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First impressions of a Reach to Recovery visit

I was trained months ago to serve as a Reach to Recovery volunteer for the American Cancer Society (ACS). My purpose: to meet face-to-face with women facing breast cancer, to offer them some measure of comfort, to help them manage their overwhelming emotions, to provide them with information and resources, to impart hope during a time of fear and uncertainty.

For months, I had not been called upon to meet with anyone in my community. I'd like to think this is a good thing -- a sign of decreasing breast cancer cases perhaps -- but I tend to believe it stems from a hesitancy to ask for help or a lack of knowledge about this support program. Regardless, I got my first call last week. And I made my first visit. And these are my first impressions of my first encounter as a Reach to Recovery volunteer.

The Reach to Recovery program operates on the premise of matching like-cancer survivors. I was matched with a young woman -- she is 31; I am 37, although my diagnosis came at age 34 -- and each of us was diagnosed with early stage breast cancer. We both had surgery, both have young children, both feel a little sad that because of cancer, we likely won't have more children. We connected. We bonded. For a little more than one hour, we were in the same boat. Together, we tackled rough waters.

Continue reading First impressions of a Reach to Recovery visit

Blood pressure drugs help shrink lung cancer tumors

Lung cancer tumors in mice are shrinking -- with the help of a hormone important in the control of blood pressure.

This new discovery, led by scientists at Wake University School of Medicine, suggests some drugs used to manage blood pressure might also prevent or treat lung cancer.

This all came about when it was noticed that lung cancer rates were lower among those treated for high blood pressure with angiotensin-converting enzyme, or ACE, inhibitors. These drugs, including Capoten and Lotensin, increase levels of angiotensin-(1-7) in the bloodstream.

In studies, the angiotensin-(1-7) hormone caused a 30 percent decrease in tumor volume in mice. Tumors in mice not treated with the hormone more than doubled.

This study, published in the journal Cancer Research, is the first demonstration of the effect in animals.

Congresswoman Jo Ann Davis takes on cancer again

Virginia Congresswoman Jo Ann Davis announced this week that she has been diagnosed with breast cancer -- again. Her first bout with the disease began in October 2005. Her recurrence was spotted last month during her recovery from an unrelated medical procedure.

Davis, who received both a mastectomy and chemotherapy treatment during her first battle with breast cancer, knows she will conquer cancer for a second time.

"This cancer is treatable," Davis says. "I have just begun chemotherapy and I am very confident of a full recovery. I was able to beat this disease before, and I will beat it once again. I again plan on working throughout this process, and I once again believe that this experience will help me in serving Virginia's First Congressional District."

Davis, who is at home recovering from a ruptured ureter, will return to Washington this month.

Breath test for lung cancer shows early promise

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.

Texas first to mandate cervical cancer vaccine

Come September 2008, 11 and 12-year-old girls in Texas entering the sixth grade will receive three shots of the Gardasil vaccine used to prevent cervical cancer.

Texas is the first state to require that young schoolgirls receive the cervical cancer vaccine, approved for use by the FDA in June and proven to protect against the most common strains of the human papilloma virus (HPV) -- the cause of most cervical cases cervical cancers.

Texas governor Rick Perry (R), who just signed an executive order making this mandate official, believes the high cost of treating diseases and ensuring the health and well-being of our population justifies the vaccine requirement.

Perry, who has been met with opposition from those concerned that HPV vaccination of young girls promotes premarital sex and interferes with parental rights, will allow parents to opt out of the vaccination requirement with documentation citing religious or philosophical reasons. But he hopes most will comply with the cervical cancer vaccine he believes is no different than immunization against diseases such as polio.

Gardasil drugmaker Merck stands to make billions if the vaccine is made mandatory across the country. The series of three necessary shots cost $360.

Perry, who received $6,000 from Merck's political action committee during his re-election campaign, has other ties to the company. His former chief of staff is one of Merck's three lobbyists in Texas, and his current chief of staff's mother-in-law is state director for Women in Government -- a group active in introducing bills across the country that affect women.

Sunday Seven: Seven memories of time lost to cancer

I once waited to see my oncologist -- in a room with nothing more than outdated magazines and my own wandering mind -- for four hours. I offered up 20 hours of my time for chemotherapy treatments and then spent five days -- two times, for a total of ten days -- waiting in the hospital for doctors to determine how to raise my blood counts and decrease my fever after the completion of a dose-dense chemotherapy attack. I traveled to and from radiation appointments for 35 days, spending an average of 90 minutes on each of these round-trip excursions. I reclined in an infusion chair every three weeks for 12 months so that a new breast cancer wonder drug could sail through my veins. I spent 52 hours in that chair. And I spent countless hours pouring out my emotions to a counselor, in an attempt to clear my mind of all that cancer took from me -- including my time.

These are just seven memories I have of time lost to cancer. There are others -- countless others -- but this should suffice as proof that among all the potential side effects that accompany cancer, loss of time is a guarantee.

