Telling your doctor or nurse about pain is not a sign of weakness and you should not accept pain as a normal part of having cancer. You have a right as a cancer patient who is experiencing pain to ask for pain relief. When you are free of pain, you can sleep and eat better, enjoy the company of those around you, and can continue on with work and hobbies.

If your doctor suggests no other options to reduce your pain after discussing it with him, then ask to see a pain specialist or ask your doctor to consult with a pain specialist which may be an oncologist, anesthesiologist, neurologist, or neurosurgeon.

Use a pain scale when talking with your doctor. For example, your pain might be 5 on a scale of 0 to 10. Other important factors you should discuss with your doctor include ...

Surely, everyone can benefit in some way from yoga. Women with breast cancer that has spread beyond the breast, however, may benefit greatly from a tailored program featuring gentle yoga postures, breathing exercises, and meditation.

The great benefits: less pain and fatigue and more vigor, relaxation, and acceptance," says Dr. James W. Carson from Duke University Medical Center and lead of a study published in the Journal of Pain and Symptom Management.

Carson says women with advanced breast cancer need effective methods for curbing cancer-related symptoms.

The pilot study included 13 women who attended yoga classes once per week for eight weeks. The women, with an average age of 59 and with diagnoses occurring an average of seven years earlier, were helped significantly. They felt more invigorated and gained a greater sense of acceptance. They also found they felt better not only on the day they practiced yoga but the next day too.

This study offers the first, small-scale evidence for yoga's potential benefits for women with limited life expectancy.

You've surely known kids whose parents smoke declare their repulsion for the habit. The health risk, the expense, the filth of smoking seem to deter many youngsters from following in the footsteps of mom and dad. Theoretically, anyway. In practice, these same kids may fall prey to the very act they vowed to reject.

How about kids raised in households filled with sugary snacks and drinks, foods packed with fat, salt, and calories, and parents with expanding waistlines? Seems only natural these children, despite good intentions, end up struggling with healthful eating and weight management.

We are what our parents teach us. It's all we know for a good many years. And by the time we are able to make our own independent decisions, it's often too late. Our parents' actions and values are already programmed within us -- and it takes hard work to switch things up.

So here's my plea for this Sunday morning: do your kids a favor and become a positive role model. Don 't just tell your little ones what is right and healthy and virtuous -- show them. Let your behavior be the gold standard now, so that later, it's likely to be what your sweet babies will fall back on.

Here are seven ways to get started:

Feed 'em well
If kids learn healthy eating habits early, they're likely to stick with them. Offer whole grains options (rice, bread, pasta) and snacks that are not in the junk food group. Don't even buy the stuff you may later wish to clear out of your cupboard. Guests at our house are offered two drink options -- water or milk. Why? Because if we have juice (it's loaded with sugar) or soda (also sugary and calorie-laden), our kids just can't hold back. But if we don't have these beverages, they are never an option. Out of sight, out of mind.

Keep 'em moving
Take your kids to the park, get them running around your backyard, take them swimming, organize a kid-friendly football game, invest in a kite. Quiet activities are also good -- and necessary -- but when in doubt about how to entertain your busy little bees, make them move!

Let 'em see you sweat
You need to keep moving too. Not only for your own well-being -- that's obvious -- but so your kids see your physical activity as a staple of healthy living. Teach your kids to do push-ups and sit-ups and do them together. Jump rope, run laps at a local track, ride bikes, or dance. Just don't expect your kids to stay active if your idea of exercise is flipping through TV channels.

No TV
Turn off that TV. Rid your household of junk-food commercials, mind-numbing content, and addictive inactivity. Let TV be a treat -- a small one -- and not an expectation.

No smoking
Need I explain? It's unhealthy, costly, dirty, and a sure contributor to cancer. Try with every ounce of your being to keep this habit away from your impressionable children.

No stress
Some stress is unavoidable. Some is even healthy. But the kind of stress that hurts our tummies, gives us headaches, and threatens our health should be minimized. We must do our best to control our own stress so its effects don't spill over. And we must teach our kids how to cope too. Fortunately, some of the techniques listed above also work for this category -- physical activity, for example, does wonders for lowering stress. We can become experts at deep breathing -- have your kids practice with you. And we can teach a bit of distraction. If homework is making kids crazy, go with them on a short walk where they can regroup and return to the task with a clear head.

