October 30, 2006 marked the launch of our series Cancer by the Numbers. Our intention was to give individual attention to each and every cancer, to raise awareness of the multitude of cancerous diseases that seem to consume our population, to answer questions and pose questions, and to initiate discussion among readers. I think we are accomplishing what we set out to do. Still, we have a lot of ground to cover. Since that October day last year, we have featured 13 different cancers. That's a lot. And not a lot, when you consider how many different strains of one disease really exist.

I am writing today to reaffirm our commitment to Cancer by the Numbers. These posts will appear at least twice per month -- so be on the lookout. Until the next one appears, though, take a look back at what we have to offer in one of our most comprehensive and researched Cancer Blog series. Here they are:

Cancer by the Numbers: Basal Cell Carcinoma
Cancer by the Numbers: Osteosarcoma
Cancer by the Numbers: Hodgkin's Disease
Cancer by the Numbers: Gallbladder Cancer
Cancer by the Numbers: Glioblastoma Multiforme
Cancer by the Numbers: Melanoma
Cancer by the Numbers: Mantle Cell Lymphoma
Cancer by the Numbers: Liver Cancer
Cancer by the Numbers: Rhabdomyosarcoma
Cancer by the Numbers: Cervical Cancer
Cancer by the Numbers: Pancreatic Cancer
Cancer by the Numbers: Lung Cancer
Cancer by the Numbers: Testicular Cancer

If there's a cancer you'd like to see covered sooner rather than later, please leave us a comment and let us know.

Yesterday, I saw my oncologist for one of my every-three-month follow-up visits. As always, I went armed with my list of questions -- which is really my list of worries -- and one by one, I rattled them off. On a little sticky note, I had written:

• Lymph node
  
• Digital mammogram
  
• Next MRI
  
• Heart
  
• Colonoscopy

And this is what my doctor had to say about my concerns of the day:

When researching children's hospitals and oncology programs, you should have a list of questions that are relevant to the child's cancer. The same questions should be asked at each hospital so you can compare answers and make an informed decision about where to seek treatment.

Some questions include:

• What clinical trials are available?
• What type of research is going on for this type of cancer?
• What are the success rates?
• How many of these type of cancer cases do you see each year?
• Have you treated a child with this type of cancer?
• What cancers do you specialize in?
• Do you offer support groups?
• Do you allow family-centered care which allows families to be part of the treatment plan?

Pediatric cancer care is much different than cancer treatments in adults, many parents decide to go to a children's hospital like St. Jude's for care. Whatever the choice, make sure that you are getting the best possible care for the child as you can. Since you are their voice and their advocate, you have to do what you can to make sure that you are giving them the best opportunity to fight and beat childhood cancer.

A survey sponsored by CancerCare, a national non-profit cancer support organization, stated that a majority of women surveyed said they know a fair amount about breast cancer however, many remain unaware of the recent progresses made in treatment. Fewer than one in four women in the survey have heard of new therapies available for breast cancer, revealing a gap between awareness and information that women can use toward getting a better treatment plan for themselves.

Diane Blum, executive director for CancerCare, says "While great progress has been made in breast cancer awareness through public education and increased media coverage, women with breast cancer would benefit from more information about advances in treatments after surgery".

Key questions to ask your physicians when diagnosed with breast cancer:

• What kind of breast cancer do I have?
• Which treatments are available to me?
• What are the risks and benefits of those treatments?
• What is the risk my breast cancer will come back or spread to another part of my body?
• Where do I go for support when I need it?

For the full survey results visit CancerCare.

Gilda's Club Delaware Valley and the YSC Community Volunteer Group (CVG) of Greater Philadelphia proudly present a lecture: "Talking to Kids About Cancer."

When: Tuesday, June 26th from 6:30-8:00 p.m.
Where: Gilda's Club Delaware Valley, 200 Kirk Road, Warminster, PA 18974

Children may be quiet, children may be outspoken, but all children have questions. We want to give them the best answers we can. Learn how to talk to kids about cancer, how to address the easy questions and the tough ones. Light refreshments will be provided.

