my Breast Cancer blog

2004, age 34 — this is my story

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Raw October — Day 23 (How it All Started)

Raw October: raising breast cancer awareness — one fact, figure, feeling, and photograph at a time.

National Breast Cancer Awareness Month (NBCAM) was started in 1985 by the American Cancer Society with funds from a chemical company and a drug company for the purpose of filling an information gap and empowering women to take charge of their breast health. The Breast Cancer Consortium details the almost 30-year evolution of NBCAM and highlights a few of the criticisms that surround the awareness campaign. Here’s the rundown — RIGHT HERE.

Now, vote in the poll below and share your thoughts on NBCAM — is it a worthy cause or a whole bunch of pink nothing? Take your pick, then share a comment to explain your position.

LympheDIVAs Compression Sleeve (GIVEAWAY)

I have a compression sleeve. I just don’t wear it much—mostly because I’m not at high risk for developing lymphedema, but also, I think, because the thing is sorta scratchy, and it pretty much blends into the corner of my closet withs its flesh-colored boring-ness, and, so, I usually forget to wear it when I mow the lawn (which, to be honest, is rarely) or when I travel by plane (which I hardly ever do). I’ve got to tell you, though—I’m pretty sure times are gonna change.

I just received a new fancy, schmancy sleeve from LympheDIVAs—a small, family-run company that provides fashionable, medically correct compression garments for upper extremity lymphedema. Lymphedema in breast cancer patients is manifest as swelling that can occur when a sentinel node or a number of lymph nodes are removed or when the nodes receive radiation therapy. Having a sleeve on hand is key—it’s one of the tried and true therapies for lymphedema. Now that I have my newbie, I’m thinking it might become more fashion accessory than cancer-surviving burden.

There’s a great story behind LympheDIVAs: The company was founded in 2006 by three inspirational women, two of whom had lymphedema themselves. One of these women—Rachel Levin Troxell—pushed that hot, thick, itchy, beige compression garment option into the shadows by launching some comfortable, breathable, aloe-vera infused, and fashionable arm candy. Seriously, isn’t my arm beautiful?

Sadly, Rachel passed away in 2008, but her creation lives on, thanks to her dad and brother, who are working to fulfill Rachel’s mission to bring lymphedema awareness to the breast cancer community and beyond. Thanks also to Anna, the designer of all the beauty—the same Anna who is GIVING AWAY one sleeve and one gauntlet to one lucky reader.

Ready, set, enter to win:

  • Browse the LympheDIVAs online shop and pick out your favorite pattern; leave a comment naming your fave.
  • Leave your comment no later than 5:00 p.m. EST on Thursday, July 26, 2012.
  • You may enter only once.
  • Open to legal residents of the 50 United States and the District of Columbia, who are 18 and older.
  • One winner will be selected in a random drawing via random.org.
  • One winner will receive one sleeve and one gauntlet in the pattern of her choice. Gift valued at $153.
  • Winners will be notified by email, so make sure to check next week to find out if you’ve won!

Fight Cancer With Fitness (GUEST POST)

By: David Haas

Whether you have just been diagnosed with cancer, are undergoing treatments, or are in remission, the benefits of keeping fit cannot be understated. Exercise keeps the body healthy and functioning at its highest capacity, and for bodies fighting a rigorous chronic disease like cancer, exercise can make a tremendous positive difference.

When my doctor first told me I had mesothelioma, I felt like there was nothing I could do, but he encouraged me to get off my sofa and start exercising, even for a short time daily, so I could make a positive change. Conventionally, healthcare professionals have encouraged cancer patients and survivors to ‘take it easy,’ but Ciaran Devane, chief executive officer (CEO) of Macmillan Cancer Support, stated in an article posted by CBS News that patients would be shocked to know the benefits of physical activity on their recovery and long-term health.

Decreased Risk of Recurrence

Studies indicate that for those who have beat cancer, exercise can help keep the disease from coming back. In a recent article posted by webMD, Kerry Courneya, professor from Canada and research chair at the Physical Activity and Cancer organization in Edmonton, Canada, stated that not only did exercise reduce the risk of recurrence, but it also ensured a longer survival after diagnosis.

