Thursday, October 22, 2009

Tale of Two Breasts - A Cancer Story

In September of 2004 my doctor found a lump. After several ultrasounds and mammograms, the concerns outweighed my age enough to necessitate a biopsy. At 26 years old, I wasn't a likely candidate for a mammogram, let alone an open surgical biopsy.

The lump turned out to be many, but to my relief they were mostly simple fluid-filled cysts. However, it was because of those cysts that something of greater interest was discovered. The radiologist had seen several micro-calcifications that showed up as tiny white specks during my screenings.

In February, 2005, a fine wire localization biopsy was performed and a section was removed about the size of a stack of 6 toonies (a toonie is a Canadian two dollar coin). It was reviewed by the pathologist in Nanaimo and a diagnosis was unclear, so the slides were sent to a specialist at the BC Cancer Agency in Vancouver for consultation. According to his review, it was "a challenging case". A month after the procedure, although I hadn't actually seen the report, I was told that it was "not cancer", but we should continue screening every 6 months to make sure nothing changed.

My experience with the BC Cancer Agency; Vancouver Island Centre didn't transpire until one year later, once I was living in Victoria. I was in for a routine check up, and my new doctor requested my medical file from the previous clinic in Nanaimo. I had given him my version of the past 2 years' events, so he was a little surprised to read my pathology report from the year before stating that I had been diagnosed with Lobular Carcinoma in Situ (LCIS), among other things. He made a call on my behalf, and within hours I was contacted by someone at the Cancer Agency here in Victoria.

I met with a specialist there a few days later and we went over my surgical pathology report to try to decipher exactly what it meant. He spent 3 hours with me going over the diagnosis, translating and even creating diagrams to help me understand. He was very thorough and helped put my mind at ease with the diagnosis.

Depending on who you ask, or what reports you read, LCIS is not considered cancer, as its name suggests. It has been explained to me that "in situ" means that abnormal cancer cells are present, but have not spread past the boundaries of tissues where they initially developed. LCIS is considered a red flag to allow both doctor and patient to keep an eye on things.

Essentially no invasive cancer was discovered, however several "markers" were found. Markers are indications of a heightened risk of developing invasive breast cancer in the future. There are several risk factors associated with the disease which include; age, hormonal risk factors, personal or family history, lifestyle habits and antecedent intraductal hyperplasia. Although neither my age nor lifestyle provide a heightened risk, my family history and the diagnosis of both intraductal hyperplasia, and LCIS do increase my risk significantly.

The implication of a cancer diagnosis is somewhat overwhelming, but the important message is that thanks to screenings made available through funding, I know about the risks and I am in control of my health care options.

Cancer in its early stages is difficult to detect without the use of screening tests. Thanks to concern from my doctors and a little diligence on my part, I am able to stay on top of my health concerns.

The BC Cancer Foundation raises funds so people are able to receive the care they need at any of the BC Cancer Agencies across the province. Their mandate includes research, prevention & education, early detection & diagnosis, and treatment & care. Visit their website bccancerfoundation.

The Basics

First of all, let's try to understand what cancer is. Our body's cells have genes which regulate the growth of said cells. A normal, healthy cell grows at a reasonable rate and eventually it dies out and is replaced by a new one. A cancer cell has the ability to divide at a rapid pace and produces many cells which form a tumor. A benign tumor is simply one that is made up of cells that are virtually normal and is considered harmless for the most part. The ones that concern doctors are malignant tumors which are cancerous and can continue to multiply spreading throughout the body.

Breast cancer is a malignant tumor that develops in the breast, usually in the lobules (milk producing glands) or ducts(tubes that carry milk to the nipple). I say usually because it can also develop in the connective tissues of the breast; which is the fatty part that surrounds the ducts and lobules.

Understanding the Lymphatic System is an important part to understanding how breast cancer can spread. Lymph nodes are an assembly of immune system cells which are connected by lymphatic vessels (small veins carrying lymph away from the breast. Lymph is a clear fluid that contains tissue fluid, waste products and immune system cells. If cancer cells enter the lymphatic vessels they can begin to grow in the lymph nodes. If this happens there is a good chance that they have also gotten into the bloodstream therefore spreading to other parts of the body. However, just because it has reached the lymph nodes.

Why?

