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Integrated Oncology Network And CCARE Welcome Hematology Oncologist, Dr. Pallvi Popli

Expanding Community Cancer Care in the High Desert Region

[NASHVILLE, TN, January 24, 2024] — Integrated Oncology Network (ION) together with partner California Cancer Associates for Research and Excellence (cCARE) proudly announce the addition of our esteemed Hematology Oncologist, Dr. Pallvi Popli, to the medical team in Victorville, California.

Dr. Popli is a fellowship-trained and board-certified hematologist/oncologist, earning her medical degree at Ross University School of Medicine and completing her residency at the University of Massachusetts School of Medicine. Dr. Popli’s expertise continued with a Hematology-Oncology Fellowship at Rutgers, shaping her commitment to global oncology through impactful research in East Africa. Most recently, she served as Assistant Professor in the Department of Medicine at the University of Connecticut School of Medicine. She is a member of the American College of Physicians, the American Society of Clinical Oncology, and the American Society of Hematology.

With an impressive background in hematology-oncology, Dr. Popli’s comprehensive approach to patient care, and background in teaching and education, reflects her mission to provide high-quality, personalized cancer care and improve outcomes for the community.

“I am honored to join one of California’s leading cancer care providers. Together, we will strive to make a meaningful difference in the lives of our patients,” said Dr. Popli.

Jedidiah Monson, MD, cCARE Board President and Medical Director of Radiation/Imaging, said, “Dr. Popli’s arrival marks an exciting new chapter for cCare High Desert. Her expertise and dedication will enhance our ability to provide high-quality oncology services and address specialty oncology care needs in our community.”

Barry Tanner, CEO of Integrated Oncology Network, emphasized the importance of this addition: “The addition of Dr. Pallvi Popli, will help us continue our mission to make a positive impact on the communities and lives of patients we serve nationwide. We are proud to solidify our leadership in community oncology care delivery.”

Dr. Popli is now accepting new patients. Contact cCARE High Desert to learn more about her services.

About Integrated Oncology Network

Integrated Oncology Network partners directly with physicians, hospitals and other healthcare providers to offer the latest services and technologies to their patients. Founded in 2008, ION has grown to more than 60 centers across the country, providing a complete and integrated continuum of care – diagnostic testing, radiation oncology, medical oncology, urology and other ancillary services. For more information, visit www.ionetwork.com.

About cCARE

California Cancer Associates for Research & Excellence, cCARE, is the largest full-service private oncology and hematology practice in California. cCARE delivers the highest quality medical oncology, chemotherapy and radiation treatments, supplemented by a large research and clinical trials program. With eight clinical and business offices in the San Diego and Fresno areas, cCARE provides patient with care beyond treatment no matter where they call home. For more information, visit www.ccare.com.

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In Uncategorized

The Right Diet Plan Could Prevent Kidney Stones

Kidney stones are hard masses that form from crystals in the urine. Sometimes, they do not have recognizable symptoms, but often, kidney stones can be very painful. Either way, you will want to avoid them, or maybe you’ve had them and you’re in no rush for them to return. There are preventative actions you can take with changes to your diet plan that will help keep kidney stones from building.

Before we begin with diet recommendations, it’s important to note that all kidney stones are not the same. The most common type of kidney stone is a calcium stone, with uric acid stones following close after. Diet and medical treatment are different depending on the stone type.

The National Kidney Foundation gives these diet recommendations dependent on the kidney stone type.

1. Calcium Oxalate Stones: most common stones

Oxalate is naturally found in many foods, including fruits and vegetables, nuts and seeds, grains, legumes, and even chocolate and tea. Some examples of foods that have high levels of oxalate include peanuts, rhubarb, spinach, beets, Swiss chard, chocolate and sweet potatoes. Limiting intake of these foods may be beneficial for people who form calcium oxalate stones which is the leading type of kidney stone.

Eat and drink calcium foods such as milk, yogurt, and some cheese and oxalate-rich foods together during a meal. The oxalate and calcium from the foods are more likely to bind to one another in the stomach and intestines before entering the kidneys. This will make it less likely that kidney stones will form.

Calcium is not the enemy but it tends to get a bad rap! This is most likely due to its name and misunderstanding that calcium is the main cause in calcium-oxalate stones. A diet low in calcium actually increases your chances of developing kidney stones.

Don’t reduce the calcium in your diet. Work to cut back on the sodium in your diet and to pair calcium-rich foods with oxalate-rich foods. The recommended calcium intake to prevent calcium stones is 1000-1200 mg per day (you can eat 3 servings of dairy products with meals to meet the recommendation).

