EXERCISE After Cancer

EXERCISE After Cancer 09-Aug-2011 .

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August 9, 2011, 8:00 am

The Benefits of Exercise After Cancer

Light workouts may help after cancer. 
Joe Fornabaio for The New York TimesLight workouts may help after cancer.
 

Many people who have had cancer may be inclined to rest and take it easy after treatment, but a new report by a leading British cancer charity is strongly urging some patients to increase, not reduce, their levels of physical activity.

The report, called Move More, reviewed the findings of 60 studies on the effects of exercise on cancer and reached some conclusions that may seem contrary to the conventional wisdom that prevailed only a decade or two ago, when recovering cancer patients were often given mixed advice on physical activity or outright warned against it. Saying some patients should view light exercise almost as a form of treatment itself, the report noted that two and a half hours of exercise a week could lower a breast cancer patient’s risk of dying or cancer recurrence by 40 percent, and could reduce a prostate cancer patient’s risk of dying from the disease by about 30 percent.
The group that published the report, Macmillan Cancer Support, one of the largest British charities, provides health care and financial support to cancer survivors and works in partnership with the  National Cancer Research Institute in Britain.

As part of its report, the group questioned more than 400 doctors and nurses in Britain and found that more than half knew “little or nothing about the benefits of activity in preventing or managing long-term effects” of cancer, and that one in 10 believed it was important to encourage cancer patients to “rest up” rather than attempt any physical activity at all. Cancer experts in the United States have also sought in recent years to spread the word among oncologists that light exercise, in many cases, should be encouraged.

Just last year, the American College of Sports Medicine convened a panel of cancer and exercise researchers, which developed a set of guidelines on physical activity for people who are undergoing or have recently completed treatment. The panel recommended adaptations for exercise in people based on their specific cancers and the side effects of their treatment, like strength-building routines for patients who have lost muscle mass and shoulder-stabilizing exercises in breast cancer survivors who have had operations that debilitate the joints in their shoulders.

But the panel also noted that some patients will at times be just too sick to exercise — particularly at the height of their treatment — and said that in those cases there was nothing wrong with waiting a few days before attempting activity. The American Cancer Society also promotes moderate exercise but encourages patients to discuss their exercise plans with their oncologists first, and lists on its Web site a set of precautions. Among them: avoiding exercise if you have anemia, and steering clear of heavy weights or strenuous exercise if you have developed osteoporosis, nerve damage or cancer that has spread to the bone.

For those who can handle it, though, a light or moderate exercise regimen could help reduce some side effects of treatment, the new report stated. Studies have shown, for example, that arm extensions and other range-of-motion exercises can help relieve lymphedema, a painful swelling of the arm stemming from breast cancer surgery. It can also help patients who gained weight during treatment slim down and regain some physical function, and combat some of the exhaustion stemming from chemotherapy.

“The evidence review shows that physical exercise does not increase fatigue during treatment, and can in fact boost energy after treatment,” the report stated.

For patients looking for help with starting a new regimen, the American College of Sports Medicine and the American Cancer Society introduced a program that educates and certifies trainers to work specifically with cancer patients, so they understand their goals and limitations. The college’s Web site explains how patients can find a certified cancer exercise trainer in their area.

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To Spread The Facts World Wide To Give Others HOPE
I Have Been Fighting Cancer since 1997 & I’M STILL HERE!
I Have Cancer, Cancer Does NOT Have Me
I just want to say sorry for copping out at times and leaving Lee and friends to cope!
Any help and support YOU can give her will be hugely welcome.
I do make a lousy patient!

. If YOU want to follow my fight against Cancer from when it started and I first presented with symptoms see The TAB just below the Header of this Blog. called >DIARY of Cancer< just click and it will give you a long list of the main events in chronological order. . Thoughts and comments will be in chronological order in the main blog and can be tracked in the >ARCHIVE< in the Right Sidebar. You may find the TABS >MEDICAL LINKS< and also >CANCER LINKS< of help. . YOU are welcome to call me if you believe I can help in ANY way. .

Posted by: Greg Lance-Watkins
tel: 01291 – 62 65 62
on: http://GregLanceWatkins.Blogspot.com TWITTER: Greg_LW Health/Cancer Blog: http://GregLW.blogspot.com  
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Palliative Care – 100,000 terminally ill Miss Out! 01-Jun-2011

Palliative Care – 100,000 terminally ill Miss Out! 01-Jun-2011
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100,000 terminally ill ‘do not get proper palliative care’

Almost 100,000 terminally ill people do not get proper care, according to a Government review which concluded that a new funding system would save millions of pounds and better serve individuals.