Only 5 - 10% of cancers are hereditary (passed down from mother or father). The cancer itself is not inherited, but the gene that increases the risk factor for developing the cancer is inherited. The other 90 - 95% of cancers are sporadic.

So what does that mean? Well, our genes have many jobs and are in charge of telling our cells what to do and when to do it. If there is a mutation in those genes it causes the cells to do strange things. In the case of cancer, a mutated gene is telling cells to divide when they shouldn't be which causes tumors (as discussed in The Basics). For the most part, gene mutations usual happen later in life and are a result of natural aging or exposure to things like smoke, hormones, certain viruses or chemicals and dietary influences. The damage to our cells doesn't always lead to cancer because our cells are also equipped to repair damage and, as you may remember from grade 9 Science, we have 2 copies of each damage repairing gene (one from each parent). But if a mutation occurs in both copies of the gene, it can mean uncontrolled growth and can lead to cancer.

If a person is born with a mutation in one of the copies of a damage repairing gene pair, this means their risk for developing cancer is higher, known in the medical community as "genetic susceptibility". That is because they only have one good protective gene remaining and if it is damaged in the aging process or because of other environmental exposures, it can lead to the gene communicating to its cells to divide and multiply at a rapid rate. Hereditary cancer, therefore, usually develops earlier in life.

When a cancer develops in someone who has no family history or "genetic susceptibility" it is called "sporadic cancer". Since both copies of the protective gene which eventual mutate, start out in good condition, sporadic cancer usually develops later in life as it takes longer for both copies to become damaged.

The genes that are linked to breast cancer are called the BRCA1 and BRCA2 genes. Genetic risk assessment and genetic counselling are available to help you discover your risk for breast and other forms of cancer. Genetic Risk assessment will tell you if you carry the BRCA1 or 2 gene mutation, but it won't tell you what your risk of developing breast cancer is. Genetic Counselling can help you to understand your risk for hereditary cancer by reviewing family history, discussing genetic testing and providing information and referrals to experts. Learn more about Genetic Counselling.

Symptoms or signs of breast cancer can range from lumps and swelling to changes in the skin. Non-cancerous cysts and infections often have the same symptoms. So how can you be sure?

Symptoms

Watch for the following symptoms:
*swelling of all or part of the breast
*skin irritation or dimpling
*breast pain
*nipple pain or the nipple turning inward
*redness, scaliness, or thickening of the nipple of breast skin
*nipple discharge other than breast milk
*a lump in the underarm area

Detection

Breast Self-Exam (BSE)

It is, in my humble opinion, the most important way to stay on top of your breast health - because it is something you can do on your own, and will get you familiar with your body. It is becoming quite a controversial subject. There was a study performed in Russia and China in 2008 of 400,000 women, which reported that BSE does not reduce the mortality rate and may cause more harm due to prompting unnecessary biopsies. It is my opinion that it's better to be safe than sorry. According to Breastcancer.org about 20% of breast cancers are found by physical exams rather than mammography.

Breast self-examination can be frustrating at first, because you don't know what to look for, and if you are like most women, there are many bumps and lumps in your breasts that are harmless. That is exactly why you should do this on a regular basis - every month. The best time to perform a BSE is a few days after your period when swelling has gone down. If you feel a lump don't panic, it is most likely not cancerous. But have it checked out by your doctor and then keep an eye on it to see if anything changes. You may want to keep a journal with notes on where and when you found something suspicious. If a change lasts longer than one cycle see your doctor to have it checked.

Mammogram

It is one of the most hated words in the English language for women! But I'm here to tell you that they've been given a bad rap and they aren't as horrible as they have been made out to be. They save lives after all! Doctors have been using mammography for the past 40 years to find and diagnose breast cancer. Mammograms have been shown to lower the risk of dying from breast cancer by 35% in women over 50 years old. Cancer Foundations world wide are now recommending that women over 40 be screened annually in order to find tumours before they are able to develop into invasive breast cancers. Early detection often means that the cancer can be removed without having to resort to a mastectomy (breast removal).

Of course, nothing is guaranteed and mammography alone can miss up to 20% of breast cancers because they simply aren't visible. Breast Self-Examination and other techniques such as ultrasounds or MRI's can also help detect problems.

