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Sunday Seven: Seven ways to quit smoking

Quitting smoking is very hard to do. If you succeed the short and long term rewards include improved lung capacity, circulation, greater sense of smell and taste, reduced risk of coronary artery disease, stroke and lung cancer.

BlueCross BlueShield of Central New York and the New York State Smokers Quitline offer seven steps smokers can take in their quest to quit.

Visualize success. Studies of successful quitters show that one of the most important ways to succeed is to believe that they can quit smoking.

Make a plan. Create a daily plan to follow that includes:

  • Times when you want to smoke most and things you can do instead of smoking when you have a craving.
  • Names of friends and family you can call for support.
  • A reward for yourself when you have achieved your goal of being smoke free.

Continue reading Sunday Seven: Seven ways to quit smoking

Herceptin and risk for heart failure over time

Women treated with Herceptin (trastuzumab) in combination with chemotherapy for early stage breast cancer showed that after five years the risk of congestive heart failure did not increase with time.

The findings of the National Surgical Adjuvant Breast and Bowel Project (NSABP) were presented at the 43rd annual meeting of the American Society of Clinical Oncology (ASCO) in Chicago last week.

Heart damage occurs in around 5 percent of patients treated with Herceptin. It is the most significant side effect; women with existing heart conditions cannot take the drug. The study showed that women were either susceptible to heart problems or they weren't. The risk of long-term problems is the same as the risk that is there from the beginning.

Continue reading Herceptin and risk for heart failure over time

Thought for the Day: Shielding astronauts from cancer

Those venturing into space face a very serious occupational hazard -- cancer. The disease can be caused by radiation from the cosmic rays and solar flares astronauts encounter when they travel beyond the Earth's protective magnetic layer or magnetosphere.

British scientists are working on rectifying this problem by creating a Star Trek-style deflector shield to protect astronauts from radiation.

Think about this:

Scientists wish to mimic the magnetic field that protects the Earth with shields deployed around spacecraft and on the surfaces of planets to deflect harmful energetic particles.

Details, presented at the Royal Astronomical Society's National Astronomy Meeting in Preston, UK, include the following:
  • The idea has been linked to the deflector shields that protect the USS Enterprise and other spacecraft on Star Trek. The shields, like on the TV show, could be switched on and off.
  • In order to make the shield, scientists must generate a magnetic field and then fill it with ionized gas, or plasma. As energetic particles interact with the plasma, energy is sapped away from them, causing them to slow down.
  • Protective shelters would not work on long-duration space journeys due to the drip of energized particles, thought to be as harmful as large solar storms.
"The nice thing is that magnet technology is really quite evolved here on Earth," says Dr. Mike Hapgood, from the Didcot-based research centre. The question is can you take it into space?"

A team from Rutherford-Appleton plans to build an artificial magnetosphere in the laboratory. They would eventually like to fly a test satellite which would test the technology in space.

Cancer returns home

After several weeks of hiding and down time, a few weeks ago I made an official announcement to the non profit organization that I founded Indie Music For Life and its two entities Laughs For Life and Indiegrrl. I dropped off of this blog page for a month and am ready to write again. I needed a break. A break to sort through things. To sort through life.

When you or a loved one are diagnosed with cancer it changes your life. Finding out you have cancer takes your breath away and from that point your breath is the most valuable thing to you in your life. Breath and time. Nothing is normal any more. Not your dreams, your nightmares, and not your waking moments.

A personal diagnosis of chronic myloid leukemia in February sent me into a whirlwind of emotions. At that point, all the fear, terror, and stomach knots from my past rounds of cancer came back. Nobody free of cancer could ever appreciate how utterly devastating the news of contracting it could be and the news that it has returned is even more devastating because you know what uphill climbs you must make again. Once you have been diagnosed with cancer you always look over your shoulder for the beast to return. He has caught up with me several times now and so I am speeding up in my race trying to see who is the best long distance runner. Every ache you feel or every little un-ordinary thing that happens with your body sends you into " What If " mode. It is extremely hard living in that mode of thinking but you can't avoid it.

