think pink
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See our October events inside on pages G6 andG7
See our October events inside on pages G6 and G7
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Sunday, September 29, 20131G FOcus On WOmEn’s HEaLtH
Photos by Lori Wolfe/The Herald-Dispatch
Breast cancer survivor Tammy Murdock of Ona, W.Va.
Women credit earlydetection for success
InsIDE tHIs sEctIOnFOLLOWING HER FEELINGSBreast cancer survivor acts on intuition, encouragesothers to be informed, advocate for selves / 1H
BREASTCANCEREVENTSCheck out our specialtwo-page spreadfeaturing a calendarof upcoming breastcancer-related eventsin the Tri-State area /Pages 4G-5G
Michelle Robertson and Tammy Mur-dockwere bothmodel patients. Bothwenttoregulardoctor’sappointmentsand completed all the recommendedscreenings. They’re both also survi-
vorsofbreast cancer foundduring routinemam-mograms suggested by their physicians.
“I found out at my first mammogram, and Ionly went because that’s what the doctor saysto do. That’swhat you always hear: ‘When youturn40, it’s timetostarthavingmammograms,’”said Michelle Robertson of Fort Gay. She wasdiagnosed July 8, at age 40, at Cabell Hunting-ton Hospital’s Breast Health Center. “I was ata routine visit, and my doctor said, candidly, itwas time to start mammograms, so I told himto getme scheduled.”
Murdock had a similar experience.“I hadno lumps andno family history; itwas
just a mammogram as the result of my yearlycheck-up,” said Murdock, 47, of Ona. She wasdiagnosed inMayat St.Mary’sMedicalCenter.“When they toldme, I could’ve really fallen offof the table. I was just in shock.”
Two breast cancer survivors share their stories
Breast cancer survivor Michelle Robertson ofFort Gay, W.Va.Please see SURVIVORS/2G
stORY By BEtH HEnDRIcKs / the [email protected]
Establish with a Primary CareProvider today!
Providing healthcare for you and your
family is a privilege to us. It’s not only
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it’s about spending time with family,
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At Holzer, we want to make sure you
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Michael Black, MDFamily Pracitice
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Robertson described her feelingsafter hearing her diagnosis as “a bundleof nerves.”
“I just put it all in God’s hands and lethim take care of me,” Robertson said.
In short order, both women under-went lumpectomies with radiation fortheir stage I breast cancers. Both werecaught early, thanks in part to routinetests and examinations.
“When they did my regular mam-mogram, they called three days laterbecause they wanted an extra compres-sion. Because I’d never had one, theydidn’t know what was normal for me.They didn’t have anything to compareit to,” said Robertson, who completedher surgery Aug. 15 and began radiationin mid-September.
“When I left the appointment afterthey told me I had breast cancer, Icalled my sister, who is four yearsolder than me, and asked her if she’dhad a mammogram yet and she saidno,” Robertson continued. “I told her,‘Sister, I need you to go. I have breastcancer.’”
Murdock had surgery June 11 and wasfinished with her radiation by June 21.She credited new 3D mammographytechnology at St. Mary’s with savingher life.
“My doctor said a regular mammo-gram might not have picked mine up
and I’d seen an ad on TV one day forthe 3D mammogram, and I thought,‘The insurance is paying for it, why notget the best?’” Murdock said.
Robertson got through with the sup-port of her husband, Herbert, the restof her family and her faith.
“What got me through was God andmy family, looking at my little grand-baby and knowing I can’t leave her,”Robertson said.
Murdock said her family, includinghusband, Paul, and sister and brother-in-law Rita and Dan Shriver, helped herthrough, as did the care and concernof co-workers. Even a conversationwith a neighbor raised her spirits andreminded her she’d made the right deci-sion to seek regular medical care.
“My neighbor and I got to talk oneday and I discovered she’d had stagethree cancer 16 years ago. She wasliving proof to me that even at a laterstage, fear is not a reason not to go,”Murdock said. “You always hear thatearly detection is key and you put itoff as a cliché, but it is so true. My firstappointment, from start to finish tookabout 30 minutes. We’re all busy, butthat was a half-hour out of one day.Anyone can make time for that.”
For Robertson, who admitted shebecame somewhat of a recluse in theweeks following her diagnosis, hasfound her silver lining.
“It’s very empowering to be able tosay to you, ‘I survived cancer. I am acancer survivor,’” she offered.
Survivorsn Continued from 2G
“I was at a routinevisit, and my doctorsaid, candidly, itwas time to startmammograms, so Itold him to get mescheduled. … I justput it all in God’shands and let himtake care of me.”MichelleRobertsoncancer survivor
“What gotme through
was God andmy family,looking at
my littlegrandbaby
and knowingI can’t leave
her.”Tammy
Murdockcancer survivor
Photos by Lori Wolfe/The Herald-Dispatch
ManyknowOctober isNationalBreastCancerAwarenessMonth, so it is timely totake this opportunity to specificallydiscussthe role that physical therapycanplay afteroncological breast surgery.
In aneffort tobring a surgeon’s perspec-tive andknowledgeofbreast cancer surgery,I interviewedDr.RobertGabordi, graduateoftheMarshallUniversitySchool ofMedicine(andHuntingtonHighSchool) andcurrently abreast surgical oncology fellowat theUniver-sityofTexas - SouthwesternMedicalCenter(UT-Southwestern) inDallas.
According toGabordi, the typeofbreastsurgeryperformedvariesdependingon thesurgeon’s recommendations, stageofdisease(i.e. size andwhetherornot there is lymphnode involvement) andpatientpreference.Breast cancer treatmenthasbecomeamulti-disciplinary approach, utilizing several breastcancer specialistsworking together for a cure.
With improvements in surgical techniques,imagingand screeningguidelines to allowfor earlydetection, breast cancer surgeryhas evolved into amuch less invasiveproce-dure, as is truewithmanyother surgeries.Gabordi stressed the importanceof yearlymammogramsandbreast self-exams for earlydetection.Although there aremodificationsof each, lumpectomyandmastectomyare thetwoprimarymethodsof surgical treatmentforbreast cancer.
In theeventwomenundergo lumpectomy(orpartialmastectomy),meaning the surgeondoesnot take all of thebreast tissue, radiationis an important adjunct to this procedure.Amastectomy involves taking all thebreasttissue and theoverlying skin.Bothmay leadto someelementofdecreasedmobilityof theskin and soft tissue, particularly in theearlypost-operativeperiod.Often this is self-lim-ited and resolves.
First, let’s lookat thepotentialmusculosk-eletal issues associatedwith thepartialmas-tectomy.Because this procedurewill requireradiation following surgery, there tends tobetightnessof themuscles and skin around thearea.Radiation is important todecrease can-cer local recurrence rates, however the skinloses someof its elasticity following radiationtreatment and thismaydecrease rangeofmotion in that armor shoulder. Physical thera-pists combat radiationeffectswith anexerciseprogramandmanual stretching techniques.
“Iwould recommendphysical therapy tothosepatients if theyexperiencedecreasedrangeofmotion, and theyareusually able toregain functionover time,”Gabordi said.
Patientswhoundergomastectomycanalsoexperience somedegreeof tightness inthe shoulderbut fordifferent reasons. It isimportant tonote, regardlessofmastectomyorpartialmastectomy, lymphnodes areoften removedat the timeof surgery aswell.Whetherornot the lymphnodes contain can-cerprovidesvaluable information regardingtheextentof disease, prognosis andwhetheradditional therapy is requiredafter surgery.
Lymphnodes are an important componentof our immunesystemandact as adrainagesystemfor infection Occasionally, patientsmaydeveloparmswelling after lymphnoderemoval, called lymphedema.Dependingon theamount lymphnode tissue removed,patientsmayexperiencevaryingdegreesofpain, breast or armswelling, ordecreasedrangemotionafter surgery. Physical therapyor lymphedemaclinics are availableoptions tohelpminimize lymphedema.
Physical therapists are routinely involvedin thepost-operative care atUTSouthwest-ern.Aphysical therapistwill explain andencourage stretchingexercises that canbeperformedathome.Gabordi explains thatmostpatientsdonot require formalphysicaltherapybecause they instruct their patientstobegin this exercise regimensoonafter theyleave thehospital.
If youhavehadbreast surgery andareexperiencing limitationswithmotionof theshoulderor arm, it is important toknowthatthere areoptions.Most of theseproblemscanbe treated successfully andallowwomento return tonormal life andnormal activi-ties.Aconditioningexerciseprogramthat isapprovedbyyour surgeoncan improvequal-ityof life andhasten return tonormal activity.
