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Colon cancer: the importance of early detection

Tips for preventing disease and coping when diagnosed

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My dear friend, Dr. Jose Mendoza, is an incredible inspiration with an invincible spirit and contagious zest for life. He was recently diagnosed with colon cancer and he eloquently manages to maintain a courageous fight with an unflinching positive attitude. Jose is tackling his diagnosis with knowledge and action.

He wrote this piece so the next person may be able to prevent contracting cancer and other health issues.

We all have little pains and medical questions between visits to the doctor. Then we get there and forget everything. As soon as we leave the office, we remember the questions we meant to ask, but it’s too late.

Make a list! After I was diagnosed with colon cancer at age 31, I learned to take better advantage of the five or 10 minutes I have with my doctors. I designed a list, like a laundry or shopping list, which I always prepare a couple days before a visit. You may want to keep a running list that you can update whenever you think of something.

Lists can be designed for different illnesses, like HIV, high blood pressure, renal disease, diabetes or cancer.

It is important to track new symptoms, if you experience any since your last visit, and to note any new family medical history you may discover, any new medicines or natural remedies you take, any lifestyle changes, etc. This information will help your doctor to help you better. If he or she knows you well, together you can prevent many illnesses.

Remember to disclose your sexual orientation, even if it makes you feel uncomfortable. It has repercussions for your health-care management.

Today I want to focus on colorectal cancer because of the upcoming D.C. Goes Blue activities, Sept. 26 to Oct. 3.

Colon cancer is the third most commonly diagnosed cancer and the second leading cause of cancer death. It has no symptoms in most cases and can be diagnosed at any age, especially in at-risk populations.

Anal cancer is almost 60 times more common in HIV-positive individuals, compared with the general population, according to a 2008 study published in the Annals of Internal Medicine. The author’s project rates to increase as HIV-infected persons live longer.

A colonoscopy is indicated for everyone 50 or older. But if you have a family history, or you are African American, Latino, Alaskan native or Native American, you should get your first colonoscopy sooner because you are at higher risk and could be discovered in a more advanced stage before 50.

As part of your laundry list, ask your doctor about ordering a fecal immunochemical test or fecal occult blood test. These are painless exams that could discover blood in your stool. You can’t necessarily see the blood, but if the lab results are positive, the next level of care is indicated: a virtual colonoscopy or regular colonoscopy.

If blood is not found, you are good to go. These tests can be done annually and the only downside is that they do not identify precancerous polyps. You need a colonoscopy to discover those.

The colonoscopy itself is quick and painless. Patients are completely sedated and the procedure normally takes only 15 to 20 minutes. Preparation the day before is now available in a number of options, including liquid and pill forms. I won’t lie; the prep is the worst part.

Colon cancer is beatable in nine out of 10 cases when caught early. Colon cancer is one of the very few cancers that are preventable!

We need to think about our health more comprehensively. Eat a balanced diet, get exercise, don’t smoke, drink moderately or not at all, and get your preventative screening tests. Make your laundry list before your next appointment and tell your doctor you want your colon checked. For additional information, visit the Colon Cancer Alliance website at ccalliance.org.

Dr. Jose Mendoza is former director of Malaria Clinical Trials for the U.S. Navy.  Mendoza is volunteering as Latino medical consultant for the Colon Cancer Alliance and can be reached at [email protected].

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Health

UNAIDS to commemorate Zero Discrimination Day’s 10th anniversary

UN agency urges global action to protect human rights

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A UNAIDS anti-discrimination exhibit at Tocumen International Airport in Panama in 2018. (Washington Blade photo by Michael K. Lavers)

As the world marks the 10th anniversary of Zero Discrimination Day; UNAIDS is sounding the alarm on the increasing threats to human rights, calling for renewed efforts to protect the rights of all individuals as a fundamental step towards ensuring health for everyone.

Established by UNAIDS a decade ago, Zero Discrimination Day aims to promote equality and fairness regardless of gender, age, sexuality, ethnicity or HIV status. The progress achieved over the past years is now in jeopardy, however, due to rising attacks on the rights of women, LGBTQ people and other marginalized communities.

UNAIDS Executive Director Winnie Byanyima emphasized the critical link between protecting human rights and safeguarding public health. 

“The attacks on rights are a threat to freedom and democracy and are harmful to health,” she said in a press release. “Stigma and discrimination obstruct HIV prevention, testing, treatment and care and hold back progress towards ending AIDS by 2030. It is only by protecting everyone’s rights that we can protect everyone’s health.”

Despite challenges, there has been notable progress. 