Treatment

There are several types of breast cancer and your treatment can differ based on what your diagnoses is. Some of the most common types of breast cancer are explained below:

DCIS - Ductal Carcinoma In Situ

This form of cancer is considered non-invasive because it stays inside the milk duct. It can grow within the duct, but will not spread into the rest of the breast tissue or to the lymph nodes. If caught early enough, DCIS can be removed with a lumpectomy, which is the removal of just the area of the breast containing the cancer. However if the cancer is large, or appears in more places throughout the breast, a mastectomy may be necessary. In most cases a lumpectomy is followed by radiation, but a mastectomy is only followed by radiation if lab tests show cancer near the edge of the removed tissue.

IDC - Invasive Ductal Carcinoma

This is the most common type of breast cancer, making up about 80% of all cases. It begins in the milk ducts and spreads to surrounding breast tissue. If left untreated it can spread to the lymph nodes and other areas of the body. Invasive cancers are given a stage to describe how far it has spread from its original location. It is based on the size of the tumor, whether or not it spread to the lymph nodes and other parts of the body. It can range from stages 1 to 4, where 1 is the earliest stage and 4 is the most advanced stage.

Your doctor will order a variety of tests to help determine which stage the cancer is at and to help determine the best treatment regime. Typically the patient would undergo surgery to remove the tumor and determine whether the cancer has spread to the lymph nodes. This surgery can range from a lumpectomy (removal of only the lump or tumor) to a radical mastectomy (removal of the breast[s] and all the muscle under the breast[s]) or somewhere in between. Radiation may be recommended after the surgery to destroy and remaining invasive IDC cells. This has also been shown to reduce the risk of recurrence.

Chemotherapy is used to treat many higher stage cancers where the cancer has spread to the lymph nodes or other parts of the body. Chemo (for short) is a medication (or combination of medicines) which enter the bloodstream to travel throughout the body interfering with rapidly dividing cells. For the most part they are the cancer cells, however there are also many healthy cells in your body which divide rapidly, such as those in your blood, mouth, intestinal tract, nose, nails, vagina and hair. Therefore the chemotherapy will also affect them causing symptoms ranging from hair loss to osteoporosis.

Your doctor may also recommend hormonal or other targeted therapies. As with any major medical diagnoses, there is follow up care that will be important to your continued health. Regular exams and tests will be required by your doctor.

LCIS - Lobular Carcinoma In Situ

Like DCIS, LCIS is not considered an invasive cancer as it does not spread into other areas within, or outside the breast. It is considered a marker for breast cancer, meaning that the person is at a higher risk for developing an invasive breast cancer in the future and should be monitored with regular mammography and ultra sounds. It is usually found in pre-menopausal women aged 40-50. It is difficult to estimate the risk of a patient with LCIS developing an invasive cancer because LCIS can go undetected, however it has been estimated that your risk increases from 12.5% for the average women, to 30-40% if diagnosed with LCIS.

LCIS is usually diagnosed when a biopsy is performed because of an abnormality in a mammogram. It does not require typical cancer treatment but should be carefully monitored to watch for early signs of invasive cancer. Talk to your doctor about medications and treatments which may help to reduce your breast cancer risk.

ILC - Invasive Lobular Carcinoma

This is the second most common type of breast cancer, making up about 10% of all cases. It begins in the lobules and spreads to surrounding breast tissue. . If left untreated it can spread to the lymph nodes and other areas of the body. ILC tends to be found in more than one area within the breast and is likely to affect both breasts. It is slow to spread outside the breast and tends to show up in the stomach, intestines and ovaries and has been known to eventually spread to the brain spinal cord tissues.

Treatments and care for ILC are similar to that of IDC and will vary depending on the stage of the cancer cells.

Some other, less common forms of breast cancer are Inflammatory Breast Cancer, Male Breast Cancer and Recurrent and Metastatic Breast Cancer.

Coping

Once you have been diagnosed with a form of breast cancer, you have so many questions that you don't even know where to start. Most of them are likely about your health and what your options are. But there are many other factors in your life that are affected by breast cancer besides your health. Such as how will I pay for my care? What if I can't work? How will my family cope? How will my life change?

You will need more than just medical support, you need mental and spiritual support. Who do you talk to about your cancer concerns? The same people you talk to about your everyday concerns. You should have a support group that can help you through the difficult times. If you don't feel that you have anyone close to you that you can talk to, there are still options. Talk to a social worker or psychologist. It is important to get your thoughts and fears out in the open, and as long as you have a sympathetic ear, it will help you let go of some of those fears.

