Wednesday, September 30, 2009

Late blight hits North Country crops

By Jon Hochschartner
The deadly fungus which decimated crop yields across the North East this summer had a “pretty bad” effect on local farms as well, Anne Lenox Barlow, a horticulture educator from Clinton County Cornell Cooperative Extension, said.
“(Late blight) is a fungal pathogen that affects tomatoes and potatoes,” Barlow said. “It caused the Irish Potato famine…it gets into xylem and phloem of the plant. What that is, is the plant's vascular system; it’s how it transports water and food. It gets in there and it clogs that all up. So the plant loses its ability to transport food and water. The plants, when they get severely infected, they do wilt, because they're not getting water and they're not getting nutrients.”
She said the pathogen was brought north in June from a large vegetable grower in Texas. But it won’t survive our winter cold, Barlow said.
“It's something we shouldn't hopefully see next year,” she said. “The last time we had it here was the early nineties.”
That is likely little consolation for Dan Tower, of Dan’s Busy Bees and Sandy Hill Vegetables in North Bangor, who said he lost between 50 and 100 bushels of tomatoes when his crop was hit in August.
“I lost somewhere between 95 percent of my tomatoes,” Tower said.
Similarly, Roseanne Gallagher, of Magic Earth Farm in Malone, said she lost all of her potatoes just a month after they were planted.
“For the first time in more than 30 years, we have to buy our potato supply,” she said in an email.
Joe Ellen Saumier, of Kirbside Gardens in Chateaugay, said her 300-feet worth of potatoes were hit in July.
“They looked perfectly healthy one day, and the next week half of them were dead,” she said.
Mike Tholen, the farm manager at North Country School in Lake Placid, said he noticed the blight on his potatoes around mid-August.
“It looked like black lesions, nickel to quarter size, on the leaves, with yellowish-brown dead plant tissue around that under the leaves,” Tholen said. “On some of the stems was a white powdery mildew.”
Tholen said he planted 28 rows, around 300 feet long, of potatoes.
“When we first noticed (the blight), it was on just two rows about a quarter of the way across,” Tholen said. “Then it started spreading through. Within a week it was almost halfway across the field. The suggestion of Cornell Cooperative Extension was to remove all the plant parts that were above ground. We wrapped them in tarps and then weighted them down with cinder blocks. We haven't lost anything, but our (crop) is smaller, because we defoliated before the tubers had a chance to size up.”
Tholen said his tomato crop was unaffected because they are kept in a greenhouse.
Meanwhile, Sylvia Newman, of Valley View Farm in Saranac, said it was simple “luck” that her crops were not hit. She said since there had been little warning, and because the spores travel in the air, there was little they could do by way of prevention.

