She's the guru on breast cancer, the woman who writes the continually updated breast cancer bible. She's Dr. Susan Love, author of Dr. Susan Love's Breast Book, and in the May/June 2007 issue of MAMM magazine, she shares some of her latest thoughts.

On milk ducts

Dr. Love says all breast cancer begins in the milk ducts. If we want to get rid of breast cancer, she says, we need to understand where it starts. Until recently, we weren't able to do that. Now, doctors can numb the nipple, thread a catheter into a milk duct and sample the fluid, cells, carcinogens, and hormones. By looking at the location where cancer develops, there's the potential to find out how it started and how to prevent it. In March, Dr. Love's Research Foundation sponsored a conference on this topic.

On MRI

Dr. Love is not a big fan of MRI. It's overly sensitive and finds everything -- most of which is not cancer, she says. MRI leads women on wild goose chases so Dr. Love likes to reserve this test for women at high-risk.

Ever heard that the white stuff we eat is not so healthy? I've heard it, time and time again. I was reminded of this fact while at Canyon Ranch in Tucson, Arizona this past April. My Ranch nutritionist confirmed it. And the foods I ate while at this health and healing institute derived from the whole wheat, whole grain, whole goodness family. There wasn't a slice of white bread in sight. No white pasta either. Or white rice. I did have a white baked potato one night for dinner -- but it was the smallest white baked potato I'd ever seen.

It's not so hard to transition from white to non-white. Just search your grocery store aisles for the healthier alternatives -- and buy them. Or make your own varieties of nutritious stuff. Like whole-wheat pizza crust. Remember when I wrote about eating pizza once a week? Instead of ordering it, why not make your own? Here's how you might start:

Whole-Wheat Pizza Crust
Makes six pizza crusts, each containing 175 calories, 36 gm. carbohydrate, 1 gm. fat, 0 mg. cholesterol, 6 gm. protein, 150 mg. sodium, and 4 gm. fiber

Since the 1970s, researchers have suspected that diet and nutrition are related to colorectal cancer risk. Numerous studies published since that time have confirmed the connection between what we eat and risk of this cancer. Many health experts agree that a high fiber diet is important for cancer prevention, but questions remain about how much and which types of high fiber foods may reduce colorectal cancer risk most effectively. This has led to interest in specific high fiber foods, especially whole grains.

Start the day with a bowl of whole grain cereal or oatmeal. For cold cereals, choose one that contains at least 6 grams of fiber per serving and make sure you pick one where sugar does not appear first, second or third in the ingredient list. Oatmeal is not only high fiber but studies show that it helps reduce cholesterol. But if you are like me I am not fond of the mushy breakfast food. Until a dear musician friend introduced me to steel oats. Now I can't get enough of these nutty oats and even eat them for late night snacks.

Steel cut oats are whole grain groats which have been cut into only two or three pieces. Which means the the inner portion of the oat kernel is not missing like in rolled oats. They are golden in color and resemble small rice pieces. Steel-cut oats are also known as coarse cut oats, pinhead oats, Scotch oats, or Irish oats. Because the steel cut oats are more natural with less pre-processing, they may be more nutritious than the more popular rolled oats. But to me they give off a more nutty taste and I like the small crunch over the mushy consistency of the rolled oats. The cooking time is longer on steel cut oats but really worth the wait.

When shopping for them in your grocery store, look for canisters much like coffee cans as they are kept in air tight containers.

Preparing your Steel Oats.

1 cup steel cut oats
4 cups water
1/2 tsp salt
1 tsp butter
Fresh Blueberries or other fresh fruits.

Combine oats and other ingredients in medium saucepan and bring water to a boil over high heat, then reduce heat to medium. Simmer for 30 minutes stirring occasionally to keep from sticking on the bottom. For the last 5 to 10 minutes of cooking time you will need to stir more frequently as it thickens. Spoon into a bowl and top with fresh fruit. Some people like to add a little milk to the bowl to give them a creamy texture. Makes 4 servings.

In today's world, we worry about carbohydrates. We monitor them, count them, obsess about them, and pare them down to just about nothing in order to lose weight. Yet, quality carbs have a fierce power in the fight against disease. They are packed with vitamins, minerals, antioxidants, and fiber. They absorb slowly and stabilize blood sugar, appetite, even mood. Carbs don't have to be avoided. In fact, they should be embraced -- in their most healthy forms.

While at the Canyon Ranch resort in Tucson this past April, I observed that all meals are balanced with small-to-moderate portion sizes of carbohydrate foods. Canyon Ranch is all about health and healing. If the experts here say carbs can be good for us, I believe them.

The key to carb management is knowing which ones keep cancer and other disease at bay. It's simple, really. Just think whole fruit, vegetables, beans, and modest amounts of whole grains.

