On Sunday, for the very first time, I read a magazine article about the hospital where I received treatment for breast cancer. I had never before seen mention of my hospital, my doctors, my city in anything other than local and regional newspapers and on area television stations. I figured news about Shands Hospital at The University of Florida was out there -- in more areas than my own -- because it's a well-known facility. People travel from all over to receive treatment here. So I know it's a good place. But to see in the October 2006 issue of Good Housekeeping an actual blurb about a new kind of lumpectomy -- pioneered right here in Gainesville, Florida -- is exciting.

I am the happy recipient of this new kind of lumpectomy -- which really is not new at all. It was developed 20 years ago by the surgeon who performed my own lumpectomy, and it allows women who undergo lumpectomy the chance to avoid return trips to the operating room.

The method is called frozen section analysis, and it was first used by Dr. Edward Copland III, first director of the UF Shands Cancer Center, who was tired of waiting for pathology reports and tired of operating on patients two and three times to ensure clear tumor margins.

It all happens like this -- a surgeon removes the breast cancer tumor, takes tissue samples, freezes them in an embedding compound, and sends them to a pathologist for immediate analysis. In a typical case, this frozen section process adds just 15 minutes to the operating time. If pathology reveals more tissue must be removed, the surgeon returns to the patient, still under anesthesia, and continues surgery. The patient does not need to return for more surgery.

Surgeons at most institutions rely on a method called permanent section analysis to determine whether or not cancerous cells remain along the margins of a tumor. The technique is labor-intensive, takes days to complete, and requires patients to return for additional surgery if margins are not clear. Surgeons using the frozen section method still consult permanent sections to confirm margins are clear -- but they are mostly certain of their findings during frozen section.

Studies show frozen section analysis to be safe and effective -- and it adds just $851 to the cost of surgery, a savings considering the cost of returning for surgery as a result of permanent analysis.

There are many advantages -- but the procedure is tricky and on occasion can fail to detect some cancerous margins, indicating frozen section should continue to be used in conjunction with permanent section. Opponents of the practice say false positives could result in unnecessary mastectomy. But Copeland says this has never happened at UF -- and he would never remove a woman's breasts until permanent section confirmed it was necessary.

Despite the promise of this method, only a handful of institutions make practice of this surgery-sparing technique. Shands at UF is the only hospital in North Florida where breast surgeons perform frozen section analysis on a regular basis.

The procedure -- which is not risky, is not harmful, and clearly saves patients from returning for surgery -- is the exact procedure I received almost two years ago. Dr. Copeland removed my tumor, froze tissue samples, sent them to pathology, and 15 minutes later knew my tumor had clear margins and had not spread to my lymph nodes. He visited my family in the hospital waiting room just after surgery and told them the good news -- clear margins, no spread, a 1.1 cm. tumor, stage I. And while other tumor criteria, such as ER/PR status and HER2 status, did not come my way immediately, I at least knew the basics when I woke from surgery. No waiting. No worrying. No complaints.

A new line of pomegranate-based supplements, called Pomology, will be revealed this weekend at the 2006 Expo Trade Show in Baltimore, Maryland. According to leading nutritionists and fitness experts, "each product contains a premium blend of proven ingredients that consumers can utilize for immediate relief and long-term health benefits." Target shoppers are those seeking a boost in heart health, prostate health, antioxidant health, joint health, and menopause.

Pomegranates, known for anti-inflammatory effects and high levels of antioxidants, have been used medically for thousands of years and have recently been making headlines for their power to knock out all kinds of health problems, including cancer. Pomology was founded in 2005 by a team of nutritionists and athletic performance experts who created formulas that meet varying lifestyle needs. This product line is promoted as one of highest quality and efficacy.

The information detailed above came directly from a press release.

A few days ago, I wrote a post about Richard Morris of www.breadandmoney.com who argued that sensational press releases about miracle products and potions often land in the hands of the media who broadcast them to the public in a this-will-fix-all-your-problems fashion. Morris states that no one product will fix what ails us without the proper balance of a handful of other practices -- like relaxation, stress reduction, and exercise. It's just not likely that Pomology supplements will result in "immediate relief and long-term health benefits." It's just not. Yet that is what we might gather from this press release. And unless we take on a full-scale lifestyle overhaul, what we gather from taking supplements such as these might just be a whole lot of nothing.

