Understanding the Differences Between Chronic Pain and Acute Pain

October is Breast Cancer Awareness Month, and its the perfect time to talk about the importance of breast cancer prevention and detection. At Intermountain Health, were dedicated to helping you stay ahead of cancer with our High-Risk Cancer Prevention Clinic. Lets dive into why early detection is crucial and how we can support you.Why Prevention and Early Detection MatterBreast cancer is one of the most common cancers among women, but the good news is that early detection can significantly improve outcomes. Regular mammograms are a key part of breast cancer screening because they can detect cancer early when its most treatable. However, for those at high risk due to genetic factors, mammograms alone might not be enough.Maricel Purcell, a Cancer Genetics Nurse Practitioner at our High-Risk Cancer Prevention Clinic, explains, Regular mammograms are a crucial component of breast cancer screening and can detect cancer early when its treatable. However, for individuals at high risk due to genetic factors, mammograms alone may not be sufficient.Understanding Your RiskKnowing your genetic risk can help you take proactive steps to protect your health.Understanding your genetic risk allows you to take proactive steps to protect your health. Having this information doesnt mean you will definitely develop cancer. It means you have the opportunity to take preventive measures and make informed decisions about your health, says Purcell.If you have a family history of cancer, especially if cancers occurred at a young age or if multiple family members are affected, you should consider seeing a cancer genetics provider. Indicators also include having a known genetic mutation in the family, multiple types of cancer in a single individual, or belonging to certain groups with higher prevalence of specific mutations.Personalized Care at Intermountain HealthAt Intermountain Health, we offer a range of services to help manage and reduce your cancer risk. Our High-Risk Cancer Prevention Clinic provides:Genetic Testing: To identify specific gene mutations that increase cancer risk.Increased Screening and Surveillance: Including additional methods like breast MRI, which can detect cancers that mammograms might miss.Personalized Management Plans: Tailored to your specific risk profile to catch cancer early or reduce your risk.Lifestyle Recommendations: Tips on diet, exercise, and other lifestyle changes to lower your cancer risk.Support Resources: Counseling and support groups to help you navigate your journey. Telehealth OptionsOne of the standout features of our High-Risk Cancer Prevention Clinic is the availability of telehealth options. You can have video visits with our specialists without having to leave your house. This makes it easier than ever to get the care you need without the hassle of travel. Whether its a genetic counseling session or a follow-up appointment, our telehealth services ensure you stay connected with your healthcare team.Were shifting the focus from treatment to prevention as often as possible. And we do this all from the comfort of your own home, says Purcell.'Knowledge Is Power'Finding out you may be at high risk for cancer can be overwhelming, but youre not alone. For those feeling overwhelmed, I offer resources such as counseling and support groups and I ensure they know they are not alone in this journey, Purcell reassures.Sabrina Feldman, a vibrant 39-year-old from Denver, Colorado, recently embarked on a life-changing journey at Intermountain Healths high-risk cancer prevention clinic. With a family history of cancer, Sabrina always had a nagging feeling about her health. On the back of my mind, I could have a high risk, she shared. Her grandparents had died of ovarian cancer, but it wasnt until her cousin tested positive for BRCA 2 about four years ago that Sabrina started to connect the dots.Despite her sister testing negative for the gene, Sabrina decided to move forward with her own testing in September, assuming she wouldnt have it. Sure enough, I did have it, she said. This revelation set her on a proactive path to ensure her health and safety. I took all the proactive things. I figured any preventative things I can do to make sure I am healthy and safe and can live a long life without something being invasive.Her journey began with genetic counseling and imaging. As soon as the genetic counselor sent my primary care provider the results, she immediately called for imaging, Sabrina recalled. The day she went for her mammogram and sonogram was nerve-wracking. If I thought I didnt have BRCA 2 and I did, now every result would be the same. I panicked. Fortunately, the results came back in just five hours, and everything was negative. We have detected no abnormal cells, she was told, which brought immense relief.Sabrina then reached out to a medical oncologist for further options and opportunities. She met Lisa Ahrendt, MD, who was incredibly supportive. She was very clear, you know you are supposed to get the surgeries right away and your ovaries removed. So I was nervous going into the appointment. She kept saying when or if you decided to move forward. She heard me, she saw me. Nothing was scary.Dr. Ahrendt spent an hour discussing the best course of action for Sabrina, making her feel comfortable and understood. This is something youll have to deal with and monitor, it doesnt mean you have to take action, Dr. Ahrendt reassured her. Sabrina felt empowered by the knowledge and the support she received. Knowledge is power. You cant make any decisions until you have all the answers. Make sure you know that there are options.Sabrinas journey isnt over yet. She has a couple more screenings lined up and is considering her options carefully.The clinic has created a supportive community for Sabrina. This clinic created such a great community. Find a place that you feel comfortable and heard in is so important. With the help of a social worker and a streamlined team of specialists, Sabrina feels at ease. Its now out of my mind. Is this going to be looming over me forever? I felt like everything was there. It makes it so easy and so approachable.Sabrinas story is a testament to the power of knowledge and the importance of a supportive healthcare community. Her proactive approach and the care she received have empowered her to take control of her health and her future.At Intermountain Health, were here to support you with personalized care and comprehensive services. If you think you might be at high risk, dont hesitate to reach out and schedule an appointment.

