They are called DES daughters, and they are the women who mothers took the anti-miscarriage hormone drug DES during pregnancy. It is estimated that millions of pregnant women were given this drug between the 1940s and 1960s, and it's now been determined that the daughters born to these women have not only an increased risk of a rare vaginal cancer but also nearly double the chance of developing breast cancer.

This sad finding has been addressed before but now more than ever, DES daughters are urged to stick to a strict breast cancer screening schedule.

A news brief published in the February 2007 issue of Good Housekeeping boldly reminds all women to comply with government guidelines that call for mammograms for all women every one to two years starting at age 40 and every year after the age of 50. But it's a different story for women exposed in utero to DES.

"If you were exposed to DES, be sure to let your doctor know and have a mammogram ever year, even in your 40s," says Julie Palmer, lead researcher of the DES study.

Just two months after her mother lost her battle with gall bladder cancer, Liane was diagnosed with breast cancer. It all happened earlier this year -- and while Liane is still mourning the loss of her mother, she is also still managing the madness of her own disease. Liane is surviving with courage, with determination, with the same powerful spirit that powered her mother's fight.

Liane lives in a small city -- population 43,000 -- in northern Alberta Canada. She has been happily married for 18 years and has two daughters, ages 13 and 15, and a golden retriever named Sunny. Liane loves to garden, cook, read, and spend time with family. She normally works full-time in a real estate and property management office but has been blessed with six months off for treatment. Liane is already -- without a doubt -- a survivor.

Each month, about 22,000 women log on to the National Cancer Institute (NCI) web site and answer seven questions to determine their risk of developing invasive breast cancer. The Gail Model, named for the NCI's chief biostatistician, Mitchell H. Gail, generates a five-year risk and a lifetime risk for each woman who answers each of these seven questions.

• Does the woman have a medical history of any breast cancer or of any ductal carcinoma in situ (DCIS) or lobular carcinoma in situ (LCIS)? Note: This assessment tool cannot accurately predict risk for a woman who already has a medical history of breast cancer.
  
• What is the woman's age? Note: This tool only calculates risk for women ages 35 and older.
  
• What was the woman's age at the time of her first menstrual period?
  
• What was the woman's age at the time of her first live birth of a child?
  
• How many of the woman's first-degree relatives -- mother, sisters, daughters -- have had breast cancer?
  
• Has the woman ever had a breast biopsy? How many breast biopsies has the woman had? Has the woman had at least one breast biopsy with atypical hyperplasia?
• What is the woman's race/ethnicity?

A simple drop-down answer menu is provided for each question, and explanations for each question are available. Upon completion of the short survey, the Gail Model spits out a five-year breast cancer risk and a lifetime breast cancer risk with comparisons to the general population of women.

While this is only an assessment -- based on statistics that do not always take into account individual differences -- it is still a helpful tool. Because it's clear that women can minimize breast cancer risk with behavior changes and sometimes medication. And generating a personal rating on risk is a rating worth knowing. It's also worth knowing that this tool was designed for use by health professionals. If you are not a health professional, consider discussing your results with your doctor.

October is Breast Cancer Awareness Month, and Bare Escentuals, a company that offers a makeup line of products made from 100 percent pure bareMinerals -- free of preservatives, talc, oil, fragrance and other skin irritants -- will be featuring a limited edition Pink Passion Rose Radiance Collection.

According to Bare Escentuals, all profits from the three-piece collection -- i.d. bareMinerals Rose Radiance All-Over Face Color, i.d. Rose Radiance Lip Gloss and the i.d. Heavenly Face Brush -- are going to the National Breast Cancer Foundation.

In an effort to celebrate mothers, daughters, girlfriends and women everywhere as they embrace life, renew hope and fulfill their dreams Bare Escentuals encourages all women to Think Pink this October.

According to the company website, Bare Escentuals began thirty years ago to create a feather-light makeup as a solution to the heavy look and feel of traditional foundations. While beneficial for most women, the makeup line is especially designed for women with skin sensitivities, allergies, scars, blemishes, rosacea, wrinkles and pigmentation. Bare Escentuals CEO Leslie Blodgett uses real women with real skin problems to be the company's beauty spokesmodels.

Bare Escentuals Pink Passion Rose Radiance Collection will be available during National Breast Cancer Awareness Month from Sephora locations nationwide. To learn more about the makeup products offered and the special Pink Passion Rose Radiance Collection, visit Bare Escentuals.

Of all the gifts I received during my cancer treatment, I never did receive boxing gloves. And I've never even considered giving them as gifts to loved ones who are sick. I usually stick with fuzzy socks -- that's my traditional put-your-feet-up comfort gift. But I like the idea of boxing gloves. I like that they represent the fight cancer brings out in us. And I like that two sisters came up with this gift idea for their mother during her cancer battle. Complete with signatures from family and friends, they presented boxing gloves to their mom, Gerrell, who loved looking at her symbol of strength. And she was thrilled with all the personal messages that reminded her each day of everyone who stood in her corner. Although Gerrell has since passed away from cancer, the boxing glove idea lives on.

