breast cancer basics: part four

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Part FourPrevention

Page C2 - OCtOber 28, 2010 - tetOn Valley news ♥ suPPOrting the Valley’s tetOns

Take control of your Breast Cancer risk and diagnosis

St. John’s Oncology Department offers information on:Screening & Education

Diagnosis & Staging

Treatment

Wellness

October is breast cancer awareness month.Call 739-7531 to schedule your annual mammogram.

months after chemotherapy.

St John’sOncology Services

Dr. John Ward, Huntsman Cancer Institute

Judy Basye, RN, OCN, Director and Certified Breast Cancer Navigator

Anna Schwartz, PhD, FNP, FAAN


American Cancer Society cancer.org

American College of Radiology acr.org

Annie Appleseed Projectannieappleseedproject.org

Breast Cancer and Research Fundbreastcancercare.org

Beastcancer.org breastcancer.org

Breastlink Medical Group, Inc.breastlink.com

Cancer Care, Inc. cancercare.org

Centers for Disease Control cdc.gov

Cancer Patients Insurance Advocates cancerpia.com

Clinical Trails Informationclinicaltrials.gov

Eastern Idaho Regional Medical Center, Idaho Falls eirmc.com

Huntsman Cancer Institutehuntsmancancer.org

Madison Memorial Hospital, Rexburg madisonhospital.org

National Breast Cancer Awareness Month nbcam.org

National Breast Cancer Foundationnationalbreastcancer.org

National Cancer Institutecancer.gov

OncoLink oncolink.org

St. John’s Medical Center, Jackson, Wyo. tetonhospital.org

Susan G. Komen for the Cure komen.org

Teton Valley Hospital tvhcare.org

World Health Organization who.int

Young Survival Coalitionyoungsurvival.org

Wellness Community wellnesscommunity.org

Y-Me National Breast Cancer Organization y-me.org

Breast cancer resources and information

Lisa NyrenTVN Staff

When the Teton Valley News decided to do this month-long series on breast cancer awareness, it was a no-brainer that part of the series should feature locals’ stories. And one of those local stories would come from inside our office.

Meg Heinen, the veteran advertising director at the TVN, developed breast cancer in 2007. We all held our breath as we watched her progress through surgery, treatment and now recovery. She’s been more than an inspiration to many of us, with her perseverance, her dedication to her job, and her ability to push through something as life altering as breast cancer. We knew she was a strong woman from the beginning, and her bout with breast cancer only served to reinforce that truth.

Anyone who knows Meg knows she’s a no-nonsense, tell-it-like-it-is kind of woman. Others may have broken down or lost their bearings with the news that they had breast cancer. But Meg forged through, considering the experience “just a bump in the road in the natural course of life.”

Meg was diagnosed with infiltrating ductal carcinoma, one of the more common forms of breast cancer. She had gotten regular mammograms since we was 35 because her mother died of pancreatic cancer (now being linked to breast cancer), and an aunt on her mother’s side died of breast cancer at the age of 36.

In 2006 she happened to skip her annual mammogram. In 2007, a mass showed up on her scan. The lump was on her right side and was 2.3 centimeters in diameter. It was stage II, and it had spread to her lymph nodes.

The day her doctor told her it was certainly cancer was a Friday. She had plans to go out with a friend in Jackson, and when her friend called her that afternoon to reconfirm plans and ask about her annual checkup Meg told her, “Well, I’ve got cancer.”

Meg worked at the TVN all through her ordeal. She even came in the day after she had surgery.

She and her husband, Mark, kept their home life as normal as possible as well.

“We just didn’t skip a beat in life,” she said.Meg had a lumpectomy and all her lymph nodes

removed. After that she went through a series of chemotherapy treatments and then radiation.

She and Mark have two kids, Sofie, 11 and Satchel, 9. They were 8 and 6 when Meg was

diagnosed.“I wasn’t scared to tell [the kids] because they

were young enough … that they didn’t understand the repercussions,” Meg said. She remembers breaking the news to Sofie and Satchel, matter-of-factly, at the dinner table.

“We definitely kept them informed,” she said.During chemo treatment Meg brought the kids

over to St. John’s Medical center one day to watch the process. The nurses and oncology staff were very nice, Meg said, and they explained to the kids exactly what they were doing to their mother.