Weve all felt itthe quickened heartbeat, the rush of adrenaline, the tightness in our chest. Stress is a universal experience, but did you know it can actually be a good thing? Not all stress is bad. In fact, it can be a valuable tool in our daily lives when managed properly. In lifestyle medicine, understanding the nuances between good and bad stress is crucial for promoting overall well-being.Ever notice how a looming deadline can push you to focus and get things done? Thats good stress, also known as eustress. Its the type of stress that motivates you to rise to the occasion, sharpen your skills, and accomplish tasks. Whether preparing for a presentation, training for a marathon, or planning a big event, eustress provides the energy boost needed to meet challenges head-on. Good stress keeps life exciting and engaging, encouraging us to step out of our comfort zones and grow. Without it, life would lack the zest and purpose that come from setting and achieving goals.On the other hand, distress is the not-so-friendly type of stress that can take a toll on our health. Unlike eustress, which is short-lived and motivational, distress lingers and overwhelms us. Chronic stress from ongoing issues like financial troubles, work-related burnout, or strained relationships can lead to a host of health problems, including anxiety, depression, and even chronic physical conditions like hypertension. As Jake Veigel, MD, an expert in lifestyle medicine, puts it, "Chronic stress not only impacts your physical health but can significantly affect your mental well-being. It can lead to a constant state of tension and anxiety, making it difficult to enjoy lifes moments."Lifestyle medicine offers a holistic and practical approach to managing distress by focusing on adopting healthy habits that can significantly reduce the impact of chronic stress. Key aspects include nutrition, with an emphasis on whole foods to stabilize mood and energy levels; physical activity, which releases endorphins and reduces cortisol; and restorative sleep, as quality rest is vital for emotional regulation and coping with stress. Additionally, maintaining strong social connections provides essential emotional support, alleviating feelings of isolation.By using these practices, lifestyle medicine not only helps reduce bad stress but also uses the benefits of good stress. It supports a healthier and more satisfying life by encouraging us to face challenges and grow. As Dr. Veigel puts it, "It's not just about staying healthy; it's about living a life where we can thrive. Good stress can push us forward, and lifestyle medicine helps us handle the bad stress that can hold us back."

Its American Heart Month, so theres no better time for a distinguishing guide of heart attacks VS heartburn. It's natural to feel concerned when experiencing chest discomfort but understanding the difference between conditions can provide peace of mind.Some of our expert caregivers provided crucial insight around the matter, and their practical advice will help navigate your heart health journey."Doctors see an increase in the number of heart attacks during the winter season, said William Daines, MD at Intermountain Medical Center. Similarly, heartburn rates go up this time of year, in part due to overindulgence of comfort foods, late eating, and increased alcohol intake."By learning to recognize the signs and symptoms of each condition, you can take the appropriate steps to address your concerns and, if needed, seek medical care."Although heartburn and heart attack symptoms can share similarities, it is important to recognize the difference, said Kirstin Hesterberg, DO, an Intermountain Health cardiologist in Denver, Colorado.Heartburn signs and symptomsHeartburn often feels like a burning sensation in your chest that can move up to your throat. And despite its name, it has nothing to do with your heart. Its caused by stomach acid backing up into the esophagus."Indigestion generally causes temporary chest discomfort or burning anywhere from the upper abdomen to the throat, said Dr. Daines. Heartburn usually hits after eating spicy, fatty, or greasy foods, but as with too much caffeine, feeling stressed, or eating too much."Common signs and symptoms of heartburn include:Burning sensation in the chestSour taste in the mouthDifficulty swallowingRegurgitation of food or liquidThese symptoms usually occur after eating or when lying down. While heartburn can be uncomfortable, it typically doesnt cause severe pain or lasting damage to the heart.Heart attack signs and symptomsA heart attack happens when blood flow to the heart is blocked, usually by a blood clot. Unlike heartburn, a heart attack can be life-threatening and requires immediate medical attention.Common signs and symptoms of a heart attack include:Chest pain or discomfort, which may feel like pressure, squeezing, or fullnessPain or discomfort in other areas of the upper body, including the arms, back, neck, jaw, or stomachShortness of breathNausea, lightheadedness, or cold sweatsSoubi Azzouz, MD, Interventional and Structural Cardiologist at St. Marys Medical Center, said the most common symptom association he sees is with exertional activities.During silent heart attacks, the most common nonviolent symptom that patients experience is exertional dizziness or shortness of breath while doing an activity, said Dr. Azzouz. And they sit down, and it goes away, and dont link it with their heart.Silent heart attacks are cardiac arrests with mild symptoms, or no symptoms at all, that you may not recognize as a medical emergency.It's important to note that not everyone experiences the same symptoms, and women may have different signs than men. If you suspect you or someone else is having a heart attack, dont wait call emergency services.These symptoms can indicate a serious cardiovascular event and require prompt attention," said Dr. Hesterberg. "If someone experiences heartburn with other symptoms, especially the ones mentioned above, seeking care is advised."Heart attack preventionWe wrote about heart attack risk factors this month. While some risk factors for heart attacks, like age and family history, cant be changed, there are steps you can take to reduce your risk:Maintain a healthy diet low in saturated fat, cholesterol, and sodium. If you need heart-smart diet advice, check out the latest in heart healthy diets.Stay physically active with regular exercise. The American Heart Association (AHA) recommends 150 minutes of moderately intense aerobic activity.Manage stress through relaxation techniques or hobbies. Research has shown that anger, depression, and anxiety are all strong risk factors for heart disease.Avoid smoking and limit alcohol consumption. The AHA recommends no more than two drinks per day for men, and one drink per day for women.Keep chronic conditions like high blood pressure, diabetes, and high cholesterol under control with medication and lifestyle changes. Regular visits with your primary care provider should supplement this.By adopting heart-healthy habits, you can significantly lower your risk of experiencing a heart attack.Understanding the differences between heartburn and a heart attack is crucial for your well-being. If youre unsure about your symptoms, its always better to err on the side of caution and seek help. Take care of your heart its the only one you have!