Risk of West Nile is real

I was in the front yard on Sept 9, 2018 and I had severe bites from mosquitoes. I mustn’t be the lone person. After talking with several folks within the community, I realized, it is an area wide problem. After reviewing the mosquito control measures from the City of Irving, I realized, our area was treated on August 15, 2018. However, after talking with City official, on spraying again and having an integrated management plan (a dual plan where city and homeowners concurrently treat on multiple occasion), I was told by the City officer that the CDC has set limitations, unless West Nile or Zika is detected, they cannot treat again. My question was simple – Do you want to wait for a family member to fall sick and than start treating the area or do we want a prevention before it happens? I talked with Leroy MacFarland. Talks with Mr. Dickens, Ms. Adrian are in progress. I will keep you posted. 

 

Zika

Risk of West Nile is real

How can I say so confidently? The Mosquito menace is huge; Dallas County Health and Human Services detected a positive West Nile Virus sample on Rochelle Street (See picture and link from City below).

West Nile in Irving

What is West Nile?

Obviously, we heard a lot and many amongst you know it. However, to recap, here is an excerpt from Center for Disease Control (CDC) “There are no vaccines to prevent or medications to treat WNV in people. Fortunately, most people infected with WNV do not have symptoms. About 1 in 5 people who are infected develop a fever and other symptoms. About 1 out of 150 infected people develop a serious, sometimes fatal, illness”.

You can reduce your risk of WNV by using insect repellent and wearing long-sleeved shirts and long pants to prevent mosquito bites. Please visit CDC on https://www.cdc.gov/westnile/symptoms/index.html to know more about West Nile and its health impact.

Fortunately, in most people, it is not dangerous, excerpts from CDC…”Most people  (8 out of 10) infected with West Nile virus do not develop any symptoms. About 1 in 5 people who are infected develop a fever with other symptoms such as headache, body aches, joint pains, vomiting, diarrhea, or rash. Most people with this type of West Nile virus disease recover completely, but fatigue and weakness can last for weeks or months. About 1 in 150 people who are infected develop a severe illness affecting the central nervous system such as encephalitis (inflammation of the brain) or meningitis (inflammation of the membranes that surround the brain and spinal cord)”. https://www.cdc.gov/westnile/symptoms/index.html.

What do we do?

Of course, if you have suspicion for West Nile symptoms, you should contact your healthcare provider.

How do we ‘Prevent’?

That’s the reason for taking this initiative. Mosquito control is dual responsibility –

  • Local Government and the
  • Home Owners.

An integrated Mosquito prevention program is required for controlling mosquito menace. While City is doing its own rounds of fogging and environmental control, we as Homeowners have singular responsibility. We need interventions inside our home where City has no jurisdiction.

Both these activities have to be coordinated. We need the fogging program to happen in tandem. That means, while the city is treating your area, we need to simultaneously treat our yards. City alone cannot, individual home owners cannot do anything. It will recur.

How do we identify the problem?

In my view, generally, apartment complexes can be ruled out as a source since there are strict compliances. So I will focus on individual home owners and any property which falls within the purview of City.

Is your area covered?

The City has posted a schedule for the area. Zip code 75063 has been sprayed on August 15, 2018. Picture below.

75063 Spray on August 15

Has the city done enough?

Please check the map for the zip code affected the intervention from the city. Zip code 75063 was treated on August 15, 2018. Please see map here.

Can we call it enough?

Obviously NO.

Why?

  1. Please ask yourself if you can play or be outside at dusk time for 10-15 minutes without a mosquito bit.
  2. It takes several rounds to kill the live mosquitoes and their larvae are in different stages of breeding. If the intervention targets all the stages, it still needs multiple rounds of sprays.
  3. Even if your area is cleared, mosquitoes from distant areas may migrate into your areas. So you have to treat multiple times.

Can we blame City?

Yes and No

Why No?

Because if we haven’t done our part, we will see a persistence of the mosquito problem.

What action is required from me as a Home Owner?

We want ALL of us to treat the problem simultaneously with same intensity. That means, even if you have no problem in your yard, we want you to treat your yard.

When?

Along with other Homeowners and the while the city is doing mosquito intervention.