The best part about the experience for Sofie and Satchel, however, was the free lunch in St. John’s cafeteria.

“They still talk about that,” Meg said.Meg and Mark celebrated their 13th anniversary

this year, and Meg said her husband was an irreplaceable help during her treatment.

“Mark was great,” she said. He took over the cooking and child duties for about seven months. “I got through it with the help of Mark.” Mark drove Meg to and from her chemo treatments.

The chemo was the scariest part for Meg, as she remembered her mother going through it years ago without the help of nausea drugs.

It was a little better for Meg, but her body could tell it was being pumped with chemicals.

“You definitely know that there is poison running through your body,” she said.

One of the most poignant moments of all this for Meg was when she decided to have Mark shave her head. It was evening, and after the shave, Meg headed up stairs with a towel wrapped around her head. She read and played with the kids and finally asked if they were ready to see what she looked like.

She removed the towel and Sofie broke out in nervous laughter. The younger Satchel tried to do the same, but his eyes welled with tears and the realization that his mom was really sick.

“That was one of the most memorable things,” Meg said.

Baldness, difficult for cancer patients as well as family members, “is the biggest physical manifestation of the disease.”

Meg also has unending gratitude for her friends, acquaintances and even strangers who came to her aid in a time of need.

Being such an independent woman, it was difficult for Meg to accept help at first. But eventually she came around.

“It made me realize that people do want to help … and to accept it and be gracious … and to give it back,” she said. “[The help] was so appreciated … It was quite amazing to me how the community pulls together for people in need.”

And Meg truly does intend to pay it forward.For now, she’s encouraging “every woman I know

to start getting mammograms.” And she wants those who may be recently diagnosed to know that it’s not a death sentence.

“There is so much treatment out there available to help,” Meg said.

And overall, Meg has kept her optimism about life and cherishes even more her friends, family and wellbeing.

“[Breast cancer] changed me,” she said. “It was definitely life-altering in my outlook on life … you don’t take anything for granted … and you can be strong.”To contact Lisa Nyren e-mail [email protected].

Working through it: Meg Heinen moves forward

local voices

Photo courtesy Meg Heinen

Mark, Meg, Satchel and Sofie Heinen enjoy a family camping trip.

Photo courtesy Meg HeinenMeg and her family in Mexico.


By Janet GrayFor TheDailyGreen.com

Plant estrogens, also called phytoestrogens, are natural compounds found in many foods. There are two main groups: the isoflavones and the lignans. Isoflavones, which include genistein, are found in soybeans and are the most widely studied of the phytoestrogens. Lignans are found in flaxseed, cereals, fruits, and berries. Phytoestrogens are strikingly similar in chemical structure to the common estrogen estradiol and can mimic many of the effects of the natural hormone. Most research on health effects of phytoestrogens, including effects on breast cancer risk, has been done on soy products and genistein.

Most (but not all) studies suggest that regular intake of soy, as a well-integrated component of a regular diet (as opposed to a dietary supplement like a pill), may be slightly protective against breast cancer. On the other hand, studies that look at regular consumption of soy during adolescence, again as part of a regular diet, provide significant protection against later breast cancer development.

Some studies examining the effects of ingesting high levels of soy supplements (e.g., genistein pills or isoflavone protein extracts) suggest that this may

lead to changes that increase the risk of breast cancer.

So eat a healthy, balanced diet that is rich in vegetables (preferably locally grown and pesticide-free) including soy products. Introduce your children to soy products (soy flour, tofu, etc.) early in their development, as part of their regular diet. But stay away from concentrated or isolated forms of soy derivatives, including genistein pills.Reprinted with permission of The Daily Green and Hearst Communications Inc. For the full feature, 20 Breast Cancer Risk Factors, visit TheDailyGreen.com/breast-cancer.

Janet Gray is the director of the Environmental Risks and Breast Cancer project at Vassar College, in Poughkeepsie, N.Y. and a board member of the Breast Cancer Fund. The Environmental Risks and Breast Cancer project is designed to communicate known and suspected environmental triggers for breast cancer to the general public.

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Don’t forget to donate to the Susan G. Komen Foundation when you visit Broulim’s throughout the month of October.

