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Thought for the Day: The prepared patient

I'm an organizer, a plan-maker, a woman of many lists. It's all part of my Type A personality -- the one that contributes to a bit of stress but also helps me stay on top of things. I like staying on top of things.

Lists have become more important to me than ever, thanks to cancer and chemo and my forgetful brain. If I want to remember something, I must write it down. If I let just a moment pass without recording the thought I want to keep, it's gone. So I have ongoing grocery lists, household to-do lists, task lists, even lists of questions I want to ask my doctor. Since I see my doctors just once every few months, I keep a running list. Sometimes the list is quite long when I arrive for my appointment. Sometimes I don't have time to cover each topic. Sometimes I transfer questions onto future lists.

It would be nice if I could get all my medical questions answered at each visit. I once read that the typical amount of time a doctor spends with a patient is eight minutes -- so it makes sense I never cross off all my list items. But in the future, I may do better at covering my bases, thanks to this advice I found in the in the July 2007 issue of Good Housekeeping.

Continue reading Thought for the Day: The prepared patient

Thought for the Day: Cancer risk measured by strand of hair

We're not even 11 days into Skin Cancer Awareness Month, and already my awareness about the disease has been raised several times.

Today, I learned that measuring the amount of melanin in a strand of hair can predict a person's risk for melanoma. It's all detailed in the May 15 issue of the American Journal of Epidemiology. And the study leading to this new conclusion -- that the amount of melanin in hair indicates an individual's skin type -- is quite interesting.

Think about this:

Researchers involved in a large skin cancer trial measured 2,3,5-pyrroletricarboxylic acid (PTCA) levels of 98 subjects with melanoma and 98 subjects without melanoma. They found the subjects with a PTCA concentration below 85ng/mg had more than four times the risk of developing melanoma.

Continue reading Thought for the Day: Cancer risk measured by strand of hair

Type 1 diabetes linked to pancreatic cancer

It's already been established that type 2 diabetes increases the risk of pancreatic cancer. And now, research indicates there is also a link between type 1 diabetes and this type of cancer.

The risk is relatively small -- but still, those with type 1 diabetes have a likelihood of developing pancreatic cancer that is twice as high as in non-diabetics. This is similar to the risk those with type 2 diabetes face.

There are many theories about the link between diabetes and pancreatic cancer, and this research -- published in the British Journal of Cancer -- helps narrow the scope of the theories.

For example, one researcher says the study rules out "a cancer-inducing role of the insulin-producing beta-cells in the pancreas, because in type 1 diabetes these cells have largely or entirely been destroyed."

Experts say people with diabetes should focus their attention on the most common complications of diabetes such as heart disease, eye disease, and kidney disease and not on the very small risk of cancer. In the whole scheme of things, pancreatic cancer is a rare disease -- and even twice the risk is not very significant.

Sunday Seven: Seven things my body can do

Valerie Monroe, beauty director for The Oprah Magazine, writes a monthly column -- Ask Val -- that appears on the pages of Oprah's feel-good publication. She responds to questions about make-up, skin care, hair care, and overall body care too.

In her February 2007 column, Val writes, "Many of you have written to tell me that you began to be less critical of your body when you appreciated the things it could do." As I read this, I had what Oprah would call an Aha! moment, a moment when something just clicks and makes sudden sense. Aha!, I thought, as I considered all the things my body can do, completely independent of how I look on the outside. So while I was jogging today -- my body can now easily run three miles -- I ran through all of my body's accomplishments, and I stored them in the files of my mind so I could later write them down.

