Breast cancer 2015r

Finding Her Calling–

Breast Cancer

and Bone Loss

Breast CancerAwarenessMonth Issue

SPECIAL FALL EDITION 2015

with Julie Margenthaler, MDBREAST CANCER

IMPACTS SIX SISTERSCindy Johnson’s Story

Inside

the PIN

K

pages

Is ChemoBrain Real?

Exposure to Chemicals in Food

Chemotherapy & Your Nails

Eating Unhealthy Foods

Breast Cancer Treatment & Bone Loss

Special Edition!

When you’re a mom, the questions never stop.

ChildrensMomDocs.org

ChildrensMomDocs.org

Contentsthe

FOOD & NUTRITION

30 10 AUTUMN FOODS FOR FALL The days of bright berries, crisp salads and succulent summer fruit are behind us for another year. While you might bedisappointed to see the last of the seasonalsalads, don't fret - there are deliciousreplacements on the way to help you keepyour healthy eating habits.

SPECIAL FALL EDITION 2015FEATURES

SPECIAL EXPANDED PINK PAGES

40 IS CHEMOBRAIN REAL?

42 BREAST CANCER TREATMENT AND BONE LOSS

44 CHEMOTHERAPY AND YOUR NAILS

46 BREAST CANCER RESOURCE GUIDE

12

SPECIAL FALLEDITION CANCERAWARENESS ISSUE!In this special edition of The New You Magazine,Inside & Out, we focus onhealthy topics that arerelatable to breast cancerpatients and survivors!

On the Cover

Secret to Happiness?18 Tips to Help You Be Healthy NOW!

16THE TOP FIXES FOR FRIZZY HAIR

To keep frizz levels under control, hydration isessential; however there are other tips andtechniques that can help you achieve sleeker,groomed tresses.

6

20

26

34

WOMEN TO KNOW IN MISSOURIJulie Margenthaler, MD — Finds Her Calling in Treating Breast Cancer

When Julie Margenthaler, MD, began a surgery residency, she had no interest in becoming the accomplished breastsurgeon she is today. It would be eight years beforeMargenthaler found her calling as a breast cancer surgeon.And her career choice couldn’t be a better fit.

EXPOSURE TO CHEMICALS IN FOOD

There's a growing concern that chemicals on and infood may cause health problems, including an increasein breast cancer risk.

EATING UNHEALTHY FOOD

Diet is thought to be partly responsible for about 30to 40 percent of all cancers. No food or diet canprevent you from getting breast cancer. But somefoods can make your body the healthiest it can be,boost your immune system, and help keep your riskfor breast cancer as low as possible.

PINK PAGESBreast Cancer Impacts Six Sisters

Cindy Johnson of Florissant, MO, and her fivesisters shared a lot growing up – the last nameCrews, clothes, shoes, rooms and secrets – thenormal things experienced together in a large, happy, close-knit family. They also shared genetics,and that genetic code led to some mutual experiences upon which they hadn’t planned.

SPECIAL FALL EDITION 2015 thenewyoumagazine.com 3

CEO/PUBLISHERKaren Hawkins

573-631-9100 or [email protected]

EXECUTIVE EDITORCaroline LawsonMichelle Cox

MANAGING EDITORSharon Lewis

DESIGN & PHOTO DIRECTORNY Marketing & Creative

SPECIAL PROJECTS EDITORKaren Hawkins

CONTRIBUTING WRITERSJulie Margenthaler, MD,FACS

Terrence Myckatyn, MD, FACS, FRCs(C)Shobha Bhaskar, M.D.Chrissey OldaniRaina ChildersBrett Arends

Carolyn CampbellKathleen Berchelmann, M.D.

Linda FranklinRachel Russo

ADVERTISING COORDINATORNY Marketing & Creative

CIRCULATION & DISTRIBUTIONCindy Davis

ACCOUNT EXECUTIVESKaren Hawkins

ADVERTISINGTo place an ad or request a media kit,

please call Karen Hawkins at 573-631-9100or email to [email protected]

MARKETING/ADVERTISING AGENCYAND WEB PRODUCTION NY Marketing & Creative

Subscription Rates: $10 for one year • Frequency five issues peryear • Single copies in office • Reprint requests must be madeprior to the publishing of a specific issue • Reprints are $2.00 per copy • Reproduction in part or whole is strictly prohibitedwithout the express permission of the publisher • Unsolicitedmanuscripts may be submitted but must be accompanied by a self-addressed stamped envelope • The New You–Inside & Out Magazine does not endorse any information contained inarticles or advertisements and suggests consulting a health-careprofessional before beginning any therapy or medical treatment.