Please RSVP to Cathy at 215-441-3290 ext. 115. For more information and driving directions, visit the Gilda's Club Delaware Valley website.

1. Today more than half the people diagnosed with cancer are cured? True or False
2. There are no warning signs for cancer, illness tends to come on suddenly? True or False
3. Most cancers are hereditary? True or False
4. Standard treatments for cancer include surgery, radiation and chemotherapy? True or False
5. People going through cancer treatment have fewer side effects when they eat a well balanced diet? True or False

Find out if you answered correctly!

The second issue of the magazine Beyond: Live & Thrive After Breast Cancer will hit newsstands March 20.

The magazine, one of many targeting individuals with manageable conditions and diseases, such as allergies, heart disease, diabetes, and rheumatoid arthritis, stands out as an upbeat, positive, feel-good package of information and inspiration.

University of Mississippi journalism professor Samir Husni says magazines of this sort that succeed are the ones offering up a good dose of chicken soup for the soul. This is definitely a magazine good for the soul.

Beyond editor Martha Miller Johnson calls the magazine a purveyor of hope and information, a source of reliable facts, figures, and features for the growing community of survivors living with breast cancer. Beyond is for "the women who has been through her initial treatment and now sees her life through a different prism," says Johnson.

"Her body's changed, her skin's changed. To her, it's not a death sentence; it's a condition she just has to live with. More and more women are living with breast cancer."

The soon-to-be-released publication spotlights breast cancer survivor Deanna Favre with husband Brett Favre and includes stories about breast cancer and black women, chemotherapy and weight gain, and the most important questions to ask your doctor.

Why pick up a copy of Beyond's Spring/Summer issue this March 20? Because breast cancer attacks so many aspects of our well-being, says one survivor of the disease.

"It's your identity, it's your sexuality, it's your womanhood. Fertility. For many of us, it throws us into menopause early," she says. "Every aspect of your emotional and psychological well-being is impacted by cancer and the treatment. So that kind of puts it in its own category, I think. So you combine that with the fact that there are so many women going through it, and I think you do have a market there for something like this."

I couldn't have said it better.

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.

The National Institute of Environmental Health Sciences needs sisters -- 18,000 sisters to be exact -- to join the nation's largest research project aimed at pinpointing the causes of breast cancer.

The Sister Study ideally will enroll a total of 50,000 women whose sisters had breast cancer. Since the study launch in October 2004, 32,000 women have been recruited. But still more are needed.

The 10-year observational study requires very little time, is available in English and Spanish, and requires women to first answer questions about diet, jobs, hobbies, and breast cancer risk factors. Later, a female health professional collects small samples of blood, urine, nail clippings, and house dust for use in analysis of environment and genetics.

Women in the United States and Puerto Rico between the ages of 35 and 74 may be eligible for the study if their sisters -- living or deceased -- had breast cancer. The study participants must have never been diagnosed with breast cancer themselves.

The Sister Study, in partnership with the American Cancer Society, NIH's National Center on Minority Health and Health Disparities, Sisters Network Inc., the Susan G. Komen for the Cure, the Y-ME National Breast Cancer Organization, and the Intercultural Cancer Council, is confidential and safe. Women are never asked to take medications, visit medical locations, or make any changes to their habits, diet, or daily life. They are simply asked to join this effort so that the mystery of breast cancer can continiue to unfold.

To volunteer or learn more about the Sister Study, visit www.sisterstudy.org or www.estudiodehermanas.org. Or call (877) 474-7837 or (866) 889-4747 for the hearing-impaired.

Those of us diagnosed with cancer are not the only survivors of our diseases. Our families and friends and caregivers and even employers and co-workers survive right along with us. Sure, the facets of our survivorship vary tremendously -- but we all survive the wrath of cancer in our own unique ways.

My two little boys have spent the past two years surviving breast cancer -- my breast cancer. And while they still don't fully comprehend the magnitude of such a disease, they do understand cancer is a sickness. They understand it took my hair, made me feel sick, left me with scars, and they religiously comment on every pink ribbon they see. They call the ribbons cancer.

