My gut hasn't always guided me through life's most difficult decisions and dilemmas. It wasn't until I felt a lump in my breast more than two years ago that my gut kicked into gear and told me something very important.

"It's cancer," my insides told me one week before the surgeon who did my biopsy called.

"It's cancer," the surgeon said. I didn't tell him, but I thought it: "I know."

I also knew prior to surgery that my cancer had not spread to my lymph nodes. My gut told me this too. It also told me the chemotherapy drug Taxol was not right for me -- since my cancer had not spread -- despite the urging of one oncologist that I accept this treatment. I would have gone on gut instinct alone in my rejection of this medication but another doctor weighed in and agreed with my gut, so I had solid backing on this decision.

Many have dismissed hunches like these and have written off those who believe in them as screwballs, says writer Chip Brown in the March 2007 issue of The Oprah Magazine. But as Brown shares after peering into the world of gut instinct, there are 100 million nerve cells in the gut. They run on autopilot, regulate digestion, play a critical role in the body's immune system, and control mood-altering neurotransmitters identical to those in the brain.

The gut is essentially a second brain. It was a "gut feeling" that led Fred Smith, founder of Federal Express, to begin exploring the possibilities of overnight delivery and Howard Schultz, founder of Starbucks, to begin mass marketing coffee. Wall Street professionals make millions on their gut feelings, sportscasters make startling predictions based on gut guidance, and entrepreneurs launch thriving businesses because of the inklings that rumble in their tummies.

You may or may not be a gut thinker yourself. But I've stumbled upon a gut exercise -- thanks to psychotherapist Nancy Napier --and I'd like for you to consider it the next time you find yourself stuck at a crossroads, unsure of where to turn. You never know, the direction you seek may be swirling around in your midsection, just waiting for a call to action.

Think about this:

You are wavering between two choices. Find yourself a quiet, serene place where there will be no disruptions. Now sit down. Take a moment to settle and focus on the issue you want to explore. Then choose one side. Think about this side and notice what happens in your gut. Do you feel a tightening and gripping or a softening and warming? Are the sensations pleasant or uncomfortable? Notice your thoughts. Are they positive or negative? Give yourself some time to feel your gut and your mind responding.

Now shift to the other side. Think about the previous questions, and try to chart what your body gut is saying.

While you may not get a gut answer at first, if you come back with the question several times, you'll likely hear just what your gut wants you to know.

I have a new friend who is a new breast cancer survivor. She is surviving a new diagnosis, a recent lumpectomy, and the moments leading up to another surgery to further investigate the margins surrounding the tumor removed from her breast. She is surviving the first phase of her breast cancer journey. A phase full of uncertainty and fear and panic. A phase so new and so fresh and so raw, her mind is whirling. A phase that has her grasping for any bit of direction she can find as she navigates a terrifying, unfamiliar road.

My friend is a young wife and mother whose worries are consuming her. She e-mailed me today and asked if I ever have moments when I look at my young children and worry that cancer will take me from them while they are young. She asked if I have always been so sure I will be okay. And so I replied with this candid cancer confession.

Breast density has something to do with breast cancer. This is not really news. It's clear there is some kind of link, some kind of relationship, some kind of risk related to breast density for both pre- and post-menopausal women. It's just not clear how exactly breast density -- how much fat tissue fills the breast compared to other tissue -- contributes to breast cancer risk. But once it is clear, medical professionals will have a whole new arsenal of power in the fight against this deadly disease.

Cancer News in Context, a regular series of podcast commentaries produced by the Harvard Center for Cancer Prevention, highlights two recent studies that add weight to the fact that breast density is an important tool in breast cancer prediction and identifies two areas that with futher study might help determine why breasts that are very dense are associated with higher risks for breast cancer -- and why density may be as important a factor as age in determining risk.

Currently, mammograms are the chosen method for measuring breast density. But measurement is not required, and there are no national standards for how to measure. Once federal groups issue requirements and direction on how to classify density, women will receive more accurate assessments of their personal risk.

There is also speculation that altering breast density through hormonal therapy may lower risk. Perhaps genetics are the strongest indicator of risk, making short-term solutions ineffective, but perhaps certain interventions can override genetics, helping women protect themselves from breast cancer.

