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Today, I am grateful

The following post is one of a series of posts appearing Monday through Friday on The Cancer Blog. This feature -- Today, I am grateful -- allows me to share with readers my appreciation for all the treasures in my life, both big and small. In my post-cancer world, I find It healing for my soul to be mindful of the good in my life. It is my pleasure to share my gratitude with you.

It's hot here in Florida -- steamy, sticky, humid, unbearable hot. The kind of hot that makes me sweat in an instant. The kind of hot that keeps me and my kids cooped up in the air-conditioned indoors for as long as we can stand it. The kind of hot that has me dreaming about cool, crisp, chilly days. I'd even take downright cold at the moment -- anything other than this treacherous heat.

It's only August, which in Florida means there's still a few months of blistering weather remaining. September will be hot, October could be hot -- last year's trick-or-treat extravaganza was pretty darn warm -- and then maybe in November, we'll get some relief. I don't prefer to wait this long for my favorite of all temperatures -- high 60s, low 70s -- but I'll make it. I might even enjoy the wait while I fantasize of wearing sweaters and jackets and long pants. There's something about anticipation that makes life exciting. The countdown is on.

Today, I am grateful for the promise of cooler temperatures.

Tamoxifen-induced hot flashes cut breast cancer recurrence

Now here's some good news for Tamoxifen-taking, hot-flash suffering women. A new study finds women who have lots of hot flashes during treatment with the breast cancer drug Tamoxifen have a lower risk of recurrence than women who don't suffer from the annoying waves of heat commonly associated with menopause.

"This study provides the first evidence that hot flashes may be an indicator of a better prognosis in women with early stage breast cancer," said study author John P. Pierce, Ph.D., from the University of California at San Diego. "Our data supports the possibility of a significant association between hot flashes and disease outcome."

More study is necessary to determine whether or not hot flashes -- which may predict better outcomes than severity of cancer, hormone receptor status, and age -- are associated with Tamoxifen and breast cancer progression.

Worthy Wisdom: Fat in hiding

I wrote recently about the hidden amounts of sugar found in the foods we love so dearly. I learned all about this topic during my visit to Tucson's Canyon Ranch -- a world renowned health and healing destination -- and this sweet lesson came right as I'd decided to rid my diet of as much sugar as possible. Learning that one can of soda houses 12 teaspoons of sugar and a typical container of fruit yogurt has eight sealed the refined sugar deal for me. No more, I say. It's just not worth it.

Now here comes the lowdown on fat. Some say the fat we eat is the fat we wear. Perhaps. But one thing is for sure -- fat kills. That's Fit blogger Rigel Gregg wrote a May 24 post all about it, documenting five ways wearing fat can kill us -- it strains our heart and raises our insulin, leading to increased risk of heart disease and diabetes, for example. Now I'm here to clue you in on the fat hiding in more of our favorite foods.

Here goes.

Continue reading Worthy Wisdom: Fat in hiding

Thought for the Day: Another take on covering up

An Oxford skin cancer expert is weighing in on the recent advice that we would all be wise to sport our denim, polyester, and wool when we head into the sun's harmful rays.

It's an extreme approach, says dermatologist Dr. Robert Turner who believes this skin cancer prevention guidance could push sun seekers to do just the opposite.

Think about this:

"I just don't think this is practical," says Dr. Turner. "People will think it's ridiculous and just go out anyway. If you advise people to do something that is extreme, they're more likely to go the other way completely."

Dr. Turner agrees that clothing is better protection than sunscreen -- especially for children -- but he thinks expecting people to take such drastic cover is unrealistic. He'd much rather urge people to stay out of the sun completely during the middle of the day, when the sun's rays are scorching hot.

Readers: Here's how to learn more about post topics

Today, I've been asked twice to offer more specifics about the information contained in posts. I thought I'd communicate my thoughts on this matter publicly so you all may benefit.

First, let me share that blogging is like talking to a friend -- Hey, did you hear about that new study about the breast cancer vaccine?, I might say to my neighbor before I explain the overall gist of the news I happened upon. The purpose of blogging is to communicate a few details and to spark interest, not to capture every speck of information on the topic. Digging up the nitty gritty is for you, the reader.

Your quest for more knowledge takes just one click. Once you read a post, look to the bottom left and you will see a blue link titled Read. Click here and you'll land at the news source related to the post. If you don't find what you're looking for here, just type some key words into Google and search for more. If bloggers happen to find news but there is no internet link -- this happens with magazines and other print publications -- the source will be noted at the end of the post.

If a post contains personal perspective, like this one, you won't find a Read link -- that's because the source is in the blogger's head. You are welcome to leave a comment requesting more information about these posts.

