Nearly a decade ago, women in Long Island began to worry about their high rates of breast cancer. So they advocated and lobbied and pushed until a public law was passed that allowed for the creation of the Long Island Breast Cancer Project. Funded by both the National Cancer Institute and the National Institute of Environmental Health Sciences, great data has emerged from this project -- like the data linking breast cancer and household pesticides.

Although much research has linked cancer with pesticides in work and industrial settings, few studies have investigated what these chemicals can do in households -- until now, thanks to research conducted as part of The Long Island Breast Cancer Project.

Published online in the December 13 American Journal of Epidemiology, researchers found an association between lifetime residential pesticide use and breast cancer risk in a sample of 1,508 Long Island women diagnosed with breast cancer between 1996 and 1997. These women were compared to 1,556 random controls. All women were asked to self-report their pesticide exposure and to offer blood samples for the study of organochlorine compound levels -- found in lawn and garden products.

As expected, researchers found an increased breast cancer risk for women whose blood samples showed the highest levels of organochlorine compounds. They also found it hard to find women who did not use lawn and garden pesticides to some degree.

Use of household pesticides has infiltrated our society, says researcher Susan Teitelbaum, assistant professor in the department of community medicine at Mount Sinai School of Medicine in New York, who reports she is happy to see a movement toward use of alternative methods, like integrated pest management.

Teitelbaum has just one recommendation as result of this study. It's quite simple really -- stop using pesticides.

Cancer patients receiving treatment at the Arizona Cancer Center in Tucson will walk through the doors of a new building -- the Fasseas Cancer Center-- beginning tomorrow morning.

The new center, named after major donors Peter and Paula Fasseas, is built on the skeleton of a defunct Tucson hospital. It took 16 months to build and cost an estimated $30 million. And now the comprehensive cancer center is ready for use.

More than 800 cancer patients have appointments during the first week, and 110 medical staff will relocate to the new clinic that has been called the crown jewel of new University Medical Center North Campus and one of the most modern cancer treatment centers in the United States.

The new two-story clinic -- to be joined later by facilities for radiation oncology, ambulatory surgery, imaging services, and a Ronald McDonald House for pediatric patients and their families -- will feature patient support groups, counseling, therapeutic massage, a healing garden, a resource center, and a salon to help patients cope with hair loss and other side effects of cancer treatment.

A formal grand opening for the new clinic is planned for February 18.

My own oncologist did it just two days ago. He checked in on my mental health, asked how I was surviving, and eased my fear of cancer recurrence and possible death. He reached beyond the medical scope of our relationship -- literally. He placed a hand on my shoulder. He offered me a hug. He cared.

Yet many doctors refrain from reaching too far into the lives of the patients they treat. They stay at a distance. They focus on merely replacing illness with health. This is, after all, the purpose of medicine -- to fix people.

Dr. Jeremy Geffen, author of The Journey Through Cancer: Healing and Transforming the Whole Person, shares in his book that "at present, doctors focus primarily on the physical characteristics of their patients -- bones and organs, tissue samples, test results, height, weight, and age. Yet in each of us, there is a rich mental, emotional, and spiritual reality that influences, even directs the course of our lives."

Conventional medicine responds to cancer patients with surgery, chemotherapy, radiation, and other treatment protocols to essentially get rid of the cancer. Physical signs, symptoms, and responses are carefully monitored -- while other areas of patients' lives receive little attention.

A whole component of true medical care is missing -- as doctors may feel unprepared to address emotional issues, and time restraints allow for limited interaction between doctor and patient.

Geffen believes the ultimate purpose of medicine is to help all beings "experience unbounded love, joy, and inner peace, and to know this is the essence of who we truly are." This purpose, he believes, deserves as much attention as the purpose of treating symptoms and curing disease.

And so Geffen created a program based on his Seven Levels of Healing -- a program that includes both the relative and ultimate purposes of medicine, both the doing and the being.

Level One: Education and Information -- provides basic information about cancer and treatment options and encourages patients to actively participate in and obtain benefit from their care.

Level Two: Connection with Others -- explores the importance of reaching out to others for comfort and support on the journey through cancer.

Level Three: The Body as Garden -- invites patients and family members to see the human body as growing and evolving, as a complex garden rather than a machine. This level touches on good nutrition, exercise, massage, acupuncture, and a variety of complementary and alternative approaches to healing.

Level Four: Emotional Healing -- enters the realm of the human heart, shedding light on fear, pain, anger, self-love, and forgiveness.

Level Five: The Nature of Mind -- examines how life with cancer is influenced by our thoughts, beliefs, and the meanings we give events.

