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Left-sided breast cancer radiation spikes heart risk

I hate it when I fit the mold for some not-so-great research finding. Like the recent news about how women with early-stage cancer of the left breast (that's me) who are treated with radiation following lumpectomy (me again) face an increased risk of developing radiation-related coronary damage.

OK, so the benefits of radiation therapy still outweigh the risks. Still, when radiation is applied to the breast on the same side as the heart, there are worries. I knew about these concerns. My radiation oncologist addressed them prior to my treatment. Hearing that an actual, important, convincing study confirms what I already knew may be a side effect, though, makes my heart race a little bit more.

There were 961 women with stage I and II breast cancer who were followed in this study. Well, the arteries in their hearts were studied anyway. Some had left-sided breast cancer; the others had right-sided. Some 12 years after radiation, 46 of the 485 left-sided women and 36 of the right-sided group needed cardiac stress testing. Among those tested, 59 percent in the left-sided group had abnormalities. Only 8 percent in the right-sided group showed problems.

Continue reading Left-sided breast cancer radiation spikes heart risk

ABC news anchor Robin Roberts has heart in the right place

ABCs Good Morning America co-anchor Robin Roberts has heart. You can read all about it in her article titled A Heart in the Right Place in the July 2007 issue of Ladies' Home Journal -- and her book From the Heart. She writes about her job, about how she was never the most brilliant person to work alongside Charles Gibson and Diane Sawyer but how she tends to put herself in the position for things to happen.

"Often, the person who catches the break is the one standing there with her arms outstretched at the right moment," she says. There she was, arms outstretched. And here she is, high atop her career ladder.

Roberts also writes about her strong military family, her athletic nature -- she played basketball in high school and college -- and about facing her fears.

Continue reading ABC news anchor Robin Roberts has heart in the right place

Left-handers have higher breast cancer risk

Left-handed women under the age of 50 are more than twice as likely to develop breast cancer than those who are right-hand dominant.

What?

Yep, that's what a new study reveals.

This left-handed conclusion, published in the journal Epidemiology, comes from the study of 12,000 women in the Netherlands whose medical histories were followed for 13 years. Discounting all other factors -- lifestyle, environment, and other disease -- left-handers came up with a risk of breast cancer 1.39 times that of right-handers. For pre-menopausal women, the figure climbed to 2.41.

Continue reading Left-handers have higher breast cancer risk

Roger Ebert back to work after cancer surgery

Movie critic Roger Ebert expects to be back to work at his annual festival for overlooked movies this week. It will be his first public appearance since having cancer surgery last summer -- and while some say his appearance may attract the gossip papers, Ebert says, "So what?"

Ebert, 64, will be seen at the ninth annual Overlooked Film Festival, beginning today at the University of Urbana-Champaign, wearing a gauze bandage around his neck. And his mouth will be seen to droop, he says.

This is all because of Ebert's tracheostomy -- it opens an airway through an incision in his windpipe, rendering him speechless -- that resulted from his June 16 surgery to remove a cancerous growth on his salivary gland and a subsequent July 1 surgery to repair a burst blood vessel close to the same site.

On Tuesday, Ebert shared that his cancer began in his salivary gland but then spread to his lower right jaw. As a result, part of his mandible was removed and two surgeries were necessary to reconstruct the area. Both surgeries were unsuccessful, however, and led to unanticipated bleeding.

"The doctors now plan an approach that does not involve the risk of unplanned bleeding," Ebert, a film critic for the Chicago Sun-Times since 1967, says. "If all goes well, my speech will be restored."

This cancer survivor, who says we spend too much time hiding illness and is proud to be back in the spotlight, has also co-hosted the Ebert & Roeper television show with fellow Sun-Times columnist Richard Roeper since 2000. Film critics and filmmakers have been filling in for Ebert during his recovery.

Basketball, jazz, and now cancer for Wayman Tisdale

Award-winning jazz musician and former basketball star Wayman Tisdale revealed this week on his website that he has been diagnosed with cancer, that he will begin a six-month course of chemotherapy this week, and that his prognosis for recovery is excellent.

The 6-foot-9 former Oklahoma Sooners basketball great -- who played 12 seasons in the NBA with the Indiana Pacers, Sacramento Kings, and Phoenix Suns and helped score gold on the 1984 U.S. Olympic team -- reports that he broke his leg in a fall at his Los Angeles home last month.

After his fall, Tisdale's doctors determined a cyst in his right knee caused the injury. The cyst, identified as cancer, was then removed. Following chemotherapy, Tisdale, 42, will undergo knee-replacement surgery.

Tisdale has been told to hold off on his touring and public appearance schedules so can fully recover. But he plans to begin performing again in January 2008. In the meantime, he will focus on his new album with the working title Rebound.

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."

Something of unknown significance

A doctor found something suspicious when she read the results of the breast MRI I had on Friday. What she found is of unknown significance. This means something caught her attention. She just isn't sure what it is.

This doctor does know that whatever it is inside my right breast appears to be a low-risk something. But still, there's a concern looming in the air -- for her and for me.

