adplus-dvertising
Connect with us

Health

Why this Ontario rapper says colon cancer screening should start at age 30, not 50 – CBC.ca

Published

 on


White Coat Black Art26:30The rapper battling Stage 4 colon cancer

A Hamilton, Ont., musician and actor who is fighting fourth-stage colon cancer is calling on his provincial government to lower the minimum age for colonoscopy screening from 50 to 30.

Bishop Brigante, a rapper with hits like his 2017 single Hard Times and an actor with turns on shows like Orphan Black, was diagnosed with colon cancer in October 2023.

But it was two years earlier when, in his early 40s, he first started seeking care for stomach pain, diarrhea and blood in his stool.

“My doctors would say, ‘That’s hemorrhoids.’ They told me that I had irritable bowel syndrome, which at that time I was told, ‘You just gotta kind of work on your diet, fix the food you eat’ and stuff like that,” he told Dr. Brian Goldman, host of CBC Radio’s White Coat, Black Art.

By the time Brigante pushed for and eventually received a colonoscopy, followed by MRI and CT scans, he had an eight-centimetre tumour that had penetrated the wall of his rectum and spread to other places like his liver and lungs.

Hearing that news “was a pretty heavy load to bear.”

Brigante is part of a puzzling rise of colon cancer in a younger group of adults than is typical. The Canadian Cancer Society says it’s now the second leading cause of cancer deaths in men, and the third leading cause in women.

The trend prompted the United States in 2021 to lower the age for routine colonoscopies in average-risk individuals from 50 to 45, and has led to calls like Brigante’s and others to change how health systems approach both screening for and awareness of the disease.

“I’ve been treating colorectal cancer for over 20 years, and no doubt we are seeing patients being diagnosed at an earlier age,” said Dr. Sharlene Gill, a professor of medicine at the University of British Columbia and B.C. Cancer oncologist whose work focuses mostly on gastrointestinal cancers.

Dr. Sharlene Gill is a professor of medicine at the University of British Columbia and a gastrointestinal medical oncologist with B.C. Cancer. (Submitted by Sharlene Gill)

She said it’s now estimated that about 10 to 15 per cent of new diagnoses of colorectal cancer are in people under age 50.

Looking back earlier in her career, Gill would estimate that only about one in 40 of her colon cancer patients were under 50, which is considered early onset of the disease.

She said cancer stats show that the risk of early onset colorectal cancer is now almost two and a half times higher for people born after 1980 versus previous generations.

“I do feel that we need to, in Canada, look very seriously at lowering our age of screening to age 45.”

Brigante is now nearing the end of a series of 12 chemotherapy sessions and says his main tumour appears to be shrinking. The goal is to get to a place where he can have colorectal and peritoneal surgeries.  

But he said the experience has driven him to try and enact change to prevent other people from having colorectal cancer diagnosed at such a late stage.

Colorectal cancer screening

Most provinces and territories offer a fecal immunochemical test, or FIT test, which detects the presence of blood in a stool sample collected at home. 

During the more invasive colonoscopy, a health-care provider examines the inside of the colon — also known as the large intestine — using a long flexible tube with a light and tiny camera on one end. They may remove abnormal growths called polyps for further testing. Left alone, some polyps can grow into larger tumours, and some of those can become cancerous.

That’s why Brigante says it bothers him that the current screening guidelines are based on what he described as “very outdated” statistics. 

A man in a blue t-shirt sits with a man in a black long-sleeved shirt on a sectional sofa next to a coffee table with an Apple laptop.
Bishop Brigante, a rapper and actor, right, poses with Dr. Brian Goldman, host of CBC Radio’s White Coat, Black Art, at Brigante’s home in Hamilton, Ont. (Sameer Chhabra/CBC)

Both the FIT test and colonoscopy screening are made available to average-risk individuals starting at age 50.

His petition on change.org had nearly 30,000 signatures as this story reached publication time, and was presented in the Ontario legislature by NDP health critic France Gélinas on Feb. 20.

Ontario’s colorectal cancer screening program “continues to recommend screening for colorectal cancer starting at age 50,” the Ontario Ministry of Health said in a statement.

The ministry said it aligns with similar screening programs across Canada, and is the recommendation by the Canadian Task Force on Preventive Health Care and International Agency for Research on Cancer.

It also said individuals with a parent or sibling who’ve had the illness may start screening earlier — 10 years younger than the age their relative was when they were diagnosed — and that people of any age with symptoms can seek testing through their primary care provider.