What do we need from you?

This is not a mandate, a voluntary initiative. We need few folks from each lane to identify the risk for individual homes. Once identified, those homeowners should aggressively treat their yards. One treatment is not enough, multiple rounds are required.

What are the other Mosquito borne illnesses?

West Nile is not alone. The list is long –

  • Zika
  • Malaria
  • Chikunguniya
  • Equine Encephalitis (Eastern and Western)
  • Dengue
  • St. Louis Encephalitis
  • Japanese Encephalitis Virus (JEV)
  • La Crosse Encephalitis (LACV)

Do we have Zika, Malaria or Chikungunya identified in our area?

Please call City of Irving or Dallas County.

Remember, the risk is real. We all have to act now.

Read the links below for additional information.

Irving Mosquito Control Program – https://www.cityofirving.org/816/Mosquito-Control-Program)

Irving area with proven positive West Nile Virus sample – https://www.cityofirving.org/DocumentCenter/View/25998/S13—RutgersLasalle-PDF
CDC Prevent Mosquito Bites https://www.cdc.gov/zika/prevention/prevent-mosquito-bites.html

CDC Mosquito control – https://www.cdc.gov/westnile/vectorcontrol/index.html

West Nile Prevention from CDC – https://www.cdc.gov/westnile/prevention/index.html

Integrated Mosquito Management –  https://www.cdc.gov/westnile/vectorcontrol/integrated_mosquito_management.html

Zika Virus Infographics https://www.cdc.gov/zika/comm-resources/infographics.html

TOP 5 THINGS EVERYONE NEEDS TO KNOW ABOUT – ZIKA https://www.cdc.gov/zika/pdfs/Top5.pdf

 

Do we need stickers, always?

I don’t want to sound bombastic. However, when it comes to driving and being on the road, I am generally a whole lot patient simply because I don’t carry the responsibility of their risks on my shoulder. Who knows there is a baby on board, an elderly (with generally impaired reflexes) driving the car, a lady not as adroit and smart as a general driver or just the clumsiness of technology that you cannot brake adequately in time?

I have also noted that, zooming on road helps you save only 2-4 minutes of your time. If you plan and start early, you never have to vroom on the road and increase the risk (for yourself and others). Another titbit I share with my son, that if you are driving by the rule, you reduce the incidence of accident by half. The other half are still caused by others. That is the reason we should all be driving safe and not one person alone.

However, let us own up our part of responsible driving – 

  1. Driving fast only saves 2-3 minutes on a 30-40 minutes commute
  2. Starting 4 minutes ahead is truly not difficult
  3. Despite, if you are late, you won’t miss much
  4. Don’t install (police) detecting radars, getting a ticket (citation) changes our behavior. It is not a criminal offense
  5. Of course, no drinking and driving
  6. No texting while driving

We all need to practice ‘No Texting While Driving’. That isn’t’ a tall order? Sometimes, it feels as though we are asking youngsters to follow abstinence or a businessmen (and few doctors), to be puerile in their ethical practices.

Not sure if my behavior has changed anything but I have noted one thing, it made a difference to me. Being late just matters as much as being on time. I haven’t seen missing much other than being anal to be on time. It does provide me a sense of satisfaction that I am living in a macrocosm where others deserve equal respect.

I received an interesting note on What’s Up. Below is the verbatim.

A car ahead was moving like a turtle and not giving me way in spite of my continuous honking! I was on brink of losing my cool when I noticed the small sticker on the car’s rear!

“Physically challenged; please be patient.”

And that changed everything!! I immediately went calm & slowed down!! In fact I got a little protective of the car & the driver!!! I reached work a few minutes late, but it was ok! And then it struck me. Would I have been patient if there was no sticker? Why do we need stickers to be patient with people!? Will we be more patient & kind with others if people had labels pasted on their foreheads?

Labels like —

“Lost my job”
“Fighting cancer”
“Going through a bad divorce”
“Suffering Emotional abuse”
“Lost a loved one”
“Feeling worthless”
“Financially broken”….. And more like these…

Do we need sticker for the invisible ones?

Everyone is fighting a battle we know nothing about. The least we can do is be patient & kind! Let us respect the invisible labels!

