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May 2, 2003     Cape Gazette
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May 2, 2003

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74 - CAPE GAZETTE, Friday, May 2 - May 8, 2003 HEALTH .& FITNESS Susan G. Komen Breast Cancer FouJadation a00vards grant to Bayhealth The Philadelphia affiliate of the Susan G. Komen Breast Cancer Foundation recently awarded a $25,000 grant to Bayhealth Medical Center for projects to advance breast heath and breast cancer awareness. Bayhealth was selected based on a set of criteria established according to a commu- nity needs assessment of the Delaware Val- ley. Through an intensive review process, the selection committee determined which of the applying organizations best address the specified needs for the Delaware Valley community. "We are very pleased to be able to sup- port Bayhealth's work," said Elaine Grob- man, Susan G. Komen Breast Cancer Foundation, Philadelphia affiliate, execu- tive director. "With such a formidable and widespread disease as breast cancer, it is true dedication like theirs that gives us all hope of saving more lives today and one day finding a cure." According to Bayhealth'cancer educator Paula Hess, RN, Bayhealth will apply the grant to the Bayhealth/Komen Breast Health Outreach for Seniors Program, which works to provide breast health awareness for women older than 65. "Many women think that as they get old- er, they don't need to have mammogram, but the opposite couldn't be more true," she said. "As women get older, their chances of getting breast cancer increase, and they need regu!ar mammograms to detect any abnormal growths." Bayhealth will work with area senior centers and faith-based groups to reach at least 1,000 women through speaking pro- grams and the Mature African-Amedcans for Mammography Coalition. The six key focus areas of the Delaware valley needs assessment are projects focus- ing on breast cancer education, early detec- tion and clinical care for women 65 and older; projects offered in low-income com- munities; projects creat- ing greater awareness of available breast health resources; especially in low-income communi- ties; projects addressing the needs of younger women with breast can- cer/at high risk; projects providing free mam- KOMEN mography screening, di- agnostic testing and treatment for uninsured women and men; project targeting under-served communi- ties currently not funded by the Philadel- phia affdiate.The Susan G. Komen Breast Cancer Foundation was established in 1982 by Nancy Blinker to honor the memory of her sister, Susan (3. Komen, who died from breast cancer at age 36. For more informa- tion on the Bayhealth/Komen Breast Health Outreach Program for Seniors, call Paula Hess, toll-free, at 877-453-7107. Submitted photo Local residents to walk for breast cancer Robin Palumbo and Angela Palm- bo Hastings of Long & Foster Real- tors in Rohoboth Beach will take per- sonal steps to fund access to care and finding a cure for breast cancer by participating in the Susan G. Komen Race for the Cure, May U, in Philadelphia, Pa. Last Mother's Day, more than 34,000 people participated in the 5K race and raised $2.1 million for research, education, screening, and treatment. Every year, 75 per- cent of the money raised by the Komen Philadelphia Race for the Cure stays here in the tristate com- munity for education and treatment and the remaining 25 percent goes toward national research. Throughout the year, both women volunteer their time to the Philadel-. phia ate of the Komen Race for the Cure. This will be the seventh year Palumbo and Hastings will par- ticipate to honor their mother and their aunt, who are breast cancer survivors. To donate or sponsor Palumbo and Hastings, call 226-4481 or you can send a check made payable to the Komen Phila RFTC to Palumbo at 720 Rehoboth Ave., Re- hoboth Beach, DE 19971. For more information, visit www.phillyraee- Bayhealth names new Medical Oncology Services manager 13ayhealth Medical Center recently promoted Andrea Holecek to Medical Oncology Services manager. In this new position, Holecek has systemwide re- sponsibility for medical oncology and infusion servic- es for Bayhealth Medical Center at Kent General Hos- pital and for the Milford Memorial Hospital Cancer HOLECEK Care Center, where she also manages office operations. "Andrea's expertise in oncology nursing and academic preparation make her a superb fit for (his posi- tion," said Bayhealth Vice President of the southern region Deborah Watson. Holecekjoined Bayhealth in 1991 as an licensed practical nurse. As she ad- vanced her education, she became a registered nurse in the Medical-Surgi- cal Department and