Level Six: Life Assessment -- delves into aspirations, goals, and purposes of our lives.

Level Seven: The Nature of Spirit -- embraces the spiritual aspects of the healing process.

As a physician, Geffen aims to bring his vision of medicine and healing to cancer patients everywhere. And he uses his book as an instrument of communication -- so readers can participate in his vision, so they can learn to settle for nothing less than medical care that centers on the whole person. And not just the parts.

To read previous posts on the same topic, visit:
The Journey Through Cancer: Introduction
Sunday Seven: Seven Levels of Healing on Cancer Journey

Stay tuned for:
The Journey Through Cancer: Beverly Is Every One Of Us

I love it when seven of something lands before me, offering me potential material for the Sunday Seven series. In fact, it just happened. And I can't wait to start writing about the Seven Levels of Healing common to cancer patients and those who love them.

I have a new book. It's called The Journey Through Cancer: Healing and Transforming the Whole Person by Jeremy Geffen, MD.

Dr. Geffen knows cancer. He lost his father just three months after a stomach cancer diagnosis. He became an oncologist. He founded a cancer research center. He travels and speaks and writes about health and wellness. And inside the pages of his newly revised and updated paperback, he details the Seven Levels of Healing -- a blend of conventional and complementary principles-- and the true stories of cancer patients who have directly experienced them.

It occurred to me while first flipping through this book that I might read it in its entirety and then write a review of the material. Then I determined it would take much too long for this approach. With two small children, a few jobs, an exercise routine I must revisit, and all the other bits and pieces of life that keep me occupied, this would be quite an undertaking -- the actual reading, the remembering, the writing. Somehow, this would be too much to manage. But small steps. I think I can handle small steps. So this is how it's going to work.

I will present to you in this post the Seven Levels of Healing. I don't know much about them yet -- although by title alone, I am sure I have lived most of them in my own cancer journey. So I will simply lay the groundwork. And then I will start reading. And as I read, I will write. This will be my own one-woman book club -- with an open invitation for new members. Read my posts and reflect on them. Agree. Disagree. Leave comments. Buy your own book. Read with me. Apply what you learn to your own life. Share what you learn with others. The possibilities are endless as I journey my way through this new book in search of peace, clarity, and comfort -- all of which flow from these seven levels.

Level One: Education & Information
Level Two: Connection with Others
Level Three: The Body as Garden
Level Four: Emotional Healing
Level Five: The Nature of Mind
Level Six: Life Assessment
Level Seven: The Nature of Spirit

And so that's what I have to offer for now. I'm sorry to keep you hanging. But rest assured, I am hanging right along with you, eager to find a moment to dive into this book. To sink my teeth into the words, sentences, paragraphs, chapters. To relay it all to you. I can't wait -- to really understand the Seven Levels of Healing.

Stay tuned for:
The Journey Through Cancer: Introduction

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.

Summer surf and sand. Planning a day trip or weekend vacation at the beach? You could be putting yourself and your family at short-term and long-term health risk. From bacterial pollution to toxic chemicals, some of our beaches are dirty enough to cause serious concern.

In an effort to combat beach pollution, the Milford Environmental Concerns Coalition in Milford Connecticut, hosts a beachwater quality initiative called the Freedom Lawn Contest, recognizing local residents who show their commitment to protecting water quality by growing beautiful lawns and gardens without the use of chemicals, pesticides or fertilizers.

According to Natural Resources Defense Council (NRDC), every coastal state has a beach pollution problem. In 2000, the Beaches Environmental Assessment and Coastal Health Act (BEACH Act) was passed by Congress, requiring the Environmental Protection Agency (EPA) to revise the current health standards by October 2005. The FDA missed the deadline, and indicates it will not be able to finish updating the standards until 2011. The NRDC announced it is suing the EPA for failing to modernize the standards as ordered by Congress six years ago.

The NRDC has published a 349-page report, Testing the Waters 2006: A Guide to Water Quality at Vacation Beaches, available as a PDF document.

Breakthrough Breast Cancer, UK's leading charity committed to fighting breast cancer through research and education, has hands down and without argument, some of the best fundraising campaigns around. They are fun and innovative and trendy. In a recently announced fundraiser, they are inviting gardeners with a "passion for digging, sowing and cultivating their gardens" to host a garden party for friends to raise money for cancer charity -- or to sell cuttings from the garden and donate the proceeds to cancer charity.

According to Breakthrough, Linda Clegg from Keighley, West Yorkshire has been using her garden to raise money for Breakthrough since 2000, she says: "When my friend Norma called to say she had been diagnosed with breast cancer it was a huge shock. She really impressed me when she told me months later, that she had become a £1,000 Challenger. Little did I guess that I too would be diagnosed with breast cancer and subsequently have been bitten by the bug to raise funds for Breakthrough's research."