100,000 of terminally ill 'do not get proper palliative care'

Far more people die in hospital than wish to, and experts estimate that more than 90,000 people are not having their palliative care needs met.  Photo: ALAMY

A national payment structure would cut variation around the country in what the state pays for and what it does not, and support far more people to be cared for in their own homes, it said.
Experts behind the report say the move could reduce deaths in hospital by up to 60,000 a year by 2021, translating into savings of £180 million annually.
At the moment, the amount primary care trusts (PCTs) in England spend on end-of-life care varies widely, from £186 per patient in one area to £6,213 in another.
Access to services, including round-the-clock nursing care, also depends on where people live.
Far more people die in hospital than wish to, and experts estimate that more than 90,000 people are not having their palliative care needs met.

The Palliative Care Funding Review, ordered by Andrew Lansley, the Health Secretary, last summer, proposes a “fair and transparent” funding system where the money is linked to the individual patient.
Under the scheme, people would receive an initial assessment of their needs, which would then be combined with other factors such as their age and capabilities. 
This “needs classification system” would have 25 separate classes (13 for adults and 12 for children), each with its own pot of funding. 
The funding would take account of things such as personal care needs, including help with washing and eating, the provision of 24/7 nursing care to support people at home and a co-ordinator to help patients work out their state entitlements as well as access to local charitable services. 
At present, some end-of-life care providers are paid regardless of how much work they do, offering poor value for money across the service, the review said. 
Meanwhile, 97% of hospices do not receive all the funding they need for the NHS services they provide, and some patients are victims of “rationing” towards the end of the NHS financial year.
These latest proposals would guarantee funding regardless of where patients live and whether they are in a care home, hospital or in their own home. 
Thomas Hughes-Hallett, chair of the review and chief executive of Marie Curie Cancer Care, said: “No other country in the world has introduced such a system for both adults and children, so the step is both a bold and necessary one.”
Professor Sir Alan Craft, adviser to the review, said: “The Government must act on the recommendations contained in the review because evidence shows us that incentivising the provision of palliative care leads to better outcomes for patients, supports choice and is the most cost effective way of using NHS resources. 
“We need to remove the barriers within the current system to enable this to happen.”
Between 56% and 65% of adults would like to die at home but only 20% do so, with 55% dying in hospital. 
The ageing population and the increased complexity of needs towards the end of life mean 90,000 more people than at present could be dying in institutions by 2030, the review said.
Ciaran Devane, chief executive of Macmillan Cancer Support, said people wanted a choice over where to die. 
“Twenty-four hour community nursing services are crucial to the delivery of choice and to the realisation of these ambitious recommendations. 
“It will be up to the Government to ensure that these services are standard across the country.
“We need to see a massive improvement on the 56% of PCTs who currently provide 24-hour community nursing.” 
Simon Chapman, director of policy and parliamentary affairs at the National Council for Palliative Care, said: “It is vital that the Government acts on the review’s recommendations and creates a fair funding mechanism that will ensure people get high quality end of life care where and when they need it. 
“We only get one chance to get it right for dying people, which is why it must be a priority to ensure everyone who needs it can access palliative care round the clock.” 
Susan Munroe, Marie Curie Cancer Care’s director of nursing and patient services, said: “Far too many people at the end of their lives are still not getting the care and support they need nor do they know what they are entitled to.
“We welcome the recommendations of the review as the next big step. 

“We now want to see these recommendations implemented by the Government as a matter of urgency.”

To view the original article CLICK HERE
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 Please Be Sure To
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To Spread The Facts World Wide 
To Give Others HOPE
I Have Been Fighting Cancer since 1997 & I’M STILL HERE!
I Have Cancer, Cancer Does NOT Have Me
I just want to say sorry for copping out at times and leaving Lee and friends to cope!
Any help and support YOU can give her will be hugely welcome.
I do make a lousy patient!

.
If YOU want to follow my fight against Cancer from when it started and I first presented with symptoms see The TAB just below the Header of this Blog. called >DIARY of Cancer< just click and it will give you a long list of the main events in chronological order.
.
Thoughts and comments will be in chronological order in the main blog and can be tracked in the >ARCHIVE< in the Right Sidebar.

You may find the TABS >MEDICAL LINKS< and also >CANCER LINKS< of help. . YOU are welcome to call me if you believe I can help in ANY way.
.

