expert type icon EXPERT

Howard W. Bruckner

Oncologist

Dr. Howard Bruckner is an oncologist practicing in Bronx, New York. Dr. Bruckner specializes in the care and treatment of patients with cancer. As an oncologist, Dr. Bruckner manages and oversees the treatment of a cancer patient after he or she has been diagnosed with the disease. Oncologists will care for their patients throughout the course of the disease. Types of oncologists include medical oncologists, surgical oncologists, radiation oncologists, gynecologic oncologists, pediatric oncologists and hematologist oncologists.
Howard W. Bruckner
  • Bronx, New York
  • MD at Albert Einstein College of Medicine
  • Accepting new patients

How is endometrial cancer treated?

A complicated set of attractive options. Options should be reviewed with a expert physician critically. This is both a sometimes curable disease and the treatment depends on the READ MORE
A complicated set of attractive options. Options should be reviewed with a expert physician critically. This is both a sometimes curable disease and the treatment depends on the stage. For early stages the treatment is surgery or radiotherapy and sometimes a sequence of the two adjuvant further therapy after ideal above is experimental.

Be sure to have an adequate biopsy to allow genomic proteomic tumor testing now or in future. In theory ideally don't go into RT without adequate tissue for future. Chemo before or during RT are research and very few (too few)patients clearly need the extra regarding advanced stages role of chemotherapy.

This can be curative so the argument favors best standard therapy. Endometrial is very much like ovarian but maybe actually much better in terms of drug medical options. Taxol Carbo are the standard taxol weekly rather than intermittent an option. In theory any schedule closest to the ideal delivered dose rate that meets comfort so called dose limiting tolerance works. There are modifications that fit the elderly and even the resistant or ineligible for one drug

My father has started fumbling a lot after his cancer treatment. Is it normal?

The usual list of suspects includes: -Poor reaction to steroids other support med or fluids -Neuropathy -Something that warrants a diagnostic brain image However, the practical READ MORE
The usual list of suspects includes:

-Poor reaction to steroids other support med or fluids
-Neuropathy
-Something that warrants a diagnostic brain image

However, the practical approach is to have the staff collect more facts. Make staff aware and get an evaluation plan. Fall precautions, no driving, no unsupervised business. No unaccompanied chemo sessions. Make sure alert when eating.

Are steroids given as a part of cancer treatment?

Depends on the cancer and the chemo. Steroids are: -Therapeutic specific for a few cancers -Non-specific to reduce swelling -Rarely to reduce pain except in short use -Prevent READ MORE
Depends on the cancer and the chemo. Steroids are:

-Therapeutic specific for a few cancers
-Non-specific to reduce swelling
-Rarely to reduce pain except in short use
-Prevent side effects of chemo
-Chronic to avoid deficiency re: prostate
-Acute or a few days to prevent chemo malaise nausea/vomiting
-Acute to control allergic reaction

Topical rinses for some types of target chemo mouth sores. Generally, less oral or IV is better. Don't self medicate or reduce without doctor's guidelines. Reasons for less ideally minimum effective:

-Avoid diabetes, new or worse
-Hypertension
-Avoid infection worse
-Atrophy weakness of muscles
-Gastritis ulcers

Often, if using a lot of steroids, one needs complementary ulcer and blood pressure, even infection protection. Ask about each.

How often should I get my body screened for cancer when I have a family history?

Depends on the type of cancer. Start ten years before the diagnosis of the youngest relative with cancer. Frequency depends on what the screen finds precancerous. Almost equally READ MORE
Depends on the type of cancer. Start ten years before the diagnosis of the youngest relative with cancer. Frequency depends on what the screen finds precancerous. Almost equally important neglected, some cancers lend themselves to protection, at least a bit. A healthy lifestyle, weight control, exercise, prevent diabetes and heart disease, the bonus pays for the unproven protection. Exercise and anti-inflammatories, maybe a modest calcium or vitamin D. Make a habit of reasonable updates, self education, tone protection theories. Do the ones that are easy and have other benefits. Live a calm life, don't go crazy, don't lie about the risk to your family or friends, but know your rights; some institution insurers don't need to know. Protect your job insurance. Be careful; don't do genetic testing that can't immediately help. These reports can get into the wrong hands. Be sure your HIPPA rights are protected.