Elevated Energy Levels

Exercise is known to reduce fatigue and increase overall energy levels. It also increases stamina. Cancer treatment can be rigorous, and exercise helps build the muscle and stamina needed to better withstand its effects on the body.

Improved Quality of Life

Exercise reduces the risk of other chronic illnesses, like cardiovascular disease and diabetes, while decreasing the risk of other health issues, like osteoporosis and depression. It also enhances mood by releasing serotonin, a ‘feel-good’ chemical in the brain, and produces an overall positive feeling of well-being.

Even a little effort at fitness can go a long way while living with or beyond cancer. It doesn’t need to be anything too strenuous. Small choices like taking the stairs instead of the elevator, gardening instead of watching television, or walking the dog instead of playing a computer game make a tremendous overall positive impact on living.

Thank you, David, for this reminder that exercise is powerful medicine!

Her First Mammogram

My friend Heather wrote a story about her first mammogram, and, in the name of breast cancer awareness, she is donating it to me so I can publish it for you. Her words follow, and see that photo to the right? That’s her — the girl I first met when we were something like 25 years old, and, now, we’re something like 40.

Oh, and the “cancer-surviving friend” in the story — that’s me!

My First Mammogram

Heather Dilatush

I just had my second mammogram. I really don’t mind going to the doctor or dentist – I like staying on top of my health, but I did skip last year’s mammogram and I think I know why.

Two years ago, I went for my first “mammo.” People will probably not believe this, but I wasn’t nervous or worried about the pain that sometimes accompanies getting “squished.” I figured that if it hurt, I would take some deep breaths and get through it. As my cancer-surviving friend said, getting squished may hurt, but cancer hurts more.

But first, let me put that time in a little context. I was getting my mammo at the start of a new school year. Although I was heading into my sixth year of teaching, I was thrown into teaching photography. I am a skilled artist, but I confess, I am not a photographer. I don’t even have a background in photography. Zippo, ziltch, nadda. So I was about to learn in front of 16-year-olds. I know, fun, right? It was one of the few times in my life when I felt like I didn’t know which end was up. Everybody kept telling me I was a great art teacher and I would be good. But like all teachers, I like to know my stuff really, super double extra well so that I can teach the hell out of it. Where do you start when you don’t know anything? And another confession: I have no passion for it. I appreciate it; my partner is a great photographer, my dad had a darkroom in our basement, but that particular artform does almost nothing for me. It makes no sense, I know.

So like a good 39-year-old, I went in for my mammogram and was greeted and fondled by a very nice woman. I got squished, and it was fine. She said that sometimes people have to come in a second time, but that 80% of the time it is just to get some better shots. I thought that made sense. And I remember thinking I could never do her job. I am scared to death of my new position, but I could never work as a technician. Sometimes you have to smile at the patient knowing that something is abnormal in those images.

I got the call that I needed to come in for some more images. This time, I was more nervous because I had been trying all week to plan lessons for something I had no clue about. When my students’ film doesn’t come out, why doesn’t it? And if you have ever shot photography, is it me or is learning aperture a little tricky? Oh, and darkroom chemicals, how do those work? I felt like a fraud. Also that week, when I went into our finance office to order some supplies, I looked at Cheryl’s desk full of purchase orders, mounds of paperwork-filled columns and numbers and stuff, and said, “I could never do your job.” She said chuckling, “well, I could never be a teacher, so we’re even.”

I was feeling so scattered that when I showed up for the second mammogram, I realized I had forgotten my wallet when I went to get my money for the co-pay. They took me anyway, and when I was in the room with the technician, she said, “I will let you know that this is not going to be very pleasant.” Ugh, okay. I thought to myself, just breath, it’s all you can do. She was right. It was not pleasant. But it still wasn’t really the worst pain I have ever experienced. I used it as a time to practice breathing.

