Category Archives: heart disease

Amanda Greeting AWAREmed Patients

Ductal carcinoma in situ

Ductal carcinoma in situ: The earliest form of breast cancer

Ductal carcinoma

Ductal carcinoma in situ is the presence of abnormal cells inside a milk duct in the breast.

Ductal carcinoma in situ (DCIS) is the presence of abnormal cells inside a milk duct in the breast. It is believed to be the earliest form of breast cancer in history of the disease. DCIS is noninvasive, meaning it hasn’t spread out of the milk duct to invade other parts of the breast. Doctor Akoury MD and President of AWAREmed health and wellness resource center explains that, this problem becomes evident during a mammogram done as part of breast cancer screening in women. Today the much awareness of the need to have screening done regularly, the rate at which DCIS is diagnosed has increased dramatically in recent years. DCIS is not life-threatening and therefore, treatment has been very effective using breast conserving surgery and radiation.

Ductal carcinoma in situ: Symptoms

In most cases, you will not see any sign or symptoms with DCIS nevertheless, it can sometimes cause signs and symptoms like a breast lump or bloody nipple discharge. And though signs may not be there, regular cancer screening is still very important. You can visit your doctor from time to time or when you notice any change in your breasts like a lump, an area of puckered or otherwise unusual skin, a thickened region under the skin, or nipple discharge.

Ductal carcinoma in situ: Causes and risk factors

It’s not clear what causes DCIS, but normally it forms when genetic mutations occur in the DNA of breast duct cells. This causes the cells to appear abnormal, though not able to break out of the breast duct. Factors that may increase DCIS risk may include:

  • Using a combination of estrogen-progestin hormone replacement therapy for more than three to five years after menopause
  • Personal history of benign breast disease, such as atypical hyperplasia
  • Obesity
  • Old age
  • Genetic mutations that increase the risk of breast cancer, such as in the breast cancer genes BRCA1 and BRCA2
  • First pregnancy after age 30
  • Family history of breast cancer


Breast imaging – DCIS is most often discovered during a mammogram used to screen for breast cancer. If suspicious areas such as bright white specks (microcalcifications) that are in a cluster and have irregular shapes or sizes are identified on your mammogram, your radiologist likely will recommend additional breast imaging.
Removing breast tissue samples for testing
To do this, you may undergo one or more types of breast biopsy procedures like:
Core needle biopsy
– A radiologist or surgeon uses a hollow needle to remove tissue samples from the suspicious area, sometimes guided by ultrasound. The tissue samples are sent to a lab for analysis.

Stereotactic biopsy – This type of biopsy also involves removing tissue samples with a hollow needle, but with the help of stereo images, mammogram images of the same area obtained from different angles to find the area of concern.

Surgical biopsy (wide local excision or lumpectomy) – If results from a core needle biopsy or stereotactic biopsy show areas of DCIS, you’ll likely be referred to a surgeon to discuss your options for surgically removing a wider area of breast tissue for analysis.

A pathologist will analyze the breast tissue from your biopsy to determine whether abnormal cells are present and how aggressive those abnormal cells appear. If your mammogram showed microcalcifications, the pathologist will examine the biopsy sample for those abnormalities and give an opinion.

Ductal carcinoma in situ: The earliest form of breast cancer



Cocaine abuse destructions

Cocaine abuse destructions

Cocaine abuse destructions are evident even on the surface

Cocaine abuse destructions: Statistics of cocaine effects

Of all substance of abuse, the kind of cocaine abuse destructions in human life is very painful. Cocaine abuse effects on human health are growing very fast among the middle-class communities. According to a report released by a Police Foundation recently, it was stated that there are 120,000 regular users and 360,000 occasional users of cocaine, with 180,000 taking crack cocaine the report concludes. This drug is no respecter of anyone and social status is not a factor when it comes to drug addiction. Everyone is vulnerable and we must face the problem boldly without fear. Doctor Akoury MD, is a veteran addiction expert who is taking the initiative to help you get the best of your life in this article by focusing on the discussion topic which is “destructions cocaine abuse cause on human health”. The chilling revelations doctor Akoury is about to share with us are just but a very small fraction of what this drug is capable of doing in your life. It would be appropriate that even as you go through this article, you may want to schedule an appointment with the experts at AWAREmed Health and Wellness Resource Center under the able leadership of doctor Akoury. Remember that she founded this health facility primarily to give her contribution towards eliminating cocaine addiction and other addictive elements. Let us now get to the business of understanding the impact of cocaine on human health.

Cocaine abuse destructions: Mental health complications

Although cocaine is used because it causes excitement, those addicts who use this drug regularly in high doses can develop short-term sessions of uncontrolled behavior, impaired judgment, impulsive behavior and hypersexuality. Besides that, other users are also likely to develop persecutory delusions and hallucinations which often cause them problems with the authorities. When addicts use this drug, it causes them to lose the sense of control and occasionally become violent. Yet alongside that muscle twitching and convulsions (fits) are also a risk with heavy use, more so in adolescents who smoke crack, a pure and highly addictive form of the drug. Coma, the breakdown of muscles and kidney failure can also occur.