Trains and trucks carry deadly chemicals

By Mathias Kamin
Freight trains carry every type of goods imaginable; from textiles and food stuffs to metal and lumber. Hazardous chemicals are also moved via these lines. Every year, 2.95 million tons of hazardous materials travel through New York State by rail. According to the office of Senator Charles Schumer there were 17 rail accidents in the North Country between the years 2000 and 2006. These accidents caused more than 4 million dollars in damage. During the same period of time there were 572 rail accidents in upstate New York, causing nearly 34 million dollars in damages.
“In March, a CSX freight train hauling derailed in Oneida, NY. Several of the cars were carrying dangerous chemicals, and they ignited, sending a fireball into the sky seen from miles away. Thousands were evacuated, and the FRA was sent in to investigate the crash. Of course, the reason for the derailment was a crack in the rail. This is just another chapter in the long story of railroad negligence when it comes to safety.” Senator Charles Schumer stated on May 22, 2007 at a hearing before the Senate Commerce Committee, Subcommittee on Surface Transportation and Merchant Marine Infrastructure, Safety, and Security.
According to the New York State Department of Motor Vehicles in 2007 there were 12,265 accidents involving “large trucks” on roads in New York, of these 128 involved fatalities. Everyday there are 3000 freight trucks carrying highly hazardous materials in New York State. These materials include but are not limited to chlorine, ammonia, liquid petroleum and plutonium.
According to Eric Day, Director of Clinton County Emergency Services, 10 trains pass through Plattsburgh each day. Eight are carrying freight and 2 are passenger trains. Aboard the freight trains occasionally are toxic chemicals and other hazardous materials. As for what exactly is coming through town by train on a certain day, it is unknown.
“It depends on what the clients want shipped to them. You don’t always know what’s here and there,” stated Day.
Day explained that Canadian Pacific Rail, which owns the railroads in Plattsburgh, will periodically, upon request by his office, give an update on what they normally carry.
Don’t be too worried though; CCES has a “library of reference materials” for the determination of exactly how to proceed in the event of a disaster, intentional or otherwise.
Firefighters and EMS would be the first responders to such an accident, and all of these 22 fire departments and 21 EMS groups under Day’s control have had hazardous materials training.
CCES is the dispatch unit for all of Clinton County. The job of CCES is to coordinate the appropriate response to any emergency in the county that may need the use of more than one department. CCES is part of a state wide coalition of other emergency departments that will respond if requested in the event of an emergency.