Please share, it’s a matter of awareness. Somewhere, someone may find this game changer and it may change his/her driving and impact an unknown precious life, may be prevent a family from losing their beloved one.

Also visit, Speed – Bumps, Humps and Cushions on https://wp.me/p7XEWW-13T

Speed – Bumps, Humps and Cushions

For long time now, we have been witnessing speeding vehicles within our community. As we all know, this may one day have a calamitous outcome. We had a very healthy discussion on why speed needs to be regulated as well as the pros and cons for different options. Obviously, the city does an initial study on the speeding on these streets but we should all be prepared to exercise our options.

I have discussed the compeling reason behind why speed needs to be reduced, how we are closer to having an accident than before, what are the options and also cited a statistically significant study that shows that installing speed bumps does not affect property prices. It is not a matter of personal choice. It is owning community responsibility preemptively, and not waiting for an incidence to happen.

In conclusion, Radar and Speed Bumps are the best options for controling speed. However, given the non invasive nature of Radar, they seems to be the best way to proceed, however, I would like to hear from you all. Please vote for the different speed calming options after reading this blog.

https://wp.me/p7XEWW-13T

 

Getting it right –

Speed – Bumps, Humps and Cushion –

Speed Bumps: are narrow 6-8” wide long made either of durable plastic or concrete.

Speed Humps: Are wider than speed humps, you can imagine two bumps placed at 1’ – 2’ apart to make a hump. Speed humps are parabolic vertical traffic calming devices intended to slow traffic speeds on low volume, low speed roads. Speed humps are 3–4 inches high and 12–14 feet wide, with a ramp length of 3–6 feet.

Speed Cushions: A flat table that rises few inches and runs across for few feet, more than a hump.

Compelling reason:

 

EV Incidence

In the United States, 32,719 people died in motor vehicle traffic crashes in 2013 (U.S. DOT, 2013). Young people have a higher risk for pedestrian fatalities (Committee on Injury, Violence, and Poison Prevention; American Academy of Pediatrics, 2009), but older adults are at most risk of dying if they are hit (U.S. DOT, 2012). This is mainly because older adults are more susceptibility to injury and medical complications and not an increased tendency to get into roadway crashes (Insurance Institute for Highway Safety, 2013). (US Department of Transportation –https://www.transportation.gov/mission/health/road-traffic-fatalities-mode)

Statistics speaks a lot, hit and run are directly related to three factors – the longer you stay on the road, the volume of vehicular traffic and the threshold the vehicles cross beyond stipulated speed limit. All these factors will affect incidence of traffic.

Pedestrian and cyclist fatalities are increasing nationwide, according to the National Highway Traffic Safety Administration, and Los Angeles and New York City have the highest rates of those deaths.

Hit-and-run crashes are increasing in many major cities, and hit-and-run fatalities are rising nationally as legislators in several states look to toughen laws to address this troubling “plague.” (Fatal Hit and Run crashes rise in US USA Today)

In a study conducted to understand the epidemic of Hit and Run, three factors were mainly identified. Number of pedestrians on the road, The amount of unauthorized speed above stipulated speed limit and the frequency of both these factors confluencing together. (Los Angeles faces Hit and Run Epidemic).

However, Life is more important than property prices, anytime. No one will disagree on this. If someone differ, they should voice it.

Psychology behind reduced speed

Typically, we are supposed to drive at 20 miles per hour in school zones, and there are many other locations—residential areas, for example—where kids are also vulnerable. Evidence suggests that kids are three times as likely to get hit by a car when traffic speed exceeds 25 miles an hour, since speedy drivers need more reaction time. (https://www.psychologicalscience.org/news/full-frontal-psychology/why-kids-get-hit-by-cars.html); Hit-And-Run Deaths Increase (NPR)

No, Property value does not go down with Speed Humps:

Statistical research conducted by City of Pleasanton reveals exactly that. This study is especially relevant as it removes all inherent and implicit biases that confound our thinking that ‘speed bumps decrease property value’, (see attached link). This City of Pleasanton study revealed below observations –

1) When selecting speed humps, it cannot be demonstrated that installing speed humps will affect property values in any predictable way.