"It was difficult during my six months of chemotherapy, but my husband was a tower of strength through it all. When I look back now some very positive things to came out of that dreadful time."

Now in its 15th year, Breakthrough's £1,000 Challenge is the charity's longest-running, fundraising campaign. Once a fundraiser reaches the £1,000 target, Challengers can honor someone they love by having their name permanently displayed on the £1,000 Challengers' Wall, at the Breakthrough Breast Cancer Research Centre. Over 5,000 supporters have become Challengers so far, and to date have raised over £12 million.

The Breakthrough Breast Cancer green-fingered gardening challenge certainly isn't the only fundraiser they have launched. To find out more, go here. Not only can you sign up to participate in existing fundraisers, it's quite possible learning about what people are doing to raise money for cancer research and services will inspire you to original ideas of your own.

I confess. I was once a sun worshiper. I grew up in Ohio where a really sunny day was rare -- so on the occasion when the sun was bright and hot, I was in my back yard or at a swimming pool or at a lake soaking up the warmth and comfort of the rays that mostly burned my skin but gave me a glow that eventually turned the slightest shade of tan and made me feel healthy. It's ironic really -- that I felt healthy when the act of sunbathing is so completely damaging. And I knew this at the time and for the many years that followed -- and I still basked in the sun and vacationed in Florida and sometimes actually drove in the direction of the sun on a overcast day, in search of a tan that was never fully achieved because my skin is pale and fair and was never meant for any amount of sun exposure.

There are all sorts of gifts for dad on Father's Day -- shirts and ties and books and coffee mugs and golf balls -- and many of us have already spent money on the stuff we can wrap up and deliver or mail off to dad on this special day. But some gifts -- the ones we can't wrap up -- have an appeal that is priceless because they focus on the moment, they build relationships, and they promote mental and physical health. And here are just seven simple but everlasting gifts to consider sharing with dad on this Father's Day.

After 16 days, the hunger strike colon cancer patients launched in protest over a broken campaign promise has ended. During Israel's last election, colon cancer patients were promised that their medications would be included in the 2006 health basket, and when that promise was not honored, they staged a hunger strike.

For 16 days they sat outside in the Rose Garden in Jerusalem, refusing to end the protest. They were willing to die of hunger before they were willing to die from cancer because of medications denied. During the hunger strike, one of the protestors collapsed and had to be hospitalized at Hadassah University Hospital, Ein Karem. The protest has ended because the government has now assured the cancer patients they will receive the drugs they need to fight their cancer. But, if the promise is broken again, I suspect these strong-willed and resolute people will be right back protesting again. Cancer can make people that way -- from all the fighting against a disease that is trying to take life away. The government might want to just keep the promise.

In a private preview of the 84th Chelsea Flower Show, attended by The Queen, the Prince of Wales, the Duchess of Cornwall and celebrities, Emma Thompson unveiled the pink rose that will become the signature plant for the Plant Pink campaign. The campaign will raise money in support of Breast Cancer Care. "It seems to me there are more and more women getting this disease. Of course, since they are the growers and nurturers, the effects of a woman having this disease go very, very far through the family. The reverberations through children's and parents lives are very great. I am promoting this for all the people who I know who have lost their women." UK gardeners are being asked to plant pink plants using pink products all available at Wyevale Garden Centres. 50p from the sale of all pink plants will go towards raising money for the breast cancer charity. Wyevale Garden Centres, the UK's largest garden centre group with 114 stores, has chosen Breast Cancer Care as its Charity of the Year for 2006.

For a gardener, this is an exciting time of year. There is planning and planting and anticipation of the continuous summertime harvest bounty of fresh organic vegetables straight from the good earth of a home garden. If you have children, or grandchildren, it is an excellent opportunity in education and the lessons of tending and growing and benefiting from homegrown food. The wisdom of the garden and the gardener is the knowledge of life and living.

The Edible Schoolyard has brought all of this and more into the schoolyard at Martin Luther King Junior Middle School, where public school students are provided with a one-acre organic garden and a kitchen classroom. An explanation of the program is posted on The Edible Schoolyard website, where students learn how to grow, harvest, and prepare nutritious seasonal produce. Experiences in the kitchen and garden foster a better understanding of how the natural world sustains, and promotes the environmental and social well being of the school community.