My past struggles with cancer were very private. But then I was not the head of a non profit organization that raises money for cancer research and educational awareness on the powers of music and laughter as therapy for cancer patients. I wasn't the head of the largest networking group of female songwriters known as Indiegrrl that has since become a part of Indie Music for Life. Laughs For Life had not even been thought of yet and now with the direction and help of good friend and comedian Shelly Ryan it is now a reality. I hadn't even started my music career. Having cancer is what lead me to pursue my career in music and chase my dreams. It wasn't until I started working on my CDs that my cancer became really public other than with my close friends and family and then working to set up the Indie Music For Life non profit put it out there even more.

Continue reading Cancer returns home

Congresswoman Millender-McDonald diagnosed with cancer

California Democratic Rep. Juanita Millender-McDonald has been diagnosed with cancer and will take a four to six-week leave of absence from the House.

Details about the congresswoman's condition have not been revealed but a statement from her office reports, "The congresswoman has been diagnosed with cancer and is recuperating with her family. The congresswoman wishes to thank everyone for their expressions of love, well wishes and prayers. She will maintain a limited schedule in her district and is requesting respect of her privacy at this time."

Millender-McDonald, 68, has been representing for seven terms a Southern California district that includes Compton, Long Beach, and parts of Los Angeles. She is also chair of the Committee on House Administration and oversees House operations and federal election procedures.

Sunday Seven: Don't drink pool water and six other topics

I want to look like my son. I want a body like his anyway. He's long and lean and fit and well, six years old.

I know I'm not comparing oranges and oranges here but still, I decided to ask Joey today about his eating habits, his fitness routine, his advice for those seeking health and wellness. His little brother, Danny, chimed in too -- he's almost four years old -- and together they rattled off all sorts of wisdom.

I asked my boys seven questions to which they easily responded -- Joey while jumping the entire time (note to self: jump a lot), Danny while sitting next to me on our living room recliner, fiddling with the TV remote.

What are some healthy foods?

Joey said: "corn-on-the-cob, lettuce, salads, potatoes, strawberries, apples, and peanuts" -- in that order. Danny said: "chicken, broccoli, and noodles." A good start, I think.

What are some unhealthy foods?

Joey listed his favorites -- chocolate and candy -- and then added: "big, dark chocolate bunny rabbits and Swedish fish candy." Danny summed it up in one word: "candy."

What are some good exercises for your body?

Joey said: "running on the treadmill." Danny followed with: "running on the sidewalk." Joey was next with, "I have a good one, and it's good for your jaws too -- talking." He continued with: "jumping, jumping jacks, push-ups, knee lifts, lifting weights, and stretching."

What do you do to cheer yourself up when you're sad?

Joey talks to people and has fun. Danny laughs.

What is bad for you body?

"Cigarettes, cigars, smelling smoke and gas, and smelling pollen," said Joey. "Eating candy," said Danny.

What are some ideas for staying healthy?

Joey recommends: "stop smoking, stop smelling smells in the air, put sunscreen on so you don't get sunburn, and don't drink pool water." Danny recommends: "don't swallow your gum."

What else do you have to say about being healthy?

Joey: "make sure not to accidentally swallow air that has allergies in it, make sure to drink a lot (I don't think he's referring to alcohol), exercise a lot, hold a new baby, always water your plants, and never touch plants with three leaves -- that's poison ivy." You might want to fact-check the poison ivy part.

Danny: "love your mommy, hug babies, don't touch spiders that are alive, and go pee-pee every day."

I think my boys are on the right track. And I think I have my work cut out for me in my search for that perfect six-year-old body.

Sunday Seven: Seven sweet, simple spoken words

Seven sweet, simple words were hurled at me last night by my oldest child, Joey -- the boy who makes me as crazy as he does happy.

Joey, six, was all snuggled in bed, cozy with his soft blankets, squishy pillows, and three favorite stuffed puppies. I gave him my usual speech -- Sweet dreams. I love you. Now don't get out of bed -- and then made my usual trek to another room for some me-time. My trip was stopped short, though, because a strong urge inspired me to reverse my steps and return to Joey.

"What are you doing, mommy?" Joey asked as I walked back into the room.

"I thought I'd come rest with you for a little bit," I told him. "Is that OK?" I asked, knowing full well any excuse to avoid sleep is just fine with him

Joey sat straight up, pure joy coloring his tired face. I took this to mean he welcomed my return. And so I crawled into bed and hugged Joey tight. And that's when he spoke the seven words that caused tears to pour from my eyes -- the kind of tears that spill out when the human body can no longer harness its emotion.

The words:

"Mommy, I love you so, so much."

