breast cancer awareness 2012
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Breast Cancer Awareness 2012TRANSCRIPT
Breast cancer awareness
The Daily Nonpareil Sunday, October 7, 2012
Beyond mammograms
Breast cancer testingoptions simply explained
2FPlus:Nurse navigators guide the way, 4FWhere to look for support locally, 5FWhat to expect after a mastectomy, 5F
The American Cancer Soci-ety takes the position that aBSE is an optional screeningtool for breast cancer. For thosewho are interested in conduct-ing self-exams, here is theproper way to do so.
■ Begin with a visualinspection of the breasts.Remove clothing and stand infront of a mirror. Turn andpivot so the breasts can be seenat all angles. Make a note ofyour breasts’ appearance. Payspecial attention to any dim-pling, puckering or oddness inthe appearance of the skin.Check to see if there is anychange in symmetry or size ofthe breasts.
■ Continue the examina-tion with hands placed by thehips and then again with yourhands elevated overhead withyour palms pressed together.
■ Next you will move on to
a physical examination. Thiscan be done either by recliningon a bed or the floor or any flatsurface. The exam also can bedone in the shower. To beginexamining the breasts, placethe hand and arm for thebreast you will be examiningbehind your head. Use thepads of your pointer, middleand ring fingers to push andmassage at the breast in aclockwise motion. Begin at theouter portion of the breast,slowly working inward in a cir-cular motion until you are atthe nipple. Be sure to alsocheck the tissue under thebreast and by the armpit.
■ Do the same process onthe opposite breast. Note ifthere are any differences fromone breast to the other.
If you find any abnormali-ties, mark them down on anillustration that you can bring
to the doctor. Or if you can getan appointment immediately,draw a ring around the areawith a pen so that you will beable to show the doctor directlywhere you have concern.
It is a good idea to conduct aBSE once a month and notwhen menstruating, whenbreasts may change due to hor-mone fluctuation.
– Metro Creative Connection
2F Sunday, October 7, 2012 The Daily NonpareilBREAST CANCER AWARENESS
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Testing options explainedTIM JOHNSON
Although mammogramstend to get all the attention,doctors now have an array oftools with which to detect andtrack breast cancer.
“In just 10 years, there’sbeen a lot of improvements,”said Dr. Robert Warner, oncol-ogist at Heartland Oncology.
“Our classic test for breastcancer has been the mammo-gram,” he said. “In addition, inspecific cases or to follow up asuspicious mammogram, wecan use an MRI, which is moresensitive, or an ultrasoundusing sound waves.”
A mammogram is an X-rayof the breast that uses a lowerdose of radiation than a con-ventional x-ray, according tothe American Cancer Society.It can detect cancer in its earlystages – even before a lumpcan be felt – when treatmentis most successful.
An MRI uses magnetsinstead of radiation to makeimages. It can help distinguishcancer from noncancerous tis-sue and determine the size ofa tumor.
An ultrasound uses high-frequency sound waves to cre-ate images. It can distinguisha fluid-filled cyst from a solidtumor but not a benign tumorfrom a malignant tumor. Itcannot go through air (like thelungs) or through bone.
Another follow-up test thatbecame an option in recentyears is the gammagram,Warner said. As the nameimplies, it uses gamma rays tocreate images.
“The chief advantage of it isit gives us more specificity,” hesaid. “If you have a suspiciousmammogram, where the gam-magram can be helpful is fol-lowing up.”
If a spot shows up in amammogram but the radiolo-gist can’t identify it with com-plete certainty, a gammagramcan help determine whetheror not a biopsy should be per-formed to test the tissue – butan MRI would probably beused before a gammagram,Warner said.
“If it’s a slam-dunk on theMRI, we wouldn’t even do it,”he said. “It’s those close callswhere we’re not sure if weneed the biopsy or not.”
The biopsy – removing tis-sue and performing a patho-logical test – is ultimately theonly way to determinewhether tissue is malignant or
not, he said. But because evena biopsy is somewhat invasive,it generally isn’t done unlesssomething pretty convincingshows up in an imaging test.
If a patient has had a mas-tectomy and doctors want tosee if there is any cancerremaining in the body, theymay order a blood test, such asthe CA15-3, Warner said. The
test is “not specific enough” touse in place of a mammogrambut can be useful when thebreast has been removed, hesaid.