2) No trends are apparent. It is not evident that installing speed humps in a neighborhood will affect property values in any predictable way.

What should we believe?

Unbiased research are always insightful as they remove our preponderance to trust our personal preferences. City of Pleasanton provides that objective study removing that bias and establishes the fact that speed bumps don’t decrease property prices.

Google search will reveal data for and against speed bumps (and its association with property prices). It is normal for us to choose data that supports our observation. This is called inherent bias or selection bias. Let us not fall pray to our own biases.

While news links were shared on the Whatsup group showing an association between property prices and speed humps, veteran realtors strongly advocate that installing speed bumps increase the value of neighborhood as it decreases the chance of speeding and any eventual accident. Well, it is common sense to know these are selection biases. Either side uses data that supports their argument. The only way to resolve this is rely on a study that is based on statistical procedures that rule out any inherent bias. City of Pleasanton has that reliable data.

What are the different options for traffic calming?

Various speed calming methods are in use. Vertical deflections (speed humps, speed tables, and raised intersections), horizontal shifts, and roadway narrowing

  1. Stop Signs (not effectiveness)
  2. Radar Monitored (effective)
  3. Speed Bumps/Humps/Cushions (most effective)
  4. Road Diets (very effective)

Effectiveness of options –

Posting Speed Limit signs are ineffective

“Studies have shown that there are no significant changes in average vehicle speed following the posting of revised speed limits,” the city report says. “By and large, drivers choose their speed independent of the posted speed limit.” http://trafficalm.com/stop-signs-ineffective-traffic-calming/

https://www.dallasnews.com/news/mckinney/2010/04/17/McKinney-neighborhood-petitions-for-lower-speed-8467

Radar Speed Calming devices

Radar Speed Signs are considered Effective, Reliable and Affordable. Radar speed signs, also known as driver feedback signs, are traffic calming devices designed to slow speeders down by alerting them of their speed. They are being used across the country, and around the world, because they are effective at slowing speeding drivers down. Tests repeatedly show that:

  1. Speeders will slow down up to 80% of the time when alerted by a radar sign
  2. Typical speed reductions are 10-20%.
  3. Overall compliance with the posted speed limit will go up by 30-60%.
  4. Radar speed signs are particularly effective at getting “super speeders”—speeders driving 20 mph or more over the posted speed limit—to slow down
  5. Radar sign offers driver feedback signs that are attractive, easy to operate, and affordable. Our signs are constructed with a rugged design for durability, are weather and vandal resistant, and are 100% MUTCD compliant (https://www.radarsign.com/)

Radar Speed Display 1

Another web site has more options – http://trafficalm.com/

Radar Speed Display 2

Speed Bumps/Humps/Cushions – These are the most effective as they deter speeding vehicles. A slow vehicle has no impact.

“Road diets” are one approach to traffic calming. Road diets involve a reduction in the width or number of vehicular travel lanes and reallocate that space for other uses such as bicycle lanes, pedestrian crossing islands, left turn lanes, or parking.

US Department of Transportation has a web site with information on all different TRAFFIC CALMING OPTIONS –

https://www.transportation.gov/mission/health/Traffic-Calming-to-Slow-Vehicle-Speeds

City of Pleasanton Research on Speed Humps and Property Prices – (see below)

EconImpactSpeedHumps[1]

 

Why Stairs?

Walking Stairs – One of the most potent, no cost, no frill, ubiquitous, climate tolerant, readily available exercise that provides potential benefits. Though seemingly innocuous, walking stairs helps tone the core muscles plus enhance your stamina and build your endurance, in addition it also provides an easy means of burning three times extra calories as compared to walking or taking a stroll.

This blog provides an understanding about the benefits of walking stairs, calorie consumption, options while walking stairs and the tips for engaging in correct mechanism while doing so. It provides illustrations and reputed citations at the end of the blog.

Someone said it right, ‘The elevator to health is out of order, you need to take stairs’.

Disclaimer:

Before you embark on ‘Climbing Stairs’ as a form or exercise, I presume you have consulted your physician or cardiologists and you have their authorization to do these. If not, I strongly advise you to consult your doctor and get his approval before you initiate this.