According to the first study to put a price tag on the time patients spend battling cancer, it seems the disease steals at least $2.3 billion worth of time for patients in the first year of treatment alone.

Eleven of the most common cancers were included in the study. And it was determined that 368 hours are lost during the first year of treatment for ovarian cancer. For lung cancer, 272 hours are lost. For kidney cancer, 193 hours go down the drain. These hours don't take into account time spent in bed recovering from surgery or chemotherapy treatments. It accounts only for time engaged in actively receiving care -- it counts chemotherapy, radiation, blood tests, scans, surgery, check-ups, waiting to see doctors, and driving to and from appointments.

The study, published in the Journal of the National Cancer Institute, sheds new light on the burden of commitment -- the human cost of cancer.

"Cancer is more than the just the dollars and cents for the medicines and the treatments and the doctors. It's also the lost opportunities for the patients," said the American Cancer Society's Dr. Len Lichtenfeld, of this overlooked reality.

Lichtenfeld says this study demonstrates the need for early detection. The earlier cancer is caught, the less time patients spend in the system. It also shows the need for more targeted therapies that spare patients physical side effects and allow them opportunities for taking pills at home instead of receiving treatment in clinics.

I would love to have back the time I spent treating and recovering from cancer. But I'm not heartbroken over my lost time. Because it bought me something in the end -- more time.

First Lady Laura Bush treated for cancer

Although it was not revealed at the time, first lady Laura Bush was diagnosed with squamous cell carcinoma in October, and underwent a surgical procedure to have the cancerous tumor removed from her shin shortly before the elections on November 7th. When the first lady's press secretary Susan Whitson was asked why the information about Mrs. Bush's cancer diagnosis was withheld from the public, she responded by saying, "This medical procedure was a private matter for Mrs. Bush, but when asked by the media today, we answered the question."

In 2001, President Bush had four suspicious facial lesions surgically removed that can lead to cancer if left untreated. At the time, they had not progressed into cancer.

Mrs. Bush is reported to be doing well, and is optimistic that the cancer was discovered early.

According to the MedlinePlus Medical Encyclopedia, squamous cell skin cancer is a type of tumor that affects the middle layer of the skin. Over 90 percent of skin cancers occur on areas of the skin that are regularly exposed to sunlight or other ultraviolet radiation. Squamous cell cancer is a malignancy that is more aggressive than basal cell cancer, but still may be relatively slow-growing.

Former managing editor of NY Times dies of cancer

Gerald Boyd, the first black managing editor of The New York Times, the man forced to resign two years after his appointment -- during a reporter's plagiarism scandal -- died Thursday of lung cancer. He was 56.

Boyd was diagnosed with cancer in February and while he was sick for most of the year, he kept his condition private from most friends and colleagues.

Boyd is credited for his ability to mobilize a reporting team and surround a story to capture every important fact. He was tough and demanding and had a huge heart. And while he left the paper under sad circumstances, he also left as a well-respected newsman.

Boyd became managing editor in 2001 and resigned in 2003 after the discovery that reporter Jayson Blair had plagiarized material, invented quotes, and wrote stories using datelines of places he'd never seen. The scandal resulted in discontented staff members who lost confidence in Boyd's leadership.

After his resignation, Boyd became involved in several projects and found himself writing a column for Universal Press Syndicate. His goal -- to help people understand how newsroom decisions are made.

Boyd is survived by his wife and 10-year-old son.

Survival Spotlight: First cancer survivor to summit Mt. Everest

Sean Swarner was once given two weeks to live. He is the only person in the world to have ever had two specific types of cancer and he is the longest living survivor of one of them. When he was fourteen he was diagnosed with stage four Hodgkin's Disease. He was expected to live for about three months. A year and a half after chemotherapy he was put in remission only to be stricken the second time with a very aggressive and deadly tumor attacking only three out of a million people. An Askin's disease tumor was attached to his lung and had grown to the size of a golf ball in less than four months. At this point Sean was told that he was only expected to survive for a few weeks.

Sean dreamed of helping others who were in his situation and becoming an incredible inspiration. His goal was to be the first cancer survivor to climb to the top of the earth. Sean achieved his goal in May of 2002 and still strives to climb more mountains. On the summit of Everest Sean brought a flag with names of those affected by cancer and left it at the top of the world forever commemorating the struggle of cancer patients worldwide.

Sean is one of the founding members of The Cancer Climbers Association, a non profit organization dedicated to motivating those afflicted with cancer by encouraging patients to inspire each other. Cancer Climber challenges and facilitates cancer survivors to climb their own Everest, thus overcoming their own limitations and mental boundaries.

Sean has raised cancer awareness and has instilled hope and inspiration in other cancer patients scanning the globe. Along with climbing, Sean now delivers inspirational speeches around the world.

Thirteen year old girl is the first in Britain to have the new cervical cancer vaccine

A thirteen year old London girl has become the first in the country to receive the cervical cancer vaccine. The vaccine, Gardasil, launched in Britain last week, protects against the main viruses that cause cervical cancer. Gardasil targets the human papilloma viruses (HPV), which can be transmitted through sex.