Another blood test that issometimes used is the CEA, hesaid. The CEA is a markerthat tends to be elevated inbreast cancer and some othercancers.
Other patients mayundergo a lumpectomy orradiation treatments insteadof having a total mastectomy,Warner said. In this case,imaging tests can still be used.
“We can use a mammo-gram, ultrasound or MRI to dothat follow up and see whatthat cancer is doing,” he said.
A PET scan would only be
used if doctors were concernedthe cancer might have spreadbeyond the breast, he said.Like the gammagram, thePET scan uses gamma rays tocreate images, but the rays aregenerated in a different way,according to the AmericanCancer Society. For more can-cer information, see the soci-ety’s website at cancer.org.
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Screening guidelines forbreast cancer
■Yearly mammograms arerecommended starting at age40 and continuing for as longas a woman is in good health.
■ Clinical breast examsevery three years for womenin their 20s and 30s and everyyear for women 40 and older.
■ Women should knowhow their breasts normallylook and feel and report anybreast changes promptly totheir health care provider.Breast self-exam is an optionfor women starting in their20s.
■ Some women, becauseof their family history, agenetic tendency or certainother factors, should bescreened with MRI in additionto mammogram. (The numberof women who fall into thiscategory is small – less than 2percent of the women in theU.S.) Talk with your doctorabout your history andwhether you should haveadditional tests at an earlierage.
– American Cancer Society
A self-exam tutorial
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ORIGINS OF THEPINK RIBBON
Early detection of breast cancer is the single-most effectiveway to beat the disease. That is why it is essential for women toconduct their own breast exams to discover any potential anom-alies early on.
While doctors stress the importance of self-examination,many women still show up for routine wellness visits admittingthey don't do examinations because they simply don't knowhow. Perhaps because the practice was given the formal namebreast self-exam. Today, however,doctors tell women to have breastself-awareness.
That means women don't haveto follow a set protocol regardingchecking for breast changes, andsimply being aware of how thebreasts look and feel is key.
Why the change in the formal-ities? Doctors have determinedthat most women notice a lump intheir breasts while doing routineactivities, such as bathing ordressing. They also figured outthat a formal method of examin-ing the breasts was not neces-sary. Lumps can be found simply by touching the breasts in anypattern, as long as the entire breast is checked.
To demystify the process even further, follow these guidelines.Breasts are best checked for changes directly after a menstru-
al period. At this time the breast tissue will be softer and less ten-der due to diminishing hormone levels.
Look at the breasts every day and notice their appearanceand shape. Recognizing subtle differences can help alert a doc-tor if something is amiss.
BE CONSCIOUS OF THESE CHANGES:Changes in breast size, shape, skin texture, or colorDimpling or puckering of the breastDischarge from the nipplesScaliness of the skinNipple pulling to one sideLump or mass in the breastEnlarged lymph node under the arm
Any changes or questions about breast condition should bepromptly brought up with a doctor.
Women should know their risk for breast cancer. While thereisn't a definitive genetic correlation, the high rate of breast can-cer in one family may mean a particular woman is more at risk.
Get routine screenings at a doctor's office. Women over theage of 40 should get a mammogram every year.
ORIGINS OF THEPINK RIBBON
These days ribbons are worn formany different causes. Red signifiesAIDS awareness. A yellow ribbon haslong represented support for armedforces. However, one of the mostprominent ribbon colors is pink, whichaims to raise awareness of and sup-port for breast cancer.
Pink is a color that is uniquely femi-nine, and it also represents a personfull of health and vibrancy; think of lit-tle babies pink with life. Pink is also acolor that seems the complete antithe-sis of cancer, and thusly inspires hopefor renewed health and survival.
There is some controversy surround-ing the origins of the breast cancermascot ~ the pink ribbon. There arealso suggestions that the ribbon wasintended to be peach and not pink.
In 1992, just about every organiza-tion started using ribbons to raiseawareness. The New York Times actu-ally dubbed 1992 The Year of theRibbon. Alexandra Penney, the then-editor of Self magazine, wanted to cre-ate a ribbon for the publication's sec-ond annual Breast Cancer AwarenessMonth issue. The previous year she
had worked with cosmetics giant EsteeLauder. Evelyn Lauder, the senior cor-porate vice president, was herself abreast cancer survivor. Penney thoughta collaboration between the magazineand Lauder could see a ribbon on cos-metic counters across the nation,and help sell a few magazines inthe process.