Natural plant-based estrogens in soy may provide healthy benefits in low doses, but may be a risk factor for breast cancer in higher doses.

Eat soy (but not too much)

Courtesy photo

Cook with stainless steelBy Janet GrayFor TheDailyGreen.com

Like cadmium, aluminum is a metal that mimics estrogen. In addition, laboratory studies have shown that aluminum can cause direct damage to DNA in several biological systems. Although studies have not shown a direct causal link between aluminum and breast cancer risk (little work has been reported in this area), breast tissue has been shown to concentrate aluminum and it is found in highest levels in the quadrant of the breast near the underarm region, the same area where the highest proportion of breast cancers are originally diagnosed.

Use alternatives to cooking utensils made out of aluminum, especially those that are older. Instead use pots or pans made out of stainless steel or cast iron. Newer anodized aluminum pots and pans are

considerably safer than older, non-anodized forms as the process of anodizing prevents the aluminum from leaching into food as it is being cooked.

One other possible source of aluminum in breast tissue may be use of underarm antiperspirants. Try to avoid using underarm cosmetics that contain aluminum. Check for safer alternatives at the Environmental Working Group’s Safe Cosmetics database or use homemade solutions like diluted baking soda.Reprinted with permission of The Daily Green and Hearst Communications Inc. For the full feature, 20 Breast Cancer Risk Factors, visit TheDailyGreen.com/breast-cancer.

Janet Gray is the director of the Environmental Risks and Breast Cancer project at Vassar College, in Poughkeepsie, N.Y. and a board member of the Breast Cancer Fund. The Environmental Risks and Breast Cancer project is designed to communicate known and suspected environmental triggers for breast cancer to the general public.Courtesy photo



Bisphenol A, also known as BPA, is a chemical found in many food containers, and polycarbonate plastic water bottles. Unfortunately BPA leeches out of bottles and into the fluid you’ll be drinking.

BPA is a hormone-mimicking chemical and there is substantial scientific evidence linking exposures to BPA with the development of a number of health problems

including breast cancer, as well as heart disease, diabetes and other metabolic

problems, and learning disorders. The detrimental effects of BPA

may be especially severe when developing fetuses and young children are exposed to the chemical, leading to lifelong increases in risk for cancer and other disorders. Avoiding BPA-contaminated products is therefore especially important for pregnant women and young children. But its pervasive effects as a synthetic hormone suggest that we all should take care to minimize our exposures to this chemical.

In place of plastic bottles, high-quality stainless steel bottles (look for “18/8” or “8/10” steel, which refers to the composition of the steel) can be purchased in many stores and online from Kleen Kanteen (which makes donations for sales of pink bottles to The Breast Cancer Fund) as well as several other sources. For infants and toddlers, Born Free and other companies now make baby bottles made of stainless steel or

other substances that are free of BPA, phthalates, and other toxic chemicals. Reprinted with permission of The Daily Green and Hearst Communications Inc. For the full feature, 20 Breast Cancer Risk Factors, visit TheDailyGreen.com/breast-cancer.

Janet Gray is the director of the

Environmental Risks and Breast Cancer project at Vassar College, in Poughkeepsie, N.Y. and a board member of the Breast Cancer Fund. The Environmental Risks and Breast Cancer project is designed to communicate known and suspected environmental triggers for breast cancer to the general public.

Choose BPA-free baby and water bottles


Plant estrogens, also called phytoestrogens, are natural compounds found in many foods. There are two main groups: the isoflavones and the lignans. Isoflavones, which include genistein, are found in soybeans and are the most widely studied of the phytoestrogens. Lignans are found in flaxseed, cereals, fruits, and berries. Phytoestrogens are strikingly similar in chemical structure to the common estrogen estradiol and can mimic many of the effects of the natural hormone. Most research on health effects of phytoestrogens, including effects on breast cancer risk, has been done on soy products and genistein.

Most (but not all) studies suggest that regular intake of soy, as a well-integrated component of a regular diet (as opposed to a dietary supplement like a pill), may be slightly protective against breast cancer. On the other hand, studies that look at regular consumption of soy during adolescence, again as part of a regular diet, provide significant protection against later breast cancer development.

Some studies examining the effects of ingesting high levels of soy supplements (e.g., genistein pills or isoflavone protein extracts) suggest that this may

lead to changes that increase the risk of breast cancer.