Even though there has been much hype in recent years about the connection between dietary fiber intake to decrease the risk of colorectal cancer, results of a large study does not support such a link.

The findings were reported in the May issue of the American Journal of Clinical Nutrition. The conclusion came after analyzing more that 291,000 men and 197,000 women ages 50 to 71 years. "Our study did not show any association between how much dietary fiber you eat and your risk of colorectal cancer" said the lead author of the study.

However, the lead author did say that he found consumption of whole grain foods may lower the risk of developing the disease.

Absence makes the heart grow fonder? Or: Out of sight, out of mind? I think I like this one best, at least when it comes to snack time for my kids.

Our house was once stocked with sugary treats. It wasn't odd for us to have a bowl of M&Ms in our cupboard, Oreo cookies and fruit chews in the pantry, and a whole host of other not-so-healthy go-to items. Now we have none of it. And while my little boys occasionally search for their old demons, they mostly have adjusted well. They don't crave sweet things any more now that they're gone; they actually rarely mention them. Now I admit they do stake out houses that allow for sweet things when they get the chance but at home, they are content with an apple, a bowl of strawberries, homemade popcorn with just one tiny drop of oil and no butter.

I'm eager to introduce my boys to new healthy snacks so our routine doesn't grow stale. Here are seven ideas I like. You might like them too.

If a desire for healthy eating is anywhere present in your mind, I have a suggestion for you. Next time you head into your local grocery store in search of goods to fill your cupboards, your shelves, your refrigerator, I want you to try this: steer clear of the inside aisles of the store.

Think about this:

The healthiest foods, the freshest foods, the whole foods are housed on the outside walls of grocery stores. Fruits, vegetables, breads, meats, dairy, and often times the organic department border the aisles filled with cookies, candies, colas, crackers, cereals, dressings, and a whole host of other preserved items. So see if you can shop without entering the less-healthy regions of your store. And if you must make a detour, shoot for the most natural foods you can find. If your search is for cooking oil, opt for canola oil instead of vegetable oil. If peanut butter is your thing, pick up natural nut butters. If you must have mayonnaise, reach for reduced fat or soy versions.

Staying on the perimeter of your store still requires some thinking -- meats should be lean, breads should start with the word whole, cheeses and dairy should be low in fat, and juices should be free of sugar. But still, this is the healthiest place for your next grocery store stroll.

Don't delay. There's no better time than the present to get your weight in check. Especiallly now that The American Cancer Society is reporting that maintaining a healthy weight is at the top of their cancer prevention list.

"We know that obesity is related to a number of different cancers, breast cancer among post-menopausal women, colon cancer, esophageal, kidney cancer," says Colleen Doyle of American Cancer Society spokeswoman.

This makes the ACS recommendations more urgent than ever.

The ACS urges individuals to eat a diet rich in fruits, vegetables, and whole grains and to exercise at least five days per week.

There are no guarantees, of course, that these practices will hold off cancer. But "the good news is that a lot of people think they don't have any control over their risk of cancer and we're here to tell people that absolutely you do have some control," says Doyle.

It is estimated that poor diet and lack of physical activity cause about one-third of cancer deaths each year, about the same number of cancer cases caused by smoking.

You've surely known kids whose parents smoke declare their repulsion for the habit. The health risk, the expense, the filth of smoking seem to deter many youngsters from following in the footsteps of mom and dad. Theoretically, anyway. In practice, these same kids may fall prey to the very act they vowed to reject.

How about kids raised in households filled with sugary snacks and drinks, foods packed with fat, salt, and calories, and parents with expanding waistlines? Seems only natural these children, despite good intentions, end up struggling with healthful eating and weight management.

We are what our parents teach us. It's all we know for a good many years. And by the time we are able to make our own independent decisions, it's often too late. Our parents' actions and values are already programmed within us -- and it takes hard work to switch things up.

So here's my plea for this Sunday morning: do your kids a favor and become a positive role model. Don 't just tell your little ones what is right and healthy and virtuous -- show them. Let your behavior be the gold standard now, so that later, it's likely to be what your sweet babies will fall back on.

Here are seven ways to get started:

Feed 'em well
If kids learn healthy eating habits early, they're likely to stick with them. Offer whole grains options (rice, bread, pasta) and snacks that are not in the junk food group. Don't even buy the stuff you may later wish to clear out of your cupboard. Guests at our house are offered two drink options -- water or milk. Why? Because if we have juice (it's loaded with sugar) or soda (also sugary and calorie-laden), our kids just can't hold back. But if we don't have these beverages, they are never an option. Out of sight, out of mind.

Keep 'em moving
Take your kids to the park, get them running around your backyard, take them swimming, organize a kid-friendly football game, invest in a kite. Quiet activities are also good -- and necessary -- but when in doubt about how to entertain your busy little bees, make them move!

