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Springing forward and falling back in time a cancer risk?

If you live in the northern hemisphere, we are fully into the fall season. In the southern hemisphere, they are enjoying spring, and looking forward to the upcoming summer. To maximize daylight hours, we turn our clocks ahead one hour each spring, and turn the clocks back one hour each fall. However, this has become a bit of a debate in Australia, as Queensland Premier Peter Beattie is digging in his heels, locking his knees, and crossing his arms against his chest in refusing to follow fellow countrymen in Western Australia when it comes to considering the policy of instituting daylight saving time.

Beattie is well-intentioned but ill-informed in his concern that the extra hour of light might increase the already high risk of skin cancer in Queensland. Adding an extra hour at the end of the day -- or the beginning of the day -- depending on how you want to view it, will not increase skin cancer risks resulting from excessive exposure to sunlight. The hours of the day when the sun is most damaging, and most dangerous in increasing skin cancer risks, is the middle of the day from 10 a.m. to 4 p.m.

According to The Skin Foundation, to reduce skin cancer risks, we need to protect ourselves year-round by staying out of the sun during peak hours of 10a.m. to 4p.m., by wearing a broad-spectrum sunscreen with a sun protection factor SPF 15 or higher, wearing a broad-brimmed hat and UV-blocking sunglasses, avoiding the use of tanning parlors and artificial tanning devices, keeping newborns out of the sun, teaching children good sun-protective practices, examining skin from head-to-toe once a month, having a professional examination annually, and avoiding sunburn.

For more information about skin cancer myths and fact, read Skin cancer myths debunked by dermatologists.

If only bugs could cure cancer

I took my boys yesterday for a tour of the University of Florida's Department of Entomology and Nematology. Translation for these little boys -- ages five and three -- involves one simple word. Bugs. They love bugs, hunt for bugs, capture bugs, and reluctantly set them free because I coax them into allowing these itty bitty creatures to continue living with their "mommies and daddies." I have a soft spot for all living beings -- bugs included.

We learned some crazy facts about bugs yesterday -- insects is the proper term really. We learned there is one cockroach that can live for seven days without its head. We learned there are two types of Madagascar cockroaches living in a lab in the very same building we visited that if set free, would reproduce so quickly they would become a major pest problem in the state of Florida. And we learned that of all animals on this planet, most are insects. But not only did we learn some crazy facts, we -- well, Joey -- shared a crazy fact too.

Joey is five years old. He is the boy who remembers much of my breast cancer journey. He is the one who helped shave my head, the one who thought a banana would make my sick tummy feel better. He's the one who would blurt out to people we never knew very well, "My mommy is bald," the one who asked me just last night if the metal thing -- my port -- was still in my chest. When I told him it's gone, he jumped up and announced, "Yeah, it's gone!" Cancer is one of many vocabulary words housed in Joey's brain. And sometimes the word comes up unexpectedly, in strange contexts, in surprising ways. Like today.

Our bug tour guide told us that in Africa, mosquitoes transmit diseases that kill millions of people. But those with sickle cell anemia are immune to the deadly diseases due to their compromised red blood cells that somehow fend off disease. This fact prompted Joey to share with the guide, "Did you know when people have cancer, there are bugs that can kill the cancer?" Our guide listened to this crazy fact and said in a kid-friendly way, "No, I did not know that. Who told you that?" Joey told her, "I don't remember but someone told me."

I am not sure what prompted Joey to make this announcement. Perhaps he was trying to one-up the tour guide, to sound like an expert on one of his favorite subjects. Perhaps his imagination was in overdrive and he blurted out the best story he could offer. Perhaps he jumbled up a story he had heard on the topic of cancer. And perhaps he is just simply hopeful that one day, bugs will help cure cancer. And wouldn't that be nice -- a simple mosquito comes along, pierces the skin, and poof, cancer is gone.

My cancer journey would not be nearly as interesting, as enlightening, as tender if Joey was not along with me for the ride. He keeps me busy and keeps my spirits up. He keeps me grounded and keeps life simple. Best of all -- he keeps me laughing.

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.

Judge lifts order teen not required to undergo treatment

At the end of May, we told you about Abraham Starchild Cherrix, a teenager diagnosed with Hodgkin's lymphoma, who went through three months of chemotherapy only to have the cancer return months later. When his doctors recommended more chemotherapy and radiation, Cherrix, with the support of his parents, refused. Cherrix was concerned about the toxic effects of chemotherapy and radiation. He had chosen alternative therapies involving a bible-based diet and Hoxsey formula involving herbs and nutrition.

