Life's Rewards

The most rewarding part of my job is engaging with people who make a difference in the health and well being of others. At Hopkins, most often it is the scientists, researchers and physicians whose discoveries alter the course of medicine. Sometimes, however, it also can be a lay person.

Yesterday, I had the privilege of speaking with Sorrel King, an author and mother, who has transformed a personal family tragedy into a campaign to change today's health care system. After living with what she describes as "searing pain" from the death of her youngest child, Sorrel began a foundation dedicated to improving patient safety domestically and globally. It has been a nine year crusade that has reaped real change and undoubtedly saved so many lives.

Fortunately for us, Sorrel King has accepted our invitation to be the plenary speaker at the November 12, 2011 annual Johns Hopkins women's health conference, A Woman's Journey. I hope you will visit the conference website to take advantage of the discounted early on-line conference registration. Register for A Woman's Journey and be inspired by Sorrel King. She will be joined by 32 Hopkins physicians who will present seminars on topics from What You Eat Can Save Your Life to Top 10 Tips to Prevent Cancer. It’s a day you won’t want to miss!

Shortly after Sorrel and I concluded our conversation that afternoon, I was off to the book store to purchase a copy of her book, Josie's Story. Whether you read the book or not, I hope you will take the day for yourself and come meet Sorrel in person.

Leslie

Change

I have been out of the office for more than one week and it always is hard to return. I am back in the office, however, at an exciting time. A Woman's Journey has begun registration for its annual Women's health conference that will be held on Saturday, November 12, 2011.

As co-chairs Mollye Block and Harriet Legum acknowledge a lot has changed since the three of us began the conference 17 years ago. Who could have imagined all the discoveries that may influence our daily lives: personalized cancer treatments, unique immune responses in women and the importance of vitamin D. These and other medical advances are changing our ability to influence our health as well as the way doctors diagnose and treat disease.

We need to harness this knowledge and personally make a difference for ourselves and our families. That's why I hope that you will take a day for yourself and join me at this year's conference. It is one day that could change the course of all others.

Leslie

Conflict Resolution

Many years ago I received brief training on conflict resolution. It was insightful and gave me skills I continue to use. It hasn't however, helped me resolve some important questions.

Consider the facts. This summer we read about cardiovascular risks from a diabetes drug now more tightly controlled in the United States. Another study questioned new risks associated with calcium supplement that many women use to increase bone density and ward off osteoporosis. Increasingly we read evidence that contradicts prior medical advice.

Sometimes it's hard to know how to stay healthy.

Fortunately, the annual Johns Hopkins Medicine women's health conference,A Woman's Journey, will address many of these and other significant health issues at the November 20 conference. Vitamin specialist Dr. Benjamin Caballero, cardiologist Dr. Wendy Post and endocrinologists Drs. Suzanne Jan de Beur and Deborah Sellmeyer will provide insights into vitamin supplements, cardiovascular, and bone mineral health.

I hope you will join us at this exceptional forum on women's health. It will be an extraordinary opportunity to resolve some conflict between health information. I know my friends and I will be looking for some answers.

Stay well,
Leslie

What’s In a Name?

Each year I assemble a small group of colleagues to study the schedule of seminars that have been confirmed for the Johns Hopkins Medicine annual women’s health conference, A Woman’s Journey. Our agenda is to craft titles for each lecture. These are critical subjects about improving your health and sometimes devastating diseases. Naming a seminar is serious business. Never the less, the meeting sometimes becomes raucous. It’s challenging. We need to be creative, yet maintain the integrity of the subject matter. The bottom line is to appeal to your curiosity and interests.

So, as you plan your fall, I hope you will check out hopkinsmedicine.org/awomansjourney. Read the titles of A Woman’s Journey’s 32 seminars that will be taught by Johns Hopkins physicians. Laugh at some of the titles; be motivated by others. But, when you finish reading the seminar names, be sure to go to our website, register for A Woman’s Journey, and learn what’s really in a name.
Leslie

Pain

Unfortunately my daughter recently had ankle surgery related to a fall down a circular staircase at school. The surgeon performed the ankle repair. The hospital provided detailed discharge instructions. Now as the mother, it is my responsibility to help my daughter recover in the aftermath of surgery. I can fluff the pillows, apply the ice packs, and fill the prescriptions. It’s managing her pain that leaves me uneasy.

Research shows that women suffer from pain conditions disproportionally compared to men. Johns Hopkins assistant professor of anesthesiology and critical care medicine and pain specialist Dr. Paul Christo tells me that women represent 72% of chronic pain sufferers. Migraine headaches and fibromyalgia are more common in women; women report more serious, more frequent, and longer lasting pain, and too many women are given antidepressants and tranquilizers when they report pain. Pain is often undertreated which results in needless suffering for millions of people.

Chronic pain affects a staggering 25% or more of the population and continues to cause distressing symptoms for many years. Very few patients with persistent pain have access to a pain specialist, and those who gain access report that treatments are underutilized and often fraught with barriers.

My daughter was fortunate. The pain was quickly controlled. For others, however, it’s good to know that there are pain specialists at Hopkins.

Leslie

Breast Cancer Screening Recommendations

Women have learned two lessons: schedule an annual mammogram and perform breast self exam each month in the shower. That's why women of all ages--from my daughter to my mother--became alarmed and concerned last week when The US Preventive Services Task Force recommended changes in screening for breast cancer.

Just yesterday a cousin asked me what I had heard from Johns Hopkins physicians. I was able to share a statement from Dr. Nagi Khouri, director of breast imaging, and Lillie Shockney, a breast cancer survivor and administrative director of the Avon Breast Center at Johns Hopkins. You too will be interested in reading their comments:

The Johns Hopkins Avon Foundation Breast Center remains committed to caring for the screening needs of women at every age. We tailor our prevention services to each individual, and decisions on routine screening are made between patients and their physicians. The study released by the United States Preventive Services Task Force will not change current practices at Johns Hopkins. We will maintain our recommendations that routine screening for women at average risk for cancer occurs annually from 40 years of age through 80, when it can be altered at that point. We also feel it is important to continue educating women about their bodies including the normal contours of the breast to promote awareness of breast health. We believe that when women are armed with knowledge about their breasts, they are more likely to report changes to their physician. Again, please continue to schedule your mammograms annually, check your breasts, and let your physician know when changes occur.

Sincerely,

Nagi Khouri, M.D. and Lillie Shockney, RN., BS., MAS
Johns Hopkins Avon Foundation Breast Center

I have known too many women who have detected breast cancer through breast self exam and annual screening mammography. Each of them believes that these important screening tools improved their treatments outcome and, in some cases, saved their lives. I hope each of you will therefore heed the advise from Dr. Khouri and Lillie Shockney.

Leslie

P.S. Listen to Johns Hopkins radiologist Dr. Nagi Khouri and breast surgeon Dr. Lisa Jacobs discuss breast imaging technologies and new management and operative strategies to improve the rate of breast preservation and cosmesis.