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Guest Blog: Multiple Myeloma in Elders: Diagnosis and Treatment

Introduction:

Multiple myeloma is a cancer of the plasma cells in the bone marrow. These abnormal plasma cells make antibodies that attack your body’s normal tissues and organs. Multiple myeloma affects a person’s blood cells, bones, kidneys and other tissues.

Multiple myeloma is a cancer of the plasma cells in the bone marrow:

Multiple myeloma is a cancer of the plasma cells in the bone marrow. Plasma cells are white blood cells that produce antibodies to fight infection. Multiple myeloma can also be called multiple myeloma or plasma cell myeloma.

The abnormal growth of these abnormal plasma cells produces proteins that are too large to be filtered out by kidneys and pass into urine instead of being excreted through bile ducts as they should be. This causes high levels of protein in urine (proteinuria), which is often detected during routine bloodwork done when you visit your doctor for other reasons such as a physical exam or dental checkup. Some studies suggest that it can also cause insulin resistance but it’s not confirmed yet!

Myeloma Basics:

Myeloma can affect any bone in the body, but most often it affects the spine or pelvis (hip). The exact cause of multiple myeloma isn’t known, but researchers think it may be related to an abnormal gene that causes your body’s immune system to attack healthy tissue rather than foreign invaders like bacteria or viruses.

Multiple myeloma occurs when there are too many abnormal plasma cells in your bone marrow–the soft tissue inside bones where new blood cells are made–and these abnormal cells crowd out normal ones needed for good health. As these abnormal plasma cells grow out of control, they damage bones throughout their growing process until eventually they become painful lumps called osteolytic lesions on x-rays taken during treatment or at follow-up visits after treatment has ended; these osteolytic lesions often lead to fractures over time if left untreated because they weaken underlying bone structure underneath them causing fractures when stressed enough under stress due to everyday activities such as walking around while standing up straight bending over lifting heavy objects etc…

You may feel tired and have a low-grade fever:

You may feel tired, have a low-grade fever and experience weight loss. Other symptoms of multiple myeloma include bone pain and anemia (a lack of red blood cells). You may also have trouble sleeping, feel weak and have muscle aches and pains. You also may need multivitamins which you can buy from any pharmacy or online supplement store!

The only way to confirm multiple myeloma is to perform a biopsy:

The only way to confirm multiple myeloma is to perform a biopsy, which is the removal of tissue from the body for examination under a microscope.

Biopsy can be done in many different ways depending on where the cancer cells are located. For example, if you have a tumor that’s visible on an X-ray or CT scan (a bone marrow biopsy), or if your doctor suspects they might be present in some other part of your body (an aspirate).

There are several tests used to diagnose multiple myeloma:

There are several tests used to diagnose multiple myeloma. The most common is a bone marrow biopsy, which is a procedure in which a sample of bone marrow is removed from your hipbone and sent to a lab for testing. In addition to looking at the cells under a microscope, doctors also test them for markers associated with myeloma such as the protein plasma cell protein (PACP) or monoclonal gammopathy of undetermined significance (MGUS).

If you have been diagnosed with multiple myeloma, your doctor may recommend additional tests including:

  • Physical exam: A physical examination by your doctor may reveal swollen lymph nodes, bone pain (from bone lesions) or anemia (low red blood cell count).
  • Blood tests: To measure levels of antibodies that help fight infections and abnormal cells in blood; also checks immune function and kidney function
  • CT scan or MRI scans: Used to detect tumors in bones or other organs like the liver or spleen

Surgery or other procedures may be used for a diagnostic biopsy:

If you’re diagnosed with multiple myeloma, your doctor may recommend a diagnostic biopsy. This is a procedure that involves removing tissue from your body so it can be studied under a microscope. The goal of this type of biopsy is to determine if you have multiple myeloma and how far it has progressed.