Here are seven things my body can do. As you read them, consider your own body -- its strength, its power, its capacity for greatness -- and remind yourself of your wondrous self the next time you start to criticize the way you look.
  • My body can partner in the creation of human life. It can carry babies and deliver them and love them and care for them and raise them. Not all bodies have this power. I am lucky.
  • My body can climb an attic staircase, crawl into cramped and dark corners, pull large boxes out of wedged spaces, drag them back to the staircase, and walk backwards down the stairs with goods balancing on my head so that I can fulfill the wish my five-year-old child who wanted so badly in early November to assemble our Christmas tree and decorate our house for the holidays. "Let's wait until Daddy gets home," I told Joey when I found myself crammed into a tiny space in the attic, wrestling with a heavy box full of artificial tree parts. "You can do it, Mommy," Joey said. "You are strong." And so I fought my way through the frustrating feat because I was afraid of the lessons I would teach this little boy if I didn't. In the end, it was Joey who taught me the lesson. I can do it. I am strong.
  • My body can endure and conquer a 5K run when it once could barely run around the block. With a little extra effort and push, I think my body can accomplish even more.
  • My body, once weak and without definition, can lift increasingly heavy weight and can generate muscle tone. It can even do push-ups -- real push-ups. It takes dedication and practice and persistence and mental toughness too. But I see progress. I feel progress. And I want more.
  • My body can help others. I can use my fingers to type words on a keyboard that will reach friends and family and people I don't even know. My words can inform and support and encourage and heal. I can use my hands and my semi-creative talents to create hand-made gifts, to cook and deliver very mediocre meals for friends in need, to massage my husband's sore back, to braid my niece's beautiful hair and paint her tiny nails. I can use my arms to hug my little boys with all my might. I can use my voice to communicate, my ears to listen, my senses to feel.
  • My body can tolerate surgery and chemotherapy and radiation and horrible allergic reactions to antibiotics. My body was badly beaten by a treatment protocol intended to cure me of a disastrous disease. And somehow, in some way, it survived.
  • My body killed cancer. With the aid of medical intervention and a hopeful attitude, my body overcame the worst and best thing that has ever happened to me. And if it could do nothing else, I would be truly happy for this one thing my body can do.

Women outnumber men in lung cancer survival

New research indicates when women and men have lung cancer of the same stage and receive the same treatment, women are more likely to survive.

Several studies extracting data from national cancer registries have shown that lung cancer survival is different for men and women. This study, published in the journal Chest, is the first to compare the sexes when staging and treatment are identical.

It took seven years to follow 1,085 patients with non-small cell lung cancer -- the most common type of the disease -- and at five years, 60 percent of women were still alive compared with 50 percent of men. Overall, female survival rates were consistently higher for all stages of the disease.

Researchers, who ensured there were no differences between the sexes in terms of race, other diseases, smoking history, lung function, and treatment, are not exactly sure why women fare better. But they speculate that women might respond better to chemotherapy.

What researchers do know for sure, however, is that these findings -- if given a chance -- could help improve the overall five-year survival rate for patients with non-small lung cancer by helping to locate new therapeutic options.

Uncertain about red meat

Children and teenagers -- mostly girls -- need zinc, a mineral important for maintaining healthy immune systems and healthy skin and for preventing colds and infections. Yet half of all teenage girls have zinc deficiencies.

Red meat is the most effective way of channeling zinc into the body. Perhaps these young girls are eating red meat less than two times per week -- a practice research shows can contribute to zinc deficiencies.

Iron is vital for good health. Menstruating women need it. The elderly need it. Pregnant women need it. And children need it too. But many lack healthy levels of iron.

Red meat contains a lot of iron. And while iron also comes from vegetable sources, meat contains more iron than most foods and is best utilized by the body in this form.

Red meat also contains B vitamins, phosphorus, potassium, magnesium, selenium -- and protein, critical for muscle and organ health. Protein from red meat is complete, meaning it contains all the amino acids the body cannot make on its own. Protein helps the body repair and renew.

There is definitely a good side to eating red meat. There is also a bad side.

Red meat has been linked to incidences of bowel cancer, breast cancer, heart disease, Alzheimer's disease, osteoporosis, arthritis, high cholesterol, clogged arteries, and food poisoning.

Experts say the controversy surrounding red meat comes down to the type of meat we are eating -- and how we are eating it.

There are three official red meats -- pork, lamb, and beef. Pork is the leanest, lamb is the fattiest, and beef is the most nutritious. Red meat is typically high in saturated fats and bad cholesterol. But lean beef is fairly healthy -- if it's not treated with hormones and is truly free from excess fat. The more white you see, the more fat you get.

So here is the trick for all meat-eaters out there -- choose lean meats, seek nutritious cuts of meat, avoid hormone-treated products, steer clear of processed meats (these include more additives and fats than simple cuts of pork, lamb, and beef), read labels carefully, make meat just one component of a balanced diet, and brace yourself for more research and study and discussion that will undoubtedly conclude that meat is good for us. And bad for us too.

Ayurveda in a nutshell

My friend Michelle and I met in college. She now lives in Miami with her husband Pete and daughter Sage. Michelle is also a painter, yoga instructor and Ayurveda practitioner. I asked her to talk to me about Ayurveda and tell me why she thinks it is important for a healthy lifestyle, prevention of cancer and therapy after a cancer diagnosis.

Michelle, what is Ayurveda?

Ayurveda teaches that in order to have perfect health one must be balanced. The human body consists of five elements that work together and correspond to specific organs and bodily systems. The elements are ether (space), air, fire, water and earth. Each element has a unique function and characteristics.

What are the body types talked about in Ayurveda and what do they mean?

