EXPERT
Howard W. Bruckner
Oncologist
Dr. Howard Bruckner is an oncologist practicing in Bronx, New York. Dr. Bruckner specializes in the care and treatment of patients with cancer. As an oncologist, Dr. Bruckner manages and oversees the treatment of a cancer patient after he or she has been diagnosed with the disease. Oncologists will care for their patients throughout the course of the disease. Types of oncologists include medical oncologists, surgical oncologists, radiation oncologists, gynecologic oncologists, pediatric oncologists and hematologist oncologists.
Howard W. Bruckner
- Bronx, New York
- MD at Albert Einstein College of Medicine
- Accepting new patients
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Prostate Cancer Level?
Presumably you were treated? And are asking about your PSA? The way to know if your test is higher is to compare it to your past tests. Any rise, even 10%, is worth a calm word. READ MORE
Presumably you were treated? And are asking about your PSA? The way to know if your test is higher is to compare it to your past tests. Any rise, even 10%, is worth a calm word. Make sure your urologist is aware. Don’t assume, communicate.
Can you lose your hair during radiation?
Yes, only in the local directly treated area. Systemic radiation can cause overall loss.
Is constipation normal with chemotherapy?
Common four factors: antiemetic, dehydration, change in diet, narcotics.
What about the Golo reducing pills for former cancer patients?
Any weight loss in remission cancer pts must be under supervision have a medical not cosmetic motive and monitor that immune function doesn't suffer. The role of weight "control" READ MORE
Any weight loss in remission cancer pts must be under supervision have a medical not cosmetic motive and monitor that immune function doesn't suffer. The role of weight "control" slow loss remission breast cancer surgery is positive and should be supervised & achieved with close to normal life style measures.
Is radiation therapy recommended for breast cancer?
It isn't one or the other. RT is routine after lumpectomy, but there are several ways to do the RT. Some are short, some half the breast. The chemo decision or hormone decision READ MORE
It isn't one or the other. RT is routine after lumpectomy, but there are several ways to do the RT. Some are short, some half the breast. The chemo decision or hormone decision depends on the size of the lymph nodes.
Should I take my son to the doctor for his mole?
There is a process to follow. No one should say "no" based on no look and not knowing of more options. If concerned, do something to put at ease. If relationship allows, call a READ MORE
There is a process to follow. No one should say "no" based on no look and not knowing of more options. If concerned, do something to put at ease. If relationship allows, call a doc who knows you. Take a photo, offer to send to doc. Pediatric primary is first choice.
Is bone cancer treatable?
Degree of success depends on the type of cancer. But the more general answer is that stage 2 of all types are treatable. There are options with more benefit than neucence of treatment. READ MORE
Degree of success depends on the type of cancer. But the more general answer is that stage 2 of all types are treatable. There are options with more benefit than neucence of treatment.
Are there such a thing as cancer genes?
It depends on how rigorous one wants to be in the definition. What we know is that there are "defects" (structure and molecule changes - variations) in DNA that are associated READ MORE
It depends on how rigorous one wants to be in the definition. What we know is that there are "defects" (structure and molecule changes - variations) in DNA that are associated with risk of new cancers, prognosis of established cancer, bad biochemical behavior of the tumor Some of this information is useful for individual patients. Presence of the variation can guide choice of treatment and choice of screening for patients and families. For some cancers and families with some patterns of cancer over generations genetic testing can be critical life saving life prolonging or a quality of life plus. What we often don't know is the defect the cause; the reason for the defect is the defect critical or a bystander collateral damage, but we don't need to know in order to use the best practical lessons or to be guided as to individual evidence-based need for tumor testing or family counseling and testing.
Is fatigue and loss of appetite normal during chemotherapy?
Common, but not everyone. Role for diet, education, nutritionist, depression meds. Change in food choices.
My father vomited after his chemo session. Is it normal?
Continued. Diet matters as does bowel function, environment, and psych support. V is only normal if one doesn't avoid it. Learn from and do not repeat poor control experience.
Can repeated abortions cause cancer?
Probably not, BUT in general, Gyn malfunction increases risk of Gyn cancers. Doubt if an elective abortion constitutes a risk. A natural miscarriage, especially multiple, probably READ MORE
Probably not, BUT in general, Gyn malfunction increases risk of Gyn cancers. Doubt if an elective abortion constitutes a risk. A natural miscarriage, especially multiple, probably carries a risk. All statistics would need to take birth control pills as protection into account, so old statistics might not apply.
Is chemotherapy painful?