Gummy Bears and cancer

Wrong focus. This is a diabetes control question. Moderate control is fine, don't need to risk low sugar levels. Don't need to lose weight except a few patients for diabetes control. READ MORE
Wrong focus. This is a diabetes control question. Moderate control is fine, don't need to risk low sugar levels. Don't need to lose weight except a few patients for diabetes control. The whole sugar cancer thing has been dangerously blown out of proportion. It applies to a few hormonal lay driven cancers. Some of these patients do a little worse, if overweight, gaining weight 5% plus. If inactive, it may only make a difference in the group with resected no remaining detectable tumors. Effective cancer meds, when that can be ascertained, probably wipe out any diet sugar indiscretions your general diet needs. Conditions are the priority. Unless your doctors ask, say no, enjoy.

After cure from immunotherapy

Have a modest, satisfying party. Include the people who helped you and the ones you want to reconnect with. Get a good psych evaluation (PTSD-oriented) to get back on track. Continue READ MORE
Have a modest, satisfying party. Include the people who helped you and the ones you want to reconnect with. Get a good psych evaluation (PTSD-oriented) to get back on track.
Continue to follow up as your specialist recommends. Get rehab strength fatigue diet lifestyle bones hormones reproductive reality. Do better, but avoid any extreme programs. Your support system is still important, be careful, you will be around long enough to regret bad decisions and bad enemies. Don't repeat past lifestyle mistakes; it isn't business as usual. Do better. Delegate the technical medical. Have your best significant other keep on top of changing knowledge about follow-ups and residual side effects of past treatment.

Is a loss of appetite common in chemotherapy patients?

No such thing as normal Majority of women gain weight Too much weight harmful beyond cosmetic self image which matters Weight loss appetite solutions successful for READ MORE
No such thing as normal

Majority of women gain weight

Too much weight harmful beyond cosmetic self image which matters

Weight loss appetite solutions successful for 90% available here our practice it is a bigger problem see a lot of cancer involving GI where weight loss is normal pressing and chronic debilitating concern because problems are our niche. Still 90% have correctable appetite weight loss. Education common mistakes accidental diet

Support meds from natural biological to hormones to mood energy to motility and malabsorption correction..

Current thinking is that a little weight loss and modest diet measures plus activity increase are good prognostically Meeting weight and diet goals needs a coach for many healthy people seeking fitness It should be no surprise that problems during therapy often need a doctor or doctor directed coach Fixable problems are the norm during cancer therapy

Breast cancer recurrence

Not enough information and wrong question. Need tumor profile genomic other age other info. The question is what gives you the best chance rate length remission and quality to READ MORE
Not enough information and wrong question. Need tumor profile genomic other age other info. The question is what gives you the best chance rate length remission and quality to

Can cancer cause short-term memory loss?

Cancers, prostate itself, is a rare cause. The treatment, the support meds, steroids, narcotics, changes in sleep pattern, stress, depression, are multi-factorial, even severe READ MORE
Cancers, prostate itself, is a rare cause. The treatment, the support meds, steroids, narcotics, changes in sleep pattern, stress, depression, are multi-factorial, even severe nutrition deficiency, if the memory loss is functionally important, if he wants to address it. Go back to basics before working down this list. General exam, general labs, CMP, CT, or mRI brain, then go down the list of suspects. In an elimination substitution trial, abandon/change a working anti-tumor agent as a last resort. Be clear on the consequences of abandoning the working agent. The list of standard prostate drugs has grown.

For a breast cancer case, is a surgery done first or is the chemotherapy started first?

Chemo can only make surgery easier, less extensive for some. It rarely changes prognosis or need for S. Generally, neoadj isn't reserved for big tumors and dome receptor profiles READ MORE
Chemo can only make surgery easier, less extensive for some. It rarely changes prognosis or need for S. Generally, neoadj isn't reserved for big tumors and dome receptor profiles tumor tests. Some more difficult tumors have found a role for immunotherapy target therapy. A very specialized option it needs. Opinion of "Expert" is, Don't think of preop as a way of preventing surgery.

My father is suffering from excessive sleepiness and loss of appetite due to his chemotherapy. Is it normal?

These side effects can be common 20-30%. Nevertheless they need to be investigated. Well worth the effort. There are remedies: 1- Support medications for some half the patients 2- READ MORE
These side effects can be common 20-30%. Nevertheless they need to be investigated. Well worth the effort. There are remedies:
1- Support medications for some half the patients
2- Others can be helped with dose modification or a change in one of the drugs
3- Also, cancer causes metabolic abnormalities poisoning, can sometimes be remedied

Is surgery the only way to treat prostrate cancer?