The Canadian Task Force on Preventive Health Care told CBC in a statement it will be updating its 2016 screening guidelines with a detailed review of recent studies.

“This will include studies on the rising incidence of colorectal cancer in younger age groups and the effectiveness of screening for colorectal cancer.”

No publication date has been set at this time.

Checks and balances

But expanding the age range for standard colonoscopy screening isn’t quite as straightforward as it may sound.

Barry Stein, president and CEO of Colorectal Cancer Canada — himself a survivor of Stage 4 colorectal cancer diagnosed at age 41 back in 1995 — said while there seems to be movement internationally toward re-examining age-based screening criteria, Canada is still gathering information.

“Because when we bring in a screening program, the idea is to do no harm,” said Stein. While the FIT test is non-invasive, it’s a different story with a colonoscopy.

A man wearing a sweater over a collared shirt sits in an office with bright-coloured abstract art hanging over the desk behind him.
Barry Stein, president of Colorectal Cancer Canada, says additional screening for colon cancer needs to be considered carefully to ensure it doesn’t cause unnecessary harm. (CBC)

There’s a small risk that the colon can be punctured, or perforated, during the procedure, he said. One study pegged the incidence of this at around three in every 10,000 tests, or 0.03 per cent.

While very rare, perforations are extremely serious, leading to fatality between 21 and 53 per cent of the time, depending on the nature of the tear and the age of the patient, and whether they had other risk factors. 

Colorectal Cancer Canada estimated that 24,100 people were diagnosed in 2023, with about 2,500 of those under the age of 50, Stein said.

It pegged fatalities from the disease at around 9,300 in that same time frame, which represents 11 per cent of all Canadian cancer deaths.

Stein said the incidences of these cancers in younger people seem to be happening more often in the lowest part of the colon, the rectum, for unexplained reasons. 

“We are looking into different things with some of the researchers that we’re engaged with, for example, in the microbiome. So far, we do believe it’s due to healthy lifestyles — diet and exercise, in other words.”

Gill from UBC said while research is still ongoing, the so-called Western diet — low in fibre and plants and high in processed foods — indeed negatively impacts the microbiome, which “is understood to have a role in controlling inflammation as well as immune surveillance, i.e. how our immune system works, which can affect cancer development.”

WATCH | No one knows why colorectal cancers are rising in younger people:

Colorectal cancer cases are rising in young people, but no one knows why

1 year ago

Duration 2:58

Getting the public on board

Another aspect to the colon cancer prevention effort in Canada is addressing the general population’s reluctance to undergo routine screening — or lack of awareness that it’s even an option.

“More than, probably, 40 per cent of people who are eligible for screening aren’t getting screened,” said Gill. “Even in their early 50s and 60s, people aren’t doing it, and we are in a public health system where it’s at no cost to you to do the test.”

Gill said there is also an effort underway to let family physicians and other primary care providers that the picture with colon cancer is changing.

“If someone young presents with symptoms, you know, typically we would say, ‘You’re too young for cancer to be on the top of my list of things I’m worried about.’ But that narrative probably needs to change now.”

Adblock test (Why?)

728x90x4

Source link

Continue Reading

Health

What’s the greatest holiday gift: lips, hair, skin? Give the gift of great skin this holiday season

Published

 on

Give the gift of great skin this holiday season

Skinstitut Holiday Gift Kits take the stress out of gifting

Toronto, October 31, 2024 – Beauty gifts are at the top of holiday wish lists this year, and Laser Clinics Canada, a leader in advanced beauty treatments and skincare, is taking the pressure out of seasonal shopping. Today, Laser Clincs Canada announces the arrival of its 2024 Holiday Gift Kits, courtesy of Skinstitut, the exclusive skincare line of Laser Clinics Group.

In time for the busy shopping season, the limited-edition Holiday Gifts Kits are available in Laser Clinics locations in the GTA and Ottawa. Clinics are conveniently located in popular shopping centers, including Hillcrest Mall, Square One, CF Sherway Gardens, Scarborough Town Centre, Rideau Centre, Union Station and CF Markville. These limited-edition Kits are available on a first come, first served basis.

“These kits combine our best-selling products, bundled to address the most relevant skin concerns we’re seeing among our clients,” says Christina Ho, Senior Brand & LAM Manager at Laser Clinics Canada. “With several price points available, the kits offer excellent value and suit a variety of gift-giving needs, from those new to cosmeceuticals to those looking to level up their skincare routine. What’s more, these kits are priced with a savings of up to 33 per cent so gift givers can save during the holiday season.