As far as I can tell, much of the program is published online as a resource for parents and teachers interested in launching a similar program in community-area schools. I think, while reviewing the  extensive resources, that a parent could take advantage of the information and create an individualized homeschool-based program for their child, or children, if the local school does not provide this, or a similar program -- and include cancer prevention nutrition information about the organic produce grown -- for a lifetime of good health.

To celebrate Earth Day today, we will offer posts featuring information and resources for ways to live green in reducing the environmental risks to cancer. The Canadian Cancer Society issued a statement last week calling for a ban on the use of pesticides in private gardens and lawns, based on the conclusions of the International Agency for Research on Cancer, IARC, that state that substances used in pesticides are classified as known, probable or possible carcinogens.

In an observational study, Purdue University researchers found the risk of bladder cancer was four times greater in dogs exposed to lawns or gardens that had been treated with phenoxy herbicides than it was in dogs exposed to untreated lawns or gardens. Over 100 million pounds of pesticides are used by homeowners in homes and gardens each year, and the Pesticide Free Lawns Coalition estimates of the 30 commonly used lawn pesticides, 19 are linked to cancer.

YARDSCAPING suggests these basic tips for nontoxic lawn care:

• Build good soil for healthy plant growth.
• Use organic or slow-release fertilizers at moderate rates and only when necessary. Avoid phosphorus fertilizers.
• Plant slow-growing, low-maintenance grasses.
• Mow high -- 2.5 to 3.5 inches -- with sharp lawnmower blades so that grass chokes out weeds.
• Leave grass clippings on the lawn to recycle nutrients there so that you’ll minimize or eliminate the need for additional fertilizers.
• Accept the fact that life -- and lawns -- aren’t supposed to be perfect.

The Northwest Coalition for Alternatives to Pesticides works to protect people and the environment by advancing healthy solutions to pest problems, and offers a free newsletter featuring pesticide-free techniques and solutions that are simple and effective for maintaining an attractive and healthy lawn.

On April 22, Earth Day is observed each year to promote awareness of environmental issues. According to Earth Day's founder, Senator Gaylord Nelson, who, in 1970, wrote letters to colleges and put a special article in Scholastic Magazine to promote the special day he had planned, Earth Day worked because of the spontaneous response at the grassroots level. People cared. People were concerned. According to Senator Nelson, the first year event organized itself. Today, over three decades later, Earth Day is a worldwide event. People still care. People are still concerned.

Environmental issues are of special concern to cancer survivors and people interested in cancer prevention. Environmental toxins and pollution are some of the causes linked to the risk and development of cancer. At The Cancer Blog, we post information from reputable and respected individuals and organizations outlining some of the environmental concerns as it relates to cancer risks. This is the second recap of posts, the first recap can be found here.

• Greenpeace: Chernobyl cancer deaths grossly underestimated
• Gardening organic for cancer prevention
• Cancer society calls for ban on lawn and garden pesticides
• Peter Max Earth Day T-Shirt benefits breast cancer
• Earth Day cancer survivor and the Rachel Carson for our time
• TCE: groundwater contamination in toxic triangle of cancer
• Oyster Creek nuclear power plant link to childhood cancer
• Tooth Fairy Project: low level radiation link to cancer
• Health agency saying higher cancer rates have little meaning
• Potato farms a hotbed of cancer debate
• California and New York highest air pollution cancer risks
• Environmental contaminants strong link to cancer

The Canadian Cancer Society is calling for a ban on the use of pesticides in private gardens, lawns, parks, recreational facilities and on golf courses because of the potential cancer risks associated with the chemicals used in maintaining ornamental gardens and lawns. In a statement published at the cancer society website, "We base this concern on the conclusions of the International Agency for Research on Cancer, IARC, that state that some substances used in pesticides are classified as known, probable or possible carcinogens. Since ornamental use of pesticides has no countervailing health benefit and has the potential to cause harm, we call for a ban on the use of pesticides on lawns and gardens." I think that is a substantially clear statement that does not leave much margin for misinterpretation of what they mean in the call for a ban on chemical pesticide use.

According to Pesticide Free Lawns Coalition, over 100 million pounds of pesticides are used by homeowners in homes and gardens each year. While much attention is directed at the agricultural use of cancer-causing pesticide use, it might surprise the homeowner to know that suburban lawns and gardens receive more pesticide applications per acre than most other land areas, including agricultural areas. Chemicals used on lawns and gardens do not stay on the lawn or in the garden, but drift inside to pollute indoor air and surfaces. The Pesticide Free Lawns Coalition estimates of the 30 commonly used lawn pesticides, 19 are linked to cancer.

Toronto Master Gardeners offer a set of Go Natural in the Garden fact sheets that help the homeowner find alternative methods for maintaining a healthy garden and lawn.