After their mom died, Gerrell's daughters began a company called My Knockout where they sell boxing gloves with signature pens, t-shirts, gift baskets, and more -- and they contribute a portion of all profits to the American Cancer Society. They say it's takes just three rounds to pursue this gift option for anyone faced with a physical or emotional struggle -- just purchase My Knockout boxing gloves, have friends and loved ones sign the gloves with encouraging messages, and give the gloves to your fighters.

Gerrell's daugthers, who also keep a My Knockout blog, say life is truly worth fighting for. So put your gloves up and fight.

Thanks Sheree for sharing your story!

Breast Cancer Daughters Tell Their Stories is a book that looks at how mothers and daughters change when facing breast cancer. The book addresses the daughters' experiences based on how old they were when their mothers died. It also has chapters on women whose mothers survived breast cancer and looks at genetic risk.

The author Dr. Oktay explains the process of interviewing women whose mothers had died and their reactions. This book is a good source for someone facing mortality issues. It examines four phases a daughter may experience. The period prior to a mother's illness, the period during the mother's illness and treatment, the period following a mothers death and long term impact.

Daughters born to mothers who were prescribed the anti-miscarriage drug diethylstilbestrol (DES), a synthetic estrogen, during pregnancy are at increased risk of developing breast cancer, according to research done by a nationwide team of researchers. Between the 1940s through to the 1960s millions of pregnant women were given this drug.

"This is really unwelcome news because so many women worldwide were prenatally exposed to DES, and these women are just now approaching the age at which breast cancer becomes more common," said the study's lead author, Julie Palmer, Sc.D., professor of epidemiology at the Boston University School of Public Health.

For a little history on DES, back in the late 1930s, physicians believed that low levels of estrogen in pregnant women led to spontaneous abortions or premature deliveries. But in the early 1950s, a clinical trial showed no drug benefit in preventing miscarriage. However, use continued in the US until 1971 when researchers determined that DES greatly increased the risk of developing rare cancers of the vagina and cervix in DES daughters.

I assume most DES daughters at increased cancer risk are already aware. However, what makes this news, is that researchers believe that if excess estrogen in utero might increase breast cancer risk later in life, the concern becomes one where other environmental factors that increase fetal exposure to estrogenic compounds need to be given serious consideration.

Caregivers are affected by cancer in their own unique and special ways. And those of us who have never been cancer caregivers and those of us who are patients receiving the care will never really know how it feels to walk in caregiver shoes -- until we do it ourselves.

Dr. Mitchell Luftig has done it himself. And after traveling a dark and unwanted journey of caring for his wife with breast cancer, he realized that he had learned a thing or two -- and he learned that he could share a thing or two. So he wrote a book, Be a Hero To The Woman You Love When She Gets Sick, and he speaks openly about his role as caregiver -- and his role at the time as father of twin high school daughters and husband of 20 years and clinical psychologist too. The whole ordeal turned his world upside down and he hopes that his story helps others -- primarily men -- who find themselves in a lonely place with the daunting job of caring for the people they love. As a psychologist, Luftig has good insight. And he wishes to help minimize the psychological barriers that prevent men from effectively caring for loved ones during times of serious illness.

Luftig shares in his book his realization that while he cannot repair and fix all hard times, he does have some important tools. And his power tools are love, support, and understanding. He has learned to sew joy out of rough cloth. He understands that he cannot shelter his family members from bad times, but he can shoulder their burden. And he now appreciates that all things are not so bad when measured against the yardstick of a life-threatening disease like cancer. Luftig's whole collection of wisdom and lessons and advice fill his book -- and bits and pieces also appear in periodic articles in Coping magazine. It's worth the read -- and the journey starts here.

Lori Fischer began making handmade dolls for her children. Soon her friends were asking for a one-of-a-kind doll of their own. Once, when a friend was suffering hair loss, she made a doll without hair -- and she included wigs and hats for the doll as accessories and gave it to her friend. She started holding doll making workshops. According to Fischer, women and their daughters, or groups of friends, have spent the day sewing, eating, and socializing in a way that has all but been forgotten.

In the fifteen years since she began making dolls, her dolls have evolved into works of art that are shown in local art galleries.

Last year, she was awarded a grant through the City of Oakland's Cultural Arts Funding Program to visit children in two hospitals for the purpose of teaching them to make hand-stitched, one-of-a-kind dolls.

The children that she works with are cancer patients at the Bone Marrow Transplant Center who are required to spend long periods of time in the hospital. Spending time making a doll takes the child's mind off the struggles and challenges they face. Each child is allowed to be expressive and create a doll that reflects individual creativity and personality.