No double standards
We simply cannot say one thing and do another. Smoking while preaching the dangers of the habit just doesn't make sense. Saying "no" to sweets with your hand in the cookie jar is downright unfair. Carrying around extra weight and demanding physical fitness is simply ineffective. So make a commitment to yourself and your kids that you will do as you say. It's the only way.

In April, I'm headed to Canyon Ranch, the world's most renowned health and wellness destination. In addition to day spas and residential communities in various U.S. cities, there are two resort locations -- one in Tucson, Arizona and one in Lenox, Massachusetts. This is the one I will visit.

My several-day stay at Canyon Ranch comes with a bit of a breast cancer twist, and I'll tell you all about it in a future post.

But right now, I want to offer up a few healthy living tips offered by the professionals at these luxurious getaways. Featured on the company's website, these tips might just get you motivated in a healthful direction.

Breathe

Proper, natural breathing can improve relaxation. When breathing deeply, imagine the new supply of oxygen flowing through your body. Remember to exhale slowly. This can help relax your body further. Breathing should never feel forced or unnatural.

Just Ducky

If you're looking for a quick lunchtime workout that leaves you office-ready or a convenient exercise routine that allows you to be good to go at a moment's notice, jump into the nearest swimming pool. Carolyn Collman, M.S., exercise physiologist and aquatic therapist at Canyon Ranch in Tucson, says you can get in the swim without getting soaked. "Water exercises are the perfect solution for a high-efficiency, no-hassle workout for almost everyone. An older adult new to exercise or a sedentary person can benefit from it as much as an Olympic athlete and everyone in between," she says.

Fat-Free Isn't Sugar-Free

Many foods marketed as fat-free and low-fat are loaded with sugar. Learn to read food labels to determine whether the fat-free choice is really a healthy choice. Many products are replacing partially hydrogenated oils with sugar to compensate for lost flavor. The average person consumes twenty teaspoons of added sugar a day – that's 156 pounds a year!

You Are How Much You Eat

A recent study by the University of North Carolina at Chapel Hill has confirmed what Canyon Ranch has espoused for years: portion size directly impacts your weight. Using scales, measuring cups and spoons is a useful way of learning what a proper portion looks like. You can also use these common objects to help you visualize healthy portion sizes:

• Palm of your hand or deck of cards for a portion of lean meat, chicken, or fish
• One-inch cube (dice) for the portion of cheese
• D-cell battery for a portion of dried fruit or salad dressing
• Tennis ball for rice or potatoes
• Large marshmallow for salad dressing
• Ping-pong ball for the serving of nuts or nut butter

There's more where these came from. Go see for yourself. Or stop back here -- I promise to share more.

Early trials show a breath test for lung cancer detection may surface in the not-too-distant future. And it could be simple, inexpensive, non-invasive, and effective too.

The tests needs a good amount of work still, but if we keep our fingers crossed and medical researchers stay hot on the trail of this test, it just might be possible to one day spot lung cancer by simply breathing into a device for a few minutes.

The lung cancer breath test measures chemicals called volatile organic compounds (VOCs) in the breath. There's a certain pattern of VOCs associated with lung cancer, and they show up as colored dots across a quarter-sized panel.

The theory behind this test is great. The test itself is not perfect yet, however.

It's promising, though, says The Cleveland Clinic's Peter Mazzone, MD, MPH and colleagues who describe the test in the Online First edition of the journal Thorax and reveal the test correctly identified in studies three out of four people with lung cancer and detected lung cancer almost as frequently.

Discoveries have linked certain viruses to cancer growth. The hepatitis B virus is related to liver cancer. Women who develop cervical cancer have had a human papilloma virus (HPV) infection but not all women with HPV infection will develop cervical cancer. Stomach ulcers are likely caused by Helicobactor pylori, or H. pylori a bacteria and the ulcers can grow into cancer. Viruses attack cells in the body and once these cells are corrupted they begin to grow uncontrollably, eventually leading to cancer.

With these discoveries leads us to the knowledge that protecting the immune system in the body and keeping viruses at bay, is important in preventing cancer. Viruses enter the body through everyday activities like eating, breathing and sexual activity. Eating well, exercising and avoiding alcohol and cigarettes are good ways to keep your body's natural defenses functioning at their best. Staying protected with condoms during sexual intercourse helps protect you from sexually transmitted viruses and diseases. Learning healthy life style habits is the beginning of keeping cancer at bay. Focusing on nutrition, exercise, body weight, keeping toxins out of our bodies and our home environment ,and lowering stress will all help boost the immune system.

