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Sunday Seven: Seven ways to fine-tune your health

There are countless methods we can use for optimizing our health. Each of us can surely rattle off a bunch right now. Give it a try. Quick. Name three actions you can take to improve your body, your mind, your soul. Good. Now remember what you picked -- and make each one happen.

In a recent newspaper article, one journalist listed 25 ways to live a healthy life. They're all super ideas. But I only have space today for seven. Here they are. Stop back in two weeks, and I'll give you another seven.

Keep your weight in check


Make sure your weight is appropriate for your height, age, sex, and body frame. The American Institute for Cancer Research reports that having an ideal body mass, eating properly, and exercising can reduce the risk of cancer by 30 to 40 percent.

Continue reading Sunday Seven: Seven ways to fine-tune your health

YouTube Presidential Debate features cancer question

On July 23, a milestone in presidential campaign history was delivered when Democratic presidential candidates fielded questions sent in via YouTube, a popular video sharing website where users can upload, view, and share video clips. On September 17, Republican candidates will take part in the second CNN-YouTube debate.

Aired live on CNN, this unusual debate featured 39 serious questions -- about immigration, climate change, the voting system, even cancer.

Thirty-six-year-old Kim of Long Island, who pulls off her wig mid-question, asks in her video clip about the millions of uninsured Americans who don't have access to preventative medical care.

Continue reading YouTube Presidential Debate features cancer question

Cancer by the Numbers: Melanoma

We're still basking in the hot sun, bronzing our bodies in tanning beds, and playing outdoors without slathering on the sunscreen. What will it take, I wonder, for our society to catch on, to take real steps toward preventing skin cancer?

It seems education isn't enough. Most of us know by now all it takes is one bad sunburn to increase our risk of skin cancer, yet we continue to collect burn after burn after burn. Perhaps like all habit-forming behaviors -- think smoking -- it takes something tragic in our lives to inspire change. When someone we know gets lung cancer after a lifetime of smoking or someone we know develops melanoma after years of sunbathing, maybe we get the hint. Maybe

Now, I know you don't personally know this young woman -- she calls herself Miss Melanoma -- but I suggest you read her story. And I recommend you take what happened to her -- she lost part of her foot to melanoma and is currently battling a spread of the disease -- and allow it to really sink in, allow it to motivate you to take cover from the sun, before something like this happens to you. Because it can.

Continue reading Cancer by the Numbers: Melanoma

April is Cancer Control Month, says President Bush

President Bush, in a recent press release, declared April Cancer Control Month. It's a month for educating Americans about cancer, for raising awareness about treatments, for renewing the commitment to fighting this deadly disease.

Bush makes no mention in his release of the millions he just cut from the National Cancer Institute budget and how this might hinder this month's initiative, but he does offer a few relatively inexpensive ideas for individuals who wish to minimize their risk of developing the disease that remains the country's second leading cause of death.

"Individuals can reduce their risk of developing cancer by practicing healthy eating habits, exercising, limiting sun exposure, avoiding tobacco, knowing their family history, and getting regular screenings from the doctor," he writes.

Bush goes on to honor those lost to cancer and commends the strength of the 10 million people in the United States surviving the disease. He extends his gratitude for medical professionals, researchers, family members, and friends who support cancer patients. And he closes with a little history -- and his very own proclamation.

"In 1938, the Congress of the United States passed a joint resolution (52 Stat. 148; 36 U.S.C. 103) as amended, requesting the President to issue an annual proclamation declaring April as 'Cancer Control Month.'

NOW, THEREFORE, I, GEORGE W. BUSH, President of the United States of America, by virtue of the authority vested in me by the Constitution and laws of the United States, do hereby proclaim April 2007 as Cancer Control Month. I encourage citizens, government agencies, private businesses, nonprofit organizations, and other interested groups to join in activities that will increase awareness about the steps Americans can take to prevent and control cancer.

IN WITNESS WHEREOF, I have hereunto set my hand this twenty-ninth day of March, in the year of our Lord two thousand seven, and of the Independence of the United States of America the two hundred and thirty-first."

GEORGE W. BUSH

Breast MRI now officially recommended

I get mammograms every six months. I get ultrasounds every six months. I get a breast MRI every year. That's my typical screening routine, intended to keep breast cancer from invading my life for a second time.

This combination of testing -- primarily the MRI part -- has not been typical for all at-risk women. It's just the plan my doctors have determined is the best insurance policy for me. But as of yesterday, the American Cancer Society began recommending regular use of MRI scans, rather than conventional mammograms, for women facing a breast cancer risk of 15 percent or more.

Family history places one to two percent of women at a 20 percent higher risk of developing the disease than women without such a history. Women carrying a BRCA1 or BRCA 2 gene mutation face a lifetime risk of up to 65 percent. And women with a personal history of the disease are at risk of a repeat diagnosis. These are the women MRI screening can help.

