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ABCs Robin Roberts' doctor takes your questions

Good Morning America coanchor Robin Roberts returned to work on Monday, a little more than one week after her breast cancer surgery. Some think her return was a bit hasty. Some think it was the absolute right thing to do. I'm of this camp -- the jump-back-into-life approach. It's exactly what I did after my surgery and throughout every step of my treatment. And while there were surely days I could have cut myself some slack, I tried to keep on my toes. It was the only way I knew how to manage the chaos of cancer.

In the spirit of helping women cope with their breast cancer diagnoses, Roberts' very own doctor offers some insightful words of wisdom. Click here for guidance about returning to work, managing through surgery and radiation, maintaining emotional health, and the importance of mammograms and self-exams.

What is your take on how Roberts is handling cancer and how her doctor is handling the topics that become critical in the fight against this disease?

Try cutting your health care bills

Health care is expensive, even for those with insurance. My treatment with the breast cancer drug Herceptin cost $5,000 every three weeks for 52 weeks. Insurance paid 80 percent; I was responsible for 20. That's $1,000 every three weeks. Not exactly affordable.

What many of us don't know is that we can play an active role in cutting our health care bills. We can shop around for everything, for example. Before filling a prescription, consider comparing prices offered at mail-order and online pharmacies with those of larger retailers. You may even find that mom and pop shops offer competitive rates since they can set their own pricing. Don't forget about generic drugs too. Ask your doctor if a generic version of your medication is just as good as a brand name drug. If so, go for the price break.

Did you know that lab work is more expensive if you get it at a hospital? Ask your doctor for other trustworthy locations and save a few bucks.

Continue reading Try cutting your health care bills

Robin Roberts back to work Monday after cancer surgery

If you plan to tune in to Good Morning America on Monday, you'll see Robin Roberts looking back at you. The co-anchor, 46, expects to back at work on August 13, just 10 days after surgery for breast cancer.

Roberts, who was just recently diagnosed with breast cancer after finding a lump during a self-exam, is still waiting for the test results that will determine her course of therapy. Right now, though, she feels great and looks forward to returning to work alongside Diane Sawyer.

Press Secretary Tony Snow returns to work

Five weeks after doctors discovered that Tony Snow had a diagnoses of metastatic colon cancer -- he is back at work.

I just watched a briefing by Mr. Snow. He seems very optimistic about his treatment plan. He will receive chemotherapy and then maintenance chemotherapy to try and keep the cancer at bay.

Tony advises anyone with cancer to "not go it alone". He feels very supported by his colleges and family. He also stated that he feels very lucky and he has the gift of life and is going to make the most of it.

Mr. Snow was diagnosed with colon cancer in 2005 and has recently went through exploratory surgery to confirm his cancer recurrence. He did say that there are new chemotherapy drugs that were not available when he was first diagnosed, that he will be treated with at this time.

He seemed a bit choked up in the interview, but only because he is humbled by the love and support he has received.

Cancer and the workplace

Did you know that at least 200,000 people die every year from cancers related to where they work? The main reasons are from inhaling asbestos fibers and second hand smoke. This was reported today by the World Health Organization (WHO).

About 125 million people are exposed to asbestos at work, leading to at least 90,000 deaths per year. Benzene, an organic compound used in rubbers, dyes and pesticides, causes thousands to die of leukemia each year. Those subjected to second hand smoke have twice the risk of developing lung cancer than those that work in a smoke free environment.

This means that we could be preventing so many cancer deaths if the industries would tighten safety standards for their employees.

Press Secretary Tony Snow clears up cancer confusion

White House Press Secretary Tony Snow popped in for an unexpected visit on Bill O'Reilly's Radio Factor on Wednesday with the purpose of clearing up a certain cancer matter.

"Some of this has been misreported," Snow told O'Reilly in reference to his recent cancer recurrence.

"I do not have liver cancer," Snow said. "There are a number of small tumors that are in my abdominal cavity; they have not hit any other organs."

Snow, 51, said there is also no cancer traveling through his bloodstream and that he plans to return to work after recovering from the surgery he had two weeks ago to remove tumors from his abdomen.

Although his cancer is not threatening his life -- he says if the tumors didn't grow from now until the time he died, he would be absolutely fine -- Snow will still receive chemotherapy to "drive this sucker into remission," he said.

Snow began battling cancer in 2005 when he was diagnosed with colon cancer, had his colon removed, and underwent several months of chemotherapy.

Kindergartner has all the write stuff

I'm wearing a pretty pink sticky note on my shirt. It was taped on me just recently by my six-year-old Joey who's been busy in kindergarten learning to spell words. He's in the sounding-out stage and as long as he gets his consonants right, we're happy. Joey's teacher says he doesn't need to master the vowels just yet, and with that in mind, Joey is doing a pretty impressive job of crafting real words -- although sometimes he misses.

Tonight, Joey had a hit and a miss. But the sentiment buried in his written message -- cryptic as it was -- is enough to warm my heart.