There are many issues that must be ironed out before we really understand how breast density affects breast cancer. There is no doubt that density, when added to other risk factors, will surely help improve the accuracy of prediction. It's one tool, among many, that is poised to open all sorts of doors.

I really do believe deep down in my gut that I will survive breast cancer -- that I will witness the wonder of my children growing up, that I will be married long enough that the years blur together, that I will live to a ripe old age. But I still have moments of doubt -- moments powerful enough to make me think I should not have a third child, just in case cancer comes back. To combat these moments -- that seem to surface more now that my treatment has stopped -- I try to keep busy, keep my mind occupied, keep living. My steps for surviving in the short-term include writing, journaling, exercising, relaxing, and spending time with family. But I also follow some steps for long-term survival -- steps that transcend the moment and give me purpose and direction. And here are seven of them.

Our days start early now that Joey is in kindergarten and school begins promptly at 7:45 AM. His daddy gets him out of bed at 6:30 AM so he can have some time to wake to the world before shuffling out the door, and we've happily found that Mister Rogers' Neighborhood comes on at just this time. The same Mister Rogers that first appeared on television in Canada in 1963 and then in the United States in 1967 -- with a gentle man, Mister Rogers himself, spreading his calm but uplifting messages to children and nurturing personalities of kids everywhere.

The last original episode of Mister Rogers' Neighborhood was aired in 2001. And in 2003, Fred McFeeley Rogers died at the age of 74 after a brief bout with stomach cancer. But his legacy lives on as his show -- the longest-running PBS program ever -- still graces the television screen. I remember watching this show with my grandmother when I was a little girl. And now I get to watch it with my little boy -- who can also visit Mister Rogers on the PBS website.

Today, Joey and I started our day with a cheery little song, sung by the man who hated television and joined it only to bring about change -- to use this fabulous instrument to guide children in a positive direction. And here is what he sang this morning -- the song that is still playing in my head as I take on the day ahead of me.

It's such a good feeling to know you're alive.
It's such a happy feeling: You're growing inside.
And when you wake up ready to say,
"I think I'll make a snappy new day."
It's such a good feeling, a very good feeling,
The feeling you know that we're friends.

I hope it's a good day in your neighborhood.

Lynne began her blog on August 6 -- one week ago and two months after she endured surgery to clear a clogged bile duct and received the grim and frightening diagnosis of gallbladder cancer. Her cancer is stage IV -- not an uncommon staging for a hard-to-detect disease that many will only survive for two to six months. So Lynne is scared but still strong and hopeful and full of faith. Her goal is to live -- not die -- with cancer, even though her days may be numbered. So Lynne blogs her thoughts and fears and all the bits and pieces of information she gathers about a disease that is rare and resources that are scare. It helps her. And it will surely help others. And here is a glimpse into what she shared in her first post.

If you had only six months or a year to live, would you want to know? What would you do with the information? Would it make a difference in how you lived your life? These are questions I have been asking for the past two months. In asking them, I have also noticed how little guidance there is for this process. Who have I known personally who was able to anticipate their death? I can think of only two individuals, and I never asked them whether or not they were living differently in their awareness of their mortality.

So, those are the themes in this blog. I look forward to a dialog with those I know, and those I don't about this strange, life changing journey.

To Lynne -- and to all others who are faced with the disease -- may you find peace and comfort and strength in every step you take, every direction you follow, every path that becomes your road to recovery.

Cancer has helped me slow down -- a little. I am more patient in the moment without racing to the next task I think is waiting for me. I can better manage my priorities and can offer the most important things the majority of my time. I am better at passing on opportunities that are low on my wish list. And I can typically say "no" if I don't have the time or energy to devote to a request. I know that I have to be healthy and happy and fulfilled in order to operate effectively and joyfully in this world. So I try to enjoy peaceful moments and put priorities first and not overextend myself and slow down. I'm not completely there -- yet. But I plan to keep practicing. And I'm going to try these seven strategies -- offered by a freelance writer, wife, mother of two, and reformed over-committer -- in an article I stumbled across in a local family magazine I picked up this week.

