Photographer Paula Lerner was diagnosed with breast cancer just after beginning work on Why We Walk: The Inspirational Journey Toward a Cure for Breast Cancer -- a book that captures through photographs the momentum of millions who year after year crowd America's streets and walk to conquer this disease.

A peek into this book is offered in the form of an online slide show, hosted by the Washington Post. Set to inspiring music and lyrics and lasting just three minutes and 59 seconds, this media presentation tells a story about a disease that strikes every three minutes and kills every 14 minutes.

Gripping photographs and sobering facts dominate this powerful piece. There are shots of women in pink wigs and pink tutus, children hosing off physically and emotionally drained walkers, women holding up photographs of lost loved ones -- one with a printed message that reads, Mom, we would walk forever to bring you back. May 14, 2004. There are smiles and cheers and tears. Every image packs an emotional punch.

The facts that appear throughout the slide show really stand out. They spell out in black and white some of the most important facts about breast cancer. And here they are -- all seven of them.

• 40,970 women and 460 men will die from breast cancer annually.

• Breast cancer is the most common cancer in African American women but ranks second to lung cancer in cause of cancer deaths.

• People over the age of 50 account for 77 percent of breast cancer cases.

• Breast cancer is most commonly diagnosed among Hispanic women and is the leading cause of cancer death among this group.

• Being overweight is linked to a higher risk of breast cancer, especially after menopause.

• Risk is increased by onset of menstruation before age 12, menopause after 50, first child after 30, or no children.

• Family history of breast cancer increases risk, especially if close relatives are diagnosed before the age of 50. A first-degree relative -- mother, sister, daughter -- with breast cancer approximately doubles the risk of breast cancer.

My own oncologist did it just two days ago. He checked in on my mental health, asked how I was surviving, and eased my fear of cancer recurrence and possible death. He reached beyond the medical scope of our relationship -- literally. He placed a hand on my shoulder. He offered me a hug. He cared.

Yet many doctors refrain from reaching too far into the lives of the patients they treat. They stay at a distance. They focus on merely replacing illness with health. This is, after all, the purpose of medicine -- to fix people.

Dr. Jeremy Geffen, author of The Journey Through Cancer: Healing and Transforming the Whole Person, shares in his book that "at present, doctors focus primarily on the physical characteristics of their patients -- bones and organs, tissue samples, test results, height, weight, and age. Yet in each of us, there is a rich mental, emotional, and spiritual reality that influences, even directs the course of our lives."

Conventional medicine responds to cancer patients with surgery, chemotherapy, radiation, and other treatment protocols to essentially get rid of the cancer. Physical signs, symptoms, and responses are carefully monitored -- while other areas of patients' lives receive little attention.

A whole component of true medical care is missing -- as doctors may feel unprepared to address emotional issues, and time restraints allow for limited interaction between doctor and patient.

Geffen believes the ultimate purpose of medicine is to help all beings "experience unbounded love, joy, and inner peace, and to know this is the essence of who we truly are." This purpose, he believes, deserves as much attention as the purpose of treating symptoms and curing disease.

And so Geffen created a program based on his Seven Levels of Healing -- a program that includes both the relative and ultimate purposes of medicine, both the doing and the being.

Level One: Education and Information -- provides basic information about cancer and treatment options and encourages patients to actively participate in and obtain benefit from their care.

Level Two: Connection with Others -- explores the importance of reaching out to others for comfort and support on the journey through cancer.

Level Three: The Body as Garden -- invites patients and family members to see the human body as growing and evolving, as a complex garden rather than a machine. This level touches on good nutrition, exercise, massage, acupuncture, and a variety of complementary and alternative approaches to healing.

Level Four: Emotional Healing -- enters the realm of the human heart, shedding light on fear, pain, anger, self-love, and forgiveness.

Level Five: The Nature of Mind -- examines how life with cancer is influenced by our thoughts, beliefs, and the meanings we give events.

Level Six: Life Assessment -- delves into aspirations, goals, and purposes of our lives.

Level Seven: The Nature of Spirit -- embraces the spiritual aspects of the healing process.

As a physician, Geffen aims to bring his vision of medicine and healing to cancer patients everywhere. And he uses his book as an instrument of communication -- so readers can participate in his vision, so they can learn to settle for nothing less than medical care that centers on the whole person. And not just the parts.

To read previous posts on the same topic, visit:
The Journey Through Cancer: Introduction
Sunday Seven: Seven Levels of Healing on Cancer Journey

Stay tuned for:
The Journey Through Cancer: Beverly Is Every One Of Us

There are various risk factors that can contribute to the development of breast cancer. Being female is the single biggest risk factor that on its own puts all women in jeopardy. But there are other risks -- many beyond our control and some more significant than others -- that can help explain why some women are diagnosed with the most common cancer in women in the United States. And why others are not.

Smoking is the biggest risk factor for lung cancer -- and 90 percent of all lung cancer cases are related to smoking. But family history is a risk factor too and can nearly double the risk of developing the deadly disease.

A study published in the October issue of Chest found by studying a population of Japanese adults that people with a first-degree relative -- mother, father, or sibling -- who had lung cancer had a 95 percent higher risk of contracting the disease. Those who smoked had the greatest risk, but those who did not smoke were still at risk. And women were more at risk than men. The type of lung cancer most associated with family history is squamous cell carcinoma.

The results of this study do not yet translate into recommended guidelines for screening. But those with a family history of lung cancer should make their physicians aware of their history. And perhaps one day people with family history will be identified as high-risk for lung cancer and will be included in further studies. In the meantime, these individuals should avoid all contact with all inhaled and second-hand smoke and should protect their children from all forms of tobacco smoke.

The U.S. Centers for Disease Control and Prevention estimates that more than 180,000 cases of lung cancer are diagnosed each year. About 170,000 die from the disease every year. It's the second leading cause of death for men and the third leading cause of death for women.

Researchers have discovered that  individuals caring for a loved one dying from lung cancer are 15 percent more likely to quit smoking  than smokers who haven't had the experience. Duke physician Dr. Lori Bastian has designed a telephone counseling program combining discussion, relaxation techiniques and guided imagery.  Dr. Bastian is hoping to bring the percentage of people who quit, due to a relatives illness, up to 30 to 40 percent by interviewing patients in the hospital and inquiring whether or not they know of a relative who would like to quit or trying to quit. I hope she has great success.