The Record Special Sections Health Quarterly 10-27-2019 | Página 8

8 ❚ SUNDAY, OCTOBER 27, 2019 ❚ THE RECORD HEALTH QUARTERLY / ADVERTISING SECTION Chronic Headache Relief After Traumatic Head Injuries HOLY NAME MEDICAL CENTER new study has shown that a drug used to pre- vent migraines was effective in eliminating or greatly reducing the effects of a posttraumatic head injury. The medication, erenumab, was given to study participants who suffered with migraines and debilitating symptoms for weeks or even months after sustaining a head injury. The six-month study, conducted by Dr. Jim Charles, a neurologist at Holy Name Medical Center and a renowned special- ist in migraines, included seven patients ranging in age from 15 to 48. Each patient had suffered a trau- matic head injury during a fall or while participating in sports. “Every one of these patients went from suf- Dr. Jim Charles fering severe symptoms that were debilitating to no headache disability,” Dr. Charles said. “This happened within a few weeks of receiving the medication and patients had no adverse side effects.” The study showed a 95-percent reduction in head- ache days and patients saw improvement within days to four weeks. Six months later, none of the patients had suffered a relapse. Erenumab is FDA-approved for the prevention of migraines. The patients were given an injection of the medica- tion, a human protein with antibodies that are used to block pain receptors. Some had been suffering for months with throbbing head pain, nausea, vomiting, visual aura, and were unable to attend school or work. Most patients required only one dose of the drug. One 26-year-old patient had fallen off a truck, hit his head and experienced daily migraines for 11 weeks. He had never suffered with migraines before his injury, but he was unable to work and didn’t respond to other types of physical or drug therapy. Three weeks after receiving erenumab, he returned to work, with only occasional headaches that were milder in severity and symptoms. Another patient was a 15-year-old high school wres- tler, who was thrown to the mat during a match and suf- fered a head injury. He had daily migraines and couldn’t attend school. Five days after receiving erenumab, his symptoms were gone and he resumed classes. “This medication was effective in an initial study for the treatment of posttraumatic head injuries with migraines,” Dr. Charles said. “It is good news for patients with these injuries, but a much larger study is needed, especially since there are no FDA-approved drug treatments for this condition.” hen Laura Ayala learned she had breast cancer, she knew she would be able to continue work- ing and caring for her teenage son. But what she feared was that the dis- ease would interfere with her hobby, her passion — playing softball. Ayala was 51, and had been on the diamond since she was nine, through middle and high school, then in adult leagues. It’s who she is, what she does. “After my doctor called to tell me I had breast cancer, I decided I wasn’t going to let this beat me,” she said. “The playoffs were coming up.” Ayala joins the more than 3.1 mil- lion women in the United States with a history of breast cancer. About 1 in 8 women will develop the disease, the second most common cancer in wom- en behind skin cancer. Fortunately, death rates from the disease have been decreasing since 1989, most likely due to treatment advances and earlier detection. Ayala was vigilant about getting her annual mammograms, a consis- tency that led to discovery of her dis- ease when it was in early Stage 1. Yet because of the size and type of tumor, she needed four chemotherapy treat- ments and a six-week course of radia- tion after her surgery. She had been coming to Holy Name Medical Center for her screenings and despite having moved to South Jersey, returned to the Teaneck hospital for her mam- mogram and treatment. “Laura is the poster child for why women need to go for a mammogram every year,” said Dr. Joshua Gross, chief of Breast Imaging at Holy Name. “Many women say nothing hurts so why should I look for trouble. But Laura’s breast cancer was detected very early because she kept up with her mammograms.” Ayala underwent a lumpectomy in March of 2014 and knew she wouldn’t be able to play for most of that sea- A Early Detection ... and Now Cancer-free Breast Cancer Survivor Has Winning Attitude W Diagnosed with Stage 1 breast cancer, Laura Ayala and her doctors at Holy Name Medical Center credit her vigilance in getting annual mammograms for detecting the disease very early and then being determined to rid herself of the disease, go through recovery and keep her life on track. son. But she was focused on pushing through treatment and getting back on the field by the September playoffs. She had a few hurdles, though not enough to crush her optimism. She had one really bad day from treatment when couldn’t get out of bed, and los- ing her hair was as traumatic as people told her it would be. “Actually, the hardest part was waiting for the results from the tests,” Ayala said. “But hearing I would need chemo was hard — I knew that meant I would lose my hair.” Ayala credits her medical team at Holy Name with not only keeping her calm but helping her get through a scary and trying ordeal with little pain or discomfort and a lot of hope. Once she adjusted to the idea of chemo, she was able to manage it well. She continued working as a consultant in the financial industry, caring for her eighth-grade son and performing doz- ens of mundane tasks that make up everyday life. By the time September rolled around, she was finished with treat- ment. She made an appearance in a playoff game and though she knew she wouldn’t be able to pitch for a while, she took right field. Since then, she’s been on the mound every season. “When I first heard I had breast can- cer, I just wanted to get it over with,” Ayala said. “It is and I’m doing really well now. There is a full, beautiful life after cancer.”