Recent studies show MRI to be much more sensitive than mammograms. And in an investigation of 969 women diagnosed with breast cancer in one breast, MRI found 30 additional tumors in the opposite breast previously missed by mammograms and physical exams.

Not typically used for routine screenings due to cost and a few false alarms -- sometimes the scans detect suspicious areas that once surgically tested turn out to be benign -- MRI is still the best tool for detecting more cancerous tumors earlier.

There is no proof yet that the cancers detected by MRI will translate into longer lives for patients. Life-extending benefits will become clear only after women are followed for a longer period of time.

One in three will get cancer

One out of three Americans will get cancer before they die. Who is at the highest risk?

Dr. David Nanus, an oncologist who has been treating cancer patients for over twenty years, says that "If you're obese or overweight, you have an increased incidence in a number of cancers". Nanus also tells CBS news that someone with a family history, someone who smokes, has a high fat diet and does not exercise are in the highest risk category for developing cancer in their lifetime.

According to the American Cancer Institute about one third of cancer deaths in 2006 were related to nutrition, physical inactivity and being overweight or obese -- and could have been prevented.

Nanus also says that "The biggest problem is the fear factor. People are so afraid of being diagnosed with cancer they wait. Even waiting three months can mean a difference between life and death.

More risk factors added to breast cancer list

Simply being female puts all women at risk for breast cancer. That and age, race, family history, personal history, genetic make-up, when they had children, when they reach menopause, and a whole host of other possible factors.

Now U.S. doctors are officially calling body mass index, breast density, and alcohol consumption predictors of the disease, says Therese Bevers, medical director of the Cancer Prevention Center, at the University of Texas M.D. Anderson Cancer Center in Houston.

Bevers helped write updated guidelines for the prevention of breast cancer and presented them at the 12th annual National Comprehensive Cancer Network in Hollywood, Florida on Friday.

The guidelines, featuring the revised list of risk factors, also offer treatment options for women -- including bilateral mastectomy for women who have tested positive for the genes BRCA1 and BRCA2 as well as possible medical treatments with drugs such as tamoxifen and raloxifene.

Former anchorwoman René Syler bids farewell to breasts

She doesn't have breast cancer. But she did have both breasts removed and reconstructed in January to ensure as much as she can that she will never develop the disease that has struck both her mother and father.

It's the dad connection that puts René Syler, former anchorwoman for The Early Show, at such risk for breast cancer. That and the dozens of microcalcifications -- these can indicate cancer -- that repeatedly revealed themselves on mammograms and the diagnosis of atypical ductal hyperplasia that increases the risk of cancer. And while cancer was never diagnosed for this woman who was sure the disease would one day catch up with her, Syler is no stranger to the world of biopsies. And her breasts -- misshapen, shriveled, collapsed, and scarred from so many surgical procedures -- were proof of her frequent rides on the breast cancer merry-go-round.

Now Syler's breasts are gone. And she is breathing a great big sigh of relief. She calls her new "girls" incredible. And she calls her new mood "good."

"I see now that the specter of breast cancer has been permeating my life," says Syler whose story appears in the April 2007 issue of The Oprah Magazine and whose book Good-Enough Mother will be published in April.

"I couldn't really live because I was always playing defense -- watching and waiting, wondering if this would be the year I'd be diagnosed."

The Great American Health Challenge awaits you

I just took the Great American Health Challenge -- an on-line quiz offered by the American Cancer Society -- and after just a few minutes of answering a few questions about my age; weight; height; family history; and eating drinking, smoking, and exercise habits, up popped my very own Health Action Plan.

My plan was quite revealing and listed both the good and not-so-good facts about my lifestyle.

I learned that my weight is normal -- whew! -- and that I seem to have an active enough fitness routine. More is always better, though, I was informed. I digested the fact that I don't eat enough whole grains and probably need more low-fat dairy in my diet. I was commended for not smoking and not drinking. And I was encouraged to limit sugars because they are high in calories and low in nutritional content.

My plan came to me ready to print so I can take it to my next medical appointment where my physician can help guide me toward healthier living.

American Cancer Society experts say the Great American Health Challenge can help those who take it to lower their risk of cancer. Get checked, get moving, nourish your body, and quit smoking, they say.

It only takes five minutes to get started. So click here and start now.

A study in mouthwash

A lab in Oklahoma is studying genes for combinations that predict breast cancer risk. A look into the 100 genes gathered from each woman -- via mouthwash -- allows researchers to categorize women with standard, moderate, or high risks of developing the disease.

The study begins with a lengthy questionnaire about medical history and leads to the collection of a DNA sample. Women simply rinse their mouths with a standard mouthwash and wait for results.

