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Mar 10 2010
Know These Signs of Breast Cancer - SGH

Category Health Information


From Sinai-Grace Healthy Living Newsletter
DMC Sinai-Grace Hospital (SGH)


Because of the increased use of routine screening mammograms, breast cancer is diagnosed in many women before they have any physical signs.

“The good news is that we have mammography, a technology that can detect breast cancer long before we can find it during a physical examination or during breast self-examination,” says Keiva Bland, M.D., a general surgeon who specializes in breast surgery. “However, all women should be aware of the symptoms of breast disease so if they have one of these warning signs they get it checked out by their doctor.”

The most common symptoms of breast disease are: 

  * A lump, hard knot or thickening. 

  * Swelling, warmth, redness or darkening. This could just be a skin infection or abscess. If treatment for the condition donot clear up the problem in one to two weeks, see your doctor. These could be a sign of inflammatory breast cancer, one of the more aggressive forms of the disease. 

  * Change in the size or shape of the breast. Watch for a bulge or one breast suddenly getting bigger. 
  * Dimpling or puckering of the skin. Tumors can change the structure of the breast, causing this symptom. 

  * Itchy, scaly sore or rash on the nipple. This may be just a skin condition, such as excema, or an allergic
  reaction, such as contact dermatitis. But if treatment for those conditions doesn’t clear it up, go see your doctor. 

  * Pulling in of your nipple or other parts of the breast. Certain types of breast tumors grow in the ducts leading to the nipple or pull on the supporting structure of the breast, Dr. Bland explains. 

  *New pain in one spot that doesn’t go away. Caffeine can also cause pain, as can an injury.

  * Nipple discharge that starts suddenly. Caffeine, some medications and hormonal changes due to the menstrual cycle can also cause nipple discharge. If it is bloody, occurs only in one breast, or doesn’t go away after two menstrual cycles, see your physician, says Dr. Bland.

Dr. Keiva Bland
DMC Sinai-Grace Hospital

If you have any of these symptoms, discuss them with your physician right away. Dr. Bland strongly recommends all women practice monthly breast self-examination and receive a screening mammogram according to recommended guidelines.   

“As more women have regular mammograms, the number of women who have cancer caught at a very early stage when it is most treatable is increasing,” Dr. Bland says. “Women should not be afraid of what a mammogram might find, because most masses in the breast are benign or non-cancerous. Only about 20 percent of women diagnosed with breast disease have cancer,” Dr. Bland says.

If you need to find a primary care physician, please visit our DMC "Find A Doctor" page at

For more information on breast cancer symptoms and general health information, please visit our DMC Health Library page at 

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Feb 24 2010
Recognizing Heart Attack Symptoms in Females - SGH

Category Health Information



From Sinai-Grace Healthy Living Newsletter
DMC Sinai-Grace Hospital (SGH)


“I just felt tired.” “I had an upset stomach and some pain in my shoulder.” “I was dizzy, then short of breath.” Most women will not recognize that these are common descriptions of a common condition: heart attack. That’s because the symptoms of heart attack can be different in men and women.

Women may know the “classic” symptoms of male heart attacks -- squeezing chest pain, shortness of breath, stabbing chest pain. However, the symptoms of female heart attacks can include none of those signs.

Dr. Syed Mahmood - DMC Sinai Grace Hospital

“More than 40 percent of women experience no chest pain at all,” notes Syed Mahmood, M.D., chief of interventional cardiology at DMC Sinai-Grace Hospital. “Women often have symptoms that can be confused with other illnesses such as indigestion, and that are very vague or diffuse so that it is difficult to link them to a heart attack.”

Dr. Mahmood recommends that women look for a cluster of unusual symptoms or a sensation in the chest or stomach that hasn’t been felt before.


Despite varying symptoms, the same rules for prompt diagnosis and treatment apply to both men and women: Call 911 or go to the hospital immediately if you suspect you are having a heart attack.

“Delaying treatment to open the blocked blood vessel to the heart means that more damage is done to the heart muscle. If a large amount of the heart muscle is damaged, you will be at risk for heart failure,” says Dr. Mahmood.

“The important thing to know is that treatment is the same whether you are a man or a woman,” says Dr. Mahmood. “Becoming familiar with the symptoms will help you know if you are having a heart attack.”


While symptoms can vary for each person, the most common symptoms of a heart attack are usually different for men and women.


Scientists found that during an attack, 43% of the 515 women studied had no “acute chest pain, a ‘hallmark symptom in men."

The study noted some common female heart attack symptoms:



• shortness of breath (57.9%)

• weakness (54.8%)

• unusual fatigue (42.9%)


Women had other atypical heart attack symptoms, too: nausea, dizziness, lower chest discomfort, upper abdominal pressure or discomfort that feels like indigestion, and upper back pain.

Often, women are unfamiliar with these atypical symptoms and blame them on heartburn or indigestion, arthritis, or stress, experts say. If they become short of breath with little exertion, they tell themselves they are out of shape, overworked, or fatigued.