You’ll likely be given general anesthesia, which means you’ll be asleep during the procedure. Your doctor will insert one or more needles into different parts of your body where they can remove samples of bone marrow (the soft inner part) or plasma cells (a type of white blood cell). The most common places for these procedures are:

  • The backside (posterior) part of the hipbone
  • Underneath both arms near where they meet at the chest area
  • In between two vertebrae at the base of neck near shoulder blades

Many treatments are available for multiple myeloma:

The goal of treatment is to slow disease progression and reduce symptoms. There are many treatments available that can help people with multiple myeloma live longer and have better quality of life. Drugs that suppress the immune system may be used to control the cancer, but these drugs also increase your risk for infections and other health problems. Other drugs target cancer cells directly, but they often have serious side effects such as nausea or hair loss (anemia).

Bone marrow transplantation may be an option for some people with multiple myeloma who have had a relapse after receiving high-dose therapy with autologous stem cell rescue (ASCR) or immunomodulatory drugs like thalidomide or lenalidomide followed by bortezomib maintenance therapy; however, this procedure is complex and risky because it requires finding compatible donors who are willing to donate bone marrow stem cells through an invasive surgery called pan-hematopoietic stem cell transplantation (PHSCT).

Some people may treat their multiple myeloma with drugs:

Some people may be able to treat their multiple myeloma with drugs that suppress the immune system. These drugs are called immunomodulatory drugs, and they can help slow down the progression of multiple myeloma in some people. In addition, these medications may also help some people achieve remission–a period where there is no evidence of cancer in your body (for example, no new bone lesions). However, it’s important to know that these medications are not a cure for multiple myeloma; if you stop taking them or if they lose effectiveness over time, your cancer will likely return.

Some common examples of immunomodulatory medicines include:

  • thalidomide (brand name Thalomid)
  • lenalidomide (brand name Revlimid)

Managing Symptoms, Side Effects and Complications of Treatment:

You may experience a variety of symptoms and side effects during treatment. Your doctor will work with you to manage these issues as best they can.

When talking to your doctor about symptoms and side effects, be sure to:

  • Give the exact time when the symptom or side effect started (for example, “I’ve been having trouble sleeping since last night”).
  • Tell them what makes it better or worse (for example, “When I lay down in bed at night”).
  • Describe how long the problem lasts (for example, “It goes away after 20 minutes”). Your doctor will use this information to determine whether there’s anything they can do for you right away or if they need additional tests before providing treatment options that might help relieve your discomfort over time.

Other drugs are given to slow disease progression or create remission:

In addition to surgery and radiation, other drugs are given to slow disease progression or create remission in some people with this type of cancer. The most commonly used drugs for multiple myeloma are:

  • Lenalidomide (marketed as Revlimid) and dexamethasone (marketed as Sandostatin LAR) – These medications may be taken alone or in combination with bortezomib (marketed as Velcade). They work by blocking a protein called tumor necrosis factor-alpha (TNF-a), which helps fight inflammation but also helps cancer cells grow. This treatment can cause side effects such as nausea, vomiting and diarrhea; however, they often go away after you’ve been taking the medication for a while.

Conclusion

Multiple myeloma is a cancer of the plasma cells in the bone marrow. The only way to confirm it is by performing a biopsy. You may feel tired and have a low-grade fever during treatment, but there are many treatments available that can help people with multiple myeloma live longer and have better quality of life.

By |2023-12-13T12:07:08-05:00December 14th, 2023|Dr. Mauk's Boomer Blog, News Posts|Comments Off on Guest Blog: Multiple Myeloma in Elders: Diagnosis and Treatment

Guest Blog: 4 Healthy Aging Routine Tips

It is never too late to adopt a healthy aging routine into your everyday life. Healthy aging isn’t necessarily about looking or feeling younger, but rather optimizing opportunities for overall good health. Making a simple skincare switch, keeping a balanced diet and getting at least 8 hours of sleep are simple things that can make you feel more energized and give your outer appearance a natural glow. To begin your anti-aging regimen on a positive note, check out these tips for some inspiration!

Skincare
Changing your skin care routine may seem like a daunting task at first. It’s difficult to break from the products you have used for a long time, but once you establish a new routine that works for you, you will see the benefits in a short amount of time. Skin hydration, regeneration, and protection are all essential for seniors. Without these, and the use of an exfoliator weekly, your entire body, will lack smoothness and shine from the accumulation of dry or dead skin.
Remember, skin care isn’t only about facial products. It’s essential to moisturize your arms, hands, legs, and feet too!