Benefits of Stair Climbing

Where can I find Stairs?

Obviously an absurd question, you can almost find stairs anywhere – at home, work, recreation, shopping mall, schools, public places, or even walking up/down the knoll. Despite being ubiquitous, there is no money involved in enjoying climbing stairs. Running up and down a flight of stairs can raise your heart rate quickly.

Climbing Stairs – What does it offers?

Climbing stairs is one of the most potent aerobic exercises that I see after running, swimming, jogging and high intensity sports. Our lifestyle or other constraints often forbid us from participating in these high intensity sports, however, it is possible to engage in climbing stairs in our day to day life. Often, I see folks reside in two storied homes or live in apartments or work in office or offices with multiple floors. If you don’t have one, find one.

While I walk down the Valley Ranch trail, the entire hillock rolling down to the flat terrain, amounts to 13 floors. If you are working or live on the higher floor, may be walk couple of those. Stairs help you increase the heart rate faster than walking, providing 3 times increase in workload in a similar period of time.

Why Stairs?

Stairs exercises the core and antigravity muscles; it helps keep them healthy plus the bigger antigravity muscles such as the thigh and abdominals burn significant calories. Remember, antigravity muscles are the cornerstone of all our daily activities. Weakness in these causes us to slouch, get tired or even change our body contour. Walking stairs enhances and reinforces your core muscles such as abdominals, hamstrings, quadriceps, and soleus (calf muscles). Remember, it is utmost important to keep these muscles healthy for sustaining energy and long periods of work. Mere bulky muscles are not a strength of healthy muscles. Gyms and resistance training keeps your muscles ‘BIG’, whereas climbing Stairs keeps those healthy.

Calories burned – Walking and Stair Climbing compared

For 150 lbs. person, 30 minutes of walk on an even surface burns 90 calories. It is 30 calories extra for the one weighing 200 lbs.

For those amongst us who are 150-160 lbs., can use below approximation to count calories burned while climbing stairs

  • 3 flights of Stairs = 15 calories
  • 60 minutes, four days a week – could burn roughly 532 calories per session
  • 532 x 4 = 2218 calories/week
  • You lose about one pound in a week and a half

Stair options

Nanoworkouts Stair Options

  1. Climbing two stairs at a time increases not alone calorie consumption but also provides an additional exercise to the core muscles and the antigravity muscle.
  2. Increments of 10 minutes will offer sudden bursts in metabolism and help with possible weight loss.
  3. Walking down the stairs requires you to control your body from sliding down. This effort initiates your quadriceps and hip flexors to control the downward movement. They have to stabilize the torso from rolling down.
  4. You can almost blend other exercises such as raising your arms, carrying dumbbells, or twisting your body while walking down. Blending increases the calories burned. However, blending is to be avoided while walking downstairs
  5. Try to tuck your tummy in while climbing up and down the stairs, these will increase the tone of your abdominals (which help you sustain an erect posture) and also burn more calories

Remember these six tips while climbing stairs

  1. Put your entire foot on the step, leaning slightly forward, engage your core and tuck your tummy.
  2. Keep your toes straight rather than splaying them right or left.
  3. Though it sounds easy, give enough time while you are climbing down
  4. Always be well hydrated and adequate on calories, too much loading is bad, as is walking too many stairs while fasting.
  5. If you feel tired, skip a day but take an easy walk on an even surface.
  6. Fatigue sets in quickly and it’s important to maintain good form. Completing steps using bad form will stress/overload your body and potentially injure you. Always start small and increase gradually.

Summary:

One of the most potent, no cost, no frill, readily available exercise available that provides great benefits. It helps provide tone to the core muscles plus enhance your stamina or endurance in addition to providing an easy means of burning three times extra calories as compared to walking or strolling.

This and other health blogs are written for increasing an awareness within the community. There are no direct or indirect material benefits from this blog/s.

Illustrations are taken from StepJockey and Nanoworkouts.com.