The U.S. government's Institute of Medicine reported that asbestos, which is accepted as a cause of a number of respiratory ailments including lung cancer, may also be a source for laryngeal cancer. The larynx produces the sound of your voice. Each year in the United States, more than 10,000 people learn they have larynx cancer. Men are four times more likely than women to get cancer of the larynx. Occupational related issues are certainly a factor with mechanics, construction, and other jobs that handle asbestos.

A series of studies have found that certain cancers of the throat and lungs are similar, so the U.S. Senate asked the institute to investigate a potential link between asbestos and other upper-body cancers. Asbestos is also linked to mesothelioma which is a rare cancer that attacks the lining of the chest.

Smokers and smokers that drink alcohol are even more at risk to develop cancer of the larynx. Symptoms of larynx cancer are hoarseness or other voice changes,lump in the neck, a sore throat or feeling that something is stuck in your throat, a cough that does not go away, breathing problems, bad breath, earaches, and weight loss.

The Lung Cancer Alliance -- the only national non-profit organization dedicated entirely to lung cancer patient support and advocacy -- asked pulmonary clinical nurse specialist Donna Wilson to help educate the lung cancer community about healthy breathing. Wilson agreed and her breathing tips, available on podcast, are intended to relieve shortness of breath related to pain or activity. Her three breathing techniques -- detailed here -- are simple, easy-to-understand, and truly relaxing.

Before beginning this series of breathing exercises, stop whatever you are doing and sit down or lean against a wall.

• Place chin to your chest to relax your neck muscles. Breathe 10 short bursts of air in and out of your lips. As you expel air, neck and chest muscles should relax.
• Place chin to your chest. Breathe three times in through your nose and out through your mouth.
• Place chin to your chest. Close your mouth, and breathe four times in and out only through your nose.
  

After completing these exercises, lift your head, breathe normally, and let your shoulders relax. In a few minutes, your entire body should start to relax -- and shortness of breath will resolve.

I don't have lung cancer -- but I do have moments of anxiety and panic. So I plan to save these tips. And I plan to use them. And I plan to share them. Because we all can benefit from a dose of relaxation.

For fitness, the practice of yoga promotes balance, flexibility and strength. America loves yoga, according to a survey conducted by the Yoga Journal. The top four reasons given for the interest in yoga were: flexibility, stress reduction, strength, fitness and conditioning. As yoga grows in popularity, it is also becoming Americanized, and there are a number of hybrid yoga practices springing up like: Acu-yoga, Yogilates, Disco Yoga, Hip-Hop Yoga, Punk Rock Yoga, Aqua Yoga, Doga (with your dog), Yoganetics, Soul FlowYoga, Freestyle Vinyasa Flow, Sonic Yoga, Yogic Arts (yoga combined with martial arts) and Nude Yoga -- which is a good thing, or a bad thing, depending on who you are asking.

Of the survey participants who were asked , these were the top four good/bad statements made to the increasing popularity of yoga in this country:

• "Americans need to recognize that practicing yoga doesn't conflict with mainstream religious values."
• "The commercialization of yoga is a good thing. It attracts many more people to the practice who otherwise wouldn't know about it."
• "Innovation is good for yoga. The many different styles that are evolving make the practice accessible to everyone."
• "Yoga in America is becoming too commercialized."
  

Is yoga the current fitness fad? Maybe. Will it fade in popularity? I suspect it will for those who flitter from one new trend to the next new trend. But, for example, there have been years of research into the potential benefit of yoga in improving the quality of life for cancer patients and survivors, and the National Cancer Institute has recently awarded M. D. Anderson a $2.4 million dollar grant to study the benefits of Tibetan yoga for cancer patients and survivors.

According to M. D. Anderson researchers, cancer and its treatment are associated with considerable distress, impaired quality of life, poor mental health and reduced physical function. For thousands of years, Tibetans have been practicing a form of yoga that might help reduce treatment-related side effects that accumulate over time for cancer patients. As research continues, yoga may become an accepted alternative and complementary therapy incorporated into mainstream medical practice for the treatment of disease and improving health.