Geneticist Dr. Kara Casas says she hopes that regardless of results, women will choose a healthy lifestyle with a diet low in fat and alcohol consumption and with lots of exercise too. But those in the moderate and high-risk groupings will be advised to make other lifestyle changes to help decrease their chances of getting breast cancer. They may be asked to regulate estrogen levels, for example, and to report regularly for mammograms at an earlier age.

Casas says all women have some risk of developing breast cancer. But knowing what these risks are can help them better protect themselves -- which makes tests like this so important.

A total of 12,000 samples will collected for an FDA trial. For more information about this study in mouthwash, call 903-510-1173.

Sunday Seven: Seven fears left by breast cancer

Cancer-related fear once consumed my mind. Now it sits lodged in the back of my brain and only presents itself on rare occasions.

I handle my fears so much better now than when cancer was new and fresh and raw. My fears hardly ever cause me real anxiety, they don't cripple my mental functioning anymore, and more than ever, they serve to focus my efforts in life. When fear strikes, it's usually a wake-up call of sorts, a reminder to leave no stone unturned, a summons to keep on living.

Although so much less threatening than they once were, my fears still exist. And I like to review them once in awhile, lose myself in a little emotional housekeeping, tidy up some of the mess cancer made. I always feel better when things are in order -- fears included.
  • I fear a breast cancer recurrence, the return of a tumor that rises to the surface of my skin and presents itself again underneath my fingertips -- or in my worst-case scenario is lost among dense breast tissue, undetected by self-exam, and caught too late by some combination of mammogram, ultrasound, and MRI.
  • I fear more than anything another cancer -- something entirely different from breast cancer, something buried in my body and not as responsive as breast cancer to treatment. I am prepared for a second visit from breast cancer because I know how to proceed, know I will succumb to treatment that is familiar, know I will remove both breasts in the most radical of life-saving approaches. But cancer in my lungs, brain, bones, blood, ovaries is out of my realm. And these cancers -- among many others -- really scare me.
  • I fear that my mom and my sister -- my first-degree female relatives -- will one day follow in my breast cancer footsteps. I once thought family history trickled down from above, from older family members. Now I know the disease can start with anyone. I am the anyone in my family. I am the reason my mom and sister are closely watched and monitored and tested. I am the one that put the fear of cancer into their hearts and minds -- and into mine.
  • I fear having another baby. I fear the return of cancer during pregnancy, leaving me with difficult choices regarding my health and my baby's health. I fear cancer returning after a baby is born, leaving me with one more child and more treatment to manage. I fear another cancer would lead to a decreased chance of survival and another baby would leave my husband feeling stranded should I die too soon. And I fear having a baby girl who would inherit the very real chance of developing breast cancer at some time during her life.
  • I fear not having another baby. I fear the regret I may feel one day, perhaps 50 years from now when I am healthy and cancer-free and without the child I longed for. I fear I am being overly cautious, too tentative, a bit selfish. A fellow cancer survivor once wrote me, "I learned that my family continues, even if I do not. I also learned that they are at least as tough as I am so will cope with the genes I pass to them and their own cancer battles if needed. Finally, I learned they look out for each other just as I looked out for them. No matter what your future, you will never regret giving another child a place in your family." I fear this man may be right.
  • I fear the potential long-term effects of treatment. I fear the chemotherapy that saved my life in the short-term may come to haunt me in the long run. I fear the radiation that zapped my breast and a piece of my lung and part of my ribs and possibly my heart will cause me problems in the future. I fear the effects of Herceptin -- the drug that dripped into my veins for one whole year with the purpose of keeping cancer at bay -- and worry my heart my fail me when I am old and gray because of the toxicity of this drug.
  • I fear dying at a young age. I fear leaving my children before they are grown. I fear leaving my husband a single parent, my mom someone who has lost a child, and my sister an only child. I have been told over and over again that my chances of survival are great, fantastic even. I have a 93 percent chance of not dying from breast cancer. This does seem great -- until I take into account that this percentage is good for only five years. My five years will expire when I am 39 years old. What happens then, I am not sure. The only thing I am sure about is that five years is not enough time. I want more, need more, demand more. Yet I fear my days may be numbered.
These are the fears that keep me focused. And while they are sometimes not-so-pleasant, I am in no hurry to resolve any of them. I am thankful really to have these fears swirling in my head -- because it means I am alive. And for me, being alive with fears is better than not being alive at all.

Woman claims drug caused breast cancer, wins $1 million

An Arkansas woman claiming the hormone replacement drug Prempro caused her breast cancer just won her legal battle against Wyeth, the maker of the drug.

Mary Daniel was awarded $1 million in compensatory damages thanks to a Philadelphia jury decision stating Wyeth acted with malice or reckless disregard for selling Prempro -- the drug Daniels took for 16 months to relieve hot flashes. The next step for Daniels, whose husband will receive $500,000, is a hearing to consider punitive damages.