So eat a healthy, balanced diet that is rich in vegetables (preferably locally grown and pesticide-free) including soy products. Introduce your children to soy products (soy flour, tofu, etc.) early in their development, as part of their regular diet. But stay away from concentrated or isolated forms of soy derivatives, including genistein pills.Reprinted with permission of The Daily Green and Hearst Communications Inc. For the full feature, 20 Breast Cancer Risk Factors, visit TheDailyGreen.com/breast-cancer.



Like cadmium, aluminum is a metal that mimics estrogen. In addition, laboratory studies have shown that aluminum can cause direct damage to DNA in several biological systems. Although studies have not shown a direct causal link between aluminum and breast cancer risk (little work has been reported in this area), breast tissue has been shown to concentrate aluminum and it is found in highest levels in the quadrant of the breast near the underarm region, the same area where the highest proportion of breast cancers are originally diagnosed.

Use alternatives to cooking utensils made out of aluminum, especially those that are older. Instead use pots or pans made out of stainless steel or cast iron. Newer anodized aluminum pots and pans are

considerably safer than older, non-anodized forms as the process of anodizing prevents the aluminum from leaching into food as it is being cooked.

One other possible source of aluminum in breast tissue may be use of underarm antiperspirants. Try to avoid using underarm cosmetics that contain aluminum. Check for safer alternatives at the Environmental Working Group’s Safe Cosmetics database or use homemade solutions like diluted baking soda.Reprinted with permission of The Daily Green and Hearst Communications Inc. For the full feature, 20 Breast Cancer Risk Factors, visit TheDailyGreen.com/breast-cancer.



Although drinking fluids is absolutely crucial to good health, and water is often the healthiest — certainly the lowest-calorie — option, using tap water rather than bottled water is important for both our health and for the health of our environment. If taste is an issue, filtered tap water is a solution.

Commercial water bottles — including the small ones we carry around and then throw away, the larger gallon-sized bottles we may buy for our refrigerators, and the larger 5-gallon polycarbonate containers found in offices and other public spaces — often are made from plastics that leach chemicals like Bisphenol A, which is known to mimic hormones, and which has been linked to an increased risk for breast cancer and other diseases. Leaching of chemicals from plastic bottles is particularly common when the plastic bottles are warm, as can happen when bottles sit in the sun. If you are using a plastic bottle and the water or other fluid inside it smells “plasticky”, don’t drink it! Your nose is telling you good information about the presence of contaminants in the water.

Of course, there are loads of other reasons for not drinking bottled water whenever possible. Tap water is often as safe or

safer than bottled water, as public water sources are closely monitored and the results of quality testing on these waters are available to the public. Similar testing and disclosure are not required for bottled water.

And of course, the plastic required for commercially bought bottled water is a huge drain on natural petroleum resources, and adds enormously to our communities’ waste burden.

To take water on the go, invest in a cheap, high-quality stainless steel water bottle, or another reusable BPA-free water bottle.Reprinted with permission of The Daily Green and Hearst Communications Inc. For the full feature, 20 Breast Cancer Risk Factors, visit TheDailyGreen.com/breast-cancer.


Drink safe waterBottled water may contain Bisphenol A or other contaminants, while filtered public tap water is closely monitored for safety.

Courtesy photo

Bisphenol A has been linked to a variety of health problems, and may be a risk factor for breast cancer.

Courtesy photo

Courtesy photo


By Janet GrayFor TheDailyGreen.com Intake of certain foods that may contain high levels of PCBs and dioxins should be limited, especially for pregnant women and children. Both are known carcinogens that have been linked with increased risk for breast cancer. Although PCBs have been banned from production and use in the U.S. since the 1970s, they remain in our environment, including our rivers and lakes. PCBs bioaccumulate, meaning they are more concentrated in predatory species than in prey, so they can be highly concentrated in fish at the top of the food chain.

If eating locally caught fish, eat smaller varieties such as bluegill, pumpkinseed, stream trout, smelt, and yellow perch. Limit consumption of fish that are fattier (and more likely to accumulate PCBs) like lake trout, or fish that are bottom dwellers like catfish. These latter species are more likely to be contaminated with chemicals including PCBs. Consult fish advisories published by the Environmental Protection Agency or state health and wildlife agencies before eating fish caught in local waters. Before heading to the fish counter, consult nonprofit

groups that monitor contaminant levels in fish.