Hollie Anderson's mother, Lisa, had the vaccine given to her daughter privately after seeing her own mother battle against cancer. She did this because the government has not yet issued a guidance on which groups will be routinely immunized. Mothers are taking their daughters to private clinics instead to get the vaccination. Dr. George Kassianos, the Royal College of General Practioners' immunization spokesman said: "This vaccine is available on prescription today, but patients should wait for the Department of Health to give us guidance. Everyone agrees that this is a great leap forward. I would ask that department to fast track a decision".

There are 2,800 new cases of cervical cancer diagnosed in Britain every year. About 1,000 women will die of the disease. Mrs. Anderson said "When I found out from our doctor that these injections were becoming available it wasn't a difficult decision to make" I asked Hollie and she said she wanted it. it was her decision. Afterwards she said 'Thank you mum, I know you're protecting me against a disease'.

Awareness of breast cancer risk is a must, every month

There are various risk factors that can contribute to the development of breast cancer. Being female is the single biggest risk factor that on its own puts all women in jeopardy. But there are other risks -- many beyond our control and some more significant than others -- that can help explain why some women are diagnosed with the most common cancer in women in the United States. And why others are not.

Continue reading Awareness of breast cancer risk is a must, every month

Sunday Seven: Seven questions predict breast cancer risk

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.

Celebrities, Red Sox help raise money for The Jimmy Fund

The Jimmy Fund upped it's total by $2.8 million this Saturday -- thanks to celebrities Donald Trump, Ben Affleck, Billy Ray Cyrus, Jon Cryer, and others who helped raise funds for this cancer-fighting charity through a Boston radio-telethon. Established in 1948 to support cancer research at the Dana-Farber Cancer Institute, The Jimmy Fund has been the primary charity for the Boston Red Sox since 1953 and has been the beneficiary of this same radio-telethon for five years now. Since 2002, the telethon has raised more than $5 million to support research and care for both children and adults. This year's goal was to raise $2.6 million. With generous donations, the goal was reached -- and exceeded.

Trump -- who threw out the first pitch at the Red Sox-Yankees doubleheader on Saturday -- donated $60,000 to the charity. His donation jumped this year's total ahead of last year's $2.3 million. Red Sox owner John Henry donated $30,000, and Yankees owner George Steinbrenner gave $10,000. Massachusetts Senators Edward Kennedy and John Kerry also sent in donations during the 18-hour fundraiser that aims to strike out cancer.

Rell Sunn: First Lady of Surfing passionately defied the odds

When the First Lady of Surfing, Rell Sunn was diagnosed with breast cancer at the age of 32, she was told she had months to live. She lived each day as if it were her last -- with complete passion and compassion -- and lived another 15 years.

When I posted that each year during the Luau & Longboard Invitational event to raise money for the Moores UC San Diego Cancer Center, the Rell Sunn-Queen of Makaha Award in memory of Rell Sunn is given to honor the person or organization that best displays the qualities of compassion, unselfishness, aloha spirit and dedication in the fight against cancer -- I went in search to learn more about Rell Sunn.

Continue reading Rell Sunn: First Lady of Surfing passionately defied the odds

Kindergarten milestone sweetened by bitterness of cancer

I don't take for granted that I am alive. I am fully aware of it, consciously grateful for it, continually amazed by it. Before I was confronted with breast cancer, I still knew I could die -- in a car accident maybe -- but I thought chances were pretty good that I would make it to a ripe old age. Death was never at the forefront of my mind. I had no reason to believe that life could be snatched from me. And because of this, I am sure some pretty important moments slipped by me, virtually unnoticed. But now -- after a breast cancer diagnosis, surgery, chemotherapy, radiation therapy, and then more therapy, I realize life is not a guarantee for anyone. Me included. Even at age 36, I am not safe. I feel confident about my future -- and I believe cancer has left my body -- but my life has been threatened like never before. And that makes me wake up and take notice -- really notice -- the moments that are too important to take for granted.

My first baby boy starts kindergarten today. Before cancer, this still would have been a monumental day for us both. But now, after cancer, it's even bigger. Because I know of several moms who did not survive cancer long enough to see their children walk through their first classroom doors -- moms who thought, like me, that they would surely beat cancer and would see their kids off for every first day of school. So I am lucky to have made it to this day -- to witness the wonder of my sweet, shy, sensitive, challenging, demanding, loving boy as he leaves the comfort of home for the real world.

Two days ago, my littlest guy said, "Mommy, I love you and want to keep you forever." Joey -- the boy whose wisdom should guide him right through his first day of school -- said, "Danny, you can't have mommy forever. One day she will die, and you will never see her again." Fortunately, his harsh meaning was lost on three-year-old Danny who kept playing with whatever toy was occupying him at the time. But his meaning was not lost on me. He spoke the truth. And so I plan to soak up the kindergarten moment this morning -- and photograph it and write about it and cherish it for my days to come. And in two years, I hope to do it again with Danny as he starts off on the same path. With me by his side.

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