Now this whole lesson on the Read link does not mean you cannot ask questions of bloggers -- please do -- but if you desire the quickest route to post details, this link is your best bet.

I hope this is clear. And I hope you find exactly what you seek in this world where cancer is one hot topic.

Treatment for hot flashes after breast cancer

Hot flashes can be a lingering side effect for many breast cancer survivors. The hot flashes occur when changes in hormone levels interfere with the body's ability to regulate its temperature.

Hot flashes can affect younger women treated with chemotherapy (which can shut down their ovaries), and also is one of the main side effects of the commonly prescribed hormone therapies, such as tamoxifen or an aromatase inhibitor such as Arimidex.

Hormone replacement therapy can be used to control hot flashes, but breast cancer survivors are recommended not use them because of concerns the hormones may increase the risk of their breast cancer returning.

An article published in the Annals of Oncology reported on a German study that was conducted to compare Effexor and clonidine therapy. Effexor is an antidepressant and clonidine is a drug used to treat high blood pressure.

The researchers concluded that Effexor significantly reduces the frequency of hot flashes compared with Catapres (clonidine) among patients with breast cancer who suffer from at least two hot flashes a day.

There are other anti-depressive agents that also reduce the amount of hot flashes throughout the day. Talk to your doctor to see if any of these drugs can give you some relief.

A hot deal on TY Breast Cancer Beanie Baby

In the market for something pink? Something soft, cuddly, and awareness raising? Take a look at this baby.

It's a Beanie Baby, another product by TY -- maker of all sorts of handmade collectibles -- and this one is all about breast cancer awareness with its plush pink coat and signature pink ribbon.

Available on Amazon.com for the low, low price of $1.80, this is one hot deal. Grab it while is lasts.

Cancer 'hot Spot' found in Elizabeth Edwards' hip

Ever since revealing her breast cancer had recurred, there has been speculation about a spread from Elizabeth Edwards' rib -- the initial metastasis -- to other spots in her body.

Last night, on the CBS news program 60 Minutes, Edwards told Katie Couric that a hot spot has been detected in her right hip. But doctors believe it is too small to pose a new health risk, she reports.

"There are a couple of hot spots, on the bone scan, in my right hip, for example," she said. "And one of the questions is whether or not to do radiation to reduce the size of that -- of the cancer in that location -- and for fear that it might weaken my bone and that I might break my hip. But their consensus was that it was too small an area for that to be a risk."

In addition to discussion about the cancer itself, Edwards and her husband John defended their decision to stick with the presidential race. Edwards said she just cannot deny her husband the chance to be president.

"That would be my legacy, wouldn't it, Katie?" Edwards said to Couric. "That I'd taken out this fine man from -- from the possibility of -- of giving a great service. I mean, I don't want that to be my legacy."

One hot topic: Some children's bath products linked to cancer

I had no idea my February 10 post Some children's bath products linked to cancer would spark such great debate. At the very moment I write, the post has received more than 64,000 hits and 70 comments.

I must admit when the comments started rolling in, I was a bit nervous. Even though I merely reported the facts on this topic, had no claim to any of the information, and didn't even share my opinion on the matter, the highly charged words written by so many well-meaning readers made me feel a bit like I was caught in the middle, like I started an argument and needed to jump back in, sort things out, and create harmony among those responding to my words.

But then I realized debate is not such a bad thing. It sheds light on all sorts of valid viewpoints. It educates. It raises awareness. And that's what cancer causes are all about.

Having read all the comments that now are officially assigned to this one post, I am so much more enlightened than when I summarized the story I came across revealing that some bath products contain a bit too much of a chemical called 1,4-dioxane, a probable human carcinogen that is already known to cause cancer in animals.

All I really knew at the time I wrote the post is that the FDA has no regulation over this chemical and that cosmetic companies must monitor themselves. Some don't do such a good job, and herein lies the debate.

Some readers say big deal, what's the harm really in a little extra dash of chemical in a whole tub of water. Perhaps if our children soaked all day for many days in this chemical, cancer might strike. But a quick bath with a tiny trace of 1,4-dioxane is not likely to do any harm. One reader wrote that we shouldn't stress so much about headlines that scare us into believing everything causes cancer, that we'll probably live a whole lot longer just living our lives free of constant worry.

Another camp of readers say a little bit of something bad is still too much. Over the course of a lifetime, how do we know our children won't pay for our mistaken belief that this hype is just -- hype. Some cancer surviving readers wonder if their cancer was caused by their plentiful childhood bubble baths. And some go to great lengths to find natural, organic, chemical-free products, whatever the financial cost.

A few consultants for these natural products left their own comments, claiming to help those consumed with anxiety. Others scolded these business people for capitalizing on the fears of others with products that have not been proved any safer.