Realistically, I am not certain that some of the trendy hybrid forms of yoga will endure over time, but the yoga that has been around for thousands of years is here to stay.

University of Texas M. D. Anderson Cancer Center researchers have confirmed what more than a few cancer patients have personally believed for some time now. Stress increases cancer growth and finding ways to relax and reduce stress is beneficial to cancer survivorship.

In a preclinical study carried out on mice with ovarian cancer, researchers found that cancerous tumors grew and spread faster when the mice were experiencing increased levels of stress. According to the researchers, the conclusion of this study is the first definitive link between psychological stress and the biological processes that make ovarian tumors grow and spread. It appears stress hormones bind to receptors directly on tumor cells and, in turn, stimulate new blood vessel growth and other factors that lead to faster and more aggressive tumors.

"The concept of stress hormone receptors directly driving cancer growth is very new," said Dr. Anil Sood, the study's senior author. "Not much had been known about how often these receptors are expressed in cancer, and more importantly, whether they had any functional significance. Our research opens a new area of investigation."

The good news in this -- besides the fact that this study begins to validate what cancer survivors have been saying for years in the personal belief of the link between stress and cancer -- is that stress can be controlled and reduced by lifestyle changes and medication. In fact, the researchers found a beta blocker heart medication effectively blocked the adverse effect stress hormones had on tumor growth.

This could open new areas of research. Indeed, Dr. Sood and his team will continue to research the role of stress in cancer and examine the effects of stress hormones on cancers besides ovarian cancer. To read more about the University of Texas M. D. Anderson Cancer Center preclinical study, go here.

I was present for death only one time in my 36 years of life. I consider this both a bad and a good thing. It's bad because I did not want my grandmother to die -- and watching it happen made it so real, so vivid, so painful. I don't think I would have ever chosen to watch my grandma die -- to watch her slip from consciousness to coma, to observe her altered body once death arrived, to witness the movement of her body on a stretcher as it was wheeled out of the house from the bedroom I still see every time I visit my mom's house. But I think I am lucky really -- and this is the good part -- because I got to be with her during her final moments. I got to watch her body as it lay still, peaceful and calm and still breathing. I got to talk to her and although she could not respond, I believe she could hear my words. And it makes me happy to know my grandma may have known I was with just prior to her flight to heaven. And after her flight, I got to touch her cool hands. I got to feel the power of the passing of one life -- a long life -- and I got to feel the comfort of a death that was not ugly or painful or difficult. It was sad -- it's still sad -- that my grandma died three years ago. But what a privilege it was to be part of the day she left this world.

Susan DeWilde left this world in much the same way -- with loved ones by her side. She was a fighter and had conquered several rounds of breast cancer, a tumor in her spinal cord, uterine cancer, lymphatic cancer, and then leukemia, which took her life at the age of 53. I don't know this from Susan herself but from her friend, Christy Mack -- who helped her accept her death and guided her into her own final moments so that she could escape her pain and die peacefully. Christy writes about her beautiful friend and her empowering death in an article that appears in the August 2006 Oprah Magazine. Titled Friends to the End, Christy's story details how she soothed her friend, cradled her hand, and talked her through her last breaths. She helped her on her way during a time her friend feared most. Christy writes, "What she and I shared the night she died was a precious gift of friendship, emotionally profound and sacred in its perfection. It broke my heart. It strengthened my soul."

This I understand.

The tunnel was long. And dark. And winding. And foggy. And ominous. It seemed to last forever -- at the time -- and at moments, time seemed to stand still. I was not sure if I'd ever pass through it and be okay -- if I'd ever see the light at the end. But I did. I tunneled through it all -- somehow -- and I came out feeling more alive than ever before. Now, some time after my escape from the fog, I am already taking for granted the fact that I am breathing, that I am healthy, that I am living. And when my fitness trainer noticed yesterday that I do not get dizzy and lightheaded anymore during my workouts -- when I once had to sit down, breathe, collect my whereabouts -- I realized that some of my progress since exiting my breast cancer tunnel is already lost on me. And I don't want to lose sight of where I was and how far I've come. I want to remember it and measure it and never forget how alive I am at this very moment. So I have started to really think about how things have changed since I felt stuck in time, in a dark place. I am thinking about my times in a hospital bed when I was barely able to stand up, barely able to walk a few steps without feeling like I would collapse. Now I can hop out of bed at a moment's notice, half asleep in response to a demanding child screaming from his bed. I am thinking about my once challenging pre-cancer exercise routine and how a time came when my legs felt so heavy I could not even contemplate walking down my street. Yesterday, I completed an hour of weight training. Today I ran for 20 minutes. Tomorrow, I go back for more weight training. And I remember feeling incoherent, unable to conjure of meaningful thoughts or sentences. And now, despite some potential chemo brain forgetfulness, I am back on track.