My little boys love candy -- and sometimes I think they eat healthy food only to earn sweets. Their constant badgering about candy has led to a recent ban on artificially-sweetened stuff in our house. If it's not in the house, they can't have it. No arguments. That's it. Fortunately, they also love fruit. So what we lack in candy we now make up for with fruit -- apples and bananas and grapes and peaches and strawberries are favorites. And just today at lunch, three-year-old Danny cleared his plate of strawberries and then proclaimed, "I love strawberries!" And I love that Danny loves strawberries -- especially in light of the news that hit papers today.

It seems that candy lovers are more likely than salt lovers to eat fruit. A study published in the journal Appetite found that people who eat candy, cakes, and other sweet snacks eat more fruit than people who prefer salty snacks like chips and nuts. Maybe that's the reason for my boys' equal affection for both candy and fruit -- and their indifference about salty treats. Apparently, the craving for something sweet is satisfied by both candy and fruit -- which is hopeful for kids whose parents might now steer them in the direction of the more healthy option. And for dieters who might incorporate more fruits into their menus in an effort to cut calories. And for anyone really who is concerned that a diet rich in candy, cookies, and cakes might contribute to illness and disease while fruits and vegetables encourage healthful living.

An apple a day.

I found Sark long ago -- about 10 years ago when I was working with college students on a campus in Virginia. Part of my job was supervising Resident Assistants -- students who live and work on the residence hall floors and are responsible for building community among residents -- advising them and counseling them and mentoring them and stepping in when conflict and trouble arises. It's a tough job -- being a peer and being in charge at the same time -- and Resident Assistants receive intensive training on how to best manage a floor of students possibly living away from home for the first time. I got to train these student leaders at times -- and Sark's books helped me motivate, inspire, and get to know these individuals. And over the years, as I assumed other jobs and roles and purposes, I found that Sark was still a great companion for me. And now I realize that what Sark has to offer really applies to anyone looking for a little inspiration, a little direction, a little creativity, a little delight.

It is not yet clear how -- or if -- this will affect American women but a piece of the breast cancer puzzle has been located for Icelandic women. Scientists reported this week that women with a bad gene that raises their risk of breast cancer were almost certain to develop the disease if they also had a mutation of second gene. This gene -- BARD1 -- seems to add a large risk for these women.

Two genes -- BRCA1 and BRCA2 -- were discovered 10 years ago and account for 10-15 percent of total breast cancer cases. Scientists have been searching for other genes that act alone or with these two genes to raise the risk for breast cancer. BARD1 appears to be one of the genes they were looking for.  Women with a BARD1 mutation and also a BRCA2 mutation -- the  most common in Iceland -- have a 50 percent increase in risk. In the United States, BRCA1 is most common so the puzzle is not quite the same. So for the 213,000 American cases of breast cancer that will emerge this year -- making it the most common major cancer in women and the second leading cause of deaths in women -- it is uncertain if BARD1 will be significant. But the discovery of this gene will help unravel the mystery of breast cancer -- and that is a step in the right direction for sure.

Quick autopsies -- or rapid organ donation -- may steer scientists in the direction of better diagnosing and treating the most lethal of cancers. Some 33,700 Americans will be diagnosed with pancreatic cancer this year -- and 32,300 will die. There is no early detection test for this disease and early symptoms are vague and may be mistaken for health concerns like indigestion. By the time the classic symptoms -- jaundice and itching -- surface, the cancer has typically spread and patients have only months to live. Rapid autopsies have been used before -- for Alzheimer's and prostate cancer -- but this a first in the study of pancreatic cancer and it just may lead to the discovery of what makes this cancer so aggressive and so deadly.

My friend called me last night as she was having a miscarriage. She had been to the doctor, heard no heartbeat, and learned via ultrasound that her baby had stopped thriving weeks ago. Her doctors told her what to expect -- bleeding and cramping and contractions and possibly a D & C -- and she was experiencing some of these inevitable symptoms as we spoke on the phone. My friend called me because the same thing happened to me six years ago -- and when she remembered this, she dialed the phone from a state thousands of miles away. And despite our distance, our connection was close enough for comfort.