But it still happened. I panicked. I realized that she was trying to get a particular shot. There was an area of my breast that she kept squeezing the heck out of. I closed my eyes and thought about my breathing. I assume she had no idea that I was concerned. I went back to the dressing room to get dressed and was on the verge of tears. Just as I finished pulling my shirt over my head, a woman with a beautiful, warm face and handshake said in a run-on sentence, “Hi Heather, I am Doctor Bryant we will see you next year everything is fine.” When she left, I thought, I could NEVER do HER job. I went out to my car and wept. I was both relieved and upset about the upcoming year. Somehow I would get through it. Maybe I would use it as a year to breath.

Mammogram Done

It happens every year right around my birthday — the annual mammogram. It’s no big deal to me anymore, because I figure things are either going to turn out OK, or they’re not, in which case, I’ll know what to do, because I’ve done it before. So, I just submit to the routine, cross my fingers really hard, and accept all prayers that come my way (thanks, Katie Dain). And so far, ever since that day back in 2004 when cancer crossed my path, everything has been just peachy.
Today, things turned out OK.

My mammogram was normal.

Toxic Risk: Cancer and Environmental Toxins

Reader Krista wrote today’s thought-provoking post. She raises the concern that toxic junk surrounds us, and that it might just be causing our cancers. Aware of the recent cell phone/cancer conversation? That’s the sorta stuff Krista is talking about. Read on, and you’ll see. (And thank you, Krista, for sharing your words!)

In many cases, some people believe the bridge between environmental toxins and health issues like cancer to be somewhat overstated. Unfortunately, this could not be more false. In everyday life, there are nearly 100,000 different chemicals being used all over the world. Of that 100,000, only a few hundred have actually been tested for their ability to cause cancer. In just the small amount of testing of those few hundred, there have been numerous ties to cancer-causing chemicals.

The effect of chemicals and toxic materials on cancer cases can also be tied to the high amount of cases in elderly people. As people age, the body’s ability to metabolize and remove chemicals is reduced. These chemicals can stay around in an older body and cause more problems and health risks. Even though awareness should always be high for environmental toxins, the elderly should have an extra eye on the dangers.

In 2010, the President’s Cancer Panel (an advisory group on cancer) called for more research on environmentally related cancer and toxins. They claimed that while there is some evidence of long-term effects, without research, the true burden of environmentally related cancer will be extremely underestimated.

The panel pointed towards some ways to cut down on the risk of these toxins in the near future. This includes filtering tap water and not using plastic plates, as well as eating food without pesticides or fertilizers and processed meat. They claimed that cutting down cell phone use, reducing radiation exposure, and checking home radon levels as other important recommendations to reduce these health risks.

The actual types of cancer are not to be taken lightly, and one of the most vulnerable places can be inside or around the house. Houses have been key spots for exposure to radon, asbestos, and as a result, mesothelioma. Radon can rise up from the ground, while asbestos material is a common fiber found in many older insulation and homes. These risks are not to be disregarded as there is no mesothelioma cure, making asbestos exposure highly dangerous.

Some may come away from these reports and believe that they overstate or scare people about cancer. It’s not intended to do that, but it simply shows the importance of being aware and taking steps to help prevent any of these risks in the future. Emphasis on the panel’s recommendations will not only have a positive effect in cutting down environmental cancer risk, but also in improving health in general.

Gamma Camera Better Than Mammogram?

If you are at all concerned about your breast health, you really need to watch this video. It will take just 20 minutes of your time, but it will leave you thinking for a lot longer than that. So — watch, and think, then share your thoughts in the comments.

Still Running From Cancer

I’ve been running from cancer for a while now. It’s because I keep thinking about all that research showing that five vigorous hours of exercise per week can cut my chance of recurrence by something close to 50%. I just can’t ignore such a compelling statistic, so I try my  best to keep pounding the pavement. Sometimes, the task is easy. Sometimes, it’s a chore. Today, I was feeling it, and so I ran, and ran, and ran. The end result? See below.

www.jogtracker.com

To chart your fitness feats on an Android phone (that’s what I’m doing) check out JogTracker.