The trouble was Penney hadread a story about a 68-year-old woman, Charlotte Haley,who was producing handmaderibbons in her home. Haley had anumber of people in her immedi-ate family who had battledbreast cancer and her hand-made peach ribbons intendedto raise awareness about thelimited government funds beingused for breast cancer research.Haley's message was spreading byword of mouth.
Penney and Lauder contacted Haleyand wanted to further collaborate onthe peach ribbon theme. However,Haley didn't want to be involved, say-ing the effort would be too commer-cial. She refused to turn over rights to
the use of the peach ribbon. As aresult, Penney consulted with attorneyswho said to come up with anothercolor, and pink was eventually chosen.
Pink had already been associatedwith breast cancer in the past. Just a
few years earlier, the Susan G.Komen Breast Cancer Foundation
had given out pink visors to itsRace for the Cure participants. Ithad also created a pink ribbon.
The pink ribbon quickly tookoff by leaps and bounds. Millions
were distributed by Estee Lauder.There are many philanthropic and
commercial businesses whonow use the pink ribbon intheir breast cancer marketing
plans. Every October, womenare urged to don pink for Breast
Cancer Awareness Month. One canfind the pink ribbon adorning every-thing from cereal boxes to cans ofcleanser.
Many embrace the pink ribbon as asymbol of hope, one that has done itsshare of work toward spreading theword about the need for more breastcancer awareness and research.
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Anger or sorrow doesn’tchange the goal of breast can-cer therapy.
Staying calm and learningcoping techniques are thefundamentals, said CarolynEttinger, program directorfor Wings of Hope in CouncilBluffs.
“Sometimes, it’s difficult totalk about your feelings withclose family members,” shesaid. “It’s nice to have some-body else to wave throughand process it.”
Both Jennie EdmundsonHospital and AlegentCreighton Health Mercy Hos-pital refer patients to thenonprofit, which providesfree cancer support services.
Wings of Hope, 427 E.Kanesville Blvd., offers coun-seling for cancer patients andtheir families. The organiza-tion is funded through dona-tions and grants.
Ettinger, a licensed mentalhealth practitioner, said ther-apy is generally a casualenvironment.
Patients who visit Wingsof Hope receive loss counsel-ing to cope with death anddeclining health, which caninclude loss of body parts andhair. They also receive sup-port for losing family mem-bers or a job.
Wings of Hope helps can-cer patients with hair losswith its Hope Chest RenewalRoom. The room featureswigs, which are donated fromthe community and BravadasWigs in Omaha, Wings of
Hope also supplies scarves,blankets, pillows and hats.They also supply gas cards tooffset costs for transportationto therapy sessions.
Patients at Wings of Hopealso receive a “survivor bag,”which includes a water bot-tle, journal, hand sanitizerand information about can-cer.
Ettinger uses a variety oftechniques to help patients,which include guidedimagery and healing touch.
Guided imagery helps peo-ple relax and visualize whatthey want. The techniquefocuses on positive thoughtssuch as shrinking tumors ora favorite destination.
“I try and provide a safe
place for them to express thepain they’re experiencing,”she said.
Healing touch is anenergy-based therapy, whichhas emphasis on an energyfield that surrounds eachperson’s physical body.
“The idea is we’re makingthat energy field better,”Ettinger said. “We’re hopingthat will impact the emotionsand the spiritual parts of thebody.”
Patients are helped basedon social and emotionalneeds. Ettinger helpspatients identify importantmilestones in their lives. Shehelps patients realize whatthey should keep or changefor the better. Part of living a
better life, Ettinger said,includes proper nutrition,exercise and diet.
Wings of Hope offersmovement classes at TheCenter, 714 S. Main St. Thegroup meets with an occupa-tional therapist twice amonth and focuses onstretching, balance and coreexercises.
After potential changesare established, Ettinger dis-cusses methods to live thebest life possible. Ettingersaid therapy sessions createan atmosphere wherepatients can express them-selves and moved forwardwith the cancer process.
“It’s a better place for yourbody to heal,” she said.