Ever since Joey blessed me with these words, I can't seem to get one thought out of my head.

The thought:

God, I hope I survive cancer long enough to hold this boy in my arms until he is all grown up, until he is wrapping his arms around his own loving child.

I really hope this is not too much to ask.

Heart disease after Hodgkin's lymphoma treatment

Those who have been treated for Hodgkin's disease have a 3.6 fold increased risk of heart attack and a 4.9 fold increased risk of congestive heart failure than the general population.

A study was conducted to assess the long-term cardiovascular disease risk in a group of 1474 patients, who survived Hodgkin's lymphoma for at least five years.

Records showed that 28 percent received radiation only; 5 percent had chemotherapy only; 38 percent were treated with radiation and chemotherapy, which did not include anthracyclines, drugs known to damage the heart; and 29 percent received radiation plus chemotherapy with anthracyclines. Of these patients, a total of 84 percent were treated with radiation to the chest.

The study group detected 160 cases of valve disorders, 134 cases of angina, 102 heart attacks and 52 cases of congestive heart failure. Among subjects treated before the age of 20, the risk of angina and congestive heart failure were significantly higher than for those treated when they were older, suggesting that "immature cardiovascular tissue may be more vulnerable to radiation and chemotherapy."

The study team hopes that the outlook for survivors of Hodgkin's lymphoma will brighten over time, as fewer patients are receiving radiation therapy, and when they do, dosages are reduced and patients' hearts are at least partially shielded.

The recommendation for those treated for Hodgkin's is to consider some risk reducing strategies, such as treating high blood pressure and high cholesterol and advising patients to eliminate controllable risk factors.

This post isn't meant to scare anyone diagnosed with Hodgkin's that has been treated with radiation or chemotherapy. I was given an anthracycline as therapy for my breast cancer -- it does linger in the back of my mind that this drug is harmful to the heart and could cause problems later on in my life. I think that those treated for Hodgkin's, especially at a young age when treatments might have been less safe, should think about their lifestyle choices. Talk to your doctor about ways to decrease your risk of these heart problems.

The hair is a changin'

My hair is not so short, not so dark, not so curly anymore. And the shock of what sprouted from my head following chemotherapy is not so startling anymore. I guess it's a combination of my getting accustomed to my new look and the fact that lately, my hair is a changin' -- once again -- and this has me somewhat numbed to all things hair-raising in my life.

I was born with straight, blond hair. And I wore these locks on my head for 34 years. Until cancer came a knockin', chemotherapy came a drippin', and my hair went a tumblin'. Bald brought quite an adjustment. And so did the stuff that replaced my pre-chemo hair.

For almost two years now, I have been peering in the mirror at short, brown, curly hair. It took some time, but I grew to like my new look. And now, just as I am feeling OK about my changed appearance, my hair is taking another turn.

Naturally, my hair is longer. That's what happens when chemotherapy becomes a thing of the past. So this is not so surprising. But as my hair grows and gets heavier, my curls are transforming into waves. And I wonder if my curls will continue to disappear as my hair continues to grow. Will my hair be straight again one of these days?

With each passing day, my hair also gets lighter as it slowly fades from dark brown to light brown with a tint of red and a hint of blond. Will my hair be blond again one of the days?

Someone once told me that cancer is temporary. Someone else told me this is not true -- there's nothing temporary about the way cancer changes a life forever. I think I agree. Because as I study my hair, I realize that all of its temporary phases are really just a sign of the permanence cancer has left branded on my body and soul.

Calling all cell phone users: new study warns of cancer

On December 8, 2006, I wrote about a Danish study investigating the possible link between cell phone use and cancer. This largest-ever study of it's kind put fears to rest. Cell phones do not cause cancer, said researchers who announced that cell phone users -- even long-term users -- are at no more risk of developing cancer than their non-cell phone using counterparts.

There's just no biological basis for concern about radio waves, reported the lead investigator of this study. But another newer study reports something entirely different.

Long-term mobile phone users are more likely to develop cancer -- brain cancer, on the side of the head where the phone is held -- according to the Radiation and Nuclear Safety Authority in Finland. It will all be detailed later this year in the International Journal of Cancer, but the general gist of the study is already circulating.