I am often asked how my children handled my diagnosis, my treatment, my emotions. They handled it all well, I think, and as time passes, they do better and better. In fact, cancer seems to have vanished into thin air for Joey, who will turn six on Wednesday, and Danny, who is three and a half years old. I know this because of their answers to a few questions I asked them last night, on the eve of 2007.

What was the best thing you did this year?

Joey: Swimming in the pool.
Danny: Being at school.

What was the worst thing that happened this year?

Joey: Getting that boo-boo on my foot, when it scraped on the driveway.
Danny: The cheetah that was chasing me.

What could you have done better this year?

Joey: Learning to ride my bike without training wheels.
Danny: Watching Ice Age.

What would you like to work on during this new year?

Joey: Building a better stick house.
Danny: Drinking milk.

What was the scariest thing that happened this year?

Joey: When I thought there were monsters in my room.
Danny: When there was a cheetah in my room.

What was the funniest thing that happened to you this year?

Joey: When Jack (uncle) and Bud (grandpa) tickled me.
Danny: When the cheetah was chasing me.

When I say the word Daddy, what do you think about?

Joey: Someone who makes me laugh.
Danny: no reply -- he was distracted by the movie Ice Age.

When I say the word Mommy, what do you think about?

Joey: I don't know.
Danny: no reply -- still distracted by the movie Ice Age.

What do you wish for 2007?

Joey: I wish I could fly.
Danny: I wish I could slide on a sleigh.

And that's a wrap. Not one mention of cancer. Not one response concerning endless medical appointments, my drastically different hair, or the port -- they called it a stone -- that was removed from my body in September.

There truly are more important things in life than cancer for two little boys whose memories of a horrible disease will hopefully fade with each passing year -- until not even a pink ribbon catches their attention.

Happy 2007, Joey and Danny. May all your wishes come true!

I will visit my oncologist on Monday for my every-three-month check-up. It's the recurring appointment that will appear on my calendar until I hit the five-year-survival milestone. I am three years away.

It's the appointment that consumes at least half of my day due to endless waiting -- waiting for a parking spot, waiting in the lobby, waiting in the exam room, waiting to pay. It's the appointment that officially begins with the drawing of my blood for lab work, continues with a check of my vitals, proceeds with a history review and physical exam with a medical student. It's the appointment that brings me face to face with the man who prescribed my treatment, the man who offers me strategies for living beyond treatment, the man who helps keep me alive. My oncologist.

And so I am preparing for this visit in the same exact way as I always do. I set aside a large chunk of time for this time-consuming extravaganza. I think a lot about the lab work and wonder if something suspicious will surface. I think a lot about the physical exam and wonder if an enlarged lymph node or mass in my breast will be discovered. And I think a lot about what I want to ask -- because this is my only very own allotted time for unraveling the mysteries of cancer with the man who knows the topic like no one else I know.

On Monday, I will ask a few questions. I will ask about tumor markers, about why I am not tested for these indicators of tumor growth, a standard option for my co-writer and co-cancer survivor Kristina Collins. I will ask about Zoloft, about how long I should continue taking this anti-depressant and how to best wean myself from this drug when the time comes. I will ask about the flu shot, about whether or not I can get one during this same appointment.

And that's all. For now. Until three more months pass and my calendar tells me it's time to return for this recurring appointment that takes me closer to the five-year mark.

Kim Taylor is a 45-year-old single mother who lives in Suwannee County, Florida and is proud to have successfully raised one daughter -- a graduate of the University of Florida. Kim enjoys outdoor activities like camping as well as sewing, crafting, and carpentry projects. She is most at peace spending time with her family, working as a youth volunteer -- and raising awareness for breast cancer. It's a interest she acquired just two years ago, compliments of a personal encounter with the disease that has taught her to let the little things go, to appreciate every sunrise, to make every moment matter.