The Daily NonpareilBREAST CANCER AWARENESS4F Sunday, October 7, 2012
Therapeutic reliefNo matter whichdirection you takewith therapy, thefocus is on youremotional needs
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KIRBY [email protected]
“What now?”It’s the most natural ques-
tion people ask after a cancerdiagnosis, according to anurse at Alegent CreightonHealth Mercy Hospital.
Arriving at the answerisn’t so easy when emotionsset in. This is where nursenavigators, who provideinformation about treatmentoptions, issues and recovery,come to aid patients.
“No matter what or wherethey’re at in the process,they’ll always have someoneto turn to,” said Erin Gittins,a nurse navigator at MercyHospital.
Whether it’s X-rays, bloodtests or other scans, nursenavigators are available forsupport. Nurse navigatorsalso help with scheduling ini-tial tests, consultations andcommunicate informationbetween medical staff. Theymake sure medical informa-tion and tests are always upto date and available forphysicians, nurses and coun-selors. Nurse navigators areavailable 24/7 and serve as asingle point of contact forinformation.
“They’ll always have thatassurance that someone’sgoing to be on the other linefor them,” Gittins said.
A cancer support teamprovides education on diseaseand treatment, patient andfamily counseling and infor-mation about support groups,cancer rehabilitation centersand therapies.
Nurse navigators will doc-ument personal and medicalhistory and discuss inheri-tance patterns and risks.They will also discuss anywarning signs or symptomsthat may occur during treat-ment or recovery.
The goal is to makepatients and their familiesless stressed about the cancerfighting process. Patients
have unique experiences withtheir illness.They won’t expe-rience the same thing as oth-ers, Gittins said.
“Someone is alwaysaffected by cancer in someway,” she said. “We try toexplain it’s a very individual-ized process.”
Sometimes it’s difficult forpatients to talk with familiesor friends about their illnessso they can turn to a nursenavigator for an open ear.
“Some people aren’t com-fortable talking about it sothey call a nurse navigator,”Gittins said.
At Jennie EdmundsonHospital, nurse navigatorsspecialize in services at theBreast Health Center.Tammy Johnson is a certifiedbreast patient navigator, whoworks closely with patientsand coordinates their care.
“It’s really nice that I getto know the patients andtheir families,” Johnson said.
It enhances the quality ofcare and provides educationto patients. The nurses alsowork closely with surgeons sopatients receive pathologytest results in a timely man-ner.
“The worst thing forwomen is waiting for theanswer,” Johnson said.
Strong communication isthe basis for nurse naviga-tors. They give patientsneeded emotional supportand counseling.
“They just feel like theyhave somebody on their side,”she said. “It’s a personaltouch to their care.”
Staff photo/Kirby KaufmanEErriinn GGiittttiinnss iiss aa nnuurrssee nnaavviiggaattoorr aatt AAlleeggeenntt CCrreeiigghhttoonn HHeeaalltthhMMeerrccyy HHoossppiittaall..
‘No matter what orwhere they’re at inthe process, they’ll
always have someoneto turn to.’
– Erin Gittinsnurse navigator at Alegent
Creighton Health Mercy Hospital
Exploring the differenttypes of breast cancer
Breast cancer is a universalterm to describe several differ-ent cancers that form in andaround the breasts. Breast can-cer types are generally catego-rized based on where the ill-ness begins, most often in theducts or lobules, the parts ofthe female anatomy responsi-ble for producing breast milk.
About 226,870 new cases ofinvasive breast cancer inAmerican women will be diag-nosed in 2012, while more than22,000 Canadian women willbe diagnosed with breast can-cer over that same time period.
The National Breast CancerFoundation lists seven differ-ent types of breast cancer.Here’s a look at them.
■ Ductal carcinoma in-situ(DCIS): This is an early form ofbreast cancer that refers to thepresence of abnormal cellsinside a milk duct in thebreast. This type of cancer isgenerally found during mam-mograms and is considerednon-invasive. This means ithasn’t spread yet. This makestreatment for DCIS easierthan for other forms of breastcancer.
■ Infiltrating ductal carci-noma (IDC): Also known asinvasive ductal carcinoma, thisis the most common type ofbreast cancer. According toBreastCancer.org, roughly 80percent of all breast cancercases are IDC. This cancerstarts in the ducts, but “infil-trating” means that it spreadsto the surrounding breast tis-sue. Over time, IDC can spreadto the lymph nodes and possi-bly to other areas of the body.
