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OCT	
  
31	
  
Levels	
  of	
  CRC	
  preven0on	
  
                                                      screening	
  
          Primary	
  

                                          Secondary	
  

                                                                      Ter0ary	
  
reduc0on	
  of	
  risk	
  factors	
  before	
  	
  
occurrence	
  of	
  colorectal	
  cancer	
  


                                                             diagnosis	
  &	
  treatment	
  
Primary	
  

              Secondary	
  

                              Ter0ary	
  
STOP	
  COLON	
  CANCER	
  
 BEFORE	
  IT	
  STARTS	
  !	
  
STOP	
  COLON	
  CANCER	
  
 BEFORE	
  IT	
  STARTS	
  !	
  
Risk	
  of	
  CRC	
  	
  =	
  5	
  %	
  
19/20	
  not	
  to	
  have	
  CRC,	
  but	
  you	
  have	
  to	
  know	
  what	
  to	
  do	
  !	
  
Q	
  :	
  Can	
  we	
  reduce	
  the	
  5	
  %	
  risk	
  of	
  CRC	
  ?	
  

                      A	
  :	
  Yes	
  we	
  can	
  !	
  


              But	
  we	
  don’t	
  do	
  it	
  enough...	
  
Gastroenterology	
  2010	
  
LIFESTYLE	
  
           DIET	
                           ALCOHOL	
  
  FRUIT	
                                                     TOBACCO	
  
VEGETABLES	
          CALCIUM	
  
   FIBER	
              VIT	
  D	
               BODY	
  MASS	
  &	
  
                                               FAT	
  DISTRIBUTION	
  
   RED	
  MEAT	
  
      FAT	
             B	
  VITAMINS	
  
CARBOHYDRATES	
                                  MEDICATIONS	
  
          ANTIOXIDANTS	
                      ASPIRIN	
            NSAID’s	
  
         MICRONUTRIENTS	
  
                                                    COX-­‐2	
  INHIB	
  

                                                POSTMENOPAUSAL	
  
                                                   HORMONES	
  
HOW	
  MANY	
  PEOPLE	
  	
  KNOW	
  THAT	
  ....	
  




....	
  a	
  healthy	
  lifestyle	
  :	
  25	
  %	
  reduc0on	
  of	
  CRC	
  mortality	
  	
  
IT	
  LOOKS	
  SIMPLE	
  AND	
  EASY	
  
STOP	
  COLON	
  CANCER	
  
 BEFORE	
  IT	
  STARTS	
  !	
  

   but	
  when	
  does	
  it	
  starts	
  ?!	
  
STOP	
  COLON	
  CANCER	
  
 BEFORE	
  IT	
  STARTS	
  !	
  

   but	
  when	
  does	
  it	
  starts	
  ?!	
  
       more	
  than	
  25	
  years	
  ago	
  !	
  
WE	
  ARE	
  NOT	
  ALONE...	
  
INFORMATION	
  &	
  EDUCATION	
  ABOUT	
  HEALTHY	
  LIFESTYLE	
  !	
  
WE	
  SHOULD	
  FOCUS	
  ON	
  
TEACH,	
  TEACH,	
  TEACH	
  !	
  
 INSIST,	
  INSIST,	
  INSIST	
  !	
  
   TEST,	
  TEST,	
  TEST	
  !	
  
“INFOBESITY”	
  
INFOBESITY	
  
AVOID	
  SMOKING	
  &	
  DRINKING	
  ALCOHOL	
  

                               HEALTHY	
  DIET	
  

              GET	
  YOUR	
  FAMILY	
  MOVING	
  

            KNOW	
  YOUR	
  FAMILY	
  HISTORY	
  

     GET	
  ROUTINE	
  CANCER	
  SCREENINGS	
  
LESS	
  




MORE	
  
WHAT’S	
  THE	
  DEFINITION	
  
  OF	
  MARKETING	
  ?	
  

      Mark-­‐a-­‐thing	
  !	
  
 L	
  	
  I	
  	
  V	
  E	
  	
  	
  	
  H	
  	
  E	
  	
  A	
  	
  L	
  	
  T	
  	
  H	
  	
  Y	
  	
  	
  
Regardless	
  of	
  lifestyle	
  –	
  you	
  can	
  do	
  everything	
  
right-­‐	
  	
  you	
  s6ll	
  have	
  a	
  significant	
  chance	
  of	
  
developing	
  colorectal	
  cancer...	
  


Ge;ng	
  screened	
  for	
  CRC	
  star6ng	
  at	
  age	
  50,	
  or	
  
earlier	
  if	
  there	
  are	
  risk	
  factors,	
  is	
  the	
  single	
  most	
  
important	
  thing	
  that	
  you	
  can	
  do	
  !	
  
