with early detection.” Most treatment is completed as an outpatient. That features biopsies, mastectomies, reconstruction surgeries, and a wide range of chemo and radiation regimens. “We’re the providers, so we’ve got a program called the compassionate drug program, so for those patients which are uninsured, we offer the services,” Graziano explained. “Crucial thing is being hopeful and providing the care that’s vital with wherever the patient is of their recovery and treatment plan.” From 2021 to the current, Lamar said there have been 3,400 recent breast cancer patients in Collier County. “One among the the reason why it will possibly appear like numbers are increasing is we’re detecting breast cancer at earlier stages and mammograms are improving at detecting smaller tumors,” Lamar explained. “For those who can find the breast cancer at an early stage it will possibly be curable.” About 85 percent is estrogen-based, making it probably the most common type. The rarest is inflammatory breast cancer. “It’s rare, but it can be crucial for girls to learn about it,” Lamar stressed. “It’s an aggressive variety of breast cancer that impacts the vessel within the skin and makes the breast look inflamed. It could occur in a short time. Your breast can turn fire red. For those who are dark-skinned it will possibly turn darker. If you have got had a change in the colour of your breast, you need to have someone take a look at it. You must not ignore changes in your breasts.” Many patients head to Moffitt for treatment, but local experts say there are high-quality services right here in Collier County. There’s also the chance to make use of a mix of Moffitt and native treatment. “We offer the chemo regimens, after which they go to Moffitt once a month or once every two months,” Graziano explained. “We now have a whole lot of collaboration with Moffitt.” Karin O’Leary, 54, of North Naples selected to be treated locally for her breast cancer. “They said I could get the identical thing here as at Moffitt,” O’Leary said. “So I had every little thing done locally. I had all the arrogance on this planet within the places here.”

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