© 2015 by The New You–Inside & Out Magazine ALL RIGHTS RESERVED

VOLUME 5, ISSUE 3

THE NEW YOU PUBLISHING, L.L.C. 1260 Barron RoadPoplar Bluff, Missouri

573-631-9100thenewyoumagazine.net

A message from the publisher...

“Feeling gratitude and notexpressing it is likewrapping a present andnot giving it.”

— William Arthur Ward

Dear Friends…Welcome to this the special Breast Cancer issue of The New You.

Every new issue of The New You—Inside-Out bursts with wonderful features that Ican’t wait to share with all of YOU! I’m so grateful to our contributing writers wholove what they do and portrays that in the words they write.

We continue to bring you fascinating stories of “Women to Know”- women likeJulie Margenthaler, MD. As chief resident, Margenthaler cared for women withbreast cancer and other breast problems as part of a health care system for theunderinsured. The experience made Margenthaler realize that she enjoyed not justthe technical aspects of surgery, but also the long-term relationships that develop between doctors and patients. “I simply fell in love with the idea of being a breastspecialist,” she said.

The Pink pages feature a story of six sisters who shared a lot growing up – the lastname Crews, clothes, shoes, rooms and secrets -- the normal things experiencedtogether in a large, happy, close-knit family. They also shared genetics, and thatgenetic code led to some mutual experiences upon which they hadn’t planned andthat changed their lives forever.

There are so many more amazing articles herein. As no food or diet can prevent youfrom getting breast cancer, but some foods can boost your immune system and helpkeep your risk of breast cancer as low as possible. You will want to be sure and readthe article “Eating Unhealthy Food.”

Remember, the chance of a woman having invasive breast cancer some time duringher life is about 1 in 8. In 2015, an estimated 231,840 new cases of invasive breastcancer are expected to be diagnosed in women in the United States. About 40,290women in this country are expected to die in 2015 from breast cancer.

As always, I dedicate this and every issue to my mother, Freida Hawkins, whofought breast cancer for 18 years before going home. I love you SO MUCH andmiss you, Mom.

Stay healthy and incredible because…Life is good! AND, worth talkingabout!

Please remember:MAMMOGRAMS save lives - It saved mine and it could save yours.

A

MAMMOGRAM

SAVED MY

LIFE and

it can saveYOURS!

4 thenewyoumagazine.com SPECIAL FALL EDITION 2015

WOMEN TO KNOW

Julie Margenthaler, MD

Finds Her

6 thenewyoumagazine.com FALL SPECIAL EDITION 2015

by Jim Goodwin, Siteman Cancer Center,Associate Director of Cancer News


WHEN JULIE MARGENTHALER, MD, began a surgery residency, she had

no interest in becoming the accomplished breast surgeon she is today.

In fact, when her faculty adviser, a breast surgeon herself, asked Margenthaler

whether she had considered the specialty, she was quick to reply.

“I said, ‘Absolutely not. Just because I’m a woman, I

don’t want to be pigeonholed into doing breast surgery.

No offense to you, but that’s so cliché,’ ” Margenthaler

recalled years later with a laugh.

It would be another eight years before Margenthaler found her calling as a

breast cancer surgeon. And her career choice couldn’t be a better fit.

Those who know her say Margenthaler’s surgical talent and extraordinary

time-management skills are matched only by her devotion to the women she

treats at Siteman Cancer Center at Barnes-Jewish Hospital and Washington

University School of Medicine in St. Louis.

Treating Breast Cancer Calling in

A Circuitous Path

A native of Pinckneyville, Ill.,Margenthaler’s interest in medicinedeveloped in high school. Her aunt, anurse at the local community hospital,helped Margenthaler get a volunteer job as a candy striper. Hospitalphysicians took her under theircollective wing, inviting Margenthaler toobserve surgeries and tag along onpatient rounds.

“It was a great experience,” she said. “Iknew early on, before deciding whatkind of doctor I would be, that I wantedto work in a hospital. I loved all theactivity and the camaraderie among thestaff. There’s a lot of excitement andenergy, and it seemed like a great way tospend the day.”