One or two doses for North Country flu shots

By Zachery Lashway
U.S. health officials are urging people to get the seasonal influenza vaccine now and out of the way before the H1N1 vaccine arrives in mid-October.
A few weeks ago scientists and doctors around the world thought people were going to have to line up three times this year to be inoculated for influenza; once for the regular seasonal flu and twice for the 2009 H1N1 strain.
On September 10, 2009 Australian and U.S. researchers announced one dose of the new H1N1 vaccine appears to be strong enough to protect adults from the newest influenza strain. Researchers say immunity will start working within 10 days of receiving the vaccine.
Unlike the regular seasonal flu that targets the older generations, the H1N1 strain is sickening the younger generations and unfortunately studies show children under the age of 10 will have to receive two doses of the H1N1 vaccine in order to have immunity against the swine flu.
The first dose will introduce their immune system to the flu strain that it has never come in contact with and the second vaccine that is to be administered 21 days later will produce the resistance they need.
Dr. Anthony Fauci, head of the National Institutes of Health’s, National Institutes of Allergy and Infectious Diseases say younger children’s immune systems are not yet mature enough to fight off the swine flu. This also stands true for younger children who are receiving the seasonal flu vaccine for the first time; they will need two doses of that inoculation as well.
According to Fauci barely any resistance showed up in tests conducted 8 to 10 days after the shot was administered on constituents under the age of 10. For that reason, the NIH made the decision to have children 10 and under receive two doses of the vaccine. Conversely, children 10 and older have shown enough resistance to the swine flu after just one dose.
Gregory Boulerice, a fourth grade student at Northern Adirondack Elementary School said, “My school has signs all over the building saying don’t spread germs, sneeze in your elbow and teachers are always telling us to wash our hands, and if we are not able to use a sink use the hand sanitizer that is throughout the building.”
Gregory’s sister, Alexis who is in the middle-school said her principle at the beginning of the year mentioned the swine flu briefly. “Teachers are reminding us it is important to use hand sanitizer and cough or sneeze in the sleeve of our shirt rather than in our hands.”
Both children did say they were not worried about the swine flu and if the school administers the shot they will get them there.
Carol Boulerice the mother of Gregory and Alexis is an elementary school teacher at Cumberland Head Elementary and says the swine flu is a huge topic there. “The swine flu has been our hot topic since the first day of school for the past two years. This year it’s especially a big deal. The administration and faculty have put together an emergency plan in preparation of an outbreak. Also, if a student or a faculty member runs a fever they cannot return to school until at least 24 hours after being fever free.” To Boulerice’s understanding the shots will be administered to all faculty, staff and students at her school and other area schools once the shots become available to Clinton County.
According to the Centers for Disease Control and Prevention, priority groups that are recommended to get the vaccine aside from children are those between the ages of 6 months and 24 years of age, pregnant women, caretakers of children under the age of 6 months, healthcare workers and people between the ages of 25 and 64 who have chronic disorders and comprised immune systems.
The CDC does not expect to have a shortage of the H1N1 vaccine, but availability of the vaccine in the beginning might be limited. Therefore, the advisory committee of the CDC has comprised a list of people who should receive the vaccine first: pregnant women, people who live with or take care of children under the age of 6 months, healthcare workers who have direct contact with patients, children between the ages of 6 months and 4 years of age and lastly children between the ages of 5 and 18 who have chronic medical conditions.
Robin Chase, a registered nurse said, “If we don’t get the vaccine we will be without a job!” Chase also said, “I think there will be clinics for the H1N1 vaccine because people are going to have to prove they fall within the target groups in order to be the first to get them. It is easy to prove you are between the ages of 6 months and 24 years of age and in some cases pregnant, but you are going to have to prove you are a healthcare worker or child caretaker.” Chase did say she will receive the H1N1 vaccine at her place of employment.
Two forms of the vaccine will be available to the public. One will be administered through a shot and the other will be inhaled through a nasal spray. Chase said the nasal spray will probably be more popular for younger children and people who are afraid of needles.
Susan Devlin-Varin, a registered cardiac nurse said, “The reason some people refuse vaccines is because they are administered through needles and they have a fear of needles. It’s great the FDA has approved another way to administer the vaccine so people that would not normally get vaccines have the opportunity to do so.” Devlin-Varin did say it is mandatory for her to get the swine flu vaccine and will get it at her place of work.
Heather Rabideau, a secretary at a local pediatrician’s office who is expecting a baby next month said, “I only got the flu shot because I am pregnant, I am not sure about getting the H1N1 shot, I am going to have to read up on it.” Rabideau who is in contact with sick children and is pregnant says she is not worried about the swine flu but does take extra precaution while at work such as washing hands frequently and using hand sanitizer.
As for right now the H1N1 vaccine is anticipated to arrive in mid-October. The first 3.4 million doses of the vaccine will be in the form of nasal spray. According to the CDC, the U.S. ordered more doses of the H1N1 vaccine putting the final total at 251 million doses.