Extra sodium causes you to lose more calcium in your urine. Sodium and calcium share the same transport in the kidney so if you eat high sodium foods it will increase calcium leakage in the urine. Therefore, a high sodium diet can increase your chances for developing another stone. There are many sources of “hidden” sodium such as canned or commercially processed foods as well as restaurant-prepared and fast foods.

You can lower your sodium intake by choosing fresh low sodium foods which can help to lower calcium leakage in the urine and will also help with blood pressure control if you have high blood pressure.

2. Uric acid stones: another common stone

Red meat, organ meats, and shellfish have high amounts of a natural chemical compound known as purines. High purine intake leads to a higher production of uric acid and a larger acid load for the kidneys to excrete. Higher uric acid excretion leads to more acidic urine. The high acid concentration of the urine makes it easier for uric acid stones to form.

To prevent uric acid stones, cut down on high-purine foods such as red meat, organ meats, beer/alcoholic beverages, meat-based gravies, sardines, anchovies and shellfish. Follow a healthy diet plan that has mostly vegetables and fruits, whole grains, and low-fat dairy products. Limit sugar-sweetened foods and drinks, especially those that have high fructose corn syrup. Limit alcohol because it can increase uric acid levels in the blood and avoid short term diets for the same reason. Decreasing animal-based protein and eating more fruits and vegetables will help decrease urine acidity and this may help reduce the chance for uric acid stone formation.

General Diet Recommendations for Kidney Stones:

Drink plenty of fluid: 2-3 quarts/day
This includes any type of fluid such as water, coffee and lemonade which have been shown to have a beneficial effect with the exception of grapefruit juice and soda. This will help produce less concentrated urine and ensure a good urine volume of at least 2.5L/day.

Limit foods with high oxalate content
Spinach, many berries, chocolate, wheat bran, nuts, beets, tea and rhubarb should be eliminated from your diet intake.

Eat enough dietary calcium
Three servings of dairy per day will help lower the risk of calcium stone formation. Eat with meals.

Avoid extra calcium supplements
Calcium supplements should be individualized by your physician and registered kidney dietitian.

Eat a moderate amount of protein
High protein intakes will cause the kidneys to excrete more calcium therefore this may cause more stones to form in the kidney.

Avoid high salt intake
High sodium intake increases calcium in the urine which increases the chances of developing stones. Low salt diet is also important to control blood pressure.

Avoid high doses of vitamin C supplements
It is recommend to take 60mg/day of vitamin C based on the US Dietary Reference Intake Excess. Amounts of 1000mg/day or more may produce more oxalate in the body.

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In Cancer Awareness

5 Essential Facts to Reduce Your Risk of Colon Cancer

Colorectal cancer, also known as colorectal cancer, is a significant health concern worldwide. However, there are proactive steps you can take to reduce your risk of developing this disease. Here are five crucial facts that can help you lower your risk of colon cancer:

1. Maintain a Healthy Diet
Consuming a diet rich in fruits, vegetables, and whole grains while reducing the intake of red and processed meats has been linked to a decreased risk of colon cancer. Including fiber-rich foods in your diet can also contribute to a healthier digestive system.

2. Engage in Regular Physical Activity
Regular exercise not only helps in maintaining a healthy weight but also plays a crucial role in reducing the risk of colon cancer. Aim for at least 150 minutes of moderate-intensity exercise per week to reap the benefits.

3. Undergo Regular Screening
Early detection is key in the fight against colon cancer. It is recommended to start regular screening for colorectal cancer at age 45. Various screening methods, such as colonoscopies and stool-based tests, can help detect precancerous polyps or cancer at an early, more treatable stage.

4. Limit Alcohol Consumption and Avoid Tobacco
Excessive alcohol consumption and tobacco use have been linked to an increased risk of developing colon cancer. By moderating alcohol intake and avoiding tobacco products, you can significantly lower your risk of this disease. The American Cancer Society recommends no more than 2 drinks a day for men and 1 drink a day for women. A single drink equals 12 ounces of beer, 5 ounces of wine or 1½ ounces of 80-proof distilled spirits (hard liquor).

5. Increase Intake of Whole Grains and Fiber
Whole grains and fiber have been associated with a reduced risk of colon cancer. Including foods such as whole grain bread, brown rice, and legumes in your diet can contribute to a lower risk of developing this type of cancer.

By incorporating these five facts into your lifestyle, you can take proactive steps to reduce your risk of colon cancer. Making informed choices about your diet, physical activity, and screening can significantly impact your overall health and well-being. Remember, early detection and prevention are powerful tools in the fight against colon cancer.

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In Cancer Awareness

Know the Two Types of Lymphoma: Hodgkin and Non-Hodgkin

Lymphoma is a type of cancer that originates in the lymphatic system, a vital part of the body’s immune system. There are two main types of lymphoma: Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL). Both types of lymphoma affect the body differently and have distinct characteristics.