There are advocates of moderation who wrote. And individuals seeking more information. And people who located resources for others to investigate.

There is indeed a rich commentary on the link between bath products and cancer that follows one short post I wrote late one night, after my own children were bathed -- with Dove soap and generic shampoo -- and put to bed. And I am indeed happy to know my small contribution on the topic has generated such a powerful windfall of thought and concern.

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.

HRT use drops breast cancer rates drop

Breast cancer statistics for 2003 are in, and researchers have announced that the number of breast cancer cases dropped by an impressive seven percent, with the greatest drop occurring in women between ages 50-69 diagnosed with estrogen receptor positive (ER-positive) breast cancer.

The University of Texas M. D. Anderson Cancer Center researchers attribute this good news to the fact that in the same time frame, millions of women stopped taking hormone replacement therapy (HRT) over concerns that HRT led to an increased risk for breast cancer.

If the statistics hold for upcoming years, HRT will have proven a greater causative effect leading to breast cancer than originally believed.

"Incidence of breast cancer had been increasing in the 20 or so years prior to July 2002, and this increase was over and above the known role of screening mammography," stated Donald Berry, Ph.D. "HRT had been proposed as a possible factor, although the magnitude of any HRT effect was not known. Now the possibility that the effect is much greater than originally thought all along is plausible, and that is a remarkable finding."

While the researchers best guesstimate is that HRT might be the contributing factor to the drop in ER-positive breast cancer cases for 2003, they cannot be 100 percent certain at this point. We will need to wait and see what the years 2004 and 2005 tell us about any continuing declines in breast cancer cases, and learn what other, if any, contributing factors are responsible for the decline.

Previous posts we have done regarding HRT and breast cancer:

Sunday Seven: Seven stops on extreme makeover tour

I've had my very own extreme makeover. And while it has nothing to do with cosmetic plastic surgery or an overhaul on my house, it's been an appearance-altering and life-changing event. I'll call it my Extreme Makeover: Cancer Edition.

Stop One

The first stop on my extreme makeover tour came compliments of a lumpectomy -- to remove one cancerous tumor in my breast along with four lymph nodes. I was left with two scars that travel underneath my armpit, a bit of scar tissue buried beneath the skin, and a tinge of numbness that comes and goes without warning.

Stop Two

My second stop brought me a port -- to save my veins and ease the infusion of chemotherapy -- which for more than a year allowed me to look a bit like an alien. A foreign object sewn under the skin of my collarbone popped up something like a tracking device that identified my whereabouts. Now surgically removed, my port has been discarded. A scar marks the one-time location of this wondrous apparatus.

Stop Three

The third facet of my makeover was quite extreme -- is still quite extreme. It happened like clockwork -- 13 days after my very first chemotherapy treatment -- and while I knew it would happen, the shock of total hair loss was not minimized in any way, shape, or form by predictability. And the shock of my new dark, curly hair with a sprinkling of gray -- that replaced my blond, straight hair -- amazes me every time I look in the mirror.

Stop Four

For four months, I lost my menstrual cycle to chemotherapy -- not such a bad deal except for the hot flashes that arrived for the same four-month period. When my cycles returned, they were unpredictable and much more intense than ever before. They are still problematic.

Stop Five

Surgery and radiation limited the range of motion in my left arm. Physical therapy helped some, and weight training helps too. But my arm is permanently affected by the attempts to save my life.

Stop Six

Just when I thought my makeover journey was coming to an end, my mind told me otherwise. Bouts of fogginess, forgetfulness, and just plain odd behavior marked the beginning of what researchers now call chemo brain. The plentiful drugs that cycled through my body for almost two years are playing tricks on my brain.

Stop Seven

And to cope with it all -- my scars, my hair, my confusing cycles, my tightened arm, and my chemo brain -- I made one last stop at the pharmacy for an anti-depressant. Prescribed so that I could become accustomed to my new life after cancer, my Zoloft keeps me calm and peaceful and happy. And one day, when I have adjusted to all that has changed in my world, I will wean myself off this potion.

I am not sure I would ever elect to alter my appearance -- although I am sometimes tempted by a tummy tuck to remove what two more-than-10-pound babies left with me.

Mostly, I think cancer has done enough to reshape and redesign my whole self. And while I didn't wish for any of my cancer changes, I think they help me define me. They tell a story -- of challenge and hardship and victory and survival. For as long as I am alive, for as long as my extreme makeover is visible, it will be clear that I have conquered something great and powerful. And that makes me proud.

Naked Rugby players breast cancer and ill-gotten gains

In the land down under tongues are wagging over the new Naked Rugby League calendar being sold to raise money for breast cancer charity. Seems the boys are baring it all and one of the players left little to the imagination in the position of hand to -- well -- private parts.