■ Medullary carcinoma:This is a less common form ofbreast cancer. It is a type ofIDC, but it gets its name fromthe color of the tumors, whichare close to the color of braintissue, or medulla. Medullarycarcinoma is quite visible dur-ing mammograms because thecancer cells are large and forma barrier between healthy tis-sue and tumors.
■ Infiltrating lobular carci-noma (ILC): The AmericanCancer Society says that 1 in10 women will be diagnosedwith ILC, which originates inthe milk-producing glands ofthe breast. In ILC, abnormalcells inside the lobule begin todivide and break through thewall of the lobule to invade thesurrounding connecting tis-sues.
■ Tubular carcinoma: Thisis a common cancer for womenages 50 and older. Whenviewed under the microscope,tubular carcinoma cells have adistinctive tubular structure.There is a 95 percent survivalrate for tubular carcinoma.
■ Mucinous carcinoma (Col-loid): This is a rare conditionin which the breast cancercells within the breast produce
mucus. The mucus and thecancer cells join together toform a jelly-like tumor. Thetumors may feel like bumpywater balloons, but some aretoo small to detect with thefingers.
■ Inflammatory breast can-cer (IBC): This is a rare andvery aggressive type of breastcancer that causes the lymphvessels in the skin around thebreast to become blocked. Thecancer gets its name from theappearance of a swollen, redand inflamed breast.Womenare advised to get a baselinemammogram in their mid-30sand then annual mammo-grams starting at age 40.Early detection is generallyvital for any form of cancerand is especially so for breastcancer.
– Metro Creative Connection
Didyou
know?■ Breast cancer is a ran-
dom and deadly disease.■ The most common risk
factors for breast cancer arebeing female and gettingolder.
■ Breast cancer affectseveryone, not just the persondiagnosed. Co-survivors,including family, friends andco-workers can feel theeffects too.
■ Breast cancer is themost frequently diagnosedcancer and is the leadingcause of cancer death amongwomen worldwide.
■ One in eight women inthe U.S. will be diagnosedwith breast cancer in herlifetime.
■ Breast cancer is theleading cause of cancerdeath among women age 40-50 years in the U.S.
■ Breast cancer is secondonly to lung cancer in cancerdeaths among women in theU.S.
■ The five-year relativesurvival rate for all womenwith breast cancer found at alocal stage (cancer that hasnot spread) in the U.S. is 99percent, 84 percent forregional disease and 23 per-cent for distant stage dis-ease.
■ An estimated 39,510women and 410 men will diefrom breast cancer in theU.S. in 2012.
■ A case of breast canceris diagnosed among womenevery two minutes, and awoman dies of breast cancerevery 13 minutes in the U.S.
■There are more than 2.9million breast cancer sur-vivors alive in the U.S. today,the largest group of cancersurvivors in the country.
■ Approximately 95 per-cent of all breast cancers inthe U.S. occur in women 40years of age and older.
– Susan G. Komen for the Cure
One Edmundson Place, Suite 100Council Bluffs, IA 51503 (712) 322-4136
www.HeartlandOncology.com
Specializing inBlood Disorders and Cancer Care
Our Physicians
John Okerbloom, M.D.Robert Warner, M.D.Sakeer Hussain, M.D.
A person’s life changes whenhe or she receives a breast can-cer diagnosis. There are manyquestions that need to beanswered, and one of them isusually, “What are my options?”
One of the treatment optionsin the fight against breast can-cer is a mastectomy.Though thenumber of mastectomies per-formed each year was in declinea mere decade ago, more andmore are now being performedthanks in large part to lessinvasive treatments. A study ofmore than 5,000 Mayo Cliniccancer patients revealed a 13percent increase in the numberof mastectomies performedbetween 2003 and 2006.
A small but growing numberof women are also electing tohave “preventative” mastec-tomies, which could involveremoving one or both of thebreasts if there is a high geneticdisposition to getting breastcancer in the family or if can-cerous cells were detected inone breast. In 2006, the lastyear for which national data isavailable, more than 15 percentof breast cancer patients ages18 to 39 had a healthy breastremoved, says the University ofMinnesota’s Elizabeth Haber-mann, co-author of a 2010study in the Journal of ClinicalOncology.