Letmeencouragewomenwhoare sufferingfrom limited rangeofmotion to talk to theirdoctoror aknowledgeablephysical therapist.I hope thiswaseducational and if there arequestionsplease feel free to contactmeatHuntingtonPhysicalTherapy (304) 525-4445or email [email protected].
John Oxley is a Doctor of Physical Therapywith HPT Physical Therapy Specialists.
Therapy can ease joint problemslinked to breast cancer surgery
JohnOXLEY
THINK PINKSunday, September 29, 20132G FOcus On WOmEn’s HEaLtH
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THINK PINKSunday, September 29, 20134G Focus on Women’s HealtH
october eventsn Free manicures, pedicure and
mini-massages to women hav-ing mammograms at Our Lady ofBellefonte’s Women’s Center. Call606-836-PINK for available dates.
n Mobile mammographyappointments, Our Lady of Belle-fonte Hospital. For a schedule ofdates and times, visit www.olbh.com. Appointments can be madeby calling 606-836-PINK.
n Catering for a Cure, Qdoba,Huntington Mall, 10 percent ofall catering orders will benefit theWest Virginia Breast and CervicalCancer Diagnostic and TreatmentFund.
Oct. 1-7n Queso for a Cure, Qdoba,
Huntington Mall, $1 from everyorder of chips and queso donatedto the West Virginia Breast andCervical Cancer Diagnostic andTreatment Fund.
Oct. 1, 15 and 29n Free clinical breast exams,
Our Lady of Bellefonte Women’sCenter, 1000 Ashland Drive,Russell Ky. Free mammogramsavailable any day for uninsured orunderinsured Kentucky women 40and older. Mammograms spon-sored by Susan G. Komen BreastCancer Foundation. Call 606-836-PINK for appointments.
n Wreath hanging, 11 a.m.,Mason County Courthouse, PointPleasant, W.Va.
n Breast education event, 6p.m., Bruin Baptist Church. How toperform a self breast exam, spon-sored by King’s Daughters Medi-cal Center.
Friday, Oct. 4n Fifth Annual Breast Cancer
Basics and Beyond Conference(for health care providers), 7:30a.m. to 3:15 p.m., Marshall Uni-versity Medical Center, HarlessAuditorium, 1340 Hal Greer Blvd.,Huntington. Cost of $25 includeshandouts, refreshments and lunch.Call 304-526-2271.
n Wreath hanging, 10:30 a.m.,Branchland Public Library, Hamlin,W.Va.
Saturday, Oct. 5n Think Pink Zumbathon Event,
11 a.m. to 1 p.m., Macy’s Stage
at the Huntington Mall. For detailsplease contact the mall office at304-733-0492 ext. 109. To registerfor the Zumbathon stop by themall customer service center for aregistration form, show up the dayof the event, or visit the HuntingtonMall’s Facebook page where a linkhas been provided to sign up.
n Think Pink Fashion Show, 1p.m., Huntington Mall. For detailsplease contact the mall office at304-733-0492 ext. 109.
n Breast Cancer AwarenessHealth Fair, 9 a.m. to 1 p.m.,Holzer Center for Cancer Care,170 Jackson Pike, Gallipolis. Freehealth screenings, “Ask the Nurse”booth, information displays.Refreshments and door prizes.Call 740-446-5351 for more infor-mation.
n Walk for Women, noon, Righ-teous Brew, Williamson, W.Va.Registration begins at 11:30a.m. No entry fee; $20 donationreceives a walk T-shirt. Donationsbenefit the West Virginia Breastand Cervical Cancer Diagnosticand Treatment Fund.
Sunday, Oct. 6n Brunch at Tiffany’s, 12:30
to 2:30 p.m., Marshall UniversityMedical Center, atrium, 1340Hal Greer Blvd., Huntington.Presented by the West VirginiaAffiliate of Susan G. Komen forthe Cure and the Cabell Hun-tington Hospital Breast HealthCenter. Free breast educationalevents focused on the risks ofbreast cancer for uninsured andunderinsured women. Free lunchprovided. Door prizes includinga $500 pearl necklace set, give-aways, breast cancer screeningscheduling, mammogram sched-uling assistance and risk factoreducation. RSVP by calling 304-526-2440. Seating is limited.
n Walk for Women, 2 p.m., Lin-coln Primary Care Center, Hamlin,W.Va. Registration begins at 1p.m. No entry fee; $20 donationreceives a walk T-shirt. Donationsbenefit the West Virginia Breastand Cervical Cancer Diagnosticand Treatment Fund.
Monday, Oct. 7n Breast education for students,
2 p.m., Russell High School.Sponsored by King’s DaughtersMedical Center.
Tuesday, Oct. 8n Ladies in Pink Luncheon,
noon, Guyan Golf and CountryClub. Featured speakers RobinRowe, Crystal Welch and RonnaWoods. Shopping in the parlorbeginning at 11 a.m. Tickets are$35. RSVP to 304-526-1349. Allproceeds benefit St. Mary’s PinkRibbon Fund.
Thursday, Oct. 10n Breast Cancer Support
Group, 6 p.m., St. Mary’s RegionalHeart Institute, Room 204, 29001st Avenue, Huntington.
Friday, Oct. 11n Free Breast Cancer Screen-
ing, 8 a.m. to noon, St. Mary’sBreast Center. Free breast examwith coupon for discounted mam-mogram. Call 304-526-1492 toregister.
Saturday, Oct. 12n Biketoberfest, noon to 8 p.m.,
Charlie’s Harley Davidson, 4084th St., Huntington. Bands from1 to 4 p.m. and 5 to 8 p.m. Raffleitems, breast cancer awarenessliterature, custom bike contest. Allproceeds benefit St. Mary’s PinkRibbon Fund.
Sunday, Oct. 13n Cuts for the Cure and Pamper
for Pink, 11 a.m. to 3 p.m., LeeDavid Salon, 148 W. 8th Ave.,Huntington. Services included haircut, massage, facial or expressmanicure and pedicure. Noappointment necessary. $30 dona-tion per service. Door prizes anddrawings. All proceeds benefit theSt. Mary’s Pink Ribbon Fund.
n Walk for Women, 2 p.m.,Mason County Court House, PointPleasant. Registration begins at1 p.m. No entry fee; $20 donationreceives a walk T-shirt. Donationsbenefit the West Virginia Breast
and Cervical Cancer Diagnosticand Treatment Fund.
Tuesday, Oct. 15n Total Woman Girls Night Out,
5:30 p.m., Marquee Cinemas,Pullman Square, Huntington.Movie, “Letters to Juliet,” beginsat 7 p.m. Food and a signature“mocktail.” Women’s health infor-mation. Vendor booths. Seatingis limited. Register by calling 304-526-1271.
n Breast Cancer Survivor’sDinner, 5:30 p.m., New BaptistChurch, Huntington. For moreinformation, call 304-526-2440.
Thursday, Oct. 17n Breast education and mobile
mammography, 8 p.m., Kroger,Russell, Ky. Sponsored by King’sDaughters Medical Center.
Friday, Oct. 18n Free Clinical Breast exams, 9
a.m. to 3 p.m., Edwards Compre-hensive Cancer Center, 1340 HalGreer Blvd., Huntington. Call 304-526-2440 for an appointment.
Saturday, Oct. 19n American Cancer Society’s
Making Strides Against BreastCancer walk, Ashland Central
Park. For more information or todonate or join a team, visit www.makingstridesashland.org
n King’s Daughters Day ofBeauty, noon to 2 p.m., KDMCHealth Education Center, 2201Lexington Ave., Ashland. Educa-tion for KDMC breast cancer sur-vivors. Manicures, skin care, doorprizes and free gifts. To register,call 888-377-KDMC.
n Rockin’ for TaTas benefitfor Jennifer Finch Eaves, 9 p.m.,Willie’s Lounge, 6007 Rt 60East Suit 300 River Place Plaza,Barboursville. Live music by localwoman singers, including JulieWestlake of Hydrogyn. Doorprizes and drink special. $5.S
Sunday, Oct. 20n Breast Cancer Survivor
Reunion, 2 to 4 p.m., St. Mary’sConference Center, St. Mary’sFifth Avenue Campus, 2825 5thAve., Huntington. Featured speak-ers Amy Marcum, daughter of abreast cancer survivor, and JoshWaginger, son of a breast cancersurvivor.
Monday, Oct. 21n Sisters of Hope Breast Cancer
Support Group, 5:30 p.m., EdwardsComprehensive Cancer Center,1340 Hal Greer Blvd., Huntington.Call 304-526-2443 for more details.