Posted by: Greg Lance-Watkins
tel: 01291 – 62 65 62
on: http://GregLanceWatkins.Blogspot.com  
TWITTER: Greg_LW  
Health/Cancer Blog: http://GregLW.blogspot.com  
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28-Apr-2011 – St. DAVID’s NURSING aka MacMILLAN

28-Apr-2011 – St. DAVID’s NURSING aka MacMILLAN

Hi,

well having stumbled off to bed this morning at 10 to 7 around 10:50hrs. I woke up with a sore mouth and really horrid tummy ache – I can’t work out whether the stomach ache is some sort of side effect or maybe just a product of swallowing too much air with my ffod as I gulpped it being unable to chew or swallow properly – either way it wasn’t until the following evening that it finally stopped being a pain!

I malingered and felt sorry for myself in bed until about 12:30hrs. when I heard Lee doing something in the kitchen – I am so restless she has given up trying to sleep in our bed and usually when I wake up she has slid off to sleep in peace and comfort without being kicked and elbowed and is in the spare bedroom – who can blame her.

Yeah, Yeah, Yeah those thoughts ill become you!

I got up chucked my 2nd. dose of mouth wash for the morning in and swished it about for the required 3 minutes! The instructions on that bottle say take 15ml. and swish around the mouth for 3 minutes – one wonders if the chap who wrote the instructions had ever tried it with mouth ulcers – 10ml. is no problem but with mouth ulcers the second you put 0.2% solution of CHLORHEXIDINE GLUCONATE in your mouth the saliva glands go into overdrive!

OK so after about 1 minute it seems like you have at least a cup full in your mouth and after 2 minutes you have no choice but to spit some out!

Then off to the office – about an hour later the phone goes and it is Nairn from St. David’s Nursing they largely fill the role in Monmouthshire and Wales of MacMillan Nursing in England – she is just down the road and can she pop in.

PANIC – I’m still in a dressing gown so Lee meets her and I throw some clothes on!

I remember Nairn clearly when I see her, as I had meetings with her when Lee’s Mother had Brain Cancer and during those 3 cruel months.

We sat outside on the bench for a while chatting, although I’m not meant to go in the sun, yet another side effect of chemo!

Nairn went through the various ways she could assist Lee and I during this battle and it is surprising what doors she can instantly open.

The main thing from my point of view is the knowledge that Lee now has a competent support situation if I do suddenly get ill in the battle, and they will help her through it until I recover.

I’ve managed to beat this bastard disease4 for 13 years and just ‘cos the Book Makers only offer 5-15% survival if people only backed certainties the entire racing business would collapse!

We don’t expect it to be easy but over the last 13 years with Lee’s Mother, both my parents and my Aunt all having far from simple deaths we really don’t expect easy! Also we know so many people who have been in contact with me as a result of the help line I have offered both sufferers, fighters and carers not least of whom was our good friends Rosemarie and Peter and the cruel and savage death of Peter from Prostate cancer at 60 just as they were both about to retire.

My parents house keeper and help Pat is battling at the moment and she has served the family for about 30 years – her husband was doing some part time building for Lee and I and put a new flat roof on my parent’s house for us and suddenly in the middle of another job, just before Christmas he developed a cancer on his neck which he was firstly treated with chemo for but it wasn’t too wonderful and so he finished a course of radio therapy just a fortnight ago and we are all keeping our fingers crossed.

Then of course there is Robin who had a radical prostectomy and has regular treatment now to try to control his metateses! We chat on the phone regularly and take the mickey out of our respective situations.

Then there is Roger who we have known for 30 years and he has so far lost a kidney, an adrenal gland, some intestine and half his liver to RCC (Renal Cell Carcinoma) he is struggling his way through his 2nd. or 3rd. course of Sutent under the same specialist as I am at Velindre.

Then there is Stuart Archer and having beaten bowel cancer once it has come raging back and his chemo is beating him about harshly and although he knows his prognosis is not good he is fighting it all the way with hopes for further treatments if this round of chemo lets him down.

Just to add to it there is Alan – my Father’s younger brother who was fast losing his voice and they have now found a lump on his lung which was crushing the nerve to the vocal chord – at 83 he is fairly pragmatic about it but all too well aware that Brenda could not cope if he was incapacitated and their only son is now an American citizen as he and his wife Paula (whose Father has cancer) live in West Virginia.

I guess Cancer burst into my life with my cousin John who died after an 11 year battle when he was only in his early 50s 15-Jul-1994 and I guess the next was Mike Slinn and so on and on and on!

Would it be fair to say there does seem to be a lot of it about!

I just want to say sorry for copping out at times and leaving Lee and friends to cope!
Any help and support YOU can give her will be hugely welcome.
I do make a lousy patient!