later in the IV/Cbemotherapy Department at Kent General Hospital. She most recently served as charge nurse of the Oncolo- gy and Infusion Center at Kent Gener- al. Holecek received her bachelor of science in nursing from Wilmington College and her master's degree in nursing from the University of Delaware. She is certified as an ad- vanced oncology certified nurse and certified registered nurse infusion. r New surgical technique for varicose minimizes scarring Varicose veins in the lower ex- tremities is a common probl.em. It is a dilatation of the superficial veins in the legs. It affects about 25 to 40 million Americans and is four to times more common than medal insufficiency. The signs and symptoms of pri- mary venous insufficiency and varicose veins are multiple. The symptoms could manifest as aching p mn, nocturnal cramps, an- kle edema, dermatitis with or without itching, superficial throm- bopldebitis, external hemorrhage, hyperpigmentation of the skin and ulceration. The anatomy of the veins of the legs consists of the greater saphe- nous system, located in the inner aspect of the leg, as well as the deep femoral vein and the perfora- tors located in between the two systems. Those veins contain a one-way valve that allows the blood to travel toward the heart, preventing blood from pooling and leaking back into the veins. In the case of insufficiency, the main problem with the veins is caused by a de- HEALTH TOPICS Dr. Alae Zarlf is a board- certified surgeon who per- forms general, vascular, tho- racic and various cancer-re- lated surgeries. For more in- formation, call Cape Surgi- ealAsm)eiates at 645-7050. I feet in the functioning of the valves. There are many factors that contribute to the dysfunction of the valves, such as too few valves or congenital agencies, primary valve stretching, overdilatation of the vein wall, thrombosis of the valve sinus, prolonged standing and pregnancy. .When those valves are dysfunc- tional, this allows the blood to pool inside the superficial system of the greater saphenous and the inner saphenous veins. With time, the vein walls become dilated and they become obvious underneath the skin. The diagnosis of vari- cose veins is made by clinical ex- amination and Doppler testing to document the deficiency in the valve function. There are various forms of treatment for varicose veins, but there are primarily two major treatments. The first is conserva- tive treatment that includes eleva- tion of the legs upon resting. Elastic stockings should be worn all of the time by the patient and should be measured professional- ly to be well fitted. Treatment of the underlying cause of varicose veins may also be important. The second branch of treatment is surgical, which is reserved for advanced and severely sympto- matic varicose veins that did not respond well to conservative treat- ment. Traditionally, surgery" has been performed in a fashion that in- cludes multiple open incisions, where under general anesthesia the surgeons make numerous small incisions over the dilated veins, ligating and stripping the veins one by one. This usually leaves multiple scars on the legs, which can sometimes be cosmeti- cally worse than the initial dis- ease. Recently, a new treatment for varicose veins has evolved, which is the transluminated powered phlebectomy. This is actually an endoscopic resection and ablation of superficial varicosities using a powered vein resector, an irrigat- ed illuminator and tumescent anesthesia. Depending on the extent of the area, usually only three to four very small scars are left on the leg by this new treatment, and the scars measure only about two mil- limeters. This procedure gets rid of multiple veins through those small incisions. The technique involves using an illuminator transducer placed through a very small incision un- derneath the area of the veins and the clusters of varicose veins, and another:transsector introducer is used to actually suction and ab- sorb the dilated veins through an- other two millimeter incision placed in the counterpart Of the clustered veins. All small vessels and dilated varicose veins are re- sected and suodoned through this instrument, leaving very small, sometimes unnoticeable, scarring on the leg. In conclusion, this procedure causes little pain, enabling the pa- tient to have an easy recovery. Excellent cosmetic results are achieved, and scarred, previously injected veins can be removed by this technique. All sizes and shapes of veins can be removed, and the equip- ment is very easy to use. There are far fewer incisions, and these can be hidden. It takes less opera- five and anesthesia time, and there is much better visualization of the veins during the procedure.