Some of the dolls the children have made, and dolls that Fischer makes, can be seen at Dolls4ArtSake.

Breast cancer made Pink Penguin Press founder Jim Powers feel helpless when his aunt was diagnosed with breast cancer. He took a look at the women in his family -- at his daughters -- and realized that they were surrounded by breast cancer. Both grandmothers had been diagnosed with breast cancer. Their aunt had been diagnosed with breast cancer. Their mother had a benign breast tumor removed.

Powers decided to stop feeling helpless and make a difference by dedicating his life to fighting breast cancer. He has founded Pink Penguin Press, a non-profit organization with a purpose of beating breast cancer. This coming October, Pink Penguin Press will introduce the premiere issue of BC Nutrition Magazine, an alternative publication featuring up-to-date information on nutrition, alternative therapies, breast cancer research, diet, and lifestyle in a self-education and lifestyle awareness format. A special free preview issue is available now at local health food stores.

Within Pink Penguin Press, you can sign up for Life Saving Email, a free monthly self-check reminder system. Each monthly email is filled with the latest research, valuable nutrition advice and directions to guide you through a breast self-exam. Life Saving Email also sends out annual reminders for subscriber scheduled mammograms. In addition, there are links to educational information about breast health and breast cancer. Ribbon Nutrition is a sponsor of Pink Penguin Press.

Don't say I didn't warn you ahead of time we were going to hit this pothole on the cervical cancer vaccine road.  To briefly recap, last month I noticed Merck was running a television PSA, Tell Someone, in an attempt raise awareness about the virus that can lead to cervical cancer. Not once did it mention anything about the cervical cancer vaccine Merck was hoping to win FDA approval for -- and the same cervical cancer vaccine that will be available as early as next month. Let's remember this vaccine works best if administered to girls before they become sexually active. I mused that this was an intentional preemptive move on the part of Merck to the inevitable resistance from the Christian-right and other religious groups over a vaccine associated with sexual activity.

I predicted it was going to be a controversial issue and debate where sexual activity of teenage girls became the focal point and not the potentially life-saving cancer prevention vaccine. I was betting that the awareness-raising ad campaign from the drug company in the virus link to cervical cancer was an attempt to minimize the debate with an educational approach.

Sure enough, today I ran across a Reuters news article reporting just such an admission on the part of the drug company and discussion we will call the big bump in the road. Merck admits that its educational PSA was an effort to win over the Christian Right to the benefits of a vaccine to prevent cancer. Hang on to your seat -- we are coming up to the pothole.  Merck has revealed its plans to push for the vaccine as mandatory to school admission.

This is where the opposition from the Christian-right becomes more of an abyss than a pothole. The Christian Right feels the cervical cancer vaccine will lead to promiscuity and a false sense of security. Evangelical Christian groups, such as the Family Research Council and Focus on the Family, believe that it should be left up to parents to decide if their daughters are protected against cervical cancer by way of a vaccine. It's all about sex. It's all about the religious philosophies concerning sexual activity and eventually -- and sadly -- little to do with saving lives or preventing cancer.

The Secret Language of Girlfriends: Talking Loudly, Laughing Wildly, and Making the Most of Our Most Important Friendships, written by the queen of comfort Karen Neuburger, is a book sharing the funny, enlightening, uplifting and sometimes sad stories of women and how no matter what happens in the life of a woman -- she can always count on her girlfriends to be there. Neuburger chronicles the stages of a woman's life -- from child rearing and workplace bonding to menopause and beyond. The book contains party ideas, recipes, crafts and craft disasters, and the ceremonies women use to cement and celebrate their friendships. The last chapter is devoted to daughters and how mothers pass the secret language of girlfriends to the next generation --  a group of girlfriends who totally have your back but always put you out in front.

A portion of book profits go to The Breast Cancer Research Foundation, in honor of girlfriends everywhere. While it is a last-minute gift idea for Mother's Day, it is an excellent gift idea for mom any day of the week. Right after you give your mother a copy of this book, tell her about The Secret Language of Girlfriends website, where she can find the Broad Squad, book clubs, newsletter, and other fun.

As you drive through the neighborhoods surrounding the former Kelly Air Force Base in Texas, you will notice small purple crosses planted in front lawns. The crosses mark the homes of cancer victims. The people who live in these neighborhoods call where they live the toxic triangle. They believe they have been poisoned by the industrial solvent, trichloroethylene, or TCE, that was dumped at the base for decades and subsequently spread for miles through a shallow aquifer under the 22,000 nearby houses.

The local health authorities admit they have found evidence of increased rates of liver cancer and birth defects for the residents of these neighborhoods, but state it is impossible to say that TCE is the cause. The residents are absolutely certain TCE is the cause of the cancers that plague the people who live there. And this same fate is playing out all over the country, in other cities that are home to military bases, industrial plants, nuclear weapons laboratories and NASA centers.