Some farmed salmon and sea bass have been shown to have particularly high levels of PCBs; opt for wild fish for these varieties.

In general, careful preparation and cooking can reduce the amount of PCBs consumed. Fillet fish by removing as much fat as possible. Also cook using methods such as baking or broiling in a pan with a rack, rather than frying – frying may actually seal some of the toxic chemicals within the remaining fat of the fish, while other methods may ease the cooking off of natural fats, leading to the dripping out of accumulated chemicals. Reprinted with permission of The Daily Green and Hearst Communications Inc. For the full feature, 20 Breast Cancer Risk Factors, visit TheDailyGreen.com/breast-cancer.



Many common pesticides (such as ant, roach and mice poisons) have been linked to a variety of human diseases, including breast cancer. It probably shouldn’t surprise us that these compounds can be dangerous; they are designed to kill insects with which we share many common biological systems.

Several pesticides are known endocrine disruptors (they disrupt natural hormone-signaling pathways), and through these mechanisms have been implicated in increased risk for breast cancer. In addition to effects by themselves, these chemicals have been shown to have additive effects with other kinds of endocrine disruptors. In other words, exposures to small doses of pesticides may have greater effects when people are also exposed to other chemicals to which we are all commonly exposed.

Unfortunately, when pesticides are applied in the home, they don’t just kill bugs and disappear. Rather they often stick around (for years or decades) and are found in the air and on the dust we touch and breathe, meaning that we all have sustained and multiple exposures to these toxic chemicals. And when we apply them outside,

pesticides enter the air we breath, fall on the lawn on which we walk and our children play, and eventually seep into our water. The result can be devastating for the wildlife with which we share our world, and also may have significant impact on rates of human diseases, including breast cancer.

The best way to minimize insects inside and outside the home is through careful and regular cleaning. Integrated Pest Management (also known as IPM) approaches provide chemical-free (or low-chemical) strategies for protecting home environments, yards and agricultural crops. The University of California at Davis has published a good resource for learning more about IPM applications for the home and garden.Reprinted with permission of The Daily Green and Hearst Communications Inc. For the full feature, 20 Breast Cancer Risk Factors, visit TheDailyGreen.com/breast-cancer.


Use natural pesticidesSome chemical pesticides contain endocrine disrupting chemicals that can harm human health, as well as kill insects and rodents.

Courtesy photo

Eat clean fishSome fish can be contaminated with PCBs and dioxins, both breast cancer risk factors. Here’s how to choose safe, nontoxic fish.

Courtesy photo

Pink-shirted Ladies of Harley prepare to run during the Susan G. Komen Race for the Cure in Boise May 5, 2005. For more information about the Susan G. Komen Foundation visit komen.org.

TVN Photo/Ken Levy


Teton Valley News & Broulim’s have teamed together for

National Breast Cancer Awareness MonthGo into Broulim’s during October to donate to the Susan G. Komen Foundation.

Join these people who have already donated to the Susan G. Komen FoundationBroulim’s and the Teton Valley News would like to thank all those who donated to Breast Cancer Awareness last week.

Beth KujawskiContent That Works Features

“Grit” is the word that won’t go away. Melissa Etheridge has grit. Fortitude. Tenacity. Take your pick. Or take all three.

She was born in a prison town, “black-and-blue and close to death,” as described in her 2001 memoir “The Truth Is …” Her mother went into labor in the middle of the day, and nurses held her legs closed until a doctor arrived. “I was not allowed to enter the world as planned.”

Growing up grappling with feelings of shame and isolation, she found solace in songs and security on the stage. In sixth grade, she wrote what she considers her first real song, “Lonely Is a Child,” and performed it with friends at a local talent show. As a finalist, she earned her first award for her music, a small trophy. Today, it stands alongside her GRAMMY Awards and her Oscar.

From the day she packed everything she owned into her car and drove from Kansas City to Los Angeles, hers has been a journey of rock ’n’ roll on the road to awareness, with wellness along for the ride. The road, it is worth noting, contains occasional, necessary, feel-good detours.