There are many support groups of other people with breast cancer and cancer survivors who can lend an ear, and can also benefit from talking with you. Ask you doctor about support groups in your area, or go the discussion boards on Breastcancer.org.

I found that being involved in fundraisers was also a great way to feel like I was in control, like I was dictating at least one part of how this disease affected my life. Last year I took part in the CIBC Run for the Cure in Victoria and raised almost $5,000 towards helping research in my area.

Coping With Breast Cancer - Ten Survival Tips

In Chinese, a crisis is expressed in two characters: danger and hidden opportunity. As a breast-cancer survivor, I have faced many challenges, but God has revealed to me opportunities that translate into incredible blessings. I share some suggestions below for those struggling with this disease.

1. Ponder scriptures

Let biblical passages like Psalm 119:105 (likening the Word of God to a lamp) illuminate pathways for healing and reveal any encroaching thorny thickets. Use verses as your penlight to avoid stumbling around in the darkness.

When I joined the ranks of breast-cancer survivors, I clung to Psalm 23 for solace. During chemotherapy I reflected on how God was comforting me as I walked through my own valley of the shadow. Review the list of common emotions in the front or back of your Bible to locate verses that speak to particular sentiments, such as worry, weariness, or fear. Gideon Bibles found in many hotels contain these sections to ease the troubled traveler's mind.

2. Pray unceasingly

One of my childhood treasures was a book entitled "The Lord's Prayer." Each page was inscribed with a verse from Jesus' model prayer in Matt. 6:9-13. Bright illustrations of kneeling children with uplifted hands accompanied each verse. I was captivated by the images. Although as a child I was not yet ready for Jesus' heartrending prayer in the Garden of Gethsemane, this picture book was early preparation for a more mature prayer life.

Prayer is a powerful tool. Like African prayer warriors thriving in the midst of deprivation, during my treatment I lifted prayers to the only One who could take away troubling emotions and side-effects. Lying in bed, I visualized my pallet being lifted to God through the roof in a reverse move from the paralytic brought from the roof to Jesus for healing in Mark 2. I strongly felt God's healing warmth as I prayer-walked upward to meet Him.

3. Treasure fellowship

As a cancer survivor I most assuredly relished the cards, hugs, prayers, and empathy of friends. The blessings of others that dispelled my pouts through bouts of cancer were crucial to healing. Hebrews 10: 24-25 tells us to encourage one another and meet regularly for worship and fellowship. The latter can include simply listening, sharing a meal, or offering a Bible study to encourage camaraderie and spiritual enrichment. My husband and I were blessed by the insights shared at our home Bible study during my cancer treatment.

4. Make church attendance a priority

Ideally, the breast cancer survivor should attend a local church, for reasons extending beyond congregational worship. Shortly after I was diagnosed with cancer, members of a former church we attended rallied around me in prayer for healing. Their love transcended church membership, and coalesced with that of members of our new church. These compassionate individuals provided needed meals and child care as well as spiritual support, something I would have missed had I not attended church.

If your breast cancer has left you home-bound or residing in a facility, you can find other options to connect with a church. Ideas include listening to a radio station offering Bible studies and uplifting choir or praise music, watching a Christian worship service on TV, or enjoying sermons from a visiting pastor.

5. Obtain Biblical counseling

Counseling from a biblical perspective can address many issues with which breast cancer survivors struggle, including guilt, anger, and non-forgiveness. I sought counseling from a local church and a crisis pregnancy center for issues arising from my cancer diagnoses. If these resources are not available, on-line tools are at the disposal of the computer literate. Some people prefer the anonymity of e-mail counseling. Focus on the Family (at (800) A-FAMILY) provides referrals for telephonic counseling sessions.

Financial counseling may be available through a local church, the American Cancer Society, or resources written by Christian financial experts such as Larry Burkett. I learned to organize my bills and health information into labeled file folders, and used my insurance company's website to access histories of appointments and payment records.

6. Recognize life seasons

The time spanning when I was first diagnosed to the end of treatment was only for a season. Recognize with Solomon in Ecclesiastes 3:1-8 the times for every activity under heaven. Of all the seasons listed in this passage, "a time to laugh" appeals to me most. Many studies show that humor helps relieve stress, combat depression, and extend quality of life.