Joey always links me with breast cancer -- no surprise, since he's been a key player in my match with cancer since it began two years ago -- and so tonight, he wrote on the pink sticky note, Bube skawos. He tells me it reads, Boobie cancer. Not so sure about the cancer part. But the boobie part speaks loud and clear. And even more clear is the breast cancer ribbon he drew on the same sticky note, just before he pinned me with his powerful work of art.

Joey's smile spanned from ear to ear as he presented me with my special badge. And I'm smiling just the same as I look at the little pink piece of paper given to me by my loving little boy.

Study reveals link between household pesticides, cancer

Nearly a decade ago, women in Long Island began to worry about their high rates of breast cancer. So they advocated and lobbied and pushed until a public law was passed that allowed for the creation of the Long Island Breast Cancer Project. Funded by both the National Cancer Institute and the National Institute of Environmental Health Sciences, great data has emerged from this project -- like the data linking breast cancer and household pesticides.

Although much research has linked cancer with pesticides in work and industrial settings, few studies have investigated what these chemicals can do in households -- until now, thanks to research conducted as part of The Long Island Breast Cancer Project.

Published online in the December 13 American Journal of Epidemiology, researchers found an association between lifetime residential pesticide use and breast cancer risk in a sample of 1,508 Long Island women diagnosed with breast cancer between 1996 and 1997. These women were compared to 1,556 random controls. All women were asked to self-report their pesticide exposure and to offer blood samples for the study of organochlorine compound levels -- found in lawn and garden products.

As expected, researchers found an increased breast cancer risk for women whose blood samples showed the highest levels of organochlorine compounds. They also found it hard to find women who did not use lawn and garden pesticides to some degree.

Use of household pesticides has infiltrated our society, says researcher Susan Teitelbaum, assistant professor in the department of community medicine at Mount Sinai School of Medicine in New York, who reports she is happy to see a movement toward use of alternative methods, like integrated pest management.

Teitelbaum has just one recommendation as result of this study. It's quite simple really -- stop using pesticides.

Sunday Seven: Seven simple life instructions

I've had the little book, with its glossy plaid cover, ever since it was released in 1991. I was 21 years old and already a fan of well-crafted, powerful words. So it was no surprise I picked up Life's Little Instruction Book: 511 suggestions, observations, and reminders on how to live a happy and rewarding life. And it's no surprise I have kept it with me for all these years, allowing it a lifetime membership on my bookshelf, where I can swiftly pluck it from its spot when I need a little inspiration.

Now in a worn, faded, and tattered state, this book is still one of my favorites. Its words are timeless, its messages are meaningful -- even more so now that I am 36 years ago. Now a college graduate, a one-time working professional, a wife, a mom, a writer, and a breast cancer survivor, the reflections printed in this book speak to me more clearly than ever before.

Here are seven of my current favorites from Life's Little Instruction Book -- written by H. Jackson Brown, Jr. for his college-bound son at a time when he had no idea the road map he provided for his child would come to serve so many others.
  • Always have something beautiful in sight, even if it's just a daisy in a jelly glass.
  • Don't forget, a person's greatest emotional need is to feel appreciated.
  • Choose work that is in harmony with your values.
  • Don't be intimidated by doctors and nurses. Even when you're in the hospital, it's still your body.
  • Don't use time or words carelessly. Neither can be retrieved.
  • Live so that when your children think of fairness, caring, and integrity, they think of you.
  • Keep it simple.

Top ten fitness and diet myths debunked in time for the New Year

Ah, the festive holiday parties and dinners were fun, but now we notice a few extra unwanted pounds. No surprise that diet and exercise top the list of traditional New Year's resolutions, and with good reason. Not only do we feel better when our clothes fit easily, but staying active, exercising and keeping fit are known lifestyle choices each of us can make that will offer an added measure of cancer prevention.

But, before we finish making our list of resolutions to a slimmer waistline and better health, the inner naysayer voice pipes up to point out all the reasons why we should not even bother. The Entrepreneur Diet comes to the rescue as it busts the more common myths standing in our way to getting and staying fit, and offers a reality check to the misconceptions.

As we read the reality checks to the following top ten myths -- I'm not athletic, so even if I wanted to become more active, I can't do it; it's too late for me to exercise; exercise isn't enjoyable; a woman will get too bulky if she lifts weights; exercise is dangerous; it takes too much time to eat right and exercise; I won't be able to enjoy my favorite foods; no pain, no gain; it's inevitable that I'll gain weight as I age, so it's not worth fighting it; and I have to join a gym or buy expensive equipment to get in shape -- we realize that keeping the resolutions we are about to make are more than doable.

To read the reality checks to these top ten fitness and diet myths, visit the Entrepreneur's Work & Life column here.

Author Barbara Delinsky delivers another dose of UPLIFT

Author and breast cancer survivor Barbara Delinsky has just released an updated edition of her book UPLIFT: Secrets from the Sisterhood of Breast Cancer Survivors and like her previous editions, this one delivers inspiring real-life stories from real-life survivors -- like Deb Haney, an administrative assistant diagnosed in 1996 at age 48, who reveals her secret to surviving breast cancer in the workplace.