Hodgkin Lymphoma (HL)

Hodgkin lymphoma, also known as Hodgkin’s disease, is characterized by the presence of Reed-Sternberg cells, large abnormal cells found in the lymph nodes. HL is relatively uncommon, accounting for about 10% of all lymphomas. It often starts in a single lymph node or a group of lymph nodes and can spread to other lymph nodes over time.

Symptoms of Hodgkin Lymphoma

The symptoms of Hodgkin lymphoma may include:
Painless swelling of lymph nodes in the neck, armpits, or groin
Persistent fatigue
Fever and chills
Unexplained weight loss
Night sweats

Non-Hodgkin Lymphoma (NHL)

Non-Hodgkin lymphoma is a diverse group of blood cancers that includes all types of lymphoma except for Hodgkin lymphoma. Unlike HL, NHL originates in the lymphocytes, a type of white blood cell found in the lymphatic system. NHL is more common than HL, with numerous subtypes that can behave and respond to treatment differently.

Symptoms of Non-Hodgkin Lymphoma

The symptoms of non-Hodgkin lymphoma may include:
Swollen but painless lymph nodes in the neck, armpits, or groin
Abdominal pain or swelling
Chest pain, breathing difficulties, or coughing
Persistent fatigue
Unexplained weight loss

Diagnosis and Treatment

Both Hodgkin and non-Hodgkin lymphomas are diagnosed through a combination of physical exams, medical history assessments, imaging tests, and biopsies of lymph nodes or affected tissues. Once diagnosed, the treatment approach for each type of lymphoma may differ.

If you suspect that you or a loved one may have symptoms of lymphoma, it’s important to consult a healthcare professional promptly for an accurate diagnosis and appropriate medical care.

Remember, knowledge is a powerful tool in the fight against cancer, and staying informed can make a significant difference in the journey toward recovery and well-being.

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In Uncategorized

Bring the Conversation to the Table: Understand Your Family Health History

As family travels from near and far to be together during the holiday season, it’s an opportune time for you to not only cherish the time with your loved ones, but also gain a deeper understanding of your family’s health history. Take the time to have important conversations about family health history. Discussing your family’s health background doesn’t have to overshadow the festive atmosphere, however, it can be a valuable way to understand potential health issues that may be hereditary, allowing you to proactively address them with your healthcare provider.

Understanding your family’s health history is crucial for everyone. It empowers you to develop a strategy for managing any potential health concerns. For instance, a family history of breast cancer can be associated with an increased risk of prostate cancer. Certain genetic mutations that elevate the risk of breast cancer also raise the likelihood of prostate cancer in men. Therefore, if you discover a family member has had breast cancer, it’s important to discuss your own cancer risk with your doctor.

This holiday season, take a moment to engage in discussions with your family about the significance of understanding your health history. The more you comprehend potential health impacts, the better equipped you and your doctor are to address them early on, allowing you to continue relishing those special holiday moments.

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In Cancer Awareness

Understanding Pancreatic Cancer

Although one of the deadliest forms of cancer, pancreatic cancer is also one of the most difficult cancers to detect in its early stages. Oftentimes, symptoms are not present until the cancer has become very large or spread to other organs. To prevent this disease, it’s important to understand how it develops and some of the risk factors of pancreatic cancer.

Understanding Pancreatic Cancer

Pancreatic cancer occurs when abnormal cells in the pancreas grow uncontrollably, forming tumors. The pancreas, a vital organ located behind the stomach, plays a key role in digestion and blood sugar regulation.

Recognizing the Signs and Symptoms:

While symptoms may vary, it’s essential to be aware of common signs that could indicate pancreatic cancer:

  • Jaundice: Yellowing of the skin and eyes.
  • Belly or Back Pain: Discomfort or pain in the abdomen, which may radiate to the back.
  • Unexplained Weight Loss: Significant, unexplained weight loss over a short period.
  • Changes in Stool: Light-colored, oily, or dark stools.
  • Loss of Appetite: A noticeable decrease in appetite and feelings of fullness.

Risk Factors

Certain factors increase the risk of developing pancreatic cancer, including:

  • Age: The risk increases with age, with most cases diagnosed after the age of 65.
  • Smoking: Smokers are at a higher risk than non-smokers.
  • Family History: A family history of pancreatic cancer or certain genetic syndromes can elevate the risk.
  • Diabetes: People with long-standing diabetes have an increased risk.
  • Chronic Pancreatitis: Ongoing inflammation of the pancreas can raise the risk.

Early Detection

Common forms of early testing include genetic testing and imaging.

Genetic Testing: Identifying genetic mutations can help assess the risk of developing pancreatic cancer, especially for those with a family history.