Wyeth's lawyer argues that Prempro -- a combination of estrogen and progestin -- is still prescribed to women and suggests Daniel's breast cancer was caused by other risk factors, such as family history of the disease.

Connecting the clues in Australia cancer cluster

The ABC building in the Brisbane suburb of Toowong -- subject of a December 2006 post -- has been officially vacated following an investigation that turned up a cancer cluster among female employees.

Over the past 11 years, 10 women from this one building have been diagnosed with breast cancer. Eight of the women worked in the ABC newsroom, and most had been there for more than five years. The breast cancer risk for these women was six times higher than for the general population of women in the area. And while the investigation continues and clues are beginning to connect, the big question -- Why? -- has still not been answered.

It has been determined it is highly unlikely the increase in breast cancer was caused by exposure to radio frequency, low frequency electromagnetic radiation, or chemical contamination. According to experts, had any of these factors been at play, there would have been a rise in cancer among male employees as well as female employees. Therefore, it appears something specific to women has caused this cluster.

Perhaps clues will emerge from an analysis of lifestyle influences -- like smoking, diet, and alcohol and medication use -- and already women have answered questions pertaining to body weight, height, level of physical activity, and reproductive history.

One common theme among women is the use of oral contraceptives for periods varying from two to 18 years. Other interesting findings include the average number of babies born to the women -- 1.6 -- and the breastfeeding practices of the women -- each woman with a child breastfed for an average of 2.3 to 12 months -- and the educational background of the group -- of the 10 women, six have college degrees.

Experts says these are important factors. Early puberty, late menopause, lack of breastfeeding, use of oral contraceptives, and the trend of older mothers having fewer babies all can influence breast cancer risk. And so can level of education. Research shows increased rates of breast cancer in women with white collar jobs -- which is related to socioeconomic status and late childbearing.

Everything is important really -- because as breast cancer rates continue to skyrocket, all possible reasons need to be considered.

One in eight women in Australia will be diagnosed with breast cancer before the age of 85. About 13,261 women were diagnosed with breast cancer in 2006. And it is predicted that 14,818 will be diagnosed in 2011.

Sheryl Crow: Try not to remember and breast cancer

Try Not To Remember for the movie Home of the Brave, the process of songwriting and how cancer changes your priorities, were the main topics of discussion during a recent interview with Sheryl Crow. When asked what inspired her to write the song Try Not To Remember for Home of the Brave, Crow explained that it came in part from her own experience with breast cancer.

"I think the pivotal experience -- when you realize your life is never gonna be the same, and you are going to have to integrate back into your life I saw the movie and I think the thing that really struck me is that everybody gets dealt these pivotal moments in their lives, whether it is a war or breast cancer or losing your home in Katrina, or whatever. It is how you integrate. It determines what you do with the rest of your life."

Crow calls this year her year of transformation. Because of her breast cancer diagnosis, she feels she met herself in a way she had not done before, and as a result, she spent time redefining who she was and how she would live her life. She has learned to say no, rather than being a people pleaser. "I changed the way I look at my life, my body, my health, my family, my friends, and the way I treat myself." Crow learned to make herself a priority in her own life.

Visit Sheryl Crow On Overcoming Cancer, and The Soundtrack for Home of the Brave by Christina Radish to read much more about what Crow shared during the interview published in Media Blvd. Magazine.

From the moment of Sheryl Crow's breast cancer diagnosis, we have been sharing the introspection and insight of a creative and spiritual woman whose vulnerably honest perspectives as a cancer survivor continue to inspire. Here are some of the previous posts we have published:

Time for a climb up the family tree

Americans are urged to know their family medical histories -- and to share them with their doctors.

Spearheaded by the U.S. surgeon general's office and other public and private agencies, this urging is critical -- because knowledge of family history can lead to more frequent and earlier screenings for particular cancers, to changes in diet and exercise to combat onset of heart disease and diabetes, to more formal genetic counseling and testing if warranted.

This Thanksgiving marked the third anniversary of Thanksgiving National Family History Day, a day the surgeon general's office has reserved for family discussion and documentation of medical histories.

"Family history itself is the first and best genetic test," says Sharon Terry, president of Genetic Alliance, a non-profit group in Washington, D.C.

Brigham and Women's Hospital in Boston has started a work-place initiative regarding medical family history. In the past year, about half of the 13,000 employees -- from physicians to file clerks -- have completed the computerized family history forms developed by the surgeon general's office.

Acting surgeon general Kenneth Moritsugu says, "knowing your family history can help you make better health choices. Much of what we do in American health care is treat chronic diseases, many of which involve choices over a lifetime."

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