Dr. Barbara Collins

"The brightest and the best and those most likely to have a high cognitive demand in their lives may be the most likely to complain that there is something wrong," says Barbara Collins, a neuropsychologist at the Ottawa Hospital.

Multi-tasking becomes almost impossible.Juggling ringing phones, beeping emails and colleagues knocking at the door can become overwhelming.

"In many cases, these neurocognitive side effects are the primary reason cancer survivors do not return to work," says Collins, who spoke on the problem yesterday at a downtown conference for young women living with breast cancer.

Most oncologists and neuropsychologists agree the likely offenders include high doses of chemotherapy, the combination of chemotherapy and hormone therapies like tamoxifen, or the early menopause women in their '30s and '40s often experience with treatment.

Chemotherapy can mess with ovarian function and estrogen levels, triggering rapid and premature menopause in young women.

"The brain is rich in estrogen receptors," says Collins.

Nesrine Awad, a PhD candidate in neuropsychology, and Dr. Barbara Collins, a medical oncologist at the Ottawa Hospital, told the meeting fatigue drives the phenomenon more than the drop in hemoglobin that results from chemotherapy treatments.
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Dr. Collins said it would be interesting to conduct a further study using functional MRI testing since the change in cognitive decline is associated with fatigue but not changes in hemoglobin levels.

(MCLEAN, VA, June 25, 2004) - PRA International, Inc. (PRA), one of the world's leading clinical research organizations (CROs), today announced the addition of three new scientific experts in Central Nervous System (CNS) to its Global Product Development Services (GPDS) group: Dr. Wendy Martin, Dr. Barbara Collins and Dr. Samer Kaba.
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Barbara Collins, Ph.D., C. Psych, Director, GPDS, CNS.Dr. Collins is a neuropsychologist with 18 years of clinical and research experience.Dr. Collins continues to hold the position of Clinical Professor at the University of Ottawa, School of Psychology.Her research interests include aging and dementia, executive functioning and particularly psychometrics.Dr. Collins works out of PRA's Ottawa, Canada, office.

MCLEAN, Va., June 25 /PRNewswire/ -- PRA International, Inc. (PRA), one of the world's leading clinical research organizations (CROs), today announced the addition of three new scientific experts in Central Nervous System (CNS) to its Global Product Development Services (GPDS) group: Dr. Wendy Martin, Dr. Barbara Collins and Dr. Samer Kaba.
...
Barbara Collins, Ph.D., C. Psych, Director, GPDS, CNS.Dr. Collins is a neuropsychologist with 18 years of clinical and research experience.Dr. Collins continues to hold the position of Clinical Professor at the University of Ottawa, School of Psychology.Her research interests include aging and dementia, executive functioning and particularly psychometrics.Dr. Collins works out of PRA's Ottawa, Canada, office.

MCLEAN, Va., June 25 /PRNewswire/ -- PRA International, Inc. (PRA), one of the world's leading clinical research organizations (CROs), today announced the addition of three new scientific experts in Central Nervous System (CNS) to its Global Product Development Services (GPDS) group: Dr. Wendy Martin, Dr. Barbara Collins and Dr. Samer Kaba.
...
Barbara Collins, Ph.D., C. Psych, Director, GPDS, CNS.Dr. Collins is a neuropsychologist with 18 years of clinical and research experience.Dr. Collins continues to hold the position of Clinical Professor at the University of Ottawa, School of Psychology.Her research interests include aging and dementia, executive functioning and particularly psychometrics.Dr. Collins works out of PRA's Ottawa, Canada, office.

MCLEAN, Va., June 25, 2004 - PRA International, Inc. (PRA), one of the world's leading clinical research organizations (CROs), today announced the addition of three new scientific experts in Central Nervous System (CNS) to its Global Product Development Services (GPDS) group: Dr. Wendy Martin, Dr. Barbara Collins and Dr. Samer Kaba.
...
Barbara Collins, Ph.D., C. Psych, Director, GPDS, CNS.Dr. Collins is a neuropsychologist with 18 years of clinical and research experience.Dr. Collins continues to hold the position of Clinical Professor at the University of Ottawa, School of Psychology.Her research interests include aging and dementia, executive functioning and particularly psychometrics.Dr. Collins works out of PRA's Ottawa, Canada, office.

Dr. Barb Collins, C.Psych.

Dr. Barbara Collins

PRA International, Inc. (PRA), one of the world's leading clinical research organizations (CROs), today announced the addition of three new scientific experts in Central Nervous System (CNS) to its Global Product Development Services (GPDS) group: Dr. Wendy Martin, Dr. Barbara Collins and Dr. Samer Kaba.
...
MCLEAN, Virginia and REDMOND, Washington, June 25 /PRNewswire/ -- PRA International, Inc. (PRA), one of the world's leading clinical research organizations (CROs), today announced the addition of three new scientific experts in Central Nervous System (CNS) to its Global Product Development Services (GPDS) group: Dr. Wendy Martin, Dr. Barbara Collins and Dr. Samer Kaba.
...
Barbara Collins, Ph.D., C. Psych, Director, GPDS, CNS.Dr. Collins is a neuropsychologist with 18 years of clinical and research experience.Dr. Collins continues to hold the position of Clinical Professor at the University of Ottawa, School of Psychology.Her research interests include aging and dementia, executive functioning and particularly psychometrics.Dr. Collins works out of PRA's Ottawa, Canada, office.