Tuesday, Oct. 22n Breast Cancer Support
Group, noon, Our Lady of Belle-fonte Hospital, Bellefonte Centre,1000 Ashland Drive, Russell, Ky.Call 606-833-CARE or visit www.olbh.com to register for the freesupport group
n Look Good … Feel Bettermeeting, 3 p.m., Our Lady ofBellefonte Hospital, BellefonteCentre, 1000 Ashland Drive,Russell, Ky. Class helps womencope with the appearance-relatedside effects of cancer treatmentby teaching beauty tips. To regis-ter, call 606-833-CARE.
Saturday, Oct. 26n Colors of Cancer 5K run/
walk, 9 a.m., Ritter Park, Hun-tington. Opportunity to show sup-port for loved ones by wearingribbons in colors that representparticular kinds of cancer. Eventhelps build awareness, offerencouragement and raise fundsto beat cancer. Participants areinvited to wear any and all of thecolors of cancer to the event tosymbolize unity and celebratesurvivors. A memorial balloonrelease will take place at theconclusion. Registration beginsat 7:30 a.m. Call 304-399-6742 toregister or visit www.tristateracer.com.
THINK PINK Sunday, September 29, 2013 5GFocus on Women’s HealtH
In the UnIted StateSn There are over 2.9 million breast
cancer survivors in the United States.n A woman has a little less than
1 in 8 chance of developing invasivebreast cancer in her lifetime.
n Breast cancer is the secondmost commonly diagnosed cancer inwomen. Skin cancer is the most com-mon.
n The American Cancer Societyestimates that 232,340 new cases ofinvasive breast cancer will be diag-nosed in women.
n A woman’s chance of dying frombreast cancer is 1 in 36.
n Breast cancer is the second lead-ing cause of cancer related deaths inwomen, trailing only lung cancer.
n Approximately 39,620 women willdie from breast cancer.
n Breast cancer mortality rates aredeclining. This decline is probably dueto early detection through screening,increased awareness, and improvedtreatment.
In WeSt VIrgInIan Approximately 1,324 women will
be diagnosed with breast cancer in2013.
n Approximately 282 West Virginiawomen will die of breast cancer thisyear.
n Breast cancer continues to be aleading cause of cancer-related deathsamong West Virginia women.
rISk FactorS
n Gender — being a woman is themain risk factor.
n Age— risk increases with age.n Family history of breast cancer.n Personal history of breast can-
cer.n Menstruation at an early age —
before age 12.n Menopause at a late age — after
age 50.n Childbirth— having no children or
first child after age 30.Sources: American Cancer Society,
www.cancer.org; WV Bureau for PublicHealth — WV Cancer Registry, http://www.dhhr.wv.gov/oeps/cancer/Docu-ments/Cancer_Incidence_in_WV_2009.pdf*For additional information about
risk factors for breast cancer go towww.cancer.gov/cancertopics/wyntk/breast/page4 or www.cancer.org/Cancer/BreastCancer/DetailedGuide/breast-cancer-risk-factors
Facts about breast cancer
Sholten Singer/The Herald-Dispatch
Total Woman Girls Night Out is planned for 5:30 p.m. Tuesday, Oct. 15, at Marquee Cinemas in Pullman Square. The movie is “Letters to Juliet” and begins at 7 p.m.
File photo/The Herald-Dispatch
Beverly Burgess of Lavalette gets her hair cut by stylist Alex Smith,also of Lavalette, as part of “Cuts for the Cure” on Saturday, Oct. 8,2011, at Lee David Salon in Huntington. Cuts for the Cure and Pamperfor Pink will be from 11 a.m. to 3 p.m. at Lee David Salon, 148 W. 8thAve., Huntington on Oct. 13
Don’t let cancer beat you.
fightcancerThe true power of the group.
When it’s breast cancer, you need care.
October of every year is the time when we renew our focus on the issues that surroundwomen and breast cancer. Unfortunately, breast cancer and every other form of cancerdoesn’t follow a calendar. At HIMG, we are focused on the diagnosis, treatment anddefeat of the disease every day of the year.
When it comes to cancer care for women, we provide you with a truly comprehensiveexperience within the HIMG Regional Medical Center. Our Women’s Services team isdevoted to the issues surrounding women’s health in a private, comfortable setting. Theteam has complete and immediate access to the specialists throughout the facility.
The Women’s Services team, along with other primary care providers, have immediateaccess to the Oncology team for their expertise, compassion and treatment should theneed arise.
Rebecca Conaway, CFNPWomen’s Services
Tevin Gillette, OT/RLWomen’s Services
Dr. Erica BarringerWomen’s Services
Dr. Damian SilberminsHematology / Oncology
Denise Russell, NPHematology / Oncology
Dr. Gerrit KimmeyHematology / Oncology
Anna Gibson, NPHematology / Oncology
Dr. Matias ValsecchiHematology / Oncology
Dr. Arvinder BirHematology / Oncology
Dr. James Morgan, IIIGeneral Surgery
Dr. Ben MoosaviPlastic & Reconstructive Surgery
Dr. Tim RobartsGeneral Surgery
Dr. Tucker JenningsGeneral Surgery
Janis Rule, NPHematology / Oncology
The Oncology department is focused on the delivery of effective and advanced care ofcancer and it’s side effects. Together with the surgical team, and the recent additionof Plastic & Reconstructive Surgery, the Oncology team strives to provide patients andfamilies with the best care they can receive anywhere, not just in Huntington.
At HIMG, we understand that when it’s cancer, you need care. We deliver on that.
At HIMG, we do. ���� ���� ����� �� ���� � �������������������� � ����� ��������
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Courtesy of Green Shoot MediaDo you know eight women?
According to the most recent medi-cal statistics, one of them will getbreast cancer at some point duringher life.A more alarming statistic may be
that one out of 36 women will die ofbreast cancer. “You have cancer”can be a staggering statement toreceive from your doctor, so it isimportant to have at least a com-mon knowledge of the disease andits potential impacts, even if youare completely healthy.Arming yourself with information
on recent studies, survival storiesand basic statistics can help youbetter understand breast cancer.
The basicsThe American Cancer Society
defines breast cancer as a malig-nant tumor that starts in the cellsof the breast and can grow intosurrounding tissues or spread todistant areas of the body.Most breast cancers begin in the
cells lining the breast ducts, whileothers start in the cells that linethe milk-producing glands or othertissues.If cancer cells spread into lymph
nodes—small collections of immunesystemcells -— there is
a higher chance
that the cells could have also spreadinto other sites in the body, accordingto breastcancer.org.
The signsAlthough sometimes completely
normal and non-cancerous, breastlumps deserve evaluation by amedical professional to rule out theoccurrence of cancer.Experts advise women to be
familiar with their normal breastconsistency, because detecting achange early in the process canmake a big difference in effectivelytreating the disease.Other signs of breast cancer can
include breast pain, thickening ofthe breast skin, nipple dischargeor change in breast shape or size,according to the National CancerInstitute.
The sTaTisTicsBreast cancer is the second-
most common cancer amongwomen in the United States nextto skin cancer and is the second-leading cause of cancer death inwomen after lung cancer.The American Cancer Society
estimates that in 2013:n More than 232,000 new
cases of invasive breast cancerwill be diagnosed in the United
States.n There willbe more than39,000breastcancerdeaths.
What is Breast CanCer?
Ladies in Pink LuncheonGuyan Golf & Country Club11 a.m. – Shopping in the parlorNoon-1 p.m. – LuncheonSpeakers: Robin Rowe and BreastCancer Survivors Crystal Welchand Ronna Woods
Tickets: $35 • RSVP to (304) 526-1349All proceeds benefit St. Mary’s PinkRibbon Fund
Breast Cancer Support Group6 p.m. • St. Mary’s Regional HeartInstitute • Room 204
Free Breast Cancer Screening8 a.m.-noonSt. Mary’s Breast CenterFree breast exam with couponfor discounted mammogramCall (304) 526-1492 to register
BiketoberfestCharlie’s Harley Davidson408 4th St., HuntingtonNoon-8 p.m.Bands: 1-4 p.m. and 5-8 p.m.Raffle itemsBreast cancer awareness literatureCustom bike contestAll proceeds go to St. Mary’s PinkRibbon Fund
October isBreast CancerAwarenessMonth
Tuesday, Oct. 8
Thursday, Oct. 10
Friday, Oct. 11
Saturday, Oct. 12
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Sunday, September 29, 20136G FoCus on Women’s health
Accordingto the mostrecent medicalstatistics, oneof every eightwomen will getbreast cancerat some pointduring her life,so it is essentialfor women tobe aware of thesigns of breastcancer and takeproactive stepsfor early detec-tion of breastcancer.
