Anna Weiss

Director, Breast Program, University of Rochester Wilmot Cancer Center. Tweets are opinions not medical advice. @UR_med @UCSDsurgery @MDAndersonNews

[Anna Weiss @AnnaWeissMD]

@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

[Anna Weiss @AnnaWeissMD]

@AndreaLMerrill @AnnSurgOncol @The_BMC Yes I think networking/support groups can be clutch

[Anna Weiss @AnnaWeissMD]

@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

[Anna Weiss @AnnaWeissMD]

@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

[Anna Weiss @AnnaWeissMD]

@AnnSurgOncol A8: premenopausal patients the data is not as clear, but if they cannot tolerate 20mg, I will decrease

[Anna Weiss @AnnaWeissMD]

@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

[Anna Weiss @AnnaWeissMD]

@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

[Kristin E. Rojas MD, FACS, FACOG @kristinrojasmd]

@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

[Anna Weiss @AnnaWeissMD]

@AnnSurgOncol A6: I heard there were reports of vaginal lasers causing burns, perhaps worsening strictures. I would be cautious

[Anna Weiss @AnnaWeissMD]

@AnnSurgOncol I'm going to let @kristinrojasmd take this one! #ASOchat

[Anna Weiss @AnnaWeissMD]

@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

[Anna Weiss @AnnaWeissMD]

@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

[Anna Weiss @AnnaWeissMD]

@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

[Anna Weiss @AnnaWeissMD]

@AnnSurgOncol A3: gabapentin, venlafaxine, oxybutinin are medical options. #ASOchat

[Anna Weiss @AnnaWeissMD]

@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

[Anna Weiss @AnnaWeissMD]

@AnnSurgOncol A2: pretty comfortable 😁 but, I will say I often curbside collaborating groups, like our sexual wellness or bone health experts @UR_Med #ASOchat

[Anna Weiss @AnnaWeissMD]

@AnnSurgOncol Oops A1

[Anna Weiss @AnnaWeissMD]

@AnnSurgOncol Highly trained midlevel providers, overseen by me

[Chandler S Cortina, MD, MS @ChandlerCortina]

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

[Wilmot Cancer Institute @WilmotCancer]

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: https://t.co/GJ5bIksucE #ROC