Each month, about 22,000 women log on to the National Cancer Institute (NCI) web site and answer seven questions to determine their risk of developing invasive breast cancer. The Gail Model, named for the NCI's chief biostatistician, Mitchell H. Gail, generates a five-year risk and a lifetime risk for each woman who answers each of these seven questions.

• Does the woman have a medical history of any breast cancer or of any ductal carcinoma in situ (DCIS) or lobular carcinoma in situ (LCIS)? Note: This assessment tool cannot accurately predict risk for a woman who already has a medical history of breast cancer.
  
• What is the woman's age? Note: This tool only calculates risk for women ages 35 and older.
  
• What was the woman's age at the time of her first menstrual period?
  
• What was the woman's age at the time of her first live birth of a child?
  
• How many of the woman's first-degree relatives -- mother, sisters, daughters -- have had breast cancer?
  
• Has the woman ever had a breast biopsy? How many breast biopsies has the woman had? Has the woman had at least one breast biopsy with atypical hyperplasia?
• What is the woman's race/ethnicity?

A simple drop-down answer menu is provided for each question, and explanations for each question are available. Upon completion of the short survey, the Gail Model spits out a five-year breast cancer risk and a lifetime breast cancer risk with comparisons to the general population of women.

While this is only an assessment -- based on statistics that do not always take into account individual differences -- it is still a helpful tool. Because it's clear that women can minimize breast cancer risk with behavior changes and sometimes medication. And generating a personal rating on risk is a rating worth knowing. It's also worth knowing that this tool was designed for use by health professionals. If you are not a health professional, consider discussing your results with your doctor.

Hair colorist Jason Backe hopes hair dye does not cause cancer -- because he is covered in it every day in the Manhattan hair salon where he works. But the topic of hair dye and cancer has been on his mind lately -- because he has been fielding questions from clients about the possible link between the two ever since an American Journal of Epidemiology study was released and caused nationwide panic about hair dye upping the odds that women might contract lymphoma -- a cancer of the lymphatic system. But on Thursday, a New York Times article summed up opinions from both experts and hair stylists, revealing that most everyone believes this panic is not necessary.

Recent studies found that those who had ever used hair dye were 1.19 times more likely to get lymphoma than those who had never used it. Those who colored their hair before 1980 -- before then-questionable chemicals were removed from hair dyes -- were 1.39 more times likely to get the disease. Ann Curry on the Today Show said, "These are scary numbers," but Dr. Barnett Kramer, associate director for disease prevention at the National Institute of Health said, "Compared to risk factors for other diseases, those numbers are very small." Smoking makes people 10 to 60 more times likely to get lung cancer. According to Dr. Joseph K. McLaughlin, president of the International Epidemiology institute, if these numbers are true -- and that's a big if -- it would mean that using hair dye may present a remote risk to your health. But it would still be less risky than crossing a street, driving a car, not wearing a seat belt, or drunk driving.

I am not exactly in a panic about this whole issue. But before I heard the news about hair dye and cancer, I did dye my hair -- once. And I don't think I will do it again -- even though the risk may be small -- because I have already had cancer. And any amount of risk associated with any type of cancer is just something I don't want to mess with.

Cancer Nutrition Info was created by Suzanne Dixon -- who has worked as a cancer nutrition specialist and epidemiologist at the University of Michigan Comprehensive Cancer Center and the Josephine Ford Cancer Center -- as a way to provide comprehensive resources and information regarding the role of nutrition during cancer treatments and life beyond as a cancer survivor.

At one time, Cancer Nutrition Info was a subscriber service, but with the collaboration and support of Caring 4 Cancer, the information on the website is now free to all visitors. Areas within Cancer Nutrition Info include Complementary and Alternative Medicine; Nutrition Related Clinical Trials; Recipes, Tips, and Hints; Conventional Cancer Treatments and Common Cancer Nutrition Questions.

As a scientist and cancer nutrition expert, Dixon interprets the research in providing up-to-date information on the connection between nutrition and cancer. It does state on the website it is free at this time so if you are interested in nutrition, this might be the time to visit.