The study -- the second one to suggest an increased risk of cancer due to emissions from cell phones -- found that people who regularly used cell phones for more than 10 years were 40 percent more likely to develop nervous system tumors called gliomas. Comparisons were made between 1,521 people with gliomas and 3,301 people without the tumors. While no connections were initially made between the phones and cancer, a link was found when researchers specifically focused on those who had used their phones for more than 10 years.

Short-term use of cell phones has never been linked to cancer. That's good. But I tend to believe cell phones are going to become even more a staple of our technologically-driven lives than they are now. And so 10 years may actually be considered short-term one day -- which means we all may soon be at risk.

For now, until research becomes more conclusive, we get to pick and choose which study to stand behind. So take your pick -- and stay tuned for future scientific revelations.

Study reveals link between household pesticides, cancer

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

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

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

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

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

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

Tamoxifen reduces the risk of developing cancer for years following treatment

Results presented at the 2006 annual San Antonio Breast Cancer Symposium, says that it appears Nolvadex (tamoxifen) reduces the risk of developing cancer years following completion of preventative therapy among women who are at high risk of developing breast cancer.

Data from a clinical trial, including 7,145 women who were at high risk for developing breast cancer, was reevaluated at 10 years follow up. They found that breast cancer was reduced by 29 percent among women treated with tamoxifen compared to those taking the placebo. The preventative effect on breast cancer, specifically hormone-positive breast cancer, was actually improved at 10 years compared to the five-year follow-up.

The researchers concluded that women who are at high risk of developing breast cancer continue to benefit from tamoxifen, even five years following completion of treatment.

Talk to you doctor if fall in the high risk group for breast cancer. There are individual risks and benefits for tamoxifen and it may prevent physicians from recommending its use in certain women.

An aspirin a day may keep head and neck cancers away

The National Cancer institute reports that about two to five percent of all malignancies diagnosed in the United States are head and neck cancers. About 39,000 new cases are diagnosed each year. In a long term study aspirin use taken over a long duration cut the risk of head and neck cancer by 30 percent. It wasn't so much the amount of aspirin that was taken but the length of time that people were on the drug that mattered.

Aspirin is a non-steroidal anti-inflammatory drug (NSAIDS). Experts believe that aspirin could be a cancer preventing medication but more studies need to be conducted to see if the rewards outweigh the risks of taking aspirin on a daily basis. There is a chance of gastrointestinal bleeding associated with daily use and it is not recommended that anyone start on an aspirin regime without discussing it with his or her physician first.

Breast cancer cases keep surgeon busier than ever

My sister recently ran into the surgeon who removed my breast cancer tumor almost two years ago -- on December 3, 2004. He asked my sister how I was doing, recalled the unprecedented rash I developed from the latex and Tegaderm tape used during my lumpectomy, and then talked about how terribly busy he has been.

This surgeon -- who spends countless clinic hours with women whose breasts are somehow diseased and then spends day after day in operating rooms trying to remedy these diseases -- said he is amazed and at how many breast cancer cases are consuming his time. It's sad -- the amount of women showing up with breast cancer -- but there is a silver lining to this cancer cloud, because according to this surgeon, the vast majority of these breast cancer cases are early stage. This means they were caught swiftly and quickly. And for the women behind these cases, there is a good chance of long-term survival.

And so maybe all the pink and all the press surrounding breast cancer is working. Maybe it's inspiring women to pursue self-breast exams, clinical exams, mammography, and other screening options. Maybe all the persistence and passion about breast cancer is the reason for this early detection -- the key to a good prognosis.

My surgeon closed his chat with my sister by telling her to call him if anyone in our family ever needs anything. But he told her he hopes he never has to hear from us. My sentiments exactly.

Colon cancer and liver metastasis

Thirty percent of patients that are diagnosed with liver metastasis spread from the colon have a ten year survival rate according to an article recently published in the Annals of Surgical Oncology. Thirty percent might not sound so great but having breast cancer and knowing that metastasis to the liver can have a grave diagnoses this lifts me up a bit.

According to the article published surgical removal of the site of cancer or multiple sites as well as surrounding healthy tissue of the liver can improve survival rates. The researchers concluded that long-term overall survival of nearly fifty percent at five years and thirty percent at ten years can be achieved with the use of surgery. The researchers stated that "an aggressive approach is justified".

Speak with your doctor about your options for surgery for metastatic liver disease. Treatment may depend on the size of the cancer, the number of places on the liver that have metastasis and the location of the cancer on the liver.

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