Let 'em see you sweat
You need to keep moving too. Not only for your own well-being -- that's obvious -- but so your kids see your physical activity as a staple of healthy living. Teach your kids to do push-ups and sit-ups and do them together. Jump rope, run laps at a local track, ride bikes, or dance. Just don't expect your kids to stay active if your idea of exercise is flipping through TV channels.

No TV
Turn off that TV. Rid your household of junk-food commercials, mind-numbing content, and addictive inactivity. Let TV be a treat -- a small one -- and not an expectation.

No smoking
Need I explain? It's unhealthy, costly, dirty, and a sure contributor to cancer. Try with every ounce of your being to keep this habit away from your impressionable children.

No stress
Some stress is unavoidable. Some is even healthy. But the kind of stress that hurts our tummies, gives us headaches, and threatens our health should be minimized. We must do our best to control our own stress so its effects don't spill over. And we must teach our kids how to cope too. Fortunately, some of the techniques listed above also work for this category -- physical activity, for example, does wonders for lowering stress. We can become experts at deep breathing -- have your kids practice with you. And we can teach a bit of distraction. If homework is making kids crazy, go with them on a short walk where they can regroup and return to the task with a clear head.

No double standards
We simply cannot say one thing and do another. Smoking while preaching the dangers of the habit just doesn't make sense. Saying "no" to sweets with your hand in the cookie jar is downright unfair. Carrying around extra weight and demanding physical fitness is simply ineffective. So make a commitment to yourself and your kids that you will do as you say. It's the only way.

Here's my problem with health-related advice and wisdom -- it's always changing. And I'm never sure if I'm buying into the right practice. Should I eat low-fat foods, for example, or should I stick with moderate amounts of regular food? Is red meat a good source of protein and other goodies or a direct path to breast cancer recurrence? Will sunscreen save my life or cause malignant lesions to develop on my fair skin?

How about drinking eight glass of water a day? Maybe yes. Maybe no, according to experts who say we get water from sources other than diet alone and while we do need to replace water lost through breathing, urination, and sweating each day, our lost fluids do not total 64 ounces. And it seems we can drink too much water. This can lead to an imbalance of sodium and a condition called hyponatremia.

Vitamin supplements? Eat a good amount of fruits, veggies, whole grains, low-fat dairy, protein, and the right amount of calories and you don't need a multivitamin. But most of us don't eat right. So we probably need one.

OK. Now breathe. Take it all in. Filter it. Use it. Abandon it. As for me -- I'm going with the tactic mentioned above several times -- moderation. Seems to me this approach is the key to both health and happiness.

Don't give up that daily cup of coffee just yet. Studies show drinking coffee may reduce your risk of developing Parkinson's disease, diabetes, cirrhosis of the liver, and colon cancer. It's even been linked to a decreased risk of inflammatory and cardiovascular disease in postmenopausal women.

Why? According to an article in the March 2007 issue of Ladies Home Journal, it's because coffee contains large amounts of flavonoids and antioxidants -- and these combat a whole bunch of illnesses.

Now drinking too much coffee can have adverse side effects, like restlessness, anxiety, and headaches, but limiting yourself to one to four brewed cups per day seems to be a safe practice. Although for those with high blood pressure, consuming between two to four cups per day maybe a bit risky because coffee causes blood pressure to rise immediately after consumption. And all coffee drinkers should fight the urge to add sugar, flavored syrup, and whole milk to to their beverages.

A daily cup of tea seems to be healthy too. Researchers are investigating its use in the prevention of cancer, and we already know both black and green tea have significant quantities of disease-fighting flavonoids -- although not as much as coffee.

Pizza just might have the power to fight cancer -- not the pizza loaded with cheese and pepperoni and tons of tempting toppings, the kind that may have your mouth watering at this very moment. But a version of pizza as we know it may fend off heart disease, obesity, and cancer.

The secret is in the crust -- the cooking of the crust, that is.

Think about this:

It seems baking pizza faster and at higher temperatures can release disease-fighting antioxidants. And it's this one small change to pizza preparation that has scientists at the University of Maryland claiming there is such a thing as a healthy pizza.

Scientists baked pizza at 500 degrees for six minutes and were able to increase antioxidant levels 100 percent. They used whole wheat dough, already high in antioxidants, and let it rise overnight before using their hotter, quicker cooking approach.

One researcher says this study is more a lab curiosity than anything else and might not really lead to a healthier pizza -- because it's unlikely pizza joints will change cooking methods to turn out healthier products.

If you are tempted to try this technique, be aware that the toxin acrylamide can be released if the pizza is baked too long. And don't forget to cut way back on those tasty toppers.

The experts at Canyon Ranch resort and spa know what they're talking about when it comes to health and happiness. They make a living off their expertise, in fact. But they're not stingy when it comes to sharing their know-how, and on the Canyon Ranch website, they offer us all a chance to better our lives.