Margenthaler earned a degree in biologyfrom Boston University and a medicaldegree from Southern Illinois Universityin Springfield. The school excelled insurgical training and was ahead of thecurve in using simulators and lifelikemannequins as teaching tools, providingher with a solid surgical foundation.

In 1997, when she began her surgeryresidency at Saint Louis University,Margenthaler already had her sights set

on pediatric surgery. She envisionedherself performing small-boweltransplants and other intricate, cutting-edge procedures.

During a rotation at a Veteran Affairsmedical center in St. Louis,Margenthaler crossed paths with aWashington University vascular surgeonwho studied the immunological basis fortransplant tolerance and rejection. Hetold Margenthaler that if she receivedfunding, she could work in his lab toinvestigate rejection related to small-bowel transplants.

Much to her surprise, the first three grantapplications Margenthaler submittedreceived funding. While doing basicresearch, she broadened her knowledgebase by attending numerous lectures,conferences and grand rounds at themedical school.

Margenthaler’s drive caught theattention of faculty, including Eberlein.He approached her about staying atWashington University to finish hersurgical training. Margenthaler jumpedat the opportunity. After finishing athree-year stint in the lab, she returned toher clinical training, still planning to bea pediatric surgeon.

But the turning point came in 2004,when as chief resident Margenthalercared for women with breast cancer andother breast problems as part of a health-care system for the underinsured. Theexperience made Margenthaler realizethat she enjoyed not just the technicalaspects of surgery but also the long-termrelationships that develop betweendoctors and patients.

“I simply fell in love with the idea ofbeing a breast specialist,” she said.

Developing New Treatments

Cancer cells are notoriously difficult to see, even under high-poweredmagnification. The goggles Margenthalerhas helped test make cancer cells glowblue when viewed through the eyewear.The technology, developed by SamuelAchilefu, PhD, a professor of radiologyat the School of Medicine, incorporatescustom video technology, a head-mounted display and a targeted,nontoxic molecular agent that attachesto cancer cells, making them glow.

Current standard of care requiressurgeons to remove the tumor and someneighboring tissue that may or may notinclude cancer cells. The samples aresent to a pathology lab and viewed under

WOMEN TO KNOW



a microscope. If cancer cells are foundin neighboring tissue, a second surgeryoften is recommended to removeadditional tissue. “We’re in the earlystages of this technology, and moredevelopment and testing will be done,but we’re certainly encouraged by thepotential benefits to patients,”Margenthaler said. “Imagine what itwould mean if these glasses eliminatedthe need for follow-up surgery and theassociated pain, inconvenience andanxiety.”

In another collaboration, Margenthalerteamed with Lihong Wang, PhD, theGene K. Beare Distinguished Professorin the Department of BiomedicalEngineering at Washington University.Wang pioneered photoacoustic imaging,which uses light to image cancer cells inthe body, noninvasively and withoutradiation.

In patients with breast cancer,Margenthaler is evaluating whether thetechnique accurately can pinpointwhether breast cancer has spread to thesurrounding lymph nodes. If it can,surgeons no longer would need toremove lymph nodes under the arm tocheck for cancer. Instead, a node onlywould be removed if cancer is present,

potentially reducing a seriouscomplication of breast cancer surgerycalled lymphedema, which causespainful swelling in the chest and armafter lymph node removal. Thetechnology was used in 20 patients andwas able to reliably identify cancer inthe lymph nodes. The results werepublished in Nature, a leading scientificjournal, and future related studies arebeing developed.

That Margenthaler has achieved successin her career also comes as no surprise toVirginia Herrmann, MD, Margenthaler’slongtime mentor and the surgeon whomade the prophetic suggestion that sheconsider a career in breast surgery.

“Julie’s compassionate and conscientious,with a work ethic like none I’ve everseen,” said Herrmann, who has servedon the faculty at Saint Louis Universityand Washington University and is now aprofessor of surgery at the MedicalUniversity of South Carolina.

But it’s not just young surgeons wholook up to Margenthaler, said Hermann,who has phoned Margenthaler to consulton difficult cases. “Julie’s taught me alot. She motivates me to be a betterdoctor.”

I simply fellin love withthe idea ofbeing a breastspecialist.