Julie Clark: On Cancer and Making Kids Smile

Tell us a little about your life at the time you were diagnosed?
I was first diagnosed with breast cancer in 2004, at the age of 37. My life was stressful, but terrific. I had sold Baby Einstein to Disney and was financially lucky, and I was in the midst of filming a video for my new company, The Safe Side. I was raising my daughters, and I was happy and healthy. I ate well and worked out most days.
Can you share a bit about your diagnoses and treatments?
When I found the lump in my breast the first time, I was ‘lucky’ because the disease was stage 1. The tumor was under 1cm in size, and it had not visibly spread to my lymph nodes. Though a lumpectomy was recommended, I opted for a double mastectomy. I was devastated by the cancer, and wanted to assure that this would never happen to me again.
Unfortunately, it still did. In 2008 I found another small lump on my chest wall. When I learned that the cancer had spread to my lymph nodes and liver, I was in shock. I heard the words Stage 4 in relation to me, and I couldn’t believe it. I did chemo and Herceptin (another cancer treatment) for five months, and came out with no evidence of disease — the best news I could expect. Now it’s about maintenance. Trying to stay in this place. I had my ovaries out, because my cancer was estrogen positive. I take a medication called Femara to help shut down any additional estrogen from my body. I have osteoporosis in my spine and neck from early, forced menopause, but I’m here. And thankful to be so.
How old were your kids when you were first diagnosed, and how did they handle the cancer news?
They were six and nine the first time, and eleven and thirteen the second time. The first time they were young, and I was really optimistic that I’d caught it early and eradicated it. The second time was harder. They were older, and had a better understanding of what it could mean. They knew people died from cancer. And chemotherapy was worse to watch than surgery, because I really looked sick. That’s when I saw the need for a book like You Are the Best Medicine.
How did you deal with having a recurrence (mentally, physically and emotionally)?
Anxiety. Fear. Depression. Shock. I still feel these emotions, but I also feel hopeful. I feel grateful for the beautiful life that I have, and lucky to have my current health status.
What “aha” moment led you to write “You Are the Best Medicine”?
I’ve never seen myself as a very brave person. I don’t deal well with physical pain. But I knew that I would be brave and strong because I wanted to be around for my children, and I wanted them to know how much they were a part of my strength and hope. I wrote the book because I wanted to give other people with cancer a way to tell their children the same important message.
What do you hope is the end result of having written this book?
I hope it will help kids understand how much their love means. And I hope to raise $100,000 for the research team at UCLA, to help with their incredible work in finding a cure for all cancers.
Since you have accomplished so much, what do you hope will be your greatest legacy one day?
Julie Clark made children smile.
Julie Clark

Julie Clark

Julie Clark (you know, Baby Einstein Julie Clark!) recently worked with me on a giveaway of her new children’s book, ”You Are the Best Medicine,” and then she kindly answered some questions for me about her breast cancer journey. What follows is what Julie has to say about being diagnosed with cancer — twice — and how important kids (hers and yours!) are in her life.

Tell us a little about your life at the time you were diagnosed?

I was first diagnosed with breast cancer in 2004, at the age of 37. My life was stressful, but terrific. I had sold Baby Einstein to Disney and was financially lucky, and I was in the midst of filming a video for my new company, The Safe Side. I was raising my daughters, and I was happy and healthy. I ate well and worked out most days.

Can you share a bit about your diagnoses and treatments?

When I found the lump in my breast the first time, I was ‘lucky’ because the disease was stage 1. The tumor was under 1cm in size, and it had not visibly spread to my lymph nodes. Though a lumpectomy was recommended, I opted for a double mastectomy. I was devastated by the cancer, and wanted to assure that this would never happen to me again.

Unfortunately, it still did. In 2008 I found another small lump on my chest wall. When I learned that the cancer had spread to my lymph nodes and liver, I was in shock. I heard the words Stage 4 in relation to me, and I couldn’t believe it. I did chemo and Herceptin (another cancer treatment) for five months, and came out with no evidence of disease — the best news I could expect. Now it’s about maintenance. Trying to stay in this place. I had my ovaries out, because my cancer was estrogen positive. I take a medication called Femara to help shut down any additional estrogen from my body. I have osteoporosis in my spine and neck from early, forced menopause, but I’m here. And thankful to be so.

How old were your kids when you were first diagnosed, and how did they handle the cancer news?