Nutrition
Various diseases and illnesses form as a result of inadequate or unbalanced nutrition and poor dieting. Once you reach a certain age, it is critical that you eat more fruits and vegetables to prevent illness and nutritional deficiencies. Substitute processed foods for whole foods to ensure your body is receiving the nutrients necessary for a healthy life. According to the USDA, foods that are high in antioxidants (high Orac) can protect cells from oxidative damage. Kale, spinach, blueberries, and blackberries are all great options! Try implementing a few of these high Orac foods listed below into your diet to slow aging down: Visit here for more information.

Vitamins and Supplements
Many seniors rule out food they aren’t willing to consume depending on their current health status or personal dislikes. Their pallets are fully developed, and for the most part, they aren’t in the mindset to try new foods. However, avoiding certain foods can result in a lack of minerals, nutrients, and vitamins that aid in preventing deficiencies and diseases. Take vitamins such as calcium and zinc to help boost brain power, along with Vitamin E, B3 and B5 help support skin elasticity. Furthermore, don’t leave out supplements that can help cellular health such as probiotics and products like Basis by Elysium Health.

Sleep
Sleep may come easier to some more than others. It is important to know that disrupting your circadian rhythm with poor rest can lead to metabolic disorders. Many seniors have insomnia which limits their hours of sleep. Exercise, sticking to a sleep schedule and establishing a bedtime routine can help aid seniors in gaining the rest they need at night or throughout the day.

Remember, it is never too late to make improvements to your current routine, especially if it will benefit you in the long run. Take the time to appreciate your body and embrace the natural process!

 

By |2023-11-20T17:15:11-05:00December 11th, 2023|Dr. Mauk's Boomer Blog, News Posts|Comments Off on Guest Blog: 4 Healthy Aging Routine Tips

Guest Blog: What to Look For in a Senior Living Community

Before you look up a senior living community or Google personal care homes near me, you should first get to know about the common options available for where your aging parents can reside.

Below are the most popular and preferred options to pick from –

  • Independent Living – This type of living is good for the elderly who can largely function independently with occasional medical care required. Medical care is provided in collaboration with hospitals or medical establishments. Typical services include accommodation, laundry, transportation, housekeeping, and other amenities like pool, concierge service, library, fitness center, etc.
  • Assisted Living Assisted living centers, in addition to accommodation also provide onsite health care and help with ADLs like dressing, bathing, and medication management so residents can live independently. The setting is very home-like without the residents having to worry about maintenance, cooking, or cleaning. There’s round-the-clock supervision available.
  • Memory Care – This facility is specifically designed to treat and care for people with dementia or Alzheimer’s. The staff is medically trained to handle their special medical needs. The rooms and buildings are structured to avoid wandering. Supervision is available all the time with plenty of programs for socialization. There are housing and laundry services along with an emergency medical call system.
  • Enhanced Living – You can think of this facility as a move up from Independent living with a whole lot of extra services available.

 

Things To Look For In A Senior Living Community

Senior Living Culture

Now the living culture is not something that you define in words. It’s mostly just a feel or a vibe that you pick up on. At times, you just know it when you visit the facility. Other times it’s a hunch of an intuition.

To truly assess the culture, it’s better if you call up your list of communities and visit them one by one. Observe the residents and see if they seem happy. How is the staff? Are they polite to respond? Is the overall energy of the place happy? Ask for social activities to keep the residents happy.

Lifestyle & Wellness

Lifestyle and wellness largely depend on the social calendar of the place. So, be sure to look at those activities as well as exercise, health, and wellness programs. Make sure to ask about how often the residents are allowed to go out for activities.

What about housekeeping and laundry services? How often are friends and families allowed to visit? Is there a dedicated private or common area for family get-togethers? What about pets? Are they allowed?

Staff and Care

How many staff members are present at the facility? Are the staff members nice to interact with the residents? Do they seem polite? What kind of help can you expect from them? Is the medical staff made to undergo regular training to update their knowledge?