Biopsy is almost unavoidable. They used to say surgery was the only way for young with early stage, but currently, RT best modern machines, very experienced. Get se results, at READ MORE
Biopsy is almost unavoidable. They used to say surgery was the only way for young with early stage, but currently, RT best modern machines, very experienced. Get se results, at least a consult is appropriate.

Turmeric use

Probably not, anyone asking this question is better served by knowledge of screening family history of cancer and a half dozen serious prevention strategies which have proven secondary READ MORE
Probably not, anyone asking this question is better served by knowledge of screening family history of cancer and a half dozen serious prevention strategies which have proven secondary benefits. Fitness, weight control, avoiding excesses, job related knowledge, chemicals, and no smoking top the list.

Can breast can spread even after breast removal surgery?

Yes, the real quest is why this wasn't discussed before or after surgery in context of available measures to reduce risk of "spread".

What are the chances of a relapse of cancer?

This requires personal ongoarion ideally. Vast bodies of data are available to surgeons and oncologists based on pathology and tumor test genomic proteomics studies. You need to READ MORE
This requires personal ongoarion ideally. Vast bodies of data are available to surgeons and oncologists based on pathology and tumor test genomic proteomics studies. You need to ask your doctor and every patient should have can have hard data
Prognosis is key to choice of prevention. Many post operative treatments are critical to motive outcr but one option doesn't got all
Yes BC recurrence is a real risk problem not just for five years but far beyond the risk decreases w time BC with no evidence of residual disease can be seen as a chronic disease for many bit w the ideal pathology the risk of recurrence can be small
There are diet exercise and weight recommendations to reduce the risk they clement but don't replace adjuvant medical intervention

My father is suffering from severe diarrhea as a result of his chemotherapy. What should we do?

Stay hydrated Don't lose weight Make sure not c diff not bleeding Starch frequent small meals no veges or fruit or milk or high sugar Soft land protein six meals a day small Immodium READ MORE
Stay hydrated
Don't lose weight
Make sure not c diff not bleeding
Starch frequent small meals no veges or fruit or milk or high sugar
Soft land protein six meals a day small
Immodium under supervision
Stop lazxatives magnesium
Tincture ipium before meals or half codeine if diarrhea comes right after eating
Painful diarrhea change in color weight loss fever need professional review w tests

Do I have a brain tumor?

Most such concerns turn out to be anxiety and depression which deserve a Drs visit in own right. No one should self diagnose yes or no. If there are concerns put them to rest READ MORE
Most such concerns turn out to be anxiety and depression which deserve a Drs visit in own right.

No one should self diagnose yes or no. If there are concerns put them to rest objectively.

Tumors, some, not all, produce atypical location or time of headache. Something is different than prior headaches; balance off, weakness in a limb, subtle speech is a little off, vision changes, any one of the above.

I was just diagnosed with Crohn's, but there is a history of bowel cancer in my family. What should I look out for?

Depends on age of your father and you. There is an association, depends on pattern of involvement and duration of disease. Usually, not an immediate concern, but be sure to discuss READ MORE
Depends on age of your father and you. There is an association, depends on pattern of involvement and duration of disease. Usually, not an immediate concern, but be sure to discuss with your GI specialist.

If I was diagnosed with cervical cancer, did i definitely have HPV first?

Only definite if the tumor test shows evidence
There are other less common causes

Should I take certain vitamins or supplements after being diagnosed with pancreatic cancer? Which ones?

The answer depends on the stage regimen treating oncologist and your nutritional status. Answer should be personalized Vitamin replacement to normal is recommende for Breakfast READ MORE
The answer depends on the stage regimen treating oncologist and your nutritional status. Answer should be personalized

Vitamin replacement to normal is recommende for Breakfast 12 D3 folic acid
Maybe a superdose of the reduced folate.w chem

Other vitamins avoid pyridoxine and E

C is complicated. AACR 2017 high doses can protect with specific not all chemo
Suitable advanced disease but not for adjuvant therapy after resection
Level of evidence expert hands safety is reasonable phase 2
But for efficacy very complex lab and Anecdotes needs personalized consideration
Suitable when side effects a problem sometimes

Re neutroceuticals must check each one for drug interaction some cats claw negate chemo drug

Gain weight protein low fat
You are doing something wrong if you lose weight
Insulin diabetics need specialist
Not insulin potentiators
Pancreatic enzymes creon

Personalize Details really make a difference
Your Dr must know what you want to take
It is possible to make bad mistKes