City schools prepare for possible H1N1 outbreak

By Cassandra Morrissey
Over 43 thousand people have been infected with the novel H1N1 flu virus throughout the United States. Clinton County has already seen at least five confirmed cases. As a result, local officials are preparing for a possible outbreak, causing many residents to start worrying. Anthony Ching, a physician at Plattsburgh Primary Care, notices the uneasy emotions the virus is causing.
“The H1N1 is a different strain of the flu. It’s a completely different strand, and the fact that it can affect everyone and not just the extremes is scaring people,” Ching said.
Schools Preparing
James Short, superintendent of Plattsburgh City Schools, has taken a proactive step in getting the school and faculty ready for the virus.
“The most important part of preparation is through explaining what H1N1 is, and educating as many people as possible,” Short said.
Previous to school starting, Plattsburgh city school officials conducted a health risk management seminar on H1N1 for all district employees, sent out news letters to parents, and issued a public service announcement on News Channel 5 and Fox 44.
Short said, “All the advice we get and give is from the county health department and New York State, we aren’t making up our procedures.”
SUNY Plattsburgh and Clinton Community College are also taking steps to prevent a possible eruption of the H1N1 virus. One main factor aiding in the spread of the virus is through close proximity, such as living in dorm rooms and apartments.
Jerimy Blowers, director of Health Education services at Plattsburgh State, realizes this aspect could manipulate the number of students getting sick.
“It only takes one person to get everyone sick. Someone might sneeze on their hand and touch the faucet. If students aren’t careful, they can affect everyone very quickly,” said Blowers.
Although, Blowers recognizes it’s sometimes difficult to monitor every move, and the school continues to formulate an extensive response in case of an outbreak.
“We have a comprehensive plan set, and are monitoring the situation daily. We keep a list of how many people have flu like symptoms, and we are benefiting from looking at what other schools are doing in response to H1N1, and base some of our actions from their results,” said Blowers.
Nicole Powers-Allen, Student Support Services nurse at Clinton Community College is hoping the large number of students comminuting to class will protect the college from an outbreak.
“I think the number of students commuting will play a big part in the spread of H1N1. It will depend on where the virus pops up, but I do think the fact that most students don’t live on campus will play a role. But I don’t know if it will be towards our benefit or determent,” said Powers-Allen.
The majority of information schools are using to plan for the flu season comes from the Clinton County Public Health Department. Laurie Williams, coordinator of the Health Education Unit, observes the situation by staying in close contact with physicians, college campuses, the Center for Disease Control and CVPH.
Vaccines
Along with analyzing the movement and progression of the flu virus, Plattsburgh State and the health department also will have vaccines for the flu virus.
“We will have both the H1N1 and regular flu shot. Our no. 1 priority is students, and they will be treated first”, said Blowers.
Vaccines will not be available for the entire community. According to the Center for Disease Control, the prominent groups that will receive the vaccine are pregnant women, people caring for young children, health care personal, individuals between the age of 6 and 24, and people with compromised immune systems. While the CDC does not expect a shortage for the vaccine, the demand and availably is irregular, resulting in firm monitoring of doses.
Williams said, “We will be given a limited supply of vaccines, which we are monitoring very closely. The CDC and state informs us of when we can disperse the vaccines and how many we can give to physicians. ”
Although many H1N1 flu clinics will be set up in the region, the specific date, number of vaccines available and cost is still uncertain.
Safety Measures
Even though several safety measures are being taken around the community to prevent the spread of H1N1, doctors and health officials continue to stress the importance of cleanliness. Hand washing and good hygiene are key aspects to keeping yourself and the community healthy.
“We have done everything we can to prepare for this. We increased nursing staff, double checked all the cleaning supplies, put sanitizer in every room. But it just comes down to being more aware of respiratory etiquette,” said Short.
Short and Blowers also state that postponing classes or closing school might be an option if there is an outbreak.
Still Worried
Although, some parents are still worried about H1N1 in schools. Beverly Jackson, a secretary at CVPH, is concerned primarily about other student’s reactions than the schools precautions.
“My son comes home every day and tells me different things classmates are saying about H1N1. Sometimes it’s hard to keep track of. And how do you know if other people are coughing on your children, or spreading their germs. I’m worried,” said Jackson.
Although the Clinton County region has only experienced a small number of confirmed H1N1 cases, health officials continue to urge residents to pay close attention to healthy habits, and focus on preventative actions rather than panicking.