A mastectomy is anumbrella term used to describethe removal of the entirebreast, portions of the breast, orjust the lymph nodes under thearmpits.
The main types of a mastec-tomy include:
■ Modified radical mastec-tomy: This involves removal ofthe entire breast, including thebreast tissue, skin, areola, andnipple. In some cases, the liningover the chest muscles, as wellas most of the underarm lymphnodes, is also removed.
■ Simple total mastectomy:This surgery involves removalof the entire breast, tissue, skin,areola and nipple.
■ Skin-sparing mastectomy:The breast tissue, nipple andareola are removed, but theskin is spared. Breast recon-struction surgery is typicallyperformed immediately after.
■ Nipple-sparing mastec-tomy: Only the breast tissue isremoved, leaving the skin, nip-ple, areola and chest wall mus-cles. Again, reconstruction ofthe breast is typically per-formed immediately afterward.
AAfftteerr SSuurrggeerryyExpect to stay one to two
days in the hospital after sur-gery.The nursing staff will havea dressing over the surgicalsite, so you likely will not beable to see the results until afollow-up visit a week or moreafter the surgery. The doctorwill advise proper home care tokeep the area clean, and youshould be aware of signs forinfection. You may have surgi-cal drains in place that willneed to be watched and emp-tied.
Some pain is common post-surgery, and pain medicationsmay be prescribed. Adequaterest is urged for proper healingand to prevent opening thewound site. Dissolvable stitchesare often used to close thewound, but some doctors preferstaples, which will be removedat a follow-up visit. Bruisingand soreness are to be expected.A fever could be indicative of aninfection.
RReeccoovveerriinngg ffrroomm ssuurrggeerryyDepending on the type of
mastectomy performed, youmay be left with anything fromsmall scarring to a sunken,asymmetrical chest. You maywant to avoid wearing or get-ting fitted for a new bra untilthe wound is completely healedand swelling has declined,which can take six weeks.
Although strenuous exerciseshould be avoided, manypatients will be given exercisesto perform so they can regainmovement and flexibility. Walk-ing is an exercise that can bedone immediately, but a doctorwill be able to tell you when
more exercises can be done.You may resume driving
when pain medication is nolonger needed. Practicing driv-ing in a parking lot can helpyou figure out if there is anypain associated with turningthe wheel or pressing down onthe accelerator or brake.
BBooddyy iimmaaggeeIf reconstructive surgery is
not an option, breast prosthet-ics can restore balance to thebreast area and help with post-mastectomy body image. Pro-fessional fitters can help sizeand fit a prosthetic to yourbody. Some cancer organiza-tions offer free prostheses ifinsurance doesn’t cover them.
Mastectomy bras areanother option. They generallyhave pockets in the cups thatcan hold breast forms. Some
women choose to wear regularbras and simply slip formsinside.
In cases where underarmlymph nodes had to beremoved, there may be exten-sive scarring under the arms.Therefore. when trying onblouses and other shirts, take aclose look at the armholes. Any-thing too loose may make youfeel uncomfortable if it exposesscarring.
Depending on how much tis-sue and breast wall has beenremoved, the chest may actu-ally be concave. Wearing pat-terned shirts can help disguisethis area and draw attentionaway. Fashion has come a longway, and there are now manydifferent options in post-mas-tectomy clothing.
– Metro Creative Connection
The Daily Nonpareil BREAST CANCER AWARENESS Sunday, October 7, 2012 5F
Where you’re understood
KIRBY [email protected]
A breast cancer patientshared a personal story at asupport group. Some peoplecried while others laughed.
The woman told her peers astory about how her dog stoleher wig and ran with itthrough the house.
“When you lose your hair,you cry about it,” said CarolynEttinger, 54, a breast cancersurvivor. “But also, at somepoint, there’s some humor.”
Ettinger was diagnosedwith breast cancer in 1994 atage 36. She now acts as pro-gram director for Wings ofHope, a nonprofit in CouncilBluffs that provides free cancersupport services.
“I really felt that I neededsomeone outside my family totalk to,” she said. “Someonethat’s been through the samething. Someone that under-stands the same thing.”
The goal of support groups,Ettinger said, is to create aplace where cancer patientscan express their feelings andgive and receive support.
“When you hear the samestory from someone else, some-times you put it together andunderstand it better,” she said.