Courtesy of GreenShoot Media
Finding breast cancer early is important.Women who find breast cancer early havemore choices for treatment and a greaterchance of being treated successfully.
HOW CAN I FIND BREAST CANCEREARLY?
There are three things you cando to find breast cancer early:
n Conduct a monthlybreast self-exam,
n Have a doctor ornurse check your breastsevery year, and
n Get a mammogram.
WHAT IS A MAMMO-GRAM?
A mammogram is anx-ray picture of the breast. Itis used to find small cancers asearly as two years before you oryour health care provider can feelthem.
WHEN SHOULD I HAVE A MAM-MOGRAM?
n Women age 50 and older shouldhave a mammogram at least every twoyears.
n If you are 40 to 49 years old, youshould talk to your doctor or nurseabout when you should start havingmammograms and how often.
WHERE SHOULD I GO FOR A MAM-MOGRAM?
Ask your nurse or doctor about whereto go for a mammogram. All mammog-raphy facilities must be certified by theFood and Drug Administration. For moreinformation about where to get a mam-mogram and how to get a free or low-cost
mammogram, call the West Virginia Breastand Cervical Cancer Screening Programat 1-800-642-8522.
HOW WILL I PAY FOR A MAMMO-GRAM?
Most health insurers in WestVirginia cover mammogra-
phy. If you have healthinsurance, check to
see if it will cover thecost of a mammo-gram. Note: If youhave insurance andhave not met yourdeductible, the costof a mammogrammay not be covered.
Medicare will pay fora mammogram every
year.If you do not have insur-
ance or if your insurance doesnot cover a mammogram, youcan get help to pay for a mam-mogram. For more information:
n Call your local healthdepartment or clinic and ask
about the West Virginia Breastand Cervical Cancer Screening
Program. This program offersfree and low-cost Pap tests,pelvic exams, clinical breast
exams, and mammograms towomen who qualify.
n Call the West Virginia Breast andCervical Cancer Screening Programdirectly at 1-800-642-8522 to find outabout free or low-cost mammographyprograms in your area.
n Go to www.wvdhhr.org/bccsp toget program information and a list ofWVBCCSP providers.
FINDING BREAST CANCER
Sunday, September 29, 2013 7GFOCUS ON WOMEN’S HEALTH
Cuts for the Cure and Pamper for Pink11 a.m.-3 p.m.Lee David Salon148 W. 8th Ave., Huntington$30 donation per serviceServices: haircut, massage, facialor express manicure and pedicureNo appointment necessaryAll proceeds from the event go toSt. Mary’s Pink Ribbon FundDoor prizes and drawingswww.leedavidsalon.com
TotalWomanGirls Night OutMarquee Cinemas, Pullman Square,Huntington5:30 p.m. – Event opens7 p.m. –Movie starts (“Letters to Juliet”)Food and a signature “mocktail”Women’s health informationVendor boothsSeating is limited.RSVP to (304) 526-1271
Breast Cancer Survivor Reunion2-4 p.m. • St. Mary’s Conference CenterSt. Mary’s Fifth Avenue Campus2825 Fifth Ave., HuntingtonFeatured speakers: Amy Marcum,daughter of a breast cancer survivor,and Josh Waginger, son of a breastcancer survivor
Sunday, Oct. 13
Tuesday, Oct. 15
Sunday, Oct. 20
October isBreast Cancer
AwarenessMonth
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BREAST CANCER AWARENESS MONTHCourtesy of Green Shoot Media
Organizations, individuals and business alike have come together every Octo-ber to make the month as pink as can be.
The color has become the heroic hue catalyzing the worldwide effort to raisefunds, awareness and support for battling breast cancer and its debilitatingeffects.
Twenty-five years and running, National Breast Cancer Awareness Month(NBCAM) is an effort that has accomplished much but still has aggressive objec-tives in the fight against cancer.
COLLABORATIVE EFFORTNBCAM is a multi-faceted partnership between national public service orga-
nizations, medical associations and government agencies working toward acommon objective: to promote breast cancer awareness, share disease-relatedinformation and provide greater access to services.
Founded in 1985, the initiative has also aimed to promote mammography asthe most effective weapon in fight against breast cancer.
Check NBCAM.org for a list of participating organizations and also to find alow-cost screening location near you.
PLAN YOUR OWN EVENTDo you have an idea for a local event that could help raise breast cancer
awareness? You may find that planning it for October may garner large-scalesupport, as the national spotlight is centered on the disease.
Just be sure to properly plan, promote and execute the event for the greatestpossible impact.
Local newspapers, radio and television news crews are likely suitors to providepositive coverage for your event. Utilize tools like Facebook and Twitter to gainnational and international attention.
Websites like the U.S. Department of Health and Human Services’ www.healthfinder.gov are continuously looking for events to highlight and share withthe public.
FOR MENMore than 2,200 men will be diagnosed with breast cancer this year and 410
will die, according to estimations made by the American Cancer Society.That’s why the third week of Breast Cancer Awareness Month is being devoted
to generate attention to the rare but dangerous disease.Events, walks and public announcementefforts have helped raise awareness tomale breast cancer, helping many men
in identifying potential symptomsand following up with their doc-tors.
There are three things you can
is used to find small cancers as early as two years before you or your health care provider can feel
WHEN SHOULD I HAVE A MAM-
Women age 50 and older should have a mammogram at least every two
If you are 40 to 49 years old, you should talk to your doctor or nurse about when you should start having mammograms and how often.
Virginia cover mammogra-phy. If you have health
insurance, check to
a mammogram every year.If you do not have insur-
ance or if your insurance does not cover a mammogram, you can get help to pay for a mam-mogram. For more information:
n Call your local health department or clinic and ask
about the West Virginia Breast and Cervical Cancer Screening
Program. This program offers free and low-cost Pap tests, pelvic exams, clinical breast
exams, and mammograms to
Courtesy of Green Shoot Media
October is National Breast Cancer Awareness Month, and throughout its 31 days avariety of groups and agencies come together to raise awareness of the disease.
Adel A.Faltaous, MD
Farid B. Mozaffari, MD
A.ous, MD
The Area’s MostComprehensive Plastic
and ReconstructiveSurgery Team
Cosmetic FacialSurgery/Aesthetics• Rhinoplasty• Face Lift• Eyelid and Brow Lift• Otoplasty• Fat Transfer
Body Contouring• Liposuction• Tummy Tuck• Lift After Weight Loss
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Hand Surgery• Carpal and Ulnar
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Surgical Procedures Most Often Performed:
Get whatyou want.Permanent solutionsfor a more beautiful you.We offer the latest cosmetic procedures,safely performed by a Board-certifiedplastic surgeon in the privacy andcomfort of our own medical office.
“After learning I had breast cancer, I weighed my risks and consultedwith my doctors, I opted for breast reconstruction. The reconstructionhas allowed me to feel normal when I dress or look in a mirror. Thisfeeling encourages me to recommend breast reconstruction to anywoman. Thank you Dr. Faltaous and staff for making me look my verybest to achieve the “new me”.
– Crystal Welch, Huntington,WV
“When I was told I had breast cancer I was so frightened. I couldn’t imaginehaving a masectomy, much less reconstructive surgery. However, my first visitto Dr. Mozaffari’s office changed all of that. Dr. Mozaffari’s expertise and thekindness of his staff soothed my fears and set my mind at ease about thereconstructive process. I would recommend his services and staff toanyone in need of reconstructive breast surgery.”
– Tina Green, Fraziers Bottom,WV
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FOLLOWING HER FEELINGSBy BETH HENDRICKSThe [email protected]
HUNTINGTON—MarielleMadden’s persistencemay have just saved her life.
Madden was 40 in early 2010 when she found alump in her left breast. The discovery prompted adoctor’s appointment and a mammogram, whichfailed to detect the mass.
“The doctor could feel it, but it didn’t show up onthe mammogram,” Madden said. “He said we couldfollow it for six months or he could send me to thebreast center at St. Mary’s. I didn’t want to wait, so Imade the decision to go.”
Tests at the breast center were inconclusive aswell.
“It didn’t show up for them either, and because Ididn’t have any signs or symptoms and no family his-tory, theyweren’t too concerned,”Madden explained.“But, I was. I knew.”
Doctors decided on a surgicalbiopsy six weeks out for Madden,and, finally, delivered the news sheexpected to hear.