“

”

Fast Facts About Julie Margenthaler

Favorite pastime: Attending St. Louis Cardinals games, boating,water skiing and spending time with friends and family.

Stays in shape by: Running up and down the staircases in betweensurgical cases at the Center for Advanced Medicine. Also liftsweights and works out regularly.

Awards: Samuel A. Wells Resident Research Award (2001),Eugene M. Bricker Teaching Award (2005), James Ewing YoungInvestigator Award (2006), James P. Crane Award for ClinicalExcellence (2010, 2011, 2012, 2014, 2015), St. Louis Top Doc(2013, 2014, 2015), Leading Physicians of the World (2013, 2014,2015), Best Doctors in America (2015)

A Local Bank with...

a Proven Record.

The Bank of Missouri has earned a 5-Star (Superior) Rating from Bauer Financial, Inc., forthe past 14 consecutive quarters. Bauer is an independent company that rates banks onperformance, safety and soundness.

Chartered in 1891 as the Bank of Perryville, The Bank of Missouri has had only one namechange and has grown from a single branch in Perryville, Missouri to 20 branches acrossthe state. Total assets are at $1.1 billion with $248 million of those assets in the local area.We have one location in Republic, Ozark and Branson and three locations in Springfield.

Chartered in 2005, The Bank of Missouri’s Investments & Retirement division has full trustpowers with assets under management in excess of $250 million. Additionally, The Bankoperates an insurance agency and a title company.

The Bank of Missouri is a preferred lender with the Small Business Administration (SBA). Weoffer an experienced team of SBA lenders who will assist you and your small business intaking advantage of all the benefits the program offers.

In addition to business loans, The Bank of Missouri offers a full suite of products andservices to assist you in your business. From Business Select Checking options to RemoteDeposit Capture and Mobile Check Deposit, and everything else in between, you’ll find justwhat you need for your everyday operations.

We are big enough to accommodate any financial need, yet small enough for personaltreatment. Our friendly personal service is only one aspect of how The Bank of Missouri hassuccessfully served the communities in our state. When you need the services of a localbank with a proven record, look no further than The Bank of Missouri. We look forward toserving you.

The Bank of Missouri has locations in Perryville, Cape Girardeau, Jackson, Marble Hill,Scott City, Patton, Poplar Bluff, Columbia, Springfield, Republic, Ozark and Branson.

For more information on Bauer Financial, visit www.bauerfinancial.com or contactthem at 1.800.388.6686.

SUMMER 2015 thenewyoumagazine.com 11


B E A U T Y

Your Home by the River Your Home by the RiverF E A T U R I N G W a t e r f r o n t

C o m m u n i t y Lowcountry Architecture & Traditional Neighborhood Surroundings •Boat Basin with Docks on the ICW •Boat storage & Kayak Stands •Lighted tennis Courts •Children’s Playground & Dog Park •Walking Trails •Lighted Street Corners

•100 Acres Common Area Open Space • Separate Adult & Toddler Pool Complex

•Beautiful Live Oaks & Spanish Moss •Community Events •Crab Shack for Casual Fun Events • Fun Community Events

Events held at our beautiful river front community club house overlooking the ICW

Located on the Historic Intracoastal Waterways of Beaufort, South Carolina

Sales & Marketing by

www.searchbeaufortsc.com

Office 843-522-0041 Cell 843-263-1906 or 843-575-5206

e-mail sales @coosawpoint.com www.coosawpoint.com

Nestled on the Coosaw River in Lady’s Island, SC Less than 10 minutes from Historic Beaufort, SC

Between Charleston, SC & Savannah GA Affordable homes start in the $300’s

Homesites start in the low $40’s

Your Home by the River Your Home by the River

B E A U T Y



FOOD & NUTRITION

Photo compliments of: quixoticfusion.com


Let us do OUR JOB.So YOU focus on yours.Our CPA firm is in the business ofproviding accounting services to ourclients. Measurement, analysis, andcommunication of economic eventsare our basic role and are also aconcise definition of accounting.

Crouch, Farley & Heuring, PCFinancial Measurement, Anaylsis & Communication

BONNE TERRE OFFICE573-358-1070

212 North Division Street Bonne Terre, MO 63628

STE. GENEVIEVE OFFICE573-883-3139717 Weiler St.

