Anna Weiss @AnnaWeissMD
Director, Breast Program, University of Rochester Wilmot Cancer Center. Tweets are opinions not medical advice. @UR_med @UCSDsurgery @MDAndersonNews Joined October 2022-
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@AnnSurgOncol A9: the Alliance has a clinical trial, PI is Katie Reeder-Hayes, examining an interactive phone app, with alerts, reminders, etc aimed at increasing adherence. Fingers crossed it's a positive trial! #ASOchat
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@AndreaLMerrill @AnnSurgOncol @The_BMC Yes I think networking/support groups can be clutch
@AnnSurgOncol A9: this is tough. There aren't many proven effective interventions. It is clear that just passing out information does not help though. Bidirectional interventions, like programs including mychart responses etc can help #ASOchat
@AnnSurgOncol A8: for invasive disease, we are about to submit a trial via the Alliance looking at low dose tam in patients with low risk invasive breast cancer, but I personally would not try it outside of a trial
@AnnSurgOncol A8: premenopausal patients the data is not as clear, but if they cannot tolerate 20mg, I will decrease
@AnnSurgOncol A8: I use low dose tamoxifen for post Menopausal patients in the prevention setting. Our co author Laura Spring cannot join, but she said 'something is better than nothing' #ASOchat
@AnnSurgOncol A7: we manage! Baseline dexa then every 2 years. If treatment is needed, use injectable bisphosphonates (reclast, prolia too). If bone loss continues despite these we refer #ASOchat
Anna Weiss retweeted
@AnnSurgOncol #ASOchat There is no RELIABLE evidence that vaginal hormones increase the risk of #breastcancer recurrence. The original pharmacokinetics studies of vaginal estrogen used doses 5x higher than what we use today
@AnnSurgOncol A6: I heard there were reports of vaginal lasers causing burns, perhaps worsening strictures. I would be cautious
@AnnSurgOncol I'm going to let @kristinrojasmd take this one! #ASOchat
@AnnSurgOncol A5: let's talk about sex baby! I bring it up in every new patient consultation re long term issues that can arise from breast cancer treatment. Remove irritants, moisturize, lubricate! If anatomical issues I do refer
@AnnSurgOncol A4: acupuncture! Was proven effective in a randomized sham controlled clinical trial. I recommend this all the time to my patients. We offer it the integrative oncology center supported @PlutaCancerFdn @UR_Med #ASOchat
@puneetsinghmd @AndreaLMerrill @kristinrojasmd @AnnSurgOncol @puneetsinghmd this is a huge point. It needs to be tolerable! They need to take it if we arent going to do slnb, radiate,etc #ASOchat
@AnnSurgOncol A3: gabapentin, venlafaxine, oxybutinin are medical options. #ASOchat
@adwilliams5 @AnnSurgOncol I think getting comfortable with the discussion is so important, so when the med onc tells them about vaginal dryness, for example, it's not the first time a patient is hearing it
@AnnSurgOncol A2: pretty comfortable 😁 but, I will say I often curbside collaborating groups, like our sexual wellness or bone health experts @UR_Med #ASOchat
@AnnSurgOncol Highly trained midlevel providers, overseen by me
Anna Weiss retweeted
Don't forget - next week's @AnnSurgOncol's Tweet Chat on Endorine Therapy for Breast Surgoens is next Wednesday Oct 18 at 630pm EST! #breastcancer @ASBrS @kristinrojasmd @DrAnnaWeiss @drrachelrubin @Liz_ORiordan
Anna Weiss retweeted
Don't be fooled! On #AprilFoolsDay, we're busting common myths related to cancer. While anyone can get #breastcancer, those with a family history do have an increased risk. Have questions about your own risk? Our Breast Health Program can help: urmc.info/SR #ROC
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