Citations:

8 Way climbing Stairs

Exercise Tips for Harvard Stadium Stair Workout

Interesting Articles

Fitness for less: Low-cost ways to shape up

Barriers to fitness: Overcoming common challenges

Exercise Activity Calculator (American Cancer Society)

How Many Calories do I need? Calorie Counter (from American Cancer Society)

Calorie counting made easy

Walking: Your steps to health (Harvard Health Publishing)

How to Burn About 150 Calories (Harvard Health Publishing)

Calories burned in 30 minutes for people of three different weights

List of skeletal muscles of the human body

Build Anti-Gravity Muscle

Abdominal fat and what to do about it: Are you Pear Shaped or Apple Shaped?

Improving Sleep: A guide to a good night’s rest

Stretching: 35 exercises to improve flexibility and reduce pain (Harvard Health)

Marching orders: How to start a walking program

 

 

 

 

Donate for Tornado Affected

In the last few days that I have been talking with my family friends and professional circle and I got a deep realization that, that benevolence, that kindness is deep within you all. I am no exception. You all feel so strongly for the cause of those affected.

It bonds us when we stand together in times of crisis, when we share the pain and pathos, when we lend a hand to get them back to life. None of those whom I approached declined to help. Everyone I turned towards for getting this help is equally motivated and supportive towards those affected. Time is of essence and those who have lost the roof over their head don’t have a holiday, weekdays and weekends sound same to those distraught.

Canton and a swath of East Texas were hit by Tornado on April 29, 2017. As per one government estimate, almost 5200 addresses were significantly damaged or affected. Many amongst these were those who are economically deprived and never had any coverage – home or auto. Looking at the plight, it is natural desire to help these victims. While the local and state government are doing their best, it is utmost important that, we citizen/residents who are not affected share their pain and plight.

Roof blown away

Roof Gone

It bonds us when we stand together in times of crisis, when we share the pain and pathos, when we lend a hand to get them back to life. None of those whom I approached declined to help. Everyone I turned towards for getting this help is equally motivated and supportive towards those affected. Time is of essence and those who have lost the roof over their head don’t have a holiday, weekdays and weekends sound same to those distraught.

No Home left Behind

No Home Left Behind.png

In the last few days that I have been talking with my family friends and professional circle and I got a deep realization that, that benevolence, that kindness is deep within you all. I am no exception. You all feel so strongly for the cause of those affected.

Trust me, you will be amazed how strong that feeling resides within each of us and when you approach your network, you will be surprised to see those deeply embedded humane feelings, that aptitude to help someone not related to us.

Together we can, small contributions help

Can you pledge an amount for those affected? Only 5% of that amount should come directly from your pocket, the remainder should be from your network of family, friends and profession.

  • You pledge an amount, say $200
    • Only 5% donated you
    • 95% from your network
  • Please ask your family members, friends and professionals to pledge additionally and create their own network of donors
  • Money goes directly to the City of Canton, no intermediate handling of the donations
    • VZCtornadorelieffund2017
    • The above account is set up by the Van Zandt County for the Tornado affected victims
  • You only collate the names of those donors and the amount they donated
  • Donors can contact Commissioner s Office to validate the cause and the account details on below address –
    • Susan Strickland, Secretary to the Commissioner’s Office, Van Zandt County, Texas
    • Commissioners office can be reached out on 903 567 2166
    • You may Google and reach their office

Those without a roof on their head have no Saturday or Sunday, Night and Day are same for them. Please don’t wait, do it as a priority and do it before you forget. This world exists with the benevolence of us all.

Thank you,

Ash Heda

PS: If you have a question, please reach me on my cell (972 345 0508) or email (ash1201@gmail.com)

Faces of destruction – news and images, ‘Tornado Ravaged Van Zandt County’, April 29, 2017 –

Rebuilding Canton and vicinity: http://wp.me/p7XEWW-RL

Officer Ron Duke’s Story: http://wp.me/p7XEWW-So

Campaign launched –

Deeper Discount to Tornado affected – http://wp.me/p7XEWW-SR

Petition on Change.Org for Discounted Material

National Weather Service Ranks East Texas Tornado

Surviving the Storm: Life After East Texas Tornadoes

Canton Car Dealership takes a direct hit

10 Dead, Dozens Hurt After Tornadoes Hit Texas, South

Fruitvale Church Puts Their Faith To Action Cleaning Up

Tornados rip through Canton, Van Zandt County, killing at least four and injuring dozens