At the onset of the AIDS pandemic more than 40 years ago, two-thirds of countries criminalized consensual same-sex sexual relations. They are now decriminalized in two-thirds of countries. An additional 38 countries around the world have pledged to end HIV-related stigma and discrimination, contributing to positive changes that include 50 million more girls attending school compared to 2015.

To sustain and enhance these advancements; UNAIDS urges global support for women’s rights movements, LGBTQ rights, racial justice, economic justice, climate justice and peace initiatives. By standing with communities advocating for their rights, the U.N. aims to reinforce the collective effort towards a more inclusive and equitable world.

Zero Discrimination Day is observed on March 1.

Events and activities that will take place around the world throughout the month will serve as reminders of the essential lesson and call to action: Protecting everyone’s health is synonymous with protecting everyone’s rights.

“Through upholding rights for all, we will be able to achieve the Sustainable Development Goals and secure a safer, fairer, kinder and happier world — for everyone,” said Byanyima.

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New CDC report finds transgender women at higher risk for HIV

More than 1,600 people in seven cities surveyed

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The Centers for Disease Control and Prevention in Atlanta (Photo courtesy of the CDC)

The Centers for Disease Control and Prevention issued a new study report this week that revealed that restricted by employment and housing discrimination and lack of access to needed gender-affirming healthcare for transgender women increasing the risk of contracting HIV. 

Researchers reviewed data from a 2019-2020 survey, the National HIV Behavioral Surveillance Among Transgender Women, which found that the demographics of HIV/AIDS have been disproportionally high, especially among Black and Latina trans women, who had experienced employment and housing discrimination coupled with lack of access to gender-affirming healthcare.

The Jan. 25 Morbidity and Mortality Weekly Report was based on data studies of more than 1,600 trans women in seven major urban locales. Participants from Atlanta, Los Angeles, New Orleans, New York, Philadelphia, San Francisco and Seattle were chosen by referrals from people and community-based organizations who knew or were part of the local population of trans women.

The study’s researchers noted: “Employment discrimination occurs at the overlapping nexus of poverty, homelessness, incarceration, health insurance, disability, food insecurity and survival sex work. These issues are interconnected.”

The study stated that trans women’s inability to access quality healthcare, including gender-affirming treatment or access to PrEP, and can expose them to potential incarceration as many turn to “survival sex work” and violence, which increases the risk of contracting HIV. 

The study’s author’s pointed out: “When economically marginalized transgender women are refused employment, this refusal cyclically contributes to economic hardships. This analysis …demonstrates the importance of transgender women working and living with dignity and without fear of unfair treatment.”

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Health

A Whole New Perspective on Well-Being

The Mather’s team recognizes that everyone’s wellness journey is completely unique to their life experiences and influences.

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The Mather is incorporating biophilic design—a design approach to facilitate access to nature or things that replicate natural patterns.

It’s easy to spot the distinctive, elegant silhouette of The Mather, a Life Plan Community for those 62+ opening this spring in Tysons, Virginia. What is not apparent to the naked eye is The Mather’s unique wellness philosophy, which is literally built into the community. 

The Mather’s team recognizes that everyone’s wellness journey is completely unique to their life experiences and influences.

Nature is one of the important factors that contribute to well-being. So The Mather is incorporating biophilic design—a design approach to facilitate access to nature or things that replicate natural patterns. This can include interior spaces with sightlines to a garden, choosing natural wood and stone as interior materials, or incorporating fragrant flowers and plants indoors to spark memories and provide tactile opportunities such as gardening. 

Residents of The Mather will be able to select from plentiful amenities, programs, and other offerings to target their personal wellness goals and preferences.

“Providing biophilic design within interior settings connects residents to the natural world,” says Mary Leary, CEO and President of Mather, the organization behind The Mather. “Research shows that a connection to nature provides positive benefits to mental states and overall well-being. At The Mather, biophilic design is the intersection of buildings and programs with nature in an urban setting.”

“The Mather is attracting a diverse group of older adults,” says Mary. “As a result, we aim to incorporate wellness practices from around the world, including Wyda movement theory of the Celtic Druids, which helps people achieve harmony with nature and contentment through mindfulness.” This holistic regenerative approach is similar to Qi Gong and yoga, while born in a different part of the world. Mather Institute has a special focus on mindfulness to support older adults’ practice of present moment awareness, which can lead to increased overall well-being, compassion, and joy.

A very different example of a wellness offering at The Mather is the Gharieni Welnamis spa wave bed, which uses computer-controlled vibrational therapy and audio frequencies to train the brain to relax. “The bed increases mindfulness, concentration, and creativity—all of which support our mission of creating Ways to Age Well,SM” says Mary.

These and other personalized ways to wellness will ensure that residents of The Mather can choose from seemingly countless ways to focus on their well-being. In other words, the sky’s the limit!

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