Cocaine abuse destructions: The liver

Users of cocaine often combine it with alcohol to deliver more excitement. To them, this combination gives them the feeling of the ‘high’ to satisfaction as opposed to when cocaine is used on its own. With this combination, the effect of cocaine is given a boost and the reason behind it is that a new chemical is formed in the liver which has similar effects to cocaine but which last longer in the body. Doctor Akoury sounds a warning that this practice is chillingly dangerous.  It is highly associated with liver damages and risk of premature death is 18 times greater with this combination. Get to know more to be on the health safest side of life by scheduling an appointment with doctor Dalal Akoury today.

Cocaine abuse destructions: Statistics of cocaine effects




Obesity 2

Healing heart diseases naturally

Healing heart diseases

Healing heart diseases naturally is very important and it start with quitting cigarette smoking

Healing heart diseases naturally: Taking heed of your health needs

Good health is everybody’s desire. This is only possible with a health and functioning heart. Because of the delicate nature of this organ, we must take all the precautions to keep it healthy. Healing heart diseases naturally is the way to go. In fact, one of the perfect ways of preventing heart diseases is by being physically active. As simple as it looks, many have failed in this. Because of that, we want to help you start little by little. Speaking to doctor Dalal Akoury MD president and founder of AWAREmed Health and Wellness Resource Center, about this discipline, she advises on the following:

Healing heart diseases naturally: Building on what you are already doing

You might not realize just how active you already are. Can you take a moment and think about the activities you’re already doing and the ones you’d like to do in the future. Download and fill in your own activity diary sheet to find out how much you’re already doing. The easiest way to get active is to build it into your everyday life. It need not be a big change to your daily habits, but it could have a big impact on your health. Just some little tips on what you could incorporate:

  • Walking more each day. You don’t need to dress up in sportswear to get active.
  • Climb the stairs more often.
  • Avoid sitting down for long periods.
  • Meet your friends more regularly. Walk or cycle to and from local places whenever you can.
  • Do more activity in your leisure time. Exercising in a class or with a group is a good way to meet new people and make new friends

Healing heart diseases naturally: Being overweight and how it affects your health

Overweight and obese people are more likely to develop coronary heart disease than those with a healthy weight. Heart diseases can be very devastating and the sooner they are dealt with the better. As you consider taking on physical activities to prevent heart conditions, remember to consult with your doctor since not everyone with a heart condition can do exercise the same way. In this regard doctor, Dalal Akoury will be very instrumental in advising you professionally if only you can schedule for that much deserving appointment with her today.

Finally, there is no doubt that being overweight or obese is a serious factor in causes of heart diseases and other health complications. This has been established by the various research findings that being overweight or obese:

  • Raise your blood cholesterol levels
  • Increase your blood pressure
  • Increase your risk of developing Type 2 diabetes.

Doctor Akoury says that because these are risk factors for coronary heart disease, your weight can have a big impact on your long-term health. Remember that even if you don’t have any of these conditions, it’s still very important to keep to a healthy weight so you don’t develop them in future.

The good news is that if you’re overweight or obese, you can reduce your risk of coronary heart disease by reaching and keeping to a healthy weight. You can make a real difference to your heart health with small lifestyle changes, by eating healthily, keeping active, and being aware of what affects your risk.

Healing heart diseases naturally: Taking heed of your health needs







Cardiac toxicity treatments prevention

Cardiac toxicity treatments

Cardiac toxicity treatments prevention with the professionals

Cardiac toxicity treatments prevention: The heart muscles

The cardiac toxicity treatments prevention is that important that we must do all it takes to embrace. We can only be safe from dangers of cardiac toxicity complications if the preventive approach is given a chance. Experts at AWAREmed health and wellness resource center under the leadership of doctor Dalal Akoury MD reiterates that all heart problems can be prevented by changing our lifestyle and putting drugs away. Nonetheless, where we already have the problem, we can use the following treatment options:

Limiting cumulative dose of drugs

One of the ways to prevent cardiac toxicity is by limiting cumulative dose of drugs that damage the heart, and more so the anthracyclines. We have a defined amount of doxorubicin that can be given with a lesser risk of complications, like for instance if your total dose of doxorubicin is less than 550mg/m2, you may just have about 1% of experiencing cardiac toxicity. On the other hand, when your total dose of doxorubicin is said between 560mg/m2 and 1155mg/m2, your risk is likely to go up to 30%.

Besides that experts have also established that individual patients will tolerate differently the medication of doxorubicin. Some patients may receive high doses of doxorubicin without ever developing heart damage while some have problems at relatively low doses of even less than 550mg/m2 total dose. These variances are all applicable when making effort in preventing the prevention and treatment of cardiac toxicity.