Ste. Genevieve, MO 63670

FARMINGTON OFFICE573-756-8961

119 N. Henry St. P.O. Box 599Farmington, MO 63640

FESTUS OFFICE636-937-8351

662 North Creek Dr.Festus, MO 63028

CAPE GIRARDEAU OFFICE573-332-1177

623 S. Silver Springs Rd. CapeGirardeau, MO 63703

Family Lounge Area


FOOD & NUTRITION


HEALTH & FITNESS

FALLFALL

1010

FOOD & NUTRITION


It’s That Time Of Year Again!The days of bright berries, crisp salads and succulent summerfruit are behind us for another year. While you might bedisappointed to see the last of the seasonal salads, don't fret -there are delicious replacements on the way to help you keepyour healthy eating habits.

Autumn is a season of deep green, dark yellow and brilliantorange and these colours mean the fruits and vegetables arerich in disease-fighting phytochemicals. The more colourfulthe fruit, the better it is for your health.

Here are our top 10 picks for the most delicious and healthyAutumn fruits and veggies. Make them a regular part of yourdiet, so you can continue to reap the nutritional rewards that

fruits and vegetables offer throughout the year.

Foods forFoods for

AutumnAutumn

1010ParsnipsParsnips1010

These might look like white carrots but they have a delicate,sweet flavour. While they don't contain the same high amounts ofvitamin A as carrot, parsnips are a good source of fibre, vitaminC, calcium and iron. Look for smooth and firm, small to mediumsized parsnips for the best quality. Large coarse roots usually havewoody or fibrous centres.

Traditionally, parsnips are boiled and mashed together withcarrots, but they can be steamed, microwaved, boiled, roasted orsautéed as a side vegetable. They also stand in nicely for carrots, potatoes or sweet potatoes inmost recipes, and lend a gentle sweetness to soups and other combinations of root vegetables.

Turnips and SwedesTurnips and Swedes99A member of the mustard family, turnips - known as swedes inScotland and Ireland - have a white flesh with a tough outer skinthat ranges from yellow to purple, and a more bitter flavour thanpotatoes. They are a good source of vitamin C and offer 2-3gdietary fibre per serving. Like their cousins, broccoli, cabbage andBrussels sprouts, these cruciferous vegetables contain the potentphytochemical sulforaphane, which has been shown to protectagainst cancer, especially breast cancer. Try incorporating theminto recipes where you'd normally use plain old spuds. They workwell boiled, mashed or roasted.

Sweet PotatoesSweet Potatoes88Despite its name, the sweet potato is not related to the potato.Potatoes are classified as tubers, while the sweet potato is astorage root. Good-quality sweet potatoes will be firm, smooth-skinned and tan to light rose colour. They contain 30 milligrams(50,000 IU) of beta-carotene (vitamin A) in a serving, which isfour times the recommended daily allowance (RDA) per serving.You would have to eat 23 portions of broccoli to consume thesame amount of beta-carotene.

They are also high in vitamin C (one serving provides 50% of the RDA) and provide threegrams of fibre per serving. Sweet potatoes are an ideal choice for people with diabetes, sincethey are considered a low glycaemic food. This means that the carbohydrate in sweet potatoesis released slowly, which helps maintain steady blood sugar levels.

White potatoes, on the other hand, are a high glycaemic food, as they release carbohydratesvery quickly and cause large fluctuations in blood sugar levels. They are ideal for baking,grilling or steaming, and you can substitute them in any recipe that calls for potatoes.

AutumnAutumn

FOOD & NUTRITION

SquashSquash77While summer squash tends to be tender and moist with edibleseeds and rind, winter squash develops hard rinds and the toughseeds and fibrous centre are inedible and must be scooped out.Winter squash is one of the few vegetables that do not lose qualityafter picking. In fact, during storage, the beta-carotene (vitamin A)content increases, and they contain more than 100 percent of theRDA for vitamin A. They are also a good source of heart-healthynutrients, folate and fibre.

ClementinesClementines55These are the baby cousins of the Florida or navel orange and arealso known as mandarin oranges. They can be quite difficult todistinguish from tangerines, as they are both bitter orangehybrids, but the main difference is that clementines are oftenseedless. They have loose skin, so they are easy to peel and makea great portable snack. They marry well with chicken dishes, sotry adding some wedges to a grilled chicken wrap for a tropicalflavour. If your salad is looking a little dreary, dress it up with afew clementines for more color.