The NRL has gone very public over the fact they do not want to be associated with the nude shenanigans of players Johnathan Thurston, Justin Hodges, Paul Whatuira, Brent Webb, Ben Ross, Amos Roberts, Ashley Harrison, Riley Brown, Stuart Webb, Greg Bird, Michael Witt, Liam Fulton and Nick Youngquest.

Although all the players are nude, Youngquest has stirred the pot and is taking most of the heat, as he draped his hand in such a way as to reveal more than some consider good taste in nudity. The calendar's photographer Pedro Virgil insists the shots are provocative but tastefully done.

The Naked Rugby League calendar went on sale yesterday. The spokeswoman for the breast cancer foundation that the calendar will benefit has said they had nothing to do with the making of the calendar. I visited the online store, where many pink products are featured, and the Naked Rugby League calendar is not one of the featured items. If the charity does include the calendar in its online store, I will retract and update that last observation. In my opinion, seems they could have come out a wee bit stronger in their support for the calendar if they are the primary -- and only -- benefactors.

This story almost reminds me of another story earlier this year, when a woman died from breast cancer and her coworkers got together to honor her memory by raising money for breast cancer charity. Because they worked as exotic dancers, the first year they held a fundraiser they could not find a breast cancer charity who would accept the donation unless the dancers agreed to donate anonymously. The women had enough self-respect to decline the conditions for donation. The second year, a national breast cancer organization told the dancers they would proudly accept the donation from the fundraiser, and publicly announce affiliation with this group of women wanting to help with breast cancer research.

Menopause: handmade hormones women health dangers

For women with estrogen-driven breast cancer suffering the symptoms of menopause, being prescribed traditional hormone replacement therapy (HRT) is out of the question. The risks are simply too great in introducing any estrogen into the body. There are few alternatives and many women decide to suffer with hot flashes, flushes, night sweats and cold flashes, a clammy feeling, sporadic rapid heart beat, irritability, mood swings, sudden tears, insomnia, fatigue, feelings of anxiety, dread, apprehension, difficulty concentrating, disorientation, depression and mental confusion -- without any significant relief. One of the alternatives is personalized natural hormone replacement therapy that is individually mixed specific to each woman's needs.

According to Sydney Menopause Centre at Randwick's Royal Hospital for Women director Dr John Eden, who has diagnosed two women patients with uterine cancer, believes the cancer is linked to natural hormone replacement therapy. Australian doctors are warning women to think twice before taking handmade hormone compounds prepared by chemists, due to the danger that these preparations can lead to elevated hormone levels that could lead to excessive bleeding, increased risk of breast and uterine cancer and blood clots.

"Many women think they are getting a herbal treatment and are shocked to learn they are getting a hormone treatment," stated Dr Eden. Dr Helena Teede, research director at the Jean Hailes Foundation, also added that many women were unaware these preparations were not approved by the Therapeutic Goods Administration.

Overheated sperm link to childhood brain cancer

Children's Hospital of Philadelphia researchers surveyed the parents of 636 children -- parents of 318 children that had been diagnosed with brain tumors and parents of 318 children who were healthy. Based on the knowledge that heat damages sperm, they asked the parents to try to remember the frequency of exposure to excessive heat -- saunas, hot tubs and electric blankets -- in the three months leading up to the conception of their child. If the average age of children diagnosed with the two brain tumors the researchers were focused on, medulloblastoma and primitive neuroectodermal tumors, then the parents were being asked to remember back on average four to ten years.

According to the researchers report, heat exposure among the men in the three months before conception appeared to be linked to brain cancer risk among the children. The researchers do conclude by stating that the idea that paternal heat exposure before a child's conception and increased risk of these childhood brain cancers must be considered speculative until more proof is found.

The last statement made by the researchers might be the most significant. Now that I have told you what BBC News is reporting about this study, which I assume the researchers in some form released to the news media, let me say I believe you could fly a space shuttle through the speculative link between heat-damaged sperm and childhood brain tumors based on a survey. How good is your long-term memory in recalling daily life four to ten years ago? How many ways can a man's sperm become overheated?

I hope in the case of this study, the news will come with a substantial and cautionary warning that it might very well be a connection of dots that do not connect. I can think of nothing more additionally painful for a worried father who is facing his child's cancer diagnosis, than to have it even suggested that his overheated sperm might be the reason for his child's suffering -- when in fact it might have nothing at all to do with his child's brain tumor. The only known fact about childhood brain tumors is that researchers are looking into environmental and genetic factors for clues, and there is little concrete evidence as to what causes childhood brain tumors.

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