Cardiac toxicity treatments prevention: Administration process

It has been noted in certain cases that there is some supporting evidence that the method of drug administration may affect the risk of cardiac toxicity. Rapid administration of drugs, for instance, may result in high blood levels, which is likely to cause more heart damage than if the same quantity of drugs given over or spread over a longer period of time. In other words giving smaller doses of the drug more frequently can be a perfect prevention and Treatment of cardiac toxicity since it will be instrumental in decreasing the toxicity compared to large doses of drugs at longer intervals.

Cardiac toxicity treatments prevention: Liposomal anthracyclines

The risk of cardiac toxicity from anthracyclines has been reduced by making them in a different way. Liposomal anthracyclines have been encapsulated or enclosed in a liposome, a tiny globule of fat. Because of its capability to hide the drug in fat, it is able to stay in the body much longer because the immune system doesn’t target it for elimination and the liver doesn’t break it down as quickly either. The currently ongoing studies indicate that the risk of heart problems is considerably lower with liposomal doxorubicin formulations than with conventional doxorubicin. Types of liposomal anthracyclines include: Liposomal daunorubicin (DaunoXome®) and Pegylated liposomal doxorubicin (Doxil®)

Pegylated liposomal doxorubicin has been studied most extensively and has demonstrated the most significant reductions in heart problems. Pegylated liposomal doxorubicin has shown a similar anti-cancer effect to doxorubicin, but with less cardiac toxicity. Finally, understanding preventive treatment approach of cardiac toxicity may be hard for many and if you are, then you may want to call doctor Dalal Akoury MD a veteran professional in preventive treatment approach and she will be of great help for you.

Cardiac toxicity treatments prevention: The heart muscles



Cancer transplantation

Cancer transplantation

Cancer transplantation. The disease cancer is a scare and those who have been there will tell you that better prevention than cure

Cancer transplantation: Eliminating substance abuse

In case of malignancies, we are using patented methods of treatment with stem cells. These methods have proved their efficacy, and have been approved by the Ministry of Health on April 20, 1999 and have been recommended for use in clinical practice. And according to the experts at AWAREmed health and wellness resource center under doctor Dalal Akoury MD Cancer transplantation of fetal stem cells is possible at all stages of oncological diseases like for instance:

If surgery (tumor removal) cannot be started due to such complications as anemia, weakness, wasting, thrombocytopenia, depression, etc., transplantation of fetal stem cells prior to the tumor removal operation provides for the best preparation of the patient to surgery and best tolerability of the latter; it also accelerates the postoperative wound healing process, minimizes consequences and complications of anesthesia, and reduces the duration of the post-surgery rehabilitation period that allows for more rapid continuation of comprehensive treatment. In patients treated with the method of fetal stem cell transplantation prior to the operation, best tolerability of chemotherapy courses had been observed. Probability of metastatic process development diminishes as a result of increased anti-tumor immunity.

During the course of chemotherapy and radiotherapy (irradiation)

In case of such complications as leukopenia, agranulocytosis, thrombocytopenia, anemia, hepatitis, enteropathy, wasting, depression, alopecia, etc., transplantation of fetal stem cells promotes rapid (5 to 7 days) restoration of peripheral blood parameters after chemotherapy, improvement of the overall condition, and helps prevent complications. Transplantation of fetal stem cells provides an opportunity for carrying out more large-scale and intensive chemotherapy with a minimum risk without violating its timeframe.

Cancer transplantation: After chemotherapy and radiotherapy (irradiation)

Transplantation of fetal stem cells is instrumental in restoring anti-tumor immunity and haemopoesis; it contributes to improvement of patient’s overall condition, decrease in weakness, as well as to improvement of their psycho-emotional status and quality of life.

Cancer transplantation: Post-transplantation effects

Solid experience in cancer treatment allowed us to distinguish two stages in post-transplantation period that are different in time of development and clinical manifestations.

The first stage lasts for about one month and is characterized by emergence of early clinical symptoms that develop within a few hours after transplantation of fetal stem cells. We have described the early post-transplantation improvement syndrome: improvement in overall condition and appetite, decline in body temperature, diminishing weakness and sweating, restoration of self-care ability and increase in performance. This syndrome mostly occurs in patients with symptoms of severe intoxication and is often observed in patients with severe clinical course of the disease.

Also, a syndrome of psycho-functional changes is observed: reduction of somatic depression, improvement of emotional status, cognitive abilities, memory, and conative component.

The second stage of cell effect begins within one to two months after transplantation. It is related to reduced clinical manifestations of the disease and is characterized by stabilization of haemopoesis, improvement of the immunological profile, reduction of inflammatory effects, elevation of Karnovsky index, and improved quality of life.

Finally, doctor Akoury reiterates that stem cell therapy contributes to formation of anti-tumor immunity; that can be used for preventing oncological diseases, as well as avoiding relapse and metastatic process. But even before we get there, most of the cancerous complications are as a result of substance abuse. This means that if we were to deal the prevention of substance abuse, cancer complications will be reduced greatly. Therefore as you consider taking the above treatment course, we also want to encourage you to talk to us about the major cause of cancer (drug addiction) so that we can fight the problem from all angles.

Cancer transplantation: Eliminating substance abuse