“When I went back the nextweek, he said, ‘Well, you havebreast cancer,’ and I said, ‘I know,’”said Madden, who attended thatappointmentwith hermother. “Wetalked about all the different pos-sibilities from that point, and itwas being suggested that I have
a lumpectomy with radiation, but I wasn’t satisfiedwith that.”
Maddenpresented her idea—adoublemastectomy— to her physician.
“He askedwhy, and I told him I just felt like if therewas one in therewe could feel but wasn’t showing upon amammogram,what if there’s more? How could Iever be comfortablewith amammogrambeing nega-tive in the future when this one was negative, and itturned out to be cancer?”Madden offered.
Five words following surgery validated Madden’sdecision.
“He said to me, “You just saved your life,’” sherecalled. “The right side was clear, but there werethreemore tumors on the left side.
“It was almost surreal, but I thought, ‘OK, I reallymade a good decision.’”
Maddenunderwent her doublemastectomy inApril2010 and chose to have reconstructive surgery after-ward. She completed four rounds of chemotherapyover the next three months and lost all her hair. In ashowof solidarity, her father,RaymondPollard, shavedhis own head tomatch his daughter’s.
“We met at Shoney’s for lunch one day, and hewalked in completely bald. He was awesome. Mywhole familywas. They dealt with it extremelywell,”saidMadden,whose sonanddaughter used the experi-ence to organize a “Pink Out Day” at their school.
The outpouring of support Madden received waskey during her recovery, she said. She is a memberof the Sisters of Hope breast cancer support groupand has been actively involved with several cancersurvivors in her church. Wigs and scarves from theAmericanCancer Society, aswell as the “LookGood,Feel Better” programwere a welcome blessing.
“They have everything you can imagine. Whenyou’re going through this, all of it is verynew, but thereare somany resources and somany different supportgroups out there for you,” Madden said. “The LookGoodFeel Better programwas just fun.Wehadablast.And, you look around the room and realize everyoneelse is at some stage of cancer, and it’s just a very goodplace to be to have that support around you.”
Now in remission, Madden said she has good daysand bad days when she looks in themirror.
“Sometimes I feel like I’m the luckiest person in theworld becausewe found everythingwe did, and thenthere are days I look at myself with the scarring andthe changes inmy body and there’s kind of amomentof sadness. But, it’s not pity.”
Madden’s advice for other women: Advocate foryourself.
“Trust your instincts and go with your gut. Youhave to advocate for yourself and really know your-self,” Madden said. “If you feel like something’s notright, keep going until you feel like it is. Go until youfeel like you have your questions answered and feelcomfortable.”
Breast cancer survivor acts on intuition, encourages others to be informed, advocate for selves
THINK PINKSunday, September 29, 20131H FOcuS ON WOmEN’S HEaLtH
Courtesy of Marielle Madden
ABOVE: Breast cancer survivor Marielle Madden is pictured with her father, Raymond Pollard, followingher treatment and recovery.
BELOW: Madden is shown with her father, who shaved his hair in support of Madden when she lost herhair from chemotherapy treatment.
digital mammographyat the OLBH
Women’s Center(606) 836-PINK
olbh.comolbh.com
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“Sometimes I feel like I’m the luckiest person in the world because we found everything we did,and then there are days I look at myself with the scarring and the changes in my body and there’s
kind of a moment of sadness. But, it’s not pity.”— Marielle Madden, cancer survivor
Madden
Courtesy of Green Shoot MediaOpportunities to joinnational orga-
nizations in their fight against breastcancer can be found with the click ofamouse.
Withmailing lists, online calendarsand instant social media announce-ments, awareness-focusedgroupshop-ing tomake a big difference in cancerprevention are more accessible thanever.
Individuals, companies and non-profit institutionsplan andcoordinateinnovativestudiesandpowerfuleventsthat havehelpedmakemajorheadwayin themission to find a cure.
Walks and ridesEvents like the Making Strides
Against Breast Cancer walk or theAvonWalkrecruit thousandsofpartic-ipantswho take steps— literally— toimprove health and raise money tohelp fight breast cancerwith research,information-sharing and access tomammograms.
Many similarly spirited bike-rideevents are sprinkled throughout thecountry andallowcycling enthusiaststhe opportunity to pedal toward agreat cause.
Professional sportsPink football cleats, batting gloves
and jersey patches have made their
way into the professional sportingworld, offering a sign of solidarity infinding a cure for breast cancer.
Major League Baseball’s “Going toBat Against Breast Cancer” is heldeveryMother’sDay and features pinkbats, wristbands, necklaces and rib-bons.
The National Football League’s “ACrucial Catch” is a partnership withtheAmericanCancer Society focusedonpromoting the importanceof annu-al screenings.
Games throughout October arecomprised of players, coaches andreferees wearing pink game apparel,on-field pink ribbon stencils, specialgame balls and pink coins.
Local eventsOdds are, there are events on the
schedule for your own back yard.Reach out to local gyms, health
experts and hospitals for informationon event locations, times and waysto get involved. Local activists arealways looking for volunteers to helpwithplanning, fundraisingandon-siteexecution.
You may find that participating ina regional event instead of one withmore national backing may help youfeelmore invested inyour communityandthepeoplearoundyouwhomaybefacing breast cancer.
Myriad resources available to help join the fight against breast cancer
AND MOREUnder the Supervision ofFriday Simpson, M.D.
CALL TODAY 304-522-26402627 5TH AVENUE, HUNTINGTON, WV
INSIDE KROGER BUILDING AT TIPPY TOESOPEN MONDAY • 8AM-5PM & 6PM-8PMYou may call for an appointment, however walk-ins are welcome.
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Women who need rehabilitation afteran illness, injury or surgery count onHealthSouth Rehabilitation Hospital ofHuntington to provide specialized pro-grams created just from them. Person-alized therapy, advanced technologies,intense regimes and around-the-clockcare make HealthSouth the right choicefor power and strength in women. Thinkpink and choose a rehabilitation leader–HealthSouth Rehabilitation Hospital ofHuntington.
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THINK PINKSunday, September 29, 20132H FOCUS ON WOMEN’S HEALTH
FIGHTING THE GOOD FIGHT
Courtesy of Green Shoot Media
Opportunities to join national organizations in their fight against breast cancer can be foundwith the click of a mouse. Local, regional and national events and groups offer ways to helpraise awareness of breast cancer and funds for breast cancer-related agencies.
EARLY DETECTION CAN MAKE THE DIFFERENCE
Courtesy of Green Shoot Media
A radiology technician is pictured performing a mammogram. Mammography is a screening anddiagnostic tool that uses low-energy X-rays to examine the breast. Screening mammograms areused to check for breast cancer, as they are effective in detecting tumors that cannot be felt.
Courtesy of Green Shoot MediaThe earlier breast cancer is found, the better. Although a topic of
much debate, the American Cancer Society stillrecommends annual breast cancer screen-ings for women older than 40.
Mammography is a screening anddiagnostic tool that uses low-energyX-rays to examine the breast. Screen-ing mammograms are used to checkfor breast cancer, as they are effec-tive in detecting tumors that cannotbe felt.
Diagnostic mammograms are usedto check for breast cancer after a lumpor other symptom has been found.
MammogramsDuring a mammogram, breasts are com-
pressed between two firm surfaces in orderto spread out the tissue for the optimum X-rayimage capturing. Doctors then analyze theblack-and-white images to detect changes andcancer.
Mammograms play a vital role in early breastcancer detection, as many studies have shown.
The recent findings of the longest-runningmammogram study ever completed found thatscreenings cut breast cancer deaths by 30percent, saving more than 20,000 lives everyyear.
Further recommendationsThe American Cancer Society also recommends that some
American Cancer Society continuesto recommend annual breast cancerscreenings for women older than 40
women be screened with an MRI along withmammograms.
This population makes up less than two per-cent of all women in the United States and iscomprised of women whomay face an increased
risk for breast cancer because of family history,a genetic tendency or other related factors.
Women are urged to talk with their doctorsabout their history to help guide their individu-alized screening strategy.
A radiology technician is pictured performing a mammogram. Mammography is a screening and diagnostic tool that uses low-energy X-rays to examine the breast. Screening mammograms are used to check for breast cancer, as they are effective in detecting tumors that cannot be felt.
recommends annual breast cancer screen-
Mammography is a screening and
During a mammogram, breasts are com-pressed between two firm surfaces in order to spread out the tissue for the optimum X-ray image capturing. Doctors then analyze the black-and-white images to detect changes and
Mammograms play a vital role in early breast cancer detection, as many studies have shown.