What’s the mode of communication for updating families on the health updates of the residents? Also, how quickly can you expect your questions to be answered? What kind of care is available for residents with special medical issues such as diabetes, memory, or mobility issues?

What’s Food Like?

Food is a huge part of staying healthy during old age. So, this is something you must not overlook. If possible, arrange for a tour of the mess/kitchen. Look into how the food is prepared. Are the conditions there hygienic?

What about the food menu? Does it look interesting? Is it extensive and accommodates special dietary restrictions such as gluten-free and vegan-friendly foods? What are the dining hours like and is there food sampling available?

Extra Amenities

It’s not uncommon for people to get stuck between two close contenders. Sometimes two communities can look exactly the same; making it difficult to pick one. When faced with such a dilemma it’s often the extra amenities that help you make the right choice.

See if the laundry and housekeeping services are free. Some facilities charge extra for those. Look into community events, transportation, or socialization activities. Anything extra is a good thing to consider.

History and Reputation

How long has the community been in business? For how long has the management been with the community? What about the staff? For how many years they have been working there?

One of the best things to discern all this and more is to go online. Check out reviews and see what they have to say. Pay attention to how the community has responded to negative reviews. Only avoid the community if you come across something disturbing like bad handling of residents or complete neglect on part of the staff.

Bottom Line

Selecting the right living community for your senior can seem like a daunting task. But, if you invest a little bit of time and effort, it should be a cakewalk.

By |2023-11-20T17:13:57-05:00December 3rd, 2023|Dr. Mauk's Boomer Blog, News Posts|Comments Off on Guest Blog: What to Look For in a Senior Living Community

Guest Blog: Tips For Preventing Falls Among The Elderly

Falls among seniors are more common than you think.

According to the Centers For Disease Control and Prevention, nearly 36 million older adults suffer a fall each year.

Our muscles lose strength, and our balance and coordination decline as we get older. As our senior loved ones are already at a certain age, they are now more prone to falls, and it could only get worse as they get on in years.

However, we can take steps to keep our seniors from suffering falls. Here are some tips on how to prevent falls among the elderly.

Declutter

Make sure your parent’s or grandparent’s space is clutter-free. You can’t have random stuff lying all over the place, becoming a tripping hazard for seniors. The floors that your elderly loved one walks on should always be clear, with nothing to step, slip, and trip on.

Put Up Grab Bars & Handrails In Strategic Spots

Seniors can use additional support when walking around the house. So, it would be great if the hallways, bathrooms, and stairways are fitted with handrails and grab bars.

Add More Lights

Our seniors typically have poor eyesight, which can only get worse under poor lighting conditions. By installing additional lights (and brighter ones at that), seniors will have a better chance of seeing and avoiding tripping and slipping hazards as they go about the house.

Use Only Non-Slip Mats & Rugs

All the mats and rugs in the house should be the non-slip type or secured to the floor.

Get Them To Exercise Regularly

Regular exercise is crucial to keeping the muscles, bones, and sense of balance of our seniors strong. Walking, lifting light weights, climbing stairs, or doing something as simple as standing on one leg for a minute or two can already help them stay as fit as possible. The fitter they are, the lower their risk of suffering a fall.

Tell Them To Be More Careful

Sometimes, seniors fall because they try to move too fast when walking across the room or getting out of bed. Tell them they need to be more careful when doing so and always move at a more comfortable pace.

Falls don’t have to be synonymous with getting older. By taking the necessary precautions, our seniors stand a better chance of avoiding them.

 

About the Author

 Melissa Andrews is the Content Marketing Strategist for Paradise Living Centers, an assisted living center for seniors with locations in Paradise Valley and Phoenix, Arizona. In her spare time, she enjoys cooking and going on hiking trips with her siblings and cousins.

 

 

By |2023-11-20T17:13:32-05:00December 2nd, 2023|Dr. Mauk's Boomer Blog, News Posts|Comments Off on Guest Blog: Tips For Preventing Falls Among The Elderly
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