There are three body types that describe individuals and their bodily tendencies. Since people cannot be simplified into only three categories, they can either be one body type, a combination of two (with one being dominant), or tri-dosha. (dosha = body type.) The three body types are vata (ether, air), pita (fire, water) and kapha (water, earth). Depending on one's dosha, he or she will benefit from specific types of food, herbs and lifestyle. Each herb, food, drink and even environment contains dosha characteristics so using the opposite to balance out an individual is done in Ayurveda. This is the main difference with Ayurveda and modern medicine - with that, a descriptive saying that fits the idea is "one man's food can be another man's poison".

Ayurveda sees the body as a universe in itself, and in order for this universe to work properly it needs to be balanced. This body universe does not only function through matter and the physical, it also functions through intelligence and spirit.

Continue reading Ayurveda in a nutshell

12 nutrition tips for breast cancer prevention

Nationally known as a nutrition expert in breast cancer treatment and prevention, Dina Khader offers these hormone-related breast cancer prevention tips:
  • Eat plenty of fruits, vegetables and fish with the following exceptions -- limit tuna, swordfish and halibut, which contain high levels of mercury that weaken the immune system; avoid chickpeas, which can affect blood sugar or insulin levels; and stick to raw nuts because roasting nuts destroys the vitamin E content and changes the chemistry of the nut oils.
  • Eat organic foods.
  • Avoid plastic containers when cooking food and avoid drinking water out of a bottle that has been sitting in the sun.
  • Limit soy intake.
  • Keep your home free of mold.
  • Exercise in moderation.
  • Limit alcohol consumption.
  • Maintain healthy blood sugar levels.
  • Get plenty of sleep.
  • Relax.
  • Avoid red meat.
  • Limit dairy consumption.
Dina Khader, M.S., R.D., C.D.N., is a registered dietitian and integrative nutrition consultant. Kader has spoken at organizations like Gilda's Club of Manhattan, The Heart Center at Westchester Medical Center, the American Cancer Society, and Memorial Sloan-Kettering Cancer Center.

Khader is the author of The Food Combining/Blood Type Diet Solution. To learn more, visit Provocative Nutrition.

Bikini does the talking when sun becomes harmful

The bikini turns 60 this month and makes news not just for its birthday but also for its new feature -- a built-in alarm to warn wearers to get out of the sun. Not all bikinis will talk -- but those made by Canadian company Solestrom will. Solestrom has created a new bikini that goes on sale next month with a UV meter built into its belt and an alarm that sounds when it's time to seek shade. The meter on the $190 bikini displays a level of UV intensity on a scale from 0 to 20. Three to five is moderate strength, eight to 10 is very high, and anything above 11 is extreme. A person's sensitivity to UV depends mainly on skin type so this scale operates in general terms.

Despite increasing awareness of the sun's dangers, sales remain strong for the bikini. So Solestrom developed this suit to ease some of the worries about the sun's damaging rays. They have already been met with high demand from Australia and South Africa -- where skin cancer rates are highest. The United States -- now in the loop too -- has about 1 million new skin cancer cases each year.

Sunday Seven: Seven hidden treasures found through cancer

If I could go back in time, I would not repeat my journey with breast cancer. I would choose a different path -- one free of disease and treatment and the fear that comes with it all. I would choose the route where my children would never hear me say, "mommy has cancer." The route where there would be less worry about dying, less worry about how my kids would do without me, less worry about how all my loose ends would be tied up without me here to tie them. I would choose another direction in a heartbeat. But there are some things I do treasure about my trip down breast cancer lane -- some things I do not wish to give back, even if given the chance to choose a different path. They are the hidden treasures I discovered along the way, in the midst of a harrowing, sometimes horrendous battle. There are many treasures that have come my way -- and I'm sure there are more to come. Here are seven of my valuable finds.

Continue reading Sunday Seven: Seven hidden treasures found through cancer

Americans unaware of obesity cancer risks

According to a recent American Cancer Society survey, less than ten percent of Americans know that being overweight -- and obesity -- is a risk factor for cancer. Of those polled, 83 percent could tell you that being overweight is a risk factor for heart disease, and 57 percent could tell you that obesity puts you at greater risk for diabetes, but only eight percent believed that being overweight and obesity increases your risk for developing cancer.

Nearly 20 percent knew their body mass index score, almost 40 percent knew their cholesterol number, 63 percent knew their blood type and interestingly, 65 percent knew the number of judges on Fox's American Idol. What does this say? That the television show, American Idol does a better job of getting people's attention. There's a lesson in here somewhere for the organizations trying to raise awareness about cancer and cancer prevention. 

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