The recent findings of the longest-running mammogram study ever completed found that screenings cut breast cancer deaths by 30 percent, saving more than 20,000 lives every women be screened with an MRI along with
mammograms.
“Dedicated toGreat Results”“ di dd2240 5th Avenue,Huntington, WV 25703(304) 525-4445(800) 225-9672Fax (304) 529-7449www.hptservices.com
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• Post Mastectomy Shoulder Rehab• Outpatient Physical Therapy• Certified Hand Specialist• Sports Medicine• McKenzie Certified Therapists WhoProvide a Unique Approach toAssessing and Treating Spine Pain• Parkinson’s Program (LSVT-Big)• Treatment of Neurological Disorders• Video Gait Analysis• Post-injury Return to SportTraining Programs• Ergonomic Evaluations• Work Hardening & Work Conditioning
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THINK PINK Sunday, September 29, 2013 3HFOCUS ON WOMEN’S HEALTH
Courtesy of Green Shoot MediaMedicare spends almost asmuchmon-
ey screening for breast cancer — $1.08billion annually — as it does treatingit — $1.36 billion, according to a studypublished in JAMA Internal Medicinein January.
One screening mammogram every 12months is fully covered for all womenages 40 and older with Medicare, thegovernment-funded health insuranceprogram.
Women can also receive covered digitalmammograms, aswell as a baselinemam-mogram between ages 35 and 39.
CoveredMedicare pays for a clinical breast
exam once every 24 months for womenat average risk of breast cancer.
Exams are also covered once every12 months for those at high risk andwomen of child-bearing age who havehad an exam that showed cancer or otherchanges in the past three years, accordingto www.medicare.gov.
Not coveredMedicare’s screening coverage infor-
mation does not presently include cov-eredMRIs along with mammograms.
Be aware also that any additional pic-tures thatmay be needed to further checkchanges in your test results may requireyou to pay your deductible and co-pay fora diagnostic mammogram.
Also, be sure to consult your physicianregarding your breast cancer risk. If it isfound that you are high risk, you may beable to find additional coverage for morefrequent exams and breast MRI.
Other coverageMedicare Part B covers external breast
prostheses, including a post-surgicalbra, after a mastectomy, according tomedicare.gov.
Also covered (Medicare Part A), aresurgically implanted breast prosthesesafter a mastectomy if the surgery takesplace in an inpatient setting, while thePart B covers the surgery in outpatientsettings.
Formore information on these changesor other Medicare-related topics, checkwith your insurance representative or vis-it medicare.gov, as the system’s require-ments and coverage change often.
Frequency of government-paidscreenings depends upon risk
Courtesy of Green Shoot Media
One screening mammogram every 12 months is fully covered for all women ages40 and older with Medicare, the government-funded health insurance program.Talk to your doctor about your risk for breast cancer to help determine other cover-age allowed under Medicare.
Courtesy of Green Shoot Media
Men can suffer from breast cancer, but it is rare. Cases of male breast cancercomprise less than one percent of all cases of breast cancer. Men at any age aresusceptible to developing breast cancer, but it is usually detected in men between60 and 70 years of age, according to the National Cancer Institute.
Courtesy of Green Shoot MediaAsometimesoverlookedaspectofbreast
cancer is the fact that men can also suf-fer from the disease. It is rare, making upless than one percent of all cases of breastcancer.
But it happens. Men at any age are sus-ceptible to developing breast cancer, but itis usually detected inmen between 60 and70 years of age, according to the NationalCancer Institute.
SymptomsLumps or thickening of the breast tissue
are signs and symptoms of male breastcancer,asarevariouschangestothebreast’sskin covering.
These changes to look out for includeredness, dimpling, puckering or scaling,accordingtotheMayoClinic.Menareurgedto consult their physicians if any of thesesymptoms arepersistent orworrisome.
Risk factorsThe American Cancer Institute defines
several risk factors that canbeattributed toamale developingbreast cancer.
Exposure to radiationorhavingadiseaselinked tohigh levelsofestrogen in thebody,such as liver disease, are two such factors.
The institute also identifies a risk factorrelated to having several female relativeswhohavehadbreast cancer.
TestingDoctors use general physical exams and
health history assessments when trying todetect anddiagnose breast cancer inmen.
Exams will include checks for lumps oranyother unusual physical features.Whenconductingapatienthealthhistory,doctorsare looking to identify health habits, pastillnesses and treatments.
Arangeofothermedical tests andstrate-gies can also be used, including clinicalbreastexams,ultrasounds,MRIsorvariousbiopsies.
Next stepsOncemale breast cancer is detected and
diagnosed, doctors rely on a bevy of treat-ments depending on the disease’s progres-sion.
According to the National Cancer Insti-tute, most cases of male breast cancer arediagnosed at a later stage compared tofemale breast cancer. The chance of recov-erydependsonmany factors, including thestage and type of the cancer, as well as thepatient’s age andgeneral health.
Men not completely immuneto the risks of breast cancer
Region A (Fayette/Greenbrier/Logan/McDowell/Mercer/Mingo/Mon-roe/Nicholas/Pocahontas/Raleigh/Summers/Webster/Wyoming)Thelma Workman307 Federal Street, Suite 220Bluefield, WV 24701Phone: 304-324-2841Fax: 304-324-2859Email: thworkman@
hsc.wvu.edu
Region B (Boone/Braxton/Cabell/Cal-houn/Clay/Gilmer/Jackson/Kanawha/Lin-coln/ Mason/Putnam/Roane/ Wayne/Wirt)Anna RenoP.O. Box 490Elizabeth, WV 26143Phone/Fax: 304-275-
0339Email: [email protected]
Region C (Brooke/Doddridge/Han-cock/Harrison/Lewis/Marion/Mar-
shall/Monongalia/Ohio/Pleasants/Ritchie/Tyler/Wetzel/Wood)Shelly DusicCancer Prevention and ControlPO Box 6886Morgantown, WV 26506
Phone: 304-293-2370Fax: 304-293-9211Email: sdusic@hsc.
wvu.edu
Region D (Barbour/Berkeley/Grant/Hamp-shire/Hardy/Jeffer-son/Mineral/Morgan/Pendleton/Preston/Randolph/Taylor/Tucker/Upshur)Ruthie Watts, RN12 Maple Hill Ave-
nue, Suite 3Petersburg, WV
26847Phone: 304-257-5419Fax: 304-257-9374Email: [email protected]
West Virginia Breast and Cervical Cancer ScreeningProgram health information specialists
We at Advantage Healthcare for Women are pleased toprovide comprehensive OB/GYN services, including:pregnancy care and delivery, 3D & 4D Ultrasounds,all birth control options including Mirena. We also
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14THINK PINKSunday, September 29, 20134H FOCUS ON WOMEN’S HEALTH
FINDING EMOTIONAL SUPPORT
Emotional support is important for a patient facing a breast cancer diagnosisas well as the family members, friends and loved ones by their side.
Courtesy of Green Shoot Media
Courtesy of Green Shoot MediaBreast cancer brings with it many
physical, emotional and practical chal-lenges that can be difficult to over-come.
This is true for patients as well astheir family members and friends bytheir side.
Sometimes having a group of sup-porters in your corner can make aworld of difference, and many organi-zations throughout the world are hereto fit that bill.
CancerCareFor nearly 70 years, CancerCare has
been offering life-changing services tocancer patients, survivors, loved ones,caregivers and the bereaved.
The organization facilitates counsel-ing and support groups, publications,workshops and financial assis-tance.
Parties interested in pursuingCancerCare’s services can restassured that all of its offeringsare provided by professionaloncology social workers freeof charge. Call 1-800-813-HOPEfor more information.
Susan G. Komenfor the Cure
This global leader of thebreast cancer movement hasinvested nearly $2 billion since itsinception in 1982.
Not only does the organization pro-vide funding for crucial research andservices, it also offers emotional sup-port to anyone who needs it.
People are urged to call 1-877-GOKOMEN for more information or freesupport from the group’s trained pro-fessionals.
Find spiritual helpMany breast cancer patients and
survivors rely on their faith in guidingthem through the relentless process oftreatment.
The power of prayer is palpable intheir journeys to find the strength and
willpower to battle throughrounds of chemotherapy, radia-tion and emotional valleys.
Many religious communi-ties host support groups, con-vey close-knit environmentsand foster a congregation oflike-minded citizens willing tooffer a helping hand to anyonein need of support.
HospiceHospice is a philosophy
of patient care that aims toimprove the quality of dying
by providing pain relief, general careand spiritual support for the ill andtheir families.