If you need to find a primary care physician, please visit our DMC "Find A Doctor" page at http://www.dmc.org/physicians




For more information on heart attack symptoms and general health information, please visit our DMC Health Library page at http://www.dmc.org/healthlibrary.

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Feb 17 2010
Tips on Taking Supplements - RIM

Category Health Information



Amanda McCombs, ATC
DMC Rehabilitation Institute of Michigan (RIM)


National surveys taken by the Center of Disease Control just prior to 2007 show that more than 50% of Americans take some form of dietary supplement, the most common being a multi-vitamin.  Due to the rise in the availability of supplements, it is important to understand the regulations placed on supplement manufactures and the safety of the products before consuming them. 

The Dietary Supplement Health and Educational Act require dietary supplement manufactures to provide safe and properly labeled products.  However, the US Food and Drug Administration (FDA) lack the resources to oversee the research of every supplement to test its safety and proper labeling.  Due to the fact that the FDA does not have the resources, nor is it the agency’s duty, to monitor and ensure the safety of every supplement on the market, it is important for us as the consumer to do our research before taking any supplement.

Tips for Selecting a Reputable Supplement Product

  • Check the manufacturer name – nationally known food and supplement companies often have strict quality control procedures in place, and may be more likely to provide reliable products.
  • Look for certifications marks by national quality assurance programs such as USP, NSF, or ConsumerLab.com where applicable.
  • Contact the company – ask to speak to a technical expert to inquire how products are made and quality control procedures. 
  • Review the label – should contain accurate and appropriate information.  If statements are unclear or the label makes outrageous claims, the manufacturers are probably not following proper labeling laws.

Most importantly, ALWAYS consult your physician before beginning to take any dietary or herbal supplement and inquire about side effects and drug interactions.  The benefits of taking a particular supplement are never as important as your health and


If you need to find a primary care physician, please visit our DMC "Find A Doctor" page at http://www.dmc.org/physicians

For more information on supplements and general health information, please visit our DMC Health Library page at http://www.dmc.org/healthlibrary.

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Feb 10 2010
Ski Safety Tips - RIM

Category Health Information



Carolyn Duncanson, PT
DMC Rehabilitation Institute of Michigan (RIM)


With winter in full force here and with strong interest in the upcoming Winter Olympics, downhill skiers in Michigan are gearing up in eager anticipation of hitting the slopes. Lately, more people are including helmets among their essential skiing equipment.

Statistics show that classic skiing injuries to the knee are becoming less frequent, while injuries to the head or face may account for 25% of alpine ski injuries. One of the more disturbing aspects of head injuries is the severity of injury. Over half of skiing related deaths are the result of head injuries, and non-fatal head injuries can result in serious neurological impairment. It is estimated that helmet use could prevent 11 skiing- and snowboarding-related deaths each year in the U.S.

So what should skiers look for when selecting a helmet? First, the helmet should be specifically designed for skiing and snowboarding. Proper fit is vital to the helmet’s ability to protect during a collision. Measure the circumference of the head at the widest part to determine helmet size. The front of the helmet should sit just above the eyebrows, and the back of the helmet should not touch the back of the neck. Check for gaps—there shouldn’t be any between the helmet lining and head. Next, shake your head from side to side—the helmet shouldn’t move. Finally, check to make sure that goggles fit properly with the helmet on.

Injuries to the head occur most often during high-speed collisions with rocks, ice, trees, other skiers, and ski lift/snowmaker poles. Necessary precautions to avoid such collisions are the best defense against injuries. This is includes knowing and heeding the skier’s responsibility code, which is conveniently posted on nearly every chairlift. Always stay in control of direction and speed; along with beginners, advanced male skiers are at higher risk for head injuries due to their tendency to ski at high speeds. Choose slopes which are suited to your ability level, and don’t venture beyond ski area boundaries or onto closed trails. Avoid alcohol, which can impair reflexes and decision-making abilities. Know when to stop skiing for the day—fatigue is a large factor in head injuries, with most accidents occurring later in the afternoon.

While helmet use may aid in injury prevention, it is important not to have a false sense of security when wearing one. There is simply no substitute for responsible behavior on the slopes. Be safe, be smart, and of course, have fun!

If interested in more information on our DMC Sports Medicine doctors, please visit

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Feb 1 2010
Pediatric MRI - Emery King Medical Video

Category Health Information


As one of the first pediatric centers in the United States to use a new state-of-the-art MRI machine designed especially for kids, DMC Children's Hospital of Michigan continues to deliver world-class, patient-friendly health care.

Check out this video below to see how this service works.

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The Detroit Medical Center is known for cutting-edge health technology, high quality medical service and expert care. By using social media sites such Facebook, Twitter and YouTube, and creating our own DMC Blog, we hope to extend awareness of our hospital services, top doctors, expert medical treatments and also increase brand awareness to interested persons worldwide.



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