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Page 10, Lifestyles in Palm Beach Gardens
      Cardio-Oncology Monitors A Cancer Patient’s



      Cardiovascular Health Before, During And After Treatment



        Thanks to newer and                              cardiologist Diego Sadler, M.D., head of the cardio-  the cancer treatment on those risks.
      better forms of treatment,                         oncology program at Cleveland Clinic Florida’s Weston     “Before a patient starts treatment, we work together
      the number of people                               Hospital. The program recently earned the designation of   to establish the best pathway for the patient to get the
      surviving cancer has                               Gold Center of Excellence from the International Cardio-  optimal cancer treatment while also protecting the heart,”
      improved over the years.                           Oncology Society.                                 he says.
      There are currently 17                             Are All Cancer Patients At Risk For Cardiotoxicity?    Active monitoring of patients during treatment allows
      million cancer survivors in                          In general, patients with existing heart disease at the   cardio-oncology specialists to find and treat heart and
      the United States, and that                        time they start cancer treatment and those with risk factors   vascular changes early and adjust the cancer treatment, if
      number should increase to                          for heart disease are at highest risk for cardiotoxicity.   necessary, in order to create the best possible long-term
      about 20 million in the next                       Some chemotherapy drugs, some immunotherapy drugs   outcomes.
      five years or so.                                  and some radiation treatments can negatively affect the     Because heart damage can occur within the first year
        Many of these cancer                             heart and vascular system. Cardiotoxicity can develop   after therapy or later, Cleveland Clinic Florida’s cardio-
      survivors, however, may                            during cancer treatment or it can occur years after cancer   oncology program offers ongoing, long-term follow-up
      face another threat to their  Diego Sadler, M.D.   treatment has ended.                              care after cancer treatment ends.
      health – cardiovascular                              Cancer patients are identified as being at risk for   Care When And Where You Need It
      disease  caused  or  accelerated  by  the  medications   cardiotoxic complications from cancer treatment if they     The multidisciplinary team of doctors, nurses and
      and procedures used to treat their cancer. A growing   previously had or currently have heart disease or have   healthcare  professionals  in  Cleveland  Clinic  Florida’s
      understanding over the last decade of the negative   elevated risk factors for it, such as being obese, being   Cardio-Oncology Program is dedicated to caring for
      effects of cancer treatment on the heart, known as cardio-  a  smoker  or  having  a  family  history  of  heart  disease.   patients in every stage of cancer treatment who are at
      toxicity, has resulted in the emergence of a new medical   Prior to treatment, cancer patients are given a thorough   risk for, develop or have established heart disease.
      subspecialty called cardio-oncology.               cardiovascular physical examination and heart function     Specialists at our Weston Hospital and West Palm
        This collaboration of cardiology and oncology    tests.                                            Beach locations are available to see patients or
      specialists is designed to monitor a cancer patient’s   How Are Patients Cared For Within The Cardio-  collaborate with a patient’s local physician. Telemedicine
      cardiovascular health before, during and after cancer   Oncology Program?                            consultations are also available. Call (877) 463-2010 to
      treatment.                                           For patients who are at risk for cardiotoxicity, Dr.   schedule an appointment or visit ClevelandClinicFlorida.
        “We navigate together so that the patient can complete   Sadler says he and his team assess the extent of the cardiac   org/Heart to learn more.
      cancer treatment while we also protect the heart,” says   risks from treatment, the cancer risk, and the impact of
      Northern Notes



      Living With Sandhill Cranes                        have been known to cause
                                                         damage to property as a
      By Katie Roundtree,                                territorial defense behavior
      Director of Finance and                            upon seeing their reflection
      Administration, Northern                           in cars or window screens.
      Palm Beach County                                  Pesticides in yards and
      Improvement District                               urban areas can also be of
        Sandhill cranes are                              concern as they forage for
      long-legged, long-necked                           food in the ground.
      gray, heron-like birds with                          Look around and enjoy
      a patch of red skin on their                       these beautiful birds as
      head. They are distinctive                         they interact within our
      looking birds standing                             Florida environment. Many                         the good of the cranes and Florida’s delicate ecosystem.
      almost 4-feet-tall and can                         of them can be found in the                       For more information, please visit the Florida Fish and
      be seen near preserves and wetlands, in parking lots and   preserves and marshes in                  Wildlife Conservation Commission website at www.
      walking across roads oblivious to danger. They travel in   our area. Give them their                 myfwc.com.
      small groups or pairs sometimes with young in tow.   space if you come across                          NPDES tip: Safely use and dispose of pesticides. If
        Two subspecies of sandhill crane occur in Florida. The   them and be mindful of                    all of the pesticide cannot be properly used, check with
      Florida sandhill crane (G. c. pratensis), numbering 4,000   them crossing or walking                 your solid waste management authority to find out when
      to 5,000, is a nonmigratory year-round breeding resident.   in our roadways. Finally,                and where to properly dispose of this type of hazardous
      They are joined every winter by 25,000 migratory greater   please do not feed them for               waste.
      sandhill cranes (G. c. tabida), the larger of the two
      subspecies. The greater sandhill crane winters in Florida
      but nests in the Great Lakes region.
        Sandhill cranes mate for life and attract mates using
      an elaborate dance. These cranes nest during late winter
      and early spring on mats of vegetation found in shallow
      water such as preserves or marshes. Sandhill chicks can
      leave the nest as early as eight hours after hatching and
      can swim if necessary. Juveniles stay with their parent
      from 9 to 10 months after hatching.
        They have been around for a very long time. The first
      known sandhill crane fossil was found in the Macasphalt
      Shell Pit in Florida. It was estimated to be about 2.5
      million years old. They are not endangered but due to
      loss of habitat, their populations can be of concern in
      certain areas. They are attracted to open areas in urban
      settings such as golf courses, parks in subdivisions and
      undeveloped land in commercial areas.
        Sandhill cranes are omnivores, which means that they
      eat plants as well as small animals like snails, frogs,
      worms and grubs. They provide natural biological control
      for their grazing areas as they eat these common pests of
      turf. Sandhill cranes have an abundance of natural foods
      and do not need handouts from humans.
        People inadvertently put them in harm’s way when
      feeding them, thinking  that they are being  kind. It is
      never a good idea to feed wildlife. In fact, in 2002, the
      Florida Fish and Wildlife Conservation Commission
      (FWC) made it illegal to feed sandhill cranes (Florida
      Fish and Wildlife Code 68A-4.00(3). Why was this done?
      Cranes can become aggressive when fed by people.
      When they are used to a free meal, they will continue
      to return and demand it when it is not offered. Cranes
      returning to a yard where they have been fed are prone to
      injury by cars as they cross the street to get to the yard.
      They are also more vulnerable to predation by dogs or
      cats,  especially  the  young  cranes.  Occasionally,  birds
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