With her diet, for example, she tries to avoid wheat, dairy and sugar, but she makes exceptions, like breakfast at her favorite place for pancakes when she’s in Chicago on tour.

“You have to,” she said, on the phone from her home in California. “I would lose my mind if I just said ‘Never.’ And I don’t think that’s what health is all about. I think health is about the pretty much constant awareness of what’s going in your body and how you’re treating it and the track that it’s on. And part of that

is being aware of your fun side, of treating yourself, of understanding.”

Etheridge is mindful of the connection of her body and spirit.

“I think that’s something that we get messed up here in Western medicine,” she said. “We think that there’s no emotion or spirit involved in our health, and that’s just madness.”

She cites stress as the No. 1 factor in degenerative disease.

“Each individual has to take responsibility for what they’re putting their body and their spirit through — things they don’t like, where they’re living, who they’re living with, where they’re working, how they feel about themselves, all those.”

“It’s all being out of vibration with yourself,” she continues. “That vibration we’re supposed to be in which is peace and well-being and love. As we go further down that road, I believe there’s only two things in the world, there’s only two vibrations, there’s only two choices and that’s love and fear. If you’re not in that vibration of love, you’re in the other one, and that’s where the body starts breaking down.” Illnesses are symptoms.

Even cancer. Especially cancer. Etheridge has been very open about her battle with breast cancer, but she perceives it in an atypical way. For her, cancer was a means to an evolving end.

“I started changing right before cancer, like weeks before,” she said. “I had an enlightenment, an awakening ... where everything that I thought was as it was, was not, and I got really turned upside-down.”

Noting her penchant for reading celebrity magazines when traveling, she said, “I just fed on the snack food of our reality, and all of a sudden, it was like, ‘Wait a minute. What am I doing? What life am I living?’ And I remember being at the airport, and

I walked into the bookstore. And I found myself walking back to the philosophy section, and I picked up Ken Wilber’s ‘A Brief History of Everything’ — which is from quantum physics to cosmology – and I understood it, which blew my mind. And I started on this path.

“A few weeks later, it was like I almost came to peace with what life and death was, that death wasn’t really the end, then all the sudden I get this cancer diagnosis. But I had already changed right before it, so I just saw my body break down metaphorically because I knew that what I was doing was breaking down all of my old beliefs. So then I fell into this cancer, which was a perfect excuse to check out and rearrange.

“I mean, it was horrible. I wouldn’t do it that way again. Our bodies need health and less stress. They can get all the way to cancer and then we either find it or die, or you can change before. So I saw my body kind of break down and reassemble, with my spirit, with everything. So yes, it changed me and there was life before and after, but I would say cancer was more symptomatic of the change than what made it change.”

Etheridge writes honestly about her life in her music. But her latest

efforts suggest a larger shift.“The last five years have been a

lesson in really speaking my truth in everything, just being fearless,” she said. “When I first started, after cancer, when I started getting into what reality is, and what spirit is, and what health is, what life is, when I really started walking it every day, I knew that it would have to go into my music because my music has always been a reflection of me.”

“Fearless Love” (released on Island in April) is the next leg of her latest musical journey, which began with the release of 2007’s “The Awakening.” It’s part two of a trilogy, she said.

“I had to make ‘The Awakening’ to be able to make this album.” And next? “It’s the path to oneness,” she said. “The working title of the next album is just ‘Oneness.’ ”

But make no mistake: Etheridge hasn’t strayed from her rock ’n’ roll roots. Music may empower her own exploration, but more than ever, she wants to help others connect with their emotions.

“That’s what rock ’n’ roll is,” said Etheridge. “It should be part of your soul.”© Content That Works Features

Use natural pesticides

Celebrity health: Melissa EtheridgeRock star turned Oscar winner talks life after cancer and how the happiness of the mind makes for the healthiest of bodies

Courtesy photo

Kaitlyn Conner for Susan Conner

Bette Vereloust

Whitney Waddell

Kadin Waddell

Alisha Horrocks

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Ashlynn Hansen

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Kelly Wood for Candi Palmer—Egin survivor 6 years!

Seth Robinson

For Martha Stoker

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breast cancer basics: part four

Documents

breast cancer risk

orgbreast cancer resources

johns medical center

valleys tetonstake control

orgbreastlink medical

cure komen

monthlong series

meg heinen