 

Surgical and Chemotherapy Options for Treating Advanced CRC

Basic understanding on Colorectal Cancer

If you want to learn basic anatomy and gather understanding on CRC and the different options, below sites have helpful information –

Introduction and review of anatomy of colon cancer

You may also visit

Selected Animations of Colorectal Cancer (CRC)

Above site has great animations and offers succinctly information on current Treatment Strategies –

  • Surgery
  • Radiation
  • Chemotherapy
  • Targeted Therapy

For Understanding the different molecular laboratory test required for colorectal cancer, you may click here.

Chemotherapy and Targeted Therapy Options (please click hyperlink)

Different options are given and you may want to discuss these with your Oncologists

TREATMENT FOR STAGE IV, METASTATIC CANCER OR RECURRENT CRC

Site helps us understand that it is a worthwhile effort to manage this, never a futile effort.

  1. Your metastatic tumors are limited enough to be removed surgically (resectable) and might be curable
  2. Your tumors are not resectable now, but with adjuvant treatment might become resectable and converted to a curable situation
  3. Your cancer is widespread and unlikely to become resectable and should be treated palliatively with the goal of extending your quality of life for as long as possible

I also saw other interesting content worth reading on this same site –

  • QUESTIONS TO ASK IF YOU HAVE STAGE IV OR RECURRENT CRC
  • EXAMPLES OF TREATMENT OPTIONS COMBINED TO TREAT METASTATIC DISEASE OVER TIME
  • CHEMOTHERAPY COMBINATIONS
  • TARGETED THERAPIES

Chemo drugs for treating CRC

Current Options for Third-Line Treatment of Metastatic Colorectal Cancer

Surgical Options – Colorectal Cancer: Treatment Options

Approved by the Cancer.Net Editorial Board, 06/2016

You may want to consider chemo options per your case. Another Interesting Site that indicates Chemo Options per Stage

  • Stage I – No adjuvant treatment is recommended for stage I colon cancer.
  • Stage II & III – Adjuvant therapy is recommended for stage III and high-risk stage II colon cancer patients.
  • Stage IV – Treatment for stage IV colon cancer is generally palliative. There are many new cytotoxic chemotherapy and targeted agents available for treating metastatic colon cancer, such as 5-FU, oxaliplatin, irinotecan, cetuximab, and bevacizumab.

What is the cancer cells have seeded to peritoneum (abdominal cavity)?

Options for treating CRC that has spread to peritoneum are –

  • Old Traditional method such as
  • Newer Option such as

However, before we chose the options, we have to measure the baseline with scores. Socres are counted using two scales, Peritoneal Cancer Index (PCI ) and Peritoneal Surface Disease Severity Score (PSDSS). The scales compute information from three distinct parameters –

  1. Patient’s symptoms
  2. Location and
  3. CRC tumor burden (Size)
  • Older Methods – removal of the omentum, systemic and/or palliative chemotherapy, and palliative surgery.
  • Newer Regimen – cytoreductive surgery (CRS), hyperthermic intraperitoneal chemotherapy (HIPEC), and intraperitoneal chemotherapy.

Survival benefit –

Note: Older systemic chemotherapy regimens such as 5-flurouracil (5FU) and leucovorin offer a limited survival benefit of approximately 7 months, whereas, if Oxiplatin or irinotecan are added, survival can be extended to approximately 2 years.

Newer Regimens such as CRS and HIPEC have survival benefit of approximately 63 months with a 5-year survival near 50%. To say it simply, 50% patients will survive beyond 5 years.

The scales help in understanding the 5 years survival more objectively –

  • PCI 10 or less – 50% 5-year survival
  • PCI of 11 to 20 – 20% 5-year survival
  • PCI more than 20 – 0% 5-year survival

For Information on Gene Expression Profiling, you may visit following site –

Disclaimer:

The information available is for information purpose only. These are not recommendations. You are advised to consult your oncologist to get the recommendations for managing CRC patients.  The above site has all relevant references hyperlinked to the subtopics. The author holds no responsibility for any information mentioned herein.