ApplesApples44Apples contain flavonoids, some of the most potent antioxidantsaround. Several studies have shown that people who eat a dietthat's rich in flavonoids have a lower risk of heart disease andheart attacks as well as several types of cancer. And to top that,they are good for more than baking.

Try this simple recipe and fill the whole house wilth a cinnamon-apple scent: slice four McIntosh apples into pieces and place in asaucepan with two tablespoons of water and one cinnamon stick.Simmer on a low heat until the apples are tender and the sauce begins to thicken. Serve warmwith a dollop of low-fat vanilla ice cream or frozen yoghurt or stir into your breakfast porridge.

PearsPears66Pears are a high-fibre food, with a medium pear providing fourgrams of fibre, which is equivalent to one and a half cups ofbrown rice. Most of the fibre is also of the soluble kind, which canhelp lower blood cholesterol levels and improve blood sugarcontrol. They are almost as versatile as the apple. You can usethem in low-fat pancakes, sliced on sandwiches or poached anddrizzled with maple syrup for a warm, sweet dessert.

PumpkinsPumpkins33These are more than just Halloween decorations. The pumpkin'sbright orange colour is a dead giveaway that it's loaded with animportant antioxidant, beta-carotene, as well as being rich invitamin C and folate.

Carotenoids, such as beta-carotene, may reduce the risk ofdeveloping certain types of cancer and protect against heartdisease. Even the seeds are packed with nutritional value. In fact,they are only second to peanuts in protein content and a goodsource of zinc and omega-3 fatty acids, which can help reduce your risk of heart disease.

You can roast your own seeds from a fresh pumpkin in a hot oven (190°C) for about 45 minutes.If you do not fancy cooking a pumpkin, don't forget that you can use canned pumpkin in anyrecipe. It's great served as a tasty side dish for a main meal and ideal for making hearty wintersoups, as well as being baked into bread and pumpkin pie.

CranberriesCranberries22If you are looking for berries that ripen in the autumn, look nofurther than cranberries. Not only are they a healthy, low-caloriefruit, they also play a significant role in preventing urinary tractinfections and reducing the risk of gum disease, ulcers, heartdisease and cancer. Cranberries contain anthocyanins, the heart-healthy antioxidants, which are also found in tea and red wine,and the compound that gives them their colour. Only about 10 percent of the commercial crop is sold fresh - mostly inSeptember through to December. The rest can be found as juice,dried or as cranberry sauce. Fresh cranberries can be too tart on their own, but they pairwonderfully with other fruits such as apples and pears. Cranberries work well added to muffinsand other baked goods and in compotes, relishes, chutneys and fruit desserts.

FigsFigs11These often-overlooked fruits are full of flavour and their chewytexture makes them a tasty, nutritious addition to your diet. Figsare high in fibre (5 grams per 1½-ounce serving), which is moredietary fibre per serving than any other common dried or freshfruit. They are also a good non-dairy source of calcium - the sameamount of figs and milk provide equal amounts of calcium. Figpuree (200g figs pureed in a blender with around 50-100ml ofwater or fruit juice) can also be used as both a sweetener and a fatsubstitute in many baked goods.

Keep dried figs on hand as a rich-tasting alternative to cookies or dessert. Or sweeten upmashed potatoes or sweet potatoes with some chopped figs. The figs add a richness oftheir own, so you can skip the butter or margarine.



P I N K PA G E S

By Michelle Cox

36 thenewyoumagazine.com SUMMER 2015

P I N K PA G E S


THE LOFT IS OPEN FOR PRIVATE MEETINGS, PARTIES AND EVENTS!Live Entertainment Every Weekend • Tasting Events • Art Exhibits • & More!

LUNCH & DINNER • FINE DINING AFTER FIVEFresh, seasonal ingredients, a global influence and expert touch. The MOST EXTENSIVE wine & brew selection in SOUTHEAST MISSOURIpbwinerack.com • 866-679-7874 • & Facebook


MAMMOGRAPHY

Our focus is clear.It’s you!