When	
  we	
  decide	
  to	
  do	
  something	
  to	
  help	
  mankind,	
  	
  
we	
  take	
  the	
  first	
  step	
  in	
  the	
  right	
  direc0on	
  ...	
  


When	
  we	
  educate	
  others	
  in	
  the	
  right	
  steps	
  to	
  take,	
  
we	
  create	
  a	
  mass	
  of	
  people	
  that	
  can	
  change	
  the	
  world	
  !	
  




                                                                Chad	
  R.	
  Herman	
  
Auguste	
  Rodin	
  172th	
  birthday	
  !	
  




    Primary	
  Preven0on	
  of	
  Colon	
  Cancer	
  



NOV	
  
12	
  
MARCH	
  	
  2013	
  
InternaNonal	
  Colon	
  Cancer	
  Awareness	
  Month	
  
TXS	
  	
  
   FOR	
  
  YOUR	
  
ATTENTION	
  

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Primary prevention colon cancer

  • 2. Levels  of  CRC  preven0on   screening   Primary   Secondary   Ter0ary   reduc0on  of  risk  factors  before     occurrence  of  colorectal  cancer   diagnosis  &  treatment  
  • 3.
  • 4.
  • 5.
  • 6.
  • 7. Primary   Secondary   Ter0ary  
  • 8. STOP  COLON  CANCER   BEFORE  IT  STARTS  !  
  • 9. STOP  COLON  CANCER   BEFORE  IT  STARTS  !  
  • 10. Risk  of  CRC    =  5  %  
  • 11. 19/20  not  to  have  CRC,  but  you  have  to  know  what  to  do  !  
  • 12. Q  :  Can  we  reduce  the  5  %  risk  of  CRC  ?   A  :  Yes  we  can  !   But  we  don’t  do  it  enough...  
  • 13.
  • 15.
  • 16.
  • 17. LIFESTYLE   DIET   ALCOHOL   FRUIT   TOBACCO   VEGETABLES   CALCIUM   FIBER   VIT  D   BODY  MASS  &   FAT  DISTRIBUTION   RED  MEAT   FAT   B  VITAMINS   CARBOHYDRATES   MEDICATIONS   ANTIOXIDANTS   ASPIRIN   NSAID’s   MICRONUTRIENTS   COX-­‐2  INHIB   POSTMENOPAUSAL   HORMONES  
  • 18.
  • 19.
  • 20.
  • 21. HOW  MANY  PEOPLE    KNOW  THAT  ....   ....  a  healthy  lifestyle  :  25  %  reduc0on  of  CRC  mortality    
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30. IT  LOOKS  SIMPLE  AND  EASY  
  • 31. STOP  COLON  CANCER   BEFORE  IT  STARTS  !   but  when  does  it  starts  ?!  
  • 32.
  • 33.
  • 34. STOP  COLON  CANCER   BEFORE  IT  STARTS  !   but  when  does  it  starts  ?!   more  than  25  years  ago  !  
  • 35. WE  ARE  NOT  ALONE...  
  • 36. INFORMATION  &  EDUCATION  ABOUT  HEALTHY  LIFESTYLE  !  
  • 38.
  • 39.
  • 40. TEACH,  TEACH,  TEACH  !   INSIST,  INSIST,  INSIST  !   TEST,  TEST,  TEST  !  
  • 41.
  • 44.
  • 45.
  • 46.
  • 47. AVOID  SMOKING  &  DRINKING  ALCOHOL   HEALTHY  DIET   GET  YOUR  FAMILY  MOVING   KNOW  YOUR  FAMILY  HISTORY   GET  ROUTINE  CANCER  SCREENINGS  
  • 48.
  • 50.
  • 51.
  • 52. WHAT’S  THE  DEFINITION   OF  MARKETING  ?   Mark-­‐a-­‐thing  !  
  • 53.
  • 54.  L    I    V  E        H    E    A    L    T    H    Y      
  • 55. Regardless  of  lifestyle  –  you  can  do  everything   right-­‐    you  s6ll  have  a  significant  chance  of   developing  colorectal  cancer...   Ge;ng  screened  for  CRC  star6ng  at  age  50,  or   earlier  if  there  are  risk  factors,  is  the  single  most   important  thing  that  you  can  do  !  
  • 56. When  we  decide  to  do  something  to  help  mankind,     we  take  the  first  step  in  the  right  direc0on  ...   When  we  educate  others  in  the  right  steps  to  take,   we  create  a  mass  of  people  that  can  change  the  world  !   Chad  R.  Herman  
  • 57. Auguste  Rodin  172th  birthday  !   Primary  Preven0on  of  Colon  Cancer   NOV   12  
  • 58. MARCH    2013   InternaNonal  Colon  Cancer  Awareness  Month  
  • 59. TXS     FOR   YOUR   ATTENTION