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.

I've been sick for 10 days. Only during the past few days have I started noticing my body is beginning to mend. I judge this by the fact that lately, I am able to sleep.

For days and days, I coughed all night. I might sleep for an hour here and there but mostly, I spent my twilight hours hacking uncontrollably. My cough was so severe at times, it caused me to vomit. My cough was horrible and landed me night after night in a vicious cycle I couldn't control.

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.

What a gift it would be if it were possible to sleep through cancer, literally sleep through the entire experience -- from diagnosis through the end of treatment -- and wake up on the other end of the bad dream. Unfortunately, this isn't possible. We must be alert and aware and active in our own plans for survival. All we are typically permitted are now-and-then naps and nighttime sleep -- if we can manage to actually sleep at night.

My sleep was never disturbed during my cancer journey. Night after night, just after my head hit my pillow, my body drifted right to sleep -- only waking for brief trips to the bathroom and to get out of bed the next day. I might have had an occasional sleepless night. But for the most part, I count myself as one lucky cancer patient, blessed with restful and regular sleep.

Not all cancer patients are privileged sleepers. And with all I was enduring during my own cancer ordeal -- emotions, hospitalizations, treatments, side effects, and pain -- it's a wonder I was able to manage so well in the sleep department.

Sleep is critical for maintaining strength and energy while fighting cancer -- while living life in general really. When nighttime sleep is disrupted, interrupted, or downright impossible, normal functioning and healing are compromised. So the quest for good, quality sleep should make its way to the top of your cancer to-do list. And if you are not sure just how to begin such a quest, consider these seven strategies for sleeping through cancer -- compliments of Marie-Helene Savard, doctoral student in psychology, and Dr. Josee Savard, associate professor and researcher of psychology at Laval University Cancer Research Center in Quebec, Canada.

• Set aside at least one hour to relax before going to bed.
• Go to bed only when you feel sleepy -- which is not the same as fatigue.
• If you can't fall asleep or can't go back to sleep after 20 or 30 minutes, get out of bed and leave the bedroom. Do something else -- and only go back to bed when you feel sleepy again. Repeat as necessary.
• Get up at the same time every day -- regardless of how much sleep you got. Use an alarm clock to wake.
• Use your bedroom only for sleep and sexual activities. Avoid reading, working, watching TV, or listening to the radio in the bedroom.
• Avoid napping. If you must take a nap, do so before 3:00 PM and for less than one hour.
• Keep realistic expectations about sleep -- avoid worrying about the amount of sleep you should have or the amount of time it takes you to fall asleep -- and try to become tolerant of your lack of sleep.

Sweet dreams.

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:

• Hooray for HRT!?
• HRT and smoking dramatically increases breast cancer risk
• HRT increases breast cancer risks

Ronnie Lippin, long-time publicist and manager who helped shape the careers of rock stars Eric Clapton, Brian Wilson, and Prince, died Monday from a rare form of breast cancer. She was 59 years old.

Lippin began her career in the New York film and stage industry and migrated to music when she moved to Los Angeles with her husband, Dick Lippin. She worked for MCA Records, with Elton John's Rocket Records, and with RSO Records -- home of the Bee Gees and the Grease and Saturday Night Fever soundtracks -- where she became a top publicist. In 1989, she joined the marketing and public relations Lippin Group, founded by her husband. At the time of her death, she was president of the Lippin Group.

Lippin is survived by her husband and a daughter, who also works for the Lippin Group.

Monday night is Courage Night, hosted by the Young Survival Coalition (YSC), national sorority Zeta Tau Alpha (ZTA), and Lifetime television. It's a night when Lifetime's Original Movie Why I Wore Lipstick to My Mastectomy will air, when crowds will gather in communities and on college campuses across the nation for special screenings and viewing parties of the movie that brings glaring attention to the issue of breast cancer.

Courage Night was created in 2004 by Geralyn Lucas, author of the book Why I Wore Lipstick to My Mastectomy, as an evening of celebration in honor of Breast Cancer Awareness Month. It was also a celebration of the publication of her then-new book.

Lucas, diagnosed with breast cancer at age 27, recounts in her memoir every step of her cancer journey, including her bold application of red lipstick just before her mastectomy. She knew from the day she was diagnosed she would speak out to help others, to raise awareness, to make a difference. Now 39, a mother of two, and an executive for Lifetime, Lucas is still making waves. And Courage Night lives on.

Courage Night has grown into a national grassroots event that honors breast cancer survivors and those lost to the disease. Event fundraising will benefit YSC -- the only organization dedicated to the special issues of young breast cancer survivors.

Why I Wore Lipstick to My Mastectomy, starring actress Sarah Chalke, will air Monday, October 23 at 9:00 PM.

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.

Is overcoming the fear of the boogie man by using a night light, putting us at a higher risk to get cancer? A good night's sleep in total darkness might aid in reducing cancer risks. The hormone melatonin, which is secreted by the pineal gland in the brain and plays an important role in the body's sleep cycle, is thought to influence the secretion of estrogen, which in turn influences breast cancer risk.

Melatonin is produced after the body is subjected to sunlight during the day and then while you are asleep in total darkness with no lights interfering with the brain waves, it is produced. It is only produced when your body is in complete darkness. Research found that totally blind women had a 36 percent lower risk of breast cancer compared with sighted women.

According to additional research, women who work regular night shifts have a higher risk of colon cancer. "While this finding needs to be replicated in future studies, the data is beginning to show that it may be melatonin, not estrogen, that is influencing cancer risk," researcher Dr Eva Schernhammer said. "If melatonin's anti-cancer properties are the source of our observed effects, this research opens a whole new arena of potential associations between exposure to light and a variety of cancers."

Studies show that sleeping with a night light, television on, or light from street lights peering through bedroom windows, reduces melatonin levels in the body. Experts are also evaluating the possible link between childhood leukemia and too much light at night. Several studies have concluded that people who work at night are more likely to develop breast cancer.

It is suggested that no night lights be used, televisions be turned off, and that shades and dark curtains be used to block outside street or security lighting from entering the room you sleep in so that your brain waves will not be affected and your body will produce melatonin naturally.

I see and use my handmade quilt every day. It was created especially for me by more than 20 talented friends who crafted the lavender, pale green, and white patches into a flowered work of beauty and serenity and warmth. It sits at the end of my bed -- folded neatly and by coincidence matching the color scheme of my room -- until the time at which I turn in for the night and I spread it out and allow it to comfort me and warm me. It has covered me every night since the night it was delivered to my doorstep by a few of the friends who helped make it -- and the peace it brings me today is no less than the peace it brought me the first night I used it -- the night when I was weak and sick and struggling with breast cancer.

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.

Originally designed by the military as a high-tech way to see in the dark, thermography has become a painless, radiation-free, non-invasive procedure able to detect the earliest signs of breast cancer. Thermography maps out temperatures on the skin's surface, and the infrared images can pick up subtle differences that can indicate vascular changes that signal a cancer in the beginning stages. Not only that, but it can be used to monitor the breasts during treatment to track progress of breast cancer. According to the Thermography website, thermography is designed to detect fast-growing, active tumors in the intervals between mammography screenings or when mammography is not indicated by screening guidelines for women under 50 years of age -- and is particularly useful for women under 50 where mammography is less effective. Hypothetically, if there is an ability to track the slightest changes in tumor growth or regression -- choices in treatment could expand to include more alternative therapies with less guess work. Regardless of treatment choices -- alternative therapies or conventional medicine or a combination of both --there would be less wait time in finding out if a cancer treatment is working.