�� $�� !�� $��"�� $�� "��

� �� # �� $ �� "�� !�� $� �� $� �� !�� !��$�� " $��!��$�� $� ��

�� $� ��

�� "� ��

��!�� $�� !��"�� #��$� �� ( �� !�� !��

�$� �� !�� '�� " $�� $�'�� "��!�� $�� $� ��"�� $� �� %��&�� "��$�� $�

Please call 573.472.7330 to schedule your annual screening mammogram appointment. For additional information, please visit www.missouridelta.com.

Our focus ��

P I N K PA G E S

Real ?Why can Inot thinkclearly?

Chemobrain

Chemobrain is a relatively new term that refersto the cognitive changes that can occur as a sideeffect of chemotherapy. Many people who have gonethrough chemotherapy notice some temporarychanges in their memory or thinking process(cognitive dysfunction.) It might be harder to do twothings at the same time, the car keys disappear, andthe event you just read about in the newspaperdoesn’t seem to stick in your memory.

It was formally known as cognitive dysfunction, a symptom reported by many cancer patients.Chemobrain, or difficulty in efficiently processinginformation, is a legitimate, diagnosable conditionthat may be caused by chemotherapy treatment, thecancer itself, or secondary medical conditions suchas anemia.

It's thought that anywhere from 15 to 70 percentof people are significantly affected by chemobrainafter chemo, but we are just beginning to learn aboutthe causes, and what you can do to cope and recoverfrom this annoying condition.

Always tell your doctor about any changes in yourthinking. He or she may refer you to a

neuropsychologist. Neuropsychologicalevaluations for chemobrain are

considered medical procedures, not amental health benefit, and as suchare covered by health insurance.

Is


Symptoms of Chemobrain:• Difficulty concentrating on a single task • Feeling mentally “slower” than usual• Problems with short-term memory; forgetting details of recent events • Misplacing objects• Confusing dates and appointments • Fumbling for the right word or phrase

These symptoms generally will fade after chemotherapy ends, but each patient is different. Some maytake a year or more after treatment to feel normal again; others may never regain full cognitive function.

Treatment:Not many treatments for chemobrain currently exist, although some patients may find relief fromstimulants such as Ritalin®, commonly used to treat Attention Deficit Hyperactivity Disorder(ADHD). Ritalin can help improve mental focus, concentration and stamina in cancer patients.

People can use the following coping strategies to minimize the effects of chemobrain:

Exercise: Even five minutes of mild to moderate activity may improve mental function.

Memory Aids: Using a notebook, planner or list to keep track of things as they come to mind. A small recorder can also come in handy.

Treat fatigue and sleep problems: these conditions can worsen chemobrain symptoms.

Manage depression and anxiety: easing stress and elevating mood can ease chemobrain symptoms.

Minimize distractions: Employers are required by the Americans with Disabilities Act to make reasonable accommodations for health-related impairments such as chemobrain. A more soundproof environment, like an office or a cubicle in a different location can decrease distractions and improve concentration in the workplace.

THERE’S NO PLACE LIKE

Missouri’s Biggest Selection

2

LOCA

TIONS

Bs’iruosisMisMi

oniontioticleleeStseggiB

NSE’RE’EREHERTHETH

KEIKEIKLECALPON

ERHERTHETH

E


P I N K PA G E S

American Cancer Society’s Hope LodgeA free housing facility for cancer patients receiving treatment inthe St. Louis area who live a distance greater than 50 miles.Please call for eligibility requirements.WHERE: 4215 Lindell Blvd, St. Louis, MO 63108CALL: (314) 286-8150

American Cancer Society’s Reach to RecoveryThrough face-to-face visits or by phone, the American CancerSociety’s Reach to Recovery volunteers give support to peoplerecently diagnosed with breast cancer. Volunteers are trained togive support and up-to-date information, including literature forspouses, children, friends and other loved ones.WHERE: 106 Farrar Drive, Suite 104, Cape Girardeau, MO 63701CALL: (877) 227-1618

Bosom BuddiesThis support group is open to all women who have had breast cancer. WHEN: The first Tuesday of each month from 6:30-8:30 pm WHERE: HealthPoint Fitness - Cape Girardeau

2126 Independence, Cape Girardeau, MO 63701CALL: (573) 986-4411

Breast Cancer Awareness and Support GroupThis support group is open to all women who have had breast cancer. WHEN: The second Tuesday of the month, 7:00-8:00 pm WHERE: Mercy Hospital of Washington