My three sons, ranging in age from 3 to 11 when I was diagnosed, reacted to my cancer by watching how I responded. Comic relief went a long way to dispel the tension they felt. I thoroughly enjoy watching these boys laugh at black-and-white slapstick comedians like Abbott and Costello and at modern-day comedies like "Chicken Run."

"A time to dance" is another fun season. Try some salsa dancing, like a survivor I overheard in the chemotherapy infusion room. It will lift your spirits as well as your feet, control weight, and rev your circulation to the max!

7. Witness using personal testimony

While Christians don't always recover from diseases even though prayed for, they can still use their adversity to glorify God in their lives. Jesus modeled that approach when he delayed coming to Lazarus in Bethany until Lazarus died. The story is found in John 11:3-6. When Jesus heard of Lazarus' sickness, he assured his followers that the outcome would be God-glorifying. Often, the more severe the suffering, the more wondrously God works through the power of personal testimony.

On the Titanic, some Christians gladly relinquished their places on life rafts to the unsaved, witnessing powerfully to their faith in eternal life. We've also heard of Christians in the burning World Trade Center on 9-11-01 witnessing in their last moments to non-believers in the midst of unimaginable terror. 2 Timothy 1:8 admonishes us not to be ashamed to testify about our Lord. It challenges me to go forth boldly, knowing that none can take away my personal story.

My husband's emails on God's mercy throughout my cancer ordeal were sent to all who were curious how I was bearing up. God is faithful in fanning the global fire of the gospel through such testimony.

8. Resolve to understand God

Some disasters shake us to our very core. When I felt myself helplessly mired in the muck of cancer, I recalled Jesus' parable in Matt. 7:24-27. He reassured us that we are set on solid ground, not in sinking sand. As I put our Savior's words into practice, God pulled me up and out of cancer-induced depression and into an indescribable joy. He is the Rock upon which I set my hope.

In the midst of the unexpected, God is there. For example, on September 11, 2001 otherwise annoying delays on their way to work saved some employees' lives. Now, when I am stuck in traffic and an ambulance rushes by on its way to the accident ahead, I bow my head in prayer for the ones affected by such tragedy, rather than wallowing in self-pity over the minor nuisance of a traffic jam. We should consciously determine to understand how God is using such seeming disturbances and thank him for them.

9. Find volunteering opportunities

Almost two millennia ago, Paul taught that all the commandments are summed up in loving your neighbor as yourself (Romans 13:9). Breast-cancer survivors are greatly appreciative of all the sacrifices of others from which they have benefited. Below are some ideas for showing love to fellow cancer strugglers.

If there is no breast-cancer support group in your area, start one. The locale might be your own church for women who are most comfortable in a Christian environment. Or you can volunteer for a local American Cancer Society branch, helping women in myriad ways.

Counseling others in person or by phone or email is another viable possibility. Open any Bible and appropriate passages will jump out to address the situation at hand. Courses on training counselors might be offered at a local church or on-line.

In another vein, you can ask your oncologist if you are eligible to participate in a clinical trial. Not only would you receive state-of-the-art treatment, but you would be personally contributing to advancement of breast cancer research. In this way, the survivor can directly make a difference in moving the whole planet Earth to a "cancer-free zone."

10. Leave behind stereotypes

Stereotyping often leads to judgment. People who appear to have their lives together may not. Jesus taught us in Luke 6:37 not to judge, so that we would not be judged. The breast cancer survivor should not presume that a person who avoids her or doesn't laugh at her jokes cares nothing for her. Some people limited their discussions with me because they didn't trust how they would handle difficult emotions. Certain nurses find it hard to identify with patients' humor because they witness daily so much devastation in the lives of others.

From a different perspective, those dealing with cancer survivors should not assume that such survivors can perform all tasks, regardless of their outward appearance. Because of lymphedema that developed in my arm after lymph-node removal and radiation, I do not lift or carry heavy items. I make others aware of this limitation, since it is not obvious. Conversely, one should not place artificial limits on cancer survivors. For example, during cancer treatments I kept up my regular aerobic exercise. I continued my work as an attorney in a high-intensity environment, although I did revert to a part-time schedule for a season. I painted landscapes. While this amazed some people, it is not uncommon for cancer survivors to adhere to old routines for a semblance of normalcy. The bottom line is to endeavor to delve into what makes a person tick before reaching conclusions.