I spoke with my oncologist about this concern, and he told me anything suspicious must be pursued by further testing. I'm thankful for that. He also said he expects that nothing actually significant will come of this. But if it does, it will have been caught early.

On Friday, I will report for further testing -- a mammogram and an ultrasound -- and then I will learn more about this unknown something that inhabits my breast, this something that takes me back more than two whole years when another something turned out to be what I feared more than anything. Breast cancer.

Is a support group right for you?

Support group facilitator and social worker Susan Abrams gives you the inside scoop on support groups and what to expect if you join.

Support groups may not be for everyone but each year thousands of women diagnosed with breast cancer join a support groups to help them cope with the disease. Some are informal gatherings and some are facilitated by a trained professional.

Years ago no one discussed breast cancer and women felt isolated. They had to deal with breast cancer completely on their own. These days women have many outlets for talking about their breast cancer, some women however still remain isolated and would benefit from joining a support group.

Some support groups might be larger and have a guest speaker on occasion to discuss specific topics. Some women like to use a support group for a year or longer after their cancer diagnosis. Usually at this time the patient doesn't want to discuss their breast cancer with friends and family, who may have had enough of the subject. They feel comfortable discussing their fears and concerns with other survivors.

Some benefits of joining a support group:

  • help in coping with the disease.
  • hear new information to discuss with your physician.
  • hear of new treatments or clinical trials.
  • reduce stress.
  • receive understanding.
  • emotional support.

Why you might not want to join a support group:

  • you feel that you would benefit more from one on one therapy.
  • you find others stories make you more anxiety-provoking than helpful.
  • you are too fragile to see someone in worse shape.
  • you might begin to doubt your own decisions when listening to others.
  • someone in the group could die which could bring on anxiety and fear.

The best way to find a support group is through your physician. Hospital-based support groups are usually very good. Trust your instincts when looking for a group, if you don't feel comfortable with one, try and find one that feels more fitting.

Bruins rookie Phil Kessel survives testicular cancer

Bruins rookie Phil Kessel is surviving testicular cancer. And the 19-year-old former University of Minnesota player, drafted in the first round this year, is talking about his shocking diagnosis and the surgery from which he is currently recovering.

Kessel, who is expected to rest for two weeks before returning to the ice, found a lump in his testicle and went immediately to his team internist, Dr. David Judge. Judge examined him, referred him for an ultrasound, and learned with Kessel that the lump was in fact cancer -- embryonal testicular cancer.

Both Judge and Kessel are happy to report that the cancer was localized to the right testicle -- which was removed during surgery -- and had not spread. Kessel, therefore, has a very low liklihood of recurrence.

Kessel, who has five goals and four assists in 27 games this season, says about his diagnosis, "I couldn't believe it. It was tough. I had a hard time with it."

Kessel thinks cancer will help him gain perspective on life. And he plans to speak out about his experience so others may benefit.

"If you're not feeling well go get checked out and make sure you're all right," he says. Getting checked out is what saved him -- and he hopes others will follow suit.

Kessel is the second Boston athlete to be diagnosed with cancer this year. Red Sox left-hander Jon Lester was diagnosed with lymphoma in August. With chemotherapy behind him, he is currently cancer-free. And so is Kessel.

Golden Boob Awards: the winners as the biggest boobs

Because no one likes a group who misrepresents the truth to promote a private agenda, The National Breast Cancer Coalition, NBCC, announced they were hosting the first annual Golden Boob Awards to expose the biggest boobs in the fight to stop breast cancer. The nominees in this year's Golden Boob Awards were the Coalition on Abortion/Breast Cancer (ABC) for threatening the integrity of serious efforts to find ways to prevent, treat, cure, and ultimately end breast cancer; and Mark For Life for trying to make money from a product with no impact in the fight against breast cancer.

By popular vote, the winner as this year's biggest boob is, as announced on the Golden Boobs Award website: "The Abortion/Breast Cancer Coalition (ABC) for asserting that abortion leads to an increased risk of breast cancer, despite lacking one shred of relevant proof to back up this claim. ABC's stock in trade - pseudo-science, fear mongering, and flat-out lies - has threatened the integrity of serious efforts to find ways to prevent, treat, cure, and ultimately end breast cancer."

In addition, NBCC is awarding a Dishonorable Mention Golden Boob Award to recent high-level presidential appointee as deputy assistant secretary for population affairs at the U.S. Department of Health and Human Services Dr. Eric Keroack, who is currently the medical director of A Women's Concern, an organization that also states a connection between abortion and breast cancer.

The NBCC is a grassroots advocacy group that works for increased federal funding for breast cancer research and with the scientific community to implement new models of research. The NBCC seeks to improve access to high-quality health care and breast cancer clinical trials for all women. To learn more about the winners, or to nominate the next biggest boob in the fight against breast cancer, visit Golden Boob Awards.