When Ettinger battled can-cer she said it was important to
have people to talk with sepa-rate from family members.
“They were experiencingtheir own difficulties,” she saidof family. “It was nice to speakfreely to those who understood,but weren’t emotionally con-nected to me.”
People who attend supportgroups listen to similar strug-gles from people they don’tknow. And when they comeback, there’s a connection.
“It’s easier to talk about thelighter stuff,” Ettinger said.
Topics include a variety
ranging from cancer diag-noses, treatments, breastreconstruction and lifechanges.
“They instantly get itbecause they’ve been throughthe same thing,” Ettinger said.
Wings of Hope offers a
Young Women’s Breast CancerSupport Group, a joint ventureby Jennie Edmundson Hospi-tal and Alegent CreightonHealth Mercy Hospital, toaddress concerns of youngwomen who have been diag-nosed with breast cancer. Sup-
port groups for cancer sur-vivors are offered at The Cen-ter, 714 S. Main St.
The support groups givepatients an opportunity toexpress their deepest fearsand walk away with a bettermindset. Wings of Hope helpspatients get in touch withresources to fulfill their needs.
But support groups aren’tfor everyone, Ettinger said.
“It doesn’t fit everybody’sneed,” she said. “The otherthing is that some people areafraid of going to supportgroups when it’s really just abunch of people who are justlike you.”
Ettinger didn’t like the firstsupport group she joined. Shelooked around and foundanother that was really help-ful. She said it matched herpersonality.
“It’s not very scary once youget here, but sometimes takingthat first step is really diffi-cult,” she said.
Support groupwelcomestears andlaughter
Cancer Support Groups■ Wings of Hope, 427 E.
Kanesville Blvd., (712) 325-8970
Young Women’s BreastCancer Support Group, meetson the first Tuesday of eachmonth from 6 to 7:30 p.m.
Hope for Tomorrow, meetson the third Monday of eachmonth from 6 to 7:30 p.m.
■The Center, 714 S. MainSt., (712) 323-5995
Women meet on the sec-ond and fourth Monday from7 to 8:30 p.m.
Men meet on the fourthTuesday from 7 to 8:30 p.m.
Reduce yourcancer risksOftentimes, individuals
diagnosed with some formof cancer ask themselvesand their physicians,“Could I have done some-thing to prevent this?”
Women who are con-cerned about breast canceralso may wonder if theycan prevent this poten-tially deadly disease, won-dering if there is a pill, avitamin or another methodto keeping the cancer atbay. Unfortunately, there isno guaranteed way to pre-vent breast cancer. How-ever, there are many dif-ferent steps to take thatmay help reduce the riskfor cancer or increase theodds that if breast canceris present, it can be foundat a more treatable stage.
■ Alcohol consumption:Avoiding or limiting alco-hol consumption can loweryour risk for breast cancer.Drinking alcohol has beentraced to higher estrogenlevels in the body.
■ Obesity: Being over-
weight can also increaserisk of developing breastcancer.
■ Inactivity: Failure toexercise can increase yourrisk. That’s because regu-lar exercise and a healthydiet contribute to thebody’s defense system,ensuring it is more capableof fending off disease.
■ Tobacco products: Useof cigarettes, cigars orchewing tobacco increasesyour risk for many differ-ent cancers.
■ Infrequent doctor vis-its: Routine physicalcheck-ups by a generaldoctor or one who special-izes in women’s health canmake the differencebetween an early breastcancer diagnosis, for whichtreatment is highly suc-cessful, or late-stage diag-nosis, which is not as eas-ily treated. Those who donot go for screenings putthemselves at an elevatedrisk.
– Metro Creative Connection
What to expect after a mastectomy
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427 E. Kanesville Blvd., Suite 202Council Bluffs, IA 51503
October18th,
2012
WOMENHELPINGWOMEN:
AnnualBreast
Cancer Awareness
&RecognitionCelebration
St. Peter’sSocial Hall6:30–8:30 pm
Soup &SaladBuffet
SPEAKER:Lisa Fidone,JE PhysicalTherapist
will speakon “You've
Got to Moveto Improve”
PLUS:Entertainment
by The LotusDancers!