These are some ways I found to fend off the breast-cancer blues. I pray that those facing the crisis of breast cancer will find hidden opportunities and blessings, and hear the Savior say at the pearly gates of heaven, "Well done, good and faithful servant!"

Breast Cancer on the Job - How My Faith Delivered Me

Daily ringing in my ears over a decade ago was the mantra of the Seven Dwarves, with an Oliver twist: "Want more, want clothes, it's off to work I s'pose." Rather than wielding mining picks to uncover jewels, I was probing for legal gems deep within the dark recesses of the law. As a patent attorney in middle management, I not only supervised the work of six attorneys, but also managed my own heavy case load. And I was raising three sons of grade-school age with my husband while teaching Sunday school.

Whizzing through the tunnel-visions of the fast lane, I found scheduling of routine preventative medical tests to be inconvenient. Although I did manage to secure a baseline mammogram at age 40, it revealed nothing of concern. And a second scan the next year showed no abnormalities. So, I thought smugly, I don't need to be so vigilant. Postponement of mammograms was reinforced by a false impression that vegetarians don't get breast cancer, particularly those my age who exercise and have no genetic predisposition. So work and family obligations dominated my life, punctuated by restful interludes of worship on Sundays.

Until I found a suspicious lump in my breast at age 43.

After the lump was confirmed as breast cancer, I sought God in earnest. Prayer support from friends and strangers alike was crucial to my treatment decisions and emotional healing. I opted for a lumpectomy with chemotherapy and radiation. Since I was generally in good health, I resumed work about a month after the operation.

Strange sensations enveloped me as I returned to the office. Nagging me was the notion that cancer is aggravated, if not caused, by undue stress. When I began chemotherapy, I would feel too sick immediately after each infusion to tackle serious assignments. My employer generously accommodated a reduced work schedule on those occasions. Valiant attempts were made to balance God-centered activities with work, exercise, and family-and deal with the distress of having cancer at the prime of my career.

Working while undergoing chemotherapy was nevertheless restorative. Giving advice to colleagues during treatment satisfied a deep longing within me to be needed. My work responsibilities offered a diversion from anxiety and gave me a sense of professional worth. Through Christ's intervention I called in sick only rarely, when I felt too ill to drive.

After chemotherapy I endured radiation, missing work every morning for six weeks straight. But God bestowed His grace upon me again as I bounced back unscathed from each treatment.

Shortly after radiation ended, when I turned 44, my manager, a Vice-President, died unexpectedly from an apparent heart attack. This reality check made me seek relief from heavy management responsibility. Sustained in prayer, I decided with my new director's blessing to supervise only three attorneys and a paralegal, and work part-time. Consequently, my schedule was reduced to a four-day work week.

In corporate America, I imagine that the "cancer survivor" track that I chose is viewed similarly to the "mommy track." In both cases circumstances alter the employee's sense of what is most important in the work-life balance. Cancer became for me an acceptable excuse for dethroning work from its exalted position atop my list of priorities.

Scuttlebutt kicked into high gear at the proverbial office coolers when I forsook the management track. But I gladly said sayonara to competing in the special Olympic event of vaulting through the glass ceiling. And said hello to being more of a respected work advisor.

Several months after that I moved away from corporate headquarters and began remote telecommuting from Northern California, managing only an attorney and a paralegal. I would make regular 200-mile road trips back to the San Francisco Bay Area to have face-time with employees as needed. And I settled into a workspace with dormer windows overlooking the garden amidst God's bounteous creation.

While it lasted, I treasured the one day a week I had off from work. Some of that time was used to contemplate what it meant not to slave every weekday. But occasional weekend spillovers of work continued.

Notwithstanding the tangible advantages of part-time work, after a year I realized the greater efficiencies of having a continuous work week, and decided to resume full-time employment. Not long afterward, a new malignant tumor emerged in the same breast.

Coping with cancer treatments this second time was decidedly easier for me as a distant telecommuter. Although I was destined to undergo bilateral mastectomies and more aggressive chemotherapy, at least I didn't have to dress up and commute in traffic among home, headquarters, and hospitals. The logistics of juggling work and cancer treatments is daunting enough without coping with metropolitan stressors.