901 East Fifth Street, Washington, MO 63090CALL: (636) 432-3527CONTACT: Debbie Vietmeier for information

Breast Cancer Support GroupOffers support and comfort by providing support networks,community support information, mentor programs, breast cancerawareness resources, diagnosis and treatment to residents ofSouthwest Missouri and the four state area.WHERE: 330 North Jefferson, Springfield, MO 65806CALL: (866) 874-1915WEB: www.bcfo.org

Breast Cancer Monthly NetworkingCancer Support Community’s monthly educational and networkinggroup in collaboration with St. John’s Mercy Medical Center - forwomen newly diagnosed and those who are post treatment forbreast cancer.WHEN: The fourth Wednesday of each month from 5:30-7:00 pmWHERE: David C. Pratt Cancer Center

Suite 1440, John Krey Cancer Information CenterJohn’s Mercy Medical Center, 607South New Ballas Road, St. Louis, MO 63141

Cancer Support CommunityProvides free support and education to anyone touched by cancer.Contact the Cancer Support Community for cancer resources,education support, nutritional help and more.WHERE: 1058 Old Des Peres Road, St. Louis, MO 63131WEB: www.cancersupportstl.corg

Gateway to Hope: A Breast Cancer LifelineGateway to Hope arranges comprehensive treatment for uninsuredor under-insured low income individuals diagnosed with breastcancer, as well as those genetically at high risk for the diseasewho are not eligible for state or federally funded care.WHERE: 845 North New Ballas Court, Suite 380, St. Louis, MO 63141WEB: www.gthstl.org

Hereditary Risk for Breast Cancer Program at Saint Louis UniversityFunded by a grant provided by the Susan G. Komen for the CureSt. Louis Affiliate, this program provides education and counselingto men and women and at-risk families for breast cancer providinginformation and counseling on risks, benefits and psychologicalramifications of genetic testing.WHERE: 3555 Vista Ave, St. Louis, MO 63110CALL: (314) 577-8854CONTACT: Suzanne Mahon, RN, DNSc, AOCN, APNG

I Can Cope Cancer Support GroupThis support group is open to anyone with cancer and their families. WHEN: The second Tuesday of each month, 5:30 pmWHERE: Poplar Bluff Regional Medical Center

3100 Oak Grove Road, Poplar Bluff, MO 63901

Lending a HandAssists cancer patients with various expenses related to cancertreatment such as gas cards, prescription co-pays andreimbursement for treatment-related travel expenses.WHERE: Post Office Box 734, Van Buren, MO 63965FACEBOOK: Lending a Hand Cancer Fund

UCANTheir mission is to help ease some of the burdens brought about in the wake of a cancer diagnosis, thereby enhancing the quality of life experienced by local cancer patients.WHERE: 1419 W Maud Street, Poplar Bluff, MO 63901CALL: (573) 776-1892

Women Under 40: Breast Cancer EducationalNetworking GroupConnect with other women who are facing the same challengesas an under 40 patient and survivor. Different topics arediscussed each month.WHERE: St. Louis Cancer and Breast Institute

2nd floor Conference Room15945 Clayton Road, Clarkson Valley, MO 63011

PINK PAGES RESOURCE GUIDE

46 thenewyoumagazine.com SUMMER 2015

999 North Second Street, St. Louis, Missouri 63102 Tel. (314) 881-5800

www.fourseasons.com/stlouis/spa

S P A A N D S A L O N

R I S I N G S E V E N S T O R I E S A B O V E T H E C I T Y S K Y L I N E ,

T H E S PA AT F O U R S E A S O N S H O T E L S T. L O U I S I S A

S A N C T U A RY W I T H I N T H E C I T Y. T R E AT M E N T S F U S E A N C I E N T

AY U RV E D I C P R I N C I P L E S W I T H M O D E R N T E C H N I Q U E S

T O H A R M O N I Z E T H E M I N D , B O D Y A N D S P I R I T.

F R O M U P H E R E , T H E W O R L D S E E M S I N F I N I T E LY B E T T E R . A N D S O D O YO U .

newwavecom.com1.877.554.9688

newwavebusiness.com 1.866.460.9283

Residential

Residential Business

Business

3000 West wood Boulevard

ARE YOU ?UPGRADES ARE HERE, POPLAR BLUFF.

Breast cancer 2015r

Documents

Transcript of Breast cancer 2015r