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Medical Associates of the Shoals

Family Medical Practice | Internal Medicine

OUR NEWS BLOG


While most people focus on barbecues and beach trips to celebrate the month of July, Medical Associates of the Shoals is encouraging people to, please, also take some time to focus on the message behind the yellow ribbon.


July is SARCOMA AWARENESS MONTH – and, although it affects more than 50,000 Americans, along with their families and friends who love them, sarcoma is still often considered to be the “forgotten cancer.”


Sarcomas are a rare group of cancers in which malignant cells form in the bones or soft tissues of the body. Sarcomas grow in connective tissue – cells that connect or support other kinds of tissue in your body.


Webster’s defines “Sarcoma” as a malignant tumor arising in tissue (such as connective tissue, bone, cartilage, or striated muscle) of the mesodermal origin. As the name then suggests, “soft tissue sarcomas” would affect the soft tissues such as fat, muscle, cartilage, tendons, ligaments, blood vessels, and deep skin tissues. “Osteosarcomas” develop in bone; “liposarcomas” form in fat; “rhabdomyosarcomas” form in muscle – but there are actually over 50 sub-types of sarcomas.


Bone and joint cancer is most frequently diagnosed among teenagers, while soft tissue cancers typically affect those 55 years or older. More than 13,000 cases of soft tissue sarcoma and 3,400 cases of bone sarcomas are expected to be diagnosed in the US during 2018, according to the National Cancer Institute’s Surveillance, Epidemiology, and End Results Program (SEER).


While approximately two thirds of sarcomas are located in the extremities (arms or legs), it is important to recognize that they can affect lives no matter what age and at any location on the body.


Because they are rare and take multiple forms in multiple locations, sarcomas are difficult to detect, often misdiagnosed, and complex to treat. (As with other forms of cancer, treatment can include surgery, radiation therapy, and/or chemotherapy.)


People with soft tissue sarcomas often have no symptoms, and there may be no signs until a lump grows to a large enough size to be felt. However, even this may often go unnoticed.


The main symptoms for sarcomas include:


LUMP – talk with your medical professional about any lumps larger than 2 inches, those which grow larger, or painful lumps, regardless of their location.


PAIN – in the general area, which may occur, depending on where the tumor is located and if it’s pressed upon by nearby nerves.


INFLAMMATION – which eventually affects the area with swelling as the tumor grows.


LOCATION SPECIFIC SYMPTOMS – impairments or inability to move limbs properly (if on the arms or legs for example), depending on the location. Specific symptoms can reflect the specific type of sarcoma. For example, tumors in the gastrointestinal system can bleed, producing symptoms like blood in the stool, or a stool that has a black, tarry appearance.


OTHER SYMPTOMS – may include weight loss, fatigue, and/or anemia (a condition in which you don’t have enough healthy red blood cells to carry adequate oxygen to the body’s tissues, potentially leaving you feeling tired and weak).


If you are concerned about any changes you experience, please talk with your physician. Keep in mind that sarcomas require a medical diagnosis. Most lumps are not sarcomas. Most common soft-tissue lumps are lipomas, which are made of fat cells and are not cancer. (Lipomas have often been there for many years and rarely change in size.)


Just remember that body changes are simply signals of a “potential problem” that may need medical care. Share your concerns with your physician. Talk with them about any symptoms you experience.


We invite you to help us spread information and awareness of SARCOMA. If more people knew what sarcoma was, perhaps they would get that lump checked out earlier. Earlier diagnosis increases the chances of successful treatment – and THAT is something worth celebrating EVERY month of the year!


Dr. Courtney Bowen
Dr. Courtney Bowen

My first week at Medical Associates of the Shoals has been rewarding in so many

ways. First, it has been my privilege and honor to begin caring for so many wonderful

people. I hope these relationships will grow and my new patients will come to think of

me as, not only their physician, but their friend as well. Plus, my patients are a wealth

of information. I have learned where to go to hear live music, lots of information about

the river, what events to look forward to, who loves Alabama, and who loves Auburn.


On a medical note, many patients are struggling with type 2 diabetes. While there isn’t

enough space here for lots of details, I do want to mention a couple of points. As you

probably know, type 2 diabetes is when your body makes some insulin but not enough.

Or, the insulin you have is not working correctly, allowing too much sugar to stay in

your blood. Some warning signs of Type 2 diabetes are thirsty all the time, blurry vision,

need to urinate often, weak or tired, dry skin, and often hungry. Some complications of

Type 2 diabetes include high blood pressure, high cholesterol, eye damage, kidney

damage, and neuropathy. Although there is no cure for diabetes, you can control it by

watching what you eat, exercising and taking your medications correctly. Equally

important is that Type 2 diabetes can often be prevented or greatly delayed by

maintaining a healthy weight, exercising regularly, eating a healthy diet, not smoking,

and limiting alcohol.


If you are experiencing the symptoms previously listed and aren’t currently under the

care of a physician, please call our office and schedule a time to come in. We will run a few simple tests to determine what’s going on and the level of care you may need. My

goal is to help you to achieve the best quality of life possible.


To schedule an appointment, just call our new patient line at 256-383-4447 ext. 124,

visit www.medshoals.com and click on New Patients, or email us at

talktous@medshoals.com. We’ll get you scheduled as quickly as possible.


Patients are Succeeding with AtLast Medical Weight Loss
Patients are Succeeding with AtLast Medical Weight Loss


The AtLast Medical Weight Loss program is helping men and women across Northwest

Alabama achieve their health and weight management goals. Since launching AtLast in

April of 2018, participants have lost a combined total of more than 1,200 pounds. The

simple to follow program utilizes energy-boosting injections; appetite control

medication; and counseling in calorie reduction, nutrition, and exercise.


While losing weight is good for self-esteem, it also reduces the many health risks

associated with extra pounds. By maintaining a healthy weight you avoid higher risks

of many chronic diseases such as heart disease, stroke, type 2 diabetes, high blood

pressure, osteoarthritis, and some forms of cancer.


According to the Centers for Disease Control, a healthy lifestyle involves many choices.

Among them, choosing a balanced diet or healthy eating plan. The Dietary Guidelines

for Americans, 2015-2020, recommends a healthy eating plan that includes the

following components:

  • Emphasis on fruits, vegetables, whole grains, and fat-free or low-fat milk and milk products

  • Lean meats, poultry, fish, beans, eggs, and nuts

  • Foods that are low in saturated fats, trans fats, cholesterol, salt (sodium), and added sugars

  • An assessment of daily calorie needs

Eat Healthfully and Enjoy It!

A healthy eating plan that helps you manage your weight includes a variety of foods

you many not have considered. If “healthy eating” makes you think about the foods

you can’t have, try refocusing on all the new foods you can eat:


Fresh, frozen, or canned fruits - One caution about canned fruits is that they may

contain added sugars or syrups. Be sure and choose canned varieties of fruit packed

in water or their own juice.


Fresh, frozen, or canned vegetables - You may find that you love grilled or steamed

vegetables with an herb you haven’t tried. When trying canned vegetables, look for

vegetables without added salt, butter, or cream sauce. Commit to going to the produce

department and trying a new vegetable each week.


With a little planning and creativity you can include almost any food in your healthy

eating plan. Remember, its not about what you can’t have, but rather the endless

number of healthy, delicious foods you can have.

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