Chemo is painless Quality of life is another matter Ask your doc He can avoid some side effects Adjust doses drug choices give premeds Communicate which symptoms you most want READ MORE
Chemo is painless
Quality of life is another matter
Ask your doc
He can avoid some side effects
Adjust doses drug choices give premeds
Communicate which symptoms you most want to xboid
Quality of life is another matter
Ask your doc
He can avoid some side effects
Adjust doses drug choices give premeds
Communicate which symptoms you most want to xboid
How is endometrial cancer treated?
A complicated set of attractive options. Options should be reviewed with a expert physician critically. This is both a sometimes curable disease and the treatment depends on the READ MORE
A complicated set of attractive options. Options should be reviewed with a expert physician critically. This is both a sometimes curable disease and the treatment depends on the stage. For early stages the treatment is surgery or radiotherapy and sometimes a sequence of the two adjuvant further therapy after ideal above is experimental.
Be sure to have an adequate biopsy to allow genomic proteomic tumor testing now or in future. In theory ideally don't go into RT without adequate tissue for future. Chemo before or during RT are research and very few (too few)patients clearly need the extra regarding advanced stages role of chemotherapy.
This can be curative so the argument favors best standard therapy. Endometrial is very much like ovarian but maybe actually much better in terms of drug medical options. Taxol Carbo are the standard taxol weekly rather than intermittent an option. In theory any schedule closest to the ideal delivered dose rate that meets comfort so called dose limiting tolerance works. There are modifications that fit the elderly and even the resistant or ineligible for one drug
Be sure to have an adequate biopsy to allow genomic proteomic tumor testing now or in future. In theory ideally don't go into RT without adequate tissue for future. Chemo before or during RT are research and very few (too few)patients clearly need the extra regarding advanced stages role of chemotherapy.
This can be curative so the argument favors best standard therapy. Endometrial is very much like ovarian but maybe actually much better in terms of drug medical options. Taxol Carbo are the standard taxol weekly rather than intermittent an option. In theory any schedule closest to the ideal delivered dose rate that meets comfort so called dose limiting tolerance works. There are modifications that fit the elderly and even the resistant or ineligible for one drug
My father has started fumbling a lot after his cancer treatment. Is it normal?
The usual list of suspects includes:
-Poor reaction to steroids other support med or fluids
-Neuropathy
-Something that warrants a diagnostic brain image
However, the practical READ MORE
The usual list of suspects includes:
-Poor reaction to steroids other support med or fluids
-Neuropathy
-Something that warrants a diagnostic brain image
However, the practical approach is to have the staff collect more facts. Make staff aware and get an evaluation plan. Fall precautions, no driving, no unsupervised business. No unaccompanied chemo sessions. Make sure alert when eating.
-Poor reaction to steroids other support med or fluids
-Neuropathy
-Something that warrants a diagnostic brain image
However, the practical approach is to have the staff collect more facts. Make staff aware and get an evaluation plan. Fall precautions, no driving, no unsupervised business. No unaccompanied chemo sessions. Make sure alert when eating.
Are steroids given as a part of cancer treatment?
Depends on the cancer and the chemo. Steroids are:
-Therapeutic specific for a few cancers
-Non-specific to reduce swelling
-Rarely to reduce pain except in short use
-Prevent READ MORE
Depends on the cancer and the chemo. Steroids are:
-Therapeutic specific for a few cancers
-Non-specific to reduce swelling
-Rarely to reduce pain except in short use
-Prevent side effects of chemo
-Chronic to avoid deficiency re: prostate
-Acute or a few days to prevent chemo malaise nausea/vomiting
-Acute to control allergic reaction
Topical rinses for some types of target chemo mouth sores. Generally, less oral or IV is better. Don't self medicate or reduce without doctor's guidelines. Reasons for less ideally minimum effective:
-Avoid diabetes, new or worse
-Hypertension
-Avoid infection worse
-Atrophy weakness of muscles
-Gastritis ulcers
Often, if using a lot of steroids, one needs complementary ulcer and blood pressure, even infection protection. Ask about each.
-Therapeutic specific for a few cancers
-Non-specific to reduce swelling
-Rarely to reduce pain except in short use
-Prevent side effects of chemo
-Chronic to avoid deficiency re: prostate
-Acute or a few days to prevent chemo malaise nausea/vomiting
-Acute to control allergic reaction
Topical rinses for some types of target chemo mouth sores. Generally, less oral or IV is better. Don't self medicate or reduce without doctor's guidelines. Reasons for less ideally minimum effective:
-Avoid diabetes, new or worse
-Hypertension
-Avoid infection worse
-Atrophy weakness of muscles
-Gastritis ulcers
Often, if using a lot of steroids, one needs complementary ulcer and blood pressure, even infection protection. Ask about each.
How often should I get my body screened for cancer when I have a family history?