Being able to take a spur-of-the-moment nap whenever fatigue set in was an added perk.
Further, contact with myriad people at the corporate office would increase my risk of getting an infection. In the general work environment, the best policy was to wash my hands as often as I thought about it.

This hygienic routine paid off during business travel, when I was exposed to the public on planes. I worked out my travel schedule between treatments, coordinating with the oncology nurses. Travel plans could be scuttled at a moment's notice due to side effects, such as low counts of white blood cells. But God in His mercy knows my love of travel. I never fell ill when on trans-continental-or even trans-Atlantic-flights for business reasons.

Resolved to conquer any anxiety during this season of harsh chemo, I resolved to journal my blessings. One entry: "American Cancer Society provided wigs, bras-and alleluia-complimentary make-up!"

Another journal entry chronicled my excellent employment situation. My husband was a self-employed real estate agent during my cancer bouts, with no medical coverage. Besides upholding my professional dignity, the job I had provided my family with premium, low co-pay health insurance. And my company was the ideal employer for me at that time. Had I quit the work force and sought new insurance as a cancer survivor, I would have faced astronomical premiums to secure near-comparable health coverage. Alternatively, if I had changed employers to assume a less demanding position, I would have had to re-build trust in the new environment.

My perfectionism has waned since cancer reared its ugly head. I'm sure this represents progress, but somehow it would lack pizzazz on a résumé. Imagine the line: "Lawyer seeks position with laid-back company to interact with clients and draft documents under relaxing circumstances with regular breaks." Not a good first impression. Employers should understand, nonetheless, that the most perfect employees are not perfectionists.

My cancer diagnoses allowed me to reflect on what God considers most important in my life, and to make changes where changes make sense. Having a deeper appreciation for my co-workers' struggles, I regularly exercise my muscles of compassion toward them.

In Romans 16:5-7 Paul commends Mary for her work in promoting the gospel. Whether I labor for a business, or in retirement or full-time ministry, as a cancer survivor my number one priority now is to please Christ. After all, the Seven Dwarves are only make-believe men, while serving the Lord can make believers out of men.

Hope, Humor, and Help For Breast Cancer Patients

Breast Cancer is an evil insidious beast that attacks millions of women around the globe each year. Diagnosis forces the patient to choose their role early: victim or survivor. Those who grab the bull by the horn and fight with all their might have a better chance of survival then those who choose the role of victim. Hanging Out with Lab Coats is the story of a woman who is both a fighter and a survivor.

Wendi Pedicone, wife, mother or four, daughter and sister has entered the fight for her life. Battling stage IIIc metastatic breast cancer she uses this book to tackle not only the path for her own treatment but those treatment options others might choose. Following her story from diagnosis to recovery the reader is taken on an informative adventure down many halls for various treatment regimens. Some of the guides along the path wear lab coats and others prefer workout wear. Hanging Out With Lab Coats addresses various forms of breast cancer treatments, the side effects and their management as well as more holistic and naturopathic techniques for battling illness.

Pedicone has created an informative, well researched discussion of alternative and traditional treatment formats for breast cancer. Her personal investigation of treatment plans available for addressing her own cancer led to an exploration of the standard and experimental choices available. Some single path treatments, others involving a combination of techniques and procedures, exposed her to a world of medicine she never knew existed. Part resource book and part personal journal Hanging Out with Lab Coats is an inspirational and invaluable reference guide for those seeking wellness.

The book is populated with tips, research, information, and emails and comments from the people and physicians who are in the field fighting beside Pedicone. Her positive and courageous attitude throughout the work is a model to be embraced. Her personal belief that knowledge and education is the key to defeating cancer is evidenced throughout the book. When you are battling the breast cancer beast, it helps to hang on to your sense of humor. Pedicone's anecdotes and personal insight to the world of the Lab Coats are sometimes hysterically funny yet always perceptive.

Compared to other texts on the topic, none come close to being as all-inclusive in providing solid information, checklists, guidelines, and a frank discussion of traditional and cutting edge treatment options. The book's layout is easy to follow, carefully indexed for quick reference and provides invaluable tips and information to add to any cancer survivor's arsenal. Hanging Out with Lab Coats is one book that definitely should be in every family's library collection.