I know how it feels to have breast cancer. I do not know how it feels to live without a breast for almost two years. My friend Larissa, who was diagnosed with breast cancer in her early thirties, shared her journey with me and talked about what it was like not to have immediate reconstruction after her diagnoses and what led her to that decision.

Larissa started out thinking she had ductal carcinoma in situ (DCIS). A mastectomy was decided since the DCIS was widespread throughout the breast. She then met with a plastic surgeon and planned to have immediate reconstruction with an expander. At this point Larissa choose to get a second opinion. The second opinion didn't agree with the first one like she wished.

The appointment at the second opinion was very frightening to Larissa for a few reasons. First, the hospital had just purchased a new high-tech ultrasound machine. Larissa was the lucky one who got to try it out first! Second, what they discovered was that the cancer looked like it had become invasive, breaking out of the milk ducts and also spreading to the lymph nodes. Larissa said she "freaked out".

She knew this would mean chemotherapy and radiation and possibly a lot worse. So she made up her mind to delay reconstruction. Larissa didn't want anything else to go wrong. She said "I want to start fighting".

Back in April, Lorien, a runner and a lawyer, was training for a marathon when she went to see the doctor because she wasn't feeling good. A month later, she was diagnosed with breast cancer.

She began blogging Cancer Grrrl as the place to post her breast cancer experience. The title of her first post is taken from a Bladrunner quote, "NOW you know what it's like to live in fear." It's going to be a good blog, I can tell. She is open, and honest, and isn't shy about sharing exactly what is taking place with each procedure. A good blog for the newly-diagnosed who might wonder -- what's next?

Lorien also has a sense of humor, essential I believe to survivorship. When something as serious as cancer happens, there is a survival mode your brain seems to snap into that starts to see a great deal of irony and absurdity, the silly and the surreal, and the gently humorous, in places you might not have previously noticed.

If you go to visit her at the Cancer Grrrl blog, be aware that she has proclaimed this the International Week of Denial -- where for one week, everything that sux in life gets DENIED. She invites you to join her in the timeout week from any evil realities, and if you cannot make the whole week, she suggests you at least make a day of it. I am so taking at least one day this week to abandon any notion that anything is wrong.

via Marjory & Gordon's Beating Breast Cancer blog ...

This is my port. It looks to me like a bottle cap sewn under the skin on my chest. My son Joey -- he is five years old --  calls it my stone and his brother Danny -- he just turned three -- at one time thought everyone must have this same boo-boo. He would look for it, feel for it, hunt for it. But mine is the only port he could actually locate and now that he's getting older, he is not so concerned with it anymore.

My concern about the port is that everyone who needs chemotherapy should have one. It's the alternative to receiving IV sticks in the arms and hands and except for one quick stick that can sting -- I use a 5% lidocaine numbing cream prior to my infusion and with this miracle lotion, I don't feel a thing -- it is quick and painless. My port is a one-stop shop. Once accessed, blood can be drawn, drugs and fluids can be infused, shots can be injected, and at the end of treatment, an injection of blood thinner keeps the line clear and clean. The line attached to the port underneath my skin travels into large veins in a direct and efficient manner. While hospitalized for chemo-induced fever and low blood counts, I received antibiotics and a blood transfusion through this method. There was one stick when I was admitted and for my five-day stay, I never had to be poked again.

My port, called Infuse-a-Port®, was implanted during a minor outpatient surgery with use of a local anesthesia and it was ready for use immediately after the procedure.

My port has been used for 16 months now and will no longer be necessary at the end of July -- this is when the last drops of Herceptin will sail through my veins. Then I get to decide whether to keep my port or have it removed. It can stay for many years as long as it is flushed once each month. The superstitious part of me thinks I should keep it for future use -- if necessary -- and the rational part of me thinks I need to get rid of this bottle cap because I may never need it again. Regardless, I love my port. It has eased the discomfort of chemotherapy and for that, I am grateful.