I have only just touched the surface. There is so much more to reflect on. So I plan to think more about my travels so I can better appreciate how I arrived at the exact place where I am right now -- where it's light and clear, where time passes at normal speed, where I feel lucky to be alive.

I have had many moments in my life where anxiety and panic have filled my mind. But this is normal and necessary really as life delivers all kinds of situations that produce all sorts of emotions.

I can recall vividly anxious feelings before a school exam but this is what motivated me to study and prepare and to pass the exam with flying colors. This anxiety gave me a push, a kick in the pants -- in a good, healthy way.

Without a bit of panic, I may not have cared. I may have been aloof to the importance of doing well in school. But while life has presented me with a good amount of this healthy emotion, it has also tossed an abundance of unhealthy anxiety and panic my way -- the kind that has consumed my mind and twisted my insides. The kind that made peaceful living seem impossible.

I went to a yoga class once -- it was when I was bald from chemotherapy because I remember wearing my wig and hat and hoping desperately that nothing would topple off my head while I stretched and balanced and folded my body into various positions. My bald head did stay covered and I was able to depart from the class with my dignity intact -- but for some reason, I never went back for another yoga class. Perhaps it was the difficulty I had relaxing while trying to manage the security blanket that masked my bare head. If I ever have to do it again, I think I will leave my hair and hat at home so I can give my undivided attention to the yoga experience -- which is becoming more and more recognized for its healing power.

New findings from a pilot study reveal that women going through treatment for breast cancer feel better, sleep better, and have less fatigue when they practice yoga. Side effects of treatment also seem to fade as a result of this ancient discipline. Lorenzo Cohen, a psychologist, led researchers at the University of Texas M.D. Anderson Cancer Center, and studied 61 women undergoing treatment for breast cancer. Thirty women were placed in a test group and took yoga twice per week for six weeks. The others did not take yoga. Once the study was complete, the participants completed questionnaires grading their physical abilities -- ability to lift groceries, walk a mile, and complete other physical tasks -- and also their feelings about fatigue, sense of well-being, and quality of life. The yoga group consistently scored higher on almost all physical components. No difference was found between the groups in the areas of depression or anxiety.

There is no doubt that exercise contributes to a healthy lifestyle in general. And it seems yoga is no different. Focused on meditation, imagery, controlled breathing, stretching, and physical movements, yoga is sure to benefit breast cancer patients. And I think I need to give it another try.

Are those mini-tropical vacations, aka hot flashes, getting unbearable? Many women have made the decision not to take hormone replacement therapy (HRT) to reduce hot flashes since news came out stating that women who took HRT were slightly more likely to develop certain illnesses such as breast cancer, ovarian cancer, and stroke compared with those who didn't take HRT. So what are the options to those unbearable night sweats and those red-faced moments in public that have you fanning your face? Take a deep breath, let it out slowly, and read on.

Certain herbs and supplements such as black cohosh, red clover, and soy products may help relieve hot flashes in some women. However, research in this area has only just begun and the effectiveness and safety of these products have not been proven. The National Center for Complementary and Alternative Medicine (NCCAM) is currently conducting research on these products to examine their ability to reduce the frequency and severity of hot flashes. Further research is also needed to determine if these products are safe to take for long periods of time. Acupuncture is another CAM therapy that women have tried and some have found relief. But acupuncture has also not been proven to be helpful with hot flashes at this point.

Overall, the research on acupuncture and hot flashes has not been of very good quality to date and further research is underway to determine if acupuncture might be helpful. Certain relaxation and breathing techniques may be helpful in reducing the severity and frequency of hot flashes. Both the relaxation response technique and a breathing technique that involves slow, deep breathing called paced respiration have been shown in small research studies to be helpful. So keep taking those slow deep breaths. When added with meditation time or yoga it can become quite fun, relaxing, healthy, and can get rid of some of those unwanted mini-tropical vacations.