Violent protests not an issue in Plattsburgh

By Aurora O’Geen
Clad in bright blue “pro-life” tee-shirts while holding home-made “choose life” signs and Bibles, it’s nearly impossible not to notice the anti-abortion protestors outside the Plattsburgh Planned Parenthood. While prayers are repeated in unison, members take it upon themselves to approach passer-bys with pamphlets and information in hopes of influencing a Pro-Life lifestyle.
It is not uncommon to witness protestors outside the local Planned Parenthood on Brinkerhoff Street- in fact; they are there nearly every day. But should patients and employees of Planned Parenthood feel threatened by these protestors?
A recent New York Times article focused on the shooting of an anti-abortion protestor outside a Michigan high school. Such violence seems uncommon in the Plattsburgh area, but one could ask whether protestor, patient, or employee safety is at risk during such protests.
Dr. John Middleton founded the Champlain Valley Right to Life Organization in Plattsburgh, and has been protesting abortions locally and nationwide since the 1970’s.
Dr. Middleton says he has never witnessed extreme violence involving protestors in Plattsburgh. He points out, that although profanity and degrading shouts may be directed towards protestors from time to time; he does not feel as though his personal safety is at risk.
When asked whether or not pro-life member intentions stem from violence, Dr. Middleton replied that members were “trying to stop the violence”. Pointing to his sign, which displays the sonogram of an unborn baby, Dr. Middleton states their goal is simply to “protect the babies”.
Members of the Champlain Valley Right to Life Organization vary in age, nationality, and background. Dr. Middleton points out, that although most members are Christians, the organization is non-denominational and open to anyone. Again, he stressed that the organization does not use violent tactics to promote their pro-life opinions.
Right to Life member Bart Gaffney also claims they are not out to intimidate patients or community members. Instead, it was repeatedly declared that Right to Life members are simply there to pray for those affiliated with Planned Parenthood. Acknowledging the fact that their prayers may not be welcome, Gaffney insists that members are not there to instigate violence, and will continue to promote change through prayer.
On the other end of the story are the Planned Parenthood employees, patients, and volunteers. On days when protests are in action, Planned Parenthood volunteers serve as escorts for those entering and exiting the premises.
Bob Jensen is among the volunteers serving as an escort for patients. Jensen, who points out his size and physical capability, says he personally does not feel threatened when working with the protestors. Jensen, a retired community member of Plattsburgh volunteers as often as he can in order to help patients.
Jensen says he understands that girls are forced to make “terrible decisions” at times, and is trying to ease their anxiety when visiting Planned Parenthood. Pointing to fellow escort volunteers, Jensen says they are there to protect patients and maintain a comfortable environment during a difficult time.
Martha Stahl, director of external affairs for the Plattsburgh location, points out that patient’s safety is a top concern for Planned Parenthood. Employees understand that it is not uncommon for patients to feel uncomfortable when passing protestors. When the escorts aren’t enough to maintain a comfortable atmosphere for the patient, Planned Parenthood offers a private back entrance.
Although Stahl does not believe the local protestors pose an immediate threat to employees or patients, Plattsburgh Police are notified of protests and do patrol the area.
During her time with the Plattsburgh Planned Parenthood, Stahl says she has not personally witnessed any notable violence towards, or from, protestors. This could be because many of the organization members are regulars, and have become familiar to employees.
It does however, become a concern when larger protests are planned, and protestors from surrounding areas make their way towards Plattsburgh. Still, Stahl says she does not feel as though employees or patients are at an immediate risk.
For students who truly feel uncomfortable dealing with the attention from protestors, there are other options. The campus health center at SUNY Plattsburgh provides students with nearly all the same options as Planned Parenthood. Director of Health Education Services, Jerimy Blowers, points out that all services are provided in confidentiality for students at SUNY Plattsburgh. Having had a previous experience with protestors himself, Blowers says he does believe local protestors “push the limits”.
So what are the limits when it comes to protestors? Members are required by law, not to step on private property. Therefore, most protestors stand between the street and the sidewalk. With such tight corners, many times Plattsburgh Police are called to ensure the safety of protestors throughout the year.
For now, neither protestors nor employees feel as though anyone is at risk when visiting the Brinkerhoff Street location. Anti-abortion groups have been present in Plattsburgh for decades, and members believe their protests will continue in a “non-violent” manner as long as abortions are being performed.