I promised in an earlier post to share more of what the Canyon Ranchers have to say -- so here are seven more healthy habits you just might want to embrace.

To Carb or Not to Carb

Canyon Ranch has watched "fad" diets come and go, never falling for their quick, easy-fix mentality and consistently advocating for balance, moderation and basic good nutrition. In recent years, some diets have forsaken whole grains for foods rich in protein and essentially free of carbohydrates. Whole grains, which are carbs, have always been a vital part of good nutrition. And while removing high-carbohydrate foods from your diet may initially help you lose weight faster, over time their absence can negatively influence your health.

Making Time for Time

People take classes to learn time management, they rely on the latest technologies to make the most of it and budget time as carefully as their money. Still, when it comes to health care, you may find yourself in a time crunch. Fortunately, Carl Pratt, managing director of the Canyon Ranch in Lenox, offers a timely solution: The 90-Minute Program. "It really only takes 90 minutes a week to stay focused on maintaining a healthy lifestyle. If you aren't willing to dedicate 90 minutes, you aren't willing to take care of yourself, and you need to accept that fact," says Carl. Carl breaks down the 90 minutes per week as follows:

• 15 minutes of planning for "mindful eating"
• 45 minutes of exercise (15 minutes, three days a week)
• 30 minutes of relaxation (five minutes, six days a week)
  

Commuting Bliss

When you change your mindset and treat commutes as a transition time for relaxation or education by listening to music or books on tape, your daily drive becomes a worthwhile experience. "We all see commutes as inconvenient, and we need to think of them as something valuable. Remember, the ultimate removal of commute time is not what people want. Otherwise, we would go directly from birth to death and skip everything in between. If you can't enjoy the commute -- and indeed, some are more difficult than others -- you are simply losing part of your life," says Robert Rhode, Ph.D., clinical psychologist at Canyon Ranch in Tucson.

Family Bonds Tied to Well-Being

Even painful family connections can be a significant part of personal growth. Learn to feel reverence toward yourself even as you feel pain. This connects you with your humanity and your ability to give and receive love. How to get comfortable with painful memories? Relax your body and allow yourself to feel emotions -- anger, pain, sadness -- while maintaining a positive attitude toward you.

An Attitude of Gratitude

Being thankful each day for the good things in your life and the ability to appreciate what you have rather than what you do not have is an important aspect of emotional health and well-being.

Think Big

One key to spiritual well-being is to get outside yourself with activities such as volunteering or contributing to worthy causes."Get involved with others and become committed to something greater than yourself. You start worrying about the greater good and you feel better about yourself," says Evan Kligman, M.D., at Canyon Ranch in Tucson.

Not a Morning Person? It's OK

Giving yourself a workout boost first thing is great for some, but an early morning workout may not be for everyone. Phil Eichling, M.D., sleep expert at Canyon Ranch in Tucson, encourages people with sleep problems to put off their workout for later. He says to enhance sleep, the best time to exercise is usually late afternoon. And people who have cardiovascular issues or certain other health concerns may also want to ease into the day before they strap on their running shoes or cross trainers.

The first documented whole-ovary transplants are now on the map -- the United States map.

On February 5, a renowned infertility expert in St. Louis transplanted a whole ovary from one woman into her sister in order to enable the sibling to have children after a battle with ovarian cancer that resulted in early and permanent menopause.

Dr. Sherman Silber, who performed the same type of transplant on twins last month and has previously restored fertility via ovary tissue transplants, believes his success is unmatched. Apparently, surgeons in China have reported similar success but offer few details to support their claim. And due to a lack of published material about the case, it is believed Dr. Silber's ovary transplants may be the world's first scientifically documented cases.

Silber says whole-ovary transplants, that could potentially allow women with cancer to freeze an ovary, undergo treatment, and then have the ovary returned to restore fertility, could also one day help women who don't have cancer but experience natural premature ovarian failure, which leads to early menopause.

While both of Silber's ovary transplant patients are awaiting news about their status of their fertility, Silber awaits the long-term results of his work. Ovarian tissue transplants last a few years, but whole ovary transplants should last for decades, he says.

When I received radiation after my lumpectomy I had to go every weekday for around six weeks. That was five years ago. These days researchers are talking about a new way to receive radiation treatments that are much shorter in duration.

Partial breast irradiation is a new option available to women but is still in the experimental stages. The new technique gives radiation only to the area of the breast where the cancer was removed. It would be given twice a day over a period of five days. A catheter, a small, flexible tube used to deliver the radiation treatment, may be in for a total of seven to ten days.

Whole breast radiation is now the standard of care and is given to the entire breast and not just the area where the cancer was removed. Past studies have show this method to be effective in keeping breast cancer from returning after a lumpectomy.

If you are interested in learning more about partial breast radiation, speak with your physician about participating in a clinical trial.