Imaging Techniques: Advanced imaging methods, such as endoscopic ultrasound (EUS) and magnetic resonance imaging (MRI), provide detailed images of the pancreas, aiding in early detection.

While detecting pancreatic cancer early remains challenging, ongoing research and advancements in medical technology offer hope for improving early detection rates. Awareness of the signs, understanding risk factors, and regular health check-ups are vital in the fight against this aggressive disease. By staying informed and proactive, individuals can take charge of their health and contribute to the ongoing efforts to detect pancreatic cancer at an early, more treatable stage.

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In Cancer Awareness

Breathe Easy this November: Three Things to Know About Lung Cancer

November is Lung Cancer Awareness Month. Lung cancer doesn’t discriminate; it affects both smokers and non-smokers, emphasizing the importance of awareness and education no matter your lifestyle. With a disease prevalent among millions worldwide, there are steps you take now to reduce your risk. Check out these three key facts about lung cancer. Keep them in mind this month and evaluate your lifestyle and health. Is it time to make some changes this November?

Fact 1: Prevalence and Impact:
Lung cancer is one of the most prevalent cancers globally. It is the leading cause of cancer-related deaths, responsible for approximately 2 million deaths each year.

Fact 2: Complex Causes and Risk Factors:
While smoking remains a significant contributor to lung cancer cases, non-smokers are also at risk. Exposure to secondhand smoke, environmental factors like air pollution, and genetic predisposition can increase the likelihood of developing lung cancer. Occupational hazards, such as exposure to asbestos and radon gas, are additional risk factors. Understanding these complexities emphasizes the importance of comprehensive prevention strategies, including smoking cessation programs, promoting clean air initiatives, and workplace safety measures.

Fact 3: Progress in Treatment and Early Detection:
Advances in medical research have led to significant progress in lung cancer treatments. Targeted therapies and immunotherapy have revolutionized the way we approach this disease, offering more personalized and effective options for patients. Additionally, early detection through screening methods like low-dose computed tomography (LDCT) scans has proven to be instrumental in diagnosing lung cancer at earlier, more treatable stages.

Understanding the facts about lung cancer is the first step towards reducing your risk of lung cancer. Stay proactive and encourage your family or loved ones to learn about lung cancer causes and prevention.

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In Cancer Awareness

Know the Power of Pink: Breast Cancer Awareness Month

Breast cancer affects millions of lives in the United States alone. We embrace the color pink this month to raise awareness for breast cancer because being informed is the first step to preventing this common disease.

Let’s uncover the facts about breast cancer, empowering you with information that can save lives. Understanding the nuances of this disease is key to early detection, prevention, and support for those affected.

Fact 1: Breast Cancer is Common, but Early Detection Saves Lives:

Breast cancer is the most diagnosed cancer among women globally, regardless of ethnicity or background. The encouraging news is that when detected early, the survival rate is significantly higher. Regular screenings, like mammograms and clinical breast exams, play a crucial role in early detection.

Fact 2: Men Can Get Breast Cancer Too:

Although rare, men can also develop breast cancer. Due to the low awareness about this, diagnosis often occurs at a later stage. It’s essential for everyone, regardless of gender, to be aware of the signs and symptoms.

Fact 3: Genetics and Lifestyle:

While a family history of breast cancer can increase the risk, the majority of breast cancer cases occur in women without a family history. Healthy lifestyle choices, such as regular exercise, maintaining a healthy weight, limiting alcohol consumption, and avoiding smoking, can significantly reduce the risk.

Fact 4: Diverse Forms of Breast Cancer Exist:

Breast cancer isn’t a one-size-fits-all disease. There are various types, including ductal carcinoma in situ (DCIS), invasive ductal carcinoma, and triple-negative breast cancer. Each type requires specific treatments, highlighting the importance of accurate diagnosis.

Fact 5: Advances in Treatment:

Advancements in medical science have led to targeted therapies and immunotherapies, transforming breast cancer treatment. Personalized medicine tailors treatments based on the genetic makeup of the tumor, increasing their effectiveness and reducing side effects.

Fact 6: The Role of Support Networks:

A strong support system significantly impacts the journey of breast cancer patients. Emotional support, from friends, family, or support groups, can alleviate the challenges faced during and after treatment. Awareness and understanding within communities foster empathy and solidarity.

Breast cancer awareness isn’t just a month-long campaign; it’s a year-round commitment. By knowing the facts, promoting early detection, advocating for research, and offering support, we can create a world where breast cancer is detected early, treated effectively, and, ultimately, defeated.

Let’s stand together, armed with knowledge and compassion, in the fight against breast cancer. Together, we can make a difference and save lives.