.
If YOU want to follow my fight against Cancer from when it started and I first presented with symptoms see The TAB just below the Header of this Blog. called >DIARY of Cancer< just click and it will give you a long list of the main events in chronological order.
.
Thoughts and comments will be in chronological order in the main blog and can be tracked in the >ARCHIVE< in the Right Sidebar. You may find the TABS >MEDICAL LINKS< and also >CANCER LINKS< of help.
.
YOU are welcome to call me if you believe I can help in ANY way. .

Posted by: Greg Lance-Watkins
tel: 01291 – 62 65 62
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28-Aug-2011 – I do find the behaviour of the British Government shamefull

2008 August 28 03:30:37 BST
Posted By: Greg_L-W.
  Discussion
Greg_L-W.’s Blog

Hi,

I do find the behaviour of the British Government shamefull.

It is clearly revolting that on the very day the Government’s shelter organisation the QUANGO N.I.C.E. is befouling the image of what was the envy of the world, the British NHS, by hiding in their luxury Head Quarters behind their £30,000,000 annual budget.

Hiding from some 60 Kidney Cancer patients and their carers peacefully demonstrating against the new Government policy, as announced by N.I.C.E., to selectively EUthenase an entire category of patients those Challenged by Kidney Cancer who are now to be deliberately denied the drugs they clinically require both to continue to live and to have a quality in the life that is left to the,

Whilst these brave people, some of whom were dying as a result of this deliberate action, were demonstrating I, as a Kidney Cancer patient was unable to attend due to the damage I have received physically as a result of my Kidney Cancer, but whilst my friends were there to protest at their impending death, against the very people who can save them N.I.C.E. – I was aware the disingenuous claim of N.I.C.E. was that they could not afford the drugs and rather than admit it was directly due to the incompetence of the Government in the management of the Health Service – the devolved irresponsibility of regionalisation that has led to the “post code lottery”.

N.I.C.E. has even tried to shelter their incompetence to manage or negotiate, behind the specious claim that the people who researched and funded the developement of these drugs charge too much – yet it is clear that America who fund the drug for prisoners on death row and the Argentine that prescribes it more than Britain, Malasia and the EU and a total of some 70 Countries around the world would seem to disagree!

Consider – on the very day whilst my friends were demonstarting and their servants the Government funded N.I.C.E. lacked even the manners to meet with these very ill people and N.I.C.E. security was turned on these sick people to intimidate them by photographing them in the street despite the presence of Police Officers invited BY the demonstrators!

Whilst they were peacefully demonstrating and N.I.C.E. hid in shame – I read on my computer that MY Government had pledged to squander from the NHS budget £170,000,000 to train therapists to councel those with ‘Cognative Behaviour Disorder’ – to buy votes by providing this fashion and lifestyle service rather than fund the drugs that are available world wide for Kidney Cancer that may, if nothing else, provide experience for the Oncologists and researchers towards an actual cure whilst giving hope to us The Kidney Cancer Patients that N.I.C.E. have selected to deliberately permit to die for economic expediency – whilst still funding breast enhancement, In Vitro Fertilisation, tattoo removal and many other treatments that can ONLY be seen as frivolous when compared with the deliberate death of Kidney Cancer patients!

Do warn us at what stage we are to be moved into The Harold Shipman Ward in our Regionalised NHS Hospital.

First they came for Kidney Cancer patients and took away their lives

but as you were no a Kidney Cancer Patient I guess you did nothing!

Then they came for those with Crohns Disease (?) and withdrew their treatment

but as you didn't have Crohns Disease I guess you did nothing!

When they come for YOU in your hour of need and weakness –


there was no one left to help you they had been swept away, I guess 'cos you did nothing!

Where will YOU draw the line – Must it be YOUR child, YOUR Mother, YOUR wife?
Or would it have to be YOU?

That is YOUR Shame to share with N.I.C.E. and the Government that hides behind them!

Regards and Warm Hands for YOUR Hour of Need,
Greg L-W.
Available to help YOU 01291 – 62 65 62

I just want to say sorry for copping out at times and leaving Lee and friends to cope!
Any help and support YOU can give her will be hugely welcome.
I do make a lousy patient!

.
If YOU want to follow my fight against Cancer from when it started and I first presented with symptoms see The TAB just below the Header of this Blog. called >DIARY of Cancer< just click and it will give you a long list of the main events in chronological order.
.
Thoughts and comments will be in chronological order in the main blog and can be tracked in the >ARCHIVE< in the Right Sidebar. You may find the TABS >MEDICAL LINKS< and also >CANCER LINKS< of help.
.
YOU are welcome to call me if you believe I can help in ANY way.
.

Posted by: Greg Lance-Watkins
tel: 01291 – 62 65 62