There are two kits to select from, each designed to address key skin concerns and each with a unique theme — Brightening Basics and Hydration Heroes.

Brightening Basics is a mix of everyday essentials for glowing skin for all skin types. The bundle comes in a sleek pink, reusable case and includes three full-sized products: 200ml gentle cleanser, 50ml Moisture Defence (normal skin) and 30ml1% Hyaluronic Complex Serum. The Brightening Basics kit is available at $129, a saving of 33 per cent.

Hydration Heroes is a mix of hydration essentials and active heroes that cater to a wide variety of clients. A perfect stocking stuffer, this bundle includes four deluxe products: Moisture 15 15 ml Defence for normal skin, 10 ml 1% Hyaluronic Complex Serum, 10 ml Retinol Serum and 50 ml Expert Squalane Cleansing Oil. The kit retails at $59.

In addition to the 2024 Holiday Gifts Kits, gift givers can easily add a Laser Clinic Canada gift card to the mix. Offering flexibility, recipients can choose from a wide range of treatments offered by Laser Clinics Canada, or they can expand their collection of exclusive Skinstitut products.

 

Brightening Basics 2024 Holiday Gift Kit by Skinstitut, available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

Hydration Heroes 2024 Holiday Gift Kit by Skinstitut – available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

Continue Reading

Health

Here is how to prepare your online accounts for when you die

Published

 on

 

LONDON (AP) — Most people have accumulated a pile of data — selfies, emails, videos and more — on their social media and digital accounts over their lifetimes. What happens to it when we die?

It’s wise to draft a will spelling out who inherits your physical assets after you’re gone, but don’t forget to take care of your digital estate too. Friends and family might treasure files and posts you’ve left behind, but they could get lost in digital purgatory after you pass away unless you take some simple steps.

Here’s how you can prepare your digital life for your survivors:

Apple

The iPhone maker lets you nominate a “ legacy contact ” who can access your Apple account’s data after you die. The company says it’s a secure way to give trusted people access to photos, files and messages. To set it up you’ll need an Apple device with a fairly recent operating system — iPhones and iPads need iOS or iPadOS 15.2 and MacBooks needs macOS Monterey 12.1.

For iPhones, go to settings, tap Sign-in & Security and then Legacy Contact. You can name one or more people, and they don’t need an Apple ID or device.

You’ll have to share an access key with your contact. It can be a digital version sent electronically, or you can print a copy or save it as a screenshot or PDF.

Take note that there are some types of files you won’t be able to pass on — including digital rights-protected music, movies and passwords stored in Apple’s password manager. Legacy contacts can only access a deceased user’s account for three years before Apple deletes the account.

Google

Google takes a different approach with its Inactive Account Manager, which allows you to share your data with someone if it notices that you’ve stopped using your account.

When setting it up, you need to decide how long Google should wait — from three to 18 months — before considering your account inactive. Once that time is up, Google can notify up to 10 people.

You can write a message informing them you’ve stopped using the account, and, optionally, include a link to download your data. You can choose what types of data they can access — including emails, photos, calendar entries and YouTube videos.

There’s also an option to automatically delete your account after three months of inactivity, so your contacts will have to download any data before that deadline.

Facebook and Instagram

Some social media platforms can preserve accounts for people who have died so that friends and family can honor their memories.

When users of Facebook or Instagram die, parent company Meta says it can memorialize the account if it gets a “valid request” from a friend or family member. Requests can be submitted through an online form.

The social media company strongly recommends Facebook users add a legacy contact to look after their memorial accounts. Legacy contacts can do things like respond to new friend requests and update pinned posts, but they can’t read private messages or remove or alter previous posts. You can only choose one person, who also has to have a Facebook account.

You can also ask Facebook or Instagram to delete a deceased user’s account if you’re a close family member or an executor. You’ll need to send in documents like a death certificate.

TikTok

The video-sharing platform says that if a user has died, people can submit a request to memorialize the account through the settings menu. Go to the Report a Problem section, then Account and profile, then Manage account, where you can report a deceased user.

Once an account has been memorialized, it will be labeled “Remembering.” No one will be able to log into the account, which prevents anyone from editing the profile or using the account to post new content or send messages.