The choice of hospice can be a diffi-cult one because it correlates with oneto stop anti-cancer treatment. Breast-cancer.org urges all patients to easethe transition process by having a planin place to handle such demandingdecisions.
Having a group in your corner can make a world of difference
FindingSupportCancerCare:1-800-813-HOPE
Susan G.Komen for theCure:1-877-GOKO-MEN
The following organizations havefree educational materials aboutbreast health and/or breast cancer:
WV Breast and Cervical CancerScreening Program (1-800-642-8522)Contact your local Health Informa-
tion Specialist (Page11) or call(304) 293-2370 or
go to www.wvdhhr.org/bccsp
National CancerInstitute1-800-4-CANCER
(1-800-422-6237)www.cancer.gov
American CancerSociety1-800-ACS-2345 (1-
800-227-2345)www.cancer.org
Susan G. Komen for the Cure1-800-IM AWARE (1-800-462-
9273)
www.komen.org
National Alliance of Breast Can-cer Organization (NABCO)1-888-806-2226www.nabco.org
The West Virginia Breast and Cerv-cial Cancer ScreeningProgram offers free orlow-cost clinical breastexams, mammograms,pelvic exams, and Paptests to women whoqualify. The servicesare offered throughmost local healthdepartments and manyprimary care centers.To find a WV Breastand Cervical CancerScreening Programprovider near you, call1-800-642-8522 or visitwww.wvdhhr.org/bccsp.
Questions about this media kit? CallCancer Prevention and Control, MaryBabb Randolph Cancer Center, at(304) 293-2370.
Educational resources
By ELLYN COUVILLIONThe Advocate
BATON ROUGE, La. — People whohave worked for years with MonicaEsnault passed her in the hallway, atfirst not recognizing her new, slimmerprofile.
Others have introduced themselvesand asked how she lost weight, becausethey want to do it, too.
Esnault, 46, lost 160 pounds over thelast two years after she methodicallychanged her lifestyle.
From her highest weight of 343pounds, she now weighs close to 180pounds and is deciding where she’dlike the scale to settle.
“The promise Imade myself wasto do it in a way Icould live with therest of my life,” saidEsnault, an assis-tant director withLSU’s office of bur-sar operations.
Esnault said shes t r ugg led w i t hweight all her life,but had gotten itunder control withdiet and exercisein college and intoher mid-20s. But,at some point, shebegan to feel shewas losing the bat-tle.
She enjoyed eat-ing out with friendsand, early in hercareer, she traveledenough to throwoff an exercise rou-tine.
Over the next twodecades, she’d havesome success withdieting and exercis-ing, but it wouldn’tlast.
“It just seemed, in my mid-20s, whenI started gaining, I couldn’t get thingsback on track,” Esnault said. “It’s sadin a way. You don’t want to be over-weight. Sometimes you feel like youcan’t get control again.”
Her turning point came a few yearsago, when Esnault learned she waspre-diabetic.
“It was like a jolt,” she recalled.Esnault had seen her beloved grand-
mother, who was diabetic, have to goon dialysis at age 88, in the final yearsof her life.
Today, Esnault has turned her healtharound. She is no longer borderlinediabetic. Her doctor has also dramati-cally lowered the dosage of her bloodpressure medicine, and Esnault hopesto soon be able to get off it entirely.
Esnault’s cousin Charlesetta Ngangaof Macon, Ga., encouraged Esnault toshare her story with others.
Nganga, who has Type 2 diabetesand is trying to lose weight, said that,as Esnault has worked to lose weight,she has reached out and supportedothers on that path.
“She’s my ‘she-ro,’” Nganga said.“It can be a lonely journey at times,”
said Esnault, adding that her faithhelped her through the challengingmoments of changing her life. “I justencourage everyone (trying to loseweight) to do it in a way they can livewith.
“I want everyone to know it is notimpossible,” she added.
This is how Esnault lost weight andis keeping it off:
Menu changeNo more sodas.Esnault, who used to drink five or
six Cokes a day, went “cold turkey”and now drinks only water.
Find what you like to eatEsnault tailored her own diet, incor-
porating “only things I like becauseyou can live with that.”
On previous weight-loss programsthat focused on high-protein, low-fat or low-sugar diets, Esnault foundthat eating the same foods all thetime (foods she didn’t much like any-way) didn’t last and she regained thepounds.
Among her “likes” are low-sodium,turkey-bacon sandwiches with fat-free cheese on wheat bread; freshand canned fruit; frozen low-caloriemeals; lean beef; red beans and turkeywraps.
“I build enjoyment into my meals,”Esnault said.
Esnault avoids fried foods andsweets. She doesn’t often eat betweenmeals, but if she’s very hungry, she’llenjoy something like a handful ofcashews.
Dine in, not outCut back on eating out.Esnault, who used to go out for most
meals, now dines out just once ortwice a week. Her friends at workhave begun bringing their lunches,too — one of them sets up a card tablein an office, and they visit and enjoylunch together.
It’s OK to eatAllow for flexibility.“If it’s somebody’s birthday, I eat
cake,” Esnault said. And, if she getsa craving for her favorite candy, HotTamales, “then, it’s on,” she said.
Step it upExercise five to six days a week.Esnault began exercising a couple of
years ago by going to a local gym andwalking on the outdoor track.
The first time she went to a gym,she said, she told herself, “I’m going tocome every day and walk around onetime, if it’s all I can do.”
Before long, she was lapping thetrack several times to make a mile.
Today, Esnault works out at twodifferent gyms, using weight-train-ing machines twice a week at onegym, and doing cardio work on thetreadmill, elliptical and bike on theother days.
Her exercise plan has built up andevolved over time, she said.
Just do it anyway“I promised myself no excuses” to
miss workouts, Esnault said, no matterhow little time she had on any givenday.
“If I had only 20 minutes, if I had 15minutes, I went,” she said. “I refuse tolet circumstances limit what I can do.”
All in your mindTake one step at a time.Esnault said she, “never said in my
mind” how much weight she wantedto lose.
“I could not allow myself to thinkabout it,” she said, “even though I knewI needed to lose 150 pounds.”
That would have been over-whelming. Instead, Esnault said,she “always set 5- to 10-pound goalsfor myself.”
For example, she’d plan to lose a fewpounds before a vacation trip or by
the time an LSU football seasonkicked off.
“Then youget to enjoysuccessalongthe way,”she said.“Thatwaskey forme.”
Woman finds her own wayto weight loss and health
2699
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Dr. Destiny Maxson has a desire to share herknowledge of gentle pediatric care, pregnancyand women specific care programs to familiesacross the region.She commonly sees ailments such as:
Chronic FatigueMenstrual Cramps
Menopause • PregnancyPostpartum
Pelvic Floor RehabIncontinence • IBS
ConstipationHeadaches • MigrainesDigestive Dysfunction
Weight LossBack Pain
Leg Pain • Neck Pain
THINK PINK Sunday, September 29, 2013 5HFocus on Women’s HealtH
Monica Esnault, an assistant direc-tor of the LSU Bursar’s office, poses
for a photo in Baton Rouge, La.Esnault, 46, lost 160 pounds over
the last two years after she method-ically changed her lifestyle.
The Associated Press
FINDING HER WAY
“ThepromiseI mademyself
was to doit in a way
I couldlive with
the rest ofmy life.”
MonicaEsnaultForty-six-
year-oldBaton
Rouge, La.,resident who
lost 160pounds overthe past two
years
No more sodas
and now drinks only water.
Find what you like to eatEsnault tailored her own diet, incor-
“Then you get to enjoy success along the way,”
she said. “That was key for me.”No more sodas
The Associated PressAn overview of some of the
key changes to health care ser-vices under the Affordable CareAct:
Essential health benefitsUnder the law, health insur-
ers must cover 10 essentialbenefits. This will make healthplans more costly, but also morecomprehensive. Starting nextyear, the rules will apply to allplans offered to individuals orthrough the small-group marketto employers with 50 or fewerworkers. The essential-benefitsrequirement does not apply toplans offered by larger employ-ers, which typically offer mostof these, already.
The covered benef its are:ambulatory patient services;emergency services; hospital-ization; maternity and newborncare; mental health and sub-stance use disorder services,including behavioral healthtreatment; prescription drugs;rehabil itative services anddevices; laboratory services;management of chronic dis-eases, and preventive and well-ness services; and pediatricservices, including dental andvision care.
People will be able to pickfrom insurance plans with dif-fering levels of coverage andvarying costs for co-pays andpremiums. But insurers willhave to cover a certain percent-age of the services’ cost.