Sunday Seven: Seven steps for securing a sane schedule

Cancer has helped me slow down -- a little. I am more patient in the moment without racing to the next task I think is waiting for me. I can better manage my priorities and can offer the most important things the majority of my time. I am better at passing on opportunities that are low on my wish list. And I can typically say "no" if I don't have the time or energy to devote to a request. I know that I have to be healthy and happy and fulfilled in order to operate effectively and joyfully in this world. So I try to enjoy peaceful moments and put priorities first and not overextend myself and slow down. I'm not completely there -- yet. But I plan to keep practicing. And I'm going to try these seven strategies -- offered by a freelance writer, wife, mother of two, and reformed over-committer -- in an article I stumbled across in a local family magazine I picked up this week.

Continue reading Sunday Seven: Seven steps for securing a sane schedule

Debate surfaces about executives diagnosed with cancer

Dealing with cancer in private is hard. Dealing with cancer publicly can be even harder. CEO Donna McAleer -- the founding executive and public face of the large, growing health care company Elant -- knows this firsthand. She just recently went public with her breast cancer diagnosis and prognosis after rumors of her demise started circulating. McAleer set the record straight, announcing that she is doing just fine. While her experience has been frightening, she is surviving well -- and she wants the public to know. She has run Elant for 20 years and wants to dispel any myths about its stability. Apple CEO Steve Jobs faced the same public drama in 2004 after surgery for pancreatic cancer and subsequent drops in Apple stock. Jobs recovered -- and so did the stock -- but the speculation that swirled was powerful and potentially damaging. Just as it was that same year when Kraft Foods was criticized for withholding details of its CEO's hospitalization.

There is some debate in the business world about all of this -- about whether or not executive illnesses should be disclosed. For public companies, one opinion is that there is an obligation to respond quickly to the public. In a private company, it's up to the CEO. McAleer's Elant is not a publicly traded company and there is no worry about stock price -- but her decision to reveal her personal health crisis was the right thing to do, she says. "I have an obligation to share this news in how I progress, in order to educate and make sure people aren't frightened by it," she said in reference to the memo she sent to her 700 employees and community groups too.

I'm open and honest about my own cancer experience because I believe it can help others -- and it helps me to talk about it too. So I'm a fan of a forthcoming approach in the workplace. I appreciate that some fear repercussions that might result from such a disclosure. But honesty may be the best policy -- for prevention of rumors and addressing worry and raising awareness too. McAleer seems to agree as she takes this opportunity to speak up, to encourage women to seek mammograms and to follow up on them.

Twinge of apprehension swirls in mind prior to check-up

I am always a bit nervous before I head out for a check-up with my oncologists. I have two of them -- a medical oncologist who delivered my chemotherapy and a radiation oncologist who delivered my radiation therapy. Today I see my radiation oncologist and she will examine my breasts and manipulate my breasts and feel my underarms and check for lymphedema -- swelling in the arm due to removed lymph nodes -- and she will ultimately determine whether or not I have anything to worry about at this time. It's been just over one year since my last radiation treatment and six months since I saw this doctor for a follow-up.

So I am a little apprehensive about what I might hear -- because it's always possible that something does not feel right, that something is questionable, that something has returned. I am mostly confident that I am okay but there is still an unknown that lies ahead of me. An unknown that in a matter of a few hours will be known. And I will either learn that I am in fact okay. Or I will begin another spiral into the what-if-it's-cancer scenario. Only time will tell.

Insurance companies test implant ID chip for chronic disease patients

Horizon Blue Cross and Blue Shield of New Jersey announced plans to launch a test program where they will be implanting an ID microchip in people who suffer from chronic diseases. The radio frequency identification device (RFID) microchip will include family contact information and medical history. The purpose is to give emergency room medical staff the ability to access a patient's information if they are brought to the emergency room and are unable to speak on their own.

According to the test program team, Horizon will start sending letters to patients with chronic diseases explaining the new program and inviting them to participate. The program will be cost-free and voluntary for those who wish to participate.

RFID implanted microchips in surgical sponges is one thing -- in people? I don't know.

I am taking an informal poll. Would you consent to having a microchip implanted in your right arm for the purpose of information retrieval?

Lord of the Rings Peter Jackson stem cell research donation

Lord of the Rings Oscar award-winning filmmakers Peter Jackson and Fran Walsh have donated over $300,000 dollars to the University of California for human embryonic stem cell research.

Jackson is quoted as saying, "We have lost close friends and relatives to cancer and Parkinson's disease, and the level of personal suffering inflicted on patients and their families by these diseases is horrific."

The Bill and Joan Jackson Scholars Fund, in honor of Jackson's parents, will be established through the university to award two scholarships to students specializing in stem cell research. Because the US government restricts research funding for the use of stem cells from human embryos -- which some religious groups have objected to as morally equivalent to abortion -- and others support as the path to cures for many diseases including cancer -- human embryonic stem cell research in this country requires private funding.

"Stem cell therapy has the potential to treat a multitude of diseases and illnesses, which up until now have been labelled incurable. It has the capacity to exponentially improve the quality of life for those who currently suffer from spinal cord injury, diabetes, Parkinson's disease, and many other debilitating medical conditions, " stated Jackson.

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