"My boss at the time was my brother. He suggested I go for radiation treatment in the morning, work a few hours, then go home and rest in the afternoons. That is what I did, because even though I looked great, I was unbelievably tired. When illness comes, we need to listen to our bodies and give them the time to rest and recover. I hadn't anticipated it, but those afternoon hours became a truly peaceful, nurturing time to read and rest and enjoy quiet time."

Delinsky offers a chapter in her book called A Workplace Manual -- it's a place where survivors like Haney share strategies that helped them maintain the crucial balance between cancer and work.

Delinsky writes, "What works for one woman may not work for another. What works in one job may not work in another. The thing is, you need to take a step back, think about yourself and your situation, then speak up about what may work for you. In every situation, you have choices, and the choices are all good. What pleases one woman may not please another."

And so the women featured in UPLIFT share their individual choices. And their choices become options for the millions of women surviving a disease that throws everything off balance.

Rosamary Amiet, a program manager diagnosed in 2000 at age 48, shares, "I juggled cancer and work by just giving up some things, like housework. I discovered that the house could go for weeks without being vacuumed or dusted -- and not only did the sky not fall, it didn't even crack!"

UPLIFT is not all about the workplace. It's also about chemotherapy and losing hair and losing breasts. It's about family and humor and men. It's about religion and exercise and diagnosis. It's about help. It's about hope. It's about sisterhood -- plain and simple.

Survivor Spotlight: assertive cancer patient Jeanne Sather

Journalist, teacher, mother and eight-year breast cancer survivor Jeanne Sather is a self-described outspoken advocate for the cancer patient's point of view.

A vegetarian since the age of 16 and fairly active, she does not have any of the known risk factors for breast cancer. After an all-clear mammogram at the age of 40, she was diagnosed with breast cancer at the age of 43. In an ironic twist of employment fate, the very job she was hired to do in chronicling her life online as a breast cancer patient, may have led to her firing because of the flexible work schedule breast cancer treatment required.

With a sharp clarity and well-earned perspective, Sather is The Assertive Cancer Patient. To our good fortune here at The Cancer Blog, she has agreed to take part in our Survivor Spotlight series featuring interviews with breast cancer survivors.

Continue reading Survivor Spotlight: assertive cancer patient Jeanne Sather

Cancer patients who face job discrimination

Work gives us a sense of purpose; a way to provide for ourselves; and social contact -- all important to health and wellbeing. For those facing the struggles to survive cancer, work can represent a normalcy needed in a time where not much else seems very normal. The activity of work can reflect a hope that even though cancer has temporarily disrupted daily life, one day it will get better -- we are going to get better. Not losing your job when you must go through cancer treatment is a way of having your place in society saved. A message, we will all be here when you get back -- your work life will be here when you can come back.

BBC News investigated how some cancer patients are being mistreated in the workplace and it is appalling. One woman wanted to return to work after treatment for breast cancer and her managers asked her to resign for her own good. They were merely looking out for her, they said. Another woman was told she had become a bad investment.

You can read more at BBC News Cancer patients misery at work. If you are thinking, there ought to be a law -- there is a law to protect workers dealing with serious illnesses against job discrimination. Doesn't appear to stop some companies from acting like insensitive dolts, but there is a law.

Cancer is one of many occupational hazards for firefighters

Firefighters pull off heroic maneuvers all the time. Heat and smoke and fire are their constant companions. Emergency scenarios keep them perpetually challenged. Risking their lives is a top job responsibility. I can't imagine taking on this line of work, yet I am amazed by those who do -- for their eagerness to save lives while compromising their own. And to read today that cancer is another occupational hazard for firefighters makes me appreciate them even more.

In Edmonton, a firefighter who was praised as a hero for saving the life of a rookie firefighter in 2003 died on Saturday of job-related cancer at the age of 47 -- just two years after doctors diagnosed him with a terminal form of multiple myeloma. Clarke Stevens was expected to live for five years.

Ken Block, president of the Edmonton firefighters union said Stevens' death is a reminder of the risks these heroes take. Block says firefighters are between two and four times more likely to develop certain cancers, and Stevens is the fifth Edmonton firefighter to die of cancer since 2004.

It takes a special person to make saving others' lives a priority. To risk death in so many ways -- for the benefit of strangers -- must be the true definition of selflessness. And thank goodness for these selfless individuals who help keep the rest of us safe.

City Slickers actor Bruno Kirby dies of leukemia

City Slickers actor Bruno Kirby died on Monday in Los Angeles from complications related to leukemia, his wife shared in a statement concerning his death. Kirby was 57 and had only recently been diagnosed with the disease.

A veteran character actor, Kirby was known for roles in The Godfather: Part II, Good Morning Vietnam, When Harry Met Sally, and City Slickers. Most recently, Kirby appeared on HBOs Entourage as fictitious producer Phil Rubenstein.

Kirby's wife shared in her statement, "We are incredibly grateful for the outpouring of support we have received from Bruno's fans and colleagues who have admired and respected his work over the past 30 years. Bruno's spirit will continue to live on not only in his rich body of film and television work but also through the lives of individuals he has touched throughout his life."

And even though he has passed, Kirby will continue to touch lives -- because all contributions in his honor will be go to The Leukemia & Lymphoma Society in Los Angeles.

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