Depends on the type of cancer. Start ten years before the diagnosis of the youngest relative with cancer. Frequency depends on what the screen finds precancerous. Almost equally READ MORE
Depends on the type of cancer. Start ten years before the diagnosis of the youngest relative with cancer. Frequency depends on what the screen finds precancerous. Almost equally important neglected, some cancers lend themselves to protection, at least a bit. A healthy lifestyle, weight control, exercise, prevent diabetes and heart disease, the bonus pays for the unproven protection. Exercise and anti-inflammatories, maybe a modest calcium or vitamin D. Make a habit of reasonable updates, self education, tone protection theories. Do the ones that are easy and have other benefits. Live a calm life, don't go crazy, don't lie about the risk to your family or friends, but know your rights; some institution insurers don't need to know. Protect your job insurance. Be careful; don't do genetic testing that can't immediately help. These reports can get into the wrong hands. Be sure your HIPPA rights are protected.
Gummy Bears and cancer
Wrong focus. This is a diabetes control question. Moderate control is fine, don't need to risk low sugar levels. Don't need to lose weight except a few patients for diabetes control. READ MORE
Wrong focus. This is a diabetes control question. Moderate control is fine, don't need to risk low sugar levels. Don't need to lose weight except a few patients for diabetes control. The whole sugar cancer thing has been dangerously blown out of proportion. It applies to a few hormonal lay driven cancers. Some of these patients do a little worse, if overweight, gaining weight 5% plus. If inactive, it may only make a difference in the group with resected no remaining detectable tumors. Effective cancer meds, when that can be ascertained, probably wipe out any diet sugar indiscretions your general diet needs. Conditions are the priority. Unless your doctors ask, say no, enjoy.
After cure from immunotherapy
Have a modest, satisfying party. Include the people who helped you and the ones you want to reconnect with. Get a good psych evaluation (PTSD-oriented) to get back on track.
Continue READ MORE
Have a modest, satisfying party. Include the people who helped you and the ones you want to reconnect with. Get a good psych evaluation (PTSD-oriented) to get back on track.
Continue to follow up as your specialist recommends. Get rehab strength fatigue diet lifestyle bones hormones reproductive reality. Do better, but avoid any extreme programs. Your support system is still important, be careful, you will be around long enough to regret bad decisions and bad enemies. Don't repeat past lifestyle mistakes; it isn't business as usual. Do better. Delegate the technical medical. Have your best significant other keep on top of changing knowledge about follow-ups and residual side effects of past treatment.
Continue to follow up as your specialist recommends. Get rehab strength fatigue diet lifestyle bones hormones reproductive reality. Do better, but avoid any extreme programs. Your support system is still important, be careful, you will be around long enough to regret bad decisions and bad enemies. Don't repeat past lifestyle mistakes; it isn't business as usual. Do better. Delegate the technical medical. Have your best significant other keep on top of changing knowledge about follow-ups and residual side effects of past treatment.
Is a loss of appetite common in chemotherapy patients?
No such thing as normal
Majority of women gain weight
Too much weight harmful beyond cosmetic self image which matters
Weight loss appetite solutions successful for READ MORE
No such thing as normal
Majority of women gain weight
Too much weight harmful beyond cosmetic self image which matters
Weight loss appetite solutions successful for 90% available here our practice it is a bigger problem see a lot of cancer involving GI where weight loss is normal pressing and chronic debilitating concern because problems are our niche. Still 90% have correctable appetite weight loss. Education common mistakes accidental diet
Support meds from natural biological to hormones to mood energy to motility and malabsorption correction..
Current thinking is that a little weight loss and modest diet measures plus activity increase are good prognostically Meeting weight and diet goals needs a coach for many healthy people seeking fitness It should be no surprise that problems during therapy often need a doctor or doctor directed coach Fixable problems are the norm during cancer therapy
Majority of women gain weight
Too much weight harmful beyond cosmetic self image which matters
Weight loss appetite solutions successful for 90% available here our practice it is a bigger problem see a lot of cancer involving GI where weight loss is normal pressing and chronic debilitating concern because problems are our niche. Still 90% have correctable appetite weight loss. Education common mistakes accidental diet
Support meds from natural biological to hormones to mood energy to motility and malabsorption correction..
Current thinking is that a little weight loss and modest diet measures plus activity increase are good prognostically Meeting weight and diet goals needs a coach for many healthy people seeking fitness It should be no surprise that problems during therapy often need a doctor or doctor directed coach Fixable problems are the norm during cancer therapy
Breast cancer recurrence
Not enough information and wrong question. Need tumor profile genomic other age other info. The question is what gives you the best chance rate length remission and quality to READ MORE
Not enough information and wrong question. Need tumor profile genomic other age other info. The question is what gives you the best chance rate length remission and quality to