When Cherrix, who is now 16, said thanks but no thanks to the team of doctors recommending chemotherapy and radiation, a state social worker stepped in, filed with the court to gain joint custody of Cherrix and asked the court to require the teen to undergo standard cancer treatments of chemotherapy and radiation. Last Friday, the judge ruled in favor of the state and against the wishes of Cherrix. The court ordered Cherrix to report to the hospital for treatment.

To this Cherrix said he would defy the court order. He was not going to the hospital and he was not going to submit himself to conventional cancer treatments. Today, a second judge set aside the court order and returned legal custody of Cherrix to his parents. Cherrix is not, at this time, required to report the hospital. A trial date has been set for August 16 that seeks to require Cherrix to undergo chemotherapy and radiation.

Do you think the state has gone to far into the private life of a family, or do you think the parents are being negligent? Does a teenage boy of 16 have a right to decide his medical care?

Keeping a positive mind set

I have read all kinds of material on increasing your odds for survival and how to keep cancer from returning. Odds of returning. Odds of surviving. To me that all sounds like taking bets at a horse track. At one time in the medical profession, the five year mark for being cancer free was the milestone to claim you beat the disease and that you are a true survivor. Five years to me didn't seem too long. I could do that. Five years later seemed like an eternity to me after my bladder cancer returned 22 months after my first diagnoses. Even more so after the third recurrence of bladder cancer and two lumps having to be removed from my breast 16 months later after finishing up my second round of treatments. Coming up on my 36 month anniversary in 10 days for being clean, can I not consider myself a survivor?

I have a friend that went through a double mastectomy for breast cancer while she was in her twenties and she is now in her forties. She is definitely a survivor. I have a friend who just finished treatments a month ago and to me she is just as much a survivor as the first. I also have two dear friends that passed with cancer after a 6 and 8 month battle. But for a duration of time, they were surviving.

Being a victim to this disease is very clear. It is when we are diagnosed and our lives change instantly on our vulnerability, our strength, and our mind set. And sometimes it means death. So when can we claim ourselves to be survivors?

Well in my humble opinion we are all survivors from when we are first diagnosed to whatever stage or time period we are in right now. We are living so we are surviving. We are facing the beast head on and going day to day in the activities of our lives.  Keeping a positive mind set is one of the best ways to deal with everything that gets thrown at you from the first time you hear "You have cancer."

So this is my mind set. I was a survivor one day after being diagnosed in 1998, and I have continued being a survivor although the cancer returned twice. I fight it. I am alive. I am a survivor. And so are you no matter what stage you are in facing this disease. You are alive so you are a survivor. You have the ability to create your own mind set. Whether your attitude is positive or negative, is up to you. So tell yourself that you are a survivor and keep that in your mind so you can over come all the hurdles that life puts in front of you every day you face the sunrise off in the horizon.

Freedom is a luxury, a pleasure, a gift of a lifetime

Tomorrow is Independence Day. And I have been thinking all day today about all the freedom I have in my life at this exact moment in time. I have had the fortunate luxury to live for my entire life in the land of the free and the home of the brave -- to enjoy the pleasure of a country that is defended by courageous and selfless service men and woman and where I have opportunities that area boundless. I have had for the past five a half years the glorious freedom to stay at home with my children -- and the freedom, thanks to my husband who works to support us all, to avoid an all-encompassing and potentially stressful career. And recently, I have been enjoying two new freedoms -- one thanks to my three-year-old son who decided that he could in fact use the potty which has afforded me the thrilling freedom from changing diapers, smelling diapers, buying diapers, storing diapers, carrying diapers. He is my youngest child and his major feat has truly set me free from a way of life that has lingered on and on. But even more liberating than this -- which still is huge in my book -- is my new freedom from an almost-two-year journey through cancer treatment. My last infusion of cancer-fighting drugs sailed through my veins last week and I am now free to live my days without constant medical intervention. It's a freedom not all cancer patients get. A freedom I have never known. A freedom I will not take for granted, will not ever forget, will not ever stop enjoying. And while I will give special consideration to my freedom on each Independence Day that follows this one, I will really feel grateful each and every day for the independence that fills my world. It's a gift I would never return, never trade, never discard. It's a gift of a lifetime.

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