They were six and nine the first time, and eleven and thirteen the second time. The first time they were young, and I was really optimistic that I’d caught it early and eradicated it. The second time was harder. They were older, and had a better understanding of what it could mean. They knew people died from cancer. And chemotherapy was worse to watch than surgery, because I really looked sick. That’s when I saw the need for a book like “You Are the Best Medicine.”

How did you deal with having a recurrence (mentally, physically and emotionally)?

Anxiety. Fear. Depression. Shock. I still feel these emotions, but I also feel hopeful. I feel grateful for the beautiful life that I have, and lucky to have my current health status.

What “aha” moment led you to write “You Are the Best Medicine”?

I’ve never seen myself as a very brave person. I don’t deal well with physical pain. But I knew that I would be brave and strong because I wanted to be around for my children, and I wanted them to know how much they were a part of my strength and hope. I wrote the book because I wanted to give other people with cancer a way to tell their children the same important message.

What do you hope is the end result of having written this book?

I hope it will help kids understand how much their love means. And I hope to raise $100,000 for the research team at UCLA, to help with their incredible work in finding a cure for all cancers.

Since you have accomplished so much, what do you hope will be your greatest legacy one day?

Julie Clark made children smile.

Breast Cancer Prevention Through Healthy Living

Healthy is yummy!

Photo: D Sharon Pruitt, Flickr

Thanks to Louise Baker for offering to write a guest post, and for doing such a good job of pulling together some of the best tips for preventing breast cancer through healthy living. Check out what she has to say, then get busy taking her advice!

Pay mind to your diet
More and more, oncologists are realizing that a healthy diet may be one of the best protective measures you can take to prevent cancer, including breast cancer.

Eat fruits, vegetables, and whole grains
As a general rule, the more natural the food, the better it is to eat. Fruits and vegetables have antioxidant qualities, which fight cancer. Berries are one of the most antioxidant-rich foods. Choose a variety of colorful fruits and vegetables to get an array of vitamins and minerals. Farmers markets sell fresh fruits and vegetables that are not laden with pesticides the way they are at grocery stores. Whole grains refer to foods with minimal processing and almost always have more fiber than refined carbohydrates.

Avoid refined carbohydrates!
Refined carbohydrates tend to cause much steeper surges of insulin than whole grains. Insulin has a drastic effect on the release of other hormones in the body, such as the insulin-like growth factor and possibly even estrogen. These two hormones have been strongly linked to cases of breast cancer.

Be conscious of the different types of fat
Not all fat is created equal. Omega-3 fatty acids may have a role in preventing breast cancer when eaten in a 1:2 ratio with omega-6 fatty acids. While getting the proper ratio may seem like a simple feat, it is not. Fast food and other commonly eaten American foods have a much higher amount of omega-6 (anything made with vegetable oil is packed with omega-6 fatty acids).

Exercise, exercise, exercise!
Exercise can reduce the risk of breast cancer in several ways. A study done at the Fred Hutchinson Cancer Research Center in Seattle gathered that women who exercise have a 22% reduced rate of breast cancer.

Lower stress levels
The mind-body connection concerning illnesses has long been researched. Findings consistently support that stress causes lowered immunity and is linked to a vast quantity of ailments, including cancer. Exercise is key to stress reduction and mental health.

Maintain a healthy weight
While changes in diet may be the best method for weight loss, exercise is the most important part of weight maintenance. According to a study performed by the National Cancer Institute, gaining weight (especially after menopause) increases the risk of breast cancer.

Avoid Certain Drugs

The following drugs have been extensively linked to breast cancer:

  • Estrogen: This refers to pharmaceutical estrogen, such as the estrogen found in birth control pills.
  • Alcohol: Numerous studies show that more than one drink per day can increase a woman’s risk of breast cancer. The risk increases with each additional drink.
  • Tobacco: Carcinogens in cigarettes are well-noted for their cancer causing properties.

Louise Baker ranks online degrees for Zen College Life. She most recently wrote about the best colleges online.