Efforts made to revitalize city, quality of life

By Kevin Stump
Broken bottles on sidewalks, street signs ripped from the ground, party cups and litter sprinkled over the street, apartment buildings with water leaks, caved in walls and stray cats everywhere, flowers uprooted, evidence of urine and vomit on porch’s, cigarette butts on lawns and a police blotter in the paper that rolls on each weekend reflecting the quality of life in the Plattsburgh inner city and downtown area.
Over the last few years there have been several initiatives to economically, socially and physically rebuild or restore the Plattsburgh inner city and down town areas and the overall quality of life.
In collaboration with the college, District Attorneys office, CVPH, city police department and a small group of concerned community members, city court judge Penny Clute has helped to create a progressive program called Restorative Justice. The program is used as a sentence from the city court involving young people who have been charged with minor city violations or “quality life crime” said Assistant District Attorney Domenca Padula who facilitates the program once a month.
“This is a time for the victims to tell their story and for the offenders to sit and listen,” she said.
However, revitalizing this community requires more than simply addressing the ‘quality of life crimes,’ but also an understanding of how and why these issues continue to lessen the quality of life.
The root of many of the issues Plattsburgh faces is economics. Since the completion of interstate 87 in the late 1960s, businesses have positioned themselves conveniently alongside the flow of traffic uptown. Therefore the downtown area has become “nothing but bars and alcohol, you must give students an alternative excuse to go downtown without using their fake ID,” said Bill Laundry, SUNY Plattsburgh Vice President of Student Affairs. Laundry also co-chairs the Campus and Community Partnership, which aims at fostering respectful, responsible, and productive citizens and is responsible for the “4 or Fewer” campaign to help people drink alcohol more responsibly. He feels the standard of living has also gone down because of population density in the inner city area. More density living requires a great deal of collaboration from the tenants and landlords to help keep houses and streets clean and neat, however this does not always happen and is difficult to enforce or facilitate.
“It’s like they sold their soul to make money,” said city clerk Keith Herkalo who was referring to the Plattsburgh inner city landlords. Before the center city houses became college style apartment buildings, the area was made up of Victorian style homes occupied by single families. Herkalo believes that over the last few decades there has been a “decline in the character of the neighborhoods” resulting in a decline of the overall quality of life.
The building inspector Rick Perry feels that many of the community issues occur from a lack of communication. “Very rarely do students come to city hall with their problems,” said Perry who now holds office hours on campus once a month to help better communication. Inspections are required every three years for a rental, however within a span of three years there are six to ten different tenants (or groups) living in one apartment, it is difficult for the building inspector and landlords to determine who is at fault for the broken window, or stained carpet, causing apartments and houses to become neglected over time.
Perry has had the same number of staff since the 1980s but the amount of work is constantly increasing because of government regulations and the overall population density of the inner city area. The quality of apartments has diminished over time due to the lack of personnel that would help enforce the level of upkeep and codes of the community, therefore decreasing the level of overall respect people have for where they live. The city could use more staff or money to employ more inspection hours. The building inspector oversees all of the construction and development projects in the city in addition to the residential construction and code enforcement.
“Plattsburgh has lost that sense of home,” said Mike White, chair of the City Campus Coalition, which seeks to enhance relations between SUNY Plattsburgh and the surrounding community.
Like building inspector Rick Perry, White also feels the root of the issues facing the Plattsburgh community comes from a lack of communication.
“There needs to be an effective relationship between the college, local government and community residents,” White said.
If all three aspects are communicating and working together then as he says, “the tri-pod of effectiveness will be unstoppable.”
The Coalition recently hosted “Meet Your Neighbors” located at four different Fraternity houses, which was geared toward establishing a positive relationship with the neighborhoods. “Although the city has been somewhat lackadaisical, rather than point blame we should try to unite everyone,” said White. Since the “Meet Your Neighbors” event was a success for the coalition, the next step is to start working on the beautification of the downtown area.
Public restrooms, more garbage cans throughout the inner city, more adequate lighting, and street cameras could solve a lot of the quality of life issues addressed by several different initiatives (Partnership, Coalition, and Restorative Justice). The complexities of restoring the Plattsburgh community require understanding and acknowledgment of the issues and more importantly, a political will to change and better the quality of life in Plattsburgh.

Tamoxifen: miracle or menace?