“Most of the important ser-vices people need are covered,though there may be a slightvariation (from state to state),”says Jennifer Tolbert, directorof state health reform for theKaiser Family Foundation.
Dental-visionNeed a teeth-cleaning or
eye exam? You still could bereaching into your own wallet
to cover the cost even after theAffordable Care Act takes fulleffect next year. Dental andvision care is considered anessential benefit for childrenaged 18 and younger whoseparents or guardians get insur-ance through the individualor small-group plans. The lawdoes not mandate this coverage
for adults, but some states couldchoose to have them covered.
Still, getting dental cover-age for children and teenag-ers might be a bit complicateddepending on where you live.States can choose to offer thoseitems as stand-alone plans, andfederal subsidies would not helppay for the costs.
Pre-existing conditionsThis is a major change under
the law. Starting in 2014, mostplans — whether obtainedthrough an employer or on themarketplace — cannot denycoverage or charge more moneybecause of a pre-existing healthconditions.
However, if you have what
is known as a grandfatheredindividual plan — a plan youbuy yourself that was in exis-tence before March 23, 2010,and has remained unchanged— then this rule would notapply. So check the details onyour plan and consider shop-ping around.
Out-of-pocket spending/lifetime limits
Under the law, the amountof money people will have topay out-of-pocket each year formedical and prescription drugcosts will be capped at $6,350for individuals and $12,700 fora family. These limits are sepa-rate from the monthly premi-ums people pay. The limits takeeffect in 2014 for those buyinginsurance on the state healthinsurance exchanges. For thosewith employer-based coverage,the restrictions will be fully inplace in 2015.
In addition, most insuranceplans will be prohibited fromsetting lifetime cost limits oncoverage for essential healthbenef its . This means yourinsurer cannot deny you cov-erage because your medicalbills have gone over a certainamount.
Age 26One popular provision of
the health care law already ispart of most insurance plans— allowing young people tostay on their parents’ insuranceplans until age 26. This alsocovers dependents, includingstep-children, adopted childrenand some foster children. Thisbenefit will be required of allplans that provide dependentcare. Starting in 2014, youngerpeople can remain on a parent’sor caregiver’s plan even if theyhave an employer option oftheir own.
Changes to health care under new law, at a glance
Women’s Health Serviceshonors all the women and families in the Tri-Statethat have been touched by breast cancer. God Bless!that have been touched by breast cancer. God Bless!have beenhave beent have been touched by breast cancer. God Bless!that have been touched by breast cancer. God Bless!
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THINK PINKSunday, September 29, 20136H Focus on Women’s HealtH
us HealtH care overHaul
Under the law,health insur-ers must cover10 essentialbenefits. Thiswill makehealth plansmore costly,but also morecomprehen-sive. Startingnext year,the rules willapply to allplans offeredto individualsor through thesmall-groupmarket toemployerswith 50 orfewer workers.
File photo/TheHerald-Dispatch
The Associated PressHow do I know whether “Obamacare”
applies to me?Polls showmanyAmericans remainmysti-
fied by the Patient Protection and AffordableCare Act, or “Obamacare” as it is commonlyknown. But there’s an obvious starting point:Do you have health care coverage?If your employer provides health insurance
for you, it’s likely you don’t have to do any-thing onOct. 1, when enrollment begins. Thepresidenthassaidyouwill beable tokeepyourdoctor and your plan.For others— thosewithout insurance— it’s
morecomplicated.The law requiresvirtuallyallU.S. citizensand legal residents tohavecover-age or pay a penalty. That will happen eitherthrough an expanded government Medicaidprogram, which would cover costs for lower-incomepeople, or by requiring peoplewithoutcoverage to buy it. Financial help will be avail-able for thosewho qualify, based on income.
When do I have to decide whether tobuy health insurance and what happens if Idon’t?Beginning in 2014, virtually all Americans
will be required tohavehealth insuranceorpayan annual penalty to the government. For anindividual, the finebeginsat aminimumof $95in 2014, stepping up annually to aminimumof$695 by 2016. The fine for uninsured childrenin 2014 is $47.50 for each child, although themaximuma familywouldhave topay inpenal-ties next year is $285. Those fees climb eachyear.Federal researcherspredict thatabout6mil-
lion people could be hit with fines by 2016.Those who owe penalties would see their
tax refunds docked.Not everyonewho fails tobuy insurancewill be forced topayup—thoseexempted from the requirement to have insur-ance, such as prison inmates, would not bepenalized, for example.That alsowouldbe thecase with people who earn so little that theyare not required to file a tax return.According to thegovernment, the IRSplans
toholdback theamountof thepenalty fee fromfuture tax refunds, but there are no liens orcriminal penalties for failing to pay.
What are health insurance exchanges andhow do they work?Exchangesare theonlinemarketsonwhich
individuals and small businesses will buyprivatehealth insurance.Thinkof themasone-stop-shoppingdestinationssimilar toAmazon.com that are supposed to give consumers aquickway to compare insurance policies. Buttheymight not be available to some consum-ers until later. That could leave many wholack job-based coverage to enroll by mailor through call centers. Still, consumers areexpected to be able to see all their options inthe exchanges and choose their health plans
based on price, benefits and other features.Many participants will qualify for federal sub-sidies in the formof taxcredits tohelpease thecost. The amount is based on income and isavailable to individualsmaking up to $45,960,or $94,200 for a family of four. Shoppers willhave different buying experiences depend-ing on who is running their exchanges— thestate, federal government or a combination ofthe two. Enrollment beginsOct. 1, with healthcare coverage starting Jan. 1.
How will actual health care coverage andservices be different under Obamacare?Coverage in the exchanges will be more
comprehensive thanwhat is typically availableto individuals in the current health insurancemarket, which is dominated by bare-bonesplans. It will resemblewhat a successful smallbusiness offers its employees. All plans inthe exchange, and most outside it, will haveto cover a standard set of benefits, includinghospitalization, doctor visits, prescriptions,emergency room treatment, and maternaland newborn care. Under the law, insurerscan’t turn away people or charge themmorebecause of health problems or chronic ill-nesses. Insurers alsoarebanned fromsettingdifferent rates based on gender.Middle-agedand older adults can’t be charged more thanthree timeswhat young people pay, but insur-ers can impose penalties on smokers. Mosthealth insurance plans have to cover certainpreventive services. Those include routinevaccinations, vision and hearing tests forchildren, and screenings for diabetes, highcholesterol, colon cancer and high bloodpressure.
I currently have insurance through myemployer. Will anything change?For many people who have health insur-
ance through their employer, theKaiserFamilyFoundation says not a lot is expected to hap-pen right away. Someworkersmay receive afinancial break from the new cap on out-of-pocket expensesand freepreventivecare.Butsome larger companies, thosewith50ormoreemployees, alreadyare looking forways to cutcosts and avoid getting hit with a new tax setto take effect in 2018 on so-called “Cadillac”insurance plans. Those are defined as plansvalued at $10,200 or more for individual cov-erage and $27,500 for family policies. UnitedParcelService, for example, informed itswhitecollar employees that it will no longer coverspouses if they canget coverage through theirown employers. Delta Air Lines, meanwhile,recentlypredicted itsworkersmayhave tohelpshoulder the cost of various new mandatesunder theAffordableCareAct, suchascover-age for employees’ children until they are 26years old and coverage forworkerswhohadpreviously opted out butwill nowbe requiredto have health insurance.
Key consumer questionsabout new health care law
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Robotic Surgery
Stephen J. Feaster, M.D.Gynecology
Hisham A. Keblawi, M.D.Obstetrics & Gynecology
Robotic Surgery
Bruce A. Ratcliff, M.D.Obstetrics & Gynecology
Sarah K. Price, M.D.Obstetrics & Gynecology
Robotic Surgery
Yolanda Y. Campbell, M.D.Obstetrics & Gynecology
Robotic Surgery
Specialists in Obstetrics & Gynecology
Jennie L. Yoost, M.D.Child /Adolescent Gynecology
William N. Burns, M.D.Infertility
Kevin J. Conaway, M.D.Pelvic Reconstructive Surgeonand Urinary Incontinence
David G. Chaffin, M.D.High Risk Pregnancy
Ryan A. Stone, M.D.High Risk Pregnancy
Amanda N. Pauley, M.D.Obstetrics & Gynecology
Robotic Surgery
MARSHALL UNIVERSITYJOAN C. EDWARDS SCHOOL OF MEDICINE
™
www.marshallhealth.org
Promoting Excellence in Women’s Health Care
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