X

It’s not possible to nominate a legacy contact on Elon Musk’s social media site. But family members or an authorized person can submit a request to deactivate a deceased user’s account.

Passwords

Besides the major online services, you’ll probably have dozens if not hundreds of other digital accounts that your survivors might need to access. You could just write all your login credentials down in a notebook and put it somewhere safe. But making a physical copy presents its own vulnerabilities. What if you lose track of it? What if someone finds it?

Instead, consider a password manager that has an emergency access feature. Password managers are digital vaults that you can use to store all your credentials. Some, like Keeper,Bitwarden and NordPass, allow users to nominate one or more trusted contacts who can access their keys in case of an emergency such as a death.

But there are a few catches: Those contacts also need to use the same password manager and you might have to pay for the service.

___

Is there a tech challenge you need help figuring out? Write to us at onetechtip@ap.org with your questions.

Source link

Continue Reading

Health

Pediatric group says doctors should regularly screen kids for reading difficulties

Published

 on

 

The Canadian Paediatric Society says doctors should regularly screen children for reading difficulties and dyslexia, calling low literacy a “serious public health concern” that can increase the risk of other problems including anxiety, low self-esteem and behavioural issues, with lifelong consequences.

New guidance issued Wednesday says family doctors, nurses, pediatricians and other medical professionals who care for school-aged kids are in a unique position to help struggling readers access educational and specialty supports, noting that identifying problems early couldhelp kids sooner — when it’s more effective — as well as reveal other possible learning or developmental issues.

The 10 recommendations include regular screening for kids aged four to seven, especially if they belong to groups at higher risk of low literacy, including newcomers to Canada, racialized Canadians and Indigenous Peoples. The society says this can be done in a two-to-three-minute office-based assessment.

Other tips encourage doctors to look for conditions often seen among poor readers such as attention-deficit hyperactivity disorder; to advocate for early literacy training for pediatric and family medicine residents; to liaise with schools on behalf of families seeking help; and to push provincial and territorial education ministries to integrate evidence-based phonics instruction into curriculums, starting in kindergarten.

Dr. Scott McLeod, one of the authors and chair of the society’s mental health and developmental disabilities committee, said a key goal is to catch kids who may be falling through the cracks and to better connect families to resources, including quicker targeted help from schools.

“Collaboration in this area is so key because we need to move away from the silos of: everything educational must exist within the educational portfolio,” McLeod said in an interview from Calgary, where he is a developmental pediatrician at Alberta Children’s Hospital.

“Reading, yes, it’s education, but it’s also health because we know that literacy impacts health. So I think that a statement like this opens the window to say: Yes, parents can come to their health-care provider to get advice, get recommendations, hopefully start a collaboration with school teachers.”

McLeod noted that pediatricians already look for signs of low literacy in young children by way of a commonly used tool known as the Rourke Baby Record, which offers a checklist of key topics, such as nutrition and developmental benchmarks, to cover in a well-child appointment.

But he said questions about reading could be “a standing item” in checkups and he hoped the society’s statement to medical professionals who care for children “enhances their confidence in being a strong advocate for the child” while spurring partnerships with others involved in a child’s life such as teachers and psychologists.

The guidance said pediatricians also play a key role in detecting and monitoring conditions that often coexist with difficulty reading such as attention-deficit hyperactivity disorder, but McLeod noted that getting such specific diagnoses typically involves a referral to a specialist, during which time a child continues to struggle.

He also acknowledged that some schools can be slow to act without a specific diagnosis from a specialist, and even then a child may end up on a wait list for school interventions.

“Evidence-based reading instruction shouldn’t have to wait for some of that access to specialized assessments to occur,” he said.

“My hope is that (by) having an existing statement or document written by the Canadian Paediatric Society … we’re able to skip a few steps or have some of the early interventions present,” he said.

McLeod added that obtaining specific assessments from medical specialists is “definitely beneficial and advantageous” to know where a child is at, “but having that sort of clear, thorough assessment shouldn’t be a barrier to intervention starting.”

McLeod said the society was partly spurred to act by 2022’s “Right to Read Inquiry Report” from the Ontario Human Rights Commission, which made 157 recommendations to address inequities related to reading instruction in that province.

He called the new guidelines “a big reminder” to pediatric providers, family doctors, school teachers and psychologists of the importance of literacy.

“Early identification of reading difficulty can truly change the trajectory of a child’s life.”

This report by The Canadian Press was first published Oct. 23, 2024.

Source link

Continue Reading

Trending