Mammogram Monday

Photo: waterrose, Flickr

Photo: waterrose, Flickr

I’m not sure how my birthday and my annual mammogram ended up sharing the same week, but gosh, how bad is that going to be if something fishy turns up the day after the happy occasion of turning another year older? Yikes. Everything turned out A-OK last year (mammo the day before my birthday), so fingers crossed the pattern continues.

This morning, my boobies will endure the ceremonial flattening (think Jack Black, plus a lot more skin), and I can only hope that I return to announce that they are just fine and dandy.

Pretty blue robe, here I come.

Breast Cancer Vaccine in 10 Years?

Photo: pasotraspaso, Flickr

Photo: pasotraspaso, Flickr

WebMD says: “Polio, an infectious disease caused by a virus that lives in the throat and intestinal tract, was once the leading cause of disability in the U.S. Since the introduction of the polio vaccine in 1955, the disease has been eradicated in the U.S.” I can see online nursing programs teaching this definition because it’s not too bad.

Wouldn’t it be such happy news if an important website could spout out something similar about breast cancer?

If may not be too far off, says Cleveland Clinic immunologist Dr. Vincent Tuohy, who has hopes of introducing a breast cancer vaccine within 10 years. He’s got the science on his side, he just needs funding.

Ah, hope.

Read all about it here.

Slash Breast Cancer Stats: Eat Less, Exericse More

Up to a third of breast cancer cases in Western countries could be avoided if women ate less and exercised more.

Photo: ppdigital, Flickr

Photo: ppdigital, morgueFile

Breast cancer may be a mystery in many ways — why did I get it, for example? — but it’s becoming more and more evident that eating too much, exercising too little and packing on the pounds can spike your risk of developing the disease that already gets 1 in 8 women.

This news, which isn’t really all that new, was sprawled across the front page of the Gainesville Sun this morning, reminding me once again that nixing the packaged goods (I know, it’s so hard) and moving my muscles is the smart way to motor through life. It’s why I’m renewing my vows with all things healthy — starting. right. now.

Here’s one way to think about it: there is so much about cancer we cannot control. But what we put in our mouths and how we move our bodies — totally up to us! Now, that doesn’t mean you can’t have moments of indulgence (I’ve been having a moment since Halloween). It just means that mostly, we need to monitor our input and ramp up our output, because, well, our lives depend on it.

E.D. Hill: Surgery May Have Saved Her Life

Photo: Indenture, Flickr

Photo: Indenture, Flickr

Former Fox News anchor and conservative journalist E.D. Hill was back on “The View” today, talking all about the nipple-sparing mastectomy she had two weeks and two days ago. She shared previously that she would have the prophylactic surgery, even though she did not have breast cancer, because of a strong family history. Now that it’s over, she has no regrets.

Hill said she had very dense breast tissue, and cysts, and some suspicious stuff, too — like a gray area that kept showing up on mammogram, sonogram and MRI. Post-surgery pathology revealed this area to be pre-cancerous. Left untouched, it could have turned into the disease Hill hopefully has escaped with this preventative surgery.

Hill is now in the process of reconstruction, with expanders in place, and she’s speaking out about what some believe to be a drastic measure — removing breasts without a breast cancer diagnosis.

Most readers here believe Hill made the right decision, and many of you have made the same one. Thanks so much for sharing your stories. They matter — really, they do.

Happy World Cancer Day!

Photo: istock.com

Photo: istock.com

It might not seem very happy that there must be a World Cancer Day, but if we use the day for good, well, then, it can be a happy February 4. Set the dismal stats aside (without intervention, an estimated 84 million people will die of cancer between 2005 and 2015, uugh!), and instead, do something that ensures the disease will one day fade into the shadows. Some ideas: stop smoking, limit alcohol consumption (yea, that too), eat right and exercise well, get your recommended screenings (like mammograms and skin check-ups) and ditch the stress.

Another idea: honor those in your life who have done battle with cancer, because you know what? They are the ones who pave the way for the progress we do see in the fight against such a crappy disease.

Today, I thank all the women who went before me and volunteered their bodies to test the wonder drug Herceptin, which happened to become available just when I needed it. It might just reduce my chance of recurrence by something like 50 percent, and that, well, that makes me very happy.

Happy World Cancer Day!