By Emmalie Vance
It is difficult to leave the doctor’s office with the newfound knowledge that your body has turned on itself with the formation of a malignant tumor, otherwise known as cancer. For a woman, the diagnosis of breast cancer can be even more devastating.
Over the next several weeks, months, and possibly years, the patient is subjected to surgeries to attempt to remove the mass or masses, chemotherapy, radiation therapy, and finally medication and further treatments.
Patients become tired, physically sick, and emotionally drained after having gone through this overwhelming and lengthy process. Some keep their head high and try to live their life as best they can while trying not to think of cancer all the time. Others, however, sink into a hole of darkness and despair, sometimes becoming clinically depressed thinking not only of the cancer attacking their body but also the procedures, the medication, the bills, and some even begin to question their sexuality.
“Cancer has a very big stereotype behind it,” says Social Worker Stacey LaFave from CVPH. “When most people hear the words, they think death so they go there mentally. Chances are, most people have thought about that and have questioned their mortality a little bit with a diagnosis of cancer.”
Women who have been diagnosed with breast cancer have many additional psychological issues connected with their appearance after the diagnosis and especially after some of the treatments. A lumpectomy which removes a small mass from the breast could change the shape of the breast and a mastectomy which removes one or both of the breasts completely has an even larger impact on the woman. The loss of their hair, which is a very feminine trait, after chemotherapy, leaves its own scars on a woman’s spirit
“For some people, these things may have a bigger impact on them than others,” LaFave says. “As people age, it may not be as big of an impact for them, but say you’re 35, not married and you’re in the dating world. That’s a big deal.”
On top of all of these stressors that women may have in addition to the diagnosis of breast cancer, starting on the best treatment possible when they are finished with surgery, chemo and radiation to help prevent a reoccurrence can be another issue, when considering the choices they have and the possible side effects that they pose.
One such option for women who are pre-menopausal is a medication called Tamoxifen, which has been widely used in hospitals for several decades for the treatment of breast cancer in pre-menopausal women. The drug cuts off the flow of estrogen produced by the ovaries which is supplying the tumor, inducing artificial menopause and stopping the progression of the cancer. Post-menopausal women are obviously not a candidate for this medication because by that point, their bodies have ceased the production of estrogen so taking the drug would be pointless. Instead, they receive different medication called aromatase inhibitors, such as Arimadex, which block any further formations of estrogen to protect the women from a reoccurrence of the cancer.
“Tamoxifen is probably the most widely used drug for breast cancer - more than any chemotherapy or other drug,” said Elli Collins, Oncology Clinical Nurse Specialist at CVPH. Although she said, “Tamoxifen has probably been one of the best advances ever in breastcancer,” Collins added, “The search is on to find an ideal “treatment” that eliminates the unwanted, significant side effects.”
Some of the potential side effects taken from the laundry list of Tamoxifen are hot flashes, vaginal irritation, decreased libido, nausea, and musculoskeletal pain. These are all issues commonly connected with natural menopause. The more serious potential side effects such as thrombosis (blood clots), stroke, and a possibility of developing uterine cancers are what really weighs the patient’s decision.
“We are dealing with people who don’t want a relapse,” says CVPH Oncology Pharmacist, Catherine Mondon, “so people are going to be more inclined to accept the unwanted side effects and deal with them. It is also presented in a way that says ‘this side effect can happen and if it does, you need to let us know right away so that we can treat it.’”
Mondon, on the possibility of developing other cancers while on Tamoxifen, says, “It was like one percent of the patients taking it but even so, if you’re in that one percent, it doesn’t matter; you’re not going to be a happy camper.”
Despite these extreme, although still only potential, side effects, Tamoxifen continues to be used to treat pre-menopausal women who have breast cancer because there really isn’t another option until they reach menopause.
When a patient is prescribed Tamoxifen, they are informed of the possibility of developing a potentially fatal blood clot. They are also educated on the symptoms so that if they feel a sudden pain in the chest, notice a swollen leg, or shortness of breath while taking Tamoxifen, they are urged to go to the hospital right away. The possibility of developing uterine cancers is monitored by regular gynecological checkups and the patient is told to report any abnormal bleeding. Also, if the patient does develop such a cancer as a result of the Tamoxifen, they usually catch it relatively early because they’re watching for it so most people are treated and cured before it becomes a serious problem.
Mondon estimates that only one out of every 100 people do not choose to go on Tamoxifen because of its potential side effects, but for those who do, CVPH Oncologist, Dr. Jan Duus says that the drug cuts the odds for a reoccurrence of cancer by about a third.
“With most medicines there is no free lunch,” says Duus. “Some people will have a bad reaction to Tylenol but the reality is that for every person who gets hurt by it, there are a lot of people who get helped by it.”