Free willdonation
Reservations
required:
Call325-8970
by
Oct. 15
YoungWomen’s
BreastCancerSupportGroup
Co-Sponsoredby
Wings of HopeCancer Support
Center,Alegent MercyCancer Center
andJennie
EdmundsonBreast Health
Center
Meets the1st Tuesday
of eachmonth atWings of
Hope
6:00-7:30PM
Hope ForTomorrowSupportGroup
Meets the3rd Monday
of eachmonth atWings of
Hope
7:00–8:30PM
HealthyMoves
Women’sCancer Survivor
MovementClasses
Meets the2nd & 4th
Mondays ofeach monthat the Senior
Center
6:30–8:00PM
Call 325-8970for more
information.
712-325-8970w w w . w i n g s o f h o p e . o r g
Medicare and Medicaid Certified
Appropriate, High-Quality Care
Services for All Ages
Skilled Professional Nursing Staff
Physical & Occupational Therapy
Stepp 11 Use a mirror to inspect your
breasts in different positions
Stepp 22 Look for any changes in contour,swelling, dimpling of skin, or appearance ofthe nipple. It is normal if your right and leftbreasts do not match exactly.
Stepp 33 Use the pads of your fingers topress firmly on your breast, checking theentire breast and armpit area. Move aroundyour breast in a circular, up-and-down, orwedge pattern.
Stepp 4 There are three patterns you canuse to examine your breast. Use the patternthat is easiest for you:
� the circular � the up-and-down� the wedge patterns
Stepp 55 Gently squeeze the nipple of eachbreast and report any discharge to yourdoctor immediately.
Stepp 66 Examine both breasts lying down.To examine the right breast, place a pillowunder your right shoulder and place yourright hand behind your head. Use the padsof your finger to press firmly, checking theentire breast and armpit area. Use the samepattern you used while standing. Repeat foryour left breast.
Breastt Selff Examination
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Celebrity may bring a person riches and fame, but it cannot pro-tect against cancer. There are many famous women who haveexperienced breast cancer and beat the disease. Here's a look atsome of them.
SUZANNE SOMERS. The famous infomercial guru and formerstar of Three's Company battled breast cancer, facing controversywhen she opted for holistic treatment over standard treatment.
OLIVIA NEWTON JOHN. The Australian singer and star ofthe wildly popular movie, Grease, was diagnosed in 1992.
Newton John had a mastectomy and breast reconstruction.KATE JACKSON & JACLYN SMITH. These two Charlie's Angels
both survived breast cancer diagnosed in 1987 & 2003, respectively.RUE MCCLANAHAN. The late star of Golden Girls found a
lump in 1997, for which she was treated successfully.LINDA ELLERBEE. Journalist and host of Nickelodeon’s Nick
News, and 1991 survivor, Ellerbee had a bilateral mastectomy.LYNN REDGRAVE. The late Ms. Redgrave hailed from a fami-
ly of actors. She was also a breast cancer survivor.ANASTACIA. The pop singer was diagnosed in 2003 and now
does her part for raising awareness.CHRISTINA APPLEGATE. The child and adult star underwent
surgery to have both her breasts removed in an operation known as a prophylactic dou-ble mastectomy after experiencing cancer and discovering she carries the gene for it. She'slearned from the experiences of her mother, a double breast-cancer survivor.
MELISSA ETHERIDGE. The singer is doing quite well after a2004 diagnosis. She is well known for singing bald at a JanisJoplin tribute concert while undergoing treatment.
EDIE FALCO. The actress who famously portrayed CarmelaSoprano on HBO's The Sopranos, discovered the cancer in 2003and secretly battled it.
SHERYL CROW. The singer caught her breast cancer early in2006 with a routine mammogram.
CYNTHIA NIXON. The Sex and theCity star was diagnosed in 2006 and first
kept the news a secret for fear of being hounded by the paparazzi.KYLIE MINOGUE. The Australian singer almost missed the
diagnosis until her intuition told her to be tested again. A partialmastectomy, chemotherapy, and radiation followed.
ROBIN ROBERTS. The news anchor discovered a lump in2007 after a self-examination.
FAMOUS BREASTCANCER SURVIVORS
FAMOUS BREASTCANCER SURVIVORS
Charlie's Angels, 1977:Jaclyn Smith, Cheryl
Ladd, and Kate Jackson.
Suzanne Somers, 2005.
Sheryl Crow, 2006.
Robin Roberts, 2010.
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