Breast Cancer Risks Experts Dismiss as Unproven

A great stir was caused by the recent statement by Sheryl Crow on national television that a doctor told her that women should not drink bottled water that has been left in a car, because the heat causes toxins from the plastic to leak into the water. She also said the doctor told her that the chemicals have been found in breast tissue and these chemicals can lead to breast cancer.

Articles on the Internet referenced the websites of organizations that had previously addressed this concern, including Breastcancer.org and Plasticsmythbusters.org, which is affiliated with the American Chemistry Council. Both organizations considered the connection between plastic water bottles and breast cancer risk to be “an urban myth” and say the theory is unproven.

The fact that a direct causal connection has not yet been proven beyond a shred of doubt does not mean that the theory is a myth.

It has been proven that phthalates, which are compounds used as softeners and plasticizers for products made with polyvinyl chloride (PVC) accelerate breast cell growth in animal studies. These chemicals have also been found to adversely affect the reproductive and endocrine system, especially in baby boys. In a recent study, phthalates were recently linked to low testosterone levels which appears to cause increased belly fat and pre-diabetes in men.

These softeners and plasticizers are used in a variety of consumer and personal care products including food packaging materials, toys, and medical/pharmaceutical devices and drugs. The most commonly used phthalate is DEHP. Food contamination has definitely been found to occur when plastic food packaging materials are made from PVC that was treated with phthalates.
As a general rule, we should not cook or heat foods in most plastics. This caveat is especially applicable to old plastic containers in which the surface is eroding the concern being based upon the fact that plasticizers are released during heating. Not all plastic containers are microwaveable. Look for directions regarding this on the packaging.

According to a panel doctor on Breastcancer.org, scientists make sure that during animal studies they don’t contaminate experiments with plastics by using old plastic equipment that have been used and washed many times. Don’t you think you should be a little more concern about contaminating your body?
It is possible that water left in the car where the temperature can almost reach the boiling point may be cause for similar concern. It may not be one incident of drinking water from a heated plastic bottle that leads to increased cancer risk, but an accumulation of several risky behaviors or exposure related to plastics just may promote cancer.

We don’t know definitively all the causes of cancer, but we are exposed to so many possible agents that may contribute to cancer, some of them are naturally occurring and some are man-made that there will never be ample epidemiological human studies or data that prove or disprove these “myths.” Some of these agents may not directly cause cancer alone, but they can cause direct damage to genes or disrupt the immune system or alter the hormone balance in such a way as to create a fertile environment for cancer cells to grow.

Another of these “myths” that have circulated on the Internet for several years is that using underarm deodorants or antiperspirants that contain parabens can cause breast cancer. And the consensus among scientists is there is no connection between antiperspirants and breast cancer.

Nevertheless, researchers found six different kinds of parabens in the breast cancer tissue samples of women who were being treated for breast cancer. All of the samples contained some parabens. The amount of parabens in the samples was about equal to the amount that had caused breast cancer cells to grow in test tubes in earlier studies.

The researchers concluded that these chemicals enter breast tissue from outside sources and accumulate in levels high enough to trigger the growth of breast cancer cells. Parabens are also used to preserve foods, medicines, and cosmetics. So there are lots of opportunities for exposure to these chemicals.

Another contributor to breast cancer was recently reported in the Journal of the National Cancer Institute. Cadmium, a toxic heavy metal that can build up in the body over time was linked to increased breast cancer risk.

Researchers measured cadmium levels in the urine samples from a group of women and found that women with the highest cadmium levels had twice the breast cancer risk of those with the lowest levels.
People may be exposed to cadmium from tobacco smoke and some foods such as liver, kidney, crustaceans (lobsters, crabs, and shrimp), and canned fish. People who work with cadmium or in refining and smelting are also exposed, but the U.S. government limits such on-the-job exposure.
But once again, we have the usual disclaimer: “The study doesn't prove cadmium exposure causes breast cancer. It will take more research to figure that out.”

There will never be ample animal studies, much less human epidemiological data that prove or disprove definitively that any specific product or chemicals cause breast cancer in humans. I think it is wise to avoid suspect materials whenever possible. There is usually enough data to conclude whether or not a substance presents a risk that is harmful to your health and may contribute to breast cancer.

Many of these suspect chemicals do not affect only breast cancer risk; they are frequently harmful to the cardiovascular system and overall health.

Consumer reaction that should result if the available data were widely publicized could force consumer product manufacturers and food packagers to search for alternatives.